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Pediatric Parasomnias
Pediatric Parasomnias

... Disorders of arousal (sleep walking, confusional arousals, sleep terrors) can be thought of as being due to a faulty “switch” that prevents normal sleep cycle progression. The transition from SWS to lighter sleep, just prior to REM sleep onset, is abnormal. The patient is neither fully asleep nor fu ...
Coexistence of Obstructive Sleep Apnea and Superior Vena Cava
Coexistence of Obstructive Sleep Apnea and Superior Vena Cava

... racotomy other than a standard collar incision (12). Thyroidectomy for substernal goiters should be performed by surgeons with a special interest and experience in thyroid surgery to ensure in minimizing the complications. Total thyroidectomy was performed successfully through collar incision and me ...
Independent learning program for GPs - gplearning
Independent learning program for GPs - gplearning

... relating to sleep, circadian rhythm and sleep disorders. She has also received funding from CIRUS to train registered nurses to run behavioural therapy groups for individuals with insomnia. Dorothy Bruck BA (Hons), PhD, MAPS is a professor of psychology at Victoria University in Melbourne, a sleep p ...
Endothelin-1 plasma levels are not elevated in patients with F. Grimpen
Endothelin-1 plasma levels are not elevated in patients with F. Grimpen

... inhibitor in six, diuretics in five, and b-blockers in six patients). No changes in any of these medications were made for the duration of the study. In 22 cases there was no clinical evidence of atherosclerosis; seven patients reportedly suffered from coronary artery disease. Anthropomorphic, lung ...
Advances Spring 2015 - Massachusetts General Hospital
Advances Spring 2015 - Massachusetts General Hospital

... prosthetic replacement has historically been complicated by the difficulty in dislocating the ankle for surgical intervention as well as the many joints and complex biomechanics that characterize the region. Fusion has seen much wider practice, with its union rate of roughly 90%, after which signifi ...
associate of science in radiologic technology
associate of science in radiologic technology

... contributing member to the diagnostic imaging team. RT 260 Radiation Physics Two semester hours (Two hours theory per week) This course is an in-depth study of the physics and electronics involved in the production, use and control of the various electromagnetic energies used in medical and diagnost ...
Author`s personal copy - Sleep, Stress, and Memory Lab
Author`s personal copy - Sleep, Stress, and Memory Lab

... Fig. 3B). Critically, another group of subjects was sleep deprived on the first night after training. These subjects were allowed 2 full nights of recovery sleep before being retested 3 days later. The subjects failed to show any residual learning, suggesting that performance enhancements depend on ...
Treatment of obstructive sleep apnea in children: CLINICAL REVIEW
Treatment of obstructive sleep apnea in children: CLINICAL REVIEW

... of children who underwent adenoidectomy alone later required the addition of tonsillectomy [46]. However, no details are provided as to what proportion of children undergoing adenoidectomy alone had recurrence of OSAS. Alternatively, in studies using several surgical approaches, pooled outcomes are ...
How to treat patients that do not tolerate continuous positive airway
How to treat patients that do not tolerate continuous positive airway

... standard basis, larger patient populations need to be studied in order to support the efficacy and cost-effectiveness of this therapeutic regime on both short- and long-term outcomes. In conclusion, effectiveness of CPAP is potentially high, but accounting for the relatively low acceptance and compl ...
ESRS - Sleep Medicine Textbook, Chapter B.1.
ESRS - Sleep Medicine Textbook, Chapter B.1.

... opportunity and associated daytime dysfunction. As indicated above, the major difference between ICSD-2 and ICSD-3 regarding insomnia is that the contrast between primary and secondary insomnia has been abandoned due to the impossibility to define with certainty the cause/effect relationship between ...
Technical advances in the characterization of the complexity of
Technical advances in the characterization of the complexity of

... However, less obvious disturbances such as too little sleep or even too much sleep have been linked to morbidity and mortality in large epidemiological studies. At the level of daily function, sleep disorders may impact mood, performance, and sleepiness, with concurrent risks of motor vehicle or wor ...
HISTAMINE AND RESTLESS LEGS SYNDROME
HISTAMINE AND RESTLESS LEGS SYNDROME

... tissue, have been noted in other movement disorders such as Parkinson’s disease.3 Since RLS is a movement disorder, some scientists have suspected that the striatum also may be involved in this disorder. Studies are beginning to confirm this hypothesis.4,5 ...
Practice Parameters for the Role of Actigraphy in the Study of Sleep
Practice Parameters for the Role of Actigraphy in the Study of Sleep

... that actigraphy is useful in the assessment of treatment effects in patients with either restless legs syndrome or periodic limb movement disorder. However, there is one Level V, Grade D-b study [39] indicating that actigraphy may not be able to accurately detect periodic limb movements during sleep ...
- The Hospital of Central Connecticut
- The Hospital of Central Connecticut

... Hypotrichosis is much less common than androgenetic alopecia, but scientists hope the P2RY5 studies might open the door for treatments that target gene mutations and treat both hair loss and unwanted hair. If you have the more common pattern baldness, you’re far from alone. The American Hair Loss As ...
a review of sleep in selected immune and autoimmune disorders
a review of sleep in selected immune and autoimmune disorders

... in 24 patients with fibromyalgia, 60 patients with other musculoskeletal disorders, and 91 healthy controls, they found that the 2 patient groups reported insomnia and poor sleep that were not reported by the control group. However May and colleagues45 screened patients with fibromyalgia for sleep ...
Defi nitions of Narcolepsy
Defi nitions of Narcolepsy

... et al3b–3f discovered that the canine narcolepsy was due to a mutation of the hypocretin receptor 2 gene, and hypocretin 1 was found to be reduced or absent in the cerebrospinal fluid (CSF) of patients with narcolepsy. Narcolepsy was the first primary sleep disorder to be identified and characterize ...
Reduced thalamic and pontine connectivity in Kleine–Levin
Reduced thalamic and pontine connectivity in Kleine–Levin

... usually occur twice a year with characteristic duration of about 3 weeks. This patient has a severe character of her hypersomnic periods, initially with seemingly comatose episodes when she sometimes has to be enterally nourished. Several electroencephalogram (EEG) examinations, however, demonstrate ...
complex sleep apnea
complex sleep apnea

... Does CompSA reduce or diminish on some patients who continue with CPAP over time? Clearly this is the case with some patients—it can even diminish during a CPAP titration night. Interestingly, some patients who have their OSA component removed with CPAP and are left with the CSA component are worse ...
MAYO CLINIC HEALTH LETTER
MAYO CLINIC HEALTH LETTER

... The study, published in The American Journal of Medicine, focused on a class of antioxidant substances called polyphenols. These are most abundant in the peels and outer sections of fruits and vegetables. They’re also abundant in 100 percent grape, apple and citrus juices, as well as in red wine and ...
Parasomnias and Their Mimics
Parasomnias and Their Mimics

... No gender difference exists. Prevalence in childhood is as high as 17%, with a peak age of 12 years. Sleepwalking typically decreases in frequency until adulthood, and 3% of adults sleepwalk.14 Some of the adult sleepwalkers begin to have the condition after childhood (adult-onset sleepwalking). It ...
Why We Sleep: The Temporal Organization of
Why We Sleep: The Temporal Organization of

... deprivation [77]. Further, whereas NREM sleep may be associated with decreased energy expenditure, REM sleep is most often associated with increased whole body oxygen consumption [78,79]. In this latter case, however, it depends on how close ambient temperature is to the thermoneutral range, as REM ...
Online diagnosis tool increases access to healthcare
Online diagnosis tool increases access to healthcare

... reserved. Printed in the USA. Except where specifically encouraged, no part of this publication may be re­produced, in any form or by any means, without prior written consent of HCPro, Inc., or the Copyright Clearance Center at 978/750-8400. Please notify us immediately if you have received an unaut ...
What Is Central Sleep Apnea?
What Is Central Sleep Apnea?

... resolve with adequate medical therapy.37 The measurement of a serum brain natiuretic peptide level can sometimes be helpful, since patients who are apparently well treated medically often have room for improvement from the standpoint of medications and dosages.38 Similarly, studies have shown improv ...
New NPO Provider Ordering Screen and New Provider and Nursing
New NPO Provider Ordering Screen and New Provider and Nursing

... • To improve patient care by reducing delays in providing symptom relief related to prn medication administration. • To reduce wasteful communication between nurses and providers related to orders regarding bowel, pain, sleep and nausea. • To improve daily workflow for nursing and house staff relate ...
Mechanisms of Sleep Control - UCLA Integrative Center for
Mechanisms of Sleep Control - UCLA Integrative Center for

... NREM sleep, and not at all in REM sleep (McGinty and Harper, 1976), not a pattern consistent with the depletion data indicating an active role for serotonin in inducing NREM sleep. One possible resolution to this discrepancy is to postulate that serotonin has some action in wakefulness that facilita ...
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Start School Later movement

The Start School Later movement refers to a series of efforts in the U.S.A. by health care professionals, sleep scientists, educators, economists, legislators, parents, students, and other concerned citizens to restore a later start to the school day, based on a growing body of evidence that starting middle and high schools too early in the morning is unhealthy, counterproductive, and incompatible with adolescent sleep needs and patterns. During the second half of the 20th century, many public schools in the United States began shifting instructional time earlier than the more conventional bell time, thought to be about 9 a.m. Today it is common for American schools to begin the instructional day in the 7 or 8 a.m. hour and end about seven hours later, around 2 p.m. Most sleep research suggests that morning classes should begin no earlier than 8:30 a.m. for middle and high school students.Advocates of a return to later school start times argue that sleep and school hours should be viewed as a public health issue, citing evidence linking early school start times to widespread sleep deprivation among teenagers as well as a wide array of acute and chronic physical, psychological, and educational problems. Not only do students consistently get significantly more sleep on school nights when their schools move to later start times, but later school hours have been consistently linked with improved school performance, reduced impulsiveness, and greater motivation, as well as with lower rates of depression, tardiness, truancy, and morning automobile accidents. Recent studies suggest that early school start times disproportionately hurt economically disadvantaged students and may even negatively impact future earning potential of students, offsetting any financial savings to the school system attributed to earlier hours.
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