Springer eBooks, Год журнала: 2023, Номер unknown, С. 261 - 275
Опубликована: Янв. 1, 2023
Язык: Английский
Healthcare, Год журнала: 2023, Номер 11(5), С. 716 - 716
Опубликована: Фев. 28, 2023
One in ten adults Europe have chronic insomnia, which is characterised by frequent and persistent difficulties initiating and/or maintaining sleep daily functioning impairments. Regional differences practices access to healthcare services lead variable clinical care across Europe. Typically, a patient with insomnia (a) will usually present primary physician; (b) not be offered cognitive behavioural therapy for insomnia—the recommended first-line treatment; (c) instead receive hygiene recommendations eventually pharmacotherapy manage their long-term condition; (d) use medications such as GABA receptor agonists longer than the approved duration. Available evidence suggests that patients multiple unmet needs, actions clearer diagnosis of effective management this condition are long overdue. In article, we provide an update on Old new treatments summarised information indications, contraindications, precautions, warnings, side effects. Challenges treating European systems, considering patients’ perspectives preferences presented discussed. Finally, suggestions provided—with providers policy makers mind—for strategies achieve optimal management.
Язык: Английский
Процитировано
17
Journal of Personalized Medicine, Год журнала: 2024, Номер 14(6), С. 598 - 598
Опубликована: Июнь 4, 2024
Personalized sleep medicine represents a transformative shift in healthcare, emphasizing individualized approaches to optimizing health, considering the bidirectional relationship between and health. This field moves beyond conventional methods, tailoring care unique physiological psychological needs of individuals improve quality manage disorders. Key this approach is consideration diverse factors like genetic predispositions, lifestyle habits, environmental factors, underlying health conditions. enables more accurate diagnoses, targeted treatments, proactive management. Technological advancements play pivotal role field: wearable devices, mobile applications, advanced diagnostic tools collect detailed data for continuous monitoring analysis. The integration machine learning artificial intelligence enhances interpretation, offering personalized treatment plans based on individual profiles. Moreover, research circadian rhythms physiology advancing our understanding sleep’s impact overall next generation technology will integrate seamlessly with IoT smart home systems, facilitating holistic environment Telemedicine virtual healthcare platforms increase accessibility specialized care, especially remote areas. Advancements also focus integrating various sources comprehensive assessments treatments. Genomic molecular could lead breakthroughs disorders, informing highly plans. Sophisticated methods stage estimation, including techniques, are improving precision. Computational models, particularly conditions obstructive apnea, enabling patient-specific strategies. future likely involve cross-disciplinary collaborations, cognitive behavioral therapy mental interventions. Public awareness education about approaches, alongside updated regulatory frameworks security privacy, essential. Longitudinal studies provide insights into evolving patterns, further refining approaches. In conclusion, revolutionizing disorder treatment, leveraging characteristics technologies improved diagnosis, towards marks significant advancement enhancing life those
Язык: Английский
Процитировано
6
Brain and Behavior, Год журнала: 2023, Номер 13(11)
Опубликована: Сен. 24, 2023
Obstructive sleep apnea (OSA) is a common disorder that causes intermittent hypoxia and fragmentation, leading to attention impairment other cognitive deficits. Magnetic resonance imaging (MRI) powerful modality can reveal the structural functional brain alterations associated with in OSA patients. The objective of this systematic review identify synthesize evidence on MRI biomarkers neuropsychological assessments deficits patients.We searched Scopus PubMed databases for studies used measure related alteration patients reported qualitative quantitative data association between outcomes. We also included found an findings deficits.We 19 met our inclusion criteria extracted relevant from each study. categorized into three groups based domain they used: diffusion tensor findings, functional, perfusion, metabolic assessment findings.We structural, multiple regions networks are involved processing. Treatment continuous positive airway pressure partially reverse some changes improve function domains studies. This suggests techniques be useful tools monitoring progression response treatment
Язык: Английский
Процитировано
11
Journal of Sleep Research, Год журнала: 2025, Номер unknown
Опубликована: Фев. 3, 2025
Summary The cyclic alternating pattern (CAP) is a variation of sleep electroencephalogram activity within non‐rapid eye movement (non‐REM) and increased CAP the marker instability. present study aimed to examine expression in non‐REM patients with systemic sclerosis (SSc) compare these findings control group. Thirty‐one SSc were compared matched controls by age, gender, body mass index, apnea–hypopnea index (AHI). Sleep measurements obtained standard polysomnography conventional scoring. A analysis was performed verified certified somnologists. parameters groups similar for efficiency, stage percents N1, N2, N3, latency, minimum oxygen saturation ( p = 0.627, 0.693, 0.530, 0.736, 0.772, respectively). presented higher arousal periodic limb index. analyses showed that had numbers, phase A2 A3 duration, lower A1 duration 0.032, 0.016, Overall total time during significantly patients, although efficiency distribution macro‐structure seem be This emphasises microstructure provides information would otherwise lost if only macrostructure considered.
Язык: Английский
Процитировано
0
Fluids and Barriers of the CNS, Год журнала: 2024, Номер 21(1)
Опубликована: Сен. 17, 2024
Язык: Английский
Процитировано
2
Frontiers in Sleep, Год журнала: 2023, Номер 2
Опубликована: Апрель 17, 2023
Human experts scoring sleep according to the American Academy of Sleep Medicine (AASM) rules are forced select, for every 30-second epoch, one out five stages, even if characteristics neurological signals ambiguous, a very common occurrence in clinical studies. Moreover, cannot score studies where these have not been recorded, such as home apnea testing (HSAT). In this topic review we describe how artificial intelligence can provide consistent and reliable stages based on recorded polysomnography (PSG) cardiorespiratory HSAT. We also show estimates stage probabilities, usually displayed hypnodensity graph, be used quantify ambiguity stability. As an example application characterization disordered breathing (SDB), compared 49 patients with healthy controls revealed severity-depending increase decrease stability during non-rapid eye movement (NREM) sleep. using autoscoring signals, HSAT-derived apnea-hypopnea index hypoxic burden well correlated PSG indices 80 patients, showing technology truly enable HSATs alternatives diagnose SDB.
Язык: Английский
Процитировано
6
Healthcare, Год журнала: 2023, Номер 11(17), С. 2463 - 2463
Опубликована: Сен. 4, 2023
The COVID-19 pandemic has disrupted daily life, impacting relationships, work, and education. This led to increased stress, anxiety, depression, along with altered sleep patterns eating behaviors. Quarantine isolation have worsened mental health, especially in children the elderly, due loss of activities physical contact. Sleep disorders negative dreams perpetuate poor quality, increasing risk health issues. Sedentary lifestyles emotional effects contribute unhealthy obesity, exacerbated by routines limited outdoor activities. Addressing these challenges requires prioritizing promoting healthy habits, addressing obesity factors. profoundly affected human well-being, but resilience, sleep, nutrition can enhance overall well-being adaptability post-COVID era. comprehensive opinion aims raise awareness wide-ranging impacts this on various aspects emphasize importance implementing strategies that prioritize improve address behaviors, foster resilience navigate thrive face future challenges.
Язык: Английский
Процитировано
6
Sleep Medicine Reviews, Год журнала: 2022, Номер 67, С. 101736 - 101736
Опубликована: Дек. 11, 2022
Язык: Английский
Процитировано
9
Journal of Clinical Sleep Medicine, Год журнала: 2024, Номер 20(5), С. 837 - 839
Опубликована: Фев. 2, 2024
Sleep-related painful erection (SRPE) is a parasomnia defined by the repetition of erections during rapid eye movement (REM) sleep. Hypnic headache (HH) primary occurring exclusively at night, often REM We report observation 33-year-old man with simultaneous SRPE and HH. Physical examination was normal. Comprehensive urological endocrine explorations excluded other organic differential diagnoses. Polysomnography revealed several awakenings in REM, due to concurrent Medication baclofen bedtime seemed have resulted decrease episodes, confirmed polysomnography, but cost excessive daytime sleepiness, discontinued patient. Caffeine intake proposed, patient reluctant because he concerned about worsening insomnia. At 9-month follow-up, had accepted his medical condition coping both He felt reassured wished no "overmedicalization." To our knowledge, coexistence conditions has not yet been reported, their frequencies might be underestimated. hypothesize common underlying pathophysiology possible dysfunction vascular control and/or autonomic nervous system that could involve hypothalamus. Somnologists should aware SRPE, potentially overlapping HHs. considered case sleep-maintenance Patient reassurance seems central care process SRPE.
Язык: Английский
Процитировано
1
Complementary Therapies in Medicine, Год журнала: 2024, Номер 84, С. 103071 - 103071
Опубликована: Авг. 4, 2024
We aimed to investigate the effects of chamomile (Matricaria chamomilla L.) on sleep in this systematic review and meta-analysis clinical trials.
Язык: Английский
Процитировано
1