Xem 1-16 trên 16 kết quả Sleep disturbances
  • From the emergence of clinical sleep medicine marked by the establishment of the harbinger Stanford Sleep Disorders Clinic in the mid 1970s, offspring sleep disorders clinics and centers have grown exponentially with the recognition of the unmet diagnostic and treatment needs of the reservoir of patients suffering from symptoms of what are now recognized and classified as the nosology of human sleep disorders.

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  • Harrison's Internal Medicine Chapter 28. Sleep Disorders Sleep Disorders: Introduction Disturbed sleep is among the most frequent health complaints physicians encounter. More than one-half of adults in the United States experience at least intermittent sleep disturbances. For most, it is an occasional night of poor sleep or daytime sleepiness. However, the Institute of Medicine estimates that 50–70 million Americans suffer from a chronic disorder of sleep and wakefulness, which can lead to serious impairment of daytime functioning.

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  • Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Prevalence of sleep disturbances and long-term reduced health-related quality of life after critical care: a prospective multicenter cohort study...

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  • Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Residual sleep disturbance and risk of relapse during the continuation/maintenance phase treatment of major depressive disorder with the selective serotonin reuptake inhibitor fluoxetine...

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  • Parasomnias The term parasomnia refers to abnormal behaviors or experiences that arise from or occur during sleep. A continuum of parasomnias arise from NREM sleep, from brief confusional arousals to sleepwalking and night terrors. The presenting complaint is usually related to the behavior itself, but the parasomnias can disturb sleep continuity or lead to mild impairments in daytime alertness. Two main parasomnias occur in REM sleep: REM sleep behavior disorder (RBD), which will be described below, and nightmare disorder.

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  • Insomnia Associated with Neurologic Disorders A variety of neurologic diseases result in sleep disruption through both indirect, nonspecific mechanisms (e.g., pain in cervical spondylosis or low back pain) or by impairment of central neural structures involved in the generation and control of sleep itself. For example, dementia from any cause has long been associated with disturbances in the timing of the sleep-wake cycle, often characterized by nocturnal wandering and an exacerbation of symptomatology at night (so-called sundowning).

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  • Sleep is a function of the brain. However, the ultimate physiological function of sleep remains enigmatic and unknown despite recent extensive research of this ubiquitous and important brain activity. Sleep intervenes in functions of somatic growth, regeneration, and memory. Sleep is important in medicine because it modulates quality of life, while its disorders provoke family pathology, disturb work routines, alter social activities, and, in general, affect the health of the individual (1).

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  • He with others looked favorably upon the efforts of the homeopaths to gain a foothold, and inclined strongly toward the establishment of a chair of homeopathy in the Institute—a purpose duly announced in the college journal. This innovation, to be referred to hereafter, proved to be one of the first disturbing procedures in the progress of the infant school. Another was the addition to the faculty of one who for the next decade provoked continual uneasiness among the corps of teachers.

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  • The chapters in this book reflect leading edge ideas, reflections and observations. Even though the modern era of sleep research evolved from Aserinksky’s observations of rapid eye movements in the sleep of babies, most work is nonetheless done in adults. There is much less formal work done in youngsters and virtually none in utero and pregnancy itself is virtually unexplored. So, Dr Miller et al’s chapter reviewing sleep in pregnancy is particularly welcome as it incorporates current thinking in how disordered sleep impacts other adult pathological processes.

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  • Nutrient requirements for optimum health and function of aging physiological systems often are quite distinct from young ones. Recognition and understanding of the special nutrition problems of the aged are being intensively researched and tested, especially due to the increases in the elderly in the general population. In developed countries, economic restrictions and physical inactivity during aging can signifi cantly reduce food intakes, contributing to nutritional stresses and needs. Many disease entities and cancers are found with higher frequency in the aged.

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  • Because there is no clear definition of the asthma phenotype, researchers studying the development of this complex disease turn to characteristics that can be measured objectively, such as atopy (manifested as the presence of positive skin-prick tests or the clinical response to common environmental allergens), airway hyperresponsiveness (the tendency of airways to narrow excessively in response to triggers that have little or no effect in normal individuals), and other measures of allergic sensitization.

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  • A 7-year-old, only child of a single mother develops a sleep disturbance in which he resists going to bed and, once in his bedroom, cries for hours on end for his mother to comfort him. She regularly ends up sleeping in his bed with him as the only way to get him to go to sleep and to allow her to have any peace. She has a history of depressive episodes with suicidal thoughts which have required recurrent admissions to psychiatric wards and, in her more hopeless states of mind, she talks to her son about preparing for a life without her....

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  • The clinical features vary according to the severity and duration of the respiratory acidosis, the underlying disease, and whether there is accompanying hypoxemia. A rapid increase in Pa CO2 may cause anxiety, dyspnea, confusion, psychosis, and hallucinations and may progress to coma. Lesser degrees of dysfunction in chronic hypercapnia include sleep disturbances, loss of memory, daytime somnolence, personality changes, impairment of coordination, and motor disturbances such as tremor, myoclonic jerks, and asterixis.

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  • Excessive daytime sleepiness is often result of self-imposed sleep deprivation espetially in young people. More often it is effect of disturbed nocturnal sleep or misaligned circadian rhytms. It may be side effect of many often-used drugs, for example hypnotics or alcohol. Nocturnal sleep disturbances, which lead to EDS, should be carefully assessed and treated. In several conditions EDS is not an outcome of night-sleep loss and should be considered as primary hypersomnia of central origin.

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  • In the traditional folktale of "Sleeping Beauty," the spell cast upon the lovely young princess and everyone in her castle can only be broken by the kiss of a Prince. It is an ancient story, one that originally emerged from and still deeply disturbs the mind's unconscious. Now Anne Rice, writing as A.N. Roquelaure, retells the Beauty story and probes the unspoken implications of this lush, suggestive tale by exploring its undeniable connection to sexual desire. Here the Prince awakens Beauty, not with a kiss, but with sexual initiation....

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  • Unrecognised sleep-related generalised epileptic seizures disturb sleep achritecture as they cause arousals. Generalized epileptic seizures reduce total sleep time and elongate latency to REM sleep. Amount of NREM1 and NREM2 stages may be extended (Foldvary-Schaefer, 2002). Partial epileptic seizures during sleep do not disrupt night sleep markedly, only in case of their secondary generalization (Dasheiff, 2003). Epileptic seizures during daytime influence night sleep too. They reduce REM sleep, what may be cause of fatigue in postparoxysmal period (Bazil, Castro & Walczak, 2000).

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