Child Eveningness as a Predictor of Parental Sleep.

Child eveningness has been associated with many adverse outcomes for children. The aim of this study was to assess whether child eveningness poses a risk to parental sleep quality in follow-up. A total of 146 children (57% adopted, 47% boys, mean age at follow-up 5.

Changes in objectively measured sleep among internationally adopted children in 1-year follow-up during the first years in new families.

Background: Psychosocial risks and environmental changes experienced by internationally adopted children may predict sleep problems, which are incidentally among the main concerns of adoptive parents. Several questionnaire studies have found sleep of internationally adopted children to be problematic, but none of those used an objective measure in a controlled study.

Objective: To determine whether the objectively recorded sleep of internationally adopted children is worse than their controls who are living with their biological parents.

Can real-life driving ability be predicted by the Maintenance of Wakefulness Test?

Drowsy driving is a profound road safety issue. In patients with excessive daytime sleepiness (EDS), the Maintenance of Wakefulness Test (MWT) is commonly used to evaluate driving ability. However, there is little evidence that MWT predicts driving performance, and several sleep latency cutoffs have been suggested.

Normative values for sleep parameters in pre-schoolers using actigraphy.

Objective: There are currently no reference values for actigraphy-measured sleep length and fragmentation in preschool children. We created standardized parameters using a community sample.

Methods: Ninety-seven 2-to-6-year-old children (56 boys) wore an actigraph on their non-dominant wrist for seven days.

First-Night Effect on Sleep in Different Female Reproductive States.

Objectives: In sleep laboratory studies, the new environment is generally considered to disturb sleep during the first night. However, older women have rarely been studied. Although menopause and hormone therapy affect sleep, their impact on the first-night effect is virtually unknown.

Poor Parental Sleep and the Reported Sleep Quality of Their Children.

Background: Pediatric sleep disturbances are regularly diagnosed on the basis of parental reports. However, the impact of parental sleeping problems on parental perceptions and reports of their child's sleep has not yet been studied. We hypothesized that poor parental sleep decreases the parent-reported child sleep quality.

Evaluation of patients' sleep by nurses in an ICU.

Aims And Objectives: To determine how intensive care unit evaluations of patients' sleep by nurses correspond to polysomnography and if changes in patients' physiologic parameters could be helpful in sleep evaluation.

Background: The evaluations of patients' sleep by nurses have not corresponded very well with objective sleep recordings, so there is a need for further knowledge in this field.

Design: Correlational study of patients' sleep, nurses' sleep evaluations and the sleep-related heart rate and blood pressure changes.

Obstructive sleep apnea in psychiatric outpatients. A clinic-based study.

Psychiatric diseases and symptoms are common among patients with obstructive sleep apnea (OSA). However, only a few studies have examined OSA in psychiatric patients. At the outpatient clinic of the Uusikaupunki Psychiatric Hospital, Finland, we used a low referral threshold to a diagnostic sleep study.

Sleep and nursing care activities in an intensive care unit.

This study aimed to describe the quality of sleep of non-intubated patients and the night-time nursing care activities in an intensive care unit. The study also aimed to evaluate the effect of nursing care activities on the quality of sleep. An overnight polysomnography was performed in 21 alert, non-intubated, non-sedated adult patients, and all nursing care activities that involved touching the patient were documented by the bedside nurse.

Cardiac autonomic changes after 40 hours of total sleep deprivation in women.

Objectives: The effect of total sleep deprivation on heart rate variability (HRV) in groups of postmenopausal women on oral hormone therapy (HT) (on-HT, n = 10, 64.2 (1.4) years), postmenopausal women without HT (off-HT, n = 10, 64.

Evaluating adult patients' sleep: an integrative literature review in critical care.

Background: Patients in a critical care unit sleep quite poorly even when they appear to be sleeping. Sleep is light and fragmented. Acute lack of sleep causes patients suffering in the form of fatigue, irritability, disorientation and hallucinations.

[Paroxysmal feeling of suffocation during sleep--a diagnostic challenge].

Our patient suffered from nocturnal awakenings due to paroxysmal feelings of suffocation for three years. He was extensively examined at the community health centre and at the departments of neurology, psychiatry, oral diseases and respiratory medicine of the district hospital and the university hospital. The clinical hunch of the night nurses of the department of respiratory medicine and video EEG monitoring recommended by the sleep disorders team eventually revealed the real cause of the patient's symptoms.

Postmenopausal estrogen therapy modulates nocturnal nonlinear heart rate dynamics.

Objective: To study the effects of postmenopausal estrogen therapy (ET) on nocturnal nonlinear heart rate variability (HRV).

Design: In this prospective, randomized, double-blind, placebo-controlled study, 71 healthy hysterectomized postmenopausal women received either transdermal estradiol or placebo for 3 months. After a washout period of 1 month, the treatments were reversed.

Sleep stage dependent patterns of nonlinear heart rate dynamics in postmenopausal women.

Objective: To study the effects of sleep stage changes on nocturnal nonlinear heart rate variability (HRV) in postmenopausal women.

Design: A prospective study.

Population: Seventy-one healthy postmenopausal women.

Impact of menopause on the manifestation and severity of sleep-disordered breathing.

Background: Decreased production of female hormones might explain the increased prevalence of sleep-disordered breathing in postmenopausal women.

Objectives: We evaluated, whether menopause has an impact on the manifestation of sleep-disordered breathing in terms of signs, symptoms, and breathing pattern.

Methods: The study was a cross-sectional study utilizing a patient database, hospital records, sleep studies, and questionnaires.

Menopausal estrogen therapy predicts better nocturnal oxyhemoglobin saturation.

Objectives: The respiratory responses in the few previous studies evaluating the effects of short-term unopposed estrogen therapy on breathing in postmenopausal women have been inconsistent. We performed a study to investigate whether long-term estrogen therapy would prevent age-related decline in nocturnal arterial oxyhemoglobin saturation and whether higher serum estradiol concentration is associated with better arterial oxyhemoglobin saturation.

Methods: Sixty-four healthy postmenopausal women were followed-up for 5 years in a 5-year prospective open follow-up study.

Medroxyprogesterone improves cardiac autonomic control in postmenopausal women with respiratory insufficiency.

Objective: To study the effect of medroxyprogesterone acetate (MPA) on autonomic cardiac control in respiratory insufficiency in postmenopausal women.

Design: A prospective, single-blind study.

Subjects: Eighteen postmenopausal women with respiratory insufficiency and eight asymptomatic postmenopausal women with nocturnal hypoxaemia as controls.

State of vigilance, oestrogen replacement therapy, and lipid profile as modifiers of nocturnal movement-induced heart rate responses.

Study Objectives: To investigate the body movement-associated heart rate responses during sleep in postmenopausal women and to evaluate the possible effect of transdermal oestrogen replacement therapy and metabolic factors on these responses.

Design: A prospective double-blind cross-over placebo-controlled trial.

Setting: A university sleep research unit.