1,045 results match your criteria: "Centre détude du sommeil[Affiliation]"

Biomarkers.

Alzheimers Dement

December 2024

Sorbonne Université, Paris Brain Institute (ICM), INSERM, CNRS, UMR-1127, Mov'It, DreamTeam, Paris, France.

Background: Spectral power of slow rhythms in resting-state EEG increases along Alzheimer's disease (AD) continuum. Besides, recent studies have revealed 1) the importance of analyzing the aperiodic component of an EEG power spectrum and 2) the intrusions of sleep-like slow waves identifiable in wake EEG of animals and young adults. Importantly, the occurrence of these wake slow waves is known i) to increase after sleep deprivation, ii) to be associated with markers of sleepiness, and iii) to predict behavioral errors at different tasks.

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This study presents two cases of central sleep apnea syndrome in children, highlighting the utility of assessing ventilatory control stability, particularly loop gain and central chemosensitivity in treatment decision-making. In the first case, elevated loop gain for oxygen correlated with periodic breathing, leading to successful treatment with supplemental oxygen in a 13 year-old boy with Prader-Willi-like syndrome. Conversely, in the second case, dealing with a 10 year-old girl with tumor in the brainstem-spinal cord junction, reduced loop gain prompted treatment with nocturnal non-invasive ventilation.

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Isolated rapid eye movement sleep behavior disorder is a prodrome of α-synucleinopathies. Using positron emission tomography, we assessed changes in Parkinson's disease-related motor and cognitive metabolic networks and caudate/putamen dopaminergic input in a 4-year longitudinal imaging study of 13 male subjects with this disorder. We also correlated times to phenoconversion with baseline network expression in an independent validation sample.

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Why does tinnitus vary with naps? A polysomnographic prospective study exploring the somatosensory hypothesis.

Hear Res

January 2025

Université Paris Cité, VIFASOM ERC 7330, Vigilance Fatigue Sommeil et Santé publique, Paris, France; APHP Hôtel-Dieu, Centre du Sommeil et de la Vigilance, Paris, France.

Background: Tinnitus, defined as the conscious awareness of a noise without any identifiable corresponding external acoustic source, can be modulated by various factors. Among these factors, tinnitus patients commonly report drastic increases of tinnitus loudness following nap sleep. Previous studies have suggested that this clinical pattern could be attributed to a somatosensory modulation of tinnitus.

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Article Synopsis
  • Prader-Willi syndrome (PWS) is a rare genetic condition linked to cognitive and behavioral issues, obesity, and sleep problems, which may also involve autonomic nervous system dysfunction.
  • A study investigated heart rate variability and autonomic function during sleep and standing in children with PWS, comparing results with age-matched controls, revealing significant impairment in heart rate responses and high rates of sleep apnea among the PWS group.
  • Findings suggest decreased vagal modulation and possible sympathetic dysfunction in PWS children, which could increase their cardiovascular risks.
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[Cardiopulmonary exercise testing: Key practical aspects].

Rev Mal Respir

December 2024

Unité d'explorations fonctionnelles respiratoires et du sommeil, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris (AP-HP), université Paris Cité, 20, rue Leblanc, 75015 Paris, France. Electronic address:

Functional exercise testing (FET) assesses an individual's capacity to adapt to effort and identifies limiting factors, particularly dyspnea. It orients therapeutic choices, predicts the progression of chronic pathologies, and estimates preoperative risks, at times contraindicating surgery. The aim of this article is to provide a summary of the specific indications for functional exercise testing, test protocol selection, test equipment, appropriate personnel, and patient and test safety.

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[Treatment of posttraumatic nightmares: the role of imagery rehearsal therapy].

Rev Prat

November 2024

Psychiatre, service de psychiatrie de l'enfant et de l'adolescent, pôle psychiatrie, santé mentale et addictologie, Hôpitaux universitaires de Strasbourg, Strasbourg, France. Centre régional du psychotraumatisme Alsace-Nord, pôle psychiatrie, santé mentale et addictologie, Hôpitaux universitaires de Strasbourg, Strasbourg, France. CNRS UPR 3212, Institut des neurosciences cellulaires et intégratives, Strasbourg, France.

Article Synopsis
  • Post-traumatic stress disorder (PTSD) affects about 30% of adults following a traumatic event, often leading to persistent sleep disturbances and nightmares that cause significant emotional distress.
  • Over 70% of PTSD patients experience post-traumatic nightmares, which are considered one of the earliest symptoms and are not effectively treated by standard PTSD treatments.
  • Imagery rehearsal therapy, a first-line treatment for these nightmares, uses mental imagery and cognitive restructuring techniques, and has been shown to improve the frequency of nightmares, insomnia severity, sleep quality, and overall PTSD symptoms.
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Article Synopsis
  • The study aimed to explore patient interactions during disorders of arousal (DoA), despite current diagnoses focusing on absent responsiveness.
  • It involved three studies: a questionnaire on verbal responsiveness in 61 patients, auditory stimulation during sleep in 14 patients, and analysis of 364 home videos from 19 patients.
  • Findings revealed that many patients reported occasional conversations during episodes, indicating varying levels of consciousness and responsiveness, which challenge existing diagnostic criteria for DoA.
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The Optiflow™ interface for chronic CPAP in infants.

Sleep Med

January 2025

Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP Necker Hospital, F-75015, Paris, France; Université de Paris Cité, EA 7330 VIFASOM, F-75004, Paris, France.

Continuous positive airway pressure (CPAP) is increasingly used in infants. However, the limited number of commercially masks available for infants is challenging. The use of the Optiflow™ nasal cannula (Fisher & Paykel) with a regular CPAP device has been recently reported for chronic CPAP in children, with an objective improvement in polysomnographic events.

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Persistent disabilities 28 months after COVID-19 hospitalisation, a prospective cohort study.

ERJ Open Res

September 2024

Unité d'Explorations Fonctionnelles Respiratoires et du Sommeil, Hôpital Européen Georges-Pompidou, AP-HP, Paris, France.

Background: Limited data are available on long-term respiratory disabilities in patients following acute COVID-19.

Patients And Methods: This prospective, monocentric, observational cohort study included patients admitted to our hospital with acute COVID-19 between 12 March and 24 April 2020. Clinical, functional and radiological data were collected up to 28 months after hospital discharge.

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Background: Poststroke aphasia (PSA) recovery shows high variability across individuals and at different time points. Although diffusion biomarkers from the ventral and dorsal streams have demonstrated strong predictive power for language outcomes, it is still unclear how these biomarkers relate to the various stages of PSA recovery. In this study, we aim to compare diffusion metrics and language measures as predictors of language recovery in a longitudinal cohort of participants with PSA.

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Article Synopsis
  • Caffeine can help mitigate the negative effects of sleep deprivation, but it may also reduce the quality and duration of recovery sleep.
  • A study with 41 participants showed that after total sleep deprivation (38 hours of staying awake), those who took caffeine had less total sleep time and experienced more disturbances during recovery sleep compared to those who received a placebo.
  • The effects of caffeine on recovery sleep varied depending on participants' regular caffeine consumption, suggesting that advice on caffeine intake may need to be tailored for individuals, especially night-shift workers.
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Dissecting the association between long COVID and depressive symptoms in a nationally representative population from France.

J Psychosom Res

December 2024

Service de Psychiatrie de l'adulte, AP-HP, Hôpital Hôtel-Dieu, F-75004 Paris, France; Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), F-75004 Paris, France. Electronic address:

Article Synopsis
  • The study compares the prevalence of depressive symptoms between individuals infected with SARS-CoV-2, with a focus on those experiencing long COVID.
  • Data was collected from a representative sample of adults through phone interviews, analyzing various factors, including current symptoms and depressive scores measured by PHQ-9.
  • Results show that individuals with long COVID are significantly more likely to exhibit depressive symptoms, particularly around feeling uninterested, fatigued, and having difficulty concentrating.
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Space Analogs and Behavioral Health Performance Research review and recommendations checklist from ESA Topical Team.

NPJ Microgravity

October 2024

Directorate of Human and Robotic Exploration Programmes (HRE-RS). European Space Agency (ESA), Noordwijk, The Netherlands.

Space analog research has increased over the last few years with new analogs appearing every year. Research in this field is very important for future real mission planning, selection and training of astronauts. Analog environments offer specific characteristics that resemble to some extent the environment of a real space mission.

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Aims/hypothesis: Metabolic disorders associated with abdominal obesity, dyslipidaemia, arterial hypertension and hyperglycaemia are risk factors for the development of insulin resistance. Extracellular vesicles (EVs) may play an important role in the regulation of metabolic signalling pathways in insulin resistance and associated complications.

Methods: Circulating large EVs (lEVs) and small EVs (sEVs) from individuals with (IR group) and without insulin resistance (n-IR group) were isolated and characterised.

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[Research on napping: where do we stand?].

Rev Prat

September 2024

Université Paris-Cité, VIFASOM (UPR 7330 Vigilance fatigue, sommeil et santé publique), Paris, France. Unité d'ergonomie cognitive des situations opérationnelles (ECSO), IRBA, Brétigny-sur-Orge, France.

WHERE DO WE STAND? Sleep specialists have proposed measures to counter the short- and long-term negative consequences of sleep deprivation, suggesting that the recovery nap could be a "powerful physiological public health tool". This article focus on napping as a "countermeasure" to the current epidemic of sleep debt. We review the restorative functions of naps explored in laboratory studies (alertness, memory, stress, immune function, pain sensitivity) with definite public health ramifications (sleep-related accidents, school and work performance, cardiovascular risk).

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Background: Should COVID-19 have a direct impact on the risk of depression, it would suggest specific pathways for prevention and treatment. In this retrospective population-based study, we aimed to examine the association of prior SARS-CoV-2 infection with depressive symptoms, distinguishing self-reported . biologically confirmed COVID-19.

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Article Synopsis
  • Obstructive sleep apnea (OSA) often causes excessive daytime sleepiness (EDS), and pitolisant, a medication that targets histamine receptors, was tested for its efficacy in treating this issue in patients with moderate to severe OSA.
  • In a clinical trial with 361 participants, pitolisant was administered in varying doses up to 40 mg daily for 12 weeks, showing a significant reduction in EDS as measured by the Epworth Sleepiness Scale compared to a placebo.
  • The study found that pitolisant was well tolerated and improved not only daytime sleepiness but also reaction times and overall patient satisfaction, regardless of whether patients used continuous positive airway pressure (CPAP) therapy.
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Prevalence of insomnia and use of sleep aids among adults in Canada.

Sleep Med

December 2024

School of Psychology, University of Ottawa, 136 Jean-Jacques Lussier, Vanier Hall, Ottawa, Ontario, K1N 6N5, Canada; Sleep Research Unit, University of Ottawa Institute of Mental Health Research at the Royal, 1145 Carling Avenue, Ottawa, Ontario, K1Z 7K4, Canada.

Article Synopsis
  • A study surveyed 4,037 Canadian adults to estimate the prevalence of insomnia and the use of sleep aids, finding that 16.3% reported insomnia, with higher rates among women, Indigenous peoples, and those with poorer health.
  • About 14.7% of respondents used prescribed sleep medications in the past year, while 28.7% used natural or over-the-counter options, 15.6% used cannabis products, and 9.7% used alcohol for sleep.
  • The results emphasize the widespread issue of insomnia in Canada and the need for public health initiatives and effective treatments like cognitive behavioral therapy to improve sleep health.
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Cold weather operations are logistically difficult to orchestrate and extremely challenging for soldiers. Decades of research and empirical evidence indicate that humans are extremely vulnerable to cold and that individual responses are highly variable. In this context, it may be necessary to develop personalised strategies to sustain soldiers' performance and ensure overall mission success in the cold.

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Background: Right ventricle impairment (RVI) is common during acute respiratory distress syndrome (ARDS) in adults and children, possibly mediated by the level of transpulmonary pressure (P). We sought to investigate the impact of the level of P on ARDS-associated right ventricle impairment (RVI).

Methods: Adults and children (> 72 h of life) were included in this two centers prospective study if they were ventilated for a new-onset ARDS or pediatric ARDS, without spontaneous breathing and contra-indication to esophageal catheter.

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Article Synopsis
  • Chronic insomnia disorder (CID) affects about 5.5% to 6.7% of adults in France, Germany, Italy, Spain, and the UK, significantly impacting quality of life and work productivity.
  • Analysis of 62,319 individuals from the 2020 National Health and Wellness Survey revealed that diagnosed insomnia patients experience more healthcare visits and productivity challenges compared to undiagnosed individuals.
  • The study highlights a strong link between insomnia severity and worse health outcomes, underscoring the pressing need for better management and awareness of CID's effects.
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