252 results match your criteria: "Sleep Medicine Centre[Affiliation]"

Mesenchymal stem cells (MSCs) show significant promise in treating immune diseases due to their ability to differentiate into various cell types and their immunomodulatory properties. However, the mechanisms by which MSCs regulate CD4T cells, essential for immune responses, are not yet fully understood. This study aims to provide a comprehensive overview of how MSCs and their secreted extracellular vesicles (EVs) modulate CD4T cells in immune diseases.

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Seasonality of excessive daytime sleepiness has been proposed, yet no research has specifically investigated its impact on daytime sleepiness and cataplexy in central disorders of hypersomnolence. This study examined seasonal variations in daytime sleepiness and cataplexy in narcolepsy type 1, narcolepsy type 2 and idiopathic hypersomnia. Patients included in the study were on stable pharmacological treatment, and participated in sleep medicine interviews to assess diurnal sleepiness and daytime napping and completed the Epworth Sleepiness Scale to assess excessive daytime sleepiness (Epworth Sleepiness Scale ≥ 10).

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Objective: Military Police officers of Rio de Janeiro's State have been considered the most lethal security forces in Brazil, corresponding to 52.35% of deaths in policing actions. The main aim of this study was to identify occupational stress among military police officers in Rio de Janeiro State and its relationship with the psychosocial environment, sleep quality, and daytime sleepiness.

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Article Synopsis
  • - Cognitive Behavioral Therapy for Insomnia (CBT-I) is proven to be effective for treating insomnia, but its underlying neurophysiological mechanisms are not well understood.
  • - This narrative review explores various scientific fields such as psychology, neurophysiology, and immunology to uncover how CBT-I may positively impact the central nervous system, immune response, and brain structure.
  • - The review suggests that CBT-I enhances brain connectivity and gene expression linked to immune function, proposing an integrated model to guide future research into its neurophysiological effects.
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Assessment of simulated snoring sounds with artificial intelligence for the diagnosis of obstructive sleep apnea.

Sleep Med

January 2025

Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, Hubei, China; Department of Otorhinolaryngology, Head and Neck Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China; Sleep medicine centre, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China. Electronic address:

Background: Performing simulated snoring (SS) is a commonly used method to evaluate the source of snoring in obstructive sleep apnea (OSA). SS sounds is considered as a potential biomarker for OSA. SS sounds can be easily recorded, which is a cost-effective method for prescreening purposes.

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Methods: This study assessed data from two cohorts of patients with alpha-synucleinopathies (University of Brescia and University of Rome Tor-Vergata cohorts). Consecutive participants with video-polysomnography-confirmed iRBD, Parkinson's disease (PD), dementia with Lewy bodies (DLB) and controls underwent neurological, clinical and I-FP-CIT SPECT imaging assessments. Individuals with iRBD were longitudinally monitored to collect clinical phenoconversion to PD or DLB.

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Background: The present study explored the serum glutamate (Glu), glutamine (Gln), glutamic acid dehydrogenase (GAD) concentrations and the mRNA expression levels of the N-methyl-D-aspartate receptor (NMDAR) NR1 subunit in the peripheral blood of patients with insomnia disorder (ID). To our knowledge, this is the first study showing an increase in the mRNA expression levels of the NMDAR NR1 subunit in patients with ID.

Methods: This study included 30 ID patients and 30 matched healthy controls.

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Article Synopsis
  • Patients with mild cognitive impairment (MCI) due to Alzheimer's disease often experience disturbed sleep, but the connection between their sleep issues and tau pathology is not well understood.
  • A case series studied 6 MCI patients to measure their sleep patterns over a week and explore the relationship between their sleep-wake cycles and tau deposition using PET imaging.
  • Results showed that patients with higher tau levels in specific brain regions also had more fragmented sleep, suggesting a possible link that needs further exploration in larger studies.
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Article Synopsis
  • Nasopharyngeal carcinoma (NPC) is a challenging cancer due to its high rates of spread and resistance to treatment, with the SIX1 protein being a key focus for understanding its aggressive behavior.
  • The study shows that low levels of the itchy E3 ubiquitin ligase (ITCH) lead to higher levels of SIX1, which in turn promotes NPC cell growth and invasion.
  • Targeting the ITCH/SIX
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Orexins/hypocretins are neuropeptides produced by the hypothalamic neurons, binding two G-protein coupled receptors (orexin 1 and orexin 2 receptors) and playing a critical role in regulating arousal, wakefulness, and various physiological functions. Given the high prevalence of sleep disturbances in Alzheimer's disease (AD) and their reported involvement in AD pathophysiology, the orexin system is hypothesized to contribute to the disease pathogenesis. Specifically, recent evidence suggests that orexin's influence may extend beyond sleep regulation, potentially affecting amyloid-β and tau pathologies.

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Article Synopsis
  • Researchers explored the differences between "brain-first" and "body-first" types of Parkinson's disease by studying patients with isolated REM sleep behavior disorder (iRBD) and their periodic limb movements during sleep (PLMS).
  • Out of the 191 patients examined, 48.2% had a high PLMS index (PLMSi > 15), which was linked to better performance in executive functions despite poorer sleep quality.
  • The study suggests that higher PLMSi correlates with increased wakefulness and decreased overall sleep efficiency, indicating a potential connection between sleep disruptions and cognitive status in these patients.
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Article Synopsis
  • The study investigates the inflammatory marker known as the neutrophil-to-lymphocyte ratio (NLR) in patients with narcolepsy type 1 (NT1), narcolepsy type 2 (NT2), and idiopathic hypersomnia (IH), compared to healthy controls (HC).
  • Findings reveal that NT1 patients have a significantly higher NLR than those with NT2, IH, and HC, suggesting that NLR could be a useful biomarker for detecting inflammation associated with NT1.
  • The results indicate that NLR may reflect a neuroinflammatory process involving lymphocyte activity against orexin-producing neurons, potentially aiding in the screening and diagnosis of NT1.
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Prevalence of sleep disorders in geriatrics: an exploratory study using sleep questionnaires.

Geriatr Nurs

December 2024

Department of Systems Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy; Sleep Medicine Centre, Neurology Unit, University Hospital of Rome "Tor Vergata", 00133 Rome, Italy. Electronic address:

Article Synopsis
  • The study explored how common sleep problems are among older adults, focusing on differences between men and women as well as different age groups.
  • It included 58 participants, with major complaints being poor sleep quality (36.2%), sleep apnea risk (34.5%), and insomnia symptoms (25.9%), with older women experiencing worse sleep issues than men.
  • The findings suggest that sleep problems are prevalent in older adults, highlighting the need for screening and treatment to help improve their overall well-being and lessen related health issues.
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Safinamide effect on sleep architecture of motor fluctuating Parkinson's disease patients: A polysomnographic rasagiline-controlled study.

Parkinsonism Relat Disord

October 2024

Department of Systems Medicine, University of Rome "Tor Vergata", Via Montpellier 1, 00133, Rome, Italy; Sleep Medicine Centre, Neurology Unit, University Hospital of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.

Article Synopsis
  • Sleep problems are common in Parkinson's disease (PD) and can seriously impact patients' quality of life, with the study focusing on the effects of monoamine oxidase-B inhibitors (MAOB-Is) on these disturbances.
  • In a study of 45 PD patients with sleep issues, treatment with rasagiline and safinamide over four months showed improvements in motor function, with safinamide leading to better sleep quality and reduced movement disturbances.
  • Safinamide not only alleviated motor symptoms but also improved both subjective and objective sleep measures, suggesting its dual action on the brain may benefit sleep health in PD patients.
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Objectives: Nowadays, few studies have examined the relationships between sleep duration and abnormal gut health. In this study, we used data from the National Health and Nutrition Examination Survey (NHANES) to investigate the correlations between habitual sleep duration and abnormal bowel symptoms in adults.

Methods: This study included 11,533 participants aged ≥ 20 years from the NHANES conducted during 2005-2010.

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Objective: The purpose of this study was to evaluate the applicability of visual evoked potentials (VEP) for intraoperative visual pathway monitoring in epilepsy surgery of the posterior hemispheric quadrant (PHQ) and to correlate it with post-operative visual field status.

Methods: VEP monitoring was performed in 16 patients (12 females, 7 children). Flash-induced VEP were recorded with strip electrodes from the banks of the calcarine cortex.

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Insomnia is a highly prevalent sleep disorder. It is the most frequent sleep complaint among Higher Education students. The Sleep Condition Indicator is a self-report tool aimed at assessing insomnia based on the DSM-5 criteria.

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CSF dynamics of orexin and β-amyloid levels in narcolepsy and Alzheimer's disease patients: a controlled study.

Neurosci Lett

August 2024

Department of Systems Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy; Sleep Medicine Centre, Neurology Unit, University Hospital of Rome "Tor Vergata", 00133 Rome, Italy. Electronic address:

β-amyloid (Aβ) in Alzheimer's disease (AD) and orexin in narcolepsy are considered crucial biomarkers for diagnosis and therapeutic targets. Recently, orexin and Aβ cerebral dynamics have been studied in both pathologies, but how they interact with each other remains further to be known. In this study, we investigated the reliability of using the correlation between orexin-A and Aβ CSF levels as a candidate marker to explain the chain of events leading to narcolepsy or AD pathology.

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Hypopharyngeal squamous cell carcinoma (HSCC) is a kind of malignant tumor with a poor prognosis and low quality of life in the otolaryngology department. It has been found that microRNA (miRNA) plays an important role in the occurrence and development of various tumors. This study found that the expression level of miRNA-107 (miR-107) in HSCC was significantly reduced.

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Article Synopsis
  • Obstructive sleep apnea (OSA) leads to disrupted sleep and excessive daytime sleepiness, potentially harming the body's natural sleep-wake cycle.
  • A study with 48 OSA patients and 22 healthy controls used actigraphy to monitor sleep patterns, revealing OSA patients had less sleep, lower sleep efficiency, longer time to fall asleep, and more sleep disturbances.
  • OSA patients reported worse sleep quality and were less likely to be morning types, indicating a link between OSA-related symptoms and circadian rhythm dysfunction.
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Exploring the Shared Genetic Architecture Between Obstructive Sleep Apnea and Body Mass Index.

Nat Sci Sleep

June 2024

Department of Otorhinolaryngology, Head and Neck Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, People's Republic of China.

Purpose: The reciprocal comorbidity of obstructive sleep apnea (OSA) and body mass index (BMI) has been observed, yet the shared genetic architecture between them remains unclear. This study aimed to explore the genetic overlaps between them.

Methods: Summary statistics were acquired from the genome-wide association studies (GWASs) on OSA (N = 41,704; N = 335,573) and BMI (N = 461,460).

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Background: Long coronavirus disease (COVID) after COVID-19 infection is continuously threatening the health of people all over the world. Early prediction of the risk of Long COVID in hospitalized patients will help clinical management of COVID-19, but there is still no reliable and effective prediction model.

Methods: A total of 1905 hospitalized patients with COVID-19 infection were included in this study, and their Long COVID status was followed up 4-8 weeks after discharge.

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The clinical characteristic of catathrenia: a new look at an old issue-a systematic review of existing literature.

Sleep Breath

August 2024

Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556, Wroclaw, Poland.

Study Objectives: The International Classification of Sleep Disorders categorized catathrenia as a respiratory disorder, but there are doubts whether episodes appear during rapid eye movement (REM) sleep or the non-rapid eye movement (NREM), their duration, and symptoms. The main objectives were to identify the most common features and relations of catathrenia.

Methods: PubMed, Embase, and Web of Science were searched according to the PRISMA 2020 guidelines.

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