5,227 results match your criteria: "Sleep Stage Scoring"

Association between CD20 T lymphocytes and neuropsychological findings in multiple sclerosis.

Eur J Neurol

January 2025

Multiple Sclerosis Clinical Care and Research Center, Department of Neuroscience, Reproductive Science, and Odontostomatology, Federico II University of Naples, Naples, Italy.

Background And Purpose: CD20 T lymphocytes are a subset of circulating T cells presenting the CD20 receptor, a molecular marker of B lineage. CD20 T lymphocytes are thought to play a pivotal role in multiple sclerosis (MS) pathology, especially at progressive stages. We aimed to investigate the correlation between CD20 T lymphocytes and neuropsychological features (i.

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Article Synopsis
  • Macao's first COVID-19 case was reported in January 2020, leading to a recruitment effort for healthcare workers (HCWs) in private sectors by August 2021 due to escalating community transmission and concerns for personal and public health.
  • The study aimed to investigate the impact of the pandemic on sleep quality and psychological well-being of HCWs in Macao, using various assessment tools from December 2020 to January 2022.
  • Results showed that around 32% experienced sleep disorders and over 50% faced depression, with no significant change between two surveys, indicating a consistent negative impact of COVID-19 on HCWs' mental health and sleep quality.
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Introduction: Preclinical and clinical evidence has elucidated that cannabis-based medical formulations (CBMFs) may display anxiolytic, antidepressive, and neuroprotective properties. CBMFs are often considered as novel therapeutic anxiolytic agents that can be prescribed as pharmacotherapy for symptomatic domains in anxiety disorders (ADs). Our aim was to explore effectiveness and tolerability of enriched cannabidiol (CBD) oil extract formulations in adults with anxiety symptoms in an outpatient mental health program in Colombia during the COVID-19 pandemic.

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Objective: To explore sleep patterns in individuals with Essential Tremor (ET) and Essential Tremor Plus (ET-Plus), compared to healthy controls, and assess differences between ET and ET-Plus, given the lack of established polysomnography (PSG) data on these groups and the potential for sleep disturbances to serve as clinical markers.

Methods: We conducted a prospective cross-sectional study at NIMHANS, Bengaluru, from November 2021 to August 2023 on 45 patients (26 ET, 19 ET-Plus) and 45 controls. Tremor severity was assessed using TETRAS and FTMTRS, and sleep symptoms with ESS, PSQI, Mayo Sleep Questionnaire, RLS-Q, BQ, GAD-7 and PHQ-9.

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Life's Essential 8 and Poor Brain Health Outcomes in Middle-Aged Adults.

Neurology

November 2024

From the Department of Neurology (S.C.-T., C.A.R., D.R., S.H., A.H., L.H.S., K.N.S., G.J.F.); Yale Center for Brain and Mind Health (S.C.-T., C.A.R., D.R., S.H., A.H., K.N.S., G.J.F.); Department of Internal Medicine (S.C.-T., T.M.G.), Geriatrics, Yale School of Medicine, New Haven, CT; and Department of Neurology (M.A.H.), Mayo Clinic, Rochester, MN.

Background And Objectives: Mounting evidence points to a strong connection between cardiovascular risk during middle age and brain health later in life. The American Heart Association's Life's Essential 8 (LE8) constitutes a research and public health construct capturing key determinants of cardiovascular health. However, the overall effect of the LE8 on global, clinically relevant metrics of brain health is still unknown.

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Study Objectives: Sleep disturbances in "long COVID" are common, but the associations between the severity of sleep problems and the severity of COVID infection are unclear. We evaluated the prevalence, persistence, comorbidities, and clinical effects of insomnia following recovery from acute COVID-19 infection in a COVID-specific clinic.

Methods: Inpatients discharged after COVID infection and outpatients referred for persistent post-COVID symptoms were surveyed on insomnia severity (Insomnia Severity Index, ISI), other neuropsychological symptoms, cardiopulmonary symptoms and physiological functions (6 minute walk distance and others), and functional outcome and quality of life (QOL).

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Alterations in the DTI-ALPS index and choroid plexus volume are associated with clinical symptoms in participants with narcolepsy type 1.

Sleep Med

December 2024

Department of Radiology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China; Intelligent Medical Imaging of Jiangxi Key Laboratory, Nanchang, 330006, China; Biomedical Imaging Research Center, School of Medicine, Tsinghua University, Beijing, 100084, China. Electronic address:

Background: Narcolepsy type 1 (NT1) is a sleep disorder characterized by excessive daytime sleepiness accompanied by cataplexy. Sleep disorders have been shown to affect the glymphatic system. This study aimed to evaluate changes in the diffusion tensor imaging along the perivascular space (DTI-ALPS) index and choroid plexus (CP) volume in NT1 participants, and to further explore their clinical significance.

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Local sleep in songbirds: different simultaneous sleep states across the avian pallium.

J Sleep Res

October 2024

Technical University of Munich, TUM School of Life Sciences, Chair of Zoology, Freising-Weihenstephan, Germany.

Wakefulness and sleep have often been treated as distinct and global brain states. However, an emerging body of evidence on the local regulation of sleep stages challenges this conventional view. Apart from unihemispheric sleep, the current data that support local variations of neural oscillations during sleep are focused on the homeostatic regulation of local sleep, i.

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A prediction model for the walking and balance milestone in Parkinson's disease.

Parkinsonism Relat Disord

December 2024

Department of Neurology, Zhengzhou University People's Hospital (Henan Provincial People's Hospital), Zhengzhou, Henan, 450003, China; Department of Neurology, Henan University People's Hospital, Zhengzhou, Henan, 450003, China. Electronic address:

Background: Walking and balance impairments, represented by freezing of gait and falls, are significant contributors to disability in advanced Parkinson's disease (PD) patients. However, the composite measure of the Walking and Balance Milestone (WBMS) has not been thoroughly investigated.

Methods: This study included 606 early-stage PD patients from the Parkinson's Progression Markers Initiative (PPMI) database, with a disease duration of less than 2 years and no WBMS at baseline.

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Background: Obstructive sleep apnea (OSA) is common in surgical patients and associated with worse perioperative outcomes.

Objectives: To investigate the effect of mini-dose dexmedetomidine supplemented analgesia on postoperative sleep quality pattern in patients at high risk of OSA.

Design: A pilot randomized, double-blind, placebo-controlled trial.

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Goal And Aims: Performance evaluation of automatic sleep staging on two-channel subcutaneous electroencephalography.

Focus Technology: UNEEG medical's 24/7 electroencephalography SubQ (the SubQ device) with deep learning model U-SleepSQ.

Reference Method/technology: Manually scored hypnograms from polysomnographic recordings.

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Article Synopsis
  • Polysomnography (PSG) is the standard method for sleep staging in medical clinics, but it can be uncomfortable for long-term monitoring due to skin contact.
  • Researchers are exploring the use of video cameras for contactless sleep staging, aiming to utilize their potential for both physiological and behavioral measurements.
  • A study developed a camera-based system that achieved 73.1% accuracy in classifying different sleep stages, showcasing its potential as a valuable tool in sleep medicine and offering insights for future improvements.
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Background: Maternal depression and anxiety during pregnancy are significant public health concerns commonly reported worldwide among pregnant women. This study aimed to investigate the impact of anxiety and depression on thyroid function, pregnancy outcomes, and sleep quality among pregnant women with hypothyroidism in the later stages of pregnancy.

Methods: Eighty cases of pregnant women with hypothyroidism in late pregnancy who were treated at Zhangjiakou First Hospital from January 2021 to October 2023 were selected for this retrospective study.

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Background: Post-traumatic stress disorder (PTSD) due to lung cancer seriously affects the mood state of patients. Intensive cognitive management is a structured management method based on cognitive behavioral therapy, which can correct cognitive distortions and regulate adverse emotions. This study mainly explored the effect of intensive cognitive management on the mood state of patients with PTSD due to lung cancer.

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  • The study aimed to investigate how electroacupuncture (EA) affects sleep quality, sleep structure, and cognitive function in patients suffering from insomnia due to cerebral infarction.
  • Thirty-six patients were split into an EA group, which received actual electroacupuncture, and a sham group that experienced a placebo treatment, both undergoing conventional therapy for cerebral infarction for four weeks.
  • Results showed significant improvements in the EA group, with better sleep scores, cognitive assessments, and sleep efficiency compared to the sham group, highlighting the potential benefits of EA for insomnia related to cerebral infarction.
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Cognitive Impact of β-Amyloid Load in the Rapid Eye Movement Sleep Behavior Disorder-Lewy Body Disease Continuum.

Mov Disord

December 2024

Department of Neurology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Republic of Korea.

Article Synopsis
  • Rapid eye movement sleep behavior disorder (RBD) is linked to cognitive decline in Lewy body disease (LBD), influencing brain functions and disease progression.
  • This study examined the relationship between β-amyloid deposition in the brain and cognitive impairment among patients with isolated RBD, Parkinson's disease, and dementia.
  • Results showed that higher β-amyloid levels were associated with more advanced cognitive decline, particularly impacting executive function as measured by the Trail-Making Test B (TMT-B).
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  • Pemphigus is an autoimmune disorder that negatively affects patients' quality of life, particularly their sleep quality, which has been under-researched.
  • A study with 156 participants found that those with pemphigus reported higher psychological distress and significantly poorer sleep quality compared to a control group, with specific sleep issues correlated to the severity of their condition.
  • The research highlights the importance of considering sleep quality in the overall management of pemphigus, especially since patients with skin manifestations experienced worse sleep than those with oral symptoms.
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  • Sleep apnea headache (SAH) is characterized as a recurring, throbbing headache that occurs upon waking, linked to obstructive sleep apnea syndrome (OSAS) and diagnosed through polysomnography with an apnea-hypopnea index of at least 5.
  • A study performed at a sleep center analyzed clinical and polysomnographic data of patients with SAH, separating them into varying severities of OSAS, while excluding those with different morning headaches or under treatment.
  • Results showed significant differences between patients with SAH and those without, including higher sleepiness scores and more frequent limb movement in SAH sufferers, alongside notable contrasts in sleep quality and wake times.
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  • Adolescence involves significant physiological and psychological changes, often leading to stress and mental health issues like depression.
  • A study on 267 male adolescents in Iran used various health questionnaires to assess factors like diet, physical activity, sleep quality, and mental health.
  • Results indicated that poorer sleep quality is linked to higher depression rates, especially among those with low physical activity, while dietary intake did not significantly impact mental health or sleep quality.
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  • Scientists studied how to better detect insomnia using brain wave data from a machine called PSG.
  • They created a special model that makes fake brain wave signals to improve the training data for their detection system.
  • Their new method worked really well, achieving 94% accuracy in identifying insomnia using a technique called Random Forest and it can be used easily in real-time setups.
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  • * A study categorized patients into three groups to understand their reasons for refusing to engage with DiGA: those who declined participation, those who wouldn't accept a prescription, and those who didn't provide feedback on usage.
  • * Findings revealed that 62% of patients who refused participation reported non-subjective sleep issues, while reasons for declining prescriptions included loss of interest and health deterioration; some patients in the qualitative group had still used the application despite opting out of the study.
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History of symptoms consistent with REM sleep behavior disorder in a population with Parkinson's Disease.

Sleep Med

December 2024

Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil; Sleep Institute, São Paulo, Brazil. Electronic address:

Article Synopsis
  • REM Sleep Behavioral Disorder (RBD) is a condition where muscle tone is maintained during REM sleep and is linked to Parkinson's Disease (PD) onset, with this study examining RBD symptoms in 73 PD patients compared to 73 controls.
  • The results showed a significantly higher prevalence of RBD symptoms in PD patients (65%) versus controls (10.09%), with a much higher average RBDSQ score in the PD group (6.03 vs. 2.38).
  • The study suggests that the presence of RBD symptoms is common in PD patients, urging clinicians to assess for these symptoms during evaluations and refer cases to sleep specialists if necessary.
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  • Arousal burden (AB) measures the cumulative duration of sleep interruptions relative to total sleep time, with the hypothesis that AB peaks when sleeping on the back and during non-rapid eye movement stage 1 (N1).
  • The study involved expert analysis of sleep recordings from 50 participants, revealing that AB was significantly higher in the supine position and during N1, as well as differing among the scorers.
  • The findings suggest a strong correlation between AB and the arousal index (ArI), but also highlight the variability in AB measurements among scorers, indicating a need for improved scoring techniques.
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  • A study evaluated a new streamlined approach for hypoglossal nerve stimulator (HGNS) implantation, comparing it to a traditional method.
  • The streamlined pathway reduced hospital costs by an average of $9,258 and decreased time to surgery by about 3.82 months without compromising clinical outcomes.
  • The findings suggest that this new approach could be beneficial for certain patients, but more research is needed to refine patient selection and assess long-term effects.
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  • Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Post COVID-19 Condition (PCC) share similar debilitating symptoms, including fatigue and cognitive issues, impacting quality of life and functionality.
  • The study involved Australian adults with ME/CFS and PCC, using self-reported questionnaires to assess symptoms and health outcomes, revealing significant differences in age and symptom associations between the two groups.
  • Findings suggest that illness duration influences symptom severity, highlighting the need for clearer diagnostic criteria for PCC to better identify individuals at risk of developing chronic ME/CFS-like illnesses.
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