Assessment of Sleep, K-Complexes, and Sleep Spindles in a T21 Light-Dark Cycle
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Sleep Disturbance in Dementia: Strategies for Patient Improvement and Reduction of Caregiver Burden
NSU-COM Eighth Annual Interprofessional Geriatrics Training Institute Sleep Disturbance in Dementia: Strategies for Patient Improvement and Reduction of Caregiver Burden Elizabeth Hames, DO Juliet Holt Klinger, MA Speaker Disclosures • Dr. Hames has disclosed that she has no relevant financial relationship(s) Learning Objectives By the end of the session, participants will be able to: • Identify patterns of sleep disturbance specific to older adults with dementia. • Understand the recommendations for and limitations of pharmacologic therapy for sleep disturbance in dementia • Understand the recommendations for non-pharmacologic therapy for sleep disturbance in dementia • Take with them an idea set for educating caregivers to help improve sleep in persons with dementia Scope of the Problem • Approximately 50% of Persons With Dementia (PWD) have sleep and circadian disturbance1,2 • Sleep/circadian disturbance in PWD associated with:1,3,4 1. Additional cognitive decline 2. Functional decline 3. Increased agitation/confusion/sundowning 4. Increased risk of falls and injury 5. Increased caregiver burden 6. Increased rates of institutionalization 7. Increased risk of cardiovascular and cerebrovascular disease 8. Increased risk of depression 1 Zhou et al. “The Management of Sleep and Circadian Disturbance in Patients with Dementia”. Curr Neurol Neuroscience Rep (2012). 12:193-204. 2 Coogan et al. “The Circadian System in Alzheimer’s Disease: Disturbances, Mechanism, and Opportunities”. Biol Psychiatry (2013). 74:333-339 3 “Sleep Disorders Clinical Practice Guideline”. American Medical Directors Association (2006). 4 Bloom et al. “Evidence-Based Recommendations for the Assessment and Management of Sleep Disorders in Older Persons.” J Am Ger Soc (2009). 57(5):761-789. Definitions • Sleep and circadian disorders: . -
Discover New Blogs
Create a beautiful home with Wallace Cotton Wallace Cotton are a family-owned New Zealand bed linen and homeware business. Celebrating beautiful designs, great quality and living with a little luxury every day, Wallace Cotton has been in homes worldwide for more than 15 years. It all began with us making a quilt cover as a gift for a friend. That first quilt cover was so well loved that it inspired us to start a bed linen business based on beautiful designs and quality cotton. Our first catalogue was mailed to a small group of friends in 2006. Family members pitched in to help get the business up and running and many are still working with us today. For us the story is just getting started and we are excited to bring more designs from New Zealand to life in customer’s homes around the world. We use beautiful natural fabrics to create quilt covers, bed covers, sheets and sleepwear to love. Our collectable range of homeware, kitchen linens and bathroom accessories are designed for easy living and thoughtful gifting. From tropical palm trees to seasonal florals, our unique designs bring a sense of the outdoors in and embrace a relaxed lifestyle. Bed linen Inspired by nature, we love creating bed linen from natural fabrics in beautiful designs. Our bedding collections are designed with purpose to effortlessly coordinate with our current ranges and with customer’s existing pieces. Our quilt covers, sheets and pillowcase separates are crafted from a considered range of fabrics to suit everyone, from crisp cotton, sumptuous cotton sateen and organic cotton to stonewashed European linen. -
Slow Waves and Sleep Spindles in Unaffected First-Degree Relatives
www.nature.com/npjschz ARTICLE OPEN Sleep endophenotypes of schizophrenia: slow waves and sleep spindles in unaffected first-degree relatives Armando D’Agostino 1,2, Anna Castelnovo1, Simone Cavallotti2, Cecilia Casetta1, Matteo Marcatili1, Orsola Gambini1,2, Mariapaola Canevini1,2, Giulio Tononi3, Brady Riedner3, Fabio Ferrarelli4 and Simone Sarasso 5 Sleep spindles and slow waves are the main brain oscillations occurring in non-REM sleep. Several lines of evidence suggest that spindles are initiated within the thalamus, whereas slow waves are generated and modulated in the cortex. A decrease in sleep spindle activity has been described in Schizophrenia (SCZ), including chronic, early course, and early onset patients. In contrast, slow waves have been inconsistently found to be reduced in SCZ, possibly due to confounds like duration of illness and antipsychotic medication exposure. Nontheless, the implication of sleep spindles and slow waves in the neurobiology of SCZ and related disorders, including their heritability, remains largely unknown. Unaffected first-degree relatives (FDRs) share a similar genetic background and several neurophysiological and cognitive deficits with SCZ patients, and allow testing whether some of these measures are candidate endophenotypes. In this study, we performed sleep high-density EEG recordings to characterise the spatiotemporal features of sleep spindles and slow waves in FDRs of SCZ probands and healthy subjects (HS) with no family history of SCZ. We found a significant reduction of integrated spindle activity (ISAs) in FDRs relative to HS, whereas spindle density and spindle duration were not different between groups. FDRs also had decreased slow wave amplitude and slopes. Altogether, our results suggest that ISAs deficits might represent a candidate endophenotype for SCZ. -
Furniture, Bedding, Pillows, Rugs & Window Treatments
2014 Charlottesville Design House Price List All Furniture, Bedding, Pillows, Rugs & Window Treatments & Shower Curtain from U-Fab, U-Fab package prices negotiable. Custom Bedding By U-Fab BA. - Euro Shams shown in 186-Close and 167-NEMO-Coral with Poly Inserts x 3 -- $149 each BB. - Top Stitched Flange standard shams shown in 111-GILS-Stonewash x 2 -- $99 each BC. - Queen Duvet with Poly Insert shown in 112-BONA-Natural, 2014 112-WHIT-Steel, &167-NEMO-Coral -- $389 Charlottesville Design House BD. - Custom Outline Queen Quilt shown in 109-SAKU-Kumquat -- $739 BE. - Bolster pillow shown in112-Bona-Natural, 125-SOVE-Cement, closeout banding with custom down insert -- $279 BH. Boxed BF. - 20” accent Pillow with down insert shown in 133-HEX-Patina -- $119 BG. - 14 x 18 lumbar pillow shown in 127-close $97 BG. Lumbar BH. - 20” boxed cushions shown in 125-SOVE-cement & 111-GILS-stonewash with custom down inserts x 2 $179 ea. BD. Quilt BA. Euro Sham BB. Standard Sham BF. Accent BE. Bolster BC. Duvet Furniture By U-Fab FB. FA. FD. FC. FA. - X-bench shown in 123-WEST-Steel x 2 -- $529 each FB. - Pagoda Lacquered White Night Stand with 3 drawers -- $910 (Shades of Light) FC. - Fully Upholstered Bed in 134-GIBB-Eggshell -- $1859 FD. - LHF Chaise in 106-VELV-Pearl -- $1629 Window Treatments & Rugs WF. By U-Fab WA. WB. WE. WC. WA. - Stationary Roman Shade in 107-NEAT-Snow and white lining x 3 $199 Each WB. - 1.5 width 2 Prong Euro panels shown in 109-SAKU-Kumquat WH. -
Extra Bunk & Bedding Litera Extra Y Ropa De Cama / Lit Extra Et Literie
Mounting the Bunk Bed on the Extra Bunk Bed. Components Montar la litera sobre la otra litera. Componentes / Composants Monter le Lit de camp superposé sur le Lit extra. 1 - Bed 1 - cama 1 - lit Extra Bunk & Bedding 1 - Mattress 1 - colchón 1 - matelas 1 - Pillow 1 - almohada 1 - oreiller Litera extra y ropa de cama / Lit extra et literie 1 - Bedspread 1 - cobertor 1 - couverture 1 - Bed Caddy 1 - estuche de cama 1 - étui Adult assembly is required. Requiere montaje por un adulto. / Doit être assemblé par un adulte. 2 - Stationery 2 - tarjetas 2 - articles de papeterie 2 - Postcards 2 - postales 2 - cartes postales Tool needed: Allen wrench (included). Phillips screwdriver (not included). 1 - Name board 1 - pizarra de nombre 1 - tableau Herramienta necesaria: Llave inglesa (incluida). Destornillador de estrella (no incluido). 1 - Bin 1 - cajón 1 - boîte Outil requis pour l’assemblage et l’installation des piles: Clé Allen (incluse). 1 - Assembly Hardware 1 - piezas de montaje 1 - pièce d'assemblage tournevis cruciforme (non fourni). This product contains a sharp edges. CAUTION: For assembly by an adult. Take extra care during unpacking and assembly. Keep these instructions for future reference as they contain important information. Questions or comments? Call 1-800-845-0005, visit americangirl.com, or write to American Girl, P.O. Box 620497, Middleton, WI 5 3562-0497 Este producto contiene bordes filosos. Guardar estas instrucciones para futura referencia, ya que contienen información de importancia acerca de este producto. Si tienes alguna pregunta o comentario, en los E.U.A., llama al 1-800-845-0005, visita americangirl.com A ser ensamblado por un adulto. -
Manual Characterization of Sleep Spindle Index in Patients with Narcolepsy and Idiopathic Hypersomnia
Hindawi Publishing Corporation Sleep Disorders Volume 2014, Article ID 271802, 4 pages http://dx.doi.org/10.1155/2014/271802 Research Article Manual Characterization of Sleep Spindle Index in Patients with Narcolepsy and Idiopathic Hypersomnia Lourdes M. DelRosso, Andrew L. Chesson, and Romy Hoque Division of Sleep Medicine, Department of Neurology, Louisiana State University School of Medicine, Shreveport, LA 71103, USA Correspondence should be addressed to Romy Hoque; [email protected] Received 24 November 2013; Revised 22 February 2014; Accepted 8 March 2014; Published 1 April 2014 Academic Editor: Michael J. Thorpy Copyright © 2014 Lourdes M. DelRosso et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This is a retrospective review of PSG data from 8 narcolepsy patients and 8 idiopathic hypersomnia (IH) patients, evaluating electrophysiologic differences between these two central hypersomnias. Spindles were identified according to the AASM Manual fortheScoringofSleepandAssociatedEvents;andcountedperepochinthefirst50epochsofN2sleepandthelast50epochs of N2 sleep in each patient’s PSG. Spindle count data (mean ± standard deviation) per 30 second-epoch (spindle index) in the 8 narcolepsy patients was as follows: 0.37 ± 0.73 for the first 50 epochs of N2; 0.65 ± 1.09 for the last 50 epochs of N2; and 0.51 ± 0.93 for all 100 epochs of N2. Spindle index data in the 8 IH patients was as follows: 2.31 ± 2.23 for the first 50 epochs of N2; 2.84 ± 2.43 for the last 50 epochs of N2; and 2.57 ± 2.35 for all 100 epochs of N2. -
The Effects of Eszopiclone on Sleep Spindles and Memory Consolidation in Schizophrenia: a Randomized Placebo-Controlled Trial Erin J
EFFECTS OF ESZOPICLONE ON SLEEP AND MEMORY IN SCHIZOPHRENIA http://dx.doi.org/10.5665/sleep.2968 The Effects of Eszopiclone on Sleep Spindles and Memory Consolidation in Schizophrenia: A Randomized Placebo-Controlled Trial Erin J. Wamsley, PhD1; Ann K. Shinn, MD, MPH2; Matthew A. Tucker, PhD1; Kim E. Ono, BS3; Sophia K. McKinley, BS1; Alice V. Ely, MS1; Donald C. Goff, MD3; Robert Stickgold, PhD1; Dara S. Manoach, PhD3,4 1Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA; Harvard Medical School, Boston, MA; 2Psychotic Disorders Division, McLean Hospital, Belmont, MA; 3Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA; 4Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA Study Objectives: In schizophrenia there is a dramatic reduction of sleep spindles that predicts deficient sleep-dependent memory consolidation. Eszopiclone (Lunesta), a non-benzodiazepine hypnotic, acts on γ-aminobutyric acid (GABA) neurons in the thalamic reticular nucleus where spindles are generated. We investigated whether eszopiclone could increase spindles and thereby improve memory consolidation in schizophrenia. Design: In a double-blind design, patients were randomly assigned to receive either placebo or 3 mg of eszopiclone. Patients completed Baseline and Treatment visits, each consisting of two consecutive nights of polysomnography. On the second night of each visit, patients were trained on the motor sequence task (MST) at bedtime and tested the following morning. Setting: Academic research center. Participants: Twenty-one chronic, medicated schizophrenia outpatients. Measurements and Results: We compared the effects of two nights of eszopiclone vs. placebo on stage 2 sleep spindles and overnight changes in MST performance. Eszopiclone increased the number and density of spindles over baseline levels significantly more than placebo, but did not significantly enhance overnight MST improvement. -
10. SOFT BEDDING (Infants)
CHILDREN’S SAFETY ISSUES AUGUST 2010 10. SOFT BEDDING (infants) HAZARD Infants placed on soft bedding may increase the risk factor of suffocation or Sudden Infant Death Syndrome (SIDS). DEFINITION Any item manufactured for babies or intended to be used in a baby crib for infants under 12 months. THIS INCLUDES, BUT IS NOT LIMITED TO comforters, quilts, sheepskins, pillows or soft toys. NORDSTROM POLICY Any Soft Bedding, functional or decorative, must have specific warning labels informing customer about the hazard, for infant’s ages 12 months and under. COMFORTERS, QUILTS AND SHEEPSKINS Nordstrom Policy a. Any Comforter, Quilt or sheepskin packaged or unpackaged must bear a label with the heading “SAFE BEDDING PRACTICE FOR INFANTS” located in a conspicuous location at the point of sale. The label must also bear the following: (see example) . Place baby on his/her back on a firm tight-fitting mattress in a crib that meets current safety standards. Remove pillows, quilts, comforters, sheepskins, stuffed toys, and other soft products from the crib. Consider using a sleeper or other sleep clothing as an alternative to blankets with no other covering. If using a blanket, put baby with feet at foot of the crib. Tuck a thin blanket around the crib mattress, reaching only as far as the baby’s chest. Make sure your baby’s head remains uncovered during sleep. Do not place baby on a waterbed, sofa, soft mattress, pillow, or other soft surface. b. The label should measure at least 4 6/8 inches (12 cm) by 2 6/8 (7 cm) and have black text in at least 10 point Arial or Helvetica. -
Manual Characterization of Sleep Spindle Index in Patients with Narcolepsy and Idiopathic Hypersomnia
Hindawi Publishing Corporation Sleep Disorders Volume 2014, Article ID 271802, 4 pages http://dx.doi.org/10.1155/2014/271802 Research Article Manual Characterization of Sleep Spindle Index in Patients with Narcolepsy and Idiopathic Hypersomnia Lourdes M. DelRosso, Andrew L. Chesson, and Romy Hoque Division of Sleep Medicine, Department of Neurology, Louisiana State University School of Medicine, Shreveport, LA 71103, USA Correspondence should be addressed to Romy Hoque; [email protected] Received 24 November 2013; Revised 22 February 2014; Accepted 8 March 2014; Published 1 April 2014 Academic Editor: Michael J. Thorpy Copyright © 2014 Lourdes M. DelRosso et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This is a retrospective review of PSG data from 8 narcolepsy patients and 8 idiopathic hypersomnia (IH) patients, evaluating electrophysiologic differences between these two central hypersomnias. Spindles were identified according to the AASM Manual fortheScoringofSleepandAssociatedEvents;andcountedperepochinthefirst50epochsofN2sleepandthelast50epochs of N2 sleep in each patient’s PSG. Spindle count data (mean ± standard deviation) per 30 second-epoch (spindle index) in the 8 narcolepsy patients was as follows: 0.37 ± 0.73 for the first 50 epochs of N2; 0.65 ± 1.09 for the last 50 epochs of N2; and 0.51 ± 0.93 for all 100 epochs of N2. Spindle index data in the 8 IH patients was as follows: 2.31 ± 2.23 for the first 50 epochs of N2; 2.84 ± 2.43 for the last 50 epochs of N2; and 2.57 ± 2.35 for all 100 epochs of N2. -
Abnormal Sleep Spindles, Memory Consolidation, and Schizophrenia
CP15CH18_Manoach ARjats.cls April 17, 2019 13:18 Annual Review of Clinical Psychology Abnormal Sleep Spindles, Memory Consolidation, and Schizophrenia Dara S. Manoach1,2 and Robert Stickgold3 1Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA; email: [email protected] 2Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts 02129, USA 3Department of Psychiatry, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215; email: [email protected] Annu. Rev. Clin. Psychol. 2019. 15:451–79 Keywords First published as a Review in Advance on cognition, endophenotype, genetics, memory, schizophrenia, sleep, spindles February 20, 2019 The Annual Review of Clinical Psychology is online at Abstract clinpsy.annualreviews.org There is overwhelming evidence that sleep is crucial for memory consol- https://doi.org/10.1146/annurev-clinpsy-050718- idation. Patients with schizophrenia and their unaffected relatives have a 095754 specific deficit in sleep spindles, a defining oscillation of non-rapid eye Access provided by 73.61.23.229 on 05/29/19. For personal use only. Copyright © 2019 by Annual Reviews. movement (NREM) Stage 2 sleep that, in coordination with other NREM All rights reserved oscillations, mediate memory consolidation. In schizophrenia, the spindle Annu. Rev. Clin. Psychol. 2019.15:451-479. Downloaded from www.annualreviews.org deficit correlates with impaired sleep-dependent memory consolidation, positive symptoms, and abnormal thalamocortical connectivity. These re- lations point to dysfunction of the thalamic reticular nucleus (TRN), which generates spindles, gates the relay of sensory information to the cortex, and modulates thalamocortical communication. -
Naps Reliably Estimate Nocturnal Sleep Spindle Density in Health and Schizophrenia
Received: 25 August 2019 | Revised: 21 November 2019 | Accepted: 23 November 2019 DOI: 10.1111/jsr.12968 SHORT PAPER Naps reliably estimate nocturnal sleep spindle density in health and schizophrenia Dimitrios Mylonas1,2,3 | Catherine Tocci1 | William G. Coon1,2,3 | Bengi Baran1,2,3 | Erin J. Kohnke1 | Lin Zhu1 | Mark G. Vangel4,5 | Robert Stickgold3,6 | Dara S. Manoach1,2,3 1Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA Abstract 2Athinoula A. Martinos Center for Sleep spindles, defining oscillations of non-rapid eye movement stage 2 sleep (N2), Biomedical Imaging, Charlestown, MA, USA mediate memory consolidation. Spindle density (spindles/minute) is a stable, herit- 3Harvard Medical School, Boston, MA, USA able feature of the sleep electroencephalogram. In schizophrenia, reduced spindle 4Department of Radiology, Massachussets General Hospital, Charlestown, MA, USA density correlates with impaired sleep-dependent memory consolidation and is a 5Department of Biostatistics, Harvard promising treatment target. Measuring sleep spindles is also important for basic stud- Medical School, Boston, MA, USA ies of memory. However, overnight sleep studies are expensive, time consuming and 6Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA, require considerable infrastructure. Here we investigated whether afternoon naps USA can reliably and accurately estimate nocturnal spindle density in health and schizo- Correspondence phrenia. Fourteen schizophrenia patients and eight healthy controls had polysom- Dimitrios Mylonas, Department of nography during two overnights and three afternoon naps. Although spindle density Psychiatry, Massachusetts General Hospital, 149 13th Street, Charlestown, MA 02129, was lower during naps than nights, the two measures were highly correlated. For USA. both groups, naps and nights provided highly reliable estimates of spindle density. -
Sleep Is for Forgetting
464 • The Journal of Neuroscience, January 18, 2017 • 37(3):464–473 Dual Perspectives Dual Perspectives Companion Paper: Sleep to Remember, by Susan J. Sara Sleep Is for Forgetting Gina R. Poe Department of Integrative Biology and Physiology, University of California, Los Angeles, Los Angeles, California 90095-7246 It is possible that one of the essential functions of sleep is to take out the garbage, as it were, erasing and “forgetting” information built up throughout the day that would clutter the synaptic network that defines us. It may also be that this cleanup function of sleep is a general principle of neuroscience, applicable to every creature with a nervous system. Key words: depotentiation; development; mental health; noradrenaline; REM sleep; spindles; theta; TR sleep Introduction was for forgetting useless tidbits of information learned through- In this article, I discuss and illustrate the importance of forgetting out the day that, if not eliminated, would soon saturate the mem- for development, for memory integration and updating, and for ory synaptic network with junk. Therefore, the type of forgetting resetting sensory-motor synapses after intense use. I then intro- we will discuss here is also not the global synaptic weight down- duce the mechanisms whereby sleep states and traits could serve scaling of the synaptic homeostasis hypothesis (SHY) (Tononi this unique forgetting function separately for memory circuits and Cirelli, 2003), although evidence from excellent experiments within reach of the locus coeruleus (LC) and those formed and used to support the idea of sleep for synaptic homeostasis will be governed outside its noradrenergic net. Specifically, I talk about used to make points here.