Napping – Helpful Or Not?
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Sleep-Disordered Breathing and Excessive Daytime Sleepiness in Chronic Kidney Disease and Hemodialysis
Article Sleep-Disordered Breathing and Excessive Daytime Sleepiness in Chronic Kidney Disease and Hemodialysis Maria-Eleni Roumelioti,* Daniel J. Buysse,† Mark H. Sanders,‡ Patrick Strollo,‡ Anne B. Newman,§ and Mark L. Unruh* *Renal-Electrolyte Summary Division, University of Background and objectives Sleep-disordered breathing (SDB) and excessive daytime sleepiness (EDS) are Pittsburgh Medical highly prevalent among hemodialysis (HD) patients. It is unclear to what extent SDB is associated with ad- Center, Pittsburgh, Pennsylvania; and vanced chronic kidney disease (CKD; stages 4 to 5). This paper describes and compares the prevalence, se- †Department of verity, and patterns of SDB and EDS among patients with advanced CKD, HD-dependent patients, and Psychiatry, ‡Division of community individuals without known renal disease. Pulmonary, Allergy, and Critical Care Medicine, Department Design, setting, participants, & measurements Eighty-nine CKD and 75 HD patients were compared with of Medicine, and 224 participants from the Sleep-Strategies Concentrating on Risk Evaluation Sleep-SCORE study of sleep §Department of and cardiovascular risk. Participants had in-home unattended polysomnography for quantifying SDB. EDS Epidemiology and was defined by a score Ն10 on the Epworth Sleepiness Scale. Medicine, University of Pittsburgh, School of Medicine, Pittsburgh, Results The sample had a median age 58.1 years, was predominantly male (57.4%) and white (62.5%), and Pennsylvania had a median body mass index of 28.1 kg/m2. Controls and Sleep-SCORE Study CKD patients had signifi- cantly higher median total sleep time and sleep efficiency compared with HD patients. The adjusted odds Correspondence: Dr. of severe SDB were higher for CKD and HD groups compared with the controls. -
Fact Sheet Number 14
FACT SHEET No. #4 DEEP TIME AND DRAGON DREAMING: THE SUSTAINABLE ABORIGINAL SPIRITUALITY OF THE SONG LINES, FROM CELEBRATION TO DREAMING John Croft update 28th March 2014 This Factsheet by John Croft is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License. Permissions beyond the scope of this license may be available at [email protected]. ABSTRACT: It is suggested that in a culture that is suicidal, to get a better understanding of what authentic sustainability is about requires us to see through the spectrum of a different culture. Australian Aboriginal cultures, sustainable for arguably 70,000 years, provide one such useful lens. TABLE OF CONTENTS INTRODUCTION .............................................................................................................................2 AN INTRODUCTION TO ABORIGINAL CULTURE ............................................................................... 4 THE UNSUSTAINABILITY OF CIVILISED CULTURES ........................................................................... 6 DREAMING: AN ALTERNATIVE VIEW OF TIME? ............................................................................. 10 ABORIGINAL DREAMING, DEEP ECOLOGY AND THE ECOLOGICAL SELF ....................................... 17 DREAMING AND SUSTAINABILITY ................................................................................................. 21 DISCOVERING YOUR OWN PERSONAL SONGLINE ......................................................................... 24 _____________________________________________________________________________________D -
The Revival of Active Behavioural Devices for Measuring Sleep Latency
SMGr up Review Article SM Journal of The Revival of Active Behavioural Sleep Disorders Devices for Measuring Sleep Latency Hannah Scott1* and Leon Lack1,2 1Department of Psychology, Flinders University, Australia 2Department of Medicine, Flinders University, Australia Article Information Abstract Received date: Sep 26, 2017 The current gold standard for objectively measuring sleep latency, polysomnography (PSG), requires Accepted date: Oct 31, 2017 specialised equipment and trained individuals to administer. As such, PSG is an expensive and cumbersome procedure, particularly for use in the home environment. Actigraphy devices are a common practical alternative Published date: Nov 06, 2017 that can be used in the home environment, but they often underestimate sleep latency. For these reasons, it is difficult to accurately measure sleep latency outside of the sleep laboratory setting. *Corresponding author This problem has led to the revival of active behavioural devices for measuring sleep latency. Thim is a Hannah Scott, School of Psychology, small active behavioural device that uses behavioural responses to stimuli to measure the onset of sleep. The Flinders University, GPO Box 2100, design of Thim is based on previous research with similar devices, which were found to accurately measure sleep latency. If found to accurately measure sleep onset, Thim could be used for many potential applications, Adelaide, Australia, 5001, including facilitating 10-minute power naps and administering a novel, effective treatment for insomnia called Tel: 61 08 8201 2767; Intensive Sleep Retraining (ISR) in the home environment. This review will highlight current methods for Email: [email protected] objectively measuring sleep latency, the limits of commonly-used devices and how active behavioural devices such as Thim could allow for the accurate measurement of sleep latency in the home environment. -
The Science of Sleep
In order to have efficient and normal functioning of all systems in the body adequate and restorative sleep must be obtained. Mental and physical health is directly affected by an individual’s sleep patterns with poor sleep resulting in a reduced ability to ward off and cope with sickness, a reduced capacity for cellular healing, repair and replacement. This can directly result in altered body system functions and processes that can adversely affect overall wellbeing, particularly in those with autoimmune and other inflammatory conditions. Lack of sleep can also lead to changes in; moods, anxiety, irritability, cognitive function and concentration. Loss of adequate and restorative sleep has also been associated with reduced balance and hand eye co-ordination with the potential for increased injury and decreased capacity to complete work tasks. Sleep is considered to be a dynamic process which involves continuing brain activity which acts to produce and release hormones and proteins essential for organ system regulation as well as growth and tissue repair. The attainment of adequate sleep encourages the maintenance of emotional and social functioning while awake by giving a rest during sleep to the parts of the brain that control emotions and social interactions. Brain chemicals and hormones such as serotonin, adrenaline, melatonin and cortisol are directly involved with many signalling pathways and organ functioning in the human body. These chemicals are involved in nerve signalling processes and play an important part in controlling the sleep and wakening processes by stimulating different parts of the brain and inhibiting other parts of the brain to either promote sleep or keep a person awake. -
Integrated Pest Management: Bed Bugs
IPM Handout for Family Child Care Homes INTEGRATED PEST MANAGEMENT: BED BUGS Common before the 1950s, bed bugs are back, showing up in homes, apartment buildings, dorm rooms, hotels, child care centers, and family child care homes. Adult bed bugs are flattened brownish-red insects, about ¼-inch long, the size of an apple seed. They’re fast movers, but they don’t fly or jump. They feed only on blood and can survive several months without a meal. When are bed bugs a problem? How to check for bed bugs Thankfully, bed bugs do not spread disease. } Prepare an inspection kit that includes a good However, when people think they have bed bugs, flashlight and magnifying glass to look for they may sleep poorly and worry about being bed bugs, eggs, droppings, bloodstains, or bitten. shed skins. Bed bug bites: } Inspect the nap area regularly. Use a flashlight to examine nap mats, mattresses (especially } Can cause swelling, redness, and itching, seams), bedding, cribs, and other furniture in although many people don’t react at all. the area. } Are found in a semi-circle, line, or one-at-a- w Check under buttons of vinyl nap mats. time. } Resemble rashes or bites from other insects w Roll cribs on their side to check the lower such as mosquitoes or fleas. portions. } Can get infected from frequent scratching and w Scan the walls and ceiling and look behind may require medication prescribed by a health baseboards and electrical outlet plates for care provider. bugs, eggs, droppings, bloodstains, and shed skins. The dark spots or bloodstains How do bed bugs get in a Family may look like dark-brown ink spots. -
Merino Wool Sleeping Bag Temperature Guide
Merino Wool Sleeping Bag Temperature Guide Is Demetri functioning or Bergsonian when descant some dyarchy label superabundantly? Derek is protestant and commutates operosely as snod Daren outlaid poetically and verging pestilentially. Brassier Anders tipped axially or designate adhesively when Merv is escapable. What tog should I buy before my child has Night Kids. Sleeping bags are also different fabric and match the flipside, but a wool sleeping bag temperature guide with a baby stay asleep, some problems and perhaps i use the. 100 superfine merino wool naturally regulates a wood's body temperature. Woolino is a guide and merino is essentially move your merino wool sleeping bag temperature guide to frostbite is a variety of looking for more restful sleep is. 35 Tog for addition room temperatures 12-15 Degrees Celsius. Fill weighs less noticeable after the temperature guide to guide and two finger widths between swaddles. Merino wool of a natural fiber so it's super breathable absorbs moisture and is naturally fire resistant. We want to merino wool blanket or baby safe? Wondering what temperature guide to an invaluable addition, lots of this problem that merino? Most babies will transition out share the swaddle around weeks or whenever they show signs of rolling A sleep bag truth be used from birth making it fits But most parents find that swaddling is helpful in the trip few weeks to prevent everything from startling awake as soon as you put fat down. It ends up around a merino wool for baby sleeping? Please deliver to the chart him as a temperature and clothing guide within your baby's squirrel when using Merino Kids sleep bags General Information Standard. -
Procedure Manual for Polysomnography
Procedure Manual for Polysomnography The PSG Reading Center Case Western Reserve University Triangle Building 11400 Euclid Avenue Suite 260 Cleveland, Ohio 44106 January 7-9, 2002 (Rev. 8/20/02) Table of Contents 1.0 INTRODUCTION 1.1 Definition of Sleep Apnea 1.2 Polysomnography 1.2.1 Signal Types 1.2.2 Sleep Stages 1.2.3 Respiratory Monitoring - Measurement Tools 1.3 Home Polysomnography - Sleep System 1.4 Glossary of Sleep Terms 2.0 HOME POLYSOMNOGRAPHY (PSG) 2.1 Supply List 2.1.1 Understanding the Electrode 2.1.1.1 Gold disks - Cleaning, Disinfecting, Conditioning 2.1.2 Cleaning and Disinfecting Other Sensors and Equipment 2.2 Preparation Pre-Visit Hook-up 2.3 Detailed Hookup Procedures 2.3.1 Setting Up in the Home 2.3.2 Sensor Placement Step 1: ECG Electrodes Step 2: Respiratory Bands Step 3: EEG Scalp Electrodes Preparation of Electrode Sites Attaching Gold Electrodes Step 4: Position Sensor Step 5: Oximier Step 6: Nasal Cannula Step 7: Thermistor Step 8 Leg Sensors 2.4 Checking Impedances and Signal Quality 2.4.1 Verify Connections and Auto Start On 2.4.2 Impedance Checks (Signal Verification Form - SV) 2.4.3 View Signals 2.5 Final Instructions to Participant and Morning After Procedures 2.6 Troubleshooting Equipment and Signal Quality 3.0 PSG DATA COLLECTION PROCEDURES 3.1 Compumedics Programs Used for Data Collection 3.1.1 Data Card Manager (Setting up Flashcard) 3.1.2 Net Beacon (PSG on Line) 3.1.3 Profusion Study Manager 3.1.4 Profusion PSG 3.2 PSG Sleep Data Retrieval Procedures 3.3 Backup Studies to Zip Cartridges 3.4 Review -
Bed Bug Fact Sheet
New Jersey Department of Health and Senior Services Consumer and Environmental Health Services Public Health, Sanitation and Safety Program Bed Bug Fact Sheet What are bed bugs? Bed bugs are small insects that feed on the blood of mammals and birds. Adult bed bugs are oval, wingless and rusty red colored, and have flat bodies, antennae and small eyes. They are visible to the naked eye, but often hide in cracks and crevices. When bed bugs feed, their bodies swell and become a brighter red. In homes, bed bugs feed primarily on the blood of humans, usually at night when people are sleeping. What does a bed bug bite feel and look like? Typically, the bite is painless and rarely awakens a sleeping person. However, it can produce large, itchy welts on the skin. Welts from bed bug bites do not have a red spot in the center – those welts are more characteristic of flea bites. Are bed bugs dangerous? Although bed bugs may be a nuisance to people, they are not known to spread disease. They are known to cause allergic reactions from their saliva in sensitive people. How long do bed bugs live? The typical life span of a bed bug is about 10 months. They can survive for weeks to months without feeding. How does a home become infested with bed bugs? In most cases, bed bugs are transported from infested areas to non-infested areas when they cling onto someone’s clothing, or crawl into luggage, furniture or bedding that is then brought into homes. How do I know if my home is infested with bed bugs? If you have bed bugs, you may also notice itchy welts on you or your family member’s skin. -
Pitt+Me Online Study Advertisement
PITT+ME ONLINE STUDY ADVERTISEMENT Pitt+Me Title SIESTA: Solving Insomnia Electronically: Sleep Treatment for AGE: 18-75 Asthma GENDER: M/F VISITS: 3 Study Basics (400 character limit) DURATION: 8 months Do you have asthma and insomnia? Are you 18-75 years old? If so, you may be able to take part in a research study to find out if LOCATION: insomnia treatment can reduce both sleep problems and asthma University of Pittsburgh symptoms. Compensation provided. Asthma Institute at UPMC Montefiore Hospital Study Purpose (Oakland) Asthma is a chronic condition that causes swelling and inflammation of the airways, making it difficult to breathe. Many people who have asthma also have insomnia (trouble sleeping). Research has shown that insomnia can worsen a person’s asthma and increase the risk of having an asthma attack. The purpose of this study is to help researchers find out if an online behavioral treatment for insomnia can help improve sleep and asthma control in adults with asthma and sleep problems. Could This Study Be Right for You? • Ages 18-75 • Have asthma and are using an inhaled asthma medication COMPENSATION: such as Qvar, Flovent, Asmanex, Advair, Symbicort, or Up to $250 Dulera • Have insomnia (trouble sleeping) • Have an email address with reliable internet access • Are a non-smoker or quit smoking at least one year ago What Participants Can Expect (1500 character limit) Participation involves 3 in-person visits lasting about 2 hours each. STUDY LOGO: At the first visit, you will complete questionnaires, lung function testing, an exhaled nitric oxide test, and a blood draw. -
Chapter 1: What Is Sleep?
1 WHAT IS SLEEP? COPYRIGHTED MATERIAL Stanley087683_c01.indd 1 6/8/2018 5:17:02 PM 2 HOW TO SLEEP WELL AN INTRODUCTION TO SLEEP This chapter will tell you everything you wanted to know about sleep but were too sleepy to ask. WHY DO WE SLEEP? If I could tell you the answer to that question I would not be writ- ing this book I would be sitting at home polishing my Nobel prize. The honest answer is that despite years of research we have yet to fully understand the functions of sleep in humans, or in any spe- cies for that matter. Numerous theories have been developed over the years as to why we need to sleep; from energy conservation to repair and recuperation, but none provide a comprehensive explanation. A recent study showed 952 genes to be involved in insomnia but their existence explains less than 10% of the overall chance that a person will have insomnia, showing just how little we actually know. Indeed, the more we find out about sleep, the more complex it becomes. Essentially if it has got a brain it sleeps, if it is a mammal its sleep is recognisably similar to ours. Animals sleep after they have satisfied all their biological needs, essentially if they have had enough food and water to survive, are in a safe place and, when appropriate, have taken the opportunity to ensure the survival of the species, then they will sleep. This is perfectly illustrated by the three-toed sloth which was thought to need 16 hours sleep a day. -
Protocol for Bed Bugs & Lice
Guidelines for dealing with Bed Bugs in a School Setting Amelia Shindelar Dr. Stephen A. Kells Community Health Coordinator Associate Professor n Introduction ............................................................................................................................................................................ 2 Responding to Bed Bugs in Schools ........................................................................................................................................ 2 Bed Bugs in the school ............................................................................................................................................................ 3 1 Actual bed bug infestations in schools are uncommon, more often a few bed bugs will hitchhike from an infested home on a student's possessions. On the occasion that an infestation starts, it will be because bed bugs have found a site where people rest or sit for a time. A common example of this is with the younger grades, or pre-school, where rest time or nap time still occurs. It is important to remain vigilant for bed bugs in the school. Treating a bed bug infestation is very difficult and costly. The sooner an infestation is detected the easier it will be to control the infestation. Also, there are steps that can be taken to prevent future infestations. 'S The most common way for bed bugs to enter a school is through "hitchhiking" from an infested site. Usually this will be from a student, staff or teacher's home which has a bed bug infestation. While teachers and staff can be more easily addressed dealing with students or parents can be challenging, especially if the family cannot afford proper control measures or their landlord refuses to properly treat their home. Students dealing with a bed bug infestation in their home may show signs of bites. Different people react differently to bed bug bites, some people do not react at all and others have severe allergic reactions. -
Accident Analysis and Prevention 45S (2012) 27–31
Accident Analysis and Prevention 45S (2012) 27–31 Contents lists available at SciVerse ScienceDirect Accident Analysis and Prevention j ournal homepage: www.elsevier.com/locate/aap Sleep and sleepiness during an ultra long-range flight operation between the Middle East and United States a,∗ b a a,c Alexandra Holmes , Soha Al-Bayat , Cassie Hilditch , Samira Bourgeois-Bougrine a Clockwork Research, 21 Southwick Mews, London W2 1JG, United Kingdom b Qatar Airways Medical Centre, P.O. Box 22550, Doha, Qatar c LATI – Laboratoire Adaptation Travail Individu, Université Paris Descartes, 71, Avenue Edouard Vaillant, 92774 Boulogne Billancourt, France a r t i c l e i n f o a b s t r a c t Article history: This study provides a practical example of fatigue risk management in aviation. The sleep and sleepiness Received 3 May 2011 × of 44 pilots (11 trips 4 pilot crew) working an ultra long-range (ULR; flight time >16 h) round-trip Received in revised form 3 August 2011 operation between Doha and Houston was assessed. Sleep was assessed using activity monitors and self- Accepted 11 August 2011 reported sleep diaries. Mean Karolinska Sleepiness Scores (KSS) for climb and descent did not exceed 5 (“neither alert nor sleepy”). Mean daily sleep duration was maintained above 6.3 h throughout the Keywords: operation. During in-flight rest periods, 98% of pilots obtained sleep and sleepiness was subsequently Sleepiness reduced. On layover (49.5 h) crew were advised to sleep on Doha or Universal Co-ordinated Time (UTC), Ultra long-range but 64% slept during the local (social) night time.