Middle-of-the-night Research Articles

La Vie en Rouge

La Vie en Rouge

Marshalling the senses for a good night's sleep: Multiple studies have linked poor sleep to cancer and other negative health outcomes; in part 1 of a 2-part series, we explore how efforts to improve sleep patterns are focusing on aligning multiples senses and on correcting misconceptions: Multiple studies have linked poor sleep to cancer and other negative health outcomes; in

Marshalling the senses for a good night's sleep: Multiple studies have linked poor sleep to cancer and other negative health outcomes; in part 1 of a 2-part series, we explore how efforts to improve sleep patterns are focusing on aligning multiples senses and on correcting misconceptions: Multiple studies have linked poor sleep to cancer and other negative health outcomes; in

Must Have Been A Lie

Must Have Been A Lie

Moral dilemma: To operate or not to operate

Moral dilemma: To operate or not to operate

The Ramifications of <em>Wisconsin v. Yoder</em>: Six Foundational Problems with a 50-Year Old Landmark Case

My essay introduces the 1972 United States Supreme Court case Wisconsin v. Yoder to readers who don’t come from a legal background who want to understand the negative ramifications of the case and how it affects their individual rights. Yoder says that children of practicing Amish don’t have a right to any education and future other than one inside the Amish Church. My essay deconstructs the case from the perspective of an Amish American woman— yours truly — who escaped in the middle of the night at age 15 because of how this ruling has shaped the Amish people. I wanted to go to high school, and Yoder was cited in my emancipation hearing post-escape for why I had to be on my own if I wanted an education past the eighth grade. If I waited until I was 18 to escape, I would’ve been prevented or discouraged from enrolling in high school and advised or required to attend an alternative program for juvenile delinquents or, at best, adult education. [First paragraph.]

Remember Me Gone by Stacy Stokes

Reviewed by: Remember Me Gone by Stacy Stokes Kate Quealy-Gainer, Editor Stokes , Stacy Remember Me Gone . Viking , 2022 [ 368 p] Trade ed. ISBN 9780593327661 $17.99 E-book ed. ISBN 9780593327678 $10.99 Reviewed from digital galleys R Gr. 7-10 Tumble Tree, Texas, is a small rundown town only surviving because of one thing: the Memory House, where Lucy's dad helps people with their sadness by taking away their memories. Lucy has supposedly inherited the ability to manipulate memories like the generations before her, but her gift isn't manifesting quite like the rest of her family, and she's worried she won't be able to take over the family business. Meanwhile, the town's shady mayor is acting even shadier, forcing her dad to go to the local mines in the middle of the night, and she continues to feel a strange connection to the mayor's nephew Marco, whom she barely knows. It's clear early on that Lucy's memory has been tampered with, and so the reliability of her narration is quickly thrown into doubt, leaving readers to intuit clues from what might otherwise be casual interactions with other characters. From his first appearance, the mayor is the obvious bad guy, but the extent of his villainy is breathtaking—and surprisingly familiar. The material he's forcing people to mine might be magical, but his violent methods of control and focus on personal gain and profit mirror real world corporate organizations uncomfortably well, and the book approaches the idea of happiness at any cost on multiple provocative levels. The resolution is murky on the details, especially when it comes to the nature of Lucy's powers, but the magical realism elements and vividly described setting will sweep readers into Tumble Tree, and few will forget the strange town and its intriguing, resilient residents. Copyright © 2022 The Board of Trustees of the University of Illinois

Associated outcomes of various iterations of the dedicated orthopaedic trauma room: a literature review

<abstract> <p>Scheduling urgent, orthopaedic trauma cases has long been a challenge for health care institutions. Traditionally, these cases are scheduled for an operating room (OR) slot in the middle of the night, by “bumping” elective cases to later in the day, by adding a case on after-hours, or by delaying the case for several days until an OR becomes available. As a solution to the challenges facing traditional scheduling modules, trauma centers around the country have instituted the use of a dedicated orthopaedic trauma room (DOTR). While there are multiple studies analyzing the effects of DOTRs on various outcomes, there is not a centralized review of these studies. This paper will serve as a review of the various models of the DOTR as well as the effect of the DOTR on after-hours procedures, time to surgery (TTS), duration of surgery (DOS), length of stay (LOS), cost, and surgical complications. An extensive review of the literature was performed through PubMed and Embase. 17 studies were found to meet eligibility criteria. This review suggests that DOTRs have favorable effects on after-hours procedures, cost, and surgical complications. There is variability in the data regarding the effect on TTS, DOS, and LOS.</p> </abstract>

Sleep: A Nightmare

Common Causes of Sleeplessness Include: (1) Stress – Concerns about work, school, health, finances, or family can keep your mind active at night, making it difficult to sleep. Stressful life events or trauma – such as the death or illness of a loved one, divorce, or a job loss can lead to stress. (2) Travel or work schedule – Disrupting your body’s circadian rhythms can lead to lack of sleep. Causes include jet lag from traveling across multiple time zones, working a late or early shift, or frequently changing shifts. (3) Poor sleep habits – Poor sleep habits include an irregular bedtime schedule, naps, stimulating activities before bed, an uncomfortable sleep environment, and using your bed for work, eating, or watching TV. Computers, TVs, video games, smartphones, or other screens just before bed can interfere with your sleep cycle. (4) Eating too much late in the evening – Having a light snack before bedtime is OK, but eating too much may cause you to feel physically uncomfortable while lying down. Many people also experience heartburn, a backflow of acid, and food from the stomach into the esophagus after eating, which may keep you awake. (5) Mental health disorders – Anxiety disorders, such as post-traumatic stress disorder, may disrupt your sleep. Awakening too early can be a sign of depression. (6) Medications – Many prescription drugs can interfere with sleep, such as certain antidepressants and medications for asthma or blood pressure. Many over-the-counter medications – such as some pain medications, allergy, and cold medications, and weight loss products – contain caffeine and other stimulants that can disrupt sleep. (7) Medical conditions – Examples of conditions linked with insomnia include chronic pain, cancer, diabetes, heart disease, asthma, gastroesophageal reflux disease (GERD), overactive thyroid, Parkinson’s disease, and Alzheimer’s disease. (8) Sleep-related disorders – Sleep apnea causes you to stop breathing periodically throughout the night, interrupting your sleep. Restless legs syndrome causes unpleasant sensations in your legs and an almost irresistible desire to move them, which may prevent you from falling asleep. (9) Caffeine, nicotine, and alcohol – Coffee, tea, cola, and other caffeinated drinks are stimulants. Drinking them in the late afternoon or evening can keep you from falling asleep at night. Nicotine in tobacco products is another stimulant that can interfere with sleep. Alcohol may help you fall asleep, but it prevents deeper stages of sleep and often causes awakening in the middle of the night. Complications of Insomnia May Include: (1) Lower performance on the job or at school. (2) Slowed reaction time while driving and a higher risk of accidents. (3) Mental health disorders, such as depression, an anxiety disorder, or substance abuse. (4) Increased risk and severity of long-term diseases or conditions, such as high blood pressure and heart disease. Prevention: Good sleep habits can help prevent insomnia and promote sound sleep: (1) Keep your bedtime and wake time consistent from day to day, including weekends. (2) Stay active – regular activity helps promote a good night’s sleep. (3) Check your medications to see if they may contribute to insomnia. (4) Avoid or limit naps. (5) Avoid or limit caffeine and alcohol, and do not use nicotine. (6) Avoid large meals and beverages before bedtime. (7) Make your bedroom comfortable for sleep and only use it for sex or sleep. (8) Create a relaxing bedtime ritual, such as taking a warm bath, reading, or listening to soft music. Conclusion: Sleep deprivation is helping no one except the market. Brands are capitalizing on our lack of sleep, on our habits. Who are we giving excuses to, our web series can be paused, late night conversation can

St. Francis, and: Arctic Palimpsest, and: Nocturne at Midnight

St. Francis, and: Arctic Palimpsest, and: Nocturne at Midnight Mary Lee (bio) In my dreams, St. Francisspeaks in the field of me, and his sparrows gather nearto listen. St. Francis of pain’s unfadingcenter, what brightly hums as a thrummed pulse of bees,I know how it turns a mouth silent. Muted,the mouth’s O most adjacent to the blottediris-ring found on poppies. The aperture of lack’s taste,language made inadequate. Is it true that there is a soundto speech leaving you. To be still and knowthe morning with its choir of trees alive in me, hiddenbetween grasses, lilies, wordless stones in the passingof hours as somewhere I can hear the face of the impossible moonfalling clear over pools of water. [End Page 37] Arctic Palimpsest When God painted my doe face,he must have added a dab of rougeand a streak of oblivion. How could Ihave known the exact shape of my lifeobscured by leaves, capable as any eye’s flicker?In the forest, I was another absence—a doe wanting to turn real in the shade,always a little lost in the landscape.My breath left no consequence in the air.Despair was the larger animal I couldn’t see,readying awake while I remained sleeping.And when despair, the animal, rearedits restless head—a remnant of its kisslike a thorn lodged into the side of my flesh.Then I saw what seemed like the wrist of God,his back retreating into the shadows,and briefly, the light was a stillness in medrawn over the face of the world. ________ In the mind of a doe, more and more snow.Across endless snow, a mind blank to fill.Sometimes it beckons and withoutquestion I follow its uncertain forms—like the footprints of a doe leading me furtherand further out across snow until I am the snow.Or were the footprints my own? Was I the doewith a mind sewn closed by the cold,unable to see the cold as separatefrom myself? Sometimes in the privacyof my own sadness I feel like a thing hunted.Sometimes when I imagine the sadness,I think the sadness imagines me. [End Page 38] ________ The deer are braver in the cold than youcould ever be, their hooves kissing the whitelandscape in a lattice. Alreadythe fresh snow comes to fill those markswhere their weight pressed in. You can imaginetheir deer lungs calming as they watch the sundisappear inside the growing dark,their heads nodding awake at dawn,ears twitching as the hares stiramong the nearby grasses. Some of the deer,startled, bound past the trees,their glassy eyes quivering,traces of a dream. And the ones fallen over,sides opened and ears splayedon the ground, their blood spilling outas they listen to ice expanding below,loud cracks echoing like the soundof a troop of whales coming to save them—Their breath hangs there for a while.You can almost see it there still. [End Page 39] Nocturne at Midnight Maybe a stone had pierced the glass, a boy’s stoneof hatred or love puncturing the window in an ordinary arc—Or maybe the sharp end of a nearby branchhad been driven into the glass during a storm,fractures spreading out like veinsaround the point where it struck. Whatever it wasmade no difference. There was the windowwith a hole the size of her eye that might fit a key,a small opening for her to peer through, to see,on the other side, the yard’s lengthening shadows.Only night, that dark pitch of wine, like some brutalsweetness filling one’s animal mouth in a thicketof blackberries. As if, in the middle of the night, too muchpours into the mind, assembles as a nocturne of starlings—But there was light, wasn’t there? There was a candleheld up against the panes, and her mind to transformthe overwhelm of night. To imagine night blossomingalong the bare arms of trees that could...

Abstract- Poster

Introduction:Sleep terrors occur in 1- 6.5% in children, typically between 4-12 years of age, with a peak between 5 -7 years of age. It is of unknown etiology and is self-limiting, in most cases. it is associated with N-REM sleep.Case report:A 14 years old boy, from urban background, brought to us for episodes of abnormal behavior occurring in the middle of the night during the preceding 10 days. Those episodes were of sudden onset, awakening from sleep begin with panicky scream, and are characterized by intense anxiety, sweating, crying, and increased heart rate. These episodes lasted for 15-20 minutes after which patient was back to sleep. The following day, the boy could recall most of the episode except for the initial 3-5 minutes. The boy had no significant psychological stressors.Discussion:In view of the atypical age of onset and lack of memory for the initial few minutes of the episodes, a neurologic opinion was sought. EEG and MRI brain were undertaken and found within normal limits. We treated him with clonazepam 0.5 mg h.s. for two days with which the symptoms subsided. Review after a week revealed him to be asymptomatic.Conclusion:Clinical presentation of sleep terrors in this case occurred at a late age of 14 years, which is a rare presentation. The symptoms also raised a doubt of complex partial seizures, which were excluded by neurologic evaluation.

Sleep Disorders During Pregnancy and Postpartum: A Systematic Review

This study aimed to asses previous research results about bio-physiological alterations during pregnancy and postpartum, and make clear outlook about prevalence and related factors of sleep disorders during pregnancy and postpartum. In this review, the articles that published from 2000 to 2019 were reviewed. Related articles were searched from databases in English language. After evaluation of inclusion and exclusion criteria, articles were chosen and reviewed based on the University of York strategies. Sleep disorders in present study were classified according to the International Classification of Sleep Disorders-3. The search revealed 4449 articles, after evaluating and assessing qualified articles, finally 56 article selected to review. According to the results of this review, The prevalence of sleep disorders was almost 76%–97% in whole pregnancy. The most common sleep disorders included central disorders of hyper somnolence (waking up in the middle of the night, daytime sleepiness, sleeplessness) or insomnia, sleep-related movement disorders (restless legs syndrome), sleep related breathing disorders (obstructive sleep apnea), and parasomnia. In addition, sleep disorder may continue 3–12 months postpartum (33.2%). Sleep disorders induced by physiological processes (fetal movement, excessive weight gain, male sex of the fetus, and multiparty), health-related risks (metabolism disorders, cardiovascular diseases, and mood disorders), and physical or sexual abuse in childhood. In addition, these disorders could have maternal outcomes that can be greatest trigger to postpartum psychiatric disorders and fetal outcomes that have harmful sequences during childhood (sexual, fertility, emotional, and cognitive problems). Health care providers should evaluate the mothers’ sleep quality because sleep disorder leads to harmful consequences in fetuses and children.

The under-recognised effects of serious endoscopic complications on practitioners

The patient was fit and well, albeit recovering from an episode of jaundice due to choledocholithiasis. Biliary cannulation went smoothly; the pancreas was untouched. A straightforward sphincterotomy was performed and the stones were cleared. Rectal diclofenac was administered. The patient went home after 6 h of observation, but in the middle of the night, she developed severe abdominal pain. In the emergency room, her pulse rate ran high, with a tender abdomen and high amylase. Imaging showed early pancreatic necrosis.

Bubble Up: 5 tips to overcome the fear of calling your consultant in the middle of the night

Bubble Up: 5 tips to overcome the fear of calling your consultant in the middle of the night

First characterization of vocalizations and passive acoustic monitoring of the vulnerable African manatee (Trichechus senegalensis).

Even among the understudied sirenians, African manatees (Trichechus senegalensis) are a poorly understood, elusive, and vulnerable species that is difficult to detect. We used passive acoustic monitoring in the first effort to acoustically detect African manatees and provide the first characterization of their vocalizations. Within two 3-day periods at Lake Ossa, Cameroon, at least 3367 individual African manatee vocalizations were detected such that most vocalizations were detected in the middle of the night and at dusk. Call characteristics such as fundamental frequency, duration, harmonics, subharmonics, and emphasized band were characterized for 289 high-quality tonal vocalizations with a minimum signal-to-noise ratio of 4.5 dB. African manatee vocalizations have a fundamental frequency of 4.65 ± 0.700 kHz (mean ± SD), duration of 0.181 ± 0.069 s, 97% contained harmonics, 21% contained subharmonics, and 27% had an emphasized band other than the fundamental frequency. Altogether, the structure of African manatee vocalizations is similar to other manatee species. We suggest utilizing passive acoustic monitoring to fill in the gaps in understanding the distribution and biology of African manatees.

Structural damage at Florida Cando Complex – An Overview

Abstract: In this paper the structural damage at Florida complex is being discussed. Inspite of an early report by engineering consultant, giving evidence of possible structural damage and necessity of repairs required, the delay in repair works resulted in a catastrophic collapse of the building in the middle of the night. The study on this collapse of the building opens the discussion on timely actions to be taken during the construction as well as maintenance of the buildings. Keywords: Structural damage, collapse, deteriorating, repair, corrosion, water seepage.

Control of growth and flowering of chrysanthemum (Dendranthema x grandiflorum Kitam.) using day length extension and Red Light Night Break

Abstract In tropical areas, since the day length (DL) is shorter than the critical DL for chrysanthemum (Dendranthema x grandiflorum Kitam.), chrysanthemum flowers before reaching the required stem length (SL) for cut flower. Two experiments were conducted with the aim of determining critical DL for vegetative growth of chrysanthemum genotype; to attain a required SL and promote vegetative growth of chrysanthemum using night break (NB) with red light for spray type of chrysanthemum. In the first experiment, DL was extended by one, two, and three hours using white fluorescent light (WL) after sunset. In the second experiment, red light (RL) was applied at the middle of the night for 15, 30, or 45 minutes to break the night. The experiments were laid out in completely randomized design with four replications. The results indicated DL extension with WL and RL night breaks had significant effect on vegetative characters and biomass yield. Similarly, flower bud initiation, coloring and blooming were significantly affected. NB using RL had a significant effect on flower diameter. The three hours DL extension (12+3 hours) totally inhibited flowering of chrysanthemum genotype, which can be considered a critical DL for Hawa1. NB with RL for 15, 30, or 45 minutes effectively inhibited flowering of chrysanthemum. In conclusion, breaking the night with RL at the middle of the night for 15 minutes with small amount of intensity (9.42 µmolm-2s-1) is enough to inhibit flowering and promote stem elongation of chrysanthemum Hawa1.

Obstructive sleep apnea predicts 10-year cardiovascular disease-related mortality in the Sleep Heart Health Study: a machine learning approach.

Obstructive sleep apnea (OSA) is considered to be an important risk factor for the development of cardiovascular disease (CVD). This study aimed to develop and evaluate a machine learning approach with a set of features for assessing the 10-year CVD mortality risk of the OSA population. This study included 2,464 patients with OSA who met study inclusion criteria and were selected from the Sleep Heart Health Study. We evaluated the importance of potential features by mutual information. The top 9 features were selected to develop a random forest model. We evaluated the model performance on a test set (n = 493) using the area under the receiver operating curve with 95% confidence interval and confusion matrix. A random forest model awarded the highest area under the receiver operating curve of 0.84 (95% confidence interval: 0.78-0.89). The specificity and sensitivity were 73.94% and 81.82%, respectively. Sixty-three years old was a threshold for increased risk of 10-year CVD mortality. Persons with severe OSA had higher risk than those with mild OSA. This study demonstrated that a random forest model can provide a quick assessment of the risk of 10-year CVD mortality. Our model may be more informative for patients with OSA in determining their future CVD mortality risk. Li A, Roveda JM, Powers LS, Quan SF. Obstructive sleep apnea predicts 10-year cardiovascular disease-related mortality in the Sleep Heart Health Study: a machine learning approach. J Clin Sleep Med. 2022;18(2):497-504.

Wildfires pose a burning problem for wines and winemakers

On a pleasant evening in October 2017, winemaker Alisa Jacobson and her friends picked the last of the Cabernet grapes at her friends’ winery in southern Napa. They were taking advantage of the cool evening temperatures, which help reduce damage to the fruit. Later that night, the pleasant evening air turned acrid—Jacobson was surprised to smell smoke wafting through her bedroom window despite only seeing wildfires on her radar to the far north, in Santa Rosa, CA. Smoke from wildfires can make the skies an eerie yellow, as seen here over a Napa Valley, CA, vineyard in September 2020. The smoke’s effects on winery grapes continue to perplex growers, winemakers, and researchers. Image credit: Science Source/Peter Menzel. A new fire had flared up—the largest in California’s history. Dubbed the Tubbs fire, it spread from Napa County to Santa Rosa, jumped across US Highway 101 in the middle of the night, and burned nearly 37,000 acres before it could be contained, killing 22 people and destroying more than 5,000 buildings, half of them homes. Winemakers like Jacobson, who is vice president for winemaking at Joel Gott Wines, felt the fire’s impact not only in the looming threat to their homes but to their livelihoods as well. Months after evacuation orders were lifted, the region inched back to normalcy. Then winemakers began to detect smoke in their wine. Grapes exposed to smoke absorb chemicals that can alter—and sometimes ruin—the taste and smell of resultant wines. This so-called “smoke taint” has become a growing concern for the industry. Chemicals in smoke obscure wine’s flavor and fragrance, Jacobson says. “You can smell the taint on the aroma, like a campfire, and when you taste it it’s like an ashtray,” she says. “It lingers for minutes after you spit or swallow.” But not all wines …

Studies Detail Heart Risks for Firefighters

Studies Detail Heart Risks for Firefighters

Ancestors and Ghosts.

Ancestors and Ghosts.