Relationship Of Sleep Disorders Research Articles

What is important for an internist to know about sleep?

Introduction. A variety of patient complaints about sleep disorders and associated quality of life restrictions force patients to turn primarily to internists. Meanwhile, internist doctors often pay insufficient attention to detailing the symptoms associated with the patient's sleep state. Main purpose of the work was to systematize modern data on the relationship between sleep disorders and pathology of internal organs and to increase the awareness of internists about sleep disorders and associated diseases. Materials and methods. Literature sources were selected for the review by the keywords: sleep, sleep disorders, OSAS for the period 2003–2021 in PubMed, GoogleScholar, Web of Science databases. Results and discussion. Disorders of sleep duration and quality in patients influence the development of other internal organ pathologies. Of particular importance is the relationship of sleep disorders with nocturnal cardiac rhythm and conduction disorders, changes in daily BP profile, OSAS, nocturnal heartburn and GERD, accelerated aging. Analysis of a patient's sleep status is of great importance in the practice of an internist and can improve the prognosis for a number of diseases. Conclusion. When working with patients, internists should assess the state of sleep as a potentially modifiable risk factor for diseases of the internal organs.

Relationship of sleep disorders with long-term complications and health-related quality of life in people with well-controlled human immunodeficiency virus.

Although sleep disorders are common in patients with human immunodeficiency virus (HIV) infection, they have not been adequately evaluated under currently advanced treatments, mainly with integrase strand transfer inhibitors. However, the relationship of sleep disorders with long-term complications and quality of life (QOL) status in patients infected with HIV is still poorly understood. Such associations are important in the management of outpatients with HIV. Hence, this study aimed to evaluate these associations.This cross-sectional observational study assessed the QOL changes of patients with HIV before and after the treatment regimen change. Male patients with well-controlled HIV who attended our hospital and changed HIV medications for reasons other than treatment failure between October 2019 and September 2021 were included. At the time of regimen change, sleep disorder status was assessed according to the Pittsburgh sleep quality index (PSQI), and health-related QOL (HRQOL) was assessed using the medical outcomes study 8-item short form health survey. In addition, we collected information on age, blood tests, and long-term comorbid conditions present during the evaluation. The HIV treatment regimen was also reviewed.Out of 45 male Japanese patients with HIV that were included in this study, 24 (53.3%) and 21 (46.7%) were classified into the sleep disorder group and nonsleep disorder group, respectively, according to their PSQI scores. The sleep disorder group had a significantly lower HRQOL mental component summary (P = .0222) than the nonsleep disorder group. The prevalence rates of hypertension, dyslipidemia, and diabetes mellitus were not significantly different between the 2 groups. In addition, a significant correlation was observed between PSQI scores and the HRQOL status (mental component summary, P = .0450; physical component summary, P = .0350).Sleep disorders remain common in patients with well-controlled HIV infection receiving current treatment. Sleep disorder is significantly associated with a low HRQOL in these patients. Hence, sleep status evaluation is necessary to improve HIV management.

Clinical features of sleep disturbances in anxiety disorders of neurotic and organic genesis.

There is a bi-directional link between dyssomnia and psychological diseases. Sleep disorders can influence the severity of the underlying disease, complicate the process of treatment, and increase the risk of the recurrence further. Besides, there is an obvious dependence of the sleep disorder severity from the pathological anxiety. The aim of the research: to study clinical features and relationship of sleep disorders and anxiety in patients with anxiety disorders of neurotic and organic genesis. To achieve the objective, 120 patients with anxiety-depressive disorders, who were divided into 2 groups depending on the genesis of the disease were studied. The first group included patients with anxiety-depressive disorders, anxiety phobic disorder and generalized anxiety disorder. The second group included patients with emotionally labile and organic anxiety disorders. The research was done with the help of clinical-psychopathological method added with psychometric scales and with the method of statistical processing. According to the results, it was detected that the level of insomnia was reliably higher in patients with anxiety disorders of organic genesis than in the group of patients with neurotic disorders. After the analysis of the components of the pathological anxiety it was determined that the components of emotional discomfort and the assessment of the prospects of anxiety dominated in the group of neurotic genesis, but the asthenic and phobic components were more expressed in the group of patients with anxiety disorders of organic level. In addition, according to the results of the correlation analyses, it was determined the link of the degree of expression and the severity of insomnia. Understanding of the semantic character of the pathological anxiety and clinical display of sleeping disorders will give the possibility to create the relevant differential rehabilitation programs of the treatment of the patients with anxiety-depressive disorders with sleep disorders.

Sleep disorders in doctors in the context of the COVID-19 pandemic

Study. The relationship of sleep disorders with anxiety in practicing neurologists in the context of a pandemic. Goals. To assess the quality of sleep, the level of anxiety and their mutual influence in neurologists.Design. 330 neurologists were interviewed using the GoogleForms service, using the questionnaire "The psychological impact of the coronavirus pandemic on the population is measured using the Psycho-Covid‑19 questionnaire" in partnership with an international group of researchers led by VitoTummino and Dr. FrancoVimercati (Italy). Results. Sleep disorders ranging from mild to very severe were detected in 35% of respondents, which indicates that they have a high risk of insomnia. A statistically significant positive correlation of sleep disorders with both the overall indicator of psychological risk and the possibility of developing psychopathological syndromes is shown. Conclusion. The detection and correction of sleep disorders is important as a preventive measure and for the correction of anxiety disorders in medical professionals.

The Relationship of Sleep Disorders and Sleep Quality with Obesity in Adults in Fieri, Albania

The Relationship of Sleep Disorders and Sleep Quality with Obesity in Adults in Fieri, Albania

Sleep disorders in Parkinson’s disease: approaches to treatment and prevention

Nocturnal sleep disorders are one of the most important non-motor manifestations of Parkinson’s disease (PD). The clinical significance of sleep disorders in PD is determined by their frequency (up to 88%) and negative impact on quality of life in patients. The paper presents the clinical spectrum of sleep disorders in PD, current approaches to their diagnosis. It discusses the multifactorial nature of the pathophysiology of these disorders. Current views on the relationship of sleep disorders to the neurodegeneration of brain structures involved in the regulation of sleep and wakefulness, to circadian disorders and therapy are depicted. On the basis of the heterogeneity of sleep disorders in PD, a differentiated approach to their treatment is substantiated having regard to the nature of dyssomnic disorders and leading pathophysiological factors. Emphasis is focused on the basic principles of differentiated therapy for sleep disorders in PD in relation to the degree of nocturnal motor symptoms of the disease. There are clinical findings indicating an improvement in the characteristics of nocturnal sleep and a reduction in nocturnal sleep disorders during therapy with long- acting ropinirole, a D2-receptor agonist. Approaches to the pharmacotherapy of non-motor disorders of PD, which worsen nocturnal sleep, are depicted. Non-drug therapies for sleep disorders and their efficiency in patients with PD are discussed.

Sleep Disorders and Stroke

The purpose of this review is to highlight existing literature on the epidemiology, pathophysiology, and treatments of stroke sleep disorders. Stroke sleep disorders are associated with many intermediary vascular risk factors leading to stroke, but they may also influence these risk factors through direct or indirect mechanisms. Sleep disturbances may be further exacerbated by stroke or caused by stroke. Unrecognized and untreated sleep disorders may influence rehabilitation efforts and poor functional outcomes following stroke and increase risk for stroke recurrence. Increasing awareness and improving screening for sleep disorders is paramount in the primary and secondary prevention of stroke and in improving stroke outcomes. Many vital questions about the relationship of sleep disorders and stroke are still unanswered and await future well-designed studies.

Sleep Disturbances and Attention Deficit Disorder

The relationship of sleep disorders, attention deficit hyperactivity disorder (ADHD), comorbidity associated with ADHD, and treatment with stimulant medications was determined using 2 sleep questionnaires completed by the parents in a study of children aged 6 to 12 years treated at the Hospital for Sick Children, Toronto, Canada.

HUBUNGAN GANGGUAN TIDUR DENGAN KELELAHAN PADA SISTEM KERJA BERGILIR (SHIFT) MALAM TERHADAP KARYAWAN MINIMARKET 24 JAM DI KOTA DENPASAR

In this globalization era, all people are required to work, on other side, demand for services also increased so that some companies use a shift work and divided the shift into morning shift and night shift to improve services. This study, researcher wanted to determine the relationship of sleep disorders with fatigue in the working rotating shift especially at night.This study used a cross sectional analytic study. The subject of this study are the 24-hour minimart employees in Denpasar. The results will be presented in tabular form in the auxiliary correlation with SPSS 17.0 for data processing.There is a significant relationship between sleep disturbance and fatigue level subjects (p = 0.024). Positive r values indicate sleep disturbances and fatigue has a comparable relationship.From the results of this study, so it is advisable for each company to give more attentionto work shift patterns according to the ergonomics of work to reduce fatigue and accidents.