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1.
Arch. argent. pediatr ; 118(2): e143-e147, abr. 2020.
Article in English, Spanish | LILACS (Americas), BINACIS | ID: biblio-1100319

ABSTRACT

El sueño es una función vital en la que transcurre un tercio de nuestras vidas. Su restricción puede provocar trastornos físicos y psíquicos a corto y largo plazo.La internación hospitalaria, sin tener en cuenta la enfermedad que la originó, no favorece un sueño reparador y suficiente. Los factores que interfieren son externos (luz, ruidos) e internos (procedimientos, fármacos, cuidados).La Unidad de Cuidados Intensivos es el lugar con mayor dificultad para la conciliación y el mantenimiento del sueño. Se suma la gravedad de la enfermedad y las características de su estructura y funcionamiento.El deterioro de la cantidad o calidad del sueño podría desencadenar un cuadro de confusión mental agudo que, con frecuencia, afecta a los niños internados, reconocido como delirium. Promover, en el medio institucional, un trabajo conjunto de todos los estamentos para proteger el sueño dentro de lo posible es una tarea por realizar.


Sleep is a key function that takes up one third of our lives. Sleep deprivation may lead to physical and psychological disorders in the short and long term.Hospitalization, regardless of its cause, does not favor good enough and restorative sleep. It is affected by both external (light, noise) and internal (procedures, drugs, care) factors.The intensive care unit is the place where falling asleep and maintaining sleep is more difficult. This is in addition to disease severity and the characteristics of its structure and functioning.A poor sleep quantity or quality may trigger an acute confusional state, which often affects hospitalized children, known as delirium. Promoting a joint effort among all sectors of the hospital setting targeted at protecting sleep as much as possible is the required task.


Subject(s)
Humans , Male , Female , Sleep , Sleep Wake Disorders , Child, Hospitalized , Circadian Rhythm , Environment
2.
Rev. Odontol. Araçatuba (Impr.) ; 41(1): 63-68, jan.-abr. 2020.
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-1102382

ABSTRACT

Os distúrbios do sono vem sendo cada dia mais estudados e evidenciados perante a medicina, sendo que muitos destes estão atrelados a fatores etiológicos ligados a diversas doenças sistêmicas, tais como, hipertensão arterial, problemas cardíacos e fator de risco para diabetes. Sendo assim, a utilização de Índices como o de Epworth, Berlim e Pittsburgh como auxiliadores anamnésicos, é de grande valia para um correto diagnóstico. Por meio deste, pudemos concluir que tais índices são de extrema importância por serem referências iniciais para a solicitação de exames mais complexos e de alto custo. Portanto, este trabalho tem por objetivo fazer uma revisão da literatura sobre a essência científica de tais índices, analisando a eficácia dos mesmos(AU)


Sleep wake disorders see being increasingly studied day and evidenced before the medicine, and many of these disorders are linked to etiological factors related to various systemic diseases such as, hypertension, heart disease and a risk factor for diabetes. Thus, the use of indices such as the Epworth, Berlin and Pittsburgh as amnesic helpers, is of great value to a correct diagnosis. Through this we can conclude that such indices are extremely important because they are initial references to the request for more complex tests and costly. Therefore, this study aims to review the literature on the scientific essence of such indices, analyzing effectiveness(AU)


Subject(s)
Snoring/diagnosis , Index , Sleep Apnea, Obstructive/diagnosis , Sleep Wake Disorders , Snoring , Sleep Apnea, Obstructive
3.
Rev. Asoc. Méd. Argent ; 133(1): 4-11, mar. 2020. graf
Article in Spanish | LILACS (Americas) | ID: biblio-1097695

ABSTRACT

Desde hace varias décadas se conocen los clásicos factores de riesgo cardiovascular (género, edad, hipertensión arterial, dislipidemias, tabaquismo, obesidad, sedentarismo). También existen factores de riesgo "no convencionales", es decir situaciones no descriptas ni contenidas en la mayoría de los puntajes de riesgo tradicionales, pero de las cuales existen evidencias científicas. En esta revisión se analizan algunos de ellos, tales como factores socioeconómicos, horarios prolongados de trabajo, factores ambientales, aislamiento social, cantidad y calidad del sueño. También hay factores de "protección" cardiovascular como la dieta mediterránea. La literatura cuenta con un número muy elevado de publicaciones que abarcan estos factores. En la presente descripción se incluyeron algunas que fuesen representativas, con buen diseño experimental y que hayan realizado análisis multivariado de los resultados para controlar potenciales confundidores que invaliden las conclusiones. Finalmente, se discuten los mecanismos fisiopatológicos involucrados en la generación de los eventos cardiovasculares finales. (AU)


The classical cardiovascular risk factors have been known for several decades (gender, age, arterial hypertension, dyslipidemia, smoking, obesity, sedentary lifestyle). There also exist "non conventional" risk factors, that are those not described or not included in the majority of the traditional cardiovascular risk scores, but for whom scientific evidence is available. In this review some of them are analyzed, such as socio economic factors, prolonged work schedules, environmental factors, social isolation, sleep quantity and quality. There are also some "preventive" cardiovascular factors as the Mediterranean diet. There exist considerable amount of publications in the literature analyzing these issues. In the present paper some of them are discussed. They have been selected as they were representative of the corresponding aspect, well designed and with multivariate statistical analysis of the results, in order to control potential confounders that could invalidate the conclusions. Finally, the pathophysiological mechanisms involved are discussed. (AU)


Subject(s)
Humans , Sleep Wake Disorders , Socioeconomic Factors , Cardiovascular Diseases/etiology , Cardiovascular Diseases/epidemiology , Psychological Distress , Social Isolation , Cardiovascular Diseases/prevention & control , Cardiovascular Diseases/psychology , Risk Factors , Workload , Diet, Mediterranean , Environment
4.
Arch. Clin. Psychiatry (Impr.) ; 47(1): 19-24, Jan.-Feb. 2020. tab, graf
Article in English | LILACS (Americas) | ID: biblio-1088743

ABSTRACT

Abstract Background Sleep disorders are common in psychiatric diseases. Panic disorder (PD) and generalized anxiety disorder (GAD) are two major anxiety disorders that are associated with sleep disorders. Objective We hypothesized that poor sleep quality continues in PD and GAD during remission. Therefore, in this study we aimed to compare the sleep quality of patients with PD and GAD to that of healthy controls. Methods The study included patients with PD (n = 42) and GAD (n = 40) who had been in remission for at least 3 months and healthy control volunteers (n = 45). The patients were administered the Pittsburgh Sleep Quality Index (PSQI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI). Results The total PSQI scores of the GAD group were significantly increased in comparison to those of the PD (p = 0.009) and control (p < 0.001) groups. The rate of poor sleep quality in GAD during remission (77.5%) was greater than that of the PD (47.6%) and control (51.1%) groups (p = 0.011). Discussion GAD is a chronic and recurrent disease. In this study, it was found that the deterioration in sleep quality of patients with GAD may continue during remission. In the follow-up and treatment of patients, it is appropriate to question about sleep symptoms and to plan interventions according to these symptoms.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Anxiety Disorders/complications , Sleep Wake Disorders/etiology , Soil Quality , Panic Disorder/complications , Anxiety Disorders/drug therapy , Tobacco Use Disorder/psychology , Case-Control Studies , Cross-Sectional Studies , Panic Disorder/drug therapy , Serotonin Uptake Inhibitors/therapeutic use , Disease-Free Survival , Serotonin and Noradrenaline Reuptake Inhibitors/therapeutic use , Patient Health Questionnaire
5.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 42(1): 54-62, Jan.-Feb. 2020. tab, graf
Article in English | LILACS (Americas) | ID: biblio-1055351

ABSTRACT

Objective: Although studies have shown an association between poor sleep and chronotype with psychiatric problems in young adults, few have focused on identifying multiple concomitant risk factors. Methods: We assessed depressive symptoms (Beck Depression Inventory [BDI]), circadian typology (Morningness-Eveningness Questionnaire [MEQ]), sleep quality (Pittsburgh Sleep Quality Index [PSQI]), perceived stress (Perceived Stress Scale [PSS]), social rhythm (Social Rhythm Metrics [SRM]), and salivary cortisol (morning, evening and night, n=37) in 236 men (all 18 years old). Separate analyses were conducted to understand how each PSQI domain was associated with depressive symptoms. Results: Depressive symptoms were more prevalent in individuals with higher perceived stress (prevalence ratio [PR] = 6.429, p < 0.001), evening types (PR = 2.58, p < 0.001) and poor sleepers (PR = 1.808, p = 0.046). Multivariate modeling showed that these three variables were independently associated with depressive symptoms (all p < 0.05). The PSQI items subjective sleep quality and sleep disturbances were significantly more prevalent in individuals with depressive symptoms (PR = 2.210, p = 0.009 and PR = 2.198, p = 0.008). Lower levels of morning cortisol were significantly associated with higher depressive scores (r = -0.335; p = 0.043). Conclusion: It is important to evaluate multiple factors related to sleep and chronotype in youth depression studies, since this can provide important tools for comprehending and managing mental health problems.


Subject(s)
Humans , Male , Adolescent , Sleep Wake Disorders/psychology , Stress, Psychological/psychology , Hydrocortisone/analysis , Chronobiology Disorders/psychology , Depression/etiology , Military Personnel/psychology , Psychiatric Status Rating Scales , Reference Values , Saliva/metabolism , Sleep/physiology , Time Factors , Multivariate Analysis , Risk Factors , Analysis of Variance , Statistics, Nonparametric , Depression/metabolism , Self Report
6.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-811249

ABSTRACT

No abstract available.


Subject(s)
Diagnosis , Sleep Wake Disorders
7.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-811248

ABSTRACT

The diagnostic concepts of insomnia are controversial. New diagnostic criteria of insomnia disorder have been published in the International Classification of Sleep Disorders (ICSD-3) and the Diagnostic and Statistical Manual of Mental Disorder (DSM-5). Both the ICSD-3 and DSM-5 did not accept the concept of secondary and primary insomnia. According to the ICSD-3 and DSM-5, insomnia disorder can be diagnosed, even with a comorbid mental or sleep disorder. The medical, psychiatric, and sleep history are essential for the diagnosis of insomnia disorder. Polysomnography can be helpful for differential diagnoses or the clinical subtyping of insomnia disorder. Recently, the European and American Sleep Society published clinical guidelines for the treatment of insomnia. Both guidelines strongly recommended non-pharmacological treatment (e.g., cognitive behavioral disorder for insomnia) as a treatment of choice for insomnia. Pharmacological treatments for insomnia are weakly recommended only for a short time. New non-pharmacological and pharmacological treatments for insomnia disorder are being developed and studied.


Subject(s)
Classification , Diagnosis , Diagnosis, Differential , Mental Disorders , Polysomnography , Sleep Initiation and Maintenance Disorders , Sleep Wake Disorders
8.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-811247

ABSTRACT

Restless legs syndrome (RLS) is a neurological sleep disorder characterized by an urge to move the legs or arms and is associated with discomfort and paresthesia in the legs. RLS is diagnosed based on the clinical symptoms, and polysomnography is performed to quantify the periodic limb movements during sleep or in patients who undergo the suggested immobilization test. Determining the cause of RLS is important for accurately diagnosing and evaluating this condition. The treatment of RLS varies according to the etiology, severity, and frequency of the patients' symptoms. Accurate identification and treatment of the cause of RLS are important in patients with secondary RLS. Iron supplementation could be useful in patients with uremia, iron deficiency, and for RLS during pregnancy. Dopamine agonists have been used as the first-line treatment for primary RLS. On the other hand, augmentation is a known adverse effect associated with the long-term use of dopamine agonists. Therefore, recent treatment guidelines recommend the administration of anticonvulsants, such as pregabalin and gabapentin, to treat RLS. Iron, opioids, or benzodiazepines may be useful in patients refractory to anticonvulsants or dopamine agonists. RLS is a chronic condition. Therefore, it is essential to establish a long-term treatment plan, considering both the efficacy and adverse effects of therapeutic agents used in patients.


Subject(s)
Analgesics, Opioid , Anticonvulsants , Arm , Benzodiazepines , Diagnosis , Dopamine Agonists , Extremities , Hand , Humans , Immobilization , Iron , Leg , Paresthesia , Polysomnography , Pregabalin , Pregnancy , Restless Legs Syndrome , Sleep Wake Disorders , Uremia
9.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-811246

ABSTRACT

This paper reviews the updated findings, including the current clinical guidelines and recent research trends, on the pathophysiology, diagnosis, and treatment of obstructive sleep apnea (OSA), a common sleep disorder associated with medical and mental disorders. The pathophysiology of OSA is believed to be related not only to the anatomical causes of the upper airway but also to the comparative anatomical mechanisms, such as the upper airway muscle function, arousal threshold, and loop gain. When OSA is suspected of being a clinical symptom or sign, a sleep study should be used for a diagnosis of OSA. Traditionally, continuous positive airway pressure has been the most effective first-line treatment for OSA. On the other hand, there could be a limitation of long-term compliance and new therapies that are suitable for the diverse mechanisms of OSA have been proposed or studied. In the future, the treatment of enhancing the effect through a more individualized consideration should be applied for OSA.


Subject(s)
Arousal , Compliance , Continuous Positive Airway Pressure , Diagnosis , Hand , Mental Disorders , Respiration , Sleep Apnea, Obstructive , Sleep Wake Disorders
10.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-811245

ABSTRACT

Narcolepsy is a chronic neurological sleep disorder caused by hypocretin neuron loss, resulting in excessive daytime sleepiness, disturbed nocturnal sleep, and intrusions of aspects of rapid eye movement sleep in wakefulness, such as cataplexy, sleep paralysis, and hypnopompic/hypnagogic hallucinations. Narcolepsy disrupts the maintenance and orderly occurrence of the wake and sleep stages. Cataplexy is a highly specific symptom of narcolepsy, but many other symptoms can be observed in a variety of sleep disorders. The diagnosis of narcolepsy type 1 requires a history of excessive daytime sleepiness and one of the following : 1) a low cerebrospinal fluid hypocretin-1 level or 2) cataplexy and a positive multiple sleep latency test result. The diagnosis of narcolepsy type 2 requires a history of excessive daytime sleepiness and a positive mean sleep-latency test result. The mean sleep-latency test must be preceded by nighttime polysomnography to exclude other sleep disorders and to document adequate sleep. The mean sleep-latency test result can be falsely positive in other sleep disorders, such as shift work, sleep apnea, or sleep deprivation, and it is influenced by age, sex, and puberty. Modafinil and armodafinil can reduce the excessive daytime sleepiness without many of the side effects associated with older stimulants. Although there is no cure for narcolepsy, the treatments are often effective and include both behavioral and pharmacologic approaches.


Subject(s)
Adolescent , Cataplexy , Cerebrospinal Fluid , Diagnosis , Disorders of Excessive Somnolence , Hallucinations , Humans , Narcolepsy , Neurons , Orexins , Polysomnography , Puberty , Sleep Apnea Syndromes , Sleep Deprivation , Sleep Paralysis , Sleep Stages , Sleep Wake Disorders , Sleep, REM , Wakefulness
11.
Acta otorrinolaringol. cir. cabeza cuello ; 48(1): 46-52, 20200000. tab, ilus, graf
Article in Spanish | LILACS (Americas), COLNAL | ID: biblio-1097441

ABSTRACT

Introducción: el síndrome de apnea-hipoapnea obstructiva del sueño, es una enfermedad caracterizada por la obstrucción o colapso recurrente de la vía aérea superior. La escala de Epworth evalúa la somnolencia diurna subjetiva de los pacientes con un cuestionario siendo esta la más usada en la actualidad. Los microdespertares producidos durante los trastornos del sueño se ha encontrado que pueden generar somnolencia diurna excesiva. Objetivo: describir una correlación entre el índice de microdespertares y la escala de Epworth. Diseño: Corte transversal descriptivo analítico. Metodología: revisión de polisomnografías realizadas y a partir de estas obtenciones de los valores de la escala de Epworth e índice de microdespertares, describir una posible correlación entre ellos. Resultados: se evaluaron 130 pacientes y se estableció que no existía correlación estadísticamente significativa entre los valores de la escala de Epworth y el índice de microdespertares. Discusión: la subjetividad de la escala Epworth nos puede llevar a encontrar cierta variabilidad en los resultados de la prueba. Por otro lado, es importante tener en cuenta que hay otros aspectos que pueden generar un aumento de la somnolencia diurna medida con la escala de Epworth como lo es la hipoxemia nocturna aumentada. También es importante mencionar que existen otros elementos de la microestructura del sueño que pueden generar resultados diferentes al comparar con la definición y parámetros de microdespertares, como es el patrón alternante cíclico y sus subtipos. Conclusiones: no existe correlación entre los valores de la escala de Epworth y el índice de microdespertares.


Introduction: Obstructive sleep apnea is a disease characterized by recurrent obstruction or collapse of the upper airway. Epworth Sleepiness Scale (ESS) assesses the subjective daytime sleepiness of patients with a questionnaire, being this the most used in nowadays. It's been found that the arousals produced during sleep disorders can develop excessive daytime sleepiness. Objective: To describe a correlation between arousal index and ESS. Design: Analytic descriptive cross-sectional study. Methodology: Review of sleep study, obtain values of ESS and arousal index and then describe a possible correlation between them. Results: 130 patients were assessed and it was established that there is no statistically significant correlation between the ESS values and the arousal index. Discussion: The subjectivity of ESS can lead to finding some variation in the tested outcomes; on the other hand, it's important to keep in mind that there are other factors that can improve the daytime sleepiness measured with ESS, such as increased nocturnal hypoxemia. Furthermore, it's convenient to identify that there are other elements of sleep microstructure that can generate different results when comparing its definition and taking arousal parameters into account, such as the cyclic alternative pattern and its subtypes. Conclusion: There is no correlation between ESS and arousal index.


Subject(s)
Humans , Sleepiness , Sleep Wake Disorders , Disorders of Excessive Somnolence
12.
Arch. argent. pediatr ; 117(6): 401-404, dic. 2019. tab
Article in English, Spanish | LILACS (Americas), BINACIS | ID: biblio-1046393

ABSTRACT

Objetivo. Investigar las tasas de trastornos respiratorios y del sueño en los niños cuyas madres se sometieron a una amniocentesis. Materiales y métodos. Se incluyó a niños cuyas madres se sometieron a una amniocentesis en el segundo trimestre (entre las 16 y las 20 semanas) y otros sin procedimiento invasivo (controles). Resultados. Se anallizó a 50 niños en el grupo de amniocentesis y a 47 controles. Hubo mayor incidencia de trastornos del sueño en el grupo de amniocentesis: 30 casos (60 %) frente a 11 controles (23,4 %) (p = 0,001). En el grupo de amniocentesis, 7 niños (14%) tenían asma; en el grupo de referencia, 1 niño (2,1 %) (p = 0,032).Conclusión. Podría haber una asociación entre la amniocentesis en el segundo trimestre, el asma y los trastornos del sueño en los niños. Se requieren estudios futuros y analizar los efectos a largo plazo de las pruebas invasivas.


Objective. The aim was to investigate the rates of respiratory and sleep disturbances in infants whose mothers experienced amniocentesis.Material and methods. Infants whose mothers have undergone midterm amniocentesis (between 16 and 20 weeks) and no invasive procedure (controls) were enrolled.Results. The study analyzed 50 infants whose mothers have undergone amniocentesis (amniocentesis group) and 47 controls. Amniocentesis group had higher incidence of sleep disturbances: 30 cases (60 %), compared with 11 controls (23.4 %) (P = 0.001). In the amniocentesis group there were 7 children (14 %) with asthma, while in the control group, asthma was confirmed in 1 child (2.1 %) (P = 0.032).Conclusion. Our data triggers the hypothesis that associations between midterm amniocentesis, child's asthma and sleep isturbances may exist. These preliminary results reveal the importance of further studies and the need for the analysis of long term effects of invasive testing.


Subject(s)
Humans , Pregnancy , Child, Preschool , Pregnancy Trimester, Second , Respiration Disorders , Sleep Wake Disorders , Amniocentesis/adverse effects , Asthma , Bronchiolitis , Surveys and Questionnaires , Retrospective Studies
13.
Rev. enferm. Inst. Mex. Seguro Soc ; 27(3): 163-174, Jul-Sep 2019. tab, graf
Article in Spanish | LILACS (Americas), BDENF | ID: biblio-1047308

ABSTRACT

Introducción: el plan de cuidados de enfermería estandarizado (PLACE) es un protocolo específico de cuidados, apropiado para aquellos pacientes que padecen los problemas normales o previsibles relacionados con un diagnóstico concreto o una enfermedad. Objetivo: diseñar un PLACE de quimioterapia, como una propuesta para el profesional de enfermería en la programación de los cuidados. Desarrollo: se presenta el caso de una paciente adulta de 34 años, con diagnóstico médico de linfoma de Hodgkin y tratamiento de quimioterapia, hospitalizada en el servicio de Quimioterapia Ambulatoria. Para la evaluación del estado de la paciente se utilizó la Guía de valoración para el paciente adulto por dominios y clases de la NANDA (North American Nursing Diagnosis Association); con base en un proceso de razonamiento diagnóstico, se jerarquizaron y determinaron los diagnósticos de enfermería, los resultados esperados y las intervenciones de enfermería. Se diseñó un plan de cuidados basado en la interrelación de las taxonomías NANDA, NOC (Nursing Outcomes Classification) y NIC (Nursing Interventions Classification). Derivado del razonamiento diagnóstico, se priorizó el siguiente diagnóstico de enfermería: insomnio R/C factores del entorno M/P dificultad para conciliar el sueño. Conclusión: el plan de cuidados de enfermería con enfoque educativo puede ayudar a mejorar el patrón y la calidad del sueño al disminuir la dificultad para conciliar el sueño. Asimismo un adecuado manejo de la medicación, manejo de la energía y del ambiente en casa y en el hospital favorece un adecuado control de la enfermedad y la recuperación.


Introduction: The standardized nursing care plan (SNCP) is a specific care protocol, appropriate for those patients who suffer from normal or foreseeable problems related to a specific diagnosis or illness. Objective: To design an SNCP with an educational approach aimed at a female adult patient with insomnia, Hodgkin lymphoma and chemotherapy treatment, as a proposal for the nursing professional in the patient care program. Development: It is presented the case of a 34-year-dd female adult patient with a medical diagnosis of Hodgkin lymphoma and chemotherapy treatment, hospitalized in the Outpatient Chemotherapy Service. The NANDA (North American Nursing Diagnosis Association) Assessment Cuide for the Adult Patient by Domains and Classes was used to assess the patient's condition; based on a process of diagnostic reasoning, the nursing diagnoses, expected results and nursing interventions were hierarchized and determined. A care plan was designed based on the interrelation of the NANDA NOC (Nursing Outcomes Classification) and NIC (Nursing Interventions Classification) taxonomies. Derived from the diagnostic reasoning, the following nursing diagnosis was prioritized: Insomnia R/T environmental factors M/B difficulty falling asleep. Conclusión: The nursing care plan with an educational approach can help to improve the pattern and quality of sleep by decreasing the difficulty in falling asleep. Likewise, proper medication management, energy management and the environment at home and in the hospital favors adequate disease control and recovery.


Subject(s)
Humans , Sleep Wake Disorders , Hodgkin Disease , Drug Therapy , Energy Metabolism , Patient Care Bundles , Sleep Initiation and Maintenance Disorders , Nursing Care , Nursing Process , Mexico
14.
Rev. Soc. Cardiol. Estado de Säo Paulo ; 29(2): 160-166, abr.-jun. 2019. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-1009499

ABSTRACT

A prevenção da fibrilação atrial (FA) envolve uma abordagem individualizada, multidisciplinar e integrada do paciente, que vai além da arritmia per se. Por se tratar de uma arritmia multifatorial e com fisiopatologia complexa, os pacientes com FA devem ser avaliados em sua integralidade, que inclui aspectos eletrocardiográficos, eletrofisiológicos, medidas comportamentais e otimização de tratamento de doenças crônicas, como hipertensão arterial e insuficiência cardíaca. Neste artigo descrevere-mos as principais intervenções estudadas na literatura com benefício na prevenção da fibrilação atrial


AF (atrial fibrillation) prevention involves an ndividualized, multidisciplinary and integrated approach taken by the patient, which emcompasses more than just arrhy- thmima per se. Because it is a multifactorial arrhythmia with complex physiopathology, patients with AF should undergo a complete assessment, including electrocardiographic and electrophysiological aspects, behavioral measures and optimization of the treatment of chronic diseases, such as hypertension and heart failure. In this article we describe the main interventions studied in literature that are beneficial in the prevention of atrial fibrillation


Subject(s)
Humans , Male , Female , Atrial Fibrillation/prevention & control , Anti-Arrhythmia Agents/therapeutic use , Arrhythmias, Cardiac/therapy , Sleep Wake Disorders/complications , Sleep Wake Disorders/diagnosis , Tobacco Use Disorder , Comorbidity , Risk Factors , Diabetes Mellitus , Secondary Prevention/methods , Heart Failure , Hypertension , Obesity
15.
Rev. bras. psiquiatr ; 41(1): 44-50, Jan.-Mar. 2019. tab, graf
Article in English | LILACS (Americas) | ID: biblio-985358

ABSTRACT

Objective: This study aimed to determine the prevalence of benzodiazepine (BZD) use in Brazil and to investigate the direct and indirect effects of alcohol consumption, sedentary lifestyle (SL), depressive symptoms (DS), and sleep dissatisfaction (SD) on BZD use. Methods: The Second Brazilian Alcohol and Drugs Survey (II BNADS) used stratified cluster probabilistic sampling to select 4,607 individuals aged 14 years and older from the Brazilian household population. Results: The lifetime and 12-month prevalence of BZD use was 9.8 and 6.1%, respectively. Older participants (age 40 and older) and women had higher rates. Alcohol use disorder, DS, and SD were significantly more prevalent in BZD users. The parallel multiple mediator model showed a positive direct effect of alcohol consumption on BZD use, with significant positive indirect effects of SL, SD, and DS as simultaneous mediators leading to higher BZD intake. Other statistically significant indirect pathways were DS alone, SD alone, and all of the above except SL. Conclusion: The prevalence of BZD use in Brazil is high compared to that of other countries. Knowledge of the main risk factors and pathways to consumption can guide prevention initiatives and underlie the development of better tailored and effective treatment strategies.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Sleep Wake Disorders/drug therapy , Benzodiazepines/administration & dosage , Alcohol Drinking/drug therapy , Depressive Disorder/drug therapy , Sedentary Behavior , Socioeconomic Factors , Brazil/epidemiology , Prevalence , Risk Factors , Middle Aged
16.
REME rev. min. enferm ; 23: e-1235, jan.2019.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1050357

ABSTRACT

INTRODUÇÃO: a relação entre sincronizadores e a organização temporal interna pode ser perturbada por mudanças causadas pelo trabalho em turnos, manifestando-se como distúrbios cardiovasculares, metabólicos e do sono. OBJETIVO: analisar o padrão de sono, características antropométricas, glicemia e pressão arterial de 88 profissionais de Enfermagem, trabalhadores de turnos diurnos e noturnos fixos. MÉTODOS: estudo descritivo e transversal realizado em serviços públicos de pronto atendimento de um município do estado de Minas Gerais, no qual se utilizaram questionário sociodemográfico e o diário do sono. As medidas realizadas foram glicemia, pressão arterial, índice de massa corporal e circunferência da cintura. RESULTADOS: a duração e a qualidade de sono noturno dos trabalhadores do turno da noite apresentaram-se com média estatisticamente inferior em relação aos funcionários do turno diurno. No entanto, entre as outras variáveis estudadas e turnos não houve diferença estatística significante. CONCLUSÃO: observaram-se sobrepeso e obesidade em 59,09% dos profissionais e alterações da circunferência de cintura em 70,46% deles. O conhecimento dessa realidade pode contribuir para estudos adicionais, com possíveis programas de acompanhamento periódico da saúde do trabalhador.(AU)


The relationship between synchronizers and the internal temporal organization can be disturbed by changes caused by shift work, manifesting as cardiovascular, metabolic, and sleep disorders. Objective: to analyze the sleep pattern, anthropometric characteristics, blood glucose and blood pressure of 88 Nursing professionals, day and night shift workers. Method: a descriptive and cross-sectional study conducted in public emergency services of a city in the state of Minas Gerais, in which a sociodemographic questionnaire and a sleep diary were used. The measurements taken were blood glucose, blood pressure, body mass index and waist circumference. Results: the duration and the quality of the night sleep of the night-shift workers were statistically lower than those of their day-shift peers. However, there was no statistically significant difference between the other studied variables and the shifts. Overweight and obesity were observed in 59.09% of the professionals and waist circumference changes in 70.46% of them. Conclusion: knowledge of this reality may contribute to further studies, with possible programs for periodic monitoring of the workers' health.(AU)


Introducción: la relación entre los sincronizadores y la organización temporal interna puede verse alterada por los cambios causados por el trabajo en turnos, que se manifiestan como trastornos cardiovasculares, metabólicos y del sueño. Objetivo: analizar el patrón de sueño, las características antropométricas, la glucosa en sangre y la presión arterial de 88 profesionales de enfermería, trabajadores de turno diurno y nocturno. Métodos: estudio descriptivo de corte transversal realizado en los servicios públicos de emergencia de una ciudad del estado de Minas Gerais, que utilizó un cuestionario sociodemográfico y un diario del sueño. Las medidas tomadas fueron glucosa en sangre, presión arterial, índice de masa corporal y circunferencia de cintura. Resultados: la duración y la calidad del sueño nocturno de los trabajadores del turno nocturno fueron estadísticamente más bajas que las de los trabajadores del turno diurno. Sin embargo, entre las otras variables estudiadas y turnos no hubo diferencias estadísticamente significativas. Conclusión: se observó sobrepeso y obesidad en el 59,09% de los profesionales y alteración en la circunferencia de cintura en el 70,46% de ellos. El tener conciencia de esta realidad puede contribuir a futuros estudios, con posibles programas para el monitoreo periódico de la salud de los trabajadores.(AU)


Subject(s)
Sleep , Sleep Wake Disorders , Working Conditions , Occupational Health , Shift Work Schedule , Risk Factors , Nurses
17.
Article in English | WPRIM (Western Pacific) | ID: wprim-762565

ABSTRACT

BACKGROUND: Dependent self-employment is precarious employment, which can be vulnerable to mental health problems. This study aimed to investigate the association of dependent self-employment with depression, anxiety, and sleep disorder in South Korea. METHODS: This study used data from the Fourth Korean Working Conditions Survey and included 32,691 paid workers. Dependent self-employment and self-reported depression/anxiety, and sleep disorder were investigated using a questionnaire. Logistic regression analysis was performed to investigate the association between dependent self-employment and mental health problems. RESULTS: Of the 32,691 paid workers, 2,371 (7.3%) were dependent self-employed workers. The odds ratio (OR) of dependent self-employment for self-reported depression/anxiety was 1.78 (95% confidence interval [CI]: 1.29–2.45) and the OR of dependent self-employment for self-reported sleep disorder was 1.26 (95% CI: 1.01–1.59) compared to other paid workers. CONCLUSIONS: Dependent self-employment is related to an increased risk of self-reported depression/anxiety and sleep disorder in South Korea.


Subject(s)
Anxiety , Depression , Employment , Korea , Logistic Models , Mental Health , Odds Ratio , Sleep Wake Disorders
18.
Article in English | WPRIM (Western Pacific) | ID: wprim-786358

ABSTRACT

A structured review study of drug interventions on sleep disorders in patients with autism spectrum disorders (ASD) has not been published to date. This systematic review aimed to investigate drug interventions for the treatment of sleep disorders in children with ASD. The Web of Science, PubMed, and Scopus databases were searched until March 2019. Study quality was assessed using the Delphi checklist. Due to the heterogeneity of the findings, a meta-analysis was not possible. Drug interventions for the treatment of sleep disorders in patients with ASD included melatonin, atomoxetine, and risperidone. Atomoxetine had no effect on sleep disorders in patients with ASD. A total of 10 studies were reviewed. Melatonin appears to be useful for the treatment of sleep problems in patients with ASD, but further studies are needed to determine the effects of other drugs.


Subject(s)
Atomoxetine Hydrochloride , Autism Spectrum Disorder , Autistic Disorder , Checklist , Child , Humans , Melatonin , Population Characteristics , Risperidone , Sleep Wake Disorders
19.
Article in Chinese | WPRIM (Western Pacific) | ID: wprim-776052

ABSTRACT

Objective To investigate the changes of serum melatonin(MLT)and glutathione(GSH)levels in patients with Parkinson's disease(PD)and explore their relationships with disease severity,cognitive dysfunction,and sleep disorders. Methods Totally 50 PD patients treated in our center from September 2017 to February 2018 were enrolled as the PD group,and 50 healthy controls matched with age and sex as the control group.The improved Hoehn and Yahr scale was used to assess the severity of PD.The Montreal Cognitive Assessment Scale was used to assess the cognitive function and Pittsburgh's Sleep Quality Index was used to detect the patient's sleep.The serum levels of MLT and GSH were detected by enzyme-linked immunosorbent assay and the results were compared. Results Serum MLT level in the PD group was significantly higher than that in the control group [(84.12±6.58)pg/ml vs.(46.29±9.73)pg/ml,P=0.000],and serum GSH level was significantly lower than that in the control group [(21.07±12.05)μmol/L vs.(77.73±39.90)μmol/L,P=0.000].There was a positive correlation between serum MLT level and H-Y grade(r=0.537,P=0.000),and there was a negative correlation between serum GSH level and H-Y grade(r=-0.596,P=0.000).Serum MLT was negatively correlated with GSH level in PD patients(r=-0.842,P=0.000).The MLT level in PD patients with sleep disorders was significantly higher than in those without sleep disorders [(85.79±6.45)pg/ml vs.(78.84±3.54)pg/ml,P=0.001];the level of GSH in PD patients with cognitive dysfunction was significant lower than in the non-cognitive dysfunction group [(17.47±10.67)μmol/L vs.(26.09±12.23)μmol/L,P=0.011]. Conclusions Serum MLT level increases and GSH level decreases in PD patients.Both MLT and GSH are correlated with PD severity,and there is a negative correlation between MLT and GSH.In addition,PD patients with sleep disorders have higher MLT level and those with cognitive impairment tend to have lower GSH level.


Subject(s)
Case-Control Studies , Cognitive Dysfunction , Glutathione , Blood , Humans , Melatonin , Blood , Oxidative Stress , Parkinson Disease , Blood , Sleep Wake Disorders
20.
Article in Chinese | WPRIM (Western Pacific) | ID: wprim-775069

ABSTRACT

OBJECTIVE@#To investigate the prevalence of obesity and sleep disorders and the association between them among children in Lanzhou, China.@*METHODS@#The stratified cluster random sampling method was used to select 3 283 primary school students in four districts of Lanzhou of Gansu province. Physical examination and sleep questionnaire were conducted to screen out the children who met the criteria for sleep disorders or obesity as subjects. Among the 3 283 children, 200 healthy children without sleep disorders or obesity were enrolled as the control group.@*RESULTS@#The prevalence rate of obesity among the 3 283 children was 5.76% (189/3 283). Among these 189 obese children, 80 (42.3%) had sleep disorders. The prevalence rate of sleep disorders was 16.24% (533/3 283), and the prevalence rate of obesity among the children with sleep disorders was 24.6% (131/533). Snoring was the most common sleep disorder in obese children. The prevalence rate of obstructive sleep apnea hypopnea syndrome was 45% (36/80) among obese children with sleep disorders. The obese children had a significantly higher prevalence rate of sleep disorders than the children with normal body weight [42.3% (80/189) vs 20% (40/200), P<0.01].@*CONCLUSIONS@#There is a close relationship between obesity and sleep disorders in children in Lanzhou, China.


Subject(s)
Body Mass Index , Child , China , Humans , Obesity , Sleep Wake Disorders , Snoring
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