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Quetiapine as a Potential Treatment for Insomnia: The Road Ahead 奎硫平作为失眠的潜在治疗方法:未来的道路
Pub Date : 2022-06-03 DOI: 10.33069/cim.2022.0010
C. Cho
Because of its specific method of action, such as antagonism of histamine H1 and serotonin type 2A receptors, quetiapine has a sedative effect.1 Quetiapine is chosen as a therapeutic alternative for treating individuals with schizophrenia or bipolar disorder who require sedation among other antipsychotics because of its sedative properties. In therapeutic practice, quetiapine is used to treat insomnia in people suffering from a variety of psychiatric conditions. Lee et al.2 looked at clinical data from Korea and reported on the prescription status of quetiapine for insomnia treatment. Quetiapine is commonly used to treat a variety of mental conditions, including schizophrenia, bipolar disorder, depression, and insomnia. Quetiapine is the favored therapeutic approach for treating primary insomnia in the elderly, according to reports. When atypical antipsychotics like quetiapine are used to treat insomnia symptoms in actual clinical settings, they are chosen for various concomitant therapeutic goals in addition to insomnia.3 According to the findings from the study reported by Lee et al.,2 quetiapine is recommended for treating insomnia in the elderly not only because of the vulnerability and risk of side effects associated with sedative-hypnotics, but also because of its sedative action. In the elderly, the administration of sedative-hypnotics may raise the risk of dementia or delirium and may result in long-term use, which is problematic. For the elderly who suffer from insomnia, non-pharmacological treatment options such as cognitive-behavioral therapy or light therapy may be a viable choice. However, there is a populaQuetiapine as a Potential Treatment for Insomnia: The Road Ahead
喹硫平由于其特殊的作用方式,如对组胺H1和血清素2A型受体的拮抗作用,具有镇静作用奎硫平被选为治疗精神分裂症或双相情感障碍患者的替代治疗方案,这些患者在其他抗精神病药物中需要镇静,因为其镇静特性。在治疗实践中,喹硫平被用于治疗患有各种精神疾病的人的失眠。Lee等人查阅了韩国的临床数据,并报道了喹硫平治疗失眠的处方状况。奎硫平通常用于治疗各种精神疾病,包括精神分裂症、双相情感障碍、抑郁症和失眠。据报道,喹硫平是治疗老年人原发性失眠的首选治疗方法。当非典型抗精神病药物如奎硫平在实际临床环境中用于治疗失眠症状时,除了失眠之外,它们还被选择用于各种伴随治疗目标根据Lee等人报道的研究结果,奎硫平被推荐用于治疗老年人失眠,不仅是因为镇静催眠药的脆弱性和副作用风险,还因为它的镇静作用。在老年人中,镇静催眠药可能会增加痴呆或谵妄的风险,并可能导致长期使用,这是有问题的。对于患有失眠症的老年人,非药物治疗方案,如认知行为疗法或光疗可能是一个可行的选择。然而,有一种流行的喹硫平作为失眠的潜在治疗方法:未来之路
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引用次数: 0
Could Melatonin Be an Alternative to Benzodiazepine for Chronic Obstructive Pulmonary Disease With Insomnia? 褪黑素可以替代苯二氮卓类药物治疗慢性阻塞性肺疾病伴失眠吗?
Pub Date : 2022-06-03 DOI: 10.33069/cim.2022.0008
Hye Kyeong Park, E. Park
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory disease characterized by chronic respiratory symptoms, structural pulmonary abnormalities, and airflow limitation [1]. COPD is highly common and is the third leading cause of death worldwide [2]. Sleep disturbance is one of the most common complaints in patients with COPD, and the presence of sleep disorders further deteriorates their quality of life [3]. Symptom exacerbations are associated with poor sleep quality in patients with COPD [4]. Patients with COPD experience sleep fragmentation with frequent arousals, reduced slow-wave, rapid eye movement (REM) sleep, and lower mean overnight oxygen saturation [5]. Insomnia is the most common sleep disorder in patients with COPD. Insomnia is defined as difficulty falling sleep and remaining asleep, as well as frequent awakenings during the night. InCould Melatonin Be an Alternative to Benzodiazepine for Chronic Obstructive Pulmonary Disease With Insomnia?
慢性阻塞性肺疾病(Chronic obstructive pulmonary disease, COPD)是一种以慢性呼吸道症状、肺结构性异常和气流受限为特征的慢性炎症性疾病[1]。慢性阻塞性肺病非常常见,是全球第三大死亡原因[2]。睡眠障碍是COPD患者最常见的主诉之一,睡眠障碍的存在进一步恶化了COPD患者的生活质量[3]。COPD患者的症状加重与睡眠质量差有关[4]。慢性阻塞性肺病患者睡眠破碎,频繁觉醒,慢波、快速眼动(REM)睡眠减少,夜间平均血氧饱和度降低[5]。失眠是慢性阻塞性肺病患者最常见的睡眠障碍。失眠被定义为难以入睡和保持睡眠状态,以及夜间频繁醒来。褪黑激素是否可以替代苯二氮卓类药物治疗慢性阻塞性肺疾病伴失眠?
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引用次数: 0
Sleep Disturbances in Patients with Parkinson’s Disease 帕金森病患者的睡眠障碍
Pub Date : 2022-03-31 DOI: 10.33069/cim.2022.0004
D. Kwon
Parkinson’s disease (PD) is a chronic neurodegenerative disorder having various motor and non-motor symptoms in nature. Sleep disturbance is one of major category of non-motor manifestation and exist throughout the disease course from premotor to advanced motor stages in PD. It is essential to understand pathophysiologic basis, etiologies, and clinical presentation of various sleep problems as this is important determinant of quality of life in patients with PD.
帕金森病(PD)是一种慢性神经退行性疾病,具有多种运动和非运动症状。睡眠障碍是非运动性表现的主要类别之一,存在于PD从运动前期到运动晚期的整个病程中。了解各种睡眠问题的病理生理基础、病因和临床表现是至关重要的,因为这是PD患者生活质量的重要决定因素。
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引用次数: 1
Melatonin and Serotonin: Their Synthesis and Effects in Insects 褪黑素和血清素的合成及其对昆虫的影响
Pub Date : 2022-03-31 DOI: 10.33069/cim.2022.0003
Mohd Kaleemullah Farooqi, Mohd Ali, M. Amir
Melatonin and serotonin are endogenous neurotransmitters and hormones produced by tryptophan metabolism. Melatonin and serotonin are present in the heads, eyes, optic lobes, and brains of various invertebrates. Insects produce serotonin and melatonin via the same pathways that vertebrates do. They are pleiotropic signaling chemicals that regulate a wide range of physiological processes and protect against disease and environmental factors in various species. In insects, they function as neurotransmitters, hormones, and bioregulators, controlling a wide range of endocrines, behavioral, immunological, developmental, and defensive activities, as well as biological cycles.
褪黑素和血清素是内源性神经递质和色氨酸代谢产生的激素。褪黑素和血清素存在于各种无脊椎动物的头部、眼睛、视叶和大脑中。昆虫产生血清素和褪黑素的途径与脊椎动物相同。它们是多效性的信号化学物质,在各种物种中调节广泛的生理过程,并防止疾病和环境因素。在昆虫中,它们作为神经递质、激素和生物调节剂,控制着广泛的内分泌、行为、免疫、发育和防御活动以及生物周期。
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引用次数: 2
Role of Depression and Anxiety As Mediators Between Insomnia Symptoms and Suicide Ideation in Patients With Adjustment Disorder 抑郁和焦虑在适应障碍患者失眠症状与自杀意念之间的中介作用
Pub Date : 2022-03-31 DOI: 10.33069/cim.2022.0001
K. Jung, Eun-Jung Cha, Kyoung Hwan Lee, Seol-Yeon Kim, Doo-Heum Park, J. Ha, H. Jeon, S. Ryu
Objective: The aim of this study was to evaluate whether insomnia can independently affect suicide ideation or whether insomnia affect suicide ideation by mediating depression or anxiety in adjustment disorder (AD). Methods: Electronic medical records were retrospectively reviewed for 65 patients with diagnosed AD visited an outpatient clinic between January 2018 and December 2020. Measurements include the Insomnia Severity Index (ISI), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI) and Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Statistical analyses were performed to assess relationship between insomnia and suicide ideation in AD and the mediating role of depression or anxiety in this association. Results: During 3 years of study period, of the AD patients, 37 (57%) were male and 28 (43%) were female. Among them, 45 (69.2%) and 23 (35.4%) had clinically significant symptoms of insomnia (ISI ≥15) and suicide ideation (MMPI scale score ≥70), respectively. In a mediation model using depression and anxiety as mediating variable, there were significant effects of insomnia on depression (t=5.55, p<0.001) and anxiety (t=6.21, p<0.001) and of depression (t=5.70, p<0.001) and anxiety (t=3.54, p<0.001) on suicide ideation. Total effect of insomnia on suicide ideation was statistically insignificant, suggesting complete mediation. Conclusion: A significant association with suicide ideation was observed in the case of insomnia accompanied by depression and anxiety. Therefore, in patients with AD who complain of insomnia, symptoms of depression and anxiety should be evaluated by clinicians with active intervention for suicide ideation.
目的:探讨失眠是否能独立影响自杀意念,或失眠是否通过调节适应障碍(AD)患者的抑郁或焦虑影响自杀意念。方法:回顾性分析2018年1月至2020年12月在门诊就诊的65例诊断为AD的患者的电子病历。测量包括失眠严重指数(ISI)、贝克抑郁量表- ii (BDI-II)、状态-特质焦虑量表(STAI)和明尼苏达多相人格量表-2 (MMPI-2)。通过统计分析评估AD患者失眠与自杀意念之间的关系,以及抑郁或焦虑在这一关联中的中介作用。结果:在3年的研究期间,AD患者中,男性37例(57%),女性28例(43%)。其中有失眠(ISI≥15)和自杀意念(MMPI量表评分≥70)临床显著症状的分别为45例(69.2%)和23例(35.4%)。在以抑郁和焦虑为中介变量的中介模型中,失眠对抑郁(t=5.55, p<0.001)和焦虑(t=6.21, p<0.001)有显著影响,抑郁(t=5.70, p<0.001)和焦虑(t=3.54, p<0.001)对自杀意念有显著影响。失眠对自杀意念的总影响在统计学上不显著,提示有完全的中介作用。结论:伴有抑郁和焦虑的失眠患者与自杀意念有显著的相关性。因此,对于主诉失眠的AD患者,应由临床医生评估抑郁和焦虑症状,并积极干预自杀意念。
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引用次数: 0
Association of Individuals’ Chronotypes With Obesity and Body Composition in Tehrani Adults in 2020 2020年德黑兰成年人个体时型与肥胖和身体成分的关系
Pub Date : 2022-03-31 DOI: 10.33069/cim.2021.0032
H. Sadeghzadeh, Mazyar Haghgoo, Samira Rabiei
Objective: Individual’s preferences in time for sleeping, waking up, doing physical and mental activity is dependent on chronotypes. According to these preferences, individuals are categorized to morningness, intermediate, and eveningness chronotype. Recently, it has been suggested that chronotypes are involved in regulation of sleep, appetite, and some metabolic factors. The aim of this study was to investigate the association between chronotypes, obesity, body fat, and lean mass in Tehrani adults.Methods: It was a cross-sectional study on 353 adults aged 18–60 years who referred to Tehran community centers. After anthropometric measurements and collecting data on general information, choronotype, physical activity and 3-day food recalls, fat mass, and lean mass were measured using the method of bioelectrical impedance analysis. SPSS 21 was used to statistical analysis.Results: Of total 353 participants, 11%, 47.6%, and 41.4% had eveningness, intermediate, and morningness chronotypes, respectively. The mean age of individuals with morningness and intermediate was higher than those with eveningness. The prevalence of eveningness in men was higher than in women (p=0.001). Fat mass and lean mass in individuals with eveningness type were higher and lower than those with morningness, respectively (p<0.05). Body mass index and waist circumference showed no significant difference among chronotypes.Conclusion: Eveningness type is associated with increase in fat mass and decrease in lean mass. The effects of chronotype on body fat and lean mass are independent of obesity.
目的:个体对睡眠、起床、身体和精神活动的时间偏好取决于睡眠类型。根据这些偏好,个体可分为“晨型”、“中间型”和“晚型”。最近,有研究表明,生物钟类型与睡眠、食欲和一些代谢因素的调节有关。这项研究的目的是调查德黑兰成年人的睡眠类型、肥胖、体脂和瘦质量之间的关系。方法:对353名18-60岁的德黑兰社区中心的成年人进行横断面研究。在人体测量和收集一般信息、绒毛膜类型、体力活动和3天食物召回数据后,使用生物电阻抗分析方法测量脂肪量和瘦体重。采用SPSS 21进行统计分析。结果:在353名参与者中,分别有11%、47.6%和41.4%的人属于晚上型、中间型和早晨型。“晨型”和“中间型”个体的平均年龄高于“晚型”个体。男性夜性的患病率高于女性(p=0.001)。夜型个体的脂肪质量高于晨型个体,瘦肉质量低于晨型个体(p<0.05)。体重指数和腰围在不同时间类型间无显著差异。结论:均匀型与脂肪质量增加、瘦质量减少有关。时间类型对体脂和瘦质量的影响与肥胖无关。
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引用次数: 0
Health Problems With Using Smartphones Late at Night 深夜使用智能手机对健康的影响
Pub Date : 2022-03-31 DOI: 10.33069/cim.2022.0006
Heon-Jeong Lee
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引用次数: 0
Circadian Rhythm and Polygenic Risk Scores 昼夜节律和多基因风险评分
Pub Date : 2022-03-31 DOI: 10.33069/cim.2022.0007
Young-Min Park
Genome-wide association study (GWAS) have led to paradigm shift in the study of psychiatric illnesses. However, GWAS has certain limitations. Thus, investigators have invented the concept of polygenic risk using GWAS. The current study aimed to review the papers on the association between polygenic risk score (PRS) and circadian rhythm. Circadian preferences are indicative of endogenous circadian rhythms. Some studies have revealed that the PRS for circadian preferences is associated with sleep timing, median sleep time, and the risk of bipolar disorder. Moreover, another study revealed that the PRS for diabetes, Alzheimer’s disease, and mood disorders was associated with sleep patterns, wakefulness after sleep onset, and circadian rhythm. In conclusion, the PRS is an anticipated biomarker for predicting diagnosis, treatment response, and clinical outcomes. Thus, PRS will play many roles in personalized medicine soon.
全基因组关联研究(GWAS)导致了精神疾病研究范式的转变。然而,GWAS有一定的局限性。因此,研究者利用GWAS发明了多基因风险的概念。本研究旨在对多基因风险评分(PRS)与昼夜节律之间的关系进行综述。昼夜节律偏好是内源性昼夜节律的指示。一些研究表明,昼夜节律偏好的PRS与睡眠时间、平均睡眠时间和双相情感障碍的风险有关。此外,另一项研究表明,糖尿病、阿尔茨海默病和情绪障碍的PRS与睡眠模式、睡眠后的觉醒和昼夜节律有关。总之,PRS是一种预测诊断、治疗反应和临床结果的生物标志物。因此,PRS将很快在个性化医疗中发挥多种作用。
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引用次数: 0
The Clinical Practice for Hippocampal Neurogenesis by Chronobiological Therapy 时间生物学治疗海马神经发生的临床实践
Pub Date : 2022-03-31 DOI: 10.33069/cim.2022.0002
M. Shiozawa, Kenjiro Watanabe
The hippocampal neurogenesis in rats has been studied. In addition, when enough activities are provided in daytime, it is suggested that the memory consolidation during sleep will be achieved by hippocampal neurogenesis. We introduce our clinical practice of the chronobiological therapy regarding six dementia cases. Our therapy is based on awakening-sleep rhythm. We performed the medication to promote the changes from sleep to awakening in morning and to stabilize non-REM sleep at night. We also treated the autonomic nervous disorders so that the internal organs became active with Japanese Kampo Medicines, which were integrated with Western medicines. We set our occupational therapy in the daytime. The clinical evaluation was performed by psychological examinations and voxel-based specific regional analysis system for Alzheimer’s disease (VSRAD) of MRI. As for Z-score showing the hippocampal atrophy in VSRAD we accomplished the improvement of 0.55 points from 0.03 about six dementia cases by the chronobiological therapy. These improvements were accompanied by the better changes of the cognitive functions. We speculate that the hippocampal neurogenesis may be derived by reconstructing awakening-sleep rhythm.
对大鼠海马神经发生进行了研究。此外,当白天有足够的活动时,睡眠中的记忆巩固将通过海马神经发生来实现。介绍6例老年痴呆患者的时间生物学治疗的临床实践。我们的治疗是基于觉醒-睡眠节奏。我们使用药物来促进从睡眠到早晨醒来的变化,并稳定夜间的非快速眼动睡眠。我们也用日本汉方药治疗自主神经紊乱,使内脏器官活跃起来,这与西药相结合。我们在白天进行职业治疗。通过心理检查和基于体素的MRI阿尔茨海默病特异性区域分析系统(VSRAD)进行临床评价。在显示VSRAD海马萎缩的Z-score方面,我们通过时间生物学治疗完成了6例痴呆患者从0.03分的0.55分的改善。这些改善伴随着认知功能的改善。我们推测海马神经发生可能是通过重建觉醒-睡眠节律而产生的。
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引用次数: 0
An Analysis on How Artificial Light at Night May Impact the Sustainable Development Goals 2030 and Human Health 夜间人造光对2030年可持续发展目标和人类健康的影响分析
Pub Date : 2022-03-31 DOI: 10.33069/cim.2021.0030
Md Shahrukh Jamal, Shahkar Falak, Z. A. Khan
This study addresses the relationship between Sustainable Development Goals (SDGs) 2030 and artificial light at night (ALAN). In this research paper, different types of SDGs by the United Nations are discussed regarding the effects of ALAN on different goals. In addition, different policies associated with ALAN around the world are examined, and literature reviews are discussed. With this analysis and additional stakeholder discussions, several suggestions are introduced to create a better environment. Regarding different sustainable goals, we observe a trade-off between SDGs and ALAN. It is necessary to discuss different stakeholders, to minimize the negative impact of light pollution and make better policies for the world. One cannot attain SDGs 2030 without considering ALAN. We hope this paper will be helpful to create better policies for sustainable development.
本研究探讨了2030年可持续发展目标(SDGs)与夜间人造光(ALAN)之间的关系。在这篇研究论文中,讨论了联合国不同类型的可持续发展目标,以及ALAN对不同目标的影响。此外,研究了世界各地与ALAN相关的不同政策,并讨论了文献综述。通过此分析和额外的利益相关者讨论,介绍了一些建议,以创建更好的环境。对于不同的可持续发展目标,我们观察到可持续发展目标和ALAN之间的权衡。有必要讨论不同的利益相关者,以尽量减少光污染的负面影响,并为世界制定更好的政策。如果不考虑ALAN,就无法实现2030年可持续发展目标。我们希望本文能对制定更好的可持续发展政策有所帮助。
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引用次数: 1
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Chronobiology in Medicine
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