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Broken clocks: The effects of delayed school start time on adolescent sleep in solar vs. standard time 坏掉的时钟太阳时与标准时间下推迟开学时间对青少年睡眠的影响
IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-24 DOI: 10.1016/j.smrv.2024.102019
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引用次数: 0
Iatrogenic infection associated with positive airway pressure therapy: A review of precedent, epidemiology, bioaerosols and risk mitigation 与气道正压疗法相关的先天性感染:回顾先例、流行病学、生物气溶胶和风险缓解。
IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-22 DOI: 10.1016/j.smrv.2024.102017
Currently, evidence-based guidelines about cleaning positive airway pressure devices for maintenance or reprocessing for a new user do not exist. There is no strong evidence of harm caused by contaminated positive airway pressure equipment. Future research opportunities exist to streamline cleaning processes, assure hygiene, and reduce waste.
目前,还没有关于清洁正压通气设备以进行维护或为新用户重新处理的循证指南。没有确凿证据表明受污染的正压通气设备会造成伤害。未来存在简化清洁流程、确保卫生和减少浪费的研究机会。
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引用次数: 0
Ambient chemical and physical approaches for the modulation of sleep and wakefulness 调节睡眠和觉醒的环境化学和物理方法。
IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-12 DOI: 10.1016/j.smrv.2024.102015
Humans spend a third of their lives asleep. While the sleep-wake behaviors are primarily modulated by homeostasis and circadian rhythm, several ambient chemical and physical factors, including light, sound, odor, vibration, temperature, electromagnetic radiation, and ultrasound, also affect sleep and wakefulness. Light at different wavelengths has different effects on sleep and wakefulness. Sound not only promotes but also suppresses sleep; this effect is mediated by certain nuclei, including the pedunculopontine nucleus and inferior colliculus. Certain sleep-promoting odorants regulate sleep through the involvement of the olfactory bulb and olfactory tubercle. In addition, vibrations may induce sleep through the vestibular system. A modest increase in ambient temperature leads to an increase in sleep duration through the involvement of the preoptic area. Electromagnetic radiation has a dual effect on sleep-wake behaviors. The stimulation produced by the ambient chemical and physical factors activates the peripheral sensory system, which converts the chemical and physical stimuli into nerve impulses. This signal is then transmitted to the central nervous system, including several nuclei associated with the modulation of sleep-wake behaviors. This review summarizes the effects of ambient chemical and physical factors on the regulation of sleep and wakefulness, as well as the underlying neurobiological mechanisms.
人类一生中有三分之一的时间是在睡眠中度过的。虽然睡眠-觉醒行为主要受体内平衡和昼夜节律调节,但光、声音、气味、振动、温度、电磁辐射和超声波等一些环境化学和物理因素也会影响睡眠和觉醒。不同波长的光对睡眠和觉醒有不同的影响。声音不仅能促进睡眠,还能抑制睡眠;这种作用由某些神经核介导,包括足底核和下丘。某些促进睡眠的气味通过嗅球和嗅小结的参与来调节睡眠。此外,振动也可通过前庭系统诱导睡眠。环境温度的适度升高会通过视前区的参与导致睡眠时间的延长。电磁辐射对睡眠-觉醒行为有双重影响。环境中的化学和物理因素产生的刺激会激活外周感觉系统,该系统会将化学和物理刺激转化为神经冲动。然后,这一信号被传递到中枢神经系统,包括与调节睡眠-觉醒行为相关的几个神经核。本综述总结了环境化学和物理因素对睡眠和觉醒调节的影响,以及潜在的神经生物学机制。
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引用次数: 0
Day-to-day associations between pain intensity and sleep outcomes in an adult chronic musculoskeletal pain population: A systematic review 成人慢性肌肉骨骼疼痛人群中疼痛强度与睡眠结果之间的日常关联:系统综述。
IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-12 DOI: 10.1016/j.smrv.2024.102013

Background

In individuals with chronic musculoskeletal pain, a reciprocal relationship between sleep and pain across short and long-term evaluations exists. Sleep influences pain levels, while the level of pain also impairs sleep. However, given the day-to-day variability of both sleep and pain intensity, assessing this relationship within a daily time frame should be considered.

Objectives

To systematically review the literature concerning the bidirectional day-to-day relationship between night-time sleep variables and day-time pain intensity in individuals with chronic musculoskeletal pain.

Methods

A systematic search (final search on October 12, 2023) in four databases (PubMed, Web of Science, Embase, PsycInfo) identified eligible articles based on pre-defined criteria. Three independent reviewers executed data extraction and risk of bias assessment using the “Quality In Prognosis Studies” tool. The study findings were synthesized narratively.

Results

Eleven articles (1014 study participants; 83 associations) were included. A bidirectional relationship between pain intensity and sleep was found. Nine articles indicated night-time sleep quality to be a more consistent predictor for next day pain intensity than vice versa.

Conclusion

Nonetheless the bidirectional day-to-day sleep-pain relationship in individuals with chronic musculoskeletal pain, results suggest that self-reported sleep quality has a stronger predictive value on pain intensity then vice versa.
背景:在慢性肌肉骨骼疼痛患者中,睡眠与疼痛之间存在着短期和长期评估的相互关系。睡眠影响疼痛程度,而疼痛程度也会影响睡眠。然而,鉴于睡眠和疼痛强度每天都有变化,因此应考虑在每天的时间范围内评估这种关系:系统回顾有关慢性肌肉骨骼疼痛患者夜间睡眠变量与日间疼痛强度之间的双向日常关系的文献:方法:在四个数据库(PubMed、Web of Science、Embase、PsycInfo)中进行系统检索(最终检索日期为 2023 年 10 月 12 日),根据预先定义的标准确定符合条件的文章。三位独立审稿人使用 "预后研究质量 "工具进行了数据提取和偏倚风险评估。对研究结果进行了综合叙述:结果:共纳入 11 篇文章(1014 名研究参与者;83 个协会)。研究发现,疼痛强度与睡眠之间存在双向关系。九篇文章指出,夜间睡眠质量对第二天疼痛强度的预测作用比反之更为一致:尽管慢性肌肉骨骼疼痛患者的日常睡眠与疼痛之间存在双向关系,但研究结果表明,自我报告的睡眠质量对疼痛强度的预测价值更高,反之亦然。
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引用次数: 0
The relationship between preoperative sleep disturbance and acute postoperative pain control: A systematic review and meta-analysis 术前睡眠障碍与急性术后疼痛控制之间的关系:系统回顾与荟萃分析
IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-05 DOI: 10.1016/j.smrv.2024.102014
Poor preoperative sleep quality and impaired sleep continuity may heighten acute postoperative pain intensity and increase analgesic consumption, with negative implications for recovery, mental and physical health. The main objective of the current review was to investigate the relationship between preoperative sleep disturbance and acute postoperative pain control. Four electronic databases were systematically searched from inception to December 2023. Two reviewers screened articles, extracted data, and assessed risk of bias for each included study. The search identified 26 prospective cohort studies and 3 retrospective cohort studies (16104 participants). Of the 29 included studies, 23 focused on preoperative insomnia symptoms, and three studies each focused on preoperative objective sleep continuity or sleep-disordered breathing. Meta-analysis, based on five studies with 1226 participants, showed that clinically significant preoperative insomnia symptoms were associated with moderate to severe pain intensity on the first postoperative day (odds ratio 2.69 (95 % confidence interval 2.03–3.57), p < 0.0001). Qualitative analysis showed relatively robust associations between preoperative insomnia symptoms, impaired sleep continuity and poorer acute, as well as subacute, postoperative pain control. Findings related to obstructive sleep apnea syndrome were mixed. Given that insomnia is a potentially modifiable risk factor, interventions targeting sleep prior to surgery may improve postoperative pain control.
术前睡眠质量差和睡眠连续性受损可能会加重术后急性疼痛的强度并增加镇痛剂的消耗,从而对术后恢复、精神和身体健康产生负面影响。本综述的主要目的是研究术前睡眠障碍与急性术后疼痛控制之间的关系。从开始到 2023 年 12 月,对四个电子数据库进行了系统检索。两位审稿人筛选了文章、提取了数据,并评估了每项纳入研究的偏倚风险。此次检索共发现 26 项前瞻性队列研究和 3 项回顾性队列研究(16104 名参与者)。在纳入的 29 项研究中,23 项研究关注术前失眠症状,3 项研究分别关注术前客观睡眠连续性或睡眠呼吸障碍。基于 5 项研究、1226 名参与者的 Meta 分析表明,具有临床意义的术前失眠症状与术后第一天的中度至重度疼痛强度有关(几率比 2.69(95 % 置信区间 2.03-3.57),p < 0.0001)。定性分析显示,术前失眠症状、睡眠连续性受损与急性和亚急性术后疼痛控制较差之间存在相对密切的联系。与阻塞性睡眠呼吸暂停综合征有关的研究结果不一。鉴于失眠是一个潜在的可改变的风险因素,针对术前睡眠的干预措施可能会改善术后疼痛控制。
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引用次数: 0
How should we manage fatigue in on-call workers? A review of guidance materials and a systematic review of the evidence-base 我们应该如何管理值班人员的疲劳?指导材料回顾与证据基础系统回顾。
IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-09-29 DOI: 10.1016/j.smrv.2024.102012
On-call work is known to contribute to disrupted sleep, fatigue, and an increased risk of incidentor injury. This review aimed to a) identify current on-call management strategies that are suggested or required by regulatory bodies, and b) determine if there is empirical evidence to support these strategies in managing the fatigue of on-call workers. A grey literature search produced 65 relevant guidance materials. A systematic inductive thematic process identified consistent strategies included in these materials: 1) regularity/predictability of shifts, 2) fatigue management policy, 3) prescriptive rule sets, 4) fitness for work assessment, 5) on-the-day control measures, 6) risk assessment, 7) training and education, and 8) call management. Subsequently, a systematic review identified 17 original studies on the effectiveness of fatigue management strategies in on-call workers. Very little research has been done on fatigue management strategies for on-call workers outside of some prescriptive hours of work limitations. These limitations generally reduced fatigue, but often had the unintended consequence of increasing workload, which may inadvertently increase overall risk. Training, education, and call management (e.g., protected naps during on-call periods) also had some supporting evidence. The current gap in evidence emphasises the critical need for research on tailored on-call fatigue management strategies.
众所周知,值班工作会导致睡眠中断、疲劳和意外伤害风险增加。本综述旨在 a) 识别监管机构建议或要求的现行待命管理策略,b) 确定是否有经验证据支持这些策略来管理待命工人的疲劳。通过灰色文献检索获得了 65 份相关指导材料。通过系统的归纳主题过程,确定了这些材料中包含的一致策略:1) 轮班的规律性/可预测性;2) 疲劳管理政策;3) 规定性规则;4) 适合工作评估;5) 当日控制措施;6) 风险评估;7) 培训和教育;8) 呼叫管理。随后,一项系统性审查确定了 17 项关于待命工人疲劳管理策略有效性的原始研究。除了一些规定的工作时间限制外,针对值班人员疲劳管理策略的研究很少。这些限制通常能减少疲劳,但往往会带来增加工作量的意外后果,这可能会无意中增加整体风险。培训、教育和值班管理(如值班期间的保护性小睡)也有一些支持性证据。目前在证据方面存在的差距突出表明,亟需对量身定制的值班疲劳管理策略进行研究。
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引用次数: 0
Comment on Yang et al. Associations of sleep with cardiometabolic risk factors and cardiovascular diseases: An umbrella review of observational and mendelian randomization studies 对Yang等人的评论:睡眠与心脏代谢风险因素和心血管疾病的关系:对观察性研究和亡羊补牢式随机研究的综述
IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-09-19 DOI: 10.1016/j.smrv.2024.102009
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引用次数: 0
A narrative review of the relationship between head and neck cancer and obstructive sleep apnea: Clinical studies and statistical analysis 头颈部癌症与阻塞性睡眠呼吸暂停之间关系的叙述性综述:临床研究和统计分析。
IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-09-19 DOI: 10.1016/j.smrv.2024.102010
Obstructive sleep apnea (OSA) is an underestimated and overlooked comorbidity in head and neck cancer (HNC) care. Refining HNC-OSA management requires an improved grasp of the HNC-OSA relationship. Thus, this paper reviews the current course of HNC therapy, causal and associative relationships before and after treatment, and statistical methods quantifying HNC-OSA interactions. This evaluation serves a dual purpose: to support oncologists and sleep physicians in improving the treatment outcomes of patients undergoing HNC treatment by considering OSA as a comorbidity and to assist researchers in selecting suitable analytical models for investigating the correlation between OSA and HNC. The investigation confirms a positive correlation between the apnea-hypopnea index (AHI) and primary tumor size, consistent with prior findings. Case studies also reported new evidence of lipoma and head-neck tumors triggering OSA, and sleep apnea surgery prompting tumor development. This paper provides an overview of existing statistical models and offers suggestions for model selection and a framework for designing experiments that delve into research questions surrounding the link between OSA and HNC across various stages of cancer treatment. Despite progress, understanding the HNC-OSA interplay remains incomplete due to limited histological, molecular, and clinical data. Future studies with longitudinal data are crucial for comprehensive insights.
阻塞性睡眠呼吸暂停(OSA)是头颈癌(HNC)治疗中被低估和忽视的合并症。完善 HNC-OSA 管理需要更好地掌握 HNC-OSA 的关系。因此,本文回顾了当前的 HNC 治疗过程、治疗前后的因果关系和关联关系,以及量化 HNC-OSA 相互作用的统计方法。该评估具有双重目的:支持肿瘤医生和睡眠医生将 OSA 视为合并症,从而改善接受 HNC 治疗的患者的治疗效果;协助研究人员选择合适的分析模型,以调查 OSA 与 HNC 之间的相关性。调查证实,呼吸暂停-低通气指数(AHI)与原发性肿瘤大小呈正相关,这与之前的研究结果一致。病例研究还报告了脂肪瘤和头颈部肿瘤引发 OSA 以及睡眠呼吸暂停手术促使肿瘤发生的新证据。本文概述了现有的统计模型,并提出了选择模型的建议和设计实验的框架,以深入探讨围绕 OSA 和 HNC 在癌症治疗各个阶段的联系的研究问题。尽管取得了进展,但由于组织学、分子学和临床数据有限,对 HNC-OSA 相互作用的了解仍不全面。未来的纵向数据研究对于全面了解情况至关重要。
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引用次数: 0
Periodic limb movements in sleep in patients using antidepressants 使用抗抑郁药物的患者睡眠中的周期性肢体运动
IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-09-19 DOI: 10.1016/j.smrv.2024.102011
Depression and periodic limb movement disease are both common disorders which frequently co-exist. Furthermore, antidepressants are known to cause and worsen periodic limb movements in sleep, which can worsen the quality of sleep and subsequently daytime symptoms. However, the effect of antidepressants on periodic limb movements is not uniform and depends on their mechanism of action. In this review we summarise the knowledge on the mechanism of periodic limb movements in sleep, and how changes in the concentration of neurotransmitters can contribute to them. We comprehensively evaluate the literature on antidepressants induced periodic limb movement in sleep. Based on this, we suggest clinical implications and further focus on research.
抑郁症和周期性肢体运动疾病都是常见的疾病,经常同时存在。此外,众所周知,抗抑郁药会引起和加重睡眠中的周期性肢体运动,从而导致睡眠质量下降,日间症状随之加重。然而,抗抑郁药对周期性肢体运动的影响并不一致,而且取决于其作用机制。在这篇综述中,我们总结了有关睡眠中周期性肢体运动机制的知识,以及神经递质浓度的变化是如何导致周期性肢体运动的。我们全面评估了有关抗抑郁药诱发睡眠周期性肢体运动的文献。在此基础上,我们提出了临床意义和进一步的研究重点。
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引用次数: 0
Social determinants of health at multiple socio-ecological levels and sleep health in adolescents: A scoping review 多个社会-生态层面的健康社会决定因素与青少年的睡眠健康:范围界定审查
IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-09-12 DOI: 10.1016/j.smrv.2024.102008

Heightened sleep disturbances occur in adolescence, yet existing research has predominantly focused on individual factors linked to poor sleep and a limited set of sleep outcomes, such as sleep duration and timing. This scoping review aimed to identify the multilevel social determinants of adolescent sleep health across domains, including regularity, satisfaction/quality, alertness/sleepiness, timing, efficiency/continuity, duration, and behavior. Social determinants of health (SDoH) were categorized through a socio-ecological lens, while sleep health domains were aligned with the RU-SATED and Peds B-SATED sleep health frameworks. A systematic database search resulted in 57 studies of non-clinical adolescent and young adult populations (age 10–24 y) in North America, published between 2014 and 2022. Research gaps include 1) absence of other sleep health domains other than duration which is predicated on the included studies using a limited set of sleep outcome measures rather than a more comprehensive measurement strategy that align with the multifaceted domains of sleep health, and 2) inconsistent terminology and/or absent conceptual and operational definitions of subjective sleep reports. The findings highlight the multilevel SDoH that influence adolescent sleep health, underscoring the need for more comprehensive research. Such efforts will facilitate the development of interventions focused on fostering optimal adolescent sleep health this populations.

青少年时期睡眠障碍加剧,但现有研究主要关注与睡眠质量差有关的个体因素以及有限的睡眠结果,如睡眠时间长短和时间安排。本范围界定综述旨在确定青少年睡眠健康的多层次社会决定因素,包括规律性、满意度/质量、警觉性/睡意、时间、效率/连续性、持续时间和行为。健康的社会决定因素(SDoH)通过社会生态视角进行分类,而睡眠健康领域则与 RU-SATED 和 Peds B-SATED 睡眠健康框架保持一致。通过系统性的数据库搜索,我们找到了 2014 年至 2022 年间发表的 57 项针对北美非临床青少年和年轻成年人(10-24 岁)的研究。研究空白包括:1)除持续时间外,缺乏其他睡眠健康领域的研究,这是因为纳入的研究使用了一套有限的睡眠结果测量方法,而不是与多方面睡眠健康领域相一致的更全面的测量策略;2)术语不一致和/或缺乏主观睡眠报告的概念和操作定义。研究结果凸显了影响青少年睡眠健康的多层次 SDoH,强调了开展更全面研究的必要性。这些工作将有助于制定干预措施,重点促进青少年睡眠健康。
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引用次数: 0
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Sleep Medicine Reviews
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