Implementation of a MET is associated with a reduction in the risk of respiratory and cardiopulmonary arrest outside of critical care areas in a large tertiary children's hospital.
Untreated compared to treated OSA is associated with marked disturbances in ACTH and cortisol secretory dynamics, resulting in prolonged tissue exposure to disordered, elevated hormone levels.
This study compared sleep patterns of high school students in 1999 and 2008. In 2006, school start times were delayed for senior students (years 12–13) from 09:00 to 10:30. For junior students (years 9–11), start time remained unchanged at 09:00. Questionnaires were completed at school by 212 year 9 and 12 students in 1999, and 455 year 9, 11 and 12 students in 2008. Year 12 students in 2008 were less likely to report sleep loss on school nights (OR = 0.06, 95% CI = 0.01–0.11) and were less sleepy (OR = 0.58, 95% CI = 0.34–0.98) than Year 12 in 1999 or than Year 11 in 2008, after controlling for gender (sleep loss, OR = 0.31, 95%CI = 0.19–0.53; sleepiness, OR = 0.46, 95% CI = 0.28–0.75). There were no comparable changes for Year 9 students. From 1999–2008, students having technologies in the bedroom rose from 80.7% to 96.4% (P(χ2) < 0.001). In 2008, having more technologies was associated with less sleep on school nights (Spearman's rho P = 0.005). In 2008, Year 9 students with more technologies were more likely to report daytime sleepiness (OR = 4.06, 95% CI = 1.44–11.41) and being evening type (OR = 3.38, 95% CI = 1.27–9.01), after controlling for gender. In 2008 all year groups went to bed earlier than in 1999, possibly due to increased sleep awareness, but only Year 12 students sleep later on school mornings. We conclude that delaying school start time had beneficial effects for Year 12 students, reducing sleep loss on school nights and daytime sleepiness. However, increased presence of technologies is associated with later sleep times and daytime sleepiness among Year 9 students.
Sleep disturbances are common with dementia and can adversely affect waking function. However, the perspectives of people with dementia and their family caregivers concerning their sleep are under-researched. We conducted three focus groups with 12 community-dwelling pairs (a person with dementia and their family caregiver). Discussions addressed sleep disturbances, coping strategies, and beliefs and attitudes surrounding sleep. Thematic analysis indicated that dementia-related sleep disturbances were common, including confused awakenings and dementia-related behaviors at night, changes to sleep timing, and nightmares. Common issues for caregivers included being woken at night, having problems getting back to sleep, trips to the bathroom, and daytime sleepiness. Participants often normalized their sleeping problems and had developed a number of coping strategies. These findings highlight the impact that sleep disturbances can have on people living with dementia. Their experiences and beliefs need to be considered for developing effective interventions to improve sleep, waking function, and wellbeing.
The aims of this study were to pilot methods to monitor the sleep of infants, as well as explore the relationships between infant sleep and physical, cognitive and motor development. Fifty‐two one‐year‐old infants and their parents participated in the study. Infant sleep was assessed by one week's actigraphy, sleep diaries and by the Brief Infant Sleep Questionnaire. Parents also completed a background questionnaire and the Ages and Stages Questionnaire to measure stages of development across five domains. Infant's weight and length were measured by the researcher at study onset and Body Mass Index (BMI) scores were calculated. Sleep efficiency, and having a higher proportion of total sleep at night, were significantly correlated with age as well as stages of cognitive and motor development. However, sleep measures were not correlated with infant BMI. These findings support increasing evidence that sleep matures quickly around the age of one year and is related to other stages of development. Further research is required to confirm whether links between sleep and development are simply a marker of maturation, or if sleep per se plays a specific role in infant cognitive and motor development. Sleep and physical growth at this age need further investigation with a more representative sample including short‐sleeping and overweight infants.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.