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  • ISSN: 2379-0822
    Volume 2, Issue 3
    Letter to the Editor
    Shridhar Sharma1* and Atul Prasad2
    Abstract: We spend our lives in three completely different states of being: Wakefulness (W), Rapid Eye Movement (REM) sleep and Non REM (NREM) Sleep. Each of these states has its unique neuroanatomical, neurophysiologic, neurochemical and neuropharmacological correlates. The reason it took so long to determine that sleep is actually a bimodal process are
    Research Article
    Ackerley R1,2, Badre G1,2* and Olausson H1,2,3
    Abstract: Insomnia is a common occurrence and can have a negative impact on physiological, psychological and social well-being. There is a need for simple, effective solutions to increase sleep quality. It has been suggested that weighted blankets and vests can provide a beneficial calming effect, especially in clinical disorders. Hence, we aimed to investigate the effects of a chain weighted blanket on insomnia, using objective and subjective measures. Objectively, we found that sleep bout time increased, as well as a decrease in movements of the participants, during weighted blanket use. Subjectively, the participants liked sleeping with the blanket, found it easier to settle down to sleep and had an improved sleep, where they felt more refreshed in the morning. Overall, we found that when the participants used the weighted blanket, they had a calmer night's sleep. A weighted blanket may aid in reducing insomnia through altered tactile inputs, thus may provide an innovative, non-pharmacological approach and complementary tool to improve sleep quality.
    Emel Bulcun1*, Ersel Dag2, Murat Tulmac3, Dilay Ahad Cimen1, Aydanur Ekici1 and Mehmet Ekici1
    Abstract:
    Objective: There are different results on low grade inflammation and metabolic syndrome in patients with obstructive sleep apnea (OSA). We investigated the relation between low grade inflammation and metabolic syndrome in patients with OSA.
    Methods: This study included 78 OSA patients(AHI =5) and 28 control group (AHI <5). Clinical information, body mass index (BMI), Epworth Sleepiness Scale were collected. Nocturnal polysomnography was performed and glucose, insulin, high-density lipoprotein (HDL), low-density lipoprotein (LDL), cholesterol, triglycerides, CRP were examined in fasting blood samplings. Metabolic syndrome was described according to National Cholesterol Education Program (NAEP) criteria. Metabolic score was calculated by adding the number of discrete components of metabolic syndrome.
    Results: The components number (2.10.9 vs 1.20.8, p=0.0001, respectively) and percentage (33.3% vs 7.1%,p=0.009, respectively) of the metabolic syndrome and CRP levels (4.34.1 vs 2.62.9,p=0.01,respectively) were significantly higher in the patients with OSA than control group. In bivariate analyses, the component number of metabolic syndrome was correlated with the CRP, AHI desaturation index and minimal O2. The component number of metabolic syndrome increased with an increase in AHI and desaturation index in multivariate analysis independently BMI.
    Conclusion: OSA is associated with metabolic syndrome and low grade inflammation. The severity of the metabolic syndrome increased with an increase in OSA severity. Therapeutic approaches to sleep apnea may decrease cardiovascular risk by decreasing frequency of metabolic syndrome in patients with OSA.
    Short Communication
    J.J. Askenasy*
    Abstract: The article raises a question of interest in sleep medicine, forensic medicine, psychiatry, psychology and low. According to the decision of the Supreme Court of Israel C.A. 3958/08, a woman named V became aware while dreaming that her father raped her 28 years earlier. The Court's Ruling was that the father should be sent to prison starting December 31, 2015. V was able to provide a vivid description and details concerning sexual abuse performed by her father when she was 3 and 10-11 years old. The Supreme Court considered these memories as true, despite the controversy of scientific data on that subject.
    The article raise a question of great interest in forensic medicine, sleep medicine, psychiatry, psychology and justice. According to the decision of the supreme court of Israel 3958/08, V became aware while dreaming that her father raped her 31 years earlier. The verdict sent the old father to prison starting December 31, 2015. V was able to provide a vivid description and details concerning sexual abuse performed by her father when she was 3 and 10-11 years old. The Supreme Court considered these memories as true.
    Yu Matsumura, Hiroshi Ueda*, Cynthia Concepcion, Myongsun Koh and Kotaro Tanimoto
    Abstract: Oral appliances (OAs) are available and distributed widely in the field of dentistry to treat mild-to-moderate obstructive apnea. However, several studies found that OAs induced temporomandibular joint (TMJ) discomfort and masticatory muscle stiffness. We developed a new appliance that significant improved the apnea-hypopnea index (AHI) and horizontal jaw movement, which may diminish TMJ and masticatory side effects.
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