Today’s Sleep Headlines …
Lived experiences and quality of life in people with severe, biologic-treated chronic rhinosinusitis with nasal polyps: a hermeneutic phenomenological study
CONCLUSIONS: People with severe, biologic-treated CRSwNP experience communication and sleep difficulties, impaired sex life, discrimination and self-medication, which substantially deteriorates their quality of life. This is compounded by diagnostic uncertainty, the need for self-management, treatment…
Read full source →Nasal symptoms are independently associated with subjective sleep impairment and symptom awareness in obstructive sleep apnea: an otolaryngology-based cohort study
CONCLUSIONS: Nasal symptoms are independently associated with subjective sleep impairment in OSA beyond polysomnography-defined severity. Daytime rhinomanometry does not reflect nasal symptoms or sleep quality. Most patients with severe OSA lacked perceived impairment; nasal symptom…
Read full source →From surgical response to treatment adequacy in adult obstructive sleep apnoea: a further response
No abstract
Read full source →Sleep architecture disruption and coordinated patterns of inflammatory and extracellular matrix biomarkers in obstructive sleep apnea: a cross-sectional study
CONCLUSION: OSA severity is associated with coordinated patterns among inflammatory and ECM-related biomarkers that parallel hypoxic burden and sleep architecture changes. In contrast, systemic oxidative stress markers appear less integrated within these patterns. These findings…
Read full source →Prevalence of Sleep Disorders in Patients With Knee, Hip, and Hand Osteoarthritis: A Systematic Review With Meta-Analysis
OBJECTIVE: To estimate the pooled prevalences of insomnia, obstructive sleep apnea, restless legs syndrome, and narcolepsy in patients with knee, hip, or hand osteoarthritis. DESIGN: Prevalence systematic review with meta-analyses. The review protocol was preregistered…
Read full source →Esketamine as a Perineural Adjuvant to Ropivacaine for Pericapsular Nerve Group (PENG) Block in Elderly Patients Undergoing Hip Fracture Surgery: A Propensity Score-Matched Retrospective Cohort Study
CONCLUSION: Among elderly patients undergoing hip fracture surgery, esketamine added to ropivacaine for PENG block improved 24-hour recovery quality (QoR-15, exceeding MCID; 48-hour scores higher but below MCID), prolonged sensory block, shortened time to first…
Read full source →Mood and Behavioral Changes in Adult Cerebral X-linked Adrenoleukodystrophy
A 33-year-old man with genetically confirmed X-linked adrenoleukodystrophy developed progressive irritability, emotional lability, anger outbursts, repetitive reassurance-seeking, and insomnia alongside worsening spastic paraparesis and urinary symptoms. Difficulty recalling familiar names and remembering and completing assigned…
Read full source →Effect of Adding Esketamine to Patient-Controlled Intravenous Analgesia on Rebound Pain After Interscalene Brachial Plexus Block: A Randomized Controlled Trial
CONCLUSION: Adding esketamine to postoperative PCIA did not demonstrate a reduction in rebound pain incidence after interscalene brachial plexus block. Exploratory subgroup findings suggested lower rebound pain intensity and duration, while improvements in postoperative analgesia,…
Read full source →First-year changes in mental health, lifestyle behaviors, and social support among international students at a Japanese university
CONCLUSION: Monitoring changes in sleep duration and interpersonal tension after enrollment may enhance academic and mental health support for international students.
Read full source →Effect of Preoperative Intranasal Dexmedetomidine on Postoperative Myocardial Injury in Patients Undergoing Coronary Artery Bypass Grafting
CONCLUSION: In this single-center trial, two-dose preoperative intranasal dexmedetomidine was associated with lower postoperative hs-cTnT and CK-MB concentrations, better subjective preoperative sleep quality, and a lower observed incidence of postoperative delirium. These findings are preliminary…
Read full source →Clinical Symptom Burden and Its Association With Echocardiographic Parameters and Comorbidities in Heart Failure With Preserved Ejection Fraction: A Retrospective Study
CONCLUSION: Symptom severity in HFpEF was associated more strongly with abnormal filling pressures, left atrial remodeling, and pulmonary hemodynamics than with preserved systolic function alone. E/e', LAVI, and PASP may provide useful complementary markers of…
Read full source →Prevalence of Sleep Disorders in Patients With Knee, Hip, and Hand Osteoarthritis: A Systematic Review With Meta-Analysis
OBJECTIVE: To estimate the pooled prevalences of insomnia, obstructive sleep apnea, restless legs syndrome, and narcolepsy in patients with knee, hip, or hand osteoarthritis. DESIGN: Prevalence systematic review with meta-analyses. The review protocol was preregistered…
Read full source →