Anxiety and Levodopa Equivalent Daily Dose Are Potential Predictors of Sleep Quality in Patients With Parkinson Disease in Taiwan

Conclusion: Poor sleepers constituted approximately half of our patients with PD. The participants experienced more favorable sleep if they were currently working. Increased PD duration, severity, depression or anxiety symptoms, and doses of dopaminergic therapy were significantly associated with poor sleep quality. Continued working, attempts to treat comorbid anxiety or depression, and avoidance of overdosage of dopaminergic treatments may improve sleep quality in patients with PD. Introduction Non-motor symptoms of Parkinson disease (PD) have gained increasing research attention in recent years because they have a greater negative impact on quality of life (QoL) compared with motor disabilities (1) and exhibit a relatively poor response to dopaminergic therapy due to the diverse underlying mechanisms (2). Among them, sleep disturbance is a common symptom, with an estimated prevalence of 45–90% in the population with PD (3, 4). Sleep disturbance not only contributes to an increased occurrence of other non-motor symptoms of PD but is also associated with a decline in QoL (5). Extensive assessments of sleep disturbance and identification of causative factors may help improve QoL in patients with PD. Polysomnography is considered the gold standard for the diagnosis of sleep disorders (6, 7); however, it is often reserved for patients with severe symptoms because of its low accessibility and high cost. Scales are more suitable assessment tools in clinics or at the b...
Source: Frontiers in Neurology - Category: Neurology Source Type: research

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ConclusionIn the future, the survey is to be converted to a mobile accessible application and extended to the entire Paralympic Team.Level of evidence3
Source: Sports Orthopaedics and Traumatology - Category: Sports Medicine Source Type: research
Publication date: Available online 25 May 2019Source: Respiratory Physiology &NeurobiologyAuthor(s): Helena Martynowicz, Anna Jodkowska, Robert Skomro, Paweł Gać, Agnieszka Brylka, Maciej Bladowski, Anna Wojakowska, Grzegorz Mazur, Rafał PorębaAbstractExcessive daytime sleepiness (EDS) has been reported in stroke patients. EDS in acute stroke was studied repeatedly, but there is a modest amount of data in post-stroke patients. The aim of this study was to assess the frequency of EDS and characterize sleep architecture in patients>3 months after stroke and identify factors which may affect EDS.66 patients were en...
Source: Respiratory Physiology and Neurobiology - Category: Respiratory Medicine Source Type: research
Hey i wanted to know if its ok to take the requisites at a commuity college, i took bio 1 and 2 with labs and chemestry 1 and lab, so far i have 46 credits but will have 50 this summer because i am taking chem 2 with lab. planning on doing organic chemestry 1 with lab , trigonometry . for spring organic chemstry 2 with lab , calculus. Not sure if I should take physics there too.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pre-Medical - MD Source Type: forums
Publication date: Available online 25 May 2019Source: Social Science &MedicineAuthor(s): Ruth Bartlett, Tula BrannellyAbstractVulnerability is a problematic label routinely applied to people with dementia, yet their situated experiences of vulnerability have not been prioritised or documented. Drawing on empirical data collected using a novel methodology - walking interviews with 15 people with dementia living in Southern England, followed by a sit-down interview that included a nominated family member - this paper advances understanding of how vulnerability is experienced and dealt with by people with dementia when ou...
Source: Social Science and Medicine - Category: Psychiatry & Psychology Source Type: research
Publication date: October 2019Source: Social Networks, Volume 59Author(s): Hazem Krichene, Yoshi Fujiwara, Abhijit Chakraborty, Yoshiyuki Arata, Hiroyasu Inoue, Masaaki TeraiAbstractThis paper investigates the mechanisms behind the formation of links between suppliers and customers in the Tokyo Stock Exchange (TSE) production network. The supplier-customer network of listed firms in Japan is estimated by the so-called exponential random graph model (ERGM). We estimate 4 models to understand how endogenous and exogenous attributes contribute to the emergence of the TSE production network. In terms of endogenous attributes, ...
Source: Social Networks - Category: Psychiatry & Psychology Source Type: research
Publication date: 1 October 2019Source: Personality and Individual Differences, Volume 148Author(s): Shuang Gao, Sander Thomaes, Wim Van Den Noortgate, Xiaochun Xie, Xiangkui Zhang, Suiping WangAbstractThe present study examined potential changes in narcissistic traits of Chinese youth from 2008 to 2017. A cross-temporal meta-analysis involving 29 independent samples (N = 14,795) found a downward temporal trend: Mean scores on the Narcissistic Personality Inventory and Narcissistic Personality Inventory for Chinese are significantly negatively associated with year of data collection, weighted by sample size (β =...
Source: Personality and Individual Differences - Category: Psychiatry & Psychology Source Type: research
Stats: state of residence: CA race: Asian (Chinese) undergrad: HYPSM major: Computer Science year: senior (taking 1 gap year) cGPA: 3.94 sGPA: 3.96 MCAT: 522 (130/131/129/132) ECs: research: my strongest EC, 2000+ hrs, 2pubs (1 first author, 1 fourth author), won some awards, researching full time during my gap year clinical volunteering: ~150hrs at free clinic, ~100hrs hrs at hospital nonclinical volunteering: started a nonprofit last year that I'll be growing in my gap year, ~200hrs... WAMC? + School List, MCAT: 522, GPA: 3.94, considering MD and MD-PhD
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: What Are My Chances? WAMC Medical Source Type: forums
“I thought I found an answer when I was older, meditation, yoga, channeling. A way of making use of a talent, a gift. And now it's back worse than ever. No, not worse than ever, but it feels like that because I've been OK so long. It's like unfinished business has come back to haunt me.”  “The gate that opens and closes can't close.”“Two years ago I began medication and it helped, not completely, but relief. Then the sleeplessness started and my doctor suggested I speak with you.”  “Are you ready for a therapy journey?”        &nbs...
Source: Jung At Heart - Category: Psychiatry & Psychology Source Type: blogs
Publication date: Available online 25 May 2019Source: Journal of Biomedical InformaticsAuthor(s): Burçin Camcı, Cem Ersoy, Hakan KaynakAbstractSleeping is an important activity to monitor since it has a crucial role in the overall health and well-being of the people and society. In order to diagnose the problems in sleep, different monitoring systems are developed in the literature. The unobtrusiveness, reduced cost, objectiveness, protection of privacy and user-friendliness are the main design considerations and the proposed system design achieves those objectives by utilizing smart wearables, smart watch and smar...
Source: Journal of Biomedical Informatics - Category: Information Technology Source Type: research
This study attempts to highlight that females are still being negatively affected by existing gender stereotypes and prescribed gender identities despite relatively equal access and use of computer technology. This qualitative study aims to provide insights about the first-time user experience in a home environment of 16 middle school children in Turkey (8 males - 8 females), aged between 11 and 14 years, with a code learning game named “Code Combat”. The analysis is supported with complementary quantitative findings. The present study investigates the participants' conceptualizations and opinions toward coding...
Source: Computers in Human Behavior - Category: Information Technology Source Type: research
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