scholarly journals Sleep Disorders and Epilepsy

2020 ◽  
Author(s):  
Michelle Nunes ◽  
Umesh Sharma ◽  
Nina Tsakadze ◽  
Lourdes Benes Lima ◽  
Mays Alani ◽  
...  

Complex interplay and reciprocal interactions between sleep and epilepsy have been known for centuries. However, newer technologies and in-depth studies have provided us with better understanding of this relationship. Nocturnal seizures can interrupt sleep, while a number of factors, including antiepileptic drugs and sleep disorders, can aggravate seizures. Interestingly, different epileptic syndromes may trigger increase in seizure frequency at a certain phases of the sleep-wake cycle, while others may not show any correlation with these phases. We aim to provide an overview of the interactions between sleep and epilepsy, and provide better understanding how knowledge of the relationship between these two conditions can help more effective management of both disorders.

2018 ◽  
Vol 104 (2) ◽  
pp. 189-192 ◽  
Author(s):  
Frances Mary Gibbon ◽  
Elizabeth Maccormac ◽  
Paul Gringras

The relationship between sleep and seizure disorders is a particularly vicious cycle. Nocturnal seizures can interrupt sleep while a number of factors, including antiepileptics and sleep disorders that cause sleep fragmentation, can worsen seizures. Understanding and managing seizures and related sleep disturbance is therefore an important and treatable intervention target that could potentially improve children’s sleep, but also their learning, mood, behaviour, seizures and parental quality of life.


2013 ◽  
Vol 1 (1-2) ◽  
pp. 88-114 ◽  
Author(s):  
Mohammad Musfequs Salehin

The relationship between democracy and Islam is very complex, hence requires a rigorous scholarship to understand this complex interplay. The present paper examines the “success” as well as impediments in democratic consolidation in a Muslim majority state, Bangladesh. Through assessing electoral competitiveness, constitutional guarantees and implementation, women’s rights and political participation, and victory of secular party over Islamist, this paper considers Bangladesh as a “successful” Muslim democracy. Islam, this paper argues, is not a problem in democratization while there are a number of factors obstructing democratization in the Muslim majority states. To analyse the nexus between Islam and democracy, it is imperative to pay meticulous attention to explain the nature of the state and its social formation, origin, nature and practices of Islam in a particular society rather than just labelling Islam as incompatible with democracy. In the Muslim majority state like Bangladesh, as this paper argues, civil-military-bureaucratic structure leading to a symbiotic nexus between politicians, bureaucrats and military oligarchs, fragmentation, familialization and clienteistic party politics leading to neo-patrimonilism, lack of social capital and trust, and unequal distribution of economic and political resources are hindering democratic consolidation.


2021 ◽  
Vol 9 (3) ◽  
pp. 259-276
Author(s):  
A.I. Melehin ◽  

Due to the high prevalence of sleep disorders during the second and third waves, the question of the relationship between the incidence of coronavirus, acute respiratory distress syndrome and sleep is still open. The article describes for the first time the specifics of the phenomenon of COVID-SOMNIA or covid-associated sleep disorders, which includes a spectrum of changes in sleep from insomnia, restless legs syndrome to behavior disorders during the REM sleep phase. Various effects of COVID-19 on sleep disorders in patients have been shown. Different infections have different effects on the mental state and on a person’s sleep — these are sleep disorders caused by viral load. Specific clinical and psychological manifestations of covid-associated sleep disorders are described. For the first time in Russia, a model of the relationship between covid-associated anxiety, insomnia and suicidal thinking is presented. The psychological factors influencing the occurrence of the phenomenon of COVID-somnia in patients are systematized. It is shown that the risks of developing insomnia during the COVID-19 pandemic consist of the presence of a number of factors in the patient: tolerance to uncertainty, covid-associated anxiety, feelings of loneliness, the presence of symptoms of depression and anxiety earlier and at the moment. For clinical psychologists, the general tactics of psychological examination of an infected patient who has undergone COVID-19, who have post-ovoid syndrome in the presence of changes in the mental state and quality of sleep are described. In short, the protocols of remote cognitive behavioral therapy of anxiety associated with the COVID-19 pandemic are based on a psychological model of health anxiety and hypochondria (somatosensory amlification). It is recommended that we use cognitive refocusing therapy for insomnia (cognitive refocusing treatment) and a protocol for short-term remote cognitive behavioral therapy of anxiety associated with the COVID-19 pandemic in everyday clinical practice.


Author(s):  
Bahram Alamdary Badlou

We report a rare case of unrepaired Tetralogy_Pantalogy of Fallot (TOF_POF) in a 20 years old Persian girl Mrs Zeynab S., who presented with cyanotic finger tops appearance, ongoing chronic thrombolytic destruction processes, and remarkable thrombocytopenia [1,2], heart ventricular septal defect (VSD), and might atrial septal defect (ASD), anxiety, sleep disorders, nightmares, and limited social life. Additionally, the relationship between underlying mechanisms, possible treatments of the thrombocytopenia, erythrocytosis, and unrepaired cardiovascular leakages remains unknown.


The Holocene ◽  
2021 ◽  
pp. 095968362199464
Author(s):  
Katarzyna Marcisz ◽  
Krzysztof Buczek ◽  
Mariusz Gałka ◽  
Włodzimierz Margielewski ◽  
Matthieu Mulot ◽  
...  

Landslide mountain fens formed in landslide depressions are dynamic environments as their development is disturbed by a number of factors, for example, landslides, slopewash, and surface run-off. These processes lead to the accumulation of mineral material and wood in peat. Disturbed peatlands are interesting archives of past environmental changes, but they may be challenging for providing biotic proxy-based quantitative reconstructions. Here we investigate long-term changes in testate amoeba communities from two landslide mountain fens – so far an overlooked habitat for testate amoeba investigations. Our results show that abundances of testate amoebae are extremely low in this type of peatlands, therefore not suitable for providing quantitative depth-to-water table reconstructions. However, frequent shifts of dominant testate amoeba species reflect dynamic lithological situation of the studied fens. We observed that high and stable mineral matter input into the peatlands was associated with high abundances of species producing agglutinated (xenosomic) as well as idiosomic shells which prevailed in the testate amoeba communities in both analyzed profiles. This is the first study that explores testate amoebae of landslide mountain fens in such detail, providing novel information about microbial communities of these ecosystems.


2021 ◽  
pp. 164-168
Author(s):  
Sruthi B ◽  
Rashmi R

Working capital management is important for every organization as it refers to the effective management of current assets and current liabilities. The aim is to make sure that the firm is capable to continue its operations and it has sufficient cash flow to satisfy both maturing short-term debt and upcoming operational expenses. In this paper, an attempt has been made to study the management of working capital in Hindustan Petroleum Corporation Limited, a leading public sector enterprise in India over a period of 10 years (That is from 2009-10 to 2018-19). The paper also attempts to study the components of working capital and analyze the relationship between liquidity and profitability of HPCL. The study is based on secondary data collected from annual report of HPCL for the past 10 years, Pearson correlation and regression model are used for this purpose. From the study it is found that there is a significant relationship between liquidity and profitability.


2007 ◽  
Vol 65 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Eunice Chuang ◽  
Marilisa M. Guerreiro ◽  
Sara Y. Tsuchie ◽  
Angelica Santucci ◽  
Carlos A. M. Guerreiro ◽  
...  

BACKGROUND: Although overtreatment with antiepileptic drugs contributes to the morbidity associated with epilepsy, many children still are overtreated. OBJECTIVE: To evaluate if the withdrawal of at least one antiepileptic drug (AED) in children with refractory epilepsy using polytherapy enable a better seizure control. METHOD: This was a prospective study. Children with refractory epilepsy using at least two AEDs were included. Once the patient, or guardian, agreed to participate in the study, one or more AED were slowly tapered off. The remaining AEDs dosages could be adjusted as needed, but a new AED could not be introduced. RESULTS: Fifteen patients were evaluated, three girls; ages ranging from 3 to 18 (mean=8.7 years). After at least one AED withdrawal, two (13.5%) patients became seizure free, seizures improved >50% in 5 (33.5%) patients, did not change in 5 (33.5%), and seizure frequency became worse in 3 (20%). Adverse events improved in 12 patients (80%). CONCLUSION: The withdrawal of at least one AED is a valuable option in the treatment of selected children with refractory epilepsy.


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