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J. Pediatr. (Rio J.)  vol.92 número2

J. Pediatr. (Rio J.) vol.92 número2

The study conclusion is that excessive sleepiness is related to increasing age; an association with the pres- ence of sleep hyperhidrosis was also observed. Sleep deficit was very frequent in the assessed population of adolescents and, therefore, the effort to develop a better quality of sleep should be primarily focused on better sleep hygiene, thus preventing this population from suffering the damages caused by sleep deprivation from an early age. Future stud- ies should focus on intervention strategies to reduce sleep deprivation.

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Arq. NeuroPsiquiatr.  vol.47 número1

Arq. NeuroPsiquiatr. vol.47 número1

The former is usually temporally linked with the menses; the latter, a rare condition, is generally limited to males in which the first episode of excessive sleepiness occurs in the se[r]

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Relationship between the quality of life and the severity of obstructive sleep apnea syndrome

Relationship between the quality of life and the severity of obstructive sleep apnea syndrome

Although sleep apnea is the most common cause of excessive sleepiness (3), it leads to significant impairments in QOL, cognitive performance, and social functioning (4). More reliable diagnostic parameters for the syndrome have only been available in the last twenty years as precision laboratory metrics have developed. Given the negative im- pact of OSAS on QOL, the American Academy of Sleep Medicine (5) has recommended the Medical Outcomes Study Short-Form-36 (SF-36) as the most widely used in- strument consistently showing low scores especially in the vitality/energy, role-emotional, mental health, and social functioning domains (6,7), which have shown improvement after continuous positive airway pressure treatment, thus suggesting their validity for assessing QOL in OSAS (7).
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Arq. NeuroPsiquiatr.  vol.66 número3B

Arq. NeuroPsiquiatr. vol.66 número3B

As a differential diagnosis we can exclude excessive daytime sleepiness caused by narcolepsy since in narco- leptics excessive sleepiness generally starts earlier – dur- ing adolescence – and it is also accompanied by cataplexy which did not occur in this case.

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Arq. NeuroPsiquiatr.  vol.60 número3A

Arq. NeuroPsiquiatr. vol.60 número3A

excessive sleepiness, with eight questions, encompassing daily monotonous life situations: sitting down and reading; watching TV; sitting down in public places (classroom and church); riding in a train, bus or car for an hour; lying down in the afternoon to rest; sitting down and talking; sitting down after lunch; stopping for minutes in heavy traffic. It distinguishes feeling asleep from just feeling tired. The interviewed must give a mark from zero to three, accord- ing to his/her tendency to fall asleep: zero, no chance to fall asleep; 1, low chance; 2, moderate chance; 3, high chance. EDS is considered when the answers to the eight questions sum up to 11 or more. ESS scores had been validated comparing to the gold-standard of EDS, the Multiple Sleep Latency Test 25,28 . ESS does have high inter-
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PDF EN Jornal Brasileiro de Pneumologia 3 8 english

PDF EN Jornal Brasileiro de Pneumologia 3 8 english

Sleep disorder secondary to working irregular hours is characterized by complaints of insomnia or excessive sleepiness, since the working hours coin- cide with the habitual sleep phase, causing shortened total sleep time and unsatisfactory quality of sleep. In this context, insomnia or excessive sleepiness are temporally associated with the work schedule that recurrently overlaps habitual sleeping time and typi- cally manifest at least once a month. Shift work can be based on fixed hours or can be in swing-shifts. Sleep disorder is more frequent among individuals working night shifts or early morning shifts. The decreased alertness related to this disorder not only impairs work performance but can also increase the risk of accidents. Typically, the disorder will persist for as long as working hours remain irregular. However, in some individuals, the disorder remains even after working hours have returned to normal.
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Psychol. Neurosci.  vol.5 número2

Psychol. Neurosci. vol.5 número2

Data collection was divided into two stages: 1) irst stage—the participants completed the Health and Sleep questionnaire (Mathias, Sanchez, & Andrade, 2006), Horne & Ostberg questionnaire–HO (Horne & Ostberg, 1976), Epworth Sleepiness Scale–ESS (Johns, 1991) and the Pittsburgh Sleep Quality Index–PSQI (Bussey, Reynolds, Monk, Berman, & Kupfer, 1989), which were given to teachers and were collected at a later date to avoid resistance and to obtain greater adherence. The general individual sleep habits of the teachers were assessed using the Health and Sleep questionnaire. The characterization of individuals according to chronotype (morning, evening and intermediate) was assessed using HO. Daytime sleepiness levels and sleep quality were assessed using the ESS and PSQI, respectively. The ESS evaluates daytime sleepiness levels in both clinical cases and research protocols based on information about daily situations in which individuals are more prone to fall asleep. The scale contains eight questions, each worth between 0 and 3 points for a total score of 0 to 24 points. Scores <10 indicate low sleepiness and those ≥10 suggest excessive sleepiness. The PSQI evaluates seven components whose scores range from 0 to 3. These components are subjective sleep quality, sleep latency, sleep duration, habitual sleep eficiency, sleep disorders, use of sleep medication and daytime dysfunction. The set of components add up to a score varying between 0 and 21 where 0 to 5 indicates good sleep quality and >5 indicates poor sleep quality. 2) Second stage—the teachers kept a sleep diary during a 14-day period, which assessed the daily information on bedtimes and wake-up times of each individual, how individuals wake up, and nap times.
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Sonolência excessiva

Sonolência excessiva

Sleepiness is a physiological function and can be defined as an increased propensity to fall asleep. However, excessive sleepiness or hypersomnia refer to an abnormal increase in the likelihood of falling asleep, dozing off or having sleep attacks when sleep is not desired. The main causes of excessive sleepiness are chronic sleep deprivation, obstructive sleep apnea syndrome, narcolepsy, movement disorders during sleep, circadian rhythm sleep disorders, use of illicit/prescription drugs and idiopathic hypersomnia. Social, familial, work, and cognitive impairment are among the consequences of hypersomnia. An increased risk of accidents has also been reported. The treatment of excessive sleepiness includes treating the primary cause, when identified. Sleep hygiene for sleep deprivation, continuous positive airway pressure for sleep apnea, dopaminergic agents and exercises for sleep-related movement disorders and phototherapy or melatonin for circadian disorders, as well as the use of stimulants in general, are the treatment modalities of choice.
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Int. Arch. .  vol.18 número2

Int. Arch. . vol.18 número2

From the data analyzed in this study, we conclude that the epidemiologic profile of patients seen at the sleep medicine clinic in a university hospital are mostly obese menwith moderate or severe OSAS. Snoring and daytime excessive sleepiness were the most common symptoms. The surgical procedures employed in this service (roncoplastic injection, UPPP, and lateral pharyngoplasty) were given following the

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Rev. bras. epidemiol.  vol.18 número3

Rev. bras. epidemiol. vol.18 número3

urinary urgency and excessive sleepiness were almost two times more prone to fall when compared with other females who did not present that clinical condition. We have not observed in our study any association between excessive daytime sleepiness and falling or recurrent falling. It is possible that we didn’t observe any association with falls due to the fact that we did not discriminate incontinence type, once the urinary urgency requires older people to take more risky behaviors, especially during night time to get up and go to the bathroom 31 In addition, nocturia may cause difficult to
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J. bras. pneumol.  vol.34 número3 en v34n3a08

J. bras. pneumol. vol.34 número3 en v34n3a08

Sleep disorder secondary to working irregular hours is characterized by complaints of insomnia or excessive sleepiness, since the working hours coin- cide with the habitual sleep phase, causing shortened total sleep time and unsatisfactory quality of sleep. In this context, insomnia or excessive sleepiness are temporally associated with the work schedule that recurrently overlaps habitual sleeping time and typi- cally manifest at least once a month. Shift work can be based on fixed hours or can be in swing-shifts. Sleep disorder is more frequent among individuals working night shifts or early morning shifts. The decreased alertness related to this disorder not only impairs work performance but can also increase the risk of accidents. Typically, the disorder will persist for as long as working hours remain irregular. However, in some individuals, the disorder remains even after working hours have returned to normal.
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Arq. NeuroPsiquiatr.  vol.62 número1

Arq. NeuroPsiquiatr. vol.62 número1

Narcolepsy is a chronic brain disorder charac- terized by excessive daytime sleepiness and sleep attacks. It affects up to one in a thousand people. Rapid eye movement (REM) sleep phenomena such as cataplexy, sleep paralysis and hypnagogic hal- lucinations can also occur. The condition impinges on every aspect of life, and can make it difficult for sufferers to keep their jobs as well as personal re- lationships. There can be accident risks caused by the excessive sleepiness and cataplexy. It is believed to be caused by an interplay between genetic and environmental factors. The risk of first-degree rel- atives is estimated at 1-2%. Patients with narcolep- sy have recently been shown to be deficient in hy- pocretin, also called orexin, in the cerebrospinal flu- id and have a reduction in hipocretin cell in the lat- eral hypothalamus.
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Sleep disorders, sleepiness and traffic safety: a public health menace

Sleep disorders, sleepiness and traffic safety: a public health menace

Mello et al. (23) conducted an epidemio- logical survey on 400 professional interstate bus drivers in Brazil and showed that acci- dents may be related to sleep problems since 16% of the drivers interviewed reported they had fallen asleep at the wheel, while 58% knew some fellow driver who had also fallen asleep at the wheel. Drivers who admitted they had fallen asleep at the wheel while driving (16%) reported a frequency of 8 such episodes per trip. More recently, Mul- tiple Sleep Latency Tests revealed that 42 and 38% of a group of long-haul bus drivers working shifts met the criteria for excessive sleepiness when the test was conducted dur- ing the day and night, respectively, when the drivers normally would be working/driving (24). Taken together, these findings point out that drivers’ ability to get sufficient sleep just prior to the driving hours appears to be reduced, and that they are sleepy during a time when they are expected to be alert. This is highly relevant since other studies have demonstrated the effects of sleepiness in terms of reduction of attention, memory, reaction time, problem solving, and cogni- tion, leading to the risk of accidents (22).
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Daytime sleepiness in Parkinson's disease: a reappraisal.

Daytime sleepiness in Parkinson's disease: a reappraisal.

ESS and MSLT indicating that both measures explored different components of sleepiness. ESS remains of real interest in clinical practice to screen the population at risk for daytime sleepiness even if patients with PD often misperceive their sleepiness which overlaps with the fatigue symptom [8,12,14]. A more structured clinical interview such as proposed in the DSM-5 criteria for hypersomnia disorder may be helpful in this context in assessing the presence, frequency, severity and phenotype of clinical excessive sleepiness in PD [29]. MSLT is the gold standard to evaluate daytime sleepiness in central hypersomnia; however most of studies comparing MSLT results in patients with PD to controls have failed to observe differences in mean sleep latencies [8,11]. Even self-reported EDS dichotomized according to the widely taken but non validated cut-off score of 10 in PD ESS yielded in our study a sensitivity for MSLT below 8 min of 19.4% and a specificity of 91.7%, with corresponding positive and negative predictive values of 66.7 and 56.9%, respectively. Using a more severe ESS cut-off at 16 did not improve the diagnosis of objective EDS with a sensitivity of 23.5%, a specificity of 88%, with corresponding positive and negative predictive values of 22.2 and 88.8%, respectively. As MSLT seems unsatisfactory in the evaluation of EDS in PD, the use of alternative reliable measures such as the maintenance of wakefulness test (assessing the patient’s ability to maintain wakefulness rather than the drive to fall asleep) or the 24-h continuous polysomnography recording remains to be Table 3. Demographic and clinical characteristics of patients with Parkinson’s disease with objective daytime sleepiness (Multiple sleep latency tests-MSLT below 8 minutes) compared to patients with Parkinson’s disease without objective daytime sleepiness (MSLT above 8 minutes).
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Arq. NeuroPsiquiatr.  vol.62 número1

Arq. NeuroPsiquiatr. vol.62 número1

Narcolepsy is a chronic brain disorder charac- terized by excessive daytime sleepiness and sleep attacks. It affects up to one in a thousand people. Rapid eye movement (REM) sleep phenomena such as cataplexy, sleep paralysis and hypnagogic hal- lucinations can also occur. The condition impinges on every aspect of life, and can make it difficult for sufferers to keep their jobs as well as personal re- lationships. There can be accident risks caused by the excessive sleepiness and cataplexy. It is believed to be caused by an interplay between genetic and environmental factors. The risk of first-degree rel- atives is estimated at 1-2%. Patients with narcolep- sy have recently been shown to be deficient in hy- pocretin, also called orexin, in the cerebrospinal flu- id and have a reduction in hipocretin cell in the lat- eral hypothalamus.
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J. bras. pneumol.  vol.32 número2 en a02v32n2

J. bras. pneumol. vol.32 número2 en a02v32n2

Can we say that a disease is contagious if patients who die from it, in the act of dying, cause the deaths of others? In Wisconsin (USA), a group of 602 civil servants, ranging from 30 to 60 years of age, were evaluated. Among those, 24% of the males and 9% of the females were diagnosed with sleep-disordered breathing, defined as five or more attacks of apnea or hypopnea per hour of sleep. In a subgroup of that sample, 4% of the males and 2% of the females presented sleep-disordered breathing together with the main symptom of sleep disturbance (excessive daytime sleepiness), which provided the elements for the diagnosis of obstructive sleep apnea- hypopnea syndrome (OSAHS). (1) The prevalence of OSAHS
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Daytime sleepiness in patients with type 2 Diabetes Mellitus : a prospective cohort study

Daytime sleepiness in patients with type 2 Diabetes Mellitus : a prospective cohort study

Two years after initial examination, a phone in- terview assessed cardiovascular new events and the degree of daytime somnolence by the Epworth sleepiness scale (ESS). The ESS is a validated ques- tionnaire containing eight items that asks for ex- pectation of dozing in eight hypothetical situations. Dozing probability ratings range from zero (no pro- bability) to three (high probability). An ESS score of 10 or more indicates excessive daytime sleepiness [33]. Patients were questioned about new stroke, new cardiac abnormalities, state of hypertension, smoking and alcohol drinking. The primary outcome was the variation in the severity of sleepiness as evaluated by the ESS.
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Dement. neuropsychol.  vol.6 número4

Dement. neuropsychol. vol.6 número4

Subjects. A total of 201 teachers from public schools of Quipapá/PE were evaluated, comprising 38 profession- als working 1 shift, 40 working 2 shifts and 123 work- ing 3 shifts. he subjects were submitted to evaluations using the Epworth Sleepiness Scale and by a question- naire with 21 groups of answers, each containing 4 (four) airmative statements related to depression symptoms. When tallied at the end of the test, scores enable the identiication of depression or otherwise, un- der the following classiications: absent – mild – mod- erate or severe (Beck Depression Inventory). he tests were performed in a room, under standard conditions, within a building with ceiling fans, at a temperature of 29 o ±2°C. Only female subjects that reported dedicating
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Use of CPAP to reduce arterial stiffness in moderate-to-severe obstructive sleep apnoea, without excessive daytime sleepiness (STIFFSLEEP): an observational cohort study protocol

Use of CPAP to reduce arterial stiffness in moderate-to-severe obstructive sleep apnoea, without excessive daytime sleepiness (STIFFSLEEP): an observational cohort study protocol

Introduction: Sleepiness is a cardinal symptom in obstructive sleep apnoea (OSA) but most patients have unspecific symptoms. Arterial stiffness, evaluated by pulse wave velocity (PWV), is related to atherosclerosis and cardiovascular (CV) risk. Arterial stiffness was reported to be higher in patients with OSA, improving after treatment with continuous positive airway pressure (CPAP). This study aims to assess whether the same effect occurs in patients with OSA and without sleepiness.

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J. Pediatr. (Rio J.)  vol.92 número1

J. Pediatr. (Rio J.) vol.92 número1

distractions that compete with sleep. However, the problem may worsen when beyond the use of electronics, adoles- cents make use of psychoactive substances, such as caffeine drinks to stay awake longer, which have an impact on sleep quality and on daytime sleepiness. 6 This type of behavior

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