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The diet quality was evaluated by the Healthy Eating Index. Obese women showed a greater level of sleepiness when compared with non-obese Sleepy women showed a greater weight gain after the diagnosis of FM when compared with non- sleepy women These results demonstrate an important association between sleepiness and FM, suggesting that the occurrence of obesity may be involved with sleepiness in these patients. The on-road experiences and awareness of sleepiness in a sample of Australian highway drivers: A roadside driver sleepiness study.

Driver sleepiness contributes substantially to road crash incidents. Simulator and on-road studies clearly reveal an impairing effect from sleepiness on driving ability. However, the degree to which drivers appreciate the dangerousness of driving while sleepy is somewhat unclear. This study sought to determine drivers' on-road experiences of sleepiness , their prior sleep habits, and personal awareness of the signs of sleepiness. Participants were a random selection of 92 drivers traveling on a major highway in the state of Queensland, Australia, who were stopped by police as part of routine drink driving operations.

Participants completed a brief questionnaire that included demographic information, sleepy driving experiences signs of sleepiness and on-road experiences of sleepiness , and prior sleep habits. Participants were reasonably aware of the signs of sleepiness , with many signs of sleepiness associated with on-road experiences of sleepiness.

Additionally, the number of hours spent driving was positively correlated with the drivers' level of sleep debt. The results suggest that participants had moderate experiences of driving while sleepy and many were aware of the signs of sleepiness. The relationship between driving long distances and increased sleep debt is a concern for road safety.

Increased education regarding the dangers of sleepy driving seems warranted. Methods: Parents of children aged 5. PSG was performed at baseline and at 7-mo endpoint. Children underwent early adenotonsillectomy or WWSC. At baseline, mean mESS score was 7. Sleepiness scores were higher in African American children; children with shorter sleep duration; older children; and overweight children.

At endpoint, mean mESS score decreased by 2. Improvement in sleepiness was weakly associated with improved apnea-hypopnea index or oxygen desaturation indices, but not with change in other polysomnographic measures. Depressive symptoms are associated with daytime sleepiness and subjective sleep quality in dementia with Lewy bodies. Sleep problems and depression are common symptoms in dementia with Lewy bodies DLB , where patients typically experience subjectively poor sleep quality, fatigue and excessive daytime sleepiness. However, whilst sleep disturbances have been linked to depression, this relationship has not received much attention in DLB.

The present cross-sectional study addresses this by examining whether depressive symptoms are specifically associated with subjective sleep quality and daytime sleepiness in DLB, and by examining other contributory factors. Motor and cognitive functioning was also assessed. Subjective poor sleep and daytime sleepiness were associated with depressive symptoms in DLB.

Given the cross-sectional nature of the present study, the directionality of this relationship cannot be determined, although this association did not appear to be mediated by sleep quality or daytime sleepiness. Nevertheless, these findings have clinical relevance; daytime sleepiness or poor sleep quality might indicate depression in DLB, and subsequent work should examine whether the treatment of depression can reduce excessive daytime sleepiness and improve sleep quality in DLB patients.

Alternatively, more rigorous screening for sleep problems in DLB might assist the treatment of depression. Meyer, Erin L. Behavior rating scales aid in the identification of problem behaviors, as well as the development of interventions to reduce such behavior. Although scores on many behavior rating scales have been validated in the United States, there have been few such studies in other cultural contexts. In this study, the structural validity of scores on a…. In this article, we investigate the creation of comparable score scales across countries in international assessments.

We examine potential improvements to current score scale calibration procedures used in international large- scale assessments.


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Our approach seeks to improve fairness in scoring international large- scale assessments, which often…. Association between reported sleep need and sleepiness at the wheel: comparative study on French highways between and Methods Comparative survey including questions on usual sleep schedules and before the trip, sleepiness at the wheel, the Epworth sleepiness scale , Basic Nordic Sleep Questionnaire BNSQ and a travel questionnaire.

Sleep hygiene for automobile drivers remains an important concept to address. Comparative survey including questions on usual sleep schedules and before the trip, sleepiness at the wheel, the Epworth sleepiness scale , Basic Nordic Sleep Questionnaire BNSQ and a travel questionnaire. Parents of children aged 5.

Modafinil in the treatment of excessive sleepiness. The wake-promoting agent modafinil is approved for the treatment of excessive sleepiness associated with obstructive sleep apnea OSA , shift work disorder SWD , and narcolepsy. In OSA, modafinil is recommended for use as an adjunct to standard therapies that treat the underlying airway obstruction.

This article reviews the literature on modafinil pharmacology, pharmacokinetics, efficacy, tolerability, and abuse potential , with emphasis on use of modafinil in the treatment of excessive sleepiness in patients with OSA, SWD, and narcolepsy. In large- scale , double-blind, placebo-controlled studies, modafinil improved objectively determined sleep latency, improved overall clinical condition related to severity of sleepiness , and reduced patient-reported sleepiness. Improvements in wakefulness were accompanied by improvements in behavioral alertness, functional status, and health-related quality of life.

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In patients with SWD, diary data showed modafinil reduced the maximum level of sleepiness during night shift work, level of sleepiness during the commute home, and incidence of accidents or near-accidents during the commute home when compared with placebo. Modafinil was well tolerated, without adversely affecting cardiovascular parameters or scheduled sleep. These findings and those of extension studies which reported improvements were maintained suggest modafinil has a beneficial effect on daily life and well-being in patients with excessive sleepiness associated with OSA, SWD, or narcolepsy.

Astronauts often use promethazine PMZ to counteract space motion sickness; however PMZ may cause drowsiness, which might impair cognitive function. A problem arises when using KSS to establish an association between true sleepiness and performance because KSS scores tend to overly concentrate on the values 3 fairly awake and 7 moderately tired. Therefore, we defined a latent sleepiness measure as a continuous random variable describing a subject s actual, but unobserved true state of sleepiness through time. The latent sleepiness and observed KSS are associated through a conditional probability model, which when coupled with demographic factors, predicts performance.

Study Objectives: To characterize and compare insomnia symptoms within two common phenotypes of Shift Work Disorder. Design: Observational laboratory and field study. Setting: Hospital sleep center. Participants: 34 permanent night workers. Measurements: Sleep parameters were assessed by sleep diary. Circadian phase was evaluated by dim-light salivary melatonin onset DLMO.

Objective sleepiness was measured using the multiple sleep latency test MSLT. Brain activity was measured using the N1 event-related potential ERP. SI significantly differed from controls in nocturnal sleep parameters, but differences during diurnal sleep periods were smaller and not statistically significant. Conclusions: Our results suggest that the sleepy insomnia phenotype is comprehensively explained by circadian misalignment, while the alert insomnia phenotype resembles an insomnia disorder precipitated by shift work.

Differential sleep. Study Objective: To evaluate the effects of acute sleep deprivation and chronic sleep restriction on vigilance, performance, and self-perception of sleepiness. Design: Habitual night followed by 1 night of total sleep loss acute sleep deprivation or 5 consecutive nights of 4 hr of sleep chronic sleep restriction and recovery night.