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https://www.readbyqxmd.com/read/28732289/effects-of-psychotherapies-for-posttraumatic-stress-disorder-on-sleep-disturbances-results-from-a-randomized-clinical-trial
#1
Elizabeth Woodward, Ann Hackmann, Jennifer Wild, Nick Grey, David M Clark, Anke Ehlers
The effectiveness and mechanisms of psychotherapies for posttraumatic stress disorder (PTSD) in treating sleep problems is of interest. This study compared the effects of a trauma-focused and a non-trauma-focused psychotherapy on sleep, to investigate whether 1) sleep improves with psychotherapy for PTSD; 2) the degree of sleep improvement depends on whether the intervention is trauma or nontrauma-focused; 3) the memory-updating procedure in cognitive therapy for PTSD (CT-PTSD) is associated with sleep improvements; 4) initial sleep duration affects PTSD treatment outcome; and 5) which symptom changes are associated with sleep duration improvements...
July 8, 2017: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/28720993/inserting-pedicle-screws-in-lumbar-spondylolisthesis-the-easy-bone-conserving-way
#2
Hitesh Lal, Lalit Kumar, Ramesh Kumar, Tankeshwar Boruah, Pankaj Kumar Jindal, Vinod Kumar Sabharwal
BACKGROUND: Pedicle screw fixation in high grade lumbar listhetic vertebral body has been nightmare for Orthopaedic and spine surgeons. This is because of abnormally positioned listhetic pedicles and non-visualization of pedicle in conventional image intensifier (C-Arm). This results into increased surgical time, more blood loss, radiation exposure and more chances of infection. To overcome this problem, we have devised a new Technique of putting of pedicle screw fixation in listhetic vertebrae...
April 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28715946/sleep-and-psychiatric-symptoms-in-young-child-psychiatric-outpatients
#3
Hanna Huhdanpää, Liisa Klenberg, Hannu Westerinen, Tuija Fontell, Eeva T Aronen
BACKGROUND: Sleep may underlie psychiatric symptoms in young children. However, not many studies have reported on sleep and its associations with symptoms in young child psychiatric patients. OBJECTIVES: To assess the amount and quality of sleep and how sleep associates with psychiatric symptoms in young child psychiatric patients. Furthermore, we evaluated how sleep and daytime somnolence differed in patients and their age- and gender-matched controls. METHOD: The sample consisted of 139 3- to 7-year-old child psychiatric outpatients and 139 age- and gender-matched controls from community...
July 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28712041/nightmares-in-the-general-population-identifying-potential-causal-factors
#4
Stephanie Rek, Bryony Sheaves, Daniel Freeman
BACKGROUND: Nightmares are inherently distressing, prevent restorative sleep, and are associated with a number of psychiatric problems, but have rarely been the subject of empirical study. Negative affect, linked to stressful events, is generally considered the key trigger of nightmares; hence nightmares have most often been considered in the context of post-traumatic stress disorder (PTSD). However, many individuals with heightened negative affect do not have nightmares. The objective of this study was to identify mechanistically plausible factors, beyond negative affect, that may explain why individuals experience nightmares...
July 15, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28701849/blunt-trauma-neck-with-complete-tracheal-transection-a-diagnostic-and-therapeutic-challenge-to-the-trauma-team
#5
K N J Prakash Raju, D Anandhi, R Surendar, Ashwith Shetty, Vinay R Pandit
Survival following trachea-esophageal transection is uncommon. Establishing a secure airway has the highest priority in trauma management. Airway management is a unique and a defining element to the specialty of emergency medicine. There is no doubt regarding the significance of establishing a patent airway in the critically ill patient in the emergency department. Cannot intubate and cannot ventilate situation is a nightmare to all emergency physicians. The most important take-home message from this case report is that every Emergency physician should have the ability to predict "difficult airway" and recognize "failed airway" very early and be skilled in performing rescue techniques when routine oral-tracheal intubation fails...
June 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28682534/objectively-assessed-sleep-variability-as-an-acute-warning-sign-of-suicidal-ideation-in-a-longitudinal-evaluation-of-young-adults-at-high-suicide-risk
#6
Rebecca A Bernert, Melanie A Hom, Naomi G Iwata, Thomas E Joiner
OBJECTIVE: Young adults attempt suicide at disproportionately high rates relative to other groups and demonstrate high rates of sleep disturbance. No study has yet prospectively evaluated disturbed sleep as an acute indicator of risk using an objective index of sleep. We investigated objective and subjective parameters of disturbed sleep as a warning sign of suicidal ideation among young adults over an acute period. METHODS: A longitudinal study across a 21-day observation period and 3 time points...
June 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28673212/awareness-during-general-anaesthesia-in-the-first-4-000-incidents-reported-to-webairs
#7
K Leslie, M D Culwick, H Reynolds, J A Hannam, A F Merry
The aim of this study was to analyse the incidents related to awareness during general anaesthesia in the first 4,000 cases reported to webAIRS-an anaesthetic incident reporting system established in Australia and New Zealand in 2009. Included incidents were those in which the reporter selected "neurological" as the main category and "awareness/dreaming/nightmares" as a subcategory, those where the narrative report included the word "awareness" and those identified by the authors as possibly relevant to awareness...
July 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28672075/severity-of-suicidal-ideation-matters-reexamining-correlates-of-suicidal-ideation-using-quantile-regression
#8
Megan L Rogers, Thomas E Joiner
OBJECTIVE: Numerous risk factors have been identified for suicidal ideation, including perceived burdensomeness, thwarted belongingness, agitation, insomnia, nightmares, cognitive anxiety sensitivity, and rumination. However, the complexity of these associations has not been well studied; the magnitude of these effects may vary at differing levels of suicidal ideation. The present study reexamined established risk factors for suicidal ideation using quantile regression, a statistical technique that calculates the effect at numerous quantiles of suicidal ideation, as opposed to the average effect across all quantiles...
July 3, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28668770/efficacy-of-imagery-rescripting-and-imaginal-exposure-for-nightmares-a-randomized-wait-list-controlled-trial
#9
Anna E Kunze, Arnoud Arntz, Nexhmedin Morina, Merel Kindt, Jaap Lancee
Nightmares can be effectively treated with cognitive-behavioral therapies. Though it remains elusive which therapeutic elements are responsible for the beneficial effects on nightmare symptoms, imagery rescripting (IR) and imaginal exposure (IE) are commonly identified as active treatment components of nightmare therapies. With this randomized controlled trial, we compared IR and IE as individual treatments to a wait-list (WL) condition to determine whether these particular therapeutic elements ameliorate nightmare symptoms...
June 16, 2017: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/28661027/silica-scaffold-with-shifted-plumber-s-nightmare-networks-and-the-interconversion-to-diamond-networks
#10
Wenting Mao, Xin Cao, Qingqing Sheng, Lu Han, Shunai Che
The bicontinuous structures with hyperbolic surfaces have been found in a variety of natural and synthetic systems. Here, we present the synthesis and structural study of the shifted double-primitive networks, which is known as the rare "plumber's nightmare", and its interconversion to diamond-networks. The scaffold was fabricated by self-assembly of the amphiphilic triblock terpolymer and silica precursors. Electron crystallography indicates that the structure consists of two sets of hollow primitive-networks shifted along 0...
June 29, 2017: Angewandte Chemie
https://www.readbyqxmd.com/read/28651358/rem-sleep-theta-changes-in-frequent-nightmare-recallers
#11
Louis-Philippe Marquis, Tyna Paquette, Cloé Blanchette-Carrière, Gaëlle Dumel, Tore Nielsen
The sleep of individuals suffering from frequent non-traumatic nightmares (NM) could prove useful in uncovering neural mechanisms involved in NM production. Past research has shown enhanced relative 10-14.5Hz activity ('high alpha') during REM sleep in frequent NM recallers, while other findings are consistent with a role for theta activity in REM-dependent memory processing. To replicate and expand upon this study, we computed spectral activity for sleep and wake EEG recordings from 18 frequent NM recallers and 15 control participants...
June 23, 2017: Sleep
https://www.readbyqxmd.com/read/28647746/the-effects-of-an-internet-based-imagery-rehearsal-intervention-a-randomized-controlled-trial
#12
Annika Gieselmann, Max Böckermann, Marjolijn Sorbi, Reinhard Pietrowsky
BACKGROUND: Nightmares are extremely dysphoric dreams, which are prevalent and associated with psychological strain. This study investigated (a) the efficacy of an internet-based imagery rehearsal therapy (IRT), (b) the role of imagery rescription, and (c) the role of guidance during internet-based IRT. METHODS: A total of 127 patients suffering from mainly idiopathic nightmares were randomly assigned to 1 of 2 IRT internet-based groups (guided IRT; unguided IRT) or to 1 of 2 active control groups (frequency control group; narrative control group)...
2017: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/28626295/restoring-effective-sleep-tranquility-rest-a-feasibility-and-pilot-study
#13
Aaron M Eakman, Arlene A Schmid, Kimberly L Henry, Natalie R Rolle, Catherine Schelly, Christine E Pott, Joshua E Burns
INTRODUCTION: The purpose of this pilot study was to establish the feasibility of completing a future controlled trial of a multi-component cognitive behavioral therapy for insomnia program for military veterans with sleep disturbance. METHOD: This was a single-arm feasibility and pilot study. Participants were United States post-9/11 veterans with service-connected injuries, university students, and had self-reported sleep disturbances. Restoring Effective Sleep Tranquility was a multi-component cognitive behavioral therapy for insomnia intervention consisting of seven sessions of group therapy and eight 1:1 sessions delivered by occupational therapists...
June 2017: British Journal of Occupational Therapy
https://www.readbyqxmd.com/read/28620339/the-stress-acceleration-hypothesis-of-nightmares
#14
Tore Nielsen
Adverse childhood experiences can deleteriously affect future physical and mental health, increasing risk for many illnesses, including psychiatric problems, sleep disorders, and, according to the present hypothesis, idiopathic nightmares. Much like post-traumatic nightmares, which are triggered by trauma and lead to recurrent emotional dreaming about the trauma, idiopathic nightmares are hypothesized to originate in early adverse experiences that lead in later life to the expression of early memories and emotions in dream content...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28618185/let-s-talk-about-sleep-a-systematic-review-of-psychological-interventions-to-improve-sleep-in-college-students
#15
REVIEW
Anja Friedrich, Angelika A Schlarb
Sleep problems are a common occurrence in college students. Insomnia, nightmares and impaired sleep quality lead to several mental health issues, as well as impaired academic performance. Although different sleep programmes exist, a systematic overview comparing their effectiveness is still missing. This systematic review aims to provide an overview of psychological interventions to improve sleep in college students. Seven databases were searched from November to December 2016 (MEDLINE, EMBASE, PsycINFO, Cinahl, Cochrane Library, PubMed, OpenSigle)...
June 15, 2017: Journal of Sleep Research
https://www.readbyqxmd.com/read/28601139/posttraumatic-stress-disorder-phenomena-after-critical-illness
#16
REVIEW
Oscar Joseph Bienvenu, Ted-Avi Gerstenblith
This article focuses on a psychiatric morbidity in critical illness survivors, posttraumatic stress disorder (PTSD). We present a case in the second person, because it is helpful to imagine what being critically ill can be like from the perspective of a patient without medical training. One-fifth of critical illness survivors have clinically relevant PTSD symptoms in the year after intensive care, and markers of risk include prior psychiatric illness, benzodiazepine administration in the intensive care unit (ICU), and early post-ICU memories of frightening, nightmare-like experiences during intensive care...
July 2017: Critical Care Clinics
https://www.readbyqxmd.com/read/28585733/life-threat-and-sleep-disturbances-in-adolescents-a-two-year-follow-up-of-survivors-from-the-2011-ut%C3%A3-ya-norway-terror-attack
#17
Grønli Janne, Melinder Annika, Olga Therese Ousdal, Pallesen Ståle, Endestad Tor, Anne Marita Milde
A significant number of adolescents have been exposed to traumatic life events. However, knowledge about the specific sleep disturbance that occurs in individuals after trauma exposure is predominantly based on studies of adults. This study reports specific sleep disturbance in 42 survivors of the 2011 mass shooting at a youth summer camp on the Norwegian island Utøya, mean age = 20.91 years, SD = 2.32, 62.5% females. When compared with matched controls, significantly more survivors reported having sleep disturbances, 52...
June 6, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/28576285/intraoperative-ketamine-for-prevention-of-postoperative-delirium-or-pain-after-major-surgery-in-older-adults-an-international-multicentre-double-blind-randomised-clinical-trial
#18
Michael S Avidan, Hannah R Maybrier, Arbi Ben Abdallah, Eric Jacobsohn, Phillip E Vlisides, Kane O Pryor, Robert A Veselis, Hilary P Grocott, Daniel A Emmert, Emma M Rogers, Robert J Downey, Heidi Yulico, Gyu-Jeong Noh, Yonghun H Lee, Christine M Waszynski, Virendra K Arya, Paul S Pagel, Judith A Hudetz, Maxwell R Muench, Bradley A Fritz, Witold Waberski, Sharon K Inouye, George A Mashour
BACKGROUND: Delirium is a common and serious postoperative complication. Subanaesthetic ketamine is often administered intraoperatively for postoperative analgesia, and some evidence suggests that ketamine prevents delirium. The primary purpose of this trial was to assess the effectiveness of ketamine for prevention of postoperative delirium in older adults. METHODS: The Prevention of Delirium and Complications Associated with Surgical Treatments [PODCAST] study is a multicentre, international randomised trial that enrolled adults older than 60 years undergoing major cardiac and non-cardiac surgery under general anaesthesia...
July 15, 2017: Lancet
https://www.readbyqxmd.com/read/28564659/life-threatening-intracerebral-hemorrhage-in-previously-undiagnosed-acute-t-cell-lymphoblastic-leukemia-with-blast-crisis-a-nightmare-in-neurosurgeon-s-life
#19
Abhay Singh, Rahul Gupta, Devender Chhonker, Gangesh Gunjan, Harjinder Singh Bhatoe
Spontaneous, nontraumatic intracerebral hemorrhage is a significant cause of morbidity and mortality throughout the world. Acute lymphoblastic leukemia is the most common cancer diagnosed in children. According to the literature, only 6 cases of acute lymphoblastic leukemia presenting as intracerebral hemorrhage have been reported. Five out of the 6 patients were managed conservatively; 3 out of these 6 patients survived with correction of coagulopathy. Surgical intervention was performed in only 1 of the previously reported cases in which the patient could not be salvaged...
June 1, 2017: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28557111/tetranitromethane-a-nightmare-of-molecular-flexibility-in-the-gaseous-and-solid-state
#20
Norbert Werner Mitzel, Yury Vishnevskiy, Denis Tikhonov, Jan Schwabedissen, Hans-Georg Stammler, Richard Moll, Burkhard Krumm, Thomas M Klapoetke
After numerous attempts over the last seven decades to obtain a structure of the simple, highly symmetric molecule tetranitro-methane (C(NO2)4, TNM) consistent with experimental scatte-ring and spectroscopy methods, the structure has now been determined in the gas-phase and the solid state. For the gas, a new approach with a description as a four-dimensional dynamic model describing the correlated torsional dynamics of the four C-NO2 units was ne¬cessary to describe the experimental gas electron scattering intensities...
May 29, 2017: Angewandte Chemie
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