The Role Of Dream In The Regulation Of Formalin Induced Pain In Rapid Eye Movement (REM) Sleep Deprived Rats

Rapid eye movement (REM) sleep deprivation has been shown to decrease pain threshold after various pain stimuli. Down regulatory antagonist modulator (DREAM) is a transcriptional repressor of prodynorphin gene. This study evaluates the effect on DREAM in relation to REM sleep deprivation, formalin induced pain or combination of both; and its relationship to the formalin induced pain behavioural responses. Male Sprague Dawley rats (250-300 g) were divided into four major treatments; free moving control (n=36), REM sleep deprivation (n=36), tank control (n=36) and sleep recovery (n=36). REM sleep deprivation was elicited for 72 hours using the inverted flower pot technique. Each group was further divided into two groups which consisted of rats that were either not or subjected to 2.5% formalin subcutaneous injection. Food consumption and body weight gain were measured before and after the treatments. The formalin induced pain behavioural responses were recorded for one hour for rats that subjected to formalin injection. The ventrobasal thalamic complex of brain (VB) were removed from each group for immunohistochemistry (n=6), Western blot (n=6) and real-time PCR analysis (n=6) separately. The ‘inverted flower’ pot technique was confirmed to induce REM sleep deprivation in the REM sleep deprived and sleep recovered rats by the classic pattern of hyperphagia with converse loss of body weight. There is a marked hypoalgesia demonstrated in the second phase of formalin induced pain in the REM sleep deprived rats. REM sleep deprivation per se did induce morphological change and reduced the number of DREAM positive neurons (DPN) bilaterally

Overnight weight loss: relationship with sleep structure and heart rate variability

Background: Weight loss can be caused by a loss of body mass due to metabolism and by water loss as unsensible water loss, sweating, or excretion in feces and urine. Although weight loss during sleep is a well-known phenomenon, it has not yet been studied in relation to sleep structure or autonomic tonus during sleep. Our study is proposed to be a first step in assessing the relationship between overnight weight loss, sleep structure, and HRV (heart rate variability) parameters.Methods: Twenty-five healthy volunteers received a 487 kcal meal and 200 ml water before experiment. Volunteers were weighed before and after polysomnography. Absolute and relative weight indices were calculated. Time and frequency domain analysis of heart rate variability was assessed during stages 2, 4, and REM. Nonparametric linear regression analysis was performed between night weight loss parameters, polysomnographic, and HRV ariables. Results: HF correlated positively with weight loss during stage 4. Slow wave sleep duration correlated positively with weight loss and weight loss rate. The duration of Stage 2 correlated negatively with absolute and relative weight loss. Conclusions: Weight loss during sleep is dependent upon sleep stage duration and sleep autonomic tonus. Slow-wave sleep and sleep parasympathetic tonus may be important for weight homeostasis

Sleep staging and respiratory events in refractory epilepsy patients: Is there a first night effect?

Purpose:   We performed this analysis of possible first night effects (FNEs) on sleep and respiratory parameters in order to evaluate the need for two serial night polysomnograms (PSGs) to diagnose obstructive sleep apnea (OSA) in epilepsy patients. Methods:   As part of a pilot multicenter clinical trial investigating the effects of treating sleep apnea in epilepsy, two nights of PSG recording were performed for 40 patients with refractory epilepsy and OSA symptoms. Sleep architecture was examined in detail, along with respiratory parameters including apnea/hypopnea index (AHI) and minimum oxygen saturation. Analysis included two-tailed t -tests, Wilcox sign rank analysis, and Bland Altman measures of agreement. Results:   Total sleep time differed between the two nights (night 1,363.8 min + 59.4 vs. 386.3 min + 68.6, p = 0.05). Rapid eye movement (REM) sleep and percentage of REM sleep were increased during night two (night 1: 12.3% + 5.9 vs. night 2: 15.5% + 6.2, p = 0.007), and the total minutes of slow-wave sleep (SWS) were increased (night 1: 35.6 + 60.7 vs. night 2: 46.4 + 68.1, p = 0.01). No other sleep or respiratory variables differed between the two nights. Given an AHI inclusion criterion of five apneas per hour, the first PSG identified all but one patient with OSA. Discussion:   Respiratory parameters showed little variability between the first and second nights. Sleep architecture was mildly different between the first and second PSG night. Performing two consecutive baseline PSGs to diagnose OSA may not be routinely necessary in this population.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65717/1/j.1528-1167.2008.01681.x.pd

Reactive Oxygen Species Production in Peripheral Blood Neutrophils of Obstructive Sleep Apnea Patients

Obstructive sleep apnea (OSA) as well as obesity is associated with increased production of reactive oxygen species (ROS). Neutrophils produce great amounts of ROS. The aim was to evaluate peripheral blood neutrophils ROS production in men with OSA and to establish relations with disease severity and obesity. Methods. Forty-six men with OSA and 10 controls were investigated. OSA was confirmed by polysomnography (PSG), when apnea/hypopnea index was >5/h. Body mass index (BMI) was evaluated. Neutrophils were isolated from peripheral blood in the morning after PSG. Dihydrorhodamine-123 was used for ROS detection. Data is presented as median (25th and 75th percentiles). All subjects were divided into four groups: nonobese mild-to-moderate OSA, obese mild-to-moderate OSA, nonobese severe OSA, and obese severe OSA. Results. Neutrophil ROS production was higher in nonobese severe OSA group compared to nonobese mild-to-moderate OSA (mean fluorescence intensity (MFI) 213.4 (89.0–238.9) versus 44.5 (20.5–58.4), P<0.05). In obese patient groups, ROS production was more increased in severe OSA compared to mild-to-moderate OSA group (MFI 74.5 (47.9–182.4) versus 31.0 (14.8–53.8), P<0.05). It did not differ in the groups with different BMI and the same severity of OSA. Conclusion. Increased neutrophil ROS production was related to more severe OSA but not obesity

The Impacts of Consumptive Behaviors toward American Society in Modern Era as Reflected in the Film The Joneses

In this research, the writers make research of consumptive behavior and its impacts. “The Joneses” film represents the impacts of consumptive behavior in American society in many aspects of life. The objective of this paper is to describe and find the impacts of consumptive behavior toward American society, as reflected in the film "The Joneses." In analyzing data, the writers use a qualitative method by gathering the data qualitatively. The result reveals kinds of consumptive behavior, factors of consumptive behavior, impacts of consumptive behavior, and things that influence consumptive behavior. Some of them are environment and internal motivation

Foreign Villains Shape the World: Transnational and Global Antagonists within the Martial Arts Film Trilogy Ip Man

This paper explores how foreign antagonists are portrayed and positioned within the Ip Man trilogy directed by Wilson Yip. Typically, protagonists such as Ip Man are the focal point of research, but this paper will examine the historical and contextual use of foreign antagonists such as the invading Japanese, the corrupt and condescending British, and the rapacious American in the Ip Man trilogy and how their portrayals are transmitted transnationally. The examination of these foreign antagonists in relation to the protagonist Ip Man expose themes such as nationalism, national identity, and victimhood to a Chinese diaspora. They also expose a non- western spotlight to be transmitted to audiences who may be accustomed to western centered films and culture. A film analysis and qualitative discourse when examining the foreign antagonists in the Ip Man trilogy deepens the understanding and exploration into the Hong Kong martial arts film genre that so heavily focuses on protagonists. Examining other Hong Kong martial arts films such as the martial arts films that Bruce Lee had pioneered, and the Once Upon a Time in China quadrilogy directed by Tsui Hark, gives greater context relative to the examination of the Ip Man trilogy. The focus on foreign antagonists in these films allows for the transmission of this genre on a transnational level to be relatable by similarly oppressed or victimized audiences and creates a sense of empowerment within them

Arousal frequency is associated with increased fatigue in obstructive sleep apnea

Fatigue is an important and often underemphasized symptom in patients with obstructive sleep apnea (OSA). Sleep fragmentation, i.e., arousals and disruptions in sleep architecture, is common in patients with OSA and may potentially contribute to their fatigue. We hypothesized that arousal frequency and changes in sleep architecture contribute to the fatigue experienced by patients with OSA. Seventy-three patients with diagnosed but untreated OSA (AHI ≥ 15) were enrolled in this study. A baseline polysomnogram was obtained, and fatigue was measured with the Multidimensional Fatigue Symptom Inventory-short form (MFSI-sf). We evaluated the association between fatigue and arousals and various polysomongraphic variables, including sleep stages and sleep efficiency. Significant correlations between MFSI-sf subscale scores and various arousal indices were noted. Emotional fatigue scores were associated with total arousal index (r = 0.416, p = .021), respiratory movement arousal index (r = 0.346, p = .025), and spontaneous movement arousal index (r = 0.378, p = .025). Physical fatigue scores were associated with total arousal index (r = 0.360, p = .033) and respiratory movement arousal index (r = 0.304, p = .040). Percent of stage 1 sleep and REM sleep were also associated with physical and emotional fatigue scores. Hierarchal linear regression analysis demonstrated that emotional fatigue scores were independently associated with spontaneous movement arousals after controlling for age, body mass index, depression, and sleep apnea severity. These findings suggest that arousals may contribute to the fatigue seen in patients with OSA

The roles of TNF-α and the soluble TNF receptor I on sleep architecture in OSA

Patients with obstructive sleep apnea (OSA) have been described to have increased levels of inflammatory cytokines (particularly TNF-α) and have severely disturbed sleep architecture. Serum inflammatory markers, even in normal individuals, have been associated with abnormal sleep architecture. Not much is known about the role the TNF receptor plays in the inflammation of OSA nor if it is associated with changes in sleep architecture or arousals during the night. We hypothesized that the TNF receptor might play an important role in the inflammation as well as sleep architecture changes in patients with OSA. Thirty-six patients with diagnosed (AHI &gt; 15) but untreated OSA were enrolled in this study. Baseline polysomnograms as well as TNF-α and soluble TNF receptor I (sTNF-RI) serum levels were obtained on all patients. We evaluated the association between serum levels of TNF-α and sTNF-RI with various polysomongraphic characteristics, including sleep stages and EEG arousals. sTNF-RI levels were significantly correlated with snore arousals (r value 0.449, p value 0.009), spontaneous movement arousals (r value 0.378, p value 0.025), and periodic limb movement arousals (r value 0.460, p value 0.008). No statistically significant correlations were observed with TNF-α to any polysomnographic variables. To control for statistical significance with multiple comparisons, a MANOVA was performed with TNF-α and sTNF-RI as dependent variables and sleep architecture measures and arousals as independent variables. The model for sTNF-RI was statistically significant (F value 2.604, p value 0.03), whereas the model for TNF-α was not, suggesting sleep quality significantly affects sTNF-RI. Hierarchal linear regression analysis demonstrated that sTNF-RI was independently associated with spontaneous movement arousal index scores after controlling for age, body mass index, and sleep apnea severity. These findings suggest that sTNF-RI is associated with arousals during sleep, but not with other measures in patients with OSA

Obstructive sleep apnea, verbal memory, and executive function in a community-based high-risk population identified by the Berlin Questionnaire Akershus Sleep Apnea Project

Purpose Cognitive functions in community-dwelling adults at high risk of obstructive sleep apnea have not been described and nor are associations between cognitive functions and obstructive sleep apnea severity fully understood. The study aimed to describe verbal memory and executive function in community-dwelling adults identified by the Berlin Questionnaire and to investigate associations between these cognitive domains and different obstructive sleep apnea severity indicators. Methods Among 29,258 age- and gender-stratified persons 30–65 years who received the Berlin Questionnaire by mail, 16,302 (55.7%) responded. From 654 randomly drawn respondents with BQ high risk who were approached for study participation, 290 participants (55.9% males, mean age 48.2 years) were included. Verbal memory was assessed by Rey Auditory Verbal Learning Test and executive function by Stroop test. Obstructive sleep apnea severity indicators were assessed by polysomnography

The Osgoode Brief (Fall 2011)

https://digitalcommons.osgoode.yorku.ca/osgoode_brief/1001/thumbnail.jp