Internal interactions within the human circadian system: the masking effect

Summary In the realm of human circadian rhythms, the masking effect is defined as the change in the course of deep body temperature induced by changes in the degree of physical activity, or by the alteration between sleep and wake. This effect is particularly obvious during internal desynchronization where the rhythms of deep body temperature, and the sleep-wake sleep-wake sleep cycle — i.e. one of the masking factors — run with different periods.Every sleep onset is accompanied by a rapid drop, and wake onset by a rapid rise in deep body temperature, each one with an overshoot of about 50% of the steady state variations. When rhythms are calculated, with the dominant temperature period as the screening period, exclusively from data obtained during sleep episodes, on the one hand, and from those obtained exclusively during wake, on the other, two average cycles emerge: the sleep temperature curve and the wake temperature curve. Both run in parallel but are separated by the masking effcct. As derived from many experiments, the mean masking effect amounts to 0.28±0.06°C. The masking effect also depends to some extent on the phase of the temperature rhtthm; it is larger than average around the temperature maximum and during the descending phase of the temperature cycle, where the alertness commonly is highest and the probability to sleep, in general, and the REM sleep propensity, in particular, are smaller than average. This also can be interpreted to indicate that the sleep temperature curve is phase advanced relative to the wake temperature curve; this, on the average, by 0.9±0.3 h.If the individually determined amount of masking is added to the temperature data obtained during sleep, or substracted from the temperature data obtained during wake, a temperature curve emerges that can be though of as being purified of the masking effect. Analyses of this artificial curve allow estimation of that part of the internal interactions uninfluenced by the masking effect. On the average, about half of the amount of interaction between the rhythm of sleep-wake and that of deep body temperature is explained by the masking effect, whereas the other half is oscillatory interaction. Both types of interaction are inherent and inseparable parts of the circadian clock mechanism, as can be deduced from model considerations.     

基于网络的睡眠监护与分析系统设计

介绍了基于网络的睡眠监护与分析系统的软硬件设计方案．对系统设计中需要解决的网络数据传输．图形实时显示．以及数据库管理等一些关键性的问题．提出了解决方法．基于这些方法进行了初步的系统实验．取得了较为满意的效果．本系统可望成为未来数字化家庭的重要医疗单元和今后进一步开展远程医疗研究的基础．     

基于体动射频信号的睡眠分期

为了减轻传统接触式睡眠生理监测系统对人体造成的负担,设计了一种基于微波技术的非接触式睡眠生理信号采集与分析系统,提出一种基于体动射频信号的睡眠分期识别算法.通过小波变换对射频运动传感器(RFMS)采集的体动信号进行预处理,再计算出体动信号的能量值,最后通过判别式处理和阈值法实现了睡眠分期:醒觉期、浅睡期、中睡期、深睡期.实验采集分析了8个实验者为期46天的睡眠生理信号,同时同步采集视频信息、TANITA水床睡眠信息、接触式呼吸脉搏信号.与视频结果比较发现醒觉期正确率达到90%;与TANITA水床睡眠结果相比,本系统的结果与其吻合程度达到70%;与不同睡眠状态下呼吸率、心率的变化相比,本系统的结果吻合度达到80%.     

Chronobiology of sleep in humans

Periodic circadian (24-h) cycles play an important role in daily hormonal and behavioural rhythms. Usually our sleep/wake cycle, temperature and melatonin rhythms are internally synchronized with a stable phase relationship. When there is a desynchrony between the sleep/wake cycle and circadian rhythm, sleep disorders such as advanced and delayed sleep phase syndrome can arise as well as transient chronobiologic disturbances, for example from jet lag and shift work. Appropriately timed bright light is effective in re-timing the circadian rhythm and sleep pattern to a more desired time, ameliorating these disturbances. Other less potent retiming effects may also be obtained from the judicious use of melatonin and exercise.     

孕早期睡眠时长与午睡频次对妊娠糖尿病的影响

目的 探讨孕早期睡眠时长和午睡频次对妊娠糖尿病(GDM)的影响.方法 采用病例对照研究设计,选取2018年4月至2019年5月在安徽省妇幼保健院、吉安市妇幼保健院产检的孕妇作为研究对象.通过问卷调查收集研究对象的睡眠和午睡等信息,GDM的诊断来自孕中期常规口服葡萄糖耐量试验结果.结果 共纳入500名研究对象,其中病例组...     

阻塞性睡眠呼吸暂停综合症的观察及护理

通过对55例阻塞性睡眠呼吸暂停综合症患者术前、术后的护理及观察，总结了护理体会，着重对术前、术后健康教育及心理、术后伤口出血情况，气管切开护理，咽部水肿，饮食及口腔清洁，并发症观察护理进行了总结，并通过术前，术后血氧饱和度、呼吸、心率的监测，总结了阻塞性睡眠呼吸暂停综合症患者的手术疗效。     

Human slow wave sleep: A review and appraisal of recent findings,with implications for sleep functions,and psychiatric illness

Recent findings concerning human slow wave sleep (hSWS-stages 3+4; delta EEG activity) are critically reviewed. Areas covered include the significance of the first hSWS cycle; hSWS in extended sleep; relationship between hSWS, prior wakefulness and sleep loss; hSWS influence on sleep length; problems with hSWS deprivation; influence of the circadian rhythm; individual differences in hSWS, especially, age, gender and constitutional variables such as physical fitness and body composition. Transient increases in hSWS can be produced by increasing both the quality and quantity of prior wakefulness, with an underlying mechanism perhaps relating to the waking level of brain metabolism. Whilst there may also be thermoregulatory influences on hSWS, hypotheses that energy conservation and brain cooling are major roles for hSWS are debatable. hSWS seems to offer some form of cerebral recovery, with the prefrontal cortex being particularly implicated. The hSWS characteristics of certain forms of major psychiatric disorders may well endorse this prefrontal link.     

影响青少年身高生长因素分析

目前社会上流行各种各样的增高方法,其中很多是毫无科学道理的,存在严重的误导消费行为。影响青少年身高增长主要因素很多,如睡眠、体育锻炼和营养补钙等,注意这些可以为青少年拥有理想身高提供帮助。中国城市儿童普遍缺乏体育锻炼及睡眠不足应引起高度重视。     

睡眠剥夺影响大脑功能区状态的非线性评价

采用近似熵研究睡眠剥夺（sleep deprivation，SD）对脑认知功能的影响，评价SD引起的大脑功能区状态的非线性变化．12名受试者在正常睡眠和一夜SD之后分别接受视觉注意力测试，记录自发脑电和诱发脑电，采用二维插值构建19导脑电近似熵脑信息图（brain information map，BIM）．结果表明，在SD状态下，自发脑电的近似熵在全脑范围内有不同程度的下降，额叶处大脑偏侧性发生变化，复杂度的中心从左脑转移到右脑；前额叶处诱发脑电近似熵值降低，而顶叶和颞叶处则升高．脑电近似熵可以作为指标来评价SD对脑认知功能的负向影响，BIM的变化趋势与从生理学及影像学角度的分析相吻合，与线性方法的研究结论一致，在一定程度上可以反映大脑功能状态，提供一条评价脑功能区状态变化趋势的思路．