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Africa
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The End of the Whole Mess
Published in Sue Binkley, Biological Clocks, 2020
The range of individual average nap lengths is 0.67 to 1.50. Catnaps shorter than 15 minutes or naps longer than 2 hours were rare. There are more naps in people during the 3rd through 8th decade. There is more napping in equatorial cultures that permit a siesta period and the least napping is at the higher latitude of England. Napping is not a disease, and it can improve performance, especially in persons deprived of night time sleep. Naps longer than 30 minutes are recommended.179
Family Strategies
Published in Elaine Kelman, Alison Nicholas, Palin Parent–Child Interaction Therapy for Early Childhood Stammering, 2020
Elaine Kelman, Alison Nicholas
Before embarking on a well-intentioned bedtime management programme, we must consider cultural issues, for example if the extended family and social network operate in a different way. In many cultures children are not expected to go to bed in the early evening, especially if there has been a ‘siesta’ during the day. We therefore find out from parents what they consider to be typical bedtime hours and routines.
Health
Published in John Lindsay, Norman Ellis, Making Sense of Pensions and Retirement, 2018
Please understand that insomnia, or not sleeping very long, will not do you any real harm, excluding sleep deprivation such as from a visit of the younger grandchildren. You may not like it, but sleep patterns do change, so if you do end up with a sleeping tablet, you must ask yourself not ‘Did I sleep longer?’ but ‘Do I feel any better?’ Generally speaking, people do not feel better after sleeping medication if they can accept that they will come to no harm. The ‘Mediterranean’ siesta may be worth considering now we are all European.
The association between daytime sleep and general obesity risk differs by sleep duration in Iranian adults
Published in Annals of Human Biology, 2023
Noushin Mohammadifard, Firoozeh Sajjadi, Fahimeh Haghighatdoost, Soraya Masoodi, Masoumeh Sadeghi, Hamidreza Roohafza, Maryam Maghroun, Hassan Alikhasi, Farzaneh Zamaneh, Parisa Zakeri, Simin Karimi, Nizal Sarrafzadegan
Self-reported sleep duration (in a 24-hour cycle) was determined by trained interviewers. Usual siesta or nap duration was also recorded. Participants were asked ‘how many hours do you normally sleep in a 24-hour cycle at night and how many hours do you normally sleep in a 24-hour cycle during the daytime?’ Sleep duration less than or equal to 6 hours per 24 hours was defined as short sleep. Long sleep was defined as more than 8 hours/24 hours, and any time between 6–8 hours/24 hours was defined as standard daily sleep duration (Fernandez-Mendoza et al. 2019). Individuals who reported only night-time sleep were considered non-nappers and individuals who reported both daytime (bedtime between 6 AM and 8 PM) and nocturnal sleep were considered nappers. Night-time sleep was defined as at least 1 hour and a maximum of 15 hours and daytime nap/sleep from 30 minutes up to 5 hours (Wang et al. 2022). The sleep durations outside our defined range, were excluded (n = 47). A total of 158 subjects had missing data on sleep duration.
Clinical considerations and assessment of risk factors when choosing endovascular thrombectomy for acute stroke
Published in Expert Review of Cardiovascular Therapy, 2020
Ankur Wadhwa, Raed Joundi, Bijoy Menon
The use of anesthesia during EVT has been highly controversial with a wide variation in practice. On one hand, several studies showed worse outcomes and higher mortality with general anesthesia, however most of these were non-randomized studies [98–99–100–101–102–103]. On the other hand, single center randomized trials did not show a mortality benefit with general anesthesia in comparison to conscious sedation. In addition, the SIESTA trial showed better functional outcomes with general anesthesia [104–105–106]. A recent meta-analysis of three trials showed that if strict hemodynamic and anesthetic protocols were followed, general anesthesia was associated with better outcome at 3 months [107]. However, a secondary analysis from DEFUSE 3 showed significantly better functional outcome with conscious sedation [108]. A recently published cohort study by Capellari et al. assessed the outcomes in patients who underwent EVT with general anesthesia versus conscious sedation and local anesthesia and showed that general anesthesia was associated with worse functional outcomes especially when compared with local anesthesia [109]. Overall, there is no clear evidence to recommend either conscious sedation or general anesthesia for patients treated with EVT. For the present time, considerations could be made to individualize the approach, for example patients with posterior circulation strokes or lower level of consciousness might require general anesthesia. b) Arterial access
The Relationship Between Midday Napping And Neurocognitive Function in Early Adolescents
Published in Behavioral Sleep Medicine, 2019
Xiaopeng Ji, Junxin Li, Jianghong Liu
Sleep deprivation and poor sleep quality have been considered to negatively affect neurocognitive function, including attention, executive function, working memory, and processing speed (De Bruin, Van Run, Staaks, & Meijer, 2017; Kuula et al., 2015) in adolescents. While prior research has focused primarily on nocturnal sleep, daytime napping, as a frequent sleep behavior in adolescents, may also play a role in cognitive performance (Lo et al., 2017). The 2011 Sleep in America Poll showed that 53% of adolescent respondents aged 13–18 years old self-reported napping on weekdays, which was a possible response to insufficient nocturnal sleep (National Sleep Foundation, 2011). In another sample of 236 high school students in the United States, 89% of respondents exhibited at least one actigraphy-reported nap, while 62% reported diary-assessed napping, and previous-night sleep duration and quality were shown as significant predictors (Jakubowski, Hall, Lee, & Matthews, 2017). Daytime napping is even more predominant in siesta countries. For example, routine midday naps are culturally defined as part of a healthy lifestyle, and schools provide post-lunch napping opportunities for children and adolescents in mainland China (Liu, Liu, Owens, & Kaplan, 2005).