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Related Concept Videos

Insomnia01:27

Insomnia

476
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
476
Management of Insomnia01:19

Management of Insomnia

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The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
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Strategies for Assessing and Addressing Confounding01:25

Strategies for Assessing and Addressing Confounding

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Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
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Intrinsically Disordered Proteins02:18

Intrinsically Disordered Proteins

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Intrinsically disordered proteins are a group of proteins that do not fold into specific three-dimensional structures. Their structural flexibility allows them to complement ordered proteins to perform functions that are inaccessible to rigid structures. They are more common in eukaryotes than prokaryotes and may either be exclusively intrinsically disordered or hybrid proteins, consisting of a mix of ordered and disordered regions. The absence of a rigid structure in these proteins can be...
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Bone Disorders01:29

Bone Disorders

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
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Disorders of Erythrocytes01:27

Disorders of Erythrocytes

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Disorders of erythrocytes, or red blood cells (RBCs), include a range of conditions affecting their number, shape, or function.
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
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Heat-sensitive Moxibustion as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Insomnia
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Implications and recommendations for addressing insomnia disorder.

Cameron Duncan1, Kate Sheppard

  • 1Cameron Duncan is an assistant professor and PMHNP program director at the University of Nevada Orvis School of Nursing, Reno, Nev., and the CEO of Duncan Family Healthcare PLLC, Reno, Nev. Kate Sheppard is a retired clinical associate professor and PMHNP specialty coordinator at the University of Arizona College of Nursing, Tucson, Ariz.

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Summary

Insomnia disorder is a common sleep problem linked to physical and mental health issues. Primary care providers need to know safe treatments for patients with insomnia.

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Area of Science:

  • Sleep Medicine
  • Primary Care Medicine

Background:

  • Sleep disorders, particularly insomnia, frequently complicate physical and mental health conditions.
  • Effective management is crucial for overall patient well-being.

Purpose of the Study:

  • To review insomnia disorder, covering assessment, comorbidities, and management strategies.
  • To equip primary care providers with knowledge for safe insomnia treatment.

Main Methods:

  • Literature review on insomnia disorder.
  • Synthesis of current evidence on assessment and management.
  • Focus on pharmacologic and nonpharmacologic treatment safety.

Main Results:

  • Insomnia is a common complication of various health problems.
  • Comprehensive assessment and management are key.
  • Safe treatment options include both medication and behavioral approaches.

Conclusions:

  • Primary care providers play a vital role in managing insomnia.
  • Understanding safe treatment modalities is imperative.
  • Integrated care approaches benefit patients with insomnia disorder.