The regular recurrence, in cycles of about 24 hours, of biological processes or activities, such as sensitivity to drugs and stimuli, hormone secretion, sleeping, and feeding.
Conditions characterized by disturbances of usual sleep patterns or behaviors. Sleep disorders may be divided into three major categories: DYSSOMNIAS (i.e. disorders characterized by insomnia or hypersomnia), PARASOMNIAS (abnormal sleep behaviors), and sleep disorders secondary to medical or psychiatric disorders. (From Thorpy, Sleep Disorders Medicine, 1994, p187)
A readily reversible suspension of sensorimotor interaction with the environment, usually associated with recumbency and immobility.
Dyssomnias associated with disruption of the normal 24 hour sleep wake cycle secondary to travel (e.g., JET LAG SYNDROME), shift work, or other causes.
A stage of sleep characterized by rapid movements of the eye and low voltage fast pattern EEG. It is usually associated with dreaming.
Movements or behaviors associated with sleep, sleep stages, or partial arousals from sleep that may impair sleep maintenance. Parasomnias are generally divided into four groups: arousal disorders, sleep-wake transition disorders, parasomnias of REM sleep, and nonspecific parasomnias. (From Thorpy, Sleep Disorders Medicine, 1994, p191)
A condition characterized by recurrent episodes of daytime somnolence and lapses in consciousness (microsomnias) that may be associated with automatic behaviors and AMNESIA. CATAPLEXY; SLEEP PARALYSIS, and hypnagogic HALLUCINATIONS frequently accompany narcolepsy. The pathophysiology of this disorder includes sleep-onset rapid eye movement (REM) sleep, which normally follows stage III or IV sleep. (From Neurology 1998 Feb;50(2 Suppl 1):S2-S7)
Dyssomnias (i.e., insomnias or hypersomnias) associated with dysfunction of internal sleep mechanisms or secondary to a sleep-related medical disorder (e.g., sleep apnea, post-traumatic sleep disorders, etc.). (From Thorpy, Sleep Disorders Medicine, 1994, p187)
Disorders characterized by impairment of the ability to initiate or maintain sleep. This may occur as a primary disorder or in association with another medical or psychiatric condition.
Simultaneous and continuous monitoring of several parameters during sleep to study normal and abnormal sleep. The study includes monitoring of brain waves, to assess sleep stages, and other physiological variables such as breathing, eye movements, and blood oxygen levels which exhibit a disrupted pattern with sleep disturbances.
Disruptions of the rhythmic cycle of bodily functions or activities.
An ovoid densely packed collection of small cells of the anterior hypothalamus lying close to the midline in a shallow impression of the OPTIC CHIASM.
A disorder characterized by recurrent apneas during sleep despite persistent respiratory efforts. It is due to upper airway obstruction. The respiratory pauses may induce HYPERCAPNIA or HYPOXIA. Cardiac arrhythmias and elevation of systemic and pulmonary arterial pressures may occur. Frequent partial arousals occur throughout sleep, resulting in relative SLEEP DEPRIVATION and daytime tiredness. Associated conditions include OBESITY; ACROMEGALY; MYXEDEMA; micrognathia; MYOTONIC DYSTROPHY; adenotonsilar dystrophy; and NEUROMUSCULAR DISEASES. (From Adams et al., Principles of Neurology, 6th ed, p395)
A biogenic amine that is found in animals and plants. In mammals, melatonin is produced by the PINEAL GLAND. Its secretion increases in darkness and decreases during exposure to light. Melatonin is implicated in the regulation of SLEEP, mood, and REPRODUCTION. Melatonin is also an effective antioxidant.
Disorders characterized by multiple cessations of respirations during sleep that induce partial arousals and interfere with the maintenance of sleep. Sleep apnea syndromes are divided into central (see SLEEP APNEA, CENTRAL), obstructive (see SLEEP APNEA, OBSTRUCTIVE), and mixed central-obstructive types.
Circadian rhythm signaling proteins that influence circadian clock by interacting with other circadian regulatory proteins and transporting them into the CELL NUCLEUS.
A chronobiologic disorder resulting from rapid travel across a number of time zones, characterized by insomnia or hypersomnolence, fatigue, behavioral symptoms, headaches, and gastrointestinal disturbances. (From Cooper, Sleep, 1994, pp593-8)
Excessive periodic leg movements during sleep that cause micro-arousals and interfere with the maintenance of sleep. This condition induces a state of relative sleep deprivation which manifests as excessive daytime hypersomnolence. The movements are characterized by repetitive contractions of the tibialis anterior muscle, extension of the toe, and intermittent flexion of the hip, knee and ankle. (Adams et al., Principles of Neurology, 6th ed, p387)
A broad category of proteins that regulate the CIRCADIAN RHYTHM of an organism. Included here are proteins that transmit intracellular and intercellular signals in a chronological manner along with proteins that sense light and time-dependent changes in the environment such as the PHOTOPERIOD.
Disorders characterized by hypersomnolence during normal waking hours that may impair cognitive functioning. Subtypes include primary hypersomnia disorders (e.g., IDIOPATHIC HYPERSOMNOLENCE; NARCOLEPSY; and KLEINE-LEVIN SYNDROME) and secondary hypersomnia disorders where excessive somnolence can be attributed to a known cause (e.g., drug affect, MENTAL DISORDERS, and SLEEP APNEA SYNDROME). (From J Neurol Sci 1998 Jan 8;153(2):192-202; Thorpy, Principles and Practice of Sleep Medicine, 2nd ed, p320)
The physiological mechanisms that govern the rhythmic occurrence of certain biochemical, physiological, and behavioral phenomena.
Biological mechanism that controls CIRCADIAN RHYTHM. Circadian clocks exist in the simplest form in cyanobacteria and as more complex systems in fungi, plants, and animals. In humans the system includes photoresponsive RETINAL GANGLION CELLS and the SUPRACHIASMATIC NUCLEUS that acts as the central oscillator.
A state in which there is an enhanced potential for sensitivity and an efficient responsiveness to external stimuli.
Basic helix-loop-helix (bHLH) domain-containing proteins that contain intrinsic HISTONE ACETYLTRANSFERASE activity and play important roles in CIRCADIAN RHYTHM regulation. Clock proteins combine with Arntl proteins to form heterodimeric transcription factors that are specific for E-BOX ELEMENTS and stimulate the transcription of several E-box genes that are involved in cyclical regulation. This transcriptional activation also sets into motion a time-dependent feedback loop which in turn down-regulates the expression of clock proteins.
A disorder characterized by aching or burning sensations in the lower and rarely the upper extremities that occur prior to sleep or may awaken the patient from sleep.
The time period of daily exposure that an organism receives from daylight or artificial light. It is believed that photoperiodic responses may affect the control of energy balance and thermoregulation.
Basic helix-loop-helix (bHLH) domain-containing proteins that play important roles in CIRCADIAN RHYTHM regulation. They combine with CLOCK PROTEINS to form heterodimeric transcription factors that are specific for E-BOX ELEMENTS and stimulate the transcription of several E-box genes that are involved in cyclical regulation.
A parasomnia characterized by a partial arousal that occurs during stage IV of non-REM sleep. Affected individuals exhibit semipurposeful behaviors such as ambulation and are difficult to fully awaken. Children are primarily affected, with a peak age range of 4-6 years.
Treatment of disease by exposure to light, especially by variously concentrated light rays or specific wavelengths.
Periods of sleep manifested by changes in EEG activity and certain behavioral correlates; includes Stage 1: sleep onset, drowsy sleep; Stage 2: light sleep; Stages 3 and 4: delta sleep, light sleep, deep sleep, telencephalic sleep.
Bouts of physical irritability or movement alternating with periods of quiescence. It includes biochemical activity and hormonal activity which may be cellular. These cycles are shorter than 24 hours and include sleep-wakefulness cycles and the periodic activation of the digestive system.
That portion of the electromagnetic spectrum in the visible, ultraviolet, and infrared range.
A broad category of sleep disorders characterized by either hypersomnolence or insomnia. The three major subcategories include intrinsic (i.e., arising from within the body) (SLEEP DISORDERS, INTRINSIC), extrinsic (secondary to environmental conditions or various pathologic conditions), and disturbances of circadian rhythm. (From Thorpy, Sleep Disorders Medicine, 1994, p187)
The absence of light.
Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain.
Cortical vigilance or readiness of tone, presumed to be in response to sensory stimulation via the reticular activating system.
A condition characterized by transient weakness or paralysis of somatic musculature triggered by an emotional stimulus or physical exertion. Cataplexy is frequently associated with NARCOLEPSY. During a cataplectic attack, there is a marked reduction in muscle tone similar to the normal physiologic hypotonia that accompanies rapid eye movement sleep (SLEEP, REM). (From Adams et al., Principles of Neurology, 6th ed, p396)
A disorder characterized by episodes of vigorous and often violent motor activity during REM sleep (SLEEP, REM). The affected individual may inflict self injury or harm others, and is difficult to awaken from this condition. Episodes are usually followed by a vivid recollection of a dream that is consistent with the aggressive behavior. This condition primarily affects adult males. (From Adams et al., Principles of Neurology, 6th ed, p393)
The measurement and recording of MOTOR ACTIVITY to assess rest/activity cycles.
A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.
Flavoproteins that function as circadian rhythm signaling proteins in ANIMALS and as blue-light photoreceptors in PLANTS. They are structurally-related to DNA PHOTOLYASES and it is believed that both classes of proteins may have originated from an earlier protein that played a role in protecting primitive organisms from the cyclical exposure to UV LIGHT.
A medical specialty concerned with the diagnosis and treatment of SLEEP WAKE DISORDERS and their causes.
A sleep disorder characterized by grinding and clenching of the teeth and forceful lateral or protrusive jaw movements. Sleep bruxism may be associated with TOOTH INJURIES; TEMPOROMANDIBULAR JOINT DISORDERS; sleep disturbances; and other conditions.
Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.
The measure of the level of heat of a human or animal.
Rough, noisy breathing during sleep, due to vibration of the uvula and soft palate.
The state of being deprived of sleep under experimental conditions, due to life events, or from a wide variety of pathophysiologic causes such as medication effect, chronic illness, psychiatric illness, or sleep disorder.
The physical activity of a human or an animal as a behavioral phenomenon.
A psychological test consisting of nine geometric designs on cards. The subject is asked to redraw them from memory after each one is presented individually.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
A sleep disorder of central nervous system origin characterized by prolonged nocturnal sleep and periods of daytime drowsiness. Affected individuals experience difficulty with awakening in the morning and may have associated sleep drunkenness, automatic behaviors, and memory disturbances. This condition differs from narcolepsy in that daytime sleep periods are longer, there is no association with CATAPLEXY, and the multiple sleep latency onset test does not record sleep-onset rapid eye movement sleep. (From Chokroverty, Sleep Disorders Medicine, 1994, pp319-20; Psychiatry Clin Neurosci 1998 Apr:52(2):125-129)
Elements of limited time intervals, contributing to particular results or situations.
Those disorders that have a disturbance in mood as their predominant feature.
The tendency of a phenomenon to recur at regular intervals; in biological systems, the recurrence of certain activities (including hormonal, cellular, neural) may be annual, seasonal, monthly, daily, or more frequently (ultradian).
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
Sleep disorders characterized by impaired arousal from the deeper stages of sleep (generally stage III or IV sleep).
Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety.
A disorder characterized by incomplete arousals from sleep associated with behavior suggesting extreme fright. This condition primarily affects children and young adults and the individual generally has no recall of the event. Episodes tend to occur during stage III or IV. SOMNAMBULISM is frequently associated with this condition. (Adams et al., Principles of Neurology, 6th ed, p391)
Persistent and disabling ANXIETY.
Recording of the average amplitude of the resting potential arising between the cornea and the retina in light and dark adaptation as the eyes turn a standard distance to the right and the left. The increase in potential with light adaptation is used to evaluate the condition of the retinal pigment epithelium.
A light-sensitive neuroendocrine organ attached to the roof of the THIRD VENTRICLE of the brain. The pineal gland secretes MELATONIN, other BIOGENIC AMINES and NEUROPEPTIDES.
A DNA-binding orphan nuclear receptor that negatively regulates expression of ARNTL TRANSCRIPTION FACTORS and plays a role as a regulatory component of the circadian clock system. The Nr1d1 nuclear receptor expression is cyclically-regulated by a feedback loop involving its positive regulation by CLOCK PROTEIN; BMAL1 PROTEIN heterodimers and its negative regulation by CRYPTOCHROME and PERIOD PROTEINS.
The state of weariness following a period of exertion, mental or physical, characterized by a decreased capacity for work and reduced efficiency to respond to stimuli.
Peptides released by NEURONS as intercellular messengers. Many neuropeptides are also hormones released by non-neuronal cells.
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
Frequent URINATION at night that interrupts sleep. It is often associated with outflow obstruction, DIABETES MELLITUS, or bladder inflammation (CYSTITIS).
Physiological or psychological effects of periods of work which may be fixed or flexible such as flexitime, work shifts, and rotating shifts.
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.
A series of thoughts, images, or emotions occurring during sleep which are dissociated from the usual stream of consciousness of the waking state.
An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent.
A family of G-protein-coupled receptors that are specific for and mediate the effects of MELATONIN. Activation of melatonin receptors has been associated with decreased intracellular CYCLIC AMP and increased hydrolysis of PHOSPHOINOSITIDES.
A common condition characterized by transient partial or total paralysis of skeletal muscles and areflexia that occurs upon awakening from sleep or less often while falling asleep. Stimuli such as touch or sound may terminate the episode, which usually has a duration of seconds to minutes. This condition may occur in normal subjects or be associated with NARCOLEPSY; CATAPLEXY; and hypnagogic HALLUCINATIONS. The pathophysiology of this condition is closely related to the normal hypotonia that occur during REM sleep. (From Adv Neurol 1995;67:245-271)
A rare condition characterized by recurrent hypersomnias associated with hyperphagia, occurring primarily in males in the second to third decade of life. Clinical features include mental confusion, excessive sleep requirements (approximately 18 hours per day), restlessness, and in some cases hallucinations. Episodes have a duration of days to weeks, and may recur several times per year. This condition may resolve spontaneously over several years. (From Adams, et al., Principles of Neurology, 6th ed, p569)
A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.
A casein kinase I isoenzyme with specificity for proteins involved the regulation of the CIRCADIAN RHYTHM.
A disorder characterized by grinding and clenching of the teeth.
Categorical classification of MENTAL DISORDERS based on criteria sets with defining features. It is produced by the American Psychiatric Association. (DSM-IV, page xxii)
The adaptation of therapeutic approaches such as pharmacological (DRUG CHRONOTHERAPY), surgical, radiological, or physical to the known variations in biological RHYTHMICITY, such as CIRCADIAN RHYTHMS. The treatment is aimed at supporting normal rhythms, or modifying the timing of therapy to achieve maximal efficacy and minimal adverse effect.
An abnormally disproportionate increase in the sensation of loudness in response to auditory stimuli of normal volume. COCHLEAR DISEASES; VESTIBULOCOCHLEAR NERVE DISEASES; FACIAL NERVE DISEASES; STAPES SURGERY; and other disorders may be associated with this condition.
Acquired or learned responses which are regularly manifested.
The illumination of an environment and the arrangement of lights to achieve an effect or optimal visibility. Its application is in domestic or in public settings and in medical and non-medical environments.
A technique of respiratory therapy, in either spontaneously breathing or mechanically ventilated patients, in which airway pressure is maintained above atmospheric pressure throughout the respiratory cycle by pressurization of the ventilatory circuit. (On-Line Medical Dictionary [Internet]. Newcastle upon Tyne(UK): The University Dept. of Medical Oncology: The CancerWEB Project; c1997-2003 [cited 2003 Apr 17]. Available from: http://cancerweb.ncl.ac.uk/omd/)
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
G-protein-coupled NEUROPEPTIDE RECEPTORS that have specificity for OREXINS and play a role in appetite control, and sleep-wake cycles. Two principle receptor types exist, each having a specificity for OREXIN A and OREXIN B peptide subtypes.
Biological systems as affected by time. Aging, biological rhythms, and cyclic phenomena are included. Statistical, computer-aided mathematical procedures are used to describe, in mathematical terminology, various biological functions over time.
The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM.
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.
The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions.
Recording of the changes in electric potential of muscle by means of surface or needle electrodes.
The observable response an animal makes to any situation.
Flavoproteins are a type of protein molecule that contain noncovalently bound flavin mononucleotide or flavin adenine dinucleotide as cofactors, involved in various redox reactions and metabolic pathways, such as electron transfer, energy production, and DNA repair.
A melatonin receptor subtype primarily found expressed in the BRAIN and RETINA.
Marked depression appearing in the involution period and characterized by hallucinations, delusions, paranoia, and agitation.
A barbiturate that is used as a sedative. Secobarbital is reported to have no anti-anxiety activity.
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309)
A behavior disorder originating in childhood in which the essential features are signs of developmentally inappropriate inattention, impulsivity, and hyperactivity. Although most individuals have symptoms of both inattention and hyperactivity-impulsivity, one or the other pattern may be predominant. The disorder is more frequent in males than females. Onset is in childhood. Symptoms often attenuate during late adolescence although a minority experience the full complement of symptoms into mid-adulthood. (From DSM-V)
Behavioral responses or sequences associated with eating including modes of feeding, rhythmic patterns of eating, and time intervals.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Technique for measuring air pressure and the rate of airflow in the nasal cavity during respiration.
Hospital units in which care is provided the hemodialysis patient. This includes hemodialysis centers in hospitals.
Moving a retruded mandible forward to a normal position. It is commonly performed for malocclusion and retrognathia. (From Jablonski's Dictionary of Dentistry, 1992)
Cell surface receptors that bind specific neuropeptides with high affinity and trigger intracellular changes influencing the behavior of cells. Many neuropeptides are also hormones outside of the nervous system.
A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative.
The branch of psychology concerned with psychological methods of recognizing and treating behavior disorders.
A condition associated with multiple episodes of sleep apnea which are distinguished from obstructive sleep apnea (SLEEP APNEA, OBSTRUCTIVE) by the complete cessation of efforts to breathe. This disorder is associated with dysfunction of central nervous system centers that regulate respiration.
A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
An acetyltransferase with specificity towards the amine group of aromatic alkylamines (arylalkylamines) such as SEROTONIN. This enzyme is also referred to as serotonin acetylase despite the fact that serotonin acetylation can also occur through the action of broad specificity acetyltransferases such as ARYLAMINE N-ACETYLTRANSFERASE.
The adaptation of drug administration to the known variations in biological RHYTHMICITY, such as CIRCADIAN RHYTHMS. The treatment is aimed at supporting normal rhythms, or modifying the timing of therapy to achieve maximal efficacy and minimal adverse effect.
A syndrome characterized by depressions that recur annually at the same time each year, usually during the winter months. Other symptoms include anxiety, irritability, decreased energy, increased appetite (carbohydrate cravings), increased duration of sleep, and weight gain. SAD (seasonal affective disorder) can be treated by daily exposure to bright artificial lights (PHOTOTHERAPY), during the season of recurrence.
Brain waves seen on EEG characterized by a high amplitude and a frequency of 4 Hz and below. They are considered the "deep sleep waves" observed during sleep in dreamless states, infancy, and in some brain disorders.
Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness.
Disturbances in mental processes related to learning, thinking, reasoning, and judgment.
Any of the processes by which nuclear, cytoplasmic, or intercellular factors influence the differential control (induction or repression) of gene action at the level of transcription or translation.
Surgical removal of a tonsil or tonsils. (Dorland, 28th ed)
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
A progressive, degenerative neurologic disease characterized by a TREMOR that is maximal at rest, retropulsion (i.e. a tendency to fall backwards), rigidity, stooped posture, slowness of voluntary movements, and a masklike facial expression. Pathologic features include loss of melanin containing neurons in the substantia nigra and other pigmented nuclei of the brainstem. LEWY BODIES are present in the substantia nigra and locus coeruleus but may also be found in a related condition (LEWY BODY DISEASE, DIFFUSE) characterized by dementia in combination with varying degrees of parkinsonism. (Adams et al., Principles of Neurology, 6th ed, p1059, pp1067-75)
A loosely defined group of drugs that tend to increase behavioral alertness, agitation, or excitation. They work by a variety of mechanisms, but usually not by direct excitation of neurons. The many drugs that have such actions as side effects to their main therapeutic use are not included here.
A class of traumatic stress disorders with symptoms that last more than one month. There are various forms of post-traumatic stress disorder, depending on the time of onset and the duration of these stress symptoms. In the acute form, the duration of the symptoms is between 1 to 3 months. In the chronic form, symptoms last more than 3 months. With delayed onset, symptoms develop more than 6 months after the traumatic event.
A disorder beginning in childhood. It is marked by the presence of markedly abnormal or impaired development in social interaction and communication and a markedly restricted repertoire of activity and interest. Manifestations of the disorder vary greatly depending on the developmental level and chronological age of the individual. (DSM-V)
Involuntary discharge of URINE after expected age of completed development of urinary control. This can happen during the daytime (DIURNAL ENURESIS) while one is awake or during sleep (NOCTURNAL ENURESIS). Enuresis can be in children or in adults (as persistent primary enuresis and secondary adult-onset enuresis).
An adrenocortical steroid that has modest but significant activities as a mineralocorticoid and a glucocorticoid. (From Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed, p1437)
Photosensitive proteins expressed in the ROD PHOTORECEPTOR CELLS. They are the protein components of rod photoreceptor pigments such as RHODOPSIN.
An anxiety disorder characterized by recurrent, persistent obsessions or compulsions. Obsessions are the intrusive ideas, thoughts, or images that are experienced as senseless or repugnant. Compulsions are repetitive and seemingly purposeful behavior which the individual generally recognizes as senseless and from which the individual does not derive pleasure although it may provide a release from tension.
A genus of the family Muridae having three species. The present domesticated strains were developed from individuals brought from Syria. They are widely used in biomedical research.
Bicyclic bridged compounds that contain a nitrogen which has three bonds. The nomenclature indicates the number of atoms in each path around the rings, such as [2.2.2] for three equal length paths. Some members are TROPANES and BETA LACTAMS.
The basic cellular units of nervous tissue. Each neuron consists of a body, an axon, and dendrites. Their purpose is to receive, conduct, and transmit impulses in the NERVOUS SYSTEM.
Ventral part of the DIENCEPHALON extending from the region of the OPTIC CHIASM to the caudal border of the MAMMILLARY BODIES and forming the inferior and lateral walls of the THIRD VENTRICLE.
Inbred C57BL mice are a strain of laboratory mice that have been produced by many generations of brother-sister matings, resulting in a high degree of genetic uniformity and homozygosity, making them widely used for biomedical research, including studies on genetics, immunology, cancer, and neuroscience.
The measurement of frequency or oscillation changes.
The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality.
Proteins that originate from insect species belonging to the genus DROSOPHILA. The proteins from the most intensely studied species of Drosophila, DROSOPHILA MELANOGASTER, are the subject of much interest in the area of MORPHOGENESIS and development.
Brain waves characterized by a relatively high voltage or amplitude and a frequency of 8-13 Hz. They constitute the majority of waves recorded by EEG registering the activity of the parietal and occipital lobes when the individual is awake, but relaxed with the eyes closed.
Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.
Stress wherein emotional factors predominate.
The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time.
A DNA-binding orphan nuclear receptor that positively regulates expression of ARNTL TRANSCRIPTION FACTORS and is a regulatory component of the circadian clock system. The protein also has a role in neuron cell survival and differentiation in that loss of function mutations of its gene result in the mouse phenotype referred to as the STAGGERER MOUSE.
The number of times the HEART VENTRICLES contract per unit of time, usually per minute.
The clear, viscous fluid secreted by the SALIVARY GLANDS and mucous glands of the mouth. It contains MUCINS, water, organic salts, and ptylin.
Severe distortions in the development of many basic psychological functions that are not normal for any stage in development. These distortions are manifested in sustained social impairment, speech abnormalities, and peculiar motor movements.
Any detectable and heritable change in the genetic material that causes a change in the GENOTYPE and which is transmitted to daughter cells and to succeeding generations.
Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment.
Endogenous substances, usually proteins, which are effective in the initiation, stimulation, or termination of the genetic transcription process.
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
Disorders related to substance abuse.
Anxiety disorders in which the essential feature is persistent and irrational fear of a specific object, activity, or situation that the individual feels compelled to avoid. The individual recognizes the fear as excessive or unreasonable.
Proteins found in the nucleus of a cell. Do not confuse with NUCLEOPROTEINS which are proteins conjugated with nucleic acids, that are not necessarily present in the nucleus.
Disorders in which there is a loss of ego boundaries or a gross impairment in reality testing with delusions or prominent hallucinations. (From DSM-IV, 1994)
The effect of environmental or physiological factors on the driver and driving ability. Included are driving fatigue, and the effect of drugs, disease, and physical disabilities on driving.
An indicator of body density as determined by the relationship of BODY WEIGHT to BODY HEIGHT. BMI=weight (kg)/height squared (m2). BMI correlates with body fat (ADIPOSE TISSUE). Their relationship varies with age and gender. For adults, BMI falls into these categories: below 18.5 (underweight); 18.5-24.9 (normal); 25.0-29.9 (overweight); 30.0 and above (obese). (National Center for Health Statistics, Centers for Disease Control and Prevention)
The conversion of absorbed light energy into molecular signals.
An aggregation of cells in the middle hypothalamus dorsal to the ventromedial nucleus and bordering the THIRD VENTRICLE.
RNA sequences that serve as templates for protein synthesis. Bacterial mRNAs are generally primary transcripts in that they do not require post-transcriptional processing. Eukaryotic mRNA is synthesized in the nucleus and must be exported to the cytoplasm for translation. Most eukaryotic mRNAs have a sequence of polyadenylic acid at the 3' end, referred to as the poly(A) tail. The function of this tail is not known for certain, but it may play a role in the export of mature mRNA from the nucleus as well as in helping stabilize some mRNA molecules by retarding their degradation in the cytoplasm.
Transmission of the readings of instruments to a remote location by means of wires, radio waves, or other means. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Feeling or emotion of dread, apprehension, and impending disaster but not disabling as with ANXIETY DISORDERS.
A mechanism of communication with a physiological system for homeostasis, adaptation, etc. Physiological feedback is mediated through extensive feedback mechanisms that use physiological cues as feedback loop signals to control other systems.
A family of DNA-binding transcription factors that contain a basic HELIX-LOOP-HELIX MOTIF.
Specialized cells in the invertebrates that detect and transduce light. They are predominantly rhabdomeric with an array of photosensitive microvilli. Illumination depolarizes invertebrate photoreceptors by stimulating Na+ influx across the plasma membrane.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
A form-genus of spherical to rod-shaped CYANOBACTERIA in the order Chroococcales. They contain THYLAKOIDS and are found in a wide range of habitats.
Tests designed to assess neurological function associated with certain behaviors. They are used in diagnosing brain dysfunction or damage and central nervous system disorders or injury.
Processes and properties of the EYE as a whole or of any of its parts.
Proteins and peptides that are involved in SIGNAL TRANSDUCTION within the cell. Included here are peptides and proteins that regulate the activity of TRANSCRIPTION FACTORS and cellular processes in response to signals from CELL SURFACE RECEPTORS. Intracellular signaling peptide and proteins may be part of an enzymatic signaling cascade or act through binding to and modifying the action of other signaling factors.
The processes whereby the internal environment of an organism tends to remain balanced and stable.
A transient absence of spontaneous respiration.
Abnormal cardiac rhythm that is characterized by rapid, uncoordinated firing of electrical impulses in the upper chambers of the heart (HEART ATRIA). In such case, blood cannot be effectively pumped into the lower chambers of the heart (HEART VENTRICLES). It is caused by abnormal impulse generation.
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
A class of statistical methods applicable to a large set of probability distributions used to test for correlation, location, independence, etc. In most nonparametric statistical tests, the original scores or observations are replaced by another variable containing less information. An important class of nonparametric tests employs the ordinal properties of the data. Another class of tests uses information about whether an observation is above or below some fixed value such as the median, and a third class is based on the frequency of the occurrence of runs in the data. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p1284; Corsini, Concise Encyclopedia of Psychology, 1987, p764-5)
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
The consumption of edible substances.
The processes of heating and cooling that an organism uses to control its temperature.
A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.
A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company.
The frequency of different ages or age groups in a given population. The distribution may refer to either how many or what proportion of the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.
The symptom of PAIN in the cranial region. It may be an isolated benign occurrence or manifestation of a wide variety of HEADACHE DISORDERS.
A status with BODY WEIGHT that is grossly above the acceptable or desirable weight, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).
A method of mechanical ventilation in which pressure is maintained to increase the volume of gas remaining in the lungs at the end of expiration, thus reducing the shunting of blood through the lungs and improving gas exchange.
Removal of an autonomic or sensory ganglion by any means.
A group of two-ring heterocyclic compounds consisting of a benzene ring fused to a diazepine ring.
The number of males and females in a given population. The distribution may refer to how many men or women or what proportion of either in the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.
The term "United States" in a medical context often refers to the country where a patient or study participant resides, and is not a medical term per se, but relevant for epidemiological studies, healthcare policies, and understanding differences in disease prevalence, treatment patterns, and health outcomes across various geographic locations.
A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated. These behaviors include aggressive conduct that causes or threatens physical harm to other people or animals, nonaggressive conduct that causes property loss or damage, deceitfulness or theft, and serious violations of rules. The onset is before age 18. (From DSM-IV, 1994)
Compounds which contain the methyl radical substituted with two benzene rings. Permitted are any substituents, but ring fusion to any of the benzene rings is not allowed.
Enzymes that oxidize certain LUMINESCENT AGENTS to emit light (PHYSICAL LUMINESCENCE). The luciferases from different organisms have evolved differently so have different structures and substrates.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Inorganic compounds that contain lithium as an integral part of the molecule.
The use of electronic equipment to observe or record physiologic processes while the patient undergoes normal daily activities.
Movement or the ability to move from one place or another. It can refer to humans, vertebrate or invertebrate animals, and microorganisms.
The outward appearance of the individual. It is the product of interactions between genes, and between the GENOTYPE and the environment.
The largest family of cell surface receptors involved in SIGNAL TRANSDUCTION. They share a common structure and signal through HETEROTRIMERIC G-PROTEINS.
A casein kinase I isoenzyme that plays a regulatory role in a variety of cellular functions including vesicular transport, CHROMOSOME SEGREGATION; CYTOKINESIS, developmental processes, and the CIRCADIAN RHYTHM.
Agents that alleviate ANXIETY, tension, and ANXIETY DISORDERS, promote sedation, and have a calming effect without affecting clarity of consciousness or neurologic conditions. ADRENERGIC BETA-ANTAGONISTS are commonly used in the symptomatic treatment of anxiety but are not included here.
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.
A subspecialty of internal medicine concerned with the study of the RESPIRATORY SYSTEM. It is especially concerned with diagnosis and treatment of diseases and defects of the lungs and bronchial tree.
Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Disorders characterized by recurrent TICS that may interfere with speech and other activities. Tics are sudden, rapid, nonrhythmic, stereotyped motor movements or vocalizations which may be exacerbated by stress and are generally attenuated during absorbing activities. Tic disorders are distinguished from conditions which feature other types of abnormal movements that may accompany another another condition. (From DSM-IV, 1994)
Acquiring information from a patient on past medical conditions and treatments.
A species of ascomycetous fungi of the family Sordariaceae, order SORDARIALES, much used in biochemical, genetic, and physiologic studies.

Molecular clock genes in man and lower animals: possible implications for circadian abnormalities in depression. (1/275)

This paper reviews the recent discovery of clock genes that provide the mechanism for the regulation of circadian and seasonal rhythms in lower organisms and in humans and relates these clock genes to the circadian abnormalities in depression. (1) A subgroup of depressed patients have documented circadian abnormalities in mood, sleep, temperature and neuroendocrine secretion; (2) It is also suggested that seasonal affective disorder (SAD) patients may show an abnormality in their ability to shift their daily circadian rhythms in response to seasonal light changes; (3) The dramatic improvements in some depressions in response to three treatment modalities which manipulate circadian rhythms suggest that circadian abnormalities reported in patients may constitute a core component of the pathophysiology in depression; (4) Mutations in clock genes have been discovered that accelerate or delay circadian cycles; (5) It is hypothesized that 24-hour rhythm abnormalities in major depression and SAD may be due to altered clock genes.  (+info)

Long-term effects of CPAP on daytime functioning in patients with sleep apnoea syndrome. (2/275)

Daytime sleepiness, impaired cognitive performance and dysphoric mood are often present in patients with obstructive sleep apnoea syndrome (SAS). This prospective controlled study evaluates the effects of treatment with continuous positive airway pressure (CPAP) during 1 yr on daytime functioning in a large group of patients with SAS. The authors studied 80 patients (mean+/-sem 49+/-1 yrs) with SAS with a mean apnoea-hypopnoea index of 60+/-2 h-1, and 80 healthy control subjects matched for sex and age (46+/-1 yrs.). Measurements were obtained at the beginning of the study and 12+/-1 months later, and included: daytime sleepiness (Epworth scale), depression and anxiety (Beck tests), vigilance (Steer-Clear) and reaction time (Psychometer Vigilance Test 192). Drug, coffee and alcohol intake, as well as the sleep schedule, were also recorded. Results showed that, before treatment, patients were more somnolent (p<0.001), anxious (p<0.01) and depressed (p<0.001) than control subjects. Also, they had a longer reaction time (p<0.05) and poorer vigilance (p<0.01). The use of CPAP improved significantly the levels of somnolence (p<0.0001) and vigilance (p<0.01), but failed to modify anxiety and depression. Reaction time changes were minor. Variables with a potential confounding effect did not change during the study. These results provide firm evidence to substantiate the use of continuous positive airway pressure in patients with sleep apnoea syndrome.  (+info)

Towards the 24-hour society--new approaches for aging shift workers? (3/275)

The new "24-hour society" increases night work and the diversity of flexible work-hour patterns. At the same time, the number of older shift workers is growing in most developed countries due to the general aging of the working population. Together with new experimental and epidemiologic data on the alarming relationship of shift work to fatigue, performance, accidents, and chronic health effects like coronary heart disease, there is reason to believe that shift work may become a major occupational health and safety problem in the near future. The prevention of shiftwork-related health and safety problems will be a major challenge for the employer, employees, and occupational health professionals during the next few decades. The present paper shortly summarizes the current knowledge on the relationship between shift work, aging, and health and outlines practical countermeasures and research needs to improve the health and well-being of aging shift workers.  (+info)

Hypocretin-1 modulates rapid eye movement sleep through activation of locus coeruleus neurons. (4/275)

The hypocretins (hcrts), also known as orexins, are two recently identified excitatory neuropeptides that in rat are produced by approximately 1200 neurons whose cell bodies are located in the lateral hypothalamus. The hypocretins/orexins have been implicated in the regulation of rapid eye movement (REM) sleep and the pathophysiology of narcolepsy. In the present study, we investigated whether the locus coeruleus (LC), a structure receiving dense hcrtergic innervation, which is quiescent during REM sleep, might be a target for hcrt to regulate REM sleep. Local administration of hcrt1 but not hcrt2 in the LC suppressed REM sleep in a dose-dependent manner and increased wakefulness at the expense of deep, slow-wave sleep. These effects were blocked with an antibody that neutralizes hcrt binding to hcrt receptor 1. In situ hybridization and immunocytochemistry showed the presence of hcrt receptor 1 but not the presence of hcrt receptor 2 in the LC. Iontophoretic application of hcrt1 enhanced the firing rate of LC neurons in vivo, and local injection of hcrt1 into the LC induced the expression of c-fos in the LC area. We propose that hcrt receptor 1 in the LC is a key target for REM sleep regulation and might be involved in the pathophysiological mechanisms of narcolepsy.  (+info)

Comparing performance on a simulated 12 hour shift rotation in young and older subjects. (5/275)

OBJECTIVES: To simulate a 12 hour shift rotation and measure the difference in performance if any, between older and younger subjects. Significant reductions in neurobehavioural performance during shift work and particularly night work have long been recognised. There are conflicting reports of the effects of 12 hour shifts on performance, alertness, and safety. Furthermore, research suggests that older shift workers have more sleep disruption and maladaption to shift work. When this is combined with longer hours at work there may be considerable reductions in performance for older compared with younger workers. METHODS: Thirty two subjects were allocated to groups according to age. Group one had 16 subjects with a mean (SD) age of 21.2 (2.7) years, and group two had 16 subjects with a mean (SD) age of 43.9 (6.8) years. Subjects came to the laboratory for six consecutive days and completed a simulated 12 hour shift rotation consisting of two 12 hour day shifts (0700-1900), followed by two 12 hour night shifts (1900-0700). During the work period subjects completed a computer administered neurobehavioural performance task every hour. RESULTS: Performance for the older subjects was consistently lower than for the younger subjects. There was a significant difference in performance across the shift between older and younger subjects. There was a significant change in performance across the shifts in the older subjects, such that performance significantly increased across the day shifts and decreased across the night shifts. By contrast, the younger subjects were able to maintain performance across both day shifts and the second night shift. CONCLUSIONS: There are significant differences in performance of older and younger subjects during a simulated 12 hour shift rotation. Future studies both in the field and the laboratory would be useful in determining whether this is typical and if there are any important consequences for the older worker on 12 hour shifts.  (+info)

Actigraphic estimates of circadian rhythms and sleep/wake in older schizophrenia patients. (6/275)

Twenty-four hour circadian activity rhythms and light-exposure levels of 28 older schizophrenia patients (mean age=58years) were examined using an Actillume recorder. Sleep and wake were scored using the algorithm of the ACTION3 software which revealed that the patients slept for 67% of the night and napped for 9% of the day. Patients with more disturbed sleep and less robust circadian rhythms performed more poorly on neuropsychological tests. Patients with higher cognitive functioning and fewer extrapyramidal symptoms were more alert during the day. Few patients were exposed to high levels of illumination during the day, and older age was associated with lower levels of light exposure. Duration of antipsychotic use and higher antipsychotic doses were associated with decreased daytime alertness and less robust circadian activity rhythms. Patients taking antipsychotics were more sleepy both during the day and night than patients not taking antipsychotics. The circadian rhythm disturbances found in these patients did not seem to be due solely to low levels of illumination exposure. Life-style factors, behavioral factors, psychiatric symptoms and medications were likely contributors to the disturbed rhythms. The effects of the sleep disturbances did not seem to be benign. There were strong relationships between sleep and circadian rhythms and functioning.  (+info)

An hPer2 phosphorylation site mutation in familial advanced sleep phase syndrome. (7/275)

Familial advanced sleep phase syndrome (FASPS) is an autosomal dominant circadian rhythm variant; affected individuals are "morning larks" with a 4-hour advance of the sleep, temperature, and melatonin rhythms. Here we report localization of the FASPS gene near the telomere of chromosome 2q. A strong candidate gene (hPer2), a human homolog of the period gene in Drosophila, maps to the same locus. Affected individuals have a serine to glycine mutation within the casein kinase Iepsilon (CKIepsilon) binding region of hPER2, which causes hypophosphorylation by CKIepsilon in vitro. Thus, a variant in human sleep behavior can be attributed to a missense mutation in a clock component, hPER2, which alters the circadian period.  (+info)

Association of structural polymorphisms in the human period3 gene with delayed sleep phase syndrome. (8/275)

Recent progress in biological clock research has facilitated genetic analysis of circadian rhythm sleep disorders, such as delayed sleep phase syndrome (DSPS) and non-24-h sleep-wake syndrome (N-24). We analyzed the human period3 (hPer3) gene, one of the human homologs of the Drosophila clock-gene period (Per), as a possible candidate for rhythm disorder susceptibility. All of the coding exons in the hPer3 gene were screened for polymorphisms by a PCR-based strategy using genomic DNA samples from sleep disorder patients and control subjects. We identified six sequence variations with amino acid changes, of which five were common and predicted four haplotypes of the hPer3 gene. One of the haplotypes was significantly associated with DSPS (Bonferroni's corrected P = 0.037; odds ratio = 7.79; 95% CI 1.59-38.3) in our study population. Our results suggest that structural polymorphisms in the hPer3 gene may be implicated in the pathogenesis of DSPS.  (+info)

A circadian rhythm is a roughly 24-hour biological cycle that regulates various physiological and behavioral processes in living organisms. It is driven by the body's internal clock, which is primarily located in the suprachiasmatic nucleus (SCN) of the hypothalamus in the brain.

The circadian rhythm controls many aspects of human physiology, including sleep-wake cycles, hormone secretion, body temperature, and metabolism. It helps to synchronize these processes with the external environment, particularly the day-night cycle caused by the rotation of the Earth.

Disruptions to the circadian rhythm can have negative effects on health, leading to conditions such as insomnia, sleep disorders, depression, bipolar disorder, and even increased risk of chronic diseases like cancer, diabetes, and cardiovascular disease. Factors that can disrupt the circadian rhythm include shift work, jet lag, irregular sleep schedules, and exposure to artificial light at night.

Sleep disorders are a group of conditions that affect the ability to sleep well on a regular basis. They can include problems with falling asleep, staying asleep, or waking up too early in the morning. These disorders can be caused by various factors such as stress, anxiety, depression, medical conditions, or substance abuse.

The American Academy of Sleep Medicine (AASM) recognizes over 80 distinct sleep disorders, which are categorized into the following major groups:

1. Insomnia - difficulty falling asleep or staying asleep.
2. Sleep-related breathing disorders - abnormal breathing during sleep such as obstructive sleep apnea.
3. Central disorders of hypersomnolence - excessive daytime sleepiness, including narcolepsy.
4. Circadian rhythm sleep-wake disorders - disruption of the internal body clock that regulates the sleep-wake cycle.
5. Parasomnias - abnormal behaviors during sleep such as sleepwalking or night terrors.
6. Sleep-related movement disorders - repetitive movements during sleep such as restless legs syndrome.
7. Isolated symptoms and normal variants - brief and occasional symptoms that do not warrant a specific diagnosis.

Sleep disorders can have significant impacts on an individual's quality of life, productivity, and overall health. If you suspect that you may have a sleep disorder, it is recommended to consult with a healthcare professional or a sleep specialist for proper evaluation and treatment.

Sleep is a complex physiological process characterized by altered consciousness, relatively inhibited sensory activity, reduced voluntary muscle activity, and decreased interaction with the environment. It's typically associated with specific stages that can be identified through electroencephalography (EEG) patterns. These stages include rapid eye movement (REM) sleep, associated with dreaming, and non-rapid eye movement (NREM) sleep, which is further divided into three stages.

Sleep serves a variety of functions, including restoration and strengthening of the immune system, support for growth and development in children and adolescents, consolidation of memory, learning, and emotional regulation. The lack of sufficient sleep or poor quality sleep can lead to significant health problems, such as obesity, diabetes, cardiovascular disease, and even cognitive decline.

The American Academy of Sleep Medicine (AASM) defines sleep as "a period of daily recurring natural rest during which consciousness is suspended and metabolic processes are reduced." However, it's important to note that the exact mechanisms and purposes of sleep are still being researched and debated among scientists.

A Circadian Rhythm Sleep Disorder (CRSD) is a condition in which a person's sleep-wake cycle is out of sync with the typical 24-hour day. This means that their internal "body clock" that regulates sleep and wakefulness does not align with the external environment, leading to difficulties sleeping, staying awake, or functioning at appropriate times.

CRSDs can be caused by a variety of factors, including genetic predisposition, environmental influences, and medical conditions. Some common types of CRSDs include Delayed Sleep Phase Syndrome (DSPS), Advanced Sleep Phase Syndrome (ASPS), Non-24-Hour Sleep-Wake Rhythm Disorder, and Shift Work Disorder.

Symptoms of CRSDs may include difficulty falling asleep or staying asleep at the desired time, excessive sleepiness during the day, difficulty concentrating or functioning at work or school, and mood disturbances. Treatment for CRSDs may involve lifestyle changes, such as adjusting sleep schedules or exposure to light at certain times of day, as well as medications or other therapies.

REM sleep, or Rapid Eye Movement sleep, is a stage of sleep characterized by rapid eye movements, low muscle tone, and active brain activity. It is one of the two main types of sleep along with non-REM sleep and is marked by vivid dreaming, increased brain metabolism, and altered brain wave patterns. REM sleep is often referred to as "paradoxical sleep" because of the seemingly contradictory nature of its characteristics - an active brain in a state of relaxation. It is thought to play a role in memory consolidation, learning, and mood regulation. A typical night's sleep cycle includes several episodes of REM sleep, with each episode becoming longer as the night progresses.

Parasomnias are a category of sleep disorders that involve unwanted physical events or experiences that occur while falling asleep, sleeping, or waking up. These behaviors can include abnormal movements, talk, emotions, perceptions, or dreams. Parasomnias can be caused by various factors such as stress, alcohol, certain medications, or underlying medical conditions. Some examples of parasomnias are sleepwalking, night terrors, sleep talking, and REM sleep behavior disorder. These disorders can disrupt sleep and cause distress to the individual and their bed partner.

Narcolepsy is a chronic neurological disorder that affects the control of sleep and wakefulness. It's characterized by excessive daytime sleepiness (EDS), where people experience sudden, uncontrollable episodes of falling asleep during the day. These "sleep attacks" can occur at any time - while working, talking, eating, or even driving.

In addition to EDS, narcolepsy often includes cataplexy, a condition that causes loss of muscle tone, leading to weakness and sometimes collapse, often triggered by strong emotions like laughter or surprise. Other common symptoms are sleep paralysis (a temporary inability to move or speak while falling asleep or waking up), vivid hallucinations during the transitions between sleep and wakefulness, and fragmented nighttime sleep.

The exact cause of narcolepsy is not fully understood, but it's believed to involve genetic and environmental factors, as well as problems with certain neurotransmitters in the brain, such as hypocretin/orexin, which regulate sleep-wake cycles. Narcolepsy can significantly impact a person's quality of life, making it essential to seek medical attention for proper diagnosis and management.

Sleep disorders, intrinsic, refer to a group of sleep disorders that are caused by underlying medical conditions within an individual's body. These disorders originate from internal physiological or psychological factors and can significantly impact the quality, duration, and timing of sleep. The most common types of intrinsic sleep disorders include insomnia, sleep-related breathing disorders (such as sleep apnea), central hypersomnias (like narcolepsy), circadian rhythm sleep-wake disorders, and parasomnias (including nightmares and sleepwalking).

Intrinsic sleep disorders can lead to various negative consequences, such as excessive daytime sleepiness, impaired cognitive function, reduced quality of life, and increased risk of accidents or injuries. Proper diagnosis and management of these disorders typically involve addressing the underlying medical condition and implementing appropriate treatment strategies, which may include lifestyle modifications, pharmacological interventions, or medical devices.

Sleep initiation and maintenance disorders are a category of sleep disorders that involve difficulty falling asleep and staying asleep throughout the night. This category includes:

1. Insomnia disorder: A persistent difficulty in initiating or maintaining sleep, or early morning awakening, despite adequate opportunity and circumstances for sleep, which causes clinically significant distress or impairment.
2. Narcolepsy: A chronic neurological disorder characterized by excessive daytime sleepiness, cataplexy (sudden loss of muscle tone triggered by strong emotions), hypnagogic hallucinations (vivid, dream-like experiences that occur while falling asleep) and sleep paralysis (temporary inability to move or speak while falling asleep or waking up).
3. Breathing-related sleep disorders: A group of disorders that involve abnormal breathing patterns during sleep, such as obstructive sleep apnea and central sleep apnea, which can lead to difficulty initiating and maintaining sleep.
4. Circadian rhythm sleep-wake disorders: A group of disorders that involve a misalignment between the individual's internal circadian rhythm and the external environment, leading to difficulty falling asleep and staying asleep at desired times.
5. Parasomnias: A group of disorders that involve abnormal behaviors or experiences during sleep, such as sleepwalking, night terrors, and REM sleep behavior disorder, which can disrupt sleep initiation and maintenance.

These disorders can have significant impacts on an individual's quality of life, daytime functioning, and overall health, and should be evaluated and managed by a healthcare professional with expertise in sleep medicine.

Polysomnography (PSG) is a comprehensive sleep study that monitors various body functions during sleep, including brain activity, eye movement, muscle tone, heart rate, respirations, and oxygen levels. It is typically conducted in a sleep laboratory under the supervision of a trained technologist. The data collected during PSG is used to diagnose and manage various sleep disorders such as sleep-related breathing disorders (e.g., sleep apnea), movement disorders (e.g., periodic limb movement disorder), parasomnias, and narcolepsy.

The study usually involves the attachment of electrodes to different parts of the body, such as the scalp, face, chest, and legs, to record electrical signals from the brain, eye movements, muscle activity, and heartbeats. Additionally, sensors may be placed on or near the nose and mouth to measure airflow, and a belt may be worn around the chest and abdomen to monitor breathing efforts. Oxygen levels are also monitored through a sensor attached to the finger or ear.

Polysomnography is often recommended when a sleep disorder is suspected based on symptoms or medical history, and other diagnostic tests have been inconclusive. The results of the study can help guide treatment decisions and improve overall sleep health.

Chronobiology disorders are a group of conditions that involve disruptions in the body's internal biological clock, which regulates various physiological processes such as sleep-wake cycles, hormone release, and metabolism. These disorders can result in a variety of symptoms, including difficulty sleeping, changes in mood and energy levels, and problems with cognitive function.

Some common examples of chronobiology disorders include:

1. Delayed Sleep Phase Syndrome (DSPS): This condition is characterized by a persistent delay in the timing of sleep, so that an individual's preferred bedtime is significantly later than what is considered normal. As a result, they may have difficulty falling asleep and waking up at socially acceptable times.
2. Advanced Sleep Phase Syndrome (ASPS): In this condition, individuals experience an earlier-than-normal timing of sleep, so that they become sleepy and wake up several hours earlier than most people.
3. Non-24-Hour Sleep-Wake Rhythm Disorder: This disorder is characterized by a persistent mismatch between the individual's internal biological clock and the 24-hour day, resulting in irregular sleep-wake patterns that can vary from day to day.
4. Irregular Sleep-Wake Rhythm Disorder: In this condition, individuals experience a lack of consistent sleep-wake patterns, with multiple periods of sleep and wakefulness throughout the 24-hour day.
5. Shift Work Sleep Disorder: This disorder is caused by the disruption of normal sleep-wake patterns due to working irregular hours, such as night shifts or rotating schedules.
6. Jet Lag Disorder: This condition occurs when an individual travels across time zones and experiences a temporary mismatch between their internal biological clock and the new local time.

Treatment for chronobiology disorders may include lifestyle changes, such as adjusting sleep schedules and exposure to light, as well as medications that can help regulate sleep-wake cycles. In some cases, cognitive-behavioral therapy (CBT) may also be helpful in managing these conditions.

The suprachiasmatic nucleus (SCN) is a small region located in the hypothalamus of the brain, just above the optic chiasm where the optic nerves from each eye cross. It is considered to be the primary circadian pacemaker in mammals, responsible for generating and maintaining the body's internal circadian rhythm, which is a roughly 24-hour cycle that regulates various physiological processes such as sleep-wake cycles, hormone release, and metabolism.

The SCN receives direct input from retinal ganglion cells, which are sensitive to light and dark signals. This information helps the SCN synchronize the internal circadian rhythm with the external environment, allowing it to adjust to changes in day length and other environmental cues. The SCN then sends signals to other parts of the brain and body to regulate various functions according to the time of day.

Disruption of the SCN's function can lead to a variety of circadian rhythm disorders, such as jet lag, shift work disorder, and advanced or delayed sleep phase syndrome.

Obstructive Sleep Apnea (OSA) is a sleep-related breathing disorder that occurs when the upper airway becomes partially or completely blocked during sleep, leading to pauses in breathing or shallow breaths. These episodes, known as apneas or hypopneas, can last for 10 seconds or longer and may occur multiple times throughout the night, disrupting normal sleep patterns and causing oxygen levels in the blood to drop.

The obstruction in OSA is typically caused by the relaxation of the muscles in the back of the throat during sleep, which allows the soft tissues to collapse and block the airway. This can result in snoring, choking, gasping for air, or awakening from sleep with a start.

Contributing factors to OSA may include obesity, large neck circumference, enlarged tonsils or adenoids, alcohol consumption, smoking, and use of sedatives or muscle relaxants. Untreated OSA can lead to serious health consequences such as high blood pressure, heart disease, stroke, diabetes, and cognitive impairment. Treatment options for OSA include lifestyle changes, oral appliances, positive airway pressure therapy, and surgery.

Melatonin is a hormone that is produced by the pineal gland in the brain. It helps regulate sleep-wake cycles and is often referred to as the "hormone of darkness" because its production is stimulated by darkness and inhibited by light. Melatonin plays a key role in synchronizing the circadian rhythm, the body's internal clock that regulates various biological processes over a 24-hour period.

Melatonin is primarily released at night, and its levels in the blood can rise and fall in response to changes in light and darkness in an individual's environment. Supplementing with melatonin has been found to be helpful in treating sleep disorders such as insomnia, jet lag, and delayed sleep phase syndrome. It may also have other benefits, including antioxidant properties and potential uses in the treatment of certain neurological conditions.

It is important to note that while melatonin supplements are available over-the-counter in many countries, they should still be used under the guidance of a healthcare professional, as their use can have potential side effects and interactions with other medications.

Sleep apnea syndromes refer to a group of disorders characterized by abnormal breathing patterns during sleep. These patterns can result in repeated pauses in breathing (apneas) or shallow breaths (hypopneas), causing interruptions in sleep and decreased oxygen supply to the body. There are three main types of sleep apnea syndromes:

1. Obstructive Sleep Apnea (OSA): This is the most common form, caused by the collapse or obstruction of the upper airway during sleep, often due to relaxation of the muscles in the throat and tongue.

2. Central Sleep Apnea (CSA): This type is less common and results from the brain's failure to send proper signals to the breathing muscles. It can be associated with conditions such as heart failure, stroke, or certain medications.

3. Complex/Mixed Sleep Apnea: In some cases, a person may experience both obstructive and central sleep apnea symptoms, known as complex or mixed sleep apnea.

Symptoms of sleep apnea syndromes can include loud snoring, excessive daytime sleepiness, fatigue, morning headaches, difficulty concentrating, and mood changes. Diagnosis typically involves a sleep study (polysomnography) to monitor breathing patterns, heart rate, brain activity, and other physiological factors during sleep. Treatment options may include lifestyle modifications, oral appliances, positive airway pressure therapy, or even surgery in severe cases.

Period (PER) circadian proteins are a group of proteins that play a crucial role in the regulation of circadian rhythms, which are physical, mental, and behavioral changes that follow a daily cycle. They are named after the PERIOD gene, whose protein product is one of the key components of the molecular circadian clock mechanism.

The molecular clock is a self-sustaining oscillator present in most organisms, from cyanobacteria to humans. In mammals, the molecular clock consists of two interlocking transcriptional-translational feedback loops that generate rhythmic expression of clock genes and their protein products with a period of approximately 24 hours.

The primary loop involves the positive regulators CLOCK and BMAL1, which heterodimerize and bind to E-box elements in the promoter regions of target genes, including PERIOD (PER) and CRYPTOCHROME (CRY) genes. Upon transcription and translation, PER and CRY proteins form a complex that translocates back into the nucleus, where it inhibits CLOCK-BMAL1-mediated transcription, thereby suppressing its own expression. After a certain period, the repressive complex dissociates, allowing for another cycle of transcription and translation to occur.

The second loop involves the regulation of additional clock genes such as REV-ERBα and RORα, which compete for binding to ROR response elements (ROREs) in the BMAL1 promoter, thereby modulating its expression level. REV-ERBα also represses PER and CRY transcription by recruiting histone deacetylases (HDACs) and nuclear receptor corepressor 1 (NCOR1).

Overall, Period circadian proteins are essential for the proper functioning of the molecular clock and the regulation of various physiological processes, including sleep-wake cycles, metabolism, hormone secretion, and cellular homeostasis. Dysregulation of these proteins has been implicated in several diseases, such as sleep disorders, metabolic syndromes, and cancer.

Jet Lag Syndrome, also known as Desynchronosis, is a temporary sleep disorder that causes disruption of the body's circadian rhythms (internal biological clock) due to rapid travel across different time zones. The symptoms may include difficulty sleeping or staying asleep, daytime fatigue, decreased alertness, reduced cognitive performance, digestive issues, and general malaise. These symptoms typically resolve within a few days as the body adjusts to the new time zone. Preventative measures and treatments can include gradually adjusting sleep schedules prior to travel, maintaining hydration, exposure to natural light in the destination time zone, and in some cases, melatonin supplements may be recommended.

Nocturnal Myoclonus Syndrome, also known as Periodic Limb Movement Disorder (PLMD), is a condition characterized by recurring involuntary jerking movements of the limbs during sleep, particularly the legs. These movements typically occur every 20-40 seconds and can last for an hour or more throughout the night. They often disrupt normal sleep patterns, causing insomnia or excessive daytime sleepiness.

The movements are usually jerky, rapid, and rhythmic, involving extension of the big toe and flexion of the ankle, knee, or hip. In some cases, these movements can be so forceful that they cause the person to wake up, although often individuals with this condition may not be aware of their nighttime leg movements.

Nocturnal Myoclonus Syndrome is different from another common sleep disorder called Restless Legs Syndrome (RLS), as RLS primarily causes discomfort or an irresistible urge to move the legs while awake and still, whereas Nocturnal Myoclonus Syndrome involves involuntary movements during sleep. However, up to 80% of people with RLS also have PLMD.

The exact cause of Nocturnal Myoclonus Syndrome is not fully understood, but it may be associated with abnormalities in the brain's regulation of muscle activity during sleep. Certain medications, neurological conditions, and iron deficiency anemia have been linked to an increased risk of developing this disorder. Treatment options include medication, lifestyle changes, and addressing any underlying medical conditions that may contribute to the development or worsening of symptoms.

Circadian rhythm signaling peptides and proteins are molecules that play a crucial role in the regulation of circadian rhythms, which are physical, mental, and behavioral changes that follow a daily cycle. These rhythms are driven by the body's internal clock, which is located in the suprachiasmatic nucleus (SCN) of the hypothalamus.

The circadian rhythm is regulated by a complex network of signaling pathways involving both peptides and proteins. These molecules help to coordinate various physiological processes, such as sleep-wake cycles, hormone release, metabolism, and body temperature, with the external environment.

Some examples of circadian rhythm signaling peptides and proteins include:

1. PERIOD (PER) proteins: These are a family of proteins that play a central role in the regulation of the circadian clock. They form complexes with other clock proteins, such as CRYPTOCHROME (CRY) proteins, to inhibit the activity of transcription factors that drive the expression of clock genes.
2. CLOCK and BMAL1: These are transcription factors that bind to DNA and promote the expression of clock genes, including PER and CRY. They form a heterodimer that binds to specific DNA sequences called E-boxes to activate gene transcription.
3. REV-ERBα and RORα: These are nuclear receptors that regulate the expression of BMAL1 and other clock genes. REV-ERBα inhibits the expression of BMAL1, while RORα activates it.
4. Melatonin: This is a hormone produced by the pineal gland that helps to regulate sleep-wake cycles. Its production is controlled by light exposure and is highest at night.
5. Cortisol: This is a steroid hormone produced by the adrenal gland that helps to regulate metabolism, immune function, and stress response. Its levels are highest in the morning and decrease throughout the day.

Overall, circadian rhythm signaling peptides and proteins play a critical role in maintaining the proper functioning of various physiological processes, including sleep-wake cycles, metabolism, and immune function. Dysregulation of these pathways has been linked to several diseases, including cancer, diabetes, and cardiovascular disease.

Disorders of excessive somnolence (DES) are a group of medical conditions characterized by an increased tendency to fall asleep or experience excessive daytime sleepiness (EDS), despite having adequate opportunity and circumstances for sleep. These disorders are typically classified as central disorders of hypersomnolence according to the International Classification of Sleep Disorders (ICSD-3).

The most common DES is narcolepsy, a chronic neurological disorder caused by the brain's inability to regulate sleep-wake cycles normally. Other DES include idiopathic hypersomnia, Kleine-Levin syndrome, and recurrent hypersomnia. These disorders can significantly impact an individual's daily functioning, quality of life, and overall health.

Narcolepsy is further divided into two types: narcolepsy type 1 (NT1) and narcolepsy type 2 (NT2). NT1 is characterized by the presence of cataplexy, a sudden loss of muscle tone triggered by strong emotions, while NT2 does not include cataplexy. Both types of narcolepsy involve excessive daytime sleepiness, sleep paralysis, hypnagogic/hypnopompic hallucinations, and fragmented nighttime sleep.

Idiopathic hypersomnia is a DES without the presence of REM-related symptoms like cataplexy or sleep paralysis. Individuals with idiopathic hypersomnia experience excessive daytime sleepiness and prolonged nighttime sleep, often lasting 10 to 14 hours, but do not feel refreshed upon waking.

Kleine-Levin syndrome is a rare DES characterized by recurrent episodes of excessive sleepiness, often accompanied by cognitive impairment, altered perception, hyperphagia (excessive eating), and hypersexuality during the episodes. These episodes can last days to weeks and typically occur multiple times per year.

Recurrent hypersomnia is another rare DES with recurring episodes of excessive sleepiness lasting for several days, followed by a period of normal or reduced sleepiness. The episodes are not as predictable or consistent as those seen in Kleine-Levin syndrome.

Treatment for DES typically involves pharmacological interventions to manage symptoms and improve daytime alertness. Modafinil, armodafinil, and traditional stimulants like amphetamine salts are commonly used to treat excessive daytime sleepiness. Additionally, antidepressants may be prescribed to manage REM-related symptoms like cataplexy or sleep paralysis. Non-pharmacological interventions, such as scheduled napping and good sleep hygiene practices, can also help improve symptoms.

"Biological clocks" refer to the internal time-keeping systems in living organisms that regulate the timing of various physiological processes and behaviors according to a daily (circadian) rhythm. These rhythms are driven by genetic mechanisms and can be influenced by environmental factors such as light and temperature.

In humans, biological clocks help regulate functions such as sleep-wake cycles, hormone release, body temperature, and metabolism. Disruptions to these internal timekeeping systems have been linked to various health problems, including sleep disorders, mood disorders, and cognitive impairment.

Circadian clocks are biological systems found in living organisms that regulate the daily rhythmic activities and functions with a period of approximately 24 hours. These internal timekeeping mechanisms control various physiological processes, such as sleep-wake cycles, hormone secretion, body temperature, and metabolism, aligning them with the external environment's light-dark cycle.

The circadian clock consists of two major components: the central or master clock, located in the suprachiasmatic nucleus (SCN) of the hypothalamus in mammals, and peripheral clocks present in nearly every cell throughout the body. The molecular mechanisms underlying these clocks involve interconnected transcriptional-translational feedback loops of several clock genes and their protein products. These genetic components generate rhythmic oscillations that drive the expression of clock-controlled genes (CCGs), which in turn regulate numerous downstream targets responsible for coordinating daily physiological and behavioral rhythms.

Circadian clocks can be synchronized or entrained to external environmental cues, mainly by light exposure. This allows organisms to adapt their internal timekeeping to the changing day-night cycles and maintain proper synchronization with the environment. Desynchronization between the internal circadian system and external environmental factors can lead to various health issues, including sleep disorders, mood disturbances, cognitive impairment, metabolic dysregulation, and increased susceptibility to diseases.

Wakefulness is a state of consciousness in which an individual is alert and aware of their surroundings. It is characterized by the ability to perceive, process, and respond to stimuli in a purposeful manner. In a medical context, wakefulness is often assessed using measures such as the electroencephalogram (EEG) to evaluate brain activity patterns associated with consciousness.

Wakefulness is regulated by several interconnected neural networks that promote arousal and attention. These networks include the ascending reticular activating system (ARAS), which consists of a group of neurons located in the brainstem that project to the thalamus and cerebral cortex, as well as other regions involved in regulating arousal and attention, such as the basal forebrain and hypothalamus.

Disorders of wakefulness can result from various underlying conditions, including neurological disorders, sleep disorders, medication side effects, or other medical conditions that affect brain function. Examples of such disorders include narcolepsy, insomnia, hypersomnia, and various forms of encephalopathy or brain injury.

CLOCK proteins are a pair of transcription factors, CIRCADIAN LOComotor OUTPUT Cycles Kaput (CLOCK) and BMAL1 (brain and muscle ARNT-like 1), that play a critical role in the regulation of circadian rhythms. Circadian rhythms are biological processes that follow an approximately 24-hour cycle, driven by molecular mechanisms within cells.

The CLOCK and BMAL1 proteins form a heterodimer, which binds to E-box elements in the promoter regions of target genes. This binding activates the transcription of these genes, leading to the production of proteins that are involved in various cellular processes. After being transcribed and translated, some of these proteins feed back to inhibit the activity of the CLOCK-BMAL1 heterodimer, forming a negative feedback loop that is essential for the oscillation of circadian rhythms.

The regulation of circadian rhythms by CLOCK proteins has implications in many physiological processes, including sleep-wake cycles, metabolism, hormone secretion, and cellular proliferation. Dysregulation of these rhythms has been linked to various diseases, such as sleep disorders, metabolic disorders, and cancer.

Restless Legs Syndrome (RLS) is a neurological disorder characterized by an irresistible urge to move one's body to stop uncomfortable or odd sensations. It most commonly affects the legs. The condition worsens during periods of rest, particularly when lying or sitting.

The symptoms typically include:

1. An uncontrollable need or urge to move the legs to relieve uncomfortable sensations such as crawling, creeping, tingling, pulling, or painful feelings.
2. Symptoms begin or intensify during rest or inactivity.
3. Symptoms are partially or totally relieved by movement, such as walking or stretching, at least as long as the activity continues.
4. Symptoms are worse in the evening or night, often leading to disturbed sleep.

The exact cause of RLS is unknown, but it may be related to abnormalities in the brain's dopamine pathways that control muscle movements. It can also be associated with certain medical conditions like iron deficiency, kidney disease, diabetes, and pregnancy. Treatment often involves addressing any underlying conditions and using medications to manage symptoms.

Photoperiod is a term used in chronobiology, which is the study of biological rhythms and their synchronization with environmental cycles. In medicine, photoperiod specifically refers to the duration of light and darkness in a 24-hour period, which can significantly impact various physiological processes in living organisms, including humans.

In human medicine, photoperiod is often considered in relation to circadian rhythms, which are internal biological clocks that regulate several functions such as sleep-wake cycles, hormone secretion, and metabolism. The length of the photoperiod can influence these rhythms and contribute to the development or management of certain medical conditions, like mood disorders, sleep disturbances, and metabolic disorders.

For instance, exposure to natural daylight or artificial light sources with specific intensities and wavelengths during particular times of the day can help regulate circadian rhythms and improve overall health. Conversely, disruptions in the photoperiod due to factors like shift work, jet lag, or artificial lighting can lead to desynchronization of circadian rhythms and related health issues.

ARNTL (aryl hydrocarbon receptor nuclear translocator-like) transcription factors, also known as BMAL1 (brain and muscle ARNT-like 1), are proteins that bind to DNA and promote the expression of specific genes. They play a critical role in regulating circadian rhythms, which are the physical, mental, and behavioral changes that follow a daily cycle.

ARNTL transcription factors form heterodimers with another set of transcription factors called CLOCK (circadian locomotor output cycles kaput) proteins. Together, these complexes bind to specific DNA sequences known as E-boxes in the promoter regions of target genes. This binding leads to the recruitment of other cofactors and the activation of gene transcription.

ARNTL transcription factors are part of a larger negative feedback loop that regulates circadian rhythms. After activating gene transcription, ARNTL-CLOCK complexes eventually lead to the production of proteins that inhibit their own activity, creating a cycle that repeats approximately every 24 hours.

Disruptions in the function of ARNTL transcription factors have been linked to various circadian rhythm disorders and other health conditions, including sleep disorders, mood disorders, and cancer.

Somnambulism is defined as a parasomnia, which is a type of sleep disorder, that involves walking or performing other complex behaviors while asleep. It's more commonly known as sleepwalking. During a sleepwalking episode, a person will have their eyes open and may appear to be awake and aware of their surroundings, but they are actually in a state of low consciousness.

Sleepwalking can range from simply sitting up in bed and looking around, to walking around the house, dressing or undressing, or even leaving the house. Episodes usually occur during deep non-REM sleep early in the night and can last from several minutes to an hour.

Although it is more common in children, especially those between the ages of 3 and 7, somnambulism can also affect adults. Factors that may contribute to sleepwalking include stress, fatigue, fever, certain medications, alcohol consumption, and underlying medical or psychiatric conditions such as sleep apnea, restless leg syndrome, gastroesophageal reflux disease (GERD), post-traumatic stress disorder (PTSD), or dissociative states.

Most of the time, somnambulism is not a cause for concern and does not require treatment. However, if sleepwalking leads to potential harm or injury, or if it frequently disrupts sleep, medical advice should be sought to address any underlying conditions and ensure safety measures are in place during sleep.

Phototherapy is a medical treatment that involves the use of light to manage or improve certain conditions. It can be delivered in various forms, such as natural light exposure or artificial light sources, including lasers, light-emitting diodes (LEDs), or fluorescent lamps. The wavelength and intensity of light are carefully controlled to achieve specific therapeutic effects.

Phototherapy is most commonly used for newborns with jaundice to help break down bilirubin in the skin, reducing its levels in the bloodstream. This type of phototherapy is called bilirubin lights or bili lights.

In dermatology, phototherapy can be applied to treat various skin conditions like psoriasis, eczema, vitiligo, and acne. Narrowband ultraviolet B (UVB) therapy, PUVA (psoralen plus UVA), and blue or red light therapies are some examples of dermatological phototherapies.

Phototherapy can also be used to alleviate symptoms of seasonal affective disorder (SAD) and other mood disorders by exposing patients to bright artificial light, which helps regulate their circadian rhythms and improve their mood. This form of phototherapy is called light therapy or bright light therapy.

It's essential to consult a healthcare professional before starting any phototherapy treatment, as inappropriate use can lead to adverse effects.

Sleep stages are distinct patterns of brain activity that occur during sleep, as measured by an electroencephalogram (EEG). They are part of the sleep cycle and are used to describe the different types of sleep that humans go through during a normal night's rest. The sleep cycle includes several repeating stages:

1. Stage 1 (N1): This is the lightest stage of sleep, where you transition from wakefulness to sleep. During this stage, muscle activity and brain waves begin to slow down.
2. Stage 2 (N2): In this stage, your heart rate slows, body temperature decreases, and eye movements stop. Brain wave activity becomes slower, with occasional bursts of electrical activity called sleep spindles.
3. Stage 3 (N3): Also known as deep non-REM sleep, this stage is characterized by slow delta waves. It is during this stage that the body undergoes restorative processes such as tissue repair, growth, and immune function enhancement.
4. REM (Rapid Eye Movement) sleep: This is the stage where dreaming typically occurs. Your eyes move rapidly beneath closed eyelids, heart rate and respiration become irregular, and brain wave activity increases to levels similar to wakefulness. REM sleep is important for memory consolidation and learning.

The sleep cycle progresses through these stages multiple times during the night, with REM sleep periods becoming longer towards morning. Understanding sleep stages is crucial in diagnosing and treating various sleep disorders.

'Activity cycles' is a term that can have different meanings in different contexts, and I could not find a specific medical definition for it. However, in the context of physiology or chronobiology, activity cycles often refer to the natural rhythms of behavior and physiological processes that occur over a 24-hour period, also known as circadian rhythms.

Circadian rhythms are biological processes that follow an approximate 24-hour cycle and regulate various functions in living organisms, including sleep-wake cycles, body temperature, hormone secretion, and metabolism. These rhythms help the body adapt to the changing environment and coordinate various physiological processes to optimize function and maintain homeostasis.

Therefore, activity cycles in a medical or physiological context may refer to the natural fluctuations in physical activity, alertness, and other behaviors that follow a circadian rhythm. Factors such as sleep deprivation, jet lag, and shift work can disrupt these rhythms and lead to various health problems, including sleep disorders, mood disturbances, and impaired cognitive function.

In the context of medical terminology, "light" doesn't have a specific or standardized definition on its own. However, it can be used in various medical terms and phrases. For example, it could refer to:

1. Visible light: The range of electromagnetic radiation that can be detected by the human eye, typically between wavelengths of 400-700 nanometers. This is relevant in fields such as ophthalmology and optometry.
2. Therapeutic use of light: In some therapies, light is used to treat certain conditions. An example is phototherapy, which uses various wavelengths of ultraviolet (UV) or visible light for conditions like newborn jaundice, skin disorders, or seasonal affective disorder.
3. Light anesthesia: A state of reduced consciousness in which the patient remains responsive to verbal commands and physical stimulation. This is different from general anesthesia where the patient is completely unconscious.
4. Pain relief using light: Certain devices like transcutaneous electrical nerve stimulation (TENS) units have a 'light' setting, indicating lower intensity or frequency of electrical impulses used for pain management.

Without more context, it's hard to provide a precise medical definition of 'light'.

Dyssomnias are a category of sleep disorders that involve problems with the amount, quality, or timing of sleep. They can be broken down into several subcategories, including:

1. Insomnia: This is characterized by difficulty falling asleep or staying asleep, despite adequate opportunity and circumstances to do so. It can result in distress, impairment in social, occupational, or other areas of functioning, and/or feelings of dissatisfaction with sleep.
2. Hypersomnias: These are disorders that involve excessive sleepiness during the day, even after having adequate opportunity for sleep. Narcolepsy is an example of a hypersomnia.
3. Sleep-related breathing disorders: These include conditions such as obstructive sleep apnea, in which breathing is repeatedly interrupted during sleep, leading to poor sleep quality and excessive daytime sleepiness.
4. Circadian rhythm sleep-wake disorders: These involve disruptions to the body's internal clock, which can result in difficulty falling asleep or staying asleep at desired times. Jet lag and shift work disorder are examples of circadian rhythm sleep-wake disorders.
5. Parasomnias: These are disruptive sleep-related events that occur during various stages of sleep, such as sleepwalking, night terrors, and REM sleep behavior disorder.

Dyssomnias can have significant impacts on a person's quality of life, and it is important to seek medical evaluation if you are experiencing symptoms. Treatment may involve lifestyle changes, medication, or other interventions depending on the specific type of dyssomnia.

I am not aware of a medical definition for the term "darkness." In general, darkness refers to the absence of light. It is not a term that is commonly used in the medical field, and it does not have a specific clinical meaning. If you have a question about a specific medical term or concept, I would be happy to try to help you understand it.

Electroencephalography (EEG) is a medical procedure that records electrical activity in the brain. It uses small, metal discs called electrodes, which are attached to the scalp with paste or a specialized cap. These electrodes detect tiny electrical charges that result from the activity of brain cells, and the EEG machine then amplifies and records these signals.

EEG is used to diagnose various conditions related to the brain, such as seizures, sleep disorders, head injuries, infections, and degenerative diseases like Alzheimer's or Parkinson's. It can also be used during surgery to monitor brain activity and ensure that surgical procedures do not interfere with vital functions.

EEG is a safe and non-invasive procedure that typically takes about 30 minutes to an hour to complete, although longer recordings may be necessary in some cases. Patients are usually asked to relax and remain still during the test, as movement can affect the quality of the recording.

In a medical or physiological context, "arousal" refers to the state of being awake and responsive to stimuli. It involves the activation of the nervous system, particularly the autonomic nervous system, which prepares the body for action. Arousal levels can vary from low (such as during sleep) to high (such as during states of excitement or stress). In clinical settings, changes in arousal may be assessed to help diagnose conditions such as coma, brain injury, or sleep disorders. It is also used in the context of sexual response, where it refers to the level of physical and mental awareness and readiness for sexual activity.

Cataplexy is a medical condition characterized by sudden and temporary loss of muscle tone or strength, typically triggered by strong emotions such as laughter, anger, or surprise. This can result in symptoms ranging from a slight slackening of the muscles to complete collapse. Cataplexy is often associated with narcolepsy, which is a neurological disorder that affects sleep-wake cycles. It's important to note that cataplexy is different from syncope (fainting), as it specifically involves muscle weakness rather than loss of consciousness.

REM Sleep Behavior Disorder (RBD) is a parasomnia, which is a disorder that involves undesirable experiences or abnormal behaviors during sleep. Specifically, RBD is a type of rapid eye movement (REM) sleep parasomnia where the muscle atonia (lack of muscle tone) that normally occurs during REM sleep is absent or incomplete, allowing for the emergence of motor behaviors and vivid dreaming. These dreams can be quite intense and may result in the individual physically acting out their dreams, leading to potential harm for themselves or their bed partner. RBD can occur in isolation or as a symptom of another neurological condition.

Actigraphy is a non-invasive method used to estimate sleep-wake patterns and physical activity levels over extended periods, typically ranging from several days to weeks. It involves the use of a small device called an actigraph, which is usually worn on the wrist like a watch.

The actigraph contains an accelerometer that detects movement and records the intensity and duration of motion. This data is then analyzed using specialized software to provide information about sleep and wake times, as well as patterns of physical activity.

Actigraphy can be useful in assessing various sleep disorders, such as insomnia, circadian rhythm disorders, and sleep-related breathing disorders. It can also help evaluate the effectiveness of treatments for these conditions. However, it is important to note that actigraphy is not a substitute for a formal sleep study (polysomnography) and should be used in conjunction with other assessment tools and clinical evaluations.

Bipolar disorder, also known as manic-depressive illness, is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts to mania or hypomania (a less severe form of mania), you may feel euphoric, full of energy, or unusually irritable. These mood swings can significantly affect your job, school, relationships, and overall quality of life.

Bipolar disorder is typically characterized by the presence of one or more manic or hypomanic episodes, often accompanied by depressive episodes. The episodes may be separated by periods of normal mood, but in some cases, a person may experience rapid cycling between mania and depression.

There are several types of bipolar disorder, including:

* Bipolar I Disorder: This type is characterized by the occurrence of at least one manic episode, which may be preceded or followed by hypomanic or major depressive episodes.
* Bipolar II Disorder: This type involves the presence of at least one major depressive episode and at least one hypomanic episode, but no manic episodes.
* Cyclothymic Disorder: This type is characterized by numerous periods of hypomania and depression that are not severe enough to meet the criteria for a full manic or depressive episode.
* Other Specified and Unspecified Bipolar and Related Disorders: These categories include bipolar disorders that do not fit the criteria for any of the other types.

The exact cause of bipolar disorder is unknown, but it appears to be related to a combination of genetic, environmental, and neurochemical factors. Treatment typically involves a combination of medication, psychotherapy, and lifestyle changes to help manage symptoms and prevent relapses.

Cryptochromes are a type of photoreceptor protein found in plants and animals, including humans. They play a crucial role in regulating various biological processes such as circadian rhythms (the internal "body clock" that regulates sleep-wake cycles), DNA repair, and magnetoreception (the ability to perceive magnetic fields).

In humans, cryptochromes are primarily expressed in the retina of the eye and in various tissues throughout the body. They contain a light-sensitive cofactor called flavin adenine dinucleotide (FAD) that allows them to absorb blue light and convert it into chemical signals. These signals then interact with other proteins and signaling pathways to regulate gene expression and cellular responses.

In plants, cryptochromes are involved in the regulation of growth and development, including seed germination, stem elongation, and flowering time. They also play a role in the plant's ability to sense and respond to changes in light quality and duration, which is important for optimizing photosynthesis and survival.

Overall, cryptochromes are an essential component of many biological processes and have been the subject of extensive research in recent years due to their potential roles in human health and disease.

Sleep medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders. Sleep-related problems such as snoring, sleep apnea, insomnia, narcolepsy, restless legs syndrome, parasomnias, circadian rhythm disorders, and unusual behaviors during sleep are among the conditions that sleep medicine physicians diagnose and treat.

Sleep medicine specialists often work in multidisciplinary teams that include other healthcare professionals such as neurologists, psychiatrists, psychologists, pulmonologists, otolaryngologists, and dentists to provide comprehensive care for patients with sleep disorders. They use various diagnostic tools, including polysomnography (sleep studies), actigraphy, and multiple sleep latency tests, to evaluate patients' sleep patterns and diagnose their conditions accurately. Based on the diagnosis, they develop individualized treatment plans that may include lifestyle modifications, pharmacological interventions, medical devices, or surgery.

To become a sleep medicine specialist, physicians typically complete a residency in a related field such as neurology, pulmonology, psychiatry, or internal medicine and then pursue additional training and certification in sleep medicine. The American Board of Medical Specialties recognizes sleep medicine as a subspecialty, and the American Board of Sleep Medicine offers certification to qualified physicians who pass a rigorous examination.

Sleep bruxism is a sleep-related movement disorder characterized by the involuntary clenching or grinding of teeth and jaw muscle activity during sleep, which can lead to tooth wear, jaw pain, headaches, and other oral health issues. It is typically considered a parasomnia, which is a type of abnormal behavior that occurs during sleep. The exact causes of sleep bruxism are not fully understood, but it may be associated with stress, certain medications, alcohol and drug use, and other factors. Treatment options can include stress management techniques, dental guards to protect the teeth, and in some cases, medication.

A mental disorder is a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior. It's associated with distress and/or impaired functioning in social, occupational, or other important areas of life, often leading to a decrease in quality of life. These disorders are typically persistent and can be severe and disabling. They may be related to factors such as genetics, early childhood experiences, or trauma. Examples include depression, anxiety disorders, bipolar disorder, schizophrenia, and personality disorders. It's important to note that a diagnosis should be made by a qualified mental health professional.

Body temperature is the measure of heat produced by the body. In humans, the normal body temperature range is typically between 97.8°F (36.5°C) and 99°F (37.2°C), with an average oral temperature of 98.6°F (37°C). Body temperature can be measured in various ways, including orally, rectally, axillary (under the arm), and temporally (on the forehead).

Maintaining a stable body temperature is crucial for proper bodily functions, as enzymes and other biological processes depend on specific temperature ranges. The hypothalamus region of the brain regulates body temperature through feedback mechanisms that involve shivering to produce heat and sweating to release heat. Fever is a common medical sign characterized by an elevated body temperature above the normal range, often as a response to infection or inflammation.

Snoring is defined as the vibration of respiratory structures and the resulting sound, due to obstructed air movement during breathing while sleeping. It occurs when the tissues at the back of the throat relax and narrow during sleep, partially blocking the airway. The airflow causes these tissues to vibrate, leading to the snoring sound. Snoring can be a sign of various conditions such as obstructive sleep apnea or other respiratory disorders. It can also be influenced by factors such as alcohol consumption, obesity, and sleeping position.

Sleep deprivation is a condition that occurs when an individual fails to get sufficient quality sleep or the recommended amount of sleep, typically 7-9 hours for adults. This can lead to various physical and mental health issues. It can be acute, lasting for one night or a few days, or chronic, persisting over a longer period.

The consequences of sleep deprivation include:

1. Fatigue and lack of energy
2. Difficulty concentrating or remembering things
3. Mood changes, such as irritability or depression
4. Weakened immune system
5. Increased appetite and potential weight gain
6. Higher risk of accidents due to decreased reaction time
7. Health problems like high blood pressure, diabetes, and heart disease over time

Sleep deprivation can be caused by various factors, including stress, shift work, sleep disorders like insomnia or sleep apnea, poor sleep hygiene, and certain medications. It's essential to address the underlying causes of sleep deprivation to ensure proper rest and overall well-being.

"Motor activity" is a general term used in the field of medicine and neuroscience to refer to any kind of physical movement or action that is generated by the body's motor system. The motor system includes the brain, spinal cord, nerves, and muscles that work together to produce movements such as walking, talking, reaching for an object, or even subtle actions like moving your eyes.

Motor activity can be voluntary, meaning it is initiated intentionally by the individual, or involuntary, meaning it is triggered automatically by the nervous system without conscious control. Examples of voluntary motor activity include deliberately lifting your arm or kicking a ball, while examples of involuntary motor activity include heartbeat, digestion, and reflex actions like jerking your hand away from a hot stove.

Abnormalities in motor activity can be a sign of neurological or muscular disorders, such as Parkinson's disease, cerebral palsy, or multiple sclerosis. Assessment of motor activity is often used in the diagnosis and treatment of these conditions.

The Bender-Gestalt Test is a neuropsychological assessment tool used to evaluate an individual's visual-motor perception, perceptual-motor integration, and cognitive flexibility. It consists of a series of 9 geometric forms that the test taker is asked to reproduce as accurately as possible on paper, while following specific instructions given by the examiner. The test results are then compared to normative data based on age and other demographic factors to assess any potential neurological impairments or developmental delays. It is commonly used in clinical settings such as hospitals, schools, and mental health facilities to help diagnose various conditions including learning disabilities, brain injuries, and neurodevelopmental disorders.

A questionnaire in the medical context is a standardized, systematic, and structured tool used to gather information from individuals regarding their symptoms, medical history, lifestyle, or other health-related factors. It typically consists of a series of written questions that can be either self-administered or administered by an interviewer. Questionnaires are widely used in various areas of healthcare, including clinical research, epidemiological studies, patient care, and health services evaluation to collect data that can inform diagnosis, treatment planning, and population health management. They provide a consistent and organized method for obtaining information from large groups or individual patients, helping to ensure accurate and comprehensive data collection while minimizing bias and variability in the information gathered.

Idiopathic hypersomnolence is a type of central disorder of hypersomnolence, which is characterized by excessive daytime sleepiness (EDS) that isn't caused by another known medical condition or lifestyle factor. "Idiopathic" means that the cause of the condition is unknown.

In idiopathic hypersomnolence, individuals experience prolonged nighttime sleep and recurrent episodes of daytime sleep that can last for several hours, causing significant impairment in their daily functioning. Despite getting adequate or even prolonged periods of sleep, they continue to feel excessive sleepiness during the day.

Other symptoms associated with idiopathic hypersomnolence may include difficulty waking up from sleep, automatic behavior (performing actions without conscious awareness), cognitive impairment, and mood changes. The exact cause of this condition remains unclear, but it is thought to involve dysfunction in the brain's sleep-wake regulation mechanisms.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

Mood disorders are a category of mental health disorders characterized by significant and persistent changes in mood, affect, and emotional state. These disorders can cause disturbances in normal functioning and significantly impair an individual's ability to carry out their daily activities. The two primary types of mood disorders are depressive disorders (such as major depressive disorder or persistent depressive disorder) and bipolar disorders (which include bipolar I disorder, bipolar II disorder, and cyclothymic disorder).

Depressive disorders involve prolonged periods of low mood, sadness, hopelessness, and a lack of interest in activities. Individuals with these disorders may also experience changes in sleep patterns, appetite, energy levels, concentration, and self-esteem. In severe cases, they might have thoughts of death or suicide.

Bipolar disorders involve alternating episodes of mania (or hypomania) and depression. During a manic episode, individuals may feel extremely elated, energetic, or irritable, with racing thoughts, rapid speech, and impulsive behavior. They might engage in risky activities, have decreased sleep needs, and display poor judgment. In contrast, depressive episodes involve the same symptoms as depressive disorders.

Mood disorders can be caused by a combination of genetic, biological, environmental, and psychological factors. Proper diagnosis and treatment, which may include psychotherapy, medication, or a combination of both, are essential for managing these conditions and improving quality of life.

In the context of medicine, "periodicity" refers to the occurrence of events or phenomena at regular intervals or cycles. This term is often used in reference to recurring symptoms or diseases that have a pattern of appearing and disappearing over time. For example, some medical conditions like menstrual cycles, sleep-wake disorders, and certain infectious diseases exhibit periodicity. It's important to note that the duration and frequency of these cycles can vary depending on the specific condition or individual.

A Severity of Illness Index is a measurement tool used in healthcare to assess the severity of a patient's condition and the risk of mortality or other adverse outcomes. These indices typically take into account various physiological and clinical variables, such as vital signs, laboratory values, and co-morbidities, to generate a score that reflects the patient's overall illness severity.

Examples of Severity of Illness Indices include the Acute Physiology and Chronic Health Evaluation (APACHE) system, the Simplified Acute Physiology Score (SAPS), and the Mortality Probability Model (MPM). These indices are often used in critical care settings to guide clinical decision-making, inform prognosis, and compare outcomes across different patient populations.

It is important to note that while these indices can provide valuable information about a patient's condition, they should not be used as the sole basis for clinical decision-making. Rather, they should be considered in conjunction with other factors, such as the patient's overall clinical presentation, treatment preferences, and goals of care.

Sleep arousal disorders are a category of sleep disorders that involve the partial or complete awakening from sleep, often accompanied by confusion and disorientation. These disorders are characterized by an abnormal arousal process during sleep, which can result in brief periods of wakefulness or full awakenings. The most common types of sleep arousal disorders include sleepwalking (somnambulism), sleep talking (somniloquy), and night terrors (pavor nocturnus).

In sleepwalking, the individual may get out of bed and walk around while still asleep, often with a blank stare and without any memory of the event. Sleep talking can occur in various levels of sleep and may range from simple sounds to complex conversations. Night terrors are episodes of intense fear and agitation during sleep, often accompanied by screams or cries for help, rapid heart rate, and sweating.

These disorders can be caused by a variety of factors, including stress, anxiety, fever, certain medications, alcohol consumption, and underlying medical conditions such as sleep apnea or restless leg syndrome. They can also occur as a result of genetic predisposition. Sleep arousal disorders can have significant impacts on an individual's quality of life, leading to fatigue, daytime sleepiness, impaired cognitive function, and decreased overall well-being. Treatment options may include behavioral therapy, medication, or addressing any underlying medical conditions.

Hypnotics and sedatives are classes of medications that have depressant effects on the central nervous system, leading to sedation (calming or inducing sleep), reduction in anxiety, and in some cases, decreased awareness or memory. These agents work by affecting the neurotransmitter GABA (gamma-aminobutyric acid) in the brain, which results in inhibitory effects on neuronal activity.

Hypnotics are primarily used for the treatment of insomnia and other sleep disorders, while sedatives are often prescribed to manage anxiety or to produce a calming effect before medical procedures. Some medications can function as both hypnotics and sedatives, depending on the dosage and specific formulation. Common examples of these medications include benzodiazepines (such as diazepam and lorazepam), non-benzodiazepine hypnotics (such as zolpidem and eszopiclone), barbiturates, and certain antihistamines.

It is essential to use these medications under the guidance of a healthcare professional, as they can have potential side effects, such as drowsiness, dizziness, confusion, and impaired coordination. Additionally, long-term use or high doses may lead to tolerance, dependence, and withdrawal symptoms upon discontinuation.

Night terrors, also known as sleep terrors, are a type of parasomnia characterized by extreme fear, panic, and intense feelings of dread during sleep. They are different from nightmares, which occur during the rapid eye movement (REM) stage of sleep and can be remembered upon waking. In contrast, night terrors typically happen during deep non-REM sleep (stage 3 or 4) and individuals usually have no recollection of the event upon waking.

During a night terror episode, a person may sit up in bed, scream, thrash around, and exhibit signs of intense fear. Their heart rate and breathing may increase dramatically, and they might be difficult to awaken or console. Episodes can last from several minutes to half an hour, after which the individual typically returns to sleep without fully waking up.

Night terrors are more common in children than adults, with about 1-6% of children experiencing them at some point. While they can be distressing for both the person experiencing them and their loved ones, night terrors are generally not harmful and do not typically indicate underlying psychological or medical issues. However, if night terrors occur frequently, interfere with sleep quality, or cause significant distress, it is recommended to consult a healthcare professional for further evaluation and guidance on potential treatment options.

Anxiety disorders are a category of mental health disorders characterized by feelings of excessive and persistent worry, fear, or anxiety that interfere with daily activities. They include several different types of disorders, such as:

1. Generalized Anxiety Disorder (GAD): This is characterized by chronic and exaggerated worry and tension, even when there is little or nothing to provoke it.
2. Panic Disorder: This is characterized by recurring unexpected panic attacks and fear of experiencing more panic attacks.
3. Social Anxiety Disorder (SAD): Also known as social phobia, this is characterized by excessive fear, anxiety, or avoidance of social situations due to feelings of embarrassment, self-consciousness, and concern about being judged or viewed negatively by others.
4. Phobias: These are intense, irrational fears of certain objects, places, or situations. When a person with a phobia encounters the object or situation they fear, they may experience panic attacks or other severe anxiety responses.
5. Agoraphobia: This is a fear of being in places where it may be difficult to escape or get help if one has a panic attack or other embarrassing or incapacitating symptoms.
6. Separation Anxiety Disorder (SAD): This is characterized by excessive anxiety about separation from home or from people to whom the individual has a strong emotional attachment (such as a parent, sibling, or partner).
7. Selective Mutism: This is a disorder where a child becomes mute in certain situations, such as at school, but can speak normally at home or with close family members.

These disorders are treatable with a combination of medication and psychotherapy (cognitive-behavioral therapy, exposure therapy). It's important to seek professional help if you suspect that you or someone you know may have an anxiety disorder.

Electrooculography (EOG) is a technique for measuring the resting potential of the eye and the changes in this potential that occur with eye movements. It involves placing electrodes near the eyes to detect the small electric fields generated by the movement of the eyeball within the surrounding socket. This technique is used in research and clinical settings to study eye movements and their control, as well as in certain diagnostic applications such as assessing the function of the oculomotor system in patients with neurological disorders.

The pineal gland, also known as the epiphysis cerebri, is a small endocrine gland located in the brain. It is shaped like a pinecone, hence its name, and is situated near the center of the brain, between the two hemispheres, attached to the third ventricle. The primary function of the pineal gland is to produce melatonin, a hormone that helps regulate sleep-wake cycles and circadian rhythms in response to light and darkness. Additionally, it plays a role in the onset of puberty and has been suggested to have other functions related to cognition, mood, and reproduction, although these are not as well understood.

"Nuclear Receptor Subfamily 1, Group D, Member 1" is a gene that encodes for the estrogen receptor alpha (ER-α). ER-α is a type of nuclear receptor protein that binds to estrogen, a female sex hormone, and mediates various biological responses such as cell growth, differentiation, and reproduction. The gene is also known as "ESR1" in medical and scientific literature. Mutations in this gene have been associated with various types of cancer, particularly breast cancer.

Fatigue is a state of feeling very tired, weary, or exhausted, which can be physical, mental, or both. It is a common symptom that can be caused by various factors, including lack of sleep, poor nutrition, stress, medical conditions (such as anemia, diabetes, heart disease, or cancer), medications, and substance abuse. Fatigue can also be a symptom of depression or other mental health disorders. In medical terms, fatigue is often described as a subjective feeling of tiredness that is not proportional to recent activity levels and interferes with usual functioning. It is important to consult a healthcare professional if experiencing persistent or severe fatigue to determine the underlying cause and develop an appropriate treatment plan.

Neuropeptides are small protein-like molecules that are used by neurons to communicate with each other and with other cells in the body. They are produced in the cell body of a neuron, processed from larger precursor proteins, and then transported to the nerve terminal where they are stored in secretory vesicles. When the neuron is stimulated, the vesicles fuse with the cell membrane and release their contents into the extracellular space.

Neuropeptides can act as neurotransmitters or neuromodulators, depending on their target receptors and the duration of their effects. They play important roles in a variety of physiological processes, including pain perception, appetite regulation, stress response, and social behavior. Some neuropeptides also have hormonal functions, such as oxytocin and vasopressin, which are produced in the hypothalamus and released into the bloodstream to regulate reproductive and cardiovascular function, respectively.

There are hundreds of different neuropeptides that have been identified in the nervous system, and many of them have multiple functions and interact with other signaling molecules to modulate neural activity. Dysregulation of neuropeptide systems has been implicated in various neurological and psychiatric disorders, such as chronic pain, addiction, depression, and anxiety.

Comorbidity is the presence of one or more additional health conditions or diseases alongside a primary illness or condition. These co-occurring health issues can have an impact on the treatment plan, prognosis, and overall healthcare management of an individual. Comorbidities often interact with each other and the primary condition, leading to more complex clinical situations and increased healthcare needs. It is essential for healthcare professionals to consider and address comorbidities to provide comprehensive care and improve patient outcomes.

Nocturia is a common symptom characterized by the need to wake up during the night one or more times to urinate. While it's normal to urinate a few times during the night, nocturia is defined as having to urinate more than twice per night, which can disrupt sleep and lead to daytime fatigue and sleepiness.

Nocturia can be caused by various factors, including underlying medical conditions such as diabetes, bladder infections, enlarged prostate, or sleep disorders like sleep apnea. It can also be a side effect of certain medications. In some cases, nocturia may be a symptom of more serious conditions, so it's important to speak with a healthcare provider if you experience frequent nighttime urination.

I'm sorry for any confusion, but "Work Schedule Tolerance" is not a recognized term in the medical field. It may be a term used in occupational health or human resources to refer to an employee's ability to adapt to different work schedules, such as night shifts, rotating shifts, or irregular hours. However, it is not a medical diagnosis or condition. If you have any concerns about your work schedule and how it affects your health, I would recommend speaking with a healthcare provider or occupational health professional.

Prevalence, in medical terms, refers to the total number of people in a given population who have a particular disease or condition at a specific point in time, or over a specified period. It is typically expressed as a percentage or a ratio of the number of cases to the size of the population. Prevalence differs from incidence, which measures the number of new cases that develop during a certain period.

Dreams are a series of thoughts, images, and sensations occurring in a person's mind during sleep. They can be vivid or vague, positive or negative, and may involve memories, emotions, and fears. The scientific study of dreams is called oneirology. While the exact purpose and function of dreams remain a topic of debate among researchers, some theories suggest that dreaming may help with memory consolidation, problem-solving, emotional processing, and learning.

Dreams usually occur during the rapid eye movement (REM) stage of sleep, although they can also happen in non-REM stages. They are typically associated with complex brain activities, involving areas such as the amygdala, hippocampus, and the neocortex. The content of dreams can be influenced by various factors, including a person's thoughts, experiences, emotions, physical state, and environmental conditions.

It is important to note that dreaming is a natural and universal human experience, and understanding dreams can provide insights into our cognitive processes, emotional well-being, and mental health.

A depressive disorder is a mental health condition characterized by persistent feelings of sadness, hopelessness, and loss of interest or pleasure in activities. It can also include changes in sleep, appetite, energy levels, concentration, and self-esteem, as well as thoughts of death or suicide. Depressive disorders can vary in severity and duration, with some people experiencing mild and occasional symptoms, while others may have severe and chronic symptoms that interfere with their ability to function in daily life.

There are several types of depressive disorders, including major depressive disorder (MDD), persistent depressive disorder (PDD), and postpartum depression. MDD is characterized by symptoms that interfere significantly with a person's ability to function and last for at least two weeks, while PDD involves chronic low-grade depression that lasts for two years or more. Postpartum depression occurs in women after childbirth and can range from mild to severe.

Depressive disorders are thought to be caused by a combination of genetic, biological, environmental, and psychological factors. Treatment typically involves a combination of medication, psychotherapy (talk therapy), and lifestyle changes.

Melatonin receptors are a type of G protein-coupled receptor (GPCR) that bind to the hormone melatonin in animals. These receptors play a crucial role in regulating various physiological functions, including sleep-wake cycles, circadian rhythms, and seasonal reproduction.

There are two main types of melatonin receptors: MT1 (also known as Mel1a) and MT2 (Mel1b). Both receptor subtypes are widely expressed in the central nervous system, retina, and peripheral tissues. The activation of these receptors by melatonin leads to a range of downstream signaling events that ultimately result in changes in gene expression, cellular responses, and physiological processes.

MT1 receptors are involved in regulating sleep onset and promoting non-rapid eye movement (NREM) sleep. They have also been implicated in the regulation of mood, anxiety, and cognitive function. MT2 receptors play a role in regulating circadian rhythms and the timing of sleep-wake cycles. They are also involved in the regulation of pupillary light reflex, body temperature, and blood pressure.

Dysregulation of melatonin receptor signaling has been implicated in various sleep disorders, mood disorders, and neurodegenerative diseases. Therefore, understanding the function and regulation of melatonin receptors is an important area of research for developing novel therapeutic strategies for these conditions.

Sleep paralysis is a temporary inability to move or speak while falling asleep or waking up, often accompanied by frightening hallucinations. These episodes typically last a few seconds to several minutes. During sleep paralysis, a person's body is immobile and cannot perform voluntary muscle movements even though they are fully conscious and awake. This condition can be quite alarming, but it is generally harmless and does not pose any serious threat to one's health. Sleep paralysis is often associated with certain sleep disorders, such as narcolepsy, or other medical conditions, as well as stress, lack of sleep, and changes in sleep patterns.

Kleine-Levin Syndrome (KLS) is a rare and complex neurological disorder characterized by recurring episodes of excessive sleep (hypersomnia), often accompanied by cognitive impairment, altered perception, and behavioral changes. These episodes can last for days or even weeks. The exact cause of KLS remains unknown, but it's thought to involve dysfunction in the hypothalamus and/or thalamus regions of the brain. It primarily affects adolescents, with males being more commonly affected than females. Diagnosis is typically made based on clinical symptoms, as there are no specific diagnostic tests for KLS. Treatment usually involves managing individual symptoms and may include stimulant medications to help reduce excessive sleepiness during episodes.

Analysis of Variance (ANOVA) is a statistical technique used to compare the means of two or more groups and determine whether there are any significant differences between them. It is a way to analyze the variance in a dataset to determine whether the variability between groups is greater than the variability within groups, which can indicate that the groups are significantly different from one another.

ANOVA is based on the concept of partitioning the total variance in a dataset into two components: variance due to differences between group means (also known as "between-group variance") and variance due to differences within each group (also known as "within-group variance"). By comparing these two sources of variance, ANOVA can help researchers determine whether any observed differences between groups are statistically significant, or whether they could have occurred by chance.

ANOVA is a widely used technique in many areas of research, including biology, psychology, engineering, and business. It is often used to compare the means of two or more experimental groups, such as a treatment group and a control group, to determine whether the treatment had a significant effect. ANOVA can also be used to compare the means of different populations or subgroups within a population, to identify any differences that may exist between them.

Casein Kinase 1 Epsilon (CSNK1E or CK1ε) is a serine/threonine protein kinase that plays a role in various cellular processes, including the regulation of circadian rhythms, DNA damage response, and Wnt signaling pathway. It phosphorylates specific serine and threonine residues on its target proteins, thereby modulating their activity, localization, or stability. Mutations in the CSNK1E gene have been associated with certain human diseases, such as Familiial Advanced Sleep Phase Disorder (FASPD).

Bruxism is the medical term for grinding or clenching your teeth. It's often an unconscious habit that can occur during the day or at night (nocturnal bruxism). Mild bruxism may not require treatment, but chronic, severe grinding can lead to jaw disorders, headaches, and damaged teeth.

There are several potential causes of bruxism, including stress, anxiety, certain medications, alcohol and drug use, and sleep disorders. Dentists often diagnose bruxism based on the visible signs of wear on your teeth, or they may ask you about symptoms you're experiencing. Treatment for bruxism can include stress management techniques, dental guards to protect your teeth during sleep, and in some cases, medication.

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a publication of the American Psychiatric Association (APA) that provides diagnostic criteria for mental disorders. It is widely used by mental health professionals in the United States and around the world to diagnose and classify mental health conditions.

The DSM includes detailed descriptions of symptoms, clinical examples, and specific criteria for each disorder, which are intended to facilitate accurate diagnosis and improve communication among mental health professionals. The manual is regularly updated to reflect current research and clinical practice, with the most recent edition being the DSM-5, published in 2013.

It's important to note that while the DSM is a valuable tool for mental health professionals, it is not without controversy. Some critics argue that the manual medicalizes normal human experiences and that its categories may be too broad or overlapping. Nonetheless, it remains an essential resource for clinicians, researchers, and policymakers in the field of mental health.

Chronotherapy is a medical treatment strategy that involves adjusting the timing of medication or other treatments based on the body's internal clock or circadian rhythms. The goal of chronotherapy is to optimize the effectiveness and minimize the side effects of treatments by administering them at specific times when they are most likely to be beneficial and well-tolerated.

For example, certain medications may be more effective when given at night because the body's metabolism slows down during sleep, allowing the drug to remain in the system longer. Similarly, some cancer treatments may be more effective when administered in the morning or evening based on the patient's circadian rhythms.

Chronotherapy can also involve adjusting lifestyle factors such as diet, exercise, and light exposure to help regulate the body's internal clock and improve overall health. This approach has been shown to be effective in treating a variety of conditions, including insomnia, depression, asthma, and cardiovascular disease.

Hyperacusis is a hearing disorder characterized by an increased sensitivity to sounds, where certain everyday noises are perceived as being excessively loud or uncomfortable, even painful. This condition can lead to avoidance behaviors and have a negative impact on a person's quality of life. It is different from normal hearing and requires medical evaluation to diagnose and manage.

In the context of medical terminology, a "habit" refers to a regular, repeated behavior or practice that is often performed automatically or subconsciously. Habits can be physical (such as biting nails) or mental (such as worrying). They can be harmless, beneficial (like regularly brushing your teeth), or harmful (like smoking cigarettes).

Habits are different from instincts or reflexes because they involve a learned behavior that has been repeated and reinforced over time. Breaking a habit can often be challenging due to the deeply ingrained nature of the behavior.

I'm sorry for any confusion, but "lighting" does not have a specific medical definition. In a general context, lighting refers to the arrangement or use of light sources to achieve a particular effect or atmosphere. However, if you are referring to a term in medicine that may be similar to "lighting," you might be thinking of "lumination" or "illumination," which refer to the act of providing or admitting light, especially for medical examination or surgical procedures. I hope this helps! If you have any other questions, please don't hesitate to ask.

Continuous Positive Airway Pressure (CPAP) is a mode of non-invasive ventilation that delivers pressurized room air or oxygen to maintain airway patency and increase functional residual capacity in patients with respiratory disorders. A CPAP device, which typically includes a flow generator, tubing, and a mask, provides a constant positive pressure throughout the entire respiratory cycle, preventing the collapse of the upper airway during inspiration and expiration.

CPAP is commonly used to treat obstructive sleep apnea (OSA), a condition characterized by repetitive narrowing or closure of the upper airway during sleep, leading to intermittent hypoxia, hypercapnia, and sleep fragmentation. By delivering positive pressure, CPAP helps to stent open the airway, ensuring unobstructed breathing and reducing the frequency and severity of apneic events.

Additionally, CPAP can be used in other clinical scenarios, such as managing acute respiratory distress syndrome (ARDS), chronic obstructive pulmonary disease (COPD) exacerbations, or postoperative respiratory insufficiency, to improve oxygenation and reduce the work of breathing. The specific pressure settings and device configurations are tailored to each patient's needs based on their underlying condition, severity of symptoms, and response to therapy.

Medical Definition:

"Risk factors" are any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. They can be divided into modifiable and non-modifiable risk factors. Modifiable risk factors are those that can be changed through lifestyle choices or medical treatment, while non-modifiable risk factors are inherent traits such as age, gender, or genetic predisposition. Examples of modifiable risk factors include smoking, alcohol consumption, physical inactivity, and unhealthy diet, while non-modifiable risk factors include age, sex, and family history. It is important to note that having a risk factor does not guarantee that a person will develop the disease, but rather indicates an increased susceptibility.

Orexin receptors are a type of G protein-coupled receptor found in the central nervous system that play a crucial role in regulating various physiological functions, including wakefulness, energy balance, and reward processing. There are two subtypes of orexin receptors: OX1R (orexin-1 receptor) and OX2R (orexin-2 receptor). These receptors bind to the neuropeptides orexin A and orexin B, which are synthesized in a small group of neurons located in the hypothalamus. Activation of these receptors leads to increased wakefulness, appetite stimulation, and reward-seeking behavior, among other effects. Dysregulation of the orexin system has been implicated in several neurological disorders, such as narcolepsy, where a loss of orexin-producing neurons results in excessive daytime sleepiness and cataplexy.

Chronobiology is the study of biological rhythms and their synchronization with environmental cycles. It examines how various biological processes in living organisms, including humans, are regulated by endogenous (internal) and exogenous (external) factors that recur over a specific time period. These rhythmic phenomena are known as circadian, ultradian, and infradian rhythms.

Circadian rhythms have a periodicity of approximately 24 hours and regulate many physiological processes such as sleep-wake cycles, body temperature, hormone secretion, and metabolism. Ultradian rhythms are shorter than 24 hours and include processes like heart rate variability, brain wave activity during sleep, and digestive enzyme release. Infradian rhythms have a longer periodicity, ranging from days to years, and include menstrual cycles in women and seasonal variations in animals.

Chronobiology phenomena are crucial for understanding the timing of various physiological processes and how they can be influenced by external factors like light-dark cycles, social cues, and lifestyle habits. This knowledge has applications in fields such as medicine, agriculture, and environmental science.

The brain is the central organ of the nervous system, responsible for receiving and processing sensory information, regulating vital functions, and controlling behavior, movement, and cognition. It is divided into several distinct regions, each with specific functions:

1. Cerebrum: The largest part of the brain, responsible for higher cognitive functions such as thinking, learning, memory, language, and perception. It is divided into two hemispheres, each controlling the opposite side of the body.
2. Cerebellum: Located at the back of the brain, it is responsible for coordinating muscle movements, maintaining balance, and fine-tuning motor skills.
3. Brainstem: Connects the cerebrum and cerebellum to the spinal cord, controlling vital functions such as breathing, heart rate, and blood pressure. It also serves as a relay center for sensory information and motor commands between the brain and the rest of the body.
4. Diencephalon: A region that includes the thalamus (a major sensory relay station) and hypothalamus (regulates hormones, temperature, hunger, thirst, and sleep).
5. Limbic system: A group of structures involved in emotional processing, memory formation, and motivation, including the hippocampus, amygdala, and cingulate gyrus.

The brain is composed of billions of interconnected neurons that communicate through electrical and chemical signals. It is protected by the skull and surrounded by three layers of membranes called meninges, as well as cerebrospinal fluid that provides cushioning and nutrients.

A cross-sectional study is a type of observational research design that examines the relationship between variables at one point in time. It provides a snapshot or a "cross-section" of the population at a particular moment, allowing researchers to estimate the prevalence of a disease or condition and identify potential risk factors or associations.

In a cross-sectional study, data is collected from a sample of participants at a single time point, and the variables of interest are measured simultaneously. This design can be used to investigate the association between exposure and outcome, but it cannot establish causality because it does not follow changes over time.

Cross-sectional studies can be conducted using various data collection methods, such as surveys, interviews, or medical examinations. They are often used in epidemiology to estimate the prevalence of a disease or condition in a population and to identify potential risk factors that may contribute to its development. However, because cross-sectional studies only provide a snapshot of the population at one point in time, they cannot account for changes over time or determine whether exposure preceded the outcome.

Therefore, while cross-sectional studies can be useful for generating hypotheses and identifying potential associations between variables, further research using other study designs, such as cohort or case-control studies, is necessary to establish causality and confirm any findings.

Depression is a mood disorder that is characterized by persistent feelings of sadness, hopelessness, and loss of interest in activities. It can also cause significant changes in sleep, appetite, energy level, concentration, and behavior. Depression can interfere with daily life and normal functioning, and it can increase the risk of suicide and other mental health disorders. The exact cause of depression is not known, but it is believed to be related to a combination of genetic, biological, environmental, and psychological factors. There are several types of depression, including major depressive disorder, persistent depressive disorder, postpartum depression, and seasonal affective disorder. Treatment for depression typically involves a combination of medication and psychotherapy.

Hydrocortisone is a synthetic glucocorticoid, which is a class of steroid hormones. It is identical to the naturally occurring cortisol, a hormone produced by the adrenal gland that helps regulate metabolism and helps your body respond to stress. Hydrocortisone has anti-inflammatory effects and is used to treat various inflammatory conditions such as allergies, skin disorders, and autoimmune diseases. It works by suppressing the immune system's response to reduce swelling, redness, itching, and other symptoms caused by inflammation.

Hydrocortisone is available in different forms, including oral tablets, topical creams, lotions, gels, and ointments, as well as injectable solutions. The specific use and dosage depend on the condition being treated and the individual patient's medical history and current health status.

As with any medication, hydrocortisone can have side effects, especially when used in high doses or for extended periods. Common side effects include increased appetite, weight gain, mood changes, insomnia, and skin thinning. Long-term use of hydrocortisone may also increase the risk of developing osteoporosis, diabetes, cataracts, and other health problems. Therefore, it is essential to follow your healthcare provider's instructions carefully when using this medication.

Electromyography (EMG) is a medical diagnostic procedure that measures the electrical activity of skeletal muscles during contraction and at rest. It involves inserting a thin needle electrode into the muscle to record the electrical signals generated by the muscle fibers. These signals are then displayed on an oscilloscope and may be heard through a speaker.

EMG can help diagnose various neuromuscular disorders, such as muscle weakness, numbness, or pain, and can distinguish between muscle and nerve disorders. It is often used in conjunction with other diagnostic tests, such as nerve conduction studies, to provide a comprehensive evaluation of the nervous system.

EMG is typically performed by a neurologist or a physiatrist, and the procedure may cause some discomfort or pain, although this is usually minimal. The results of an EMG can help guide treatment decisions and monitor the progression of neuromuscular conditions over time.

'Animal behavior' refers to the actions or responses of animals to various stimuli, including their interactions with the environment and other individuals. It is the study of the actions of animals, whether they are instinctual, learned, or a combination of both. Animal behavior includes communication, mating, foraging, predator avoidance, and social organization, among other things. The scientific study of animal behavior is called ethology. This field seeks to understand the evolutionary basis for behaviors as well as their physiological and psychological mechanisms.

Flavoproteins are a type of protein molecule that contain noncovalently bound flavin mononucleotide (FMN) or flavin adenine dinucleotide (FAD) as cofactors. These flavin cofactors play a crucial role in redox reactions, acting as electron carriers in various metabolic pathways such as cellular respiration and oxidative phosphorylation. Flavoproteins are involved in several biological processes, including the breakdown of fatty acids, amino acids, and carbohydrates, as well as the synthesis of steroids and other lipids. They can also function as enzymes that catalyze various redox reactions, such as oxidases, dehydrogenases, and reductases. Flavoproteins are widely distributed in nature and found in many organisms, from bacteria to humans.

A melatonin receptor is a type of G protein-coupled receptor (GPCR) that binds to the hormone melatonin, which is primarily involved in regulating sleep-wake cycles. There are two main subtypes of melatonin receptors, MT1 and MT2, which are encoded by the genes MTNR1A and MTNR1B, respectively.

MT2 receptor, also known as Mel1b or MTNR1B, is a subtype of melatonin receptor that is widely expressed in various tissues, including the retina, brain, heart, and gastrointestinal tract. MT2 receptors are involved in several physiological functions, such as circadian rhythm regulation, sleep onset and duration, and neuroprotection.

MT2 receptor activation has been shown to promote sleep onset and consolidation, reduce anxiety and depressive-like behaviors, and improve cognitive function. Additionally, MT2 receptors have been implicated in the regulation of glucose metabolism, insulin secretion, and energy homeostasis, suggesting a potential role in the treatment of metabolic disorders such as diabetes.

Overall, melatonin receptors, particularly the MT2 subtype, are important targets for developing therapies for sleep disorders, neuropsychiatric conditions, and metabolic diseases.

Major Depressive Disorder (MDD), also simply referred to as depression, is a serious mental health condition characterized by the presence of one or more major depressive episodes. A major depressive episode is a period of at least two weeks during which an individual experiences a severely depressed mood and/or loss of interest or pleasure in nearly all activities, accompanied by at least four additional symptoms such as significant changes in appetite or weight, sleep disturbances, psychomotor agitation or retardation, fatigue or loss of energy, feelings of worthlessness or excessive guilt, difficulty thinking, concentrating, or making decisions, and recurrent thoughts of death or suicide.

MDD can significantly impair an individual's ability to function in daily life, and it is associated with increased risks of suicide, substance abuse, and other mental health disorders. The exact cause of MDD is not fully understood, but it is believed to result from a complex interplay of genetic, biological, environmental, and psychological factors. Treatment typically involves a combination of psychotherapy (such as cognitive-behavioral therapy) and medication (such as selective serotonin reuptake inhibitors or tricyclic antidepressants).

Secobarbital is a barbiturate medication that is primarily used for the treatment of short-term insomnia and as a preoperative sedative. It works by depressing the central nervous system, producing a calming effect and helping to induce sleep. Secobarbital has a rapid onset of action and a relatively short duration of effect.

It is available in various forms, including capsules and injectable solutions, and is typically prescribed for use on an as-needed basis rather than as a regular medication. Secobarbital can be habit-forming and carries a risk of dependence and withdrawal, so it should only be used under the close supervision of a healthcare provider.

It's important to note that Secobarbital is not commonly prescribed in modern medical practice due to its high potential for abuse and the availability of safer and more effective sleep aids.

A case-control study is an observational research design used to identify risk factors or causes of a disease or health outcome. In this type of study, individuals with the disease or condition (cases) are compared with similar individuals who do not have the disease or condition (controls). The exposure history or other characteristics of interest are then compared between the two groups to determine if there is an association between the exposure and the disease.

Case-control studies are often used when it is not feasible or ethical to conduct a randomized controlled trial, as they can provide valuable insights into potential causes of diseases or health outcomes in a relatively short period of time and at a lower cost than other study designs. However, because case-control studies rely on retrospective data collection, they are subject to biases such as recall bias and selection bias, which can affect the validity of the results. Therefore, it is important to carefully design and conduct case-control studies to minimize these potential sources of bias.

Trazodone is an antidepressant medication that belongs to the class of drugs called serotonin antagonist and reuptake inhibitors (SARIs). It works by increasing the levels of the neurotransmitter serotonin in the brain, which helps to improve mood and reduce symptoms of depression.

Trazodone is primarily used to treat major depressive disorder, but it may also be prescribed for anxiety, insomnia, and other conditions. The medication comes in various forms, including tablets and an extended-release formulation, and is typically taken orally one to three times a day. Common side effects of trazodone include dizziness, dry mouth, and sedation.

It's important to note that trazodone can interact with other medications and substances, so it's essential to inform your healthcare provider about all the drugs you are taking before starting treatment. Additionally, trazodone may increase the risk of suicidal thoughts or behavior in some people, particularly during the initial stages of treatment, so close monitoring is necessary.

Attention Deficit Hyperactivity Disorder (ADHD) with hyperactivity is a neurodevelopmental disorder that affects both children and adults. The condition is characterized by symptoms including:

1. Difficulty paying attention or staying focused on a single task
2. Impulsivity, or acting without thinking
3. Hyperactivity, or excessive fidgeting, restlessness, or talking

In order to be diagnosed with ADHD with hyperactivity, an individual must exhibit these symptoms to a degree that is developmentally inappropriate and interferes with their daily functioning. Additionally, the symptoms must have been present for at least six months and be present in multiple settings (e.g., at home, school, work).

It's important to note that ADHD can manifest differently in different people, and some individuals may experience predominantly inattentive or impulsive symptoms rather than hyperactive ones. However, when the hyperactive component is prominent, it is referred to as ADHD with hyperactivity.

Effective treatments for ADHD with hyperactivity include a combination of medication (such as stimulants) and behavioral therapy. With appropriate treatment, individuals with ADHD can learn to manage their symptoms and lead successful, fulfilling lives.

Feeding behavior refers to the various actions and mechanisms involved in the intake of food and nutrition for the purpose of sustaining life, growth, and health. This complex process encompasses a coordinated series of activities, including:

1. Food selection: The identification, pursuit, and acquisition of appropriate food sources based on sensory cues (smell, taste, appearance) and individual preferences.
2. Preparation: The manipulation and processing of food to make it suitable for consumption, such as chewing, grinding, or chopping.
3. Ingestion: The act of transferring food from the oral cavity into the digestive system through swallowing.
4. Digestion: The mechanical and chemical breakdown of food within the gastrointestinal tract to facilitate nutrient absorption and eliminate waste products.
5. Assimilation: The uptake and utilization of absorbed nutrients by cells and tissues for energy production, growth, repair, and maintenance.
6. Elimination: The removal of undigested material and waste products from the body through defecation.

Feeding behavior is regulated by a complex interplay between neural, hormonal, and psychological factors that help maintain energy balance and ensure adequate nutrient intake. Disruptions in feeding behavior can lead to various medical conditions, such as malnutrition, obesity, eating disorders, and gastrointestinal motility disorders.

"Age factors" refer to the effects, changes, or differences that age can have on various aspects of health, disease, and medical care. These factors can encompass a wide range of issues, including:

1. Physiological changes: As people age, their bodies undergo numerous physical changes that can affect how they respond to medications, illnesses, and medical procedures. For example, older adults may be more sensitive to certain drugs or have weaker immune systems, making them more susceptible to infections.
2. Chronic conditions: Age is a significant risk factor for many chronic diseases, such as heart disease, diabetes, cancer, and arthritis. As a result, age-related medical issues are common and can impact treatment decisions and outcomes.
3. Cognitive decline: Aging can also lead to cognitive changes, including memory loss and decreased decision-making abilities. These changes can affect a person's ability to understand and comply with medical instructions, leading to potential complications in their care.
4. Functional limitations: Older adults may experience physical limitations that impact their mobility, strength, and balance, increasing the risk of falls and other injuries. These limitations can also make it more challenging for them to perform daily activities, such as bathing, dressing, or cooking.
5. Social determinants: Age-related factors, such as social isolation, poverty, and lack of access to transportation, can impact a person's ability to obtain necessary medical care and affect their overall health outcomes.

Understanding age factors is critical for healthcare providers to deliver high-quality, patient-centered care that addresses the unique needs and challenges of older adults. By taking these factors into account, healthcare providers can develop personalized treatment plans that consider a person's age, physical condition, cognitive abilities, and social circumstances.

Rhinomanometry is a medical diagnostic procedure that measures the pressure and flow of air through the nasal passages. It is used to assess the nasal airway resistance and function, and can help diagnose and monitor conditions such as nasal congestion, deviated septum, sinusitis, and other disorders that affect nasal breathing.

During the procedure, a small catheter or mask is placed over the nose, and the patient is asked to breathe normally while the pressure and airflow are measured. The data is then analyzed to determine any abnormalities in nasal function, such as increased resistance or asymmetry between the two sides of the nose.

Rhinomanometry can be performed using either anterior or posterior methods, depending on whether the measurement is taken at the entrance or exit of the nasal passages. The results of the test can help guide treatment decisions and assess the effectiveness of therapies such as medications or surgery.

Hemodialysis units in a hospital setting are specialized departments or facilities that provide hemodialysis treatment to patients with kidney failure. Hemodialysis is a process of purifying the blood of waste products and excess fluids using a machine (hemodialysis machine) and a semi-permeable membrane (dialyzer). The procedure typically involves accessing the patient's bloodstream through a surgically created vascular access, such as a fistula or graft, and passing the blood through the dialyzer to remove waste products and excess fluids.

Hospital hemodialysis units are staffed by trained healthcare professionals, including nephrologists (kidney specialists), nurses, technicians, and support personnel. These units provide inpatient and outpatient services for patients who require hemodialysis due to acute or chronic kidney failure, as well as those who need dialysis while hospitalized for other medical conditions.

Hospital hemodialysis units may offer various types of hemodialysis treatments, including conventional hemodialysis, high-flux hemodialysis, hemofiltration, and hemodiafiltration. They also provide education and support to patients and their families regarding dialysis treatment options, lifestyle modifications, and long-term management of kidney disease.

Mandibular advancement is a treatment approach used in dentistry and sleep medicine, which involves the surgical or non-surgical forward movement of the mandible (lower jaw) to address certain medical conditions. The most common use of mandibular advancement is in the treatment of obstructive sleep apnea (OSA), where the tongue and soft tissues at the back of the throat can collapse into the airway during sleep, causing obstruction and breathing difficulties.

Mandibular advancement devices (MADs) are often used in non-surgical treatments. These custom-made oral appliances look similar to mouthguards or sports guards and are worn during sleep. They work by holding the lower jaw in a slightly forward position, which helps to keep the airway open and prevents the tongue and soft tissues from collapsing into it.

Surgical mandibular advancement is another option for patients with severe OSA who cannot tolerate or do not respond well to MADs or other treatments like continuous positive airway pressure (CPAP). In this procedure, the jaw is surgically moved forward and stabilized in that position using plates, screws, or wires. This creates more space in the airway and reduces the risk of obstruction during sleep.

In summary, mandibular advancement refers to the movement of the lower jaw forward, either through non-surgical means like MADs or surgical interventions, with the primary goal of treating obstructive sleep apnea by maintaining a patent airway during sleep.

Neuropeptide receptors are a type of cell surface receptor that bind to neuropeptides, which are small signaling molecules made up of short chains of amino acids. These receptors play an important role in the nervous system by mediating the effects of neuropeptides on various physiological processes, including neurotransmission, pain perception, and hormone release.

Neuropeptide receptors are typically composed of seven transmembrane domains and are classified into several families based on their structure and function. Some examples of neuropeptide receptor families include the opioid receptors, somatostatin receptors, and vasoactive intestinal peptide (VIP) receptors.

When a neuropeptide binds to its specific receptor, it activates a signaling pathway within the cell that leads to various cellular responses. These responses can include changes in gene expression, ion channel activity, and enzyme function. Overall, the activation of neuropeptide receptors helps to regulate many important functions in the body, including mood, appetite, and pain sensation.

Hydroxyzine is an antihistamine medication that is primarily used to treat symptoms of allergies such as itching, hives, and swelling. It works by blocking the effects of histamine, a substance in the body that causes allergic reactions. In addition to its antihistaminic properties, hydroxyzine also has sedative and anxiety-reducing effects, which make it useful in treating anxiety disorders, symptoms of alcohol withdrawal, and as a sleep aid. It is available in both oral and injectable forms and is usually taken orally in the form of tablets, capsules, or syrup. As with any medication, hydroxyzine should be used under the supervision of a healthcare provider, and its use may be subject to certain precautions and contraindications depending on the individual's medical history and current health status.

Clinical psychology is a branch of psychology that focuses on the diagnosis, assessment, treatment, and prevention of mental health disorders. It is a practice-based profession and involves the application of psychological research and evidence-based interventions to help individuals, families, and groups overcome challenges and improve their overall well-being.

Clinical psychologists are trained to work with people across the lifespan, from young children to older adults, and they may specialize in working with specific populations or presenting problems. They use a variety of assessment tools, including interviews, observations, and psychological tests, to help understand their clients' needs and develop individualized treatment plans.

Treatment approaches used by clinical psychologists may include cognitive-behavioral therapy (CBT), psychodynamic therapy, family therapy, and other evidence-based practices. Clinical psychologists may work in a variety of settings, including hospitals, mental health clinics, private practice, universities, and research institutions.

In addition to direct clinical work, clinical psychologists may also be involved in teaching, supervision, program development, and policy advocacy related to mental health. To become a licensed clinical psychologist, individuals must typically complete a doctoral degree in psychology, a one-year internship, and several years of post-doctoral supervised experience. They must also pass a state licensing exam and meet other requirements set by their state's regulatory board.

Central sleep apnea (CSA) is a type of sleep-disordered breathing characterized by repeated cessations in breathing during sleep due to the brain's failure to transmit signals to the respiratory muscles that control breathing. Unlike obstructive sleep apnea (OSA), which results from airway obstruction, CSA occurs when the brain fails to send the necessary signals to the diaphragm and intercostal muscles to initiate or maintain respiratory efforts during sleep.

Central sleep apneas are usually associated with decreased oxygen saturation levels and can lead to frequent arousals from sleep, causing excessive daytime sleepiness, fatigue, and impaired cognitive function. CSA is often related to underlying medical conditions such as heart failure, stroke, or brainstem injury, and it may also be caused by the use of certain medications, including opioids.

There are several types of central sleep apnea, including:

1. Primary Central Sleep Apnea: This type occurs without any underlying medical condition or medication use.
2. Cheyne-Stokes Breathing: A pattern of central sleep apnea commonly seen in individuals with heart failure or stroke. It is characterized by a crescendo-decrescendo pattern of breathing, with periods of hyperventilation followed by hypoventilation and apnea.
3. High-Altitude Periodic Breathing: This type occurs at high altitudes due to the reduced oxygen levels and is usually reversible upon returning to lower altitudes.
4. Complex or Mixed Sleep Apnea: A combination of both central and obstructive sleep apneas, often observed in patients with OSA who are treated with continuous positive airway pressure (CPAP) therapy. In some cases, the central component may resolve over time with continued CPAP use.

Diagnosis of CSA typically involves a sleep study (polysomnography), which monitors various physiological parameters during sleep, such as brain waves, eye movements, muscle activity, heart rate, and breathing patterns. Treatment options for central sleep apnea depend on the underlying cause and may include medications, adjustments in medication dosages, or the use of devices that assist with breathing, such as adaptive servo-ventilation (ASV) or bilevel positive airway pressure (BiPAP) therapy.

Quality of Life (QOL) is a broad, multidimensional concept that usually includes an individual's physical health, psychological state, level of independence, social relationships, personal beliefs, and their relationship to salient features of their environment. It reflects the impact of disease and treatment on a patient's overall well-being and ability to function in daily life.

The World Health Organization (WHO) defines QOL as "an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns." It is a subjective concept, meaning it can vary greatly from person to person.

In healthcare, QOL is often used as an outcome measure in clinical trials and other research studies to assess the impact of interventions or treatments on overall patient well-being.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

Arylalkylamine N-acetyltransferase (AANAT) is an enzyme that plays a crucial role in the regulation of melatonin synthesis in the body. It catalyzes the acetylation of serotonin to produce N-acetylserotonin, which is then converted to melatonin by the enzyme acetylserotonin O-methyltransferase (ASMT).

Melatonin is a hormone that helps regulate sleep-wake cycles and other physiological processes in the body. The activity of AANAT is influenced by light exposure, with higher levels of activity occurring in darkness and lower levels during light exposure. This allows melatonin production to be synchronized with the day-night cycle, contributing to the regulation of circadian rhythms.

Genetic variations in the AANAT gene have been associated with differences in sleep patterns, mood regulation, and other physiological processes. Dysregulation of AANAT activity has been implicated in various conditions, including insomnia, depression, and seasonal affective disorder.

Drug chronotherapy is a medical approach that involves the administration of medication at specific times or schedules to coincide with the body's circadian rhythms, with the aim of optimizing therapeutic efficacy and minimizing side effects. This strategy takes advantage of the fact that many physiological processes, including drug metabolism and elimination, exhibit daily variations due to the internal biological clock. By aligning drug administration with these natural rhythms, healthcare providers can potentially enhance treatment outcomes and improve patient compliance.

Examples of drug chronotherapy applications include:
- Administering anti-inflammatory drugs in the evening for patients with rheumatoid arthritis to reduce morning stiffness and pain
- Giving chemotherapeutic agents at specific times to maximize tumor cell kill and minimize toxicity to normal tissues
- Timing corticosteroid doses to match the natural circadian variation in endogenous cortisol production, which may help reduce side effects and improve efficacy

It is important to note that successful implementation of drug chronotherapy requires a thorough understanding of each patient's individual circadian rhythm patterns and potential interactions between drugs and the biological clock.

Seasonal Affective Disorder (SAD) is not specifically defined in the latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DS-5), which is used by mental health professionals to diagnose mental conditions. However, it is classified as a recurrent major depressive disorder with a seasonal pattern.

According to the DSM-5, a seasonal pattern is defined as: "There has been a regular temporal relationship between the onset of major depressive episodes in major depressive disorder and a particular time of the year (e.g., always starts in fall or winter)." This means that someone with SAD experiences depressive symptoms during specific seasons, most commonly in late fall or winter, but in some cases, also in spring or summer.

The symptoms of SAD may include:

* Feeling depressed most of the day, nearly every day
* Losing interest in activities you once enjoyed
* Having low energy
* Having problems sleeping
* Experiencing changes in appetite or weight
* Feeling sluggish or agitated
* Having difficulty concentrating
* Feeling hopeless, worthless or guilty
* Having thoughts of death or suicide

These symptoms must be more severe than just feeling "blue" or having a bad day. They also must cause significant distress or impairment in social, occupational, or other important areas of functioning. Additionally, the symptoms must not be due to substance use or another medical condition.

A "delta rhythm" is a term used in electroencephalography (EEG) to describe a pattern of brain waves that are typically seen in the delta frequency range (0.5-4 Hz) and are maximal over the posterior regions of the head. This rhythm is often observed during deep sleep stages, specifically stage 3 and stage 4 of non-rapid eye movement (NREM) sleep, also known as slow-wave sleep.

Delta waves are characterized by their high amplitude and slow frequency, making them easily distinguishable from other brain wave patterns. The presence of a robust delta rhythm during sleep is thought to reflect the restorative processes that occur during this stage of sleep, including memory consolidation and physical restoration.

However, it's important to note that abnormal delta rhythms can also be observed in certain neurological conditions, such as epilepsy or encephalopathy, where they may indicate underlying brain dysfunction or injury. In these cases, the presence of delta rhythm may have different clinical implications and require further evaluation by a medical professional.

Psychiatric Status Rating Scales are standardized assessment tools used by mental health professionals to evaluate and rate the severity of a person's psychiatric symptoms and functioning. These scales provide a systematic and structured approach to measuring various aspects of an individual's mental health, such as mood, anxiety, psychosis, behavior, and cognitive abilities.

The purpose of using Psychiatric Status Rating Scales is to:

1. Assess the severity and improvement of psychiatric symptoms over time.
2. Aid in diagnostic decision-making and treatment planning.
3. Monitor treatment response and adjust interventions accordingly.
4. Facilitate communication among mental health professionals about a patient's status.
5. Provide an objective basis for research and epidemiological studies.

Examples of Psychiatric Status Rating Scales include:

1. Clinical Global Impression (CGI): A brief, subjective rating scale that measures overall illness severity, treatment response, and improvement.
2. Positive and Negative Syndrome Scale (PANSS): A comprehensive scale used to assess the symptoms of psychosis, including positive, negative, and general psychopathology domains.
3. Hamilton Rating Scale for Depression (HRSD) or Montgomery-Åsberg Depression Rating Scale (MADRS): Scales used to evaluate the severity of depressive symptoms.
4. Young Mania Rating Scale (YMRS): A scale used to assess the severity of manic or hypomanic symptoms.
5. Brief Psychiatric Rating Scale (BPRS) or Symptom Checklist-90 Revised (SCL-90-R): Scales that measure a broad range of psychiatric symptoms and psychopathology.
6. Global Assessment of Functioning (GAF): A scale used to rate an individual's overall psychological, social, and occupational functioning on a hypothetical continuum of mental health-illness.

It is important to note that Psychiatric Status Rating Scales should be administered by trained mental health professionals to ensure accurate and reliable results.

Cognitive disorders are a category of mental health disorders that primarily affect cognitive abilities including learning, memory, perception, and problem-solving. These disorders can be caused by various factors such as brain injury, degenerative diseases, infection, substance abuse, or developmental disabilities. Examples of cognitive disorders include dementia, amnesia, delirium, and intellectual disability. It's important to note that the specific definition and diagnostic criteria for cognitive disorders may vary depending on the medical source or classification system being used.

'Gene expression regulation' refers to the processes that control whether, when, and where a particular gene is expressed, meaning the production of a specific protein or functional RNA encoded by that gene. This complex mechanism can be influenced by various factors such as transcription factors, chromatin remodeling, DNA methylation, non-coding RNAs, and post-transcriptional modifications, among others. Proper regulation of gene expression is crucial for normal cellular function, development, and maintaining homeostasis in living organisms. Dysregulation of gene expression can lead to various diseases, including cancer and genetic disorders.

A tonsillectomy is a surgical procedure in which the tonsils, two masses of lymphoid tissue located on both sides of the back of the throat, are removed. This procedure is typically performed to treat recurrent or severe cases of tonsillitis (inflammation of the tonsils), sleep-disordered breathing such as obstructive sleep apnea, and other conditions where the tonsils are causing problems or complications. The surgery can be done under general anesthesia, and there are various methods for removing the tonsils, including traditional scalpel excision, electrocautery, and laser surgery. After a tonsillectomy, patients may experience pain, swelling, and difficulty swallowing, but these symptoms typically improve within 1-2 weeks post-surgery.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

Parkinson's disease is a progressive neurodegenerative disorder that affects movement. It is characterized by the death of dopamine-producing cells in the brain, specifically in an area called the substantia nigra. The loss of these cells leads to a decrease in dopamine levels, which results in the motor symptoms associated with Parkinson's disease. These symptoms can include tremors at rest, stiffness or rigidity of the limbs and trunk, bradykinesia (slowness of movement), and postural instability (impaired balance and coordination). In addition to these motor symptoms, non-motor symptoms such as cognitive impairment, depression, anxiety, and sleep disturbances are also common in people with Parkinson's disease. The exact cause of Parkinson's disease is unknown, but it is thought to be a combination of genetic and environmental factors. There is currently no cure for Parkinson's disease, but medications and therapies can help manage the symptoms and improve quality of life.

Central nervous system (CNS) stimulants are a class of drugs that increase alertness, attention, energy, and/or mood by directly acting on the brain. They can be prescribed to treat medical conditions such as narcolepsy, attention deficit hyperactivity disorder (ADHD), and depression that has not responded to other treatments.

Examples of CNS stimulants include amphetamine (Adderall), methylphenidate (Ritalin, Concerta), and modafinil (Provigil). These medications work by increasing the levels of certain neurotransmitters, such as dopamine and norepinephrine, in the brain.

In addition to their therapeutic uses, CNS stimulants are also sometimes misused for non-medical reasons, such as to enhance cognitive performance or to get high. However, it's important to note that misusing these drugs can lead to serious health consequences, including addiction, cardiovascular problems, and mental health issues.

Post-traumatic stress disorder (PTSD) is a psychiatric condition that can occur in people who have experienced or witnessed a traumatic event such as a natural disaster, serious accident, war combat, rape, or violent personal assault. According to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), PTSD is characterized by the following symptoms, which must last for more than one month:

1. Intrusion symptoms: These include distressing memories, nightmares, flashbacks, or intense psychological distress or reactivity to internal or external cues that symbolize or resemble an aspect of the traumatic event.
2. Avoidance symptoms: Persistent avoidance of stimuli associated with the traumatic event, including thoughts, feelings, conversations, activities, places, or people.
3. Negative alterations in cognitions and mood: This includes negative beliefs about oneself, others, or the world; distorted blame of self or others for causing the trauma; persistent negative emotional state; decreased interest in significant activities; and feelings of detachment or estrangement from others.
4. Alterations in arousal and reactivity: This includes irritable behavior and angry outbursts, reckless or self-destructive behavior, hypervigilance, exaggerated startle response, problems with concentration, and sleep disturbance.
5. Duration of symptoms: The symptoms must last for more than one month.
6. Functional significance: The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

It is essential to note that PTSD can occur at any age and can be accompanied by various physical and mental health problems, such as depression, substance abuse, memory problems, and other difficulties in cognition. Appropriate treatment, which may include psychotherapy, medication, or a combination of both, can significantly improve the symptoms and overall quality of life for individuals with PTSD.

Autistic Disorder, also known as Autism or Classic Autism, is a neurodevelopmental disorder that affects communication and behavior. It is characterized by:

1. Persistent deficits in social communication and social interaction across multiple contexts, including:
* Deficits in social-emotional reciprocity;
* Deficits in nonverbal communicative behaviors used for social interaction;
* Deficits in developing, maintaining, and understanding relationships.
2. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following:
* Stereotyped or repetitive motor movements, use of objects, or speech;
* Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior;
* Highly restricted, fixated interests that are abnormal in intensity or focus;
* Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment.
3. Symptoms must be present in the early developmental period (but may not become fully manifest until social demands exceed limited capacities) and limit or impair everyday functioning.
4. Symptoms do not occur exclusively during the course of a schizophrenia spectrum disorder or other psychotic disorders.

Autistic Disorder is part of the autism spectrum disorders (ASDs), which also include Asperger's Syndrome and Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS). The current diagnostic term for this category of conditions, according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), is Autism Spectrum Disorder.

Enuresis is a medical term that refers to the involuntary or unconscious release of urine, especially at night during sleep, in children who are at least 5 years old. It's commonly known as bedwetting. Enuresis can be classified into two types: primary and secondary. Primary enuresis occurs when a child has never achieved consistent dryness during sleep, while secondary enuresis happens when a child starts wetting the bed again after having been dry for at least six months.

Enuresis can have various causes, including developmental delays, small bladder capacity, urinary tract infections, constipation, sleep disorders, and emotional stress. In some cases, it may also be associated with genetic factors. Treatment options depend on the underlying cause and may include behavioral interventions, bladder training, alarm systems, medication, or a combination of these approaches.

Corticosterone is a hormone produced by the adrenal gland in many animals, including humans. It is a type of glucocorticoid steroid hormone that plays an important role in the body's response to stress, immune function, metabolism, and regulation of inflammation. Corticosterone helps to regulate the balance of sodium and potassium in the body and also plays a role in the development and functioning of the nervous system. It is the primary glucocorticoid hormone in rodents, while cortisol is the primary glucocorticoid hormone in humans and other primates.

Rhodopsin, also known as visual purple, is a light-sensitive protein found in the rods of the eye's retina. It is a type of opsin, a class of proteins that are activated by light and play a crucial role in vision. Rhodopsin is composed of two parts: an apoprotein called opsin and a chromophore called 11-cis-retinal. When light hits the retina, it changes the shape of the 11-cis-retinal, which in turn activates the rhodopsin protein. This activation triggers a series of chemical reactions that ultimately lead to the transmission of a visual signal to the brain. Rhodopsin is highly sensitive to light and allows for vision in low-light conditions.

Obsessive-Compulsive Disorder (OCD) is a mental health disorder characterized by the presence of obsessions and compulsions. Obsessions are recurrent and persistent thoughts, urges, or images that are intrusive, unwanted, and often distressing. Compulsions are repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession or according to rigid rules, and which are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation. These obsessions and/or compulsions cause significant distress, take up a lot of time (an hour or more a day), and interfere with the individual's daily life, including social activities, relationships, and work or school performance. OCD is considered a type of anxiety disorder and can also co-occur with other mental health conditions.

"Mesocricetus" is a genus of rodents, more commonly known as hamsters. It includes several species of hamsters that are native to various parts of Europe and Asia. The best-known member of this genus is the Syrian hamster, also known as the golden hamster or Mesocricetus auratus, which is a popular pet due to its small size and relatively easy care. These hamsters are burrowing animals and are typically solitary in the wild.

Azabicyclo compounds are a type of organic compound that contain at least one nitrogen atom (azacycle) and two rings fused together (bicyclic). The nitrogen atom can be part of either a saturated or unsaturated ring, and the rings themselves can be composed of carbon atoms only or contain other heteroatoms such as oxygen or sulfur.

The term "azabicyclo" is often followed by a set of three numbers that specify the number of atoms in each of the three rings involved in the fusion. For example, azabicyclo[3.2.1]octane is a compound with two fused rings containing 3 and 2 carbon atoms, respectively, and one nitrogen atom forming the third ring of 1 carbon atom.

These compounds have a wide range of applications in pharmaceuticals, agrochemicals, and materials science due to their unique structures and properties. In particular, azabicyclo compounds are often used as building blocks for the synthesis of complex natural products and bioactive molecules.

Neurons, also known as nerve cells or neurocytes, are specialized cells that constitute the basic unit of the nervous system. They are responsible for receiving, processing, and transmitting information and signals within the body. Neurons have three main parts: the dendrites, the cell body (soma), and the axon. The dendrites receive signals from other neurons or sensory receptors, while the axon transmits these signals to other neurons, muscles, or glands. The junction between two neurons is called a synapse, where neurotransmitters are released to transmit the signal across the gap (synaptic cleft) to the next neuron. Neurons vary in size, shape, and structure depending on their function and location within the nervous system.

The hypothalamus is a small, vital region of the brain that lies just below the thalamus and forms part of the limbic system. It plays a crucial role in many important functions including:

1. Regulation of body temperature, hunger, thirst, fatigue, sleep, and circadian rhythms.
2. Production and regulation of hormones through its connection with the pituitary gland (the hypophysis). It controls the release of various hormones by producing releasing and inhibiting factors that regulate the anterior pituitary's function.
3. Emotional responses, behavior, and memory formation through its connections with the limbic system structures like the amygdala and hippocampus.
4. Autonomic nervous system regulation, which controls involuntary physiological functions such as heart rate, blood pressure, and digestion.
5. Regulation of the immune system by interacting with the autonomic nervous system.

Damage to the hypothalamus can lead to various disorders like diabetes insipidus, growth hormone deficiency, altered temperature regulation, sleep disturbances, and emotional or behavioral changes.

C57BL/6 (C57 Black 6) is an inbred strain of laboratory mouse that is widely used in biomedical research. The term "inbred" refers to a strain of animals where matings have been carried out between siblings or other closely related individuals for many generations, resulting in a population that is highly homozygous at most genetic loci.

The C57BL/6 strain was established in 1920 by crossing a female mouse from the dilute brown (DBA) strain with a male mouse from the black strain. The resulting offspring were then interbred for many generations to create the inbred C57BL/6 strain.

C57BL/6 mice are known for their robust health, longevity, and ease of handling, making them a popular choice for researchers. They have been used in a wide range of biomedical research areas, including studies of cancer, immunology, neuroscience, cardiovascular disease, and metabolism.

One of the most notable features of the C57BL/6 strain is its sensitivity to certain genetic modifications, such as the introduction of mutations that lead to obesity or impaired glucose tolerance. This has made it a valuable tool for studying the genetic basis of complex diseases and traits.

Overall, the C57BL/6 inbred mouse strain is an important model organism in biomedical research, providing a valuable resource for understanding the genetic and molecular mechanisms underlying human health and disease.

Oscillometry is a non-invasive method to measure various mechanical properties of the respiratory system, including lung volumes and airway resistance. It involves applying small pressure oscillations to the airways and measuring the resulting flow or volume changes. The technique can be used to assess lung function in patients with obstructive or restrictive lung diseases, as well as in healthy individuals. Oscillometry is often performed during tidal breathing, making it a comfortable method for both children and adults who may have difficulty performing traditional spirometry maneuvers.

Reference values, also known as reference ranges or reference intervals, are the set of values that are considered normal or typical for a particular population or group of people. These values are often used in laboratory tests to help interpret test results and determine whether a patient's value falls within the expected range.

The process of establishing reference values typically involves measuring a particular biomarker or parameter in a large, healthy population and then calculating the mean and standard deviation of the measurements. Based on these statistics, a range is established that includes a certain percentage of the population (often 95%) and excludes extreme outliers.

It's important to note that reference values can vary depending on factors such as age, sex, race, and other demographic characteristics. Therefore, it's essential to use reference values that are specific to the relevant population when interpreting laboratory test results. Additionally, reference values may change over time due to advances in measurement technology or changes in the population being studied.

'Drosophila proteins' refer to the proteins that are expressed in the fruit fly, Drosophila melanogaster. This organism is a widely used model system in genetics, developmental biology, and molecular biology research. The study of Drosophila proteins has contributed significantly to our understanding of various biological processes, including gene regulation, cell signaling, development, and aging.

Some examples of well-studied Drosophila proteins include:

1. HSP70 (Heat Shock Protein 70): A chaperone protein involved in protein folding and protection from stress conditions.
2. TUBULIN: A structural protein that forms microtubules, important for cell division and intracellular transport.
3. ACTIN: A cytoskeletal protein involved in muscle contraction, cell motility, and maintenance of cell shape.
4. BETA-GALACTOSIDASE (LACZ): A reporter protein often used to monitor gene expression patterns in transgenic flies.
5. ENDOGLIN: A protein involved in the development of blood vessels during embryogenesis.
6. P53: A tumor suppressor protein that plays a crucial role in preventing cancer by regulating cell growth and division.
7. JUN-KINASE (JNK): A signaling protein involved in stress response, apoptosis, and developmental processes.
8. DECAPENTAPLEGIC (DPP): A member of the TGF-β (Transforming Growth Factor Beta) superfamily, playing essential roles in embryonic development and tissue homeostasis.

These proteins are often studied using various techniques such as biochemistry, genetics, molecular biology, and structural biology to understand their functions, interactions, and regulation within the cell.

Alpha rhythm is a type of brain wave that is typically observed in the electroencephalogram (EEG) of normal, awake individuals when they have their eyes closed. It is characterized by sinusoidal waves with a frequency range of 8-13 Hz and is most prominent over the occipital region of the head, which is located at the back of the skull above the brain's visual cortex.

Alpha rhythm is typically associated with relaxed wakefulness, and its presence may indicate that an individual is awake but not engaged in any mentally demanding tasks. It can be blocked or suppressed by various stimuli, such as opening one's eyes, hearing a loud noise, or engaging in mental activity.

Disruptions in alpha rhythm have been observed in various neurological and psychiatric conditions, including epilepsy, dementia, depression, and anxiety disorders. However, more research is needed to fully understand the clinical significance of these abnormalities.

"Sex factors" is a term used in medicine and epidemiology to refer to the differences in disease incidence, prevalence, or response to treatment that are observed between males and females. These differences can be attributed to biological differences such as genetics, hormones, and anatomy, as well as social and cultural factors related to gender.

For example, some conditions such as autoimmune diseases, depression, and osteoporosis are more common in women, while others such as cardiovascular disease and certain types of cancer are more prevalent in men. Additionally, sex differences have been observed in the effectiveness and side effects of various medications and treatments.

It is important to consider sex factors in medical research and clinical practice to ensure that patients receive appropriate and effective care.

Psychological stress is the response of an individual's mind and body to challenging or demanding situations. It can be defined as a state of emotional and physical tension resulting from adversity, demand, or change. This response can involve a variety of symptoms, including emotional, cognitive, behavioral, and physiological components.

Emotional responses may include feelings of anxiety, fear, anger, sadness, or frustration. Cognitive responses might involve difficulty concentrating, racing thoughts, or negative thinking patterns. Behaviorally, psychological stress can lead to changes in appetite, sleep patterns, social interactions, and substance use. Physiologically, the body's "fight-or-flight" response is activated, leading to increased heart rate, blood pressure, muscle tension, and other symptoms.

Psychological stress can be caused by a wide range of factors, including work or school demands, financial problems, relationship issues, traumatic events, chronic illness, and major life changes. It's important to note that what causes stress in one person may not cause stress in another, as individual perceptions and coping mechanisms play a significant role.

Chronic psychological stress can have negative effects on both mental and physical health, increasing the risk of conditions such as anxiety disorders, depression, heart disease, diabetes, and autoimmune diseases. Therefore, it's essential to identify sources of stress and develop effective coping strategies to manage and reduce its impact.

Aging is a complex, progressive and inevitable process of bodily changes over time, characterized by the accumulation of cellular damage and degenerative changes that eventually lead to increased vulnerability to disease and death. It involves various biological, genetic, environmental, and lifestyle factors that contribute to the decline in physical and mental functions. The medical field studies aging through the discipline of gerontology, which aims to understand the underlying mechanisms of aging and develop interventions to promote healthy aging and extend the human healthspan.

Nuclear Receptor Subfamily 1, Group F, Member 1 (NR1F1) is a gene that encodes for the retinoic acid-related orphan receptor alpha (RORα) protein. RORα is a type of nuclear receptor, which are transcription factors that regulate gene expression in response to various signals, including hormones and other molecules.

RORα plays important roles in several biological processes, including the regulation of circadian rhythm, immune function, and metabolism. It does this by binding to specific DNA sequences called response elements in the promoter regions of target genes, thereby modulating their transcription.

NR1F1/RORα has been identified as a potential therapeutic target for various diseases, including cancer, inflammatory disorders, and metabolic disorders. However, more research is needed to fully understand its functions and regulatory mechanisms in these contexts.

Heart rate is the number of heartbeats per unit of time, often expressed as beats per minute (bpm). It can vary significantly depending on factors such as age, physical fitness, emotions, and overall health status. A resting heart rate between 60-100 bpm is generally considered normal for adults, but athletes and individuals with high levels of physical fitness may have a resting heart rate below 60 bpm due to their enhanced cardiovascular efficiency. Monitoring heart rate can provide valuable insights into an individual's health status, exercise intensity, and response to various treatments or interventions.

Saliva is a complex mixture of primarily water, but also electrolytes, enzymes, antibacterial compounds, and various other substances. It is produced by the salivary glands located in the mouth. Saliva plays an essential role in maintaining oral health by moistening the mouth, helping to digest food, and protecting the teeth from decay by neutralizing acids produced by bacteria.

The medical definition of saliva can be stated as:

"A clear, watery, slightly alkaline fluid secreted by the salivary glands, consisting mainly of water, with small amounts of electrolytes, enzymes (such as amylase), mucus, and antibacterial compounds. Saliva aids in digestion, lubrication of oral tissues, and provides an oral barrier against microorganisms."

Pervasive developmental disorders (PDD) are a group of conditions that affect the development and functioning of the brain, leading to delays in many areas of development. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) has replaced the term "pervasive developmental disorders" with "autism spectrum disorder" and "other neurodevelopmental disorders."

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by persistent deficits in social communication and interaction across multiple contexts, as well as restricted, repetitive patterns of behavior, interests, or activities. The symptoms of ASD can range from mild to severe, and the condition affects approximately 1 in 54 children in the United States.

Other neurodevelopmental disorders that were previously classified as PDDs include:

1. Intellectual disability (ID): a condition characterized by significant limitations in intellectual functioning and adaptive behavior, which covers many everyday social and practical skills. This disorder used to be referred to as "mental retardation."
2. Communication disorders: these are disorders that affect an individual's ability to communicate, including language disorders, speech sound disorders, and stuttering.
3. Attention-deficit/hyperactivity disorder (ADHD): a neurodevelopmental disorder characterized by symptoms of inattention, hyperactivity, and impulsivity.
4. Specific learning disorder: a neurodevelopmental disorder that affects an individual's ability to learn and use specific academic skills, such as reading, writing, or mathematics.
5. Motor disorders: these are disorders that affect an individual's movement and coordination, including developmental coordination disorder, stereotypic movement disorder, and tic disorders.

The medical definition of 'Child Development Disorders, Pervasive' has been replaced with more specific diagnoses in the DSM-5 to better reflect the diverse nature of these conditions and improve diagnostic accuracy and treatment planning.

A mutation is a permanent change in the DNA sequence of an organism's genome. Mutations can occur spontaneously or be caused by environmental factors such as exposure to radiation, chemicals, or viruses. They may have various effects on the organism, ranging from benign to harmful, depending on where they occur and whether they alter the function of essential proteins. In some cases, mutations can increase an individual's susceptibility to certain diseases or disorders, while in others, they may confer a survival advantage. Mutations are the driving force behind evolution, as they introduce new genetic variability into populations, which can then be acted upon by natural selection.

Biological models, also known as physiological models or organismal models, are simplified representations of biological systems, processes, or mechanisms that are used to understand and explain the underlying principles and relationships. These models can be theoretical (conceptual or mathematical) or physical (such as anatomical models, cell cultures, or animal models). They are widely used in biomedical research to study various phenomena, including disease pathophysiology, drug action, and therapeutic interventions.

Examples of biological models include:

1. Mathematical models: These use mathematical equations and formulas to describe complex biological systems or processes, such as population dynamics, metabolic pathways, or gene regulation networks. They can help predict the behavior of these systems under different conditions and test hypotheses about their underlying mechanisms.
2. Cell cultures: These are collections of cells grown in a controlled environment, typically in a laboratory dish or flask. They can be used to study cellular processes, such as signal transduction, gene expression, or metabolism, and to test the effects of drugs or other treatments on these processes.
3. Animal models: These are living organisms, usually vertebrates like mice, rats, or non-human primates, that are used to study various aspects of human biology and disease. They can provide valuable insights into the pathophysiology of diseases, the mechanisms of drug action, and the safety and efficacy of new therapies.
4. Anatomical models: These are physical representations of biological structures or systems, such as plastic models of organs or tissues, that can be used for educational purposes or to plan surgical procedures. They can also serve as a basis for developing more sophisticated models, such as computer simulations or 3D-printed replicas.

Overall, biological models play a crucial role in advancing our understanding of biology and medicine, helping to identify new targets for therapeutic intervention, develop novel drugs and treatments, and improve human health.

Transcription factors are proteins that play a crucial role in regulating gene expression by controlling the transcription of DNA to messenger RNA (mRNA). They function by binding to specific DNA sequences, known as response elements, located in the promoter region or enhancer regions of target genes. This binding can either activate or repress the initiation of transcription, depending on the properties and interactions of the particular transcription factor. Transcription factors often act as part of a complex network of regulatory proteins that determine the precise spatiotemporal patterns of gene expression during development, differentiation, and homeostasis in an organism.

A chronic disease is a long-term medical condition that often progresses slowly over a period of years and requires ongoing management and care. These diseases are typically not fully curable, but symptoms can be managed to improve quality of life. Common chronic diseases include heart disease, stroke, cancer, diabetes, arthritis, and COPD (chronic obstructive pulmonary disease). They are often associated with advanced age, although they can also affect children and younger adults. Chronic diseases can have significant impacts on individuals' physical, emotional, and social well-being, as well as on healthcare systems and society at large.

Substance-related disorders, as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), refer to a group of conditions caused by the use of substances such as alcohol, drugs, or medicines. These disorders are characterized by a problematic pattern of using a substance that leads to clinically significant impairment or distress. They can be divided into two main categories: substance use disorders and substance-induced disorders. Substance use disorders involve a pattern of compulsive use despite negative consequences, while substance-induced disorders include conditions such as intoxication, withdrawal, and substance/medication-induced mental disorders. The specific diagnosis depends on the type of substance involved, the patterns of use, and the presence or absence of physiological dependence.

A phobic disorder is a type of anxiety disorder characterized by an excessive and irrational fear or avoidance of specific objects, situations, or activities. This fear can cause significant distress and interfere with a person's daily life. Phobic disorders are typically classified into three main categories: specific phobias (such as fear of heights, spiders, or needles), social phobia (or social anxiety disorder), and agoraphobia (fear of open spaces or situations where escape might be difficult).

People with phobic disorders often recognize that their fear is excessive or unreasonable, but they are unable to control it. When exposed to the feared object or situation, they may experience symptoms such as rapid heartbeat, sweating, trembling, and difficulty breathing. These symptoms can be so distressing that individuals with phobic disorders go to great lengths to avoid the feared situation, which can have a significant impact on their quality of life.

Treatment for phobic disorders typically involves cognitive-behavioral therapy (CBT), which helps individuals identify and challenge their irrational thoughts and fears, as well as exposure therapy, which gradually exposes them to the feared object or situation in a safe and controlled environment. In some cases, medication may also be recommended to help manage symptoms of anxiety.

Nuclear proteins are a category of proteins that are primarily found in the nucleus of a eukaryotic cell. They play crucial roles in various nuclear functions, such as DNA replication, transcription, repair, and RNA processing. This group includes structural proteins like lamins, which form the nuclear lamina, and regulatory proteins, such as histones and transcription factors, that are involved in gene expression. Nuclear localization signals (NLS) often help target these proteins to the nucleus by interacting with importin proteins during active transport across the nuclear membrane.

Psychotic disorders are a group of severe mental health conditions characterized by distorted perceptions, thoughts, and emotions that lead to an inability to recognize reality. The two most common symptoms of psychotic disorders are hallucinations and delusions. Hallucinations are when a person sees, hears, or feels things that aren't there, while delusions are fixed, false beliefs that are not based on reality.

Other symptoms may include disorganized speech, disorganized behavior, catatonic behavior, and negative symptoms such as apathy and lack of emotional expression. Schizophrenia is the most well-known psychotic disorder, but other types include schizoaffective disorder, delusional disorder, brief psychotic disorder, shared psychotic disorder, and substance-induced psychotic disorder.

Psychotic disorders can be caused by a variety of factors, including genetics, brain chemistry imbalances, trauma, and substance abuse. Treatment typically involves a combination of medication, therapy, and support services to help manage symptoms and improve quality of life.

The medical definition of 'Automobile Driving' is the act of operating a motor vehicle, typically a car, on public roads or highways. This requires a set of cognitive, physical, and sensory skills to safely control the vehicle, navigate through traffic, and respond to various situations that may arise while driving.

Cognitive skills include attention, memory, decision-making, problem-solving, and judgment. Physical abilities encompass fine motor coordination, reaction time, strength, and flexibility. Sensory functions such as vision, hearing, and touch are also essential for safe driving.

Various medical conditions or medications can impair these skills and affect a person's ability to drive safely. Therefore, it is crucial for individuals to consult with their healthcare providers about any potential risks associated with driving and follow any recommended restrictions or guidelines.

Body Mass Index (BMI) is a measure used to assess whether a person has a healthy weight for their height. It's calculated by dividing a person's weight in kilograms by the square of their height in meters. Here is the medical definition:

Body Mass Index (BMI) = weight(kg) / [height(m)]^2

According to the World Health Organization, BMI categories are defined as follows:

* Less than 18.5: Underweight
* 18.5-24.9: Normal or healthy weight
* 25.0-29.9: Overweight
* 30.0 and above: Obese

It is important to note that while BMI can be a useful tool for identifying weight issues in populations, it does have limitations when applied to individuals. For example, it may not accurately reflect body fat distribution or muscle mass, which can affect health risks associated with excess weight. Therefore, BMI should be used as one of several factors when evaluating an individual's health status and risk for chronic diseases.

Light signal transduction is a biological process that refers to the way in which cells convert light signals into chemical or electrical responses. This process typically involves several components, including a light-sensitive receptor (such as a photopigment), a signaling molecule (like a G-protein or calcium ion), and an effector protein that triggers a downstream response.

In the visual system, for example, light enters the eye and activates photoreceptor cells in the retina. These cells contain a light-sensitive pigment called rhodopsin, which undergoes a chemical change when struck by a photon of light. This change triggers a cascade of signaling events that ultimately lead to the transmission of visual information to the brain.

Light signal transduction is also involved in other biological processes, such as the regulation of circadian rhythms and the synthesis of vitamin D. In these cases, specialized cells contain light-sensitive receptors that allow them to detect changes in ambient light levels and adjust their physiology accordingly.

Overall, light signal transduction is a critical mechanism by which organisms are able to sense and respond to their environment.

The dorsomedial hypothalamic nucleus (DMH) is a collection of neurons located in the dorsomedial region of the hypothalamus, a part of the brain that regulates various autonomic and endocrine functions. The DMH plays a critical role in regulating several physiological processes, including feeding behavior, energy balance, body temperature, and circadian rhythms.

The neurons in the DMH release different neurotransmitters, such as glutamate, GABA, and neuropeptides, that modulate its functions. The DMH receives inputs from various brain regions, including the limbic system, which is involved in emotional processing, and the brainstem, which regulates autonomic functions.

The DMH also projects to several brain areas, such as the paraventricular hypothalamic nucleus (PVN), lateral hypothalamus, and other regions of the brainstem, forming a complex neural network that controls energy balance and feeding behavior. Dysfunction in the DMH has been implicated in various pathological conditions, including obesity, diabetes, and mood disorders.

Messenger RNA (mRNA) is a type of RNA (ribonucleic acid) that carries genetic information copied from DNA in the form of a series of three-base code "words," each of which specifies a particular amino acid. This information is used by the cell's machinery to construct proteins, a process known as translation. After being transcribed from DNA, mRNA travels out of the nucleus to the ribosomes in the cytoplasm where protein synthesis occurs. Once the protein has been synthesized, the mRNA may be degraded and recycled. Post-transcriptional modifications can also occur to mRNA, such as alternative splicing and addition of a 5' cap and a poly(A) tail, which can affect its stability, localization, and translation efficiency.

Telemetry is the automated measurement and wireless transmission of data from remote or inaccessible sources to receiving stations for monitoring and analysis. In a medical context, telemetry is often used to monitor patients' vital signs such as heart rate, blood pressure, oxygen levels, and other important physiological parameters continuously and remotely. This technology allows healthcare providers to track patients' conditions over time, detect any abnormalities or trends, and make informed decisions about their care, even when they are not physically present with the patient. Telemetry is commonly used in hospitals, clinics, and research settings to monitor patients during procedures, after surgery, or during extended stays in intensive care units.

Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.

In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.

The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.

Anxiety: A feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome. In a medical context, anxiety refers to a mental health disorder characterized by feelings of excessive and persistent worry, fear, or panic that interfere with daily activities. It can also be a symptom of other medical conditions, such as heart disease, diabetes, or substance abuse disorders. Anxiety disorders include generalized anxiety disorder, panic disorder, social anxiety disorder, and phobias.

Physiological feedback, also known as biofeedback, is a technique used to train an individual to become more aware of and gain voluntary control over certain physiological processes that are normally involuntary, such as heart rate, blood pressure, skin temperature, muscle tension, and brain activity. This is done by using specialized equipment to measure these processes and provide real-time feedback to the individual, allowing them to see the effects of their thoughts and actions on their body. Over time, with practice and reinforcement, the individual can learn to regulate these processes without the need for external feedback.

Physiological feedback has been found to be effective in treating a variety of medical conditions, including stress-related disorders, headaches, high blood pressure, chronic pain, and anxiety disorders. It is also used as a performance enhancement technique in sports and other activities that require focused attention and physical control.

Basic Helix-Loop-Helix (bHLH) transcription factors are a type of proteins that regulate gene expression through binding to specific DNA sequences. They play crucial roles in various biological processes, including cell growth, differentiation, and apoptosis. The bHLH domain is composed of two amphipathic α-helices separated by a loop region. This structure allows the formation of homodimers or heterodimers, which then bind to the E-box DNA motif (5'-CANNTG-3') to regulate transcription.

The bHLH family can be further divided into several subfamilies based on their sequence similarities and functional characteristics. Some members of this family are involved in the development and function of the nervous system, while others play critical roles in the development of muscle and bone. Dysregulation of bHLH transcription factors has been implicated in various human diseases, including cancer and neurodevelopmental disorders.

Photoreceptor cells in invertebrates are specialized sensory neurons that convert light stimuli into electrical signals. These cells are primarily responsible for the ability of many invertebrates to detect and respond to light, enabling behaviors such as phototaxis (movement towards or away from light) and vision.

Invertebrate photoreceptor cells typically contain light-sensitive pigments that absorb light at specific wavelengths. The most common type of photopigment is rhodopsin, which consists of a protein called opsin and a chromophore called retinal. When light hits the photopigment, it changes the conformation of the chromophore, triggering a cascade of molecular events that ultimately leads to the generation of an electrical signal.

Invertebrate photoreceptor cells can be found in various locations throughout the body, depending on their function. For example, simple eyespots containing a few photoreceptor cells may be scattered over the surface of the body in some species, while more complex eyes with hundreds or thousands of photoreceptors may be present in other groups. In addition to their role in vision, photoreceptor cells can also serve as sensory organs for regulating circadian rhythms, detecting changes in light intensity, and mediating social behaviors.

Reproducibility of results in a medical context refers to the ability to obtain consistent and comparable findings when a particular experiment or study is repeated, either by the same researcher or by different researchers, following the same experimental protocol. It is an essential principle in scientific research that helps to ensure the validity and reliability of research findings.

In medical research, reproducibility of results is crucial for establishing the effectiveness and safety of new treatments, interventions, or diagnostic tools. It involves conducting well-designed studies with adequate sample sizes, appropriate statistical analyses, and transparent reporting of methods and findings to allow other researchers to replicate the study and confirm or refute the results.

The lack of reproducibility in medical research has become a significant concern in recent years, as several high-profile studies have failed to produce consistent findings when replicated by other researchers. This has led to increased scrutiny of research practices and a call for greater transparency, rigor, and standardization in the conduct and reporting of medical research.

I apologize for the confusion, but "Synechococcus" is not a medical term. It is a genus of cyanobacteria (blue-green algae) that are widely distributed in marine and freshwater environments. These microorganisms play a significant role in the global carbon and nitrogen cycles. They are often studied in the fields of ecology, microbiology, and environmental science. If you have any questions related to medical terminology or concepts, I would be happy to help!

Neuropsychological tests are a type of psychological assessment that measures cognitive functions, such as attention, memory, language, problem-solving, and perception. These tests are used to help diagnose and understand the cognitive impact of neurological conditions, including dementia, traumatic brain injury, stroke, Parkinson's disease, and other disorders that affect the brain.

The tests are typically administered by a trained neuropsychologist and can take several hours to complete. They may involve paper-and-pencil tasks, computerized tasks, or interactive activities. The results of the tests are compared to normative data to help identify any areas of cognitive weakness or strength.

Neuropsychological testing can provide valuable information for treatment planning, rehabilitation, and assessing response to treatment. It can also be used in research to better understand the neural basis of cognition and the impact of neurological conditions on cognitive function.

"Ocular physiological phenomena" is not a standardized medical term with a specific definition. However, I can provide some examples of ocular physiological phenomena, which refer to various normal functions and processes that occur in the eye. Here are a few examples:

1. Accommodation: The ability of the eye to change optical power to maintain a clear image or focus on an object as its distance varies. This is primarily achieved by changing the curvature of the lens through the action of the ciliary muscles.
2. Pupillary reflex: The automatic adjustment of the pupil's size in response to changes in light intensity. In bright light, the pupil constricts (miosis), while in dim light, it dilates (mydriasis). This reflex helps regulate the amount of light that enters the eye.
3. Tear production: The continuous secretion of tears by the lacrimal glands to keep the eyes moist and protected from dust, microorganisms, and other foreign particles.
4. Extraocular muscle function: The coordinated movement of the six extraocular muscles that control eyeball rotation and enable various gaze directions.
5. Color vision: The ability to perceive and distinguish different colors based on the sensitivity of photoreceptor cells (cones) in the retina to specific wavelengths of light.
6. Dark adaptation: The process by which the eyes adjust to low-light conditions, improving visual sensitivity primarily through changes in the rod photoreceptors' sensitivity and pupil dilation.
7. Light adaptation: The ability of the eye to adjust to different levels of illumination, mainly through alterations in pupil size and photoreceptor cell response.

These are just a few examples of ocular physiological phenomena. There are many more processes and functions that occur within the eye, contributing to our visual perception and overall eye health.

Intracellular signaling peptides and proteins are molecules that play a crucial role in transmitting signals within cells, which ultimately lead to changes in cell behavior or function. These signals can originate from outside the cell (extracellular) or within the cell itself. Intracellular signaling molecules include various types of peptides and proteins, such as:

1. G-protein coupled receptors (GPCRs): These are seven-transmembrane domain receptors that bind to extracellular signaling molecules like hormones, neurotransmitters, or chemokines. Upon activation, they initiate a cascade of intracellular signals through G proteins and secondary messengers.
2. Receptor tyrosine kinases (RTKs): These are transmembrane receptors that bind to growth factors, cytokines, or hormones. Activation of RTKs leads to autophosphorylation of specific tyrosine residues, creating binding sites for intracellular signaling proteins such as adapter proteins, phosphatases, and enzymes like Ras, PI3K, and Src family kinases.
3. Second messenger systems: Intracellular second messengers are small molecules that amplify and propagate signals within the cell. Examples include cyclic adenosine monophosphate (cAMP), cyclic guanosine monophosphate (cGMP), diacylglycerol (DAG), inositol triphosphate (IP3), calcium ions (Ca2+), and nitric oxide (NO). These second messengers activate or inhibit various downstream effectors, leading to changes in cellular responses.
4. Signal transduction cascades: Intracellular signaling proteins often form complex networks of interacting molecules that relay signals from the plasma membrane to the nucleus. These cascades involve kinases (protein kinases A, B, C, etc.), phosphatases, and adapter proteins, which ultimately regulate gene expression, cell cycle progression, metabolism, and other cellular processes.
5. Ubiquitination and proteasome degradation: Intracellular signaling pathways can also control protein stability by modulating ubiquitin-proteasome degradation. E3 ubiquitin ligases recognize specific substrates and conjugate them with ubiquitin molecules, targeting them for proteasomal degradation. This process regulates the abundance of key signaling proteins and contributes to signal termination or amplification.

In summary, intracellular signaling pathways involve a complex network of interacting proteins that relay signals from the plasma membrane to various cellular compartments, ultimately regulating gene expression, metabolism, and other cellular processes. Dysregulation of these pathways can contribute to disease development and progression, making them attractive targets for therapeutic intervention.

Homeostasis is a fundamental concept in the field of medicine and physiology, referring to the body's ability to maintain a stable internal environment, despite changes in external conditions. It is the process by which biological systems regulate their internal environment to remain in a state of dynamic equilibrium. This is achieved through various feedback mechanisms that involve sensors, control centers, and effectors, working together to detect, interpret, and respond to disturbances in the system.

For example, the body maintains homeostasis through mechanisms such as temperature regulation (through sweating or shivering), fluid balance (through kidney function and thirst), and blood glucose levels (through insulin and glucagon secretion). When homeostasis is disrupted, it can lead to disease or dysfunction in the body.

In summary, homeostasis is the maintenance of a stable internal environment within biological systems, through various regulatory mechanisms that respond to changes in external conditions.

Apnea is a medical condition defined as the cessation of breathing for 10 seconds or more. It can occur during sleep (sleep apnea) or while awake (wakeful apnea). There are different types of sleep apnea, including obstructive sleep apnea, central sleep apnea, and complex sleep apnea syndrome. Obstructive sleep apnea occurs when the airway becomes blocked during sleep, while central sleep apnea occurs when the brain fails to signal the muscles to breathe. Complex sleep apnea syndrome, also known as treatment-emergent central sleep apnea, is a combination of obstructive and central sleep apneas. Sleep apnea can lead to various complications, such as fatigue, difficulty concentrating, high blood pressure, heart disease, and stroke.

Atrial fibrillation (A-tre-al fi-bru-la'shun) is a type of abnormal heart rhythm characterized by rapid and irregular beating of the atria, the upper chambers of the heart. In this condition, the electrical signals that coordinate heartbeats don't function properly, causing the atria to quiver instead of contracting effectively. As a result, blood may not be pumped efficiently into the ventricles, which can lead to blood clots, stroke, and other complications. Atrial fibrillation is a common type of arrhythmia and can cause symptoms such as palpitations, shortness of breath, fatigue, and dizziness. It can be caused by various factors, including heart disease, high blood pressure, age, and genetics. Treatment options include medications, electrical cardioversion, and surgical procedures to restore normal heart rhythm.

Longitudinal studies are a type of research design where data is collected from the same subjects repeatedly over a period of time, often years or even decades. These studies are used to establish patterns of changes and events over time, and can help researchers identify causal relationships between variables. They are particularly useful in fields such as epidemiology, psychology, and sociology, where the focus is on understanding developmental trends and the long-term effects of various factors on health and behavior.

In medical research, longitudinal studies can be used to track the progression of diseases over time, identify risk factors for certain conditions, and evaluate the effectiveness of treatments or interventions. For example, a longitudinal study might follow a group of individuals over several decades to assess their exposure to certain environmental factors and their subsequent development of chronic diseases such as cancer or heart disease. By comparing data collected at multiple time points, researchers can identify trends and correlations that may not be apparent in shorter-term studies.

Longitudinal studies have several advantages over other research designs, including their ability to establish temporal relationships between variables, track changes over time, and reduce the impact of confounding factors. However, they also have some limitations, such as the potential for attrition (loss of participants over time), which can introduce bias and affect the validity of the results. Additionally, longitudinal studies can be expensive and time-consuming to conduct, requiring significant resources and a long-term commitment from both researchers and study participants.

Nonparametric statistics is a branch of statistics that does not rely on assumptions about the distribution of variables in the population from which the sample is drawn. In contrast to parametric methods, nonparametric techniques make fewer assumptions about the data and are therefore more flexible in their application. Nonparametric tests are often used when the data do not meet the assumptions required for parametric tests, such as normality or equal variances.

Nonparametric statistical methods include tests such as the Wilcoxon rank-sum test (also known as the Mann-Whitney U test) for comparing two independent groups, the Wilcoxon signed-rank test for comparing two related groups, and the Kruskal-Wallis test for comparing more than two independent groups. These tests use the ranks of the data rather than the actual values to make comparisons, which allows them to be used with ordinal or continuous data that do not meet the assumptions of parametric tests.

Overall, nonparametric statistics provide a useful set of tools for analyzing data in situations where the assumptions of parametric methods are not met, and can help researchers draw valid conclusions from their data even when the data are not normally distributed or have other characteristics that violate the assumptions of parametric tests.

A cohort study is a type of observational study in which a group of individuals who share a common characteristic or exposure are followed up over time to determine the incidence of a specific outcome or outcomes. The cohort, or group, is defined based on the exposure status (e.g., exposed vs. unexposed) and then monitored prospectively to assess for the development of new health events or conditions.

Cohort studies can be either prospective or retrospective in design. In a prospective cohort study, participants are enrolled and followed forward in time from the beginning of the study. In contrast, in a retrospective cohort study, researchers identify a cohort that has already been assembled through medical records, insurance claims, or other sources and then look back in time to assess exposure status and health outcomes.

Cohort studies are useful for establishing causality between an exposure and an outcome because they allow researchers to observe the temporal relationship between the two. They can also provide information on the incidence of a disease or condition in different populations, which can be used to inform public health policy and interventions. However, cohort studies can be expensive and time-consuming to conduct, and they may be subject to bias if participants are not representative of the population or if there is loss to follow-up.

The medical definition of "eating" refers to the process of consuming and ingesting food or nutrients into the body. This process typically involves several steps, including:

1. Food preparation: This may involve cleaning, chopping, cooking, or combining ingredients to make them ready for consumption.
2. Ingestion: The act of taking food or nutrients into the mouth and swallowing it.
3. Digestion: Once food is ingested, it travels down the esophagus and enters the stomach, where it is broken down by enzymes and acids to facilitate absorption of nutrients.
4. Absorption: Nutrients are absorbed through the walls of the small intestine and transported to cells throughout the body for use as energy or building blocks for growth and repair.
5. Elimination: Undigested food and waste products are eliminated from the body through the large intestine (colon) and rectum.

Eating is an essential function that provides the body with the nutrients it needs to maintain health, grow, and repair itself. Disorders of eating, such as anorexia nervosa or bulimia nervosa, can have serious consequences for physical and mental health.

Body temperature regulation, also known as thermoregulation, is the process by which the body maintains its core internal temperature within a narrow range, despite varying external temperatures. This is primarily controlled by the hypothalamus in the brain, which acts as a thermostat and receives input from temperature receptors throughout the body. When the body's temperature rises above or falls below the set point, the hypothalamus initiates responses to bring the temperature back into balance. These responses can include shivering to generate heat, sweating to cool down, vasodilation or vasoconstriction of blood vessels to regulate heat loss, and changes in metabolic rate. Effective body temperature regulation is crucial for maintaining optimal physiological function and overall health.

Health surveys are research studies that collect data from a sample population to describe the current health status, health behaviors, and healthcare utilization of a particular group or community. These surveys may include questions about various aspects of health such as physical health, mental health, chronic conditions, lifestyle habits, access to healthcare services, and demographic information. The data collected from health surveys can be used to monitor trends in health over time, identify disparities in health outcomes, develop and evaluate public health programs and policies, and inform resource allocation decisions. Examples of national health surveys include the National Health Interview Survey (NHIS) and the Behavioral Risk Factor Surveillance System (BRFSS).

Sprague-Dawley rats are a strain of albino laboratory rats that are widely used in scientific research. They were first developed by researchers H.H. Sprague and R.C. Dawley in the early 20th century, and have since become one of the most commonly used rat strains in biomedical research due to their relatively large size, ease of handling, and consistent genetic background.

Sprague-Dawley rats are outbred, which means that they are genetically diverse and do not suffer from the same limitations as inbred strains, which can have reduced fertility and increased susceptibility to certain diseases. They are also characterized by their docile nature and low levels of aggression, making them easier to handle and study than some other rat strains.

These rats are used in a wide variety of research areas, including toxicology, pharmacology, nutrition, cancer, and behavioral studies. Because they are genetically diverse, Sprague-Dawley rats can be used to model a range of human diseases and conditions, making them an important tool in the development of new drugs and therapies.

"Age distribution" is a term used to describe the number of individuals within a population or sample that fall into different age categories. It is often presented in the form of a graph, table, or chart, and can provide important information about the demographic structure of a population.

The age distribution of a population can be influenced by a variety of factors, including birth rates, mortality rates, migration patterns, and aging. Public health officials and researchers use age distribution data to inform policies and programs related to healthcare, social services, and other areas that affect the well-being of populations.

For example, an age distribution graph might show a larger number of individuals in the younger age categories, indicating a population with a high birth rate. Alternatively, it might show a larger number of individuals in the older age categories, indicating a population with a high life expectancy or an aging population. Understanding the age distribution of a population can help policymakers plan for future needs and allocate resources more effectively.

A headache is defined as pain or discomfort in the head, scalp, or neck. It can be a symptom of various underlying conditions such as stress, sinus congestion, migraine, or more serious issues like meningitis or concussion. Headaches can vary in intensity, ranging from mild to severe, and may be accompanied by other symptoms such as nausea, vomiting, or sensitivity to light and sound. There are over 150 different types of headaches, including tension headaches, cluster headaches, and sinus headaches, each with their own specific characteristics and causes.

Obesity is a complex disease characterized by an excess accumulation of body fat to the extent that it negatively impacts health. It's typically defined using Body Mass Index (BMI), a measure calculated from a person's weight and height. A BMI of 30 or higher is indicative of obesity. However, it's important to note that while BMI can be a useful tool for identifying obesity in populations, it does not directly measure body fat and may not accurately reflect health status in individuals. Other factors such as waist circumference, blood pressure, cholesterol levels, and blood sugar levels should also be considered when assessing health risks associated with weight.

Positive-pressure respiration is a type of mechanical ventilation where positive pressure is applied to the airway and lungs, causing them to expand and inflate. This can be used to support or replace spontaneous breathing in patients who are unable to breathe effectively on their own due to conditions such as respiratory failure, neuromuscular disorders, or sedation for surgery.

During positive-pressure ventilation, a mechanical ventilator delivers breaths to the patient through an endotracheal tube or a tracheostomy tube. The ventilator is set to deliver a specific volume or pressure of air with each breath, and the patient's breathing is synchronized with the ventilator to ensure proper delivery of the breaths.

Positive-pressure ventilation can help improve oxygenation and remove carbon dioxide from the lungs, but it can also have potential complications such as barotrauma (injury to lung tissue due to excessive pressure), volutrauma (injury due to overdistention of the lungs), hemodynamic compromise (decreased blood pressure and cardiac output), and ventilator-associated pneumonia. Therefore, careful monitoring and adjustment of ventilator settings are essential to minimize these risks and provide safe and effective respiratory support.

Ganglionectomy is a surgical procedure that involves the removal of a ganglion, which is a small, benign cyst-like structure that typically forms on or near a joint capsule or tendon sheath. These ganglia are filled with a jelly-like substance known as synovial fluid, and they can cause pain, discomfort, or limitation of movement when they press on nearby nerves.

Ganglionectomy is usually performed under local or general anesthesia, depending on the location and size of the ganglion. The surgeon makes an incision over the affected area, carefully dissects the tissue surrounding the ganglion, and removes it completely. The incision is then closed with sutures or staples, and a dressing is applied to protect the wound during healing.

This procedure is generally recommended for patients who have persistent symptoms that do not respond to non-surgical treatments such as aspiration (draining the fluid from the ganglion) or immobilization with a splint or brace. Ganglionectomy has a high success rate, with most patients experiencing relief of their symptoms and a low risk of recurrence. However, as with any surgical procedure, there are potential risks and complications, including infection, nerve damage, and scarring.

Benzodiazepines are a class of psychoactive drugs that have been widely used for their sedative, hypnotic, anxiolytic, anticonvulsant, and muscle relaxant properties. They act by enhancing the inhibitory effects of gamma-aminobutyric acid (GABA), the major inhibitory neurotransmitter in the central nervous system.

Benzodiazepines are commonly prescribed for the treatment of anxiety disorders, insomnia, seizures, and muscle spasms. They can also be used as premedication before medical procedures to produce sedation, amnesia, and anxiolysis. Some examples of benzodiazepines include diazepam (Valium), alprazolam (Xanax), clonazepam (Klonopin), lorazepam (Ativan), and temazepam (Restoril).

While benzodiazepines are effective in treating various medical conditions, they can also cause physical dependence and withdrawal symptoms. Long-term use of benzodiazepines can lead to tolerance, meaning that higher doses are needed to achieve the same effect. Abrupt discontinuation of benzodiazepines can result in severe withdrawal symptoms, including seizures, hallucinations, and anxiety. Therefore, it is important to taper off benzodiazepines gradually under medical supervision.

Benzodiazepines are classified as Schedule IV controlled substances in the United States due to their potential for abuse and dependence. It is essential to use them only as directed by a healthcare provider and to be aware of their potential risks and benefits.

"Sex distribution" is a term used to describe the number of males and females in a study population or sample. It can be presented as a simple count, a percentage, or a ratio. This information is often used in research to identify any differences in health outcomes, disease prevalence, or response to treatment between males and females. Additionally, understanding sex distribution can help researchers ensure that their studies are representative of the general population and can inform the design of future studies.

I'm sorry for any confusion, but "United States" is a geopolitical entity, specifically the name of the country consisting of 50 states, and it is not a medical term or concept. Therefore, I can't provide a medical definition for it. If you have any questions related to health, medicine, or biology, I would be happy to try to help answer those!

Conduct Disorder is a mental health disorder that typically begins in childhood or adolescence and is characterized by a repetitive pattern of behavior that violates the rights of others or major age-appropriate societal norms and rules. The behaviors fall into four main categories: aggression to people and animals, destruction of property, deceitfulness or theft, and serious violation of rules.

The specific symptoms of Conduct Disorder can vary widely among individuals, but they generally include:

1. Aggression to people and animals: This may include physical fights, bullying, threatening others, cruelty to animals, and use of weapons.
2. Destruction of property: This may include deliberate destruction of others' property, arson, and vandalism.
3. Deceitfulness or theft: This may include lying, shoplifting, stealing, and breaking into homes, buildings, or cars.
4. Serious violation of rules: This may include running away from home, truancy, staying out late without permission, and frequent violations of school rules.

Conduct Disorder can have serious consequences for individuals who suffer from it, including academic failure, substance abuse, depression, anxiety, and difficulties in interpersonal relationships. It is important to note that Conduct Disorder should be diagnosed by a qualified mental health professional based on a comprehensive evaluation.

Benzhydryl compounds are organic chemical compounds that contain the benzhydryl group, which is a functional group consisting of a diphenylmethane moiety. The benzhydryl group can be represented by the formula Ph2CH, where Ph represents the phenyl group (C6H5).

Benzhydryl compounds are characterized by their unique structure, which consists of two aromatic rings attached to a central carbon atom. This structure gives benzhydryl compounds unique chemical and physical properties, such as stability, rigidity, and high lipophilicity.

Benzhydryl compounds have various applications in organic synthesis, pharmaceuticals, and materials science. For example, they are used as building blocks in the synthesis of complex natural products, drugs, and functional materials. They also serve as useful intermediates in the preparation of other chemical compounds.

Some examples of benzhydryl compounds include diphenylmethane, benzphetamine, and diphenhydramine. These compounds have been widely used in medicine as stimulants, appetite suppressants, and antihistamines. However, some benzhydryl compounds have also been associated with potential health risks, such as liver toxicity and carcinogenicity, and their use should be carefully monitored and regulated.

Luciferases are a class of enzymes that catalyze the oxidation of their substrates, leading to the emission of light. This bioluminescent process is often associated with certain species of bacteria, insects, and fish. The term "luciferase" comes from the Latin word "lucifer," which means "light bearer."

The most well-known example of luciferase is probably that found in fireflies, where the enzyme reacts with a compound called luciferin to produce light. This reaction requires the presence of oxygen and ATP (adenosine triphosphate), which provides the energy needed for the reaction to occur.

Luciferases have important applications in scientific research, particularly in the development of sensitive assays for detecting gene expression and protein-protein interactions. By labeling a protein or gene of interest with luciferase, researchers can measure its activity by detecting the light emitted during the enzymatic reaction. This allows for highly sensitive and specific measurements, making luciferases valuable tools in molecular biology and biochemistry.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Lithium compounds refer to chemical substances that contain the element lithium (Li) combined with one or more other elements. Lithium is an alkali metal with the atomic number 3 and is highly reactive, so it is typically found in nature combined with other elements to form stable compounds.

Lithium compounds have a variety of uses, including in the production of ceramics, glass, and lubricants. However, they are perhaps best known for their use in psychiatric medicine, particularly in the treatment of bipolar disorder. Lithium carbonate (Li2CO3) is the most commonly prescribed lithium compound for this purpose.

Lithium compounds work by affecting the levels of certain neurotransmitters in the brain, including serotonin and dopamine. They can help to reduce the severity and frequency of manic episodes in people with bipolar disorder, as well as potentially having a mood-stabilizing effect. It is important to note that lithium compounds must be used under the close supervision of a healthcare provider, as they can have serious side effects if not properly monitored.

Ambulatory monitoring is a medical practice that involves the continuous or intermittent recording of physiological parameters in a patient who is mobile and able to perform their usual activities while outside of a hospital or clinical setting. This type of monitoring allows healthcare professionals to evaluate a patient's condition over an extended period, typically 24 hours or more, in their natural environment.

Ambulatory monitoring can be used to diagnose and manage various medical conditions such as hypertension, cardiac arrhythmias, sleep disorders, and mobility issues. Common methods of ambulatory monitoring include:

1. Holter monitoring: A small, portable device that records the electrical activity of the heart for 24-48 hours or more.
2. Ambulatory blood pressure monitoring (ABPM): A device that measures blood pressure at regular intervals throughout the day and night.
3. Event monitors: Devices that record heart rhythms only when symptoms occur or when activated by the patient.
4. Actigraphy: A non-invasive method of monitoring sleep-wake patterns, physical activity, and circadian rhythms using a wristwatch-like device.
5. Continuous glucose monitoring (CGM): A device that measures blood sugar levels continuously throughout the day and night.

Overall, ambulatory monitoring provides valuable information about a patient's physiological status in their natural environment, allowing healthcare professionals to make informed decisions regarding diagnosis, treatment, and management of medical conditions.

Locomotion, in a medical context, refers to the ability to move independently and change location. It involves the coordinated movement of the muscles, bones, and nervous system that enables an individual to move from one place to another. This can include walking, running, jumping, or using assistive devices such as wheelchairs or crutches. Locomotion is a fundamental aspect of human mobility and is often assessed in medical evaluations to determine overall health and functioning.

A phenotype is the physical or biochemical expression of an organism's genes, or the observable traits and characteristics resulting from the interaction of its genetic constitution (genotype) with environmental factors. These characteristics can include appearance, development, behavior, and resistance to disease, among others. Phenotypes can vary widely, even among individuals with identical genotypes, due to differences in environmental influences, gene expression, and genetic interactions.

G-protein-coupled receptors (GPCRs) are a family of membrane receptors that play an essential role in cellular signaling and communication. These receptors possess seven transmembrane domains, forming a structure that spans the lipid bilayer of the cell membrane. They are called "G-protein-coupled" because they interact with heterotrimeric G proteins upon activation, which in turn modulate various downstream signaling pathways.

When an extracellular ligand binds to a GPCR, it causes a conformational change in the receptor's structure, leading to the exchange of guanosine diphosphate (GDP) for guanosine triphosphate (GTP) on the associated G protein's α subunit. This exchange triggers the dissociation of the G protein into its α and βγ subunits, which then interact with various effector proteins to elicit cellular responses.

There are four main families of GPCRs, classified based on their sequence similarities and downstream signaling pathways:

1. Gq-coupled receptors: These receptors activate phospholipase C (PLC), which leads to the production of inositol trisphosphate (IP3) and diacylglycerol (DAG). IP3 induces calcium release from intracellular stores, while DAG activates protein kinase C (PKC).
2. Gs-coupled receptors: These receptors activate adenylyl cyclase, which increases the production of cyclic adenosine monophosphate (cAMP) and subsequently activates protein kinase A (PKA).
3. Gi/o-coupled receptors: These receptors inhibit adenylyl cyclase, reducing cAMP levels and modulating PKA activity. Additionally, they can activate ion channels or regulate other signaling pathways through the βγ subunits.
4. G12/13-coupled receptors: These receptors primarily activate RhoGEFs, which in turn activate RhoA and modulate cytoskeletal organization and cellular motility.

GPCRs are involved in various physiological processes, including neurotransmission, hormone signaling, immune response, and sensory perception. Dysregulation of GPCR function has been implicated in numerous diseases, making them attractive targets for drug development.

Casein Kinase 1 Delta (CK1δ) is a serine/threonine protein kinase that plays a crucial role in various cellular processes, including the regulation of circadian rhythms, DNA damage response, and Wnt signaling pathway. It phosphorylates specific target proteins on serine or threonine residues, thereby modulating their activity, stability, or localization. CK1δ is widely expressed in various tissues and has been implicated in several diseases, such as cancer, neurodegenerative disorders, and inflammatory conditions. Inhibitors of CK1δ are being investigated as potential therapeutic agents for these diseases.

Anti-anxiety agents, also known as anxiolytics, are a class of medications used to manage symptoms of anxiety disorders. These drugs work by reducing the abnormal excitement in the brain and promoting relaxation and calmness. They include several types of medications such as benzodiazepines, azapirone, antihistamines, and beta-blockers.

Benzodiazepines are the most commonly prescribed anti-anxiety agents. They work by enhancing the inhibitory effects of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain, which results in sedative, hypnotic, anxiolytic, anticonvulsant, and muscle relaxant properties. Examples of benzodiazepines include diazepam (Valium), alprazolam (Xanax), lorazepam (Ativan), and clonazepam (Klonopin).

Azapirones are a newer class of anti-anxiety agents that act on serotonin receptors in the brain. Buspirone (Buspar) is an example of this type of medication, which has fewer side effects and less potential for abuse compared to benzodiazepines.

Antihistamines are medications that are primarily used to treat allergies but can also have anti-anxiety effects due to their sedative properties. Examples include hydroxyzine (Vistaril, Atarax) and diphenhydramine (Benadryl).

Beta-blockers are mainly used to treat high blood pressure and heart conditions but can also help manage symptoms of anxiety such as rapid heartbeat, tremors, and sweating. Propranolol (Inderal) is an example of a beta-blocker used for this purpose.

It's important to note that anti-anxiety agents should be used under the guidance of a healthcare professional, as they can have side effects and potential for dependence or addiction. Additionally, these medications are often used in combination with psychotherapy and lifestyle modifications to manage anxiety disorders effectively.

In epidemiology, the incidence of a disease is defined as the number of new cases of that disease within a specific population over a certain period of time. It is typically expressed as a rate, with the number of new cases in the numerator and the size of the population at risk in the denominator. Incidence provides information about the risk of developing a disease during a given time period and can be used to compare disease rates between different populations or to monitor trends in disease occurrence over time.

Pulmonary medicine is a medical specialty that deals with the diagnosis, treatment, and prevention of diseases and conditions affecting the respiratory system, including the lungs, trachea, bronchi, bronchioles, and alveoli. Pulmonologists are specialists who treat a wide range of respiratory disorders such as chronic obstructive pulmonary disease (COPD), asthma, bronchitis, pneumonia, lung cancer, sleep-disordered breathing, tuberculosis, and interstitial lung diseases. They use various diagnostic techniques including chest X-rays, CT scans, pulmonary function tests, bronchoscopy, and sleep studies to evaluate and manage respiratory disorders. Pulmonologists also provide care for patients who require long-term mechanical ventilation or oxygen therapy.

Electrocardiography (ECG or EKG) is a medical procedure that records the electrical activity of the heart. It provides a graphic representation of the electrical changes that occur during each heartbeat. The resulting tracing, called an electrocardiogram, can reveal information about the heart's rate and rhythm, as well as any damage to its cells or abnormalities in its conduction system.

During an ECG, small electrodes are placed on the skin of the chest, arms, and legs. These electrodes detect the electrical signals produced by the heart and transmit them to a machine that amplifies and records them. The procedure is non-invasive, painless, and quick, usually taking only a few minutes.

ECGs are commonly used to diagnose and monitor various heart conditions, including arrhythmias, coronary artery disease, heart attacks, and electrolyte imbalances. They can also be used to evaluate the effectiveness of certain medications or treatments.

Logistic models, specifically logistic regression models, are a type of statistical analysis used in medical and epidemiological research to identify the relationship between the risk of a certain health outcome or disease (dependent variable) and one or more independent variables, such as demographic factors, exposure variables, or other clinical measurements.

In contrast to linear regression models, logistic regression models are used when the dependent variable is binary or dichotomous in nature, meaning it can only take on two values, such as "disease present" or "disease absent." The model uses a logistic function to estimate the probability of the outcome based on the independent variables.

Logistic regression models are useful for identifying risk factors and estimating the strength of associations between exposures and health outcomes, adjusting for potential confounders, and predicting the probability of an outcome given certain values of the independent variables. They can also be used to develop clinical prediction rules or scores that can aid in decision-making and patient care.

Tic disorders are a group of conditions characterized by the presence of repetitive, involuntary movements or sounds, known as tics. These movements or sounds can vary in complexity and severity, and they may be worsened by stress or strong emotions.

There are several different types of tic disorders, including:

1. Tourette's disorder: This is a neurological condition characterized by the presence of both motor (movement-related) and vocal tics that have been present for at least one year. The tics may wax and wane in severity over time, but they do not disappear for more than three consecutive months.
2. Persistent (chronic) motor or vocal tic disorder: This type of tic disorder is characterized by the presence of either motor or vocal tics (but not both), which have been present for at least one year. The tics may wax and wane in severity over time, but they do not disappear for more than three consecutive months.
3. Provisional tic disorder: This type of tic disorder is characterized by the presence of motor or vocal tics (or both) that have been present for less than one year. The tics may wax and wane in severity over time, but they do not disappear for more than three consecutive months.
4. Tic disorder not otherwise specified: This category is used to describe tic disorders that do not meet the criteria for any of the other types of tic disorders.

Tic disorders are thought to be caused by a combination of genetic and environmental factors, and they often co-occur with other conditions such as attention deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD). Treatment for tic disorders may include behavioral therapy, medication, or a combination of both.

Medical history taking is the process of obtaining and documenting a patient's health information through a series of questions and observations. It is a critical component of the medical assessment and helps healthcare providers understand the patient's current health status, past medical conditions, medications, allergies, lifestyle habits, and family medical history.

The information gathered during medical history taking is used to make informed decisions about diagnosis, treatment, and management plans for the patient's care. The process typically includes asking open-ended questions, actively listening to the patient's responses, clarifying any uncertainties, and documenting the findings in a clear and concise manner.

Medical history taking can be conducted in various settings, including hospitals, clinics, or virtual consultations, and may be performed by physicians, nurses, or other healthcare professionals. It is essential to ensure that medical history taking is conducted in a private and confidential setting to protect the patient's privacy and maintain trust in the provider-patient relationship.

"Neurospora crassa" is not a medical term, but it is a scientific name used in the field of biology. It refers to a type of filamentous fungus that belongs to the phylum Ascomycota. This organism is commonly found in the environment and has been widely used as a model system for studying various biological processes, including genetics, cell biology, and molecular biology.

"Neurospora crassa" has a characteristic red pigment that makes it easy to identify, and it reproduces sexually through the formation of specialized structures called ascocarps or "fruiting bodies." The fungus undergoes meiosis inside these structures, resulting in the production of ascospores, which are haploid spores that can germinate and form new individuals.

The genome of "Neurospora crassa" was one of the first fungal genomes to be sequenced, and it has served as an important tool for understanding fundamental biological processes in eukaryotic cells. However, because it is not a medical term, there is no official medical definition for "Neurospora crassa."

Photoreceptor cells are specialized neurons in the retina of the eye that convert light into electrical signals. These cells consist of two types: rods and cones. Rods are responsible for vision at low light levels and provide black-and-white, peripheral, and motion sensitivity. Cones are active at higher light levels and are capable of color discrimination and fine detail vision. Both types of photoreceptor cells contain light-sensitive pigments that undergo chemical changes when exposed to light, triggering a series of electrical signals that ultimately reach the brain and contribute to visual perception.

HLA-DQ beta-chains are a type of human leukocyte antigen (HLA) molecule found on the surface of cells in the human body. The HLAs are a group of proteins that play an important role in the immune system by helping the body recognize and respond to foreign substances, such as viruses and bacteria.

The HLA-DQ beta-chains are part of the HLA-DQ complex, which is a heterodimer made up of two polypeptide chains: an alpha chain (HLA-DQ alpha) and a beta chain (HLA-DQ beta). These chains are encoded by genes located on chromosome 6 in the major histocompatibility complex (MHC) region.

The HLA-DQ complex is involved in presenting peptides to CD4+ T cells, which are a type of white blood cell that plays a central role in the immune response. The peptides presented by the HLA-DQ complex are derived from proteins that have been processed within the cell, and they are used to help the CD4+ T cells recognize and respond to infected or abnormal cells.

Variations in the genes that encode the HLA-DQ beta-chains can affect an individual's susceptibility to certain diseases, including autoimmune disorders and infectious diseases.

Aerospace medicine is a branch of medicine that deals with the health and safety of pilots, astronauts, and passengers during space travel or aircraft flight. It involves studying the effects of various factors such as altitude, weightlessness, radiation, noise, vibration, and temperature extremes on the human body, and developing measures to prevent or mitigate any adverse effects.

Aerospace medicine also encompasses the diagnosis and treatment of medical conditions that occur during space travel or aircraft flight, as well as the development of medical standards and guidelines for pilot and astronaut selection, training, and fitness for duty. Additionally, it includes research into the physiological and psychological challenges of long-duration space missions and the development of countermeasures to maintain crew health and performance during such missions.

The double-blind method is a study design commonly used in research, including clinical trials, to minimize bias and ensure the objectivity of results. In this approach, both the participants and the researchers are unaware of which group the participants are assigned to, whether it be the experimental group or the control group. This means that neither the participants nor the researchers know who is receiving a particular treatment or placebo, thus reducing the potential for bias in the evaluation of outcomes. The assignment of participants to groups is typically done by a third party not involved in the study, and the codes are only revealed after all data have been collected and analyzed.

"Phodopus" is not a medical term, but a taxonomic genus that includes several species of small rodents commonly known as hamsters. The most common species within this genus are the Campbell's dwarf hamster (Phodopus campbelli) and the Djungarian or Russian winter white hamster (Phodopus sungorus). These hamsters are often kept as pets and may be involved in biomedical research. However, they are not typically associated with medical conditions or treatments.

Tinnitus is the perception of ringing or other sounds in the ears or head when no external sound is present. It can be described as a sensation of hearing sound even when no actual noise is present. The sounds perceived can vary widely, from a whistling, buzzing, hissing, swooshing, to a pulsating sound, and can be soft or loud.

Tinnitus is not a disease itself but a symptom that can result from a wide range of underlying causes, such as hearing loss, exposure to loud noises, ear infections, earwax blockage, head or neck injuries, circulatory system disorders, certain medications, and age-related hearing loss.

Tinnitus can be temporary or chronic, and it may affect one or both ears. While tinnitus is not usually a sign of a serious medical condition, it can significantly impact quality of life and interfere with daily activities, sleep, and concentration.

"Drosophila" is a genus of small flies, also known as fruit flies. The most common species used in scientific research is "Drosophila melanogaster," which has been a valuable model organism for many areas of biological and medical research, including genetics, developmental biology, neurobiology, and aging.

The use of Drosophila as a model organism has led to numerous important discoveries in genetics and molecular biology, such as the identification of genes that are associated with human diseases like cancer, Parkinson's disease, and obesity. The short reproductive cycle, large number of offspring, and ease of genetic manipulation make Drosophila a powerful tool for studying complex biological processes.

'Drosophila melanogaster' is the scientific name for a species of fruit fly that is commonly used as a model organism in various fields of biological research, including genetics, developmental biology, and evolutionary biology. Its small size, short generation time, large number of offspring, and ease of cultivation make it an ideal subject for laboratory studies. The fruit fly's genome has been fully sequenced, and many of its genes have counterparts in the human genome, which facilitates the understanding of genetic mechanisms and their role in human health and disease.

Here is a brief medical definition:

Drosophila melanogaster (droh-suh-fih-luh meh-lon-guh-ster): A species of fruit fly used extensively as a model organism in genetic, developmental, and evolutionary research. Its genome has been sequenced, revealing many genes with human counterparts, making it valuable for understanding genetic mechanisms and their role in human health and disease.

Blood pressure is the force exerted by circulating blood on the walls of the blood vessels. It is measured in millimeters of mercury (mmHg) and is given as two figures:

1. Systolic pressure: This is the pressure when the heart pushes blood out into the arteries.
2. Diastolic pressure: This is the pressure when the heart rests between beats, allowing it to fill with blood.

Normal blood pressure for adults is typically around 120/80 mmHg, although this can vary slightly depending on age, sex, and other factors. High blood pressure (hypertension) is generally considered to be a reading of 130/80 mmHg or higher, while low blood pressure (hypotension) is usually defined as a reading below 90/60 mmHg. It's important to note that blood pressure can fluctuate throughout the day and may be affected by factors such as stress, physical activity, and medication use.

Genetically modified animals (GMAs) are those whose genetic makeup has been altered using biotechnological techniques. This is typically done by introducing one or more genes from another species into the animal's genome, resulting in a new trait or characteristic that does not naturally occur in that species. The introduced gene is often referred to as a transgene.

The process of creating GMAs involves several steps:

1. Isolation: The desired gene is isolated from the DNA of another organism.
2. Transfer: The isolated gene is transferred into the target animal's cells, usually using a vector such as a virus or bacterium.
3. Integration: The transgene integrates into the animal's chromosome, becoming a permanent part of its genetic makeup.
4. Selection: The modified cells are allowed to multiply, and those that contain the transgene are selected for further growth and development.
5. Breeding: The genetically modified individuals are bred to produce offspring that carry the desired trait.

GMAs have various applications in research, agriculture, and medicine. In research, they can serve as models for studying human diseases or testing new therapies. In agriculture, GMAs can be developed to exhibit enhanced growth rates, improved disease resistance, or increased nutritional value. In medicine, GMAs may be used to produce pharmaceuticals or other therapeutic agents within their bodies.

Examples of genetically modified animals include mice with added genes for specific proteins that make them useful models for studying human diseases, goats that produce a human protein in their milk to treat hemophilia, and pigs with enhanced resistance to certain viruses that could potentially be used as organ donors for humans.

It is important to note that the use of genetically modified animals raises ethical concerns related to animal welfare, environmental impact, and potential risks to human health. These issues must be carefully considered and addressed when developing and implementing GMA technologies.

"Wistar rats" are a strain of albino rats that are widely used in laboratory research. They were developed at the Wistar Institute in Philadelphia, USA, and were first introduced in 1906. Wistar rats are outbred, which means that they are genetically diverse and do not have a fixed set of genetic characteristics like inbred strains.

Wistar rats are commonly used as animal models in biomedical research because of their size, ease of handling, and relatively low cost. They are used in a wide range of research areas, including toxicology, pharmacology, nutrition, cancer, cardiovascular disease, and behavioral studies. Wistar rats are also used in safety testing of drugs, medical devices, and other products.

Wistar rats are typically larger than many other rat strains, with males weighing between 500-700 grams and females weighing between 250-350 grams. They have a lifespan of approximately 2-3 years. Wistar rats are also known for their docile and friendly nature, making them easy to handle and work with in the laboratory setting.

Vasoactive Intestinal Peptide (VIP) is a 28-amino acid polypeptide hormone that has potent vasodilatory, secretory, and neurotransmitter effects. It is widely distributed throughout the body, including in the gastrointestinal tract, where it is synthesized and released by nerve cells (neurons) in the intestinal mucosa. VIP plays a crucial role in regulating various physiological functions such as intestinal secretion, motility, and blood flow. It also has immunomodulatory effects and may play a role in neuroprotection. High levels of VIP are found in the brain, where it acts as a neurotransmitter or neuromodulator and is involved in various cognitive functions such as learning, memory, and social behavior.

E-box elements are specific DNA sequences found in the promoter regions of many genes, particularly those involved in controlling the circadian rhythm (the biological "body clock") in mammals. These sequences are binding sites for various transcription factors that regulate gene expression. The E-box element is typically a 12-base pair sequence (5'-CACGTG-3') that can form a stem-loop structure, making it an ideal recognition site for helix-loop-helix (HLH) transcription factors.

There are two types of E-box elements: the canonical E-box (also called the ' evening element' or EE), and the non-canonical E-box (also known as the ' dawn element' or DE). The canonical E-box has a palindromic sequence (5'-CACGTG-3'), while the non-canonical E-box contains a single copy of the core motif (5'-CACGT-3').

The most well-known transcription factors that bind to E-box elements are CLOCK and BMAL1, which form heterodimers through their HLH domains. These heterodimers bind to the canonical E-box element in the promoter regions of target genes, leading to the recruitment of other coactivators and histone acetyltransferases that ultimately result in transcriptional activation.

The activity of CLOCK-BMAL1 complexes follows a circadian rhythm, with peak binding and gene expression occurring during the early night (evening) phase. In contrast, non-canonical E-box elements are bound by other transcription factors such as PERIOD (PER) proteins, which accumulate and repress CLOCK-BMAL1-mediated transcription during the late night to early morning (dawn) phase.

Overall, E-box elements play a crucial role in regulating circadian rhythm-controlled gene expression, contributing to various physiological processes such as sleep-wake cycles, metabolism, and hormone secretion.

Regression analysis is a statistical technique used in medicine, as well as in other fields, to examine the relationship between one or more independent variables (predictors) and a dependent variable (outcome). It allows for the estimation of the average change in the outcome variable associated with a one-unit change in an independent variable, while controlling for the effects of other independent variables. This technique is often used to identify risk factors for diseases or to evaluate the effectiveness of medical interventions. In medical research, regression analysis can be used to adjust for potential confounding variables and to quantify the relationship between exposures and health outcomes. It can also be used in predictive modeling to estimate the probability of a particular outcome based on multiple predictors.

Epilepsy is a chronic neurological disorder characterized by recurrent, unprovoked seizures. These seizures are caused by abnormal electrical activity in the brain, which can result in a wide range of symptoms, including convulsions, loss of consciousness, and altered sensations or behaviors. Epilepsy can have many different causes, including genetic factors, brain injury, infection, or stroke. In some cases, the cause may be unknown.

There are many different types of seizures that can occur in people with epilepsy, and the specific type of seizure will depend on the location and extent of the abnormal electrical activity in the brain. Some people may experience only one type of seizure, while others may have several different types. Seizures can vary in frequency, from a few per year to dozens or even hundreds per day.

Epilepsy is typically diagnosed based on the patient's history of recurrent seizures and the results of an electroencephalogram (EEG), which measures the electrical activity in the brain. Imaging tests such as MRI or CT scans may also be used to help identify any structural abnormalities in the brain that may be contributing to the seizures.

While there is no cure for epilepsy, it can often be effectively managed with medication. In some cases, surgery may be recommended to remove the area of the brain responsible for the seizures. With proper treatment and management, many people with epilepsy are able to lead normal, productive lives.

The Autonomic Nervous System (ANS) is a part of the peripheral nervous system that operates largely below the level of consciousness and controls visceral functions. It is divided into two main subdivisions: the sympathetic and parasympathetic nervous systems, which generally have opposing effects and maintain homeostasis in the body.

The Sympathetic Nervous System (SNS) prepares the body for stressful or emergency situations, often referred to as the "fight or flight" response. It increases heart rate, blood pressure, respiratory rate, and metabolic rate, while also decreasing digestive activity. This response helps the body respond quickly to perceived threats.

The Parasympathetic Nervous System (PNS), on the other hand, promotes the "rest and digest" state, allowing the body to conserve energy and restore itself after the stress response has subsided. It decreases heart rate, blood pressure, and respiratory rate, while increasing digestive activity and promoting relaxation.

These two systems work together to maintain balance in the body by adjusting various functions based on internal and external demands. Disorders of the Autonomic Nervous System can lead to a variety of symptoms, such as orthostatic hypotension, gastroparesis, and cardiac arrhythmias, among others.

The Chi-square distribution is a continuous probability distribution that is often used in statistical hypothesis testing. It is the distribution of a sum of squares of k independent standard normal random variables. The resulting quantity follows a chi-square distribution with k degrees of freedom, denoted as χ²(k).

The probability density function (pdf) of the Chi-square distribution with k degrees of freedom is given by:

f(x; k) = (1/ (2^(k/2) * Γ(k/2))) \* x^((k/2)-1) \* e^(-x/2), for x > 0 and 0, otherwise.

Where Γ(k/2) is the gamma function evaluated at k/2. The mean and variance of a Chi-square distribution with k degrees of freedom are k and 2k, respectively.

The Chi-square distribution has various applications in statistical inference, including testing goodness-of-fit, homogeneity of variances, and independence in contingency tables.

Casein Kinase 1 (CK1) is a type of serine/threonine protein kinase that plays a crucial role in various cellular processes, including the regulation of circadian rhythms, signal transduction, and DNA damage response. CK1 phosphorylates specific serine or threonine residues on its target proteins, thereby modulating their activity, localization, or stability.

There are several isoforms of CK1, including CK1α, CK1δ, CK1ε, and CK1γ, which exhibit distinct subcellular distributions and functions. Dysregulation of CK1 has been implicated in several human diseases, such as cancer, neurodegenerative disorders, and metabolic syndromes. Therefore, understanding the molecular mechanisms underlying CK1 function is essential for developing novel therapeutic strategies to treat these conditions.

Borderline Personality Disorder (BPD) is a mental health disorder characterized by a pervasive pattern of instability in interpersonal relationships, self-image, affect, and mood, as well as marked impulsivity that begins by early adulthood and is present in various contexts.

Individuals with BPD often experience intense and fluctuating emotions, ranging from profound sadness, anxiety, and anger to feelings of happiness or calm. They may have difficulty managing these emotions, leading to impulsive behavior, self-harm, or suicidal ideation.

People with BPD also tend to have an unstable sense of self, which can lead to rapid changes in their goals, values, and career choices. They often struggle with feelings of emptiness and boredom, and may engage in risky behaviors such as substance abuse, reckless driving, or binge eating to alleviate these feelings.

Interpersonal relationships are often strained due to the individual's fear of abandonment, intense emotional reactions, and difficulty regulating their emotions. They may experience idealization and devaluation of others, leading to rapid shifts in how they view and treat people close to them.

Diagnosis of BPD is typically made by a mental health professional using criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is published by the American Psychiatric Association. Treatment for BPD may include psychotherapy, medication, and support groups to help individuals manage their symptoms and improve their quality of life.

The pituitary-adrenal system, also known as the hypothalamic-pituitary-adrenal (HPA) axis, is a complex set of interactions between the hypothalamus, the pituitary gland, and the adrenal glands. This system plays a crucial role in the body's response to stress through the release of hormones that regulate various physiological processes.

The hypothalamus, located within the brain, receives information from the nervous system about the internal and external environment and responds by releasing corticotropin-releasing hormone (CRH) and vasopressin. These hormones then travel to the anterior pituitary gland, where they stimulate the release of adrenocorticotropic hormone (ACTH).

ACTH is transported through the bloodstream to the adrenal glands, which are located on top of the kidneys. The adrenal glands consist of two parts: the outer cortex and the inner medulla. ACTH specifically targets the adrenal cortex, causing it to release cortisol and other glucocorticoids, as well as androgens such as dehydroepiandrosterone (DHEA).

Cortisol has numerous effects on metabolism, immune function, and cardiovascular regulation. It helps regulate blood sugar levels, suppresses the immune system, and aids in the breakdown of fats, proteins, and carbohydrates to provide energy during stressful situations. DHEA can be converted into male and female sex hormones (androgens and estrogens) in various tissues throughout the body.

The pituitary-adrenal system is tightly regulated through negative feedback mechanisms. High levels of cortisol, for example, inhibit the release of CRH and ACTH from the hypothalamus and pituitary gland, respectively, thereby limiting further cortisol production. Dysregulation of this system has been implicated in several medical conditions, including Cushing's syndrome (overproduction of cortisol) and Addison's disease (underproduction of cortisol).

Luminescent measurements refer to the quantitative assessment of the emission of light from a substance that has been excited, typically through some form of energy input such as electrical energy or radiation. In the context of medical diagnostics and research, luminescent measurements can be used in various applications, including bioluminescence imaging, which is used to study biological processes at the cellular and molecular level.

Bioluminescence occurs when a chemical reaction produces light within a living organism, often through the action of enzymes such as luciferase. By introducing a luciferase gene into cells or organisms, researchers can use bioluminescent measurements to track cellular processes and monitor gene expression in real time.

Luminescent measurements may also be used in medical research to study the properties of materials used in medical devices, such as LEDs or optical fibers, or to develop new diagnostic tools based on light-emitting nanoparticles or other luminescent materials.

In summary, luminescent measurements are a valuable tool in medical research and diagnostics, providing a non-invasive way to study biological processes and develop new technologies for disease detection and treatment.

The Hypothalamo-Hypophyseal system, also known as the hypothalamic-pituitary system, is a crucial part of the endocrine system that regulates many bodily functions. It consists of two main components: the hypothalamus and the pituitary gland.

The hypothalamus is a region in the brain that receives information from various parts of the body and integrates them to regulate vital functions such as body temperature, hunger, thirst, sleep, and emotional behavior. It also produces and releases neurohormones that control the secretion of hormones from the pituitary gland.

The pituitary gland is a small gland located at the base of the brain, just below the hypothalamus. It consists of two parts: the anterior pituitary (also called adenohypophysis) and the posterior pituitary (also called neurohypophysis). The anterior pituitary produces and releases several hormones that regulate various bodily functions such as growth, metabolism, reproduction, and stress response. The posterior pituitary stores and releases hormones produced by the hypothalamus, including antidiuretic hormone (ADH) and oxytocin.

The hypothalamo-hypophyseal system works together to maintain homeostasis in the body by regulating various physiological processes through hormonal signaling. Dysfunction of this system can lead to several endocrine disorders, such as diabetes insipidus, pituitary tumors, and hypothalamic-pituitary axis disorders.

Cell cycle proteins are a group of regulatory proteins that control the progression of the cell cycle, which is the series of events that take place in a eukaryotic cell leading to its division and duplication. These proteins can be classified into several categories based on their functions during different stages of the cell cycle.

The major groups of cell cycle proteins include:

1. Cyclin-dependent kinases (CDKs): CDKs are serine/threonine protein kinases that regulate key transitions in the cell cycle. They require binding to a regulatory subunit called cyclin to become active. Different CDK-cyclin complexes are activated at different stages of the cell cycle.
2. Cyclins: Cyclins are a family of regulatory proteins that bind and activate CDKs. Their levels fluctuate throughout the cell cycle, with specific cyclins expressed during particular phases. For example, cyclin D is important for the G1 to S phase transition, while cyclin B is required for the G2 to M phase transition.
3. CDK inhibitors (CKIs): CKIs are regulatory proteins that bind to and inhibit CDKs, thereby preventing their activation. CKIs can be divided into two main families: the INK4 family and the Cip/Kip family. INK4 family members specifically inhibit CDK4 and CDK6, while Cip/Kip family members inhibit a broader range of CDKs.
4. Anaphase-promoting complex/cyclosome (APC/C): APC/C is an E3 ubiquitin ligase that targets specific proteins for degradation by the 26S proteasome. During the cell cycle, APC/C regulates the metaphase to anaphase transition and the exit from mitosis by targeting securin and cyclin B for degradation.
5. Other regulatory proteins: Several other proteins play crucial roles in regulating the cell cycle, such as p53, a transcription factor that responds to DNA damage and arrests the cell cycle, and the polo-like kinases (PLKs), which are involved in various aspects of mitosis.

Overall, cell cycle proteins work together to ensure the proper progression of the cell cycle, maintain genomic stability, and prevent uncontrolled cell growth, which can lead to cancer.

Somatoform disorders are a group of psychological disorders characterized by the presence of physical symptoms that cannot be fully explained by a medical condition or substance abuse. These symptoms cause significant distress and impairment in social, occupational, or other important areas of functioning. The individual's belief about the symptoms is not consistent with the medical evaluation and often leads to excessive or repeated medical evaluations.

Examples of somatoform disorders include:

1. Somatization disorder: characterized by multiple physical symptoms that cannot be explained medically, affecting several parts of the body.
2. Conversion disorder: characterized by the presence of one or more neurological symptoms (such as blindness, paralysis, or difficulty swallowing) that cannot be explained medically and appear to have a psychological origin.
3. Pain disorder: characterized by chronic pain that is not fully explained by a medical condition.
4. Hypochondriasis: characterized by an excessive preoccupation with having a serious illness, despite reassurance from medical professionals.
5. Body dysmorphic disorder: characterized by the obsessive idea that some aspect of one's own body part or appearance is severely flawed and warrants exceptional measures to hide or fix it.

It's important to note that these disorders are not caused by intentional deceit or malingering, but rather reflect a genuine belief in the presence of physical symptoms and distress related to them.

A "knockout" mouse is a genetically engineered mouse in which one or more genes have been deleted or "knocked out" using molecular biology techniques. This allows researchers to study the function of specific genes and their role in various biological processes, as well as potential associations with human diseases. The mice are generated by introducing targeted DNA modifications into embryonic stem cells, which are then used to create a live animal. Knockout mice have been widely used in biomedical research to investigate gene function, disease mechanisms, and potential therapeutic targets.

I apologize, but "Brazil" is not a medical term or condition. It is the largest country in both South America and Latin America by land area and population. If you have any questions related to medical terminology or health concerns, please provide more information and I will do my best to help.

A biological marker, often referred to as a biomarker, is a measurable indicator that reflects the presence or severity of a disease state, or a response to a therapeutic intervention. Biomarkers can be found in various materials such as blood, tissues, or bodily fluids, and they can take many forms, including molecular, histologic, radiographic, or physiological measurements.

In the context of medical research and clinical practice, biomarkers are used for a variety of purposes, such as:

1. Diagnosis: Biomarkers can help diagnose a disease by indicating the presence or absence of a particular condition. For example, prostate-specific antigen (PSA) is a biomarker used to detect prostate cancer.
2. Monitoring: Biomarkers can be used to monitor the progression or regression of a disease over time. For instance, hemoglobin A1c (HbA1c) levels are monitored in diabetes patients to assess long-term blood glucose control.
3. Predicting: Biomarkers can help predict the likelihood of developing a particular disease or the risk of a negative outcome. For example, the presence of certain genetic mutations can indicate an increased risk for breast cancer.
4. Response to treatment: Biomarkers can be used to evaluate the effectiveness of a specific treatment by measuring changes in the biomarker levels before and after the intervention. This is particularly useful in personalized medicine, where treatments are tailored to individual patients based on their unique biomarker profiles.

It's important to note that for a biomarker to be considered clinically valid and useful, it must undergo rigorous validation through well-designed studies, including demonstrating sensitivity, specificity, reproducibility, and clinical relevance.

Animal disease models are specialized animals, typically rodents such as mice or rats, that have been genetically engineered or exposed to certain conditions to develop symptoms and physiological changes similar to those seen in human diseases. These models are used in medical research to study the pathophysiology of diseases, identify potential therapeutic targets, test drug efficacy and safety, and understand disease mechanisms.

The genetic modifications can include knockout or knock-in mutations, transgenic expression of specific genes, or RNA interference techniques. The animals may also be exposed to environmental factors such as chemicals, radiation, or infectious agents to induce the disease state.

Examples of animal disease models include:

1. Mouse models of cancer: Genetically engineered mice that develop various types of tumors, allowing researchers to study cancer initiation, progression, and metastasis.
2. Alzheimer's disease models: Transgenic mice expressing mutant human genes associated with Alzheimer's disease, which exhibit amyloid plaque formation and cognitive decline.
3. Diabetes models: Obese and diabetic mouse strains like the NOD (non-obese diabetic) or db/db mice, used to study the development of type 1 and type 2 diabetes, respectively.
4. Cardiovascular disease models: Atherosclerosis-prone mice, such as ApoE-deficient or LDLR-deficient mice, that develop plaque buildup in their arteries when fed a high-fat diet.
5. Inflammatory bowel disease models: Mice with genetic mutations affecting intestinal barrier function and immune response, such as IL-10 knockout or SAMP1/YitFc mice, which develop colitis.

Animal disease models are essential tools in preclinical research, but it is important to recognize their limitations. Differences between species can affect the translatability of results from animal studies to human patients. Therefore, researchers must carefully consider the choice of model and interpret findings cautiously when applying them to human diseases.

Molecular sequence data refers to the specific arrangement of molecules, most commonly nucleotides in DNA or RNA, or amino acids in proteins, that make up a biological macromolecule. This data is generated through laboratory techniques such as sequencing, and provides information about the exact order of the constituent molecules. This data is crucial in various fields of biology, including genetics, evolution, and molecular biology, allowing for comparisons between different organisms, identification of genetic variations, and studies of gene function and regulation.

In a medical context, feedback refers to the information or data about the results of a process, procedure, or treatment that is used to evaluate and improve its effectiveness. This can include both quantitative data (such as vital signs or laboratory test results) and qualitative data (such as patient-reported symptoms or satisfaction). Feedback can come from various sources, including patients, healthcare providers, medical equipment, and electronic health records. It is an essential component of quality improvement efforts, allowing healthcare professionals to make informed decisions about changes to care processes and treatments to improve patient outcomes.

Adrenocorticotropic Hormone (ACTH) is a hormone produced and released by the anterior pituitary gland, a small endocrine gland located at the base of the brain. ACTH plays a crucial role in the regulation of the body's stress response and has significant effects on various physiological processes.

The primary function of ACTH is to stimulate the adrenal glands, which are triangular-shaped glands situated on top of the kidneys. The adrenal glands consist of two parts: the outer cortex and the inner medulla. ACTH specifically targets the adrenal cortex, where it binds to specific receptors and initiates a series of biochemical reactions leading to the production and release of steroid hormones, primarily cortisol (a glucocorticoid) and aldosterone (a mineralocorticoid).

Cortisol is involved in various metabolic processes, such as regulating blood sugar levels, modulating the immune response, and helping the body respond to stress. Aldosterone plays a vital role in maintaining electrolyte and fluid balance by promoting sodium reabsorption and potassium excretion in the kidneys.

ACTH release is controlled by the hypothalamus, another part of the brain, which produces corticotropin-releasing hormone (CRH). CRH stimulates the anterior pituitary gland to secrete ACTH, which in turn triggers cortisol production in the adrenal glands. This complex feedback system helps maintain homeostasis and ensures that appropriate amounts of cortisol are released in response to various physiological and psychological stressors.

Disorders related to ACTH can lead to hormonal imbalances, resulting in conditions such as Cushing's syndrome (excessive cortisol production) or Addison's disease (insufficient cortisol production). Proper diagnosis and management of these disorders typically involve assessing the function of the hypothalamic-pituitary-adrenal axis and addressing any underlying issues affecting ACTH secretion.

Temperature, in a medical context, is a measure of the degree of hotness or coldness of a body or environment. It is usually measured using a thermometer and reported in degrees Celsius (°C), degrees Fahrenheit (°F), or kelvin (K). In the human body, normal core temperature ranges from about 36.5-37.5°C (97.7-99.5°F) when measured rectally, and can vary slightly depending on factors such as time of day, physical activity, and menstrual cycle. Elevated body temperature is a common sign of infection or inflammation, while abnormally low body temperature can indicate hypothermia or other medical conditions.

Medical Definition of Respiration:

Respiration, in physiology, is the process by which an organism takes in oxygen and gives out carbon dioxide. It's also known as breathing. This process is essential for most forms of life because it provides the necessary oxygen for cellular respiration, where the cells convert biochemical energy from nutrients into adenosine triphosphate (ATP), and releases waste products, primarily carbon dioxide.

In humans and other mammals, respiration is a two-stage process:

1. Breathing (or external respiration): This involves the exchange of gases with the environment. Air enters the lungs through the mouth or nose, then passes through the pharynx, larynx, trachea, and bronchi, finally reaching the alveoli where the actual gas exchange occurs. Oxygen from the inhaled air diffuses into the blood, while carbon dioxide, a waste product of metabolism, diffuses from the blood into the alveoli to be exhaled.

2. Cellular respiration (or internal respiration): This is the process by which cells convert glucose and other nutrients into ATP, water, and carbon dioxide in the presence of oxygen. The carbon dioxide produced during this process then diffuses out of the cells and into the bloodstream to be exhaled during breathing.

In summary, respiration is a vital physiological function that enables organisms to obtain the necessary oxygen for cellular metabolism while eliminating waste products like carbon dioxide.

I'm sorry for any confusion, but Fourier Analysis is not a medical term. It is a mathematical concept used in various scientific fields, including physics, engineering, and signal processing.

Fourier Analysis is a method to decompose functions into sinusoidal components (sines and cosines) of different frequencies. This allows for the representation of a function or a signal as a sum of these frequency components. It's particularly useful in analyzing periodic functions, understanding signals, and solving partial differential equations.

If you have any medical terms you would like me to define, please let me know!

I'm sorry for any confusion, but "solar activity" is not a term typically used in medical definitions. Solar activity refers to the various phenomena that occur on the Sun, including solar flares, coronal mass ejections (CMEs), and solar wind. These events involve the release of energy and charged particles from the Sun's atmosphere and can have effects on space weather and technological systems in near-Earth space. If you have any questions related to medical terminology or health-related topics, I would be happy to help with those!

Sensitivity and specificity are statistical measures used to describe the performance of a diagnostic test or screening tool in identifying true positive and true negative results.

* Sensitivity refers to the proportion of people who have a particular condition (true positives) who are correctly identified by the test. It is also known as the "true positive rate" or "recall." A highly sensitive test will identify most or all of the people with the condition, but may also produce more false positives.
* Specificity refers to the proportion of people who do not have a particular condition (true negatives) who are correctly identified by the test. It is also known as the "true negative rate." A highly specific test will identify most or all of the people without the condition, but may also produce more false negatives.

In medical testing, both sensitivity and specificity are important considerations when evaluating a diagnostic test. High sensitivity is desirable for screening tests that aim to identify as many cases of a condition as possible, while high specificity is desirable for confirmatory tests that aim to rule out the condition in people who do not have it.

It's worth noting that sensitivity and specificity are often influenced by factors such as the prevalence of the condition in the population being tested, the threshold used to define a positive result, and the reliability and validity of the test itself. Therefore, it's important to consider these factors when interpreting the results of a diagnostic test.

Cyanobacteria, also known as blue-green algae, are a type of bacteria that obtain their energy through photosynthesis, similar to plants. They can produce oxygen and contain chlorophyll a, which gives them a greenish color. Some species of cyanobacteria can produce toxins that can be harmful to humans and animals if ingested or inhaled. They are found in various aquatic environments such as freshwater lakes, ponds, and oceans, as well as in damp soil and on rocks. Cyanobacteria are important contributors to the Earth's oxygen-rich atmosphere and play a significant role in the global carbon cycle.

I'm sorry for any confusion, but "Italy" is not a medical term or concept. It is a country located in Southern Europe. If you have any questions related to medical terminology or health-related topics, I would be happy to try and help answer those for you.

The odds ratio (OR) is a statistical measure used in epidemiology and research to estimate the association between an exposure and an outcome. It represents the odds that an event will occur in one group versus the odds that it will occur in another group, assuming that all other factors are held constant.

In medical research, the odds ratio is often used to quantify the strength of the relationship between a risk factor (exposure) and a disease outcome. An OR of 1 indicates no association between the exposure and the outcome, while an OR greater than 1 suggests that there is a positive association between the two. Conversely, an OR less than 1 implies a negative association.

It's important to note that the odds ratio is not the same as the relative risk (RR), which compares the incidence rates of an outcome in two groups. While the OR can approximate the RR when the outcome is rare, they are not interchangeable and can lead to different conclusions about the association between an exposure and an outcome.

The liver is a large, solid organ located in the upper right portion of the abdomen, beneath the diaphragm and above the stomach. It plays a vital role in several bodily functions, including:

1. Metabolism: The liver helps to metabolize carbohydrates, fats, and proteins from the food we eat into energy and nutrients that our bodies can use.
2. Detoxification: The liver detoxifies harmful substances in the body by breaking them down into less toxic forms or excreting them through bile.
3. Synthesis: The liver synthesizes important proteins, such as albumin and clotting factors, that are necessary for proper bodily function.
4. Storage: The liver stores glucose, vitamins, and minerals that can be released when the body needs them.
5. Bile production: The liver produces bile, a digestive juice that helps to break down fats in the small intestine.
6. Immune function: The liver plays a role in the immune system by filtering out bacteria and other harmful substances from the blood.

Overall, the liver is an essential organ that plays a critical role in maintaining overall health and well-being.

Risk assessment in the medical context refers to the process of identifying, evaluating, and prioritizing risks to patients, healthcare workers, or the community related to healthcare delivery. It involves determining the likelihood and potential impact of adverse events or hazards, such as infectious diseases, medication errors, or medical devices failures, and implementing measures to mitigate or manage those risks. The goal of risk assessment is to promote safe and high-quality care by identifying areas for improvement and taking action to minimize harm.

Mammals are a group of warm-blooded vertebrates constituting the class Mammalia, characterized by the presence of mammary glands (which produce milk to feed their young), hair or fur, three middle ear bones, and a neocortex region in their brain. They are found in a diverse range of habitats and come in various sizes, from tiny shrews to large whales. Examples of mammals include humans, apes, monkeys, dogs, cats, bats, mice, raccoons, seals, dolphins, horses, and elephants.

Trans-activators are proteins that increase the transcriptional activity of a gene or a set of genes. They do this by binding to specific DNA sequences and interacting with the transcription machinery, thereby enhancing the recruitment and assembly of the complexes needed for transcription. In some cases, trans-activators can also modulate the chromatin structure to make the template more accessible to the transcription machinery.

In the context of HIV (Human Immunodeficiency Virus) infection, the term "trans-activator" is often used specifically to refer to the Tat protein. The Tat protein is a viral regulatory protein that plays a critical role in the replication of HIV by activating the transcription of the viral genome. It does this by binding to a specific RNA structure called the Trans-Activation Response Element (TAR) located at the 5' end of all nascent HIV transcripts, and recruiting cellular cofactors that enhance the processivity and efficiency of RNA polymerase II, leading to increased viral gene expression.

Ambulatory electrocardiography, also known as ambulatory ECG or Holter monitoring, is a non-invasive method of recording the electrical activity of the heart over an extended period of time (typically 24 hours or more) while the patient goes about their daily activities. The device used to record the ECG is called a Holter monitor, which consists of a small, portable recorder that is attached to the patient's chest with electrodes.

The recorded data provides information on any abnormalities in the heart's rhythm or electrical activity during different stages of activity and rest, allowing healthcare providers to diagnose and evaluate various cardiac conditions such as arrhythmias, ischemia, and infarction. The ability to monitor the heart's activity over an extended period while the patient performs their normal activities provides valuable information that may not be captured during a standard ECG, which only records the heart's electrical activity for a few seconds.

In summary, ambulatory electrocardiography is a diagnostic tool used to evaluate the electrical activity of the heart over an extended period, allowing healthcare providers to diagnose and manage various cardiac conditions.

Eye proteins, also known as ocular proteins, are specific proteins that are found within the eye and play crucial roles in maintaining proper eye function and health. These proteins can be found in various parts of the eye, including the cornea, iris, lens, retina, and other structures. They perform a wide range of functions, such as:

1. Structural support: Proteins like collagen and elastin provide strength and flexibility to the eye's tissues, enabling them to maintain their shape and withstand mechanical stress.
2. Light absorption and transmission: Proteins like opsins and crystallins are involved in capturing and transmitting light signals within the eye, which is essential for vision.
3. Protection against damage: Some eye proteins, such as antioxidant enzymes and heat shock proteins, help protect the eye from oxidative stress, UV radiation, and other environmental factors that can cause damage.
4. Regulation of eye growth and development: Various growth factors and signaling molecules, which are protein-based, contribute to the proper growth, differentiation, and maintenance of eye tissues during embryonic development and throughout adulthood.
5. Immune defense: Proteins involved in the immune response, such as complement components and immunoglobulins, help protect the eye from infection and inflammation.
6. Maintenance of transparency: Crystallin proteins in the lens maintain its transparency, allowing light to pass through unobstructed for clear vision.
7. Neuroprotection: Certain eye proteins, like brain-derived neurotrophic factor (BDNF), support the survival and function of neurons within the retina, helping to preserve vision.

Dysfunction or damage to these eye proteins can contribute to various eye disorders and diseases, such as cataracts, age-related macular degeneration, glaucoma, diabetic retinopathy, and others.

Body weight is the measure of the force exerted on a scale or balance by an object's mass, most commonly expressed in units such as pounds (lb) or kilograms (kg). In the context of medical definitions, body weight typically refers to an individual's total weight, which includes their skeletal muscle, fat, organs, and bodily fluids.

Healthcare professionals often use body weight as a basic indicator of overall health status, as it can provide insights into various aspects of a person's health, such as nutritional status, metabolic function, and risk factors for certain diseases. For example, being significantly underweight or overweight can increase the risk of developing conditions like malnutrition, diabetes, heart disease, and certain types of cancer.

It is important to note that body weight alone may not provide a complete picture of an individual's health, as it does not account for factors such as muscle mass, bone density, or body composition. Therefore, healthcare professionals often use additional measures, such as body mass index (BMI), waist circumference, and blood tests, to assess overall health status more comprehensively.

The branch of transportation concerned with flying aircraft, including the design, development, production, and operation of airplanes, helicopters, and other flying machines. In a medical context, aviation may refer to the study of the effects of flight on the human body, particularly in relation to pilot health and safety, or to the medical aspects of aviation, such as aeromedical evacuation and transportation of patients by air.

Signal transduction is the process by which a cell converts an extracellular signal, such as a hormone or neurotransmitter, into an intracellular response. This involves a series of molecular events that transmit the signal from the cell surface to the interior of the cell, ultimately resulting in changes in gene expression, protein activity, or metabolism.

The process typically begins with the binding of the extracellular signal to a receptor located on the cell membrane. This binding event activates the receptor, which then triggers a cascade of intracellular signaling molecules, such as second messengers, protein kinases, and ion channels. These molecules amplify and propagate the signal, ultimately leading to the activation or inhibition of specific cellular responses.

Signal transduction pathways are highly regulated and can be modulated by various factors, including other signaling molecules, post-translational modifications, and feedback mechanisms. Dysregulation of these pathways has been implicated in a variety of diseases, including cancer, diabetes, and neurological disorders.

I'm sorry for any confusion, but "seasons" is not a term that has a medical definition. Seasons refer to the four divisions of the year (spring, summer, autumn or fall, and winter) based on the position of the earth in its orbit around the sun. If you have any questions related to health or medicine, I'd be happy to try to help answer those!

Electric countershock, also known as defibrillation, is a medical procedure that uses an electric current to restore normal heart rhythm in certain types of cardiac arrhythmias, such as ventricular fibrillation or pulseless ventricular tachycardia. The procedure involves delivering a therapeutic dose of electrical energy to the heart through electrodes placed on the chest wall or directly on the heart. This electric current helps to depolarize a large number of cardiac cells simultaneously, which can help to interrupt the abnormal electrical activity in the heart and allow the normal conduction system to regain control and restore a normal rhythm. Electric countershock is typically delivered using an automated external defibrillator (AED) or a manual defibrillator, and it is a critical component of advanced cardiac life support (ACLS).

Neurospora is not a medical term, but a genus of fungi commonly found in the environment. It is often used in scientific research, particularly in the fields of genetics and molecular biology. The most common species used in research is Neurospora crassa, which has been studied extensively due to its haploid nature, simple genetic structure, and rapid growth rate. Research using Neurospora has contributed significantly to our understanding of fundamental biological processes such as gene regulation, metabolism, and circadian rhythms.

Gene expression regulation in plants refers to the processes that control the production of proteins and RNA from the genes present in the plant's DNA. This regulation is crucial for normal growth, development, and response to environmental stimuli in plants. It can occur at various levels, including transcription (the first step in gene expression, where the DNA sequence is copied into RNA), RNA processing (such as alternative splicing, which generates different mRNA molecules from a single gene), translation (where the information in the mRNA is used to produce a protein), and post-translational modification (where proteins are chemically modified after they have been synthesized).

In plants, gene expression regulation can be influenced by various factors such as hormones, light, temperature, and stress. Plants use complex networks of transcription factors, chromatin remodeling complexes, and small RNAs to regulate gene expression in response to these signals. Understanding the mechanisms of gene expression regulation in plants is important for basic research, as well as for developing crops with improved traits such as increased yield, stress tolerance, and disease resistance.

The MMPI, or Minnesota Multiphasic Personality Inventory, is a psychological assessment tool that is widely used in clinical and research settings to help evaluate an individual's personality, emotional state, and behavior. It consists of a series of true-false questions that are designed to measure various aspects of an individual's psychological functioning, including their attitudes, beliefs, and behaviors.

The MMPI was first developed in the 1930s and has undergone several revisions over the years. The current version, the MMPI-2, consists of 567 items and takes approximately 60-90 minutes to complete. The test is typically administered by a trained professional, such as a psychologist or counselor, who uses the results to help diagnose mental health conditions, develop treatment plans, and make recommendations about an individual's care.

It is important to note that while the MMPI can be a useful tool in assessing psychological functioning, it should not be used as the sole basis for making diagnostic or treatment decisions. It is typically used in conjunction with other assessment methods, such as clinical interviews and other tests, to provide a comprehensive picture of an individual's psychological state.

Gene expression is the process by which the information encoded in a gene is used to synthesize a functional gene product, such as a protein or RNA molecule. This process involves several steps: transcription, RNA processing, and translation. During transcription, the genetic information in DNA is copied into a complementary RNA molecule, known as messenger RNA (mRNA). The mRNA then undergoes RNA processing, which includes adding a cap and tail to the mRNA and splicing out non-coding regions called introns. The resulting mature mRNA is then translated into a protein on ribosomes in the cytoplasm through the process of translation.

The regulation of gene expression is a complex and highly controlled process that allows cells to respond to changes in their environment, such as growth factors, hormones, and stress signals. This regulation can occur at various stages of gene expression, including transcriptional activation or repression, RNA processing, mRNA stability, and translation. Dysregulation of gene expression has been implicated in many diseases, including cancer, genetic disorders, and neurological conditions.

The Predictive Value of Tests, specifically the Positive Predictive Value (PPV) and Negative Predictive Value (NPV), are measures used in diagnostic tests to determine the probability that a positive or negative test result is correct.

Positive Predictive Value (PPV) is the proportion of patients with a positive test result who actually have the disease. It is calculated as the number of true positives divided by the total number of positive results (true positives + false positives). A higher PPV indicates that a positive test result is more likely to be a true positive, and therefore the disease is more likely to be present.

Negative Predictive Value (NPV) is the proportion of patients with a negative test result who do not have the disease. It is calculated as the number of true negatives divided by the total number of negative results (true negatives + false negatives). A higher NPV indicates that a negative test result is more likely to be a true negative, and therefore the disease is less likely to be present.

The predictive value of tests depends on the prevalence of the disease in the population being tested, as well as the sensitivity and specificity of the test. A test with high sensitivity and specificity will generally have higher predictive values than a test with low sensitivity and specificity. However, even a highly sensitive and specific test can have low predictive values if the prevalence of the disease is low in the population being tested.

Movement disorders are a group of neurological conditions that affect the control and coordination of voluntary movements. These disorders can result from damage to or dysfunction of the cerebellum, basal ganglia, or other parts of the brain that regulate movement. Symptoms may include tremors, rigidity, bradykinesia (slowness of movement), akathisia (restlessness and inability to remain still), dystonia (sustained muscle contractions leading to abnormal postures), chorea (rapid, unpredictable movements), tics, and gait disturbances. Examples of movement disorders include Parkinson's disease, Huntington's disease, Tourette syndrome, and dystonic disorders.

Serotonin, also known as 5-hydroxytryptamine (5-HT), is a monoamine neurotransmitter that is found primarily in the gastrointestinal (GI) tract, blood platelets, and the central nervous system (CNS) of humans and other animals. It is produced by the conversion of the amino acid tryptophan to 5-hydroxytryptophan (5-HTP), and then to serotonin.

In the CNS, serotonin plays a role in regulating mood, appetite, sleep, memory, learning, and behavior, among other functions. It also acts as a vasoconstrictor, helping to regulate blood flow and blood pressure. In the GI tract, it is involved in peristalsis, the contraction and relaxation of muscles that moves food through the digestive system.

Serotonin is synthesized and stored in serotonergic neurons, which are nerve cells that use serotonin as their primary neurotransmitter. These neurons are found throughout the brain and spinal cord, and they communicate with other neurons by releasing serotonin into the synapse, the small gap between two neurons.

Abnormal levels of serotonin have been linked to a variety of disorders, including depression, anxiety, schizophrenia, and migraines. Medications that affect serotonin levels, such as selective serotonin reuptake inhibitors (SSRIs), are commonly used to treat these conditions.

A nerve net, also known as a neural net or neuronal network, is not a medical term per se, but rather a concept in neuroscience and artificial intelligence (AI). It refers to a complex network of interconnected neurons that process and transmit information. In the context of the human body, the nervous system can be thought of as a type of nerve net, with the brain and spinal cord serving as the central processing unit and peripheral nerves carrying signals to and from various parts of the body.

In the field of AI, artificial neural networks are computational models inspired by the structure and function of biological nerve nets. These models consist of interconnected nodes or "neurons" that process information and learn patterns through a process of training and adaptation. They have been used in a variety of applications, including image recognition, natural language processing, and machine learning.

'Arabidopsis' is a genus of small flowering plants that are part of the mustard family (Brassicaceae). The most commonly studied species within this genus is 'Arabidopsis thaliana', which is often used as a model organism in plant biology and genetics research. This plant is native to Eurasia and Africa, and it has a small genome that has been fully sequenced. It is known for its short life cycle, self-fertilization, and ease of growth, making it an ideal subject for studying various aspects of plant biology, including development, metabolism, and response to environmental stresses.

Circadian rhythm sleep disorders (CRSD), also known as circadian rhythm sleep-wake disorders (CRSWD), are a family of sleep ... Circadian Rhythm Sleep Disorders: Part II, Advanced Sleep Phase Disorder, Delayed Sleep Phase Disorder, Free-Running Disorder, ... Circadian Sleep Disorders Network An American Academy of Sleep Medicine Review: Circadian Rhythm Sleep Disorders: Part I, Basic ... Delayed sleep phase disorder, advanced sleep phase disorder, non-24-hour sleep-wake disorder and irregular sleep-wake rhythm ...
"Circadian Rhythms". nigms.nih.gov. Fahey, Christopher D.; Zee, Phyllis C. (1 December 2006). "Circadian rhythm sleep disorders ... People who have circadian rhythm sleep disorders are sometimes treated with light therapy (exposure to intense bluish white ... rather than sleep schedules, determines circadian phase". Sleep Medicine. 14 (5): 456-461. doi:10.1016/j.sleep.2012.12.011. PMC ... The human circadian rhythm can be affected by light sources. The effective color temperature of daylight is ~5,700K (bluish ...
"Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep ... Zee PC, Attarian H, Videnovic A (February 2013). "Circadian rhythm abnormalities". Continuum. 19 (1 Sleep Disorders): 132-147. ... shift work sleep disorder, and excessive daytime sleepiness associated with obstructive sleep apnea. For obstructive sleep ... and helps with the disruptions in circadian rhythms and with the reduced quality of sleep astronauts experience. Modafinil has ...
"Circadian rhythm sleep disorders: part II, advanced sleep phase disorder, delayed sleep phase disorder, free-running disorder, ... Irregular sleep-wake rhythm disorder (ISWRD) is a rare form of circadian rhythm sleep disorder. It is characterized by numerous ... "Circadian Rhythm Sleep Disorder: Irregular Sleep Wake Rhythm Type". Sleep Medicine Clinics. NIH Public Access. 4 (2): 213-218. ... Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep-Wake Rhythm Disorder ( ...
"Circadian rhythm sleep disorders: part II, advanced sleep phase disorder, delayed sleep phase disorder, free-running disorder, ... According to the International Classification of Sleep Disorders, Revised (ICSD-R, 2001), the circadian rhythm sleep disorders ... In most circadian rhythm sleep disorders, the underlying problem is that the patient cannot sleep when sleep is desired, needed ... delayed sleep phase syndrome (DSPS), delayed sleep phase type (DSPT), and circadian rhythm sleep disorder. Treatment, a set of ...
"Circadian Rhythm Sleep Disorders: Part II, Advanced Sleep Phase Disorder, Delayed Sleep Phase Disorder, Free-Running Disorder, ... Advanced Sleep Phase Disorder (ASPD), also known as the advanced sleep-phase type (ASPT) of circadian rhythm sleep disorder, is ... Delayed sleep phase disorder Irregular sleep-wake rhythm Non-24-hour sleep-wake disorder Dodson, Ehren R.; Zee, Phyllis C (2010 ... "Therapeutics for Circadian Rhythm Sleep Disorders". Sleep Medicine Clinics. 5 (4): 701-715. doi:10.1016/j.jsmc.2010.08.001. ...
"Genetic basis of human circadian rhythm disorders". Experimental Neurology. Circadian rhythms and sleep disorders. 243: 28-33. ... Mice with this mutation sleep less. They get less of both REM and non-REM sleep and recover more easily from sleep deprivation ... "A novel BHLHE41 variant is associated with short sleep and resistance to sleep deprivation in humans". Sleep. 37 (8): 1327-36. ... BHLHE41 is known for its role in the circadian molecular mechanisms that influence sleep quantity as well as its role in immune ...
... parasomnias such as sleepwalking and rapid eye movement sleep behavior disorder; bruxism; and circadian rhythm sleep disorders ... "Introduction to Sleep and Circadian Rhythms". In Zee PC, Turek FW (eds.). Regulation of Sleep and Circadian Rhythms. pp. 1-17. ... Chronotypes far outside the normal range are called circadian rhythm sleep disorders. Naps are short periods of sleep that one ... Dagan Y (February 2002). "Circadian rhythm sleep disorders (CRSD)" (PDF). Sleep Medicine Reviews. 6 (1): 45-54. doi:10.1053/ ...
... that affect sleep timing and circadian rhythms. Some of these circadian disorders include Advanced Sleep Phase Disorder (ASPD) ... Chronobiology Irregular sleep-wake rhythm Non-24-hour sleep-wake disorder Shift work sleep disorder Jet lag Madrid-Valero JJ, ... Dodson ER, Zee PC (December 2010). "Therapeutics for Circadian Rhythm Sleep Disorders". Sleep Medicine Clinics. 5 (4): 701-715 ... Chong SY, Xin L, Ptáček LJ, Fu YH (2018-01-01). "Disorders of sleep and circadian rhythms". Neurogenetics, Part II. Handbook of ...
REM sleep behavior disorder; sleep and circadian rhythms in Alzheimer's disease; as well as biomarkers of Alzheimer's disease ... She is also studying REM sleep behavior disorder, a sleep disorder that in many cases precedes a diagnosis of Parkinson's ... the molecular mechanisms of circadian rhythm changes, and the directionality of the role of amyloid beta in circadian rhythm ... and that sleep disorders are associated with Alzheimer's disease pathology, sleep is a heterogenous state and the specific ...
Other related sleep disturbances are delayed sleep phase syndrome, circadian-rhythm sleep disorder, sleep apnea, REM sleep ... Murray, Greg; Harvey, Allison (2010). "Circadian rhythms and sleep in bipolar disorder". Bipolar Disorders. 12 (5): 459-472. ... sleeping and waking are central to IPSRT. Research has shown that the sleep-wake cycle (circadian rhythms and sleep) can be ... Harvey, Allison G. (2008-07-01). "Sleep and Circadian Rhythms in Bipolar Disorder: Seeking Synchrony, Harmony, and Regulation ...
ARNTL ARNTL2 Bacterial circadian rhythms Circadian rhythm sleep disorders, such as Advanced sleep phase disorder Delayed sleep ... In clinical settings, an abnormal circadian rhythm in humans is known as a circadian rhythm sleep disorder. While there are ... A number of other disorders, such as bipolar disorder and some sleep disorders such as delayed sleep phase disorder (DSPD), are ... Polyphasic sleep Rev-ErbA alpha Segmented sleep Sleep architecture (sleep in humans) Sleep in non-human animals Stefania ...
Prog.) ^ Colwell, C. S., "Circadian Rhythms", (4th Gen. Prog.) ^ Lewy, A. J., "Circadian Phase Sleep And Mood Disorders", (5th ... affective disorders, psychotic disorders, degenerative disorders, eating behavior, and sleep behavior. Drugs such as opium, ... Circadian rhythm, or sleep/wake cycling, is centered in the suprachiasmatic nucleus (SCN) within the hypothalamus, and is ... The hallucinogen persisting perception disorder (HPPD), also known as post-psychedelic perception disorder, has been observed ...
Circadian rhythm sleep disorder Horne, JA, Östberg O (1976). "A self-assessment questionnaire to determine morningness- ... Its main purpose is to measure whether a person's circadian rhythm (biological clock) produces peak alertness in the morning, ... Lack L, Bailey M, Lovato N, Wright H (2009). "Chronotype differences in circadian rhythms of temperature, melatonin, and ... eveningness in human circadian rhythms". International Journal of Chronobiology. 4 (2): 97-110. PMID 1027738.{{cite journal}}: ...
Circadian rhythm sleep disorders Delayed sleep phase disorder Advanced sleep phase disorder Non-24-hour sleep-wake disorder ... a disorder of circadian rhythms. Other such disorders are advanced sleep phase disorder (ASPD), non-24-hour sleep-wake disorder ... a situational circadian rhythm sleep disorder. (Jet lag was previously included as a situational circadian rhythm sleep ... Sleep disorders are broadly classified into dyssomnias, parasomnias, circadian rhythm sleep disorders involving the timing of ...
"Circadian Rhythm Sleep Disorder (formerly Sleep-Wake Schedule Disorder)". Armenian Medical Network. Retrieved April 19, 2011. ... In addition, there are now studies attempting to optimize light therapy for those with circadian rhythm sleep disorders that ... cannot entrain and lack melanopsin cells have a significantly greater risk of suffering from circadian rhythm sleep disorders. ... "The Society for Research on Biological Rhythms". Society for Research on Biological Rhythms. Archived from the original on 22 ...
Zee, Phyllis C.; Michael V. Vitiello (June 2009). "Circadian Rhythm Sleep Disorder: Irregular Sleep Wake Rhythm Type". Sleep ... Polyphasic sleep can be caused by irregular sleep-wake syndrome, a rare circadian rhythm sleep disorder which is usually caused ... The circadian rhythm disorder known as irregular sleep-wake syndrome is an example of polyphasic sleep in humans. Polyphasic ... Segmented sleep and divided sleep may refer to polyphasic or biphasic sleep, but may also refer to interrupted sleep, where the ...
It is also the primary treatment for circadian rhythm sleep disorders. Depending on the quality of the light, it is estimated ... exposure to sunlight during winter months and the shift in times or sunrise and sunset can affect a person's Circadian rhythm/ ... In recent years, full-spectrum lighting has been used in the treatment of seasonal affective disorder (SAD) through the use of ... Light is an environmental stimulus for regulating circadian cycles. Lightbox therapy, otherwise known as phototherapy, is a ...
Czeisler, Charles A. "Pathophysiology and Treatment of Circadian Rhythm Sleep Disorders". Insomnia and Beyond: The ... Circadian rhythm effects, sleep deprivation and cumulative fatigue effects, and industrial or "time-on-task" fatigue. Circadian ... A sleep deficit is not instantly reduced by one night's sleep; it may take two or three conventional sleep cycles for an ... A sleep deficit accumulates with successive sleep-deprived days, and additional fatigue may be caused by breaking daily sleep ...
Neurological sleep disorders such as narcolepsy, insomnia, circadian rhythm disorder, etc. Conditions affecting perceptions and ... Because these are frequently found in cases of autistic disorders, criteria could be met for multiple neurological disorders, ... Tourette syndrome or Tic disorder. Epilepsy or Seizure disorder. Parkinsonian syndrome features such as tremors, stiff ... Various neuropsychological disorders can also be found in family members of people with MCDD. Cohen, D. J.; Paul, R.; Volkmar, ...
Undiagnosed sleep apnea may cause or contribute to the severity of depression. Circadian rhythm sleep disorders, of which few ... Dagan Y (2002). "Circadian rhythm sleep disorders (CRSD)" (PDF). Sleep Med Rev. 6 (1): 45-54. doi:10.1053/smrv.2001.0190. PMID ... Sleep apnea is a sleep disorder characterized by pauses in breathing during sleep. Each episode, called an apnea, lasts long ... parasomnias and circadian rhythm disorders". J Psychopharm. 24 (11): 1577-601. doi:10.1177/0269881110379307. PMID 20813762. ...
Light therapy can also be used to treat circadian rhythm sleep disorders. These disorders are caused by discrepancies between ... sleep disorders, dementia, bipolar disorder and so on. Jet lag occurs when one's circadian rhythm is out of sync with the ... People with a sleep disorder experience insomnia or hypersomnia. There are a number of sleep disorders that light therapy are ... 24-hour physiological rhythms, known now as circadian rhythms, were first documented in 1729 by Jean Jacques d'Ortous de Mairan ...
Circadian rhythm sleep disorder Delayed sleep phase syndrome Shift work Tassi, P.; Muzet, A. (2000). "Sleep inertia". Sleep ... slow-wave sleep (SWS), produces more sleep inertia than awakening during sleep stages 1, 2 or REM sleep. Prior sleep ... "What Is Sleep Inertia? - Sleeping Expert". Sleeping Expert. 2015-10-05. Retrieved 2015-11-09. Hilditch, Cassie; McHill, Andrew ... Impairment from sleep inertia may take several hours to dissipate. In the majority of cases, morning sleep inertia is ...
It is used to clinically evaluate insomnia, circadian rhythm sleep disorders, excessive sleepiness. It is not recommended for ... "The Role of Actigraphy in the Study of Sleep and Circadian Rhythms". Sleep. 26 (3): 342-392. doi:10.1093/sleep/26.3.342. ISSN ... American Academy of Sleep Medicine-Parameters for the Use of Actigraphy in the Assessment of Sleep and Sleep Disorders: An ... They are useful for determining sleep patterns and circadian rhythms and may be worn for several weeks at a time. In the ...
The American Academy of Sleep Medicine has recommended chronotherapy for the treatment of circadian rhythm and sleep disorders ... Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep-Wake Rhythm Disorder ( ... Practice Parameters for the Clinical Evaluation and Treatment of Circadian Rhythm Sleep Disorders". Sleep. Associated ... DSPD is a circadian rhythm sleep disorder, characterised by a mismatch between a person's internal biological clock and ...
"Circadian rhythm sleep disorders: part II, advanced sleep phase disorder, delayed sleep phase disorder, free-running disorder, ... Circadian rhythm sleep disorder, the parent spectrum of sleep disorders including non-24-hour sleep-wake disorder. Delayed ... circadian rhythm sleep disorder-free-running type or nonentrained type,[citation needed] non-24-hour circadian rhythm disorder ... Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep-Wake Rhythm Disorder ( ...
"Circadian Rhythm Sleep Disorder" (PDF). American Academy of Sleep Medicine. 2008. Archived from the original (PDF) on 2010-08- ... Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep-Wake Rhythm Disorder ( ... N24SWD), and Irregular Sleep-Wake Rhythm Disorder (ISWRD). An Update for 2015: An American Academy of Sleep Medicine Clinical ... "Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-Wake Disorders: ...
... in the treatment of sleep disorders such as insomnia and circadian rhythm sleep disorders like delayed sleep phase disorder, ... a dietary supplement and medication in the treatment of sleep disorders such as insomnia and circadian rhythm sleep disorders. ... "Comparative Review of Approved Melatonin Agonists for the Treatment of Circadian Rhythm Sleep-Wake Disorders". Pharmacotherapy ... Richardson GS (2005). "The human circadian system in normal and disordered sleep". The Journal of Clinical Psychiatry. 66 ( ...
... as well as benefits in circadian rhythm sleep disorders. However, research is very limited (e.g., case reports) and agomelatine ... "Comparative Review of Approved Melatonin Agonists for the Treatment of Circadian Rhythm Sleep-Wake Disorders". Pharmacotherapy ... Agomelatine resynchronizes circadian rhythms in animal models of delayed sleep phase syndrome. By antagonizing 5-HT2C, it ... October 2007). "Major depressive disorder, sleep EEG and agomelatine: an open-label study". The International Journal of ...
Ebisawa T (February 2007). "Circadian rhythms in the CNS and peripheral clock disorders: human sleep disorders and clock genes ... Alteration of normal circadian rhythm has been observed in different diseases, among them neurological and sleeping disorders. ... CK1δ seems to be involved in the circadian rhythm, the internal cellular clock, which permits a rhythm of about 24 h. The ... Destabilization of the circadian rhythm can be observed after inhibition of PER phosphorylation by CK1δ/ε. In fact, alterations ...

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