Evidence for the Association between Chronotype and Lifelong Premature Ejaculation

<b><i>Purpose:</i></b> This study aimed to investigate the relationships between intravaginal ejaculatory latency time (IELT), severity of disease, and chronotype in lifelong premature ejaculation (PE). <b><i>Materials and Methods:</i></b> Evaluation was made of 114 males with PE and 103 healthy individuals, and comparisons were made of self-estimated IELT, Arabic Index of Premature Ejaculation (AIPE), Pittsburg Sleep Quality Index (PSQI), and Morningness-Eveningness Questionnaire (MEQ). <b><i>Results:</i></b> The frequency of morningness chronotype (78.1%) was significantly higher, and Morningness-Eveningness Questionnaire (MEQ) scores were negatively correlated with both IELT (<i>r</i> = −0.490, <i>p</i> &#x3c; 0.001) and Arabic Index of Premature Ejaculation (AIPE) scores (<i>r</i> = −0.639, <i>p</i> &#x3c; 0.001) in the PE group. MEQ scores significantly predicted IELT (<i>t</i> = −2.465, <i>p</i> = 0.015) and AIPE scores (<i>t</i> = −4.003, <i>p</i> = 0.000) in the PE group but not in the control group. <b><i>Conclusion:</i></b> It can be asserted that morningness chronotype is more common, and ejaculatory latency time and PE severity are associated with chronotype in males with PE.

Supervised Versus Unsupervised Pulmonary Rehabilitation in Patients with Pulmonary Embolism: A Valuable Alternative in COVID Era

The aim of our study was to assess the effect of 8 weeks of pulmonary rehabilitation (PR) in patients with pulmonary embolism (PE) during unsupervised PR (unSPRgroup) versus supervised PR (SPRgroup) on cardiopulmonary exercise testing (CPET) parameters, sleep quality, quality of life and cardiac biomarkers (NT-pro-BNP). Fourteen patients with PE (unSPRgroup, n = 7, vs. SPRgroup, n = 7) were included in our study (age, 50.7 ± 15.1 years; BMI, 30.0 ± 3.3 kg/m2). We recorded anthropometric characteristics and questionnaires (Quality of life (SF-36) and Pittsburg sleep quality index (PSQI)), we performed blood sampling for NT-pro-BNP measurement and underwent CPET until exhausting before and after the PR program. All patients were subjected to transthoracic echocardiography prior to PR. The SPRgroup differed in mean arterial pressure at rest before and after the PR program (87.6 ± 3.3 vs. 95.0 ± 5.5, respectively, p = 0.010). Patients showed increased levels of leg fatigue (rated after CPET) before and after PR (p = 0.043 for SPRgroup, p = 0.047 for unSPRgroup) while the two groups differed between each other (p = 0.006 for post PR score). Both groups showed increased levels in SF-36 scores (general health; p = 0.032 for SPRgroup, p = 0.010 for unSPRgroup; physical health; p = 0.009 for SPRgroup, p = 0.022 for unSPRgroup) and reduced levels in PSQI (cannot get to sleep within 30-min; p = 0.046 for SPRgroup, p = 0.007 for unSPRgroup; keep up enough enthusiasm to get things done; p = 0.005 for SPRgroup, p = 0.010 for unSPRgroup) following the PR program. The ΝT-pro-BNP was not significantly different before and after PR or between groups. PR may present a safe intervention in patients with PE. The PR results are similar in SPRgroup and unSPRgroup.

A Blood Pressure Lowering Effect Only through Complex Korean Medical Treatment, without Antihypertensive Drugs, for Patients with Stress Induced Hypertension - A Case Report

Objectives: This study considered the effectiveness of integrative Korean medical treatment for stress-induced hypertensive patients without the use of conventional medication.Methods: A 62-year-old female with stress-induced hypertension (HTN) was hospitalized for 33 days. Her pattern identification was ascendant hyperactivity of liver yang (Ganyangsanghang)-type HTN. Herbal medicine and acupuncture were used for the treatment: Cheonggansoyo-san for 33 days and Chunwangbosim-dan for 15 days, together with acupuncture for 20 minutes twice a day. Blood pressure was checked daily during hospitalization with a digital sphygmomanometer in the brachial artery.Results: After 33 days of treatment, blood pressure decreased. The Handicap Inventory (DHI) scale and Pittsburg Sleep Quality Index (PSQI) scores both decreased. The patient also reported fewer complaints. A five-month follow-up after discharge, with no further treatment, confirmed stable blood pressure. Symptom improvements continued with no significant side effects.Conclusions: This study indicates that Korean medical treatment is effective for stress-induced hypertensive patients.

The Effects of Neurosculpting® Meditation on Stress, Anxiety and Sleep on one group of college students

Objective: The purpose of this study was to examine if 11 weeks of Neurosculpting® meditation improved sleep and other variables in college aged students. Participants: Fifteen undergraduate students. Methods: Subjects were evaluated at the beginning and end of the semester using two tools: The Pittsburg Sleep Quality Index and the Depression Anxiety Stress Scale. During each session, heart rate and heart rate variability were measured using a smartphone app, fingertip sensor, and HRV monitor. Subjects received 60 minutes of Neurosculpting® Meditation, one time per week, for 11 weeks. Results: The average score of both the DASS and PSQI decreased (p = .54) and (p = .08) respectively. Within each session, average HR decreased and average HRV increased. However, neither variable showed significant changes from the beginning to the end of the semester. Conclusions: This study demonstrated that consistent Neurosculpting® meditation sessions may improve heart rate variability and sleep in college aged students.

Ramadan Observance Is Associated with Impaired Kung-Fu-Specific Decision-Making Skills

The aim of the present study is to evaluate the effect of Ramadan observance (RAM) on decision-making in Kung-Fu athletes. Fourteen male Kung-Fu athletes (mean age = 19 ± 3 years) completed two test sessions: before Ramadan (BR) and at the end of Ramadan (ER). In the afternoon of each session (between 16:00 h and 18:00 h), participants completed: Epworth Sleepiness Scale (ESS), Profile of Mood States (POMS), and Pittsburg Sleep Quality Index (PSQI). Subjects also reported subjective fatigue, alertness, and concentration. Additionally, all participants performed video-based decision-making tasks (i.e., reaction time and decision-making). Results indicated that reaction time decreased by 30% at ER vs. BR (p < 0.01). However, decision-making decreased by 9.5% at ER vs. BR (p < 0.05). PSQI results indicated sleep quality score, sleep duration, and sleep efficiency were negatively affected at ER compared to BR (p < 0.05). ESS was higher at ER compared to BR (p < 0.05). In addition, fatigue scores, estimated by the POMS and current subjective feelings (i.e., fatigue, concentration, and alertness), were also negatively affected at ER compared to BR (p < 0.05). In conclusion, Ramadan observance was associated with an adverse effect on sleep and decision making, as well as feelings of fatigue, alertness, and concentration.

Comparing four standard Sleep Questionnaires to Polysomnography to predict possibility of Obstructive Sleep Apnea and its severity

Background and Aims: Obstructed Sleep Apnea (OSA) is emerging as a significant problem in South East Asia with the rise of Obesity. Polysomnography (PSG) being expensive in Nepal, is usually deferred. The commonly used screening tools are cornerstone to evaluate clinical possibility and effects of OSA without having to rely on the PSG at the onset in Nepal. In this study, we proposed the use of four sleep related questionnaires separate as well as in combination to clinically predict OSA and its severity. And to do that we have compared these scores with Apnea Hypo-apnea Index (AHI) derived from the gold standard level one PSG. Method This was a prospective randomized trial comparing level one polysomnography with individual scores from Epworth Sleepiness Score, STOP BANG score, Pittsburg Sleep Quality Index and Functional Outcome of Sleep Quality-10 and the composite sleep score derived from all the four. Results 120 patients with clinical suspicion of OSA underwent PSG after filling all four questionnaires. The mean AHI of the study population was 37.65 ± 23.66. STOP BANG had the highest sensitivity for all three groups of AHI (≥5, ≥15 and ≥30), at 92.5%, 93.4%, and 95.2% respectively when compared with ESS, PSQI and FOSQ-10. PSQI showed negative correlation with AHI. The proposed composite score showed no correlation with AHI. Conclusion STOP BANG score and AHI showed good correlation. STOP BANG score had the highest sensitivity for all levels of AHI. ESS showed good PPV and NPV to predict OSA. PSQI had the highest NPV to predict AHI. And FOSQ-10 had the highest specificity, good PPV and good NPV.

HUBUNGAN HUBUNGAN LAMA DURASI PENGGUNAAN MEDIA SOSIAL DENGAN KUALITAS TIDUR PADA USIA 19-22 TAHUN

Media sosial meningkatkan konektivitas antar individu sehingga memberikan peluang untuk memperoleh dan berbagi informasi. Pengguna internet tahun 2017 didominasi oleh usia 19-34 tahun dan merupakan masa mengembangkan diri dengan memperluas relasi sosial. Penggunaan media sosial yang intens dapat menyebabkan penggunanya merasakan kesenangan hingga tercandu dan membuat durasi penggunaan media sosial semakin lama sehingga menyebabkan terganggunya pengaturan hormon melatonin saat malam hari dan menyebabkan jam tidur lebih lama sehingga mempengaruhi kualitas tidur individu. Penelitian ini merupakan penelitian cross sectional analitik yang dilakukan pada bulan April hingga Mei 2019. Sampel penelitian diambil dengan teknik purposive dengan jumlah 46 sampel. Sampel mengisi kuesioner identitas dan data subyek serta kuesioner Pittsburg Sleep Quality Index (PSQI) untuk mengetahui durasi penggunaan media sosial perharinya dan kualitas tidur sampel. Analisis yang digunakan adalah analisis bivariat dengan uji spearman. Hasil analisis bivariat menunjukkan adanya hubungan yang signifikan (p=0,037), tingkat kekuatan hubungan korelasi sedang (r=0.308), dan hubungan bersifat searah (r=0,308) antara durasi penggunaan media sosial dengan kualitas tidur. Penggunaan internet dan kecanduan media sosial dipengaruhi oleh keyakinan metakognitif tentang pemikiran dan pengaturan diri seseorang. Penggunaan media sosial yang intens dan kebiasaan membawa smartphone ketempat tidur membuat durasi penggunaan media sosial semakin lama sehingga menyebabkan terganggunya pengaturan hormon melatonin dan menyebabkan jam tidur lebih lama serta memengaruhi kualitas tidur individu. Simpulan dari penelitian ini adalah adanya hubungan lama durasi penggunaan media sosial dengan kualitas tidur pada usia 19-22 tahun yang mana semakin tinggi durasi penggunaan media sosial maka semakin buruk kualitas tidur pengguna.

Hubungan Kualitas Tidur Dengan Konsentrasi Belajar Siswa Kelas VII Dan VIII

Tidur merupakan kebutuhan dasar manusia. Pada manusia, kualitas dan kuantitas dari tidur sangatlah penting. Tidur berdampak terhadap kemampuan kita dalam beraktifitas, diantaranya yaitu dapat mempengaruhi konsentrasi. Penelitian ini bertujuan untuk mengetahui hubungan kualitas tidur dengan konsentrasi belajar siswa kelas VII dan VIII di MTs Binaul Ummah Bawuran Pleret Bantul Yogyakarta. Penelitian ini menggunakan desain penelitian kuantitatif, dengan pendekatan cross sectional. Jumlah populasi 110 siswa, dengan sampel 65 siswa dengan menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner The Pittsburg Sleep Quality Index (PSQI) dan kuesinoer konsentrasi belajar. Teknik analisa data menggunakan uji Chi-Square. Hasil analisis menunjukan mayoritas kualitas tidur dalam kategori buruk sebanyak 44 orang dengan persentase (67,6%) dan konsentrasi belajar dengan kategori kurang sebanyak 36 orang dengan persentase (55,3%). Hasil uji statistik menunjukan nilai person Chi-Square 7.743 dengan nilai p-value 0.021 < 0.05. Dapat disimpulkan bahwa kualitas tidur sangat mempengaruhi konsentrasi belajar siswa kelas VII dan VIII di MTs Binaul Ummah Bawuran Pleret Bantul Yogyakarta. Hal ini karena kualitas tidur yang buruk dapat mempengaruhi konsentrasi seseorang pada saat proses belajar.

Hubungan Kualitas Tidur Dengan Perubahan Tekanan Darah Ibu Hamil Di Rumah Bersalin Bidan Nuril

Hipertensi kehamilan dialamai 8% pada ibu hamil yang merupakan penyebab kematian ibu dan neonatus serta beresiko mengalami eclampsia dan pre eklampsia. Tekanan darah yang tinggi selama kehamilan dapat mempengaruhi kualitas tidur. Insomnia dialami 12% ibu hamil trimester pertama dan sebanyak 75% pada akhir kehamilan. Penelitian ini bertujuan mengetahui hubungan kualitas tidur terhadap perubahan tekanan darah ibu hamil di Rumah Bersalin Bidan Nuril. Desain penelitian ini menggunakan pendekatan cross sectional pada 42 ibu hamil trimester III yang diukur tekanan darah dan kualitas tidur menggunakan instrument Pittsburg Sleep Quality Index (PSQI). Hasil penelitian ini didapatkan ratarata kualitas tidur 5,78 dan p value systole sebesar 0,002 dan diastole 0,024 menggunakan uji Rank Speramen test. Ada hubungan antara kualitas tidur pada ibu hamil terhadap perubahan tekanan darah baik systole maupun diastole di Rumah Bersalin Bidan Nuril. Kata kunci: kehamilan; kualitas tidur; tekanan darahRELATIONSHIP OF QUALITY OF SLEEP AND CHANGES OF BLOOD PRESSURE OF PREGNANT WOMEN IN NURIL MATERNAL CLINIC ABSTRACT Pregnancy hypertension is experienced by 8% of pregnant women which is the cause of mortality maternal and neonatal that can at risk of experiencing eclampsia and pre-eclampsia. High blood pressure during pregnancy can affect sleep quality. Sleep disturbance is experiencing 12% of pregnant women in the first trimester and as much as 75% at the end of pregnancy. This study aims was to see the relationship between sleep quality and changes in blood pressure of pregnant women at Nuril Maternal Clinic. This study was a cross-sectional study design with 42 third trimester pregnant women who measured blood pressure and sleep quality using the Pittsburg Sleep Quality Index (PSQI). The results showed that the average sleep quality was 5.78 and the Pvalue systole was 0.002 and diastole was 0.024 using the Speramen Rank test. There was a relationship between the quality of sleep in pregnant women to changes in blood pressure, both systole and diastole at the Nuril Maternal Clinic.. Key words: pregnancy; sleep quality; blood pressure

Penerapan Self Instruction Training Kombinasi Deep Breathing pada Ibu Hamil untuk Meningkatkan Kualitas Tidur di Masa Pandemi Covid-19

ABSTRAKPenurunan kualitas tidur ibu hamil disebabkan oleh faktor fisik, diantaranya penyakit penyerta pada ibu hamil, kondisi tubuh dan hormon. Faktor psikologis yang memengaruhi diantaranya kecemasan dalam persalinan, karena pandemi COVID-19 dan gangguan psikologis. Kualitas tidur ibu hamil akan berpengaruh pada peningkatan tekanan darah dan HbA1c sehingga dapat meningkatkan resiko preeklamsi. Kunci peningkatan kualitas tidur adalah kondisi pikiran dan tubuh yang rileks pada ibu sehingga dapat membuat kenyamanan dan mengurangi beban pikiran. Penerapan SIT (Self Intruction Training) kombinasi deep breathing diterapkan untuk membuat ibu hamil rileks sehingga meningkatkan kualitas tidur ibu hamil. Tujuan penelitian melihat pengaruh SIT kombinasi deep breathing dalam meningkatkan kualitas tidur. Metode penelitian menggunakan true eksperimental pre post test group design dengan kelompok kontrol. Jumlah sampel 30 ibu hamil dengan kualitas tidur buruk yang dibagi menjadi dua kelompok, yaitu 15 intervensi dan 15 kontrol. Kelompok intervensi diberi metode SIT kombinasi deep breathing setiap 2 hari sekali menjelang tidur selama 2 minggu. Kelompok kontrol diberikan intervensi deep breathing selama 2 minggu menjelang tidur. Pengukuran kualitas tidur menggunakan PSQI (Pittsburg Sleep Quality Index). Hasil penelitian uji Maan Whitney didapatkaan nilai signifikan p value 0,022. Kesimpulan pada penelitian ini adalah pemberian SIT kombinasi deep breathing efektif untuk meningkatkan kualitas tidur. Kata Kunci: deep breathing; ibu hamil; kualitas tidur; self instruction training IMPLEMENTATION OF THE COMBINATION OF SELF INSTRUCTION TRAINING AND DEEP BREATHING IN PREGNANT WOMEN TO IMPROVE SLEEP QUALITY IN THE PANDEMIC COVID'19ABSTRACTThe decline in sleep quality in pregnant women is due to physical such as comorbidities, body conditions, and altered hormones. Meanwhile, psychological factors including anxiety during childbirth, anxiety due to the COVID-19 pandemic, poverty, and psychological disorders also play a role. The sleep quality of pregnant women might affect increasing blood pressure and increasing HbA1c that increasing the risk of preeclampsia and gestational diabetes in pregnant women. Thus, pregnant women should have a relaxed state of mind and body to creates comfort and reduce the burden on their minds while sleeping. This study was to see the application of Self-instruction training and deep breathing might help them to sleep. True experimental was used in the form of pre-test-post-test group design was employed in this study with 30 pregnant women with poor sleep quality included as the sample. They were divided into two groups, the intervention group (15) and the kontrol group (15). The intervention group was given the Self Instruction Training method with a combination of deep breathing every 2 days before bed for 2 weeks. The kontrol group was given deep breathing intervention for 2 weeks before bed. Sleep quality was measured using the PSQI (Pittsburg Sleep Quality Index) sleep quality questionnaire. The data analysis used the Mann Whitney test obtained a significant p-value of 0.022. In conclusion, the provision of SIT with a deep breathing combination is effective to improve the sleep quality of pregnant women. Keywords: self-instruction training, deep breathing, sleep quality, pregnant women