Sexsomnia in a patient with lichen planopilaris and pulsed corticosteroid prescription

Sleep sex or sexsomnia is a relatively new disease that is considered an unusual sexual experience and behavior. Many facts about sexsomnia, including its causes, symptoms, and exact prevalence, are still unknown. Given that the symptoms of the disease occur accidentally during the night, it is tough to study this disease in the long run. This study reported a case of a 30-year-old man with sexsomnia who had no recollection of the sexual behavior he exhibited while asleep. He had lichen planopilaris and was not receiving any psychiatric medication at the time of the study. However, he was under treatment with corticosteroids for six months, which eventually worsened his depression. This behavior attracted his wife's attention, and he was referred to a doctor due to infertility.

A REVIEW OF HEALTH BEHAVIOUR DYNAMICS IN AYURVEDA

Health behaviour was essentially a part of sociology. It has now evolved as an individual branch focusing on hu- man therapeutic care. The human behaviour or actions that have a definite impact on his health is named health behaviour. Those which complements one's health are known as positive health behaviours. The negative/altered health behaviour is considered one of the major causative factors for diseases. Alterations from the ideal health behaviour (misdeeds) are due to the wrong psychotic process. These unhealthy behaviours are usually focused on few factors like food, physical activities, sleep, sex and substance use. The positive, as well as negative impacts of behaviour on health, should be understood as part of sociology about psychology, medicine and ethics. In ancient literature, there were such descriptions of health behaviour in the form of do’s and don’ts or taboos. Ayurveda considers misdeeds (prajnaparadha) as the root cause of diseases. They are happening by an unsuitable psychotic process like ignorance (unawareness), lack of control/thinking over actions or lack of remembrance. This work attempts to list out the health behaviours mentioned in Ayurveda. The ways to abstain from such misdeeds are also disclosed here. Keywords: health behaviour, Prajnaparadha

MODERN COMMUNICATION AND RELATIONSHIPS AS SOURCES OF HAPPINESS

Among the seven "Ss" in the Ukrainian language - Sweets, Sports, Sleep, Sex, Smile, Communication and Relationships - the last two components are perhaps the most important. Communication shapes the human essence. The modern features of human communication, associated with the era of digitalization, when gadgets replace natural human communication are especially interesting. According to a study by Columbia University led by Maya Rossignac-Milon, the common reality is seen as a "third partner" in any relationship. The pinnacle of a relationship is a good family. Healthy relationships in the family are characterized by communication and the desire to maintain a high level of respect and trust. Every personality is a builder of their Happiness and therefore has the right to choose what they want in their life! Communicate, build relationships and stay well! Key words: сommunication, relationships, sources of happiness, digitalization, common reality.

Mental health and associated factors in the general population of Latvia during the COVID-19 pandemic

Description The goal of the study was to assess mental health, socio-psychological and behavioural aspects in the representative sample of Latvian general population in online survey, and to identify vulnerable groups during COVID-19 pandemic and develop future recommendations. The study was carried out from 6 to 27 July 2020 and was attributable to the period of emergency state from 11 March to 10 June 2020. The protocol included demographic data and also data pertaining to general health, previous self-reported psychiatric history, symptoms of anxiety, clinically significant depression and suicidality, as well as a quality of sleep, sex, family relationships, finance, eating and exercising and religion/spirituality, and their changes during the pandemic. The Center for Epidemiologic Studies Depression scale was used to determine the presence of distress or depression, the Risk Assessment of Suicidality Scale was used to assess suicidal behaviour, current symptoms of anxiety were assessed by the State-Trait Anxiety Inventory form Y. (2021-02-04) Subject Medicine, Health and Life Sciences Keyword: COVID19, pandemic, depression, anxiety, suicidality, mental health, Latvia

Resultados a 10 años de la artrodesis lumbar circunferencial medidos por la escala de Oswestry.

Circumferential arthrodesis is postulated as the surgical treatment of choice in some de-generative and disc diseases of the lumbar spine, both in primary surgery and especially in revision surgery. Objective: To measure pain and functionality using the ODI scale, in patients with low back and / or radicular pain who have had a comprehensive transforaminal surgical ap-proach together with anterior and posterior arthrodesis (TLIF). Material and methods: In our series, we performed TLIF(transforaminal interbody fusión lumbar) on 38 patients during 2-000-2.003 years and evaluated the long-term results, ten years, using the Oswestry Disability Index (ODI). Results: They show improvement in ODI by comparing the baseline figures, prior to the intervention, with the 10-year follow-up (34.21 +/- 9.31 to 11.82 +/- 7.62 points, p = 0.000) . This improvement is also observed in each of the ODI sections in a significant way: pain intensity, personal care, ability to get up, walk, sit, stand, sleep, sex life, social life and travel (p = 0.000, in all of them).Conclusion: In our case series, in patients with low back and / or radicular pain, the use of the TLIF technique may have contributed to a significant improvement in the test score by improving pain, sleep, functionality and social aspects, maintained at least up to 10 years of follow-up.

1225 Sexsomnia: A Case of Sleep Masturbation And Sleeping In An Open Work Environment

Introduction Sleep sex or sexsomnia is classified in the International Classification of Sleep Disorders as a non-rapid eye movement (NREM) parasomnia. The overall prevalence is unknown but several conditions such as obstructive sleep apnea (OSA), shift work, and/or insufficient sleep have been reported as factors affecting the frequency of NREM parasomnias. Parasomnias, with sexsomnias in particular, can cause significant emotional distress to patients and their families. We present a case of co-morbid sexsomnia and OSA in a patient serving in the military that had the complicating factor of sleeping in open quarters. Report of Case A 40-year-old male in active duty military without significant past medical history or medication use presented to clinic with a two year history of disruptive sleep masturbation reported by wife. Patient’s wife reported no instances of attempted sexual intercourse. The patient had no recollection of the episodes. The frequency and nature of the episodes were causing personal and marital distress. Patient was also concerned about work responsibilities, since he was periodically required to sleep in open environments. After initial clinic evaluation, patient underwent a video polysomnography (vPSG) with an extended EEG montage. No parasomnia activity was captured on vPSG but patient was diagnosed with moderate OSA. He was started on continuous positive airway pressure (CPAP) therapy, resulting in decreased number of episodes with relapses corresponding to nights without CPAP usage. Conclusion Sexsomnia cases require careful history taking and evaluation. The nature of the episodes and the sleep environment of the patient must be examined for any medico-legal ramification as there are court precedents of sexual assault charges made in sexsomnia-related cases. The military environment is unique with group-sleeping conditions, often in austere environments. If sexsomnia were to be misinterpreted as indecent exposure, under the military code of conduct, this could have significant career implications.

Association between marital status and insomnia-related symptoms: findings from a population-based survey in Japan

Background Marital status is one of the socio-economic factors associated with health. Several studies have indicated a significant association between marital status and insomnia. The increases in the percentages of unmarried people in Japan are expected to produce a significant impact on insomnia. The purpose of this study was to examine the association between marital status and insomnia. Methods The participants were 35 288 people aged 30–59 years selected from the 2010 comprehensive survey of living conditions. We categorized marital status into five groups: single, married couples living with other family members, married couples living without other family members, widowed and divorced. Insomnia-related symptoms (IRS) were based on the participants who chose the answer, ‘I couldn’t sleep’. Sex-specific multivariable odds ratios (ORs) and 95% confidence intervals (CI) of IRS according to marital status were calculated using the logistic regression model, which was adjusted for potential confounding factors. Results The proportions of people with IRS were 2.5% in men and 2.8% in women. The multivariable ORs (95% CI) were 1.15 (0.89–1.49) for single, 1.69 (1.11–2.58) for divorced and 1.01 (0.73–1.39) for married couples living without other family members in men, and 1.56 (1.20–2.03) for single, 2.43 (1.83–3.22) for divorced and 1.31 (1.01–1.71) for married couples living without other family members in women. Conclusions We found divorced men and single, divorced and married women living without other family members had higher IRS than those who were married couples living with other family members in Japanese. This association was more evident in unemployed men.

The social evolution of sleep: sex differences, intragenomic conflicts and clinical pathologies

Sleep appears to be essential for most animals, including humans. Accordingly, individuals who sacrifice sleep are expected to incur costs and so should only be evolutionarily favoured to do this when these costs are offset by other benefits. For instance, a social group might benefit from having some level of wakefulness during the sleeping period if this guards against possible threats. Alternatively, individuals might sacrifice sleep in order to gain an advantage over mate competitors. Here, we perform a theoretical analysis of the social evolutionary pressures that drive investment into sleep versus wakefulness. Specifically, we: investigate how relatedness between social partners may modulate sleeping strategies, depending upon whether sleep sacrifice is selfish or altruistic; determine the conditions under which the sexes are favoured to adopt different sleeping strategies; identify the potential for intragenomic conflict between maternal-origin versus paternal-origin genes regarding an individual's sleeping behaviour; translate this conflict into novel and readily testable predictions concerning patterns of gene expression; and explore the concomitant effects of different kinds of mutations, epimutations, and uniparental disomies in relation to sleep disorders and other clinical pathologies. Our aim is to provide a theoretical framework for future empirical data and stimulate further research on this neglected topic.

Sexual Behaviors in Sleep

Sexual behavior in sleep (also termed sexsomnia, sleep sex, or abnormal sexual behavior in sleep) includes a range of sexual or sexualized behaviors ranging from erotic vocalizations to genital penetration, which occur with complete amnesia for the sufferer. Subjects are often shocked and surprised when informed of their activities. Although this parasomnia has gained increasing levels of public and professional attention over the past decade, relatively little is known about the disorder. The need for a better understanding is made more pressing by the fact that sexual behavior in sleep has been the focus of several high-profile court cases involving allegations of sexual assault.