Association between delayed bedtime and sleep-related problems among community-dwelling 2-year-old children in Japan

Background

Although delayed sleep timing causes many socio-psycho-biological problems such as sleep loss, excessive daytime sleepiness, obesity, and impaired daytime neurocognitive performance in adults, there are insufficient data showing the clinical significance of a ‘night owl lifestyle’ in early life. This study examined the association between habitual delayed bedtime and sleep-related problems among community-dwelling 2-year-old children in Japan.

Methods

Parents/caregivers of 708 community-dwelling 2-year-old children in Nishitokyo City, Tokyo, participated in the study. The participants answered a questionnaire to evaluate their child’s sleep habits and sleep-related problems for the past 1 month.

Results

Of the 425 children for whom complete data were collected, 90 (21.2%) went to bed at 22:00 or later. Children with delayed bedtime showed significantly more irregular bedtime, delayed wake time, shorter total sleep time, and difficulty in initiating and terminating sleep. Although this relationship indicated the presence of sleep debt in children with delayed bedtime, sleep onset latency did not differ between children with earlier bedtime and those with delayed bedtime. Rather, delayed bedtime was significantly associated with bedtime resistance and problems in the morning even when adjusting for nighttime and daytime sleep time.

Conclusions

Even in 2-year-old children, delayed bedtime was associated with various sleep-related problems. The causal factors may include diminished homeostatic sleep drive due to prolonged daytime nap as well as diurnal preference (morning or night type) regulated by the biological clock.     

Social problems in geriatric dentistry: an overview

Many studies have reported on the dental status of elderly patients. The results demonstrate consistent differences between normative and perceived needs in addition to varying levels of awareness of dental education among carers. This review article attempts to integrate a range of social factors which must be considered if holistic and comprehensive care is to be delivered to elderly patients.     

Tinbergen on mirror neurons

Fifty years ago, Niko Tinbergen defined the scope of behavioural biology with his four problems: causation, ontogeny, survival value and evolution. About 20 years ago, there was another highly significant development in behavioural biology—the discovery of mirror neurons (MNs). Here, I use Tinbergen''s original four problems (rather than the list that appears in textbooks) to highlight the differences between two prominent accounts of MNs, the genetic and associative accounts; to suggest that the latter provides the defeasible ‘best explanation’ for current data on the causation and ontogeny of MNs; and to argue that functional analysis, of the kind that Tinbergen identified somewhat misleadingly with studies of ‘survival value’, should be a high priority for future research. In this kind of functional analysis, system-level theories would assign MNs a small, but potentially important, role in the achievement of action understanding—or another social cognitive function—by a production line of interacting component processes. These theories would be tested by experimental intervention in human and non-human animal samples with carefully documented and controlled developmental histories.     

造礁石珊瑚群落结构研究的概况,问题和前景

造礁石珊瑚作为珊瑚礁生态系统中的关键生物类群,其群落结构是珊瑚礁系统研究中的一个重 要方面。本文回顾了20余年以来世界各国对造礁石珊瑚群落结构研究所取得的主要进展和认识,指出了目前研究中存在的问题并分析了不同空间范围研究结论之间的缺乏一致性和中等干扰假说的不足。 最后,结合珊瑚礁生态系统基础理论和应用发展的需求,本文探讨了造礁石珊瑚群落结构研究的前景。     

Estimation of the proliferation and maturation functions in a physiologically structured model of thymocyte development

The thymus provides a stable microenvironment for post-natal thymocyte development that is finely regulated by a complicated network of cytokines, chemokines, cell-cell contacts, etc., the dysregulations of which contribute to many immunologic diseases including malignant lymphomas. A physiologically structured model in the form of first order partial differential equation (PDE) was developed to simulate the whole process. The combined effects of the thymic microenvironment were conceptualized into two (proliferation and differentiation) fields to serve as kernels of the PDE. In this paper, a novel method is developed to estimate the maturity-time structures of the two fields based solely on cell population data that are experimentally viable. Numerical examples demonstrate the effectiveness of the present method in revealing the two-dimensional (maturity and time) landscapes of the thymic microenvironment.      

On the WILCOXON-MANN-WHITNEY-Test as Nonparametric Analogue and Extension of t-Test

In the present paper some basic aspects of the WILCOXON -MANN -WHITNEY -test under various assumptions concerning the underlying distributions are studied. Starting with a formal analogy to Student's t-test its specific sensibility is worked out and the connexion to the problem of testing differences in location is discussed in detail as well as to the model with ordered alternatives. Further a counter example is given showing that the common verbal formulation the WILCOXON -MANN -WHITNEY -test being a test on ‘differences in distribution’ in general is misleading. As an example of an extended application of the WILCOXON -MANN -WHITNEY -statistic the test of POTT-HOFF (1963) on differences in medians of symmetric distributions is treated together with a discussion on suitable variance estimators to guarantee appropriate asymptotic distribution.     

School start time influences melatonin and cortisol levels in children and adolescents – a community-based study

School start time influences sleep parameters. Differences between circadian sleep parameters on weekends and weekdays have been associated with obesity, sleep, and psychiatric disorders. Moreover, circadian rhythm dysregulation affects the secretion of some hormones, such as melatonin and cortisol. In the current study, we investigate the effect of school start time on cortisol and melatonin levels in a community sample of Brazilian children and adolescents. This was a cross-sectional study of 454 students (mean age, 12.81 ± 2.56 years; 58.6% female). From this sample, 80 participants were randomly selected for saliva collection to measure melatonin and cortisol levels. Circadian sleep parameters were assessed by self-reported sleep and wake up schedules and the Morningness–Eveningness Questionnaire. The outcomes, salivary melatonin and cortisol levels, were measured in morning, afternoon and night saliva samples, and behavior problems were assessed using the Child Behavior Checklist (CBCL). The main results revealed that morning school start time decreased the secretion of melatonin. Morning melatonin levels were significantly positively correlated with the sleep midpoint on weekdays and on weekends. Afternoon melatonin levels were positively correlated with the sleep midpoint on weekends in the morning school students. Conversely, in the afternoon school students, night melatonin levels were negatively correlated with the sleep midpoint on weekdays. Cortisol secretion did not correlate with circadian sleep parameters in any of the school time groups. In conclusion, school start time influences melatonin secretion, which correlated with circadian sleep parameters. This correlation depends on the presence of psychiatric symptoms. Our findings emphasize the importance of drawing attention to the influence of school start time on the circadian rhythm of children and adolescents.