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Clinical correlates of drug-related dreams in opioid use disorder.

BACKGROUND AND OBJECTIVES: Drug-related dreams are commonly reported by individuals in treatment for substance use disorders, which may be distressing. Existing evidence suggests that dream recollection may be influenced by clinically relevant phenomena, such as opioid use and withdrawal, general sleep disturbance, affective symptoms, and chronic pain. However, very few studies have explored drug-related dreams among individuals who screened positive for opioid use disorder (OUD). METHODS: Adults recruited from Amazon Mechanical Turk (MTurk) who screened positive for OUD (N = 154) completed a…

A Knapsack Full of Dreams: Memoirs of a Street Nurse.

A Knapsack Full of Dreams: Memoirs of a Street Nurse, published by FriesenPress in 2019, is an engaging nursing read. The author, Cathy Crowe, is well known for her activism against homelessness and has received many commendations and awards for her work, along with five different honorary doctorates from various Canadian universities. This autobiography offers a critical historical perspective on the evolution of Canadian healthcare from the 1970s until today.

Thematic and content analysis of idiopathic nightmares and bad dreams.

STUDY OBJECTIVES: To conduct a comprehensive and comparative study of prospectively collected bad dream and nightmare reports using a broad range of dream content variables. DESIGN: Correlational and descriptive. SETTING: Participants' homes. PARTICIPANTS: Three hundred thirty-one adult volunteers (55 men, 275 women, 1 not specified; mean age = 32.4 ± 14.8 y). INTERVENTIONS: N/A. MEASUREMENT AND RESULTS: Five hundred seventy-two participants kept a written record of all of their remembered dreams in a log for 2 to 5 consecutive weeks. A total of 9,796 dream reports were collected and the …

Elimination of visceral leishmaniasis in Nepal: pipe-dreams and possibilities.

INTRODUCTION: Visceral Leishmaniasis (VL) re-emerged in the Indian subcontinent in the mid-1970s after an almost complete absence in the previous fifteen or so years. The disease was first noted in Nepal in 1978 and, since 1980, it has been reported regularly in increasing numbers. Elimination of visceral leishmaniasis by 2015 has been identified as regional priority program in the level of high political commitment. OBJECTIVE: The objectives of this study are the comprehensive assessment of information related to VL on the basis of past research studies conducted in Nepal, and an assessment

Characteristics of intermittent and persistent allergic rhinitis: DREAMS study group.

BACKGROUND: In the Allergic Rhinitis and its Impact on Asthma (ARIA) classification, intermittent and persistent rhinitis were proposed to replace seasonal and perennial allergic rhinitis (AR). AIM: To better understand the ARIA classification of rhinitis. METHODS: A cross-sectional study was carried out in 591 patients consulting ENT or allergy specialists for AR and 502 control subjects. The diagnosis of AR was based on a score for allergic rhinitis (SFAR) > or =7. Patients were classified according to the four ARIA classes (mild intermittent, mild persistent, moderate/severe intermittent

Anxiety and hostility in the manifest dreams of schizophrenic patients.

Aside from delusions, hallucinations, and thought disorders, affective disturbances belong to the most prominent symptoms of the schizophrenic process. However, nearly no empirical work has been done on the systematic investigation of the dream affects of patients with schizophrenia. We compared 96 dreams of 19 patients with schizophrenia and an equal number of dreams of 19 healthy controls collected over an 8-week period by means of the Gottschalk-Gleser Analysis Scales. Additionally, central psychopathological syndromes were measured by means of the AMDP-scales each day a patient reported a …

A royal road from homelessness--the clinical use of dreams.

The author discusses the use of a dynamic psychotherapy technique, specifically dream exploration, in his work with New York City's homeless. Given the short amount of time clinically available in working with this population, discussing the patient's dreams was found to quickly get to the most pressing here-and-now issues. The psychiatrist's interest in the patient's creation of the dream was also noted to enhance the therapeutic relationship and the patient's compliance thereby improving the chances of a successful therapeutic outcome.

Investigating the transfer of physical stimuli to the dreamed body: A comparative study of muscular, vestibular, and haptic stimulation on dream incorporation.

The relationship between the dreamed body and the physical body remains an open question in sleep and dream research. This study examined whether somatosensory stimulation applied during REM sleep modulates the corresponding dream content under controlled conditions. Using a within-subject design, we compared three stimulation modalities-electrical muscular, galvanic vestibular, and haptic vibration-each paired with a modality-specific sham stimulation. Twenty-four participants completed one adaptation night followed by three consecutive experimental nights in the sleep laboratory. Dream repor

Targeted dream incubation at sleep onset can influence later dream content in REM sleep: a pilot study.

Targeted dream incubation (TDI) is a highly effective method for eliciting hypnagogic dreams related to specific topics through the presentation of verbal prompts and serial awakenings at sleep onset. In this pilot study, we tested whether TDI at sleep onset can effectively direct dream content in subsequent rapid eye movement (REM) sleep. We allowed participants a daytime nap opportunity following TDI at sleep onset. Serial awakenings were performed both at sleep onset and after entry into REM sleep. Our primary objective was to assess whether the TDI protocol during the sleep onset period wo…

[Revalidation of the Saul and Sheppard "Dream Hostility Counts" in a time series of 24 dreams, of which 7 ended in a migraine at awakening].

Our Series of 24 dreams can be used for validating hostility scales. Nocturnal migraine represents an ideal archimedian point (C. G. Jung) from which psychology can reach certainties comparable to those of physics. By Pearsons Phi coefficient psychological findings can be solidly moored to the "non-psychical", the somatic sphere. Revalidation of the Dream-Hostility-Count lead us to a higher degree of significance (p < 0.005 instead of p < 0.01) than that reached by Saul and Sheppard who used hypertensives for a critical group.

[Digital operating room-From dream to workflow].

The challenging transformation of medicine in the twenty-first century, involving robotics, artificial intelligence (AI) and the digitalization of daily work routines, is hampered by bureaucratic hurdles, a shortage of skilled workers and socioeconomic pressures within an aging healthcare system. This article provides an overview of current possibilities and applications of AI in the (peri)operative care of trauma patients. Even before surgeons enter the operating room, preoperative AI planning tools could increase efficiency in the future. Intraoperatively, navigation and robotics are already

Dreaming of a better future: drug development in myeloma.

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… As we consider the “dreams of the future,” we need to consider the “nightmares” associated with reemergence of the B-cell maturation antigen (BCMA)–directed antibody-drug conjugate belantamab mafodotin (belamaf). … It is in fact good to know that not all dreams die or are denied, and that some are realized, even if it takes more time. Conflict-of-interest disclosure: The authors declare no competing financial interests. …

Bad dream, nightmares and psychopathology: a systematic review.

OBJECTIVE: Bad dreams and nightmares can have a strong psychological impact. However, although the scientific literature points in the direction of an established association between nightmares and psychopathology, many of the studies investigating these links have been carried out on a general population. This systematic literature review aimed to identify studies that have used a sample from a population with a diagnosis of psychopathological disorders or a diagnosis of nightmare disorder, to highlight the state of knowledge concerning the link between bad dreams, nightmares, and psychopatho…

[Treating hereditary neuropathies : a dream come true?].

Hereditary neuropathies have been the subject of recent major therapeutic advances. Treatments based on antisense oligonucleotides (ASO) and small interfering RNA (siRNA) have been developed and are now commercially available to treat hereditary transthyretin amyloidosis (hTTR) and porphyria. More recently, a CRISPR-Cas9 genomic editing treatment targeting the TTR gene has been developed and is being tested in patients with hTTR. Based on their success in hTTR and porphyria, innovative treatments targeting mRNA and DNA are being evaluated in other hereditary neuropathies, including Charcot-Mar

The end of measles and congenital rubella: an achievable dream?

BACKGROUND: Despite substantial progress towards measles and rubella control, outbreaks continue to threaten elimination goals worldwide. STUDY DESIGN: This paper aims to document progress towards the global eradication of measles and rubella. In particular, it investigates the major challenges faced by Italy in reaching the elimination goals. METHODS: A review of the most important literature was carried out. Furthermore, a systematic review of the scientific literature on measles and rubella in the Italian setting was performed for the period 2000-2016. RESULTS: In the National Plan 2010-

Universal health coverage in Rwanda: dream or reality.

INTRODUCTION: Universal Health Coverage (UHC) has been a global concern for a long time and even more nowadays. While a number of publications are almost unanimous that Rwanda is not far from UHC, very few have focused on its financial sustainability and on its extreme external financial dependency. The objectives of this study are: (i) To assess Rwanda UHC based mainly on Community-Based Health Insurance (CBHI) from 2000 to 2012; (ii) to inform policy makers about observed gaps for a better way forward. METHODS: A retrospective (2000-2012) SWOT analysis was applied to six metrics as key indi

Performance metrics for power wheelchairs: a pipe dream?

Power wheelchair (PWC) users depend on their equipment to reliably transport them throughout daily activities and allow them to participate fully in community life. However, as reported by Worobey and colleagues, PWCs frequently require repairs and cause users a variety of problems, which can range from annoying to catastrophic. These authors suggest that comparing the performance of individual PWC makes and models--a PWC Consumer Reports--might be helpful to inform users and others about the relative quality of different products. Although a comparative report is an appealing idea, we suggest

DNA testing for malignant hyperthermia: the reality and the dream.

The advent of the polymerase chain reaction and the availability of data from various global human genome projects should make it possible, using a DNA sample isolated from white blood cells, to diagnose rapidly and accurately almost any monogenic condition resulting from single nucleotide changes. DNA-based diagnosis for malignant hyperthermia (MH) is an attractive proposition, because it could replace the invasive and morbid caffeine-halothane/in vitro contracture tests of skeletal muscle biopsy tissue. Moreover, MH is preventable if an accurate diagnosis of susceptibility can be made before