The Efficacy of a Multimodal Bedroom-Based 'Smart' Alarm System on Mitigating the Effects of Sleep Inertia

Previous work has demonstrated the modest impact of environmental interventions that manipulate lighting, sound, or temperature on sleep inertia symptoms. The current study sought to expand on previous work and measure the impact of a multimodal intervention that collectively manipulated light, sound, and ambient temperature on sleep inertia. Participants slept in the lab for four nights and were awoken each morning by either a traditional alarm clock or the multimodal intervention. Feelings of sleep inertia were measured each morning through Psychomotor Vigilance Test (PVT) assessments and ratings of sleepiness and mood at five time-points. While there was little overall impact of the intervention, the participant's chronotype and the length of the lighting exposure on intervention mornings both influenced sleep inertia symptoms. Moderate evening types who received a shorter lighting exposure (≤15 min) demonstrated more lapses relative to the control condition, whereas intermediate types exhibited a better response speed and fewer lapses. Conversely, moderate evening types who experienced a longer light exposure (>15 min) during the intervention exhibited fewer false alarms over time. The results suggest that the length of the environmental intervention may play a role in mitigating feelings of sleep inertia, particularly for groups who might exhibit stronger feelings of sleep inertia, including evening types.

Zoonotic Risks of Sleeping with Pets

Background: Pets are increasingly becoming part of the family and interactions between pets and their owners is changing. This results in extended and more intimate contact between owners and their pets, which give rise to zoonotic risks. Objective: To establish the presence of potential zoonotic pathogens in pets that sleep with their owner. Methods: As a pilot study, a group of 28 healthy dogs and 22 healthy cats were monitored for the presence of the zoonotic parasites Cheyletiella, Ctenocephalides spp. and Toxocara spp., the dermatophyte Microsporum canis, and the bacteria Clostridium difficile, Salmonella spp., Campylobacter jejuni and Enterobacteriaceae. This was investigated by taking samples from the fur, the footpads and the animal bed. The owners filled in a questionnaire. Results: In total, 29 of the 50 pets (58%) slept on the bed, of which 15 pets (30%) slept in the bed (under the blankets). A total of 19/22 dogs (86%) and 7/22 cats (32%) tested positive for Enterobacteriaceae on the fur or footpads. Fleas were found in 5/22 of the cats’ (23%) and 2/28 of the dogs’ (7%) favourite sleeping spots. High levels of aerobic colonies were found, up to 216 colony forming units/cm². Other pathogens were not found in this study. Conclusions: The results of this preliminary study confirm literature reports that pets may constitute a potential risk in the transmission of zoonotic pathogens to their owner, especially during direct contact when sleeping in the same bed. Owners should therefore be informed about these risks and educated to interact with their pets in a more responsible way.

Evaluation of the Effects of an Intervention Intended to Optimize the Sleep Environment Among the Elderly: An Exploratory Study

Purpose

The objective of this exploratory study was to evaluate the effects of a brief intervention intended to optimize the sleep environment in older people living in the community and to examine the way these effects change over time.

Methods

The sample was made up of 44 participants (19 men and 25 women) aged 65-85 years, with a mean age of 71.4. The intervention consisted in a group training session that covered the reasons for and ways to ("why" and "how") optimize a sleep environment. It comprises six themes: air quality and odors, luminosity, noises and sounds, comfort of the mattress, comfort of the pillow, and temperature. Participants completed a set of questionnaires before the intervention, and one month and four months later.

Results

Four months after the intervention, the replies to the questionnaires showed that the participants experienced reduced severity of insomnia, sleep latency and anxiety. The subjective quality of the participants' sleep along with their sleep efficacy also increased significantly during the same period.

Conclusion

A brief intervention intended to optimize the sleep environment appears promising as an addition or alternative to the two other sleep improvement options generally offered to older people: medication and cognitive behavioral therapy.

[Architecture and intimacy: Reflections for institutional living places]

A reflection can be carried out on intimacy within private areas in institutions. An analysis of the concepts that currently underpin the architectural design of rooms in health and medico-social institutions helps to understand the reasons why privacy and a sense of home are often undermined. A sensitive approach makes it possible to explore people's lived experiences and to propose avenues for reflection to improve living conditions in institutions.

Air change rates in urban Chinese bedrooms

The ventilation modalities in most Chinese residences are infiltration and opening windows. We measured infiltration rates and air change rates at night, with no attempt to change occupants' behaviors, of urban residences in five climate zones of China during four seasons. Using the CO₂ decay method, we found the median infiltration rate for 294 residences to be 0.34 h^-1 . Using occupant-generated CO₂ as tracer gas, we determined air change rates over the course of 1 year in 46 bedrooms at night from mass balance considerations. In 54% of the measurements, windows were closed, so ventilation was only by infiltration. Windows were mainly closed when the outdoor temperature was below 15°C and above 26°C. The median infiltration rates did not differ appreciably among seasons and climate zones and were always less than 0.45 h^-1 .

Window/door opening-mediated bedroom ventilation and its impact on sleep quality of healthy, young adults

This work examined window/door opening as means of bedroom ventilation and the consequent effect upon occupants' sleep, using data from 17 healthy volunteers. Bedroom CO₂ level, temperature, and relative humidity were measured over 5 days, for two cases: open window or door (internal, bedroom door), and closed window and door. Participant filled questionnaires and sleep diary provided subjective measure of sleep quality. Actigraphy objectively monitored the participants during sleep. Additionally, a FlexSensor, placed under pillows of participants, detected movement during sleep. Average CO₂ level for the Open conditions was 717 ppm (SD = 197 ppm) and for Closed conditions was 1150 ppm (SD = 463 ppm). Absolute humidity levels were similar for both conditions, while Open conditions were slightly cooler (mean = 19.7°C, SD = 1.8°C) than Closed (mean = 20.1°C, SD = 1.5°C). Results showed significant correlations (P < .001) between actigraphy data and questionnaire responses for: sleep latency (r = .45), sleep length (r = .87), and number of awakenings (r = .28). Of all analyzed sleep parameters, questionnaire-based depth of sleep (P = .002) and actigraphy-based sleep phase (P = .003) were significantly different between Open and Closed conditions.

Local body cooling to improve sleep quality and thermal comfort in a hot environment

The effects of local body cooling on thermal comfort and sleep quality in a hot environment were investigated in an experiment with 16 male subjects. Sleep quality was evaluated subjectively, using questionnaires completed in the morning, and objectively, by analysis of electroencephalogram (EEG) signals that were continuously monitored during the sleeping period. Compared with no cooling, the largest improvement in thermal comfort and sleep quality was observed when the back and head (neck) were both cooled at a room temperature of 32°C. Back cooling alone also improved thermal comfort and sleep quality, although the effects were less than when cooling both back and head (neck). Mean sleep efficiency was improved from 84.6% in the no cooling condition to 95.3% and 92.8%, respectively, in these conditions, indicating good sleep quality. Head (neck) cooling alone slightly improved thermal comfort and subjective sleep quality and increased Stage N3 sleep, but did not otherwise improve sleep quality. The results show that local cooling applied to large body sections (back and head) could effectively maintain good sleep and improve thermal comfort in a hot environment.

Sleeping in safe places: an experimental investigation of human sleeping place preferences from an evolutionary perspective

Although humans spend a third of their life asleep, their choice of sleeping places has so far been little investigated both theoretically and empirically. We address this issue from the perspective of evolutionary psychology. Our basic assumption is that humans have an evolved preference for safe sleeping places, that is, those that promise protection against potential aggressors and nighttime predation. Several testable predictions were derived from this assumption concerning the preferred location of the bed in a sleeping room. Specifically, we predicted that people prefer sleeping places that allow them to view the entrances to the sleeping room (doors and windows) from a distance while remaining concealed from the entrances themselves. To test these hypotheses, 138 participants were asked to arrange a bed and other pieces of furniture on floor plans that were experimentally manipulated with respect to the direction in which the door opened and the presence of a window. In agreement with predictions, participants predominantly positioned the bed in a way that (a) allowed them to see the door, (b) was as distant as possible from the door, and (c) was on the side of the room toward which the door opened. In addition, the positioning of the bed was influenced as predicted by the presence of a window.