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We developed a CRT based on the knowledge from chronobiology and chronotherapy of zeitgebers, light pathways in the brain and their relationship to mood [23], the phase response curve of light [12], and sleep regulation [24]. There is evidence that not only are rhythms such as sleep and melatonin and temperature curves distorted in major depression, but there are also changes in circadian gene expression in the brain [7].
JMIR Ment Health 2023;10:e50072
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This leaves room for the exploration of optimizing chronotherapy by adjusting administration time to each patient’s individual circadian clock.
JMIR Res Protoc 2020;9(10):e18023
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Toward this goal, cancer chronotherapy protocols use dedicated multichannel programmable-in-time pumps [13,14]. Thus, chronotherapy usually involves the chronomodulated delivery of chemotherapeutic agents according to circadian rhythms in nonhospitalized patients [13,15]. Doublet and triplet chronomodulated regimens have been safely administered at the patient’s home, resulting in improved tolerability and efficacy [16-19].
J Med Internet Res 2016;18(11):e305
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