Sleep and patients. Medical search. Frequent questions

Snoring, a symptom which may indicate the presence of the obstructive sleep apnoea syndrome (OSA), is also common in the general population. (researchgate.net)
In conclusion, this study demonstrates significant differences in the sound power spectrum of snoring sound between subjects with simple snoring and obstructive sleep apnoea patients. (researchgate.net)
OSA (obstructive sleep apnoea) stimulates sympathetic nervous activity and elevates resting HR (heart rate) and BP (blood pressure). (portlandpress.com)
A study of patients with chronic urticaria suggests that a quarter could be at an intermediate risk of developing obstructive sleep apnoea. (hospitalhealthcare.com)
Interestingly, one study found that a quarter of patients with CU experienced sleep-related breathing disorders and in a small study of 31 patients with chronic idiopathic urticaria, 13 were diagnosed with obstructive sleep apnoea (OSA), one of whom had severe OSA. (hospitalhealthcare.com)

A new study published by the same team in Lancet Neurology applies neuroimaging techniques to identify patients with REM sleep disturbances who will develop neurodegenerative disorders over the short term. (sciencedaily.com)
In turn, the patients with normal neuroimaging findings showed no neurological disorders after 2.5 years of follow-up. (sciencedaily.com)
The prevalence of diagnosed sleep disorders among American patients has significantly increased over the past decade. (news-medical.net)
This trend is important to better understand and reverse since sleep disorders are a significant risk factor for diabetes, heart disease, obesity, and depression. (news-medical.net)
The Pediatric Pulmonology and Sleep Medicine Division offers both inpatient and outpatient consultation for a wide variety of respiratory and sleep disorders in children. (utsouthwestern.edu)
Pediatric Sleep Program - under the direction of Kamal Naqvi , M.D., our sleep center provides comprehensive care for all pediatric sleep disorders, including obstructive and central sleep apnea, narcolepsy, hypersomnia, insomnia, circadian rhythm disorders, and behavioral sleep disorders. (utsouthwestern.edu)
Also, as Dr. Ghera is Internal Medicine and Pediatrics trained, she has an interest in helping us develop a transition to adult medicine clinic for our patients with neuromuscular disorders. (utsouthwestern.edu)
Obstructive sleep apnea (OSA) or sleep-disordered breathing (SDB) were commonly seen among patients with cardiac rhythm disorders, and OSA is then presumed to operate as triggers cardiac arrhythmias and conduction disorders (ACDs). (easychair.org)
The study describes the possible association of some significant ACDs and OSA in patients hospitalized for cardiovascular and/or pulmonary disorders, and in those who had been presumed to have cardiorespiratory disorders and passed the specialized examination in hospital outpatient department. (easychair.org)
Overnight polysomnography (PSG) is the gold standard for the evaluation of sleep-related breathing disorders. (hindawi.com)
Led by Thomas Roth, PhD, director of the Sleep Disorders and Research Center at Henry Ford Hospital, investigators assessed the patient-reported outcomes on ISI in those with reductions of ≥7 points from the phase 3 SUNRISE 2 trial assessing lemborexant versus placebo in adults with insomnia disorder. (hcplive.com)
Background: Although current studies have identified sleep disorders as an independent risk factor for suicide, the relationship between sleep disorders and suicide risk has not been well established. (suicideinfo.ca)
It remains unknown if sleep disorders precede pathogenesis (and thus represent a risk factor for the disease) or whether they only appear as a debilitating symptom of the pathophysiological alterations. (iospress.com)
In " Sleep Disorders and Circadian Disruption in Huntington's Disease ," Sandra Saade-Lemus, MD, and Aleksandar Videnovic, MD, both of the Department of Neurology, Massachusetts General Hospital, Harvard Medical School, point out that despite evidence of sleep and circadian abnormalities, sleep alterations are underreported by patients and underrecognized by health professionals. (iospress.com)
Sleep disorders represent a massive economic burden on the U.S. health care system," said Emerson Wickwire, PhD , Associate Professor of Psychiatry and Medicine at UMSOM and Director of the Insomnia Program at the University of Maryland Medical Center, Midtown Campus . (umaryland.edu)
It's important to realize that costs associated with untreated sleep disorders are likely to continue to accrue year after year, which is why our group focuses on early recognition and treatment. (umaryland.edu)
Our team is currently using big data approaches as well as highly personalized sleep disorders treatments to improve outcomes and reduce costs associated with sleep disorders, "said Dr. Wickwire. (umaryland.edu)
EDS is not a disorder but a symptom of various sleep-related disorders. (msdmanuals.com)
Respondents also self-reported physician-diagnosed sleep disorders (eg, insomnia , parasomnia, sleep apnea) and sleep symptoms (eg, difficulty falling or staying asleep, waking to go to the bathroom, difficulty staying awake during the day). (medscape.com)
The investigators examined correlates of sleep disorders and symptoms with demographic and behavioral characteristics, univariately and in logistic regression models. (medscape.com)
In multivariate analysis, probability of sleep disorders and symptoms increased across obesity classes, and smoking was a strong predictor of diagnosed sleep disorders as well as sleep symptoms. (medscape.com)
Sleep disorders are commonly underdiagnosed and are a significant source of concern in the geriatric population. (medscape.com)
[ 4 ] -sleep disorders have been implicated with increased mortality. (medscape.com)
Performance of questionnaires aimed at detecting sleep disorders in patients attending a hypertension center. (bvsalud.org)

2 Hypopneas and central sleep apnea are frequent occurrences, and REM sleep may be reduced or even absent in many individuals with neuromuscular disease. (sleepreviewmag.com)
The Canadian Continuous Positive Airway Pressure for Patients with Central Sleep Apnea and Heart Failure (CANPAP) trial was the first study to assess the effect of CPAP therapy in patients with chronic heart failure (CHF) and predominantly central sleep apnoea (CSA) on mortality 2 . (ersjournals.com)
Continuous positive airway pressure for central sleep apnea and heart failure. (ersjournals.com)
Cardiac resynchronization therapy improves central sleep apnea and Cheyne-Stokes respiration in patients with chronic heart failure. (ersjournals.com)
Ancoli-Israel S, Engler R, Friedman P, Klauber M, Ross P, Kripke D. Comparison of patients with central sleep apnea with and without Cheyne-Stokes respiration. (ersjournals.com)
Javaheri S, Shukla R, Zeigler H, Wexler L. Central sleep apnea, right ventricular dysfunction, and low diastolic blood pressure are predictors of mortality in systolic heart failure. (ersjournals.com)

The importance of Muller's maneuver in evaluating apneic patients has been questioned, because there are controversies whether it can predict the success of uvulopalatopharyngoplasty, location of upper airway obstruction and severity of the disease. (nih.gov)
Mechanisms of sleep-induced hypoxemia may be related to hypoventilation due to worsening mechanics, worsening ventilation-perfusion mismatching, decreased hypoxic respiratory drive, decreased hypercapnic respiratory drive, respiratory dysrhythmia of rapid-eye-movement (REM) sleep, decreased respiratory muscle activity (especially in REM sleep), increased upper-airway resistance, obstructive sleep apnea (OSA), and decreased functional residual capacity (FRC). (sleepreviewmag.com)
Furthermore, weakness of upper airway muscles-coupled with abnormalities of the jaw or tongue-found in some neurologic diseases, predisposes to obstructive events that can occur during REM and non-REM sleep. (sleepreviewmag.com)
Finally, the immobility that accompanies many neurologic diseases is a risk factor for obesity that can affect the upper airway and increase the likelihood of obstructive sleep apnea. (sleepreviewmag.com)
4 Thus, diaphragm muscle weakness, central respiratory control problems, upper airway abnormalities, and changes in the lung itself can all lead to the high frequency of sleep disordered breathing seen in patients with neurologic and neuromuscular diseases. (sleepreviewmag.com)
Obstructive sleep apnea syndrome (OSA) is characterized by the upper airway instability during sleep, reduction or elimination of airflow (hence oxygen desaturation), periodic arousals (hence sleep disruption), and daytime hypersomnolence. (hindawi.com)
Nearly 30 million adults in the U.S. have obstructive sleep apnea , a chronic disease that involves repeated collapse of the upper airway during sleep. (technologynetworks.com)
Obstructive Sleep Apnea (OSA) Obstructive sleep apnea (OSA) consists of multiple episodes of partial or complete closure of the upper airway that occur during sleep and lead to breathing cessation (defined as a period of. (msdmanuals.com)

In 2021, under the leadership of Dr. Yadira Rivera-Sanchez , we became the only accredited center by the Primary Ciliary Dyskinesia (PCD)Foundation for the diagnosis and treatment of patients with Primary Ciliary Dyskinesia in the North Texas region. (utsouthwestern.edu)

In the previous work of this same team, 45% of the patients studied had developed a neurodegenerative disorder 5 years after diagnosis of the sleep disturbance. (sciencedaily.com)
Overall, 2,302 patients in the study had a physician diagnosis of a sleep disorder. (news-medical.net)
XGBoost could predict the risk of sleep disorder diagnosis with a strong accuracy (AUROC=0.87, sensitivity=0.74, specificity=0.77), using 64 of the total variables included in the full dataset. (news-medical.net)
Our focus is on diagnosis on sleep apnea through home sleep study and treatment through the use of CPAP therapy or oral appliance therapy. (paylocity.com)
Included patients were 18 years and over with a diagnosis of CU and all were screened using the STOP-Bang questionnaire, which is a highly sensitive screening tool for OSA. (hospitalhealthcare.com)
Bever and coworkers reported that 82% of patients who later developed generalized weakness did so in the first 2 years after diagnosis. (medscape.com)
Qureshi et al showed that out of 51 patients with MG and respiratory failure, 7 (14%) had no previous diagnosis of MG. (medscape.com)

M]elatonin as used in this study can improve subjective sleep quality in patients with mild and moderate asthma in the absence of any significant change in pulmonary function," the authors conclude, suggesting that the long-term effects of melatonin on airway inflammation and bronchial hyperresponsiveness be evaluated prior to its use in the management of sleep disturbances in asthmatics. (medscape.com)
It can be argued that the term COPD should be used only for patients who have airway obstruction manifested either clinically or as an abnormality in a standard spirometry index, such as forced expiratory volume in 1 second (FEV1). (sleepreviewmag.com)
The research, presented at CHEST 2007, the 73rd annual international scientific assembly of the American College of Chest Physicians (ACCP), says the procedure, which removes excess tissue in the throat or mouth to widen the airway, can reduce the amount of treatment required by patients with OSA. (blogspot.com)
BACKGROUND: Continuous positive airway pressure (CPAP) is an effective treatment in patients with moderate and severe sleep apnoea/hypopnoea syndrome (SAHS), but the minimum illness severity at which patients obtain benefit from CPAP is unclear. (bmj.com)
Obstructive sleep apnea is commonly treated with CPAP therapy , which uses mild levels of air pressure, provided through a mask, to keep the airway open during sleep. (technologynetworks.com)
It causes your airway to collapse or become blocked during sleep. (medlineplus.gov)

Zilleox was diagnosed with obstructive sleep apnea, a medical condition that interrupts your sleep cycle. (fox17online.com)
The retrospective cohort study looked at Medicare recipients with cardiovascular disease who were newly diagnosed with obstructive sleep apnea between 2009 and 2013, initiated CPAP, and were hospitalized. (technologynetworks.com)

In 2006, and after 5 years of follow-up, researchers showed that one-half of all patients with REM sleep disturbances develop a neurodegenerative disorder such as Parkinson's disease. (sciencedaily.com)
The study describes how 19% of the patients had developed a neurodegenerative disorder in the two and a half years following the neuroimaging tests. (sciencedaily.com)
The investigators have concluded that the neuroimaging tests make it possible to identify patients with REM sleep disturbances who are at high risk of early development of a neurodegenerative disorder such as Parkinson's disease. (sciencedaily.com)
A machine learning model can effectively predict a patient's risk for a sleep disorder using demographic and lifestyle data, physical exam results and laboratory values, according to a new study published this week in the open-access journal PLOS ONE by Samuel Y. Huang of Virginia Commonwealth University School of Medicine, and Alexander A. Huang of Northwestern Feinberg University School of Medicine, US. (news-medical.net)
The greatest predictors for a sleep disorder, based on the machine learning model, were depression, weight, age and waist circumference. (news-medical.net)
The authors conclude that machine learning methods may be effective first steps in screening patients for sleep disorder risk without relying on physician judgment or bias. (news-medical.net)
A team of investigators affiliated with the University of Florida at Gainesville assessed cannabis' efficacy in a cohort of 15 patients with post-traumatic stress disorder (PTSD). (norml.org)
Full text of the study, "Improved post-traumatic stress disorder symptoms and related sleep disturbances after initiation of medical marijuana use: Evidence from a prospective single arm pilot study," appears in Medical Cannabis and Cannabinoids . (norml.org)
Sleep apnea is a potentially serious sleep disorder characterized by repeated pauses in breathing throughout the sleep cycle. (itamar-medical.com)
OSA therefore is a major intrinsic sleep disorder. (hindawi.com)
They found that patients who went undiagnosed with OSA over a 12-month period had more doctor's appointments, emergency room visits, and hospital stays prior to being treated for the disorder. (umaryland.edu)
Researchers also observed that Medicare patients with OSA were more likely to suffer from other ailments more so than those individuals without the sleep disorder. (umaryland.edu)
Nearly one quarter (24%) of respondents with diabetes were diagnosed with a sleep disorder , and 77% reported at least one sleep symptom. (medscape.com)
Of those with a sleep disorder, 70% were obese, as were 65% of those with a sleep problem. (medscape.com)
However, because people without diabetes were not analyzed, it is impossible to discern whether the 24% with a diagnosed sleep disorder and the 77% with a sleep problem are proportions similar to, greater than, or even less than those in the general population. (medscape.com)
Sleep apnea is a common disorder that causes your breathing to stop or get very shallow. (medlineplus.gov)
[ 1 , 2 ] Ninety percent of patients with myasthenia gravis develop ophthalmologic manifestations of the disease, a disorder of neuromuscular transmission characterized by weakness and fatigability of skeletal muscles. (medscape.com)

Sleep parameters were evaluated through the Pittsburgh Sleep Quality Index, the Insomnia Severity Index (ISI) and a 7-day actigraphic monitoring. (nih.gov)
Compared to healthy controls, SLE patients showed worse sleep quality and greater perceived stress severity. (nih.gov)
In addition to improvements in overall PTSD symptom severity, participants reported improvements in sleep quality and duration, as well as reduced nightmare frequency. (norml.org)
In new post-hoc analysis data presented at the Associated Professional Sleep Societies (SLEEP) 2022 Annual Meeting this week, a team of Eisai-supported investigators observed that the oral dual orexin antagonist therapy provided subjective, and somewhat dose-dependent, improvement in patients who previously had clinically meaningful reductions on the Insomnia Severity Index (ISI). (hcplive.com)
The team concluded with observations from the dose-related, disease severity-related, patient-subjective outcome interpretation of the SUNRISE 2 assessment of lemborexant. (hcplive.com)
Insomnia severity index responders including those from the severe insomnia subgroup reported greater CFB in subjective sleep-onset latency and subjective wake after sleep onset than the full analysis set that was somewhat dose dependent," they concluded. (hcplive.com)
The study, "Subjective Sleep Outcomes with Lemborexant Among Subjects with Insomnia and Clinically Meaningful Decreases on the Insomnia Severity Index," was presented at SLEEP 2022. (hcplive.com)
The objectives of this study were to examine the prevalence, severity, and potential predictors for the early onset of CRF after chemotherapy cycle 1 in breast cancer patients. (healthpartners.com)
Path modeling showed that nausea severity influenced post-CRF both directly and indirectly by influencing disturbed sleep. (healthpartners.com)
Similarly, pre-treatment CRF influenced post-CRF directly as well as indirectly through both nausea severity and disturbed sleep. (healthpartners.com)
CONCLUSION: This study showed a high prevalence (75%) of clinically relevant CRF in breast cancer patients following their initial chemotherapy, and that nausea severity, disturbed sleep, pre-treatment CRF, and age were significant predictors of symptom. (healthpartners.com)
In addition, central types of SDB (periodic breathing or Cheyne-Stokes respiration) are supposed to be indicators of the severity of cardiac failure in selected patients. (ersjournals.com)
35. In addition, patients completed the Urticaria Activity Score summed over 7 days ( UAS7 ) which assesses itch severity and hive count. (hospitalhealthcare.com)
The USA7 categorises patients in terms of disease severity, with higher scores indicating more severe disease. (hospitalhealthcare.com)

Improved subjective sleep quality associated with melatonin administration could not be correlated to any improvement in lung function or in asthma symptoms," the authors point out. (medscape.com)
Researchers reported significant improvements in patients' symptoms following cannabis therapy, including improvements in sleep quality and overall mental health. (norml.org)
Because there are multiple reasons for sleep disordered breathing in neuromuscular disease, clinicians must have a complete knowledge of the symptoms and the therapeutic modalities needed to provide assistance to individuals with these conditions. (sleepreviewmag.com)
The symptoms of sleep disordered breathing in patients with neuromuscular diseases can be subtle because often the disease processes are slowly progressive in nature. (sleepreviewmag.com)
A study was therefore undertaken to investigate whether CPAP improves symptoms and daytime function in patients with mild SAHS. (bmj.com)
METHODS: Sixteen consecutively recruited patients with mild SAHS (5.0-14.9 apnoeas + hypopnoeas per hour slept and two or more symptoms of SAHS) participated in a prospective placebo controlled randomised crossover trial to assess the effects of CPAP on symptoms and daytime function. (bmj.com)
Patients spent four weeks on placebo and four weeks on CPAP, undergoing assessments of sleepiness, symptoms, cognitive performance, and well being on the last day of each treatment. (bmj.com)
CONCLUSIONS: The results of this study provide evidence for improvements in symptoms and daytime function for patients with mild SAHS treated with CPAP. (bmj.com)
This study explored whether anxiety and depressive symptoms are used as mediators to participate in the impact of sleep quality on suicide risk. (suicideinfo.ca)
We administered a psychological questionnaire to the participants, using a combination of self-assessment and psychiatrist assessment.Sleep quality, suicide risk, level of anxiety and depressive symptoms were assessed by PSQI, NGASR, SAS and SDS.The study subjects were 391 hospitalized COVID-19 patients from Wuhan hospitals. (suicideinfo.ca)
We used model 6 in the PROCESS (version 3.5) plug-in of SPSS software to conduct mediation test with sleep quality as the independent variable, suicide risk as the dependent variable, level of anxiety and depressive symptoms as intermediate variables. (suicideinfo.ca)
Sleep dysfunction in normal people is taken seriously, and it is recognized that it exacerbates a range of cognitive symptoms, including deficits in executive function, memory consolidation, attention, and processing speed, as well as affective features such as impulsivity and emotional liability. (iospress.com)
Notably, most if not all these symptoms are present in HD at some stage in the course of the disease, yet the impact of sleep dysfunction on HD patient symptoms is rarely considered. (iospress.com)
Difficulties with sleep initiation and maintenance that lead not only to decreased sleep efficiency, but also to progressive deterioration of normal sleep architecture are recognized as symptoms of HD. (iospress.com)
The most commonly reported sleep-related symptoms are insomnia and excessive daytime sleepiness (EDS). (msdmanuals.com)
MG is differentiated into two major clinical forms: ocular MG, in which the patient has predominantly ocular symptoms, and generalized MG, in which the patient develops generalized proximal weakness. (medscape.com)
[ 7 ] One study found that, over a mean follow-up period of 17 years, approximately 15-17% of patients with MG had strictly ocular symptoms. (medscape.com)
[ 9 ] Hence, patients who keep having strictly ocular symptoms for 3 or more years are unlikely to revert to the generalized aspect of the disease. (medscape.com)
Eventually, 90% of patients with MG develop ocular symptoms. (medscape.com)
About 50% of patients present solely with ocular symptoms, and about 50-60% of these patients will progress to develop generalized disease. (medscape.com)

Minority and disadvantaged groups have increased risk for sleep apnea, yet are less likely to receive effective treatment, thus contributing to health disparities. (pcori.org)
You are more at risk for sleep apnea if you are overweight, male, or have a family history or small airways. (medlineplus.gov)

Its aim was to study which factors were predictors of sleep disturbance within the last month. (accessdermatology.com)
Disordered sleep can cause emotional disturbance, memory difficulty, poor motor skills, decreased work efficiency, and increased risk of traffic accidents. (msdmanuals.com)
When a person experiences significant and prolonged sleep disturbance, they will generally contact their primary care provider for an evaluation. (medscape.com)
If the provider is unable to determine the underlying causality of the sleep disturbance, referral to a psychiatrist or sleep specialist may be necessary. (medscape.com)
Determining the causality of the sleep disturbance is imperative to be able to educate patients and caregivers about treatment alternatives. (medscape.com)
Among patients with myasthenia gravis (MG), 75% initially complain of ocular disturbance, mainly ptosis and diplopia. (medscape.com)

Replacing 30 minutes of sitting a day with equal time standing or even sleeping could improve obesity markers like body weight and waist circumference, according to a new cross-sectional study investigating the impact of movement behavior on cardiometabolic health. (medscape.com)
One explanation: "The negative impact of sitting on these obesity measures is likely due to related unhealthy behaviors like snacking rather than the physiological benefits of sleep itself," Blodgett said. (medscape.com)
Our findings suggest a potential unique therapeutic target for patients with obesity and sleep apnea, ie, reductions in tongue fat. (dentistrytoday.com)
Sleep loss appears to increase the risk of developing diabetes independent of obesity. (medscape.com)
Because poor sleep is associated with obesity, [ 4 ] it is no surprise that it is also associated with diabetes. (medscape.com)

Sleep deprivation will not only hinder the healing process but may also introduce other significant health problems into their lives. (ausmed.com.au)
These nocturnal respiratory disturbances result in brief arousals from sleep (i.e., sleep fragmentation) that considerably disturb sleep architecture and may lead to a significant deprivation of rapid eye movement (REM) sleep and stages 3 and 4 of nonrapid eye movement (NREM) sleep. (hindawi.com)

Our hope is that the study outcomes will show increased night time sleep and improved general well-being for our participants. (psp.org)
Traditionally, treatment has focused on improving a sleep test result rather than improving patient-centered outcomes such as quality of life. (pcori.org)
Patient Partnerships Transforming Sleep Medicine Research and Clinical Care: Perspectives from the Sleep Apnea Patient-Centered Outcomes Network. (pcori.org)
In individuals with Huntington's disease (HD), sleep disturbances constitute an additional burden that may exacerbate disease outcomes and impact patients' quality of life. (iospress.com)
Either way, the contributing authors to this special issue make the case that sleep disturbances constitute an additional burden in patients with HD that will probably exacerbate disease outcomes. (iospress.com)

The inpatient population consists primarily of patients with cystic fibrosis, chronic respiratory failure on mechanical ventilation and patients with neuromuscular diseases hospitalized for an acute respiratory process. (utsouthwestern.edu)
This service typically has 20-30 patients, and we help advise respiratory management to patients throughout the hospital, including the Pediatric Intensive Care Unit, the Cardiovascular Intensive Care Unit, and the Neonatal Intensive Care Unit, as well as to the general and other specialty services. (utsouthwestern.edu)
Respiratory or cardiorespiratory polygraphy (rPG/crPG) was performed when appropriate divided patients into with OSA and without OSA subgroups. (easychair.org)
Patients with significant neuromuscular respiratory disease also have restrictive lung disease, meaning that lung volumes measured with pulmonary function tests are often much below normal, and the lung and respiratory system are not expanded to full capacity. (sleepreviewmag.com)
Sleep disordered breathing is much more likely to be present if patients have weaker respiratory muscles or if they have elevated daytime arterial carbon dioxide levels (PaCO 2 ). (sleepreviewmag.com)
In a recent editorial in the European Respiratory Journal , K.A. Franklin criticised the screening of heart failure patients for sleep-disordered breathing (SDB) 1 . (ersjournals.com)
Pain management in patients with OSA may create problems arousing from alterations in neuropeptide systems and overexpression of opioid receptors in hypoxia conditions, leading to intensification of side effects, e.g., respiratory depression and increased opioid sensitivity for analgesic effects. (iasp-pain.org)

Those who, as adults, were 8-hour sleepers but can no longer get that much sleep are in trouble. (kevinmd.com)
A trend among American adults is to sleep fewer hours a night during the work week and to play catch-up on the weekends. (kevinmd.com)
Sleep apnea affects 17% of adults and 1-4% of children with consequences that range from sleepiness, attentional deficits, behavioral problems, depression, and impaired quality of life to hypertension, diabetes, myocardial infarction, stroke, and early mortality. (pcori.org)
Older adults with comorbid cardiovascular disease and obstructive sleep apnea are a vulnerable population at high risk for hospital readmission. (technologynetworks.com)
We conducted the largest economic analysis of sleep apnea among older adults to date," said Dr. Wickwire. (umaryland.edu)
A 2016 report by the American Academy of Sleep Medicine estimated that undiagnosed OSA among U.S. adults costs $149.6 billion annually. (umaryland.edu)
NREM sleep constitutes about 75 to 80% of total sleep time in adults. (msdmanuals.com)
The purpose of this investigation was to study the sleep duration and prevalence of snoring and excessive daytime sleepiness of adults followed in a dental consultation. (bvsalud.org)

Seventeen male patients, 10 with OSA (apnoea/hypopnoea index (AHI) 26.2 events x h(-1)) and seven simple snorers (AHI 3.8 events x h(-1)), were studied. (researchgate.net)
Sleep apnoea screening in heart failure? (ersjournals.com)
Effect of CPAP therapy on daytime function in patients with mild sleep apnoea/hypopnoea syndrome. (bmj.com)
In the present study in a cohort of 309 untreated OSA patients, the resting HR and BP during the daytime were correlated with AHI (apnoea/hypopnea index) and compared with patients with R389R ( n =162), R389G ( n =125) and G389G ( n =22) genotypes of the β 1 -adrenoreceptor R389G polymorphism. (portlandpress.com)

Our 24-bed sleep lab (divided between Dallas and Plano locations) performs over 4,000 outpatient sleep studies per year and inpatient sleep studies as needed, including diagnostic sleep studies, PAP titration studies, multiple sleep latency tests and maintenance of wakefulness tests. (utsouthwestern.edu)
Patients with severe insomnia treated with lemborexant (DAYVIGO) achieved notably greater change in sleep onset latency and wake after sleep onset from baseline versus placebo in a new 12-month, phase 3 trial. (hcplive.com)
Investigators assessed for changes from baseline in subjective sleep-onset latency (SOL) and wake after sleep onset (WASO) versus placebo in the full analysis set, as well as in patients with severe insomnia per ISI total scores ≥22. (hcplive.com)
The device helps reduce latency to stage 1 and stage 2 sleep. (medscape.com)
Sleep latency is the time from the decision to sleep to the onset of sleep. (medscape.com)

A new study by the same group uses SPECT and transcranial ultrasound neuroimaging techniques to identify those patients at greatest risk of developing neurodegenerative disease. (sciencedaily.com)
The new study goes beyond this point and presents the data relating to the follow-up of 43 new patients during two years and a half after undergoing the neuroimaging tests. (sciencedaily.com)
One recent study found that obstructive sleep apnea increases a person's risk of developing cardiovascular conditions including hypertension, coronary artery disease and congestive heart failure. (lex18.com)
In a cross-sectional study, we explored possible differences in sleep parameters between Systemic Lupus Erythematosus (SLE) patients and age- and gender-matched healthy controls through actigraphic and self-reported measures. (nih.gov)
40 SLE patients and 33 controls were included in the study. (nih.gov)
Of total 48 patients, the current study showed in the subgroup of 26 patients with OSA a more prevalent presence of ACDs including premature atrial complexes, sinus bradycardia, sinus pauses, premature ventricular complexes and paroxysmal atrial fibrillation,compared to otherwise similar subgroup of 22 patients without OSA. (easychair.org)
This study revealed that cirrhotic patients had disturbed sleep pattern, correlating with the degree of cirrhosis. (ersjournals.com)
The goal of this study is to improve the quality of life of individuals with PSP by improving their sleep through a remote trial process. (psp.org)
This study is testing two FDA-approved sleep-related medications. (psp.org)
The study will identify whether one of the medications is more effective in treating the apparently characteristic pattern of sleep disruption in PSP. (psp.org)
This is a relatively short study, which will hopefully lead to recommendations to medical professionals on which sleep medication to prescribe to individuals with PSP. (psp.org)
Patients in the study typically used THC-dominant herbal cannabis. (norml.org)
Schwab conducted the current study "to determine if weight loss would decrease tongue fat and improve sleep apnea," he said. (dentistrytoday.com)
Our study is the first to show that weight loss decreases tongue fat in patients with sleep apnea, which explains an important mechanism for the improvements in sleep apnea with reductions in weight," said Schwab. (dentistrytoday.com)
SATURDAY, May 17, 2014 (HealthDay News) -- A new study suggests that the use of sleeping pills greatly increases the risk of serious heart problems and death in people with heart failure. (mentalhelp.net)
Sleeping problems are a frequent side effect of heart failure and it is common for patients to be prescribed sleeping pills when they are discharged from hospital," study author Dr. Masahiko Setoguchi explained in a news release from the European Society of Cardiology. (mentalhelp.net)
In the study, the Japanese team examined the medical records of 111 heart failure patients admitted to a Tokyo hospital from 2011 to 2013. (mentalhelp.net)
While the study couldn't prove cause and effect, the researchers theorize that benzodiazepine sleeping pills may affect both heart function and breathing. (mentalhelp.net)
A procedure known as uvulopalatopharyngoplasty (UPPP) may help some patients improve or even eliminate their obstructive sleep apnea (OSA), according to a new study. (blogspot.com)
This led a team from the Department of Immunology and Pulmonary Medicine, San Jorge, Ecuador, to undertake a cross-sectional study among patients with CU to determine the frequency of OSA risk factors. (hospitalhealthcare.com)
In a study presented in a poster at the 2015 meeting of the Society of Biological Psychiatry, Jennifer L. Vande Voort and colleagues compared the sleep of patients whose suicidal thoughts decreased after a single ketamine infusion (0.5 mg/kg over 40 minutes) to those whose suicidal thoughts remained. (bipolarnews.org)
Study participants whose suicidal thoughts diminished after one infusion of ketamine had better sleep quality the following night, with fewer disruptions in sleep than among those who did not have an anti-suicidal response to ketamine. (bipolarnews.org)
Consistent use of CPAP treatment in patients with known heart disease and newly diagnosed obstructive sleep apnea is associated with a lower likelihood of rehospitalization, according to a new study . (technologynetworks.com)
The study was published Aug. 8 as an accepted paper in the online Journal of Clinical Sleep Medicine. (technologynetworks.com)
Of the 1,301 patients who met the study criteria, the mean age was 73 years, and 53% were men. (technologynetworks.com)
The study authors suggest that insurers, legislators, and health systems leaders consider routine screening for OSA in older patients, especially those with medical and psychiatric comorbidities, to better contain treatment costs. (umaryland.edu)
A study by Gupta and Wang [ 3 ] suggests that sleep disturbances are remarkably common in diabetes. (medscape.com)
Doctors diagnose sleep apnea based on medical and family histories, a physical exam, and sleep study results. (medlineplus.gov)
What is a Sleep Study? (medlineplus.gov)
This study focuses on the prevalence and identification of kidney disease among WTC Health Program patients and assessment of kidney disease in a multi-factorial manner. (cdc.gov)
Charlotte Rasmussen] So, 46 patients with uncomplicated falciparum malaria were enrolled in the study in Binh Phuoc in Vietnam. (cdc.gov)
This drug was chosen partly because genetic analysis of the parasites in the study showed that the parasites from all 46 patients had a single copy of the gene Pfmdr1 , confirming that all parasites were sensitive to mefloquine. (cdc.gov)

Low lung volumes leading to collapse of the lung on a microscopic level (microatelectasis) can occur, resulting in lower arterial oxygen level, which predisposes patients to severe desaturation even when mild hypoventilation occurs. (sleepreviewmag.com)
Highland Hospital is now the first hospital in the Rochester region to offer an implantable device called a hypoglossal nerve stimulator (Inspire ®) as a treatment for patients who suffer from moderate to severe obstructive sleep apnea. (medworm.com)
Sleep and duodenal motor activity in patients with severe non-ulcer dyspepsia. (bmj.com)

Within the SLE cohort, daily glucocorticoids dose was associated with an impairment in sleep maintenance despite no reduction in sleep duration, typical of normal sleep duration insomnia, whereas perceived stress was associated with short sleep duration insomnia. (nih.gov)
Of note, sleep problems as reviewed by the AHA are not limited to obstructive sleep apnea , but also include short sleep duration. (medscape.com)
With aging, an increase in the duration of stage 1 sleep and an increase in the number of shifts into stage 1 sleep occur. (medscape.com)

Research shows that individuals with PSP often have profound sleep disruption. (psp.org)
One of these medications targets nuclei which are relatively preserved in PSP and therefore may be uniquely suitable for treating sleep disruption in PSP. (psp.org)
One night of sleep disruption can be bad enough, but when the nights string together, poor sleep can take a real toll on our daily lives. (medscape.com)

Furthermore, we aimed at identifying possible predictors of such disturbances in the patients' cohort. (nih.gov)
Within the SLE group, possible predictors of sleep parameters were tested estimating multiple linear regression models. (nih.gov)

Recently published studies have confirmed a high prevalence of SDB in patients with CHF treated according to current guidelines 3 , 4 . (ersjournals.com)
The prevalence of snoring was 35,9% in patients with excessive weight and 13,2% in those without excessive weight. (bvsalud.org)
We concluded that in this population there is a high prevalence of sleep- -related problems without previous evaluation. (bvsalud.org)

Disrupted sleep can alter metabolism and increases vulnerability to infection. (iospress.com)
Total sleep period increases with age because of the increase in the number of awakenings. (medscape.com)

And while it's not for everyone, Dan Sheehan says with the implant, he's never slept better. (lex18.com)
Before the implant, sleep apnea caused Zilleox's throat to close 35 times an hour while she slept. (fox17online.com)

Physicians combine their efforts with a group of talented and dedicated nurse practitioners, who conduct clinical consultations on selected patients. (utsouthwestern.edu)
Appropriate evaluation of COPD patients generally includes clinical assessment, radiography, pulmonary function tests, and laboratory tests. (sleepreviewmag.com)
Use of diagnostic tests (home or lab-based sleep studies) is more often influenced by the patient's insurance than by clinical factors or patient preference. (pcori.org)
research is needed to identify best approaches for integrating multi-pronged behavioral approaches into clinical medicine that improve sleep, health and well-being. (pcori.org)
The SAPCON is a collaboration of the American Sleep Apnea Association (ASAA), the nation's sole sleep apnea patient-centric organization, with major research and clinical partners that include Brigham and Women's Hospital Division of Sleep Medicine, Harvard's Informatics for Integrating Biology & the Bedside / Shared Health Research Informatics Network, and the Centers for Translational Science Award Sleep Research Network. (pcori.org)
Blue button technology will be leveraged and piloted during initial stages to create a standardized, interoperable, and scalable network model using national standards of clinical data exchange that will support patients in gaining access to and controlling flows of their health information. (pcori.org)
There is growing evidence from both clinical and animal model studies that sleep changes occur early in the clinical course of the disease. (iospress.com)
The research, which was published in the Journal of Clinical Sleep Medicine , involved a review of a national sample of Medicare claims data. (umaryland.edu)

Lastly, Dr. Peter Luckett continues to help with the management of some of our adolescent patients with neuromuscular disease. (utsouthwestern.edu)
Explanations for the link between these two conditions are related to both the physiology of sleep as well as to the pathophysiology of the particular neuromuscular disease in question. (sleepreviewmag.com)
One of the main causes for sleep disordered breathing in patients with neuromuscular disease is the occurrence of atony of skeletal muscles other than the diaphragm during rapid eye movement (REM) sleep. (sleepreviewmag.com)
In addition to diaphragm dysfunction, a number of other physiologic sleep abnormalities can occur in individuals with neuromuscular disease. (sleepreviewmag.com)

Though much has been learned about the epidemiology and pathophysiology of sleep apnea, management of the disease is often disjointed and suboptimal. (pcori.org)

Amsterdam, the Netherlands - A good night's sleep is essential for everyone. (iospress.com)
Everyone loves a good night's sleep, and few of us are at our best without it. (medscape.com)

SLE group showed worse sleep maintenance actigraphic parameters (i.e., sleep efficiency and wake after sleep onset), higher total sleep time and higher perceived stress. (nih.gov)

The sequelae of recurrent hypoxemia in patients with COPD may be pulmonary hypertension, cor pulmonale, polycythemia, cardiac-rhythm disturbances, and sleep complaints. (sleepreviewmag.com)
Sleep disturbances and hypoxemia contribute to excessive daytime sleepiness-a common symptom of the syndrome. (hindawi.com)
Characteristic changes in OSA such as nocturnal hypoxemia, sleep fragmentation, and systemic inflammation are considered to have a curtailing impact on pain perception. (iasp-pain.org)

Even if adding moderate-to-vigorous activity is not an option, the findings suggest that people can still see benefits by replacing sitting with virtually any other activity - walking, standing, even sleeping. (medscape.com)
Vande Voort and colleagues hope that these new findings about ketamine's effect on sleep may provide clues to the biological mechanism behind ketamine's effect on suicidal ideation. (bipolarnews.org)

In normal physiologic sleep, distinct sleep stage-related changes occur in cardiovascular regulation. (hindawi.com)

The peak frequency of snoring was significantly lower in OSA patients, with all but one OSA patient and only one simple snorer showing a peak frequency below 150 Hz. (researchgate.net)
Also, the percentages of S1, S3-4 and REM sleep in relation to the total sleep time were significantly higher in the cirrhotic patients than the control group (P = 0.01, 0.02 and 0.06 respectively) while the percentage of S2 was significantly lower (P = 0.02). (ersjournals.com)
Cirrhotic patients of Child class C had ESS, AHI and OSA significantly higher and sleep efficiency significantly lower than cirrhotic patients of classes A and B (P = 0.001 for all). (ersjournals.com)
Cirrhotic patients with tense ascites had ESS, AHI and OSA significantly higher and sleep efficiency lower than patients with mild, moderate, or no ascites (P = 0.001 for all). (ersjournals.com)

METHODS: We report on a secondary data analysis of 548 female breast cancer patients from a phase III multi-center randomized controlled trial examining antiemetic efficacy. (healthpartners.com)
Review patient evaluation methods that can be used to identify the most appropriate treatment options for chronic pain. (cdc.gov)

Results show that the risk of 30-day hospital readmission among those with cardiovascular disease and high adherence to CPAP for sleep apnea was 60% lower relative to those with low adherence to CPAP. (technologynetworks.com)
The results highlight the importance of screening for and treating obstructive sleep apnea among individuals with cardiovascular disease, the authors wrote. (technologynetworks.com)
Obstructive sleep apnea (OSA) is a common and costly medical condition leading to a wide range of health risks such as cardiovascular disease, stroke, depression, diabetes and even premature death. (umaryland.edu)
The predictive value of screening questionnaires in cardiovascular settings is not totally clear and could be useful to select candidates for the sleep test. (bvsalud.org)

REM sleep disturbances constitute an early marker of neurodegenerative diseases. (sciencedaily.com)

Disturbed sleep and its daytime consequences are relevant problems in the management of asthma," write Francineide L. Campos, MPharm, and colleagues, from the Universidade Federal do Ceará in Fortaleza, Brazil. (medscape.com)
This is what Bill Dement calls running a "sleep debt," and this debt mus be paid back by extending your regular sleep schedule or by including some daytime naps. (kevinmd.com)
Night sweats, vivid nightmares, frequent awakenings or nocturia, morning headaches, "difficulty getting going in the morning," daytime hypersomnolence, and decreased concentration are all possible indicators of sleep disordered breathing and should be sought on each clinic visit. (sleepreviewmag.com)

Previous studies have shown that decreases in body weight result in decreases in the Apnea/Hypopnea Index (AHI), a measure of how often a patient's breathing stops completely or partially while sleeping. (dentistrytoday.com)

When we are getting "enough" sleep, we wake up feeling physically refreshed, in a reasonably good mood, and able to function well throughout the day without undue sleepiness. (kevinmd.com)
Lung function is not a predictor of sleep desaturation, which is more frequent in patients who are smokers, who complain of sleepiness, and who have lower hypercapnic ventilatory responses. (sleepreviewmag.com)
Epworth sleepiness score (ESS) was calculated for every patient and all patients were subjected to complete overnight polysomnography to detect sleep disturbances among all participants. (ersjournals.com)

CHICAGO - Supply chain issues coupled with a massive recall of CPAP devices by one of the world's largest manufacturers have left many people with sleep apnea looking for alternatives. (lex18.com)
However, there is ongoing debate as to how to interpret the CANPAP trial results, but there might be a consensus that CPAP cannot be recommended for all CHF patients with CSA as performed in this trial. (ersjournals.com)
The eight patients with best CPAP use showed an additional CPAP related improvement in quality of life (-4.4 (1.8), p = 0.03). (bmj.com)
In conclusion, although the R389G polymorphism of the β 1 -adrenoceptor gene did not influence resting HR or BP in untreated OSA patients, it may modify the beneficial effects of CPAP therapy on these parameters. (portlandpress.com)
CPAP machines, Sleep Apnea surgery and dental appliances. (sleepguide.com)

Total sleep period refers to the time from sleep onset to the final awakening from the main sleep period of the day. (medscape.com)

There is a progressive decrease in sympathetic activity, blood pressure (BP), stroke volume, heart rate, cardiac output, and systemic vascular resistance, during deeper NREM sleep stages [ 4 ]. (hindawi.com)

The finding that sleep was better for participants than sitting is a good example. (medscape.com)
Participants' sociodemographic data and sleep parameters were collected. (nih.gov)
The participants who responded well to ketamine had sleep quality similar to that of healthy controls. (bipolarnews.org)

Desaturation is more pronounced in patients with low ventilation-perfusion ratios and decreased ventilatory drive (blue bloaters) than in those with higher ventilation-perfusion ratios and normal ventilatory drive (pink puffers). (sleepreviewmag.com)
1 The weakened or dysfunctional diaphragm is unable to support ventilation by itself during REM sleep, leading to hypoventilation, oxyhemoglobin desaturation, and arousals. (sleepreviewmag.com)
45 mm Hg or oxyhemoglobin desaturation 88% sat for 5 consecutive minutes during sleep all suggest a high likelihood of sleep disordered breathing and indicate a need for further evaluation and treatment. (sleepreviewmag.com)

Influence of obstructive sleep apnea on mortality in patients with heart failure. (ersjournals.com)

Three interrelated steps underpin cognitive dysfunction in OSA patients. (hindawi.com)
Prof. Morton continues: "It is clear from the articles in this special Issue that sleep and circadian dysfunction in HD patients is an understudied, indeed neglected, field. (iospress.com)

ABG abnormalities usually worsen during exercise and sleep. (sleepreviewmag.com)
There is emerging awareness that both sleep and circadian rhythms abnormalities are associated with neurodegenerative diseases. (iospress.com)

reports of sleep improvement after melatonin administration in some medical conditions, including patients in intensive care unit[s] with chronic obstructive pulmonary disease and pneumonia," they write. (medscape.com)

Dan's doctor recommended he'd be a good candidate for an innovative treatment using a device surgically implanted in the chest known as the Inspire Sleep Apnea device. (lex18.com)
Medicare and most insurers will cover the cost of nocturnal treatment interventions in patients who show one of the above-mentioned abnormal laboratory values measured in the clinic or at home. (sleepreviewmag.com)
Clinicians often initiate treatment (almost invariably nocturnal noninvasive positive pressure ventilation [NPPV]) in symptomatic patients with one or more abnormal screening values and use polysomnography to titrate treatment once the patient has acclimatized to the mask and equipment. (sleepreviewmag.com)
There are a variety of treatment options (devices, surgeries, medications and behavioral interventions) but little data to inform which treatments, or combinations of treatments, work best in given patients. (pcori.org)
Patients should consult with their physicians about any treatment decisions. (bipolarnews.org)
Treatment of sleep and circadian disturbances in HD represents a big unmet need in HD. (iospress.com)
Well-designed intervention studies aimed at the treatment of poor sleep associated with HD are very much needed. (iospress.com)
Our data show that successful treatment of obstructive sleep apnea can greatly reduce the risk of 30-day hospital readmission. (technologynetworks.com)
Sleep Problems in Children For most children, sleep problems are intermittent or temporary and often do not require treatment. (msdmanuals.com)
ABSTRACT The objective of this descriptive, hospital-based comparative cross-sectional survey was to determine gender differences in factors associated with patients' decisions to seek treatment for urinary incontinence (UI). (who.int)
Unfortunately, 14 patients did not clear their infections, meaning that they did not get cured for malaria using this three day dihydroartemisinin-piperaquine treatment. (cdc.gov)
Half of the patients were found to have parasites in the blood on day three after the start of treatment. (cdc.gov)

Some neuromuscular diseases, including central alveolar hypoventilation (CAH), polio, and myotonic dystrophy, may have involvement of the central controllers of respiration, leading to central apneic events during REM and non-REM sleep. (sleepreviewmag.com)
Apnea-hypopnea index (AHI) is the number of apneic and hypopneic events per hour of sleep. (hindawi.com)

However, "given that many heart failure patients have difficulty sleeping, this is an issue that needs further investigation in larger studies," he said. (mentalhelp.net)
is difficulty falling or staying asleep, early awakening, or a sensation of unrefreshing sleep. (msdmanuals.com)
Oropharyngeal muscle disturbances come second in presentation, with 15% of patients first experiencing difficulty in swallowing, talking, and chewing. (medscape.com)

If we have bed availability, we also like to manage patients with high-risk asthma as well as less common pulmonary issues, such as primary ciliary dyskinesia, hereditary hemorrhagic telangiectasia, and idiopathic pulmonary hemosiderosis, as well as other interstitial lung diseases. (utsouthwestern.edu)

For those who suffer from a neurological problem such as narcolepsy, one symptom of which is sudden abrupt sleep episodes that come without warning, these medications are a life-altering boon. (kevinmd.com)
Post-traumatic stress patients experience symptom improvements following the use of medical cannabis products, according to observational data published in the journal Medical Cannabis and Cannabinoids . (norml.org)

According to information about our sleep habits gathered periodically by the Centers for Disease Control and Prevention, the old 8-hour national average per night has dropped to 7. (kevinmd.com)
Together with other PCORnet partners, the SAPCON will recruit and actively engage 50,000 patients with sleep apnea using a broad strategy that includes social media and clinic-based recruitment from diverse medical centers. (pcori.org)

Most dreams occur during REM sleep. (msdmanuals.com)
This figure includes an EEG tracing (showing characteristic sawtooth waves) and an eye tracing (showing rapid eye movements), which occur during REM sleep. (msdmanuals.com)

NREM sleep consists of 3 stages (N1 to N3) in increasing depth of sleep. (msdmanuals.com)
REM sleep follows each cycle of NREM sleep. (msdmanuals.com)
These EEG tracings show characteristic theta waves, sleep spindles, and K complexes during stages 1 (N1), 2 (N2), and 3 (N3) NREM sleep. (msdmanuals.com)

Anatomy6

Diseases19

Chemicals and Drugs3

Analytical, Diagnostic and Therapeutic Techniques and Equipment22

Psychiatry and Psychology19

Phenomena and Processes14

Disciplines and Occupations1

Information Science2

Health Care9

Obstructive sleep5

Disorders24

Central sleep apnea6

Upper-airway8

20211

Diagnosis7

Airway6

Diagnosed with obstructive sleep2

Disorder17

Severity14

Symptoms20

Risk for sleep apnea2

Disturbance6

Obesity5

Deprivation2

Outcomes5

Respiratory7

Adults8

Apnoea4

Latency5

Study32

Severe3

Duration3

Disruption3

Predictors2

Prevalence3

Increases2

Implant2

Clinical8

Neuromuscular disease4

Pathophysiology1

Good night's2

Wake after sleep onset1

Hypoxemia3

Findings2

Physiologic1

Significantly4

Methods2

Cardiovascular4

Disturbances constitute1

Daytime3

Decreases1

Sleepiness3

CPAP5

Onset1

Systemic1

Participants3

Desaturation3

Mortality1

Dysfunction2

Abnormalities2

Chronic obstruc1

Treatment12

Apneic2

Difficulty3

Idiopathic1

Symptom2

Centers2

Occur2

NREM3