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https://www.readbyqxmd.com/read/28728624/the-national-healthy-sleep-awareness-project-sleep-health-surveillance-questionnaire-as-an-obstructive-sleep-apnea-surveillance-tool
#1
Youngsin Jung, Mithri R Junna, Jayawant N Mandrekar, Timothy I Morgenthaler
STUDY OBJECTIVES: To validate the previously published National Healthy Sleep Awareness Project (NHSAP) Surveillance and Epidemiology Workgroup questionnaire for ability to determine risk for moderate to severe obstructive sleep apnea (OSA). METHODS: The NHSAP sleep questions, part of the next Behavioral Risk Factor Surveillance System (BRFSS), were constructed to mimic elements of the STOP sleep apnea questionnaire, and included number of days with sleep disruption and unintentional dozing and a history of snoring and apneas...
July 14, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/28728622/psychomotor-vigilance-test-and-its-association-with-daytime-sleepiness-and-inflammation-in-sleep-apnea-clinical-implications
#2
Yun Li, Alexandros Vgontzas, Ilia Kritikou, Julio Fernandez-Mendoza, Maria Basta, Slobodanka Pejovic, Jordan Gaines, Edward O Bixler
STUDY OBJECTIVES: Excessive daytime sleepiness (EDS) is a key symptom of obstructive sleep apnea (OSA). The Psychomotor Vigilance Task (PVT) has been suggested as an objective easy-to-use, inexpensive alternative to the Multiple Sleep Latency Test (MSLT) to measure EDS. In patients with OSA, physiological sleepiness, but not subjective EDS (Epworth Sleepiness Scale [ESS]), has been associated with increased levels of the sleep- inducing proinflammatory cytokine interleukin-6 (IL-6). The goal of this study was to assess the association of PVT with objectively measured sleepiness (MSLT) and subjectively measured sleepiness (ESS) and IL-6 levels in patients with OSA...
July 14, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/28723745/evaluation-of-the-predictive-value-of-red-blood-cell-distribution-width-for-onset-of-cerebral-infarction-in-the-patients-with-obstructive-sleep-apnea-hypopnea-syndrome
#3
Chang-Xing Shen, Min Tan, Xiao-Lian Song, Shuan-Shuan Xie, Guo-Liang Zhang, Chang-Hui Wang
Red blood cell distribution width (RDW) is a risk factor for the complications caused by obstructive sleep apnea hypopnea syndrome (OSAHS). This study was aimed to evaluate the predictive value of RDW for the occurrence of cerebral infarction in patients with OSAHS.We conducted a prospective study of 129 consecutive patients who were admitted to the Sleep Laboratory of in the Tenth People's Hospital of Shanghai (China) with complaints of snoring, apnea, or daytime sleepiness. All patients underwent polysomnography between June 2011 and May 2012...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28722214/impairment-due-to-combined-sleep-restriction-and-alcohol-is-not-mitigated-by-decaying-breath-alcohol-concentration-or-rest-breaks
#4
Jessica E Manousakis, Clare Anderson
OBJECTIVE: Epidemiological and laboratory-based driving simulator studies have shown the detrimental impact of moderate, legal levels of alcohol consumption on driving performance in sleepy drivers. As less is known about the time course of decaying alcohol alongside performance impairment, our study examined impairment and recovery of performance alongside decaying levels of alcohol, with and without sleep restriction. METHODS: Sixteen healthy young males (18-27 years) underwent 4 counterbalanced conditions: Baseline, Alcohol (breath alcohol concentration [BrAC] < 0...
July 18, 2017: Human Psychopharmacology
https://www.readbyqxmd.com/read/28717369/association-of-irritable-bowel-syndrome-and-sleep-apnea-in-patients-referred-to-sleep-laboratory
#5
Farzin Ghiasi, Babak Amra, Vahid Sebghatollahi, Fatemeh Azimian
BACKGROUND: Irritable bowel syndrome (IBS) is assumed as one of the most frequent gastrointestinal disorders, which decreases the patient's quality of life. IBS pathogenesis, however, is not clearly defined. It seems that sleep apnea induces or escalates IBS clinical symptoms. This study aims at evaluating of IBS prevalence in patients, who are afflicted or are not afflicted with sleep apnea. MATERIALS AND METHODS: This was a case-control study, which was implemented in a sleep laboratory located in Isfahan, Iran...
2017: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/28714521/longitudinal-relationships-between-cardiovascular-events-risk-factors-and-time-dependent-sleep-duration
#6
Daiki Kobayashi, Nagato Kuriyama, Yasuhiro Osugi, Hiroko Arioka, Osamu Takahashi
BACKGROUND: Although many studies have evaluated the relationships between sleep duration and cardiovascular (CV) events/risk factors, longitudinal associations with time-dependent sleep duration have not been adequately assessed. METHODS: A retrospective, longitudinal study was conducted involving individuals aged 20 years or older that received annual health check-ups at St. Luke's International Hospital from 2005 to 2010. Data collection included self-reported demographic, clinical and health habit information (including sleep duration; 6 <, 6-7, 7-8, 8 ≤), baseline examinations, and laboratory measures for each year...
July 17, 2017: Cardiology Journal
https://www.readbyqxmd.com/read/28712601/the-effects-of-uvulopalatal-flap-operation-on-speech-nasalance-and-the-acoustic-parameters-of-the-final-nasal-consonants
#7
Soo Kyoung Park, Yong Soo Lee, Young Ae Kang, Jun Xu, Ki Sang Rha, Yong Min Kim
OBJECTIVE: The acoustic characteristics of voice are determined by the source of the sound and shape of the vocal tract. Various anatomical changes after uvulopalatal flap (UPF) operation can change nasalance and/or other voice characteristics. Our aim was to explore the possible effects of UPF creation on speech nasalance and the resonatory features of the final nasal consonants, and thus voice characteristics. METHODS: A total of 30 patients (26 males, 4 females) with obstructive sleep apnea who underwent UPF operation were recruited...
July 13, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/28711776/sleep-wake-profiles-and-circadian-rhythms-of-core-temperature-and-melatonin-in-young-people-with-affective-disorders
#8
Joanne S Carpenter, Rébecca Robillard, Daniel F Hermens, Sharon L Naismith, Christopher Gordon, Elizabeth M Scott, Ian B Hickie
While disturbances of the sleep-wake cycle are common in people with affective disorders, the characteristics of these disturbances differ greatly between individuals. This heterogeneity is likely to reflect multiple underlying pathophysiologies, with different perturbations in circadian systems contributing to the variation in sleep-wake cycle disturbances. Such disturbances may be particularly relevant in adolescents and young adults with affective disorders as circadian rhythms undergo considerable change during this key developmental period...
July 8, 2017: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/28707310/sleep-deprivation-in-interventional-cardiology-implications-for-patient-care-and-physician-health
#9
Yader Sandoval, Angie S Lobo, Virend K Somers, Kenneth Rosenfield, Steven M Bradley, Paul Sorajja, Peter Tajti, Emmanouil S Brilakis
The burden and impact of sleep deprivation on both patient care and on the health of interventional cardiologists is not well understood. Due to the nature of emergent procedures occurring in the cardiac catheterization laboratory, interventionalists are prone to suffer from acute and/or chronic sleep deprivation. Sleep deprivation has been associated with numerous adverse effects, such as impaired performance, cognitive deficits, reduced psychomotor vigilance, and workplace errors and injuries, among many others...
July 14, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28699628/the-effects-of-partial-sleep-restriction-and-altered-sleep-timing-on-olfactory-performance
#10
J McNeil, G Forest, L J Hintze, J-F Brunet, É Doucet
Olfaction can increase the drive to eat and may partially explain the consistent increases in energy intake (EI) following sleep restriction. We investigated the effects of 50% sleep restriction with altered sleep timing on olfactory performance. We also evaluated whether changes (Δ) in olfactory performance were associated with Δ24 h EI. Twelve men and six women (age: 23±4 years; BMI: 23±3 kg/m(2)) completed three randomized cross-over conditions: habitual sleep duration, 50% sleep restriction with advanced wake-time, and 50% sleep restriction with delayed bedtime...
July 12, 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28693964/impact-of-dietary-intake-lifestyle-and-biochemical-factors-on-metabolic-health-in-obese-adolescents
#11
I Aldhoon-Hainerová, V Hainer, H Zamrazilová
BACKGROUND AND AIMS: Obesity devoid of metabolic abnormalities is known as metabolically healthy obesity (MHO). The aim of the study was to examine determinants of MHO during adolescence. METHODS AND RESULTS: From among 710 obese adolescents, 43 girls and 57 boys were classified as metabolically unhealthy (abdominal obesity and ≥2 risk components of metabolic syndrome). MHO (absence of any cardiometabolic risk factor) was found in 211 girls and 131 boys (regardless of waist circumference) and in 33 girls and 27 boys (without abdominal obesity)...
May 15, 2017: Nutrition, Metabolism, and Cardiovascular Diseases: NMCD
https://www.readbyqxmd.com/read/28683800/prevalence-and-risk-factors-of-moderate-to-severe-obstructive-sleep-apnea-syndrome-in-insomnia-sufferers-a-study-on-1311-subjects
#12
Matthieu Hein, Jean-Pol Lanquart, Gwénolé Loas, Philippe Hubain, Paul Linkowski
BACKGROUND: Several studies have investigated the prevalence and risk factors of insomnia in subjects with obstructive sleep apnea syndrome. However, few studies have investigated the prevalence and risk factors for obstructive sleep apnea syndrome in insomnia sufferers. Thus, the aim of this study was to examine the prevalence and risk factors of moderate to severe obstructive sleep apnea syndrome in a large sample of insomnia sufferers. METHODS: Data from 1311 insomnia sufferers who were recruited from the research database of the sleep laboratory of the Erasme Hospital were analysed...
July 6, 2017: Respiratory Research
https://www.readbyqxmd.com/read/28681709/current-trends-in-disability-claims-due-to-fibromyalgia-syndrome
#13
REVIEW
Vittorio Schweiger, Giovanna Del Balzo, Dario Raniero, Domenico De Leo, Alvise Martini, Piercarlo Sarzi-Puttini, Enrico Polati
Fibromyalgia syndrome (FMS) affects 0.4-8% of the general population predominantly in the female population with a F:M ratio of 3-9:1. It is characterised by persistent widespread pain and other associated clinical conditions such as chronic fatigue, irritable bowel syndrome (IBS), temporomandibular joint dysfunction (TMJD), sleep disorders and cognitive impairment. FMS diagnosis at present is purely clinical because no medical or laboratory examinations are able to identify it with certainty. FMS is not fully recognised worldwide, and patients often do not receive the treatment and disability benefits planned for other chronic diseases even though it gives rise to a very significant social burden due to direct and indirect healthcare costs and the loss of productivity and work...
May 2017: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/28670738/clinical-assessment-of-the-lag-time-and-tmax-of-pellets-with-controlled-release-of-glucose-in-vitro-in-vivo-comparison-using-13-c-breath-test
#14
David Neumann, Jan Muselík, Dana Sabadková, Sylvie Pavloková, Jana Špirková, Aleš Franc
Maintaining a stable glycemia in diabetes mellitus type 1 requires flexible insulin application and carbohydrates intake to affected individuals. In real life, there might be some situations limiting the insulin-sugar balance control, e.g. night sleep or prolonged sport activities. Glucose pellets with pre-determined time lag between pellet administration and glucose release were developed to mimic "snack eaten in advance". In this article, (13) C-glucose breath test is introduced to translate the laboratory dissolution testing to clinical confirmation of the glucose release pattern using 5 per cent of δ abundance to differentiate (13) C appearance in exhaled breath...
July 3, 2017: Biopharmaceutics & Drug Disposition
https://www.readbyqxmd.com/read/28669082/accompanying-migrainous-features-in-pediatric-migraine-patients-with-restless-legs-syndrome
#15
Melis Sohtaoğlu Sevindik, Seden Demirci, Baki Göksan, Aynur Özge, Feray Karaali Savrun, Hatice Onur, Veli Yıldırım, Ismail Simsek, Harika Ozhan, Derya Uludüz
The present study aimed to examine the frequency of restless legs syndrome (RLS) in pediatric patients with migraine and tension-type headache (TTH) and to investigate accompanying migrainous symptoms, sleep characteristics, as well as levels of serum ferritin between the pediatric migraine patients with RLS and those without RLS. We included 65 consecutive patients diagnosed with migraine, 20 patients with TTH, and 97 headache-free children in our study. Demographic, clinical, and laboratory data were noted...
July 1, 2017: Neurological Sciences
https://www.readbyqxmd.com/read/28667231/educational-video-to-improve-cpap-use-in-patients-with-obstructive-sleep-apnoea-at-risk-for-poor-adherence-a-randomised-controlled-trial
#16
Amy S Guralnick, Jay S Balachandran, Shane Szutenbach, Kevin Adley, Leila Emami, Meelad Mohammadi, Jeanne M Farnan, Vineet M Arora, Babak Mokhlesi
BACKGROUND: Suboptimal adherence to CPAP limits its clinical effectiveness in patients with obstructive sleep apnoea (OSA). Although rigorous behavioural interventions improve CPAP adherence, their labour-intensive nature has limited widespread implementation. Moreover, these interventions have not been tested in patients at risk of poor CPAP adherence. Our objective was to determine whether an educational video will improve CPAP adherence in patients at risk of poor CPAP adherence. METHODS: Patients referred by clinicians without sleep medicine expertise to an urban sleep laboratory that serves predominantly minority population were randomised to view an educational video about OSA and CPAP therapy before the polysomnogram, or to usual care...
June 30, 2017: Thorax
https://www.readbyqxmd.com/read/28663598/cost-effectiveness-strategies-in-osas-management-a-short-review
#17
D M Toraldo, D Passali, A Sanna, F De Nuccio, L Conte, M De Benedetto
Obstructive sleep apnoea (OSAS) is an underdiagnosed chronic disease with a high prevalence in adults. It is becoming a significant social problem, since it is associated with a worsening in quality of life and increase in mortality. The cost-effectiveness ratio of diagnostic and therapeutic management of OSAS is a strategic issue to counteract the expected increasing demand of objective testing. OSAS patients with any clinical evidence of comorbidities must be studied using simplified and less expensive systems such as Home Sleep Testing (HST)...
June 30, 2017: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/28659162/acupuncture-paired-with-herbal-medicine-for-prediabetes-study-protocol-for-a-randomized-controlled-trial
#18
Xinger Li, Haiyan Liu, Huiping Feng, Zhongren Xian, Yanhong Chen, Jianping Chen, Chunzhi Tang, Xinsheng Lai, Xiaoling Lan, Huanzhen Huang, Dongdong Yu
BACKGROUND: Type-2 diabetes has become a major disease and is known to seriously impair people's health worldwide. Prediabetes includes impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) and is the most critical period for preventing type-2 diabetes, as it can be identified and reversed. Studies in the past decade have indicated that acupuncture and Chinese herbal medicine may be beneficial for treating prediabetes. However, a randomized controlled trial (RCT) should be conducted to obtain more clinical evidence on this topic...
June 28, 2017: Trials
https://www.readbyqxmd.com/read/28658097/a-thermal-dysregulation-problem-after-breast-cancer-surgery-what-could-be
#19
Diana Rüstemova, Aysun Genc, Gül Bora, Birkan Sonel Tur
RATIONALE: Chronic fatigue syndrome (CFS) is a complicated disorder characterized by severe fatigue that is not relieved with rest and associated with physical symptoms such as sleep problems, headache, muscle pain, or joint pain. PATIENT CONCERNS: Forty-one year old patient complained from feeling cold after breast cancer surgery. DIAGNOSES: The diagnoses of fibromyalgia, depression, neurological, psychiatric, and vascular disorders were excluded by appropriate clinical and laboratory investigations...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28658094/multimorbidity-and-polypharmacy-in-diabetic-patients-with-nafld-implications-for-disease-severity-and-management
#20
Preya Janubhai Patel, Kelly Lee Hayward, Rathiga Rudra, Leigh Ula Horsfall, Fabrina Hossain, Suzanne Williams, Tracey Johnson, Nigel Neil Brown, Nivene Saad, Andrew Donald Clouston, Katherine Anne Stuart, Patricia Casarolli Valery, Katharine Margaret Irvine, Anthony William Russell, Elizabeth Ellen Powell
An observational study describing the number and type of chronic conditions and medications taken by diabetic patients with NAFLD and identifying characteristics that may impact liver disease severity or clinical management.Adults with type 2 diabetes have a high prevalence of nonalcoholic fatty liver disease (NAFLD) and increased risk of developing advanced liver disease. Appropriate management should consider the characteristics of the diabetic NAFLD population, as comorbid conditions and medications may increase the complexity of treatment strategies...
June 2017: Medicine (Baltimore)
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