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181. Sleep Disorders (PDQ®): Health Professional Version

, and/or hospitalization). Perception of significant others as to the quantity and quality of patient’s sleep. Family history of sleep disorders. References American Academy of Sleep Medicine: The International Classification of Sleep Disorders: Diagnostic & Coding Manual. 2nd ed. Westchester, Ill: American Academy of Sleep Medicine, 2005. Perlis ML, Jungquist C, Smith MT, et al.: Cognitive Behavioral Treatment of Insomnia: A Session-by-Session Guide. New York, NY: Springer Science+Business Media LLC, 2008. Bastien CH (...) ) 0.25–2 mg Used for REM sleep disorder (not FDA approved). [ ][ ] lorazepam (Ativan) 0.5–4 mg; dose >2 mg rare Risk of loss of motor coordination, falls, and cognitive impairment. [ ][ ] temazepam (Restoril) 7.5–30 mg Risk of loss of motor coordination, falls, and cognitive impairment. [ ][ ] Melatonin receptor agonist ramelteon (Rozerem) 8 mg Useful for problems falling asleep only. Little negative effect on cognition, somnolence, motor coordination, or nausea. [ ][ ] Antihistamine diphenhydramine

2016 PDQ - NCI's Comprehensive Cancer Database

182. Sleep disturbances in Parkinson's disease: the contribution of dopamine in REM sleep regulation. (Abstract)

system in the regulation of rapid eye movement (REM) sleep. The presence of an REM sleep behavior disorder in patients with PD might reflect the early involvement of dopaminergic neurotransmission in REM sleep-related structures. Therefore, it has been suggested that these structures are affected by an imbalance of dopamine levels. Several studies have demonstrated that neurons in the substantia nigra pars compacta (SNpc) and in the ventral tegmental area (VTA) are active during REM sleep (...) Sleep disturbances in Parkinson's disease: the contribution of dopamine in REM sleep regulation. Nearly all patients with Parkinson's disease (PD) have sleep disturbances. While it has been suggested that these disturbances involve a dopaminergic component, the specific mechanisms that contribute to this behavior are far from being fully understood. In this article, we have reviewed the current understanding of the linkage between sleep and PD, focusing on the participation of the dopaminergic

2013 Sleep medicine reviews

183. Noninvasive Identification of Inspiratory Flow Limitation in Sleep Studies: An Official Workshop Report

. Montserrat and colleagues (6) have demonstrated that the nasal pressure air?ow signal correlates well with pneumotachographic ?ow. Thus, the standardized visual detection of IFL from a nasal cannula pressure signal could enhance the evaluation of sleep-disordered breathing in situations where a low AHI fails to capture suspected risk for health outcomes. The overarching goal of this workshop was to develop an approach to standardizing visual analysis of IFL in the clinical setting, which can be applied (...) to identify the presence or classify severity of IFL, as follows: (1) ?attening of air?ow— supraglottic (or esophageal) pressure relationship (12–17); (2) presence of negative effort dependence (NED) (12, 14–16); (3) the shape or function of the air?ow–time curve (1, 14, 15, 18, 19); (4) increased inspiratory duty cycle (17); (5) high-frequency ?uctuations/oscillations; and (6) air?ow–effort asynchrony (16). All studies were performed during non–rapid eye movement (REM) sleep (one study included REM, one

2017 American Thoracic Society

184. Surface EMG activity during REM sleep in Parkinson’s disease correlates with disease severity (Full text)

Surface EMG activity during REM sleep in Parkinson’s disease correlates with disease severity Over 40% of individuals with Parkinson's disease (PD) have rapid eye movement sleep behavior disorder (RBD). This is associated with excessive sustained (tonic) or intermittent (phasic) muscle activity instead of the muscle atonia normally seen during REM sleep. We examined characteristics of manually-quantitated surface EMG activity in PD to ascertain whether the extent of muscle activity during REM (...) sleep is associated with specific clinical features and measures of disease severity.In a convenience sample of outpatients with idiopathic PD, REM sleep behavior disorder was diagnosed based on clinical history and polysomnogram, and severity was measured using the RBD sleep questionnaire. Surface EMG activity in the mentalis, extensor muscle group of the forearms, and anterior tibialis was manually quantitated. Percentage of REM time with excessive tonic or phasic muscle activity was calculated

2014 Parkinsonism & related disorders PubMed abstract

185. Guidance on the clinical management of anxiety disorders, specifically focusing on diagnosis and treatment strategies

these guidelines, we considered two important concepts. First, that all disorders exist on a dimension from subthreshold to severe cases. While guidelines apply to above-threshold cases, they are applicable to people with subthreshold cases who are at risk of developing a First published in the Australian and New Zealand Journal of Psychiatry 2018, Vol. 52(12) 1109-1172.1116 ANZJP Articles threshold disorder (Helzer et al., 2009). Second, that there are clusters of mental disorders that share causes and rem (...) Guidance on the clinical management of anxiety disorders, specifically focusing on diagnosis and treatment strategies Objective: To provide practical clinical guidance for the treatment of adults with panic disorder, social anxiety disorder and generalised anxiety disorder in Australia and New Zealand. Method: Relevant systematic reviews and meta-analyses of clinical trials were identified by searching PsycINFO, Med- line, Embase and Cochrane databases. Additional relevant studies were

2018 Royal Australian and New Zealand College of Psychiatrists

186. Idiopathic rapid eye movement sleep behaviour disorder: a potential gateway to the development of disease-modifying treatments in neurodegenerative disorders (Full text)

and Clinical Neuroscience, University Hospital of Wales, Cardiff University, Heath Park, Cardiff, CF14 4XN, UK. Robertson N R NR Institute of Psychological Medicine and Clinical Neuroscience, University Hospital of Wales, Cardiff University, Heath Park, Cardiff, CF14 4XN, UK. robertsonnp@cardiff.ac.uk. eng Journal Article Review Germany J Neurol 0423161 0340-5354 IM Aged Aged, 80 and over Female Humans Male Middle Aged Neurodegenerative Diseases complications therapy Polysomnography REM Sleep Behavior (...) Idiopathic rapid eye movement sleep behaviour disorder: a potential gateway to the development of disease-modifying treatments in neurodegenerative disorders 27416855 2017 04 11 2017 04 11 1432-1459 263 8 2016 Aug Journal of neurology J. Neurol. Idiopathic rapid eye movement sleep behaviour disorder: a potential gateway to the development of disease-modifying treatments in neurodegenerative disorders. 1678-80 10.1007/s00415-016-8235-8 Peall K J KJ Institute of Psychological Medicine

2016 Journal of neurology PubMed abstract

187. Severity of REM atonia loss in idiopathic REM sleep behavior disorder predicts Parkinson disease (Full text)

Severity of REM atonia loss in idiopathic REM sleep behavior disorder predicts Parkinson disease Over 50% of persons with idiopathic REM sleep behavior disorder (RBD) will develop Parkinson disease (PD) or dementia. At present, there is no way to predict who will develop disease. Since polysomnography is performed in all patients with idiopathic RBD at diagnosis, there is an opportunity to analyze if baseline sleep variables predict eventual neurodegenerative disease.In a longitudinally studied (...) 41.0 +/- 6.0%, p = 0.002), and not in those who developed dementia (54.3 +/- 10.3, p = 0.28). There was no difference in phasic submental REM EMG activity between groups.In patients with REM sleep behavior disorder initially free of neurodegenerative disease, the severity of REM atonia loss on baseline polysomnogram predicts the development of Parkinson disease.

2010 EvidenceUpdates PubMed abstract

188. Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder

.2012.07.008. PMID: 22921765. 32. Ivarsson D, Blom M, Hesser H, et al. Guided internet-delivered cognitive behavior therapy for post-traumatic stress disorder: a randomized controlled trial. Internet Interv. 2014 March;1(1):33-40. doi: 10.1016/j.invent.2014.03.002. 33. Kangas M, Milross C, Taylor A, et al. A pilot randomized controlled trial of a brief early intervention for reducing posttraumatic stress disorder, anxiety and depressive symptoms in newly diagnosed head and neck cancer patients (...) and PCORI.) AHRQ Publication No. 18-EHC011-EF. PCORI Publication No. 2018-SR-01. Rockville, MD: Agency for Healthcare Research and Quality; May 2018. doi: 10.23970/AHRQEPCCER207. 43. Ahmadpanah M, Sabzeiee P, Hosseini SM, et al. Comparing the effect of prazosin and hydroxyzine on sleep quality in patients suffering from posttraumatic stress disorder. Neuropsychobiology. 2014 Jul;69(4):235- 42. doi: 10.1159/000362243. PMID: 24993832. 44. Akuchekian S, Amanat S. The comparison of topiramate and placebo

2019 Effective Health Care Program (AHRQ)

189. A systematic review of the incidence and prevalence of sleep disorders and seizure disorders in multiple sclerosis. (Full text)

-4.16%). For sleep disorders we evaluated 18 studies; none were population-based. The prevalence ranged from 0-1.6% for narcolepsy, 14.4-57.5% for restless legs syndrome, 2.22-3.2% for REM behavior disorder, and 7.14-58.1% for obstructive sleep apnea.This review suggests that seizure disorders and sleep disorders are common in MS, but highlights gaps in the epidemiological knowledge of these conditions in MS worldwide. Other than central-western Europe and North America, most regions (...) A systematic review of the incidence and prevalence of sleep disorders and seizure disorders in multiple sclerosis. Several studies have suggested that comorbid neurologic disorders are more common than expected in multiple sclerosis (MS).To estimate the incidence and prevalence of comorbid seizure disorders and sleep disorders in persons with MS and to evaluate the quality of studies included.The PUBMED, EMBASE, Web of Knowledge, and SCOPUS databases, conference proceedings, and reference

2015 Multiple sclerosis (Houndmills, Basingstoke, England) PubMed abstract

190. Position Paper for the Treatment of Nightmare Disorder in Adults

significantly impair quality of life. This paper provides the American Academy of Sleep Medicine (AASM) position regarding various treatments of nightmare disorder in adults. Methods: A literature search was performed based upon the keywords and MeSH terms from the Best Practice Guide for the Treatment of Nightmare Disorder in Adults that was published in 2010 by the AASM. The search used the date range March 2009 to August of 2017, and sought to find available evidence pertaining to the use of behavioral (...) antidepressants. The following therapies may be used for the treatment of nightmare disorder: cognitive behavioral therapy; exposure, relaxation, and rescripting therapy; hypnosis; lucid dreaming therapy; progressive deep muscle relaxation; sleep dynamic therapy; self-exposure therapy; systematic desensitization; testimony method; nitrazepam; prazosin; and triazolam. The following are not recommended for the treatment of nightmare disorder: clonazepam and venlafaxine. The ultimate judgment regarding propriety

2018 American Academy of Sleep Medicine

191. Practice Guideline Update Systematic Review Summary: Disorders of Consciousness

diagnostic assessment procedures that incorporate the Aspen Neurobehavioral Workgroup criteria accurately detect behavioral signs of consciousness or differentiate specific DoCs (VS/UWS, MCS, and posttraumatic confusional state [PTCS]) compared with consensus-based diagnostic opinion or standardized behavioral assessment. Readers are referred to a previously published systematic review completed by the ACRM Disorders of Consciousness Task Force that provides evidence-based recommendations for clinical (...) Practice Guideline Update Systematic Review Summary: Disorders of Consciousness 1 Practice guideline update: Disorders of consciousness Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research Joseph T. Giacino, PhD 1 ; Douglas I. Katz, MD 2 ; Nicholas D. Schiff, MD 3 ; John Whyte, MD, PhD 4

2018 American Academy of Neurology

192. Increased REM sleep without atonia in Parkinson disease with freezing of gait. (Full text)

Increased REM sleep without atonia in Parkinson disease with freezing of gait. The objective of this cross-sectional study was to test the hypothesis that patients with Parkinson disease (PD) and freezing of gait (PD+FOG) would demonstrate sleep disturbances comparable to those seen in patients with REM sleep behavior disorder (RBD) and these changes would be significantly different from those in PD patients without FOG (PD-FOG) and age-matched controls.We conducted overnight polysomnography (...) studies in 4 groups of subjects: RBD, PD-FOG, PD+FOG, and controls. Tonic and phasic muscle activity during REM sleep were quantified using EMG recordings from the chin, compared among study groups, and correlated with disease metrics.There were no significant differences in measures of disease severity, duration, or dopaminergic medications between the PD+FOG and PD-FOG groups. Tonic muscle activity was increased significantly (p < 0.007) in the RBD and PD+FOG groups compared to the PD-FOG

2013 Neurology PubMed abstract

193. Major Depressive Disorder and Bipolar Disorder Predispose Youth to Accelerated Atherosclerosis and Early Cardiovascular Disease (Full text)

Medications and Cardiovascular Risk Factors in Youth.” Behavioral and Environmental Factors Contributing to CVD Risk A number of behavioral and psychosocial characteristics that are disproportionately prevalent among adolescents and young adults with mood disorders are associated with increased CVD risk. Such characteristics include early maltreatment, sleep disturbance, sedentary lifestyle, suboptimal nutrition, and tobacco smoking and substance abuse. Early Maltreatment This section focuses (...) disturbances are included among the diagnostic criteria for both MDD and BD. A variety of sleep disturbances have been associated with symptoms of mood disorders among youth. , , One study showed that depressed adolescent boys had short REM (rapid eye movement) latency and more frequent nighttime arousals, although depressed adolescent girls showed the same sleep patterns as their healthy counterparts. Circadian phase shifts can occur before the onset of and during a depressive episode in adults

2015 American Heart Association PubMed abstract

194. The Effects of Acute vs. Chronic of Screen Illumination on: Sleep Efficacy and Architecture, Physiology, Emotion and Behavior: Possible Effect on Human Health

The Effects of Acute vs. Chronic of Screen Illumination on: Sleep Efficacy and Architecture, Physiology, Emotion and Behavior: Possible Effect on Human Health The Effects of Acute vs. Chronic of Screen Illumination on: Sleep Efficacy and Architecture, Physiology, Emotion and Behavior: Possible Effect on Human Health - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record (...) Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. The Effects of Acute vs. Chronic of Screen Illumination on: Sleep Efficacy and Architecture, Physiology, Emotion and Behavior: Possible Effect on Human Health The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal

2016 Clinical Trials

195. British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders: An update

into potential danger, or have excessive daytime fatigue because of night- time disturbance. Another reason for presentation is anxiety anddisruptionof sleepof partner,familyorhousemates. NightmaresandREMsleepbehaviourdisorder(RBD)are disorders arising from REM sleep, and the main di?erence in presentation from the non-REM episodes is that they are normally recalled by the patient, who wakes from them and isawareoftheepisodeandcandescribeit.RBDisadisorder, ?rst described in the late 1980s, with violent (...) Idzikowski 13 , AD Krystal 14 , JR Nash 15 , H Selsick 16 , AL Sharpley 17 and AG Wade 18 Abstract Sleep disorders are common in the general population and even more so in clinical practice, yet are relatively poorly understood by doctors and other health care practitioners. These British Association for Psychopharmacology guidelines are designed to address this problem by providing an accessible up-to-date and evidence-based outline of the major issues, especially those relating to reliable diagnosis

2019 British Association for Psychopharmacology

196. Polysomnography for Sleep-Disordered Breathing Prior to Tonsillectomy in Children

: peter.roland@utsouthwestern.eduRoland et al S3 Background and Significance SDB represents a spectrum of sleep disorders ranging in severity from snoring to OSA. In children, the estimated prevalence for habitual snoring is 10% to 12%, whereas the estimated preva- lence of OSA is only 1% to 3 %. 3,9,10 In addition to nighttime symptoms, SDB also affects daytime behavior, including school performance, neurocognitive function, and quality of life. 11-13 Upper airway obstruction caused by the tonsils, adenoid (...) on diagnostic studies with limitations and a preponderance of benefit over harm. Abbreviations: OSA, obstructive sleep apnea; PSG, polysomnography; SDB, sleep-disordered breathing.S4 Otolaryngology–Head and Neck Surgery 145(1S) arousal without desaturation, (2) how long the patient slept, (3) carbon dioxide elevation, (4) prolonged flow limitation without discrete desaturation, or (5) whether they achieved rapid eye movement (REM) sleep (the period when respiratory events are most common). 21 Methods

2011 American Academy of Otolaryngology - Head and Neck Surgery

197. CPG on sleep disorders in childhood and adolescence in primary care

ON SLEEP DISORDERS IN CHILDHOOD AND ADOLESCENCE IN PRIMARY CARE 11 Acknowledgements Mª Dolores Gómez Fernández, Health Technologies Assessment Unit (UETS), administrative support and editorial duties. Collaborating Societies This CPG has the endorsement of the following societies: Spanish Association of Paediatrics, AEP. Spanish Association of Primary Care Paediatrics, AEPap. Spanish Association of Behavioral Psychology, AEPC. Spanish Sleep Association, ASENARCO. Spanish Society of Adolescent Medicine (...) in an interview with parents/caretakers/children/adolescents? 6. What tests or tools can we use for an overall assessment of child and adolescent sleep in Primary Care Health Centers? 7. What are the complementary tests to keep in mind? 8. What are the differential diagnoses to keep in mind? 9. Are there preventive strategies for sleep disorders? DEFINITION, DIAGNOSIS AND TREATMENT OF SLEEP DISORDERS 10. What is insomnia due to inadequate sleep hygiene? 11. What is behavioral insomnia? 12. What

2011 GuiaSalud

198. Sleep Disorders (PDQ®): Patient Version

followed by a REM phase. Each cycle lasts about 90 minutes and is repeated 4 to 6 times during 7 to 8 hours of sleep. Sleep disorders affect normal sleep patterns. Normal sleep patterns differ from person to person. The amount of sleep you need to feel rested may be less or more than others need. If sleep is interrupted or does not last long enough, the phases of sleep are not completed and the brain cannot finish all the tasks that help restore the body and mind. There are five major types (...) nervousness, , and a change in the phase of sleep that increases dreaming, including nightmares. This change in REM sleep may be dangerous for patients with or heart conditions. Sleep Disorders in Special Cases Key Points for This Section Patients Who Have Pain In patients with pain that disturbs their sleep, treatment to relieve the pain will be used before sleep are used. Pain , other drugs being taken, and any other health may affect which sleeping medicines are . Older Patients It's normal for older

2014 PDQ - NCI's Comprehensive Cancer Database

199. A systematic review of the literature on disorders of sleep and wakefulness in Parkinson's disease from 2005 to 2015. (Full text)

. The available research on these disorders is expanding rapidly, but many questions remain unanswered. We thus conducted a systematic review of the literature published from 2005 to 2015 on the following disorders of sleep and wakefulness in PD: REM sleep behavior disorder, insomnia, nocturia, restless legs syndrome and periodic limb movements, sleep disordered breathing, excessive daytime sleepiness, and circadian rhythm disorders. We discuss the epidemiology, etiology, clinical implications, associated (...) A systematic review of the literature on disorders of sleep and wakefulness in Parkinson's disease from 2005 to 2015. Sleep disorders are among the most common non-motor manifestations in Parkinson's disease (PD) and have a significant negative impact on quality of life. While sleep disorders in PD share most characteristics with those that occur in the general population, there are several considerations specific to this patient population regarding diagnosis, management, and implications

2016 Sleep medicine reviews PubMed abstract

200. Memory consolidation in sleep disorders. (Abstract)

in the consolidation of declarative and procedural information. On the other hand, patients with parasomnias, such as sleep-walking, night terrors and rapid eye movement (REM) behavior disorder, do not present any memory impairment. These studies suggest that only sleep disorders characterized by increased post-learning arousal and disrupted sleep architecture seem to be associated with offline memory consolidation issues. Such impairments, arising already in childhood, may potentially affect the development (...) Memory consolidation in sleep disorders. In recent years sleep-related memory consolidation has become a central topic in the sleep research field. Several studies have shown that in healthy individuals sleep promotes memory consolidation. Notwithstanding this, the consequences of sleep disorders on offline memory consolidation remain poorly investigated. Research studies indicate that patients with insomnia, obstructive sleep apnea, and narcolepsy often exhibit sleep-related impairment

2016 Sleep medicine reviews

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