Latest & greatest articles for insomnia

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Top results for insomnia

241. Impact of a behavioural sleep intervention on symptoms and sleep in children with attention deficit hyperactivity disorder, and parental mental health: randomised controlled trial. Full Text available with Trip Pro

Impact of a behavioural sleep intervention on symptoms and sleep in children with attention deficit hyperactivity disorder, and parental mental health: randomised controlled trial. To examine whether behavioural strategies designed to improve children's sleep problems could also improve the symptoms, behaviour, daily functioning, and working memory of children with attention deficit hyperactivity disorder (ADHD) and the mental health of their parents.Randomised controlled trial.21 general (...) paediatric practices in Victoria, Australia.244 children aged 5-12 years with ADHD attending the practices between 2010 and 2012.Sleep hygiene practices and standardised behavioural strategies delivered by trained psychologists or trainee paediatricians during two fortnightly consultations and a follow-up telephone call. Children in the control group received usual clinical care.At three and six months after randomisation: severity of ADHD symptoms (parent and teacher ADHD rating scale IV-primary outcome

2015 BMJ Controlled trial quality: predicted high

242. Association between asthma and risk of developing obstructive sleep apnea. Full Text available with Trip Pro

Association between asthma and risk of developing obstructive sleep apnea. Obstructive sleep apnea (OSA) is more common among patients with asthma; whether asthma is associated with the development of OSA is unknown.To examine the prospective relationship of asthma with incident OSA.Population-based prospective epidemiologic study (the Wisconsin Sleep Cohort Study) beginning in 1988. Adult participants were recruited from a random sample of Wisconsin state employees to attend overnight (...) polysomnography studies at 4-year intervals. Asthma and covariate information were assessed during polysomnography studies through March 2013. Eligible participants were identified as free of OSA (apnea-hypopnea index [AHI] of <5 events/h and not treated) by 2 baseline polysomnography studies. There were 1105 4-year follow-up intervals provided by 547 participants (52% women; mean [SD] baseline age, 50 [8] years).Questionnaire-assessed presence and duration of self-reported physician-diagnosed asthma.The

2015 JAMA

243. Respiratory muscle training may improve respiratory function and obstructive sleep apnoea in people with cervical spinal cord injury. Full Text available with Trip Pro

Respiratory muscle training may improve respiratory function and obstructive sleep apnoea in people with cervical spinal cord injury. This is a double-blind crossover case study series.The objective of this study was to assess the feasibility of respiratory muscle training (RMT) as an effective intervention to improve lung function and obstructive sleep apnoea (OSA) in cervical spinal cord injury (SCI) patients.This study was conducted in Australia.Three adults (C5-6, AIS A-C) participated (...) (ESS) were measured before and after every 4 weeks of training.After active RMT, vital capacity and inspiratory capacity improved from baseline in all participants (by 44%, 60% and 18% and by 18%, 46% and 5%, respectively); MIP improved by 40 and 17% from baseline in two subjects; and MEP improved in all participants. Two participants had OSA, and after active training their obstructive apnoea-hypopnoea index improved from 30 to 21events per hour and from 72 to 18 events per hour, and ESS

2015 Spinal cord series and cases Controlled trial quality: uncertain

244. Adult Insomnia

. Because of this interconnection, the term “secondary insomnia” that was formerly used to denote insomnia that occurred as a consequence of a medical or psychiatric condition, has been replaced by the term “comorbid insomnia.” 22 If the insomnia is associated with another sleep disorder (e.g., obstructive sleep apnea), sleep physician assistance is required to address the other sleep disorder as a priority. USEFUL CLINICAL TOOLS FOR PRACTICES Currently there is no validated sleep disorders (...) is at the discretion of the primary care provider and should be based on the following criteria: ? Another primary sleep disorder is suspected such as: obstructive sleep apnea, a movement disorder in sleep, a parasomnia or complex comorbid insomnia. ? The primary care provider has attempted a reasonable time frame, e.g., at least a six to twelve week trial of treatment with limited to no success. ? The primary care provider has specific concerns that require additional expertise to evaluate the patient’s problem

2015 Accelerating Change Transformation Team

245. Sleep disorders - shift work and jet lag: Scenario: Jet lag

drug for sleep disturbance associated with jet lag is based on limited evidence of benefit and potential risks of treatment. The ASSM publication recommends the short-term use of a hypnotic drug for the treatment of jet lag-induced sleep disturbance and insomnia based on an evaluation of nine studies (including three high-quality RCTs), but highlights the risks of adverse effects such as global amnesia, and states that the effects on daytime symptoms of jet lag disorder are unproven and have (...) Sleep disorders - shift work and jet lag: Scenario: Jet lag Scenario: Jet lag | Management | Sleep disorders - shift work and jet lag | CKS | NICE Search CKS… Menu Scenario: Jet lag Sleep disorders - shift work and jet lag: Scenario: Jet lag Last revised in November 2019 Scenario: Jet lag From age 16 years onwards. Jet lag If a person is experiencing troublesome sleep disturbance and other associated with jet lag: Advise on sources of information and support, such as: The NHS patient leaflet

2015 NICE Clinical Knowledge Summaries

246. Continuous Positive Airway Pressure Compared with Oral Devices or Lifestyle Changes for the Treatment of Obstructive Sleep Apnea

in repeated, reversible blood oxygen desaturation and sleep fragmentation. 1 The prevalence of OSA, defined by an apnea-hypopnea index (AHI) = 5 events/hour, was 9% in women and 24% in men in a random sample of Wisconsin state employees ages 30 to 60 years, and is increased with male gender, obesity, and age. 2 When defined as a clinical syndrome (AHI = 5 events/hour combined with significant sleepiness), OSA has a prevalence of 2% in women and 4% in men. 2 A Canadian Community Health Survey in 2009 (...) with mild to moderate obstructive sleep apnea syndrome (OSAS). In patients with severe OSAP, CPAP remains the treatment of first choice.” (p 1289) Research question 2 (clinical effectiveness of CPAP compared with lifestyle changes for the treatment of sleep apnea) Thomasouli, 13 2013 Weight reduction CPAP + diet reduced weight by -2.64 kg (95% CI -3.98 to - 1.30) compared to diet alone. Test for heterogeneity showed no significant heterogeneity across trials (P > 0.10, I 2 50%) Neurobehavioral outcomes

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

247. Randomised controlled trial: A mandibular advancement device did not affect daytime sleepiness and quality of life in obstructive sleep apnoea Full Text available with Trip Pro

Therapeutics/Prevention Randomised controlled trial A mandibular advancement device did not affect daytime sleepiness and quality of life in obstructive sleep apnoea Michiel H J Doff Statistics from Altmetric.com Commentary on: Marklund M , Carlsberg B , Forsgren L , et al . Oral appliance therapy in patients with daytime sleepiness and snoring or mild to moderate sleep apnea: a randomized clinical trial . . Context Obstructive sleep apnoea (OSA) is a sleep-related breathing disorder, characterised (...) Randomised controlled trial: A mandibular advancement device did not affect daytime sleepiness and quality of life in obstructive sleep apnoea A mandibular advancement device did not affect daytime sleepiness and quality of life in obstructive sleep apnoea | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our

2015 Evidence-Based Medicine

248. Randomised controlled trial: Simplified sleep restriction impacts objective but not subjective sleep for people with primary insomnia in primary care

Randomised controlled trial: Simplified sleep restriction impacts objective but not subjective sleep for people with primary insomnia in primary care Simplified sleep restriction impacts objective but not subjective sleep for people with primary insomnia in primary care | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies (...) , please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Simplified sleep restriction impacts objective but not subjective sleep for people with primary insomnia in primary

2015 Evidence-Based Medicine

249. Hypoglossal nerve stimulation (HGNS) for treatment of obstructive sleep apnea

. Citation Hedner J, Ejnell H, Grote L, Liljegren A, Sjögren P, Svedmyr S, Wikberg Adania U, Jivegård L . Hypoglossal nerve stimulation (HGNS) for treatment of obstructive sleep apnea. Gothenburg: The Regional Health Technology Assessment Centre (HTA-centrum). HTA-rapport 2015:78. 2015 Authors' conclusions This report assessing the evidence for hypoglossal nerve stimulation therapy in patients with obstructive sleep apnoea refractory to continuous positive airway pressure shows that the therapy may (...) Hypoglossal nerve stimulation (HGNS) for treatment of obstructive sleep apnea Hypoglossal nerve stimulation (HGNS) for treatment of obstructive sleep apnea Hypoglossal nerve stimulation (HGNS) for treatment of obstructive sleep apnea Hedner J, Ejnell H, Grote L, Liljegren A, Sjögren P, Svedmyr S, Wikberg Adania U, Jivegård L Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database

2015 Health Technology Assessment (HTA) Database.

250. American Academy of Sleep Medicine (AASM) Position Paper for the Use of Telemedicine for the Diagnosis and Treatment of Sleep Disorders

$1,200 higher per patient compared to those without insomnia. Likewise, obstructive sleep apnea (OSA) is associated with increased utilization of health care resources, and excess morbidity and mortality. Epidemiological studies estimate that the prevalence of OSA has increased, owing to increased prevalence of obesity. Shift worker disorder, restless legs syndrome (RLS), and excessive daytime sleepiness and fatigue also carry societal cost burden associated with lack of, or suboptimal, therapy (...) Young T, Peppard PE, Gottlieb DJ, authors. Epidemiology of obstructive sleep apnea. Am J Respir Crit Care Med. 2002;165:1217–39. [ ] 2 Gottlieb DJ, Yenokyan G, Newman AB, et al., authors. Prospective study of obstructive sleep apnea and incident coronary heart disease and heart failure: the Sleep Heart Health Study. Circulation. 2010;122:352–60. [ ][ ] 3 Hossain J, Shapiro C, authors. The prevalence, cost implications, and management of sleep disorders: an overview. Sleep Breath. 2002;6:85–102

2015 American Academy of Sleep Medicine

251. Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015

since the last guideline. This search was updated again on February 28, 2013, to capture the latest literature. A total of 324 citations were identified in PubMed and supplemented by pearling (i.e., checking the reference sections of search results for articles otherwise missed). The literature search in Embase was performed using a combination of disorder and treatment terms. The disorder terms were: sleep apnea, sleep apnoea, sleep apnea syndrome, sleep-related breathing disorders, or sleep (...) review paper and 2006 practice parameter paper were included for data analysis if they met the study inclusion criteria. For PICO questions 7 and 11, due to lack of RCTs, we relied on prospective observational studies. The literature search in PubMed was conducted using a combination of MeSH terms and keywords. The MeSH terms were: Sleep Apnea Syndromes, Snoring, Orthodontic Appliances, and Mandibular Advancement/Instrumentation. The keywords were: sleep apnea, sleep apnoea, sleep-related breathing

2015 American Academy of Sleep Medicine

252. Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-Wake Disorders: Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep Wake Rhythm Disorder (N24SWD), and Irregular Sleep-W

-hour light-dark cycle and clock times. Thus, patients exhibit sleep-wake patterns that show a progressive delay (usually) or advance, depending upon the period length (tau) of their endogenous circadian rhythms. During a symptomatic period, the time of high sleep propensity gradually shifts, such that patients experience daytime hypersomnolence and nighttime insomnia. Most patients with N24SWD are totally blind, but this disorder also occurs among sighted individuals. In contrast to the other (...) Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-Wake Disorders: Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep Wake Rhythm Disorder (N24SWD), and Irregular Sleep-W JCSM - Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-Wake Disorders: Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep-Wake Rhythm Disorder (N24SWD

2015 American Academy of Sleep Medicine

253. Actigraphy in sleep disorder assessment

its coverage. The main guidelines on sleep disorders do not include it. Final publication URL www.iecs.org.ar Indexing Status Subject indexing assigned by CRD MeSH Actigraphy; Humans; Polysomnography; Sleep; Sleep Wake Disorders Language Published Spanish Country of organisation Argentina English summary An English language summary is available. Address for correspondence Institute for Clinical Effectiveness and Health Policy, Viamonte 2146 - 3 Piso, C1056ABH Ciudad de Buenos Aires, Argentina Tel (...) Actigraphy in sleep disorder assessment Actigraphy in sleep disorder assessment Actigraphy in sleep disorder assessment Soto N, Ciapponi A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, López A, Rey-Ares L Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Soto N, Ciapponi A, Pichon-Riviere A, Augustovski F, García

2015 Health Technology Assessment (HTA) Database.

254. Obstructive sleep apnea. (Abstract)

Obstructive sleep apnea. This issue provides a clinical overview of Obstructive Sleep Apnea focusing on prevention, diagnosis, treatment, practice improvement, and patient information. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including ACP Smart Medicine and MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors develop In the Clinic from these primary sources

2014 Annals of Internal Medicine

255. Maxillomandibular Advancement (MMA) Is The Best Primary Surgical Intervention For Obstructive Sleep Apnea (OSA) Patients Who Do Not Comply With Or Tolerate CPAP

results Comparing the results among surgical techniques after adjusting for differences in baseline AHI, there was a significantly larger mean change in AHI for patients receiving the MMA (40.5) compared to the UPPP alone (19.4), p Evidence Search (maxillomandibular[All Fields] AND advancement[All Fields] AND ("obstructive sleep apnoea"[All Fields] OR "sleep apnea, obstructive"[MeSH Terms] OR ("sleep"[All Fields] AND "apnea"[All Fields] AND "obstructive"[All Fields]) OR "obstructive sleep apnea"[All (...) Maxillomandibular Advancement (MMA) Is The Best Primary Surgical Intervention For Obstructive Sleep Apnea (OSA) Patients Who Do Not Comply With Or Tolerate CPAP UTCAT2770, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Maxillomandibular Advancement (MMA) Is The Best Primary Surgical Intervention For Obstructive Sleep Apnea (OSA) Patients Who Do Not Comply With Or Tolerate CPAP Clinical Question In obstructive sleep

2014 UTHSCSA Dental School CAT Library

256. Insomnia. (Abstract)

Insomnia. This issue provides a clinical overview of Insomnia focusing on prevention, diagnosis, treatment, practice improvement, and patient information. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including ACP Smart Medicine and MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors develop In the Clinic from these primary sources in collaboration with the ACP's

2014 Annals of Internal Medicine

257. Oral Appliances for Obstructive Sleep Apnea May Cause Transitory Symptoms of Temporomandibular disorder

Oral Appliances for Obstructive Sleep Apnea May Cause Transitory Symptoms of Temporomandibular disorder UTCAT2746, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Oral Appliances for Obstructive Sleep Apnea May Cause Transitory Symptoms of Temporomandibular Disorder Clinical Question Can oral OSA appliances cause TMD symptoms? Clinical Bottom Line Oral OSA appliances may cause TMD symptoms. These symptoms generally (...) monitor their patients. Evidence shows that dentists generally do not need to intervene for TMD symptoms due to oral OSA appliances. Specialty/Discipline (Public Health) (General Dentistry) (Oral Surgery) (Dental Hygiene) Keywords TMD; Temporomandibular Disorder; Obstructive Sleep Apnea; OSA; Sleep apnea; Oral OSA appliance; TMD pain ID# 2746 Date of submission: 09/08/2014 E-mail thusu@livemail.uthscsa.edu Author Akshay Thusu Co-author(s) Co-author(s) e-mail Faculty mentor/Co-author Edward F. Wright

2014 UTHSCSA Dental School CAT Library

258. Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from theAmerican College of Physicians. Full Text available with Trip Pro

Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from theAmerican College of Physicians. The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the diagnosis of obstructive sleep apnea in adults.This guideline is based on published literature on this topic that was identified by using MEDLINE (1966 through May 2013), the Cochrane Central Register of Controlled Trials, and the Cochrane (...) guidelines grading system.ACP recommends a sleep study for patients with unexplained daytime sleepiness. (Grade: weak recommendation, low-quality evidence).ACP recommends polysomnography for diagnostic testing in patients suspected of obstructive sleep apnea. ACP recommends portable sleep monitors in patients without serious comorbidities as an alternative to polysomnography when polysomnography is not available for diagnostic testing. (Grade: weak recommendation, moderate-quality evidence).

2014 Annals of Internal Medicine

259. Montelukast for sleep apnea: a review of the clinical effectiveness, cost effectiveness, and guidelines

for the HTA database. Citation CADTH. Montelukast for sleep apnea: a review of the clinical effectiveness, cost effectiveness, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Summary with Critical Appraisal. 2014 Authors' conclusions One study found that montelukast improved respiratory disturbances in children with mild to moderate obstructive sleep apnea (OSA). No published trials regarding the use of montelukast in adults with OSA were identified (...) . No economic evaluations or evidence-based guidelines regarding the use of montelukast for the treatment of sleep apnea were identified. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Acetates; Humans; Leukotriene Antagonists; Quinolines; Sleep Apnea, Obstructive Language Published English Country of organisation Canada Province or state Ontario English summary An English language summary is available. Address for correspondence Canadian Agency for Drugs and Technologies

2014 Health Technology Assessment (HTA) Database.

260. Oral appliance to treat obstructive sleep apnea has inconclusive effect on blood pressure

Oral appliance to treat obstructive sleep apnea has inconclusive effect on blood pressure Oral appliance to treat obstructive sleep apnea has inconclusive effect on blood pressure ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice content Investing in better oral health for all. Together. Take advantage of endorsed, discounted business (...) apnea has inconclusive effect on blood pressure Tofool Alghanem DDS, MS . Overview Systematic Review Conclusion Oral appliance (OA) treatment for mild to moderate obstructive sleep apnea (OSA) improves blood pressure (BP) with effects comparable to those reported using CPAP treatment. Critical Summary Assessment Limited (SR) suggests clinically insignificant decrease in BP with oral appliances treating OSA. Evidence Quality Rating Limited Evidence Structured Abstract Clinical Questions: In adult

2014 ADA Center for Evidence-Based Dentistry