Latest & greatest articles for insomnia

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Top results for insomnia

81. Insomnia

is a sleep disorder affecting approximately 13% of the Canadian population. People with insomnia often have difficulty falling asleep or difficulty remaining asleep. They may also wake 2017 11. Treatments for Insomnia : A Review of Patient and Experiences and Perspectives Treatments for Insomnia : A Review of Patient and Experiences and Perspectives | CADTH.ca Find the information you need Treatments for Insomnia : A Review of Patient and Experiences and Perspectives Treatments for Insomnia : A Review (...) of what constitutes normal sleep. It usually takes less than 30 minutes for a person to fall asleep. Average (...) total nocturnal sleep time decreases with age from about 8 hours at 15 years of age to less than 6 hours at 80 years of age. Insomnia can be categorized according to duration or likely duration: Short-term insomnia lasts less than 4 weeks. Long-term (or persistent) insomnia lasts for 4 weeks or longer. Sleep disorders that need to be excluded when making a diagnosis of insomnia are: Sleep

2018 Trip Latest and Greatest

82. Sleep-disordered Breathing in Patients with COPD

American Thoracic Society Documents 289 Overview The overlap syndrome (OVS) is the co-occurrence of chronic obstructive pulmonarydisease (COPD)and obstructive sleep apnea (OSA). This statement summarizestheexistingliterature,identi?es knowledge gaps, and provides guidance regarding future priorities in research for sleep-disordered breathing (SDB) in patientswithCOPDandotherlungdiseases. Key Conclusions d OVS is common because COPD and OSA are common. There is no de?nitive evidence that patients (...) without comorbid insomnia. Although the detection of apnea is reasonably straightforward, hypopneas, as de?ned by Decreased I/E Airflow ?PaO2 ?PaCO2 Chemoreceptor Stimulation Arousal Expiratory UA Narrowing Diaphragm Dysfunction Dynamic Hyperinflation Alveolar Hypoventilation Inspiratory UA Narrowing Ventilatory Overshoot Increased work of Breathing Decreased Ventilatory Motor Output Worsening Airflow Obstruction Upper Airway Muscle Activity ? Caudal Traction Sleep + Circadian Factors + Supine

2018 American Thoracic Society

83. Perioperative Management of Obstructive Sleep Apnea and Obesity Hypoventilation Syndrome: A Workshop Report

syndrome? Introduction Methods Committee Composition Workshop Structure and Literature Review Document Development Perioperative Outcomes of Patients with Sleep- disordered Breathing Screening for Obstructive Sleep Apnea in Surgical Patients Obstructive Sleep Apnea Endotypes and Potential Relevance in the Perioperative Period Role of Algorithms in the Perioperative Management of Obstructive Sleep Apnea and Obesity Hypoventilation Syndrome Perioperative Use of Positive Airway Pressure Obesity (...) Hypoventilation Syndrome in the Perioperative Period OpioidsandtheSurgicalPatient with Obstructive Sleep Apnea The Use of Administrative Databases and Patient Registries Patient Safety and Healthcare Management Considerations Conclusions American Thoracic Society Documents 117 Overview Perioperative management of sleep- disordered breathing, such as obstructive sleep apnea (OSA) and obesity hypoventilationsyndrome(OHS),isanarea of patient care that requires improvement due to the risk of morbidity

2018 American Thoracic Society

84. Efficacy of melatonin with behavioural sleep-wake scheduling for delayed sleep-wake phase disorder: A double-blind, randomised clinical trial Full Text available with Trip Pro

Efficacy of melatonin with behavioural sleep-wake scheduling for delayed sleep-wake phase disorder: A double-blind, randomised clinical trial Delayed Sleep-Wake Phase Disorder (DSWPD) is characterised by sleep initiation insomnia when attempting sleep at conventional times and difficulty waking at the required time for daytime commitments. Although there are published therapeutic guidelines for the administration of melatonin for DSWPD, to our knowledge, randomised controlled trials are lacking (...) . This trial tested the efficacy of 0.5 mg melatonin, combined with behavioural sleep-wake scheduling, for improving sleep initiation in clinically diagnosed DSWPD patients with a delayed endogenous melatonin rhythm relative to patient-desired (or -required) bedtime (DBT).This randomised, placebo-controlled, double-blind clinical trial was conducted in an Australian outpatient DSWPD population. Following 1-wk baseline, clinically diagnosed DSWPD patients with delayed melatonin rhythm relative to DBT

2018 EvidenceUpdates Controlled trial quality: predicted high

85. Impact of group treatment for insomnia on daytime symptomatology: Analyses from a randomized controlled trial in primary care Full Text available with Trip Pro

trial including baseline and post-treatment assessment and a 1-year post-treatment follow-up of the intervention group.Seven primary health care centers (Stockholm, Sweden).One hundred and sixty-five primary care patients who meet the criteria for insomnia disorder (mean age 54 years, SD 16). Most were women (73%).severe untreated illness, bipolar disorder, current stressful life event, night shift work, and untreated sleep disorder other than insomnia.Data came from a randomized controlled trial (...) ), improved daytime symptomatology in primary care patients with insomnia.Fatigue (Fatigue Severity Scale [FSS]; main outcome), mood (General Health Questionnaire and Montgomery-Asberg Depression Rating Scale), health-related quality of life (Short-Form Health Survey), general daytime functioning, specific daytime symptoms (individual items from the Insomnia Severity Index and Uppsala Sleep Inventory), and dysfunctional beliefs (Dysfunctional Beliefs and Attitudes about Sleep).A randomized controlled

2018 EvidenceUpdates

86. Sleep-Disordered Breathing and Prevalent Albuminuria in Hispanics/Latinos Full Text available with Trip Pro

data from participants in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a population-based study that enrolled 16,415 adults in 4 US communities. Sleep-disordered breathing was assessed using a home sleep apnea monitor for overnight recording and was defined using 3 thresholds of the apnea-hypopnea index (AHI; 3% desaturation): ≥5, ≥15, and ≥30. Albuminuria was defined as a urine albumin-to-creatinine ratio of ≥30 mg/g.There were 12,572 participants with complete data available (...) Sleep-Disordered Breathing and Prevalent Albuminuria in Hispanics/Latinos Although sleep-disordered breathing has been found to be associated with higher urine albumin excretion, this association has not been evaluated in Hispanic/Latino populations, which experience a high burden of end-stage renal disease compared with non-Hispanics. We evaluated the association of sleep-disordered breathing with prevalent albuminuria among US Hispanics/Latinos.This was a cross-sectional study of baseline

2018 Kidney international reports

87. Intermittent Hypoxia and Hypercapnia, a Hallmark of Obstructive Sleep Apnea, Alters the Gut Microbiome and Metabolome Full Text available with Trip Pro

Intermittent Hypoxia and Hypercapnia, a Hallmark of Obstructive Sleep Apnea, Alters the Gut Microbiome and Metabolome Obstructive sleep apnea (OSA) is a common disorder characterized by episodic obstruction to breathing due to upper airway collapse during sleep. Because of the episodic airway obstruction, intermittently low O2 (hypoxia) and high CO2 (hypercapnia) ensue. OSA has been associated with adverse cardiovascular and metabolic outcomes, although data regarding potential causal pathways (...) are still evolving. As changes in inspired O2 and CO2 can affect the ecology of the gut microbiota and the microbiota has been shown to contribute to various cardiometabolic disorders, we hypothesized that OSA alters the gut ecosystem, which, in turn, exacerbates the downstream physiological consequences. Here, we model human OSA and its cardiovascular consequence using Ldlr-/- mice fed a high-fat diet and exposed to intermittent hypoxia and hypercapnia (IHH). The gut microbiome and metabolome were

2018 mSystems

88. Diagnostic accuracy of a two-stage model for detecting obstructive sleep apnoea in chronic tetraplegia (Abstract)

Diagnostic accuracy of a two-stage model for detecting obstructive sleep apnoea in chronic tetraplegia Obstructive sleep apnoea (OSA) is highly prevalent in people with spinal cord injury (SCI). Polysomnography (PSG) is the gold-standard diagnostic test for OSA, however PSG is expensive and frequently inaccessible, especially in SCI. A two-stage model, incorporating a questionnaire followed by oximetry, has been found to accurately detect moderate to severe OSA (MS-OSA) in a non-disabled (...) thresholds for diagnosing MS-OSA. The accuracy of both models in diagnosing MS-OSA was prospectively evaluated in 100 participants with chronic tetraplegia across four international SCI units.Injury completeness, sleepiness, self-reported snoring and apnoeas were included in the modified questionnaire, which was highly predictive of MS-OSA (ROC area under the curve 0.87 (95% CI 0.79 to 0.95)). The 3% oxygen desaturation index was also highly predictive (0.93 (0.87-0.98)). The two-stage model

2018 EvidenceUpdates

89. Hypersomnia: an overlooked, but not overestimated, sleep disturbance in bipolar disorder

, Rayma Williams Statistics from Altmetric.com ABSTRACT FROM: Steinan MK, Scott J, Lagerberg TV, et al . Sleep problems in bipolar disorders: more than just insomnia. Acta Psychiatr Scand 2016;133:368–77. What is already known on this topic Sleep disturbances are common across bipolar spectrum disorders. Reduced need for sleep, insomnia and hypersomnia (excessive sleep or sleepiness) are diagnostic features of illness episodes; these sleep disturbances persist into the interepisode period (...) Hypersomnia: an overlooked, but not overestimated, sleep disturbance in bipolar disorder Hypersomnia: an overlooked, but not overestimated, sleep disturbance in bipolar disorder | Evidence-Based Mental Health 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

2018 Evidence-Based Mental Health

90. Cost-effectiveness of cognitive–behavioural therapy for sleep disorder added to usual care in patients with schizophrenia: the BEST study Full Text available with Trip Pro

Cost-effectiveness of cognitive–behavioural therapy for sleep disorder added to usual care in patients with schizophrenia: the BEST study Sleep problems are pervasive in people with schizophrenia, but there are no clinical guidelines for their treatment. The Better Sleep Trial (BEST) concluded that suitably adapted cognitive-behavioural therapy (CBT) is likely to be highly effective, although its cost-effectiveness is unknown.To assess the potential cost-effectiveness of CBT for sleep (...) needs, as well as very high rates of depression, suicidal ideation and poor physical health. The results of this study showed that treating pervasive sleep problems in this patient group with cognitive-behavioural therapy (CBT) is very likely to improve patient quality of life in the short term. Clinicians most commonly use hypnotic medication to treat sleeping disorders. This study indicates that CBT may be an effective and cost-effective intervention in this patient group. This alternative would

2018 BJPsych open

91. Sleep breathing disorders: have we reached the tipping point? Full Text available with Trip Pro

Sleep breathing disorders: have we reached the tipping point? Sleep medicine: a new approach http://ow.ly/qzVh30iVkWL.

2018 ERJ open research

92. Therapeutic Approaches of Obstructive Sleep Apnea in China Full Text available with Trip Pro

Therapeutic Approaches of Obstructive Sleep Apnea in China 29607299 2019 01 28 2450-131X 6 1 2018 Mar Journal of translational internal medicine J Transl Int Med Therapeutic Approaches of Obstructive Sleep Apnea in China. 16-20 10.2478/jtim-2018-0004 Li Wen-Yang WY Institute of Respiratory Disease, The First Hospital of China Medical University, Shenyang, China. Wang Wei W Institute of Respiratory Disease, The First Hospital of China Medical University, Shenyang, China. eng Journal Article 2018 (...) 23589584 J Clin Sleep Med. 2015 Jul 15;11(7):773-827 26094920 Sleep Breath. 2015 Mar;19(1):281-9 24859614 Eur Respir J. 2011 May;37(5):1000-28 21406515 J Appl Physiol (1985). 2017 Jul 1;123(1):116-125 28408696 Int J Oral Maxillofac Surg. 2015 Feb;44(2):189-94 25305697 Laryngoscope. 2008 May;118(5):902-8 18300704 Respir Care. 2013 May;58(5):810-5 23051618 Ann Intern Med. 2013 Oct 1;159(7):471-83 24061345 BMJ. 2006 Feb 4;332(7536):266-70 16377643 Sleep Breath. 2013 May;17(2):705-12 22821223 Thorax. 2010

2018 Journal of translational internal medicine

93. Ventilatory support or respiratory muscle training as adjuncts to exercise in obese CPAP-treated patients with obstructive sleep apnoea: a randomised controlled trial Full Text available with Trip Pro

Ventilatory support or respiratory muscle training as adjuncts to exercise in obese CPAP-treated patients with obstructive sleep apnoea: a randomised controlled trial Obstructive sleep apnoea (OSA) and obesity are interdependent chronic diseases sharing reduced exercise tolerance and high cardiovascular risk.A 3-month intervention with innovative training modalities would further improve functional capacity and cardiovascular health than usual cycle exercise training in already continuous (...) positive airway pressure (CPAP)-treated obese patients with OSA.Fifty three patients (35sleep quality were evaluated.All training modalities increased 6 min walking

2018 EvidenceUpdates

94. The REM Sleep Behavior Disorder Screening Questionnaire is not Valid in De Novo Parkinson's Disease Full Text available with Trip Pro

The REM Sleep Behavior Disorder Screening Questionnaire is not Valid in De Novo Parkinson's Disease Rapid eye movement (REM) sleep behavior disorder (RBD) is one of the most specific prodromal indicators for Parkinson's disease (PD).To test the validity of the RBD-Screening Questionnaire (RBDSQ) in assessing RBD in early PD.The RBDSQ was completed before video-supported polysomnography (vPSG) by 134 de novo PD patients, 109 matched controls without neurological disorder (CTR) and 30 subjects

2018 Movement disorders clinical practice

95. Impact of sacubitril–valsartan combination in patients with chronic heart failure and sleep apnoea syndrome: the ENTRESTO‐SAS study design Full Text available with Trip Pro

Impact of sacubitril–valsartan combination in patients with chronic heart failure and sleep apnoea syndrome: the ENTRESTO‐SAS study design Sleep-disordered breathing (SDB) is a highly prevalent co-morbidity in patients with chronic heart failure (CHF) and can play a detrimental role in the pathophysiology course of CHF. However, the best way to manage SDB in CHF remains a matter of debate. Sacubitril-valsartan has been included in the 2016 European Society of Cardiology guidelines (...) patients are required to detect a significant 20% improvement of the Apnoea-Hypopnoea Index with a power of 90% at an alpha risk of 5%.In the context of the SERVE-HF study, physicians are waiting for new trials and alternative therapies. We sought to assess in the ENTRESTO-SAS trial whether sacubitril-valsartan could improve the outcome of SDB in CHF patients.© 2018 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.

2018 ESC heart failure Controlled trial quality: uncertain

96. Simulation of the upper airways in patients with obstructive sleep apnea and nasal obstruction: A novel finite element method Full Text available with Trip Pro

Simulation of the upper airways in patients with obstructive sleep apnea and nasal obstruction: A novel finite element method To evaluate the biomechanical properties of the soft palate and velopharynx in patients with obstructive sleep apnea (OSA) and nasal obstruction.Prospective experimental study.Two finite element (FE) models of the soft palate were created in six patients undergoing nasal surgery, one homogeneous model based on CT images, and one layered model based on soft tissue (...) . The obstruction occurs mainly at the level of the lateral attachments to the pharyngeal wall, and the width of the soft palate is an indicator of the degree of critical closing pressure. A less negative closing pressure corresponds to small total transverse strain. The effect of nasal surgery on OSA is most likely not explained by change in soft palate biomechanics.NA.

2018 Laryngoscope investigative otolaryngology

97. Effect of Obstructive Sleep Apnea Treatment on Renal Function in Patients with Cardiovascular Disease (Abstract)

Effect of Obstructive Sleep Apnea Treatment on Renal Function in Patients with Cardiovascular Disease Obstructive sleep apnea (OSA) is associated with impaired renal function, but uncertainty exists over whether OSA treatment can influence renal outcomes.To determine the effects of continuous positive airway pressure (CPAP) on renal function in subjects with coexisting OSA and cardiovascular disease.This was a substudy of the international SAVE (Sleep Apnea Cardiovascular Endpoints) trial

2018 EvidenceUpdates

98. Interventions for Insomnia Disorder

Interventions for Insomnia Disorder Interventions for Insomnia Disorder | CADTH.ca Find the information you need Interventions for Insomnia Disorder Interventions for Insomnia Disorder Last updated: December 10, 2018 Project Number: HT0003-OP0527 Product Line: Result type: Report Insomnia is a sleep disorder affecting approximately 13% of the Canadian population. People with insomnia often have difficulty falling asleep or difficulty remaining asleep. They may also wake up frequently (...) , experience early awakening, have a limited amount of sleep, or have a poor quality of sleep. Insomnia may be acute, meaning it generally starts suddenly and lasts for less than three months, or it may be chronic, meaning it lasts for a longer duration. Insomnia may affect a person’s ability to work or study, and can negatively affect their relationships with others. People with insomnia may experience a reduced quality of life because of the consequences of poor sleep. Approaches to treating insomnia

2018 CADTH - Optimal Use

99. Psychological interventions: Web-based cognitive behaviour therapy for insomnia shows long-term efficacy in improving chronic insomnia

Psychological interventions: Web-based cognitive behaviour therapy for insomnia shows long-term efficacy in improving chronic insomnia Web-based cognitive behaviour therapy for insomnia shows long-term efficacy in improving chronic insomnia | Evidence-Based Mental Health 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 Web-based cognitive behaviour therapy for insomnia shows long-term efficacy in improving chronic insomnia Article Text Commentary Psychological

2018 Evidence-Based Mental Health

100. Impact of Dexmedetomidine on Intraoperative Wake-Up Tests in Patients Undergoing Spinal Surgery. (Abstract)

Impact of Dexmedetomidine on Intraoperative Wake-Up Tests in Patients Undergoing Spinal Surgery. To evaluate the impact of dexmedetomidine (DEX) on intraoperative wake-up tests.American Society of Anesthesiologists category I or II patients were divided into two groups: a propofol-remifentanil group (group R, n = 20) and a DEX-propofol-remifentanil group (group D, n = 20).The patients in group D received DEX, whereas the patients in group R received the same volume of saline. The other (...) anesthetic methods and drugs (propofol and remifentanil) were the same in both groups. During the wake-up test, patients were repeatedly asked to move their fingers.All the wake-up tests were successfully performed. There was no significant difference in the mean wake-up time between the two groups. Eighteen patients exhibited better wake-up quality in group D as did eight patients in group R. The patients in group D had a significantly better overall wake-up quality than those in group R (P <.05).DEX

2018 Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses Controlled trial quality: uncertain