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J Rhinol 2006 ;20: 133 – 137 . , , 19 . Li HY , Engleman H , Hsu CY , Izci B , Vennelle M , Cross M , et al . Acoustic reflection for nasal airway measurement in patients with obstructivesleepapnea-hypopneasyndrome . Sleep 2005 ;28: 1554 – 1559 . , , 20 . Ryan S , Doherty LS , Nolan GM , McNicholas WT . Effects of heated humidification and topical steroids on compliance, nasal symptoms, and quality of life in patients with obstructivesleepapneasyndrome using nasal continuous positive (...) JP , Neill AM , Campbell AJ . Nasal versus oronasal continuous positive airway pressure masks for obstructivesleepapnea: a pilot investigation of pressure requirement, residual disease, and leak . SleepBreath 2012 ;16: 709 – 716 . , , 29 . Teo M , Amis T , Lee S , Falland K , Lambert S , Wheatley J . Equivalence of nasal and oronasal masks during initial CPAP titration for obstructivesleepapneasyndrome . Sleep (Basel) 2011 ;34: 951 – 955 . , , 30 . Ebben MR , Oyegbile T , Pollak CP
/110 Literature search MedLine via Ovid 200225 Auricular acupuncture in insomnia Search terms Items found Population: 1. exp SleepWakeDisorders/ 87 113 2. exp Sleep/ 77 794 3. sleep*.ab,ti 175 324 4. dyssomnia.ab,ti 60 5. parasomnia.ab,ti 548 6. somnolence.ab,ti 5 450 7. insomnia.ab,ti 19 2874 8. hypersomn*.ab,ti 2 423 9. or/1-8 219 057 Intervention: 10. Acupuncture, Ear/ 415 11. auricular acupuncture.ab,kw,ti 350 12. ear acupuncture.ab,kw, ti 144 13. NADA protocol:ab,kw,ti 20 14. or/10-13 720 (...) . 4 OR 5 OR 6 642 Combined sets: 8. 3 AND 7 44 Limits: 9. Published dates: 20140101-20191231 27 Final 27 PsycInfo via ebsco.com 200224 Auricular acupuncture in insomnia Search terms Items found Population: 1. DE “SleepWakeDisorders” OR DE “Hypersomnia” OR DE ”Insomnia” OR DE ”Parasomnias” 17 771 2. TI (Sleep OR Dyssomnia O Parasomnia OR Somnolence OR Insomnia OR Hypersomn*) OR AB(Sleep* OR Dyssomnia OR Parasomnia OR Somnolence OR Insomnia OR Hypersomn*) 76 377 3. 1 OR 2 77 149 Intervention: 4
Maintenance of Wakefulness Test nCPAP Nasal Continuous Positive Airway Pressure NICE National Institute for Health and Care Excellence OAHI ObstructiveApnoea-Hypopnoea Index OAI ObstructiveApnoea Index ODI Oxygen Desaturation Index OSA(S) ObstructiveSleepApnoea (Syndrome) – (OSAS – SAOS) KCE Report 330 ObstructiveSleepApnoeaSyndrome 11 OSAHS ObstructiveSleepApnoea-HypopneaSyndrome PAP Positive Airway Pressure (includes CPAP, BiPAP, auto-CPAP, nCPAP, ASV) PAT Peripheral Arterial Tonometry PG (...) of at least 10 seconds in adults or the duration of at least two breaths in children. SDB Sleep-disorderedbreathing A range of disorders, with most falling into the categories of OSA, central sleepapnoea (CSA) or sleep-related hypoventilation. AASM: American Academy of Sleep Medicine. KCE Report 330 ObstructiveSleepApnoeaSyndrome 17 It should be noted that there is variability in the definition of a hypopnoea event. The AASM Scoring Manual recommended definition requires that changes in flow (=30
BSG Guidance: Rebooting Gastroenterology and Hepatology Outpatients in the wake of COVID-19 BSG Guidance: Rebooting Gastroenterology and Hepatology Outpatients in the wake of COVID-19 | The British Society of Gastroenterology MENU MENU > > > BSG Guidance: Rebooting Gastroenterology and Hepatology Outpatients in the wake of COVID-19 BSG Guidance: Rebooting Gastroenterology and Hepatology Outpatients in the wake of COVID-19 Updated on: 01 Jul 2020 First published on 01 Jul 2020 Subscribe Notify
as overall health status. The most common SWDs are sleep-disorderedbreathing (SDB), insomnia and sleep-related move- ment disorders, such as restless limb syndrome (RLS) and periodic limb movements in sleep (PLMS) . Sleep-disorderedbreathing is highly prevalent and may present as obstructive or central apnoeas and hypopnoeas, and/or hypoventilation. The obstructive form is most common and recent population-based epidemiological studies have reported a prevalence of obstructiveapnoeas and hypopnoeas (...) (for details of the process refer to the Supporting information) [37–39]. The task force developed a document focusing on the following main topics: 1) Sleep–wakedisorders, such as sleep-related breathingdisorders, insomnia and RLS/PLMS disorder, as risk factors of stroke 2) E?ect of treatment of SWDs on prevention of stroke 3) Frequency of SWDs as a consequence of stroke 4) Outcome of sleep-related breathingdisorders and possible treatment e?ects of SWDs in patients with acute stroke The task force did
, Dalhousie University, Halifax, Nova Scotia, Canada; j Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada; k Division of Respiratory, Critical Care and Sleep Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada; l School of Health Sciences, Dalhousie University, Halifax, Nova Scotia, Canada. Version 1.0 – April 16, 2020 SleepDisorderedBreathing (SDB) is a common chronic disorder and encompasses a range of diseases including obstructive (...) Helping Canadian Health Care Providers to Optimize SleepDisorderedBreathing Management for their Patients during the COVID-19 Pandemic 1 ‘In Press’. Submitted for publication in the CJRCCSM on April 16, 2020. POSITION STATEMENT FROM THE CANADIAN THORACIC SOCIETY (CTS) SLEEPDISORDEREDBREATHING (SDB) ASSEMBLY STEERING COMMITTEE HELPING CANADIAN HEALTH CARE PROVIDERS TO OPTIMIZE SDB MANAGEMENT FOR THEIR PATIENTS DURING THE COVID-19 PANDEMIC Najib T. Ayas a , Kristin L. Fraser b , Eleni
, but it is not yet known whether there is a difference in long-term consequences. • The change in the socioeconomic background that is occurring alongside the pandemic. Rehabilitation in the wake of Covid-19 – A phoenix from the ashes – Issue 2 – www.bsrm.org.uk 8 Table 2: Complications in patients recovering from Covid-19 Most frequent Common, but less frequent • Cardiovascular, pulmonary and musculoskeletal deconditioning. • Restrictive lung disease. • Affective disorders: depression, anxiety, post-traumatic (...) stress disorder. • Post intensive care syndrome, including ICU acquired weakness due to critical illness polyneuropathy/myopathy/both. • Other neurological consequences of the virus and critical care, such as encephalopathy, cerebrovascular events and cerebral hypoxia. • Acute confusional state, at least in the early stages of rehabilitation. • Fatigue. • Cognitive impairment. • Thromboembolic disease: o Myocardial infarction o Stroke o Pulmonary embolism • Musculoskeletal pain and discomfort
British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN) Coronavirus (SARS-CoV-2) and COVID-19 in children with Inflammatory Bowel British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN) Coronavirus (SA 1 IBD Working Group British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN) Coronavirus (SARS-CoV-2) and COVID-19 in children with IBD Position Statement: Management of PIBD during the SARS-CoV-2 pandemic Specific
of obstructivesleepapneasyndrome and its outcomes with home portable monitoring. Chest. 2009;135(2):330-336. 4. El Shayeb M, Topfer LA, Stafinski T, Pawluk L, Menon D. Diagnostic accuracy of level 3 portable sleep tests versus level 1 polysomnography for sleep-disorderedbreathing: a systematic review and meta-analysis. CMAJ. 2014;186(1):E25-E51. 5. Kuna ST, Gurubhagavatula I, Maislin G, et al. Noninferiority of functional outcome in ambulatory management of obstructivesleepapnea. Am J Respir Crit Care (...) Multiple Sleep Latency Testing and Maintenance of Wakefulness Testing 14 Coding 14 General Information 14 Clinical Indications 15 References 15 SLEEPDISORDER TREATMENT MANAGEMENT 17 Management of ObstructiveSleepApnea using Auto-Titrating and Continuous Positive Airway Pressure Devices 17 Coding 17 General Information 17 Clinical Indications 18 References 20 Bi-Level Positive Airway Pressure Devices 22 Coding 22 General Information 22 Clinical Indications 23 References 24 Management of Obstructive
was the change in the Epworth Sleepiness Scale score. Key secondary endpoints were maintenance of wakefulness assessed on the basis of the Oxford Sleep Resistance test, safety, Clinical Global Impression of severity, patient's global opinion, EuroQol quality-of-life questionnaire, and Pichot fatigue questionnaire. Measurements and Main Results: A total of 268 patients with obstructivesleepapnea (75% male; mean age, 52 yr; apnea-hypopnea index, 49/h; baseline sleepiness score, 15.7) were randomized (200 (...) With ObstructiveSleepApnea Who Refuse Continuous Positive Airway Pressure Treatment. A Randomized Trial Yves Dauvilliers et al. Am J Respir Crit Care Med . 2020 . Show details Am J Respir Crit Care Med Actions . 2020 May 1;201(9):1135-1145. doi: 10.1164/rccm.201907-1284OC. Authors , , , , , , , , , , , , , , Collaborators HAROSA II Study Group collaborators : , , , , , , , , , , , , , , , , , , , , Affiliations 1 National Reference Center for Narcolepsy, Sleep and Wake Unit, Department of Neurology, Gui-de
Tonsillectomy versus tonsillotomy for obstructivesleep-disorderedbreathing in children. Obstructivesleep-disorderedbreathing (oSDB) is a condition encompassing breathing problems when asleep due to upper airway obstruction. In children, hypertrophy of the tonsils and/or adenoids is thought to be the commonest cause. As such, (adeno)tonsillectomy has long been the treatment of choice. A rise in partial removal of the tonsils over the last decade is due to the hypothesis that tonsillotomy
The Value of Oxygen Desaturation Index for Diagnosing ObstructiveSleepApnea: A Systematic Review. Intermittent hypoxemia is a risk factor for developing complications in obstructivesleepapnea (OSA) patients. The objective of this systematic review was to identify articles evaluating the accuracy of the oxygen desaturation index (ODI) as compared with the apnea-hypopnea index (AHI) and then provide possible values to use as a cutoff for diagnosing adult OSA.Systematic Review (...) % ODI ≥ 15 events/hour, the specificity for diagnosing OSA ranged from 75% to 98%, and only one study reported the positive predictive value, which was 97%. Direct ODI and AHI comparisons were not made because of different hypopnea scoring, different oxygen desaturation categories, and different criteria for grading OSA severity.Significant heterogeneity exists in studies comparing ODI and AHI. Based on currently published studies, consideration should be given for diagnosing adult OSA with a 4% ODI
Efficacy of continuous positive airway pressure on subcutaneous adipose tissue in patients with obstructivesleepapnea: a meta-analysis of randomized controlled trials. It remains inconclusive whether continuous positive airway pressure (CPAP) therapy can significantly reduce subcutaneous adipose tissue (SAT) in patients with obstructivesleepapnea (OSA). This meta-analysis of randomized controlled trials (RCTs) aimed to evaluate the impact of CPAP treatment on SAT in patients with OSA.We
Reply to Bao etÂ al.: Comment on sleep in the anxiety-related disorders: A meta-analysis of subjective and objective research. 32330836 2020 04 24 1532-2955 52 2020 Apr 04 Sleep medicine reviews Sleep Med Rev Reply to Bao et al.: Comment on sleep in the anxiety-related disorders: A meta-analysis of subjective and objective research. 101315 S1087-0792(20)30058-7 10.1016/j.smrv.2020.101315 Cox Rebecca C RC Vanderbilt University, Department of Psychology, 301 Wilson Hall, 111 21st Ave South (...) , Nashville, TN 37203, USA. Electronic address: firstname.lastname@example.org. Olatunji Bunmi O BO Vanderbilt University, Department of Psychology, 301 Wilson Hall, 111 21st Ave South, Nashville, TN 37203, USA. Electronic address: email@example.com. eng Letter 2020 04 04 England Sleep Med Rev 9804678 1087-0792 IM 2020 03 17 2020 03 19 2020 03 20 2020 4 25 6 0 2020 4 25 6 0 2020 4 25 6 0 aheadofprint 32330836 S1087-0792(20)30058-7 10.1016/j.smrv.2020.101315
Efficacy of continuous positive airway pressure (CPAP) in the prevention of cardiovascular events in patients with obstructivesleepapnea: Systematic review and meta-analysis. Obstructivesleepapnea (OSA) commonly occurs in patients with increased cardiovascular (CV) risk, and continuous positive airway pressure (CPAP) is the preferred therapy for these patients. The aim of this review was to evaluate the efficacy of CPAP for CV prevention in OSA patients. We conducted a systematic review
Sleepapnoea and endothelial dysfunction: An individual patient data meta-analysis. We performed an individual patient data meta-analysis to investigate the association between obstructivesleepapnoea (OSA) severity and the reactive hyperaemia index (RHI) measured by peripheral arterial tonometry (PAT), a validated measurement of endothelial function, and a strong predictor of late cardiovascular (CV) events. Patients from 12 studies underwent PAT and overnight polysomnography or respiratory (...) polygraphy for suspected OSA. Endothelial dysfunction was defined by a log-transformed RHI<0.51. Subgroup analyses were performed to investigate this relationship in specific populations. Among 730 patients without overt CV disease, 387 (53.0%) had severe OSA (apnoea-hypopnea index ≥30) and 164 (22.5%) exhibited endothelial dysfunction. After adjustment for age, gender, diastolic blood pressure, obesity, diabetes and chronic obstructive pulmonary disease, endothelial dysfunction was associated