Готові списки джерел за темами / Sleep clinic

Добірка наукової літератури з теми "Sleep clinic"

Автор: Grafiati
Опубліковано: 10 грудня 2022
Оновлено: 28 січня 2023

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Статті в журналах з теми "Sleep clinic"

1

Henry, Olivia, Alexandra Brito, Marguerite Cooper Lloyd, Robert Miller, Eleanor Weaver, and Raghu Upender. "A Model for Sleep Apnea Management in Underserved Patient Populations." Journal of Primary Care & Community Health 13 (January 2022): 215013192110689. http://dx.doi.org/10.1177/21501319211068969.

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Introduction: Obstructive sleep apnea (OSA) is a common condition in the United States that is strongly linked to metabolic disease, cardiovascular disease, and increased mortality. Uninsured populations experience sleep health disparities, including delayed recognition, diagnosis, and treatment of OSA due to barriers accessing and affording care. Partnerships between primary care clinics and sleep medicine specialists for sleep apnea management have the potential to increase screening, testing, and treatment among underserved populations. Here, we present an integrated and cost-effective model that is easier to navigate for patients while maintaining high quality care. Methods: We designed and implemented a specialty sleep clinic at Shade Tree Clinic, Vanderbilt’s student-run, free primary care clinic. Patients with signs and symptoms of OSA were identified at primary care appointments and screened using the STOP-BANG questionnaire. Clinic visits took place over telehealth with a medical student and sleep specialist. Patients were diagnosed using a home sleep test, and if indicated, were prescribed and given a CPAP device for treatment. CPAP adherence was monitored using a cloud-based remote monitoring system. Results: From December 2020 through August 2021, we hosted 6 telehealth Sleep Clinics, seeing a total of 28 patients across these visits. We have received a total of 37 referrals and have coordinated sleep evaluations and diagnostic testing for 18 of these patients so far. Prior to initiation of the sleep clinic, there were 17 patients on our primary care panel at Shade Tree with a diagnosis of OSA. These patients were using donated equipment and many had been lost to follow-up or had broken parts. We were able to replace 10 of these patient’s CPAP devices and plan to replace the remaining seven. Conclusions: We have created a model of integrated specialty care that is efficient and cost-effective. This paradigm can be replicated for the many specialties that are typically overlooked and undertreated when working with uninsured patients. As awareness of this sleep medicine program becomes more widespread at Shade Tree Clinic, we anticipate reaching more primary care patients with signs and symptoms of sleep apnea through student education, cost-effective diagnostics, and partnership with sleep specialists.
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2

Bennett, K. L. "0648 Impact of Positive Airway Pressure (PAP) Troubleshooting Clinic Visits on Patient Satisfaction, PAP Use, Mask Leak, and Prolonged Use." Sleep 43, Supplement_1 (April 2020): A247. http://dx.doi.org/10.1093/sleep/zsaa056.644.

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Abstract Introduction Patients with sleep apnea are often prescribed positive airway pressure (PAP) treatment. Some patients have difficulty consistently using a PAP machine due to problems such as air leak, mask discomfort, and dry mouth. The purpose of this project is to evaluate the satisfaction and efficacy of a PAP Troubleshooting Clinic lead by a RN and a respiratory technician (RT). This clinic seeks to improve PAP compliance, increase PAP tolerability and increase PAP treatment efficacy Methods The PAP Troubleshooting Clinic consists of a RN and RT with specialized knowledge about sleep apnea and PAP treatment. During a 30 or 60-minute clinic visit, these providers review the patient’s experience with PAP, assess mask fit, review PAP data and PAP settings, and recommend treatment adjustments for the primary Sleep Clinic provider’s consideration. Outcomes assessment includes satisfaction (a telephone survey one week after the visit) and efficacy (30-day data on overall use, mask leak, and days with ≥ 4 hours of use downloaded from PAP machines). Results To date, 58 patients have received care in the clinic and 56 (96.5%) patients reported they were satisfied/highly satisfied with the PAP Troubleshooting Clinic. From the sample, forty-three (74.1%) patients were compliant with mask use over 30 days. Twenty-four (55.81%) showed a greater than 10% reduction in mask leak after intervention. Ten patients (23.3%) achieved an improvement with a 10% increase in number of days with > than 4 hours of PAP use. Conclusion Patients and Sleep Clinic providers are very satisfied with the PAP Troubleshooting Clinic. Patients are referred to this clinic because they have significant issues with PAP usage and are at high risk of discontinuing use. Patients find the clinic helpful and encouraging, while sleep medicine physicians and APPs appreciate the assistance in helping patients succeed with PAP, especially during the 30-day time period where PAP compliance receives scrutiny from clinics and payers. Support A PAP Troubleshooting Clinic is an effective way to improve patient PAP Use, Mask Leak, Prolonged Use and Patient Satisfaction. Importantly, this new clinical model offers a valuable alternative to provide patients with the appropriate level of care.
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3

Robinson, Richard. "In the Clinic-Sleep Apnea." Neurology Today 18, no. 9 (May 2018): 19–20. http://dx.doi.org/10.1097/01.nt.0000533820.07878.7a.

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4

Reddy, K. R. Bharath Kumar. "Profile of paediatric sleep patients and polysomnography findings: Experience from an exclusive paediatric sleep clinic in India." Karnataka Pediatric Journal 36 (December 30, 2021): 119–22. http://dx.doi.org/10.25259/kpj_27_2021.

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Objectives: The objectives of the study were to describe the profile of patients attending an exclusive paediatric sleep clinic in India. Materials and Methods: Children aged 1 month–18 years, attending an exclusive paediatric sleep clinic, were assessed using standardized questionnaires. Children underwent sleep coaching, were treated medically, or underwent polysomnography based on the decision of the paediatric pulmonologist. Level 1 polysomnography was conducted by trained personnel. Results: Of 186 children, 36.5% were for infant sleep issues, 24.7% suspected obstructive sleep apnea (OSA), 18.2% neuromuscular diseases with sleep problems, 15.6% genetic disorders with sleep problems, 4.3% parasomnias, and 0.5% abnormal movements during sleep. Of the 85 paediatric polysomnographies conducted, 9.4% were normal studies, 87% had OSA, 1.1% restless leg syndrome, and 2.3% were inadequate studies. Conclusion: Sleep disorders in children are not uncommon and paediatricians need to be aware and identify them early. More number of exclusive paediatric sleep clinics need to be established in India.
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Lau, H., D. O’Brien, J. Hundloe, and D. Samaratunga. "P071 Listening to Beyoncé: factors associated with non-attendance at an outpatient sleep clinic." SLEEP Advances 2, Supplement_1 (October 1, 2021): A44. http://dx.doi.org/10.1093/sleepadvances/zpab014.115.

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Abstract Introduction Patient non-attendance at outpatient sleep clinics is common and costly. Little is known about the factors associated with sleep clinic non-attendance, especially in an Australian context. The goal of our audit was to identify the patient, referral, and appointment factors that may affect attendance at an outpatient sleep clinic. Methods A case-control study was performed in 171 patients (57 cases / non-attenders and 114 controls / attenders) who had a sleep clinic appointment between September 20th, 2020 and March 21st, 2021. Statistical analysis was performed using the two-sided chi-square test with a 5% significance level. Results The overall rate of non-attendance was 10.8%. The rates of non-attendance between new and review cases were similar. Being single (odds ratio [OR]: 2.49; p = 0.010), middle-aged (OR: 4.39; p < 0.001 vs. older-aged), or female (OR: 2.08; p = 0.026) was associated with a higher rate of non-attendance. English was the primary language for all non-attenders. A higher proportion of non-attenders than attenders were born in Australia. For new cases, the source of referral, reason for referral, and triage category did not affect attendance rates. Likewise, the patient’s primary sleep disorder and treatment status did not affect attendance for review cases. Conclusion Factors associated with non-attendance at an outpatient sleep clinic include being single, middle-aged, or female. By identifying patients at higher risk of clinic non-attendance, a more tailored approach can be developed to mitigate this issue.
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6

Reynor, A., N. McArdle, B. Shenoy, S. Dhaliwal, S. Rea, J. Walsh, P. Eastwood, et al. "P119 CPAP and adverse cardiovascular events in OSA: Are participants of randomized trials representative of sleep clinic patients?" SLEEP Advances 2, Supplement_1 (October 1, 2021): A60. http://dx.doi.org/10.1093/sleepadvances/zpab014.160.

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Abstract Introduction Randomized controlled trials (RCTs) have shown no reduction in adverse cardiovascular (CV) events in patients randomized to continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea (OSA). This study examined whether randomized study populations were representative of OSA patients attending a sleep clinic. Methods Sleep clinic patients were 3,965 consecutive adults diagnosed with OSA by in-laboratory polysomnography from 2006–2010 at a tertiary hospital sleep clinic. Characteristics of these sleep clinic OSA patients were compared with participants of 5 well-known RCTs examining the effect of CPAP on adverse CV events in OSA. We determined the percentage of patients with severe (apnea hypopnea index, [AHI]≥30/h) or any OSA (AHI≥5/h) who met the selection criteria of each RCT, as well as identified those criteria that excluded the most patients. Results Compared to RCT participants, sleep clinic OSA patients were younger, sleepier, more likely to be female and less likely to have established CV disease. The percentage of patients with severe or any OSA who met the RCT selection criteria ranged from 1.2% to 20.2% and 0.8% to 21.1%, respectively. The selection criteria that excluded most patients were pre-existing CV disease, symptoms of excessive sleepiness, nocturnal hypoxemia and co-morbidities. Discussion A minority of sleep clinic patients diagnosed with OSA meet the selection criteria of RCTs of CPAP on adverse CV events in OSA. OSA populations in RCTs differ considerably from typical sleep clinic OSA patients. This suggests that the findings of RCTs may not be generalisable to most sleep clinic OSA patients.
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Dosman, James, John Gjevre, Chandima Karunanayake, Donna Rennie, Josh Lawson, Louise Hagel, Roland Dyck, John Gordon, and Punam Pahwa. "Predicting Sleep Apnea in the Clinic." Chest 145, no. 3 (March 2014): 595A. http://dx.doi.org/10.1378/chest.1825416.

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8

Pilowsky, I., I. Crettenden, and M. Townley. "Sleep disturbance in pain clinic patients." Pain 23, no. 1 (September 1985): 27–33. http://dx.doi.org/10.1016/0304-3959(85)90227-1.

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Stafford, Anne, and Philip Conn. "A COMMUNITY SERVICE-BASED SLEEP CLINIC." Clinical Psychology Forum 1, no. 7 (February 1987): 10–14. http://dx.doi.org/10.53841/bpscpf.1987.1.7.10.

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Ray, Christopher, Robert A. Strauss, and Ryan S. Nord. "Management of obstructive sleep apnea through a multidisciplinary sleep clinic." Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 130, no. 1 (July 2020): e21-e22. http://dx.doi.org/10.1016/j.oooo.2019.12.023.

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Дисертації з теми "Sleep clinic"

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Ugelstad, Elizabeth Grace. "Developing and Implementing an Obstructive Sleep Apnea Patient and Sleep Study Patient Education Video in a Sleep Medicine Clinic." Diss., North Dakota State University, 2018. https://hdl.handle.net/10365/27853.

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Patient education is the catalyst to raise patient competence in self-care and health management and may be the most important action performed by healthcare providers as they seek to empower patients towards better health outcomes (Bastable, 2016). The purpose of this project was to offer providers in a midwestern urban clinic specializing in Sleep Medicine a more effective means of disseminating education to patients potentially diagnosed with Obstructive Sleep Apnea (OSA) in a timely, efficient, and effective manner. Objectives of this project included the following: demonstrate technological caring through development of an evidence-based audiovisual patient education modality on OSA in congruence with the organization?s Learning Services and evidence-based practice; provide the Sleep Medicine providers an evidence-based audiovisual patient education modality on OSA in an online format linked within the organization?s established patient-provider communication system; elicit consistent Sleep Medicine provider utilization of the OSA patient education video on OSA; and provide educational caring to Sleep Medicine patients through the implementation of the OSA patient education video in Sleep Medicine provider practice. The project was conducted in close collaboration with the clinic providers and Learning Services with development of an evidence-based OSA patient education video to implement in practice. The video was accessible for patient review at home utilizing an online patient-provider communication program. The project assessed provider utilization of the OSA educational video. The provider distribution of computer keyboard surveys was 24%. However, of the computer keyboard surveys collected, Sleep Medicine providers offered the video to 74% of new consults. Of the patients who were offered the video, 90% were receptive to viewing the video. The Sleep Medicine providers also offered qualitative and quantitative feedback on video content, offering suggestions for video change and insight for practice use. The findings pointed to a need to further hone the video content and delivery method. Furthermore, the findings suggested providers were likely to utilize the patient education video and patients were receptive to the patient education video. Utilizing the findings of the project, patient use of education videos could be a future study in this practice site.
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2

Kallushi, Abi Elena. "Healing Architecture for Troubled Nightowls: Restoring Natural Rhythms in Nocturnal U Street." Thesis, Virginia Tech, 2016. http://hdl.handle.net/10919/73776.

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This thesis is an exploration of architecture as an active participant in human life, not just as a stage. When architecture is considered a participant it contributes to the improvement of our quality of life as well as aiding  the healing process when we fall ill. As more people are diagnosed with anxiety and sleep disorders, the thesis considered questions of how the places in which we carry out our day-to-day lives improve the prognosis and, further, can architecture be used as a powerful tool for healing? It is possible that our disconnection from nature is partially responsible for our disrupted sleep patterns and misplaced anxieties. Perhaps natural elements and rhythms are too absent in our daily urban lives. But as more of us move into cities and our urban centers become denser, designers must find clever ways to help city owls reset their circadian rhythm. Architecture can help reestablish that bond with nature. This thesis explores an architecture of healing by proposing a program and design that follows the day and night circadian rhythm of our bodies, which in turn follow the sun and other natural phenomena. Located in a tricky triangular site in one of the busiest nighttime neighborhoods of Washington DC, a wellness center and sleep clinic would allow city dwellers to find a peaceful oasis for healing. In parallel, this thesis is also a study of collage as a design tool, as well as designing from details and the human scale.
Master of Architecture
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Altaf, Quratul-ain. "Sleep in patients with type 2 diabetes : the impact of sleep apnoea, sleep duration, and sleep quality on clinical outcomes." Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8270/.

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Introduction: Type 2 Diabetes (T2DM) and sleep-related disorders share common risk factors such as obesity; but the interrelationships between T2DM and sleep disorders are not well examined. Aims: In this thesis I aimed to assess: 1. The longitudinal impact of obstructive sleep apnoea (OSA) on micro vascular complications in patient with T2DM. 2. The relationship between sleep quality, sleep duration and adiposity in patients with T2DM Methods: To examine the first aim, I utilized the data collected from a previous project that examined the cross-sectional associations between OSA and micro vascular complications in patients with T2DM and followed up the study participants longitudinally using 1-2-1 interviews and electronic health records. For aim 2, I conducted a crosssectional study in patients with young-onset T2DM who were recruited from Heart of England NHS Foundation Trust and primary care. Result: For Aim 1: Depending on the micro vascular outcome examined, we had approximately 200 patients in the analysis. Patients were followed up for 2.5 years for renal outcomes, and 4-4.5 years for retinopathy and neuropathy outcomes. The prevalence of OSA was 63%. I found that baseline OSA was significantly associated with greater decline of eGFR and greater progression to pre-proliferative and proliferative retinopathy. I also found that OSA was associated with progression to a combined outcome of foot insensitivity or diabetic foot ulceration but this was a non-significant trend (p=0.06). In addition, I found that patients who received and were compliant with continuous positive airway pressure (CPAP) treatment (delivered during routine care) had improvements in heart rate variability parameters by study end. For Aim 2: Poor sleep quality and shorter sleep duration were associated with increased total body fat% after adjustment for potential confounders. Conclusion: I found that OSA plays an important role in the progression of micro vascular complications in patients with T2DM. Whether treatment with CPAP has a favourable impact on micro vascular complications is currently being examined in a randomized controlled trial. I also found that sleep duration and quality are associated with increased adiposity. The direction of this relationship need to be examined in longitudinal studies and interventional trials.
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Manber, Rachel. "Daytime sleepiness and sleep-wake schedules." Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186454.

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The present study assessed the differential effects of three manipulations of the sleep-wake schedules of college students on their levels of daytime sleepiness as measured by daily subjective ratings. The study was longitudinal and prospective. Following a baseline period (12 days), three experimental conditions were introduced. In the first group students were asked to sleep at least 7.5 hours at night and to avoid taking naps. In the second group, students were asked in addition to follow a regular sleep wake schedule. In the third group students were asked to sleep at least 7 hours at night and to take daily naps. The experimental phase lasted four weeks and overall, compliance was good. A follow up phase (one week) began five weeks past the termination of the experimental phase. The findings indicate that when nocturnal sleep is not deprived, regularization of the sleep-wake schedules lead to reduced sleepiness and improved psychological and cognitive functioning. Subjects in the regular schedule condition experienced greater and longer lasting improvements in their alertness compared with subjects in the other two groups combined. Napping was not found to produce any change in daytime sleepiness, but subjects who had greater increases in the regularity of nap frequency experienced greater decrease in daytime sleepiness. Subjects with evening tendencies benefited most from regularizing their sleep schedules whereas subjects with morning tendencies benefited most from taking naps.
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Johnston, Christopher David. "Sleep-disordered breathing : a cephalometric and clinical study." Thesis, Queen's University Belfast, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.313925.

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Mueller, Remo Sebastian. "Ontology-driven Data Integration for Clinical Sleep Research." Case Western Reserve University School of Graduate Studies / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1291143433.

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Dawson, Spencer Charles. "Memory, Arousal, and Perception of Sleep." Thesis, The University of Arizona, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10640182.

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People with insomnia overestimate how long it takes to fall asleep and underestimate the total amount of sleep they attain. While memory is normally decreased prior to sleep onset, this decrease is smaller in insomnia. Insomnia generally and the phenomena of underestimation of sleep and greater memory prior to sleep area associated with arousal including cortical, autonomic, and cognitive arousal. The goal of the present study was to simultaneously examine arousal across these domains in relation to memory and accuracy of sleep estimation.

Forty healthy adults completed baseline measures of sleep, psychopathology, and memory, then maintained a regular sleep schedule for three nights at home before spending a night in the sleep laboratory. On the night of the sleep laboratory study, participants completed measures of cognitive arousal, were allowed to sleep until five minutes of contiguous stage N2 sleep in the third NREM period. They were then awoken and asked to remain awake for fifteen minutes, after which they were allowed to resume sleeping. For the entire duration that they were awake, auditory stimuli (recordings of words) were presented at a rate of one word per 30 seconds. Participants slept until morning, estimated how long they were awake and then completed memory testing, indicating whether they remembered hearing each of the words previously presented along with an equal number of matched distracter words.

Memory was greatest for words presented early in the awakening, followed by the middle and end of the awakening. High cortical arousal prior to being awoken was associated with better memory, particularly for the early part of the awakening. High autonomic arousal was associated with better memory for the late part of the awakening. Cognitive arousal was not associated with memory. Longer duration of sleep prior to being awoken was associated with better memory for the middle of the awakening. Better memory at baseline was associated with better memory, specifically in the middle of the awakening. Contrary to expectation, memory for the awakening was not associated with accuracy of the perceived length of the awakening.

The present study found complementary associations between cortical and autonomic arousal and memory for an awakening from sleep. This suggests that decreasing arousal in both domains may reduce the discrepancy between subjective and objective sleep in insomnia. This also suggests the initial magnitude of decrements in cognitive performance after being awoken are related to deeper proximal sleep initially, while speed of improvement in cognitive performance is related to longer prior sleep duration.

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Reiter, Jeffrey Thomas. "Investigating the Bulimia-Depression Relationship using Sleep Deprivation." W&M ScholarWorks, 1990. https://scholarworks.wm.edu/etd/1539625635.

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Barlow, Simcock Gail Mary-Rose. "Community sleep clinics run by health visitors : an evaluation of outcome." Thesis, University of Plymouth, 1997. http://hdl.handle.net/10026.1/1763.

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Sleep problems in babies and young children are extremely prevalent, yet until recently little attention has been paid to them by health professionals. Sleep problems have often been accepted as part of a developmental process, however research has shown that they are often not transitory, and if not treated effectively in the early years, may have long term consequences for later life. Health visitors are in an ideal position to offer treatment at a primary care level, as they are in regular contact with the families of young children. Existing research has shown that the employment of a behavioural approach is the treatment of choice for childhood sleep problems. The aims of this study were three-fold. Firstly to evaluate the efficacy of a sleep clinic run by health visitors employing behavioural techniques in the treatment of pre-school children with sleep problems. Secondly to assess what aspects of the treatment process result in the outcomes achieved; and finally to make a formal attempt to explore the influence of an improved sleeping pattern on general behaviour. Findings, using a series of n=1 studies that allowed within subject comparisons suggest that field health visitors who have received in-service training on the use of behavioural approaches are able to offer an effective service to the families of children with sleep problems. Parents identified both the behavioural and nonspecific aspects of treatment as being equally helpful, but it remains unclear what actually did help. An improvement in general behaviour was noted for all children, although this was not found to be associated with changes in sleep pattern. Due to the small number of participants, caution must be taken in generalising from the findings. The study is critically evaluated and suggestions for future research together with implications for clinical practice are discussed.
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10

Lysdahl, Michael. "Rhonchopathy : long-term clinical results after palatal surgery /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-319-8.

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Книги з теми "Sleep clinic"

1

Foldvary-Schaefer, Nancy. The Cleveland Clinic guide to sleep disorders. New York: Kaplan Pub., 2009.

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Foldvary-Shaefer, Nancy. Getting a good night's sleep: A Cleveland Clinic guide. Cleveland, OH: Cleveland Clinic Press, 2006.

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3

Chokroverty, Sudhansu. Clinical companion to Sleep disorders medicine. Boston: Butterworth-Heinemann, 2000.

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4

Silber, Michael H. Sleep medicine in clinical practice. 2nd ed. New York: Informa Healthcare, 2010.

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5

Sudhansu, Chokroverty, ed. Sleep disorders medicine: Basic science, technical considerations, and clinical aspects. Boston: Butterworth-Heinemann, 1994.

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6

Pandi-Perumal, S. R., and Jaime M. Monti, eds. Clinical Pharmacology of Sleep. Basel: Birkhäuser Basel, 2006. http://dx.doi.org/10.1007/3-7643-7440-3.

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Lydic, Ralph, and Julien F. Biebuyck, eds. Clinical Physiology of Sleep. New York, NY: Springer New York, 1988. http://dx.doi.org/10.1007/978-1-4614-7599-6.

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R, Pandi-Perumal S., and Monti Jaime M, eds. Clinical pharmacology of sleep. Basel: Birkhäuser, 2006.

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9

Kerkhof, G. A., and Hans P. A. van Dongen. Human sleep and cognition: Clinical and applied research. Amsterdam: Elsevier, 2011.

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10

Culebras, A. Clinical handbook of sleep disorders. Boston: Butterworth-Heinemann, 1996.

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Частини книг з теми "Sleep clinic"

1

Shah, Nirav G., and Nikita Leiter. "Teaching in Clinic." In Medical Education in Pulmonary, Critical Care, and Sleep Medicine, 141–58. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-10680-5_8.

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De la Herrán-Arita, Alberto K., Ana C. Equihua-Benítez, and René Drucker-Colín. "Orexin/Hypocretin Antagonists in Insomnia: From Bench to Clinic." In Drug Treatment of Sleep Disorders, 191–207. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-11514-6_9.

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Williams, Simon J. "Transformations and Translations: The Laboratory, the Clinic and the Future of Sleep…" In The Politics of Sleep, 109–57. London: Palgrave Macmillan UK, 2011. http://dx.doi.org/10.1057/9780230305373_5.

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Bleakley, Alan, and Shane Neilson. "Is narrative medicine just another story biomedicine tells before we go to sleep?" In Poetry in the Clinic, 62–84. London: Routledge, 2021. http://dx.doi.org/10.4324/9781003194408-5.

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Watt, Felice, Alison Uku, and Adam S. Akers. "Management of Restless Legs in Pregnancy: An Obstetrician, Internal Medicine Physician, and Perinatal Psychiatrist Work Together in an Obstetric Clinic." In Sleep Disorders in Selected Psychiatric Settings, 57–72. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-59309-4_8.

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Mehra, Reena, Nancy Foldvary-Schaefer, and Madeleine Grigg-Damberger. "Introduction to the Sleep Clinic Evaluation." In Sleep Disorders, 1–28. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190671099.003.0001.

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This chapter provides an overview of the clinical evaluation of sleep disorders, including the sleep history (sleep habits, nighttime and daytime symptoms), medical/surgical history, medication use, family history, and social/environmental factors that may impact sleep. Patient assessment tools are reviewed in terms of their composition and utility. Emerging literature elucidating the benefits and efficiencies of innovative models of care is reviewed. An overview of the classification and nosology of sleep disorders is provided based on the International Classification of Sleep Disorders. The use of consumer sleep technologies and wearable devices is discussed, including the American Academy of Sleep Medicine’s issued position statement on how sleep clinicians can best incorporate these new technologies in their clinical practice.
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"AT THE SLEEP CLINIC." In In My Unknowing, 45–50. University of Pittsburgh Press, 2020. http://dx.doi.org/10.2307/j.ctvx077bd.28.

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Anders, Gabriel, and Melissa C. Lipford. "Sleep Pathophysiology." In Mayo Clinic Neurology Board Review, edited by Kelly D. Flemming, 225–32. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780197512166.003.0028.

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Sleep is a natural, reversible, and periodic behavioral state characterized by perceptual inattention and decreased responsiveness to external stimuli. The processes governing sleep, sleep-wake transitions, and maintenance of wakefulness are mediated by complex physiologic mechanisms, the primary neurobiological substrates of which include the neocortex, basal forebrain, thalamus, hypothalamus, pontine tegmentum, and brainstem monoaminergic nuclei. Moreover, the integrity of brainstem autonomic respiratory control networks becomes critical in the maintenance of ventilation during sleep. Pathologic insults to these systems may result in a broad constellation of clinical deficits.
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Michael, F. Presti. "Sleep Pathophysiology." In Mayo Clinic Neurology Board Review, 251–58. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780190214883.003.0028.

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Junna, Mithri R. "Sleep Disorders." In Mayo Clinic Internal Medicine Board Review, edited by Christopher M. Wittich, Thomas J. Beckman, Sara L. Bonnes, Nina M. Schwenk, Jason H. Szostek, Nerissa M. Collins, and Christopher R. Stephenson, 845–48. 12th ed. Oxford University PressNew York, 2019. http://dx.doi.org/10.1093/med/9780190938369.003.0079.

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Abstract This chapter describes the characterization, symptoms, diagnoses, and possible treatments for several sleep disorders, including obstructive sleep apnea, central sleep apnea, sleep-related hypoventilation, insomnia, parasomnia, and restless legs syndrome.
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Тези доповідей конференцій з теми "Sleep clinic"

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Murphie, Phyllis, Bernie Mills, and Stuart Little. "Telemedicine sleep clinic review - Patient acceptability survey." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa3377.

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Bogan, Richard K., and JoAnne T. Turner. "Clinical Correlates And Prevalence Of Alveolar Hypoventilation In A Sleep Clinic Population." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a5264.

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Vieira, Marcella Beghini Mendes, and Jaime Lin. "Evaluation of syndrome symptons of restless legs in patients with renal dialytic failure in a southern city of Santa Catarina." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.348.

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Introduction: Renal failure is characterized by functional loss of the kidney and hemodialysis is the therapeutic option. The renal patient may have sleep disorders, including restless legs syndrome (RLS), which occurs in 30% of renal patients and in 10% of the general population. It is a motor neurological disorder, whose etiopathogenesis is not understood. Clinical diagnosis is the gold standard. RLS has been associated with cardiovascular morbities and increased mortality, however, it is underdiagnosed. The present study aimed to assess the prevalence and factors associated with RLS symptoms in patients with dialysis renal failure in a private clinic for chronic renal patients. Methods: Cross-sectional study, including 140 patients seen at the Tubarão Renal Diseases Clinic, from August to November 2016. Results: The average age of the interviewed population was 60.82 years, the majority being men (63.6%). Most respondents reported having restful sleep (78.6%). Despite this, snoring / sleep apnea prevalence was found in more than half of the patients (57.1%) and SPI in 19.3% (the most severe form being found in 8.6% of the patients). Other comorbidities found were: SAH, insomnia, diabetes mellitus and cardiac disorders. Statistically, dialysis time was longer among patients with RLS (P = 0.03). The female gender was shown to be a risk factor (P = 0.006) and cardiac alterations also had a significant association (P = 0.044-Fisher), as well as insomnia (p = 0.00011). Conclusions: Sleep disorders are prevalent and should be part of the assessment of all dialysis patients.
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Undugodage, Chandimani, Gnanapriya Daminda, Manjula Danansuriya, and Ashan Kalugamage. "Profile of patients with obstructive sleep apnoea referred to a sleep clinic in Sri Lanka." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa4176.

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Paige Little, Judith, Selina Ho, Lionel Rayward, Glenice Uhrle, Daniel Green, and Mark Pearcy. "Actigraphy vs Polysomnography measurements for sleep arousals." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001472.

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This study sought to better understand how actigraphy may be practically applied to interpret useful information about sleep arousals when used in future studies of home-based sleep. For this purpose, we analysed a small cohort of healthy adult’s sleep using polysomnographic (PSG) measurements and actigraphy.Significance: Used to evaluate objective measure of motility and rest, actigraphy is commonly applied to assess physiological sleep parameters. While PSG recordings of sleep physiology have been shown to provide high fidelity measurements of key sleep parameters, the portability, ease of set-up, and low participant burden make actigraphy advantageous for measuring sleep parameters over extended nights of home-based sleep. Despite the ready uptake of actigraphy for clinical sleep assessments, this modality has lower accuracy in detecting periods of wake (AW) and a high magnitude of false positives when detecting sleep [1]. Methods: Ten healthy adults (50% male:female, mean age 25.9±3.2 years) with no history of sleep pathology took part in the study over four/five nights of sleep. To remove confounding aspects related to sleep pathologies/co-morbidities, healthy participants were studied. Participants were provided with an Actiwatch Spectrum Pro (Phillips Respironics Inc) to wear nightly on their non-dominant (in all cases left) wrist. Actiware (V6.0.9) was utilised to collate, and score the actigraphy measurements, with all 15-second epochs scored as either ‘wake’ or ‘sleep’, and a pre-set activity threshold (‘medium’) selected on the basis of preliminary testing.At the same time, the participant underwent ambulatory PSG using a Nox A1 (Nox Medical) PSG system. This is a portable polysomnography device used in our local sleep clinic to capture in-home PSG metrics. Sleep metrics from the Nox A1 were scored visually by a highly experienced, clinical sleep technician using the Noxturnal Software System (Vsn 6.0, Nox Medical), according to international scoring guidelines. Scoring was based on 15-second epochs and arousals lasting longer than this were considered ‘wake’. Analysis for this study focussed on comparison of arousal counts from PSG and actigraphy using Pearson linear correlation.Discussion of Results: A total of 41 nights of sleep measurements were collected. To better understand the relationship between PSG- and actigraphy-measured arousals, and mindful that the Actiwatch was worn on the left arm, customised arousal scoring for: 1) AA arousals (all scored physiological arousals); 2) LMA arousals (only physiological arousals that included a left arm movement); were scored. Spearman correlation analysis showed a significant, low-strength, positive relationship (rho=0.314, p=0.045) between PSG AA and Actiwatch awakenings, and sensitivity and specificity were calculated as 97% and 37%, respectively when comparing LMA with awakenings. However, a significant, high-strength, positive relationship (rho=0.660, p<0.001) was observed between PSG LMA and Actiwatch awakenings with increased specificity of 58%. This strong agreement between LMA arousals and actigraphy awakenings highlighted the utility of actigraphy in measuring sleep related arousals, although caution is needed when interpreting physiological ‘body-related’ awakenings vs limb-related motility associated with physiological awakenings. The low user cost associated with actigraphy for long-term home-based sleep studies, makes it a preferred alternative to PSG, and study results will assist to interpret actigraphy-based data in future studies of other populations.[1] Paquet et al, 2007. Sleep, 30(10), 1362-1369
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Collins, A., and A. de Ramon. "An Observational Study of Sleep Clinic Referrals in a UK Hospital." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a2151.

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Martin, C. N., M. Weiss, A. Sprunger, A. Troger, D. K. Pillai, K. Robbins, and J. P. Lew. "Developing a Sleep Clinic Referral Screening Tool for Children with Pediatric Rhinitis." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a3663.

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Gabryelska, A., L. Mokros, G. Kardas, M. Niedzielski, M. Panek, P. Kuna, R. L. Riha, and P. Bia&#322;asiewicz. "The Predictive Value of BOAH Scale Among Patients of Sleep Disorders Clinic." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a1375.

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Prathibha, bandipalyam, and Adithya Simha. "Obstructive Sleep Apnoea Screening - Cost And Clinically Effective In A TIA Clinic?" In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a5077.

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Lewis, Keir E., James Melhorn, and Lois Davies. "Predictors Of Obstructive Sleep Apnoea Hypopnea Syndrome In Attenders To A Specialist Clinic." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a2238.

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Звіти організацій з теми "Sleep clinic"

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Czerwaty, Katarzyna, Karolina Dżaman, Krystyna Maria Sobczyk, and Katarzyna Irmina Sikrorska. The Overlap Syndrome of Obstructive Sleep Apnea and Chronic Obstructive Pulmonary Disease: A Systematic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2022. http://dx.doi.org/10.37766/inplasy2022.11.0077.

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Review question / Objective: To provide the essential findings in the field of overlap syndrome of chronic obstructive pulmonary disease and obstructive sleep apnea, including prevalence, possible predictors, association with clinical outcomes, and severity compared to both chronic obstructive pulmonary disease and obstructive sleep apnea patients. Condition being studied: OSA is characterized by complete cessation (apnea) or significant decrease (hy-popnea) in airflow during sleep and recurrent episodes of upper airway collapse cause it during sleep leading to nocturnal oxyhemoglobin desaturations and arousals from rest. The recurrent arousals which occur in OSA lead to neurocognitive consequences, daytime sleepiness, and reduced quality of life. Because of apneas and hypopneas, patients are experiencing hypoxemia and hypercapnia, which result in increasing levels of catecholamine, oxidative stress, and low-grade inflammation that lead to the appearance of cardio-metabolic consequences of OSA. COPD is a chronic inflammatory lung disease defined by persistent, usually pro-gressive AFL (airflow limitation). Changes in lung mechanics lead to the main clini-cal manifestations of dyspnea, cough, and chronic expectoration. Furthermore, patients with COPD often suffer from anxiety and depression also, the risk of OSA and insomnia is higher than those hospitalized for other reasons. Although COPD is twice as rare as asthma but is the cause of death eight times more often.
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Czeisler, Charles A. Clinical Trial of the Effect of Exercise on Endogenous Circadian Period, Sleep and Performance. Fort Belvoir, VA: Defense Technical Information Center, August 1997. http://dx.doi.org/10.21236/ada329706.

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Penman, Olivia, Andrew Sheridan, Nic Badcock, Georgia Horsburgh, and Carmela Pestell. Could local sleep explain the occurrence of attentional lapses in primary school-aged children? A scoping review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2022. http://dx.doi.org/10.37766/inplasy2022.12.0074.

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Review question / Objective: The current review aims to describe the literature on the relationship between local sleep and attentional lapses in neurotypical children or children with ADHD and how this can be applied to inform our understanding of poor attention under conditions of low arousal and increased sleep pressure. The main/primary question is, what is known from the existing literature about the relationship between local sleep and attentional lapses in children? In answering this primary question, we also want to know under what conditions is local sleep occurring? For example, does local sleep occur more frequently with increased fatigue? Eligibility criteria: All papers identified must meet the following criteria for inclusion: the population is neurotypical children and children with ADHD aged between 6 and 12 years of age, published in English, full text available (where full-text is not available, authors will be contacted to request a copy of the paper). All time frames, types of sources (e.g. qualitative or quantitative research studies), geographic locations, cultural and sociodemographic contexts will be included. Review papers (i.e. systematic reviews, meta-analyses), papers with animal studies and clinical cohorts other than ADHD (e.g. autism, sleep disorders, acquired brain injuries etc.) will be excluded. As local sleep is defined as occurring during wakefulness, studies with participants who are asleep will also be excluded.
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Richter-Levin, Gal. Early Life Stress and Sleep Restriction as Risk Factors in PTSD: An Integrative Pre-Clinical Approach. Fort Belvoir, VA: Defense Technical Information Center, April 2012. http://dx.doi.org/10.21236/ada567825.

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Liu, Zhen, Zhizhen Lv, Jiao Shi, Shuangwei Hong, Huazhi Huang, and Lijiang Lv. Efficacy of traditional Chinese exercise in patients with chronic fatigue syndrome: a protocol for a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, September 2022. http://dx.doi.org/10.37766/inplasy2022.9.0022.

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Review question / Objective: Chronic fatigue syndrome (CFS) is a disease in which fatigue strikes or lasts for more than 6 months, accompanied by pain, sleep disturbance, anxiety, and depression. Moreover, it brings a heavy economic burden to society. Traditional Chinese exercises (TCEs) are a traditional Chinese medical treatment and have good efficacy on CFS, therefore, this systematic evaluation is to accurately evaluate the efficacy of TCEs on CFS. P: Patients with chronic fatigue syndrome. I: Traditional Chinese exercises. C: conventional exercise, acupuncture, physiotherapy, and other physical therapy methods. O: quality of life, fatigue, pain, sleep, anxiety, and depression. S: randomized controlled trials. Condition being studied: Chronic fatigue syndrome (CFS) is a disease in which fatigue strikes or lasts for more than 6 months, accompanied by pain, sleep disturbance, anxiety, and depression. Moreover, it brings a heavy economic burden to society. Traditional Chinese exercises (TCEs) are a traditional Chinese medical treatment and have good efficacy on CFS. Therefore, this systematic evaluation is to accurately evaluate the efficacy of TCEs on CFS, to provide an alternative therapy for clinical treatment of CFS.
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Sun, Chenbing, Zhe Wang, and Yuening Dai. Music therapy for sleep quality in cancer patients with insomnia：A protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2021. http://dx.doi.org/10.37766/inplasy2021.12.0128.

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Анотація:
Review question / Objective: The aim of this systematic review is to compare music therapy in terms of efficacy in cancer patients with insomnia disorders to better inform clinical practice. Condition being studied: The effectiveness of music therapy for cancer- associate insomnia is the main interest of this systematic review. Information sources: MEDLINE (PubMed, Ovid) The Cochrane Library, Web of Science, Embase and Electronic retrieval of Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CHKD-CNKI), VIP database, Wanfang Database will be searched from inception time to date. In addition, the included literature will be reviewed and relevant literature will be supplemented.
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Nakamura, Yoshio. Investigating Clinical Benefits of a Novel Sleep-focused Mind-body Program on Gulf War Illness Symptoms: An Exploratory Randomized Controlled Trial. Fort Belvoir, VA: Defense Technical Information Center, July 2012. http://dx.doi.org/10.21236/ada566927.

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Zhuo, Guifeng, Hengwang Yu, Ran Liao, Xuexia Zheng, Dongmin Liu, Libing Mei, and Guiling Wu. Auricular point pressing therapy for obstructive sleep apnea hypoventilation syndrome: A protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2022. http://dx.doi.org/10.37766/inplasy2022.5.0015.

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Review question / Objective: Patients with obstructive sleep apnea hypoventilation syndrome (OSAHS) suffer from repeated hypoxemia, hypercapnia, and sleep structure disorders at night, leading to daytime lethargy and complications of heart, brain, lung, and blood vessel damage, which seriously affect their quality of life and life span. Clinical studies have shown that auricular point pressing therapy has an excellent therapeutic effect on OSAHS, and has the potential to be a complementary and alternative therapy for patients with OSAHS. Currently, systematic reviews and meta-analyses evaluating the efficacy and safety of electroacupuncture for the treatment of OSAHS are lacking. This study aimed to address this deficiency. Information sources: RCTs of auricular point pressing therapy in the treatment of OSAHS were searched in the Web of Science, PubMed, Cochrane Library, Embase, Allied and Complementary Medicine Database (AMED), China Science and Technology Journal Database (VIP), China National Knowledge Infrastructure (CNKI), and Wan-Fang Database. The retrieval time is from database construction to the present.
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Nakamura, Yoshio. Investigating Clinical Benefits of a Novel Sleep-Focused Mind-Body Program on Gulf War Illness (GWI) Symptoms: An Exploratory Randomized Controlled Trial. Fort Belvoir, VA: Defense Technical Information Center, July 2014. http://dx.doi.org/10.21236/ada612931.

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Nakamura, Yoshio. Investigating Clinical Benefits of a Novel Sleep-focused Mind-body Program on Gulf War Illness (GWI) Symptoms: An Exploratory Randomized Controlled Trial. Fort Belvoir, VA: Defense Technical Information Center, July 2013. http://dx.doi.org/10.21236/ada585213.

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