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Improvement of sleep parameters by titration polysomnography could predict adherence to positive airway pressure therapy in obstructive sleep apnea
his study obtained sleep parameters and self-reported sleep status during both dPSG and tPSG. CPAP adherence in patients with OSA could be predicted by examining the changes in various indices with CPAP use. PSG evaluations demonstrated that CPAP adherence can be expected in patients who demonstrated improvements in AHI, sleep architecture, such as stage N1% and N3%, TST, sleep efficiency, and sleep latency with CPAP. These findings were correlated with self-reported sleep im

S-Med
2 days ago2 min read
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Management of Mechanical Ventilation in Decompensated Heart Failure
The hemodynamic benefits of MV are often-overlooked in patients with decompensated congestive heart failure and cardiogenic shock in particular. Favorable effects of MV in acute decompensated HF include reducing ventricular preload and afterload, decreasing extra-vascular lung water, and decreasing the work of breathing and its associated cardiac output requirements. The appropriate use of MV should be seen as an important adjunctive therapy in the initial stabilization and m

S-Med
4 days ago1 min read
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Real-world data evaluation of PAP responsiveness in pediatric obstructive sleep apnea
We have evaluated the RWD responses to PAP based on AHI reductions in 195 children with OSA. These analyses allowed us to define individual determinants of pediatric PAP responsiveness in a real-world setting. Our results showed that children have an adequate response to PAP therapy, with a median AHI reduction of 85% compared to baseline PSG results. We have also identified substantial heterogeneity of the PAP responses, with around 30% showing < 75% AHI reductions. Interest

S-Med
Oct 302 min read
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Sleep apnoea severity independently predicts glycaemic health in non- diabetic subjects: the ESADA study
Sleep disordered breathing and dysglycaemia are intimately linked, but the existence of an independent relationship between them, beyond their shared association with obesity, has been difficult to definitively identify. In the largest reported study on this topic to date, we found OSA severity to be an independent predictor of glycaemic health, adding to a growing body of evidence that OSA has an independent association with insulin resistance and impaired glucose tolerance.

S-Med
Oct 282 min read
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Clinical Guidelines for the Use of Unattended Portable Monitors in the Diagnosis of Obstructive Sleep Apnea in Adult Patients
The Portable Monitoring Task Force of the American Academy of Sleep Medicine reviewed available evidence and met to develop consensus recommendations on the use of PM in the diagnosis and management of patients with OSA. The AASM Board of Directors approved this clinical guideline. Previous reviews have concluded that PM should be used only on a limited basis. The Task Force identified additional appropriate indications and usage of PM within parameters guided by the followin

S-Med
Oct 211 min read
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Adherence to behavioral recommendations of cognitive behavioral therapy for insomnia predicts medication use after a structured medication taper
Our findings suggest that changes in sleep-related behaviors between baseline and the end of CBTI may influence rates of medication discontinuation following SMT. While stability of rise time and stability of TIB at the end of CBTI did not predict medication use outcomes, change in  stability did predict outcomes—both with regard to use of BZD-related hypnotics and use of any medication or substance for sleep. Specifically, individuals who increased the stability of their ris

S-Med
Oct 162 min read
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Long-term trends in body mass index throughout upper airway stimulation treatment: does body mass index matter?
Current Food and Drug Administration (FDA) guidelines for surgical management with UAS include adult patients with an AHI between 15 and 65, failure of other treatment modalities, and a BMI less than 32 kg/m 2 at the time of surgery. BMI eligibility criteria were initially established by the FDA-approved STAR clinical trial in which patients with a BMI greater than 32 were excluded These recommendations are still routinely followed despite the unknown effectiveness of UAS in

S-Med
Oct 142 min read
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Associations between obstructive sleep apnea and COVID-19 infection and hospitalization among US adults
Our analyses observed that the prevalence of OSA was substantially higher in persons who had been infected with COVID-19 or who had been...

S-Med
Oct 92 min read
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Long Sleep Duration is Associated With Sarcopenia in Korean Adults Based on Data from the 2008–2011 KNHANES
In the current study, we demonstrated that, compared to participants who sleep an average of 7 hours per day, those who sleep ≥ 9 hours...

S-Med
Oct 71 min read
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The Past Is Prologue: The Future of Sleep Medicine
Sleep medicine, by its very nature, is a technology-driven medical specialty. From polysomnography and HSAT to PAP machines and...

S-Med
Oct 22 min read
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Screening for obstructive sleep apnea: comparing the American Academy of Sleep Medicine proposed criteria with the STOP-Bang, NoSAS, and GOAL instruments
In a large cohort of patients referred to a sleep laboratory and systematically evaluated with full in-laboratory PSG we found that GOAL,...

S-Med
Sep 302 min read
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Compliance with CPAP therapy in patients with the sleep apnoea/hypopnoea syndrome
The Average duration of CPAP use (4-7 hours/night) seems disappointing. However, these results have to be compared with those obtained by...

S-Med
Sep 231 min read
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Cardio-metabolic correlates of sleep disordered breathing in Andean highlanders
Globally, approximately 150 million people live at altitudes >2500 m. Ambient hypoxia makes highlanders chronically hypoxaemic, which...

S-Med
Sep 181 min read
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Sleep, 24-hour activity rhythms, and cardiometabolic risk factors in school-age children
In this large population-based cross-sectional study we observed that nightly awakenings and intradaily variability of the 24-hour...

S-Med
Sep 102 min read
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The combination of atomoxetine and dronabinol for the treatment of obstructive sleep apnea: a dose-escalating, open-label trial
The main finding of this study is that the combination of atomoxetine and dronabinol administered for 2 weeks at escalating doses may...

S-Med
Sep 42 min read
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Undiagnosed obstructive sleep apnea increases risk of hospitalization among a racially diverse group of older adults with co-morbid cardiovascular disease
In this large, nationally representative study of Medicare beneficiaries with CVD, undiagnosed OSA was associated with a significantly...

S-Med
Aug 281 min read
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A sleep clinician’s guide to runny noses: evaluation and management of chronic rhinosinusitis to improve sleep apnea care in adults
Rhinosinusitis and its component conditions, rhinitis and sinusitis, can be either allergic or nonallergic. Allergic rhinitis affects...

S-Med
Aug 211 min read
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Application of artificial intelligence in the diagnosis of sleep apnea
This review shows that the ML techniques can play a crucial role in diagnosis and management of sleep apnea. Currently, the diagnosis of...

S-Med
Aug 191 min read
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Chronic pain is common and worsens daytime sleepiness, insomnia, and quality of life in veterans with obstructive sleep apnea
Our results indicate that CP is a common comorbidity among veterans recently diagnosed with OSA. CP symptoms in veterans with OSA...

S-Med
Aug 122 min read
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The prevalence of sleep-disordered breathing and associated risk factors in patients with de-compensated congestive heart failure in Mozambique
To our knowledge, this is the first study conducted to evaluate the prevalence of SDB in patients with CHF in the sub-Saharan Africa...

S-Med
Aug 82 min read
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