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A randomized controlled trial of cognitive behavioral therapy for insomnia and PAP for obstructive sleep apnea and co-morbid insomnia: effects on nocturnal sleep and daytime performance

The goal of this study was to provide further insights into the clinical impact of using CBT-I and PAP on nocturnal sleep and daytime...

S-Med

Apr 24, 20252 min read

The impact of different CPAP delivery approaches on nightly adherence and discontinuation rate in patients with obstructive sleep apnea

Two findings in this study were of note. First, that adherence with PAP was less in both groups receiving direct home shipments of PAP...

S-Med

Apr 22, 20252 min read

CPAP titration by an auto-CPAP device based on snoring detection:a clinical trial and economic considerations

Ideally, the nCPAP level required for the treatment of OSAS is determined by two sequential night studies, including one polysomnography...

S-Med

Apr 16, 20251 min read

Influence of apnea vs hypopnea predominance in predicting mean therapeutic positive airway pressures among patients with obstructive sleep apnea

This study is the first to characterize OSA severity using therapeutic PAP levels obtained from an aPAP device and to compare apnea vs...

S-Med

Apr 11, 20251 min read

Congenital central hypoventilation syndrome without hypoventilation: is it congenital central hypoventilation syndrome?

We describe 3 family members with PHOX2B gene deletion across 2 generations that experienced some of the known complications of CCHS yet...

S-Med

Apr 8, 20252 min read

The differential impact of respiratory event scoring criteria on CPAP eligibility in women and men

Utilizing different hypopnea scoring criteria to define OSA has been shown to significantly impact the prevalence and severity...

S-Med

Apr 2, 20251 min read

Impact of patient and family engagement in improving continuous positive airway pressure adherence in patients with obstructive sleep apnea: a randomized controlled trial

In this RCT, the use of PAP declined at 6 months in the control group but was retained in the intervention group. These findings of the...

S-Med

Mar 27, 20251 min read

Clinical Guidelines for the Manual Titration of Positive Airway Pressure in Patients with Obstructive Sleep Apnea

Positive airway pressure (PAP) devices are used to treat patients with sleep related breathing disorders (SRBDs), including obstructive...

S-Med

Mar 25, 20251 min read

Association of alternative polysomnographic features with patient outcomes in obstructive sleep apnea: a systematic review

In this comprehensive systematic review, we identified 31 studies that identified promising alternative PSG metrics that have the...

S-Med

Mar 20, 20251 min read

A pilot randomized trial comparing CPAP vs bilevel PAP spontaneous mode in the treatment of hypoventilation disorder in patients with obesity and obstructive airway disease

To our knowledge, this is the first randomized controlled trial that compares PAP therapies in patients with chronic hypercapnic...

S-Med

Mar 18, 20251 min read

Effectiveness of current digital cognitive behavioural therapy for insomnia interventions for adolescents with insomnia symptoms: A systematic review and meta-analysis

This systematic review and meta-analysis advances understanding of the effectiveness and acceptability of digital sleep interventions in...

S-Med

Mar 14, 20251 min read

High-quality and anti-inflammatory diets and a healthy lifestyle are associated with lower sleep apnea risk

This large community-based study shows that, irrespective of caloric intake, higher overall dietary quality and an anti-inflammatory diet...

S-Med

Mar 12, 20251 min read

Development of a physiological-based model that uses standard polysomnography and clinical data to predict oral appliance treatment outcomes in obstructive sleep apnea

The main findings of this study are that a machine learning–based model underpinned by OSA endotype concepts that includes routinely...

S-Med

Mar 7, 20251 min read

Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults

“Insomnia” has been used in different contexts to refer to either a symptom or a specific disorder. In this guideline, an insomnia...

S-Med

Mar 5, 20252 min read

Association of obstructive sleep apnea severity with the composition of the upper airway microbiome

In this study, the microbial composition of the upper airway mucosa was characterized in patients with OSA. Although there were no...

S-Med

Feb 25, 20251 min read

Management of REM sleep behavior disorder: an American Academy of Sleep Medicine clinical practice guideline

The behaviors of RBD widely vary from night to night and over time in the same individual and between patients. Contrary to the classic...

S-Med

Feb 20, 20252 min read

Recognition and Treatment of Sleep-Disordered Breathing in Obese Hospitalized Patients May Improve Survival. The HoSMed Database

In this analysis of a large database of hospitalized patients, we confirmed that there is a high prevalence of undiagnosed...

S-Med

Feb 18, 20251 min read

Insulin Resistance and Hypertension in Obese Youth With Sleep-Disordered Breathing Treated With Positive Airway Pressure: A Prospective Multi-center Study

Our study is the first long-term multi-center prospective cohort study to simultaneously evaluate metabolic and cardiovascular markers in...

S-Med

Feb 13, 20251 min read

Severity, comorbidities, and adherence to therapy in Native Hawaiians/Pacific Islanders with obstructive sleep apnea

This description of the disease severity of OSA among patients at a single academic center with a sizeable NHPI population shows 3 key...

S-Med

Feb 11, 20251 min read

Outcomes in coronary artery disease patients with sleepy obstructive sleep apnoea on CPAP

Nearly half of clinical populations with coronary artery disease (CAD) also have obstructive sleep apnoea (OSA) and these individuals...

S-Med

Feb 7, 20251 min read