2,259 results match your criteria Journal of Clinical Sleep Medicine[Journal]


Distinct Disorder? Or Mash Up of Several?

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

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February 2019
3 Reads

Treatment of Adult Obstructive Sleep Apnea With Positive Airway Pressure: An American Academy of Sleep Medicine Systematic Review, Meta-Analysis, and GRADE Assessment.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Introduction: The purpose of this systematic review is to provide supporting evidence for the clinical practice guideline for the treatment of obstructive sleep apnea (OSA) in adults using positive airway pressure (PAP).

Methods: The American Academy of Sleep Medicine commissioned a task force of experts in sleep medicine. A systematic review was conducted to identify studies that compared the use of PAP with no treatment as well as studies that compared different PAP modalities. Read More

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February 2019
1 Read

Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Clinical Practice Guideline.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Introduction: This guideline establishes clinical practice recommendations for positive airway pressure (PAP) treatment of obstructive sleep apnea (OSA) in adults and is intended for use in conjunction with other American Academy of Sleep Medicine (AASM) guidelines in the evaluation and treatment of sleep-disordered breathing in adults.

Methods: The AASM commissioned a task force of experts in sleep medicine. A systematic review was conducted to identify studies, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) process was used to assess the evidence. Read More

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February 2019
1 Read

Prevalence of Obstructive Sleep Apnea in Joint Hypermobility Syndrome: A Systematic Review and Meta-Analysis.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: Because of associated abnormalities affecting connective tissue in various organs including airways, hypermobility syndrome has been associated with high risk for the development sleep apnea. Ehlers-Danlos syndrome (EDS) and Marfan syndrome (MFS) represent the most common hypermobility syndromes; therefore, the purpose of this review was to examine the prevalence of obstructive sleep apnea (OSA) in these populations.

Methods: All publications and poster presentations written in English found through August 2018 that describe the prevalence of sleep apnea among people with EDS or MFS were included. Read More

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February 2019
1 Read

Night Stepping: Fitbit Cracks the Case.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Abstract: The most common sleep disorders that can result in injurious or violent behaviors include REM sleep behavioral disorder, sleepwalking, comorbid parasomnias, sleep-related dissociative disorder, and obstructive sleep apnea. Video polysomnography is usually indicated to evaluate recurring sleep-related injury in adults. Only one-third of patients with complex paroxysmal nocturnal events will have one of their habitual events on a single night of in-laboratory video polysomnography, most often those who have prominent, high-frequency motor features. Read More

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February 2019
5 Reads

Nightmare Severity Is Inversely Related to Frontal Brain Activity During Waking State Picture Viewing.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: Growing evidence suggests that nightmares have considerable adverse effects on waking behavior, possibly by increasing post-sleep negative emotions. Dysphoric reactions to nightmares are one component of nightmare severity for which the neural correlates are unknown. Here, we investigate possible neural correlates of nightmare severity in a sample of individuals who frequently recall nightmares. Read More

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February 2019
4 Reads

Polysomnographic Analysis of a Pediatric Case of Baclofen-Induced Central Sleep Apnea.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Abstract: Respiratory disorders may follow brain injury and may also occur because of comorbidities and drug use, especially central depressants or muscle relaxants. Sleep can precipitate respiratory disorders, thus polysomnography can be a powerful diagnostic tool. By revealing breathing patterns that identify specific sleep disorders, polysomnography may unmask adverse pharmacological effects, for instance connecting central depressant drugs with central sleep apneas. Read More

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February 2019
6 Reads

Correlation Between Oxygen Saturation and Pulse Tracing Patterns on Overnight Oximetry With Normal Desaturation Index Is an Independent Predictor of Obstructive Sleep Apnea.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: Overnight pulse oximetry (OPO) is commonly used as a screening test for obstructive sleep apnea. Heart rate variability (HRV) correlates well with apnea-hypopnea index during polysomnography (PSG). We hypothesized that visual correlation of episodic increase in HRV with minimal oxygen desaturations on normal OPO (oxygen desaturation index less than 5 events/h) is predictive of OSA. Read More

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February 2019
1 Read

Trauma-Associated Sleep Disorder: A Posttraumatic Stress/REM Sleep Behavior Disorder Mash-Up?

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Abstract: Trauma-associated sleep disorder (TASD) is a parasomnia sharing characteristics of post-traumatic stress disorder (PTSD) and REM sleep behavior disorder (RBD) including dream-enactment behavior (DEB). Here we report REM sleep without atonia (RSWA) and other neurological features in a patient with complex vocal and motor DEB following traumatic combat military exposure. Post-discharge, his wife observed frequent yelling and jerking during sleep with dream mentation reminiscent of traumatic military experiences. Read More

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February 2019
1 Read

Adiposity and Physical Activity Do Not Mediate the Longitudinal Association Between Sleep Quality and Arterial Thickness Among Adolescents.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: Sleep is a behavior with the potential to affect cardiovascular health. Given the fact that adiposity and physical activity seem to be related to cardiovascular risk factors during growth, it is still unclear whether sleep quality could affect arterial thickness among adolescents. Thus, the objective of the current study was to analyze the effect of sleep quality on arterial thickness and identify the possible mediation role of physical activity and trunk fat in adolescents. Read More

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February 2019

The Moderating Role of Parents' Dysfunctional Sleep-Related Beliefs Among Associations Between Adolescents' Pre-Bedtime Conflict, Sleep Quality, and Their Mental Health.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: The current study's aim was to examine the indirect effect of parent-child pre-bedtime arguing about the bedtime process on adolescents' symptoms of anxiety and depression via the mediating role of adolescents' sleep quality. In addition, this study sought to test this mediation model across different levels of both parents' and children's dysfunctional sleep-related beliefs (ie, moderated mediation).

Methods: A total of 193 adolescent (mean age = 15. Read More

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February 2019

Obstructive Sleep Apnea in Children and Adolescents and the Risk of Major Adverse Cardiovascular Events: A Nationwide Cohort Study in Taiwan.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: This study has investigated the risk of major adverse cardiovascular events (MACEs), including acute myocardial infarction, coronary artery disease, peripheral artery disease, and acute stroke, among children and adolescents (age younger than 20 years) with obstructive sleep apnea (OSA).

Methods: In this study, the population-based National Health Insurance Research Database of Taiwan was used to identify patients in whom OSA had been first diagnosed between 2000 and 2015. Children and adolescents with OSA (n = 6,535) were included with 1:3 ratio by age, sex, and index year of control participants without OSA (n = 19,605). Read More

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February 2019
10 Reads

Comparison of Apnea Detection Using Oronasal Thermal Airflow Sensor, Nasal Pressure Transducer, Respiratory Inductance Plethysmography and Tracheal Sound Sensor.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: Evaluation of apnea detection using a tracheal sound (TS) sensor during sleep in patients with obstructive sleep apnea.

Methods: Polysomnographic recordings of 32 patients (25 male, mean age 66.7 ± 15. Read More

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February 2019
2 Reads

Temporal Analysis of Chronic Musculoskeletal Pain and Sleep in Postmenopausal Women.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: To investigate the temporal association between chronic musculoskeletal pain (CMP) and sleep in women who are postmenopausal in a 10-day actigraphic study. This is a microlongitudinal study in which 52 participants were allocated to 4 groups women who are postmenopausal: control (CTRL, n = 10), chronic musculoskeletal pain (CMP, n = 12), insomnia (INS, n = 15) and chronic musculoskeletal pain+insomnia (CMP+INS, n = 15).

Methods: All volunteers underwent a clinical interview and completed questionnaires, used an actigraph, and kept sleep diaries for 10 consecutive days. Read More

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February 2019
1 Read

Centers for Medicare and Medicaid Services Positive Airway Pressure Adherence Criteria May Limit Treatment to Many Medicare Beneficiaries.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: Centers for Medicare and Medicaid Services (CMS) reimbursement for positive airway pressure (PAP) devices for obstructive sleep apnea treatment is dependent on patients meeting adherence expectations within the first 3 months on therapy. Adherence is defined as usage of the device for at least 4 hours per night on 70% of nights during a consecutive 30-day period. We hypothesize that the adherence pattern may be established beyond this initial period, which may limit the opportunity to treat many patients. Read More

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February 2019
3 Reads

Associations Between Obstructive Sleep Apnea and Measures of Arterial Stiffness.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: The aim of this study was to determine whether severity measures of obstructive sleep apnea (OSA) are associated with arterial stiffness and central blood pressure (two important cardiovascular risk factors) in a large group of patients with OSA.

Methods: Baseline data from six studies on OSA in which arterial stiffness and central aortic blood pressure measures were determined using applanation tonometry were pooled. Associations between measures of arterial stiffness (heart rate corrected augmentation index [AI75]), central aortic blood pressure (central systolic pressure [CSP] and heart rate corrected central augmentation pressure [CAP75]) and measures of OSA severity were explored using stepwise regression modelling. Read More

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February 2019
1 Read

Effect of Three Hypopnea Scoring Criteria on OSA Prevalence and Associated Comorbidities in the General Population.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: Apnea-hypopnea index (AHI) is the main polysomnographic measure to diagnose obstructive sleep apnea (OSA). We aimed to evaluate the effect of three standard hypopnea definitions on the prevalence of OSA and its association with cardiometabolic outcomes in the general population.

Methods: We analyzed data from the HypnoLaus study (Lausanne, Switzerland), in which 2,162 participants (51% women, 57 ± 19 years) underwent in-home full polysomnography. Read More

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February 2019
1 Read

Elevated Serum Markers of Acute Kidney Injury in Patients With Obstructive Sleep Apnea.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: Previous research revealed a positive correlation between endothelial cell injury (indicated by albuminuria) and obstructive sleep apnea (OSA). However, little else has been revealed about acute kidney injury (AKI) in patients with OSA.

Methods: This prospective study recruited consecutive patients undergoing overnight polysomnography for evaluation of sleep apnea. Read More

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February 2019
1 Read

Comorbidities, Health-Related Quality of Life, and Work Productivity Among People With Obstructive Sleep Apnea With Excessive Sleepiness: Findings From the 2016 US National Health and Wellness Survey.

J Clin Sleep Med 2019 Feb 4. Epub 2019 Feb 4.

Study Objectives: Few population-based studies have explored how excessive sleepiness (ES) contributes to burden of illness among patients with obstructive sleep apnea (OSA).

Methods: This study utilized data from the annual, cross-sectional 2016 US National Health and Wellness Survey. Respondents self-reporting an OSA diagnosis were categorized as having ES (Epworth Sleepiness Scale [ESS] score ≥ 11) or not having ES (ESS score < 11). Read More

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February 2019
1 Read

A Meaningful Step Toward Understanding the Cause and Impact of Nightmares.

J Clin Sleep Med 2019 Feb 7. Epub 2019 Feb 7.

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February 2019

The Value of Digital Insomnia Therapeutics: What We Know and What We Need To Know.

J Clin Sleep Med 2019 Jan 15;15(1):11-13. Epub 2019 Jan 15.

Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland; Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland.

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http://dx.doi.org/10.5664/jcsm.7558DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329555PMC
January 2019
1 Read

OSA/COPD Overlap: Convergence on a Theme?

J Clin Sleep Med 2019 Jan 15;15(1):9-10. Epub 2019 Jan 15.

Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland.

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http://dx.doi.org/10.5664/jcsm.7556DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329540PMC
January 2019

MEDIA REVIEW: by Henry Nicholls.

J Clin Sleep Med 2019 Jan 15;15(1):169. Epub 2019 Jan 15.

Department of Neurology, University of Rochester Medical Center, Sleep Disorders Center, Rochester, New York.

Abstract: Henry Nicholls' , published by Basic Books in 2018, is an intriguing book that reads quickly, unlike a textbook, yet imparts the reader with general knowledge of various sleep disorders. Read More

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http://dx.doi.org/10.5664/jcsm.7602DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329552PMC
January 2019

MEDIA REVIEW: .

J Clin Sleep Med 2019 Jan 15;15(1):167. Epub 2019 Jan 15.

Department of Neurology, University of Rochester Medical Center, Sleep Disorders Center, Rochester, New York.

Abstract: by Ravi Gupta, S.R. Pandi-Perumal, and Ahmed BaHammam and published by Apple Academic Press in 2018 is an illustrative book geared toward sleep technologists but can be used as an introduction to polysomnography for students and physicians interested in sleep disorders and management of a sleep laboratory. Read More

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http://dx.doi.org/10.5664/jcsm.7600DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329551PMC
January 2019
2 Reads

Will Consumer Sleep Technologies Change the Way We Practice Sleep Medicine?

J Clin Sleep Med 2019 Jan 15;15(1):159-161. Epub 2019 Jan 15.

SleepScore Labs, Carlsbad, California.

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http://dx.doi.org/10.5664/jcsm.7596DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329544PMC
January 2019
1 Read

Effects of Adaptive Servoventilation Therapy for Central Sleep Apnea on Health Care Utilization and Mortality: A Population-Based Study.

J Clin Sleep Med 2019 Jan 15;15(1):119-128. Epub 2019 Jan 15.

Center for Sleep Medicine, Mayo Clinic, Minnesota.

Study Objectives: Adaptive servoventilation (ASV) is the suggested treatment for many forms of central sleep apnea (CSA). We aimed to evaluate the impact of treating CSA with ASV on health care utilization.

Methods: In this population-based study using the Rochester Epidemiology Project database, we identified patients over a 9-year period who were diagnosed with CSA (n = 1,237), commenced ASV therapy, and had ≥ 1 month of clinical data before and after ASV initiation. Read More

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http://dx.doi.org/10.5664/jcsm.7584DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329537PMC
January 2019
1 Read

IMAGES: Drug-Induced Sleep Endoscopy: An Investigative Tool for Mechanisms of PAP Failure.

J Clin Sleep Med 2019 Jan 15;15(1):171-172. Epub 2019 Jan 15.

Department of Otolaryngology, Emory University School of Medicine, Atlanta, Georgia.

Abstract: This is a case report of a 60-year-old female with mild obstructive sleep apnea (OSA) who presented to CPAP Alternatives clinic following multiple failed attempts at positive airway pressure (PAP) therapy. She underwent drug-induced sleep endoscopy (DISE) with the concurrent application of PAP via two different mask types. Application of the oronasal mask at low pressures demonstrated soft palate collapse, while high pressures resulted in posterior tongue collapse. Read More

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http://dx.doi.org/10.5664/jcsm.7604DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329539PMC
January 2019

Polysomnography Findings and Sleep Disorders in Children With Alternating Hemiplegia of Childhood.

J Clin Sleep Med 2019 Jan 15;15(1):65-70. Epub 2019 Jan 15.

Division of Pediatric Neurology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina.

Study Objectives: Patients with alternating hemiplegia of childhood (AHC) experience bouts of hemiplegia and other paroxysmal spells that resolve during sleep. Patients often have multiple comorbidities that could negatively affect sleep, yet sleep quality and sleep pathology in AHC are not well characterized. This study aimed to report sleep data from both polysomnography (PSG) and clinical evaluations in children with AHC. Read More

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http://dx.doi.org/10.5664/jcsm.7572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329557PMC
January 2019
6 Reads

Mother Knows Best? Comparing Child Report and Parent Report of Sleep Parameters With Polysomnography.

J Clin Sleep Med 2019 Jan 15;15(1):111-117. Epub 2019 Jan 15.

Department of Medicine, University of Arizona, Tucson, Arizona.

Study Objectives: Parent report or child report is commonly used to obtain information on sleep in children. Data are lacking comparing the validity of parent-reported versus child-reported sleep parameters.

Methods: A total of 285 children (age 9 to 17 years) from the Tucson Children's Assessment of Sleep Apnea community cohort study were assessed. Read More

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http://dx.doi.org/10.5664/jcsm.7582DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329554PMC
January 2019
2 Reads

Occurrence of Stridor During Sleep in a Patient With Spinocerebellar Ataxia Type 17.

J Clin Sleep Med 2019 Jan 15;15(1):153-155. Epub 2019 Jan 15.

Department of Nuclear Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Abstract: Autosomal dominant spinocerebellar ataxia type 17 (SCA17) is known to have various manifestations. Previously, ataxia and autonomic dysfunction have been reported with this disorder, making an overlap with multiple systemic atrophy (MSA). However, respiratory complications, especially stridor during sleep, have not yet been reported with SCA17, in contrast to MSA, in which stridor occurs during sleep and is associated with an increased risk of death. Read More

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http://dx.doi.org/10.5664/jcsm.7592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329553PMC
January 2019
5 Reads

Long-Term Effects of an Unguided Online Cognitive Behavioral Therapy for Chronic Insomnia.

J Clin Sleep Med 2019 Jan 15;15(1):101-110. Epub 2019 Jan 15.

Norwegian University of Science and Technology, Department of Mental Health, Faculty of Medicine and Health Sciences, Trondheim, Norway.

Study Objectives: The aim of this study was to test the efficacy of fully automated Internet-delivered cognitive behavioral therapy for insomnia (CBT-I) 18 months after the intervention period on sleep, daytime functioning, and beliefs about sleep for adults with chronic insomnia.

Methods: Participants in this study had participated in a randomized controlled trial comparing the efficacy of unguided Internet CBT-I with web-based patient education. Participants who had received Internet CBT-I (n = 95) completed online questionnaires and online sleep diaries 18 months after the intervention period. Read More

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http://dx.doi.org/10.5664/jcsm.7580DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329541PMC
January 2019
9 Reads

Symptoms During CPAP Therapy Are the Major Reason for Contacting the Sleep Unit Between Two Routine Contacts.

J Clin Sleep Med 2019 Jan 15;15(1):47-53. Epub 2019 Jan 15.

Sleep Unit, Heart and Lung Centre, Helsinki University Hospital, University of Helsinki, Finland.

Study Objectives: The demand for continuous positive airway pressure (CPAP) therapy outpaces available resources in most health care settings. We sought to evaluate predictors of nonroutine CPAP follow-up visits to improve resource utilization.

Methods: We randomly analyzed 1,141 of the 2,446 patients who had received at least 1 year of CPAP therapy. Read More

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http://dx.doi.org/10.5664/jcsm.7568DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329558PMC
January 2019

Short Sleep Duration Is Associated With Increased Serum Homocysteine: Insights From a National Survey.

J Clin Sleep Med 2019 Jan 15;15(1):139-148. Epub 2019 Jan 15.

School of Medicine, National Defense Medical Center, Taipei, Taiwan.

Study Objectives: Both short sleep duration and increased serum homocysteine levels are associated with cardiovascular events. However, research on the relationship between sleep duration and serum homocysteine levels is sparse. The aim of this study is to examine the association between sleep duration and serum homocysteine levels from a national database. Read More

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http://dx.doi.org/10.5664/jcsm.7588DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329535PMC
January 2019
1 Read

Sleep-Related Rhythmic Movement Disorder in Triplets: Evidence for Genetic Predisposition?

J Clin Sleep Med 2019 Jan 15;15(1):157-158. Epub 2019 Jan 15.

Department of Neurology, University Hospital of Zurich, Switzerland.

Abstract: Sleep-related rhythmic movement disorder (RMD) is common in very young children but rarely persists beyond childhood. Despite its high frequency, the underlying pathophysiology remains unclear. Familial occurrence is rare. Read More

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http://dx.doi.org/10.5664/jcsm.7594DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329534PMC
January 2019
3 Reads

A Conditional Inference Tree Model for Predicting Sleep-Related Breathing Disorders in Patients With Chiari Malformation Type 1: Description and External Validation.

J Clin Sleep Med 2019 Jan 15;15(1):89-99. Epub 2019 Jan 15.

Neurotraumatology and Neurosurgery Research Unit (UNINN), Vall d'Hebron University Hospital, Barcelona, Spain.

Study Objectives: The aim of this study is to generate and validate supervised machine learning algorithms to detect patients with Chiari malformation (CM) 1 or 1.5 at high risk of the development of sleep-related breathing disorders (SRBD) using clinical and neuroradiological parameters.

Methods: We prospectively included two independent datasets. Read More

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http://dx.doi.org/10.5664/jcsm.7578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329533PMC
January 2019
2 Reads

An Unusual Case of Noisy Breathing in an Infant.

J Clin Sleep Med 2019 Jan 15;15(1):149-152. Epub 2019 Jan 15.

Division of Respiratory Diseases, Boston Children's Hospital, Boston, Massachusetts.

Abstract: Laryngomalacia is a common cause of chronic noisy breathing that can present as stridor in infants and neonates. Mild cases of laryngomalacia are usually followed clinically and managed conservatively. However, the evaluation and diagnosis could be challenging in some patients. Read More

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http://dx.doi.org/10.5664/jcsm.7590DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329548PMC
January 2019
5 Reads

Cognitive Behavioral Therapy for Insomnia Reduces Depression in Cancer Survivors.

J Clin Sleep Med 2019 Jan 15;15(1):129-137. Epub 2019 Jan 15.

Department of Surgery, University of Rochester Medical Center, Rochester, New York.

Study Objectives: The current archival analyses examine the direct and indirect effects of cognitive behavioral therapy for insomnia (CBT-I) on depression in cancer survivors.

Methods: We report on 67 cancer survivors from a 2 × 2 randomized controlled trial of CBT-I and armodafinil for insomnia, after collapsing across the noneffective study medication conditions (armodafinil/placebo) to create CBT-I (yes/no). Depression and insomnia were assessed before, during the 7-week CBT-I intervention, at postintervention, and 3 months later by the Patient Health Questionnaire and the Insomnia Severity Index, respectively. Read More

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http://dx.doi.org/10.5664/jcsm.7586DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329536PMC
January 2019
5 Reads

Cerebral Hemodynamics in Sleep Apnea and Actigraphy-Determined Sleep Duration in a Sample of the Hispanic Community Health Study/ Study of Latinos.

J Clin Sleep Med 2019 Jan 15;15(1):15-21. Epub 2019 Jan 15.

Department of Neurology, University of Miami Miller School of Medicine, Miami, Florida.

Study Objectives: We sought to evaluate cerebral hemodynamics in obstructive sleep apnea (OSA) and actigraphy-defined short sleep duration using transcranial Doppler ultrasound (TCD) blood flow velocity in a subsample of Hispanics/Latinos without stroke and cardiovascular disease.

Methods: The sample consisted of consecutive participants at the Miami site of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with overnight home sleep testing and 7 days of wrist actigraphy in the Sueño sleep ancillary study. Ninety-five participants had sleep data and TCD determined cerebral hemodynamics. Read More

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http://dx.doi.org/10.5664/jcsm.7560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329545PMC
January 2019
5 Reads

Early Postoperative Actigraphy Poorly Predicts Hypoactive Delirium.

J Clin Sleep Med 2019 Jan 15;15(1):79-87. Epub 2019 Jan 15.

Department of Anesthesiology, Washington University School of Medicine in St. Louis, St. Louis, Missouri.

Study Objectives: Delirium is a postoperative complication accompanied by disturbances in attention, cognition, arousal, and psychomotor activity. Wrist actigraphy has been advocated to study inactivity and inferred sleep patterns during delirium. We hypothesized that altered patterns of motor activity or immobility, reflective of disordered sleep and wakefulness patterns, would serve as predictive markers of hypoactive postoperative delirium. Read More

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http://dx.doi.org/10.5664/jcsm.7576DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329546PMC
January 2019
8 Reads

Poor Outcomes Among Patients With Chronic Obstructive Pulmonary Disease With Higher Risk for Undiagnosed Obstructive Sleep Apnea in the LOTT Cohort.

J Clin Sleep Med 2019 Jan 15;15(1):71-77. Epub 2019 Jan 15.

Veterans Affairs Puget Sound Healthcare System, Seattle, Washington.

Study Objectives: Evaluate consequences of intermediate to high risk of undiagnosed obstructive sleep apnea (OSA) among individuals with chronic obstructive pulmonary disease (COPD).

Methods: Using data from the Long Term Oxygen Treatment Trial (LOTT), we assessed OSA risk at study entry among patients with COPD. We compared outcomes among those at intermediate to high risk (modified STOP-BANG score ≥ 3) relative to low risk (score < 3) for OSA. Read More

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http://dx.doi.org/10.5664/jcsm.7574DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329538PMC
January 2019
10 Reads

Correlation of the Epworth Sleepiness Scale and Sleep-Disordered Breathing in Men and Women.

J Clin Sleep Med 2019 Jan 15;15(1):33-38. Epub 2019 Jan 15.

Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.

Study Objectives: To compare Epworth Sleepiness Scale (ESS) scores of men and women and determine if there is a correlation with sleep-disordered breathing (SDB) based on subsequent polysomnography (PSG).

Methods: Consecutive adult patients were identified who completed ESS and PSG at Mayo Clinic in Rochester, Minnesota, between January 1, 2013, and January 31, 2015. Apnea-hypopnea index (AHI) ≥ 5 events/h was classified as presence of SDB, and increasing values represented greater severity. Read More

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http://dx.doi.org/10.5664/jcsm.7564DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329550PMC
January 2019
25 Reads
3.053 Impact Factor

Evaluation of Home Polysomnography Findings, Quality of Sleep, and Fatigue in Inflammatory Bowel Disease: A Case Series.

J Clin Sleep Med 2019 Jan 15;15(1):39-45. Epub 2019 Jan 15.

Department of Pathology, Universidade Federal de São Paulo, Escola Paulista de Medicina, UNIFESP, São Paulo, Brazil.

Study Objectives: The pathogenesis of inflammatory bowel disease (IBD) is not well understood, and sleep disorders may be potential triggers for IBD. Thus, an evaluation of the sleep characteristics, fatigue symptoms, and cytokine levels was performed in patients with IBD during periods of active disease and remission.

Methods: A total of 20 participants presenting with Crohn's disease or ulcerative colitis, with active disease (n = 7) or in remission (n = 13), underwent home polysomnography (H-PSG). Read More

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http://dx.doi.org/10.5664/jcsm.7566DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329559PMC
January 2019
4 Reads

Screening for Obstructive Sleep Apnea in Commercial Drivers Using EKG-Derived Respiratory Power Index.

J Clin Sleep Med 2019 Jan 15;15(1):23-32. Epub 2019 Jan 15.

Center for Sleep and Circadian Neurobiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Study Objectives: Obstructive sleep apnea (OSA) is common in commercial motor vehicle operators (CMVOs); however, polysomnography (PSG), the gold-standard diagnostic test, is expensive and inconvenient for screening. OSA is associated with changes in heart rate and voltage on electrocardiography (EKG). We evaluated the utility of EKG parameters in identifying CMVOs at greater risk for sleepiness-related crashes (apnea-hypopnea index [AHI] ≥ 30 events/h). Read More

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http://dx.doi.org/10.5664/jcsm.7562DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329542PMC
January 2019
23 Reads

The (Still) Elusive Definition of Hypopnea.

J Clin Sleep Med 2018 Dec 15;14(12):1971-1972. Epub 2018 Dec 15.

School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin; William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin.

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http://dx.doi.org/10.5664/jcsm.7512DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287735PMC
December 2018
1 Read

Short Telomere Length and Endophenotypes in Sleep Medicine.

J Clin Sleep Med 2018 Dec 15;14(12):1975-1977. Epub 2018 Dec 15.

Sleep Research and Treatment Center, Department of Psychiatry, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.

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http://dx.doi.org/10.5664/jcsm.7516DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287717PMC
December 2018
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Best and Safest Care Versus Care Closer to Home.

J Clin Sleep Med 2018 Dec 15;14(12):1973-1974. Epub 2018 Dec 15.

Department of Pediatrics, Division of Pulmonary and Sleep Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.

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http://dx.doi.org/10.5664/jcsm.7514DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287724PMC
December 2018
2 Reads