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S-Med
1 day ago1 min read
Diagnosis and management of sleep apnea by a clinical nurse: a non-inferiority randomized clinical trial
In this open-label randomized controlled trial we found that nurse-communicated management of uncomplicated OSA in the sleep clinic was...
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S-Med
Jan 231 min read
Association between risk of obstructive sleep apnea and cognitive performance,frailty, and quality of life among older adults with atrial fibrillation
In this contemporary study of older adults with AF in whom risk for OSA was characterized systematically, we observed a high prevalence...
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S-Med
Jan 212 min read
Improving performance on night shift: a study of resident sleep strategies
Night shift work is an unavoidable aspect of an internal medicine residency. Given the gravity of responsibility an internal medicine...
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S-Med
Jan 171 min read
Is fluid overload a target to treat sleep disordered breathing in patients with end-stage renal disease, and what are the underlying mechanisms?
Sleep problems are more common in patients with renal failure compared to populations without overt severe comorbidities. Both central...
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S-Med
Jan 151 min read
Effect of continuous positive airway pressure on blood pressure and metabolic profile in women with sleep apnoea
To the best of our knowledge, this is the first RCT to address the effect of CPAP therapy on the blood pressure values and metabolic...
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S-Med
Jan 101 min read
Cardiovascular and metabolic effects of a mandibular advancement device and continuous positive airway pressure in moderate obstructive sleep apnea: a randomized controlled trial
This study showed that treatment of patients with moderate OSA with either MAD or CPAP therapy had no profound effect on major...
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S-Med
Jan 71 min read
In patients with heart failure, enhanced ventilatory response to exercise is associated with severe obstructive sleep apnea
his is the first study to show that in patients with HFrEF, the VE/VCOÂ 2Â slope is associated with severe OSA. When patients with HF...
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S-Med
Jan 31 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...
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S-Med
Dec 24, 20242 min read
Sex differences in Epworth Sleepiness Scale normalization with continuous positive airway pressure
The purpose of the present study was to assess whether the variables associated with improvement in the ESS in patients with OSA on CPAP...
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S-Med
Dec 17, 20241 min read
The negative health effects of having a combination of snoring and insomnia
In this large-scale, population-based study, we found that a combination of self-reported snoring and insomnia symptoms has an effect on...
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S-Med
Dec 10, 20242 min read
Intermittent hypoxia in obstructive sleep apnoea mediates insulin resistance through adipose tissue inflammation
In this report we provide evidence from cell culture, murine and human studies that IH in OSA contributes independently to the...
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S-Med
Dec 6, 20241 min read
Adherence to continuous positive airway pressure reduces the risk of 30-day hospital re-admission among older adults with co-morbid obstructive sleep apnea and cardiovascular disease
In this national study of older adult Medicare beneficiaries with co-morbid OSA and CVD, high adherence to CPAP was associated with...
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S-Med
Dec 3, 20241 min read
Association of cortical arousals with sleep-disordered breathing events
The AASM recommends scoring hypopneas in adults when there is a ≥ 3% oxygen de-saturation or when the event is associated with an...
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S-Med
Nov 14, 20241 min read
In-home mandibular repositioning during sleep using MATRx plus predicts outcome and efficacious positioning for oral appliance treatment of obstructive sleep apnea
Our results show that an unattended mandibular repositioning during sleep system using artificial intelligence analytics can predict oral...
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S-Med
Nov 8, 20241 min read
The Bordeaux Sleepiness Scale (BOSS): a new questionnaire to measure sleep-related driving risk
The BOSS, which has been developed and tested on both a sleep clinic and general population sample of drivers, has significantly better...
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S-Med
Nov 6, 20241 min read
Propriospinal myoclonus: diagnostic value of polymyography and video polysomnography
Clinical and video polysomnography findings in our patient were consistent with those described for PSM in the current literature....
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S-Med
Oct 31, 20242 min read
Personalized multi-modal management for severe obstructive sleep apnea in a patient intolerant of positive airway pressure with hypoglossal nerve stimulator and mandibular advancement device
This case highlights the adaptability of OSA treatment to best fit patients’ needs and preferences while optimizing AHI and nocturnal...
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S-Med
Oct 29, 20241 min read
Examining the bidirectional relationship between post-traumatic stress disorder symptom clusters and PAP adherence
These findings are a reanalysis of Orr and colleagues 5 longitudinal PAP-use and PTSD paper. Our findings reaffirm the importance of PAP...
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S-Med
Oct 24, 20241 min read
Implication of prolonged nocturnal hypoxemia and obstructive sleep apnea for pulmonary hemodynamics in patients being evaluated for pulmonary hypertension: a retrospective study
Our study offers novel insights into the impact of various sleep respiratory metrics on pulmonary hemodynamics and RV performance in...
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S-Med
Oct 22, 20241 min read
Brief behavioral treatment for insomnia improves psycho-social functioning in veterans: results from a randomized controlled trial
We found that veterans with insomnia participating in a four session behavioral treatment for insomnia improved on a series of...
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