Latest & greatest articles for insomnia

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Top results for insomnia

461. Rapid review of the front-loaded model (FLM) and proposed application within the Scottish Ambulance Service (SAS)

Rapid review of the front-loaded model (FLM) and proposed application within the Scottish Ambulance Service (SAS) Rapid review of the front-loaded model (FLM) and proposed application within the Scottish Ambulance Service (SAS) Rapid review of the front-loaded model (FLM) and proposed application within the Scottish Ambulance Service (SAS) NHS Quality Improvement Scotland (NHS QIS) Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA (...) . No evaluation of the quality of this assessment has been made for the HTA database. Citation NHS Quality Improvement Scotland (NHS QIS). Rapid review of the front-loaded model (FLM) and proposed application within the Scottish Ambulance Service (SAS) Glasgow: Quality Improvement Scotland (NHS QIS ). 2008 Authors' conclusions In conclusion, NHS QIS recommends that: 1. as the use of FRVs to respond to appropriate emergency calls more quickly is valid, SAS should continue to develop the use of FRVs as part

2008 Health Technology Assessment (HTA) Database.

462. Cost-effectiveness of continuous positive airway pressure therapy in patients with obstructive sleep apnea-hypopnea in British Columbia

, FitzGerald J M, Fleetham J A, Schulzer M, Ryan C F, Ghaeli R, Cooper P, Marra C A. Cost-effectiveness of continuous positive airway pressure therapy in patients with obstructive sleep apnea-hypopnea in British Columbia. Canadian Respiratory Journal 2008; 15(3): 159-165 PubMedID Other publications of related interest Mar J, Rueda JR, Duran-Cantolla J et al. The cost-effectiveness of nCPAP treatment in patients with moderate-to-severe obstructive sleep apnoea. Eur Respir J 2003;21:515-22. Sassani (...) Cost-effectiveness of continuous positive airway pressure therapy in patients with obstructive sleep apnea-hypopnea in British Columbia Cost-effectiveness of continuous positive airway pressure therapy in patients with obstructive sleep apnea-hypopnea in British Columbia Cost-effectiveness of continuous positive airway pressure therapy in patients with obstructive sleep apnea-hypopnea in British Columbia Tan M C, Ayas N T, Mulgrew A, Cortes L, FitzGerald J M, Fleetham J A, Schulzer M, Ryan C F

2008 NHS Economic Evaluation Database.

463. Cost-effectiveness of using continuous positive airway pressure in the treatment of severe obstructive sleep apnoea/hypopnoea syndrome in the UK Full Text available with Trip Pro

Cost-effectiveness of using continuous positive airway pressure in the treatment of severe obstructive sleep apnoea/hypopnoea syndrome in the UK Cost-effectiveness of using continuous positive airway pressure in the treatment of severe obstructive sleep apnoea/hypopnoea syndrome in the UK Cost-effectiveness of using continuous positive airway pressure in the treatment of severe obstructive sleep apnoea/hypopnoea syndrome in the UK Guest J F, Helter M T, Morga A, Stradling J R Record Status (...) methodology, which makes the authors’ conclusions more robust. Funding Sponsored by ResMed, Oxfordshire, UK (manufacturers of CPAP). Bibliographic details Guest J F, Helter M T, Morga A, Stradling J R. Cost-effectiveness of using continuous positive airway pressure in the treatment of severe obstructive sleep apnoea/hypopnoea syndrome in the UK. Thorax 2008; 63(10): 860-865 PubMedID DOI Original Paper URL Other publications of related interest Marin J, Carrizo SJ, Vicente E, et al. Long-term

2008 NHS Economic Evaluation Database.

464. Effect of CPAP on insulin resistance and HbA1c in men with obstructive sleep apnoea and type 2 diabetes. Full Text available with Trip Pro

Effect of CPAP on insulin resistance and HbA1c in men with obstructive sleep apnoea and type 2 diabetes. BACKGROUND: The effects of continuous positive airway pressure (CPAP) for obstructive sleep apnoea (OSA) on insulin resistance are not clear. Trials have found conflicting results and no appropriate control groups have been used. METHODS: Forty-two men with known type 2 diabetes and newly diagnosed OSA (>10 dips/h in oxygen saturation of >4%) were randomised to receive therapeutic (n (...) = 20) or placebo CPAP (n = 22) for 3 months. Baseline tests were performed and repeated after 3 months. The study was double blind. RESULTS: Results are expressed as mean (SD). CPAP improved the Epworth sleepiness score significantly more in the therapeutic group than in the placebo group (-6.6 (4.5) vs -2.6 (4.9), p = 0.01). The maintenance of wakefulness test improved significantly in the therapeutic group but not in the placebo group (+10.6 (13.9) vs -4.7 (11.8) min, p = 0.001). Glycaemic

2008 EvidenceUpdates Controlled trial quality: predicted high

465. Review: sedative hypnotics increase adverse effects more than they improve sleep quality in older persons with insomnia

Review: sedative hypnotics increase adverse effects more than they improve sleep quality in older persons with insomnia Review: sedative hypnotics increase adverse effects more than they improve sleep quality in older persons with insomnia | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your (...) username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: sedative hypnotics increase adverse effects more than they improve sleep quality in older persons with insomnia Article Text Therapeutics Review

2007 Evidence-Based Medicine

466. Review: surgery is not effective for obstructive sleep apnoea hypopnoea syndrome in adults

Review: surgery is not effective for obstructive sleep apnoea hypopnoea syndrome in adults Review: surgery is not effective for obstructive sleep apnoea hypopnoea syndrome in adults | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers (...) of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: surgery is not effective for obstructive sleep apnoea hypopnoea syndrome in adults Article Text Therapeutics Review: surgery is not effective for obstructive sleep apnoea hypopnoea syndrome in adults Statistics

2007 Evidence-Based Medicine

467. Review: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia

Review: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia Review: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia Article Text Treatment Review: sedative hypnotics may

2007 Evidence-Based Nursing

468. Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children. (Abstract)

Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children. Apnoea is a breathing disorder marked by the absence of airflow at the nose or mouth. In children, risk factors include adenotonsillar hypertrophy, obesity, neuromuscular disorders and craniofacial anomalies. The most common treatment for obstructive sleep apnoea syndrome (OSAS) in childhood is adenotonsillectomy. This approach is limited by its surgical risks, mostly in children with comorbities (...) or no treatment, in children 15 years old or younger.reduction of apnoea to less than one episode per hour.dental and skeletal relationship, sleep parameters improvement, cognitive and phonoaudiologic function, behavioural problems, drop outs and withdrawals, quality of life, side effects (tolerability), economic evaluation.Data were independently extracted by two review authors. Authors were contacted for additional information. Risk ratios with 95% confidence intervals were calculated for all important

2007 Cochrane

469. Practice Parameters for the Use of Actigraphy in the Assessment of Sleep and Sleep Disorders: An Update for 2007

of jet lag disorder and non-24hr sleep/wake syndrome (including that associated with blindness). When polysomnography is not available, actigraphy is indicated to esti- mate total sleep time in patients with obstructive sleep apnea. In patients with insomnia and hypersomnia, there is evidence to support the use of actigraphy in the characterization of circadian rhythms and sleep patterns/ disturbances. In assessing response to therapy, actigraphy has proven useful as an outcome measure in patients (...) . For the purposes of this review, we chose appropriate reference standards based on speci?c diagnostic categories. Reference standards for insomnia included PSG and/or sleep logs; for circadian rhythm sleep disorders, PSG, phase markers, and/or sleep logs; for sleep apnea, PSG; for restless legs syndrome and periodic limb move- ments during sleep, PSG; for infants, caregiver reported observa- tions; for elderly or demented persons, phase markers, sleep logs, and/or caregiver reports; and for healthy controls

2007 American Academy of Sleep Medicine

470. Soft-palate implants for obstructive sleep apnoea (IPG241)

Obstructive sleep apnoea (OSA), or obstructive sleep apnoea/hypopnoea syndrome, is characterised by repeated, reversible episodes of apnoea and hypopnoea during sleep, loud snoring and excessive daytime sleepiness. The procedure is usually performed under local anaesthesia. A hollow introducer needle containing the implant is used to pierce the soft palate, close to the junction with the hard palate, reaching into the muscle layer. The needle is then withdrawn, leaving the implant in position. Typically (...) Soft-palate implants for obstructive sleep apnoea (IPG241) Overview | Soft-palate implants for obstructive sleep apnoea | Guidance | NICE Soft-palate implants for obstructive sleep apnoea Interventional procedures guidance [IPG241] Published date: November 2007 Share Save Guidance The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on soft-palate implants for obstructive sleep apnoea. Description

2007 National Institute for Health and Clinical Excellence - Interventional Procedures

471. Class Act: Relieving the Obstruction - Surgical Approaches to the Management of Obstructive Sleep Apnea

Class Act: Relieving the Obstruction - Surgical Approaches to the Management of Obstructive Sleep Apnea Class Act: Relieving the Obstruction – Surgical Approaches to the Management of Obstructive Sleep Apnea – Clinical Correlations Search Class Act: Relieving the Obstruction – Surgical Approaches to the Management of Obstructive Sleep Apnea October 18, 2007 5 min read | | Sites We Follow: Useful Links: Questions? Comments? Contact us! © New York University. All rights reserved. Electronic ISSN

2007 Clinical Correlations

472. Home studies for the diagnosis of sleep disorders

in sleep-disordered breathing', Am J Respir Crit Care Med, 173 (1), 7-15. Stradling, J. R. & Davies, R. J. (2004). 'Sleep. 1: Obstructive sleep apnoea/hypopnoea syndrome: definitions, epidemiology, and natural history', Thorax, 59 (1), 73-78. Strohl, K. P. & Redline, S. (1996). 'Recognition of obstructive sleep apnea', Am J Respir Crit Care Med, 154 (2 Pt 1), 279-289. Whitelaw, W. A., Brant, R. F. & Flemons, W. W. (2005). 'Clinical usefulness of home oximetry compared with polysomnography (...) methods. This prioritising summary investigates the effectiveness and value of home sleep studies in the diagnosis of obstructive sleep apnoea and other sleep disorders. BACKGROUND Obstructive sleep apnoea (OSA) is a common disorder caused by repeated obstruction of the upper airway during sleep. The disorder is characterised by periods of breathing cessation (apnoea) and reduced breathing (hypopnoea). OSA has been associated with a variety of negative health outcomes, including snoring, nocturnal

2007 Australia and New Zealand Horizon Scanning Network

473. The role of the nose in the pathogenesis of obstructive sleep apnoea and snoring

with obstructive sleep apnoea or snoring. Such RCTs should have endpoints that included objective measures of snoring, indices of sleep disordered breathing and daytime sleepiness and measurements of nocturnal total nasal resistance. Funding European Respiratory Society Fellowship, grant number 114 Bibliographic details Kohler M, Bloch K E, Stradling J R. The role of the nose in the pathogenesis of obstructive sleep apnoea and snoring. European Respiratory Journal 2007; 30(6): 1208-1215 Original Paper URL (...) a positive effect on apnoea/hypopnoea index (average change -12, 95% CI: -3 to -22). Authors' conclusions The impact of treating nasal obstruction in patients with snoring and obstructive sleep apnoea on long-term outcome remained undefined through randomised controlled trials of medical and surgical therapies. CRD commentary The review addressed a clear although broad research question. The inclusion criteria were clear, with the exception of outcome measures. The search strategy was adequate

2007 DARE.

474. The impact of continuous positive airway pressure on blood pressure in patients with obstructive sleep apnea syndrome: evidence from a meta-analysis of placebo-controlled randomized trials

The impact of continuous positive airway pressure on blood pressure in patients with obstructive sleep apnea syndrome: evidence from a meta-analysis of placebo-controlled randomized trials Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

475. Role of acupuncture in the treatment of insomnia: a comprehensive review

studies did not report selection criteria for participants. All 19 studies reported improvements in insomnia after treatment with acupuncture. Twelve studies (n=1,346) which used a subjective assessment of sleep duration as an outcome reported that more than 80 per cent (range 81.25 per cent to 100 per cent) of participants experienced an improvement as a result of the acupuncture. Four studies (n=285) using standardised questionnaires reported significant improvements in sleep time, quality (...) with other psychiatric and medical conditions could be referred for acupuncture where other treatment was ineffective. Research: The authors stated that future well-designed randomised controlled (with use of sham acupuncture) trials with large sample sizes were needed to critically evaluate the potential effects and underlying mechanisms of acupuncture on sleep and sleep disturbances. Funding Not stated. Bibliographic details Kalavapalli R, Singareddy R. Role of acupuncture in the treatment of insomnia

2007 DARE.

476. Obstructive sleep apnea-hypopnea syndrome: modeling different diagnostic strategies

Obstructive sleep apnea-hypopnea syndrome: modeling different diagnostic strategies Obstructive sleep apnea-hypopnea syndrome: modeling different diagnostic strategies Obstructive sleep apnea-hypopnea syndrome: modeling different diagnostic strategies Agency for Healthcare Research and Quality Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database (...) . Citation Agency for Healthcare Research and Quality. Obstructive sleep apnea-hypopnea syndrome: modeling different diagnostic strategies. Rockville: Agency for Healthcare Research and Quality (AHRQ). Technology Assessment. 2007 Authors' objectives This review examined differing models for the diagnosis of obstructive sleep apnea-hypopnea syndrome Project page URL Indexing Status Subject indexing assigned by CRD MeSH Sleep Apnea, Obstructive /diagnosis Language Published English Country of organisation

2007 Health Technology Assessment (HTA) Database.

477. Home diagnosis of obstructive sleep apnea-hypopnea syndrome

Home diagnosis of obstructive sleep apnea-hypopnea syndrome Home diagnosis of obstructive sleep apnea-hypopnea syndrome Home diagnosis of obstructive sleep apnea-hypopnea syndrome Trikalinos TA, Lau J Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Trikalinos TA, Lau J. Home diagnosis of obstructive sleep apnea-hypopnea syndrome (...) . Rockville: Agency for Healthcare Research and Quality (AHRQ). Technology Assessment. 2007 Authors' objectives This review examined home diagnosis of obstructive sleep apnea-hypopnea syndrome Project page URL Indexing Status Subject indexing assigned by CRD MeSH Sleep Apnea, Obstructive /diagnosis Language Published English Country of organisation United States Address for correspondence AHRQ, Center for Outcomes and Evidence Technology Assessment Program, 540 Gaither Road, Rockville, MD 20850, USA

2007 Health Technology Assessment (HTA) Database.

478. Obstructive sleep apnea: a palatable treatment option?

Obstructive sleep apnea: a palatable treatment option? Obstructive sleep apnea: a palatable treatment option? Obstructive sleep apnea: a palatable treatment option? Canadian Agency for Drugs and Technologies in Health Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Canadian Agency for Drugs and Technologies in Health. Obstructive sleep (...) apnea: a palatable treatment option? Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Issues in Emerging Health Technologies Issue 97. 2007 Authors' objectives The aim of this bulletin is to provide an overview of the Pillar Palatal Implant System for the treatment of mild to moderate obstructive sleep apnea (OSA) and snoring. Authors' conclusions Currently, there is insufficient published evidence to determine whether palatal implants are an effective treatment option

2007 Health Technology Assessment (HTA) Database.

479. Cost-effectiveness and degree of satisfaction with home sleep monitoring in patients with symptoms of sleep apnea

abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This study examined the diagnostic accuracy, patient satisfaction, and economic implications of home sleep monitoring for sleep apnoea or hypopnoea syndrome compared with conventional polysomnography. The authors concluded (...) for the diagnosis of sleep apnoea or hypopnoea syndrome in comparison with conventional polysomnography. Interventions Home sleep monitoring based on a bedside system was compared against conventional polysomnography. The recording time was six hours for both home sleep monitoring and polysomnography and the same types of sensors were used for both tests. Location/setting Spain/home and hospital. Methods Analytical approach: The analysis was based on a single study with a very short time horizon. The authors

2007 NHS Economic Evaluation Database.

480. Anti-cyclic citrullinated peptide versus anti-Sa antibodies in diagnosis of rheumatoid arthritis in an outpatient clinic for connective tissue disease and spondyloarthritis (Abstract)

Anti-cyclic citrullinated peptide versus anti-Sa antibodies in diagnosis of rheumatoid arthritis in an outpatient clinic for connective tissue disease and spondyloarthritis OBJECTIVE: . To compare the diagnostic value of anti-cyclic citrullinated peptide (anti-CCP) and anti-Sa antibodies in serum for prediction of rheumatoid arthritis (RA) in an outpatient clinic for connective tissue diseases and spondyloarthritides. METHODS: A cross-sectional study was carried out to analyze the presence (...) or absence of anti-CCP and anti-Sa antibodies in the sera of 250 randomly selected patients. The disease distribution in the study was as follows: 87 patients had RA (34.8%); 90 (36%) had other connective tissue diseases (CTD); 50 (20%) spondyloarthritis; 19 (7.6%) polymyalgia rheumatica; and 4 (1.6%) juvenile idiopathic arthritis. RESULTS: Anti-CCP antibodies were detected in 63 patients with RA and in 9 patients with other illnesses [sensitivity 72.4%, specificity 94.4%, positive predictive value (PPV

2006 EvidenceUpdates