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[PMID]:28738388
[Au] Autor:Friedman M; Salapatas AM; Bonzelaar LB
[Ti] Título:Updated Friedman Staging System for Obstructive Sleep Apnea.
[So] Source:Adv Otorhinolaryngol;80:41-48, 2017.
[Is] ISSN:1662-2847
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:In the practice of sleep medicine, the first step is identification of those patients at high risk for sleep apnea. Nearly every physician and every hospital has preferred methods of screening. Many patient questionnaires or surveys as well as some objective physical measurements have been suggested to predict the presence of sleep apnea. Screening is well established, and laboratory and home testing are widely available. An early assessment with a physical examination can help direct treatment planning. The Friedman tongue position, lingual tonsil hypertrophy grading, and the effects of oral positioning on the hypopharynx should be used in early assessment for treatment planning, and as screening tools to assess the sight of obstruction. Although these screening tools are not substitutes for drug-induced sleep endoscopy (DISE), they are crucial in early assessment as many patients do not require surgery or DISE early in the evaluation.
[Mh] Termos MeSH primário: Apneia Obstrutiva do Sono/diagnóstico
[Mh] Termos MeSH secundário: Endoscopia
Seres Humanos
Hipertrofia/diagnóstico
Tonsila Palatina/patologia
Exame Físico
Medicina do Sono/métodos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170725
[St] Status:MEDLINE
[do] DOI:10.1159/000470859


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[PMID]:28738342
[Au] Autor:Huon LA; Guilleminault C
[Ti] Título:A Succinct History of Sleep Medicine.
[So] Source:Adv Otorhinolaryngol;80:1-6, 2017.
[Is] ISSN:1662-2847
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:Although sleep and sleep disorders have been studied for centuries, it was the development of sophisticated tools to monitor eye movements, brain waves, and muscle tone in the mid-20th century that led to modern sleep research. These tools allowed neuroscientists to distinguish between different "states" or "phases" of sleep, and to relate these findings to sleep disorders. This review chronicles the groundbreaking work of the pioneers in this field, and the impact their findings have had on patients today.
[Mh] Termos MeSH primário: Medicina do Sono/história
[Mh] Termos MeSH secundário: História do Século XX
Seres Humanos
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170725
[St] Status:MEDLINE
[do] DOI:10.1159/000470486


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[PMID]:28738331
[Au] Autor:Huon LA; Guilleminault C
[Ti] Título:Future Perspectives in Sleep Medicine.
[So] Source:Adv Otorhinolaryngol;80:145-147, 2017.
[Is] ISSN:1662-2847
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:"Sleep Medicine" is now a specialty in its own right. Currently, there is increasing recognition of the very negative impact sleep disorders have on learning, education, safety, and quality of life. Technological advances will help us to break down diagnoses (e.g., narcolepsy has now been subdivided into types 1 and 2, depending upon the hypocretin levels in the spinal fluid) and to discover relationships to other bodily systems (e.g., type 1 narcolepsy potentially being an autoimmune disorder). The modern lifestyle of many, as characterized by a shortening of sleep periods, shift work, jet lag, and the need to be constantly available, means that advances in sleep medicine may result in a major understanding of more balanced "work-rest lifestyle" modifications.
[Mh] Termos MeSH primário: Medicina do Sono/tendências
[Mh] Termos MeSH secundário: Previsões
Seres Humanos
Estilo de Vida
Narcolepsia/líquido cefalorraquidiano
Narcolepsia/diagnóstico
Orexinas/líquido cefalorraquidiano
Qualidade de Vida
Transtornos do Sono-Vigília/complicações
Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Orexins)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170725
[St] Status:MEDLINE
[do] DOI:10.1159/000470886


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[PMID]:28482053
[Au] Autor:Martin JL; Song Y; Hughes J; Jouldjian S; Dzierzewski JM; Fung CH; Rodriguez Tapia JC; Mitchell MN; Alessi CA
[Ad] Endereço:Geriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, CA.
[Ti] Título:A Four-Session Sleep Intervention Program Improves Sleep for Older Adult Day Health Care Participants: Results of a Randomized Controlled Trial.
[So] Source:Sleep;40(8), 2017 Aug 01.
[Is] ISSN:1550-9109
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Study Objective: To test the effectiveness of a 4-week behavioral Sleep Intervention Program (SIP: sleep compression, modified stimulus control, and sleep hygiene) compared to a 4-week information-only control (IC) among older adults attending a VA Adult Day Health Care (ADHC) program in a double-blind, randomized, clinical trial. Methods: Forty-two individuals (mean age: 77 years, 93% male) enrolled in a VA ADHC program were randomized to receive SIP or IC. All completed in-person sleep and health assessments at baseline, post-treatment and 4-months follow-up that included 3 days/nights of wrist actigraphy, the Pittsburgh Sleep Quality Index (PSQI), and the Insomnia Severity Index (ISI). Mixed repeated measures analysis was used to compare sleep outcomes at post-treatment and 4-months follow-up, with baseline values as covariates. Results: SIP participants (n = 21) showed significant improvement on actigraphy sleep efficiency (p = .007), number of nighttime awakenings (p = .016), and minutes awake at night (p = .001) at post-treatment, compared to IC participants (n = 21). Benefits were slightly attenuated but remained significant at 4-month follow-up (all p's < .05). There were no differences in total sleep time between groups. There was significant improvement on PSQI factor 3 (daily disturbances) at 4-month follow-up (p = .016), but no differences were observed between SIP and IC on other PSQI components or ISI scores at post-treatment or 4-month follow-up. Conclusions: A short behavioral sleep intervention may have important benefits in improving objectively measured sleep in older adults participating in ADHC. Future studies are needed to study implementation of this intervention into routine clinical care within ADHC.
[Mh] Termos MeSH primário: Terapia Comportamental
Distúrbios do Início e da Manutenção do Sono/terapia
Medicina do Sono/métodos
Sono/fisiologia
[Mh] Termos MeSH secundário: Actigrafia
Idoso
Método Duplo-Cego
Feminino
Seres Humanos
Masculino
Distúrbios do Início e da Manutenção do Sono/fisiopatologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171108
[Lr] Data última revisão:
171108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170509
[St] Status:MEDLINE
[do] DOI:10.1093/sleep/zsx079


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[PMID]:28364446
[Au] Autor:Sullivan JP; O'Brien CS; Barger LK; Rajaratnam SM; Czeisler CA; Lockley SW; Harvard Work Hours, Health and Safety Group
[Ad] Endereço:Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, and the Sleep Health Institute, Brigham and Women's Hospital, Boston, MA.
[Ti] Título:Randomized, Prospective Study of the Impact of a Sleep Health Program on Firefighter Injury and Disability.
[So] Source:Sleep;40(1), 2017 Jan 01.
[Is] ISSN:1550-9109
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Study Objectives: Firefighters' schedules include extended shifts and long work weeks which cause sleep deficiency and circadian rhythm disruption. Many firefighters also suffer from undiagnosed sleep disorders, exacerbating fatigue. We tested the hypothesis that a workplace-based Sleep Health Program (SHP) incorporating sleep health education and sleep disorders screening would improve firefighter health and safety compared to standard practice. Design: Prospective station-level randomized, field-based intervention. Setting: US fire department. Participants: 1189 firefighters. Interventions: Sleep health education, questionnaire-based sleep disorders screening, and sleep clinic referrals for respondents who screened positive for a sleep disorder. Measurements and Results: Firefighters were randomized by station. Using departmental records, in an intention-to-treat analysis, firefighters assigned to intervention stations which participated in education sessions and had the opportunity to complete sleep disorders screening reported 46% fewer disability days than those assigned to control stations (1.4 ± 5.9 vs. 2.6 ± 8.5 days/firefighter, respectively; p = .003). There were no significant differences in departmental injury or motor vehicle crash rates between the groups. In post hoc analysis accounting for intervention exposure, firefighters who attended education sessions were 24% less likely to file at least one injury report during the study than those who did not attend, regardless of randomization (OR [95% CI] 0.76 [0.60, 0.98]; χ2 = 4.56; p = .033). There were no significant changes pre- versus post-study in self-reported sleep or sleepiness in those who participated in the intervention. Conclusions: A firefighter workplace-based SHP providing sleep health education and sleep disorders screening opportunity can reduce injuries and work loss due to disability in firefighters.
[Mh] Termos MeSH primário: Acidentes de Trabalho/prevenção & controle
Acidentes de Trabalho/estatística & dados numéricos
Acidentes de Trânsito/estatística & dados numéricos
Pessoas com Deficiência/estatística & dados numéricos
Bombeiros/estatística & dados numéricos
Promoção da Saúde/métodos
Saúde do Trabalhador
Medicina do Sono/métodos
[Mh] Termos MeSH secundário: Acidentes de Trânsito/prevenção & controle
Adulto
Idoso
Feminino
Educação em Saúde/métodos
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Encaminhamento e Consulta
Autorrelato
Privação do Sono/prevenção & controle
Fases do Sono/fisiologia
Transtornos do Sono-Vigília/diagnóstico
Inquéritos e Questionários
Estados Unidos
Local de Trabalho
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170402
[St] Status:MEDLINE
[do] DOI:10.1093/sleep/zsw001


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[PMID]:28159102
[Au] Autor:Krieger AC
[Ad] Endereço:Weill Cornell Medicine/New York-Presbyterian Hospital, Departments of Medicine, Neurology and Genetic Medicine, Weill Cornell Medical College, Cornell University, 425 East 61st Street-5th Floor, New York, NY 10065, USA. Electronic address: ack2003@med.cornell.edu.
[Ti] Título:The Costly Face of Sleep Disorders.
[So] Source:Sleep Med Clin;12(1):xv, 2017 Mar.
[Is] ISSN:1556-4088
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtornos do Sono-Vigília/economia
[Mh] Termos MeSH secundário: Seres Humanos
Medicina do Sono/economia
Medicina do Sono/legislação & jurisprudência
Medicina do Sono/métodos
Transtornos do Sono-Vigília/diagnóstico
Transtornos do Sono-Vigília/etiologia
Transtornos do Sono-Vigília/terapia
[Pt] Tipo de publicação:EDITORIAL; INTRODUCTORY JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170314
[Lr] Data última revisão:
170314
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170205
[St] Status:MEDLINE


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[PMID]:28063275
[Au] Autor:Swope JJ; Couey MA; Wilson JW; Jundt JS
[Ad] Endereço:Resident, Department of Oral and Maxillofacial Surgery, University of Texas at Houston Health Science Center, Houston, TX. Electronic address: Jonathan.J.Swope@uth.tmc.edu.
[Ti] Título:A Survey of Sleep Medicine Physician Perceptions on the Surgical Treatment of Obstructive Sleep Apnea.
[So] Source:J Oral Maxillofac Surg;75(5):1010-1014, 2017 May.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Surgical treatment for obstructive sleep apnea (OSA) varies by specialty. Our survey sought to answer 3 principal questions: 1) To which surgical specialists are sleep physicians referring patients for upper airway surgery? 2) Which surgical treatment do sleep specialists find to be most effective in treating OSA? 3) Do sleep medicine physicians believe that maxillomandibular advancement (MMA) is worthwhile to patients who are surgical candidates? MATERIALS AND METHODS: We formulated a cross-sectional survey. The study sample was obtained by identifying all practices that advertised as sleep medicine specialists in Houston, Texas, by using Internet searches. Physicians who treated children were excluded. Seventy-nine surveys were hand delivered to offices in the greater Houston area; the survey included 6 questions to determine referral and surgical preferences for OSA. Variable responses included years in practice, specialty, and a comments section. A 10-point Likert scale was used to assess sleep medicine physicians' referral patterns and perceptions regarding surgical treatment of OSA. Numerical data were analyzed by calculating mean values and by dividing responses into "disagree" (<5), "neutral" (5), and "agree" (>5). RESULTS: Twenty-six surveys were returned. More sleep medicine physicians referred patients to ear, nose, and throat surgeons (52%) than to oral and maxillofacial surgeons (20%). MMA was viewed as the most effective surgery (72%), followed by "none" (16%), "other" (8%), and uvulopalatopharyngoplasty (4%). More respondents viewed the benefits versus risks as favorable for MMA (44%) than for uvulopalatopharyngoplasty (29%). CONCLUSIONS: The results of this survey show that sleep medicine physicians in the greater Houston area view MMA as the most favorable and effective surgical option for treating OSA. Although MMA was most often referred for, more respondents refer patients to ear, nose, and throat surgeons than to oral and maxillofacial surgeons for surgical management of OSA. Years in practice displayed no correlation in referral patterns or preference for type of OSA surgery.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Pesquisas sobre Serviços de Saúde
Apneia Obstrutiva do Sono/cirurgia
Medicina do Sono
[Mh] Termos MeSH secundário: Estudos Transversais
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:170108
[St] Status:MEDLINE


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Texto completo SciELO Brasil
[PMID]:28117466
[Au] Autor:Genta PR
[Ad] Endereço:. Laboratório do Sono, Disciplina de Pneumologia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.
[Ti] Título:The JBP and sleep medicine.
[So] Source:J Bras Pneumol;42(6):401, 2016 Nov-Dec.
[Is] ISSN:1806-3756
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Mh] Termos MeSH primário: Publicações Periódicas como Assunto
Medicina do Sono
[Mh] Termos MeSH secundário: Brasil
Seres Humanos
Publicações Periódicas como Assunto/normas
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE


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[PMID]:28070158
[Au] Autor:Vats MG; Mahboub BH; Al Hariri H; Al Zaabi A; Vats D
[Ad] Endereço:Department of Respiratory and Sleep Medicine, Rashid Hospital, Dubai, UAE.
[Ti] Título:Obesity and Sleep-Related Breathing Disorders in Middle East and UAE.
[So] Source:Can Respir J;2016:9673054, 2016.
[Is] ISSN:1916-7245
[Cp] País de publicação:Egypt
[La] Idioma:eng
[Ab] Resumo:A pandemic of obesity is sweeping all across the globe and the Middle East region also does not remain untouched by this prevailing pandemic. In fact, as per WHO report, Kuwait has the second highest obesity prevalence followed closely by other Middle East (ME) countries, namely, Qatar, Saudi Arabia, and United Arab Emirates (UAE). Apart from direct medical, psychological, and quality of life related adverse effects of obesity, many indirect medical comorbidities, namely, obstructive sleep apnea (OSA), obesity hypoventilation syndrome (OHS), diabetes mellitus (DM), hypertension (HTN), and metabolic syndrome, imposes a significant health burden on the individual and community with consequent morbidity and mortality. The purpose of this review is to shed light on the very high prevalence of obesity, undiagnosed sleep apnea, and other obesity related disorders with discussion of the contributing factors specific to the region including the fair insight into the current status of sleep medicine services in Middle East and UAE despite huge number of patients having undiagnosed sleep disorders. We will also suggest to control this epidemic of obesity and OSA so that the corrective measure could be taken at health ministry level to help people of this region to fight against obesity and related disorders, primarily OSA.
[Mh] Termos MeSH primário: Obesidade/epidemiologia
Apneia Obstrutiva do Sono/epidemiologia
[Mh] Termos MeSH secundário: Acidentes de Trânsito/estatística & dados numéricos
Doenças Cardiovasculares/economia
Doenças Cardiovasculares/epidemiologia
Diabetes Mellitus/economia
Diabetes Mellitus/epidemiologia
Custos de Cuidados de Saúde
Acesso aos Serviços de Saúde
Seres Humanos
Kuweit/epidemiologia
Obesidade/economia
Prevalência
Catar/epidemiologia
Arábia Saudita/epidemiologia
Apneia Obstrutiva do Sono/economia
Medicina do Sono
Emirados Árabes Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170111
[St] Status:MEDLINE
[do] DOI:10.1155/2016/9673054


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[PMID]:27748788
[Au] Autor:Lee CP; Abisheganaden J
[Ad] Endereço:Department of Respiratory and Critical Care Medicine, Tan Tock Seng Hospital, Singapore.
[Ti] Título:A Brief History of the Biology of Sleep.
[So] Source:Ann Acad Med Singapore;45(9):413-415, 2016 Sep.
[Is] ISSN:0304-4602
[Cp] País de publicação:Singapore
[La] Idioma:eng
[Mh] Termos MeSH primário: Medicina do Sono/história
[Mh] Termos MeSH secundário: Encéfalo/fisiologia
História do Século XX
Seres Humanos
Sono/fisiologia
Sono REM/fisiologia
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170223
[Lr] Data última revisão:
170223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161018
[St] Status:MEDLINE



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