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Recent News and Articles on the Keywords: sleep treatment + sleep + treatment  Related to the article below (Last Update: 8/5/2008)

Epilepsy Drug May Help Alcoholics Recover From Dependence, Small ...
Science Daily (press release) -
... gabapentin treatment or long-term follow-up on their sleep or their alcohol recovery, it was randomized, placebo-controlled, and double-blinded. ...

findingDulcinea
Without Treatment, Sleep Anpea Greatly Increases Death Risk
dBTechno, MA - Aug 1, 2008
Washington (dbTechno) - According to a new report released by Australian researchers, sleep anpea increases your risk of death sixfold. Sleep apnea is known ...
Sleep Apnea Could Be Fatal?Indirectly findingDulcinea
Sleep Apnea Boosts Death Risk U.S. News & World Report
Sleep Apnea May Be Deadly WebMD
TopNews - Science Daily (press release)
all 390 news articles »
Consumer Reports Survey: 44% of Americans Are 'Problem Sleepers ...
MarketWatch -
The key findings: -- Many people turn to drugs to solve sleep problems; almost 1 in 5 Americans took prescription or over-the-counter medicines at least ...
City's treatment of dogs distressing
News-Leader.com, MO - Aug 4, 2008
There are many dogs put to sleep because of the lack of funds. The dog pound doesn't let individuals adopt dogs (so many aren't spared). ...
Initiative to Help Educate Americans About 'Sleep Smarts'
Occupational Health Safety, TX -
The campaign also will motivate sleep-sufferers to talk to a healthcare professional to determine if treatment is appropriate. As part of the campaign, ...
Sleep well
Southtown Star, IL -
"Then we ask the patient to fill out a sleep log, which is a two-week history of their sleep habits." With treatment, obstructive sleep apnea can be eased. ...
What about the humane treatment of humans?
Globe and Mail, Canada - Aug 2, 2008
"This cat, she shit where she sleep." The woman barely glanced up from reading his cat's extensive bio. He tried again. "I buy cat here. ...
MURRIETA: Numbing the pain
North County Times, CA -
10 in his sleep at a Costa Mesa drug treatment center six days shy of completing a 28-day detoxification program. Though treatment officials said the ...
The monster within
Southeast Missourian, MO -
... condition that requires treatment." She gave up her 2-year-old son because she couldn't care for him. She doesn't have a job, used to sleep in her car. ...

News 10 Now
Treatment available for sleep apnea
News 10 Now, NY - Aug 2, 2008
Carney was so happy with his treatment that he took a job at the Strong Sleep Center. "I'm excited because not only has it helped me, I get to show people ...
Source: Google News

[PDF] … Review. Oral appliances for the treatment of snoring and obstructive sleep apnea: a review -
W Schmidt-Nowara, A Lowe, L Wiegand, R Cartwright, … - Sleep, 1995 - sleepmate.com
... An American Sleep Disorders Association Review Oral Appliances for the
Treatment of Snoring and Obstructive Sleep Apnea: A Review ...
-

Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review. -
CM Morin, PJ Hauri, CA Espie, AJ Spielman, DJ … - Sleep, 1999 - ncbi.nlm.nih.gov
... For the typical patient with persistent primary insomnia, treatment is likely to
reduce the main target symptoms of sleep onset latency and/or wake time after ...

… in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive … -
JM Marin, SJ Carrizo, E Vicente, AGN Agusti - The Lancet, 2005 - Elsevier
... Although CPAP is regarded as the cornerstone of treatment for obstructive sleep
apnoea-hypopnoea, 14 , 37 , 38 and 39 its effects on cardiovascular morbidity ...

… Continuous Positive Airway Pressure Treatment on Blood Pressure in Patients With Obstructive Sleep -
HF Becker, A Jerrentrup, T Ploch, L Grote, T … - Circulation, 2003 - Am Heart Assoc
... Except for total sleep time, all parameters improved with both treatment modalities. ...
Effects of treatment of obstructive sleep apnea on circadian hemodynamics. ...

… continuous positive airway pressure treatment on daytime function in sleep apnoea/hypopnoea syndrome … -
HM Engleman, SE Martin, IJ Deary, NJ Douglas - Lancet, 1994 - ncbi.nlm.nih.gov
... Assessments on the last day of each treatment included a multiple sleep latency
test and tests of symptom scores, mood profiles, and cognitive performance. ...

… vs nasal-continuous positive airway pressure in the treatment of mild-moderate obstructive sleep -
KA Ferguson - Chest, 1996 - Am Coll Chest Phys
... Am J Respir Crit Care Med Home page KM FRITSCH, A. ISELI, EW RUSSI, and KE BLOCH
Side Effects of Mandibular Advancement Devices for Sleep Apnea Treatment Am. ...

Nonpharmacological interventions for insomnia: a meta-analysis of treatment efficacy. -
CM Morin, JP Culbert, SM Schwartz - Am J Psychiatry, 1994 - ncbi.nlm.nih.gov
... on the basis of the following criteria: 1) the primary target problem was
sleep-onset, maintenance, or mixed insomnia, 2) the treatment was nonpharmacological ...

Indications for Positive Airway Pressure Treatment of Adult Obstructive Sleep Apnea Patients* A … -
DI Loube, PC Gay, KP Strohl, AI Pack, DP White, NA … - Chest, 1999 - Am Coll Chest Phys
... Home page, Chest Home page CM Chu, VL Chan, DI Loube, PC Gay, KP Strohl, AI Pack,
DP White, and NA Collop Obstructive Sleep Apnea Treatment Chest, November 1 ...

… of one night without nasal CPAP treatment on sleep and sleepiness in patients with obstructive sleep -
NB Kribbs, AI Pack, LR Kline, JE Getsy, JS Schuett … - Am Rev Respir Dis, 1993 - ncbi.nlm.nih.gov
Am Rev Respir Dis. 1993 May;147(5):1162-8. Effects of one night without nasal CPAP
treatment on sleep and sleepiness in patients with obstructive sleep apnea. ...

Adenotonsillectomy for treatment of obstructive sleep apnea in children -
JS Suen, JE Arnold, LJ Brooks - Archives of Otolaryngology- Head and Neck Surgery, 1995 - Am Med Assoc
... Adenotonsillectomy for treatment of obstructive sleep apnea in children.
JS Suen, JE Arnold and LJ Brooks Department of Pulmonary ...

Source: Google Scholar

Nasal Cannula May Be Viable Treatment For Sufferers Of Sleep Apnea

Researchers at Johns Hopkins University have found that symptoms in patients with obstructive sleep apnea and hypopnea can be significantly reduced through treatment with nasal insufflation (TNI), using a nasal cannula to deliver warm, humidified air at a high flow rate.

"Our findings provide evidence that TNI may offer a viable treatment alternative to patients with obstructive hypopneas and apneas," said lead researcher Hartmut Schneider, M.D., of Johns Hopkins Asthma and Allergy Center.

The research was reported in the second issue for July 2007 of the American Journal of Respiratory and Critical Care Medicine published by the American Thoracic Society.
The proof of concept study included 11 patients with mild to severe apnea-hypopnea disorders, who were selected to provide a balanced range of disease severity. Apnea was defined as complete cessation of airflow for more than 10 seconds. Hypopnea was defined as a greater than 30 percent reduction of airflow.

After baseline data were established for each patient while undergoing TNI at 0, 10 and 20L/minute, subjects were randomized to receive either no treatment or treatment with TNI at 20L/minute on separate nights. Researchers then measured airflow and superglottic pressure and monitored body position, sleep arousals and respiratory events.

At TNI of 10L/minute, some indications of disordered breathing showed improvement, but airflow limitations and snoring persisted. However, at TNI of 20L/minute, all patients showed a marked improvement. "When TNI was administered, sleep and breathing patterns stabilized," said Dr. Schneider.

Furthermore, the results showed that even patients with more severe disorders gained significantly from TNI. "Although we expected marked improvements in the apnea-plus-hypopnea index (AHI) primarily in patients with hypopneas rather than obstructive apneas, TNI lowered the AHI in all subjects," the researchers wrote.

These findings suggest that TNI may be a more viable treatment option for patients with hypopnea and sleep apnea. "Current treatment options…are often intrusive or invasive and not well-tolerated, leaving a vast number of patients untreated," said Dr. Schneider. "Improved therapeutic strategies are required to treat sleep apneas and hypopneas and their associated morbidity and mortality."

Sleep apnea affects more than 12 million Americans, according to the National Institutes of Health, and is especially prevalent in overweight or obese individuals. Many more have the milder form of sleep-associated respiratory disorders, hypopnea. Untreated sleep apnea can increase the chance of having high blood pressure and risk of heart attack, stroke and diabetes, as well as putting patients at risk for work-related accidents and driving accidents.

"At present, CPAP [continuous positive airway pressure] is most effective at eliminating apneas and hypopneas, [but] long-term effectiveness is compromised by low adherence," wrote the researchers. "We developed a simplified method for increasing pharyngeal pressure by delivering warm and humidified air at a continuous high flow rate through the open nasal cannula."

While patients with severe sleep apneas may be more highly motivated to adhere to treatment with CPAP or surgery, younger, thinner and healthier patients with milder disorders may find the TNI approach appealing, according to Dr. Safwan Badr, chief of pulmonary, critical care and sleep medicine at Haper University Hospital in Detroit and chair of the American Thoracic Society's Assembly on Respiratory Neurobiology and Sleep.
The authors noted that the minimally intrusive nasal interface of TNI may improve patient adherence, and may ultimately prove more effective at managing long-term morbidity and mortality of sleep apnea." Furthermore, the fact that one flow rate and one cannula size were sufficient to stabilize breathing patterns in the majority of subjects suggests that titration of TNI may be unnecessary, streamlining the initiation of treatment.

The present study is a proof of concept, the authors wrote, and will require replication in clinical trials. However, the study represents the first step in developing a new potential alternative to current sleep apnea treatments that may lower the barrier for care in patients with sleep-associated breathing disorders.

ThIs news brief is based on an article published in the American Thoracic Society's peer-reviewed journal, the American Journal of Respiratory and Critical Care Medicine .

Founded in 1905, the American Thoracic Society is the world's leading medical association dedicated to advancing pulmonary, critical care and sleep medicine. The Society has more than 18,000 members who prevent and fight respiratory disease around the globe, through research, education, patient care and advocacy.

http://www.thoracic.org
 
 
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