Sleep Medicine: Current Challenges and its Future
SLEEP MEDICINE CLINICS (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - July 27, 2021 Category: Sleep Medicine Authors: Barbara Gnidovec Stra žišar Source Type: research
Copyright
ELSEVIER (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - July 27, 2021 Category: Sleep Medicine Source Type: research
Forthcoming Issues
Measuring Sleep (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - July 27, 2021 Category: Sleep Medicine Source Type: research
Contributors
TEOFILO LEE-CHIONG Jr, MD (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - July 27, 2021 Category: Sleep Medicine Source Type: research
Contents
Barbara Gnidovec Stra žišar (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - July 27, 2021 Category: Sleep Medicine Source Type: research
The Future of Sleep Measurements
This article provides an overview of the current use, limitations, and future directions of the variety of subjective and objective sleep assessments available. This article argues for various ways and sources of collecting, combining, and using data to enlighten clinical practice and the sleep research of the future. It highlights the prospects of digital management platforms to store and present the data, and the importance of codesign when developing such platforms and other new instruments. It also discusses the abundance of opportunities that data science and machine learning open for the analysis of data. (Source: Sl...
Source: Sleep Medicine Clinics - July 5, 2021 Category: Sleep Medicine Authors: Erna Sif Arnardottir, Anna Sigridur Islind, Mar ía Óskarsdóttir Source Type: research
Daylight Saving Time
The original rationale for the adoption of daylight saving time (DST) was to conserve energy; however, the effects of DST on energy consumption are questionable or negligible. Conversely, there is substantial evidence that DST transitions have the cumulative effect on sleep deprivation with its adverse health effects. In light of current evidence, the European Commission in 2018 decided that biannual clock change in Europe would be abolished. Current indirect evidence supports the adoption of perennial standard time, which aligns best with the human circadian system and has the potential to produce benefits for public heal...
Source: Sleep Medicine Clinics - July 2, 2021 Category: Sleep Medicine Authors: Barbara Gnidovec Stra žišar, Lea Stražišar Source Type: research
Telemedicine in Sleep-Disordered Breathing
Interest in telemedicine has increased exponentially. There is a growing body of published evidence on the use of telemedicine for patients using continuous positive airway pressure. Telemedicine-ready devices can support the transmission on use time, apnea –hypopnea index, and leakage. This approach enables early activation of troubleshooting. Automated, personalized feedback for patients and patient access to their own data provide unprecedented opportunities for integrating comanagement approaches, multiactor interactions, and patient empowerment. Telemedicine is likely cost effective, but requires better evidence. No...
Source: Sleep Medicine Clinics - July 2, 2021 Category: Sleep Medicine Authors: Johan Verbraecken Source Type: research
Sleep and Cardiovascular Risk
Sleep is essential for healthy being and healthy functioning of human body as a whole, as well as each organ and system. Sleep disorders, such as sleep-disordered breathing, insomnia, sleep fragmentation, and sleep deprivation are associated with the deterioration in human body functioning and increased cardiovascular risks. However, owing to the complex regulation and heterogeneous state sleep per se can be associated with cardiovascular dysfunction in susceptible subjects. The understanding of sleep as a multidimensional concept is important for better prevention and treatment of cardiovascular diseases. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - June 25, 2021 Category: Sleep Medicine Authors: Lyudmila Korostovtseva, Mikhail Bochkarev, Yurii Sviryaev Source Type: research
Future Treatment of Sleep Disorders
Sleep disorders are categorized in line with traditional taxonomy. This conventional approach allows adequate management of many patients. Failure of treatment, however, may be due to nonspecificity of symptoms, coincidental association between symptoms and pathophysiological endotype, as well as co-occurrence of different pathologic mechanisms affecting sleep. Complex phenotypes often do not respond well to standard therapeutic interventions. In these cases, the clinical workup should aim at identifying treatable traits that will likely improve under targeted therapy. The challenge for sleep medicine is to further develop...
Source: Sleep Medicine Clinics - June 25, 2021 Category: Sleep Medicine Authors: Dirk Pevernagie Source Type: research
Insomnia Burden and Future Perspectives
This article discusses the role of insomnia in modern societies, newer complicating factors, and its overall social and public health burden. Acute insomnia and sleep difficulties during pandemic and confinement are reviewed. The article also focuses on newer developments accumulating in the field of insomnia and possible future trends. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - June 25, 2021 Category: Sleep Medicine Authors: Samson G. Khachatryan Source Type: research
Sleep in Neurologic Disorders
Sleep is a complex brain state with fundamental relevance for cognitive functions, synaptic plasticity, brain resilience, and autonomic balance. Sleep pathologies may interfere with cerebral circuit organization, leading to negative consequences and favoring the development of neurologic disorders. Conversely, the latter can interfere with sleep functions. Accordingly, assessment of sleep quality is always recommended in the diagnosis of patients with neurologic disorders and during neurorehabilitation programs. This review investigates the complex interplay between sleep and brain pathologies, focusing on diseases in whic...
Source: Sleep Medicine Clinics - June 19, 2021 Category: Sleep Medicine Authors: Carlotta Mutti, Francesco Rausa, Liborio Parrino Source Type: research
Sleepiness Behind the Wheel and the Implementation of European Driving Regulations
Sleep disturbance and sleepiness are established risk factors for driving accidents and obstructive sleep apnea (OSA) is the most prevalent medical disorder associated with excessive daytime sleepiness. Because effective treatment of OSA reduces accident risk, several jurisdictions have implemented regulations concerning the ability of patients with OSA to drive, unless effectively treated. This review provides a practical guide for clinicians who may be requested to certify a patient with OSA as fit to drive regarding the scope of the problem, the role of questionnaires and driving simulators to evaluate sleepiness, and t...
Source: Sleep Medicine Clinics - June 19, 2021 Category: Sleep Medicine Authors: Walter T. McNicholas Source Type: research
Prolonged Effects of the COVID-19 Pandemic on Sleep Medicine Services —Longitudinal Data from the Swedish Sleep Apnea Registry
The worldwide COVID-19 pandemic has affected the operation of health care systems. The direct impact of obstructive sleep apnea (OSA) on COVID-19 infection outcome remains to be elucidated. However, the coincidence of common risk factors for OSA and severe COVID-19 suggests that patients with OSA receiving positive airway pressure therapy may have an advantage relative to those untreated when confronted with a COVID-19 infection. The ongoing COVID-19 pandemic has led to a substantial reduction of sleep medicine services, and the long-term consequences may be considerable. New strategies for the management of sleep disorder...
Source: Sleep Medicine Clinics - May 31, 2021 Category: Sleep Medicine Authors: Ludger Grote, Jenny Theorell-Hagl öw, Martin Ulander, Jan Hedner Source Type: research
Prolonged effects of the COVID-19 pandemic on sleep medicine services - longitudinal data from the Swedish Sleep Apnea Registry (SESAR)
In conclusion, the ongoing COVID-19 pandemic has lead to a substantial reduction of sleep medicine services and the long-term concequences may be considerable. Novel clinical techniques such as telemedicine support may facilitate the recovery of sleep medicine services. New strategies for the management of sleep disorders are needed to overcome the current underdiagnosis and delay of treatment. This includes OSA patients who potentially may be on high risk for severe COVID-19. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - May 31, 2021 Category: Sleep Medicine Authors: Ludger Grote, Jenny Theorell-Hagl öw, Martin Ulander, Jan Hedner Source Type: research
