Bringing Health Care Equity to Diverse and Underserved Populations in Sleep Medicine and Research Through a Digital Health Equity Framework
This article describes how the authors implemented their digital sleep health equity and inclusion model during the COVID-19 pandemic. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - June 6, 2023 Category: Sleep Medicine Authors: Judite Blanc, Kaitlyn Hahn, Bruno Oliveira, Ro ’Mya Phillips, Lunthita M. Duthely, Laura Francois, Mary Carrasco, Jesse Moore, Candice A. Sternberg, Girardin Jean-Louis, Azizi A. Seixas Source Type: research
Bringing Healthcare Equity to Diverse and Underserved Populations in Sleep Medicine and Research through a Digital Health Equity Framework
Individuals from minoritized groups (racial/ethnic minorities and low income individuals) are less likely to receive sleep medicine care and be the focus of sleep and circadian research. Several intrapersonal, interpersonal, institutional, and community barriers may explain the underrepresentation and low participation. Although the growth of digital health solutions, remote health monitoring, and telehealth may address many of these barriers, the COVID-19 pandemic highlighted a digital divide that exacerbated disproportionate sleep health outcomes and access to sleep medicine and research opportunities among minoritized g...
Source: Sleep Medicine Clinics - June 6, 2023 Category: Sleep Medicine Authors: Judite Blanc, Kaitlyn Hahn, Bruno Oliveira, Ro ’Mya Phillips, Lunthita M. Duthely, Laura Francois, Mary Carrasco, Jesse Moore, Candice A. Sternberg, Girardin Jean-Louis, Azizi A. Seixas Source Type: research
Control of Breathing and Central Hypoventilation Syndromes
Control of breathing in children varies with age and sleep state. There is overlap between central hypoventilation, autonomic dysfunction, and hypothalamic dysfunction in the rare disorders (congenital central hypoventilation syndrome and rapid-onset obesity, hypoventilation, hypothalamic dysfunction, and autonomic dysregulation). Other, more common disorders that typically present in childhood also include central hypoventilation and disordered ventilatory responses. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - April 28, 2023 Category: Sleep Medicine Authors: Julie M. Baughn, Christine A. Matarese Source Type: research
Restless Legs Syndrome and Restless Sleep Disorder in Children
Restless legs syndrome (RLS) affects 2% of children presenting with symptoms of insomnia, restless sleep, decreased quality of life, and effects on cognition and behavior. The International RLS Study Group and the American Academy of Sleep Medicine have published guidelines for the diagnosis and treatment of RLS in children. Restless sleep disorder has been recently identified in children and presents with frequent movements during sleep and daytime symptoms with polysomnography findings of at least 5 large muscle movements at night. Treatment options for both disorders include iron supplementation, either oral or intraven...
Source: Sleep Medicine Clinics - April 28, 2023 Category: Sleep Medicine Authors: Lourdes M. DelRosso, Maria Paola Mogavero, Oliviero Bruni, Raffaele Ferri Source Type: research
Pediatric Sleep Clinics
SLEEP MEDICINE CLINICS (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - April 28, 2023 Category: Sleep Medicine Authors: Haviva Veler Source Type: research
Copyright
ELSEVIER (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - April 28, 2023 Category: Sleep Medicine Source Type: research
Forthcoming Issues
Advances in Technology for the Sleep Field (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - April 28, 2023 Category: Sleep Medicine Source Type: research
Contributors
TEOFILO LEE-CHIONG Jr, MD (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - April 28, 2023 Category: Sleep Medicine Source Type: research
Contents
Haviva Veler (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - April 28, 2023 Category: Sleep Medicine Source Type: research
Pediatric Sleep Health and Illnesses: An Update
The concept that pediatric sleep health and issues are distinctly different compared with sleep medicine as it is known in adults was initially presented in the 1970s. Since then, a fascinating journey of discovery took place, from the description of fundamentals of normal sleep in the different ages, through defining and creating treatment plans to a variety of sleep issues. Recently, a new concept was brought up, describing sleep as a pillar of health and normal development rather than as an illness, and as such, should have a forefront place in discussions of wellness in children ’s well visits and in parent’s conve...
Source: Sleep Medicine Clinics - March 30, 2023 Category: Sleep Medicine Authors: Haviva Veler Tags: Preface Source Type: research
Sleep and Inflammation
Sleep and inflammatory cytokines have a bidirectional relationship where circadian rhythms influence increase in levels of certain cytokines, and in return, some cytokines induce sleep, as we frequently experience during illnesses. The most commonly studied cytokines, in the context of inflammation and sleep, are interleukin 6 (IL-6), tumor necrosis factor (TNF), and (IL-1). In this article, the author follows the effect of circadian rhythms on blood levels of these cytokines and explores the changes in their levels in conditions that affect sleep, such as obstructive sleep apnea and insomnia. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - March 28, 2023 Category: Sleep Medicine Authors: Haviva Veler Source Type: research
Beyond Polysomnography
This chapter reviews the Peds B-SATED model of pediatric sleep health and common pediatric sleep problems. Aspects of pediatric sleep health and sleep problems are considered across development, from infants through adolescents. Finally, information about clinical screening in both primary and specialty care is discussed, and subjective sleep questionnaires are reviewed. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - March 20, 2023 Category: Sleep Medicine Authors: Lisa J. Meltzer, Courtney Paisley Source Type: research
What ’s New in Pediatric Obstructive Sleep Apnea?
Obstructive sleep apnea (OSA) is common children. There is a demand for more family-focused evaluation and novel diagnostic approaches. Drug-induced sleep endoscopy is increasingly being used clinically in children with Down syndrome and other comorbidities. Several studies have examined the association between OSA and other comorbidities during childhood. Therapeutic options for OSA in children remain limited. Recent studies have examined the utility of hypoglossal nerve stimulation in children with Down syndrome. Positive airway pressure has been a mainstay of OSA treatment. Several recent studies have assessed factors a...
Source: Sleep Medicine Clinics - March 9, 2023 Category: Sleep Medicine Authors: Christopher M. Cielo, Ignacio E. Tapia Source Type: research
Narcolepsy and Idiopathic Hypersomnia
Narcolepsy types 1 and 2 and idiopathic hypersomnia are primary Central Nervous System (CNS) disorders of hypersomnolence characterized by profound daytime sleepiness and/or excessive sleep need. Onset of symptoms begins typically in childhood or adolescence, and children can have unique presentations compared with adults. Narcolepsy type 1 is likely caused by immune-mediated loss of orexin (hypocretin) neurons in the hypothalamus; however, the causes of narcolepsy type 2 and idiopathic hypersomnia are unknown. Existing treatments improve daytime sleepiness and cataplexy but there is no cure for these disorders. (Source: S...
Source: Sleep Medicine Clinics - March 8, 2023 Category: Sleep Medicine Authors: Margaret Blattner, Kiran Maski Source Type: research
Sleep from Infancy Through Adolescence
This article describes the changes in normal sleep regulation, structure, and organization and sleep-related changes in respiration from infancy to adolescence. The first 2 years of age are striking, with more time asleep than awake. With development, the electroencephalogram architecture has a marked reduction in rapid eye movement sleep and the acquisition of K-complexes, sleep spindles, and slow-wave sleep. During adolescence there is a reduction in slow-wave slee p and a delay in the circadian phase. Infants have a more collapsible upper airway and lower lung volumes than older children, which predisposes them to obs...
Source: Sleep Medicine Clinics - March 8, 2023 Category: Sleep Medicine Authors: Stephanie O. Zandieh, Sheryl Johnson, Eliot S. Katz Source Type: research
