Use of the Clinical Global Impression Scale in Sleep Apnea Patients - Results from the ESADA Database
The Clinical Global Impression scale (CGI) reflects the clinician ’s assessment of the disease impact on patient's global functioning. We assessed predictors of CGI scale rating in patients with obstructive sleep apnea (OSA). (Source: Sleep Medicine)
Source: Sleep Medicine - November 13, 2018 Category: Sleep Medicine Authors: Marijke Dieltjens, Johan A. Verbraecken, Jan Hedner, Olivier M. Vanderveken, Paschalis Steiropoulos, John A. Kvamme, Tarja Saaresranta, Ruzena Tkacova, Oreste Marrone, Zoran Dogas, Sofia Schiza, Ludger Grote, ESADA collaborators, Steiropoulos P, Verbraeck Tags: Original Article Source Type: research

Hypnagogic Foot Tremor, Alternating Leg Muscle Activation or High Frequency Leg Movements: Clinical and phenomenological considerations in two cousins
Alternating Leg Muscle Activation (ALMA), Hypnagogic Foot Tremor (HFT) and High Frequency Leg Movements (HFLM) are minor motor activities during sleep with unclear significance and have overlapping features (Table 1). (Source: Sleep Medicine)
Source: Sleep Medicine - November 12, 2018 Category: Sleep Medicine Authors: Melanie Bergmann, Ambra Stefani, Elisabeth Brandauer, Evi Holzknecht, Heinz Hackner, Birgit H ögl Tags: Video-Clinical Corners Source Type: research

Joint effects of multiple sleep characteristics on breast cancer progression by menopausal status
Sleep has been closely linked to breast cancer risk. However, the association between sleep and breast cancer prognosis remains unclear. The aim of this study was to evaluate the separate and joint effects of multiple sleep characteristics on breast cancer prognosis among Chinese women. (Source: Sleep Medicine)
Source: Sleep Medicine - November 12, 2018 Category: Sleep Medicine Authors: Zhuo-zhi Liang, Yi-xin Zhang, Ying Lin, Qiang Liu, Xiao-ming Xie, Lu-ying Tang, Ze-fang Ren Tags: Original Article Source Type: research

Mandibular advancement device therapy for obstructive sleep apnea: A prospective study on predictors of treatment success
To survey potential predictors of success of mandibular advancement device (MAD) therapy in patients with obstructive sleep apnea (OSA), and in particular, to examine anatomical narrowings and sleep-related collapse levels in the upper airway. (Source: Sleep Medicine)
Source: Sleep Medicine - November 12, 2018 Category: Sleep Medicine Authors: Niels Petri, Ib Jarle Christensen, Palle Svanholt, Liselotte Sonnesen, Gordon Wildschi ødtz, Søren Berg Tags: Original Article Source Type: research

Sleep extension reduces pain sensitivity
Insufficient sleep increases pain sensitivity in healthy individuals. Additionally, extending sleep (e.g., increasing nocturnal sleep time or adding a mid-day nap) has been shown to restore pain sensitivity to baseline levels in sleep deprived/restricted individuals. Whether sleep extension can reduce pain sensitivity beyond baseline levels in non-sleep restricted/deprived individuals remains unknown. In a sample of 27 healthy, pain-free, normally-sleeping individuals (17 males, mean age ∼24 yrs), we examined the impact of five nights of sleep extension on pain sensitivity. (Source: Sleep Medicine)
Source: Sleep Medicine - November 8, 2018 Category: Sleep Medicine Authors: Guido Simonelli, Janna Mantua, Mary Gad, Maria St Pierre, Lonique Moore, Angela Yarnell, Phillip Quartana, Allen Braun, Thomas J. Balkin, Allison J. Brager, Vincent F. Capaldi Tags: Original Article Source Type: research

Pediatric issue-IPSA-2018 Challenges in implementing and assessing outcomes of school start time change in the UK: Experience of the Oxford Teensleep study
The objective of this study was to evaluate the impact of two school interventions in the UK, a delayed start time and a sleep education programme, on students ’ academic performance, sleep outcomes and health-related quality of life. (Source: Sleep Medicine)
Source: Sleep Medicine - November 7, 2018 Category: Sleep Medicine Authors: Gaby Illingworth, Rachel Sharman, Adam Jowett, Christopher-James Harvey, Russell Foster, Colin Espie Tags: Original Article Source Type: research

P-wave dispersion as a simple tool for screening childhood obstructive sleep apnea syndrome
The gold standard for the diagnosis of childhood obstructive sleep apnea syndrome (OSAS) diagnosis is polysomnography; however, electrocardiography (ECG) may provide a simpler alternative. P-wave dispersion (PWD), the difference between the maximum and minimum P-wave duration measured by 12-lead ECG, is increased in adult OSAS but has not been researched in childhood OSAS. The aims of this study were to determine the PWD and cut-off value for the diagnosis of childhood OSAS and its association with severity. (Source: Sleep Medicine)
Source: Sleep Medicine - November 7, 2018 Category: Sleep Medicine Authors: Chutima Kraikriangsri, Anant Khositseth, Teeradej Kuptanon Tags: Original Article Source Type: research

Health-Related Quality of Life in Canadian Children with Cerebral Palsy:What Role Does Sleep Play?
To evaluate, in Canadian children with cerebral palsy (CP): 1) health-related quality of life (HRQoL) and 2) associations between HRQoL and a) sleep problems, b) nighttime pain, and c) child characteristics (age, CP phenotype, comorbidities). (Source: Sleep Medicine)
Source: Sleep Medicine - November 5, 2018 Category: Sleep Medicine Authors: Linda Horwood, Patricia Li, Elise Mok, Maryam Oskoui, Michael Shevell, Evelyn Constantin Tags: Original Article Source Type: research

Sleep disordered breathing and nocturnal hypoxemia are very prevalent in a lung cancer screening population and may condition lung cancer screening findings: Results of the prospective Sleep Apnea In Lung Cancer Screening (SAILS) study
Obstructive sleep apnea (OSA) can influence the appearance and proliferation of some tumors. The Sleep Apnea In Lung Cancer Screening (SAILS) study (NCT02764866) evaluated the prevalence of OSA and nocturnal hypoxemia in a high-risk population enrolled in a lung cancer screening program. (Source: Sleep Medicine)
Source: Sleep Medicine - November 3, 2018 Category: Sleep Medicine Authors: M.T. P érez-Warnisher, E. Cabezas, M.F. Troncoso, T. Gómez, R. Melchor, E.J. Pinillos, A. El Hachem, C. Gotera, P. Rodriguez, I. Mahíllo, N. González-Mangado, G. Peces-Barba, L.M. Seijo Source Type: research

Response to “The dark side of adherence” by Crawford and Vallieres
We agree with Crawford and Vallieres that the discontinuation of positive airway pressure (PAP) treatment in patients with sleep-disordered breathing does not depend on just one modality of variables. In our recently published registry-based study, we evaluated only biomedical variables since those were the only ones reported into the registry [1]. We did not have access to the medical journals and further analysis and evaluation of other aspects of patient characteristics was not possible. PAP failure can have devastating consequences and there is a need for a holistic approach to prevent suboptimal adherence. (Source: Sleep Medicine)
Source: Sleep Medicine - November 1, 2018 Category: Sleep Medicine Authors: Andreas Palm, Eva Lindberg Tags: Response Source Type: research

Caregiver-Perceived Sleep Outcomes in Toddlers Sleeping in Cribs versus Beds
We examined the prevalence of crib-sleeping and its association with caregiver-reported sleep patterns and problems in a large sample of toddlers from Western countries. (Source: Sleep Medicine)
Source: Sleep Medicine - October 31, 2018 Category: Sleep Medicine Authors: Ariel A. Williamson, Erin S. Leichman, Russel M. Walters, Jodi A. Mindell Tags: Original Article Source Type: research

The dark side of adherence-a commentary on Palm et al. (2018) Factors influencing adherence to continuous positive airway pressure treatment in obstructive sleep apnea and mortality associated with treatment failure - a national registry-based cohort study
We were pleased to see Palm and colleagues reporting on adherence to positive airway pressure (PAP) treatment for obstructive sleep apnoea (OSA) in Sleep Medicine, volume 51 [1]. Their study has multiple strengths: sample size (n=16,425), length of follow-up (1.2yrs) and an under-researched population (Sweden). Significant predictors of PAP adherence were humidifier use, increased age, OSA severity and weight. We would like to use this opportunity to highlight that in addition to such biomedical (eg, BMI, disease severity etc.) and psychosocial factors (eg, self-efficacy, depression, support), we have to take sleep into ac...
Source: Sleep Medicine - October 31, 2018 Category: Sleep Medicine Authors: Megan R. Crawford, Annie Valli ères Tags: Letter to the Editor Source Type: research

Continuous positive airway pressure for adults with obstructive sleep apnea and cardiovascular disease: a meta-analysis of randomized trials
It remains uncertain whether continuous positive airway pressure (CPAP) therapy would significantly impact hard clinical outcomes in patients with obstructive sleep apnea (OSA). This meta-analysis aimed to assess the effects of CPAP in survival and secondary prevention of major cardiovascular events in patients with OSA and cardiovascular disease (CVD). (Source: Sleep Medicine)
Source: Sleep Medicine - October 30, 2018 Category: Sleep Medicine Authors: Felipe da Silva Paulitsch, Linjie Zhang Tags: Original Article Source Type: research

Assessment of diurnal melatonin, cortisol, activity, and sleep −wake cycle in patients with and without diabetic retinopathy
To assess the diurnal melatonin, cortisol, and activity/rest levels, as well as sleep quality, in patients with and without nonproliferative diabetic retinopathy (DR). (Source: Sleep Medicine)
Source: Sleep Medicine - October 30, 2018 Category: Sleep Medicine Authors: Shakoor Ba-Ali, Adam Elias Br øndsted, Henrik Ullits Andersen, Birgit Sander, Poul Jørgen Jennum, Henrik Lund-Andersen Tags: Original Article Source Type: research

Cognitive processes mediate the effects of insomnia treatment: Evidence from a randomized wait-list controlled trial
Both guided online and individual face-to-face cognitive behavioral therapy for insomnia (CBT-I) are effective in improving insomnia symptoms and sleep efficiency. Little is known about the underlying mechanisms generating this effect. The present study tests the assumption that pre-sleep arousal, sleep-related worry and dysfunctional beliefs about sleep are mediators in the effect of cognitive behavioral treatment for insomnia. (Source: Sleep Medicine)
Source: Sleep Medicine - October 29, 2018 Category: Sleep Medicine Authors: J. Lancee, M. Effting, T. van der Zweerde, L. van Daal, A. van Straten, J.H. Kamphuis Tags: Original Article Source Type: research