Until recently the occurrence of sleep disordered breathing in premenopausal women has been considered to be so low as to be insignificant and, as a result, research into the consequent cardiovascular risk in this group has been completely neglected. However, recent epidemiological evidence based on sleep clinic data suggests that the incidence of significant sleep disordered breathing in young...

Obstructive sleep apnea (OSA) is a common sleep disorder, especially in middle-aged and obese patients. However, the diagnosis and treatment of OSA is complex, particularly in patients with mild or moderate symptoms and co-occurring medical problems. Furthermore, sleep disorders are interconnected with diverse factors, such life style, shift work, and psychological problems. Case-based reasonin...

OBJECTIVE To assess the prevalence of insomnia symptoms in patients with objectively diagnosed sleep-disordered breathing (SDB). DESIGN Retrospective medical chart review of a representative sample of patients with SDB. SETTING University sleep-disorders clinic and laboratory. PATIENTS Two hundred thirty-one patients with SDB were selected from a pool of approximately 2,000 patients with ...

OBJECTIVES To evaluate the clinical and cost impact of providing, in routine general practice settings, a cognitive-behaviour therapy (CBT) package for insomnia to long-term hypnotic drug users with chronic sleep difficulties; and to identify factors associated with variations in clinical outcomes. DESIGN A pragmatic cluster randomised controlled trial with two treatment arms (a CBT-treated '...

BACKGROUND The sleep history is essential to recognizing clinically important sleep disorders, but little is documented about its performance in the primary care setting. STUDY OBJECTIVES To estimate the frequency of documented sleep histories by medical house officers (HOs) in an ambulatory medicine clinic and to assess whether a chart reminder influences their performance. DESIGN We revie...

STUDY OBJECTIVES (1) Present preliminary psychometrics for the Children's Report of Sleep Patterns (CRSP), a three-module measure of Sleep Patterns, Sleep Hygiene, and Sleep Disturbance; and (2) explore whether the CRSP provides information about a child's sleep above and beyond parental report. METHODS A multi-method, multi-reporter approach was used to validate the CRSP with 456 children ag...

background: it has been prover that the prevalence of experiencing job related stress is very high among the dentists. this stress can be the result of factors such as poor lightening of dental office and noise. this stress can cause emotional distress and threaten dentists’ physical health and affect the quality of their life. this study is conducted to determine dentists’ professional quality...

Abstract Introduction Non-arteritic ischemic optic neuropathy (NAION) is the most common nerve disorder among patients over age of 50. Several risk factors have been associated with NAION including systemic hypertension, diabetes mellitus, advanced age, and certain disc morphologies. A significant association between obstructive sleep apnea (OSA) has also reported. Here, we present a case middl...

B lood pressure (BP) levels in the doctor’s clinic may not always reflect those of daily living, as indicated by 24-h ambulatory or self-monitoring measurements. Simple logic implies that treatment should be guided by the actual BP levels, rather than by imprecise clinic measurements. On average, BP measured in the clinic is higher than out-of-office BP. This difference occurs in a considerable...