BACKGROUND Somatostatin analogs induce alterations in sleep in healthy adults. Presently, it is unknown whether somatostatin analog treatment affects sleep parameters in patients with acromegaly. DESIGN Case-control study. PATIENTS AND MEASUREMENTS We assessed sleepiness and sleep patterns in 62 adult patients (32 men, age 61 years (33-88 years) controlled by surgery alone or postoperative ...

Purpose Excessive daytime sleepiness is a common symptom in obstructive sleep apnea (OSA). Previous studies have showed that excessive daytime sleepiness is associated with some individual components of metabolic syndrome. We performed a large cross-sectional study to explore the relationship between excessive daytime sleepiness and metabolic syndrome in male OSA patients. Methods A total of ...

STUDY OBJECTIVE To evaluate the effect of continuing medical education (CME) activities on patient reported outcomes with regard to (1) screening for excessive sleepiness (ES) and obstructive sleep apnea (OSA) and (2) appropriate referral and treatment. METHODS A total of 725 patients were recruited from 75 providers who either participated or did not participate in Transtheoretical Model (TT...

OBJECTIVE To develop and validate a self-reported outcomes measure for patients with sleep-disordered breathing-the Snore Outcomes Survey. DESIGN Item areas of the SOS were developed by an expert panel. Consecutive patients were enrolled into the study in a prospective manner. Patients received the SOS, the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index, the Medical Outcomes Stu...

This study examined the effect of cobblestone-mat walking on older adults. Community-dwelling older adults (N = 40) were randomized into either an 8week cobblestone-mat walking activity (n = 22) or a control group (n = 18). Cobblestone-mat walking entailed three 45-min sessions per week. Primary outcomes included SF-12 (mental, physical), instrumental activities of daily living (IADLs), psychop...

Obstructive sleep apnoea (OSA) is a common, important disease associated with daytime sleepiness and a reduced quality of life. Moreover, untreated OSA is associated with increased healthcare utilisation and a significantly increased risk of motor vehicle crashes, hypertension, coronary artery disease and stroke. Treatment of patients with continuous positive airway pressure (CPAP) improves qua...

Driver sleepiness is a major contributor to severe crashes and fatalities on our roads. Many people continue to drive despite being aware of feeling tired. Prevention relies heavily on education campaigns as it is difficult to police driver sleepiness. The video sharing social media site YouTube is extremely popular, particularly with at risk driver demographics. Content and popularity of uploa...

background: humerus fractures include 5% to 8% of total fractures. non-:union: and delayed :union: of gt (gt) fractures is uncommon; however they present a challenge to the orthopedic surgeons. significant controversy surrounds optimal treatment of neglected fractures. the purpose of this article was to perform a comparative study to evaluate the outcomes of open reduction and internal fixation...

PURPOSE Excessive daytime sleepiness is highly prevalent in the general population, is the hallmark of narcolepsy, and is linked to significant morbidity. Clinical assessment of sleepiness remains challenging and the common objective multiple sleep latency test (MSLT) and subjective Epworth sleepiness scale (ESS) methods correlate poorly. We examined the relative utility of pupillary unrest ind...