Doctor Ruggles is Division Medical Director and Head, Section of Epilepsy and Sleep Disorders, Marshfield Clinic. Doctor Hausman is Director, Marshfield Clinic Sleep Disorders Center. ABSTRACT Excessive Daytime Sleepiness (EDS) is a difficult clinical problem, which is often indicative of a serious underlying physiologic condition. EDS is associated with automobile accidents, work-related injur...

* Pulmonary Division. Department of Medicine, University of New Mexico, Albuquerque, New Mexico, U.S.A.; tDepartment of Clinical Dental Sciences, University of British Columbia, Vancouver, British Columbia, Canada; t.Department of Medicine, Pulmonary/Critical Care Division, Penn State College of Medicine, Hershey, Pennsylvania, U.S.A.; §Sleep Disorders Service and Research Center, Rush-Presbyte...

STUDY OBJECTIVES To determine whether differences in sleep apnea severity between men and women referred to a sleep clinic are related to the differences in neck circumference (NC). STUDY DESIGN Case series. SETTING University hospital sleep disorders clinic. PARTICIPANTS A total of 3,942 patients (2,753 men and 1,189 women) referred to the sleep clinic. MEASUREMENTS AND RESULTS All pat...

The purpose of this study was to describe the function and structure of an interdisciplinary outpatient pediatric sleep clinic. In addition, the frequency of individual and comorbid sleep diagnoses, the prevalence of comorbid medical or psychiatric disorders, and the types of treatment recommendations and referrals provided to patients at the end of their clinic visits was examined. Over a 4-mo...

background: sleep is an important aspect of healthy lifestyle. one of the prevalent diabetes mellitus-related non-vascular complications is sleep problems. the aim of this study was to investigate the effects of a non-pharmacological care plan designed based on the continuous care model (ccm) on sleep quality in patients with type ii diabetes with two month follow up. methods: this randomized c...

OBJECTIVE To establish the psychometric properties of a self-report measure of daytime sleepiness for school-aged children. METHODS Three hundred eighty-eight children aged 8-12years (inclusive) from paediatrician's offices, sleep clinic/labs, children's hospitals, schools, and the general population were recruited. A multi-method approach was used to validate the Children's Report of Sleep P...

We examined 129 patients recruited from two sleep clinics to study the sleep apnea syndrome (SAS), defined by the apnea-hypopnea index (AHI) > or = 10. Information was registered from a self-administered questionnaire, basal physical measurements, and polysomnography. In 68 subjects recorded for two consecutive nights, a high correlation was found between first- and second-night AHIs (r = 0.89)...

Introduction: Adenoid hypertrophy is the most common cause of chronic airway obstruction in children. The aim of this study was to evaluate the effect of adenotonsillectomy on sleep and behavioral disorders in children with adenotonsillar hypertrophy.   Materials and Methods: In a prospective observational study, all children with an indication of adenotonsillectomy based on American Academy of...