Otolaryngology,
Год журнала:
2020,
Номер
162(4), С. 581 - 588
Опубликована: Фев. 4, 2020
Objective
To
test
the
association
between
preexisting
obstructive
sleep
apnea
(OSA)
and
subsequent
cancer
in
a
large
long‐term
cohort
of
veteran
patients.
Study
Design
Retrospective
matched
study.
Setting
The
Veterans
Affairs
Health
Care
System.
Subjects
Methods
All
patients
diagnosed
with
OSA
1993
2013
by
International
Classification
Diseases,
Ninth
Revision
(
ICD‐9
)
codes
any
facility
without
an
diagnosis,
to
age
index
year.
Cancer
diagnoses
were
identified
for
time
period
at
least
2
years
after
diagnosis
or
date.
We
tested
using
multivariate
Cox
regression
since
entry
as
axis,
adjusting
potential
confounders.
Results
included
1,377,285
(726,008
651,277
diagnosis)
mean
55
years,
predominantly
male
(94%),
minority
obese
(32%),
median
follow‐up
7.4
(range,
2.0‐25.2).
proportion
was
higher
those
vs
(8.3%
3.6%;
difference
4.8%;
95%
confidence
interval
[CI],
4.7%‐4.8%;
P
<.
001).
After
age,
sex,
year
entry,
smoking
status,
alcohol
use,
obesity,
comorbidity,
hazard
incident
nearly
double
(hazard
ratio,
1.97;
CI,
1.94‐2.00;
Conclusion
Preexisting
strongly
associated
this
cohort,
independent
several
known
risk
factors.
These
findings
suggest
that
may
be
strong,
factor
development.
Annals of Internal Medicine,
Год журнала:
2020,
Номер
172(5), С. 325 - 336
Опубликована: Фев. 17, 2020
Description:
In
September
2019,
the
U.S.
Department
of
Veterans
Affairs
(VA)
and
Defense
(DoD)
approved
a
new
joint
clinical
practice
guideline
for
assessing
managing
patients
with
chronic
insomnia
disorder
obstructive
sleep
apnea
(OSA).
This
is
intended
to
give
health
care
teams
framework
by
which
screen,
evaluate,
treat,
manage
individual
needs
preferences
VA
DoD
either
these
conditions.
Methods:
October
2017,
VA/DoD
Evidence-Based
Practice
Work
Group
initiated
development
effort
that
included
stakeholders
conformed
Institute
Medicine's
tenets
trustworthy
guidelines.
The
panel
developed
key
questions,
systematically
searched
evaluated
literature,
created
three
1-page
algorithms,
advanced
41
recommendations
using
GRADE
(Grading
Recommendations
Assessment,
Development
Evaluation)
system.
Recommendations:
synopsis
summarizes
in
3
areas:
diagnosis
assessment
OSA
disorder,
treatment
management
OSA,
disorder.
Three
algorithms
are
also
included.
Abstract
Sleep
problems
are
considered
a
core
symptom
of
depression.
However,
there
is
little
information
about
the
comorbidity
sleep
and
depression
in
low-
middle-income
countries
(LMICs),
whether
with
confer
additional
risk
for
decrements
health
compared
to
alone.
This
study
thus
examined
association
between
associated
an
increased
poorer
46
LMICs.
Cross-sectional,
community-based
data
from
237
023
adults
aged
≥18
years
World
Health
Survey
(WHS)
2002–2004
were
analyzed.
Information
on
(severe/extreme)
International
Classification
Diseases
10th
Revision
depression/depression
subtypes
was
collected.
Multivariable
logistic
(binary
multinomial)
linear
regression
analyses
performed.
subsyndromal
(odds
ratio
[OR]:
2.23,
95%
confidence
interval
[CI]:
1.84–2.70),
brief
depressive
episode
(OR
=
2.48,
CI
2.09–2.95)
3.61,
3.24–4.03).
(vs.
alone)
conferred
anxiety,
perceived
stress
domains
mobility,
self-care,
pain,
cognition,
interpersonal
activities.
Clinicians
should
be
aware
that
co-occurrence
variety
adverse
outcomes
Detecting
this
may
important
treatment
planning.
EBioMedicine,
Год журнала:
2023,
Номер
90, С. 104536 - 104536
Опубликована: Март 28, 2023
Genome-wide
association
studies
(GWAS)
for
obstructive
sleep
apnoea
(OSA)
are
limited
due
to
the
underdiagnosis
of
OSA,
leading
misclassification
which
consequently
reduces
statistical
power.
We
performed
a
GWAS
OSA
in
Million
Veteran
Program
(MVP)
U.S.
Department
Veterans
Affairs
(VA)
healthcare
system,
where
prevalence
is
close
its
true
population
prevalence.
Sensors,
Год журнала:
2025,
Номер
25(6), С. 1771 - 1771
Опубликована: Март 12, 2025
The
home
is
an
ideal
setting
for
long-term
sleep
monitoring.
This
review
explores
a
range
of
home-based
monitoring
technologies,
including
smartphone
apps,
smartwatches,
and
smart
mattresses,
to
assess
their
accuracy,
usability,
limitations,
how
well
they
integrate
with
existing
healthcare
systems.
evaluates
21
16
nine
mattresses
through
systematic
data
collection
from
academic
literature,
manufacturer
specifications,
independent
studies.
Devices
were
assessed
based
on
sleep-tracking
capabilities,
physiological
collection,
movement
detection,
environmental
sensing,
AI-driven
analytics,
integration
potential.
Wearables
provide
the
best
balance
affordability,
making
them
most
suitable
general
users
athletes.
Smartphone
apps
are
cost-effective
but
offer
lower
more
appropriate
casual
tracking
rather
than
clinical
applications.
Smart
while
providing
passive
comfortable
tracking,
costlier
have
limited
validation.
offers
essential
insights
selecting
technology.
Future
developments
should
focus
multi-sensor
fusion,
AI
transparency,
energy
efficiency,
improved
validation
enhance
reliability
applicability.
As
these
technologies
evolve,
has
potential
bridge
gap
between
consumer-grade
diagnostics,
personalized
health
accessible
actionable.
Medical Acupuncture,
Год журнала:
2018,
Номер
30(5), С. 262 - 272
Опубликована: Июль 2, 2018
Objective:
In
the
United
States,
∼1.6
million
adults
use
complementary
and
alternative
or
integrative
medicine
for
treating
pain
insomnia.
However,
very
few
studies
have
tested
of
auricular
acupuncture
using
a
standard
protocol
chronic
The
aims
this
research
were
to
assess
feasibility
credibility
acupuncture,
evaluate
effects
on
severity
interference
scores,
insomnia
over
an
8-day
study
period.
Materials
Methods:
Forty-five
participants
randomized
either
group
(AAG)
usual
care
(CG)
day
4.
A
was
administered,
with
penetrating
semipermanent
needles
in
place
up
4
days.
main
outcome
measures
conducting
study,
as
treatment
modality,
Brief
Pain
Inventory
Insomnia
Severity
Index
(ISI)
scores.
Results:
There
high
interest
retention
96%.
Credibility
both
groups.
AAG
led
significant
within-
between-group
reduced
compared
CG.
Both
groups
showed
within-group
decreased
ISI
scores
Conclusions:
With
heightened
focus
opioid
crisis
easy-to-administer
may
be
option
military
beneficiaries
who
Translational Issues in Psychological Science,
Год журнала:
2018,
Номер
4(1), С. 6 - 20
Опубликована: Март 1, 2018
Although
increasing
rates
of
cannabis
use
and
disorder
(CUD)
are
well-documented
among
veterans,
little
is
known
about
their
specifically
for
medicinal
purposes.
The
present
study
characterizes
such
compares
veterans
reporting
(n
=
66)
versus
recreational
77)
purposes
on
(a)
sociodemographic
factors,
(b)
psychiatric
disorders
(posttraumatic
stress
[PTSD],
major
depressive
[MDD],
CUD),
(c)
other
substance
use,
(d)
reasons
cannabis-related
problems,
(e)
physical
mental
health.
Participants
were
deployed
post
9/11/2001
recruited
from
a
Veterans
Health
Administration
(VHA)
facility
(N
143;
mean
[SD]
age
30.0
[6.6];
deployments
1.7
[1.1])
who
reported
past-year
use.
most
frequently
endorsed
conditions
(MC)
anxiety/stress,
PTSD,
pain,
depression,
insomnia.
In
logistic
regression
analyses
adjusted
frequency
MC
users
significantly
more
likely
(OR
3.16)
to
meet
criteria
PTSD
than
(RC)
users.
Relative
RC
users,
greater
motivation
using
cope
with
sleep
disturbance
as
well
poorer
quality
worse
differ
in
sleep,
health
functioning
problems
may
be
especially
relevant
issues
address
screening
providing
clinical
care
returning
