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.
Abstract
Study
Objectives
Post-9/11
veterans
are
particularly
vulnerable
to
insomnia
disorder.
Having
accurate
prevalence
rates
of
disorder
in
this
relatively
young,
diverse
population,
is
vital
determine
the
resources
needed
identify
and
treat
However,
there
no
for
post-9/11
enrolling
VA
Healthcare
System
(VHA).
We
present
disorder,
correlates,
a
large
sample
VHA.
Methods
This
was
an
observational
study
5,552
newly
health
care
Data
were
collected
using
eScreening.
Insomnia
diagnosis
determined
clinical
cutoff
score
≥
11
on
Severity
Index.
Measures
also
included
sociodemographic,
service
history,
posttraumatic
stress
(PTSD),
depression,
suicidal
ideation,
alcohol
misuse,
military
sexual
trauma,
traumatic
brain
injury
(TBI),
pain
intensity.
Results
About
57.2%
population
had
Our
nationally
representative
age,
sex,
ethnicity,
branch
military,
race.
The
at
high-risk
host
disorders,
including
PTSD,
TBI,
pain;
all
which
showed
higher
(93.3%,
77.7%,
69.6%,
respectively).
Conclusions
findings
suggest
alarmingly
high
population.
Examining
treating
especially
context
co-occurring
disorders
(e.g.
PTSD),
will
be
necessity
future.
Alcoholism Clinical and Experimental Research,
Год журнала:
2019,
Номер
43(6), С. 1244 - 1253
Опубликована: Март 26, 2019
Insomnia
is
highly
prevalent
in
individuals
recovering
from
alcohol
dependence
(AD)
and
increases
their
risk
of
relapse.
Two
studies
evaluating
cognitive
behavior
therapy
for
insomnia
(CBT-I)
have
demonstrated
its
efficacy
non-Veterans
AD.
The
aim
this
study
was
to
extend
these
findings
an
8-week
trial
CBT-I
Veterans.Veterans
AD
were
randomly
assigned
8
weeks
treatment
with
(N
=
11)
or
a
Monitor-Only
(MO;
N
condition
evaluated
3
21/22)
6
months
posttreatment
18/22).
primary
outcome
measure
the
Severity
Index
(ISI)
score.
Secondary
measures
sleep
diary
measures,
percent
days
abstinent
(PDA),
scores
on
Dysfunctional
Beliefs
Attitudes
About
Sleep
Scale
(DBAS),
Hygiene
(SHI),
Penn
Alcohol
Craving
(PACS),
Quick
Inventory
Depressive
Symptoms
(QIDS),
State-Trait
Anxiety
Inventory-Trait
(STAI-T)
scale,
Short
Form
12-item
(SF-12).
Mixed-effects
regression
models,
adjusted
race,
differences
outcomes
between
groups
over
6-month
period
(clinicaltrials.gov
identifier
NCT01603381).Subjects
male,
aged
54.5
(SD
6.9)
years,
had
26.4
26.3)
abstinence
before
baseline
evaluation.
produced
significantly
greater
improvement
model-based
estimates
than
MO
(mean
change
at
compared
baseline)
ISI,
latency
daily
diary,
DBAS
mean
score,
SHI
total
PDA
QIDS
improved
time,
but
there
no
difference
groups.
PACS,
STAI-T,
SF-12
scale
did
not
show
any
scores.CBT-I
substantial
reducing
insomnia,
associated
negative
cognitions,
improving
hygiene
Veterans
during
early
recovery,
though
it
reduce
drinking
behavior.
Journal of Clinical Neurology,
Год журнала:
2022,
Номер
18(2), С. 140 - 140
Опубликована: Янв. 1, 2022
Sleep
disorder
has
been
portrayed
as
merely
a
common
dissatisfaction
with
sleep
quality
and
quantity.
However,
is
actually
medical
condition
characterized
by
inconsistent
patterns
that
interfere
emotional
dynamics,
cognitive
functioning,
even
physical
performance.
This
consistent
abnormalities
being
more
in
patients
autonomic
dysfunction
than
the
general
population.
The
nervous
system
coordinates
various
visceral
functions
ranging
from
respiration
to
neuroendocrine
secretion
order
maintain
homeostasis
of
body.
Because
cell
population
efferent
signals
involved
regulation
are
spatially
adjacent
those
regulate
sleep-wake
system,
architecture
coordination
exert
effects
on
each
other,
suggesting
presence
bidirectional
relationship
addition
shared
pathology.
primary
goal
this
review
highlight
between
regulation.
It
also
introduces
insomnia,
breathing
disorders,
central
disorders
hypersomnolence,
parasomnias,
movement
disorders.
information
will
assist
clinicians
determining
how
neuromodulation
can
have
greatest
therapeutic
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.
Unique
characteristics
and
service
exposures
of
the
post-9/11
cohort
U.S.
Veterans
can
influence
their
sleep
health
associated
comorbidities.
The
objectives
this
study
were
to
learn
about
men
women
Veterans'
"front
line"
VA
providers'
knowledge
experiences
with
Health
Administration
(VA)
management.
One
sample
included
who
received
care
(n=23;
60%
women;
Mage:
45
y).
To
complement
those
views,
primary
mental
providers
recruited
from
medical
centers
(n=27).
Semistructured
qualitative
interviews
conducted
using
Microsoft
Teams.
Questions
pertained
knowledge,
practices,
perceived
barriers
sleep-related
care.
Interview
data
synthesized
content
analysis
inductive
coding
characterize
major
themes.
Four
main
themes
emerged:
(1)
Sleep
is
viewed
as
foundational
but
often
have
limited
related
more
routine
education
needed.
(2)
Men
distinct
management
needs.
Relative
men,
are
likely
advocate
for
assessment
behavioral
versus
pharmacological
treatment.
(3)
practices
vary
considerably
between
clinics
providers.
(4)
each
experience
unique
Post-9/11
view
critical.
Yet,
needs
be
uniform.
Providers
motivated
assess
require
standardized
low-burden
opportunities
incorporate
into
practice,
perhaps
screening.
Ultimately,
specialized
required
meet
responsibility
health.
Journal of Clinical Sleep Medicine,
Год журнала:
2019,
Номер
15(09), С. 1355 - 1364
Опубликована: Сен. 13, 2019
(1)
Review
the
prevalence
and
comorbidity
of
sleep
disorders
among
United
States
military
personnel
veterans.
(2)
Describe
status
care
services
at
Veterans
Health
Administration
(VHA)
facilities.
(3)
Characterize
demand
for
veterans
availability
across
VHA.
(4)
VA
TeleSleep
Program
that
was
developed
to
address
this
demand.
Journal of Clinical Sleep Medicine,
Год журнала:
2021,
Номер
17(6), С. 1267 - 1277
Опубликована: Март 3, 2021
Veterans
experience
high
levels
of
trauma,
psychiatric,
and
medical
conditions
that
may
increase
their
risk
for
insomnia.
To
date,
however,
no
known
study
has
examined
the
prevalence,
correlates,
comorbidities
insomnia
in
a
nationally
representative
sample
veterans.
