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NEWS
Medical News: Sleep Inertia May Be More Debilitating Than Sleep Deprivation
www.medpagetoday.com -
www.medpagetoday.com/upload/2011/3/4/mm6008.pdf
www.medpagetoday.com -
Medical News: For Overworked Residents Sleep Deprivation Equals Alcohol Impairment
www.medpagetoday.com -

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PATIENT RESOURCES
Lifestyle Interventions for Four Conditions: Type 2 Diabetes, Metabolic Syndrome, Breast Cancer, and Prostate Cancer: Disposition of Comments
www.ahrq.gov - 7/31/11
Perceived Insufficient Rest or Sleep Among Adults
www.cdc.gov - 10/30/09
System Design: AHRQ Resources
www.ahrq.gov - 5/31/08

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CLINICAL TRIALS
Sleep Deprivation and Advancement of Sleep Period as Treatment for Bipolar Depression.
www.clinicaltrials.gov -
A Change in Diet May Decrease the Negative Consequences of Chronic Sleep Deprivation
www.clinicaltrials.gov -
Effect of Partial Sleep Deprivation on Cognition and Cytokines in Individuals With Major Depression
www.clinicaltrials.gov -

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Sleep Deprivation

 
 
LATEST FEATURES
May 16, 2013
Filling Gaps in Hypertension Rx: Sleep Disorders and Stroke
ASH 2013 has uncovered 2 glaring gaps in the management of people with sleep disorders (OSA as well as others) and appropriate care after a stroke.... More »
May 7, 2013
The Electroencephalogram in the Management of Psychiatric Conditions
The electroencephalogram (EEG) has a limited but definitive role in understanding and managing psychiatric conditions. When the presentation is... More »
April 24, 2013
Sleep Disorders Resource for Primary Care Physicians
Sleep disorders are among the most common medical complaints. To better address the problem, the NSF has launched a comprehensive free online sleep... More »
April 22, 2013
Young Women With Sleep Disorders at Risk for Depression Later
Young women who report having sleeping difficulties “often” in their early 20s have a 4- to 5-times increased risk of depression within 9 years,... More »
February 27, 2013
Understanding Astrocytes Holds Promise for Rapid Antidepressant Action
Astrocytic signaling to adenosine receptors results in the robust reduction of depressive-like behaviors associated with sleep deprivation. More »
January 25, 2013
What’s New Under the Moon—Insomnia and Sleep Deprivation
Insomnia—a sleep disorder that can pose impairments far more debilitating than than problems with cognition (eg, difficulty processing, unclear... More »
Showing 1 - 6 of 95 results.
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JOURNAL SCAN
Effect of telehealth on quality of life and psychological outcomes over 12 months (Whole Systems Demonstrator telehealth questionnaire study): nested study of patient reported outcomes in a pragmatic, cluster randomised controlled trial | BMJ
www.bmj.com - 2/25/13
AbstractObjective To assess the effect of second generation, home based telehealth on health related quality of life, anxiety, and depressive symptoms over 12 months in patients with long term conditions. Design A study of patient reported outcomes (the Whole Systems Demonstrator telehealth questionnaire study; baseline n=1573) was nested in a pragmatic, cluster randomised trial of telehealth (the Whole Systems Demonstrator telehealth trial, n=3230). General practice was the unit of randomisation, and tel
CAPMH | Full text | Resource factors for mental health resilience in early childhood: An analysis with multiple methodologies
www.capmh.com - 2/21/13
Given that relatively little is known about the development of resilience in early childhood, this longitudinal study aimed to identify preschool resource factors associated with young childrens mental health resilience to family adversity.|Given that relatively little is known about the development of resilience in early childhood, this longitudinal study aimed to identify preschool resource factors associated with young childrens mental health resilience to family adversity.
JAMA Network | JAMA | InsomniaInsomnia
jama.jamanetwork.com - 2/19/13
Findings Insomnia is a common clinical condition characterized by difficulty initiating or maintaining sleep, accompanied by symptoms such as irritability or fatigue during wakefulness. ... Adequate opportunity for sleep distinguishes insomnia from sleep
Melatonin, Light & Noise Reduction To Improve Sleep in the Neurological Intensive Care Unit (P01.025)
www.neurology.org - 2/13/13

OBJECTIVE: To increase total sleep time by using melatonin and mitigating environmental disruptions in brain injured patients.

BACKGROUND: Sleep in the ICU is often abnormal. Patients in medical ICUs have deficient melatonin production, which may lead to decreased sleep; light and sound levels have been implicated in fragmented sleep in medical/surgical ICUs. Given the cognitive, autonomic, and metabolic impact of sleep deprivation, both supplemental melatonin and mitigating environ

Dual Orexin Receptor Antagonist 12 Represses Expression of Proteins in Neurons and Glia Implicated in Peripheral and Central Sensitization (P06.158)
www.neurology.org - 2/13/13

OBJECTIVE: We investigated the effect of DORA-12 in models of trigeminal activation caused by REM sleep deprivation or inflammatory stimuli and measured changes in nocifensive responses and levels of proteins known to promote peripheral and central sensitization.

BACKGROUND: Trigeminal activation is implicated in migraine pathology and data from clinical studies support a significant relationship between sleep quality and migraine. Orexins regulate sleep-awake patterns in humans and

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MEDLINE
Fifty-three hours of total sleep deprivation has no effect on rewarming from cold air exposure.
pubmed.gov - 11/30/12
Sleep deprivation and cold air exposure are both experienced in occupational and military settings but the combined effects of these 2 stressors is unknown. The purpose of this study was to determine the effects of 53 hours of total sleep deprivation on thermoregulation during the rewarming phase (25C air) after acute cold air exposure (10C air).|Eight young men underwent 2 trials in which they either received 7 hours of sleep at night or were totally sleep deprived. On 3 consecutive mornings, the subjects underwent 2 hours of cold air exposure followed by 2 hours of rewarming. Rectal temperature, mean skin temperature, oxygen consumption, and thermal sensation were measured.|Rewarming from acute cold air exposure caused a decline in rectal temperature (~0.5C) each day but this was not different between subjects who were totally sleep deprived and subjects who received 7 hours of sleep at night. During this same period, mean skin temperature increased (from ~22C to 27C),
Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers.
pubmed.gov - 11/30/12
Sleep deprivation is common among resident physicians and clinical fellows. Current evidence about sleep science, performance, shift work, and medical errors consistently demonstrates positive impact from reduction of excessive duty hours, particularly when shift length is shortened. This article provides an overview of this literature, highlighting research on diminished physician cognitive performance due to sleep deprivation and the increase in the number of medical errors that is seen under these conditions. Accreditation Council on Graduate Medical Education trainee duty hour guidelines are reviewed. Practical approaches to evidence-based scheduling of shift-work are also discussed, with attention to improving patient safety.
Does sleep deprivation impair orthopaedic surgeons' cognitive and psychomotor performance?
pubmed.gov - 11/6/12
Sleep deprivation may slow reaction time, cloud judgment, and impair the ability to think. Our purpose was to study the cognitive and psychomotor performances of orthopaedic trauma surgeons on the basis of the amount of sleep that they obtained.|We prospectively studied the performances of thirty-two orthopaedic trauma surgeons (residents, fellows, and attending surgeons) over two four-week periods at an urban academic trauma center. Testing sessions used handheld computers to administer validated cognitive and psychomotor function tests. We conducted a multivariate analysis to examine the independent association between test performance and multiple covariates, including the amount of sleep the night before testing.|Our analysis demonstrated that orthopaedic surgeons who had slept four hours or less the night before the test had 1.43 times the odds (95% confidence interval, 1.04 to 1.95; p = 0.03) of committing at least one error on an individual test compared with orthopaedic
Overlapping prefrontal systems involved in cognitive and emotional processing in euthymic bipolar disorder and following sleep deprivation: a review of functional neuroimaging studies.
pubmed.gov - 11/1/12
Prefrontal cortex (PFC) mediated cognitive and emotional processing deficits in bipolar disorder lead to functional limitations even during periods of mood stability. Alterations of sleep and circadian functioning are well-documented in bipolar disorder, but there is little research directly examining the mechanistic role of sleep and/or circadian rhythms in the observed cognitive and emotional processing deficits. We systematically review the cognitive and emotional processing deficits reliant upon PFC functioning of euthymic patients with bipolar disorder and in healthy individuals deprived of sleep. The evidence from two parallel lines of investigation suggests that sleep and circadian rhythms may be involved in the cognitive and emotional processing deficits seen in bipolar disorder through overlapping neurobiological systems. We discuss current models of bipolar highlighting the PFC-limbic connections and discuss inclusion of sleep-related mechanisms. Sleep and circadian
Partial sleep deprivation and energy balance in adults: an emerging issue for consideration by dietetics practitioners.
pubmed.gov - 11/1/12
During the past 30 years, rates of partial sleep deprivation and obesity have increased in the United States. Evidence linking partial sleep deprivation, defined as sleeping <6 hours per night, to energy imbalance is relevant to weight gain prevention and weight loss promotion. With a majority of Americans overweight or obese, weight loss is a recommended strategy for reducing comorbid conditions. Our purpose was to review the literature regarding the role of partial sleep deprivation on energy balance and weight regulation. An inverse relationship between obesity and sleep duration has been demonstrated in cross-sectional and prospective studies. Several intervention studies have tested mechanisms by which partial sleep deprivation affects energy balance. Reduced sleep may disrupt appetitive hormone regulation, specifically increasing ghrelin and decreasing leptin and, thereby, influence energy intake. Increased wakefulness also may promote food intake episodes and energy imbalance.

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PRACTICE GUIDELINES
www.nhlbi.nih.gov/guidelines/archives/rls_gde/rls_gde_archive.pdf
www.nhlbi.nih.gov -
Chair) Director Sleep Disorders Center Montefiore Medical Center Bronx, New York Bruce L. ... of life due to waking discomfort, chronic sleep deprivation, and stress.
Microsoft Word
www.rcr.ac.uk -
LEP Are shift and on-call rota patterns designed so as to minimise the adverse effects of sleep deprivation?
National Guideline Clearinghouse | Excessive sleepiness. In: Evidence-based geriatric nursing protocols for best practice.
www.guidelines.gov -
Excessive sleepiness. In: Evidence-based geriatric nursing protocols for best practice.

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FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 
 
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