Sleep Disorders

Jul 15, 2005 Issue
AAP Releases Report on Excessive Sleepiness in Adolescents [Practice Guidelines]

Inadequate sleep has become a widespread problem for adolescents. The American Academy of Pediatrics (AAP) has released a technical report on the causes and consequences of adolescent sleepiness.

Jun 15, 2005 Issue
Eszopiclone (Lunesta) for Treatment of Transient and Chronic Insomnia [STEPS]

Similar to other hypnotic drugs, eszopiclone treats the symptom of insomnia and not the underlying cause. It offers no advantage over other nonbenzodiazepine hypnotic agents for transient insomnia and it therefore should be considered a second-line agent.

Mar 1, 2004 Issue
Obstructive Sleep Apnea in Children [Article]

Obstructive sleep-disordered breathing is common in children. From 3 percent to 12 percent of children snore, while obstructive sleep apnea syndrome affects 1 percent to 10 percent of children. The majority of these children have mild symptoms, and many outgrow the condition. Consequences of untreat...

Feb 1, 2004 Issue
Treatment of Obstructive Sleep Apnea in Primary Care [Article]

Obstructive sleep apnea should be suspected in patients who are overweight snore loudly, and have chronic daytime sleepiness. The diagnosis of sleep apnea may be confirmed by sleep laboratory studies. Patients' symptoms and the frequency of respiratory events on laboratory testing are important fact...

Oct 1, 2002 Issue
Obstructive Sleep Apnea Syndrome in Children [Practice Guidelines]

The American Academy of Pediatrics (AAP) has developed a practice guideline on the diagnosis and management of obstructive sleep apnea syndrome in children. This syndrome occurs in children of all ages, but it is thought to be most common in preschool-aged children.

Jan 15, 2002 Issue
Treating Obstructive Sleep Apnea Improves Essential Hypertension and Quality of Life [Article]

About one half of patients who have essential hypertension have obstructive sleep apnea, and about one half of patients who have obstructive sleep apnea have essential hypertension. A growing body of evidence suggests that obstructive sleep apnea is a major contributing factor in the development of ...

Jan 15, 2001 Issue
Sleep Disorders and Sleep Problems in Childhood [Article]

Sleep problems are common in childhood. A distinction is made between problems in which polysomnography is abnormal (i.e., the parasomnias, sleep apnea and narcolepsy) and problems that are behavioral in origin and have normal polysomnography. The parasomnias--sleep terrors, somnambulism and enuresi...

Apr 1, 2000 Issue
Nightmares and Disorders of Dreaming [Article]

Dreams occur during all stages of sleep. Nightmares are common. They can be associated with poor sleep and diminished daytime performance. Frequent nightmares are not related to underlying psychopathology in most children and in some "creative" adults. However, recurrent nightmares are the most defi...

Nov 15, 1999 Issue
Obstructive Sleep Apnea [Article]

Obstructive sleep apnea is a significant medical problem affecting up to 4 percent of middle-aged adults. The most common complaints are loud snoring, disrupted sleep and excessive daytime sleepiness. Patients with apnea suffer from fragmented sleep and may develop cardiovascular abnormalities becau...

Oct 1, 1999 Issue
Chronic Insomnia: A Practical Review [Article]

Insomnia has numerous, often concurrent etiologies, including medical conditions, medications, psychiatric disorders and poor sleep hygiene. In the elderly, insomnia is complex and often difficult to relieve because the physiologic parameters of sleep normally change with age. In most cases, however...

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