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AAP Releases Guideline on Diagnosis and Management of Obstructive Sleep Apnea Syndrome ...

Jun 15, 2013 - Obstructive sleep apnea syndrome (OSAS) commonly occurs in children, and if not treated, can cause complications. The American Academy of Pediatrics (AAP) originally released a guideline on the diagnosis and management of OSAS in children in 2002, but because of the significant increase...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0615/p889.html

AASM Updates Treatment Guidelines for Restless Legs Syndrome and Periodic Limb Movement...

Feb 15, 2013 - The American Academy of Sleep Medicine (AASM) last published recommendations on the treatment of restless legs syndrome (RLS) and periodic limb movement disorder in 2004. It recently updated these recommendations based on a literature review and meta-analysis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0215/p290.html

ACP Releases Guideline on the Management of OSA - Practice Guidelines - American Family...

Jul 1, 2014 - The American College of Physicians (ACP) has developed a guideline to assist physicians in choosing the best initial treatment for adults with Obstructive Sleep Apnea (OSA). Management is based on type and severity of symptoms and on patient education about the benefits vs. adverse ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0701/p56.html

An Oral Appliance Does Not Improve Sleep in Patients with Less Severe Sleep Apnea - ...

Dec 1, 2015 - An oral appliance does not improve daytime sleepiness or other measures of a good night's sleep. It does, however, decrease apnea scores, snoring, and restless legs. Although not studied, these improvements may be valuable for bed partners who sleep each night enduring patients' lower ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1201/p1021.html

Antidepressants for the Treatment of Insomnia in Patients with Depression - FPIN's ...

Nov 1, 2011 - There is no single antidepressant or class of antidepressants that is most effective for the treatment of insomnia in patients with depression. The use of antidepressant medications can have a positive impact on sleep physiology, but does not seem to improve subjective ratings of sleep ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/1101/od1.html

Can Melatonin Prevent or Treat Jet Lag? - Cochrane for Clinicians - American Family ...

Dec 1, 2002 - Daily doses of 0.5 to 5 mg of melatonin, taken at the target bedtime at the destination for two to five days after arrival, lessen the effects of jet lag.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/1201/p2087.html

CBT Effective for Chronic Insomnia - POEMs - American Family Physician

Jan 1, 2016 - A five-component approach to changing patients' beliefs and behaviors surrounding sleep is effective, at least in the short term, in getting persons to fall asleep and stay asleep, although total sleep time is not increased.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0101/p60.html

Chronic Insomnia: A Practical Review - American Family Physician

Oct 1, 1999 - 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 ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1431.html

Clinical Indicators of Obstructive Sleep Apnea - FPIN's Clinical Inquiries - American ...

May 1, 2011 - Clinical indicators (e.g., sex, snoring severity, history of apnea, age, menopausal status, waist-to-hip ratio, body habitus) can predict OSA as diagnosed using overnight polysomnography or sleep study.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0501/od1.html

Common Sleep Disorders in Children - American Family Physician

Mar 1, 2014 - Up to 50% of children will experience a sleep problem. Early identification of sleep problems may prevent negative consequences, such as daytime sleepiness, irritability, behavioral problems, learning difficulties, motor vehicle crashes in teenagers, and poor academic performance. ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0301/p368.html

Deprescribing Antipsychotics for Behavioral and Psychological Symptoms of Dementia and ...

Sep 15, 2018 - As part of the Deprescribing Guidelines in the Elderly Project, a Canadian team consisting of two family physicians, one geriatric psychiatrist, two geriatricians, and four pharmacists has provided recommendations to guide physicians in deprescribing antipsychotics for behavioral and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0915/p394.html

Deprescribing Benzodiazepine Receptor Agonists for Insomnia in Adults - Practice ...

Jan 1, 2019 - A multidisciplinary group of clinicians as part of the Deprescribing Guidelines in the Elderly project has developed evidence-based guidelines focused on deprescribing long-term Benzodiazepine receptor agonists (BZRAs) in patients taking them for insomnia, with the goal of helping ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0101/p57.html

Diagnosis and Treatment of Obstructive Sleep Apnea in Adults - American Family Physician

Sep 1, 2016 - Obstructive sleep apnea is a common disorder that causes patients to temporarily stop or decrease their breathing repeatedly during sleep. This results in fragmented, nonrestful sleep that can lead to symptoms such as morning headache and daytime sleepiness. Obstructive sleep apnea ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0901/p355.html

Doxepin (Silenor) for Insomnia - STEPS - American Family Physician

Aug 15, 2011 - In older patients with primary insomnia, Silenor can increase duration of sleep without next-day effects. However, it does not significantly decrease the time to sleep onset, and it is less effective in younger adults.

American Family Physician : STEPS

https://www.aafp.org/afp/2011/0815/p453.html

Eszopiclone (Lunesta) for Treatment of Transient and Chronic Insomnia - STEPS - ...

Jun 15, 2005 - 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.

American Family Physician : STEPS

https://www.aafp.org/afp/2005/0615/p2359.html

Excessive Daytime Sleepiness - American Family Physician

Mar 1, 2009 - Excessive daytime sleepiness is one of the most common sleep-related patient symptoms, and it affects an estimated 20 percent of the population. Persons with excessive daytime sleepiness are at risk of motor vehicle and work-related incidents, and have poorer health than comparable ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0301/p391.html

Home Sleep Testing for Diagnosing Obstructive Sleep Apnea - FPIN's Help Desk Answers - ...

Nov 15, 2017 - Home portable monitoring can be used as a substitute for in-laboratory polysomnography for the diagnosis of OSA in patients with a high pretest probability. Most patients prefer home monitoring, and clinical outcomes among patients diagnosed by either method are comparable regarding ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1115/od1.html

In Patients with Vascular Disease, Treating Sleep Apnea Does Not Reduce the Risk of ...

Jan 15, 2017 - Compared with usual care, the use of CPAP provides a modest improvement in daytime sleepiness, but does not reduce the likelihood of cardiovascular events, even in a high-risk population.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0115/p123.html

Insomnia - American Family Physician

Apr 1, 1999 - Insomnia is a common complaint with potentially significant medical and psychologic complications. In some cases insomnia presents as a symptom of another underlying medical, psychiatric or environmental condition. In these cases, management of insomnia depends on accurate diagnosis and...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1911.html

Insomnia: Pharmacologic Therapy - American Family Physician

Jul 1, 2017 - Insomnia accounts for more than 5.5 million visits to family physicians each year. Although behavioral interventions are the mainstay of treatment, pharmacologic therapy may be necessary for some patients. Understanding the risks and benefits of insomnia medications is critical. ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0701/p29.html

Light Therapy Improves Behavioral Disturbances, Sleep, Depression in Older Patients ...

Feb 15, 2018 - In this meta-analysis, older patients with cognitive impairment who were exposed to light therapy had moderate improvements in behavioral disturbances, small improvements in sleep quality, and moderate improvements in depression. The authors did not report data on responders vs. ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0215/od2.html

Management of Common Sleep Disorders - American Family Physician

Aug 15, 2013 - Sleep disorders are common and affect sleep quality and quantity, leading to increased morbidity. Patients with sleep disorders can be categorized as those who cannot sleep, those who will not sleep, those with excessive daytime sleepiness, and those with increased movements during ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0815/p231.html

Management of Insomnia Disorder in Adults - Implementing AHRQ Effective Health Care ...

Sep 1, 2018 - What are the effectiveness, comparative effectiveness, and adverse effects of interventions for insomnia disorder in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2018/0901/p319.html

Medications for Insomnia Treatment in Children - FPIN's Clinical Inquiries - American ...

Feb 1, 2008 - Melatonin may be effective for treating insomnia in healthy children and in those with physical or learning disabilities.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0201/p358.html

Nightmares and Disorders of Dreaming - American Family Physician

Apr 1, 2000 - 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

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2037.html

Nonpharmacologic Management of Chronic Insomnia - American Family Physician

Dec 15, 2015 - Insomnia affects 10% to 30% of the population with a total cost of $92.5 to $107.5 billion annually. Short-term, chronic, and other types of insomnia are the three major categories according to the International Classification of Sleep Disorders, 3rd ed. The criteria for diagnosis are ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1215/p1058.html

Obstructive Sleep Apnea - American Family Physician

Nov 15, 1999 - 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 ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2279.html

Obstructive Sleep Apnea and Essential Hypertension -- Is There a Link? - Editorials - ...

Jan 15, 2002 - Advertisement << Previous article Next article >> Jan 15, 2002 Issue Editorials Obstructive Sleep Apnea and Essential Hypertension—Is There a Link? BENJAMIN W. CHASKA, M.D., Park Nicollet Health Services, St. Louis Park, Minnesota Am Fam Physician. 2002 Jan 15;65(2):182-187. Related...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0115/p182.html

Obstructive Sleep Apnea Syndrome in Children - Practice Guidelines - American Family ...

Oct 1, 2002 - 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.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2002/1001/p1338.html

Oral Appliances for Obstructive Sleep Apnea? - Cochrane for Clinicians - American ...

Mar 1, 2006 - Although oral appliances provide improved subjective sleepiness and sleep-disordered breathing, continuous positive airway pressure (CPAP) is more effective. Oral appliances should not be used as a first-line treatment but rather should be reserved for patients who cannot tolerate CPAP ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0301/p801.html

Practice Guidelines - Jul 15, 2005 - American Family Physician

Jul 15, 2005 - 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.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0715/p339.html

Practice Guidelines - Jul 15, 2005 - American Family Physician

Jul 15, 2005 - The Centers for Disease Control and Prevention (CDC) recently issued statistics on the percentage of persons younger than 65 years without health insurance in the United States.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0715/p339a.html

Primary Insomnia in Older Persons - Clinical Evidence Handbook - American Family Physician

Feb 15, 2013 - What are the effects of nondrug and drug treatments for primary insomnia in older persons (those 60 years and older)?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2013/0215/p280.html

Problem Sleepiness: An Often Unrecognized Condition - Editorials - American Family ...

Feb 15, 1999 - Advertisement << Previous article Next article >> Feb 15, 1999 Issue Editorials Problem Sleepiness: An Often Unrecognized Condition BILL ZEPF, M.D., Sutter Family Practice Residency Program, Davis, California Am Fam Physician. 1999 Feb 15;59(4):762-771. Related Article Just as...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/0215/p762.html

Ramelteon (Rozerem) for Insomnia - STEPS - American Family Physician

Apr 15, 2006 - Ramelteon is safe and effective for decreasing the time to persistent sleep in patients with chronic insomnia. It does not have the potential for abuse or dependence that sedative hypnotics have and is not a controlled substance.

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0415/p1437.html

Recognizing Problem Sleepiness in Your Patient - American Family Physician

Feb 15, 1999 - Normal sleep is required for optimal functioning. Normal wakefulness should be effortless and free of unintended sleep episodes. Problem sleepiness is common and occurs when the quantity of sleep is inadequate because of primary sleep disorders, other medical conditions or lifestyle ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p937.html

Respiratory Indications for Polysomnography in Children - Practice Guidelines - ...

Feb 1, 2012 - Although assessment of sleep disorders in children relies on the history and physical examination, polysomnography (PSG) is sometimes used to aid in the diagnosis. The American Academy of Sleep Medicine has provided recommendations regarding the use of the test in children. This ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0201/p290.html

Risks Associated with Long-Term Benzodiazepine Use - Editorials - American Family ...

Aug 15, 2013 - Many patients underestimate the degree of impairment caused by benzodiazepines. Benzodiazepines increase the risk of addiction, withdrawal, cognitive decline, motor vehicle crashes, and hip fracture. The risk of overdose is particularly great when combined with sedative drugs such as ...

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0815/p224.html

Screening for Obstructive Sleep Apnea in Adults - Putting Prevention into Practice - ...

Jul 15, 2017 - R.K. is a 52-year-old white man who presents to your office for a preventive health visit. He is overweight and has a history of hypertension and hyperlipidemia, which are stable and well controlled with medication. One of his coworkers was recently diagnosed with obstructive sleep ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/0715/p123.html

Screening for Obstructive Sleep Apnea in Adults: Recommendation Statement - U.S. ...

Jul 15, 2017 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for obstructive sleep apnea (OSA) in asymptomatic adults.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2017/0715/od1.html

Sleep Apnea - Clinical Evidence Handbook - American Family Physician

Jan 15, 2010 - What are the effects of treatment for severe and nonsevere OSAHS?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0115/p195.html

Sleep Disorders and Sleep Problems in Childhood - American Family Physician

Jan 15, 2001 - 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, ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0115/p277.html

Sleep Disorders in Adults - American Family Physician

Jan 1, 2019 - Advertisement AFP BY TOPIC Sleep Disorders in Adults Editors' Choice of Best Available Content PRINT COMMENTS ADD TO FAVORITES REMOVE FAVORITE This page will be removed from your Favorites Links. Are you sure? SHARE This collection features the best...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=83

Sleep Disorders in Children - American Family Physician

Jun 15, 2017 - Advertisement AFP BY TOPIC Sleep Disorders in Children Editors' Choice of Best Available Content PRINT COMMENTS ADD TO FAVORITES REMOVE FAVORITE This page will be removed from your Favorites Links. Are you sure? SHARE This collection features the best...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=84

Sleep Problems in the Elderly - American Family Physician

May 1, 1999 - Refreshing sleep requires both sufficient total sleep time as well as sleep that is in synchrony with the individual's circadian rhythm. Problems with sleep organization in elderly patients typically include difficulty falling asleep, less time spent in the deeper stages of sleep, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2551.html

Suvorexant (Belsomra) for Insomnia - STEPS - American Family Physician

Jun 15, 2016 - Suvorexant effectively increases total sleep time and decreases time to sleep onset. Because of its risk of abuse, significant incidence of next-day impairment, and high cost, it should be reserved for use in patients for whom other insomnia therapies, such as cognitive behavior therapy...

American Family Physician : STEPS

https://www.aafp.org/afp/2016/0615/p1016.html

Treating Obstructive Sleep Apnea Improves Essential Hypertension and Quality of Life - ...

Jan 15, 2002 - 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 ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p229.html

Treating Sleep Apnea with Positive Airway Pressure Does Not Reduce Adverse CV Outcomes ...

Nov 15, 2017 - The use of PAP for adults with sleep apnea does not reduce adverse CV events or mortality. Patients who experience daytime fatigue at baseline benefit from reduced sleepiness and improved physical and mental well-being. Order sleep testing only in patients with signs or symptoms of ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/1115/od5.html

Treatment of Chronic Insomnia in Adults: ACP Guideline - Practice Guidelines - American...

May 15, 2017 - The American College of Physicians (ACP) has provided recommendations for treatment of chronic insomnia in adults. Treatment, which can include psychological or pharmacologic therapy, alone or combined, as well as complementary and alternative methods, is aimed at improving sleep, ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0515/p669.html

Treatment of Obstructive Sleep Apnea in Primary Care - American Family Physician

Feb 1, 2004 - 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 ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p561.html

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