When the insomnia that we are just not doing, just to quickly go to the "kingdom of Morpheus". And elephants believe, and sheep - and in the end still almost until morning to turn. That would be a universal cure for insomnia. But, unfortunately, it has not come up (if not take pills). But you can make yourself sleep through other effective methods of insomnia.

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Modern Medicine - Sleep Disorders

Clinical information, articles, medical news and research concerning Insomnia & Sleep Medicine. Diagnosis and treatment information including decision support tools for formulary and ICD-9 codes. Topics include sleep disorder, insomnia, sleep medicine, sleeplessness, restless leg syndrome, obstructive sleep apnea, sleep-disordered, upper airway resistance syndrome, Narcolepsy and more.

Great Cost Associated with Being Sleepless in Quebec

Insomnia has a substantial economic impact in both direct and indirect costs, according to the results of a study in Quebec, Canada. The findings are published in the January issue of Sleep.

Abnormal Sleep Predicts Later Neurodegeneration

Idiopathic REM sleep behavior disorder is a substantial risk factor for the development of neurodegenerative diseases, particularly Parkinson's disease and Lewy body dementia, according to study findings published online Dec. 24 in Neurology.

Sleep Duration Linked to Coronary Artery Calcification

In middle-aged adults, longer sleep duration is independently associated with a decreased risk of coronary artery calcification, according to the results of a study published in the Dec. 24/31 issue of the Journal of the American Medical Association.

Nasal Obstruction Linked to Snoring, Daytime Sleepiness

Nasal obstruction contributes to snoring and excessive daytime sleepiness regardless of whether a person has allergic rhinitis, and this and other forms of sleep-disordered breathing are associated with resting energy expenditure, according to two reports published in the December issue of the Archives of Otolaryngology - Head & Neck Surgery.

Late School Start Reduces Teens' Risk of Car Accidents

Allowing adolescents to start the school day one hour later than normal is associated with increased sleep and a reduction in the number of teen motor vehicle accidents, researchers report in the Dec. 15 issue of the Journal of Clinical Sleep Medicine.

Eye conditions linked with obstructive sleep apnea

Eye disease and sleep disorders are linked in several ways, according to research published recently in Mayo Clinic Proceedings.

Melatonin Agonist Tasimelteon Helps Combat Insomnia

The melatonin agonist tasimelteon improves both sleep initiation and maintenance in patients who have experienced a sudden advance in sleep time, and shows potential in treating transient insomnia, according to a report published online Dec. 2 in The Lancet.

Study: sleeplessness in children linked to overweight

Twenty-six percent of children ages 2 and a half to 6 who sleep fewer than 10 hours a night may be overweight, according to a University of Montreal study.

Obstructive Sleep Apnea Increases Cardiovascular Risk

Increased serum carbon monoxide levels, a marker for cardiovascular risk, are related to hypoxia during sleep in obstructive sleep apnea patients, according to a clinical study published in the November issue of the journal Chest.

Fatigue a Chronic Problem for Many Patients

A longitudinal relationship exists between fatigue severity, impaired functioning and psychological symptoms among patients presenting to a primary care physician with a chief complaint of fatigue, researchers report in the November/December issue of the Annals of Family Medicine.

Short Nighttime Sleep Duration May Raise Heart Disease Risk

The risk of cardiovascular disease among patients with hypertension is higher for those who have less than 7.5 hours' sleep at night, researchers report in the Nov. 10 issue of the Archives of Internal Medicine.

Understanding and Recognizing Obstructive Sleep Apnea

Learning Objectives: Upon completion of this activity, participants will be able to: ? Recognize common symptoms associated with sleep deprivation. ? Identify individuals at high risk of obstructive sleep apnea (OSA). ? Choose appropriate methods for diagnosing OSA. ? Manage OSA using evidence-based recommendations. ? Anticipate and address barriers to patient adherence to treatment.

Model May Explain Variability in Sleep-Disordered Breathing

Factors with competing effects on regional cerebral oxygenation in children can be put into a model that may explain the variability in neurocognitive deficits in children with sleep-disordered breathing, according to research published in the Oct. 15 issue of the American Journal of Respiratory and Critical Care Medicine.

Getting Patients Back to Sleep: A Clinician's Guide to Chronic Insomnia

LEARNING OBJECTIVES At the completion of this activity, participants should be better prepared to: 1. Explain the evolution of insomnia characterized by predisposing, precipitating, and perpetuating factors that affect implications for the management of insomnia. 2. Discuss the importance of treating insomnia in parallel with comorbid medical or psychiatric disorders. 3. Describe how to conduct a comprehensive clinical assessment and risk-benefit analysis to develop an individualized treatment plan for the patient with chronic insomnia.

Poor Sleep Linked to Risk of Falls in Elderly Women

In elderly women, short sleep and sleep fragmentation are independently associated with an increased risk of falls, according to study findings published in the Sept. 8 issue of the Archives of Internal Medicine.

Long Hours Tied to Declining Interest in Internal Medicine

While internal medicine interns work long hours, are often sleep deprived and miss educational activities, medical students cite favorable educational experiences, lifestyle factors and positive feelings towards caring for internal medicine patients as affecting their decision to choose internal medicine as a career, according to two reports published in the Sept. 10 issue of the Journal of the American Medical Association.

Daytime Sleeping Slows Recovery in Rehab Inpatients

Sleep disturbance is common among patients treated in acute rehabilitation units and increased daytime sleeping may be associated with less functional recovery, according to an article in the September issue of Sleep.

Heavy Snoring Linked to Carotid Atherosclerosis

Heavy snoring is associated with a more than 10-fold higher risk of carotid atherosclerosis but not with femoral atherosclerosis, researchers report in the Sept. 1 issue of Sleep.

Temperature Changes May Improve Elderly Sleep

While changes in temperature affect sleep of young and old patients similarly, elderly patients may not perceive these temperature changes, which may contribute to sleep complaints, researchers report in the September issue of Sleep.

Case Studies in Obstructive Sleep Apnea: Early Identification and Treatment

Learning Objectives: Upon completion of this activity, participants will be able to: ? Recognize the symptoms of the drowsy patient (excessive sleepiness) and its causes. ? Identify individuals who are at particular risk for obstructive sleep apnea (OSA). ? Compare effectiveness of polysomnography with that of other tools used to diagnose obstructive sleep apnea. ? Prescribe treatment, including behavioral therapy, pharmacologic agents, and continuous positive airway pressure (CPAP), for patients who have OSA. ? Support patients throughout treatment to ensure correction of underlying sleep deficits.

Study: Intranasal steroid eases mild obstructive sleep apnea

Children with mild obstructive sleep apnea may benefit from intranasal budesonide.

Sleep Quality Linked to Hypertension in Healthy Teens

Healthy adolescents with poor quality of sleep are more likely to have prehypertension, according to research published online Aug. 18 in Circulation: Journal of the American Heart Association.

Resident Burnout Declines Following Duty Hour Standard

While resident burnout declined following implementation of the Accreditation Council for Graduate Medical Education standards, duty hour restrictions, total work or sleep hours, medical error rates and occupational injury rates did not significantly change, researchers report in the August issue of Pediatrics.

Sleep Apnea Linked to Higher Death Risk

Patients with moderate-to-severe sleep apnea or severe sleep-disordered breathing have a higher risk of death than those without sleeping problems, according to two studies published in the Aug. 1 issue of Sleep.

Sleep Apnea Cardiovascular Link Needs More Research

Despite the link between sleep-disordered breathing and cardiovascular disease, more research is needed to explain how these two conditions interact so that sleep medicine specialists and cardiologists can develop a consensus concerning best practice, according to an American Heart Association/American College of Cardiology Foundation scientific statement published in the July 29 issue of Circulation.

Elderly Sleep Fewer Hours Than Younger People

The elderly have a lower tendency to sleep during the day and sleep about 1.5 hours less per day than younger people, which could have implications for age-related insomnia, researchers report in the Aug. 5 issue of Current Biology.

Program Improves Insomnia After Cancer Treatment

A cognitive behavior therapy program consisting of small group sessions teaching stimulus control, sleep restriction and cognitive therapy strategies can improve sleep in cancer patients dealing with insomnia post-treatment, according to the results of a study published online June 30 in the Journal of Clinical Oncology.

News: Hot flashes, sleep disturbances in breast CA survivors reduced with neural block

Neural block reduces hiot flashes in breast cancer survivors.

Mothers Often Engage in Risky Infant Care Practices

Mothers often engage in infant care practices that increase the risk of sudden infant death, including bed-sharing, placing infants in a prone position for sleep in a bassinet, or cluttering the bassinet with objects that can cause suffocation, according to two studies published online June 26 in the Journal of Pediatrics.

SLEEP 2008, June 7-12, 2008

Apnea Linked to Lower Mammillary Body Volume

Patients with obstructive sleep apnea showed lower mammillary body volumes compared to control subjects, which may be a factor in the memory deficits known to accompany the condition, according to research published in the June 27 Neuroscience Letters.

SLEEP 2008: Cell Phone Use Affects Teenagers' Sleep

Among teenagers, excessive cell phone use is associated with disrupted sleep, restlessness, stress and fatigue, according to research presented this week at SLEEP 2008, the 22nd Annual Meeting of the Associated Professional Sleep Societies, held in Baltimore.

SLEEP 2008: Sleep Patterns Predict Death in Older Men

In older men, disrupted rest/activity rhythms are associated with an increased risk of death, according to research presented this week at SLEEP 2008, the 22nd Annual Meeting of the Associated Professional Sleep Societies, held in Baltimore.

SLEEP 2008: Marital Quality Affects Women's Sleep

Among white women, a happy marriage is associated with a lower risk of multiple sleep problems, according to research presented this week at SLEEP 2008, the 22nd Annual Meeting of the Associated Professional Sleep Societies, held in Baltimore.

Maternal depression and other factors may limit infant sleep

Factors linked to sleep loss among six-month-old infants include maternal depression, breastfeeding, and a lower socioeconomic status, according to recent findings.

Nocturia Linked to Sleep Apnea in Younger Men

Nocturia -- defined as two or more voidings per night -- may be associated with obstructive sleep apnea in men younger than age 50, according to the results of a study published in the June issue of Urology.

Green Tea Benefits Animal Model of Apnea

Administering green tea-derived polyphenols to rats exposed to intermittent oxygen reductions reduces the resulting spatial learning deficits and oxidative stress, and the findings may be applicable to sleep-disordered breathing in humans, according to research published in the May 15 issue of the American Journal of Respiratory and Critical Care Medicine.

Practical evidence-based management of motor and non-motor complications in late Parkinson's disease

The prevalence of neurodegenerative diseases such as Parkinson's disease increases with age, and in an aging population, an understanding of the management of late complications of Parkinson's disease is becoming ever more important.

Snoring and Bed-Wetting Related in Children

Habitual snoring among children is associated with a higher risk of nocturnal enuresis, while mild increases in sleep pressure caused by elevated plasma levels of brain natriuretic peptide also play a role, researchers report in the May issue of Pediatrics.

Irregular sleep-wake syndrome

Irregular sleep-wake syndrome involves different and disorganized periods of sleeping and wakeful behavior.

Natural short sleeper

A natural short sleeper is someone who sleeps a lot less in a 24-hour period than is expected for other people of the same age. The person is not excessively sleepy.

Insomnia Concerns

Sleep issues; Difficulty falling asleep

Nasal Surgery Can Improve Quality-of-Life Scores

Nasal surgery can improve quality of life in adults with obstructive sleep apnea and symptoms of nasal obstruction, according to research published in the April issue of Archives of Otolaryngology -- Head and Neck Surgery.

Are sleep disorders more common in children with migraine?

Migraine is associated with an increased risk of sleep disturbances in children, according to findings presented at the Academy of Neurology's 60th Anniversary Annual Meeting in Chicago.

Heart Screening Needed in Kids With Attention Deficit

Children with attention deficit hyperactivity disorder (ADHD) should undergo cardiovascular screening prior to being started on stimulant medications such as Ritalin and Adderall, according to an American Heart Association Scientific Statement published online April 21 in Circulation.

Single Question Can Help Evaluate Over-Sleepy Patients

Asking patients to rate their daytime sleepiness on a scale from zero (none) to 10 (high) is an effective screening tool that can be easily implemented in a non-specialist setting, researchers report in the April 15 issue of the Journal of Clinical Sleep Medicine.

Children's Sleep Disruptions Lead to Range of Problems

Short or disrupted sleep during infancy and childhood may be associated with a range of problems including mood and behavioral disorders in young adulthood, attention-deficit/hyperactivity disorder, as well as maladaptive parental behaviors, according to three studies published in the April issue of the Archives of Pediatrics and Adolescent Medicine.

Excessive Sleepiness Improving Patient Outcomes Across a Continuum of Care

Managing Excessive Sleepiness Associated With Obstructive Sleep Apnea in the Primary Care Setting

This monograph will discuss the prevalence and impact of obstructive sleep apnea with its associated excessive sleepiness, and the recognition and management of this disorder in the primary care setting.

Donepezil Reduces Sleep Apnea in Alzheimer's

In patients with mild-to-moderate Alzheimer's disease, treatment with donepezil may reduce symptoms of obstructive sleep apnea, according to the results of a small study published in the March issue of the journal Chest

ASA: Dozing Episodes Linked to Stroke Risk in Elderly

Regular daytime dozing -- defined as episodes of unintentionally falling asleep -- may be a significant predictor of stroke risk in older adults, according to research presented this week at the American Stroke Association's International Stroke Conference in New Orleans.

Model Predicts Fatigue in Primary Biliary Cirrhosis

A model based on daytime sleepiness and autonomic dysfunction predicts fatigue in patients with primary biliary cirrhosis, researchers report in the February issue of Clinical Gastroenterology and Hepatology.

Consumers can get their ZZZs with these sleeping aids

New over the counter sleep aids.

Physicians Should Avoid Fatigue in Patient Care

Physicians should structure their workloads and work hours to avoid fatigue when caring for patients, according to a committee opinion of the American College of Obstetricians and Gynecologists published in the February issue of Obstetrics & Gynecology.

Sleeping difficulty

Sleeping difficulty, called insomnia, can involve difficulty falling asleep when you first go to bed at night, waking up too early in the morning, and waking up often during the night.

Smokers Have Disturbed Sleep Compared to Non-Smokers

Despite having similar sleep architecture, smokers showed disturbances in sleep electroencephalogram (EEG), which could be due to both nicotine stimulation and withdrawal, according to research published in the February issue of the journal Chest.

Snoring Associated with Chronic Bronchitis

Snoring may play a role in the development of chronic bronchitis, according to study findings published in the Jan. 28 issue of the Archives of Internal Medicine.

Sleep Apnea Inhibits Heart Rate Recovery After Exercise

Patients with untreated obstructive sleep apnea may have attenuated heart rate recovery after exercise, researchers report in the January issue of Sleep.

Frequent Bad Dreams Rare Among Preschoolers

Bad dreams among preschoolers are less prevalent than was previously thought, but those who have them are likely to continue to be afflicted over a number of years, according to a study published in the January edition of Sleep.

Zolpidem Trial for Insomnia Shows Good Results

A 12.5-mg dose of extended-release zolpidem administered between three and seven nights a week for up to six months improves sleep onset and maintenance while reducing morning sleepiness and improving next-day concentration, researchers report in the January edition of Sleep.

Surgery Not First Choice to Treat Sleep Apnea

Despite the fact that surgery is becoming widespread in some countries as the first line of treatment for obstructive sleep apnea, this is not supported by research findings and should only be done as part of a clinical trial, in which patients are fully informed of the risks, according to an article published in the Jan. 5 issue of BMJ.

Restless Legs Syndrome Linked to Heart Disease

Restless legs syndrome is associated with an increased risk of coronary artery disease and cardiovascular disease, according to research published in the Jan. 1 issue of Neurology.

Sleep disorders in the elderly

Sleep disorders are common but frequently underdiagnosed in the elderly. Aggressive screening and appropriate therapy can significantly improve general health and well-being.

Sleep Durations Associated with Diabetes

Risk of diabetes is associated both with short- and long-duration sleep patterns, however confounding factors are likely to account for the long-duration association, according to a report in the December issue of Sleep.

Hormone Patterns in Sleep Disturbances Examined

Sleep disturbances in postmenopausal women are influenced by lower estradiol levels and especially by higher luteinizing hormone levels, researchers report in the December issue of Sleep.

Sleep Deprived Suffer More Severe GERD Symptoms

Gastroesophageal reflux disease (GERD) is known to cause sleep deprivation related to nighttime heartburn or amnestic arousals during sleep. Recent findings suggest an inverse relationship of GERD symptoms and lack of sleep, with sleep deprivation resulting in heightened perception of GERD symptom severity, according to a report published in the December issue of Gastroenterology.

Snoring and Apnea Affect Teens' Academic Performance

Teenagers who snore or have sleep apnea perform more poorly in school, as do teens who do not get enough sleep in general, researchers report in the December issue of the journal Sleep.

Sleep Deprived Mothers Struggle to Lose Weight

Mothers of 6-month-old babies who get only five hours' sleep a night or less are more likely than their rested counterparts to retain at least 5 kg of the extra weight they gained during pregnancy, according to a study published online Oct. 29 in the American Journal of Epidemiology.

Peculiar Sleep Modifications Seen in Asperger Syndrome

Children and adolescents with Asperger syndrome have peculiar alterations in their cyclic alternating pattern, according to research published in the November issue of Sleep.

Propensity for Anxiety Predicts Sleep Disturbance Onset

People with a propensity for anxiety are at especially high risk of sleep disturbances during the six months after experiencing a negative life event, researchers report in the November issue of Sleep.

Heart Rate Variability Increases in Sleep Apnea

In patients with congestive heart failure, sleep-disordered breathing causes an acute increase in heart rate variability, and obstructive sleep apnea and central sleep apnea are associated with distinct patterns of heart rate variability, according to a report published in the November issue of Sleep.

Caffeine Therapy Beneficial in Apnea of Prematurity

In very low birth weight infants with apnea of prematurity, caffeine therapy increases the odds of survival without neurodevelopmental disability at 18 to 21 months, according to a report published in the Nov. 8 issue of the New England Journal of Medicine.

Sleep Duration Linked to Overweight in Schoolchildren

Short sleep duration independently increases the risk of overweight in children aged 9 and 12, researchers report in the November issue of Pediatrics.

Drowsiness

Drowsiness refers to feeling abnormally sleepy during the day — often with a strong tendency to actually fall asleep in inappropriate situations or at inappropriate times.

Snoring

Snoring is a loud, hoarse, or harsh breathing sound that occurs during sleep.

Successful CPAP Treatment May Reduce Depression

In patients with obstructive sleep apnea, successful treatment with continuous positive airway pressure (CPAP) is associated with significant and sustained reductions in symptoms of depression, according to a report published in the Oct. 15 issue of the Journal of Clinical Sleep Medicine.

Older Adults Overestimate Their Total Sleep Times

Even on mornings after undergoing an overnight polysomnography, older people overestimate their total sleep times and sleep latencies, a tendency that may be related to socioeconomic status, according to study findings published in the Oct. 15 issue of the Journal of Clinical Sleep Medicine.

Common Procedure May Improve Children's Behavior

Children with sleep-disordered breathing exhibit sleep and behavioral improvements following adenotonsillectomy, according to a report published in the October issue of the Archives of Otolaryngology -- Head & Neck Surgery.

Sleep Patterns Influence Mortality Risk

Testing Fails to Find Link Between PMS, Poor Sleep

Women with PMS, control group underwent sleep studies during different phases of menstrual cycle

Narcolepsy Linked with Higher BMI, Eating Disorder

Patients with narcolepsy are more likely to be overweight and have lower basal metabolism than people without the disorder; the greater weight may be due to metabolism or eating practices that help them minimize daytime sleepiness, according to research in the Oct. 1 issue of the journal Sleep.

Children May Not Sleep As Well As Parents Think They Do

Children have more sleep problems than their parents realize they do, and are likely to maintain those problems over a period of several years, researchers report in the Oct. 1 issue of the journal Sleep.

Children May Not Sleep As Well As Parents Think They Do

Children have more sleep problems than their parents realize they do, and are likely to maintain those problems over a period of several years, researchers report in the Oct. 1 issue of the journal Sleep.

Children May Not Sleep As Well As Parents Think They Do

Children have more sleep problems than their parents realize they do, and are likely to maintain those problems over a period of several years, researchers report in the Oct. 1 issue of the journal Sleep.

Poor Sleep Linked with Poor Functioning in Elderly Women

Older women who sleep poorly at night or nap more during the day are likely to face a variety of daytime functional limitations, including slower walking speed and more time needed to stand up from a seated position in a chair, researchers report in the Oct. 1 issue of Sleep.

Sleep Apnea Treatment Improves Atherosclerosis

Treatment of obstructive sleep apnea with continuous positive airway pressure improves early markers of atherosclerosis, suggesting that sleep apnea contributes to the development of atherosclerosis, according to research published in the American Journal of Respiratory & Critical Care Medicine in October.

Secondhand Smoke May Disturb Sleep in Pregnancy

Pregnant women who are exposed to secondhand smoke have more sleep disturbances, such as problems initiating sleep and staying asleep, than pregnant women who are not exposed to smoke, according to a report in the September issue of Sleep.

Sleep Positions May Influence Development of Kidney Stones

The positions in which people sleep affect the degree of blood perfusion in their kidneys, which may in turn influence their development of kidney stones, according to a report in the August issue of Urology.

Sleep Apnea Treatment Lowers Cardiovascular Biomarkers

Patients with obstructive sleep apnea-hypopnea syndrome who adhere to their continuous positive airway pressure (CPAP) treatment have a decrease in their cholesterol level, C-reactive protein and other biomarkers of cardiovascular risk, researchers report in the September issue of Chest.

Work is Americans' Number One Enemy of Sleep

The waking activities that are most likely to impinge on people's sleep time are work, travel (including commuting) and socializing/relaxing/leisure, in that order, according to the results of a study published in the Sept. 1 issue of Sleep.

More U.S. Blacks Report Sleeping Too Much or Too Little

Blacks are more likely than whites to have health-threatening sleep patterns, as are those who live in inner-city environments as opposed to non-urban areas, researchers report in the Sept. 1 issue of Sleep.

Less Sleep in Early Childhood May Impact Learning

Children who slept fewer than 10 hours a night as infants are more likely to be described as hyperactive-impulsive and to score lower on cognitive performance tests than children who consistently slept 10 hours or more, according to a report published in the Sept. 1 issue of Sleep.

Nightmares Common in Pregnant, Postpartum Patients

It is common for pregnant women and mothers of newborns to have dreams in which their infant is in danger, according to a report published in the September issue of Sleep.

Teenagers Use of Cell Phones At Night Interrupts Sleep

Adolescents frequently use their cell phones after "lights out" at night, and those who do so are more likely to feel tired, according to study findings published in the Sept. 1 issue of Sleep.

Hypoglycemia May Hamper Memory in Type 1 Diabetics

Night-time hypoglycemic episodes during sleep may interfere with memory function in patients with type 1 diabetes, researchers report in the August issue of Diabetes Care.

Diuretics Improve Sleep Apnea in Patients with Heart Failure

Patients with obstructive sleep apnea and diastolic heart failure who are treated with diuretics have improvements in disordered breathing, increases in oropharyngeal junction area and improved airflow rates, according to a report published in the August issue of Chest.

Isolated sleep paralysis

Isolated sleep paralysis is a type of paralysis associated with a sleep disorder. Sleep paralysis is the inability to perform voluntary muscle movements during sleep. Though it may be associated with narcolepsy, it occurs in many people who do not have narcolepsy.

Adult Drugs Prescribed for Insomnia in Children

Most children under 17 who are treated for insomnia or sleep difficulties are given prescription drugs that are only FDA-approved for adults and whose effects during formative growth years are unknown and should be examined, according to a report published in the Aug. 1 issue of Sleep.

Nightmares

A nightmare is a dream occuring during rapid eye movement (REM) sleep that brings out feelings of strong fear, terror, distress, or extreme anxiety. Nightmares are usually in the latter part of the night and wake up the sleeper, who is able to remember the content of the dream.

Polar Expedition Can Cause Mental Highs and Lows

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