Information for Doctors

Are you a DOCTOR looking for more details about our practice?

Thoracic Medicine

Think you might have a breathing disorder or just looking for more information?

Sleep Medicine

Latest News

A recent study has shown that adaptive servoventilation (ASV) may be harmful in heart failure patients with central sleep apnoea. The results indicated a 10% annual risk of cardiovascular death in ASV patients compared with 7.5% in the control group. The overall survival and hospitalisation rate was not different between the groups.

Read more...
 

Researchers find that having sleep apnea while pregnant could make the baby prone to metabolic disease as an adult. The study suggests that reoccurring oxygen deprivation, during pregnancy causes long-term changes in the offspring's liver's ability to maintain blood glucose level.

Read more...
 

Symptoms of depression and insomnia are the strongest predictors of having frequent nightmares, a new study concludes. A nightmare disorder may occur when repeated nightmares cause distress or impairment in social or occupational functioning.

Read more...
 

Navigational brain cells that help sense direction are as electrically active during deep sleep as they are during wake time, scientists have discovered. Such information could be useful in treating navigational problems associated with Alzheimer's disease and other neurological disorders.

Read more...
 

A team of neuropsychologists at Saarland University have shown that even a brief sleep of 45 to 60 minutes can significantly improve retention of learned material in memory

Read more...
 

People exposed to prolonged periods of shortened sleep have significant increases in blood pressure during nighttime hours, researchers report.

Read more...

Daily Steroids May Not Be Needed for Wheezing

homeo-treatment-asthma 

Asthma is a common chronic inflammatory disease of the airways characterised by variable and recurring symptoms, reversible airflow obstruction and bronchospasm. It is thought to be caused by a combination of genetic and environmental factors with treatment usually involving daily treatment with inhaled steroids such as Pulmicort.  Recent research now contests that the current recommended daily dosing of inhaled steroids for children under the age of five may be just as effective as less frequent treatments with a higher dose of inhaled steroids, leading to an overall reduced exposure to the drug.

The research compared outcomes among 278 high-risk preschoolers treated with either the occasional inhaled steroid regimen of the recommended daily regimen.  Study researcher, Zeiger, found the treatments to be equally effective for reducing the frequency of wheezing episodes that required the use of oral steroids over the course of a year.  “We showed that daily treatment was not superior to intermittent treatment, ‘says Zeiger of the Childhood Asthma Research and Education (CARE) Network.  ‘And even though the dose used in the intermittent regimen was four times higher than that used for daily treatment, the cumulative dosage was threefold lower among children in the study’.

The year long study found that on average every 3.5 months the occasional group was being treated and their cumulative dose of the drug was 100milligrams less over the course of the year compared to the children treated daily with 0.5 milligrams.

childgrowth

With these new findings, further research in to the effects of inhaled steroids and the risk for impaired growth is needed.  ‘The implication is that if you are giving less steroid overall there will be less impact on growth, but that remains to be seen,’ pulmonary specialist Len Horovitz, MD, of Lenox Hill Hospital in New York City.  “It could be that there is more absorption with the higher-dose intermittent regimen, even though the cumulative dose is not as great.”  Advances in respiratory health continue to evolve and new questions raised.  The occasional dosing schedule may be a more attractive option to parents given the convenience and possible financial and growth implications for the child.

Asthma Health Centre. Daily Steroids May Not Be Needed for Wheezing. Updated Nov 24. Retrieved from http://www.webmd.com/asthma/news/20111122/daily-steriods-may-not-be-needed-for-wheezing

© copyright 2010 | All Rights Reserved | Web Design Brisbane by iFactory