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New research confirms that sleep disturbances are linked to pain and depression, but not disability, among patients with osteoarthritis (OA).  Results from a new study found that poor sleep increases depression and disability, but does not worsen pain over time.

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Older women with disordered breathing during sleep were found to be at greater risk of decline in the ability to perform daily activities, such as grocery shopping and meal preparation, according to a new study led by researchers at the Johns Hopkins Bloomberg School of Public Health and the University of California, San Francisco.

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People with moderate to severe obstructive sleep apnoea may have an intrinsic inability to burn high amounts of oxygen during strenuous aerobic exercise, according to a new study led by researchers at University of California, San Diego School of Medicine.

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This webinar will be a clinical presentation in assessing a child who presents with snoring. Snoring is a very common presentation in childhood with some studies suggesting that up to 30% of children will snore at some point in their life. Within those that snore, there will be some who have obstructive sleep apnoea.

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Sleep apnoea may make it hard for you to remember simple things, such as where you parked your car or left your house keys, a small study suggests.

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Researchers believe that disrupted circadian clocks are the reason that shift workers experience higher incidences of type 2 diabetes, obesity and cancer. The body's primary circadian clock, which regulates sleep and eating, is in the brain. But other body tissues also have circadian clocks, including the liver, which regulates blood glucose levels.

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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

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