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Thoracic Medicine

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Sleep Medicine

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

Latest News

jetlagged2 One in three Australians suffer from poor quality sleep.  New research suggests sleep deprivation is costing the Australian economy more than $5.1 billion a year in both direct and indirect costs.

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january2012asthmalung  Many people with asthma have sensitivities to certain drugs that can precipitate an asthma attack. If you have asthma, you need to be aware of which medications may be triggers. You do not need to avoid these medications unless you know they are asthma triggers for you. If these medications have never triggered your asthma, it is still best to take the medications with caution because a reaction can occur at any time.

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asthmatic

Study suggests occasional treatment is effective and may reduce risk of decrease in growth.

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.

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Plan charts course for future sleep and circadian research identifying opportunities for collaboration.

Recently the NIH has updated its plan for research into new approaches to the prevention and treatment of sleep disorders.  Over the next three to five years, the institute has recommended research initiatives to include looking at the connection between sleep and circadian systems, studying the influence of genetic and environmental factors that could influence a person’s sleep health, and conducting more comparative effectiveness trials to improve treatments for sleep and circadian disorders.

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ptsdcancer11 in 2 Australians will be diagnosed with cancer by the age of 85, with more than 60% of cancer patients surviving more than five years after diagnosis.According to a recent US study the hidden psychological scars caused by the diagnosis of cancer can leave scaring akin to that inflicted by war, with the impact in some cases lasting for years.

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ALZHEIMER’S AUSTRALIA MARCHES ON PARLIAMENT HOUSE

A group of 500 people marched on parliament on October 13 in the fight against dementia.  The assemblage gathered to demand a $500 million Dimentia Action Plan over five years in the next federal budget.  Alzheimer’s Australia president, Ita Buttrose led the march and warned there will be 75 000 baby boomers with dementia in 2020, just eight short years away. READ MORE

The Wesley Sleep Research Group

In conjunction with the Wesley Research Institute, The Thoracic and Sleep Group conducts local, national and international clinical trials in the field of sleep medicine. In the company's second year, it has already taken on an international research project with the Wesley Research Institute.

CPAP Mask (True-Fit) Trials

Tackling CPAP Compliance

CPAP has become the accepted standard for treating Obstructive Sleep Apnoea and also remains the most successful treatment of the condition, with efficacy of the treatment reaching well into the 90% mark. Compliance of the therapy however is widely variable, with compliance rates ranging from only 50% (in conservative estimates) to up to 90% in ‘best case’ populations. One of the major contributors to poor compliance is with the mask interface of the CPAP system. Persistent mask leaks, skin irritations and pressure sores from the mask are all issues that must be addressed to ensure long term success of the treatment.

A New Type of Mask

A Brisbane based company called Accurest is now manufacturing a new type of mask specifically designed to each patient’s facial structure. Scott Coulter, the director of Accurest explains that his company specifically moulds CPAP masks to an individual’s exact facial shape in order to create a custom fit mask that sits perfectly on the patient’s face. The Thoracic and Sleep Group, in alliance with the Wesley Research Institute is conducting Phase II trials with Accurest to identify the response from naive CPAP users to custom masks. The aim is to determine any specific mask interface issues with generic designed masks that could be overcome with customising the interface.

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Insomnia Trial

Insomnia is the most common sleep complaint in the world, affecting one third of people at some stage of their lives. Recent studies into sleep science have resulted in the development of a number of treatments for insomnia, but there remains a specific population of people with idiopathic primary insomnia, whose only choice of effective treatment is medication.

Why Choose Medications

Insomnia is somewhat of an umbrella term, referring to many different types of insomnia, including secondary insomnia, which is caused by a separate and primary disorder (OSA, anxiety, depression, drug use etc). Primary insomnia can also be regarded as a broader term for specific types of insomnia, including psycho-physiological insomnia, environmental insomnia and idiopathic insomnia. Idiopathic insomnia is a disorder that can be treated by conditioning or behavioural therapy giving most patients up to 60% improvement in sleep quality. Success rates drop however when patients are assessed for ‘normal’ sleep.

The only alternative treatment for insomnia is medication, however patients often report next day drowsiness, mood changes and drug dependence. At most, some medications cause sleep behavioural disorders and can put the patient at high risk of self injury if not administered responsibly. In light of the drawbacks of current sedating medications, The Thoracic and Sleep Group is involved in international research with a novel insomnia medication to alleviate symptoms of this chronic and debilitating disease. The Phase 3 clinical trials hope to prove the previously positive results of this novel insomnia drug.

Who’s Involved

The Thoracic and Sleep Group Qld and The Wesley Research Institute hope to begin the trial in Early to Mid August 2010. It is very exciting to be one of only a few sleep labs in the world (and one of three in Australia) to be involved in this research.

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