Sleep
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The time and resource intensive nature of the traditional two-night paradigm for diagnosing and titrating positive pressure therapy for Obstructive Sleep Apnea/Hypopnea (OSA/H) contributes to patient care cost and limitation of service availability. Although split night polysomography (PSG(SN)) algorithms can establish a diagnosis of OSA/H and establish a positive pressure prescription for many patients, there has been only limited evidence that this strategy does not impair acceptance and adherence to treatment. The objective of this study was to test the null hypothesis that PSG(SN) does not adversely impact acceptance and adherence to positive pressure therapy for OSA/H compared with a standard two-night PSG strategy (PSG(TN)). ⋯ In a population of predominantly moderate-to-severe OSA/H patients, PSG(SN) strategy does not adversely impact on adherence to positive pressure therapy over the first six weeks of treatment. Acceptance of therapy is comparable to that reported in the literature following PSG(TN).
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Two separate groups consisting of both long-haul (N=184) and short-haul (N=133) truck drivers were surveyed to examine the frequency of driver sleepiness-related problems at work during the previous three months and to assess the incidence of sleep apnea syndrome symptoms. We also aimed to identify factors likely to predict self-reported difficulties in staying alert in work driving, dozing off (sometimes referred to as microsleeps) at the wheel and near misses. The responses suggest that for approximately 13% of the long-haul drivers the mean driving time per shift exceeded the EEC regulation. ⋯ Work and individual related factors as well as factors indicating sleep apnea syndrome contributed only slightly to predicting driver sleepiness-related problems. This suggests that driver sleepiness-related problems tend to be shared by many of the professional drivers, rather than being a "specific" and permanent problem for a smaller portion of drivers. However, difficulties in sleep patterns, such as having difficulty falling asleep, were infrequent.