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  • 1
    Online Resource
    Online Resource
    Wiley ; 2011
    In:  International Journal of Mental Health Nursing Vol. 20, No. 2 ( 2011-04), p. 130-136
    In: International Journal of Mental Health Nursing, Wiley, Vol. 20, No. 2 ( 2011-04), p. 130-136
    Type of Medium: Online Resource
    ISSN: 1445-8330
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2011
    detail.hit.zdb_id: 2098841-2
    SSG: 5,2
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  • 2
    In: Journal of Traumatic Stress, Wiley, Vol. 30, No. 6 ( 2017-12), p. 635-645
    Abstract: Traditional and Simplified Chinese Abstracts by AsianSTSS The Effect of Sleep Disorders, Sedating Medications and Depression on Cognitive Processing Therapy Outcomes: A Fuzzy Set Qualitative Comparative Analysis Traditional Chinese 標題: 睡眠障礙、鎮靜藥物和抑鬱症對認知整理治療結果的影響:模糊集質性比較分析 撮要: 為治療創傷後壓力症(PTSD)的認知整理治療(CPT)༌過程中需多方努力進行認知重整。可是༌睡眠障礙能導致患者迴避要付出努力的治療任務༌和導致患者的認知運作受損。我們以多導睡眠描記評估睡眠障礙༌探查這些睡眠障礙與其他因素結合後༌是否一致地跟治療反應有關。本研究樣本為32名美國退役軍人༌他們接受了為治療戰鬥相關PTSD的CPT༌在治療前後均受評估。我們採用新型的比較個案技巧——模糊集質性比較分析(fsQCA)༌找出能達致臨床顯著效果的模糊與清晰因素(recipes)組合。有臨床顯著改變的樣本中༌約四分一個案樣本為:༈一༉越戰時期軍人༌沒有服用鎮靜藥物、有中度睡眠呼吸困難、和嚴重抑鬱症;或༈二༉非越戰時期軍人༌有服用鎮靜藥物、和無嚴重週期性肢體抽動症(或顯著的週期性肢體抽動激發)。沒有相關睡眠障礙的清晰因素跟最高涵蓋值有關。這些以fsQCA得出的結果:༈一༉就CPT反應的異質性提供有用資訊༌及༈二༉反映睡眠障礙是重要因素༌有關對治療PTSD的CPT有反應的人口理論討論應多加關注 Simplified Chinese 标题: 睡眠障碍、镇静药物和抑郁症对认知整理治疗结果的影响:模糊集质性比较分析 撮要: 为治疗创伤后压力症(PTSD)的认知整理治疗(CPT)༌过程中需多方努力进行认知重整。可是༌睡眠障碍能导致患者回避要付出努力的治疗任务༌和导致患者的认知运作受损。我们以多导睡眠描记评估睡眠障碍༌探查这些睡眠障碍与其他因素结合后༌是否一致地跟治疗反应有关。本研究样本为32名美国退役军人༌他们接受了为治疗战斗相关PTSD的CPT༌在治疗前后均受评估。我们采用新型的比较个案技巧——模糊集质性比较分析(fsQCA)༌找出能达致临床显著效果的模糊与清晰因素(recipes)组合。有临床显著改变的样本中༌约四分一个案样本为:༈一༉越战时期军人༌没有服用镇静药物、有中度睡眠呼吸困难、和严重抑郁症;或༈二༉非越战时期军人༌有服用镇静药物、和无严重周期性肢体抽动症(或显著的周期性肢体抽动激发)。没有相关睡眠障碍的清晰因素跟最高涵盖值有关。这些以fsQCA得出的结果:༈一༉就CPT反应的异质性提供有用信息༌及༈二༉反映睡眠障碍是重要因素༌有关对治疗PTSD的CPT有反应的人口理论讨论应多加关注
    Type of Medium: Online Resource
    ISSN: 0894-9867 , 1573-6598
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2017312-X
    SSG: 2,1
    SSG: 5,2
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  • 3
    In: European Journal of Heart Failure, Wiley, Vol. 19, No. 4 ( 2017-04), p. 579-587
    Abstract: Both types of sleep‐disordered breathing (SDB), obstructive and central sleep apnoea (OSA and CSA, respectively), are common in patients with heart failure and reduced ejection fraction (HFrEF). In such patients, SDB is associated with increased cardiovascular morbidity and mortality but it remains uncertain whether treating SDB by adaptive servo‐ventilation (ASV) in such patients reduces morbidity and mortality. Aim ADVENT‐HF is designed to assess the effects of treating SDB with ASV on morbidity and mortality in patients with HFrEF. Methods ADVENT‐HF is a multicentre, multinational, randomized, parallel‐group, open‐label trial with blinded assessment of endpoints of standard medical therapy for HFrEF alone vs. with the addition of ASV in patients with HFrEF and SDB. Patients with a history of HFrEF undergo echocardiography and polysomnography. Those with a left ventricular ejection fraction ≤45% and SDB (apnoea–hypopnoea index ≥15) are eligible. SDB is stratified into OSA with ≥50% of events obstructive or CSA with 〉 50% of events central. Those with OSA must not have excessive daytime sleepiness (Epworth score of ≤10). Patients are then randomized to receive or not receive ASV. The primary outcome is the composite of all‐cause mortality, cardiovascular hospital admissions, new‐onset atrial fibrillation requiring anti‐coagulation but not hospitalization, and delivery of an appropriate discharge from an implantable cardioverter‐defibrillator not resulting in hospitalization during a maximum follow‐up time of 5 years. Conclusion The ADVENT‐HF trial will help to determine whether treating SDB by ASV in patients with HFrEF improves morbidity and mortality.
    Type of Medium: Online Resource
    ISSN: 1388-9842 , 1879-0844
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 1500332-2
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  • 4
    Online Resource
    Online Resource
    Wiley ; 2017
    In:  Respirology Vol. 22, No. 8 ( 2017-11), p. 1508-1517
    In: Respirology, Wiley, Vol. 22, No. 8 ( 2017-11), p. 1508-1517
    Abstract: It is increasingly recognized that the high prevalence of obstructive sleep apnoea ( OSA ), and its associated cardio‐metabolic morbidities make OSA a burden for society. Continuous positive airway pressure ( CPAP ), the gold standard treatment, needs to be used for more than 4 h/night to be effective, but suffers from relatively poor adherence. Furthermore, CPAP is likely to be more effective if combined with lifestyle changes. Thus, the remote telemonitoring (TM) of OSA patients in terms of CPAP use, signalling of device problems, following disease progression, detection of acute events and monitoring of daily physical activity is an attractive option. In the present review, we aim to summarize the recent scientific data on remote TM of OSA patients, and whether it meets expectations. We also look at how patient education and follow‐up via telemedicine is used to improve adherence and we discuss the influence of the profile of the healthcare provider. Then, we consider how TM might be extended to encompass the patient's cardio‐metabolic health in general. Lastly, we explore how TM and the deluge of data it potentially generates could be combined with electronic health records in providing personalized care and multi‐disease management to OSA patients.
    Type of Medium: Online Resource
    ISSN: 1323-7799 , 1440-1843
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2010720-1
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