Sleep Dynamic Therapy » Uncategorized

Statin Side-Effects: Forgetfulness and Pain

Dr. Krakow — Wed, 29 Feb 2012 18:55:42 +0000

I tried several of these statins over the years for short durations, and every single time I developed either a cognitive problem or muscle pain that eventually caused me to discontinue the med. Even the use of CoEnzyme Q10 did not alleviate the pain.

Genetic Research on Mice Links Sleep and Schizophrenia

Dr. Krakow — Fri, 20 Jan 2012 20:15:07 +0000

Research on sleep breathing in schizophrenia would add another layer to this idea.

Caffeine Addiction: But Not A Word About The Sleep Connection

Dr. Krakow — Wed, 18 Jan 2012 18:00:31 +0000

This article is a dramatic summary about the rise of energy drinks. Yet, remarkably not a single word is mentioned on how people gravitate to energy drinks, including caffeine drinks, due to underlying and unnoticed sleep difficulties.

Yoga can be a real back-breaker

Dr. Krakow — Wed, 11 Jan 2012 19:05:55 +0000

Very important reading for serious yoga enthusiasts

Following a Script to Escape a Nightmare – NYTimes.com

Dr. Krakow — Wed, 18 Aug 2010 12:40:14 +0000

ALBUQUERQUE — Her car is racing at a terrifying speed through the streets of a large city, and something gruesome, something with giant eyeballs, is chasing her, closing in fast. It was a dream, of course, and after Emily Gurule, a 50-year-old high school teacher, related it to Dr. Barry Krakow, he did not ask her to unpack its symbolism. He simply told her to think of a new one. “In your mind, with thinking and picturing, take a few minutes, close your eyes, and I want you to change the dream any way you wish,” said Dr. Krakow, founder of the P.T.S.D. Sleep Clinic at the Maimonides Sleep Arts and Sciences center here and a leading researcher of nightmares.

Nocturia and Snoring: Predictive Symptoms for Obstructive Sleep Apnea

Dr. Krakow — Mon, 16 Nov 2009 13:45:25 +0000

Scientific Research

Purpose: Current screening for obstructive sleep apnea (OSA) emphasizes self-reported snoring and other breathing symptoms. Nocturia, a symptom with a precise pathophysiological link to sleep apnea, has not been assessed as a screening tool for this common disorder of sleep respiration. In a large sample of adults presenting to area sleep centers, we aimed to determine the predictive power of nocturia for OSA and compare findings with other markers of OSA commonly used to screen for this disease.

Methods: This was a retrospective chart review. A consecutive sample of 1007 adult patients seeking treatment at 2 sleep centers in New Mexico completed detailed medical and sleep history questionnaires and completed diagnostic polysomnography testing. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of nocturia, snoring, high body-mass index, sex, and age for OSA were determined. Hierarchical linear regression determined unique variance contribution to the apnea-hypopnea index, the objective measure of sleep apnea severity.

Results: Sensitivities: snoring, 82.6%; nocturia, 84.8%. Specificities: snoring, 43.0%; nocturia, 22.4%. PPVs: snoring, 84.7%; nocturia, 80.6%. NPVs: snoring, 39.6%; nocturia, 27.9%. With hierarchical linear regression, patient-reported nocturia frequency predicted apnea-hypopnea index (OSA severity) above and beyond body-mass index, sex, age, and self-reported snoring (P < .0001).

Conclusions: Nocturia appears comparable to snoring as a screening tool for OSA in patients presenting to a sleep medical center. Research in urology and primary care clinics is needed to definitively clarify the use of nocturia as a screening instrument for obstructive sleep apnea.

Introduction: Obstructive sleep apnea (OSA) is characterized by repetitive episodes of upper airway obstruction that occur during sleep, leading to repetitive bouts of sleep fragmentation, oxygen desaturations, and resultant daytime sleepiness[1]. A decrease in pharyngeal dilating muscle activity during sleep leads to greater airway collapsibility, a major contributor to obstruction[2]. This pathophysiology produces classic breathing symptoms such as snoring and breathing cessation. Therefore, the upper airway draws the most clinical attention when assessing OSA risk[3,4]. Other factors routinely used to assess risk are body-mass index (BMI) and neck circumference[5], yet snoring is likely the single most common question posed to patients during an assessment for OSA[6-8].

Read full research paper…

Sleep Questions Answered: UARs and Fibromyalgia

Dr. Krakow — Thu, 15 Oct 2009 17:19:21 +0000

Dr. Barry Krakow answers an airline pilot’s question on UARS. To ask Dr. Krakow a question regarding sleep or sleep disorders, click here: http://sleepdynamictherapy.com/ask-a-question/

Sleep Questions Answered: UARS and Airline Pilots

Dr. Krakow — Thu, 15 Oct 2009 17:17:51 +0000

Dr. Barry Krakow answers an airline pilot’s question on UARS. To ask Dr. Krakow a question regarding sleep or sleep disorders, click here: http://sleepdynamictherapy.com/ask-a-question/

Reforming Health Care Takes Smart Shoppers

Dr. Krakow — Wed, 02 Sep 2009 13:21:05 +0000

“Reforming Health Care Takes Smart Shoppers,” by Dr. Barry Krakow – published today in the Albuquerque Journal. Read more here

Michael Jackson’s Sleep Doctor?

Dr. Krakow — Wed, 02 Sep 2009 11:13:26 +0000

Video Blog: Dr. Barry Krakow talks about the death of pop star, Michael Jackson. Did Michael Jackson have a sleep doctor?