Comparative analysis of sleep physiology using qualitative and quantitative criteria for insomnia symptoms.

Despite decades of research, defining insomnia remains challenging due to its complex and variable nature. Various diagnostic systems emphasize the chronic nature of insomnia and its impact on daily functioning, relying heavily on patient self-reporting due to limitations in objective measures like polysomnography (PSG). Discrepancies between subjective experiences and objective PSG results highlight the need for more nuanced approaches, such as electroencephalogram (EEG) spectral analysis, which reveals distinct patterns of high-frequency activity in individuals with insomnia.

Weak collisionless shocks mediated by ion gyroviscosity.

Collisionless shocks are ubiquitous in space and astrophysical plasmas, and they are essential dynamical features of these systems. Lacking Coulomb collisions, these shocks are mediated by the anomalous dissipation provided by nonlinear plasma instabilities. By numerically resolving the structure of a steady-state, ion gyroviscous shock, we show that ion gyroviscosity, alone, can produce weak (M≲1.

Achieving adherence to positive airway pressure in commercial drivers using an employer-mandated remote management programme.

Background: Obstructive sleep apnoea (OSA) is common in commercial drivers, and associated with increased risk of crashes if untreated, making diagnosis and effective treatment crucial in this population.

Study Design And Methods: This is a retrospective summary of a clinical programme based on telemedicine and remote treatment monitoring developed with a national trucking company to screen new hires in the USA for OSA and implement positive airway pressure (PAP) management. New hires were informed of the programme and consented as part of their employment.

Pharyngeal Manometry and Upper Airway Collapse During Drug-Induced Sleep Endoscopy.

Importance: Drug-induced sleep endoscopy (DISE) is used to guide therapeutic management of obstructive sleep apnea (OSA), depending on the levels and patterns of pharyngeal collapse. However, the collapsibility of specific pharyngeal sites remains unknown.

Objective: To assess collapse sites in patients with OSA undergoing DISE and whether number and location are associated with differences in airway collapsibility; and to quantify differences in collapsibility between primary and secondary sites in multilevel collapse.