Publications by authors named "J A Steier"
Article Synopsis
- Sleep Related Painful Erections (SRPE) are REM sleep parasomnias that can severely affect sleep quality and daily functioning, prompting the development of a specialized diagnostic and treatment pathway.
- Diagnostic measures included a thorough review of patient history, clinical examinations, and various tests to identify other causes of penile pain, leading to a structured approach that involved medications, sleep studies, and pelvic floor therapy.
- Out of 20 patients treated, 70.6% experienced symptom relief, with significant improvements seen in sleep quality and pelvic floor assessments, highlighting the effectiveness of this comprehensive management plan.
Postural fluid shifts may directly affect respiratory control via a complex interaction of baro- and chemo-reflexes, and cerebral blood flow. Few data exist concerning the steady state ventilatory responses during head-down tilt. We examined the cardiorespiratory responses during acute 50° head-down tilt (HDT) in 18 healthy subjects (mean [SD] age 27 [10] years).
View Article and Find Full Text PDFBackground: Obstructive sleep apnoea (OSA) is the most common sleep-related breathing disorder. Non-invasive ventilation (NIV) is essential for managing hypercapnic respiratory failure in patients with obesity hypoventilation syndrome (OHS) and those with co-existing OSA, where continuous positive airway pressure (CPAP) alone is insufficient. However, adherence to NIV can be challenging, with substantial non-compliance occurring due to factors such as discomfort and phobia.
View Article and Find Full Text PDFThere is an ongoing debate in the United Kingdom and in other countries about whether twice-yearly changes into and out of Daylight Saving Time should be abolished. Opinions are divided about whether any abolition of Daylight Saving Time should result in permanent Standard Time, or year-long Daylight Saving Time. The British Sleep Society concludes from the available scientific evidence that circadian and sleep health are affected negatively by enforced changes of clock time (especially in a forward direction) and positively by the availability of natural daylight during the morning.
View Article and Find Full Text PDFBackground: Obstructive sleep apnoea (OSA) is associated with hypertension, and OSA treatment can reduce systolic blood pressure (SBP) and diastolic blood pressure (DBP), but with a modest mean effect size and vast heterogeneity among studies. The aim of this individual patient data (IPD) meta-analysis was to understand which OSA phenotypes could benefit the most in terms of BP reduction.
Methods: A systematic review of randomised controlled trials that compared continuous positive airway pressure (CPAP) with either passive or active treatment was conducted.