Tamar Etzioni

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BACKGROUND Restorative sleep is expected to promote improved endothelial function (EF) in the morning compared to the evening. However, in adults with obstructive sleep apnea (OSA) EF is not only adversely affected, but it worsens during the night. Data in pediatric OSA are scarce, and overnight changes have not been explored. Therefore, we sought to(More)
Movements during sleep are quite common, especially among children and usually represent a benign and not intimidating condition. However, not infrequently, the presence of non-quiet sleep leads patients or their families to consult their family physician, since movements during sleep may be associated with several somatic or mental disorders, and may(More)
591 Commentary—Etzioni and Pillar Several studies have examined the effect of treatment of OSA on diabetes, providing some conflicting results. Thus, although most studies have shown clear improvement in insulin resistance and glycemic control following CPAP treatment,7,8 some have not.9,10 Several methodological issues may explain these conflicting(More)
During 2009, the Haifa district of Clalit Health Services (CHS) has switched from in-lab polysomnography (PSG) to home studies for the diagnosis of obstructive sleep apnea (OSA). We assessed the effects of this change on accessibility, waiting time, satisfaction, costs, and CPAP purchase by the patients. Data regarding sleep studies, CPAP purchase, and(More)
Compliance with CPAP is the major limiting factor in treating patients with OSA. The novel SomnuSeal mask is an oral self-adaptable mask located between the teeth and the lips ensuring that there are no air leaks or skin abrasions. Fifty patients with AHI > 20, who failed previous CPAP trials, were asked to sleep with the mask for one month. In all(More)
R hythmic movement disorder (RMD) is defined as a group of stereotyped, repetitive movements (RM), involving large muscles, usually of the head and neck (head banging), that typically occur immediately before sleep onset and are sustained into light sleep. Occasionally it may be seen in deep or rapid eye movement sleep. Although several studies reported(More)
Rhythmic movement disorder is a parasomnia that is difficult to treat. In our study, 3 weeks of controlled sleep restriction with hypnotic administration in the first week resulted in almost complete resolution of the movements in 6 children. This therapeutic success suggests that rhythmic movement disorder results from a voluntary self-soothing behavior.
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