Clinical Compass - Assessment Tools for the Recognition and Diagnosis of the Symptom of Excessive Sleepiness


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VOLUME 2, ISSUE 20 - SEPTEMBER 25, 2007

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FROM THE CLINICAL KNOWLEDGE CENTER:
Assessment Tools for the Recognition and Diagnosis of the Symptom of Excessive Sleepiness

THIS ISSUE'S COMPASS QUESTIONS™

RESPONSES FROM OUR LAST COMPASS QUESTION™

NEW neuroscienceCME TV PART 2 PREMIERES NOVEMBER 14, 2007!

neuroscienceCME VOICE audioconference series on OSA debuts in conjunction with Sleep Apnea Awareness Week

CME OUTFITTERS WINS FOUR DESIGN AWARDS!

FROM THE CLINICAL KNOWLEDGE CENTER
Assessment Tools for the Recognition and Diagnosis of the Symptom of Excessive Sleepiness
Excessive sleepiness (ES) comprises difficulty in maintaining wakefulness and increased propensity to fall asleep during inappropriate circumstances; factors that can interfere with many daily activities. The prevalence of ES ranges from approximately 10% to 20% depending on the population and the methodologies used to measure this symptom.

Sleep-wake disorders are one of the principal causes of ES and are divided into disorders of circadian misalignment (e.g., shift work disorder), disorders of sleep disruption (e.g., obstructive sleep apnea [OSA], restless leg syndrome [RLS]), and disorders of sleep-wake dysregulation (e.g., narcolepsy). Other causes of ES include poor sleep hygiene, medical or psychiatric conditions, and iatrogenic effects of psychotropic medications…

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THIS ISSUE'S COMPASS QUESTIONS™
Your responses to this issue's Compass Questions™ will be added to an ongoing needs assessment for educational programming in this important area. Responses to this issue's questions will be reported in an upcoming issue.

Question #1: If you have patients who may be experiencing a sleep-wake disorder, such as restless legs syndrome or obstructive sleep apnea, how often do you refer them to a sleep center for further investigation?
Rarely or never (0% - 25%)
Occasionally (25% - 50%)
Most of the time (50% - 75%)
Routinely (75% - 100%)

Question #2: Which sleep-wake disorder is most prevalent in your medical setting?
Shift work disorder
Obstructive sleep apnea
Restless leg syndrome
Narcolepsy
Unsure, as I do not consistently screen for sleep-wake disorders

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RESPONSES FROM OUR LAST COMPASS QUESTION™
In the 09.11.07 issue of Clinical Compass, we asked: "Treatment for bipolar depression is often characterized by excessive sleepiness and fatigue. How do you treat these side effects in your patients?" and the neuroscienceCME learning community responded:
20% - Reduce dosage
11% - Switch to a different antidepressant
62% - Use combination therapy
7% - Don't know

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NEW neuroscienceCME TV PART 2 PREMIERES NOVEMBER 14, 2007!
From Paper to Patient: Applying Clinical Literature to Practice Improvements, Part 2 - Evidence-Based Medicine: Application of Principles to Practice
Satellite Television Broadcast, Webcast, Telephone Simulcast
Premiere Date: Wednesday, November 14, 2007
Live Broadcast: 12:00-1:00 p.m. ET
Taped Re-Air: 3:00-4:00 p.m. ET

MODERATOR
Stephen J. Bartels, MD, MS

FACULTY
Sharon Mozian, MD

At the end of this CE activity, participants should be able to:

•	Apply principles of evidence-based medicine - including relative and absolute risk, numbers needed to treat, p values, and confidence intervals - to the assessment of data quality.
•	Translate quality clinical evidence into practice improvements.

This activity offers CE credit for:
• Physicians (ACCME/AMA PRA Category 1)
• Nurses (CNE)
• Pharmacists (ACPE)
• Psychologists (APA)
• Social Workers (NASW)
• Case Managers (CCMC)
All other clinicians will either receive a CME Attendance Certificate or may choose any of the types of CE credit being offered.

There is no fee to participate or to receive CE credit for this certified one-hour educational activity (registration required).

Register Now!

neuroscienceCME VOICE audioconference series on OSA debuts in conjunction with Sleep Apnea Awareness Week
The American Sleep Association sponsors Sleep Apnea Awareness Week during the first week of October every year. This year, neuroscienceCME presents a VOICE audioconference series on obstructive sleep apnea (OSA) that will debut on the heels of this national awareness campaign. Beginning October 16 and extending through November, this VOICE series will examine strategies for improving treatment of this sleep-related breathing disorder. Please see the sidebar announcement for additional details, and plan to join the experts as they discuss this under-diagnosed and under-treated condition.

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