Email not displaying correctly? Ensure you turn images on. Otherwise view it in your browser.
Thoracic & Sleep Group Queensland LogoFreecall: 1800 11 94 46
Contact us via Email
Visit our Website
Banner: Thoracic and Sleep Group Queensland - People caring for how you breathe and sleep.
Issue 44: September 2014
View previous issues.
 
 
 

Accredited for Compliance
with ASA Standards for 
Sleep Disorders Services


Links for Doctors:
Latest News
Research Articles
Download Referral Forms
Create an Account
Information for Doctors

Sleep Services
The Wesley Hospital Sleep Disorder Centre
The Wesley Hospital
1800 119 446

Download Referral Form

Sunshine Coast Sleep Disorders Centre
Nambour Selangor Private
(07) 5459 7444
Download Referral Form

Thoracic Services
The Wesley Lung Function Laboratory
(07) 3870 0858
lung@tsgq.com.au
Download Referral Form

The Wesley Pulmonary Hypertension Unit
(07) 3876 9033
reception@jfeenstra.com.au
Download Referral Form

The Wesley Hospital Pulmonary Rehabilitation Unit 'Breathwise'
(07) 3232 7048
twh.physio@uchealth.com.au
Download Referral Form

CPAP Equipment Sales & Rental Enquiries
(07) 3870 1120
cpap@tsgq.com.au

Specialist Physicians


Dr Andrew Scott
Ph: (07) 3876 8405
Fax: (07) 3870 3212
scott.reception@wesley.com.au



Dr John Feenstra
Ph: (07) 3876 9033
Fax: (07) 3871 3222
reception@jfeenstra.com.au

Find out more about other members of the TSGQ team.

In Other News


Study reveals the face of sleep deprivation

A new study finds that sleep deprivation affects facial features such as the 
eyes, mouth and skin, and these features function as cues of sleep loss to other people. According to the authors, face perception involves a specialised neuronal network and is one of the most developed visual perceptual skills  in humans. Facial appearance can affect judgements of attributes such as trustworthiness, aggressiveness and competence.

Brain 'switchboard' important in attention and sleep, a new target for treating psychiatric disorders

Researchers at NYU Langone Medical Center and elsewhere, using a mouse model, have recorded the activity of individual nerve cells in a small part of the brain that works as a 'switchboard', directing signals coming from the outside world or internal memories. Because human brain disorders such as schizophrenia, autism and post-traumatic stress disorder typically show disturbances in that switchboard, the investigators say the work suggests new strategies in understanding and treating them. 

The most and least sleep deprived cities in the world

The Wall Street Journal reported recently on the topic of sleep deprivation as to which cities around the world are the most and least sleep deprived. Brisbane leads the way with the earliest bed time and earliest wake time.

read more

"LIKE" The Wesley Hospital Sleep Disorder Centre on Facebook for all your up-to-date sleep informational posts and competitions

Dear Doctors,

Welcome to the latest edition of the TSGQ E-Newsletter!

Keep an eye out for one of our friendly staff visiting medical practices in Brisbane over the next 3 weeks. They are providing detailed research summaries in areas of thoracic and sleep medicine, for 2014. These particularly relate to the impact of sleep disorders within different sub-specialities. The interdisciplinary nature of sleep affects our patients in a complex manner, so this new research provides interesting updates for you. Practices can also enter our draw to win an IPAD mini 32G
 
We also include an invitation to you and your practice to learn about the inner workings of our Wesley Hospital respiratory, sleep and CPAP laboratories, including presenting interesting case studies for your education.

For more information and to register please follow this link TSGQ invitation, or email: admin@tsgq.com.au
 
  
In this months newsletter, you will find information on:

    • Association of severe OSA and elevated BP despite antihypertensive medication use
      A study recently published in the Journal of Clinical Sleep Management shows an association between untreated resistant or difficult to treat hypertension and obstructive sleep apnoea severity.
    • Warning sings of OSA
      Understanding how sleep fragmentation and hypoxia from OSA can impact other health conditions is important. Looking at the processes in sleep can help treat health problems effectively. 
    • National trends in outpatient visits in the USA for insomnia, apnoea and sleep medications
      The role of the outpatient medical sector in diagnosing and treating sleep related complaints and symptoms has recently been published in SLEEP
    • Confusional arousals
      Confusional arousals, consist of mental confusion or confusional behaviour during or following arousals from sleep, typically from slow wave sleep in the first part of the night, but also upon attempted awakening from sleep in the morning. 
    • Increased severity of respiratory infections associated with elevated anti-LPS IgG2 which inhibits serum bactericidal killing
      A recent study demonstrates that in a significant portion of patients with bronchiectasis and Pseudomonas aeruginosa lung infection, antibody can protect the bacterium from complement-mediated killing. 

We hope you enjoy this edition and welcome your feedback. You can email the editor with any feedback or suggestions for both articles and news at editor@tsgq.com.au. - The Editor

Sleep Medicine News

Association of severe OSA and elevated BP despite antihypertensive medication use
Obstructive sleep apnoea is characterised by repeated complete or partial airway closures during sleep.  It results in sympathetic nervous system activation, hyperaldosteronism, alterations in baroreceptor function, increased oxidative stress and endothelial dysfunction driven by hypoxaemia.  As described in several large-scale epidemiological studies, these pathophysiological changes explain the association between OSA and hypertension.
Warning signs of OSA
Obstructive sleep apnoea causes unconscious sleep deprivation. It’s common knowlegde the problems associated with sleep deprevation. What can be overlooked is the impact of fragmentation in sleep from continual respiratory events (hypopnoeas and apnoeas) that can cause non consolidated sleep which then causes a sleep deprevation that the patient is generally not aware of. Patients who sleep 8 hours with Mild OSA will be waking between 40-120 times a night, Moderate OSA; 121- 240 times and Severe OSA is more than 240 times a night.
read more
 
National trends in outpatient visits in the USA for insomnia, apnoea and sleep medications
The role of the outpatient medical sector in diagnosing and treating sleep related complaints and symptoms has recently been published in SLEEP. This study examined the USA national trends 1999-2010 in outpatient visits for sleep related difficulties and prescriptions for sleep medications in adults (≥20 years old). Previous analyses of data from the National Ambulatory Medical Care Survey have examined various aspects of prescription practices. The increasing trend in treatment with hypnotic medications, possibly indicating overuse of medications with serious side effects, was a concern expressed in one of those studies.
read more

Confusional arousals
A recent study looked at the prevalence of confusional arousals (CA) in the general US populace and investigated how importantly medication consumption, sleep and mental disorders were associated with CA. CA episodes have not received much attention, but findings in this recent study show that the occurrence of these episodes is fairly high in the general population. CA are often triggered by a forced awakening, and may even result in violent behaviour. 
read more
 


Thoracic Medicine News

Increased severity of respiratory infections associated with elevated anti-LPS IgG2 which inhibits serum bactericidal killing
Specific antibody induced by pathogens or vaccines is a key component of protection against infectious threats, however some viruses, such as dengue, induce antibody that enhances the development of infection. A recent study demonstrates that in a significant portion of patients with bronchiectasis and Pseudomonas aeruginosa lung infection, excess production of O-antigen-specific IgG2 antibodies can protect the bacterium from complement-mediated killing. 


Thoracic & Sleep Group News

Keep an eye out for one of our friendly staff visiting medical practices in Brisbane over the next 3 weeks. They are providing detailed research summaries in areas of thoracic and sleep medicine, for 2014. These particularly relate to the impact of sleep disorders within different sub-specialities. The interdisciplinary nature of sleep affects our patients in a complex manner, so this new research provides interesting updates for you. Practices can also enter our draw to win an IPAD mini 32G
 
We also include an invitation to you and your practice to learn about the inner workings of our Wesley Hospital respiratory, sleep and CPAP laboratories, including presenting interesting case studies for your education.

For more information and to register please follow this link TSGQ invitation, or email: admin@tsgq.com.au


Home Based Sleep Studies

The Wesley Hospital Sleep Disorders Centre offers uninsured patients a Home Based Sleep Study that is bulk billed!
Please contact our office to have a referral pad sent out or download a referral here.

Phone:   (07) 3870 1120
Fax:       (07) 3870 0233
Email:     admin@tsgq.com.au

The Wesley Lung Function Laboratory


SAME DAY APPOINTMENTS
Please contact our office to have a referral pad sent out or download a referral here.

LUNG FUNCTION TESTS BULK BILLED

Phone:   (07) 3870 0858
Fax:       (07) 3870 2608
Email:    lung@tsgq.com.au

Bulk Billed Lung Function Tests:

  • Spirometry
  • Complicated lung function test (CO transfer and lung volumes)
  • Bronchial provocation testing (Mannitol)
  • 6 minute walk testing
  • Allergen skin testing
  • High altitude simulation testing
  • Fraction Expired NO (FeNO)


Copyright © 2010-2014 Thoracic & Sleep Group Queensland (TSGQ)

Forward this email to a friend.   |   Update your details.
Unsubscribe from the monthly TSGQ newsletter.