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Banner: Thoracic and Sleep Group Queensland - People caring for how you breathe and sleep.
Issue: June 2015 
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Accredited for Compliance
with ASA Standards for 
Sleep Disorders Services


Links for Doctors:
Latest News
Research Articles
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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

Pulmonary rehabilitation should include sleep assessment

Researchers say that pulmonary rehabilitation programmes for patients with moderate to sever chronic obstructive pulmonary disease (COPD) should include sleep assessment. The recommendation comes after the team, from UC San Diego in California, USA, found that the proportion of COPD patients referred for PR who had sleep disordered breathing was much higher than in the general population.

Heavy snoring and sleep apnoea may be linked to earlier cognitive decline

Heavy snoring and sleep apnoea may be linked to memory and thinking decline at an earlier age, according to a new study. The research also suggests that treating the disorders with a breathing machine may delay the decline.
 

Study sheds new light on asthma and COPD

In diseases such as asthma and chronic obstructive pulmonary disease (COPD), the body produces too much mucus, making breathing difficult. New research provides clues to potentially counteract inappropriate mucus production. 
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!
 
In this months newsletter, you will find information on:

    Natural history and management of paediatric obstructive sleep apnoea - Emerging concepts
    Paediatric obstructive sleep apnoea (OSA) is a common medical disorder associated with neurocognitive and cardiovascular dysfunction. 

    Neurobehavioural functioning in adolescents with and without obesity and obstructive sleep apnoea
    A newly published study in the journal of SLEEP (March 2015) confirms that the neurodevelopment of obese adolescents with obstructive sleep apnoea (OSA) can be compromised, particularly in the areas of executive functioning, attention, and behaviour.

    Decreased regional cerebral perfusion in moderate-severe obstructive sleep apnoea during wakefulness
    A team from New Zealand Brain Research Institute have investigated differences in total gray matter volume, regional gray matter volume, and perfusion between controls and people with a range of OSA severity (mild, moderate, and severe), newly published in the journal SLEEP.

    A randomized controlled trial of vitamin E and selenium on rate of decline in lung function
    Much focus has been afforded to the role of antioxidants in general health but little attention has been placed on the role of antioxidants in lung function. 

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

Natural history and management of paediatric  obstructive sleep apnoea - Emerging concepts.
Paediatric obstructive sleep apnoea (OSA) is a common medical disorder associated with neurocognitive and cardiovascular dysfunction. Two core concepts of pathophysiology that pre-dispose patients to OSA include an anatomically narrow upper airway and/or alterations of neuromuscular tone. OSA occurs in all ages, ranging from premature infants to the elderly> Thus, it is anticipated that paediatric OSA is a disorder of continuum. However, a multitude of changes occur in children during the various growth periods. Natural_History_and_Management_of_Paedeatric


 
Neurobehavioural functioning in adolescents with and without obesity and obstructive sleep apnoea
Adolescence is a time of rapid development of problem solving, information processing, judgement, emotion regulation, and abstract reasoning skills. It is also a period when significant behavioural health concerns develop, including depression and anxiety.Hence factors affecting neurobehavioral functioning during this developmntal stage may have a significant effect on neurological outcomes.Neurobehavioural_Functioning_in_Adolescents
Neurobehavioral Measures and Results:
Executive Function
The obese OSA group had significantly worse executive function on all measures compared to both obese and lean controls, except for behaviour regulation between obese OSA and obese controls.
read more

Decreased regional cerebral perfusion in moderate-severe obstructive sleep apnoea
Regional_Perfusion_in_Moderate-Severe_OSA
A team from the New Zealand Brain Research Institute have investigated differences in total gray matter volume, regional gray matter volume, and perfusion between controls and people with a range of OSA severity (mild, moderate, and severe), newly published in the journal SLEEP (see reference). Obstructive sleep apnoea (OSA) is a common sleep disorder, where the respiratory disturbance leads to cyclical oxygen desaturation, frequent arousals, and sleep fragmentation. Based on the results of human studies and experimental animal models of OSA, it has been hypothesized that the intermittent hypoxia associated with untreated OSA can lead to oxidative stress, inflammation, atherosclerosis, endothelial dysfunction, and hypertension. 


Thoracic Medicine News

A randomized controlled trial of vitamin E and selenium on rate of decline in lung function
Much focus has been afforded to the role of antioxidants in general health but little attention has been placed on the role of antioxidants in lung function. A recent study published in Respiratory Research has investigated the role of vitamin E and selenium in reducing the decline of lung function in at-risk patients. Although cessation remains the primary focus for current smokers the study aimed to identify an intervention strategy to mitigate lung effects in continuing smokers. Attenuating lung function decline may reduce morbidity and mortality, both in healthy persons and in COPD patient. 
 
Vitamin_E

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)


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