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This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are presented. The article ends with the author's clinical recommendations.
During an evaluation by his internist, a 48-year-old man reports that his wife tells him that he snores loudly. Further questioning reveals that he has been falling asleep whenever sedentary. His physical examination is notable for truncal obesity (body-mass
The Clinical Problem
Pathophysiology and Effect of Therapy
Clinical Evidence
Clinical Use
Adverse Effects
Areas of Uncertainty
Guidelines
Recommendations
Source Information
From the Division of Pulmonary, Allergy and Critical Care, Columbia University College of Physicians and Surgeons, New York.
Address reprint requests to Dr. Basner at the Division of Pulmonary, Allergy, and Critical Care, Columbia University College of Physicians and Surgeons, 630 W. 168th St., VC-12206, New York, NY 10032, or at rcb42@columbia.edu.
This article has been cited by other articles:
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