Andrew R. Spector

ORCID: 0000-0003-4645-1205
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About
Contact & Profiles
Research Areas
  • Obstructive Sleep Apnea Research
  • Sleep and Wakefulness Research
  • Neuroscience of respiration and sleep
  • Diversity and Career in Medicine
  • Sleep and related disorders
  • Innovations in Medical Education
  • Restless Legs Syndrome Research
  • Global Health Workforce Issues
  • Medical Education and Admissions
  • Tracheal and airway disorders
  • Health Systems, Economic Evaluations, Quality of Life
  • Intensive Care Unit Cognitive Disorders
  • Hospital Admissions and Outcomes
  • Vagus Nerve Stimulation Research
  • Head and Neck Surgical Oncology
  • Sinusitis and nasal conditions
  • Voice and Speech Disorders
  • Cardiovascular and Diving-Related Complications
  • Healthcare professionals’ stress and burnout
  • Circadian rhythm and melatonin
  • Respiratory Support and Mechanisms
  • History of Medical Practice
  • Free Will and Agency
  • Transport Systems and Technology
  • Medical and Biological Sciences

Duke University
2014-2024

University of Rochester
2024

University of California, Los Angeles
2024

University of Maryland, Baltimore
2021-2024

Oregon Health & Science University
2024

Office of Diversity and Inclusion
2024

Empowerment Program
2024

Duke Medical Center
2016-2022

Harvard University
2016-2021

University of Kentucky
2021

The period of the year from spring to fall, when clocks in most parts United States are set one hour ahead standard time, is called daylight saving and its beginning ending dates times by federal law. human biological clock regulated timing light darkness, which then dictates sleep wake rhythms. In daily life, exposure generally linked social clock. When solar misaligned with clock, desynchronization occurs between internal circadian rhythm yearly change time introduces this misalignment,...

10.5664/jcsm.10898 article EN Journal of Clinical Sleep Medicine 2023-10-31

Early evidence with transvenous phrenic nerve stimulation (PNS) demonstrates improved disease severity and quality of life (QOL) in patients central sleep apnea (CSA). The goal this analysis is to evaluate the complete prospective experience PNS order better characterize its efficacy safety, including concomitant heart failure (HF).

10.5664/jcsm.8076 article EN Journal of Clinical Sleep Medicine 2019-12-13

Introduction Obstructive sleep apnea is diagnosed by identifying obstructive apneas and hypopneas, but no study has shown that it necessary to distinguish these events from each other. Our goal was analyze results polysomnograms determine if adverse health outcomes were more likely in patients with higher indices relative their hypopnea indices. hypothesis scoring separately hypopneas predictive value. Methods A retrospective case series performed for consecutive diagnostic split-night...

10.7759/cureus.4560 article EN Cureus 2019-04-28

To examine the emotional and behavioral characteristics of offspring depressed parents with without anger attacks.Forty-three who met criteria for major depressive disorder (MDD) completed Achenbach Child Behavior Checklist - Parent Report Version (CBCL) each their birth children (n = 58, age range 6-17 years). Unpaired t tests were used to evaluate CBCL scale score differences between attacks. Baseline demographics clinical two groups also evaluated.Parents attacks had a significantly...

10.1159/000068682 article EN Psychotherapy and Psychosomatics 2003-01-01

10.1016/j.jstrokecerebrovasdis.2008.08.003 article EN Journal of Stroke and Cerebrovascular Diseases 2008-12-25

Pallido-ponto-nigral degeneration (PPND), caused by an N279K mutation of the MAPT gene, is 1 a family disorders collectively referred to as frontotemporal dementia and parkinsonism linked chromosome 17. This study aims characterize nature sleep disturbance in PPND compare these findings those other progressive neurological illnesses. Pathological are also provided.Ten subjects were recruited from kindred; 5 affected unaffected. The underwent clinical assessment, polysomnography, wrist...

10.1002/ana.22340 article EN Annals of Neurology 2010-11-19

We describe a case series of 4 patients with varying degrees obstructive sleep apnea who incidentally had history nocturnal leg cramps. None the periodic limb movements during study and denied symptoms consistent restless legs syndrome. In 3 patients, cramps resolved CPAP treatment for OSA, while fourth patient noted near-resolution cramping after starting CPAP. presenting muscle cramps, should be considered.

10.5664/jcsm.3806 article EN Journal of Clinical Sleep Medicine 2014-06-13

Summary: The misdiagnosis of epilepsy may occur from the misinterpretation a routine scalp EEG. Typically, interictal epileptiform discharges are misidentified on EEGs because overinterpretation normal variants or variations in electrocerebral activity. Most reports have arisen patients diagnosed with psychogenic nonepileptic attacks using in-patient video-EEG monitoring. However, seizures rarely captured performance EEG outpatient setting, ictal is much less likely to occur. some...

10.1097/wnp.0b013e31821c3dce article EN Journal of Clinical Neurophysiology 2011-06-01

We discuss the use of levothyroxine for excessive daytime sleepiness (EDS) and prolonged nocturnal sleep time in a euthyroid patient with narcolepsy.After failure first-line narcolepsy treatments, 48-year-old female began (25 mcg/day). After 12 weeks treatment, was evaluated improvement total subjective assessed by Epworth Sleepiness Scale (ESS).At baseline, ESS score 16 averaged h/day. weeks, 13 reported h/day.Levothyroxine improved EDS without cataplexy after side effects.

10.5664/jcsm.4210 article EN Journal of Clinical Sleep Medicine 2014-11-14

The primary objective of this study is to determine how the phases menstrual cycle influence results polysomnography (PSG). Twenty-eight adult subjects who reported regular periods, last period (LMP) within 26 days their PSG, no exogenous hormone use, history polycystic ovarian syndrome, and were scheduled for diagnostic PSG at Boston Medical satisfied inclusion criteria study. These divided into a Follicular Cohort (days 0-13 cycle) or Luteal 14-26 cycle), one-way analysis using t-test was...

10.7759/cureus.871 article EN Cureus 2016-11-09

This quality improvement (QI) project aimed to evaluate the process and outcomes of utilizing STOP-BANG questionnaire (SBQ) screen patients for sleep apnea in a pre-operative clinic. Studies outside United States show that there is greater risk obstructive (OSA) among Asian ethnicity compared Whites; thus, this also describe SBQ scores subset Americans not referred study determine number potential referrals if body mass index (BMI) threshold their modified. A retrospective medical records...

10.1016/j.pcorm.2024.100377 article EN cc-by-nc Perioperative Care and Operating Room Management 2024-02-27
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