Sleep paralysis research today is a free monthly online journal that collates and summarizes the latest research about sleep paralysis, including details on causes, awareness, dreaming.
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Sleep paralysis research today home view latest issue information about sleep paralysis books on sleep paralysis advertising in research today view other research today publications interobserver reliability of icsd-r minimal diagnostic criteria for the parasomnias.
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Vignatelli l, bisulli f, zaniboni a, naldi i, fares je, provini f, vetrugno r, plazzi g, tinuper p, montagna p dipartimento di scienze neurologiche, universitã di bologna, via ugo foscolo 7, 40123 bologna, italy. viagra online order no prescription Objective: to estimate the interobserver reliability (ir) of the minimal diagnostic criteria for the parasomnias provided in the international classification of sleep disorders revised (icsd-r). Methods: fifty consecutive subjects underwent a structured interview by three doctors based on the icsd-r minimal criteria for the diagnosis of 13 parasomnias at any time in life.
Ir was calculated by kappa statistics and interpreted according to conventional categories. where to buy viagra online no prescription Results: in the group of arousal disorders, ir was "substantial" (kappa 0. 74) for confusional arousals, "slight" (kappa 0. where to buy viagra online no prescription 36) for sleepwalking, "fair" (kappa -0. viagra 20mg oral tab 02) for sleep terrors. where to buy viagra online no prescription In the group of wake-sleep transition disorders, ir was "substantial" to "almost perfect", but "moderate" for sleep starts (kappa 0.
In the group of parasomnias usually associated with rem sleep, ir was "substantial" (kappa 0.
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69) for sleep paralysis, "moderate" (kappa 0. 46) for rbd, "fair" (kappa 0.
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25) for nightmares. In the group of other parasomnias, ir was "substantial" to "almost perfect" (kappa between 0. age for viagra use 73 and 0. 93). Conclusions: when the clinical diagnosis of parasomnias is based on the icsd-r: 1) the majority of arousal disorders and rem sleep parasomnias showed only a "fair" to "moderate" ir; 2) all of the other parasomnias showed a "substantial" to "almost perfect" ir.
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Nosological entities with unsatisfactory ir share complex motor phenomenology associated with a mental state difficult for the patient to define.
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The source of disagreement probably lies in the difficulty in interpreting patients' reports.
For these parasomnias ir must be verified and possibly improved with training. Published 24 june 2005 in j neurol, 252(6): 712-7. Full-text of this article is available online (may require subscription).
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