A sleep app that offers a digital six-week treatment programme could be used to replace sleeping pills for people suffering insomnia.
The proposed Sleepio app uses an artificial intelligence algorithm to provide individuals with tailored cognitive behavioural therapy for insomnia (CBT-I).
The National Institute for Health and Care Excellence, or Nice, said it would save the National Health Service money and reduce prescriptions of medicines such as zolpidem and zopiclone, which can be addictive.
Their economic analysis found that healthcare costs were lower after one year of using Sleepio, mostly because of fewer GP appointments and sleeping pills prescribed.
The app provides a six-week self-help programme involving a sleep test, weekly interactive CBT-I sessions and keeping a diary about their sleeping patterns.
The sessions focus on identifying thoughts, feelings and behaviour that contribute to the symptoms of insomnia.
Cognitive intervention aims to improve the way a person thinks about sleep and the behavioural intervention aims to promote a healthy sleep routine.
Nice predicts that up to 800,000 people could benefit from using Sleepio in England.
The programme is designed to be completed in six weeks but people have full access to it for 12 months from registration.
This allows people to complete the sessions at their own pace and revisit sessions. Participants also have access to electronic library articles, online tools and the online Sleepio user community for support.
A daily sleep diary helps users to track their progress and the programme tailors individual advice.
Users can fill in the diary manually or the data can be automatically uploaded from a compatible wearable tracking device, such as an Apple Watch or Fitbit.
Clinical evidence presented to Nice’s medical technologies advisory committee from 12 randomised controlled trials showed that Sleepio is more effective at reducing insomnia than sleep hygiene and pills.
“Until now people with insomnia have been offered sleeping pills and taught about sleep hygiene, so our committee’s recommendation of Sleepio provides GPs and their patients with a new treatment option," said Jeanette Kusel, acting director for MedTech and digital at Nice.
“Our rigorous, transparent and evidence-based analysis has found that Sleepio is cost-saving for the NHS compared with usual treatments in primary care.
"It will also reduce people with insomnia’s reliance on dependence-forming drugs such as zolpidem and zopiclone.
“This is a good example of where a digital health technology can help the NHS."
The cost of Sleepio is £45 ($56), excluding VAT. But Nice says it is cost-saving compared with usual treatment in primary care.
This is based on an analysis of primary care resource use data before and after Sleepio was introduced in nine GP practices.
The independent Nice committee has recommended a medical assessment should be done before referral to Sleepio during pregnancy and in people with co-morbidities.
Pregnant women should undergo an assessment because insomnia can mimic other conditions, like restless legs, or it could be a consequence of undiagnosed sleep apnoea.
The committee has also recommended more research or data collection to show how effective Sleepio is compared with face-to-face CBT-I.
Labour dispute
The insured employee may still file an ILOE claim even if a labour dispute is ongoing post termination, but the insurer may suspend or reject payment, until the courts resolve the dispute, especially if the reason for termination is contested. The outcome of the labour court proceedings can directly affect eligibility.
- Abdullah Ishnaneh, Partner, BSA Law
Sheer grandeur
The Owo building is 14 storeys high, seven of which are below ground, with the 30,000 square feet of amenities located subterranean, including a 16-seat private cinema, seven lounges, a gym, games room, treatment suites and bicycle storage.
A clear distinction between the residences and the Raffles hotel with the amenities operated separately.
The Pope's itinerary
Sunday, February 3, 2019 - Rome to Abu Dhabi
1pm: departure by plane from Rome / Fiumicino to Abu Dhabi
10pm: arrival at Abu Dhabi Presidential Airport
Monday, February 4
12pm: welcome ceremony at the main entrance of the Presidential Palace
12.20pm: visit Abu Dhabi Crown Prince at Presidential Palace
5pm: private meeting with Muslim Council of Elders at Sheikh Zayed Grand Mosque
6.10pm: Inter-religious in the Founder's Memorial
Tuesday, February 5 - Abu Dhabi to Rome
9.15am: private visit to undisclosed cathedral
10.30am: public mass at Zayed Sports City – with a homily by Pope Francis
12.40pm: farewell at Abu Dhabi Presidential Airport
1pm: departure by plane to Rome
5pm: arrival at the Rome / Ciampino International Airport
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Our family matters legal consultant
Name: Hassan Mohsen Elhais
Position: legal consultant with Al Rowaad Advocates and Legal Consultants.
Skoda Superb Specs
Engine: 2-litre TSI petrol
Power: 190hp
Torque: 320Nm
Price: From Dh147,000
Available: Now
Mercedes-AMG GT 63 S E Performance: the specs
Engine: 4.0-litre twin-turbo V8 plus rear-mounted electric motor
Power: 843hp at N/A rpm
Torque: 1470Nm N/A rpm
Transmission: 9-speed auto
Fuel consumption: 8.6L/100km
On sale: October to December
Price: From Dh875,000 (estimate)
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Global state-owned investor ranking by size
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United States
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China
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UAE
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Japan
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Norway
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Canada
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Singapore
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Australia
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Saudi Arabia
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South Korea
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UAE currency: the story behind the money in your pockets
The specs
Engine: 4.0-litre V8 twin-turbocharged and three electric motors
Power: Combined output 920hp
Torque: 730Nm at 4,000-7,000rpm
Transmission: 8-speed dual-clutch automatic
Fuel consumption: 11.2L/100km
On sale: Now, deliveries expected later in 2025
Price: expected to start at Dh1,432,000
Tips for taking the metro
- set out well ahead of time
- make sure you have at least Dh15 on you Nol card, as there could be big queues for top-up machines
- enter the right cabin. The train may be too busy to move between carriages once you're on
- don't carry too much luggage and tuck it under a seat to make room for fellow passengers
Company profile
Date started: December 24, 2018
Founders: Omer Gurel, chief executive and co-founder and Edebali Sener, co-founder and chief technology officer
Based: Dubai Media City
Number of employees: 42 (34 in Dubai and a tech team of eight in Ankara, Turkey)
Sector: ConsumerTech and FinTech
Cashflow: Almost $1 million a year
Funding: Series A funding of $2.5m with Series B plans for May 2020
Ziina users can donate to relief efforts in Beirut
Ziina users will be able to use the app to help relief efforts in Beirut, which has been left reeling after an August blast caused an estimated $15 billion in damage and left thousands homeless. Ziina has partnered with the United Nations High Commissioner for Refugees to raise money for the Lebanese capital, co-founder Faisal Toukan says. “As of October 1, the UNHCR has the first certified badge on Ziina and is automatically part of user's top friends' list during this campaign. Users can now donate any amount to the Beirut relief with two clicks. The money raised will go towards rebuilding houses for the families that were impacted by the explosion.”
The five pillars of Islam
1. Fasting
2. Prayer
3. Hajj
4. Shahada
5. Zakat
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Company: Instabug
Founded: 2013
Based: Egypt, Cairo
Sector: IT
Employees: 100
Stage: Series A
Investors: Flat6Labs, Accel, Y Combinator and angel investors
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