obstructive and nonobstructive sleep apnea the neurological perspective

... reduced, then the respiratory event is called a hypopnoea Clinicians usually divide sleep apnea into three major categories: obstructive, central, and mixed apnea Obstructive sleep apnea is characterized ... tinf and tsup are the limits of the CISA signal time support The conditions on the function ni ensure the absence of compensatory effects between the shape fluctuation term and the affine term and ... oxygen saturation and leads to wakening from sleep in order to breathe Central sleep apnea (CSA) is a neurological condition which causes the loss of all respiratory effort during sleep and is also...

Ngày tải lên: 22/06/2014, 23:20

... daytime sleepiness The upper airway resistance syndrome Chest 1993, 104:781-787 Andrews JG, Oei TP: The roles of depression and anxiety in the understanding and treatment of Obstructive Sleep Apnea ... percentage of REM sleep during the night, as well as in its eye movement density (referred to as REM sleep disinhibition) [43] On the other hand, the sleep of patients with OSA is fragmented, and contains ... desaturation during sleep Sleep fragmentation is a direct consequence of the recurrent microarousals associated with the apneas and hypopneas, and the nocturnal hypoxemia is due to the intermittent...

Ngày tải lên: 08/08/2014, 21:20

... surgery and oral appliances, for patients with obstructive sleep apnea; nevertheless, our field is still in its adolescence with respect to the diagnosis and treatment of obstructive sleep apnea and ... models for sleep apnea (12,14,17) One community-based History and Physical Examination study found that the report of apnea increased the odds of sleep apnea nine-fold (2) and another sleep clinic-based ... BMI, age, and sex and came up with sensitivity and specificity of 94% and 28%, respectively The higher the pretest probability of sleep apnea, the better the positive predictive value of their model...

Ngày tải lên: 10/08/2014, 18:21

... include the apneas and hypopneas during various patient positions for the PSG and for the portable system and whether there was intervention and if so, details of the intervention Ideally, the portable ... between the hard palate and caudal margin of the soft palate Retroglossal: between the distal margin of the soft palate and the base of the epiglottis Hypopharynx: from the base of the tongue to the ... ) The airway is larger in the normal subject than in the patient with sleep apnea The tongue, soft palate, and lateral pharyngeal walls are all larger in the patient with sleep apnea than in the...

Ngày tải lên: 10/08/2014, 18:21

... of the pharyngeal musculature and implications for the pathogenesis of obstructive sleep apnea Sleep 1996; 19(10):827–853 Hudgel DW Variable site of airway narrowing among obstructive sleep apnea ... A Women and the obstructive sleep apnea syndrome Chest 1988; 93(1):104–109 126 Johnson MW, Anch AM, Remmers JE Induction of the obstructive sleep apnea syndrome in a woman by exogenous androgen ... Piccirillo JF The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome Sleep 1996; 19(2):156–177 165 Li KK Surgical therapy for obstructive sleep apnea...

Ngày tải lên: 10/08/2014, 18:21

... to operate the device (21) The physician ordering the APAP titration designates the lower and upper pressure limits (for example, and 20 cm H2O) The APAP device then titrates between these limits ... essential to understand that elimination of apneas, hypopneas, and oxygen desaturations is the first objective, but not the endpoint of the titration Rather, the endpoint of the titration should ... of their sleep and breathing during the first half of the night, a partial improvement of OSA severity and mean oxygen severity occurred during the second half of the night without treatment Sleep...

Ngày tải lên: 10/08/2014, 18:21

... (UARS), obstructive sleep apnea- hypopnea syndrome, and obstructive sleep apnea (OSA) These terms describe a partial or complete obstruction of the upper airway during sleep Patency of the pharyngeal ... the base of the tongue and secured to the screw anchored to the mandible For the hyoid procedure, a screw is inserted into the inferior border of the mandible A permanent suture attached to the ... created in the anterior mandible The genial tubercle and the attached genioglossus muscle are advanced anteriorly The bony fragment is rotated 90° to overlap the inferior border of the mandible and...

Ngày tải lên: 10/08/2014, 18:21

... seven hours at night and the mother was in the habit of sleeping 6.5 hours before the pregnancy she might be pleased with the way the child is sleeping However, if the mother usually slept for ... for sleep and the psychology of sleep All of us sleep best when we go to sleep feeling safe and comfortable We learn to feel this way by forming associations with our sleeping environment and these ... snoring and obstructive sleep apnea Sleep 1999; 22:237–240 50 Marklund M, Sahlin C, Stenlund H, Persson M, Franklin KA Mandibular advancement device in patients with obstructive sleep apnea: long-term...

Ngày tải lên: 10/08/2014, 18:21

... arousals from sleep as well as nocturnal hypoxemia The apnea index (AI) is the number of apneas per hour of sleep and the total number of apneas plus hypopneas per hour of sleep is called the apnea ... number of apneas, hypopneas, and RERAs divided by the total sleep time The RDI should be distinguished from the AHI However, some sleep study reports may equate the RDI with the AHI if the sleep ... Rapid maxillary expansion in obstructive sleep apnea hope on the horizon? Sleep 2004; 27(4):606–607 16 Obstructive Sleep Apnea in the Elderly Lavinia Fiorentino and Sonia Ancoli-Israel Department...

Ngày tải lên: 10/08/2014, 18:21

... noted and treated pharmacologically On the other hand, the possibility of sleep apnea is not considered routinely in the evaluation of the depressed patient Relation Between Obstructive Sleep Apnea ... breathing and apnea threshold during sleep In the control group (open circles) there was a consistent and significant increase in eupneic Pco2 during sleep (p < 0.01) In the central sleep apnea (CSA) ... in these disorders and their prognosis The diseases may also present particular clinical or functional patterns during sleep Furthermore, since COPD, asthma, and sleep apnea are prevalent in the...

Ngày tải lên: 10/08/2014, 18:21

... Potential sleeprelated breathing disorder Obstructive sleep apnea, central sleep apnea, Cheyne-Stokes breathing Central sleep apnea Central sleep apnea Central sleep apnea, obstructive sleep apnea ... affected by the association of RLS and obstructive sleep apneas Sleep Med 2006; 7:235–239 Haba-Rubio J, Staner L, Krieger J, et al Periodic limb movements and sleepiness in obstructive sleep apnea ... evaluate the effect of treatment of sleep apnea on MS CPAP is the standard treatment of sleep apnea in the general population If sleep apnea is diagnosed in MS patients, CPAP use is advised These...

Ngày tải lên: 10/08/2014, 18:21

... reactors licensed by the NRC (115) Congressmen and others petitioned the NRC to expand the regulations to expand the program to include screening for sleep apnea and other disorders The NRC published ... consistent with the standards of the community The jury also considered the broad language of the written consent form signed by the patient On the basis of the expert testimony and the patient’s ... in which the physician “takes charge” of the patient The courts reason “that whether the patient takes the medication and then drives is beyond the doctor’s control In fact, whether the patient...

Ngày tải lên: 10/08/2014, 18:21

... [34,35], and the loss of weight one of the most valid therapies The limitations of our analisys include: the lack of information about the width of the soft palate, the tongue volume, thickness of the ... normal-weighted patients with apnea and 68 obese apnoeic patients, but did not compare them The results of the comparison of the data are presented in Table The number of patients and the anthropometric ... of the soft palate and CVT ^NSL All selected publications were conducted on male patients, and they had the common aim of evaluating the craniocervical-facial skeletal characteristics and the...

Ngày tải lên: 12/08/2014, 00:20

... patients and collected the data MH and RN performed the PSG studies JG performed the statistical analysis and hormonal assays JG, HS, RN, MH, AS reviewed and approved the final version of the manuscript ... Critical Care and Sleep Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA Authors’ contributions JMG and AS participated in the design of the study and in writing the manuscript ... by ELISA (Biovendor, Candler, NC) The protocol was approved by the Baylor College of Medicine Institutional Review Board, and the Research and Development Committee of the Michael E DeBakey Veterans...

Ngày tải lên: 12/08/2014, 13:22

... saturation and AHI are the common parameters describing the severity of nocturnal breathing disorders Furthermore, there were no follow up sleep studies at the time of the second angiography study Another ... during the follow up, independent of other risk factors [1] Our data support the hypothesis, that coronary occlusion might be one reason for the worse prognosis and outcome in these patients Further ... 64 ± 16%)) Normal Obstructive sleep apnea Figure effective1CPAP in patients without obstructive sleep apnea, OSA patients without treatment and OSA patients with Late lumen losstherapy Late lumen...

Ngày tải lên: 12/08/2014, 15:21

... of the national legislation and perspectives, and the constraints which operate upon polar states seeking to protect the polar marine environment The first of these is the common element of the ... on the Kola Peninsula and operated in Soviet Arctic waters The Soviet military build-up at the eastern end of the Northern Sea Route also gave the northern front new prominence.32 Finally, the ... sides of the Arctic Ocean.33 The disintegration of the Soviet Union and the end of the Cold War diminished these threats 32 33 On the Northern Sea Route (NSR) in the context of vessel-source...

Ngày tải lên: 01/11/2013, 09:20

... compliance and ethics activities Notwithstanding these and other changes in law and regulation affecting corporate directors, in the years since SOX there has been a series of further scandals and settlements ... a rousing speech and memorandum from the CEO is delivered, and an “ethics officer” appointed, then all the employees and managers will join hands in a “Kumbaya” moment, and the program will somehow ... the stock options back-dating scandals and the mutual fund market-timing scandals of the mid-2000s Of course, the most recent set of corporate scandals has broadly swept across the mortgage and...

Ngày tải lên: 06/03/2014, 22:20

... “Best of the times and the worst of the times…” Charles Dickens Summary “ It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the ... Information explosion and acquiring skills and Knowledge !! Social media and attention gap !! Faculty recruitment, retention and rewards !! Graduate students training !! Facility upgrades and maintenance ... foolishness, it was the epoch of belief, it was the epoch of incredulity, it was the season of Light, it was the season of Darkness, it was the spring of hope, it was the winter of despair, we had everything...

Ngày tải lên: 18/03/2014, 00:20

... electricity The process steam and electricity demands can be met by burning the spent pulping liquor and the hog fuel associated with the chip supply Thus, the only purchased energy is the 1.2 GJ/ADt ... Figures and midway between the first quartile and modern mill optimum performance for both process steam and electricity Subtract these figures from the current consumption levels and multiply by the ... [2] The kraft mills are grouped according to the time since their last major modernization Also shown are the steam and electricity requirements for the model kraft mill The data in Figures and...

Ngày tải lên: 18/03/2014, 02:20

... correlations between the PIPP and WOMAC (see Table 3) The pain and physical function subscales of the WOMAC correlated strongly with the Mobility and Participation subscales of the PIPP These results ... mentally and physically unhealthy [5] and they represent a considerable burden on health care expenditure [6-8] While OA of the hip and knee account for the largest component of the burden of the ... impact and distress across the aspects assessed by the PIPP Discussion The aim of this study was to assess the psychometric properties of the PIPP scales using Rasch analysis and to investigate the...

Ngày tải lên: 18/06/2014, 18:20