obstructive sleep apnea in the elderly

... 0.28 Therapy in patients with OSA, indicating a causative role of OSA in the inflammatory process Since inflammation might play a central role in renarrowing of the vessels in OSA patients, the ... point ("minimal luminal diameter") The renarrowing occurring from immediately after the intervention over the following months as determined and quantified by the follow angiogramm conveys the ... different aspects of the late result of coronary intervention: the outcome of the patients, and, from the anatomical point of view, the angiographic result determined by the diameter of the vessel/lesion...

Ngày tải lên: 12/08/2014, 15:21

... insomnia include sleep onset insomnia (difficulty initiating sleep) , sleep maintenance insomnia (difficulty maintaining sleep throughout the night), early morning insomnia (early morning awakenings ... usually begins with conducting a complete sleep history focusing on EDS, unintentional napping, snoring, and other sleep disorder symptoms If possible, obtaining information from the patient’s sleep ... fall asleep within 20 min, they are asked to repeat the process Sleep restriction therapy aims to increase sleep efficiency by limiting the amount of time the patient is allowed to stay in bed...

Ngày tải lên: 22/03/2014, 14:20

... divide sleep apnea into three major categories: obstructive, central, and mixed apnea Obstructive sleep apnea is characterized by intermittent pauses in breathing during sleep caused by the obstruction ... is performed in the inverse domain F−1 Indeed, the principal advantage of working with (10) rather than (4) is the fact that the model unknowns (αi , βi , wi , μ) appear linearly Using (10), we ... The M values of y are equally sampled in the interval [0.005, 0.995] To apply the constraint of (16), we use the two points [y2 , yM −1 ] corresponding, respectively, to the beginning and the...

Ngày tải lên: 22/06/2014, 23:20

... activity in the whole blood [19] and the ferric reducing ability of plasma (FRAP) [20] We found that the apnea/ hypopnea episodes during sleep did not change the morning and evening intensity of the ... patients resulting in the rise of plasma norepinephrine and epinephrine levels [25-27] may perhaps be responsible in the insignificant changes between evening and morning blood LBCL in OSAS patients ... within and between the studied groups sifying the quality of our results in showing no priming or activation of blood phagocytes in untreated OSAS patients The sympathetic over activity in OSAS...

Ngày tải lên: 11/08/2014, 07:21

... for the development of OSAS [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 ... in the upper airway are connected with a variation in the head posture and with an increased cranio-cervical extension in order to increase the dimension of the airway [31,32] Furthermore, Winnberg ... obesity in the development of apnea Statistically significant differences emerged by analyzing the individual data of the soft palate of each study within obese and non-obese groups; discouraging the...

Ngày tải lên: 12/08/2014, 00:20

... subjects who gained weight during the study, insulin resistance increased suggesting that changes in insulin sensitivity induced by CPAP in this setting are mainly determined by changes in body weight ... http://respiratory-research.com/content/12/1/80 in its regulation including changes in insulin sensitivity Insulin administration has been shown to suppress circulating ghrelin levels in some [31] but not all studies [32] Plasma insulin ... collected in the morning between and AM in EDTA-containing tubes and kept at 4°C during processing Aprotinin (100 μL containing 0.6 TIU per mL of blood) was added to one of the tubes and the samples...

Ngày tải lên: 12/08/2014, 13:22

... predicting OSA These questionnaires collect diagnostic information including age, gender, the occurrence and frequnency of waking up in the night, sleepiness in the daytime etc., and then the related ... sever the sleeping apnea is Meanwhile, the useful information contained in silence episodes does not catch much attention in the research of OSA diagnosis using snoring sound However, it is these ... often occur before the beginning or after the end of apnea silence and hypopnea silence, but these snore sounds are not the dominant snore resulting in apnea events We call these snore episodes...

Ngày tải lên: 27/11/2015, 11:25

... and deaths from in uenza Description of the intervention Vaccines have been the main global weapon to minimise the impact of in uenza in the elderly for the last four decades In the year 2000, ... Trevino SC, Ybarra D The effect of a multivitamin on the immunologic response to the in uenza vaccine in the elderly Infectious Diseases in Clinical Practice Vol 10, Lippincott Williams & Wilkins, ... good coverage in those who most need it or the diluting effect on vaccines for in uenza of other agents circulating in the community (causing ILI, clinically indistinguishable from in uenza), might...

Ngày tải lên: 13/02/2014, 18:20

... an initial open-ended approach, e.g asking: “What you think the change in your memory and thinking is due to?” b In setting up the visit for disclosure, consider patient privacy and ask whether ... driving and to instruct these patients to stop driving If the physician learns that the patient continues to drive despite this instruction, the physician is required to notify the Superintendent ... Drug Interactions Major drug interactions associated with memantine include drugs which increase the pH in urine (e.g carbonic anhydrase inhibitors) Exercise caution when prescribing memantine...

Ngày tải lên: 13/02/2014, 18:20

... the groups DISCUSSION Tuberculosis is becoming increasingly common in the elderly and burden of the disease in them is likely to continue to increase substantially.3,4 Moreover, with increasing ... symptoms in elderly patients with TB This results in a delay in the presentation of the elderly to health care facilities, thereby resulting in a delay in the commencement of ATT The delay in presentation ... ageing and hence must be kept in mind during the diagnostic evaluation of elderly patients.11 Several findings of the current study are in accordance with the results of this meta-analysis In the...

Ngày tải lên: 15/02/2014, 13:20

... albicans Rinsing the dentures in the evening and keeping them overnight in the open air can indeed be the easiest way to carry out "disinfection" (Stafford et al., 1986) However, 10 minute soaking in ... been the most fundamental etiological factor for the dramatic increase in caries among the Finnish children in the beginning of the 1950's (Rytömaa et al., 1980) Not surprisingly, increase in the ... habits in the home-living elderly J Oral Rehabil 1997;May;24(5):332-7 V Nevalainen MJ, Närhi TO, Ainamo A Five-year follow-up study on the prosthetic rehabilitation of the elderly in Helsinki, Finland...

Ngày tải lên: 05/03/2014, 18:20

... (39%), the rest of them – in households of several individuals In Timisoara the majority of the elderly live in couples, the size of other households is about the same, but the proportion of the single ... Healthy Lifestyle in the Elderly s View in Romania and Latvia Figure Number of individuals in the households of the elderly in Latvia and Romania Figure Size of the homes of the elderly in Jelgava and ... with their community residents, than it is in Latvia Both the elderly in Dumbravita and those in Jelgava feel well in their homes, and they like their apartments or houses In Jelgava 73% of the elderly...

Ngày tải lên: 05/03/2014, 21:20

... understanding of the dynamics of family caregiving to low-income and frail elderly individuals living in the community It is examining how community and home care services diminish the effect ... Impact in a community setting continues Further evidence of the effectiveness of the CDSMP can be found in a study funded by Kaiser Permanente One year after completing the CDSMP, participants in the ... AHRQ Pub No 01-0009 eating, or using the toilet.8 Many elderly people can maintain or improve their functional ability by attending the CDSMP and practicing its principles CDSMP improved health...

Ngày tải lên: 05/03/2014, 21:20

... from 6025 cases in 1992 to 3534 cases in 2000 [1] Despite these declines in absolute numbers, the proportion of cases among the elderly has remained stable, with the elderly accounting for 23% of ... cases in the United States has been observed within the last 10 years Despite these declines in absolute numbers, the elderly continue to account for a disproportionate share of the cases The high ... among the elderly This increased prevalence has been attributed to a decline in cellular immunity with age, eradication of the dormant infecting organism from within the host, or a combination...

Ngày tải lên: 06/03/2014, 04:20

... important factor in the decline of autonomy Indeed, the fear of falling can result in changes in motor function in the elderly, for example in walking behavior (Maki, 1997) The elderly frequently ... Multiple factors are involved in the risk of falling These factors may be intrinsic to the person and the aging process, behavioral, or found in the person’s immediate environment The main risk factors ... improvement in the health of the elderly, thus extending the period of physical autonomy, and retarding the onset of the effects of aging The fact that the majority of elderly people are currently living...

Ngày tải lên: 14/03/2014, 17:20

... 13.Grundy SM, Cleeman JI, Rifkind BM, Kuller LH Cholesterol lowering in the elderly population: Coordinating committee of the National Cholesterol Education Program Arch Intern Med 1999;159:1670-8 ... Cancer screening in older women Cancer 1994 (suppl) :200915 13.Finison KS, Wellins CA, Wennberg DE, Lucas FL , Screening mammography rates by specialty of the usual care physicain Eff Clin Pract ... 1995;92)suppl):1672 12.Byrington RP, Jukema JW, Salonen JT et al Reduction in cardiovascular events during pravastatin threapy: Pooled analysis of clinical events of Pravastatin Atherosclerosis Intervention...

Ngày tải lên: 14/03/2014, 20:20

... toward the null, indicating the strong confounding effect of the total number of prescriptions taken Adding predisposing and enabling variables in Model C, the coefficient remained virtually the ... control for the underlying confounding problem and therefore help minimize the endogeneity The full Model F adds in the prior health-status and health-condition variables The coefficient of inappropriate ... across the different model specifications, suggesting the relative robustness and reliability of the full Model F In specifying the full model, there was a concern about multicollinearity within the...

Ngày tải lên: 14/03/2014, 20:20

... associated with the likelihood of not receiving VKAs in the multivariate analysis was increasing age No other single factor, including the presence of contraindications to oral anticoagulation influenced ... impact on the quality of anticoagulation, frequently assessed by the percentage of INR values in the therapeutic interval and expressed as the “time in the therapeutic range” (TTR) Even in clinical ... is therefore recommended For anticoagulation in the therapeutic range, dabigatran etexilate was compared to warfarin in the RE-LY study including AF patients and in the RE-COVER study including...

Ngày tải lên: 14/03/2014, 20:20

... in the elaboration of the criterion for unintentional weight loss and in the fact that reduced food intake is indeed included in the LPZ as criterion, but not in the LASA study Further, in the ... differences in the numbers of elderly people in the different care settings, the LPZ results that concern data from all participating elderly people are dominated by the findings in nursing and care ... in the elderly The prevalence estimates are presented in Table A3 To gain insight into the effect of the differences in the criteria between the LPZ and LASA on the prevalence data, both definitions...

Ngày tải lên: 22/03/2014, 13:20

... success in the elderly (Figure 4) include use of physiotherapy and motor training to improve mobility, constraint-induced movement therapy (14), swallowing therapy for dysphagia, speech therapy ... Learning objectives ●● ●● ●● ●● Gain insight into the prevalence, incidence and economic impact of stroke in the elderly Learn about the role of age in stroke outcomes and burden Be aware of the ... Defining the elderly population 1.5 Summary 1.6 References Acute stroke care 2.1 Intravenous alteplase therapy 2.2 Very elderly in clinical trials 2.3 Outcomes of thrombolytic therapy in the...

Ngày tải lên: 22/03/2014, 13:20