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Tytuł:
Complex relationships between endocrinopathies and obstructive sleep apnea syndrome
Autorzy:
Szymańska, Monika
Mizerski, Grzegorz
Kiciński, Paweł
Powiązania:
https://bibliotekanauki.pl/articles/454873.pdf
Data publikacji:
2017
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
obstructive sleep apnea endocrinopathies
diabetes
Opis:
Sleep-related disordered breathing (SRDB) is a term covering a heterogeneous group of conditions with a similar clinical picture yet different pathogenesis. Nocturnal episodes of obstructive apnoea, leading to repeated periods of desaturation and re-oxygenation, activate chemoreceptors and increase the activity of the sympathetic as well as renin-angiotensin-aldosterone system. Moreover, the generation of free radicals and proinflammatory cytokines increases. All the above mentioned disturbances interfere with the function of endocrine glands. On the other hand, many endocrine disorders are associated with an increased risk of obstructive sleep apnoea syndrome (OSAS). In this paper, we discuss relationships between selected endocrinopathies and OSAS.
Źródło:
European Journal of Clinical and Experimental Medicine; 2017, 3; 268-272
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Effects of propofol and dexmedetomidine in sleep videoendoscopy: a comparative study in Ukraine
Autorzy:
Denysenko, Roman
Dichtiaruk, Oleksandr
Naumenko, Oleksandr
Powiązania:
https://bibliotekanauki.pl/articles/1399239.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
dexmedetomidine
obstructive sleep apnea syndrome
propofol
sleep videoendoscopy
Opis:
Introduction: Snoring and obstructive sleep apnea (OSA) are associate with a high socio-economic burden. According to statistics snoring is found in 44% of men and 28% of women aged 30 to 60 years. Treatment involves several main approaches including uvulopalatopharyngoplasty with or without tonsillectomy. Preparation for this procedure includes sleep videoendoscopy. Currently, we mainly use two effective agents, propofol and dexmedetomidine. That said, there is still no consensus on which one is safer and better. Material and methods: The study involved 50 people aged 18 to 62 with a history of snoring and OSA, previously ineligible or insensitive to CPAP therapy, thus preparing for surgical treatment of these disorders. All patients were randomized to two study groups: group 1 with propofol as a sedative and group 2 with dexmedetomidine. Each treatment was divided into three periods: (1) initial testing before the use of intravenous hypnotic agents, (2) sedation, and (3) regaining consciousness. In each period, we measured the following parameters: minute ventilation, respiratory rate, oxygen saturation, blood concentration of hypnotic agent, BIS index. Statistical analysis was performed on IBM SPSS Statistics v. 22. Results: The OAA/S scale showed that the recovery time after sedation was longer for dexmedetomidine than for propofol: 38 ± 10 min and 27 ± 3 min, respectively (p value = 0.305, which means no statistically significant difference between the groups). Based on monitoring of circulation and respiratory rate, heart rate tended to decrease with dexmedetomidine seda tion and increase with propofol infusion. Blood pressure tended to drop in both groups, more so with dexmedetomidine. In the post-sedation period, blood pressure stabilized faster in the propofol group than in the dexmedetomidine group, but it was not statistically significant. Conclusion: According to the study results, there was no statistically significant difference between the propofol or dexmedetomidine groups. However, the paper presents a small series of cases, therefore extensive clinical research is needed to clarify the problem further.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2020, 9, 3; 12-16
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Obstructive sleep disordered breathing in children – an important problem in the light of current European guidelines
Autorzy:
Krzeski, Antoni
Burghard, Marcin
Powiązania:
https://bibliotekanauki.pl/articles/1398219.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
snore
obstructive sleep disordered breathing
polysomnography
obstructive sleep apnea syndrome
Opis:
Obstructive sleep disordered breathing (SDB) is a common clinical problem. An unrecognized and untreated SDB is a serious threat for an intensively developing organism of a child. The consequences of SDB include cardiovascular and neurological complications, growth disorders and enuresis. Therefore, SDB in children becomes an important subject of many scientific investigations, publications and congresses. In 2015 the European Respiratory Society Task Force published a document concerning the conclusions about the diagnostics and treatment of SDB in children and youth from 2 to 18 years of age (Fig. 1). The scientific data from 362 publications were presented in a condensed form of “seven steps”, very useful in diagnosing and treatment planning (1). The authors underline the limited number of the reliable evidence about SDB: prospective studies, randomized double-blinded studies with placebo. The presented evidence was categorized depending on their quality according to the classification of the American Academy of Neurology (ANN) into classes I – IV. Previously, in 2012, the guidelines of the American Academy of Pediatrics on obstructive sleep apnea syndrome (OSAS) in children with tonsillar hypertrophy and/or obesity were published (2, 3) and they were a valuable diagnostic and therapeutic compendium. The European guidelines discussed in this article result from the progress of knowledge in the recent years, they cover the subject broadly, consider rare and difficult cases and present the spectrum of potential therapeutic actions. The aim of the guidelines is a better recognition of SDB, a systematization of diagnosis and treatment at every stage of medical care, including the causes of this disorder and its complications.
Źródło:
Polish Journal of Otolaryngology; 2018, 72, 5; 9-16
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Obturacyjny bezdech podczas snu u pacjentów zakwalifikowanych do endarterektomii tętnic szyjnych – badanie wstępne
Autorzy:
Migacz, Ewa
Proczka, Robert
Krzeski, Antoni
Kukwa, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/1398301.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
obstructive sleep apnea
snoring
atherosclerosis
atherosclerotic plaque
endarterectomy
Opis:
Wstęp: Związek między obturacyjnym bezdechem podczas snu (OBPS) a miażdżycą jest potwierdzony od wielu lat, choć patomechanizm tego zjawiska nadal nie jest poznany. Celem badania było określenie częstości OBPS u pacjentów zakwalifikowanych do endarterektomii oraz określenie wpływu tej procedury na parametry badania snu i występowanie senności dziennej. Materiał i metody: Do badania włączono 46 pacjentów zakwalifikowanych do endarterektomii otwartej. Przed zabiegiem wykonano badanie snu i zastosowano skalę senności Epworth. U 11 z 46 osób przeprowadzono badania snu także po operacji. Wyniki: Średnia wieku w grupie badanej wyniosła 69,9 lat (± SD = 8,6), 21 pacjentów (45,7%) stanowiły kobiety. Średnia wartość pAHI, ODI, pRDI i procent czasu chrapania wyniosły odpowiednio 16.2 (± SD=15.2), 10.4 (± SD=12.2), 18.9 (± SD=14.9) oraz 9,9 (± SD=17). Prawidłowe wartości pAHI uzyskało 14 pacjentów (30%), podczas gdy łagodny OBPS (pAHI 5–15) zaobserwowano u 13 pacjentów (38%), umiarkowany OBPS (pAHI 15–30) u 11 pacjentów (24%), a ciężki OBPS (pAHI >30) u pacjentów 8 (18%). Średnia wartość skali senności Epworth u 27 z 46 pacjentów wyniosła 6,3 (± SD = 5,6). Pooperacyjne wartości parametrów badania snu u 11 pacjentów nie zmieniły się statystycznie znamiennie. Wnioski: Badanie wykazało występowanie OBPS w stopniu umiarkowanym i ciężkim u 42% pacjentów zakwalifikowanych do endarterektomii, natomiast nie stwierdzono nadmiernej senności w tej grupie. Pokazuje to, że u pacjentów kwalifikowanych do endarterektomii tętnic szyjnych należy wykonać diagnostykę snu w celu wykluczenia OBPS.
Źródło:
Polish Journal of Otolaryngology; 2018, 72, 4; 17-20
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Gastro-esophageal reflux and obstructive sleep apnea – is there a link?
Autorzy:
Pardak, Piotr
Pękala, Anna
Jarmakiewicz, Sara
Filip, Rafał
Powiązania:
https://bibliotekanauki.pl/articles/2037608.pdf
Data publikacji:
2020-06-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
gastro-esophageal reflux
ghrelin, obesity
obstructive sleep apnea
Opis:
Introduction. The epidemic of obesity has led to an increase in the occurrence of obstructive sleep apnea and gastro-esophageal reflux disease. The mechanism of development of gastro-esophageal reflux disease is multifactorial, and studies conducted in the last decade have shed new light on the causes of its development in patients with sleep apnea and obesity. Aim. The aim of the study was to discuss the mechanism of development of gastro-esophageal reflux disease is multifactorial, and studies conducted in the last decade have shed new light on the causes of its development in patients with sleep apnea and obesity and the dysfunction of the lower esophageal sphincter. Material and methods. An analysis of literature regarding gastro-esophageal reflux and obstructive sleep apnea. Results. In obstructive sleep apnea and obesity, high levels of cytokines and insulin resistance are observed, resulting in disorders in the levels of ghrelin – a hormone responsible for normal gastrointestinal motility. Conclusion. The effect of deviations in the ghrelin profile on the development of gastro-esophageal reflux disease remains a matter for further research
Źródło:
European Journal of Clinical and Experimental Medicine; 2020, 2; 110-115
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Teaching Machines on Snoring : A Benchmark on Computer Audition for Snore Sound Excitation Localisation
Autorzy:
Qian, K.
Janott, C.
Zhang, Z.
Deng, J.
Baird, A.
Heiser, C.
Hohenhorst, W.
Herzog, M.
Hemmert, W.
Schuller, B.
Powiązania:
https://bibliotekanauki.pl/articles/177964.pdf
Data publikacji:
2018
Wydawca:
Polska Akademia Nauk. Czytelnia Czasopism PAN
Tematy:
snore sound
obstructive sleep apnea
acoustic features
machine learning
Opis:
This paper proposes a comprehensive study on machine listening for localisation of snore sound excitation. Here we investigate the effects of varied frame sizes, and overlap of the analysed audio chunk for extracting low-level descriptors. In addition, we explore the performance of each kind of feature when it is fed into varied classifier models, including support vector machines, k-nearest neighbours, linear discriminant analysis, random forests, extreme learning machines, kernel-based extreme learning machines, multilayer perceptrons, and deep neural networks. Experimental results demonstrate that, wavelet packet transform energy can outperform most other features. A deep neural network trained with subband Energy ratios reaches the highest performance achieving an unweighted average recall of 72.8% from four types for snoring.
Źródło:
Archives of Acoustics; 2018, 43, 3; 465-475
0137-5075
Pojawia się w:
Archives of Acoustics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Hypoglossal nerve stimulation [HGNS] for Obstructive Sleep Apnea [OSA] treatment – a review
Autorzy:
Bilińska, Małgorzata
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1400406.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
upper airway stimulation
obstructive sleep apnea
neurostimulation
hypoglossal nerve
Opis:
Obstructive sleep apnea (OSA) is characterized by recurrent periods of upper airway obstruction (hypopneas and apneas) during sleep. It leads to repeated oxyhemoglobin desaturations, nocturnal hypercapnia, and arousals. Common symptoms include loud snoring with breathing interruptions. Excessive daytime sleepiness and cognitive impairment occur. Obstructive sleep apnea is a major cause of morbidity and mortality in Western society. Its association with an increased risk of development and progression of neurocognitive, metabolic, cardiovascular and oncologic diseases and complications is well described. The significant factor in OSA pathogenesis is reduced muscle tone in the tongue and upper airway. In the recent years, devices providing neurostimulation of the hypoglossal nerve (HGNS) were developed as an alternative for noncompliant CPAP (continuous positive airway pressure) patients. Clinical trials suggest that electrical stimulation of the hypoglossal nerve is effective. This is considered to be one of the targets of neurostimulation in the treatment of obstructive sleep apnea (OSA).
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2017, 6, 3; 67-72
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Occurrence of insomnia among patients with diagnosed obstructive sleep apnea
Autorzy:
Daniłosio, Marek
Wysocki, Jarosław
Prus, Monika
Powiązania:
https://bibliotekanauki.pl/articles/1399733.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
obstructive sleep apnea
insomnia
Athens insomnia scale
correlation with sleep variables
Opis:
Obstructive sleep apnea (OSA) is a common problem. Excessive daytime sleepiness raises a suspicion of OSA, which can be confirmed by polysomnography (PSG). Insomnia, in patients with OSA, often manifests itself as excessive daytime drowsiness. The incidence of insomnia among patients with OSA differs in different studies. Thus, we investigated the incidence of insomnia among our patients. We included 120 patients who underwent a workup due to a suspicion of OSA in the Polysomnography Laboratory, Department of Otolaryngology, Medical University of Warsaw, Poland. Patients completed the Athens Insomnia Scale (AIS). All-night PSG was done with 14-channel recordings (Grass®, USA). The severity of OSA was classified according to the apnea-hypopnea index (AHI) values. There were 96 patients with OSA and 24 patients without OSA who served as controls (their sleep disorders and daytime drowsiness were not caused by OSA). The total AIS scores tended to indicate insomnia in the entire sample and in all different subgroups. The mean AIS score was significantly different between the subgroups differing in the severity of apnea. The mean AIS score correlated significantly with sleep latency, latent sleep, and N2 latency. The mean AIS score did not correlate significantly with the AHI. In conclusion, in patients with OSA, insomnia, measured with the AIS, was associated with the severity of apnea, although this relationship was weak.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2018, 7, 1; 16-23
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Sleep apnea and dry eye: how sleep apnea affects the eye surface
Autorzy:
Bommert, Catherina M.
Grupcheva, Christina N.
Radeva, Mladena N.
Grupchev, Dimitar I.
Boyadzieva, Maria R.
Powiązania:
https://bibliotekanauki.pl/articles/1927968.pdf
Data publikacji:
2020-06-30
Wydawca:
Medical Education
Tematy:
continuous positive airway pressure
dry eye syndrome
obstructive sleep apnea
Opis:
Purpose: The purpose of this study was to determine the presence of dry eye disease and possible treatment options in patients with obstructive sleep apnea and continuous positive airway pressure. Materials and methods: A total of 72 patients (midlife age) with obstructive sleep apnea and continuous positive airway pressure therapy underwent a comprehensive eye examination. Fluorescein staining of the anterior ocular surface and tear break-up test were performed. All of the patients who were diagnosed with dry eye disease received personalized therapy. One month later, re-examination was performed using the same methodology and clinical settings. Results: On the first examination, 48 of 72 patients (66.67%) were diagnosed with dry eye disease. Floppy eyelid syndrome was reported in 26 patients (54.17%) with dry eye disease. The treatment of 40 patients included artificial tear supplements during the day in combination with high-viscosity topical gels before bedtime. In more severe cases (10.42% of all participants), the application of bandage contact lenses for 3 months was necessary. Because of excessive lid laxity, surgical reconstruction of the eyelids was performed in three patients (6.25%). Conclusions: A multidisciplinary approach is essential for obstructive sleep apnea. Practitioners from different specialties must be well acquainted with risk factors, signs, and symptoms. The early detection of dry eye disease in patients with obstructive sleep apnea and appropriate treatments are important for improving the quality of life in this patient group.
Źródło:
OphthaTherapy; 2020, 7, 2; 103-107
2353-7175
2543-9987
Pojawia się w:
OphthaTherapy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Letter to the Editor (November 15, 2017) concerning the paper “Screening commercial drivers for obstructive sleep apnea: Validation of STOP-Bang questionnaire”
Autorzy:
Kawada, Tomoyuki
Powiązania:
https://bibliotekanauki.pl/articles/2162020.pdf
Data publikacji:
2018-10-24
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
obstructive sleep apnea
questionnaire
validity
STOP-Bang
commercial drivers
screening
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 5; 697-698
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Sleep habits and road traffic accident risk for Iranian occupational drivers
Autorzy:
Ebrahimi, Mohammad Hossein
Sadeghi, Masoumeh
Dehghani, Mohsen
Niiat, Khosro Sadegh
Powiązania:
https://bibliotekanauki.pl/articles/2177390.pdf
Data publikacji:
2015-03-12
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
sleep habits
obstructive sleep apnea
Pittsburgh Sleep Quality Index
PSQI
road accidents
Iran
Opis:
Objectives The aim of this study is to assess the sleep quality and sleep disorders (prevalence of obstructive sleep apnea and sleepiness) among occupational drivers in Iran and to determine which demographic factors and occupational habits are linked to road traffic accidents. Material and Methods In this analytic cross-sectional study 556 occupational road drivers from Shahroud city (in the northeast of Iran) participated, upon a prior verbal informed consent, during 2013–2014. The Pittsburgh Sleep Quality Index (PSQI) standard questionnaire that scored on 7 point scale, the 8-item Epworth Sleepiness Scale (ESS) questionnaire and the 8-question STOP-Bang questionnaire along with demographic information and occupational data were used. To explore the independent factors associated with odds of poor sleep quality and road accident, multiple logistic regression models were used. Results Prevalence of previous road accidents, sleepiness while driving, and obstructive sleep apnea scored ≥ 3 in the study, and drivers accounted for 23.8%, 29%, and 24.8%, respectively. The global mean score of sleep quality and excessive sleepiness score were 5.2 and 4.8, respectively. The main factors related to the odds of poor sleep quality were snoring (odds ratio (OR) = 2.34; 95% confidence interval (CI): 1.15–4.77), smoking (OR = 2.12; 95% CI: 1.15–3.97), and driving times in a day (OR = 1.12; 95% CI: 1.03–1.21). The Epworth Sleepiness Scale (OR = 1.13; 95% CI: 1.07–1.23) and suffering from apnea (OR = 4.89; 95% CI: 1.07–23.83) were the best predictors for odds (increased risk) of road accidents. Conclusions A considerable proportion of Iranian drivers had records of road accidents; poor sleep quality, sleepiness while driving, and sleep disorder breathing (obstructive sleep apnea – OSA). Snoring, smoking, driving time in a day, excessive sleepiness, and presumably apnea increase the odds of poor sleep quality and road traffic accident for Iranian occupational drivers.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2015, 28, 2; 305-312
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Agreement between Epworth Sleepiness Scale and objective sleep parameters in patients with excessive daytime sleepiness
Autorzy:
Daniłosio, Marek
Wysocki, Jarosław
Prus, Monika
Powiązania:
https://bibliotekanauki.pl/articles/1400398.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
obstructive sleep apnea
excessive daytime sleepiness
Epworth Sleepiness Scale
correlation with sleep parameters
Opis:
Obstructive sleep apnea (OSA) is a disease with a broad social impact. Excessive daytime sleepiness raises suspicion of OSA and together with polysomnography (PSG) is the basis for diagnosis. The Epworth Sleepiness Scale (ESS) is used for objective assessment of daytime sleepiness. Many authors underline a high predictive value of this scale in selecting patients at risk of OSA. Moreover, there is a high agreement between the ESS and PSG. However, some authors oppose the use of this scale. We wanted to verify this issue based on our own data. We enrolled 120 patients who were referred to the Polysomnographic Laboratory, Department of Otolaryngology, Medical University of Warsaw with a suspicion of obstructive sleep apnea. All patients filled out the Epworth Sleepiness Scale. Overnight PSG was performed with 14-channel recordings (Grassm USA), including EEG, EMG, and recordings of the movements of the chest and abdomen. Airflow through the airways was recorded with a nasal-oral temperature probe. PSG was assessed automatically and manually; sleep stages were coded manually for each 30-second interval by a technician. Severity of OSA was assessed based on AHI. There were 96 patients with confirmed OSA and a control group of 24 patients with exclusion of OSA but with different disorders causing excessive daytime sleepiness. The average ESS scores were not significantly different between the subgroups, between genders, and in patients with different severity of OSA. ESS scores did not correlate significantly with any of the tested PSG parameters. In conclusion, the ESS should be used as an additional and only ancillary tool in assessing patients with suspected OSA.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2017, 6, 3; 10-18
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Obstructive sleep apnea risk for driving license applicants in India – A community based study
Autorzy:
Dubey, Abhishek
Bajaj, Darshan K.
Mishra, Apurva
Singh, Balendra P.
Gupta, Vinay
Kant, Surya
Dixit, Swati
Powiązania:
https://bibliotekanauki.pl/articles/2161795.pdf
Data publikacji:
2017-10-18
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
obstructive sleep apnea
drivers
sleepiness
road traffic accidents
STOP-Bang
high blood pressure
Opis:
Objectives: To determine the risk of obstructive sleep apnea (OSA) for male permanent driving license (DL) applicants of Lucknow, India. Material and Methods: In this cross-sectional community based, study body mass index, waist–hip ratio, blood pressure of each subject were determined as an anthropometric parameter along with the history of habit of smoking, tobacco chewing, alcohol consumption. STOP-Bang (Snoring, Tired or sleepy, Observed apnea, high blood Pressure, Body mass index, Age, Neck, Gender) Questionnaire – a scoring risk assessment tool – was applied for assessment of OSA risk (high OSA risk defined by score ≥ 3) for 542 male DL recipients at 2 Regional Transport Office (RTO) centers in Lucknow, India. The statistical software SPSS 17.0 was applied to the testing. Results: In total 23% (N = 125) of participants were found with the risk of OSA. High blood pressure (≥ 140/90 mm Hg) was found for the maximum number of participants (40.5%) followed by neck circumference > 40 cm (17.1%), age (> 50 years old) (15.3%), snoring (12.3%) and tired/sleepy (10.5%). Mean values of age, anthropometric measurements and blood pressure were observed significantly higher (p < 0.001) for participants with the OSA risk. In this population the risk of OSA risk (STOP-Bang score ≥ 3) was observed for 6.7% of young (< 35 years old), 34% of middle (35–45 years old) and 73% of elder age adults (> 45 years old). Conclusions: In view of findings of this study a high number of male driving license applicants were observed with the risk of OSA. Therefore efforts should be made to develop a national screening guideline/protocol for the OSA risk assessment for driving license applicants in India. This may reduce the possibility of road traffic accidents due to the OSA-associated fatigue and drowsiness behind the wheels. Int J Occup Med Environ Health 2018;31(1):25–36
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 1; 25-36
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Floppy eyelid syndrome as an ocular condition associated with increased body mass index - classification, diagnostics and treatment
Autorzy:
Szabelska, Paulina
Ofman, Wacław
Białas, Dominika
Różycki, Radosław
Gołębiewska, Joanna
Powiązania:
https://bibliotekanauki.pl/articles/2232258.pdf
Data publikacji:
2022-12-31
Wydawca:
Medical Education
Tematy:
oflppy eyelid syndrome
FES
body mass index
obesity
eyelid sur gery
obstructive sleep apnea
OSAHS
Opis:
Floppy eyelid syndrome is a common ophthalmic condition characterized by a sagging eyelid, which causes its spontaneous wrinkling during sleep. It can be a result of local and systemic diseases. A characteristic group of patients who suffer from floppy eyelid syndrome are middle aged men with an increased body mass index. Obesity in this group of patients is recognized as the strongest risk factor for the occurrence of obstructive sleep apnea syndrome. The aim of the article is to review the diagnostic methods that are used in the case of floppy eyelid syndrome. The paper also discusses therapeutic methods including surgical techniques.
Źródło:
OphthaTherapy; 2022, 9, 4; 219-224
2353-7175
2543-9987
Pojawia się w:
OphthaTherapy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Histological evaluation of soft palate tissues in patients with sleep-disordered breathing
Autorzy:
Panek, Justyna
Reszeć, Joanna
Rogowski, Marek
Olszewska, Ewa
Powiązania:
https://bibliotekanauki.pl/articles/1397297.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
CD20
CD3
CD34
S-100 protein
snoring
soft palate
obstructive sleep apnea syndrome
Opis:
Introduction: Sleep is a physiological state essential for the proper functioning of the body. One of the reasons for its disturbance is obstructive sleep apnea syndrome (OSAS). Aim: The aim of this research is the histological evaluation of the soft palate in patients who suffered from various types of OSAS. Material and method: The study group consisted of patients with sleep-disordered breathing (SDB) in the form of primary snoring or OSAS. Patients with chronic tonsillitis, without a history of SDB, were included in the comparative group. Fragments of the mucous of the uvula (study group) and the palatoglossal pillar (comparative group) were obtained during surgery for histological evaluation. Using histological, histochemical and immunohistochemical methods, we assessed the inflammation and its severity (CD3, CD20, CD68), the structure of nerve fibers (S-100) and the size of blood vessels (CD34) in the examined tissue. Results: Patients with OSAS developed a local inflammatory process in the palatal tissues (stronger expression of CD3, CD20, CD68 in patients with OSAS). The severity of the immunohistochemical reaction with CD3 correlated with the stage of OSAS. A higher degree of fibrosis and a higher expression of CD34 and S-100 receptors were observed in patients with OSAS compared to snoring patients and patients from the comparative group. Conclusion: Most likely, snoring due to chronic tissue vibration leads to damage to the nerve fibers in the soft palate, which can intensify episodes of hypopneas during and increase the chance for sleep apneas.
Źródło:
Polish Journal of Otolaryngology; 2020, 74, 1; 6-12
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 24

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