... for Syndrome Definition and Measurement Techniques in Clinical Research Sleep 1999, 22:667-689 Guilleminault C: Sleepand breathing In Sleeping and waking disorders: indications and techniques ... snoring patientswithand without obstructivesleepapneasyndrome Int J Oral Maxillofac Surg 1995, 20:159-162 Lowe A, Santamaria J, Fleetham J, et al.: Facial morphology andobstructivesleepapnea ... oropharyngeal findings from publications on non- obese vs obese Caucasian patients suffering OSAS Methods A thorough review of the relevant literature linking obstructivesleepapneawith cephalometric...
... of snoring andsleepapnea (2,4,12–15), and some have incorporated snoring into clinical prediction rules for sleepapnea (4,12–14) While snoring is clearly helpful in suggesting sleepapnea as ... Differences inObstructiveSleepApnea 247 Vidya Krishnan and Nancy A Collop 15 ObstructiveSleepApneain Children 261 Rafael Pelayo and Kasey K Li 16 ObstructiveSleepApneain the Elderly 281 Lavinia ... reporting of sleepiness and driving impairment inpatientswithsleep apnoea/hypopnoea syndrome J Sleep Res 1997; 6(4):272–275 11 Ohayon MM, Guilleminault C, Priest RG, et al Snoring and breathing...
... portable sleepapnea testing Level IVa Continuous single or dual bioparameter recording Minimum of 7, Minimum of 4, Minimum of 1: including EEG, including oxygen saturation, EOG, chin EMG, ventilation, ... obstruction with an increase in amplitude of negative intrathoracic pressure (increase in respiratory effort), leading to minimal reduction in airflow and arterial oxygen saturation but terminating in ... Sleep Medicine Practice parameters for the use of auto-titrating continuous positive airway pressure devices for titrating pressures and treating adult patientswithobstructivesleepapnea syndrome...
... let down, (5) fogginess, beginning to lose interest in remaining awake; slowed down, (6) sleepiness, prefer to be lying down, fighting sleep, woozy, and (7) almost in a reverie, sleep onset soon, ... via inattention, response slowing, or unexpected lapses into sleep Sleepiness is the normal physiological consequence of sleep loss, sleep disruption, or diminished sleep integrity Sleepiness ... brain lesions, medications, or disease Severe sleepiness is the hallmark symptom of several sleep disorders, including narcolepsy, obstructivesleep apnea, behaviorally induced insufficient sleep...
... especially inpatientswith waking hypercapnea with worsening hypoxemia during sleep, as well as patients complaining of excessive daytime sleepiness Frequently, patients who have been diagnosed with ... leptin and vascular risk factors inobstructivesleepapnea Chest 2000; 118:569–571 42 Chin K, Shinizu K, Nakamura T, et al Changes in intra-abdominal visceral fat and serum leptin levels inpatients ... in occlusive sleepapnea J Appl Physiol 1980; 48(3):432–437 Sanders MH, Moore SE Inspiratory and expiratory partitioning of airway resistance during sleepinpatientswithsleepapnea Am Rev...
... four-fold increase in the apnea index and a significant narrowing of the airway at 72 hours following LAUP These findings prompted them to discourage LAUP inpatientswith moderate or severe sleepapnea ... in adults withobstructivesleepapneasyndromeSleep 1996; 19(2):156–177 47 Waite PD, Wooten V, Lachner J, et al Maxillomandibular advancement surgery in 23 patientswithobstructivesleepapnea ... compliance rates of CPAP inobstructivesleep apnea: a population-based study Chest 2002; 121(2):430–435 Means MK, Edinger JD, Husain AM CPAP compliance insleepapneapatientswithand without laboratory...
... criteria and the differences in the clinical presentation of UARS andobstructivesleepapnea hypopnea (OSAH) without daytime sleepiness andobstructivesleepapnea hypopnea syndrome (OSAHS) (with ... on sleepapnea was lost with time in the majority of patients Theophylline has no place in the routine treatment of persons withsleepapnea (6) MEDICATIONS THAT MAY IMPROVE OBSTRUCTIVESLEEPAPNEA ... et al Sleep breathing disorders inpatientswith idiopathic Parkinson’s disease Respir Med 2003; 97(10):1151–1157 57 Arnulf I, Konofal E, Merino-Andreu M et al Parkinson’s diseaseand sleepiness:...
... Definition and Prevalence of Insomnia Insomnia is defined as a repeated difficulty with initiating sleep, maintaining sleep, a final awakening that occurs much earlier than desired, sleep that is nonrestorative ... nocturnal sleep, as well as morning headache, peripheral edema, and dyspnea Patientswith nonhypercapnic central apnea can present with symptoms similar to obstructivesleepapnea including snoring and ... (5.1%), and bipolar disorders (3.3%) inpatientswithsleepapnea as compared withpatients without sleepapnea While several investigators have reported an increasing prevalence of depression in...
... commonly in Stage and sleeps but this pattern is uncommon in slow-wave sleepand rapid eye movement (REM) sleepPatientswith Alzheimer’s diseaseandsleepapnea generally accept the continuous ... changes during sleep that promote GER, including frequent arousals and awakenings from sleep, plus increasingly negative intrathoracic pressure during discreet obstructive apneas/hypopneas In addition, ... Cheyne-Stokes breathing Central sleepapnea Central sleepapnea Central sleep apnea, obstructivesleepapnea Hypoventilation Guillain-Barré syndrome, porphyria, diabetes mellitus Central apnea, hypoventilation...
... activities” that appear in the regulations: walking, seeing, hearing, speaking, breathing, learning, and working (84) Interestingly, courts have also ruled that staying awake, inand of itself, is ... sleep latency testing (MSLT) (111) Guidance respecting seizures, epilepsy and interstate commercial driving reaches a similar conclusion as to chronicsleep apnea: Patientswithsleepapneasyndrome ... baseline (A), with a mandibular advancement splint (B), andwith a tongue retaining device (C) in the same patient, taken in the awake state (See p 219) FIGURE 15.2 Infant with Pierre Robin syndrome; ...
... of the lesion using a carbon dioxide laser In this case, for the patient having a large non- operable hemangioma and severe OSAS, responsible for daytime Page of sleepiness and an increased risk ... PL: Adult obstructivesleep apnea: pathophysiology and diagnosis Chest 2007, 132:325-337 Sher AE: Obstructivesleepapnea syndrome: a complex disorder of the upper airway Otolaryngol Clin North ... Successful treatment of obstructivesleepapneawith use of nasal continuous positive airway pressure in three patientswith mucosal hemangiomas of the oral cavity Mayo Clin Proc 1999, 74:155-158...
... of the lesion using a carbon dioxide laser In this case, for the patient having a large non- operable hemangioma and severe OSAS, responsible for daytime Page of sleepiness and an increased risk ... PL: Adult obstructivesleep apnea: pathophysiology and diagnosis Chest 2007, 132:325-337 Sher AE: Obstructivesleepapnea syndrome: a complex disorder of the upper airway Otolaryngol Clin North ... Successful treatment of obstructivesleepapneawith use of nasal continuous positive airway pressure in three patientswith mucosal hemangiomas of the oral cavity Mayo Clin Proc 1999, 74:155-158...
... (PSG) findings confirm the patients' complaints of insomnia, notably difficulties falling asleep (PSG: increase insleep latency), frequent awakenings during the night and early morning awakenings ... obese patientswithobstructivesleepapnea Ann Intern Med 1985, 103:850-855 Weitzman ED, Kahn E, Pollak CP: Quantitative analysis of sleepandsleepapnea before and after tracheostomy inpatients ... 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 ObstructiveSleepApnea Syndrome...
... improvement in the patient'sobstructivesleep apnoea syndrome (apnoea and hypopnoea index at 61.4/h and desaturation index of 42.1/h) A severe condition of obstructivesleep apnoea syndrome was ... of obstructivesleep apnoea syndrome (apnoea and hypopnoea index of 64.9/h with minimum O2 saturation of 29%) The second part allowed a gradual increase in positive pressure, first in continuous ... Montserrat J and de Pablo J: Persistent sleepiness in CPAP treated obstructivesleep apnoea patients: evaluation and treatment Sleep Med Rev 2007, 11(3):195–207 Baptista PM: Surgery for obstructive sleep...
... subjects In fact, in 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 ... changes in body weight, hormones andsleep parameters Changes in BMI were directly correlated with changes in insulin levels andin insulin resistance as measured by HOMA-IR Changes in ghrelin levels ... 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...
... diseaseandin individuals at increased risk of developing chronickidneydisease • Imaging studies of the kidneys should be performed inpatientswithchronickidneydiseaseandin selected individuals ... as having persistent proteinuria and undergo further evaluation and management for chronickidneydisease as stated in Guideline • Monitoring proteinuria inpatientswithchronickidneydisease ... Protein-to-Creatinine Ratio vs Timed Urine Protein in Adults 105 Spot Urine Albumin-to-Creatinine Ratio vs Timed Urine Albumin in Adults 106 Spot Urine Protein-to-Creatinine...
... of patientswithchronickidneydiseaseand type diabetes with microalbuminuria who are treated with an angiotensin converting enzyme inhibitor the proportion of patientswithchronickidneydisease ... have chronickidneydiseaseand proteinuria Rate of progression of CKD inpatientswithand without diabetes There is conflicting evidence regarding the role of ACE inhibitors and ARBs in reducing ... exclude chronickidneydisease D In patientswith established chronickidneydiseaseand without diabetes, measurement of protein/creatinine ratio may be used to predict risk of progressive disease...
... avoiding the long-term use of aluminum-containing phosphate binders and, inpatientswith CKD stage 5D, avoiding dialysate aluminum contamination to prevent aluminum intoxication (1C) 4.1.7 Inpatients ... meetings in Europe andin North America The meetings included a formal instruction in the state of the art and science of guideline development, and training in the necessary process steps, including ... monitoring serum levels of calcium, phosphorus, PTH, and alkaline phosphatase activity beginning in CKD stage (1C) In children, we suggest such monitoring beginning in CKD stage (2D) 3.1.2 In patients...
... anemia with epoetin alfa inchronickidneydisease N Engl J Med, Vol.355, No.20, pp 2085-2098 40 Novel Insights on ChronicKidney Disease, Acute Kidney Injury and Polycystic KidneyDisease Weinhandl, ... associated with congenital obstructive nephropathy involving the lower urinary tract 20 Novel Insights on ChronicKidney Disease, Acute Kidney Injury and Polycystic KidneyDiseaseIn the kidneys ... mortality 34 Novel Insights on ChronicKidney Disease, Acute Kidney Injury and Polycystic KidneyDisease Minutolo and colleagues reported that longer time with haemoglobin within the target range...