What are Indications for Continuous Positive Airway Pressure (CPAP)?
DiscussionObstructive sleep apnea syndrome (OSAS) is defined as a “disorder of breathing during sleep characterized by prolonged partial upper airway obstruction and/or intermittent complete obstruction (obstructive apnea) that disrupts normal ventilation during sleep and normal sleep patterns.” It is different than primary snoring which is snoring without apnea, sleep arousals, or problems with gas exchange. OSAS symptoms include snoring (often with snorts, gasps or pauses), disturbed sleep (often frequent arousals) and daytime neurobehavioral problems. Sleepiness during the day can occur but is less common in children. Risk factors include black race, obesity, adenotonsillar hypertrophy, craniofacial abnormalities, neuromuscular disorders, or family history of disordered breathing. OSAS occurs in all ages and is most likely under diagnosed with a 2% prevalence rate. Primary snoring has a prevalence of 3-12%. Problems of untreated OSAS include failure to thrive, cor pulmonale including pulmonary and systemic hypertension, and cognitive and behavioral problems. The gold standard for diagnosis is overnight sleep study (polysomnography). In addition to lifestyle issues such as avoiding tobacco smoke, air pollutants and allergens and treatment of rhinitis and weight loss strategies in some patients, treatment of OSAS for children usually begins with tonsillectomy and/or adenoidectomy. While this can treat many patients, others still will have OSAS. Noninvasive ve...
This study explores changes in body fat distribution in relation to ARV exposure. Methods: We conducted a prospective study of adults with perinatal HIV (n = 70) using dual-energy X-ray absorptiometry and standard anthropometrics. Trunk to limb fat ratio and waist to hip ratio were compared cross-sectionally to 47 matched controls. Furthermore, changes in body composition and ARV exposure were evaluated longitudinally in a subset of 40 PLWH with a median follow-up of 7 years. Results: Cross-sectional comparisons of PLWH with controls revealed significantly higher waist to hip ratio, trunk to limb fat ratio, H...
Conclusions: Poor sleep quality is highly prevalent, as is mental health symptom burden, among WLWH and HIV-uninfected controls. Future longitudinal studies are necessary to clarify the directionality of the relationship.
Kirsten Kerfoot, 32, from Baltimore in the U.S., was one of the first in the world to benefit from a new procedure to treat obesity by turning off the 'hunger hormone'.
PROFESSOR GUY LESCHZINER: One of the main risk factors for sleep apnoea is being overweight (especially if you carry fat around the neck).
Google offers many ambient sounds from the Google Assistant, including one for white noise that might help block out noise to make it easier to sleep or study. But the company seemingly changed... #9to5google
Gout typically affects the big toe because it is furthest from the heart - uric acid is more likely to turn into crystals at the extremities where body temperature is coolest.
HIGH blood pressure is a condition suffered by millions throughout the world and is sadly a precursor for more serious health conditions. Lowering your reading is possible by one powerful beverage.
The drink stimulate the body's fat-fighting defences.
MONDAY, Jan. 17, 2022 (American Heart Association News) -- Surgeons recently transplanted a genetically modified pig's heart into a man with life-threatening heart failure. The successful surgery became a medical first that is raising hopes of a...
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