Prevalence and comorbidities of obstructive sleep apnoea in the busselton healthy ageing study (bhas)

Source: Respirology - Category: Respiratory Medicine Tags: Late Breaking Oral Abstracts Source Type: research

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AbstractHypoglossal motor neurons (HMNs) innervate tongue muscles and play key roles in a variety of physiological functions, including swallowing, mastication, suckling, vocalization, and respiration. Dysfunction of HMNs is associated with several diseases, such as obstructive sleep apnea (OSA) and sudden infant death syndrome. OSA is a serious breathing disorder associated with the activity of HMNs during different sleep –wake states. Identifying the neural mechanisms by which the state-dependent activities of HMNs are controlled may be helpful in providing a theoretical basis for effective therapy for OSA. However...
Source: Neuroscience Bulletin - Category: Neuroscience Source Type: research
ConclusionsThe study shows that primary care doctors demonstrated adequate knowledge about OSA and were aware of the importance of OSA as a core clinical problem. However, only a minority felt confident in managing patients with OSA. The results of the study may encourage improvement of primary care doctors ’ efforts to prevent and manage OSA.
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
ConclusionsCompared with the general population, the prevalence of elevated CVP and OSA is significant in this cohort of patients. Age, diabetes, and right lower extremity chronic venous insufficiency symptoms seem to be predictors of elevated CVP. Larger, population-based prevalence studies are needed to confirm these findings.
Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders - Category: Surgery Source Type: research
This study was a prospective, single cohort of consecutive adult patients undergoing MMA surgery for OSA at a single institution. The primary outcome measure was the development of nasal obstruction using the Nasal Obstruction Symptom Evaluation scale. Secondary outcomes included the rate of reintubation, submandibular duct function, development of neck infection, the need for subsequent surgical correction of nasal obstruction, and changes in the Apnea-Hypopnea Index.ResultsTwenty consecutive patients (85% male, mean age 47 years) were included in the study. Nasal Obstruction Symptom Evaluation scores improved in 88% of p...
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research
Publication date: Available online 20 February 2020Source: The Annals of Thoracic SurgeryAuthor(s): Bhargavi Gali, Amy E. Glasgow, Kevin L. Greason, Rebecca L. Johnson, Robert C. Albright, Elizabeth B. HabermannAbstractBackgroundObstructive sleep apnea (OSA) is associated with increased risk of postoperative complications in non-cardiac surgery, with limited literature on cardiac surgical patients. We compared perioperative outcomes of patients with OSA to those without OSA undergoing cardiac surgery.MethodsThis was a retrospective single center cohort study of adult patients who underwent cardiac surgery from January 2010...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
ConclusionIn this study, we observed significant positive correlations between plasma vimentin level and OSA severity, weight, AHI, and mean oxygen desaturation. Vimentin may have utility as a biomarker in the follow-up and treatment of OSA.
Source: Lung - Category: Respiratory Medicine Source Type: research
ConclusionCaffeine is an effective countermeasure to driver sleepiness, however, high caffeine consumers do not exhibit any benefit to driving safety indicators. In fact, there is some evidence for safety concern because high caffeine consumers self-report more crashes and worse driving safety indicators than low caffeine consumers. High caffeine consumption was associated with poor health behaviours. Further research is needed to fully understand the implications of high caffeine use. Interventions aiming to reduce truck driver sleepiness should be cautious in promotion of caffeine in isolation; a wholistic approach to im...
Source: Safety Science - Category: Occupational Health Source Type: research
Authors: Dzięciołowska-Baran E, Gawlikowska-Sroka A, Szczurowski J Abstract Polysomnography, a gold standard for the diagnosis of sleep-disordered breathing, is a complex investigation requiring access to the sleep laboratory. Thus, sleep-disordered breathing could be underdiagnosed. The aim of this paper was to investigate the feasibility and effectiveness of self-performed investigation of obstructive sleep apnea (OSA) in the home setting, using a portable device, and to assess the comfort and simplicity of the procedure from the patient's perspective. The study included 68 middle-aged patients (21 women and 47...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
Publication date: Available online 20 February 2020Source: Journal of Evidence Based Dental PracticeAuthor(s): Kimberly Fluger, Alan Zhou, Thikriat Al-Jewair
Source: Journal of Evidence Based Dental Practice - Category: Dentistry Source Type: research
ConclusionsAnterior osteotomy just to the midline of inferior border and horizontal osteotomy to the mandibular foramen are associated with split patterns that result in optimal rigid fixation and passive bony overlap for OSA patients undergoing MMA.Clinical relevanceOptimal surgical technique has the most significant influence in allowing rapid return to function after MMA in patients with OSA.
Source: Clinical Oral Investigations - Category: Dentistry Source Type: research
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