The surgical treatment of obstructive sleep apnea syndrome: is isolated value of AHI a sufficient criterion of success?

Introduction: Uvulopalatopharyngoplasty (UPPP) and its combination with bipolar radiofrequency surgery of the tongue base (UPPP + RFBT) are the most common surgical treatment modalities of obstructive sleep apnea syndrome (OSAS). These procedures should improve the results of polygraphy, decrease the daytime sleepiness and influence also the incidence of cardiovascular disorders and snoring. In this project, we concentrate on the comparison of apnea – hypopnea index (AHI) change with subjective results and satisfaction of patients.
Source: Sleep Medicine - Category: Sleep Medicine Authors: Tags: Other Source Type: research

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This study surveyed 9,052 U.S. Soldiers in 2018 via a self-administered online questionnaire. Using multivariable logistic regression, we examined the association between social media use (
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
Publication date: February 2020Source: Research in Developmental Disabilities, Volume 97Author(s): Georgie Agar, Chris Oliver, Jayne Trickett, Lucy Licence, Caroline RichardsAbstractBackgroundSleep problems are common in Smith-Magenis (SMS) and Angelman syndromes (AS). Effectiveness of interventions depends on appropriate assessment, complicated by compromised self-report and health and behaviour difficulties. Studying settling and waking in these syndromes could inform assessment.AimsTo describe settling and waking behaviours in children at high-risk of sleep and health problems, using direct observation.Methods and proce...
Source: Research in Developmental Disabilities - Category: Disability Source Type: research
Publication date: Available online 13 December 2019Source: Journal of Membrane ScienceAuthor(s): So Young Lee, Ji Eon Chae, Jieun Choi, Hyun Seo Park, Dirk Henkensmeier, Sung Jong Yoo, Jin Young Kim, Youngseung Na, Jong Hyun Jang, Hyoung-Juhn KimAbstractTo realize effective polymer electrolyte fuel cell (PEFC) operation under non-humidified conditions, a new self-humidifying dual exchange membrane fuel cell (DEMFC) was designed and evaluated. The DEMFC was fabricated using sequentially aligned membrane electrode assemblies (MEAs) consisting of an anion exchange membrane (AEM) and a cation exchange membrane (CEM). In this s...
Source: Journal of Membrane Science - Category: Materials Science Source Type: research
Publication date: 12 December 2019Source: Cell, Volume 179, Issue 7Author(s): Cross-Disorder Group of the Psychiatric Genomics ConsortiumSummaryGenetic influences on psychiatric disorders transcend diagnostic boundaries, suggesting substantial pleiotropy of contributing loci. However, the nature and mechanisms of these pleiotropic effects remain unclear. We performed analyses of 232,964 cases and 494,162 controls from genome-wide studies of anorexia nervosa, attention-deficit/hyperactivity disorder, autism spectrum disorder, bipolar disorder, major depression, obsessive-compulsive disorder, schizophrenia, and Tourette synd...
Source: Cell - Category: Cytology Source Type: research
Disturbed sleep was also tied to a 29% increase in the risk for stroke, compared with people whose sleep quality was good.
Source: WebMD Health - Category: Consumer Health News Source Type: news
Conclusion: The CACNA1C polymorphism rs1006737 is associated with the mean thickness of cortical brain areas that have been shown to be altered in bipolar disorder. PMID: 31829002 [PubMed - as supplied by publisher]
Source: Journal of Psychiatry and Neuroscience - Category: Psychiatry Tags: J Psychiatry Neurosci Source Type: research
Authors: Palmier-Claus J, Wright K, Mansell W, Bowe S, Lobban F, Tyler E, Lodge C, Jones S Abstract Behavioural experiments are an important component of cognitive behavioural therapy. However, there exists little up-to-date guidance on how to conduct these in people with a diagnosis of bipolar disorder. This paper provides recommendations on how to conduct behavioural experiments in people with bipolar disorder. The aim is to upskill and empower clinicians to conduct behavioural experiments. The paper combines the expertise of senior clinicians working in the United Kingdom. The article starts by providing general...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research
CONCLUSION: Psychiatry residents in this study overwhelmingly requested additional training focused on skills relevant to inpatient service, and the curriculum the authors developed led to a subjective self-reported understanding of and confidence in providing these psychotherapy skills on the inpatient unit. These very preliminary results suggest that provision of increased skills-based psychotherapy training for inpatient psychiatry residents is important and beneficial within resident education. PMID: 31828674 [PubMed - as supplied by publisher]
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Source: RSC - Green Chem. latest articles - Category: Chemistry Authors: Source Type: research
ConclusionsThese three cases lend support to the hypothesis that chronic insomnia and obstructive sleep apnea share a pathophysiology of chronic stress. Among patients with obstructive sleep apnea, the stress response is directed at inspiratory airflow limitation during sleep (hypopnea, snoring, and inaudible fluttering of the throat). Therefore, when chronic insomnia and obstructive sleep apnea occur in one individual, aggressive treatment of obstructive sleep apnea may lead to a reduction in chronic stress that causes the patient ’s chronic insomnia to remit.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
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