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Obstructive sleep apnea is associated with cognitive impairment in minor ischemic stroke
ConclusionsThe findings suggest that OSA has significant effects on cognition impairment in patients with minor ischemic stroke and that  hypoxemia may be a potential pathophysiological mechanism of OSA-induced cognitive impairment.
Source: Sleep and Breathing - March 19, 2022 Category: Respiratory Medicine Source Type: research

Can you learn to cough after having a stroke?
A strong cough, requires powerful coordinated contraction of expiratory (abdominal) muscles. The expiratory muscles contract to build up high positive intrapleural and intra-airway pressures for development of peak expiratory Flow rates. Expiratory muscle strength training (EMST) has been shown to improve parameters related to pulmonary function, speech, and cough.However, no one has investigated what changes occur in the activation of abdominal muscles after training. The aim of this study is to clarify which role plays the coordination of abdominal muscles in expiratory flows. The null hypothesis was that stroke patients...
Source: European Respiratory Journal - December 1, 2022 Category: Respiratory Medicine Authors: Dominguez Sanz, N. Tags: 09.02 - Physiotherapists Source Type: research

Integrating the STOP-BANG score and clinical data to predict cardiovascular events after infarction: A machine learning study.
Abstract BACKGROUND: Obstructive sleep apnea (OSA) conveys worse clinical outcomes in coronary artery disease patients. The STOP-BANG score is a simple tool that evaluates the risk of OSA and can be added to the large number of clinical variables and scores obtained during the management of myocardial infarction (MI) patients. Currently, machine learning (ML) is able to select and integrate numerous variables to optimize prediction tasks. RESEARCH QUESTION: Can the integration of STOP-BANG score with clinical data and scores through ML better identify patients who suffered an in-hospital cardiovascular event ...
Source: Chest - April 24, 2020 Category: Respiratory Medicine Authors: Calvillo-Argüelles O, Sierra-Fernández CR, Padilla-Ibarra J, Rodriguez-Zanella H, Balderas-Muñoz K, Arias-Mendoza MA, Martínez-Sánchez C, Selmen-Chattaj S, Dominguez-Mendez BE, van der Harst P, Juarez-Orozco LE Tags: Chest Source Type: research

Quantifying the learning curve of emergent total arch replacement in acute type A aortic dissection.
Conclusions: Although emergent total arch replacement for acute type A dissection is a complex scenario, surgeons well-trained in adult cardiac surgery are able to achieve acceptable results in their start-up period. PMID: 32944318 [PubMed]
Source: Journal of Thoracic Disease - September 20, 2020 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research

Factors associated with COVID-19 related hospitalisation, critical care admission and mortality using linked primary and secondary care data
CONCLUSIONS: We confirm that age, sex, ethnicity, obesity, CKD and diabetes are important determinants of risk of COVID-19 hospitalisation or death. For the first time, we also identify people with learning disabilities and multi-morbidity as additional patient cohorts that need to be actively protected during COVID-19 waves.PMID:33942510 | DOI:10.1111/irv.12864
Source: Respiratory Care - May 4, 2021 Category: Respiratory Medicine Authors: Lisa Cummins Irene Ebyarimpa Nathan Cheetham Victoria Tzortziou Brown Katie Brennan Jasmina Panovska-Griffiths Source Type: research

Safe implementation of robotic-assisted minimally invasive direct coronary artery bypass: application of learning curves and cumulative sum analysis
CONCLUSIONS: These results suggest that integration of RA-MIDCAB in the surgical landscape can be safely achieved and complication rates can quickly be reduced below those expected in traditional CABG. Collective experience plays a key role in overcoming the learning curve when more complex procedures and cases are introduced.PMID:34422354 | PMC:PMC8339757 | DOI:10.21037/jtd-21-775
Source: Journal of Thoracic Disease - August 23, 2021 Category: Respiratory Medicine Authors: Jef Van den Eynde Hannah Vaesen Bentein Tom Decaluw é Herbert De Praetere MaryAnn C Wertan Francis P Sutter Husam H Balkhy Wouter Oosterlinck Source Type: research

A fully automated cardiac magnetic resonance (CMR) assessment improves the evaluation of patients with pulmonary arterial hypertension (PAH)
Conclusion: In a prospective PAH cohort, fully automatic CMR assessments were reliable and corresponded accurately to invasive hemodynamics
Source: European Respiratory Journal - November 25, 2021 Category: Respiratory Medicine Authors: Alabed, S., Karunasaagarar, K., Alandejani, F., Salehi, M., Aldabbagh, Z., Garg, P., Uthoff, J., Lu, H., Wild, J., Kiely, D., Van Der Geest, R., Swift, A. Tags: Imaging Source Type: research