keyword
https://read.qxmd.com/read/38416524/management-of-paediatric-sleep-disordered-breathing
#21
REVIEW
Laurie R Springford, Megan Griffiths, Yogesh Bajaj
Paediatric sleep-disordered breathing is a common condition which varies in severity from snoring to obstructive sleep apnoea. Paediatric sleep-disordered breathing is usually diagnosed clinically, with investigations such as polysomnography reserved for more complex cases. Management can involve watching and waiting, medical or adjunct treatments and adenotonsillectomy. National working groups have sought to standardise the pathway for surgery and improve the management of surgical and anaesthetic complications...
February 2, 2024: British Journal of Hospital Medicine
https://read.qxmd.com/read/38410713/ers-international-congress-2023-highlights-from-the-paediatrics-assembly
#22
JOURNAL ARTICLE
Susanne J H Vijverberg, Asterios Kampouras, Halime Nayir Büyükşahin, Heidi Makrinioti, Laura Petrarca, Mehtap Schmidt, Leonie D Schreck, Ruth M Urbantat, Nicole Beydon, Myrofora Goutaki, Anna Lavizzari, Marijke Proesmans, Dirk Schramm, Mirjam Stahl, Angela Zacharasiewicz, Alexander Moeller, Marielle W Pijnenburg
Respiratory health in children is essential for general wellbeing and healthy development in the short and long term. It is well known that many respiratory diseases in adulthood have their origins in early life, and therefore research on prevention of respiratory diseases and management of children with respiratory diseases will benefit patients during the full life course. Scientific and clinical advances in the field of respiratory health are moving at a fast pace. This article summarises some of the highlights in paediatric respiratory medicine presented at the hybrid European Respiratory Society (ERS) International Congress 2023 which took place in Milan (Italy)...
January 2024: ERJ Open Research
https://read.qxmd.com/read/38406111/unveiling-the-clinical-spectrum-of-post-covid-19-conditions-assessment-and-recommended-strategies
#23
REVIEW
Abdullah M Assiri, Tareef Alamaa, Faisal Elenezi, Aeshah Alsagheir, Lamya Alzubaidi, Imad TIeyjeh, Abdulazia S Alhomod, Eisha M Gaffas, Samar A Amer
SARS-CoV-2 caused the pandemic of the rapidly evolving COVID-19. As of December 6, 2023, there were 765,152,854 COVID-19-recovering cases. Long-term consequences known as "long COVID" and "post-COVID-19 conditions" (PCCs) or "post-acute COVID-19 syndrome" are being reported more frequently in a subset of recovering patients. Systemic, neuropsychiatric, cardio-respiratory, and gastrointestinal symptoms are the most prevalent. The management of PCCs poses unique challenges due to the lack of official guidelines and the complex nature of the illness...
January 2024: Curēus
https://read.qxmd.com/read/38392651/non-pharmacological-intervention-for-personalizing-sleep-quality-through-gentle-rocking-motion
#24
JOURNAL ARTICLE
Damiana-Maria Vulturar, Liviu-Ștefan Moacă, Ioana Maria Chețan, Ștefan Cristian Vesa, Teodora-Gabriela Alexescu, Cristina Grigorescu, Antigona Carmen Trofor, Mirela-Anca Stoia, Alexandra Floriana Nemes, Doina-Adina Todea
INTRODUCTION: Achieving restorative sleep is crucial for overall well-being, yet sleep difficulties affect a substantial portion of the adult population. Sleep disturbances are associated with diminished quality of life, physical complaints, cognitive impairment, and emotional regulation challenges. OBJECTIVE: This study explores the influence of an innovative experimental bed designed to generate rocking motions on sleep parameters. METHODS: A prospective observational study enrolled 60 adult participants, assessing their sleep on a regular stationary bed and the Inoveris bed, providing gentle rocking movements...
February 19, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38372169/gas-exchange-parameters-for-the-prediction-of-obstructive-sleep-apnea-in-infants
#25
JOURNAL ARTICLE
Romane Gyapay, Iulia Ioan, Marine Thieux, Aurore Guyon, Sonia Ayari, Eglantine Hullo, Patricia Franco, Laurianne Coutier
STUDY OBJECTIVES: Sleep laboratory polysomnography (PSG) is the gold standard for obstructive sleep apnea (OSA) diagnosis in infants, but its access remains limited. Oximetry-capnography is another simple and widely used tool that can provide information on the presence of desaturations and alveolar hypoventilation. However, its reliability is debated. This study aimed at examining its use in determining OSA severity in infants. METHODS: This retrospective study was conducted in a sleep unit in a tertiary hospital, in infants < 4 months old with clinical signs of OSA or Pierre Robin Sequence (PRS) who underwent a one-night PSG coupled with oximetry-capnography...
February 19, 2024: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://read.qxmd.com/read/38369358/impact-of-the-state-of-emergency-declaration-for-severe-acute-respiratory-syndrome-coronavirus-2-pandemic-suppression-on-individuals-with-type-1-diabetes-mellitus
#26
JOURNAL ARTICLE
Shota Mochizuki, Junnosuke Miura, Satoshi Takagi, Mikako Takita, Hiroko Takaike, Tetsuya Babazono
Objective To examine the impact of lifestyle changes caused by the first emergency declaration issued in 2020 on glycemic control and body weight changes in Japanese individuals with type 1 diabetes mellitus. Methods This study included Japanese individuals with type 1 diabetes mellitus who visited Tokyo Women's Medical University Hospital between January 2019 and September 2020 (n=278). Seasonal changes in glycated hemoglobin (HbA1c) levels and the body mass index (BMI) were compared. A self-administered questionnaire regarding changes in treatment, diet, exercise, sleep, and telecommuting was used to assess lifestyle changes...
February 19, 2024: Internal Medicine
https://read.qxmd.com/read/38366584/successful-antiviral-treatment-for-chronic-adenoiditis-caused-by-herpes-virus-in-a-pediatric-patient-a-case-report
#27
JOURNAL ARTICLE
Leon Kong, Francoise Jean-Louis, Duncan L Lamont
BACKGROUND The adenoids are lymphatic tissue located in the nasopharynx and play a role in upper-airway immunity. Inflammation of the adenoids is called adenoiditis, which can cause a variety of symptoms. This is a common condition and is due to acute viral or bacterial infection. Most patients experience mild symptoms of upper-respiratory tract infection with a self-limiting course. CASE REPORT A 5-year-old female patient was brought into the clinic by her parents with concerns regarding hearing and sleep...
February 17, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38362260/identification-of-an-effective-and-safe-bolus-dose-and-lockout-time-for-patient-controlled-sedation-pcs-using-dexmedetomidine-in-dental-treatments-a-randomized-clinical-trial
#28
JOURNAL ARTICLE
Seung-Hyun Rhee, Young-Seok Kweon, Dong-Ok Won, Seong-Whan Lee, Kwang-Suk Seo
BACKGROUND: This study investigated a safe and effective bolus dose and lockout time for patient-controlled sedation (PCS) with dexmedetomidine for dental treatments. The depth of sedation, vital signs, and patient satisfaction were investigated to demonstrate safety. METHODS: Thirty patients requiring dental scaling were enrolled and randomly divided into three groups based on bolus doses and lockout times: group 1 (low dose group, bolus dose 0.05 µg/kg, 1-minute lockout time), group 2 (middle dose group, 0...
February 2024: Journal of Dental Anesthesia and Pain Medicine
https://read.qxmd.com/read/38358051/evaluation-of-risk-factors-for-sleep-disordered-breathing-in-dogs
#29
JOURNAL ARTICLE
Iida Niinikoski, Sari-Leena Himanen, Mirja Tenhunen, Mimma Aromaa, Liisa Lilja-Maula, Minna M Rajamäki
BACKGROUND: Brachycephalic dogs display sleep-disordered breathing (SDB). The risk factors for SDB remain unknown. OBJECTIVES: To identify risk factors for SDB. We hypothesized that brachycephaly, increasing severity of brachycephalic obstructive airway syndrome (BOAS), excess weight, and aging predispose to SDB. ANIMALS: Sixty-three privately owned pet dogs were prospectively recruited: 28 brachycephalic and 35 normocephalic (mesaticephalic or dolicocephalic) dogs...
February 15, 2024: Journal of Veterinary Internal Medicine
https://read.qxmd.com/read/38354681/self-reported-sleep-tendency-poorly-predicts-the-presence-of-obstructive-sleep-apnea-in-commercial-truck-drivers
#30
JOURNAL ARTICLE
Hiroo Wada, Hiroshi Nakano, Susumu Sakurai, Takeshi Tanigawa
BACKGROUND AND OBJECTIVES: Drowsy driving increases the risk of motor vehicle crashes in those with untreated obstructive sleep apnea (OSA). Although previous studies indicated that excessive daytime sleepiness (EDS) might not predict OSA, they were not conclusive due to their small study sizes or restricted participants to sleep clinic patients. The overall objective was to determine whether self-reported EDS can be used for case identification of OSA among commercial truck drivers. METHODS: Commercial truck drivers (N = 19,699) were screened for OSA-related symptoms...
February 7, 2024: Sleep Medicine
https://read.qxmd.com/read/38350618/-treatment-of-sleep-disorders-in-neurodevelopmental-disorders
#31
JOURNAL ARTICLE
María Angeles Idiazabal, Montserrat Palau, Xavi Bello
Sleep disorders are common in children and affect neurological development with important cognitive, emotional and behavioral repercussions. There is a high prevalence of sleep disorders (SD) in neurodevelopmental disorders (NDD) such as autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD). Sleep disorders in pediatric population have a prevalence of 6-25%, while in children with NDD this number rises to 50-80%. In NDDs, higher rates of difficulties in falling asleep, nocturnal awakenings and daytime sleepiness are observed...
March 2024: Medicina
https://read.qxmd.com/read/38344337/dental-occlusion-characteristics-in-subjects-with-bruxism
#32
JOURNAL ARTICLE
Mihai Cadar, Oana Almăşan
BACKGROUND AND AIMS: Bruxism is associated with a variety of factors, some of which are oral (occlusion, joint, face shape) while others are of a systemic nature (respiratory, cardiac, neurotransmitters, stress). The relationship between bruxism and occlusion has received great attention, but it still has a lot of ambiguity. This study aimed at investigating the parameters that may affect bruxism: dental interferences or premature contacts, vicious habits, temporomandibular joint (TMJ) pain, TMJ noises, TMJ morning fatigue, snoring, obstructive sleep apnea, which may occur before bruxism, or because of chronic parafunction...
January 2024: Medicine and pharmacy reports
https://read.qxmd.com/read/38344141/effects-of-different-inspiratory-muscle-training-protocols-on-exercise-capacity-respiratory-muscle-strength-and-health-related-quality-of-life-in-patients-with-hypertension
#33
JOURNAL ARTICLE
İrem Hüzmeli, Nihan Katayıfçı, Fatih Yalçın, Esra Doğru Hüzmeli
AIM: This study aimed to explore how varying inspiratory muscle training workloads affect exercise capacity, health-related quality of life (HrQoL), depression, peripheral and respiratory muscle strength, pulmonary function, dyspnea, fatigue, and physical activity levels in hypertension (HT) patients. METHODS: A randomized, controlled three-arm study. Forty-five patients (58.37 ± 8.53 y, 7F/38M) with HT received IMT (7 days/8 weeks) by POWERbreathe® Classic LR device and were randomized to control group (CG, 10% maximal inspiratory pressure (MIP), n : 15), low-load group (LLG, 30% MIP), and high-load group (HLG, %50 MIP)...
2024: International Journal of Clinical Practice
https://read.qxmd.com/read/38337451/a-data-driven-framework-for-clinical-decision-support-systems-in-positive-airway-pressure-and-oxygen-titration
#34
JOURNAL ARTICLE
Artis Svaža, Dāvis Freimanis, Dana Zariņa, Pavels Osipovs, Svjatoslavs Kistkins, Vitālijs Ankudovičs, Olegs Sabeļnikovs, Valdis Pīrāgs, Yuriy Chizhov, Dmitrijs Bliznuks
BACKGROUND: Current obstructive sleep apnea treatment relies on manual PAP titration, but it has limitations. Complex interactions during titration and variations in SpO2 data accuracy pose challenges. Patients with co-occurring chronic hypercapnia may require precise oxygen titration. To address these issues, we propose a Clinical Decision Support System using Markov decision processes. METHODS: This study, compliant with data protection laws, focused on adults with OSA-induced hypoxemia utilizing supplemental oxygen and CPAP/BiPAP therapy...
January 28, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38336766/the-impact-of-strategic-napping-on-peak-expiratory-flow-and-respiratory-function-in-young-elite-athletes
#35
JOURNAL ARTICLE
Ahmet Kurtoğlu, Özgür Eken, Engin Aydın, Bekir Çar, Hadi Nobari
Respiratory health is a critical determinant of athletic performance, and the utilization of restorative strategies, such as strategic napping, may offer a competitive edge to athletes. This study investigates the effects of nap duration on the respiratory function of young elite athletes who have achieved top rankings national competitions. Participants engage in three test sessions with varying nap durations: no nap (N0), a 25-minute nap (N25), and a 45-minute nap (N45), with a minimum 72-hour interval between sessions...
February 9, 2024: BMC Sports Science, Medicine and Rehabilitation
https://read.qxmd.com/read/38333643/mild-obstructive-sleep-apnoea-in-females-post-hoc-analysis-of-the-merge-randomised-controlled-trial
#36
JOURNAL ARTICLE
Alison J Wimms, Julia L Kelly, Christopher D Turnbull, Alison McMillan, Sonya E Craig, John F O'Reilly, Annabel H Nickol, Meredith D Decker, Leslee A Willes, Peter M A Calverley, Adam V Benjafield, John R Stradling, Mary J Morrell
BACKGROUND: A post hoc analysis of the MERGE trial was conducted, to investigate whether sex differences are evident at the mildest end of the disease spectrum, for symptoms associated with obstructive sleep apnoea (OSA) and the response to continuous positive airway pressure (CPAP) treatment. METHODS: MERGE participants with mild OSA (apnoea-hypopnoea index 5-15 events·h-1 ; American Academy of Sleep Medicine 2012 criteria) were randomised to either CPAP plus standard care (sleep hygiene counselling) or standard care alone for 3 months...
January 2024: ERJ Open Research
https://read.qxmd.com/read/38330697/pseudo-obstructive-sleep-disordered-breathing-definition-and-progression-in-spinal-muscular-atrophy
#37
JOURNAL ARTICLE
Federica Trucco, Sakina Dastagir, Hui-Leng Tan
BACKGROUND: Obstructive sleep disordered breathing (SDB) is prevalent in patients with Spinal Muscular Atrophy (SMA) and possibly reduced by disease modifying treatment (DMT) such as nusinersen. We hypothesized that some obstructive events may in fact be pseudo-obstructive, reflecting the imbalance of chest wall weakness with preserved diaphragmatic function, rather than true upper airway obstruction. If confirmed, these events could represent SMA-specific outcome measures. We aimed to report on the pattern observed in respiratory polygraphies (PG) in paediatric patients with SMA type 2 resembling obstructive SDB...
February 2, 2024: Sleep Medicine
https://read.qxmd.com/read/38330556/impact-of-functional-conservation-surgery-on-sleep-respiration-of-patients-with-glottic-cancer
#38
JOURNAL ARTICLE
Baowei Wang, Yan Sun
OBJECTIVE: Laryngeal cancer is a common tumor in the head and neck, and surgery is one of the main treatment methods for laryngeal cancer. Laryngeal cancer surgery destroys the laryngeal cartilage scaffold, leading to structural changes in the laryngeal cavity and affecting respiratory compliance during sleep. However, less attention has been paid to the impact of changes in laryngeal structure on sleep breathing conditions. This article conducts a prospective study on the effects of preserving laryngeal function in cancer glottic surgery on sleep and respiratory status in patients, in order to understand the preoperative and postoperative OSAHS(obstructive sleep apnea-hypopnea syndrome) of glottic cancer patients , as well as the impact of surgery on OSAHS of patients...
January 31, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38309936/temporal-association-between-vaping-and-risk-of-cardiac-events
#39
JOURNAL ARTICLE
Sahej Bains, Ramin Garmany, Raquel Neves, John R Giudicessi, Xiaozhi Gao, David J Tester, J Martijn Bos, Michael J Ackerman
OBJECTIVE: To describe our early observations with sudden cardiac arrest (SCA) and sudden death (SD) in patients using vape products. PATIENTS AND METHODS: A retrospective analysis of Mayo Clinic's Windland Smith Rice Genetic Heart Rhythm Clinic and Sudden Death Genomics Laboratory was performed on all SCA survivors and decedents who presented between January 1, 2007, and December 31, 2021, to identify patients/decedents with a history of vaping. Data abstraction included patient demographics, clinical characteristics, and documented use of vape products...
February 2024: Mayo Clinic Proceedings
https://read.qxmd.com/read/38305228/a-novel-presentation-of-diaphragmatic-flutter-in-a-patient-with-obstructive-sleep-apnea-and-recurrent-cerebellar-hemangioblastoma
#40
Cristina Ciorba, José Alberto Espinoza Perez, Maria Alfonso Imizcoz, Javier Errasti Viader, Pilar Cebollero Rivas, Eduardo Luis De Vito
UNLABELLED: We report a unique case of diaphragmatic flutter in a patient with obstructive sleep apnea who had no respiratory symptoms related to flutter and a history of recurrent cerebellar hemangioblastoma. The flutter was detected during a routine follow-up monitoring through the built-in software of the positive airway pressure device; the flow and pressure curves showed abnormal and curious oscillations. The ultrasound confirmed the diagnosis and ruled out other causes of abnormal diaphragmatic movements...
February 1, 2024: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
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