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Safe sleep

Olumuyiwa A Bamgbade
Obstructive sleep apnea (OSA) is prevalent and presents perioperative challenges. There are guidelines regarding perioperative care of OSA, but analgesia management of OSA patients is inconsistent or inadequate. This is a study of the United Kingdom anesthesiologists' postoperative analgesia preferences for OSA patients. Overall, the 1st choice of main analgesia was continuous epidural local anesthetic (LA) without opioid, at 30% rate; P = 0.001. The 2nd choice was continuous epidural LA plus fentanyl, at 21% rate; P = 0...
July 2018: Saudi Journal of Anaesthesia
Lidia Castagneto Gissey, James R Casella Mariolo, Alfredo Genco, Alfonso Troisi, Nicola Basso, Giovanni Casella
BACKGROUND: Sleeve gastrectomy (SG) has grown into the most popular bariatric operation. Nevertheless, a scarcity of long-term outcomes are available. OBJECTIVES: This study aims at evaluating the long-term percent weight loss (%WL), excess weight loss (%EWL), weight regain (WR), and co-morbidity resolution rates in a single-center cohort undergoing SG as a primary procedure, with a minimum 10-year follow-up. SETTING: University hospital, Italy...
July 2, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Hanako Suenaga, Toru Tamahara, Mina Dodo, Toshimitsu Murakami, Satoshi Sasaki, Kengo Ito, Keiichi Jingu, Takeyoshi Koseki, Keiichi Sasaki
PATIENTS: Seventy-one and 73 years-old males visited a perioperative oral care support center to receive perioperative oral management during tongue cancer (T1 N0 M0 ) treatment. To improve their quality of life (QOL) during brachytherapy while preventing radiation-related complications including osteoradionecrosis due to 198 Au grain brachytherapy, spacers for their maxilla and mandible were designed with consideration of wearing condition at an isolation ward. The spacer was created with unilateral design and with consideration of the tongue mobility during day and night...
August 3, 2018: Journal of Prosthodontic Research
Scott B Boyd, Radhika Chigurupati, Joseph E Cillo, Gail Eskes, Reginald Goodday, Tina Meisami, Christopher F Viozzi, Peter Waite, James Wilson
PURPOSE: To comprehensively determine the effectiveness and safety of maxillomandibular advancement (MMA) for the treatment of obstructive sleep apnea (OSA). PATIENTS AND METHODS: We designed and implemented a prospective multicenter cohort study to evaluate OSA patients who underwent MMA. The primary outcome measures and associated instruments included sleepiness (Epworth Sleepiness Scale [ESS]), quality of life (QOL) (Functional Outcomes of Sleep Questionnaire [FOSQ]), sleep-disordered breathing (apnea-hypopnea index), cardiovascular risk (office blood pressure and levels of high-sensitivity C-reactive protein), and neurocognitive performance (psychomotor vigilance testing [PVT])...
August 4, 2018: Journal of Oral and Maxillofacial Surgery
Jared M Field, Michael B Bonsall
There are two contrasting explanations of sleep: as a proximate, essential physiological function or as a behavioral, adaptive state of inactivity and these hypotheses remain widely debated. To investigate the adaptive significance of sleep, we develop an evolutionary argument formulated as a tractable partial differential equation model. We allow demographic parameters such as birth and mortality rates to vary through time in both safe and vulnerable sleeping environments. From this model we analytically calculate population growth rate (fitness) for sleeping and non-sleeping strategies...
2018: PloS One
Janey S A Pratt, Allen Browne, Nancy T Browne, Matias Bruzoni, Megan Cohen, Ashish Desai, Thomas Inge, Bradley C Linden, Samer G Mattar, Marc Michalsky, David Podkameni, Kirk W Reichard, Fatima Cody Stanford, Meg H Zeller, Jeffrey Zitsman
The American Society for Metabolic and Bariatric Surgery Pediatric Committee updated their evidence-based guidelines published in 2012, performing a comprehensive literature search (2009-2017) with 1387 articles and other supporting evidence through February 2018. The significant increase in data supporting the use of metabolic and bariatric surgery (MBS) in adolescents since 2012 strengthens these guidelines from prior reports. Obesity is recognized as a disease; treatment of severe obesity requires a life-long multidisciplinary approach with combinations of lifestyle changes, nutrition, medications, and MBS...
July 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Liye Zou, Albert Yeung, Chunxiao Li, Gao-Xia Wei, Kevin W Chen, Patricia Anne Kinser, Jessie S M Chan, Zhanbing Ren
BACKGROUND: Tai Chi, Qigong, and Yoga are recognized as the most popular complementary approaches for alleviating musculoskeletal pain, improving sleep quality, and reducing blood pressure. The therapeutic effects of these meditative movements for treating major depressive disorder (MDD) is yet to be determined. Therefore, we examined whether meditative movements (Tai Chi, Qigong, and Yoga) are effective for treating MDD. Seven electronic databases (SPORTDiscus, PubMed, PsycINFO, Cochrane Library, Web of Science, CNKI, and Wanfang) were used to search relevant articles...
August 1, 2018: Journal of Clinical Medicine
Sammy Raad, Anne Marie Chaftari, Ray Y Hachem, Pankil Shah, Elizabeth Natividad, Charles S Cleeland, Joel Rosenblatt
OBJECTIVES: To assess the symptom burden associated with CVC removal and insertion in cancer patients. METHODS: We collected patient-reported symptom-burden outcomes for 60 consecutive cancer patients: 30 undergoing CVC removal and 30 undergoing CVC insertion. Cancer patients self-administered the MD Anderson Symptom Inventory to rate the severity of 21 different symptoms immediately after the procedure Results: Symptoms were present in up to 57% to 67% of patients undergoing CVC insertion and removal respectively...
August 1, 2018: Expert Review of Medical Devices
L Torres-Collado, M Garcia-de-la-Hera, E M Navarrete-Muñoz, L Notario-Barandiaran, S Gonzalez-Palacios, O Zurriaga, I Melchor, Jesus Vioque
PURPOSE: The effect of coffee consumption on mortality has been scarcely investigated in the elderly. We assessed the association between coffee consumption and mortality from all-cause, cardiovascular disease (CVD) and cancer, in an elderly population of Spain. METHODS: We studied 903 individuals (511 women) aged 65 years and older from two population-based studies, the EUREYE-Spain study and the Valencia Nutritional Survey. Coffee consumption and diet were assessed using a validated food frequency questionnaire...
July 31, 2018: European Journal of Nutrition
A D Palman
Physiology of breathing during sleep predisposes to the development or worsening of the respiratory disorders in patients with chronic obstructive pulmonary disease (COPD) even if waking respiratory function remains relatively normal. Physicians, who assess patient's state only during the day, in some cases can underestimate this problem. Respiratory abnormalities can provoke insomnia, which additionally affects patient's quality of life. Supplemental oxygen and pressure support ventilation improve blood gases during sleep, but in many cases, insomnia persists...
2018: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Giridharan Wijayasingam, Peter Deutsch, Mudith Jindal
BACKGROUND: Tonsillectomy and adenoidectomy are two of the most commonly performed procedures by otolaryngologist, especially in the paediatric population. Most common indications for adenotonsillectomy in the paediatric population include recurrent tonsillitis, otitis media (glue ear) and obstructive sleep apnoea (OSA). Whilst adenotonsillectomy is routinely performed as a day case for recurrent tonsillitis, many surgeons advocate an overnight stay for patients for OSA. The practice of keeping these patients in overnight for saturation monitoring is widely undertaken...
July 30, 2018: European Archives of Oto-rhino-laryngology
Vivien C Abad, Christian Guilleminault
Chronic insomnia affects 57% of the elderly in the United States, with impairment of quality of life, function, and health. Chronic insomnia burdens society with billions of dollars in direct and indirect costs of care. The main modalities in the treatment of insomnia in the elderly are psychological/behavioral therapies, pharmacological treatment, or a combination of both. Various specialty societies view psychological/behavioral therapies as the initial treatment intervention. Pharmacotherapy plays an adjunctive role when insomnia symptoms persist or when patients are unable to pursue cognitive behavioral therapies...
July 30, 2018: Drugs & Aging
Mihiar Sami Atfeh, James Richardson-May, James Rainsbury
Tonsillectomy is one of the commonest ENT paediatric procedures. Recovery is best achieved at home, and cost-effectiveness of the day case pathway is significant in tonsillectomy. This project scrutinised the local practice regarding the effectiveness of day case pathway in paediatric tonsillectomy in a large regional teaching hospital. The project aimed to improve the rates of day case tonsillectomy discharges, to increase compliance of postoperative care with guidelines, and to assess long-term sustainability of the new practice...
July 30, 2018: European Journal of Pediatrics
Korbinian Lackermair, Christoph G Schuhmann, Michaela Kubieniec, Lisa M Riesinger, Ina Klier, Thomas J Stocker, Stefan Kääb, Heidi L Estner, Stephanie Fichtner
Background: Wearable cardioverter defibrillator (WCD) therapy is feasible and safe in patients as a transient protection against sudden cardiac death (SCD). However, the impact of WCD therapy on quality of life (QoL) has not been studied. Methods: In our single-centre study, 109 consecutive patients with a prescription of WCD were retrospectively analysed. Quality of life has been assessed by a standardized questionnaire (EQ-5D-3L, modified). Additionally, clinical baseline and follow-up data and recorded arrhythmic episodes were evaluated...
2018: BioMed Research International
Valeria Luzzi, Marco Brunori, Sergio Terranova, Carlo Di Paolo, Gaetano Ierardo, Iole Vozza, Antonella Polimeni
BACKGROUND: Obstructive sleep apnea syndrome and is characterized by recurrent episodes of partial or complete upper airway collapse during sleep with consequent oxygen desaturations and cardiovascular, neurological, and metabolic impairment. CLINICAL PRESENTATION: The authors report the case of a 66-year-old male presenting "metabolic syndrome" (obesity, impaired glucose tolerance, dyslipidemia, multi-drug treated arterial hypertension), atopy, mouth breathing due to turbinate hypertrophy, and pathological daytime sleepiness...
July 26, 2018: Cranio: the Journal of Craniomandibular Practice
Judith P Kelly, Deena R Battista, Saul Shiffman, Mary Kathryn Malone, Rachel B Weinstein, David W Kaufman
OBJECTIVES: Users should know the active ingredients and dosing directions to optimize the safe use of acetaminophen-containing medications. The aim of this work was to examine knowledge of acetaminophen-containing medication directions among current users. DESIGN, SETTING, AND PARTICIPANTS: An Internet panel diary study (2012-2016) of 1-week usage of acetaminophen medications (over-the-counter [OTC] and prescription), recorded daily; 9629 participants. Users were asked about ingredients of medications taken; specific dosing instructions were asked for each OTC medication taken...
July 21, 2018: Journal of the American Pharmacists Association: JAPhA
Annemieke A J Konijnendijk, Adèle C Engelberts, Monique P L'Hoir, Magda M Boere-Boonekamp
OBJECTIVE: To investigate to what extent parents of infants are following national safe sleep advice given for the prevention of Sudden Infant Death Syndrome (SIDS) and to study the reasons for not adhering to recommendations on sleep position (always on the back) and location (parents and infant not sleeping in the same bed). DESIGN: Quantitative and qualitative cross-sectional study. METHOD: Online survey among parents of 0-11 month old children via well-baby clinics and online media...
May 14, 2018: Nederlands Tijdschrift Voor Geneeskunde
Ludovica Annarumma, Aurora D'Atri, Valentina Alfonsi, Luigi De Gennaro
Transcranial Current Stimulations (tCSs) are non-invasive brain stimulation techniques which modulate cortical excitability and spontaneous brain activity by the application of weak electric currents through the scalp, in a safe, economic, and well-tolerated manner. The direction of the cortical effects mainly depend on the polarity and the waveform of the applied current. The aim of the present work is to provide a broad overview of recent studies in which tCS has been applied to modulate sleepiness, sleep, and vigilance, evaluating the efficacy of different stimulation techniques and protocols...
July 20, 2018: Brain Sciences
Jeffrey Ramsey, Simon Driver, Chad Swank, Monica Bennett, Randi Dubiel
OBJECTIVE: Use actigraphy to (1) describe the intensity of physical activity completed by patients with traumatic brain injury (TBI) during inpatient rehabilitation, and (2) examine the association between physical activity intensity and demographic, injury, and programmatic characteristics. DESIGN: Observational. METHOD: Fifty individuals with TBI undergoing inpatient rehabilitation wore accelerometers for an average of 8.7 ± 1.8 days to capture physical activity intensity that was summarized using activity counts (ACs)...
July 23, 2018: Brain Injury: [BI]
Deborah A Raines, Jenelle Robinson
A descriptive cohort study to determine new mothers' preferred modality for educational materials, and if the format impacted the mothers' perception of an evidenced-based practice safe sleep program. The sample included new mothers anticipating discharge from a mother-baby unit with their newborn. Participants responded to a four-item survey administered by a research assistant. Respondents' self-reported preferred format for patient education was technology-based materials in both cohorts. The video teaching material as compared with the paper handout was rated significantly higher by participants...
July 1, 2018: Clinical Nursing Research
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