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Obstructive Sleep Apnoe Syndrom

Spyridon Gkalpakiotis
Psoriasis is a chronic inflammatory skin disease affecting 2-4 % of Central European population. Nowadays, we know that psoriasis is not limited to the skin but is connected with several comorbidities like, psoriatic arthritis (around 25 %), Crohn's disease, ulcerative colitis, Bechterev, non-alcoholic liver steatosis, psychiatric disorders and mainly diseases of the so called metabolic syndrome, like diabetes mellitus type 2, arterial hypertension or dyslipidemia. In the last years, new information is arising which connect psoriasis with sleep apnoe and chronic obstructive pulmonary disease...
2017: Casopís Lékar̆ů C̆eských
O M Pavlova
Postoperative respiratory disorders after prosthesis for the anterior abdominal wall hernia and their predictors were analyzed in 37 patients. Hypoxemic respiratory disorders were revealed in 59% patients. Speciphic predictors for the respiratory disorders occurrence after prosthesis for the anterior abdominal wall hernia were determined: obesity, syndrome of obstructive sleep apnoe, intraabdominal pressure raising to more than 16 cm of a water column immediately after the prosthesis. The prosthesis duration have constituted more than 3 yrs...
February 2016: Klinichna Khirurhiia
Lars Hecht, Ralph Möhler, Gabriele Meyer
BACKGROUND: Obstructive Sleep Apnoea Syndrome (OSAS) is a condition of obstruction, apneas and arousals while sleeping. It has been suggested that OSAS independently influences glucose metabolism. The main treatment for OSAS is continuous positive airways pressure (CPAP). OBJECTIVES: To assess the effects of CPAP on insulin resistance and glucose metabolism. SEARCH STRATEGY: We searched Medline, Embase and the Cochrane Controlled Trial Register (January 2010)...
2011: German Medical Science: GMS E-journal
C Neumann, C Volk, A R Wewel, J Braun
Pulmonary hypertension is a frequent complication of chronic obstructive pulmonary disease. Especially in patients with concurrent sleep apnoe syndrome (so called "overlap syndrome"), the risk for pulmonary hypertension is high. Pathophysiologically, both toxic effects (cigarette smoke) and alveolar hypoventilation can induce dysfunction of the pulmonary endothelium. Genetic factors and cytokines/growth factors released by inflammatory cells may induce remodeling of the pulmonary vessels. Pulmonary hypertension results, which is initially reversible, but gradually worsens over time...
September 2009: Der Internist
E Szabóová, Z Tomori, J Gonsorcík, J Petrovicová
UNLABELLED: Cardiovascular morbidity and mortality of patients with obstructive sleep apnoe-hypopnoe syndrome (OSAHS) is higher than in matched population. The aim of the study was to analyse, whether high prevalence of risk factors of atherosclerosis in patients with OSAHS can explaine their higher cardiovascular morbidity. METHODS: 2 groups of 33 males with moderate OSAHS and 16 males without OSAHS were subdivided into subgroups of apparently healthy subjects, hypertonics and patients with coronary artery disease...
April 2008: Vnitr̆ní Lékar̆ství
W Randerath, M Bauer, A Blau, I Fietze, W Galetke, H Hein, J T Maurer, M Orth, K Rasche, K-H Rühle, B Sanner, B A Stuck, T Verse et al.
Many patients with the obstructive sleep apnea syndrome (OSAS) look for alternative conservative or surgical therapies to avoid to be treated with continuous positive airway pressure. In view of the high prevalence and the relevant impairment of the patients lots of methods are offered which promise definitive cure or relevant improvement of OSAS. The working group "Apnea" in the German Society of Sleep Medicine and Research established a task force to evaluate the scientific literature on non-CPAP therapies in the treatment of OSAS according to the standards of evidence-based medicine...
July 2007: Pneumologie
Zsuzsa Aszalós
Connection between the central nervous system and the endocrine system is extremely complex. The hypothalamus serves as a crucial centre for the integration and coordination of autonomic functions by neuronal and hormonal pathways. It plays a central role in the homeostatic regulation of internal physiological conditions. It controls growth and reproduction, stress reactions, and determines rhythmicity, periodicity and timing of physiological processes. Beside its well-known functions, antidiuretic hormone has a role in social behavior as it enhances aggression via vasopressin receptor 1A...
April 22, 2007: Orvosi Hetilap
F Mihălţan, C Didilescu
The author presents the case of a male patient with obstructive sleep apnoea syndrome, in which the use of classic CPAP therapy after performing an uvulo-pharyngoplasty (UVPP) led to very good results. The pressure levels determined initially after a polysomnography with Apnoe Check were compared with the results of the measurements with another device, AutoSet, used for the first time in our country. This allowed the tapering of pressure levels for CPAP and also revealed other advantages of the device, reviewed here...
April 2001: Pneumologia: Revista Societății Române de Pneumologie
H Schmidt, N Stasche, K Hörmann, F Bernecker
The use of nCPAP-ventilation has changed the rare indication for tracheotomy in patients with severe sleep apnoe syndrome. Only in cases where obstructive nasal and epipharyngeal processes are not resectable tracheotomy can be necessary. A case report shows one indication for such a surgical intervention. Increasing nasal obstruction usually can be treated successfully by operation.
August 1997: Pneumologie
M Wenzel, B Schönhofer, G Wenzel, T Barchfeld, D Köhler
Recently intra- und extraoral devices are increasingly used in order to treat obstructive sleep apnea and snoring. We examined the value of an optically stimulating system ("eye-cover", Snore-Stop) and a tongue-retainer (Snore-Master) as treatment of the obstructive sleep apnoe or snoring. In case of the eye-cover is a microphone integrated, which detects acoustic signals (e.g. snoring). After detection of snoring optical stimuli are generated in front of the eyes. This is intended to induce an arousal of the patient, without awaking him, causing a change of body position and this reduces the snoring or apneas...
March 1997: Pneumologie
B Schönhofer, M Wenzel, T Barchfeld, K Siemon, H Rager, D Köhler
BACKGROUND: Recently intra- and extraoral devices are increasingly used in order to treat obstructive sleep apnea (OSA) and snoring. We examined the value of some devices according to the literature and our own results. PATIENTS AND METHODS: The mandibular advancing devices aim at increasing upper airway diameter. The active part of the tongue extending device (SnorEx) is a stamp connected to a piston which exerts pressure at the base of the tongue causing its forward displacement; we studied 23 patients...
March 15, 1997: Medizinische Klinik
Z Hosszú, J Hirschberg
In this paper the development of the diagnostic procedure of sleep apnoe syndrome is summarized and a survey of the pathophysiology and possible causes of this illness is given as well as two groups of patients children with hypertrophic tonsils and adenoids and tightenings after pharyngo-plastic operations where this disorder was observed are demonstrated. Detailed description is given of the examinations used as well as of the possibilities of treatment.
May 30, 1993: Orvosi Hetilap
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