Search results for "obstructive sleep apnea."

showing 10 items of 152 documents

Obstructive sleep apnea and cancer: a complex relationship

2020

Purpose of review Obstructive sleep apnea (OSA) has been recognized as a risk factor for cancer mainly through hypoxia, based on studies that did not distinguish among cancer types. The purpose of this review is to discuss the most recent data on epidemiology and pathophysiology of the OSA-cancer association. Recent findings According to epidemiological studies, OSA may have different influences on each type of cancer, either increasing or decreasing its incidence and aggressiveness. Time spent with oxygen saturation below 90% appears the polysomnographic variable most strongly associated with unfavorable effects on cancer. Experimental studies support the role of hypoxia as an important ri…

Pulmonary and Respiratory Medicinemedicine.medical_specialtybusiness.industryintermittent hypoxiaexperimental modelsSleep apneaInflammationHypoxia (medical)Bioinformaticsmedicine.diseasemortalityImmune surveillancePathophysiologyNatural historyObstructive sleep apnea03 medical and health sciences0302 clinical medicine030228 respiratory systemEpidemiologyincidencemedicineepidemiology030212 general & internal medicinemedicine.symptombusinessCurrent Opinion in Pulmonary Medicine
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Development and Validation of the OSA-CPAP Perceived Competence Evaluation Interview

2021

Continuous positive airway pressure (CPAP) is one of the most common therapies for Obstructive Sleep Apnea (OSA). We present a brief, patient-reported outcome measure used to assess patients' levels of adherence with CPAP treatment.A questionnaire was developed based on academic literature. We qualitatively tested a pool of 18 items. It was tested in a sample of 174 patients from the Hospital La Princesa. Next, 1021 patients from Catalonia were evaluated.5 items were removed. Nominal groups referred to three areas: general knowledge about OSA and its risks; CPAP treatment information and expectations; CPAP use, monitoring, and confidence with its use. The 13 retained items maintained the sa…

Pulmonary and Respiratory Medicinemedicine.medical_specialtymedicine.medical_treatmentDisorders of Excessive Somnolence03 medical and health sciences0302 clinical medicineHumansMedicineCpap treatmentGeneral knowledgeContinuous positive airway pressureCompetence (human resources)Sleep Apnea ObstructiveContinuous Positive Airway Pressurebusiness.industryOutcome measuresGeneral Medicinemedicine.diseaserespiratory tract diseasesObstructive sleep apnea030228 respiratory systemQuality of LifePhysical therapyPatient ComplianceFemalebusinessArchivos de Bronconeumología (English Edition)
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Chronic kidney disease in patients with obstructive sleep apnea. A narrative review.

2018

Prevalence of both chronic kidney disease (CKD) and obstructive sleep apnea (OSA) is continuously increasing. Moreover, the prevalence of OSA increases as kidney function declines and is higher among patients with end-stage renal disease (ESRD). In addition, OSA is recognized as a potential nontraditional risk factor for development and progression of CKD. Continuous positive airway pressure (CPAP) plays a pivotal role in the management of OSA, eliminating patients' symptoms and improving their quality of life. Recent studies suggested that CPAP treatment may have beneficial effects on kidney function among patients with OSA. This narrative review summarizes the existing knowledge on the as…

Pulmonary and Respiratory Medicinemedicine.medical_specialtymedicine.medical_treatmentRenal functionDiseaseSettore MED/10 - Malattie Dell'Apparato Respiratoriourologic and male genital diseases03 medical and health sciences0302 clinical medicinestomatognathic systemQuality of lifeRisk FactorsPhysiology (medical)Internal medicineEpidemiologymedicineHumansContinuous positive airway pressureRisk factorRenal Insufficiency ChronicChronic kidney disease Continuous positive airway pressure Kidney function Nocturnal hypoxia Obstructive sleep apneaSleep Apnea ObstructiveContinuous Positive Airway Pressurebusiness.industrymedicine.diseasenervous system diseasesrespiratory tract diseasesObstructive sleep apnea030228 respiratory systemNeurologyNeurology (clinical)business030217 neurology & neurosurgeryKidney diseaseSleep medicine reviews
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Emotional intelligence in children with severe sleep-related breathing disorders

2019

Background. Obstructive sleep apnea syndrome (OSAS) affects up to 4% of a pediatric population, with many comorbidities in the medium-long term. Functional alterations in the prefrontal cortex (PFC) may explain why OSAS impacts aspects such as executive functions, memory, motor control, attention, visual-spatial skills, learning, and mood regulation. Emotional intelligence (EI) is a complex neuropsychological function that could be impaired in many clinical conditions. Purpose. The aim of the study is to evaluate the difference in emotional intelligence skills among children with OSAS and healthy subjects (nOSAS). Methods. 129 children (72 males; mean age 7.64±1.98 years) affected by OSAS w…

Settore M-PSI/01 - Psicologia GeneraleMaleStress managementArticle SubjectPolysomnographyIntelligenceNeurosciences. Biological psychiatry. NeuropsychiatryNeuropsychological Tests050105 experimental psychologyExecutive Function03 medical and health sciences0302 clinical medicineMemoryEQ-i:YV sleep-related breathing disorders OSASmedicineHumansAttention0501 psychology and cognitive sciencesChildPrefrontal cortexSocioeconomic statusEmotional IntelligenceSleep Apnea ObstructiveSettore M-PSI/02 - Psicobiologia E Psicologia Fisiologicabusiness.industryEmotional intelligence05 social sciencesObstructive sleep apnea syndrome; Emotional intelligence; IntelligenceSleep apneaGeneral MedicineRespiration Disordersmedicine.diseaseExecutive functionsSettore MED/39 - Neuropsichiatria InfantileObstructive sleep apneaEmotional intelligence OSAS Sleep apnea Bar-On emotional quotient inventory EQ-i: YV.Obstructive sleep apnea syndromeNeuropsychology and Physiological PsychologyMoodItalyNeurologyChild PreschoolFemaleNeurology (clinical)business030217 neurology & neurosurgeryResearch ArticleClinical psychologyRC321-571
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VISUOMOTOR INTEGRATION SKILLS IN CHILDREN AFFECTED BY OBSTRUCTIVE SLEEP APNEA SYNDROME: A CASE-CONTROL STUDY

2016

Introduction: Sleep related breathing disorders (SRBD) consist of frequent and repetitive episodes of pharyngeal obstruction during sleep, with consequent intermittent hypoxia, sleep architecture fragmentation, daytime sleepiness and/or behavioural problems and executive impairment in children. When untreated, SRBD and obstructive sleep apnea syndrome (OSA) mainly, may impact school performance, cognition, metabolism, and cardiovascular function. Aim of the present study is assessing the visuomotor integration skills in children affected by OSA. Materials and methods: 57 subjects affected by mild-to severe OSA, PSG diagnosed according to international diagnostic criteria, (31 males and 26 f…

Settore M-PSI/04 - Psicologia Dello Sviluppo E Psicologia Dell'Educazioneobstructive sleep apnea syndrome OSA visual-motor integration visual-motor training skills.Settore MED/39 - Neuropsichiatria Infantile
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Association between sensorineural hearing loss and sleep-disordered breathing: Literature review

2015

The cochlea is especially sensitive to circulatory alterations because it is supplied by a single terminal artery and lacks adequate collateral blood supply. To examine the putative association between Sensorineural Hearing Loss (SNHL) and Sleep Disordered Breathing (SDB) through the literature review is very interesting. In fact these medical disorders usually are associated to cerebral circulatory alterations resulting in hypoxia, acute hemodynamic change, and decreased cerebral blood flow, because the Sleep Disorder Breathing (SDB), for example OSAHS (Obstructive Sleep Apnea Hypopnea Syndrome), is characterized by periodic hyposia/reoxygenation. These noxious stimuli can, in turn, activa…

Settore MED/31 - OtorinolaringoiatriaOSAHS (Obstructive Sleep Apnea Hypopnea Syndrome)Endothelial dysfunctionHypoxiaSleep Disordered Breathing (SDB)Sensorineural Hearing Loss (SNHL)Social Sciences (all)Settore MED/32 - Audiologia
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Obstructive sleep apnea: screening is the waiting room for preoperative testing, postoperative monitoring, and safety measures

2018

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Sleep Apnea Obstructivemedicine.medical_specialtymedicine.diagnostic_testbusiness.industryPolysomnographyMEDLINESleep apnea030208 emergency & critical care medicinePolysomnographymedicine.diseaseObstructive sleep apnea03 medical and health sciences0302 clinical medicineAnesthesiology and Pain Medicine030202 anesthesiologyEmergency medicinemedicineHumansPostoperative monitoringbusinessHumanMinerva Anestesiologica
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Italian Association of Sleep Medicine (AIMS) position statement and guideline on the treatment of menopausal sleep disorders

2019

Insomnia, vasomotor symptoms (VMS) and depression often co-occur after the menopause, with consequent health problems and reductions in quality of life. The aim of this position statement is to provide evidence-based advice on the management of postmenopausal sleep disorders derived from a systematic review of the literature. The latter yielded results on VMS, insomnia, circadian rhythm disorders, obstructive sleep apnea (OSA) and restless leg syndrome (RLS). Overall, the studies show that menopausal hormone therapy (MHT) improves VMS, insomnia, and mood. Several antidepressants can improve insomnia, either on their own or in association with MHT; these include selective serotonin reuptake …

Sleep Initiation and Maintenance Disordermedicine.medical_treatmentSerotonin and Noradrenaline Reuptake InhibitorPosition statementSleep medicine0302 clinical medicineSleep Initiation and Maintenance DisordersCognitive behavioraltherapy for insomnia (CBT-I)InsomniaSleep Wake Disorder030212 general & internal medicineContinuous positive airway pressureRestless legs syndromeSerotonin and Noradrenaline Reuptake InhibitorsCognitive behavioraltherapy for insomnia (CBT-I); Hormonereplacementtherapy (HRT); Menopause; Position statement; Sleepdisorders; Vasomotorsymptoms (VMS)Sleep Apnea Obstructive030219 obstetrics & reproductive medicineContinuous Positive Airway PressureDepressionObstetrics and GynecologySerotonin Uptake InhibitorAntidepressive AgentsMenopauseCognitive behavioral therapyCognitive behavioral therapy for insomnia (CBT-I)SleepdisordersAntidepressive AgentFemalemedicine.symptomMenopauseSelective Serotonin Reuptake Inhibitorsmedicine.drugHumanSleep Wake Disordersmedicine.medical_specialtyHormone Replacement TherapyVasomotor symptoms (VMS)MirtazapineCognitive behavioral therapy for insomnia (CBT-I); Hormone replacement therapy (HRT); Menopause; Position statement; Sleep disorders; Vasomotor symptoms (VMS); Antidepressive Agents; Cognitive Behavioral Therapy; Continuous Positive Airway Pressure; Depression; Exercise; Female; Humans; Mirtazapine; Quality of Life; Restless Legs Syndrome; Serotonin Uptake Inhibitors; Serotonin and Noradrenaline Reuptake Inhibitors; Sleep; Sleep Apnea Obstructive; Sleep Initiation and Maintenance Disorders; Sleep Wake Disorders; Hormone Replacement Therapy; MenopauseMirtazapineSettore MED/10 - Malattie Dell'Apparato RespiratorioHormone replacement therapy (HRT)Hormonereplacementtherapy (HRT)General Biochemistry Genetics and Molecular Biology03 medical and health sciencesRestless Legs Syndromemental disordersmedicineHumansExerciseSleep disorderCognitive Behavioral Therapybusiness.industryVasomotorsymptoms (VMS)medicine.diseasenervous system diseasesObstructive sleep apneaMenopause sleep disorders vasomotor symptoms (VMS) hormone replacement therapy (HRT) Cognitive Behavioral Therapy for Insomnia (CBT-I) Position StatementPhysical therapyQuality of LifebusinessSleep
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Impact of an oral appliance on obstructive sleep apnea severity, quality of life, and biomarkers

2017

OBJECTIVE/HYPOTHESIS To investigate outcomes including efficacy, quality of life, and levels of inflammatory markers of a mandibular advancement device (MAD) for moderate-to-severe obstructive sleep apnea (OSA). STUDY DESIGN Case-control study. METHODS Patients with apnea-hypopnea index (AHI) ≥ 15/hr who only accepted MAD therapy (study group) or who refused any treatment (control group) were recruited. At baseline and at 6 months, polysomnography, Epworth Sleepiness Scale (ESS), Functional Outcomes of Sleep Questionnaire (FOSQ), C-reactive protein (CRP), interleukin 1β, interleukin 6, and tumor necrosis factor α (TNF-α) were assessed in both groups. RESULTS At baseline, the study group (n …

Sleep Stagesmedicine.medical_specialtymedicine.diagnostic_testbusiness.industrymedicine.medical_treatmentEpworth Sleepiness ScaleOral applianceRapid eye movement sleepPolysomnographymedicine.diseaserespiratory tract diseasesObstructive sleep apnea03 medical and health sciences0302 clinical medicine030228 respiratory systemOtorhinolaryngologyQuality of lifeInternal medicinemedicineContinuous positive airway pressurebusiness030217 neurology & neurosurgeryThe Laryngoscope
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Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS

2009

Objective: To establish the efficacy of uvulopalatopharyngoplasty with tonsillectomy for treating selected patients with severe obstructive sleep apnea syndrome Methodology: Retrospective study of patients who underwent clinical/instrumental evaluation and surgical treatment. Setting: University ENT division with a tertiary snoring referral center Participants: Twenty-two patients with normal body mass index affected by severe obstructive sleep apnea syndrome- Main outcome measures: Pre and post operative cardiopulmonary monitoring during sleep, daytime sleepiness evaluation, post treatment complication recording. Results: Complete response to therapy was obtained in 78% of patients. Four p…

Snoring obstructive sleep apnea tonsillectomy uvulopalatopharingoplastysurgery
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