Download or read book Surgery for Snoring and Obstructive Sleep Apnea Syndrome written by Mario Fabiani and published by Kugler Publications. This book was released on 2003 with total page 648 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction 'Bocca della Verità' or 'Mouth of Truth' is the logo of the Unit for the Study and Therapy of Sleep Respiratory Disorders at the University of Rome 'La Sapienza'. It was chosen because its round shape with surprised expression, small nose and open mouth mirrors the typical face of a patient with OSAS (pre-therapy). The stone (diameter 1.75 m) in fact represents the face of a screaming faun and was originally found in the Mercury Temple area. According to popular legend, anyone putting his hand in the mouth will have it cut off if he has told a lie. When I first became involved in the field of OSAS about ten years ago, I had no idea that this activity would become foremost in both my professional and my academic life. My curiosity was aroused when a patient of mine, an extremely fat patient, whom I had been following for a long time regarding a hearing problem, asked me for a prescription for CPAP. He had read in a newspaper that this device could solve his nocturnal respiration and diurnal hypersomnolence problems. Suddenly, I was confronted with documentation on snoring, OSAS, polysomnography, upper airway surgery, and positive pressure devices. I was then, and still am now, a Professor of Audiology. Audiology was and still is the object of my love, but it is mainly a speculative discipline. It involves physics, electronics, psychology, rehabilitation, and great possibilities for basic research. However, only rarely does an audiological patient obtain full satisfaction clinically. Patients with neurosensorially-based deafness can be rehabilitated, but with difficulty; conductive hearing loss is light and recovers automatically in most cases; in a few cases, the patient can be packed up and delivered to the ear surgeon or audioprosthetic technician. Vertigo is dramatic, but recovers spontaneously or after long-term rehabilitation, or it is categorized as a neurological symptom. Tinnitus is frustrating and the audiologist centers most of his time and energy on trying to convince the patient to forget it. In fact, it is very rare to see a patient affected by an audiological disease recover after intervention by an audiologist. Furthermore, most patients are either very old or very young. With OSAS patients, things are very different. The patient is usually at the peak of his life; he has serious disturbances in his social, familial, and working spheres; he is sedentary and is often a manager with a disordered of lifestyle (does not partake in any sport; smokes and drinks too much), he has become irritable, apathetic, and is starting to worry about dying during the night or suffocating. He has been followed for years for his arterial hypertension and latent arrhythmia. He, or often she, is a snorer and, after complaints from their partner, sleeps in a separate room. His sex life is affected, and he often gets up during the night convinced that he has prostatic problems too. Unfortunately, for many years, no-one thought that these kinds of patients should consider consulting an otolaryngologist, and, at the same time, otolaryngologists never thought of taking care of this pathology. As soon I started to see the first cases and was able to solve their obstruction, the number of patients being referred grew dramatically, as did my skill in this field. It was a really rewarding job. After years of hyperspecialistic practice, I returned to patient care in its entirety. Sometimes, a simple intervention such as nasal septoplasy or tonsillectomy, i.e., one of those interventions so often underestimated by more expert colleagues, was able to solve some of the serious problems of life. In the meantime, specific new techniques came into being: radiofrequencies, oral appliances, diode lasers, tongue suspension devices, while, at the same time, diagnostic instrumentation such as polysomnography became more flexible and could more easy to be applied to obstructive disorders. By 1997, my department was in an uproar about OSAS since I had got most of my colleagues interested in becoming involved, and the first sponsor was my former chief, Roberto Filipo, who gave me his approval, space to work in, and encouragement to overcome all the problems. My other colleagues, and I would like to mention all of them here: Giorgio Bandiera, Maurizio Barbara, Gian Antonio Bertoli, Ferdinando D'Ambrosio, Elio De Seta, Simonetta Masieri, Antonio Minni, Simonetta Monini, Virgilio Pizzichetta, Mario Patrizi, Maurizio Saponara, and Antonino Sciuto, either directly or indirectly, also offered to put their experience into writing various sections for this book. A specific section was also organized at the Institute, and I was able to coordinate some of our residents who have recently taken on the task of apostles, spreading the knowledge they acquired on OSAS during their time with us to other hospitals in the region. I must mention them too, since very often they did most of the work, and in OSAS, that is a lot of work: Francesca Auriti, Angelo Clarici, Fulvio Di Fulvio, Arianna Mattioni, Angela Mollica, Maria Laura Panatta, Barbara Pichi, Raniero Pucci, Mario Rinaldi, Rocco Roma, Anna Sambito, Ilenia Schettino, Rocco Schettino, Emanuela Sitzia, Artur Zajmi, and others. The diagnosis and treatment of, and scientific research into, OSAS is a multidisciplinary task, and I succeeded in involving many professors from related disciplines at the hospital of the University 'La Sapienza': Carlo Cannella for Alimentation and Human Nutrition, Eugenio Gaudio for Anatomy, Giuseppe Calcagnini for Cardiology, Vincenzo Bonifacio and Debora Giannini for Endocrinology, Adolfo Francesco Attili for Gastroenterology, Franco Angelico for Internal Medicine, Giorgio Iannetti for Maxillo-Facial Surgery, Giuseppe Amabile for Neurology, Maria Pia Villa for Pediatrics, Alessandro Perrone and Ilio Cammarella for Pneumology, and Carlo De Dominicis for Urology. They used their experience in treating these patients and present their results in their contributions to this book. During the same period, the diagnosis and therapy of OSAS was spreading fast to all otolaryngological units at universities and hospitals throughout Italy. It was easy for me to share my enthusiasm, and thus we built up a network of close cooperation. Any otolaryngologist will know these contributors so well that it would be easy for him to find their papers in this book, but still I want to mention those who were closest in advising and helping me: Marco Fusetti from L'Aquila, Luigi D'Angelo and Vieri Galli from Naples, Pietro Ferrara, Riccardo Speciale and Salvatore Restivo from Palermo, Oskar Schindler from Turin, and Maurizio Maurizi and Vittorio Pierro from Rome. The time was now ripe to confront the world nomenclature on OSAS. The dream to share a rendezvous with all (or most of) the prominent people from all the disciplines involved in both the clinical and scientific research on OSAS was realized in 1997 at the 'ROMA OSAS - First International Conference on the Diagnosis and Therapy of Snoring and OSAS', which was followed by a second meeting in the year 2000, and a third in 2002. I only have to mention the names of the presidents of these conferences to testify to the high quality that was achieved: Giovanni Bonsignore, Gisle Djupesland, Roberto Filipo, Christian Guilleminault, Meir Kryger, Elio Lugaresi. It would be inappropriate to mention here only some of those who also took part, and there are too many to mention them all, since they are all equally important. I was very honored to ask them for and to receive papers for this book. Some of the abstracts presented at these conferences are also included in this book as highlights on various subjects, due to their particular relevance. And so, finally, you now know how this book was born. It is the collection of an enthusiastic beginner who persuaded his friends and/or colleagues from his department, his university, his country, and the entire scientific community, to submit papers on the basics and state-of-the-art of relevant topics regarding snoring and OSAS, which, hopefully, in its turn will help those other enthusiastic beginners who wish to improve their knowledge on the care of apneic patients. Also, even though many of the chapters are written by participants at the ROMA OSAS Conferences, this book is not an abstract volume of those meetings. It does, however, represent the scientific development unearthed on those occasions. For this reason, I think it would also be a valid textbook on OSAS from an otolaryngological point of view. After the many thanks due to the contributors, my final thanks must go to the person who had the patience to cooperate with me on the editorial work: Peter Bakker of Kugler Publications. My confrontations with him were often thorny, but we both had the same goal in mind: to offer you the best possible product. We hope that you will agree with us that this book will be a useful addition, both to your practice and to your continuing education. Mario Fabiani

Download or read book The Cerebral Circulation written by Marilyn J. Cipolla and published by Biota Publishing. This book was released on 2016-07-28 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: This e-book will review special features of the cerebral circulation and how they contribute to the physiology of the brain. It describes structural and functional properties of the cerebral circulation that are unique to the brain, an organ with high metabolic demands and the need for tight water and ion homeostasis. Autoregulation is pronounced in the brain, with myogenic, metabolic and neurogenic mechanisms contributing to maintain relatively constant blood flow during both increases and decreases in pressure. In addition, unlike peripheral organs where the majority of vascular resistance resides in small arteries and arterioles, large extracranial and intracranial arteries contribute significantly to vascular resistance in the brain. The prominent role of large arteries in cerebrovascular resistance helps maintain blood flow and protect downstream vessels during changes in perfusion pressure. The cerebral endothelium is also unique in that its barrier properties are in some way more like epithelium than endothelium in the periphery. The cerebral endothelium, known as the blood-brain barrier, has specialized tight junctions that do not allow ions to pass freely and has very low hydraulic conductivity and transcellular transport. This special configuration modifies Starling's forces in the brain microcirculation such that ions retained in the vascular lumen oppose water movement due to hydrostatic pressure. Tight water regulation is necessary in the brain because it has limited capacity for expansion within the skull. Increased intracranial pressure due to vasogenic edema can cause severe neurologic complications and death.

Download or read book Kryger s Principles and Practice of Sleep Medicine E Book written by Meir H. Kryger and published by Elsevier Health Sciences. This book was released on 2021-12-16 with total page 3188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering today's most authoritative, comprehensive coverage of sleep disorders, Kryger's Principles and Practice of Sleep Medicine, 7th Edition, is a must-have resource for sleep medicine specialists, fellows, trainees, and technicians, as well as pulmonologists, neurologists, and other clinicians who see patients with sleep-related issues. It provides a solid understanding of underlying basic science as well as complete coverage of emerging advances in management and treatment for a widely diverse patient population. Evidence-based content, hundreds of full-color illustrations, and a wealth of additional resources online help you make well-informed clinical decisions and offer your patients the best possible care. - Contains new chapters on sleep in intersex and transgender individuals; sleep telemedicine and remote PAP adherence monitoring; and sleep and the menstrual cycle, as well as increased coverage of treatment and management of pediatric patients. - Includes expanded sections on pharmacology, sleep in individuals with other medical disorders, and methodology. - Discusses updated treatments for sleep apnea and advancements in CPAP therapy. - Offers access to 95 video clips online, including expert interviews and sleep study footage of various sleep disorders. - Meets the needs of practicing clinicians as well as those preparing for the sleep medicine fellowship examination or recertification exams, with more than 950 self-assessment questions, answers, and rationales online. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Download or read book Sleep Disorders An Issue of Neurologic Clinics written by Bradley Vaughn and published by Elsevier Health Sciences. This book was released on 2012-11-28 with total page 495 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sleep disorders are a widely recognized consequence of many neurological pathologies. This issue of Neurologic Clinics features the following articles: Sleep Physiology; Sleep Assessment Tools for the Neurologist; Fitting Sleep into Neurological Practice; Insomnia; Parasomnias and look-alikes; Sleep Apnea: Obstructive and central; Restless Legs syndrome; Circadian Rhythm; Pediatric Sleep Disorders; Dementia; Stroke; Epilepsy; CNS Immunological and Infectious; Movement Disorders; Neuromuscular ; Headache; Traumatic Brain Injury; and Psychiatry in Sleep.

Download or read book New Trends in Cerebral Hemodynamics and Neurosonology written by Jürgen Klingelhöfer and published by Elsevier Science & Technology. This book was released on 1997 with total page 874 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hardbound. This book's intention with its many illustrations and tables is to give the reader an overview of the efficancy of the methods used in the assessment of physiological and pathophysiological changes in cerebral hemodynamics and neurosonology.Besides the selected contributions of the Symposium on Cerebral Hemodynamics, this book includes additional overview articles on methodological aspects of selected investigation procedures, such as cerebral emboli detection.

Download or read book Sleep Apnea written by Allan I. Pack and published by CRC Press. This book was released on 2002-05-21 with total page 735 pages. Available in PDF, EPUB and Kindle. Book excerpt: Considers the relationship between obstructive sleep apnea (OSA) and cardiovascular disease, right and left ventricular dysfunction, and hypertension. Sleep Apnea analyzes techniques to identify, diagnose, and monitor sleep-induced upper airway obstruction developments in functional brain imaging associated with sleep and

Download or read book Manual of Neurosonology written by László Csiba and published by Cambridge University Press. This book was released on 2016-04-28 with total page 333 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neurosonology is non-invasive, portable, and has excellent temporal resolution, making it a valuable and increasingly popular tool for the diagnosis and monitoring of neurological conditions when compared to other imaging techniques. This guide looks beyond the use of neurovascular ultrasound in stroke to encompass a wide range of other neurological diseases and emergencies. It offers a practical approach to the examination of patients, interpretation of ultrasound studies, and the application of neurosonology to the development of management and treatment strategies. Each chapter incorporates a thorough and clear procedural methodology alongside scanning tips for trainees; this step-by-step approach is further enhanced by example images and focused diagnostic questions. Authored and edited by international experts, this practical manual of neurosonology is an invaluable resource for neurologists, neurosurgeons, intensivists, radiologists, and ultrasonographers.

Download or read book Sleep Stroke and Cardiovascular Disease written by Antonio Culebras and published by Cambridge University Press. This book was released on 2012-12-06 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: The relationship between sleep disorders – in particular sleep apnea, a highly prevalent condition – and common vascular disturbances such as stroke and hypertension is an area of active research. Summarizing the clinical evidence to date between sleep disorders and vascular pathology, this is the first time a comprehensive overview of this relationship has been covered in a single volume. Bringing together some of the world's most renowned authors in the field, Sleep, Stroke and Cardiovascular Disease contains recommended treatment plans – allowing for rapid and accurate diagnosis and management of patients – enabling learning from real experience. Of interest, not only, to specialists who intervene in diagnosis and management of sleep and stroke disorders such as neurologists, cardiologists and pulmonologists, the book will also be of value to primary-care practitioners, allowing them to arrive at better diagnoses and management of sleep and vascular disorders.

Download or read book Updates in Sleep Neurology and Obstructive Sleep Apnea written by Fabian H. Rossi and published by BoD – Books on Demand. This book was released on 2021-09-15 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: The field of sleep medicine has grown and expanded over the last few decades, becoming more complex as technology and knowledge have proliferated enabling more precise diagnoses and treatments. With an improved understanding of sleep medicine and its inextricable interrelationship with neurology, it has assumed a leading role within the general neurological practice. This book provides important insights into the most common sleep and neurological disorders, discussing their interdependence, diagnoses, and treatments.

Download or read book Fundamentals of 21st Century Neuroscience written by Srikanth Ramaswamy and published by Frontiers Media SA. This book was released on 2022-02-24 with total page 347 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Sleep and Neurorehabilitation An Issue of Sleep Medicine Clinics written by Richard J. Castriotta and published by Elsevier Health Sciences. This book was released on 2012-12-28 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Sleep Medicine Clinics, Guest Edited by Richard Castriotta, MD of the University of Texas, will focus on Sleep and Neurorehabilitation. Article topics will include TBI and Sleep, Circadian Rhythm Disorders, Insomnia, and Stroke and Sleep.

Download or read book Neuroimaging of Sleep and Sleep Disorders written by Eric Nofzinger and published by Cambridge University Press. This book was released on 2013-03-07 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: An up-to-date, superbly illustrated practical guide to the effective use of neuroimaging in the patient with sleep disorders. The only book to date to provide comprehensive coverage of this topic. A must for all healthcare workers interested in understanding the causes, consequences and treatment of sleep disorders.

Download or read book Principles and Practice of Sleep Medicine E Book written by Meir H. Kryger and published by Elsevier Health Sciences. This book was released on 2010-11-01 with total page 1804 pages. Available in PDF, EPUB and Kindle. Book excerpt: Principles and Practice of Sleep Medicine, 5th Edition, by Meir H. Kryger, MD, FRCPC, Thomas Roth, PhD, and William C. Dement, MD, PhD, delivers the comprehensive, dependable guidance you need to effectively diagnose and manage even the most challenging sleep disorders. Updates to genetics and circadian rhythms, occupational health, sleep in older people, memory and sleep, physical examination of the patient, comorbid insomnias, and much more keep you current on the newest areas of the field. A greater emphasis on evidence-based approaches helps you make the most well-informed clinical decisions. And, a new more user-friendly, full-color format, both in print and online, lets you find the answers you need more quickly and easily. Whether you are preparing for the new sleep medicine fellowship examination, or simply want to offer your patients today's best care, this is the one resource to use! Make optimal use of the newest scientific discoveries and clinical approaches that are advancing the diagnosis and management of sleep disorders.

Download or read book Insights Into Mechanisms Underlying Brain Impairment in Aging written by Jolanta Dorszewska and published by Frontiers Media SA. This book was released on 2021-11-29 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Sleep Disorders Part I written by Pasquale Montagna and published by Elsevier. This book was released on 2012-10-22 with total page 711 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sleep Disorders Part 1 offers a glimpse of developments that focus on diagnostic techniques in the field of neurobiology of sleep. This part discusses the models of the rapid eye movement (REM) sleep mechanism; issues regarding sleep states, stages, and memory consolidation; and advances in the understanding of the sleep-wake genes, gene products, the circadian clock, and the role of sleep duration. This book explains noninvasive neuroimaging studies, particularly positron emission tomographic and single photon emission computed tomographic scans. It further discusses advances in clinical science, including concepts about neurobiology of sleep, narcolepsy-cataplexy, therapy, and laboratory techniques. The significant advances in therapy have led to the addition of new drugs for the treatment of different sleeping disorders, as described in this book. Sleep is essential to humans. Awareness of its true importance leads to the development and acceptance of sleep medicines in the market. - Clinical data on groundbreaking advancements in the understanding of basic sleep science - Invaluable information on new therapies and drug protocols for sleep disorders - A state-of-the-art reference that includes the role of genetics in sleep medicine

Download or read book The First Outstanding 50 Years of Universit Politecnica delle Marche written by Sauro Longhi and published by Springer Nature. This book was released on 2020-01-02 with total page 634 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book describes the significant multidisciplinary research findings at the Università Politecnica delle Marche and the expected future advances. It addresses some of the most dramatic challenges posed by today’s fast-growing, global society and the changes it has caused. It also discusses solutions to improve the wellbeing of human beings. The book covers the main research achievements in the various disciplines of the life sciences, and includes chapters that highlight mechanisms relevant to all aspects of human diseases, the molecular, cellular, and functional basis of therapy, and its translation into the management of people’s health needs. It also describes research on traditional and innovative foods to enhance quality, safety and functionality, and to develop bioactive/nutraceutical compounds. Further chapters address conservation and management of various environments, from the forests to the oceans, describing the studies on countermeasures against climate changes and terrestrial/aquatic pollutants, and on terrestrial/marine biodiversity, ecosystems and landscapes, erosion of genetic biodiversity, innovative aquaculture feed, sustainable crop production and management of forests. Lastly, the book reports the findings of research work on different classes of biomolecules, and on the molecular basis of antibiotic resistances and their diffusion.

Download or read book The Breathless Heart written by Michele Emdin and published by Springer. This book was released on 2016-11-25 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book systematically focuses on central sleep apneas, analyzing their relationship especially with heart failure and discussing recent research results and emerging treatment strategies based on feedback modulation. The opening chapters present historical background information on Cheyne-Stokes respiration (CSR), clarify terminology, and explain the mechanics and chemistry of respiration. Following a description of the physiology of respiration, the pathophysiology underlying central apneas in different disorders and particularly in heart failure is discussed. The similarities and differences of obstructive and central apneas are then considered. The book looks beyond the concept of sleep apnea to daytime CSR and periodic breathing during effort and contrasts the opposing views of CSR as a compensatory phenomenon or as detrimental to the failing heart. The diagnostic tools currently in use for the detection of CSR are thoroughly reviewed, with guidance on interpretation of findings. The book concludes by describing the various forms of treatment that are available for CSR and by explaining how to select patients for treatment.