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Sample records for vahendite osa teraviljakasvatuses

  1. Security Analysis of Parlay/OSA Framework

    NARCIS (Netherlands)

    Corin, R.J.; Di Caprio, G.; Etalle, Sandro; Gnesi, S.; Lenzini, Gabriele; Moiso, C.; Villain, B.

    2004-01-01

    This paper analyzes the security of the Trust and Security Management (TSM) protocol, an authentication protocol which is part of the Parlay/OSA Application Program Interfaces (APIs). Architectures based on Parlay/OSA APIs allow third party service providers to develop new services that can access,

  2. Security Analysis of Parlay/OSA Framework

    NARCIS (Netherlands)

    Corin, R.J.; Di Caprio, G.; Etalle, Sandro; Gnesi, S.; Lenzini, Gabriele; Moiso, C.

    This paper analyzes the security of the Trust and Security Management (TSM) protocol, an authentication protocol which is part of the Parlay/OSA Application Program Interfaces (APIs). Architectures based on Parlay/OSA APIs allow third party service providers to develop new services that can access,

  3. Cognitive MAC designs for OSA networks

    CERN Document Server

    Derakhshani, Mahsa

    2014-01-01

    This SpringerBrief presents recent advances in the cognitive MAC designs for opportunistic spectrum access (OSA) networks. It covers the basic MAC functionalities and MAC enhancements of IEEE 802.11. Later chapters discuss the existing MAC protocols for OSA and classify them based on characteristic features. The authors provide new research in adaptive carrier sensing-based MAC designs tailored for OSA, which optimize spectrum utilization and ensure a peaceful coexistence of licensed and unlicensed systems. Analytically devised via optimization and game-theoretic approaches, these adaptive M

  4. Endocrine and Metabolic Aspects of OSA

    Directory of Open Access Journals (Sweden)

    Ravinder Goswami

    2014-03-01

    Full Text Available Obstructive sleep apnea (OSA is characterized by repeated spells of apnea.Collapsibility of hypopharynx due to multiple factors involving pharyngeal dilatormuscles and deposition of fat or fluid in the surrounding soft tissues are importantcontributing factors in its pathogenesis. OSA commonly affects obese individuals.Males are more commonly affected than the females probably due to the disturbingeffect of testosterone on sleep.The impact of OSA on human health include disturbances in endocrine and metabolicsystem affecting hypothalamic-pituitary-gonadal axis, adrenocorticotrophic-cortisolaxis, growth hormone, antidiuretic hormones and insulin resistance. There is atendency for predisposition of the metabolic syndrome or its components includingglycemic dysregulation, hypertension, hyperlipidemia and physical parameters relatedto adiposity. On the other hand, several endocrine disorders such as hypothyroidism,growth hormone excess, polycystic ovarian disease and testosterone replacement areassociated with increased prevalence of OSA.There is limited information on the effect of treatment of OSA by continuous positiveairway pressure (CPAP on the endocrine and metabolic disturbances. There is a needto conduct randomized controlled trials using CPAP therapy in patients with OSA andto study its cause and effect relationship with endocrine and metabolic disturbances.

  5. Can you die from obstructive sleep apnoea syndrome (OSAS)?

    LENUS (Irish Health Repository)

    O'Carroll, G

    2015-02-01

    Studies suggest an independent association between Obstructive Sleep Apnoea Syndrome (OSAS) and cardiovascular death. The purpose of our study is to examine doctors\\' awareness of this association and to determine whether this correlates with recording of OSAS on death certificates. We contacted the Central Statistics Office (CSO) and obtained relevant mention of OSAS on death certificates. We surveyed doctors on their view of OSAS-related deaths, CSO data from 2008-2011 reveal two deaths with OSAS documented as a direct cause and 52 deaths with OSAS as a contributory cause. Seventy-five doctors\\' surveyed (41%) believe OSAS can be a direct cause of death and 177 (96%) believe OSAS can be an indirect cause of death. Only 22 (12%) had putdown OSAS as a cause of death. OSAS is seldom recorded on death certificates. This is at odds with epidemiological forecasts and contrary to an opinion poll from a selection of doctors.

  6. online-osa festivalil / Tiia Johannson

    Index Scriptorium Estoniae

    Johannson, Tiia, 1965-2002

    1998-01-01

    Prantsusmaa, Balti ja Põhjamaade video ja uue meedia festival "offline@online" Eesti Kunstiakadeemias. Ka eesti netikunstist, festivali korralduslikust küljest, tulevikuplaanidest. Erilist äramärkimist leidis sloveenia kunstniku Vuk Cosici töö "ascii history of moving images", online-presentatsioonide osas Lev Manovichi teoreetiline loeng "Uue meedia keel". Aadress festivali netikunsti vaatamiseks

  7. CPAP increases bronchial reactivity in OSAS patients

    Directory of Open Access Journals (Sweden)

    P. Korczyski

    2008-06-01

    Full Text Available Continuous positive airways pressure (CPAP is a well known and safe method of treatment patients with obstructive sleep apnoea syndrome (OSAS. The effects of CPAP administration on the upper respiratory tract are known. However its effects on the lower respiratory tract still needs to be determined. Studies on bronchial hyperreactivity in patients treated by CPAP are contradictory. The aim of the study was to assess the influence of a 3-week CPAP treatment in patients with OSAS and to evaluate associations between changes in bronchial reactivity and clinical features of OSAS and lung function tests (LFT. Patients with newly diagnosed OSAS and lack of infection or chronic illness of the respiratory tract or other conditions which could influence bronchial hyperreactivity (BHR were included. Investigations were performed in 101 patients. There were 88 males and 13 females, mean age 51.5±11.2 years and BMI 32.6±5.4 kg·m–2. Qualified patients were randomly divided into 2 groups: 76 patients to CPAP treatment group, 25 control group. Both groups did not differ in anthropometrics features, severity of OSAS and LFT. Metacholine challenge test (MchCT was performed at baseline and repeated after 3 weeks. Analysis of the individual results showed that in 11 patients the MchCT was positive (6 in the CPAP and 5 in the control groups. After 3 weeks in the group of CPAP treated patients an increase of BHR was noted. Log PC20M decreased from 1.38±0.3 to 1.26±0.5 (p<0.05. The number of patients with a positive result in the MchCT increased from 6 to 16 patients. There was no significant change in BHR in the control group. It was found that CPAP treated patients with BHR were older, had less severe OSAS and lower FEV1 (p<0.05. In none of the patients positive result of BHR did no affect compliance to CPAP treatment. Conclusions: CPAP therapy increases bronchial reactivity, but does not affect compliance to treatment.

  8. Brain metabolic impairment of OSAS: evidence from MRS

    International Nuclear Information System (INIS)

    Shen Jie; Long Miaomiao; Shen Wen; Qi Ji

    2011-01-01

    Objective: To evaluate the impact of obstructive sleep apnea syndrome (OSAS) on human cerebral metabolism by using magnetic resonance spectroscopy (MRS). Materials and methods: Twenty-one severe OSAS patients, 14 mild-moderate OSAS patients, and 15 healthy control subjects were included. All subjects underwent MRS using the point-resolved echo spin spectroscopy (PRESS). Proton volumes of interest were placed in the bilateral frontal lobes and left temporal -parietal-occipital cortex, and left hippocampus. Results: 1. Compared to the controls, the NAA/Cr ratio was significantly decreased in the left frontal lobe in the severe OSAS group (P=0.004), and in the right frontal lobe in the severe (P=0.002) and mild-moderate (P=0.007) OSAS patients. The NAA/Cr ratio trended to be decreased in the left hippocampus in the OSAS patients compared to controls. 2. A significant increase in the ml/Cr ratio was detected in the right frontal regions in the severe (P=0.008) and mild-moderate (P<0.001) OSAS groups. 3. Clx/Cr ratio values were significantly smaller than controls in the left (P=0.006) and right (P=0.027) frontal regions. Conclusion: Bilateral frontal lobes are the vulnerable location in patients with OSAS. MRS can be used to screen the brain metabolic impairment. (authors)

  9. Overlap syndrome of COPD and OSA in Koreans.

    Science.gov (United States)

    Choi, Kyung-Mee; Thomas, Robert J; Kim, Jinkwan; Lee, Seung Ku; Yoon, Dae Wui; Shin, Chol

    2017-07-01

    Overlap syndrome of chronic obstructive pulmonary disease (COPD) and obstructive sleep apnea (OSA) leads to increased morbidity and mortality. There have been no reports available on the overlap syndrome for Koreans. Our primary aim was to identify prevalence and predictors of the overlap syndrome in Koreans.This is a cross-sectional study with a community-based sample of 1298 participants (mean age, 59.7 ± 6.7) from the cohort of Korean Genomic and Epidemiologic Study during 2013 to 2014. OSA and COPD were assessed by apnea-hypopnea index (AHI) and the ratio of forced expiratory volume in 1 s to forced vital capacity (FEV1/FVC syndrome. The prevalence of COPD remained the same as 10.8% regardless of the presence of OSA. The mean ratio of FEV1/FVC for those with COPD was 0.77, regardless of OSA. The OR increased for age (OR, 1.1; 95% CI, 1.0-1.1) and smokers (OR, 3.6; 95% CI, 2.0-6.4), but decreased for body mass index (BMI) (OR, 0.84; 95% CI, 0.8-0.9) and overweight state (OR, 0.4; 95% CI, 0.2-0.7). Risk factors of the overlap syndrome differed by OSA severity, that is, BMI in those with moderate-to-severe OSA, whereas sex (OR, 4.7; 95% CI, 2.1-10.6) and age (OR, 1.1; 95% CI, 1.0-1.1) in those with mild OSA.In a population study from Korea, 10.8% of OSA patients had an overlap syndrome with COPD. Although BMI is a well-known risk factor of OSA, it is likely that being overweight may be protective for moderate-to-severe OSA patients from the risk of COPD (i.e., overlap syndrome).

  10. Kuninglikus õukonnateatris. I-IV osa / Jaanus Rohumaa

    Index Scriptorium Estoniae

    Rohumaa, Jaanus, 1969-

    1999-01-01

    Jaanus Rohumaa Londonis Royal Court Theatre' poolt korraldatud residentuuris, mis on mõeldud tänapäeva näitekirjanikele ja lavastajatele. Muljeid kokkutulnud eri maade näitekirjanikest ja lavastajatest. Jaanus Rohumaa lavastab Londonis Royal Shakespeare Company teatris Jaan Tätte näidendit "Ristumine peateega"(II osa) Inglise näitekirjaniku Sarah Kane'i loomingust, Robert Lepage'i lavastusest "Imede geomeetria" (III osa)

  11. Digital Morphometrics: A New Upper Airway Phenotyping Paradigm in OSA.

    Science.gov (United States)

    Schwab, Richard J; Leinwand, Sarah E; Bearn, Cary B; Maislin, Greg; Rao, Ramya Bhat; Nagaraja, Adithya; Wang, Stephen; Keenan, Brendan T

    2017-08-01

    OSA is associated with changes in pharyngeal anatomy. The goal of this study was to objectively and reproducibly quantify pharyngeal anatomy by using digital morphometrics based on a laser ruler and to assess differences between subjects with OSA and control subjects and associations with the apnea-hypopnea index (AHI). To the best of our knowledge, this study is the first to use digital morphometrics to quantify intraoral risk factors for OSA. Digital photographs were obtained by using an intraoral laser ruler and digital camera in 318 control subjects (mean AHI, 4.2 events/hour) and 542 subjects with OSA (mean AHI, 39.2 events/hour). The digital morphometric paradigm was validated and reproducible over time and camera distances. A larger modified Mallampati score and having a nonvisible airway were associated with a higher AHI, both unadjusted (P digital morphometrics is an accurate, high-throughput, and noninvasive technique to identify anatomic OSA risk factors. Morphometrics may also provide a more reproducible and standardized measurement of the Mallampati score. Digital morphometrics represent an efficient and cost-effective method of examining intraoral crowding and tongue size when examining large populations, genetics, or screening for OSA. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  12. How do we recognize the child with OSAS?

    Science.gov (United States)

    Joosten, Koen F; Larramona, Helena; Miano, Silvia; Van Waardenburg, Dick; Kaditis, Athanasios G; Vandenbussche, Nele; Ersu, Refika

    2017-02-01

    Obstructive sleep-disordered breathing includes a spectrum of clinical entities with variable severity ranging from primary snoring to obstructive sleep apnea syndrome (OSAS). The clinical suspicion for OSAS is most often raised by parental report of specific symptoms and/or abnormalities identified by the physical examination which predispose to upper airway obstruction (e.g., adenotonsillar hypertrophy, obesity, craniofacial abnormalities, neuromuscular disorders). Symptoms and signs of OSAS are classified into those directly related to the intermittent pharyngeal airway obstruction (e.g., parental report of snoring, apneic events) and into morbidity resulting from the upper airway obstruction (e.g., increased daytime sleepiness, hyperactivity, poor school performance, inadequate somatic growth rate or enuresis). History of premature birth and a family history of OSAS as well as obesity and African American ethnicity are associated with increased risk of sleep-disordered breathing in childhood. Polysomnography is the gold standard method for the diagnosis of OSAS but may not be always feasible, especially in low-income countries or non-tertiary hospitals. Nocturnal oximetry and/or sleep questionnaires may be used to identify the child at high risk of OSAS when polysomnography is not an option. Endoscopy and MRI of the upper airway may help to identify the level(s) of upper airway obstruction and to evaluate the dynamic mechanics of the upper airway, especially in children with combined abnormalities. Pediatr Pulmonol. 2017;52:260-271. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  13. The effect of CPAP treatment on EEG of OSAS patients.

    Science.gov (United States)

    Zhang, Cheng; Lv, Jun; Zhou, Junhong; Su, Li; Feng, Liping; Ma, Jing; Wang, Guangfa; Zhang, Jue

    2015-12-01

    Continuous positive airway pressure (CPAP) is currently the most effective treatment method for obstructive sleep apnea syndrome (OSAS). The purpose of this study was to compare the sleep electroencephalogram (EEG) changes before and after the application of CPAP to OSAS patients. A retrospective study was conducted and 45 sequential patients who received both polysomnography (PSG) and CPAP titration were included. The raw data of sleep EEG were extracted and analyzed by engineers using two main factors: fractal dimension (FD) and the zero-crossing rate of detrended FD (zDFD). FD was an effective indicator reflecting the EEG complexity and zDFD was useful to reflect the variability of the EEG complexity. The FD and zDFD indexes of sleep EEG of 45 OSAS patients before and after CPAP titration were analyzed. The age of 45 OSAS patients was 52.7 ± 5.6 years old and the patients include 12 females and 33 males. After CPAP treatment, FD of EEG in non-rapid eye movement (NREM) sleep decreased significantly (P CPAP therapy (P CPAP therapy had a significant influence on sleep EEG in patients with OSAHS, which lead to a more stable EEG pattern. This may be one of the mechanisms that CPAP could improve sleep quality and brain function of OSAS patients.

  14. The USC-OSA-EPS section activities in optics

    Science.gov (United States)

    Aymerich, María.; Cambronero-López, Ferran; Aragón, Ángel L.; Delgado, Tamara; Blanco, Manuel; Gómez Varela, Ana I.; Gargallo, Ana; Williamson, Sandra; Amorín, Adán.; Sánchez-García, Ángel; Bao-Varela, Carmen; Flores-Arias, M. Teresa

    2017-08-01

    The USC-OSA Student Chapter and USC-EPS Young Minds Section is a group financed by The Optical Society (OSA) and the European Physical Society (EPS). It is formed by PhD and degree students from the Universidade de Santiago de Compostela (USC) and one supervisor of the Faculty of Physics. Its main goal is to promote and diffuse Optics in the society. For this purpose, the group carries out several activities in the academic and non-academic community. The group is also committed to the professional development of our members and motivates the exposition of our work into the scientific community.

  15. Autonomic and metabolic effects of OSA in childhood obesity.

    Science.gov (United States)

    Oliveira, F M; Tran, W H; Lesser, D; Bhatia, R; Ortega, R; Mittelman, S D; Keens, T G; Davidson Ward, S L; Khoo, M C

    2010-01-01

    This study investigates the effects of exposure to intermittent hypoxia on cardiovascular autonomic control and metabolic function in obese children with obstructive sleep apnea (OSA). Each subject underwent: (1) a polysomnography; (2) morning fasting blood samples and a subsequent FSIVGTT; (3) noninvasive measurement of respiration, arterial blood pressure, and heart rate during supine and standing postures. Assessment of adiposity was performed using a DEXA scan. From these measurements, we deduced the pertinent sleep parameters, Bergman minimal model parameters and the parameters characterizing a minimal model of cardiovascular variability. Results suggest that intermittent hypoxia in OSA contributes independently to insulin resistance and autonomic dysfunction in overweight children.

  16. WBFSH aastakoosolek Varssavis. I-II osa / Raigo Kollom

    Index Scriptorium Estoniae

    Kollom, Raigo, 1936-

    2013-01-01

    Poolas 7.-9. oktoobrini Maailma Sporthobuste Kasvatajate Föderatsiooni peaassambleel toimunust ning loengutest ja aruteludest: Hobuste "genoomilisest aretusest", Jõudluskontrolli ja terviseandmete kasutamisest Rootsi aretuses, Hobuste lineaarse kirjeldamise meetodist, tõuraamatute tulevikust. Teises osas: Hobusekasvatuse seisust Poolas, Janow Podlaski hobusekasvatusest ja üldisest eluolust

  17. Omal jalal maailma : 1.-5.osa / Paul Salopek ; fotografeerinud John Stanmeyer

    Index Scriptorium Estoniae

    Salopek, Paul

    2016-01-01

    Artikli 2. osa räägib autori rännakust läbi Saudi Araabias asuva Al-Hijāzi kõrbe, 3. osa rännakust piki Jordaania piiri ja Iisraelis, 4. osa rännakust Ida-Türgis ning kohtumistest Süüria sõjapõgenikega, 5. osa Armeeniast ja Türgist

  18. Obesity and Obstructive Sleep Apnea: Or is it OSA and Obesity?

    Science.gov (United States)

    2008-01-01

    32–44. 66] A.K. Al-Shukaili, A.A. Al-Jabri, Rheumatoid arthritis , cytokines and hypoxia. What is the link? Saudi Med. J. 27 (2006) 1642–1649. 67...OSA. OSA appears to increase secretion of and/or lter responsiveness to the adipocyte hormone leptin and the rexigenic hormone ghrelin , and these...diabetes, dementia, arthritis , nd OSA itself [65–69]. Sequelae of obesity and OSA cross all organ systems. or example, chronic excessive

  19. Uus äriseadustik lihtsustab osaühingu asutamist ja juhtimist / Karina Paatsi

    Index Scriptorium Estoniae

    Paatsi, Karina

    2010-01-01

    Osaühingut puudutavatest äriseadustiku muudatustest (sissemakseta osaühing, osa võõrandamise võimaluste laienemine, juhatuse liikme valimine tähtajatuks perioodiks, nõukogu nõude kaotamine, elukoha piirangu kaotamine, mitterahalise sissemakse hindamine, reservkapitali nõude kadumine)

  20. Low morning serum cortisol levels in children with tonsillar hypertrophy and moderate-to-severe OSA.

    Science.gov (United States)

    Malakasioti, Georgia; Alexopoulos, Emmanouel I; Varlami, Vasiliki; Chaidas, Konstantinos; Liakos, Nikolaos; Gourgoulianis, Konstantinos; Kaditis, Athanasios G

    2013-09-01

    Hypertrophic tonsillar tissue in children with obstructive sleep apnea (OSA) has enhanced expression of glucocorticoid receptors, which may reflect low endogenous cortisol levels. We have evaluated the effect of the interaction between tonsillar hypertrophy and OSA severity on morning serum cortisol levels. Children with and without snoring underwent polysomnography, tonsillar size grading, and measurement of morning serum cortisol. Seventy children (2-13 years old) were recruited: 30 with moderate-to-severe OSA (apnea-hypopnea index [AHI] > 5 episodes/h), 26 with mild OSA (AHI > 1 and ≤ 5), and 14 controls (no snoring; AHI ≤ 1). Tonsillar hypertrophy was present in 56.7%, 53.8%, and 42.9% of participants in each group, respectively. Application of a general linear model demonstrated a significant effect of the interaction between severity of OSA and tonsillar hypertrophy on cortisol levels (P = 0.04), after adjustment for obesity, gender, and age. Among children with tonsillar hypertrophy, subjects with moderate-to-severe OSA (n = 17; AHI 14.7 ± 10.6), mild OSA (n = 14; AHI 2.3 ± 1.2), and control participants (n = 6; AHI 0.7 ± 0.2) were significantly different regarding cortisol levels (P = 0.02). Subjects with moderate-to-severe OSA had lower cortisol (16.9 ± 8.7 mcg/dL) than those with mild OSA (23.3 ± 4.2; P = 0.01) and those without OSA (controls) (23.6 ± 5.3 mcg/dL; P = 0.04). In contrast, children with normal-size tonsils and moderate-to-severe OSA, mild OSA, and controls did not differ in cortisol levels. Children with moderate-to-severe obstructive sleep apnea and the phenotype of hypertrophic tonsils have reduced morning serum cortisol levels and potentially decreased glucocorticoid inhibitory effects on tonsillar growth.

  1. Analysis of OSAS incidence and influential factors in middle-aged and elderly patients with hypertension.

    Science.gov (United States)

    Wang, Shuang; Niu, Xinqing; Zhang, Peipei; Su, Dexing; Zhang, Jing; Liu, Wei

    2018-04-24

    To investigate the detection rate and influencing factors of obstructive sleep apnea syndrome (OSAS) in middle-aged and elderly patients with hypertension. A total of 440 patients with hypertension were selected as the research objects, all of them participated in the Berlin questionnaire survey, and the polysomnography (PSG) was performed on the patients with a high risk of OSAS. The detection rate of OSAS was analyzed, the clinical data between non-OSAS group and OSAS group were compared and stepwise linear regression and Logistic regression were used to analyze the related influencing factors to apnea hyponea index (AHI) and OSAS in hypertensive patients. A total of 235 patients completed PSG and 196 patients were diagnosed as OSAS with the detection rate of 83.40%. The detection rate of OSAS in male patients was higher than that in females (89.04% vs.74.16%, x²=8.025, P=0.006). The detection rates of OSAS in normal BMI group, overweight group and obesity group were 56.52%, 92.37% and 100%, respectively (x²=36.438, P<0.001). The detection rates of OSAS in normal waistline group and central obesity group were 74.42% and 88.59% (x²=7.539, P=0.016). The detection rates of OSAS in grade1, grade 2 and grade 3 hypertension groups were 57.47%, 98.23% and 100%, respectively (x²=44.623, P<0.001). BMI, systolic blood pressure (SBP), diastolic blood pressure (DBP), low density lipoprotein (LDL) and waist circumference of OSAS group were all higher than those in non-OSAS group (P<0.05). BMI, SBP and DBP were positively correlated with AHI (p<0.05), which were independent risk factors of OSAS [OR value (95%CI) = 2.548 (1.449-4.327), 1.342 (1.214-1.965) and 1.169 (1.025-1.622), respectively, P<0.05]. The incidence of OSAS in middle-aged and elderly patients with hypertension is high. High BMI, SBP, and DBP are independent risk factors of OSAS.

  2. Evaluation of degree of lacunar infarction and carotid atherosclerosis in patients with different severity of OSAS

    Directory of Open Access Journals (Sweden)

    Ming Du

    2016-07-01

    Full Text Available Objective: To assess the degree of lacunar infarction and carotid atherosclerosis in patients with different severity of obstructive sleep apnea syndrome (OSAS. Methods: A total of 198 patients with OSAS were retrospectively studied from case information and test results, and were divided into mild group 84 cases, medium group 70 cases and severe group 44 cases according to apnea-hypopnea index (AHI, and 176 cases of non-OSAS people who received physical examination in our hospital during the same period were selected as healthy control group. Differences in the values of serum lacunar infarction-related indexes, blood viscosity and hemocyte-related indexes, carotid structure and function parameters, serum arteriosclerosis-related indexes and so on were compared among groups. Results: t-PA value of healthy control group was higher than those of OSAS group while vWF, PAI-1 and Fg values were lower than those of OSAS group (P<0.05, and with the increase of OSAS severity, t-PA value decreased while vWF, PAI-1 and Fg values increased (P<0.05; blood viscosity, Hct, PDW, RDW and EFR values of healthy control group were lower than those of OSAS group (P<0.05, and with the increase of OSAS severity, blood viscosity, Hct, PDW, RDW and EFR values increased (P<0.05; FMD, NID and DC values of healthy control group were higher than those of OSAS group while Dis, CC and PWV values were lower than those of OSAS group (P<0.05, and with the increase of OSAS severity, FMD, NID and DC values decreased while Dis, CC and PWV values increased (P<0.05; blood uric acid and EF-1 values of healthy control group were lower than those of OSAS group while CGRP and fetuin A levels were higher than those of OSAS group (P<0.05, and with the aggravation of OSAS, blood uric acid and EF-1 levels increased while CGRP and fetuin A levels decreased, and differences among groups were significant (P<0.05. Conclusions: With the aggravation of OSAS, patients’ microcirculation

  3. Assessment of the Depression, Anxiety, and Stress Scale (DASS-21) in untreated obstructive sleep apnea (OSA).

    Science.gov (United States)

    Nanthakumar, Shenooka; Bucks, Romola S; Skinner, Timothy C; Starkstein, Sergio; Hillman, David; James, Alan; Hunter, Michael

    2017-10-01

    The assessment of depression in obstructive sleep apnea (OSA) is confounded by symptom overlap. The Depression, Anxiety, and Stress Scale-short form (DASS-21) is a commonly used measure of negative affect, but it not known whether the DASS-21 is suitable for use in an OSA sample. This study compared the fit of Lovibond and Lovibond's (1995) correlated 3-factor structure of the DASS-21 and measurement invariance between a non-OSA and an OSA sample using confirmatory factor analysis. As measurement invariance was not found, to determine the source of non-invariance differential item functioning (DIF) was examined using dMACS. The correlated 3-factor structure (with correlated errors) of the DASS-21 was a better fit in the non-OSA sample. dMACS indicated that there was a degree of DIF for each of the subscales, especially for the Anxiety subscale, in which 2 symptoms (that are also physiological symptoms of OSA) produced lower severity scores in the OSA sample compared with the non-OSA sample. However, the degree of DIF for each of the subscales is not sufficient to cause concern when using the DASS-21; therefore, the total DASS-21 is suitable for use in an OSA sample. Interestingly, the impact of symptom overlap in anxiety symptoms may be reducing anxiety scores because of DIF, which contrasts with the proposed effect of symptom overlap in depression, where it leads to the inflation of depression scores in OSA. This deserves greater consideration in relation to OSA and other clinical disorders or chronic illness conditions with different patterns of overlapping symptoms. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  4. Preparation And Physicochemical Properties of Octenyl Succinic Anhydride (OSA) Modified Sago Starch

    International Nuclear Information System (INIS)

    Nur Farhana Zainal Abiddin; Anida Yusoff; Noorlaila Ahmad

    2016-01-01

    Starch from sago (Metroxylon sagu) was esterified with octenyl succinic anhydride (OSA) in order to regulate its shortcoming by adding amphiphilic properties. The objective of this work is to determine the physicochemical properties of native sago and OSA sago starches. The OSA sago starch was produced according to the optimum condition generated via response surface methodology (RSM) with 5.00 % OSA at pH 7.20 and a reaction time of 9.65 hours. The esterified sago starch gives a degree of substitution (DS) value of 0.012. The physicochemical properties of OSA sago starch was determined by measuring the amylose content, laser diffraction particle size analyzer, scanning electron microscopy (SEM) and Fourier transform infrared (FT-IR). The amylose content for OSA sago starch was found to be reduced after esterification reaction. The particle size of OSA sago starch was found to increase significantly (p<0.05) compared to their native starches. Scanning electron microscopy (SEM) revealed that OSA starch developed slightly rough surface and their edges lost some definition. FT-IR spectroscopy shows that there was appearance of new absorption correspond to ester carbonyl group (1717 cm -1 ) and carboxylate RCOO- (1569 cm -1 ). This study showed that the physicochemical properties of modified starches were influenced not only by DS but also on the botanical origin of the starches. (author)

  5. Comparative Emulsifying Properties of Octenyl Succinic Anhydride (OSA-Modified Starch: Granular Form vs Dissolved State.

    Directory of Open Access Journals (Sweden)

    María Matos

    Full Text Available The emulsifying ability of OSA-modified and native starch in the granular form, in the dissolved state and a combination of both was compared. This study aims to understand mixed systems of particles and dissolved starch with respect to what species dominates at droplet interfaces and how stability is affected by addition of one of the species to already formed emulsions. It was possible to create emulsions with OSA-modified starch isolated from Quinoa as sole emulsifier. Similar droplet sizes were obtained with emulsions prepared at 7% (w/w oil content using OSA-modified starch in the granular form or molecularly dissolved but large differences were observed regarding stability. Pickering emulsions kept their droplet size constant after one month while emulsions formulated with OSA-modified starch dissolved exhibited coalescence. All emulsions stabilized combining OSA-modified starch in granular form and in solution showed larger mean droplet sizes with no significant differences with respect to the order of addition. These emulsions were unstable due to coalescence regarding presence of free oil. Similar results were obtained when emulsions were prepared by combining OSA-modified granules with native starch in solution. The degree of surface coverage of starch granules was much lower in presence of starch in solution which indicates that OSA-starch is more surface active in the dissolved state than in granular form, although it led to unstable systems compared to starch granule stabilized Pickering emulsions, which demonstrated to be extremely stable.

  6. Network science meets respiratory medicine for OSAS phenotyping and severity prediction

    Directory of Open Access Journals (Sweden)

    Stefan Mihaicuta

    2017-05-01

    Full Text Available Obstructive sleep apnea syndrome (OSAS is a common clinical condition. The way that OSAS risk factors associate and converge is not a random process. As such, defining OSAS phenotypes fosters personalized patient management and population screening. In this paper, we present a network-based observational, retrospective study on a cohort of 1,371 consecutive OSAS patients and 611 non-OSAS control patients in order to explore the risk factor associations and their correlation with OSAS comorbidities. To this end, we construct the Apnea Patients Network (APN using patient compatibility relationships according to six objective parameters: age, gender, body mass index (BMI, blood pressure (BP, neck circumference (NC and the Epworth sleepiness score (ESS. By running targeted network clustering algorithms, we identify eight patient phenotypes and corroborate them with the co-morbidity types. Also, by employing machine learning on the uncovered phenotypes, we derive a classification tree and introduce a computational framework which render the Sleep Apnea Syndrome Score (SASScore; our OSAS score is implemented as an easy-to-use, web-based computer program which requires less than one minute for processing one individual. Our evaluation, performed on a distinct validation database with 231 consecutive patients, reveals that OSAS prediction with SASScore has a significant specificity improvement (an increase of 234% for only 8.2% sensitivity decrease in comparison with the state-of-the-art score STOP-BANG. The fact that SASScore has bigger specificity makes it appropriate for OSAS screening and risk prediction in big, general populations.

  7. Assessment of the Depression, Anxiety, and Stress Scale (DASS-21) in untreated obstructive sleep apnea (OSA)

    DEFF Research Database (Denmark)

    Nanthakumar, Shenooka; Bucks, Romola S.; Skinner, Timothy C.

    2017-01-01

    compared the fit of Lovibond and Lovibond's (1995) correlated 3-factor structure of the DASS-21 and measurement invariance between a non-OSA and an OSA sample using confirmatory factor analysis. As measurement invariance was not found, to determine the source of non-invariance differential item functioning...... (DIF) was examined using dMACS. The correlated 3-factor structure (with correlated errors) of the DASS-21 was a better fit in the non-OSA sample. dMACS indicated that there was a degree of DIF for each of the subscales, especially for the Anxiety subscale, in which 2 symptoms (that are also...

  8. Determinants of Unintentional Leaks During CPAP Treatment in OSA.

    Science.gov (United States)

    Lebret, Marius; Arnol, Nathalie; Martinot, Jean-Benoît; Lambert, Loïc; Tamisier, Renaud; Pepin, Jean-Louis; Borel, Jean-Christian

    2018-04-01

    Unintentional leakage from the mouth or around the mask may lead to cessation of CPAP treatment; however, the causes of unintentional leaks are poorly understood. The objectives of this study were (1) to identify determining factors of unintentional leakage and (2) to determine the effect of the type of mask (nasal/oronasal) used on unintentional leakage. Seventy-four polysomnograms from patients with OSA syndrome treated with auto-CPAP were analyzed (23 women; 56 ± 13 years; BMI, 32.9 kg/m 2 (range, 29.0-38.0 kg/m 2 ). Polysomnographic recordings were obtained under auto-CPAP, and mandibular behavior was measured with a magnetic sensor. After sleep and respiratory scoring, polysomnographic signals were computed as mean values over nonoverlapping 10-s intervals. The presence/absence of unintentional leakage was dichotomized for each 10-s interval (yes/no). Univariate and multivariate conditional regression models estimated the risk of unintentional leaks during an interval "T" based on the explanatory variables from the previous interval "T-1." A sensitivity analysis for the type of mask was then conducted. The univariate analysis showed that mandibular lowering (mouth opening), a high level of CPAP, body position (other than supine), and rapid eye movement (REM) sleep increased the risk of unintentional leaks and microarousal decreased it. In the multivariate analysis, the same variables remained independently associated with an increased risk of unintentional leakage. The sensitivity analysis showed that oronasal masks reduced the risk of unintentional leaks in cases of mouth opening and REM sleep. Mouth opening, CPAP level, sleep position, and REM sleep independently contribute to unintentional leakage. These results provide a strong rationale for the definition of phenotypes and the individual management of leaks during CPAP treatment. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  9. Teadusseltside osa rahvuskultuuris ja Õpetatud Eesti Selts / Tiit Rosenberg

    Index Scriptorium Estoniae

    Rosenberg, Tiit, 1946-

    2005-01-01

    Seltsid said alguse 17. sajandil ja levisid Baltimaadesse 19. sajandiks. Ettekanne Eesti Teaduste Akadeemiaga assotsieerunud teadusseltside ühiskonverentsil (21.05.2003. a.) "Teadusseltside osa Eesti rahvusliku identiteedi kujunemisel ja säilimisel"

  10. The utility of the elbow sign in the diagnosis of OSA

    Directory of Open Access Journals (Sweden)

    Haytham Samy Diab

    2015-04-01

    Conclusion: The elbow sign questionnaire is a simple and quick screening tool for OSA with good sensitivity and specificity in comparison to other questionnaires, further studies are needed in other populations to determine its reliability and predictive utility.

  11. Migrantide raha hoiab vee peal suurt osa endisest NL-ist / Ahto Lobjakas

    Index Scriptorium Estoniae

    Lobjakas, Ahto, 1970-

    2007-01-01

    Brüsselis tutvustatud Maailmapanga uuringust, mille kohaselt on suure osa endise NSVL-i vabariikide jaoks arvestatav sissetulekuallikas migrantide kojusaadetud raha. Lisa: Lääne-Euroopasse ja Venemaale

  12. Remote sensing of methane emissions by combining optical similitude absorption spectroscopy (OSAS and lidar

    Directory of Open Access Journals (Sweden)

    Galtier Sandrine

    2018-01-01

    Full Text Available Monitoring the emission of gases is difficult to achieve in industrial sites and in environments presenting poor infrastructures. Hence, robust methodologies should be developed and coupled to Lidar technology to allow remote sensing of gas emission. OSAS is a new methodology to evaluate gas concentration emission from spectrally integrated differential absorption measurements. Proof of concept of OSAS-Lidar for CH4 emission monitoring is here presented.

  13. Remote sensing of methane emissions by combining optical similitude absorption spectroscopy (OSAS) and lidar

    Science.gov (United States)

    Galtier, Sandrine; Anselmo, Christophe; Welschinger, Jean-Yves; Cariou, Jean-Pierre; Sivignon, Jean-François; Miffre, Alain; Rairoux, Patrick

    2018-04-01

    Monitoring the emission of gases is difficult to achieve in industrial sites and in environments presenting poor infrastructures. Hence, robust methodologies should be developed and coupled to Lidar technology to allow remote sensing of gas emission. OSAS is a new methodology to evaluate gas concentration emission from spectrally integrated differential absorption measurements. Proof of concept of OSAS-Lidar for CH4 emission monitoring is here presented.

  14. Asthma Control and Its Relationship with Obstructive Sleep Apnea (OSA in Older Adults

    Directory of Open Access Journals (Sweden)

    Mihaela Teodorescu

    2013-01-01

    Full Text Available Background/Objectives. Asthma in older individuals is poorly understood. We aimed to characterize the older asthma phenotype and test its association with obstructive sleep apnea (OSA. Design. Cross-sectional. Setting. Pulmonary and Asthma/Allergy clinics. Participants. 659 asthma subjects aged 18–59 years (younger and 154 aged 60–75 (older. Measurements. Sleep Apnea scale of Sleep Disorders Questionnaire (SA-SDQ, asthma severity step (1–4, severe if step 3 or 4, established OSA diagnosis, continuous positive airway pressure (CPAP use, and comorbidities. Results. Older versus younger had worse control, as assessed by asthma step, lung function, and inhaled corticosteroid use. Among older subjects, after controlling for known asthma aggravators, OSA diagnosis was the only factor robustly associated with severe asthma: on average, OSA was associated with nearly 7 times greater likelihood of severe asthma in an older individual (OR=6.67. This relationship was of greater magnitude than in younger subjects (OR=2.16. CPAP use attenuated the likelihood of severe asthma in older subjects by 91% (P=0.005, much more than in the younger asthmatics. Conclusion. Diagnosed OSA increases the risk for worse asthma control in older patients, while CPAP therapy may have greater impact on asthma outcomes. Unrecognized OSA may be a reason for poor asthma control, particularly among older patients.

  15. Effect of CPAP Therapy in Improving Daytime Sleepiness in Indian Patients with Moderate and Severe OSA.

    Science.gov (United States)

    Battan, Gulshan; Kumar, Sanjeev; Panwar, Ajay; Atam, Virendra; Kumar, Pradeep; Gangwar, Anil; Roy, Ujjawal

    2016-11-01

    Obstructive Sleep Apnoea (OSA) is a highly prevalent disease and a major public health issue in India. Excessive daytime sleepiness is an almost ubiquitous symptom of OSA. Epworth Sleepiness Scale (ESS) score is a validated objective score to measure the degree of daytime sleepiness. Continuous Positive Airway Pressure (CPAP) therapy has been established as the gold standard treatment modality for OSA patients. A few Indian studies have reported the effectiveness of CPAP therapy in improving ESS scores after 1 st month of CPAP use. To observe both, short-term (one month) and long-term (three month) effects of CPAP therapy on ESS scores in moderate to severe OSA patients. The patients complaining of excessive day-time sleepiness, snoring and choking episodes during sleep, consecutively presenting to medicine OPD over a period of 2 years, were subjected to Polysomnography (PSG). Seventy-three patients with apnoea-hypopnea index (AHI) ≥15 were categorised as having moderate to severe forms of OSA (moderate OSA with AHI=15-30 and severe OSA with AHI >30), and were scheduled for an initial trial of CPAP therapy. Forty-seven patients reported good tolerance to CPAP therapy after a trial period of 2 weeks and comprised the final study group. ESS scores in these patients were recorded at the baseline, and after 1 st and 3 rd month of CPAP therapy, and statistically analysed for significance. Mean ESS score at the baseline among moderate and severe OSA patients were 13.67±2.29 and 16.56 ±1.87, respectively. ESS score in both these subgroups improved significantly to 11.63±3.79, p=0.022, CI (0.3293-4.0106)} and 14.13 ±3.74, p CPAP therapy. Likewise, mean ESS scores among moderate and severe OSA patients improved significantly to 9.84 ±2.97, p = 0.022, CI (0.3293-4.0106) and 12.29 ±3.97, p CPAP therapy. The result of the present study shows that CPAP therapy is significantly effective in improving ESS scores in Indian patients having moderate to severe OSA. Benefits

  16. Quality of Life in Youth With Obstructive Sleep Apnea Syndrome (OSAS) Treated With Continuous Positive Airway Pressure (CPAP) Therapy.

    Science.gov (United States)

    Lynch, Mary K; Elliott, Lindsey C; Avis, Kristin T; Schwebel, David C; Goodin, Burel R

    2017-05-30

    Improvement is sought for youth with obstructive sleep apnea syndrome (OSAS) who have poor quality of life (QoL), which resolves somewhat following treatment. One mitigating factor in improved QoL following treatment may be adherence to the CPAP protocol, which presents a barrier to most youth. This study explored relations between CPAP adherence and QoL in youth with OSAS. We recruited 42 youth-caregiver dyads in which youth between the ages of 8 and 16 years were diagnosed with OSAS and required CPAP use as part of their treatment plan. Following diagnosis of OSAS requiring treatment with CPAP therapy, caregivers completed baseline measures of OSAS-specific QoL. The OSAS-specific QoL domains assessed included sleep disturbance, physical symptoms, emotional distress, daytime function, and caregiver concern. Families received routine CPAP care for three months, after which caregivers again completed measures of OSAS-specific QoL. Adherence data were collected from smartcards within the CPAP machine after three months of treatment. Fifteen youth were adherent to CPAP therapy and 10 were not adherent. CPAP-adherent youth demonstrated significant changes in two domains of OSAS-specific QoL when compared to nonadherent youth: decreased sleep disturbance and decreased caregiver concern. CPAP adherence appears to be associated with positive changes in OSAS-specific QoL domains. It will be important for future research and clinical work to examine strategies for improving CPAP adherence in youth with OSAS.

  17. The effect of allergic rhinitis on the degree of stress, fatigue and quality of life in OSA patients.

    Science.gov (United States)

    Park, Cheol Eon; Shin, Seung Youp; Lee, Kun Hee; Cho, Joong Saeng; Kim, Sung Wan

    2012-09-01

    Both allergic rhinitis (AR) and obstructive sleep apnea (OSA) are known to increase stress and fatigue, but the result of their coexistence has not been studied. The objective of this study was to evaluate the amount of stress and fatigue when AR is combined with OSA. One hundred and twelve patients diagnosed with OSA by polysomnography were enrolled. Among them, 37 patients were diagnosed with AR by a skin prick test and symptoms (OSA-AR group) and 75 patients were classified into the OSA group since they tested negative for allergies. We evaluated the Epworth sleepiness scale (ESS), stress score, fatigue score, ability to cope with stress, and rhinosinusitis quality of life questionnaire (RQLQ) with questionnaires and statistically compared the scores of both groups. There were no significant differences in BMI and sleep parameters such as LSAT, AHI, and RERA between the two groups. However, the OSA-AR group showed a significantly higher ESS score compared to the OSA group (13.7 ± 4.7 vs. 9.3 ± 4.8). Fatigue scores were also significantly higher in the OSA-AR group than in the OSA group (39.8 ± 11.0 vs. 30.6 ± 5.4). The OSA-AR group had a significantly higher stress score (60.4 ± 18.6 vs. 51.2 ± 10.4). The ability to cope with stress was higher in the OSA group, although this difference was not statistically significant. RQLQ scores were higher in the OSA-AR group (60.2 ± 16.7 compared to 25.1 ± 13.9). In conclusion, management of allergic rhinitis is very important in treating OSA patients in order to eliminate stress and fatigue and to minimize daytime sleepiness and quality of life.

  18. Converting a manned LCU into an unmanned surface vehicle (USV): an open systems architecture (OSA) case study

    OpenAIRE

    Smith, Montrell F.

    2014-01-01

    Approved for public release; distribution is unlimited This thesis demonstrates the process by which the concepts of open systems architecture (OSA) might be applied within the context of an existing systems engineering methodology to result in a flexible system. This is accomplished by combining an existing systems engineering process model with OSA management and business principles to execute a successful asset-repurposing program. To demonstrate utility of this OSA approach to systems ...

  19. Increased MCP-1 gene expression in monocytes of severe OSA patients and under intermittent hypoxia.

    Science.gov (United States)

    Chuang, Li-Pang; Chen, Ning-Hung; Lin, Yuling; Ko, Wen-Shan; Pang, Jong-Hwei S

    2016-03-01

    Obstructive sleep apnea (OSA) is known to be a risk factor of coronary artery disease. Monocyte chemoattractant protein-1 (MCP-1), as a critical factor for monocyte infiltration, is known to play a role in the development of atherosclerosis. This study aimed to investigate the effect of intermittent hypoxia, the hallmark of OSA, on the MCP-1 expression of monocytes. Peripheral blood was sampled from 61 adults enrolled for suspected OSA. RNA was prepared from the isolated monocytes for the analysis of MCP-1. The effect of in vitro intermittent hypoxia on the regulation and function of MCP-1 was investigated on THP-1 monocytic cells and human monocytes. The mRNA and secreted protein levels were investigated by RT/real-time PCR and enzyme-linked immunosorbent assay, respectively. Monocytic MCP-1 gene expression was found to be increased significantly in severe OSA patients. In vitro intermittent hypoxia was demonstrated to increase the mRNA and protein expression levels of MCP-1 dose- and time-dependently in THP-1 monocytic cells. The MCP-1 mRNA expression in monocytes isolated from OSA patient was induced to a much higher level compared to that from normal control. Pre-treatment with inhibitor for p42/44 MAPK or p38 MAPK suppressed the activation of MCP-1 expression by intermittent hypoxia. This is the first study to demonstrate the increase of MCP-1 gene expression in monocytes of severe OSA patients. In addition, monocytic MCP-1 gene expression can be induced under intermittent hypoxia.

  20. OSA screening with the pediatric sleep questionnaire for adolescents undergoing bariatric surgery in teen-LABS.

    Science.gov (United States)

    Ishman, Stacey; Heubi, Christine; Jenkins, Todd; Michalsky, Marc; Simakajornboon, Narong; Inge, Thomas

    2016-11-01

    Obstructive sleep apnea (OSA) is reported in 70% of adolescents who present for bariatric surgery. The Pediatric Sleep Questionnaire (PSQ) was developed to identify children at risk for OSA but is not validated in adolescents with obesity. The aims of this study were: (1) to assess validity of the PSQ to detect OSA and (2) to determine the correlation between anthropometric and polysomnography measurements. A cross-sectional assessment of Teen-Longitudinal Assessment of Bariatric Surgery participants at high risk for OSA was performed. Participants completed an overnight polysomnography, and caregivers completed the PSQ. Forty-five participants (84% female, 78% Caucasian, mean age = 16.7 ± 1.5 years) were evaluated. Mean BMI was 51.3 ± 7.7 kg/m 2 and mean obstructive apnea-hypopnea index (oAHI) was 6.1 ± 5.9 events/h. For diagnosis of OSA (oAHI ≥5), the total PSQ score sensitivity, specificity, and positive predictive value (PPV) were 86%, 38%, and 55%, respectively. For snoring >50% of the time, PPV was 84%, sensitivity was 64%, and specificity was 43%. Sagittal abdominal diameter correlated with oAHI and oxygen saturation nadir (ρ = 0.34, P = 0.027), whereas BMI, neck, and waist circumference correlated with neither. The PSQ demonstrated low specificity, and PPV and the question regarding snoring >50% of the time did not effectively identify OSA. Sagittal abdominal diameter correlated with oAHI and oxygen saturation nadir. © 2016 The Obesity Society.

  1. Obstructive sleep apnea (OSA): a complication of acute infectious mononucleosis infection in a child.

    Science.gov (United States)

    Cheng, Jeffrey

    2014-03-01

    Independently, obstructive sleep apnea (OSA) and infectious mononucleosis are not uncommon in the pediatric population, but acute onset of OSA, as a respiratory complication in the setting of acute EBV infection is extremely uncommon. Previous reports of this clinical entity are sparse and from nearly two decades ago. Urgent adenotonsillectomy was commonly advocated. This complication may be managed medically with systemic corticosteroids and non-invasive continuous positive airway pressure (CPAP), and a case is presented to highlight an updated management approach to this rarely encountered clinical problem in children. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  2. Lizards and Amphisbaenians, municipality of Viçosa, state of Minas Gerais, southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Rodrigues, A. C.

    2009-01-01

    Full Text Available We performed a survey of lizards and amphisbaenians from municipality of Viçosa, in Atlantic Forest from state ofMinas Gerais, southeastern Brazil, based on data of the herpetological collections of Museu de Zoologia João Moojen,Universidade Federal de Viçosa, and Museu de Zoologia, Universidade de São Paulo. One hundred and forty sixspecimens of 14 species were analyzed, belonging to the following families: Amphisbaenidae, Anguidae, Gekkonidae,Gymnophthalmidae, Leiosauridae, Polychrotidae, Scincidae, Teiidae and Tropiduridae. We hope to supply basicinformation that helps to understand species distribution of this group in the Atlantic Forest of Minas Gerais andsoutheastern Brazil.

  3. Predicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA)

    DEFF Research Database (Denmark)

    Skinner, Timothy; McNeil, Lindsay; Olaithe, Michelle

    2013-01-01

    diagnosed with OSA. Epworth sleepiness scale (ESS), Fatigue Severity Scale, Depression Anxiety Stress Scale and Illness Perception Questionnaire-Revised (IPQ-R) were administered at time of sleep study. These, patient demographics and sleep study variables were used to determine factors predicting patient......Purpose: Obstructive sleep apnoea (OSA) is a common disorder, for which continuous positive airway pressure (CPAP) therapy is a standard treatment. Despite its well-established efficacy, many patients choose not to initiate CPAP treatment. The present study investigated the degree to which...

  4. Age, gender, neck circumference, and Epworth sleepiness scale do not predict obstructive sleep apnea (OSA in moderate to severe chronic obstructive pulmonary disease (COPD: The challenge to predict OSA in advanced COPD.

    Directory of Open Access Journals (Sweden)

    Xavier Soler

    Full Text Available The combination of chronic obstructive pulmonary disease (COPD and obstructive sleep apnea (OSA is associated with substantial morbidity and mortality. We hypothesized that predictors of OSA among patients with COPD may be distinct from OSA in the general population. Therefore, we investigated associations between traditional OSA risk factors (e.g. age, and sleep questionnaires [e.g. Epworth Sleepiness Scale] in 44 patients with advanced COPD. As a second aim we proposed a pilot, simplified screening test for OSA in patients with COPD. In a prospective, observational study of patients enrolled in the UCSD Pulmonary Rehabilitation Program we collected baseline characteristics, cardiovascular events (e.g. atrial fibrillation, and sleep questionnaires [e.g. Pittsburgh Sleep Quality Index (PSQI]. For the pilot questionnaire, a BMI ≥25 kg/m2 and the presence of cardiovascular disease were used to construct the pilot screening test. Male: 59%; OSA 66%. FEV1 (mean ± SD = 41.0±18.2% pred., FEV1/FVC = 41.5±12.7%]. Male gender, older age, and large neck circumference were not associated with OSA. Also, Epworth Sleepiness Scale and the STOP-Bang questionnaire were not associated with OSA in univariate logistic regression. In contrast, BMI ≥25 kg/m2 (OR = 3.94, p = 0.04 and diagnosis of cardiovascular disease (OR = 5.06, p = 0.03 were significantly associated with OSA [area under curve (AUC = 0.74]. The pilot COPD-OSA test (OR = 5.28, p = 0.05 and STOP-Bang questionnaire (OR = 5.13, p = 0.03 were both associated with OSA in Receiver Operating Characteristics (ROC analysis. The COPD-OSA test had the best AUC (0.74, sensitivity (92%, and specificity (83%. A ten-fold cross-validation validated our results. We found that traditional OSA predictors (e.g. gender, Epworth score did not perform well in patients with more advanced COPD. Our pilot test may be an easy to implement instrument to screen for OSA. However, a larger validation study is necessary

  5. Age, gender, neck circumference, and Epworth sleepiness scale do not predict obstructive sleep apnea (OSA) in moderate to severe chronic obstructive pulmonary disease (COPD): The challenge to predict OSA in advanced COPD.

    Science.gov (United States)

    Soler, Xavier; Liao, Shu-Yi; Marin, Jose Maria; Lorenzi-Filho, Geraldo; Jen, Rachel; DeYoung, Pamela; Owens, Robert L; Ries, Andrew L; Malhotra, Atul

    2017-01-01

    The combination of chronic obstructive pulmonary disease (COPD) and obstructive sleep apnea (OSA) is associated with substantial morbidity and mortality. We hypothesized that predictors of OSA among patients with COPD may be distinct from OSA in the general population. Therefore, we investigated associations between traditional OSA risk factors (e.g. age), and sleep questionnaires [e.g. Epworth Sleepiness Scale] in 44 patients with advanced COPD. As a second aim we proposed a pilot, simplified screening test for OSA in patients with COPD. In a prospective, observational study of patients enrolled in the UCSD Pulmonary Rehabilitation Program we collected baseline characteristics, cardiovascular events (e.g. atrial fibrillation), and sleep questionnaires [e.g. Pittsburgh Sleep Quality Index (PSQI)]. For the pilot questionnaire, a BMI ≥25 kg/m2 and the presence of cardiovascular disease were used to construct the pilot screening test. Male: 59%; OSA 66%. FEV1 (mean ± SD) = 41.0±18.2% pred., FEV1/FVC = 41.5±12.7%]. Male gender, older age, and large neck circumference were not associated with OSA. Also, Epworth Sleepiness Scale and the STOP-Bang questionnaire were not associated with OSA in univariate logistic regression. In contrast, BMI ≥25 kg/m2 (OR = 3.94, p = 0.04) and diagnosis of cardiovascular disease (OR = 5.06, p = 0.03) were significantly associated with OSA [area under curve (AUC) = 0.74]. The pilot COPD-OSA test (OR = 5.28, p = 0.05) and STOP-Bang questionnaire (OR = 5.13, p = 0.03) were both associated with OSA in Receiver Operating Characteristics (ROC) analysis. The COPD-OSA test had the best AUC (0.74), sensitivity (92%), and specificity (83%). A ten-fold cross-validation validated our results. We found that traditional OSA predictors (e.g. gender, Epworth score) did not perform well in patients with more advanced COPD. Our pilot test may be an easy to implement instrument to screen for OSA. However, a larger validation study is necessary before

  6. Remote sensing of methane with OSAS-lidar on the 2ν3 band Q-branch: Experimental proof

    Science.gov (United States)

    Galtier, Sandrine; Anselmo, Christophe; Welschinger, Jean-Yves; Sivignon, J. F.; Cariou, Jean-Pierre; Miffre, Alain; Rairoux, Patrick

    2018-06-01

    Optical sensors based on absorption spectroscopy play a central role in the detection and monitoring of atmospheric trace gases. We here present for the first time the experimental demonstration of OSAS-Lidar on the remote sensing of CH4 in the atmosphere. This new methodology, the OSAS-Lidar, couples the Optical Similitude Absorption Spectroscopy (OSAS) methodology with a light detection and ranging device. It is based on the differential absorption of spectrally integrated signals following Beer Lambert-Bouguer law, which are range-resolved. Its novelty originates from the use of broadband laser spectroscopy and from the mathematical approach used to retrieve the trace gas concentration. We previously applied the OSAS methodology in laboratory on the 2ν3 methane absorption band, centered at the 1665 nm wavelength and demonstrated that the OSAS-methodology is almost independent from atmospheric temperature and pressure. In this paper, we achieve an OSAS-Lidar device capable of observing large concentrations of CH4 released from a methane source directly into the atmosphere. Comparison with a standard in-situ measurement device shows that the path-integrated concentrations retrieved from OSAS-Lidar methodology exhibit sufficient sensitivity (2 000 ppm m) and observational time resolution (1 s) to remotely sense methane leaks in the atmosphere. The coupling of OSAS-lidar with a wind measurement device opens the way to monitor time-resolved methane flux emissions, which is important in regards to future climate mitigation involving regional reduction of CH4 flux emissions.

  7. Lack of effect of sleep apnea on oxidative stress in obstructive sleep apnea syndrome (OSAS patients.

    Directory of Open Access Journals (Sweden)

    M Simiakakis

    Full Text Available PURPOSE: The aim of this study was to evaluate markers of systemic oxidative stress and antioxidant capacity in subjects with and without OSAS in order to investigate the most important factors that determine the oxidant-antioxidant status. METHODS: A total of 66 subjects referred to our Sleep laboratory were examined by full polysomnography. Oxidative stress and antioxidant activity were assessed by measurement of the derivatives of reactive oxygen metabolites (d-ROMs and the biological antioxidant capacity (BAP in blood samples taken in the morning after the sleep study. Known risk factors for oxidative stress, such as age, sex, obesity, smoking, hypelipidemia, and hypertension, were investigated as possible confounding factors. RESULTS: 42 patients with OSAS (Apnea-Hypopnea index >15 events/hour were compared with 24 controls (AHI<5. The levels of d-ROMS were significantly higher (p = 0.005 in the control group but the levels of antioxidant capacity were significantly lower (p = 0.004 in OSAS patients. The most important factors predicting the variance of oxidative stress were obesity, smoking habit, and sex. Parameters of sleep apnea severity were not associated with oxidative stress. Minimal oxygen desaturation and smoking habit were the most important predicting factors of BAP levels. CONCLUSION: Obesity, smoking, and sex are the most important determinants of oxidative stress in OSAS subjects. Sleep apnea might enhance oxidative stress by the reduction of antioxidant capacity of blood due to nocturnal hypoxia.

  8. OSAS Surgery and Postoperative Discomfort: Phase I Surgery versus Phase II Surgery

    Directory of Open Access Journals (Sweden)

    Giulio Gasparini

    2015-01-01

    Full Text Available Introduction. This study aims to investigate the reasons that discourage the patients affected by OSAS to undergo orthognathic surgery and compares the postoperative discomfort of phase I (soft tissue surgery and phase II (orthognathic surgery procedures for treatment of OSAS. Material and Methods. A pool of 46 patients affected by OSAS was divided into two groups: “surgery patients” who accepted surgical treatments of their condition and “no surgery patients” who refused surgical procedures. The “surgery patients” group was further subdivided into two arms: patients who accepted phase I procedures (IP and those who accepted phase II (IIP. To better understand the motivations behind the refusal of II phase procedures, we asked the patients belonging to both the IP group and “no surgery” group to indicate the main reason that influenced their decision to avoid II phase procedures. We also monitored and compared five parameters of postoperative discomfort: pain, painkiller assumption, length of hospitalization, foreign body sensation, and diet assumption following IP and IIP procedures. Results. The main reason to avoid IIP procedures was the concern of a more severe postoperative discomfort. Comparison of the postoperative discomfort following IP versus IIP procedures showed that the former scored worse in 4 out of 5 parameters analyzed. Conclusion. IIP procedures produce less postoperative discomfort. IIP procedures, namely, orthognathic surgery, should be the first choice intervention in patients affected by OSAS and dentoskeletal malformation.

  9. Nocturnal gastro-oesophageal reflux, asthma and symptoms of OSA: a longitudinal, general population study.

    Science.gov (United States)

    Emilsson, Össur I; Bengtsson, Anna; Franklin, Karl A; Torén, Kjell; Benediktsdóttir, Bryndís; Farkhooy, Amir; Weyler, Joost; Dom, Sandra; De Backer, Wilfried; Gislason, Thorarinn; Janson, Christer

    2013-06-01

    Nocturnal gastro-oesophageal reflux (nGOR) is associated with asthma and obstructive sleep apnoea (OSA). Our aim was to investigate whether nGOR is a risk factor for onset of asthma and onset of respiratory and OSA symptoms in a prospective population-based study. We invited 2640 subjects from Iceland, Sweden and Belgium for two evaluations over a 9-year interval. They participated in structured interviews, answered questionnaires, and underwent spirometries and methacholine challenge testing. nGOR was defined by reported symptoms. Subjects with persistent nGOR (n=123) had an independent increased risk of new asthma at follow-up (OR 2.3, 95% CI 1.1-4.9). Persistent nGOR was independently related to onset of respiratory symptoms (OR 3.0, 95% CI 1.6-5.6). The risk of developing symptoms of OSA was increased in subjects with new and persistent nGOR (OR 2.2, 95% CI 1.3-1.6, and OR 2.0, 95% CI 1.0-3.7, respectively). No significant association was found between nGOR and lung function or bronchial responsiveness. Persistent symptoms of nGOR contribute to the development of asthma and respiratory symptoms. New onset of OSA symptoms is higher among subjects with symptoms of nGOR. These findings provide evidence that nGOR may play a role in the genesis of respiratory symptoms and diseases.

  10. Particle size and cholesterol content of a mayonnaise formulated by OSA-modified potato starch

    Directory of Open Access Journals (Sweden)

    Shiva Ghazaei

    2015-03-01

    Full Text Available Egg yolk was partially replaced (0, 25, 50, 75, and 100% with octenyl succinic anhydride (OSA-modified potato starch in a reduced-fat mayonnaise formulation to curtail the problems associated with high cholesterol and induced allergic reactions. The physicochemical properties included parameters such as: pH, fat content, and emulsion stability of the formulations analyzed. The samples with 75% and 100% egg yolk substitute showed the maximum emulsion stability (>95% after two of months storage, and they were selected according to cholesterol content, particle size distributions, dynamic rheological properties, microstructure, and sensory characteristic. A significant reduction (84-97% in the cholesterol content was observed in the selected samples. Particle size analysis showed that by increasing the amount of OSA starch, the oil droplets with the peak size of 70 µm engulfed by this compound became larger. The rheological tests elucidated that in the absence of egg yolk, OSA starch may not result in a final product with consistent texture and that the best ratio of the two emulsifiers (OSA starch/egg yolk to produce stable reduced-fat, low cholesterol mayonnaise is 75/25. The microscopic images confirmed the formation of a stable cohesive layer of starch surrounding the oil droplets emulsified in the samples selected.

  11. A Formal Security Analysis of an OSA/Parlay Authentication Interface

    NARCIS (Netherlands)

    Corin, R.J.; Di Caprio, G.; Etalle, Sandro; Gnesi, S.; Lenzini, Gabriele; Moiso, C.

    2005-01-01

    We report on an experience in analyzing the security of the Trust and Security Management (TSM) protocol, an authentication procedure within the OSA/Parlay Application Program Interfaces (APIs) of the Open Service Access and Parlay Group. The experience has been conducted jointly by research

  12. Osa Pärnu poliitikuid saab ärimeestelt igakuist tasu / Teet Roosaar

    Index Scriptorium Estoniae

    Roosaar, Teet, 1963-

    2005-01-01

    Kuigi Pärnu uus linnavalitsus kärpis volikogu liikmete äriühingute nõukogudest makstavat tasu poole väiksemaks, saab osa poliitikuid endiselt lisasissetulekut, teiste seas linnakassast doteeritavalt Pärnu ATP-lt

  13. Nasal vs Oronasal CPAP for OSA Treatment: A Meta-Analysis.

    Science.gov (United States)

    Andrade, Rafaela G S; Viana, Fernanda M; Nascimento, Juliana A; Drager, Luciano F; Moffa, Adriano; Brunoni, André R; Genta, Pedro R; Lorenzi-Filho, Geraldo

    2018-03-01

    Nasal CPAP is the "gold standard" treatment for OSA. However, oronasal masks are frequently used in clinical practice. The aim of this study was to perform a meta-analysis of all randomized and nonrandomized trials that compared nasal vs oronasal masks on CPAP level, residual apnea-hypopnea index (AHI), and CPAP adherence to treat OSA. The Cochrane Central Register of Controlled Trials, Medline, and Web of Science were searched for relevant studies in any language with the following terms: "sleep apnea" and "CPAP" or "sleep apnea" and "oronasal mask" or "OSA" and "oronasal CPAP" or "oronasal mask" and "adherence." Studies on CPAP treatment for OSA were included, based on the following criteria: (1) original article; (2) randomized or nonrandomized trials; and (3) comparison between nasal and oronasal CPAP including pressure level, and/or residual AHI, and/or CPAP adherence. We identified five randomized and eight nonrandomized trials (4,563 patients) that reported CPAP level and/or residual AHI and/or CPAP adherence. Overall, the random-effects meta-analysis revealed that as compared with nasal, oronasal masks were associated with a significantly higher CPAP level (Hedges' g, -0.59; 95% CI, -0.82 to -0.37; P CPAP level, higher residual AHI, and poorer adherence than nasal masks. PROSPERO database; No.: CRD42017064584; URL: https://www.crd.york.ac.uk/prospero/. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  14. Driving simulator and neuropsychological [corrected] testing in OSAS before and under CPAP therapy.

    Science.gov (United States)

    Orth, M; Duchna, H-W; Leidag, M; Widdig, W; Rasche, K; Bauer, T T; Walther, J W; de Zeeuw, J; Malin, J-P; Schultze-Werninghaus, G; Kotterba, S

    2005-11-01

    Patients with obstructive sleep apnoea syndrome (OSAS) have an increased car accident rate. Investigations on accident frequency are based on case history, insurance reports and driving simulator studies. The present study combines neuropsychological testing of different attention aspects engaged in driving a car and driving simulation to evaluate a suitable instrument for assessing therapeutic effects of continuous positive airway pressure (CPAP). Driving simulator investigation and neuropsychological testing of alertness, vigilance and divided attention were performed in 31 patients with polysomnographically confirmed OSAS (apnoea-hypopnoea index 24.8+/-21.5.h(-1)) before, and 2 and 42 days after initiation of CPAP. Divided attention and alertness improved significantly during CPAP, whereas vigilance remained unchanged. However, accident frequency (OSAS before therapy: 2.7+/-2.0; 2 days after CPAP: 1.5+/-1.4; 42 days after CPAP: 0.9+/-1.3) and frequency of concentration faults (OSAS before therapy: 12.4+/-5.1; 2 days after CPAP: 6.5+/-3.9; 42 days after CPAP: 4.9+/-3.3) decreased in the simulated driving situation after 2 and 42 days of therapy. There was no relation between accident frequency, concentration faults and daytime sleepiness, as measured by the Epworth Sleepiness Scale, and polysomnographic or neuropsychological findings, respectively. In conclusion, the present results suggest that driving simulation is a possible benchmark parameter of driving performance in obstructive sleep apnoea syndrome patients.

  15. Marcadores de estrés oxidativo en placentas de gestantes añosas

    Directory of Open Access Journals (Sweden)

    Silvia Suárez

    2007-12-01

    Full Text Available Introducción: Un factor de riesgo alto ginecoobstétrico que contribuye a la morbimortalidad materna perinatal es la edad materna mayor de 35 años. Es posible que el estado oxidativo en la placenta de la gestante añosa sea mayor a la de la gestante no añosa. Objetivo: Evaluar el estado oxidativo de la placenta en gestantes mayores de 35 años. Diseño: Estudio observacional y transversal. Lugar: Hospital Nacional Docente Materno Infantil San Bartolomé y Centro de Investigación de Bioquímica y Nutrición de la Universidad Nacional Mayor de San Marcos. Material biológico: 28 placentas de gestantes de 35 años o más y 28 placentas de gestantes de menos de 35 años, obtenidas de partos vaginales a término. Intervenciones: La muestra de placenta se homogenizó al 10% con buffer fosfato 10 mM, pH 7,4, se centrifugó a 2000 rpm por 5’. Parte del sobrenadante se usó para analizar lipoperoxidación y glutatión (GSH; el sobrenadante restante fue centrifugado a 42 000 rpm por 1 hora, para medir actividad de superóxido dismutasa (SOD. Principales medidas de resultados: Estado oxidativo de placentas obtenidas de mujeres añosas y no añosas. Resultados: La actividad de la SOD y el contenido de GSH placentarios en añosas fue 43,52 U/g de tejido y 4,67 µmol/mL x 10-²; para el grupo control fueron 54,13 U/g de tejido y 6,02 µmol/mL x 10-², respectivamente; en ambos hubo significancia estadística (p < 0,05. La medición de TBARS (lipoperoxidación no mostró diferencias significativas. Conclusiones: Las placentas obtenidas de mujeres añosas muestran menor capacidad de defensa antioxidante frente a las placentas obtenidas de mujeres no añosas.

  16. The USC-OSA Student Chapter: goals and benefits for the optics community

    Science.gov (United States)

    Gómez-Varela, A. I.; Gargallo, Ana; González Núñez, Héctor; Delgado-García, Tamara; Almaguer-Gómez, Citlalli; Cambronero-López, F.; Flores-Arias, M. T.

    2014-07-01

    The USC-OSA Student Chapter has been constituted in March 2013 by members of the University of Santiago de Compostela (USC) in Spain and sponsored by The Optical Society of America (OSA). It is formed by five graduate and one undergraduate students with the common interest in Optics and Photonics research and a professor of the USC is also involved as a faculty advisor. We decided to start this group with the aim of involving kids, precollege and undergraduate students in the world of Optics and Photonics. The activities that the USC-OSA Student Chapter members intend to realize are mainly educational tasks for the spreading of knowledge in Photonics by means of basic experiments, demonstrations and lectures by leading researchers and teachers. Most of the needed resources to accomplish these activities are provided by the OSA, such as educational posters and a portable kit for demonstrating Optics to students. At this moment the USC-OSA Student Chapter is carrying out several activities, as educational journeys at the Santiago de Compostela University Hospital Complex (CHUS), where hospitalized children can approach to Optics through some simple experiments and games. A teaching program is also being organized in collaboration with Galician secondary schools in order to show students the importance and uses of Optics and Photonics and to arouse their interest in this field, as well as encouraging them to develop their scientific thinking. Another activity will take place in November during the Science Week, which includes a program of lectures targeted to undergraduate students and an exposition of several demonstrations

  17. Does CPAP treatment lead to gastroesophageal reflux in patients with moderate and severe OSA?

    Science.gov (United States)

    Ozcelik, Hatice; Kayar, Yusuf; Danalioglu, Ahmet; Arabaci, Elif; Uysal, Omer; Yakar, Fatih; Kart, Levent

    2017-03-01

    Obstructive sleep apnea (OSA) leads to upper respiratory tract obstruction, causing increased abdominal-gastric pressure and decreased lower esophageal sphincter (LES) pressure and thus gastroesophageal reflux (GER). Continuous positive airway pressure (CPAP) is known to be an effective method for OSA treatment, but its effect on GER is still controversial. There are a very few studies investigating CPAP and GER relationship and performed based on pre- and post-treatment objective parameters of GER in patients with OSA. The study investigated the effect of CPAP treatment in patients with moderate and severe OSA without GER complaints on pre- and post-treatment objective GER parameters. The study included 25 patients with respiratory disturbance indices >15 without reflux symptoms who had undergone polysomnography at sleep laboratory. Age, sex, body mass index (BMI), waist, and neck circumference of the patients were documented. DeMeester score, LES pressure, and polysomnography parameters were evaluated pre- and post-CPAP. The results were statistically evaluated, and p value CPAP phase, mean sphincter pressure was 22.2 ± 1.2 (range 8-73), and mean DeMeester score was 18 ± 15.5 (range 0.2-57). At the post-CPAP, mean sphincter pressure was 22.9 ± 1.6 (range 9-95), and mean DeMeester score was 16.3 ± 14.8 (range 0.2-55). No significant difference (p > 0.05) was found comparing pre-CPAP and post-CPAP measurements. Objective criteria show that CPAP treatment does not cause reflux in patients with OSA. Unlike studies reported in the literature, this conclusion has been reached by pre- and post-CPAP assessments.

  18. Influencing factors on CPAP adherence and anatomic characteristics of upper airway in OSA subjects.

    Science.gov (United States)

    Park, Pona; Kim, Jinil; Song, Yoon Jae; Lim, Jae Hyun; Cho, Sung Woo; Won, Tae-Bin; Han, Doo Hee; Kim, Dong-Young; Rhee, Chae Seo; Kim, Hyun Jik

    2017-12-01

    Although continuous positive airway pressure (CPAP) is the most effective treatment modality, poor adherence still remains a problem for obstructive sleep apnea (OSA) treatment and there is little evidence regarding how this might be improved. This study aims to analyze the anatomic and clinical factors of OSA subjects who failed to comply with CPAP therapy.The medical records of 47 OSA subjects who received CPAP therapy as a first-line treatment modality were retrospectively reviewed. The medical records were reviewed for demographic and polysomnographic data and anatomic findings of the nasal cavity and oropharynx.24 patients who adhered to CPAP therapy and 23 patients who were nonadherent were enrolled in the study. There were no statistically significant differences in sleep parameters between CPAP-adherent patients and CPAP nonadherent subjects. Mean body mass index of CPAP nonadherent group was significantly higher than CPAP adherent group. Higher grades of septal deviation and hypertrophic change of the inferior turbinate were observed more in the CPAP nonadherent group. In addition, CPAP nonadherent subjects showed considerably bigger tonsils and higher grade palatal position comparing with the CPAP adherent subjects. Subjective discomfort including inconvenience, mouth dryness, and chest discomfort were the main problems for OSA subjects who did not comply with CPAP therapy.Excessive upper airway blockage in the nasal cavity and oropharynx was predominant in CPAP nonadherent subjects, which might cause the reported subjective discomfort that reduces CPAP compliance. Therefore, resolution of these issues is needed to enhance CPAP compliance for control of OSA. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

  19. Frequency of obstructive sleep apnea (OSA in patients with gastroesophageal reflux disease (GERD and the effect of nasal continuous positive airway pressure

    Directory of Open Access Journals (Sweden)

    Amany Shaker

    2016-10-01

    Conclusion: (1 A high risk for OSA development is more frequent in GERD patients especially NERD ones and who experience nighttime symptoms, (2 there is a mutual relationship between OSA and GERD reinforcing each other, and (3 CPAP therapy has a good role in the treatment of both OSA and GERD symptoms.

  20. Cognition and nocturnal disturbance in OSA: the importance of accounting for age and premorbid intelligence

    DEFF Research Database (Denmark)

    Olaithe, Michelle; Skinner, Timothy C.; Hillman, David

    2015-01-01

    and a tertiary hospital sleep clinic. All underwent comprehensive, laboratory-based polysomnography (PSG) and completed assessments of cognition including attention, short- and long-term memory and executive function. Structural equation modelling (SEM) was used to construct a theoretically-driven model......© 2014, Springer-Verlag Berlin Heidelberg. Introduction: Obstructive sleep apnea (OSA) is a common disorder that is associated with impaired attention, memory and executive function. However, the mechanisms underlying such dysfunction are unclear. To determine the influence of sleep fragmentation...... these significant relationships. No significant predictors of memory function were found. Conclusions: The mechanisms underlying the effects of OSA on cognition remain to be defined. Implications are discussed in light of these findings....

  1. Olulist pärimisseadusest. [1.-3. osa] / Albert Paltser

    Index Scriptorium Estoniae

    Paltser, Albert, 1931-2007

    1998-01-01

    Pärandamise ja pärimise liikidest, esimese, teise ja kolmanda järjekorra seadusjärgsetest pärijatest ning abikaasa õigusest eelosale. Testamendi liikidest (notariaalne testament, notari hoiule antud testament, kodune testament), pärija pärandi osa määramisest testamendis, annakust, ase- ja järelpärijast, testamendi tühistamisest ja abikaasade vastastikusest testamendist. Pärimislepingust ja pärandi sundosast

  2. Effect of CPAP Withdrawal on BP in OSA: Data from Three Randomized Controlled Trials.

    Science.gov (United States)

    Schwarz, Esther I; Schlatzer, Christian; Rossi, Valentina A; Stradling, John R; Kohler, Malcolm

    2016-12-01

    Based on meta-analyses, the BP-lowering effect of CPAP therapy in patients with OSA is reported to be approximately 2 to 3 mm Hg. This figure is derived from heterogeneous trials, which are often limited by poor CPAP adherence, and thus the treatment effect may possibly be underestimated. We analyzed morning BP data from three randomized controlled CPAP withdrawal trials, which included only patients with optimal CPAP compliance. Within the three trials, 149 patients with OSA who were receiving CPAP were randomized to continue therapeutic CPAP (n = 65) or to withdraw CPAP (n = 84) for 2 weeks. Morning BP was measured at home before and after sleep studies in the hospital. CPAP withdrawal was associated with a return of OSA (apnea-hypopnea index [AHI] at a baseline of 2.8/h and at follow-up of 33.2/h). Office systolic BP (SBP) increased in the CPAP withdrawal group compared with the CPAP continuation group by +5.4 mm Hg (95% CI, 1.8-8.9 mm Hg; P = .003) and in the home SBP group by +9.0 mm Hg (95% CI, 5.7-12.3 mm Hg; P CPAP withdrawal results in a clinically relevant increase in BP, which is considerably higher than in conventional CPAP trials; it is also underestimated when office BP is used. Greater OSA severity is associated with a higher BP rise in response to CPAP withdrawal. ClinicalTrials.gov; No.: NCT01332175 and NCT01797653) URL: www.clinicaltrials.gov and ISRCTN registry (ISRCTN 93153804) URL: http://www.isrctn.com/. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  3. Treatment of OSA with CPAP Is Associated with Improvement in PTSD Symptoms among Veterans

    Science.gov (United States)

    Orr, Jeremy E.; Smales, Carolina; Alexander, Thomas H.; Stepnowsky, Carl; Pillar, Giora; Malhotra, Atul; Sarmiento, Kathleen F.

    2017-01-01

    Study Objectives: Posttraumatic stress disorder (PTSD) is common among veterans of the military, with sleep disturbance as a hallmark manifestation. A growing body of research has suggested a link between obstructive sleep apnea and PTSD, potentially due to obstructive sleep apnea (OSA) related sleep disruption, or via other mechanisms. We examined the hypothesis that treatment of OSA with positive airway pressure would reduce PTSD symptoms over 6 months. Methods: A prospective study of Veterans with confirmed PTSD and new diagnosis of OSA not yet using PAP therapy were recruited from a Veteran's Affairs sleep medicine clinic. All subjects were instructed to use PAP each night. Assessments were performed at 3 and 6 months. The primary outcome was a reduction in PTSD symptoms at 6 months. Results: Fifty-nine subjects were enrolled; 32 remained in the study at 6 months. A significant reduction in PTSD symptoms, measured by PCL-S score was observed over the course of the study (60.6 ± 2.7 versus 52.3 ± 3.2 points; p J Clin Sleep Med. 2017;13(1):57–63. PMID:27707436

  4. The comparison of nasal surgery and CPAP on daytime sleepiness in patients with OSAS.

    Science.gov (United States)

    Tagaya, M; Otake, H; Suzuki, K; Yasuma, F; Yamamoto, H; Noda, A; Nishimura, Y; Sone, M; Nakashima, T; Nakata, S

    2017-09-01

    Residual sleepiness after continuous positive airway pressure (CPAP) is a critical problem in some patients with obstructive sleep apnea syndrome (OSAS). However, nasal surgery is likely to reduce daytime sleepiness and feelings of unrefreshed sleep. The aim of this study is to clarify the effects of nasal surgery and CPAP on daytime sleepiness. This is a retrospective and matched-case control study. The participants were consecutive 40 patients with OSAS who underwent nasal surgery (Surgery group) and 40 matched patients who were treated with CPAP (CPAP group). In the Surgery group, although the nasal surgery did not decrease either apnea or hypopnea, it improved oxygenation, the quality of sleep. In the CPAP Group, the CPAP treatment reduced apnea and hypopnea, and improved oxygenation, quality of sleep. The degree of relief from daytime sleepiness was different between the two groups. The improvement of Epworth Sleepiness Scale was more significant in the Surgery Group than those in the CPAP Group (Surgery from 11.0 to 5.1, CPAP from 10.0 to 6.2). These findings suggest that the results of the nasal surgery is more satisfactory for some patients with OSAS than CPAP on daytime sleepiness.

  5. Obstructive Sleep Apnea Syndrome (OSAS, metabolic syndrome and mental health in small enterprise workers. feasibility of an Action for Health.

    Directory of Open Access Journals (Sweden)

    Sergio Garbarino

    Full Text Available OBJECTIVE: To determine the frequency of obstructive sleep apnea syndrome (OSAS, metabolic syndrome and common mental disorders in the working population of 11 small enterprises and the feasibility of a program of action for health. METHOD: The clinical risk of OSAS, the prevalence of metabolic syndrome, and the level of psychological disorders were assessed during routine medical examination at the workplace in 2012. The response to medical advice was assessed in 2013. RESULTS: 12.3% of the workers were suspected of being affected by OSAS. One or more components of metabolic syndrome were present in 24.5% of cases. OSAS in "healthy" workers was significantly associated with the presence of one or more components of metabolic syndrome (OR = 3.83; 95%CI 1.45-10.13 and with a psychological disorders score in the highest quartile (OR = 4.67; 95%CI = 1.72-12.64. Workers with suspected OSAS were reluctant to follow advice about undergoing further tests under the NHS. However, in some cases, confirmation of the OSAS diagnosis and subsequent treatment led to an improvement in metabolic condition. CONCLUSION: Although participation in treatment was limited, anecdotal cases support the idea that prevention of obstructive sleep apnea in the workplace might be useful for workers' health.

  6. Recognition of upper airway and surrounding structures at MRI in pediatric PCOS and OSAS

    Science.gov (United States)

    Tong, Yubing; Udupa, J. K.; Odhner, D.; Sin, Sanghun; Arens, Raanan

    2013-03-01

    Obstructive Sleep Apnea Syndrome (OSAS) is common in obese children with risk being 4.5 fold compared to normal control subjects. Polycystic Ovary Syndrome (PCOS) has recently been shown to be associated with OSAS that may further lead to significant cardiovascular and neuro-cognitive deficits. We are investigating image-based biomarkers to understand the architectural and dynamic changes in the upper airway and the surrounding hard and soft tissue structures via MRI in obese teenage children to study OSAS. At the previous SPIE conferences, we presented methods underlying Fuzzy Object Models (FOMs) for Automatic Anatomy Recognition (AAR) based on CT images of the thorax and the abdomen. The purpose of this paper is to demonstrate that the AAR approach is applicable to a different body region and image modality combination, namely in the study of upper airway structures via MRI. FOMs were built hierarchically, the smaller sub-objects forming the offspring of larger parent objects. FOMs encode the uncertainty and variability present in the form and relationships among the objects over a study population. Totally 11 basic objects (17 including composite) were modeled. Automatic recognition for the best pose of FOMs in a given image was implemented by using four methods - a one-shot method that does not require search, another three searching methods that include Fisher Linear Discriminate (FLD), a b-scale energy optimization strategy, and optimum threshold recognition method. In all, 30 multi-fold cross validation experiments based on 15 patient MRI data sets were carried out to assess the accuracy of recognition. The results indicate that the objects can be recognized with an average location error of less than 5 mm or 2-3 voxels. Then the iterative relative fuzzy connectedness (IRFC) algorithm was adopted for delineation of the target organs based on the recognized results. The delineation results showed an overall FP and TP volume fraction of 0.02 and 0.93.

  7. Topical nasal steroid treatment does not improve CPAP compliance in unselected patients with OSAS.

    Science.gov (United States)

    Strobel, Werner; Schlageter, Manuel; Andersson, Morgan; Miedinger, David; Chhajed, Prashant N; Tamm, Michael; Leuppi, Jörg D

    2011-02-01

    Continuous positive airways pressure (CPAP) for treatment of obstructive sleep apnea (OSA) can produce troublesome nasal symptoms (i.e. congestion, rhinorrhea) that may reduce the compliance of CPAP. Topical nasal steroids are often prescribed to reduce these side effects, although scientific data are scarce supporting any benefits of this treatment for CPAP-induced nasal side effects. To study whether a topical nasal steroid can reduce CPAP-induced nasal symptoms and improve CPAP adherence during the initial phase of OSA treatment. A randomized, double-blinded, placebo-controlled study with fluticasone propionate 100 μg/nasal cavity twice daily Treatment was started 10 days prior to and continued throughout the first 4 weeks of CPAP. 63 patients who were selected for CPAP treatment participated. Nasal symptoms were recorded, nasal patency was assessed and lung function was measured with a peak flow meter. The patients' adherence to CPAP was recorded by the CPAP device. Total nasal symptoms increased from baseline to 4 wks after CPAP use for both nasal treatments (p < 0.05). No differences in total nasal symptoms between treatments were seen (p = 1), and no differences in nasal peak flow values after treatment were seen (p = 0.11). Moreover, there were no differences in CPAP use between the treatments. Fluticasone propionate as a nasal topical steroid does not reduce CPAP-induced unwanted nasal side effects, and has no beneficial effect on CPAP compliance during the first four weeks of treatment in unselected patients with OSAS. Copyright © 2010 Elsevier Ltd. All rights reserved.

  8. Association of Type D personality to perceived side effects and adherence in CPAP-treated patients with OSAS.

    Science.gov (United States)

    Broström, Anders; Strömberg, Anna; Mårtensson, Jan; Ulander, Martin; Harder, Lena; Svanborg, Eva

    2007-12-01

    Continuous positive airway pressure (CPAP) is the treatment of choice for obstructive sleep apnoea syndrome (OSAS), but side effects are common and long-term adherence low. The Type D (distressed) personality is defined as a combination of negative affectivity and social inhibition. The association of Type D personality with adherence has not been studied in CPAP-treated patients with OSAS. This study aimed to describe the prevalence of Type D personality in OSAS patients with CPAP treatment longer than 6 months and the association with self-reported side effects and adherence. A cross-sectional descriptive design was used. A total of 247 OSAS patients with a mean use of CPAP treatment for 55 months (6-182 months) were included. Data collection was achieved by two questionnaires; the Type D scale 14 (DS14) (Type D personality), SECI (side effects of CPAP), as well as from medical records (clinical variables and objective adherence to CPAP treatment). Type D personality occurred in 30% of the patients with OSAS and significantly (P < 0.05-0.001) increased the perceived frequency and severity of a broad range of side effects. The objective adherence was significantly lower (P < 0.001) for OSAS patients with Type D compared to OSAS patients without Type D, both with regard to a mean use of 4 h per night and 85% of the self-rated sleep time per night. The additional effect of a Type D personality on perceived side effects and adherence to CPAP treatment found in this study could be used by healthcare personnel when evaluating patients waiting for treatment.

  9. AMINO ACID-BASED FERTILIZER AS AN ALTERNATIVE TO CALDA VIÇOSA IN ORGANIC AGRICULTURE

    Directory of Open Access Journals (Sweden)

    Diego Fontebasso Pelizari Pinto

    2017-10-01

    Full Text Available The aim of this study was to propose a mixture of micronutrients with amino acid-based foliar fertilizer as an alternative to calda viçosa for application in organic agriculture. The study was conducted in two simultaneous trials in an experimental field in Ipeúna, SP, Brazil. The test plant was carioca type dry edible bean cv. Pérola. The treatments in trial 1 were: Control 1 = water; FA = JK® amino acid-based foliar fertilizer; and FA+Mi = FA + CuSO4 + ZnSO4 + MnSO4 + H3BO3. In trial 2, the FA treatment was substituted by calda viçosa (CVi. The treatments were through spray application three times. Dry edible bean leaves were sampled for determination of macronutrient and micronutrient concentrations. Platings of the application rates used in the treatments were performed in the laboratory in a mixture with Bacillus thuringiensis and with Beauveria bassiana to compare the degree of compatibility by means of colony forming units (CFU. The FA+Mi and CVi treatments raised the concentrations of Zn, Cu, and Mn in the leaves. The FA+Mi was compatible, the FA was a stimulant, and the CVi was noxious to B. bassiana and to B. thuringiensis when integrated in the spray mixture.

  10. Functional MRI of the pharynx in obstructive sleep apnea (OSA) with rapid 2-D flash sequences

    International Nuclear Information System (INIS)

    Jaeger, L.; Guenther, E.; Gauger, J.; Nitz, W.; Kastenbauer, E.; Reiser, M.

    1996-01-01

    Functional imaging of the pharynx used to be the domain of cineradiography, CT and ultrafast CT. The development of modern MRI techniques led to new access to functional disorders of the pharynx. The aim of this study was to implement a new MRI technique to examine oropharyngeal obstructive mechanisms in patients with obstructive sleep apnea (OSA). Sixteen patients suffering from OSA and 6 healthy volunteers were examined on a 1.5 T whole-body imager ('Vision', Siemens, Erlangen Medical Engineering, Germany) using a circular polarized head coil. Imaging was performed with 2D flash sequences in midsagittal and axial planes. Patients and volunteers were asked to breathe normally through the nose and to simulate snoring and the Mueller maneuver during magnetic resonance imaging (MRI). Prior to MRI, all patients underwent an ear, nose and throat (ENT) examination, functional fiberoptic nasopharyngoscopy and polysomnography. A temporal resolution of 6 images/s and an in-plane resolution of 2.67x1.8 mm were achieved. The mobility of the tongue, soft palate and pharyngeal surface could be clearly delineated. The MRI findings correlated well with the clinical examinations. We propose ultrafast MRI as a reliable and non-invasive method of evaluating pharyngeal obstruction and their levels. (orig.) [de

  11. Specific insomnia symptoms and self-efficacy explain CPAP compliance in a sample of OSAS patients.

    Science.gov (United States)

    Philip, Pierre; Bioulac, Stéphanie; Altena, Elemarije; Morin, Charles M; Ghorayeb, Imad; Coste, Olivier; Monteyrol, Pierre-Jean; Micoulaud-Franchi, Jean-Arthur

    2018-01-01

    This study explores the association between specific insomnia symptoms (sleep onset, sleep maintenance and early morning awakenings symptoms) and self-efficacy (perceived self-confidence in the ability to use CPAP) with CPAP compliance in French patients with obstructive sleep apnea syndrome (OSAS). We performed a retrospective, cross-sectional analysis of CPAP compliance in a cohort of 404 patients diagnosed with OSAS. Patients completed mailed questionnaires on sleepiness (ESS), insomnia (ISI) and self-efficacy in sleep apnea (SEMSA). Linear regression modeling analyses were performed to explore the impact of measured variables on the number of hours of CPAP use. Of the initial pool of 404 patients, 288 returned the questionnaires (71% response rate). Their mean age was 63.16±12.73 yrs, 31% were females, mean BMI was 30.39±6.31 kg/m2, mean daily CPAP use was 6.19±2.03 h, mean number of years of use was 6.58±6.03 yrs, and mean initial AHI before CPAP use was 34.61±20.71 /h. Age (pCPAP use. We found that specific insomnia symptoms and self-efficacy were associated with CPAP compliance. Our findings underline the need to demonstrate that interventions that reduce insomnia symptoms and improve self-efficacy will increase CPAP compliance.

  12. The rheological properties of blood and the risk of cardiovascular disease in patients with obstructive sleep apnea syndrome (OSAS

    Directory of Open Access Journals (Sweden)

    Władysław Pierzchała

    2011-07-01

    Full Text Available Obstructive sleep apnea (OSA is an important public health concern, which affects around 2–4% of the population. Left untreated, it causes a decrease not only in quality of life, but also of life expectancy. Despite the fact that knowledge about the mechanisms of development of cardiovascular disease in patients with OSA is still incomplete, observations confirm a relationship between sleep disordered breathing and the rheological properties of blood. One possible consequence of an increased incidence of cardiovascular disease may be a rise in mortality in OSA patients. Continuously improved research methods are allowing for an increasingly more accurate understanding of the significance of observed changes. (Folia Histochemica et Cytobiologica 2011, Vol. 49, No. 2, 206–210

  13. Comparability of pulse oximeters used in sleep medicine for the screening of OSA

    International Nuclear Information System (INIS)

    Böhning, N; Schultheiß, B; Eilers, S; Schmittendorf, E; Penzel, T; Böhning, W

    2010-01-01

    Obstructive sleep apnea syndrome (OSA) is a frequent clinical picture. It is characterized by repetitive respiratory arrest with a consecutive decrease in arterial oxygen saturation (SaO 2 ). In clinical practice, the number of desaturations per hour, oxygen desaturation index (ODI), is used as an important diagnostic criterion. Medical literature, however, mentions different threshold values that are defined as pathological. By means of systematic comparative measurements, the study presented here will examine to what extent the diagnosis and the quantification of OSA severity are affected by the device-specific measurement technique, thus impacting the predictive value of nighttime pulse oximetry in outpatient OSA screening. Different pulse oximeters commonly used in clinical practice were analyzed comparatively regarding technical parameters, temporal dynamics and the reproducibility of measuring results. The measurements were executed simultaneously and time synchronized in a reference group of five test subjects (four males, one female, average age 33.0 ± 9.4 years), in a group of five patients (all males, average age 51.8 ± 18.4 years) and using a simulator (pulse oximeter simulator index 2). All devices underestimate the simulator's predetermined oxygen desaturation of 10%. The dispersion of values is high. The device-specific characteristics have a significant influence on the collected data. The fundamental weakness of the systems lies in the reproducibility of measuring results (this only seems adequate at a signal resolution in steps of 0.1%) as well as the differing temporal dynamics. In the synchronous use of different systems on patients for the purpose of a direct comparison of devices, the dispersion of values is serious, reaching a fluctuation range of up to factor 1.42. In measuring dynamic events (apneas), different pulse oximeters do not record identical values. This is due to the different internal signal processing of the devices

  14. Análise da atividade florestal no município de Viçosa-MG Analysis of forest activity in Viçosa-MG

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    Alessandro Albino Fontes

    2003-08-01

    Full Text Available Estudou-se a atividade florestal no município de Viçosa-MG, a partir de questionário aplicado aos agricultores cujas propriedades rurais possuíam florestas plantadas. Foi amostrado um total de 63 propriedades rurais, abrangendo uma área de 2.096,95 ha. As áreas de floresta nativa e plantada, na amostra, foram de 372,00 e 260,17 ha, o que corresponde, respectivamente, a 17,74 e 12,41% da área amostrada. O tipo de floresta nativa predominante foi a capoeira (67,55%, e a espécie preferida para o reflorestamento foi o eucalipto (92,68%. O uso médio da mão-de-obra nas fases de implantação, manutenção e colheita dos plantios florestais foi estimado em 30,21, 13,64 e 61,25 dias-homem/ha, respectivamente, totalizando 105,10 dias-homem/ha, sendo a participação da mão-de-obra familiar de 25,24%. Os custos inerentes à atividade florestal foram estimados em R$419,30/ha para implantação; R$146,49/ha e R$80,34/ha para manutenção no primeiro e segundo ano, respectivamente; e R$2,11/m³ para colheita da madeira. Os plantios florestais concentram-se nas áreas de encostas, e o número médio de empregos gerados pelo reflorestamento (eucalipto foi 0,042 emprego/ha. Concluiu-se, de modo geral, que o reflorestamento é considerado atividade pouco atrativa, não identificando propriedades tipicamente florestais, sendo recomendada a elaboração de políticas públicas de incentivo ao reflorestamento.Forest activity was studied in Viçosa-MG, through a questionnaire applied to farmers who planted forests. A total of 63 farms were sampled, comprising an area of 2,096.95 ha. The natural and planted forest areas sampled were of 372.00 ha and 260.17 ha, corresponding to 17.74% and 12.41%, respectively. The predominant natural forest was the secondary forest (capoeira (67.55%, and the species chosen for reforestation was eucalypt (92.68%. Average labor use in the phases of implementation, maintenance and harvest of the forest plantations was

  15. Epidemiological analysis of structural alterations of the nasal cavity associated with obstructive sleep apnea syndrome (OSA).

    Science.gov (United States)

    Mekhitarian Neto, Levon; Fava, Antonio Sérgio; Lopes, Hugo Canhete; Stamm, Aldo

    2005-01-01

    The objective of this paper is to demonstrate that structural alterations of the nasal cavity, e.g. septal deviation and conchal hypertrophy have high incidence in patients with sleep apnea and hypopnea syndrome and must be addressed with associated specific procedures of the syndrome. Clinical retrospective. A retrospective study of 200 patients was performed, with 196 male and 4 female, attended at the otorhinolaryngology ambulatory of Hospital Prof. Edmundo Vasconcelos and Unidade Paulista de Otorrinolaringologia, all of them subjected to polysomnography, otorhinolaryngological physical exam, endoscopy exam, and surgical treatment with nasal and pharyngeal procedures. All of them were subjected to pharyngeal procedure: uvulopalatopharyngoplasty or uvulopalatoplasty and nose procedure: 176 septoplasty with partial turbinectomy (88%) and 24 isolated turbinectomy, with satisfactory results. We can see that structural alterations of the nasal cavity have high incidence in patients with OSA.

  16. 5-years APAP adherence in OSA patients--do first impressions matter?

    Science.gov (United States)

    van Zeller, Mafalda; Severo, Milton; Santos, Ana Cristina; Drummond, Marta

    2013-12-01

    Although continuous positive airway pressure (CPAP) is effective in treating obstructive sleep apnoea (OSA), inadequate adherence remains a major cause of treatment failure. This study aimed to determine long term adherence to auto adjusting-CPAP (APAP) and its influencing factors including the role of initial compliance. Eighty-eight male patients with newly diagnosed moderate/severe OSA were included. After initiation of APAP treatment, patients had periodic follow-up appointments at 2 weeks, 6 months and then annually for at least 5 years. Patient's compliance to therapy was assessed in each appointment and predictors to treatment abandonment and poor compliance were evaluated. The studied population had a mean age of 53.8 years and mean apnoea-hypopnoea index of 52.71/h. The mean time of follow-up was 5.2 (± 1.6) years, during that time 22 (25%) patients abandoned APAP, those who maintained treatment had good compliance to it since 94% of them used it more than 4 h/day for at least 70% of days. A significant negative association was found between age, % of days and mean time of APAP use on 12th day and 6th month and the risk of abandoning. APAP use lower than 33% and 57% of days at 12th day and 6th month, respectively had high specificity (≈ 100%) to detect treatment abandonment. the majority of patients adheres to long term APAP treatment and has good compliance after 5-years of follow-up. Age and initial compliance (% days of use and mean hour/day) have the ability to predict future adherence, as soon as 12 days and 6 months after initiation. Copyright © 2013 Elsevier Ltd. All rights reserved.

  17. Impact of CPAP on activity patterns and diet in patients with obstructive sleep apnea (OSA).

    Science.gov (United States)

    Batool-Anwar, Salma; Goodwin, James L; Drescher, Amy A; Baldwin, Carol M; Simon, Richard D; Smith, Terry W; Quan, Stuart F

    2014-05-15

    Patients with severe OSA consume greater amounts of cholesterol, protein, and fat as well as have greater caloric expenditure. However, it is not known whether their activity levels or diet change after treatment with CPAP. To investigate this issue, serial assessments of activity and dietary intake were performed in the Apnea Positive Pressure Long-term Efficacy Study (APPLES); a 6-month randomized controlled study of CPAP vs. sham CPAP on neurocognitive outcomes. Subjects were recruited into APPLES at 5 sites through clinic encounters or public advertisement. After undergoing a diagnostic polysomnogram, subjects were randomized to CPAP or sham if their AHI was ≥ 10. Adherence was assessed using data cards from the devices. At the Tucson and Walla Walla sites, subjects were asked to complete validated activity and food frequency questionnaires at baseline and their 4-month visit. Activity and diet data were available at baseline and after 4 months treatment with CPAP or sham in up to 231 subjects (117 CPAP, 114 Sham). Mean age, AHI, BMI, and Epworth Sleepiness Score (ESS) for this cohort were 55 ± 13 [SD] years, 44 ± 27 /h, 33 ± 7.8 kg/m(2), and 10 ± 4, respectively. The participants lacking activity and diet data were younger, had lower AHI and arousal index, and had better sleep efficiency (p Level of adherence defined as hours of device usage per night at 4 months was significantly higher among men in CPAP group (4.0 ± 2.9 vs. 2.6 ± 2.6). No changes in consumption of total calories, protein, carbohydrate or fat were noted after 4 months. Except for a modest increase in recreational activity in women (268 ± 85 vs. 170 ± 47 calories, p increase in recreational activity in women, OSA patients treated with CPAP do not substantially change their diet or physical activity habits after treatment. .

  18. Sleep fragmentation: comparison of two definitions of short arousals during sleep in OSAS patients.

    Science.gov (United States)

    Smurra, M V; Dury, M; Aubert, G; Rodenstein, D O; Liistro, G

    2001-04-01

    The measurement of arousals during sleep is useful to quantify sleep fragmentation. The criteria for electroencephalography (EEG) arousals defined by the American Sleep Disorders Association (ASDA) have recently been criticized because of lack of interobserver agreement. The authors have adopted a scoring method that associates the increase in chin electromyography (EMG) with the occurrence of an alpha-rhythm in all sleep stages (Université Catholique de Louvain (UCL) definition of arousals). The aim of the present study was to compare the two scoring definitions in terms of agreement and repeatability and the time taken for scoring in patients with obstructive sleep apnoea syndrome (OSAS) of varying severity. Two readers using both ASDA and UCL definitions scored twenty polysomnographies (PSGs) each on two occasions. The PSGs were chosen retrospectively to represent a wide range of arousal index (from 6-82) in OSAS patients. There was no difference in the arousal indices between readers and between scoring methods. The mean+/-SD difference between the two definitions (the bias) was 1.1+/-3.76 (95% confidence interval: -0.66-2.86). There was a strong linear relationship between the arousal index scored with the two definitions (r=0.981, pASDA definitions (18.5+/-5.4 versus 25.3+/-6.6 min, p<0.001). In conclusion, it has been found that in obstructive sleep apnoea syndrome patients, the American Sleep Disorders Association and Université Catholique de Louvain definitions were comparable in terms of agreement and repeatability.

  19. The efficacy of a brief motivational enhancement education program on CPAP adherence in OSA: a randomized controlled trial.

    Science.gov (United States)

    Lai, Agnes Y K; Fong, Daniel Y T; Lam, Jamie C M; Weaver, Terri E; Ip, Mary S M

    2014-09-01

    Poor adherence to CPAP treatment in OSA adversely affects the effectiveness of this therapy. This randomized controlled trial (RCT) examined the efficacy of a brief motivational enhancement education program in improving adherence to CPAP treatment in subjects with OSA. Subjects with newly diagnosed OSA were recruited into this RCT. The control group received usual advice on the importance of CPAP therapy and its care. The intervention group received usual care plus a brief motivational enhancement education program directed at enhancing the subjects' knowledge, motivation, and self-efficacy to use CPAP through the use of a 25-min video, a 20-min patient-centered interview, and a 10-min telephone follow-up. Self-reported daytime sleepiness adherence-related cognitions and quality of life were assessed at 1 month and 3 months. CPAP usage data were downloaded at the completion of this 3-month study. One hundred subjects with OSA (mean ± SD, age 52 ± 10 years; Epworth Sleepiness Scales [ESS], 9 ± 5; median [interquartile range] apnea-hypopnea index, 29 [20, 53] events/h) prescribed CPAP treatment were recruited. The intervention group had better CPAP use (higher daily CPAP usage by 2 h/d [Cohen d = 1.33, P motivational enhancement education in addition to usual care were more likely to show better adherence to CPAP treatment, with greater improvements in treatment self-efficacy and daytime sleepiness. ClinicalTrials.gov; No.: NCT01173406; URL: www.clinicaltrials.gov.

  20. Detection of Secondary Causes and Coexisting Diseases in Hypertensive Patients: OSA and PA Are the Common Causes Associated with Hypertension.

    Science.gov (United States)

    Wang, Lei; Li, Nanfang; Yao, Xiaoguang; Chang, Guijuan; Zhang, Delian; Heizhati, Mulalibieke; Wang, Menghui; Luo, Qin; Kong, Jianqiong

    2017-01-01

    Since the control rate of blood pressure is lower in mainland China, the aim of this study is to investigate the proportion of secondary causes and coexisting diseases of hypertension in hypertensive patients. Data on consecutive patients with hypertension who visited the Hypertension Center. Diseases were detected using an established strict screening protocol. Detection rate of secondary causes and coexisting diseases of hypertension was 39.5% among 3003 hypertensive patients. Obstructive sleep apnea (OSA) was the most common, accounting for 24.7% of patients, followed by primary aldosteronism (PA) (5.8%) and PA + OSA (4.9%). Endocrine hypertension accounted for 12.1% of patients, including 10.7% of patients with PA, 1.1% with hypothyroidism, 0.1% with pheochromocytoma, 0.1% with Cushing's syndrome, and 0.1% with hyperthyroidism, respectively. Those who smoke, those who are obese, and those who have diabetes accounted for 31.3%, 27.5%, and 16.6% of total patients, respectively. There were overlapping conditions in secondary causes and coexisting diseases of hypertension. OSA was the most common in each age- and BMI-stratified group. Findings from the current study suggest an increasing frequency of secondary forms of hypertension, highlighting the burden of OSA and PA in hypertensive patients.

  1. Detection of Secondary Causes and Coexisting Diseases in Hypertensive Patients: OSA and PA Are the Common Causes Associated with Hypertension

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    Lei Wang

    2017-01-01

    Full Text Available Background. Since the control rate of blood pressure is lower in mainland China, the aim of this study is to investigate the proportion of secondary causes and coexisting diseases of hypertension in hypertensive patients. Methods. Data on consecutive patients with hypertension who visited the Hypertension Center. Diseases were detected using an established strict screening protocol. Results. Detection rate of secondary causes and coexisting diseases of hypertension was 39.5% among 3003 hypertensive patients. Obstructive sleep apnea (OSA was the most common, accounting for 24.7% of patients, followed by primary aldosteronism (PA (5.8% and PA + OSA (4.9%. Endocrine hypertension accounted for 12.1% of patients, including 10.7% of patients with PA, 1.1% with hypothyroidism, 0.1% with pheochromocytoma, 0.1% with Cushing’s syndrome, and 0.1% with hyperthyroidism, respectively. Those who smoke, those who are obese, and those who have diabetes accounted for 31.3%, 27.5%, and 16.6% of total patients, respectively. There were overlapping conditions in secondary causes and coexisting diseases of hypertension. OSA was the most common in each age- and BMI-stratified group. Conclusion. Findings from the current study suggest an increasing frequency of secondary forms of hypertension, highlighting the burden of OSA and PA in hypertensive patients.

  2. CPAP treatment supported by telemedicine does not improve blood pressure in high cardiovascular risk OSA patients: a randomized, controlled trial.

    Science.gov (United States)

    Mendelson, Monique; Vivodtzev, Isabelle; Tamisier, Renaud; Laplaud, David; Dias-Domingos, Sonia; Baguet, Jean-Philippe; Moreau, Laurent; Koltes, Christian; Chavez, Léonidas; De Lamberterie, Gilles; Herengt, Frédéric; Levy, Patrick; Flore, Patrice; Pépin, Jean-Louis

    2014-11-01

    Obstructive sleep apnea (OSA) has been associated with hypertension, which is one of the intermediary mechanisms leading to increased cardiovascular morbidity. This study aimed at evaluating the effects of a combination of continuous positive airway pressure (CPAP) and telemedicine support on blood pressure (BP) reduction in high cardiovascular risk OSA patients. A multi-center randomized controlled trial that compared standard CPAP care and CPAP care and a telemedicine intervention. Sleep clinics in France. 107 adult (18-65 years old) OSA patients (AHI > 15 events/h) with a high cardiovascular risk (cardiovascular SCORE > 5% or secondary prevention). Patients were randomized to either standard care CPAP (n = 53) or CPAP and telemedicine (n = 54). Patients assigned to telemedicine were equipped with a smartphone for uploading BP measurements, CPAP adherence, sleepiness, and quality of life data; in return, they received pictograms containing health-related messages. The main outcome was home self-measured BP and secondary outcomes were cardiovascular risk evolution, objective physical activity, CPAP adherence, sleepiness and quality of life. Self-measured BP did not improve in either group (telemedicine or standard care). Patients in primary prevention showed greater BP reduction with CPAP treatment than those in secondary prevention. CPAP treatment supported by telemedicine alone did not improve blood pressure and cardiovascular risk in high cardiovascular risk OSA patients. This study emphasizes the need for diet and physical activity training programs in addition to CPAP when aiming at decreasing cardiometabolic risk factors in these patients. ClinicalTrials.gov identifier: NCT01226641.

  3. The predictive value of drug-induced sleep endoscopy for CPAP titration in OSA patients.

    Science.gov (United States)

    Lan, Ming-Chin; Hsu, Yen-Bin; Lan, Ming-Ying; Huang, Yun-Chen; Kao, Ming-Chang; Huang, Tung-Tsun; Chiu, Tsan-Jen; Yang, Mei-Chen

    2017-12-15

    The aim of this study was to identify possible upper airway obstructions causing a higher continuous positive airway pressure (CPAP) titration level, utilizing drug-induced sleep endoscopy (DISE). A total of 76 patients with obstructive sleep apnea (OSA) underwent CPAP titration and DISE. DISE findings were recorded using the VOTE classification system. Polysomnographic (PSG) data, anthropometric variables, and patterns of airway collapse during DISE were analyzed with CPAP titration levels. A significant association was found between the CPAP titration level and BMI, oxygen desaturation index (ODI), apnea-hypopnea index (AHI), and neck circumference (NC) (P CPAP titration level (P CPAP titration level and any other collapse at the tongue base or epiglottis. By analyzing PSG data, anthropometric variables, and DISE results with CPAP titration levels, we can better understand possible mechanisms resulting in a higher CPAP titration level. We believe that the role of DISE can be expanded as a tool to identify the possible anatomical structures that may be corrected by oral appliance therapy or surgical intervention to improve CPAP compliance.

  4. Piperaceae C. Agardh da Estação Experimental Mata do Paraíso, Viçosa, MG Piperaceae C. Agardh from the Experimental Station of "Mata do Paraíso", Viçosa, MG

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    Rita Maria de Carvalho-Okano

    1998-01-01

    Full Text Available Este trabalho consistiu no levantamento dos representantes de Piperaceae na Estação Experimental Mata do Paraíso, no município de Viçosa, MG (20º42'S e 42º55'W, coberta por Floresta Estacionai Semidecidual Montana. No período de março/97 a junho/98 foram realizadas 30 visitas quinzenais à Estação para coleta de material botânico que se encontra depositado no herbário VIC da Universidade Federal de Viçosa. Foram reconhecidos 18 táxons distribuídos nos gêneros Piper L. com 14 espécies, Ottonia Spreng. com três e Pothomorphe Miq. com uma espécie. As espécies mais abundantes foram Piper caldense C.DC., Piper gaudichaudianum Kunth e Piper vicosanum Yunck. São apresentadas chaves para identificação dos gêneros e espécies, descrições, ilustrações e comentários.An inventory of the Piperaceae species was made at the Experimental Station of "Mata do Paraíso" in Viçosa, Minas Gerais State (20º42'S and 42º55'W, an area covered by the Semideciduous Mesophytic Montana Forest. Thirty visits were made fortnightly to the station, from March/1997 to June/1998, in order to collect botanical material which was deposited in the VIC herbarium (Universidade Federal de Viçosa. Eighteen taxa, represented by the genera Piper L. (14 species, Ottonia Spreng (3 species, and Potliotnorplie Miq. (1 species were recognized. The most abundant species were Piper caldense CDC, Piper gaudichaudianum Kunth and Piper vicosanum Yunck. Identification keys for the genera and species as well as species descriptions, illustrations and comments are presented.

  5. SEA LEVEL RISE AND ITS POTENTIAL IMPACTS ON COASTAL URBAN AREA: A CASE OF ETI-OSA, NIGERIA

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    Ayodele Michael AGBOOLA

    2016-10-01

    Full Text Available This study examines the spatial extent of coastal urban development and its potential sensitivity to sea-level rise. The main aim of the study is to critically examine the extent of growth in Eti-Osa over time, and the potential impacts of sea leve rise. Landsat Enhanced Thematic Mapper Plus (ETM+ imageries of years 2000 and 2015 were used to evaluate the different land use type identified. Post-classification change detection method was used to evaluate the output of the maximum likelihood supervised classification analysis done. This was also used to estimate the changes induces through urban development on the environment which accounts for the biodiversity loss. ASTER GDEM 2 imagery of 2011 was used to generate the elevation data used for the inundation analysis. Thus, both Land use map of Eti-Osa in 2015 and the down scaled Sea-level rise scenarios (at 0.5 to 15 meters were used for the inundation mapping. Results obtained from this research affirms that indeed EtiOsa has been subjected to gross urban expansion giving room for diverse forms of environmental degradation among which are huge replacement of natural land cover with built-up, reclamation of wetlands and sand filling of water bodies. This basically illustrates growth but also the risk that accompanies the advent of excessive alteration of natural ecosystem as Sea-level rise projections imply in this research.

  6. The importance of neck circumference to thyromental distance ratio (NC/TM as a predictor of difficult intubation in obstructive sleep apnea (OSA patients

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    Hala Ezzat Abdel Naim

    2014-07-01

    Conclusion: Difficult intubation in OSA obese patients was independently associated with a Mallampati score of III or IV, and NC/TM ⩾5.15. Moreover, NC/TM yielded a high sensitivity, specificity and a negative predictive value.

  7. High Adherence to CPAP Treatment Does Not Prevent the Continuation of Weight Gain among Severely Obese OSAS Patients

    Science.gov (United States)

    Myllylä, Minna; Kurki, Samu; Anttalainen, Ulla; Saaresranta, Tarja; Laitinen, Tarja

    2016-01-01

    Study Objectives: Obstructive sleep apnea syndrome (OSAS) patients benefit from continuous positive airway pressure (CPAP) treatment in a dose-response manner. We determined adherence and weight control, as well as their predictors, among long-term CPAP users. Methods: Cohort of 1,023 OSAS patients had used CPAP on average of 6.6 ± 1.2 years. BMI was determined at baseline and at follow-up visits. There were 7.4 ± 1.7 BMI and 6.5 ± 1.8 CPAP usage measurements per patient on average. Using the Bayesian hierarchical model, we determined the patients' individual trends of BMI and adherence development. Patients with significantly increasing or decreasing trends were identified at the posterior probability level of > 90%. Results: The mean age in the cohort was 55.6 ± 9.8 years, BMI 33.5 ± 6.4 kg/m2, apnea-hypopnea index 33.7 ± 23.1, and CPAP usage 6.0 ± 1.8 h/day. The majority of patients had no significant change in BMI (mean annual weight gain 0.04 ± 0.29 kg/m2) or CPAP adherence (mean annual increase 11.4 ± 7.0 min/day). However, at the individual level, 10% of the patients showed significant annual weight gain (0.63 ± 0.35 kg/m2) during the 5-year follow-up period. At baseline these patients were already more severely obese (mean BMI 40.0 ± 5.9 kg/m2) despite being younger (mean 50.9 ± 9.5 years) than the rest of the cohort. Conclusions: In the majority of CPAP-treated OSAS patients, weight did not significantly change but gained slightly slower than in age-matched population in general. However, in 10% of patients, high adherence to CPAP treatment did not prevent the continuation of weight gain. These patients present a high-risk group for OSAS-related multimorbidity later in life. Citation: Myllylä M, Kurki S, Anttalainen U, Saaresranta T, Laitinen T. High adherence to CPAP treatment does not prevent the continuation of weight gain among severely obese OSAS patients. J Clin Sleep Med 2016;12(4):519–528. PMID:26888588

  8. Algunas plantas leñosas del Trapecio Amazónico Colombiano

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    Dugand Armando

    1956-09-01

    Full Text Available La lista de plantas que compone este breve artículo fue confeccionada extrayendo los datos respectivos de la obra "Woods of Northeastern Peru" de Llewelyn Williams, publicada en FIELD MUSEUMOF NATURAL, HISTORY,BOTANICALSERIES, Vol. 15, pp. 1-509; 1936. En dicha obra el señor Williams cataloga -entre muchas otras de distintas regiones de la Amazonia peruana-- un buen numero de plantas leñosas coleccionadas por él en la hacienda "La Victoria", muy cerca de Leticia, haciéndolas figurar como del Perú. Esto se debe a que en la época que Williams visito aquella región hoy colombiana -a mediados de 1929- no se había perfeccionado todavía, o mejor dicho, no se había puesto en práctica (aunque ya estaba promulgado solemnemente el tratado de fronteras entre Colombia y el Perú que puso fin al litigio que estos dos países sostuvieron por más de un siglo sobre una gran parte del territorio selvoso que se extiende entre los ríos Caquetá y Amazonas. Digo que no se había puesto en practica dicho tratado porque, si bien se firmó el 24 de marzo de 1922 y se promulgo el 31 de marzo de 1938, sólo vino a ejecutarse in situ el 17 de agosto de 1930, después de localizada y amojonada la frontera, mediante la formalidad del acto de entrega y de recibo de los territorios que les tocó definitivamente a un país y al otro. Fue, pues, un año después de la visita de Williams a dicha región cuando la bandera y las autoridades colombianas reemplazaron efectivamente a las peruanas en el llamado "Trapecio Amazónico", cuya población principal es Leticia, sobre el rio Amazonas.

  9. Calidad nutricional y digestibilidad in situ de ensilajes de cuatro leñosas forrajeras

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    María Ligia Roa

    Full Text Available Se evaluó el efecto del tiempo de conservación en la calidad nutricional y la digestibilidad in situ de ensilajes de cuatro plantas leñosas forrajeras: Cratylia argentea (T1, Hibiscus rosa-sinensis (T2, Trichanthera gigantea (T3 y Tithonia diversifolia (T4. Las plantas fueron podadas a los seis meses de establecidas y a los tres meses de rebrote, y se utilizaron las hojas y ramas tiernas pequeñas para confeccionar 64 silos de 10 kg, en bolsas plásticas. Cada tiempo de conservación (0, 30, 60 y 90 días tuvo cuatro repeticiones. Para calcular la digestibilidad de la MS, el NT y la FDN y los parámetros de la digestibilidad efectiva (DE, se utilizaron cuatro bovinos fistulados en el rumen, distribuidos en un diseño cuadrado latino 4 x 4. Los ensilajes presentaron aspecto y olor agradables, con pH entre 4,2 y 4,6 y nitrógeno amoniacal menor que 1 %. El porcentaje de NT fue mayor para T1 (2,52 y T2 (2,43, y este nutriente se redujo hasta los 90 días. La DE de la MS, el NT y la FDN fue superior (p < 0,05 en T2, con tendencia a disminuir con el tiempo de conservación (90 días. Este mismo comportamiento presentaron las fracciones A, B y c. El mayor contenido de lignina se resentó en T3 (5,45 % y T4 (5,60 %, indicador que afectó de manera negativa la cinética ruminal. La disminución de la calidad nutricional y la digestibilidad por el tiempo de conservación fue menor para T2 y T3. Se concluye que las propiedades órganolepticas de los ensilajes fueron óptimas, el nitrógeno amoniacal no superó el 1% y el ácido láctico varió entre 1,0 y 3,6 %; mientras que el tiempo afectó en menor grado la composición nutricional del ensilaje de H. rosa-sinensis, con respecto a las otras forrajeras. Se recomienda ensilar para la época de seca y utilizar los ensilajes antes de los 60 días de conservación.

  10. STUDY OF THE SITUATION OF MASS MOVEMENTS IN THE URBAN AREA OF VIÇOSA (MG

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    Fernando Lucci Resende de Souza

    2005-05-01

    Full Text Available The understanding of the relief goes by something larger than the observation at the way, understanding several other factors as climate, soil types and vegetable covering. However, the forms of the relief interfere as one of the main components of the atmosphere,being necessary its knowledge for the understanding of the dynamics of the area research object.The agreement of the relief passes for something more important that the comment of its form, understanding several other factors as climate, soil types and vegetal covering. However, the forms of the relief are inserting as the one of the main components of theenvironment, being necessary its knowledge for the agreement of the dynamic of the area research object.This knowledge is indispensable, because it is impossible to repress the occupation expansion of the spaces and much less to restraint environmental impacts caused by the men and the nature is not capable to regenerate all of the damaged spaces in a short space of time.Many of the inhabited spaces are fruits of segregation, which would be consequence of the exclusion that the effective economical system imposes to the people and spaces. On the other hand, the environmental problems are not correlated only with outlying neighborhoods, but they come very visible in places where constructions of high purchasing power prevail. But, one thing we can do is to prevent, the areas that are not busy, because it is viable naturally,environmentally and less expensive economically speaking. It is in this context, which the study of the mass movements can be of vital importance. The present work seeks to characterize the mass movements that happen in the urban area of Viçosa, with the objective to relate and to compare the rising done in the urban area of the municipal district at the scale 1: 5000 for Vieira in the year of 2000, in order to verify the evolution of the areas studied by the referred author, being analyzed these progressed or some

  11. Desenvolvimento dos frutos de lulo (Solanum quitoense LAM, em Viçosa-MG

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    Pedro Henrique Monteiro Matarazzo

    2013-03-01

    Full Text Available O lulo é um fruto tropical e exótico, originário dos Andes, tem cor laranja quando maduro, e é uma baga globosa, assemelha- se a um tomate, o epicarpo é grosso e coriáceo, sua polpa é verde-clara, pegajosa, ácida e suculenta, contendo muitas sementes. Objetivou-se acompanhar as características físicas, químicas e fisiológicas ocorridas durante o desenvolvimento do fruto de lulo, da antese ao amadurecimento completo, em Viçosa-MG. Os frutos apresentaram um padrão de crescimento sigmoidal simples em resposta à variação do tempo. O desenvolvimento do fruto foi dividido em três fases. A primeira foi até os 7,39 dias após a antese (DAA, sendo caracterizada pela alta taxa respiratória, provavelmente devido à intensa multiplicação celular, e o pericarpo apresentava coloração verde-clara. A segunda fase estendeu-se a partir dos 7,39 até os 57,63 DAA, sendo caracterizada pelas taxas máximas das características estudadas. A taxa respiratória cresceu até 45 DAA, mantendo-se estável até os 52 DAA. A última fase estendeu-se a partir dos 57,63 DAA até os 95,00 DAA. Essa fase foi caracterizada pela estabilização nas dimensões e no acúmulo de massa fresca. Nesse período, ocorreu a ascensão climatérica (dos 52 aos 59 DAA. O climatério respiratório ocorreu aos 66 DAA, com pico de produção de CO2 de 110,99 mg de CO2 kg-1h-1. O pós-climatério ocorreu dos 73 aos 95 DAA, quando houve aumento no teor de sólidos solúveis e queda da acidez titulável e vitamina C da polpa. Nessa fase, o pericarpo dos frutos apresentava-se com coloração alaranjada.

  12. CPAP Adherence is Associated With Attentional Improvements in a Group of Primarily Male Patients With Moderate to Severe OSA.

    Science.gov (United States)

    Deering, Sean; Liu, Lin; Zamora, Tania; Hamilton, Joanne; Stepnowsky, Carl

    2017-12-15

    Obstructive sleep apnea (OSA) is a widespread condition that adversely affects physical health and cognitive functioning. The prevailing treatment for OSA is continuous positive airway pressure (CPAP), but therapeutic benefits are dependent on consistent use. Our goal was to investigate the relationship between CPAP adherence and measures of sustained attention in patients with OSA. Our hypothesis was that the Psychomotor Vigilance Task (PVT) would be sensitive to attention-related improvements resulting from CPAP use. This study was a secondary analysis of a larger clinical trial. Treatment adherence was determined from CPAP use data. Validated sleep-related questionnaires and a sustained-attention and alertness test (PVT) were administered to participants at baseline and at the 6-month time point. Over a 6-month time period, the average CPAP adherence was 3.32 h/night (standard deviation [SD] = 2.53), average improvement in PVT minor lapses was -4.77 (SD = 13.2), and average improvement in PVT reaction time was -73.1 milliseconds (standard deviation = 211). Multiple linear regression analysis showed that higher CPAP adherence was significantly associated with a greater reduction in minor lapses in attention after 6 months of continuous treatment with CPAP therapy (β = -0.72, standard error = 0.34, P = .037). The results of this study showed that higher levels of CPAP adherence were associated with significant improvements in vigilance. Because the PVT is a performance-based measure that is not influenced by prior learning and is not subjective, it may be an important supplement to patient self-reported assessments. Name: Effect of Self-Management on Improving Sleep Apnea Outcomes, URL: https://clinicaltrials.gov/ct2/show/NCT00310310, Identifier: NCT00310310. © 2017 American Academy of Sleep Medicine

  13. [Treatment compliance with continuous positive airway pressure device among adults with obstructive sleep apnea (OSA): how many adhere to treatment?].

    Science.gov (United States)

    Sarrell, E Michael; Chomsky, Ofer; Shechter, Dalia

    2013-03-01

    Obstructive sleep apnea syndrome (OSA) afflicts approximately 5% of the adult population and increases with age. The gold standard treatment is with the Continuous Positive Airways Pressure (CPAP) machine. Well-designed prospective trials to elucidate long term compliance with CPAP machine are rare. Assessing compliance and long-term use of CPAP machines among patients with OSA who were referred for treatment with this machine. A 4 years prospective cohort observational study was conducted using telephone interviews of 371 newly diagnosed patients with moderate to severe OSA, who received a specialist recommendation to use the CPAP machine which was bought and adjusted to their use. At the end of the first year, 126 (34%) of the OSA patients used the CPAP machine on a nightly basis (regular users), 120 (32.3%) had not used it at all, and 125 (33.7%) had used it only intermittently. The number of regular users increased between the 1st and 2nd year from 126 (34%), to 163 (44%) (p < 0.07) due to additions from the intermittent users group. The non-users group grew from 120 (32.3%) in the first year, and every year afterwards, up to 221 (59.6%) in the fourth year (p < 0.02). In contrast, there was a significant decrease in the intermittent users group, which declined from 125 (33.7%) in the first year to only 18 (4.8%) in the 4th year (p < 0.005). Most of the patients (92.9%) were males. The average age of the regular users was 59.6 years (+/- 11), which was higher in comparison to 55.9 years (+/- 10.3) for the non-users or 58.9 years (+/- 12.6) among the intermittent users (p = 0.064). There were no statistical differences in co-morbidities or demographics between the three groups. However, the regular users were found to have a higher score in the Epworth Sleepiness Scale (ESS) and a minimal arterial oxygen saturation (SaO2) level lower than the patients in the non-users and intermittent users groups (p = 0.019 and p = 0.03 respectively). Four years follow

  14. Improving PTSD Symptoms and Preventing Progression of Subclinical PTSD to an Overt Disorder by Treating Comorbid OSA With CPAP.

    Science.gov (United States)

    Ullah, M I; Campbell, Douglas G; Bhagat, Rajesh; Lyons, Judith A; Tamanna, Sadeka

    2017-10-15

    Obstructive sleep apnea (OSA) and posttraumatic stress disorder (PTSD) are common in United States veterans. These conditions often coexist and symptoms overlap. Previous studies reported improvement in PTSD symptoms with continuous positive airway pressure (CPAP) therapy for comorbid OSA but its effect has not been assessed in a non-PTSD cohort. We have prospectively assessed the effect of CPAP therapy on clinical symptom improvement as a function of CPAP compliance levels among PTSD and non-PTSD veterans. Veterans in whom OSA was newly diagnosed were enrolled in our study (n = 192). Assignment to PTSD and non-PTSD cohorts was determined by chart review. Each patient completed the military version of the PTSD Checklist (PCL), Epworth Sleepiness Scale (ESS), and reported nightmare frequency (NMF) at baseline and 6 months after CPAP therapy. CPAP adherence was objectively documented from machine compliance data. We had complete data for 177 veterans (PTSD n = 59, non-PTSD n = 118) for analysis. The mean ages were 51.24 years in the PTSD cohort and 52.36 years in the non-PTSD cohort ( P = .30). In the PTSD cohort, the mean total PCL score (baseline = 66.06, post-CPAP = 61.27, P = .004, d = -0.34) and NMF (baseline = 4.61, post-CPAP = 1.49, P = .0001, d = -0.51) decreased after 6 months of CPAP treatment. Linear regression analysis showed that the CPAP compliance was the only significant predictor for these changes among veterans with PTSD (PCL score: P = .033, R 2 = .65; NMF; P = .03, R 2 = .61). Further analysis by CPAP compliance quartiles in this cohort (Q1 = 0% to 25%, Q2 = 26% to 50%, Q3 = 51% to 75%, Q4 > 75%) revealed that mean total PCL score declined in Q2 (change = -3.91, P = .045, d = 0.43), Q3 (change = -6.6, P = .002, d = 0.59), and Q4 (change = -7.94, P = .037, d = 0.49). In the non-PTSD cohort, the PCL score increased despite CPAP therapy in lower CPAP compliance quartiles Q1 (change = 8.71, P = .0001, d = 0.46) and Q2 (change = 4.51, P = .046, d = 0

  15. Sõjafilmide ideoloogia muutumisest (seoses sisulise väljenduse ja vormiliste vahendite muutumisega) / Martin Oja

    Index Scriptorium Estoniae

    Oja, Martin, 1978-

    2007-01-01

    Sõjafilmide ideoloogilisest tasandist. Tähelepanekuid ja märkusi nelja filmi põhjal: "Casablanca" (rezh. Michael Curtiz, 1942), "Iwo Jima liivad" (rezh. Allan Dwan, 1949), "Reamees Ryani päästmine" (rezh. Steven Spielberg, 1998), "Vaenlane väravas" (rezh. Jean-Jacques Annaud, 2001)

  16. Assessment and characterization of joineries in the city of Viçosa, MG/ Diagnóstico e caracterização das marcenarias na cidade de Viçosa, MG

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    José de Castro Silva

    2008-07-01

    Full Text Available The forestry sector is not only formed by large companies, such as pulp and paper or reconstituted panels, but also by small businesses, and often strictly family businesses, as joineries. This study aimed to identify, assess and characterize joineries in Viçosa, Minas Gerais. The object of study was limited to the city’s joinery businesses, mainly the ones belonging to the former Joiner’s Association. A questionnaire was drawn up to obtain information on the used wood, internal management and employee training, machinery, products, market, product advertising and prospects for the sector. It was found that both entrepreneurs and workers have low educational level and lack their own product design. They were producing only ordered products with intensive use of solid wood particularly from native forests. Products were heterogeneous, ranging from furniture to farm utilities. Competition, mainly the informal, represented the biggest obstacle to sector development, as well as serialized products from other locations sold in shops at lower prices. It was concluded that the joinery sector in Viçosa needs greater skill levels, both technical and managerial, to improve the activity. Moreover, the sector needs better organization through associations and support of agencies such as local Sebrae, and wider product advertising targeting consumers in the region.O setor florestal não é constituído apenas por grandes empresas, como as de celulose e papel ou de painéis reconstituídos, mas também por pequenas empresas, muitas das vezes estritamente familiares, como as marcenarias. O presente trabalho teve por objetivo a identificação, diagnóstico e caracterização das marcenarias de Viçosa, Estado de Minas Gerais. Delimitaram-se, como objeto de estudo, as empresas de marcenaria da cidade, principalmente, pertencentes ao antigo Núcleo de Marceneiros. Elaborou-se um questionário para buscar informações sobre a madeira utilizada

  17. Genetics of Euglossini bees (Hymenoptera in fragments of the Atlantic Forest in the region of Viçosa, MG

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    A. M. Waldschmidt

    Full Text Available With uncontrolled deforestation, forest fragments remain, which in most cases are in different stages of regeneration and present isolated populations. In the present study we analyzed the genetic patterns of Eulaema nigrita populations in seven Atlantic Forest fragments of different sizes and successional stages in the region of Viçosa, MG. This was done by RAPD molecular markers. We observed that the area of the fragments had no effect on the genetic variability of E. nigrita in the direction predicted by meta-population models. Medium-sized well-preserved woods presented the lowest variability, whereas large and small woods were statistically identical. The evidence supports the notion that rural areas present greater dispersal among fragments, implying greater similarity between the populations of fragments located in rural areas when compared to fragments in urban areas.

  18. A mast fruiting episode of the tropical tree Peltogyne purpurea(Caesalpinaceaein the Osa Peninsula, Costa Rica

    Directory of Open Access Journals (Sweden)

    Oscar J Rocha

    2006-12-01

    Full Text Available Se describe un episodio de fructificación en masa en una población de Peltogyne purpurea de la Península de Osa, Costa Rica. En febrero y marzo de 2000, la mayor parte de los árboles de esta especie tuvo una gran cosecha de frutos. En los años anteriores, desde 1995, ninguno o muy pocos árboles produjeron frutos y la producción por árbol fue escasa. La cosecha del año 2000 fue masiva y todos los árboles examinados produjeron frutos abundantes. Este patrón reproductivo podría producir extinciones locales si la extracción maderera no lo toma en cuenta

  19. Initiation of CPAP therapy for OSA: does prophylactic humidification during CPAP pressure titration improve initial patient acceptance and comfort?

    Science.gov (United States)

    Wiest, G H; Harsch, I A; Fuchs, F S; Kitzbichler, S; Bogner, K; Brueckl, W M; Hahn, E G; Ficker, J H

    2002-01-01

    Heated humidifiers (HH) enable effective treatment of upper airway dryness during nasal continuous positive airway pressure (nCPAP) therapy for obstructive sleep apnoea (OSA), but the role of prophylactic use of HH during the initiation of nCPAP treatment has not been studied so far. The aim of the present study was to investigate whether prophylactic HH during the initiation of CPAP would result in improved initial patient comfort and acceptance. In 44 consecutive, previously untreated OSA patients with no history of upper airway dryness, CPAP titration with and without HH was performed on two consecutive nights in a randomised order. The patients were interviewed after each treatment night in order to establish the comfort of the treatment, and, after the second treatment, they were asked which of the two nights they considered more pleasant, and which treatment they would prefer for long-term use. Following CPAP titration with HH, 32 patients (73%) claimed to have had a better night's sleep than usual (i.e. without CPAP treatment) compared with 33 patients (75%) saying the same following CPAP treatment without HH. For 21 patients (47.7%) treatment with HH was more pleasant, 23 (52.3%) saw no difference or said that treatment without HH was more pleasant. Nineteen patients (43.2%) gave preference to treatment with HH for long-term use, while 25 patients (56.8%) had no preference or said they would prefer treatment without HH. The use of HH during the initiation phase of CPAP treatment was associated neither with an initial improvement in comfort nor with greater initial treatment acceptance. Copyright 2002 S. Karger AG, Basel

  20. A mast fruiting episode of the tropical tree Peltogyne purpurea(Caesalpinaceaein the Osa Peninsula, Costa Rica

    Directory of Open Access Journals (Sweden)

    Oscar J Rocha

    2006-12-01

    Full Text Available Se describe un episodio de fructificación en masa en una población de Peltogyne purpurea de la Península de Osa, Costa Rica. En febrero y marzo de 2000, la mayor parte de los árboles de esta especie tuvo una gran cosecha de frutos. En los años anteriores, desde 1995, ninguno o muy pocos árboles produjeron frutos y la producción por árbol fue escasa. La cosecha del año 2000 fue masiva y todos los árboles examinados produjeron frutos abundantes. Este patrón reproductivo podría producir extinciones locales si la extracción maderera no lo toma en cuentaThe existence of mast fruiting has not been well documented in the Neotropics. The occurrence of a mast fruiting episode in the population of the tree Peltogyne purpurea in the Osa Peninsula of Costa Rica is described. In February and March of 2000 most of the trees of this species produced a large fruit crop, compared with 1995-1999, when the number of fruit producing trees was very low or zero and those that did bear fruit, did so at a low intensity. In contrast, the fruit crop of 2000 was massive, all trees examined produced fruits and the intensity of fruiting was maximal. There is not enough information on the event for a hypothesis to be formed because the climatic or biological cues that triggered this sporadic flowering are unknown and there is no meteorological data available for this area. Populations with this mode of reproduction may experience local extinction bacause of logging operations. Rev. Biol. Trop. 54 (4: 1151-1155. Epub 2006 Dec. 15

  1. Translation of Berlin Questionnaire to Portuguese language and its application in OSA identification in a sleep disordered breathing clinic

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    A.P. Vaz

    2011-03-01

    Full Text Available Background: Berlin Questionnaire (BQ, an English language screening tool for obstructive sleep apnea (OSA in primary care, has been applied in tertiary settings, with variable results. Aims: Development of BQ Portuguese version and evaluation of its utility in a sleep disordered breathing clinic (SDBC. Material and methods: BQ was translated using back translation methodology and prospectively applied, previously to cardiorespiratory sleep study, to 95 consecutive subjects, referred to a SDBC, with OSA suspicion. OSA risk assessment was based on responses in 10 items, organized in 3 categories: snoring and witnessed apneas (category 1, daytime sleepiness (category 2, high blood pressure (HBP/obesity (category 3. Results: In the studied sample, 67.4% were males, with a mean age of 51 ± 13 years. Categories 1, 2 and 3 were positive in 91.6, 24.2 and 66.3%, respectively. BQ identified 68.4% of the patients as being in the high risk group for OSA and the remaining 31.6% in the low risk. BQ sensitivity and specificity were 72.1 and 50%, respectively, for an apnea-hipopnea index (AHI > 5, 82.6 and 44.8% for AHI > 15, 88.4 and 39.1% for AHI > 30. Being in the high risk group for OSA did not infl uence significantly the probability of having the disease (positive likelihood ratio [LR] between 1.44-1.49. Only the items related to snoring loudness, witnessed apneas and HBP/obesity presented a statistically positive association with AHI, with the model constituted by their association presenting a greater discrimination capability, especially for an AHI > 5 (sensitivity 65.2%, specificity 80%, positive LR 3.26. Conclusions: The BQ is not an appropriate screening tool for OSA in a SDBC, although snoring loudness, witnessed apneas, HBP/obesity have demonstrated being significant questionnaire elements in this population. Resumo: Introdução: O Questionário de Berlim (QB, originalmente desenvolvido em língua inglesa como um instrumento de

  2. Changes of plasma IL-6 and TNF-α levels after CPAP treatment in patients with obstructive sleep apnea syndrome (OSAS)

    International Nuclear Information System (INIS)

    Cao Zhuo; Wang Liangxing

    2009-01-01

    Objective: To investigate the changes of plasma IL-6 and TNF-α levels after continuous positive airway pressure (CPAP) therapy in patients with obstructive sleep apnea syndrome (OSAS). Methods: Plasma IL-6 and TNF-α levels were measured with RIA in 60 patients with OSAS both before and after CPAS therapy as well as in 30 controls. Results: Before CPAP therapy, the plasma IL-6 and TNF-α levels in patients with OSAS were significantly higher than those in controls (25.92 ± 4.48pg/ ml and 11.27 ± 2.60pg/ml vs 13.21 ± 1.97pg/ml and 5.83±0.99pg/mi, P 2 level (r=-0.495, 0.483, P<0.05). After treatment with CPAP for three months, the plasma IL-6 and TNF-α levels were significantly decreased (15.37±1.78pg/ml and 6.79±0.87pg/ml, vs pre-treatment levels, P<0.05, P<0.01). Conclusion: CPAP therapy could effectively decrease the plasma IL-6 and TNF-α levels in patients with OSAS. (authors)

  3. Oronasal mask may compromise the efficacy of continuous positive airway pressure on OSA treatment: is there evidence for avoiding the oronasal route?

    Science.gov (United States)

    Andrade, Rafaela Garcia Santos; Madeiro, Fernanda; Genta, Pedro Rodrigues; Lorenzi-Filho, Geraldo

    2016-11-01

    Continuous positive airway pressure (CPAP) delivered by nasal mask is the gold standard treatment for obstructive sleep apnea (OSA). However, oral and oronasal masks are also available. We considered experimental evidence and reviewed clinical trials that evaluated the impact of oral and oronasal mask on OSA treatment. One recent study in 18 OSA patients that slept with a customized oronasal mask with two sealed compartments showed that the change of CPAP flow from nasal to oronasal and oral caused upper airway obstruction because of posterior displacement of the tongue demonstrated by nasoendoscopy. Oral masks use a mouthpiece that may stabilize the jaw and the tongue and have shown to be effective. However, oral masks are not widely used in clinical practice. Four out of five observational studies and all five reviewed randomized studies showed a worse performance of oronasal when compared with nasal masks. Oronasal masks were associated with higher residual apnea-hypopnea index, lower adherence, more leaks, and less satisfaction than nasal mask in the majority of the studies. Nasal CPAP must be the first choice to treat OSA. Patients on oronasal mask should be carefully followed. VIDEO ABSTRACT.

  4. Indicadores de campo para solos hidromórficos na região de Viçosa (MG Field indicators for the identification of hydromorphic soils in the region of Viçosa, Minas Gerais - Brazil

    Directory of Open Access Journals (Sweden)

    C. E. B. Campos

    2003-12-01

    Full Text Available Indicadores locais são úteis para a identificação de ambientes. Na região de Viçosa, embora os solos encharcados ocorram sob vegetação de taboa (Thypha dominguensis, Gleissolos, de coloração típica acinzentada, são incomuns. A maioria dos solos com lençol freático alto é coberta pela taboa e as características gleizadas do solo são pouco pronunciadas, especialmente nos solos com mais altos teores de ferro. Não há clara conexão entre altura do lençol freático e deficiência de oxigênio. Como as relações entre altura do lençol freático, deficiência de oxigênio e cor do solo não são claras o bastante, hipotetizou-se que outros indicadores para as condições de redução poderiam ser encontrados nesses ambientes. Neste propósito, caracterizou-se o solo e trabalhou-se na sua relação com a vegetação. Estudaram-se os solos com várias intensidades de condições de drenagem em três áreas: Cajuri (Área 1, Viçosa (Área 2 e Coimbra (Área 3, todas pertencentes ao Planalto de Viçosa. Na avaliação das condições de redox dos solos (pH e pE a campo, utilizou-se um medidor digital adaptado a uma sonda de aço. Conquanto importante na identificação de indicadores de ambientes, a caracterização morfológica não se mostrou precisa o bastante para evidenciar o que os solos encharcados têm mais em comum: a deficiência de oxigênio por longos períodos. A cor, embora seja um bom e útil indicador para muitas das condições de drenagem do solo, não se mostrou também eficiente nessas áreas. De modo geral, os Gleissolos estudados apresentaram cromas maiores do que dois, o que supera o limite do critério para identificar horizonte glei no Sistema Brasileiro de Classificação de Solos, embora o teste indicador da presença de Fe2+ com alfa,alfa'-dipiridil tenha sido positivo. Por outro lado, a presença da taboa foi um bom indicador das condições de má drenagem. Nos locais dos povoamentos puros de taboa, os

  5. Estado nutricional e fatores associados em idosos do Município de Viçosa, Minas Gerais, Brasil Nutritional status and associated factors among the elderly in Viçosa, Minas Gerais State, Brazil

    Directory of Open Access Journals (Sweden)

    Clarissa de Matos Nascimento

    2011-12-01

    Full Text Available Investigaram-se as prevalências de baixo peso e excesso de peso, bem como os fatores associados em idosos. Trata-se de um estudo transversal, com 621 idosos residentes no Município de Viçosa, Minas Gerais, Brasil, realizado em 2009. As informações foram obtidas por meio de entrevistas domiciliares e se referiam à avaliação do estado nutricional, condições sociodemográficas e de saúde. Do total de pessoas estudadas, 53,3% eram do gênero feminino. A mediana do IMC foi de 26,40kg/m² (mínima 15,20 e máxima 46,82 e foi menor para os homens do que para as mulheres. A prevalência de excesso de peso foi elevada (45%; IC95%: 40%-49%, diminuiu com a idade, associou-se positivamente ao gênero feminino e história de artrite/artrose, e negativamente à faixa etária de 80 anos ou mais e ao tabagismo. A prevalência de baixo peso foi maior no gênero masculino (18,2%, aumentou com o avanço da idade e associou-se positivamente à pior percepção de saúde. O conjunto dos resultados salientam a importância de estratégias em saúde que favoreçam mudanças no estilo de vida e hábitos alimentares saudáveis.This cross-sectional study in 2009 focused on the prevalence of underweight and overweight and associated factors in a sample of 621 elderly individuals in Viçosa, Minas Gerais State, Brazil. Data were obtained through home interviews on nutritional status and socio-demographic and health conditions. Of the total sample, 53.3% were females. Median BMI was 26.40kg/m² (range = 15.20-46.82 and was lower for men than for women. Prevalence of overweight was high (45%; 95%CI: 40%-49%, decreased with age, was positively associated with female gender and history of arthritis/arthrosis, and was negatively associated with age 80 years or older and smoking. Prevalence of underweight was high in men (18.2%, increased with age, and was positively associated with worse self-rated health. The findings highlight the importance of health strategies

  6. The "DOC" screen: Feasible and valid screening for depression, Obstructive Sleep Apnea (OSA) and cognitive impairment in stroke prevention clinics.

    Science.gov (United States)

    Swartz, Richard H; Cayley, Megan L; Lanctôt, Krista L; Murray, Brian J; Cohen, Ashley; Thorpe, Kevin E; Sicard, Michelle N; Lien, Karen; Sahlas, Demetrios J; Herrmann, Nathan

    2017-01-01

    Post-stroke Depression, Obstructive sleep apnea (OSA) and Cognitive impairment ("DOC") are associated with greater mortality, worse recovery and poorer quality of life. Best practice recommendations endorse routine screening for each condition; yet, all are under-assessed, diagnosed and treated. We seek to determine the feasibility and validity of an integrated tool ("DOC" screen) to identify stroke clinic patients at high-risk of depression, OSA, and cognitive impairment. All consecutive new referrals to a regional Stroke Prevention Clinic who were English-speaking and non-aphasic were eligible to be screened. Time for screen completion was logged. DOC screen results were compared to the neuropsychological battery and polysomnogram assessments using a modified receiver operator characteristic and area under the curve analysis. Data is reported to conform to STARD guidelines. 1503 people were screened over 2 years. 89% of eligible patients completed the screen in 5 minutes or less (mean 4.2 minutes), less than half the time it takes to complete the Montreal Cognitive Assessment (MoCA). 437 people consented to detailed testing. Of those, 421 completed the Structured Clinical Interview for Depression within 3 months of screening, 387 completed detailed neuropsychological testing within 3 months, and 88 had overnight polysomnograms. Screening scores combined with demographic variables (age, sex, education, body mass index), had excellent validity compared to gold standard diagnoses: DOC-Mood AUC 0.90; DOC-Apnea AUC 0.80; DOC-Cog AUC 0.81. DOC screen scores can reliably categorize patients in to low-, intermediate- or high-risk groups for further action and can do so with comparable accuracy to more time-consuming screens. Systematic screening of depression, obstructive sleep apnea, and cognitive impairment in 5 minutes or less is feasible and valid in a high volume stroke clinic using the DOC screen. The DOC screen may facilitate improved identification and treatment

  7. Carotene and provitamin A content of vegetables sold in Viçosa, MG, Brazil, during spring and winter

    Directory of Open Access Journals (Sweden)

    Pollyanna Costa Cardoso

    2009-09-01

    Full Text Available This study investigated the α- and β-carotene content and provitamin A value of four leafy vegetables sold at local and street markets in Viçosa, MG, Brazil, in the spring and winter of 2002. Carotenoids were analyzed by high-performance liquid chromatography. α-Carotene was detected in all samples sold during spring, but was only present in a few samples of smooth and curly lettuce and kale in winter. β-Carotene was found in marked quantities in all leafy vegetables analyzed. Duncan's test (α = 5% showed significantly higher α-carotene content in curly lettuce and vitamin A value in large-leaved watercress in the spring. Mean β-carotene content and vitamin A value were 7544, 8751, 2584, 2792, 8193, and 5338 μg/100 g and 666, 760, 227, 238, 698, and 460 μg RAE/100 g in large-leaved and hydroponic watercress, smooth and curly lettuce, kale and spinach, respectively. All leafy vegetables analyzed represent important sources of provitamin A and supply an important part of the daily requirements of children and adults.Investigou-se o conteúdo de α e β-caroteno e avaliou-se o valor pro-vitamínico A de quatro hortaliças folhosas comercializadas em mercados locais e feira- livre de Viçosa, MG durante a primavera e o inverno de 2002. Os carotenóides foram analisados por Cromatografia Líquida de Alta Eficiência (CLAE. O α-caroteno foi detectado em todas as amostras analisadas na primavera, porém no inverno, somente algumas amostras de alface crespa e lisa, e couve apresentaram tal carotenóide. O β-caroteno foi encontrado, em quantidades apreciáveis, em todas as hortaliças folhosas analisadas. O teste de Duncan (α=5% detectou que o conteúdo de α-caroteno em alface crespa e o valor de vitamina A em agrião de folha larga foram estatisticamente superiores na primavera. Os teores médios de β-caroteno e de valor de vitamina A para agrião de folha larga e hidropônico, alface crespa e lisa, couve e espinafre foram: 7544; 8751

  8. Survey report. New energy vision formulation project for Osa Town, Okayama Prefecture; 2001 nendo Osa cho shin energy vision sakutei tou jigyo chosa hokokusho. Chiiki shin energy vision sakutei tou jigyo

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-02-01

    A New Energy Vision was formulated for Osa Town after investigations about energy demand, new energy reserves, and their available amounts. The town consumes approximately 50.6-billion kcal in total, with automobiles consuming a half thereof as fuel. Studies were made about new energy reserves and recoverable amounts in the town, and then an estimation was made that 16.2 times 10{sup 5} kWh/year would be recoverable from photovoltaic energy, 1.58 times 10{sup 5} kWh from small-scale hydropower, 8.79 times 10{sup 6} kWh from ligneous biomass, and 1.96 times 10{sup 5} kWh from livestock biomass, and that 40 MW, for example, would come from wind power, subject to change depending on the wind power generator system to be built. Projects for new energy introduction were discussed, which involved the use of biodiesel fuel for official vehicles, installation of solar hot water showers in primary and junior high schools, application of photovoltaic/wind power to crime prevention lights and street lamps, snow melting systems for roads utilizing geothermal energy, use of heat from thinnings and ligneous waste, wind power facilities, small-scale hydropower facilities, introduction of new energy appliances into sightseeing facilities, and the introduction of photovoltaic power or the like into public facilities. (NEDO)

  9. Contaminación fecal en varios ríos de la Gran Área Metropolitana y la Península de Osa Fecal contamination in several rivers of the Greater Metropolitan Area and the Osa Peninsula

    Directory of Open Access Journals (Sweden)

    Guillermo Calvo Brenes

    2012-12-01

    Full Text Available La contaminación en los ríos de Costa Rica es un problema que merece especial atención. El concepto “contaminación del agua” implica la incorporación de materias extrañas a esta, tales como microorganis- mos (coliformes totales y fecales, productos quími- cos (jabones, fer tilizantes, pesticidas, metales pesados (cromo, plomo, mercurio, etc. o materia orgánica proveniente de los suelos a través de la escorrentía superficial y de las aguas residuales domésticas. Estas materias deterioran la calidad del agua y reducen los diferentes usos que podría tener un río. El recurso hídrico es importante tanto para la preservación de la vida humana como para la conservación de la flora y fauna. Costa Rica se ha caracterizado por ser un país poseedor de una rica biodiversidad. Sin embargo, muchos de los ríos de la Gran Área Metropolitana ya presentan una contaminación severa, según el Índice holandés de clasificación de la calidad del agua. En este estudio se analizó el contenido de colifor- mes fecales en 10 ríos de las provincias de San José, Alajuela, Heredia y Car tago, así como de la Península de Osa. Para correlacionar el contenido de colifor- mes fecales con la densidad poblacional, además, se muestrearon tres puntos en cada río: la zona alta cercana a la naciente, la zona media y la zona baja cercana a su desembocadura. Se encontró que los puntos de muestreo con densi- dades poblacionales medias o altas están altamente contaminados con coliformes fecales.Varios de ellos superan el límite máximo permisible en el contenido de coliformes fecales establecido por los reglamen- tos nacionales para el uso de los ríos en actividades de recreación de contacto primario. También se determinó que las zonas con menor pobla- ción, tales como los ríos Tigre y Rincón en la Península de Osa, el río Poás en Alajuela en todo su recorrido y los ríos Purires y Birrís en Cartago, en sus zonas medias y altas, están menos

  10. O tratamento dos doentes insanos de Vila Viçosa no hospital de Rilhafoles (segunda metade do século XIX

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    Lobo de Araújo, Maria Marta

    2014-12-01

    Full Text Available In this work we examined the procedural requirements related to the sending of insane patients of Vila Viçosa to the hospital of Rilhafoles, in the second half of the 19th century, and the relationships established with the hospital of this Alentejo town relating to the payment of treatment. Faced with a severe financial crisis, the hospital of Vila Viçosa systematically refused the responsibility to send the insane patients to the Rilhafoles hospital in an attempt to pass this burden on the administration of the county, being very reluctant to pay the bills that came to him from the hospital of São José. The conflict between the two institutions came to the monarch with no other alternative than the payment, the hospital of village of the Alentejo region proceeded to sending parcels of money, albeit way too late. For the realization of this work we use the books of the Misericórdia and the documents of the Civil Governor found of the city of Évora under the custody of the Distrital Archive of the same city. This documents results, basically, from the correspondence between the Misericórdia of Vila Viçosa, the council administrator and the civil governor of Évora.[pt] Neste trabalho analisamos os trâmites processuais respeitantes ao envio de doentes insanos de Vila Viçosa para o hospital de Rilhafoles, na segunda metade do século XIX, e as relações estabelecidas com o hospital desta vila alentejana relativamente ao pagamento do tratamento. A braços com uma grave crise financeira, o hospital de Vila Viçosa recusava sistematicamente a responsabilidade de enviar os alienados para Rilhafoles, numa tentativa de passar esse ónus para a administração do concelho, mostrando-se muito renitente no pagamento das faturas que lhe chegavam do hospital de São José. O conflito entre as duas instituições chegou ao monarca e sem outra alternativa que a do pagamento, o hospital da vila alentejana procedeu ao envio de parcelas de dinheiro

  11. Environmental service payments: evaluating biodiversity conservation trade-offs and cost-efficiency in the Osa Conservation Area, Costa Rica.

    Science.gov (United States)

    Barton, D N; Faith, D P; Rusch, G M; Acevedo, H; Paniagua, L; Castro, M

    2009-02-01

    The cost-efficiency of payments for environmental services (PES) to private landowners in the Osa Conservation Area, Costa Rica, is evaluated in terms of the trade-off between biodiversity representation and opportunity costs of conservation to agricultural and forestry land-use. Using available GIS data and an 'off-the-shelf' software application called TARGET, we find that the PES allocation criteria applied by authorities in 2002-2003 were more than twice as cost-efficient as criteria applied during 1999-2001. Results show that a policy relevant assessment of the cost-effectiveness of PES relative to other conservation policies can be carried out at regional level using available studies and GIS data. However, there are a number of data and conceptual limitations to using heuristic optimisation algorithms in the analysis of the cost-efficiency of PES. Site specific data on probabilities of land-use change, and a detailed specification of opportunity costs of farm land, labour and capital are required to use algorithms such as TARGET for ranking individual sites based on cost-efficiency. Despite its conceptual soundness for regional conservation analysis, biodiversity complementarity presents a practical challenge as a criterion for PES eligibility at farm level because it varies depending on the set of areas under PES contracts at any one time.

  12. Scarlet Macaw (Ara macao, Psittaciformes: Psittacidae Nest Characteristics in the Osa Peninsula Conservation Area (ACOSA, Costa Rica

    Directory of Open Access Journals (Sweden)

    John L Guittar

    2009-06-01

    Full Text Available The Scarlet Macaw (Ara macao is an endangered species. In Costa Rica, the Scarlet Macaw population of the Central Pacific Conservation Area (ACOPAC, n =432 individuals has undergone considerable study and has been used effectively as a flagship species for regional conservation. Costa Rica’s only other viable Scarlet Macaw population, located in the Osa Peninsula Conservation Area (ACOSA, n=800-1200 individuals, remains virtually unstudied. We studied ACOSA Scarlet Macaw nest cavities from February 19th to March 22nd 2006. Through informal interviews with park guards and residents, we found a total of 57 potential nests in 52 trees. Eleven nests were reported as frequently poached. Scarlet Macaws used 14 identified tree species, ten of which are unrecorded in Costa Rica. The most common nesting trees were Caryocar costaricense (n=12, 24%, Schizolobium parahyba (n=9, 18.0%, Ceiba pentandra (n=7, 14.0% and Ficus sp. (n=5, 10.0%. We compare nesting characteristics to those recorded in ACOPAC. A combination of bottom-up and top-down strategies are necessary to ensure the Scarlet Macaw’s long-term success, including environmental education in local schools, community stewardship of active nests, and the advertisement of stricter penalties for poaching. Rev. Biol. Trop. 57 (1-2: 387-393. Epub 2009 June 30.

  13. Epidemiological survey of the taeniasis/cysticercosis complex in cattle farms in Viçosa County, Minas Gerais, Brazil

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    Tatiane O. Santos

    2013-04-01

    Full Text Available Despite the importance of human taeniasis/bovine cysticercosis for public and animal health and the economy, its actual epidemiological status in Brazil is not well-studied. We sought to assess the epidemiological profile of this zoonosis in the rural area of Viçosa County, Minas Gerais, Brazil. The prevalence of bovine cysticercosis was 0.42%, whereas no case of human taeniasis was diagnosed. Factors favoring the persistence of zoonosis were identified. These included the supply of untreated water to animals, animals raised for slaughter without sanitary supervision, poor mechanization of raising techniques, and the use of untreated water for human consumption. Bovine meat for human consumption acquired in the city or from the farm itself was characterized as a risk factor for bovine cysticercosis (Odds Ratio (OR =16.77; p<0.05. Nevertheless, the families on the investigated farms did apply several appropriate measures to control this disease, such as the virtual lack of open sewers and the consumption of well-cooked meat. The presence of bovine cysticercosis cases, and the factors favoring its persistence, point to the need for constant epidemiological and sanitary surveillance in this county.

  14. Rice microRNA osa-miR1848 targets the obtusifoliol 14α-demethylase gene OsCYP51G3 and mediates the biosynthesis of phytosterols and brassinosteroids during development and in response to stress.

    Science.gov (United States)

    Xia, Kuaifei; Ou, Xiaojing; Tang, Huadan; Wang, Ren; Wu, Ping; Jia, Yongxia; Wei, Xiaoyi; Xu, Xinlan; Kang, Seung-Hye; Kim, Seong-Ki; Zhang, Mingyong

    2015-11-01

    Phytosterols are membrane components or precursors for brassinosteroid (BR) biosynthesis. As they cannot be transported long distances, their homeostasis is tightly controlled through their biosynthesis and metabolism. However, it is unknown whether microRNAs are involved in their homeostatic regulation. Rice (Oryza sativa) plants transformed with microRNA osa-miR1848 and its target, the obtusifoliol 14α-demethylase gene, OsCYP51G3, were used to investigate the role of osa-miR1848 in the regulation of phytosterol biosynthesis. osa-miR1848 directs OsCYP51G3 mRNA cleavage to regulate phytosterol and BR biosynthesis in rice. The role of OsCYP51G3 as one of the osa-miR1848 targets is supported by the opposite expression patterns of osa-miR1848 and OsCYP51G3 in transgenic rice plants, and by the identification of OsCYP51G3 mRNA cleavage sites. Increased osa-miR1848 and decreased OsCYP51G3 expression reduced phytosterol and BR concentrations, and caused typical phenotypic changes related to phytosterol and BR deficiency, including dwarf plants, erect leaves, semi-sterile pollen grains, and shorter cells. Circadian expression of osa-miR1848 regulated the diurnal abundance of OsCYP51G3 transcript in developing organs, and the response of OsCYP51G3 to salt stress. We propose that osa-miR1848 regulates OsCYP51G3 expression posttranscriptionally, and mediates phytosterol and BR biosynthesis. osa-miR1848 and OsCYP51G3 might have potential applications in rice breeding to modulate leaf angle, and the size and quality of seeds. © 2015 The Authors. New Phytologist © 2015 New Phytologist Trust.

  15. Perfil socioeconômico, nutricional e de antioxidantes de jovens fumantes, do município de Viçosa-MG

    OpenAIRE

    Batista, Ellencristina da Silva

    2006-01-01

    Com o objetivo de comparar o perfil socieconômico, nutricional e de antioxidantes de indivíduos jovens fumantes e não fumantes de Viçosa-MG, conduziu-se um estudo transversal controlado. Foram selecionados indivíduos fumantes e não fumantes de instituições de ensino da cidade de Viçosa-MG. Considerou-se como fumante o indivíduo que fumava pelo menos um cigarro diariamente, por pelo menos 30 dias antes do inicio do estudo, e não fumante o que nunca fumou e/ou não fumava esporadicamente. Os fum...

  16. Estaquillas leñosas de fácil enraizamiento: Estudio del Esclerenquima Estaquillas leñosas de fácil enraizamiento: Estudio del Esclerénquima

    Directory of Open Access Journals (Sweden)

    González Elena

    1986-12-01

    Full Text Available An anatomy study was made of following wood easy-to-root species: Aucuba japonica Thunb., Buddleja  japonica Hemsley,  Buxus sempervirens L., Citrus aurantium.  L., Citrus limon (L. Burm. fil.,  Cvdonia oblonga Miller,  Erica arborea L., Escallonia rubra (Ruiz & Pavón Pers., Euonymus japonicus L. fil., Forsythia viridissima Lindl., Hydrangea macrophylla Ser., Morus alba L., Populus nigra L.,  Rhododendron ponticum L., Salix atrocinerea Brot., Salix  viminalis L., Sambucus nigra L. and Symphoricarpos albus (L. S. F. Blake.  It was observed the presence or absence of a discontinous sclerenchyma ring so the species studied had not a mechanical barrier to the emergence of adventitious roots. Se realizó un estudio histológico de las siguientes especies leñosas de fácil enraizamiento: Aucuba japonica Thumb, Buddleja japonica Hemsley, Buxus sempervirens L., Citrus aurantium L., Citrus limon (L. Burm, fil., Cydonia oblonga Miller, Erica arborea L., Escallonia rubra (Ruiz & Pavón Pers., Euonymus japonicus L. fil., Forsythia viridissima Lindl., Hydrangea macrophylla Ser., Morus alba L. Populus nigra L., Rhododendron ponticum L., Salix atrocinerea Brot., Salix viminalis L., Sambucus nigra L. y Syrnphoricarpos albus (L. S. F. Blake. Se observó la presencia o ausencia de un anillo discontinuo de esclerénquima, por lo tanto dichas especies no poseen ningún impedimento mecánico para la emergencia de las raíces adventicias.

  17. Perfil cualitativo de metabolitos secundarios en la fracción comestible de especies leñosas seleccionadas por vacunos en un bosque semicaducifolio

    Directory of Open Access Journals (Sweden)

    Á Ojeda

    Full Text Available Con el fin de caracterizar cualitativamente el perfil de metabolitos secundarios de la fracción comestible de plantas leñosas seleccionadas por vacunos en silvopastoreo, las cuales se encuentran en un bosque tropófilo semicaducifolio de Venezuela, se utilizaron 14 vacunos machos Brahman x Holstein de 390,4 ± 18,0 kg de PV. Estos fueron manejados en pastoreo continuo en una superficie de 81 ha, de las cuales 50 ha correspondían a un bosque semicaducifolio y el resto, a vegetación herbácea natural (Cynodon nlemfuensis, Sporobolus indicus, Axonopus sp., Mimosa pudica e Hyptis suaveolens. La composición de la biomasa leñosa seleccionada por los animales se estudió mediante la evaluación de los fragmentos epidérmicos presentes en las heces colectadas por vía transrectal, cada 15 días. A partir de estos resultados, se tomaron muestras de cinco plantas por especie leñosa, en los periodos seco y lluvioso. Se determinaron 15 grupos de metabolitos: alcaloides, á-aminos, carbohidratos solubles, cardenólidos, cianógenos, esteroles, fenoles totales, flavonoides, lectinas, mucílagos, quinonas, saponinas, taninos extractables (totales y condensados y terpenoides. La mayoría de la biomasa correspondió a especies de la familia Fabaceae, las cuales presentaron todos los metabolitos evaluados. En ambos periodos se detectaron niveles de esteroles, terpenoides, fenoles totales y taninos extractables que variaron desde leves hasta cuantiosos. Con independencia del periodo, el 66,7 % de las especies presentó entre 10-11 metabolitos secundarios en su biomasa comestible. Se recomienda realizar estudios para la cuantificación de los metabolitos secundarios presentes en plantas leñosas de valor forrajero, para este sistema silvopastoril

  18. The importance of neck circumference to thyromental distance ratio (NC/TM) as a predictor of difficult intubation in obstructive sleep apnea (OSA) patients

    OpenAIRE

    Hala Ezzat Abdel Naim; Sabah Abdel Raouf Mohamed; Sherif Mohamed Soaida; Haitham Hassan Awad Eltrabily

    2014-01-01

    Background: The trial to find a bedside examination that is helpful for foreseeing difficult intubation is quite inspiring. It was reported that thyromental distance (TM), body mass index (BMI), neck circumference (NC) and a Mallampati score >3 were the only helpful bedside test predictors. By using magnetic resonance imaging, it was established that more fat was present in areas around the collapsible parts of the pharynx in OSA patients. So distribution of fat may provide a better suggestio...

  19. Control of OSA during automatic positive airway pressure titration in a clinical case series: predictors and accuracy of device download data.

    Science.gov (United States)

    Huang, Hsin-Chia Carol; Hillman, David R; McArdle, Nigel

    2012-09-01

    To investigate the factors associated with physiologic control of obstructive sleep apnea (OSA) during automatic positive airway pressure (APAP) titration in a clinical series. To also assess the usefulness of apnea-hypopnea index (AHI) data downloaded from the APAP device (Dev AHI). Retrospective review of a consecutive series of patients with OSA who underwent APAP titration (Autoset Spirit, ResMed, Bella Vista, New South Wales, Australia ) with simultaneous polysomnographic (PSG) monitoring in the sleep laboratory. Tertiary sleep clinic. There were 190 consecutive patients with OSA referred for APAP titration. There were 58% of patients who achieved optimal or good control of OSA (titration PSG AHI titration. The independent predictors of titration PSG AHI were a history of cardiac disease and elevated central apnea and arousal indices during the diagnostic study. Although the median and interquartile range (IQR) AHI from the device (7.0, 3.9-11.6 events/hr) was only slightly less than the PSG AHI (7.8, 3.9-14.4 events/hr, P = 0.04) during titration, case-by-case agreement between the two measures was poor (chi-square titration is often poor, and close clinical follow-up is particularly needed in patients with a history of cardiac disease or with high arousal or central apnea indices on the diagnostic study. Device AHI does not reliably assess control during APAP titration, and PSG assessment may be required if clinical response to treatment is poor. The findings relate to the ResMed AutoSet device and may not apply to other devices.

  20. Role of spousal involvement in continuous positive airway pressure (CPAP adherence in patients with obstructive sleep apnea (OSA

    Directory of Open Access Journals (Sweden)

    Batool-Anwar S

    2017-05-01

    Full Text Available Introduction: Little is known about the impact of spousal involvement on continuous positive airway pressure (CPAP adherence. The aim of this study was to determine whether spouse involvement affects adherence with CPAP therapy, and how this association varies with gender. Methods: 194 subjects recruited from Apnea Positive Pressure Long Term Efficacy Study (APPLES completed the Dyadic Adjustment Scale (DAS. The majority of participants were Caucasian (83%, and males (73%, with mean age of 56 years, mean BMI of 31 kg/m2. & 62% had severe OSA. The DAS is a validated 32-item self-report instrument measuring dyadic consensus, satisfaction, cohesion, and affectional expression. A high score in the DAS is indicative of a person’s adjustment to the marriage. Additionally, questions related to spouse involvement with general health and CPAP use were asked. CPAP use was downloaded from the device and self-report, and compliance was defined as usage > 4 h per night. Results: There were no significant differences in overall marital quality between the compliant and noncompliant subjects. However, level of spousal involvement was associated with increased CPAP adherence at 6 months (p=0.01. After stratifying for gender these results were significant only among males (p=0.03. Three years after completing APPLES, level of spousal involvement was not associated with CPAP compliance even after gender stratification. Conclusion: Spousal involvement is important in determining CPAP compliance in males in the 1st 6 months after initiation of therapy but is not predictive of longer-term adherence. Involvement of the spouse should be considered an integral part of CPAP initiation procedures.

  1. Mapping Tropical Forest Mosaics with C- and L-band SAR: First Results from Osa Peninsula, Costa Rica

    Science.gov (United States)

    Pinto, N.; Hensley, S.; Aguilar-Amuchastegui, N.; Broadbent, E. N.; Ahmed, R.

    2016-12-01

    In tropical countries, economic incentives and improved infrastructure are creating forest mosaics where small-scale farming and industrial plantations are embedded within and potentially replacing native ecosystems. Practices such as agroforestry, slash-and-burn cultivation, and oil palm monocultures bring widely different impacts on carbon stocks. Characterizing these production systems is not only critical to ascribe deforestation to particular drivers, but also essential to understand the impact of macroeconomic scenarios, national policies, and land tenure schemes on carbon fluxes. The last decade has experienced a dramatic improvement in the extent and consistency of tree cover and gross deforestation products from optical imagery. At the same time, recent work shows that Synthetic Aperture Radar (SAR) can complement optical data and reveal structural types that cannot be easily resolved with reflectance measurements alone. While these results demonstrate the validity of sensor fusion methodologies, they typically rely on local classifications or even manual delineation and as such they cannot support large-scale investigations. Furthermore, there have been few attempts to exploit PolInSAR or multiple wavelengths that can provide critical information to resolve natural and anthropogenic land cover types. We report results from our research at Costa Rica's Osa Peninsula. This site is ideal for algorithm development as it includes a highly diverse tropical forest within Corcovado National Park, as well as agroforestry zones, mangroves, and palm plantations. We first integrate SAR backscatter and coherence data from NASA's L-band UAVSAR, JAXA's ALOS/PALSAR, and ESA's Sentinel to produce a map of structural types. Second, we assess whether coherence measurements and PolInSAR retrievals can be used to resolve forest stand differences at 30m resolution and disitinguish between primary and secondary forest sites.

  2. In patients with minimally symptomatic OSA can baseline characteristics and early patterns of CPAP usage predict those who are likely to be longer-term users of CPAP.

    Science.gov (United States)

    Turnbull, Christopher D; Bratton, Daniel J; Craig, Sonya E; Kohler, Malcolm; Stradling, John R

    2016-02-01

    Long-term continuous positive airway pressure (CPAP) usage varies between individuals. It would be of value to be able to identify those who are likely to benefit from CPAP (and use it long term), versus those who would not, and might therefore benefit from additional help early on. First, we explored whether baseline characteristics predicted CPAP usage in minimally symptomatic obstructive sleep apnoea (OSA) patients, a group who would be expected to have low usage. Second, we explored if early CPAP usage was predictive of longer-term usage, as has been shown in more symptomatic OSA patients. The MOSAIC trial was a multi-centre randomised controlled trial where minimally symptomatic OSA patients were randomised to CPAP, or standard care, for 6 months. Here we have studied only those patients randomised to CPAP treatment. Baseline characteristics including symptoms, questionnaires [including the Epworth sleepiness score (ESS)] and sleep study parameters were recorded. CPAP usage was recorded at 2-4 weeks after initiation and after 6 months. The correlation and association between baseline characteristics and 6 months CPAP usage was assessed, as was the correlation between 2 and 4 weeks CPAP usage and 6 months CPAP usage. One hundred and ninety-five patients randomised to CPAP therapy had median [interquartile range (IQR)] CPAP usage of 2:49 (0:44, 5:13) h:min/night (h/n) at the 2-4 weeks visit, and 2:17 (0:08, 4:54) h/n at the 6 months follow-up visit. Only male gender was associated with increased long-term CPAP use (male usage 2:56 h/n, female 1:57 h/n; P=0.02). There was a moderate correlation between the usage of CPAP at 2-4 weeks and 6 months, with about 50% of the variability in long-term use being predicted by the short-term use. In patients with minimally symptomatic OSA, our study has shown that male gender (and not OSA severity or symptom burden) is associated with increased long-term use of CPAP at 6 months. Although, in general, early patterns of CPAP

  3. Sensory analysis and volatile compounds of olive oil (cv. Cobrançosa from different irrigation regimes

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    Fernandes-Silva, A. A.

    2013-03-01

    Full Text Available The aim of this study was to assess the effect of different irrigation strategies on the sensory quality of virgin olive oil (VOO from the cv. “cobrançosa” integrated into a protected denomination of origin of “Azeite de Trás-os-Montes” in the Northeast of Portugal. Three irrigation treatments were applied: (T2-full irrigation, which received a seasonal water equivalent of 100% of the estimated crop evapotranspiration (ETc, (T1-continuous deficit irrigation (30% ETc and (T0- rainfed treatment. Data were collected from two consecutive crop years (2005-2006. Olive oil samples were analyzed for volatiles by GC-MS and the results compared with sensory evaluation data. Total volatile compounds tended to decrease with the amount of water applied. The characteristics pungent and bitter were more pronounced in olive oils from T0 and T1, which had higher polyphenolic concentrations, with a strong positive relationship with this variable and the bitter attribute. The Principal Components Analysis clearly separates the three olive oils from 2005, the driest year, and aggregates into a single group the three samples from 2006, suggesting no effect of irrigation on volatile compounds in years with a rainy spring and a marked effect in years with severe drought, suggesting that the effect of the trees’ water status on these variables occurs throughout the crop season and not just during the oil accumulation phase. In general, olive oil from the cv. Cobrançosa is more bitter than pungent and has a typical nutty sensory attribute shown by a strong positive relationship between benzaldehyde and the sensory notes of almonds and nuts.

    Este estudio tiene como objetivo evaluar el efecto de distintas estrategias de riego en la composición relativa de los compuestos volátiles y en la calidad sensorial. El experimento se realizó en el Noreste de Portugal, dentro de la denominación de origen protegida “Azeites de Tr

  4. Diagnosis of health-related physical fitness in office workers of the Federal University of Viçosa

    Directory of Open Access Journals (Sweden)

    Cristiano Diniz da Silva

    2004-06-01

    Full Text Available The behavioral demands and the particularities of the activities performed by the employees from offices at the Federal University of Viçosa can offer a series of negative factors for health. The interface with the computer and task characteristics give a great body and also cognitive demands, that allied to several factors can represent the appearance or worsening repetitive lesions and/or work related problems in the skeletal muscle (Cumulative Trauma Disorders . This study aimed to diagnose the workers’ situation in relation to General Human Factors (GHF and level of Health-Related Fitness (HRFcomponents: cardiorrespiratory; flexibility; strength and percent of body fat. The sample was composed by 46 workers. For both sexes, the GHF variables of higher significance were: “posture perception”; “sensation of local pains and those from some movement or task” in the back, shoulders and arms areas. Referring to HRF, both sexes presented unsatisfactory levels for trunk-hip flexibility “ and great part of men were classified as” below average “ in the push-up test” which are risk factors for CTD. Significant portion of them presented high percent of body fat (25,0% or were “obese” (14,2%. In general terms of HFR, there should be interventions, such as physical activity and/or sports programs for this group of employees at this institution. It is suggested that actions should also be taken in the leisure activity offering, once it was shown that 39,2% of the men and 44,4% of the women have in TV their main leisure activity. RESUMO As exigências comportamentais e as particularidades das atividades desenvolvidas pelos funcionários de alguns setores caracterizados como escritórios da Universidade Federal de Viçosa podem estar potencializando uma série de fatores negativos para a saúde destes. A interface com o computador e a característica da tarefa levam a uma forte exigência física e também cognitiva, que aliadas a

  5. Adaptation and Validation of the Spanish Version of OSA-18, a Quality of Life Questionnaire for Evaluation of Children with Sleep Apnea-Hypopnea Syndrome.

    Science.gov (United States)

    Chiner, Eusebi; Landete, Pedro; Sancho-Chust, José Norberto; Martínez-García, Miguel Ángel; Pérez-Ferrer, Patricia; Pastor, Esther; Senent, Cristina; Arlandis, Mar; Navarro, Cristina; Selma, María José

    2016-11-01

    To analyze the reliability and validity of the Spanish version of the OSA-18 quality of life questionnaire in children with apnea-hypopnea syndrome (SAHS). Children with suspected SAHS were studied with polysomnography (PSG) before and after adenotonsillectomy (AA). Age, gender, clinical data, PSG, anthropometric data, and Mallampati and Brodsky scales were analyzed. OSA-18 was administered at baseline and 3-6months post AA. After translation and backtranslation by bilingual professionals, the internal consistency, reliability, construct validity, concurrent validity, predictive validity and sensitivity to change of the questionnaire was assessed. In total, 45 boys and 15 girls were evaluated, showing BMI 18±4, neck 28±5, Brodsky (0: 7%; 50 to 75%: 6%), AHI 12±7 pre AA. Global Cronbach alpha was 0.91. Correlations between domains were significant except for emotional aspects, although the total scores correlated with all domains (0.50 to 0.90). The factorial analysis was virtually identical to the original structure. The total scores showed good correlation for concurrent validity (0.2-0.45). With regard to predictive validity, the questionnaire adequately differentiated levels of severity according to Mallampati (ANOVA P=.002) and apnea-hypopnea index (ANOVA P=.006). Test-retest reliability was excellent, as was sensitivity to change, both in the total scores (P<.001) and in each domain (P<.001). The Spanish adaptation of the OSA-18 and its psychometric characteristics suggest that the Spanish version is equivalent to the original and can be used in Spanish-speaking countries. Copyright © 2016 SEPAR. Publicado por Elsevier España, S.L.U. All rights reserved.

  6. Floristic composition of natural regeneration of tree species in a mountain seasonal semideciduous florest fragment over an eigth year period, in Viçosa, MG, Brazil

    OpenAIRE

    Higuchi, Pedro; Reis, Maria das Graças Ferreira; Reis, Geraldo Gonçalves dos; Pinheiro, Antonio Lelis; Silva, Crodoaldo Telmo da; Oliveira, Carlos Henrique Rodrigues de

    2006-01-01

    A florística da regeneração natural foi estudada em 10 locais, com seis sub-parcelas em cada local, em 1992, 1995 e 2000, em fragmento de Floresta Estacional Semidecidual Montana, em Viçosa, MG. A amostragem da classe 1 de tamanho de planta (até 1 m de altura), classe 2 (1-3 m de altura) e classe 3 (>3 m de altura e 3m and DBH < 5cm). A total of 4,149 individuals were sampled over the inventory period, comprising 42 families and 160 species, being 11.7 % pioneer, 62.1 % early secondary, and ...

  7. The use of endomarketing in credit unions: a case study of the UFVCredi and the Unicred-Viçosa O emprego do endomarketing em cooperativas de crédito: estudo de caso da UFV-Credi e da Unicred-Viçosa

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    Henrique Lopes Dornelas

    2002-11-01

    Full Text Available Endomarketing can be considered as a group of activities concerned with the internal aspects of the organization, whose purpose is to value the human being. In order to become competitive, the Credit Unions should adopt Endomarketing strategies that combine motivation, training and communication elements. The purpose of the present work was to verify how the Credit Union of the Workers of the Federal University of Viçosa Ltd. / UFV-CREDI and the Credit Union of the Doctors and Health-related Professionals of Viçosa Ltd. – UNICRED/VIÇOSA – MG are using the tools offered by Endomarketing. In the methodology, a study concerning the Endomarketing and the Credit Unions war carried out. After that, the employees and the members of the Credit Unions were asked to answer a questionnaire. After the analysis of the obtained data, it was concluded that UFV-CREDI and UNICRED/VIÇOSA-MG have effectively reached their objectives because their Endomarketing strategies have presented positive results, making it possible for them to get new members as well as to keep their members and employees motivated and satisfied with the products and services offered by the Credit Unions.O Endomarketing pode ser conceituado como um conjunto de atividades voltadas para o interior da organização, cuja finalidade é valorizar o ser humano. Para que as cooperativas de crédito sejam competitivas, elas devem adotar estratégias de Endomarketing, que combinem elementos de motivação, treinamento e comunicação. Procurou-se com o presente estudo, verificar como a Cooperativa de Economia e Crédito Mútuo dos Servidores da Universidade Federal de Viçosa – LTDA / UFV-CREDI e a Cooperativa de Economia e Crédito Mútuo dos Médicos e demais Profissionais da Saúde de Viçosa Ltda – UNICRED/VIÇOSA-MG estão utilizando as ferramentas oferecidas pelo Endomarketing. Na metodologia foi realizado um estudo acerca do Endomarketing e das cooperativas de crédito, para

  8. Determinação de resíduos de organoclorados em águas fluviais do município de Viçosa - MG Determination of organochlorinated present in river from the region of Viçosa, MG

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    Cíntia Maria Chagas

    1999-07-01

    Full Text Available In this work the contamination, by organochlorinated, of a drinking water source located in the region of Viçosa, MG, was evaluated. The identification and quantification of the analytes was carried out using a gas-chromatograph equipped with an electron capture detector after liquid-liquid extraction and concentration. Four insecticides, Aldrin, Epoxy heptachloride, Endrin and op'- DDT were detected in concentrations that are higher than the safety limits established in the Brazilian legislation.

  9. El cura y sus hijos osos o el recorrido civilizador de los hijos de un cura y una osa

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    1997-01-01

    Full Text Available LE CURE ET SES ENFANTS OURS OU LE PARCOURS CIVILISATEUR DES ENFANTS D’UN CURE ET D’UNE OURSE. Cet article constitue un essai d’interprétation de deux versions quechuas cuzquéniennes du récit panandin connu comme “Jean de l’Ours” ou “Le fils de l’ours”. A partir d’une analyse du symbolisme du récit, la logique profonde qui l’ordonne est mise en lumière: la société humaine et civilisée ne peut se perpétuer sans établir des échanges et une coopération avec les êtres sauvages de l’au-delà. Les protagonistes, fils d’un curé et d’une ourse, ainsi que le curé lui-même, sont les héros médiateurs d’un récit mythique dont la logique prétend aussi s’appliquer aux relations interethniques dans les Andes. Este artículo presenta un ensayo de interpretación de dos versiones quechuas cuzqueñas del relato panandino conocido como “Juan Oso” o “El hijo del oso”. A partir de un análisis del simbolismo del relato, se saca a luz la lógica profunda que lo ordena: la sociedad humana y civilizada no puede perpetuarse sin establecer un intercambio y una cooperación con los seres salvajes del más allá. Los protagonistas, hijos de un cura y una osa, así como el cura mismo, son los héroes mediadores de un relato mítico cuya lógica pretende también aplicarse a las relaciones interétnicas en los Andes. THE PRIEST AND HIS BEAR CHILDREN OR THE PASSAGE TO CIVILIZATION OF THE CHILDREN OF A PRIEST AND A SHE-BEAR. This article sets out to interpret two Cuzco Quechua versions of the pan-Andean tale known as “Juan Oso” or “The Bear’s Son”. The analysis of the story’s symbolism sheds light on the profound logic on which it is based: human and civilized society cannot survive without establishing interchange and cooperation with wild beings from the other world. The protagonist, the son of the priest and the she-bear, as well as the priest himself, are the mediator heroes of a tale whose logic also applies to interethnic

  10. Banco de sementes do solo de uma Floresta Estacional Semidecidual, em Viçosa, Minas Gerais.

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    Juvenal Pinheiro Batista Neto

    2010-08-01

    Full Text Available Avaliou-se quantitativa e qualitativamente a florística do banco de sementes do solo de um fragmento de Floresta Estacional Semidecidual Montana, no município de Viçosa, MG. No final da estação chuvosa (março/2004, foram coletadas duas amostras de solo de 20 x 15 cm, com 5 cm de profundidade, no centro de seis subparcelas contíguas de 10 x 20 m, em dez parcelas permanentes de 20 x 60 m, em dez locais, totalizando 120 amostras (3,6 m2. As amostras de solo foram colocadas em estruturas de sombreamento de 11,5 % e 60 %, e as sementes germinadas foram identificadas em graminóides, herbáceo-cipós, arbustivas e arbóreas. Foram registradas 3.416 sementes germinadas, sendo 30,2 % graminóides, 29,2 % herbáceo-cipós, 17,5 % arbustivas e 23,1 % arbóreas, estas duas últimas distribuídas em 17 famílias, 25 gêneros e 31 espécies. Melastomataceae, Cecropiaceae e Piperaceae contribuíram com 31,8 %, 10,0 % e 8,8 % do total de espécies, respectivamente, sendo que Miconia cinnamomifolia e Leandra purpurascens foram responsáveis por 59,3 % das sementes arbustivo-arbóreas germinadas. As pioneiras se destacaram com 61,3 % das espécies e 88,5 % das sementes germinadas. Não foram registradas espécies secundárias tardias. A densidade média de sementes germinadas para todos os hábitos e locais foi de 949 sementes/m2. O número de espécies e de sementes germinadas do grupo arbustivo-arbóreo diferiu significativamente pelo teste Kruskal-Wallis (P ≤ 0,05 entre os locais estudados. Esses resultados indicam que, no banco de sementes do solo, há predomínio de espécies pioneiras que são importantes para a sucessão em clareiras ou após o corte da floresta. Porém, esse estoque de sementes não é suficiente para a continuidade do processo de sucessão, que inclui o estabelecimento de maior proporção de espécies secundárias iniciais e tardias. Isso indica que há necessidade de um manejo adequado do banco de pl

  11. The Effect of the Transition to Home Monitoring for the Diagnosis of OSAS on Test Availability, Waiting Time, Patients’ Satisfaction, and Outcome in a Large Health Provider System

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    Ahmad Safadi

    2014-01-01

    Full Text Available During 2009, the Haifa district of Clalit Health Services (CHS has switched from in-lab polysomnography (PSG to home studies for the diagnosis of obstructive sleep apnea (OSA. We assessed the effects of this change on accessibility, waiting time, satisfaction, costs, and CPAP purchase by the patients. Data regarding sleep studies, CPAP purchase, and waiting times were collected retrospectively from the computerized database of CHS. Patients’ satisfaction was assessed utilizing a telephone questionnaire introduced to a randomized small sample of 70 patients. Comparisons were made between 2007 and 2008 (in-lab PSGs and 2010 and 2011 (when most studies were ambulatory. Of about 650000 insured individuals in the Haifa district of CHS, 1471 sleep studies were performed during 2007-2008 compared to 2794 tests during 2010-2011. The average waiting time was 9.9 weeks in 2007-2008 compared to 1.1 weeks in 2010-2011 (P<0.05. 597 CPAPs were purchased in 2007-2008 compared to 831 in 2010-2011. The overall patients’ satisfaction was similar, but discomfort tended to be higher in the in-laboratory group (4.1 vs 2.7 in a scale of 0–10; P=0.11. Switching to ambulatory diagnosis improved the test accessibility and reduced the waiting times. Patients’ satisfaction remained similarly high. The total direct cost of OSA management was reduced.

  12. Sismos y lluvias, factores detonantes de deslizamientos de laderas en las regiones montañosas de Puebla, México

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    Oscar A. Cuanalo C.

    2006-01-01

    Full Text Available El estado de Puebla ubicado en el centro de la República Mexicana, se ve afectado por sismos producto de la actividad a lo largo del Cinturón Volcánico Mexicano que tienen impacto en el centro y sur del estado, además de lluvias intensas en las regiones montañosas ubicadas al Norte y Nororiente del mismo, originadas por los huracanes y tormentas tropicales procedentes del Golfo de México. El escenario anterior ofrece peculiaridades de tipo geomorfológico y meteorológico que han desencadenado deslizamientos de laderas, los cuales han causado considerables daños económicos y lamentables pérdidas humanas. En este artículo se describe brevemente las características geomorfológicas del estado de Puebla, considerando su clima, el cual tiene impacto en la meteorización de las rocas que conforman la región montañosa; además se incluye su historia sismológica en los últimos 100 años, para eventos mayores de 6° Richter, y las lluvias torrenciales de 1999 y 2005 que han desencadenado deslizamientos de laderas

  13. Atributos vitales de especies leñosas en bordes de bosque altoandino de la Reserva Forestal de Cogua (Colombia

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    Alba Lucía Montenegro

    2008-06-01

    Full Text Available En la Reserva Forestal de Cogua (Colombia, estudiamos mediante transectos la vegetación leñosa en dos parches de bosque altoandino para tres tipos de borde: chusque, paramizado y antiguo (este último denominado así por presentar un estado sucesional más avanzado. Seleccionamos como especies típicas de borde las que tenían mayor abundancia en esta zona, presentes en ambos parches del borde y capaces de colonizar la matriz adyacente. Se obtuvo un conjunto de nueve especies a las cuales se les evaluaron 20 atributos vitales, generando seis grupos mediante un análisis de agrupamiento (cluster: 1 Weinmannia balbisiana-W. tomentosa, 2 Gaiadendron punctatum-Hedyosmum bonplandianum, 3 Miconia ligustrina-M. squamulosa, 4 Macleania rupestris, 5 Pentacalia pulchella y 6 Tibouchina grossa. La amplia variación y plasticidad de las especies estudiadas en cuanto a los atributos analizados, conduce a pensar que los conjuntos obtenidos no obedecen a grupos funcionales claramente diferenciados, sino más bien a estrategias diferentes y que estas especies podrían hacer parte de un solo grupo funcional de gran plasticidad. T. grossa es la especie de borde más exitosa en la reserva, dados sus altos valores de abundancia, tolerancia fisiológica, reproducción vegetativa, producción de hojarasca y producción de semillas pequeñas, numerosas, formadoras de un banco de semillas persistente que evidencian su alta fecundidad.Vital traits of woody species in High Andean forest edges of the Cogua Forest Reserve (Colombia. The Cogua Forest Reserve was studied throughout eight months to detect the existence of functional species-groups associated with edge wood forest. A second goal was to determine which species were the most successful in edge areas and their particular vital traits. The regeneration and growth of the forest patches to the adjacent matrix depends on the establishment of these species and their tolerance to both habitats. Three types of High

  14. Effect of CPAP on Cardiac Function in Minimally Symptomatic Patients with OSA: Results from a Subset of the MOSAIC Randomized Trial.

    Science.gov (United States)

    Craig, Sonya; Kylintireas, Ilias; Kohler, Malcolm; Nicoll, Debby; Bratton, Daniel J; Nunn, Andrew J; Leeson, Paul; Neubauer, Stefan; Stradling, John R

    2015-09-15

    Minimally symptomatic obstructive sleep apnea (OSA) is highly prevalent, and the effects of continuous positive airway pressure (CPAP) on myocardial function in these patients are unknown. The MOSAIC randomized, controlled trial of CPAP for minimally symptomatic OSA assessed the effect of CPAP on myocardial function in a subset of patients. Two centers taking part in the MOSAIC trial randomized 238 patients in parallel to 6 months of CPAP (120) or standard care (118). Of these, 168 patients had echocardiograms, and 68 patients had a cardiac magnetic resonance scan (CMR). A larger group (314) from 4 centers had brain natriuretic peptide (BNP) measured. Mean (SD) baseline oxygen desaturation index (ODI) and Epworth sleepiness score (ESS) were 13.5 (13.2), and 8.4 (4.0), respectively. CPAP significantly reduced ESS and ODI. Baseline LV ejection fraction (LVEF) was well preserved (60.4%). CPAP had no significant effect on echo-derived left atrial (LA) area (-1.0 cm2, 95% CI -2.6 to +0.6, p = 0.23) or early to late left ventricular filling velocity (E/A) ratio (-0.01, 95% CI -0.07 to +0.05, p = 0.79). There was a small change in echo-derived LV end diastolic volume (EDV) with CPAP (-5.9 mL, 95% CI -10.6 to -1.2, p = 0.015). No significant changes were detected by CMR on LV mass index (+1.1 g/m(2), 95% CI -5.9 to +8.0, p = 0.76) or LVEF (+0.8%, 95% CI -1.2 to +2.8, p = 0.41). CPAP did not affect BNP levels (p = 0.16). Six months of CPAP therapy does not change cardiac functional or structural parameters measured by echocardiogram or CMR in patients with minimally symptomatic mild-to-moderate OSA. ISRCTN 34164388 (http://isrctn.org). © 2015 American Academy of Sleep Medicine.

  15. Estructura de una población del árbol Peltogyne purpurea (Cesalpinaceae en un bosque intervenido de la Península de Osa, Costa Rica

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    Braulio Vílchez

    2006-09-01

    Full Text Available Se estudió la regeneración de una población del árbol Peltogyne purpurea Pittier después de una corta selectiva de madera en el bosque lluvioso tropical de Mogos, Península de Osa, Costa Rica. La distribución de los árboles adultos de P. purpurea según el diámetro del tallo a la altura del pecho tiene forma de campana. La categoría con la mayor cantidad de individuos correspondió a los árboles con tallos con diámetros entre 70 y 80 cm. No hubo diferencia significativa en el número de brinzales encontrados en los transectos establecidos siguiendo los cuatro puntos cardinales alrededor de los árboles reproductivos (madre. En general, la mayoría de los brinzales se encontraban en los primeros metros alrededor del árbol madre. Se observó otro pico de abundancia de brinzales a la distancia correspondiente con el final de la copa del árbol. La extracción de madera puede tener un efecto negativo en la regeneración de P. purpurea.Population structure of the tree Peltogyne purpurea (Cesalpinaceae in an altered forest at Osa Peninsula, Costa Rica. The regeneration of the rain forest tree Peltogyne purpurea Pittier after selective logging was studied in Mogos, Osa Península, Costa Rica. The distribution of all adult trees of P. purpurea according to diameter at breath height (dbh categories revealed that the distribution of the adult trees followed a bell-shaped curve. The largest number of individuals was found in the 70 to 80 cm dbh category. We did not find any significant differences in the distribution of saplings around seed-producing trees. There were similar numbers of saplings in the four transects established around each reproductive tree following the four cardinal directions. Overall, the majority of the saplings were found in the first meters around each seed-producing tree. There was another peak in the number of saplings at the distance where the crown of the tree ended. Logging can negatively affect the regeneration

  16. Regeneração pós-fogo em um fragmento de floresta estacional semidecidual no município de Viçosa, MG

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    Sebastião Martins Venâncio

    2002-01-01

    Full Text Available Estudou-se a vegetação colonizadora seis meses após perturbação por fogo, em uma á rea do Campus da Universidade Federal de Viçosa, em Viçosa (20o 45’ S, 42o 51’ W , MG. A á rea total de floresta secundá ria atingida por incê ndio foi de 12 hectares, apresentando níveis diferenciados de destruição da vegetação. O estudo concentrou-se no trecho onde o efeito do fogo foi mais drá stico, com a destruição total da cobertura vegetal. Dentro da á rea de estudo, foram comparadas duas toposseqüê ncias de relevo: côncavo (ravina e convexo (crista. Em cada toposseqüê ncia, foram instaladas dezoito parcelas contíguas de 5x5 m, totalizando 36 parcelas, nas quais foram identificadas todas as plantas vasculares. No total, foram amostradas 75 espécies, pertencentes a 26 famílias. As famílias mais ricas em espécies foram: Asteraceae (14, Poaceae (10, Malvaceae (7 e Fabaceae (6. Na toposseq üê ncia crista as espécies com maior valor de cobertura foram: Sida carpinifolia seguida de Melinis minutiflora, Diodia alata e Eupatorium laevigatum, e na ravina: Melinis minutiflora, Eupatorium laevigatum, Sida carpinifolia e Sidastrum paniculatum. Todas as parcelas apresentaram mais de 90% da á rea coberta por vegetação herbá cea e subarbustiva, destacando a importâ ncia dessa vegetação inicial na proteção do solo contra processos erosivos em relevos acidentados.

  17. Flora de importância polinífera para Apis mellifera (L. na região de Viçosa, MG

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    Anna Frida Hatsue Modro

    2011-10-01

    Full Text Available Procurou-se conhecer a flora de importância polinífera para Apis mellifera (L. na região de Viçosa, MG, em período de entressafra de mel, entre agosto e dezembro de 2005. O experimento foi realizado em dois apiários distintos, cada um com cinco colmeias. As cargas retidas nos coletores de pólen instalados nas colmeias foram analisadas quanto à origem botânica. As plantas em floração no entorno dos apiários foram coletadas e identificadas. A maioria das plantas de importância polinífera para abelhas na região de Viçosa era nativa, localizada em jardins e com hábito arbóreo. Pela análise palinológica, verificou-se que espécies como Anadenanthera colubrina, Arecaceae sp., Baccharis dracunculifolia, B. melastomaefolia, Coffea spp., Emilia sagittata, Eugenia uniflora, Mikania cordifolia, M. hirsutissima, Myrcia fallax, Psidium guajava, Vernonia condensata, V. diffusa, V. lanuginosa e V. mariana são potenciais recursos poliníferos a serem utilizados no período de entressafra do mel. Os resultados indicaram a importância de plantas localizadas em áreas abertas para o forrageamento de pólen por A. mellifera e confirmaram o potencial polinífero da região estudada, durante o período de entressafra do mel.

  18. Adoção sequencial de tecnologia pós-colheita aplicada à cafeicultura em Viçosa (MG

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    Matheus Wemerson Gomes Pereira

    2010-06-01

    Full Text Available O processo de adoção tecnológica na agricultura é de fundamental importância para o aumento da produtividade e a melhoria da qualidade dos produtos agrícolas. O objetivo deste artigo é avaliar os determinantes da adoção da tecnologia pós-colheita na cafeicultura em Viçosa (MG, no ano de 2007. Os resultados sugerem que o modelo sequencial é o mais apropriado à análise e que as variáveis associativismo, rentabilidade, treinamento, crédito, capital próprio e escolaridade são os principais determinantes na adoção de estágios mais elevados de tecnologia pós-colheita aplicada à cafeicultura. Os efeitos marginais mais importantes para adoção de maiores níveis tecnológicos são associativismo, treinamento, crédito e rentabilidade.The process of tecnology adoption in agriculture is fundamentally important for increasing productivity and improving the quality of agricultural products. The objective of this study is to evaluate the factors that determine the technological adoption of post-harvest coffee employed in Viçosa (MG in the year of 2007. The results indicate that the sequential model is more appropriate for the analysis and the most important determinants for the adoption of higher levels of post-harvest technology are association, profitability, training, education, credit, stock of capital, and years at school. The most important marginal effects for the adoption of higher levels of post-harvest technology are association, training, credit and profitability.

  19. A pilot study to compare the cerebral hemodynamics between patients with obstructive sleep apnea syndrome (OSA) and periodic limb movement syndrome (PLMS) during nocturnal sleep with near-infrared spectroscopy (NIRS)

    Science.gov (United States)

    Zhang, Zhongxing; Schneider, Maja; Laures, Marco; Fritschi, Ursula; Hügli, Gordana; Lehner, Isabella; Qi, Ming; Khatami, Ramin

    2014-03-01

    Obstructive sleep apnea syndrome (OSA) and periodic limb movement in sleep syndrome (PLMS) are two common sleep disorders. Previous studies showed that OSA and PLMS share common features, such as increased cardio-vascular risk, both apnea events and limb movements occur periodically, they are usually associated with cortical arousals, and both of them can induce declines in peripheral oxygen saturation measured with pulse oximetry. However, the question whether apnea events and limb movements also show similar characteristics in cerebral hemodynamic and oxygenation has never been addressed. In this pilot study, we will first time compare the cerebral hemodynamic changes induced by apnea events and limb movements in patients with OSA (n=4) and PLMS (n=4) with NIRS. In patients with OSA, we found periodic oscillations in HbO2, HHb, and blood volume induced by apnea/hypopnea events, HbO2 and HHb showed reverse changing trends. By contrast, the periodic oscillations linked to limb movements were only found in HbO2 and blood volume in patients with PLMS. These findings of different cerebral hemodynamics patterns between apnea events and limb movements may indicate different regulations of nervous system between these two sleep disorders.

  20. Pre- and in-therapy predictive score models of adult OSAS patients with poor adherence pattern on nCPAP therapy

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    Wang Y

    2015-05-01

    Full Text Available Yeying Wang,1,2 Alan F Geater,3 Yanling Chai,1 Jiahong Luo,2 Xiaoqun Niu,1 Bing Hai,1 Jingting Qin,1 Yongxia Li1 1Department of Respiratory Medicine, The 2nd Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, People’s Republic of China; 2Department of Epidemiology and Biostatistics, School of Public Health, Kunming Medical University, Kunming, Yunnan Province, People’s Republic of China; 3Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand Objectives: To identify patterns of adherence to nasal continuous positive airway pressure (nCPAP use in the first 3 months of therapy among newly diagnosed adult patients with obstructive sleep apnea/hypopnea syndrome (OSAS and their predictors. To develop pretherapy and in-therapy scores to predict adherence pattern. Methods: Newly diagnosed adult OSAS patients were consecutively recruited from March to August 2013. Baseline clinical information and measures such as Epworth Sleepiness Scale (ESS, Fatigue Severity Scale (FSS, Zung’s Self-Rating Depression Scale (SDS, and The Pittsburgh Sleep Quality Index (PSQI at baseline and at the end of 3rd-week therapy were collected. Twelve weeks’ adherence data were collected from the nCPAP memory card, and K-means cluster analysis was used to explore adherence patterns. Predictive scores were developed from the coefficients of cumulative logit models of adherence patterns using variables available at baseline and after 3 weeks of therapy. Performance of the score was validated using 500 bootstrap resamples. Results: Seventy six patients completed a 12-week follow-up. Three patterns were revealed. Patients were identified as developing an adherence pattern that was poor (n=14, mean ± SD, 2.3±0.9 hours per night, moderate (n=19, 5.3±0.6 hours per night, or good (n=43, 6.8±0.3 hours per night. Cumulative logit regression models (good → moderate → poor revealed independent baseline

  1. The “DOC” screen: Feasible and valid screening for depression, Obstructive Sleep Apnea (OSA) and cognitive impairment in stroke prevention clinics

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    Swartz, Richard H.; Cayley, Megan L.; Lanctôt, Krista L.; Murray, Brian J.; Cohen, Ashley; Thorpe, Kevin E.; Sicard, Michelle N.; Lien, Karen; Sahlas, Demetrios J.; Herrmann, Nathan

    2017-01-01

    Background Post-stroke Depression, Obstructive sleep apnea (OSA) and Cognitive impairment (“DOC”) are associated with greater mortality, worse recovery and poorer quality of life. Best practice recommendations endorse routine screening for each condition; yet, all are under-assessed, diagnosed and treated. We seek to determine the feasibility and validity of an integrated tool (“DOC” screen) to identify stroke clinic patients at high-risk of depression, OSA, and cognitive impairment. Methods All consecutive new referrals to a regional Stroke Prevention Clinic who were English-speaking and non-aphasic were eligible to be screened. Time for screen completion was logged. DOC screen results were compared to the neuropsychological battery and polysomnogram assessments using a modified receiver operator characteristic and area under the curve analysis. Data is reported to conform to STARD guidelines. Findings 1503 people were screened over 2 years. 89% of eligible patients completed the screen in 5 minutes or less (mean 4.2 minutes), less than half the time it takes to complete the Montreal Cognitive Assessment (MoCA). 437 people consented to detailed testing. Of those, 421 completed the Structured Clinical Interview for Depression within 3 months of screening, 387 completed detailed neuropsychological testing within 3 months, and 88 had overnight polysomnograms. Screening scores combined with demographic variables (age, sex, education, body mass index), had excellent validity compared to gold standard diagnoses: DOC-Mood AUC 0.90; DOC-Apnea AUC 0.80; DOC-Cog AUC 0.81. DOC screen scores can reliably categorize patients in to low-, intermediate- or high-risk groups for further action and can do so with comparable accuracy to more time-consuming screens. Conclusions Systematic screening of depression, obstructive sleep apnea, and cognitive impairment in 5 minutes or less is feasible and valid in a high volume stroke clinic using the DOC screen. The DOC screen may

  2. Equações alométricas para estimativa de carbono em árvores de uma área urbana em Viçosa-MG

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    Daniel Brianezi

    2013-12-01

    Full Text Available Objetivou-se com este estudo gerar equações para estimar o carbono presente na arborização do campus-sede da Universidade Federal de Viçosa, contribuindo para o conhecimento sobre a capacidade das áreas verdes urbanas no sequestro e estocagem de carbono. Assim, inventariaram-se todas as árvores com DAP igual ou superior a 5 cm presentes na Universidade. Para as árvores não palmeiras, selecionaram-se 721 árvores-amostra, que foram cubadas rigorosamente em pé através da aplicação sucessiva da expressão de Smalian até o diâmetro-limite de 5 cm, tanto para o fuste quanto para os galhos. No caso das palmeiras, cubaram-se 100% dos indivíduos utilizando a expressão de Huber. A densidade básica da madeira com casca e o teor de carbono foram obtidos, nas palmeiras, com a retirada de um disco na porção do DAP, dada a dificuldade de tradagem. Já nas demais árvores, utilizou-se um trado mecânico. Com base no volume, na densidade básica e no teor de carbono, calcularam-se o carbono total e o carbono dos galhos. Ademais, avaliaram-se os modelos de Schumacher e Hall (1933 e Spurr (1952, modificado para estimar o carbono fixado nesses indivíduos. Nas árvores não palmeiras do campus-sede da Universidade Federal de Viçosa, o carbono total e o carbono dos galhos podem ser estimados, em kg, em razão do Diâmetro à Altura do Peito (DAP, em cm e da Altura Total (Ht, em m, por -0,906586+1,60421*LnDAP+0,37162*LnHt e por -2,052673+1,89903*LnDAP+0,24156*LnHt, respectivamente. Nas palmeiras, o carbono total pode ser estimado por -4,46988+199082*LnDAP+1,06420*LnHt.

  3. Anemia ferropriva em crianças de 6 a 12 meses atendidas na rede pública de saúde do município de Viçosa, Minas Gerais Iron deficiency anemia in 6 to 12-month-old infants attended at the public health service of Viçosa, Minas Gerais, Brazil

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    Danielle Góes da SILVA

    2002-09-01

    Full Text Available Este estudo teve como objetivos verificar a prevalência de anemia em lactentes de 6 a 12 meses atendidos na rede pública de saúde do município de Viçosa, MG e analisar alguns possíveis fatores de risco. As informações foram obtidas através de questionário aplicado aos responsáveis pela criança e através da verificação de medidas antropométricas e da dosagem de hemoglobina por hemoglobinômetro portátil. No diagnóstico de anemia, utilizou-se o ponto de corte de 11 g/dL. A prevalência de anemia ferropriva nas 204 crianças estudadas foi 60,8%, e 55,6% dos casos de anemia eram graves. A média da hemoglobina foi 9,28±1,07 nos anêmicos e 12,07±0,89 mg/dL nos não-anêmicos. A baixa escolaridade paterna e a idade materna mostraram associação estatística com a anemia (pThis study aimed at verifying the prevalence of anemia in 6 to 12-month-old infantsattended at the public health service of the city of Viçosa, state of Minas Gerais, and analyzing some possible risk factors. Information was obtained through questionnaire applied to those responsible for the infants and through the verification of the anthropometric measures and the hemoglobin dosage by portable hemoglobinometer. In diagnosing anemia, a 11g/dL cutoff point was used. The prevalence of iron deficiency anemia in a total of 204 infants reached 60.8%, and 55.6% of the cases of anemia were serious. The hemoglobin average was 9.28±1.07 mg/dL in anemic infants, and 12.07± 0.89 mg/dL in non-anemic ones. The father's low school level and the mother's age showed statistical association with anemia (p<0.05. A high prevalence and severity of the anemia was found, emphasizing the need for prevention and control of this disease in the city of Viçosa.

  4. Social Representations of the Artisan Work: Study of Case of an Association of Craftsmen in Viçosa, Minas Gerais – Brazil

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    Alair Ferreira de Freitas

    2010-07-01

    Full Text Available This article aims to analyze the social representations of small-scale artisans working for associated Association of Artisans and food producers Homemade of Viçosa, Minas Gerais State-Brazil (Adapac. To this end we have tried to identify and analyse the trajectory of the craftsmen and the reasons for becoming involved with crafts and renditions of the craft for craftsmen linked to this Association. The methodological strategy adopted for the research consisted in case study. As an instrument of data collection, were used to survey participant and application of semi-structured interviews. The method of "content analysis" was used in the Organization and analysis of data. For discussion of the results were defined two categories: (i motivations for the craft and (ii representations of the craft. The results show that this type of work associates itself as the premier opportunity to occupation and income generation found by some members and another as vocation and manual skills. For women the social representations of craft relate the condition of personal satisfaction and possibility of reconciliation with the domestic activities, while for men representations indicate the enhancement of the economic dimension of the craft, distinguishing it from domestic activities.

  5. Influence of environmental variables on the shrub and tree species distribution in two Semideciduous Forest sites in Viçosa, Minas Gerais, Brazil.

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    Pinto, Sheila Isabel do C; Martins, Sebastião V; de Barros, Nairam F; Dias, Herly Carlos T; Kunz, Sustanis H

    2008-09-01

    The floristic variations of shrub and tree components were studied in two sites of Semideciduous Forest, initial forest and mature forest, located in the Mata do Paraíso Forest Reserve, in Viçosa, State of Minas Gerais, Southeastern Brazil, in order to analyze the floristic similarity and the correlations between environmental variables and the distribution of tree species in these forests. Individual trees with a diameter at breast height (DBH) > or = 4.8 cm were sampled in twenty 10 x 30 m plots (10 plots in each site). The plots were distributed systematically at 10 m intervals. The environmental variables analyzed were: the canopy openness and soil chemical and texture characteristics. The two forest sites showed clear differences in the levels of canopy openness and soil fertility, factors that reflect the floristic and successional differences of the shrub and tree component, revealed by the low similarity between these forests by cluster analysis. The canonical correspondence analysis (CCA) of environmental variables and species abundance indicated that the species in these forests studied are distributed under strong influence of canopy openness, moisture and soil fertility.

  6. O papel das franquias na reestruturação das cidades: a ascensão do setor em Viçosa – MG

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    Rodrigo Moraes Fritz

    2017-12-01

    Full Text Available No estágio atual do sistema capitalista no mundo, as estratégias dos agentes econômicos para sobreviverem no mercado se fazem cada vez mais notórias. Tida como uma modernização na forma de vender e comprar, o Franchising vem se destacando em todo mundo e sendo fator importante na economia dos países. As franquias são muito presentes em realidades urbanas complexas, como as metrópoles, porém, nos últimos anos, nota-se sua difusão para centros urbanos intermediários, particularmente em cidades consideradas como médias, que possuem certo grau de influência regional. A cidade de Viçosa, localizada na Zona da Mata mineira, faz parte desse conjunto de cidades que, pela centralidade que exercem, atraem capitais, pessoas e mercadorias. O crescente número de franquias na cidade em questão despertou o interesse em caracterizá-las e entendê-las do ponto de vista da sua espacialidade, bem como do potencial que apresentam para promover mudanças na estrutura urbana, já que elas são indutoras de investimentos, reestruturações e, principalmente, de centralidade.

  7. Sistemas de classificações geotécnicas de solos: estudo de caso aplicado à rodovia não pavimentada vcs 346, Viçosa, MG Geotechnical soil classification systems: case study applied to the vcs 346 unpaved road, Viçosa, MG

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    Taciano Oliveira da Silva

    2010-04-01

    Full Text Available Este artigo aborda uma contribuição às classificações geotécnicas tradicionais de solos Unified Soil Classification System (USC, Transportation Research Board System (TRB e a Metodologia Miniatura, Compactado, Tropical (MCT para um caso aplicado à rodovia municipal não pavimentada VCS 346, no Município de Viçosa, MG, considerando-se várias amostras deformadas de solos coletadas no subleito da referida via. Os principais objetivos deste estudo residem na contribuição de um banco de dados geotécnicos sobre classificações de solos tropicais, bem como na verificação de possíveis agrupamentos entre os sistemas geotécnicos tradicionais de classificação e a metodologia MCT. O programa de laboratório envolveu a realização dos seguintes ensaios: (i granulometria conjunta; (ii limites de Atterberg (LL e LP; (iii massa específica dos grãos do solo; (iv compactação Mini-MCV; e (v perda de massa do corpo-de-prova por imersão em água. Os resultados possibilitaram verificar que, após a classificação das amostras, vários agrupamentos entre os sistemas de classificações geotécnicas tradicionais coincidiram com aqueles já apresentados na metodologia MCT e, considerando a pedogênese da região de Viçosa, MG, para o grupo NG', houve a contribuição dos grupos SC, SM e CL do Sistema USC e do grupo A-4 do Sistema TRB.This paper addresses a contribution to the traditional geotechnical soil classifications systems USC (Unified Soil Classification and TRB (Transportation Research Board, and the MCT methodology (Miniature, Compacted, Tropical applied to a case study involving the laboratory geotechnical characterization of disturbed samples from the subgrade of the VCS 346 municipal unpaved road, located in Viçosa - MG. The main goals of this study are to contribute to the formation of a database directed to the geotechnical classification of tropical soils as well as to verify possible groupings among the traditional

  8. Prevalência do complexo teníase-cisticercose na zona rural do município de Viçosa, Minas Gerais Prevalence of Taeniasis-cysticercosis complex in the rural area of Viçosa-MG, Brazil

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    Adriana Felix Iasbik

    2010-07-01

    Full Text Available A teníase é uma doença que se manifesta no ser humano em decorrência da presença da forma adulta da Taenia sp., enquanto a cisticercose decorre da infecção pelo estágio larvar da Taenia sp. ou Taenia solium, no caso dos suínos e humanos. Foi realizado um estudo transversal visando a determinar a prevalência de cisticercose em suínos e de teníase em 176 propriedades localizadas na zona rural de Viçosa, Minas Gerais (MG. Foram coletadas amostras de sangue de 226 suínos e fezes de 266 humanos, além da realização de um inquérito epidemiológico. Não foi identificada teníase humana, e a prevalência da cisticercose suína foi de 0,4%. As informações obtidas mostraram que a maioria das pessoas possuía o hábito de consumir carne suína não inspecionada; entretanto, todas as pessoas se alimentavam da carne bem aquecida. Em apenas 1,1% das propriedades, o esgoto era depositado diretamente no solo e em 99,4% destas a água era canalizada, enquanto 88,1% dos suínos eram criados presos. Concluiu-se que, na zona rural do município de Viçosa-MG, a prevalência do complexo teníase-cisticercose foi baixa, mostrando ainda um nível de contaminação inferior ao de outros municípios onde o complexo foi estudado.Taeniasis occurs due to the presence of the adult form of Taenia sp. in human beings, and cysticercosis is caused by the presence of the larval stage of T. solium in pigs and humans. A transversal study was conducted aiming to determine the prevalence of porcine cysticercosis and Taeniasis in 176 farms located in rural areas of Viçosa-MG. Blood samples of 226 pigs, and feces samples of 266 humans were collected. An epidemiological survey has also been done. We found a prevalence of 0.4% of porcine cysticercosis and Taeniasis has not been found. The epidemiological data has shown that although most people consumed non-inspected pork, it used to be prepared well-done. Data showed that 88.1% of the pigs are reared in confinement

  9. Inclusão digital de jovens na microrregião de Viçosa/Minas Gerais: dimensões políticas e subjetivas | Digital inclusion of youngsters in the Viçosa/Minas Gerais micro region: political and subjective dimensions

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    Daniela Alves de Alves

    2012-04-01

    Full Text Available Resumo O presente artigo apresenta resultados de um diagnóstico das implicações das políticas públicas de inclusão digital nas escolas de ensino médio da microrregião de Viçosa. Analisamos a amplitude e os efeitos destas políticas para os jovens da referida região, explorando qualitativamente a dimensão da inclusão, especialmente através da análise dos usos da tecnologia por parte dos jovens considerados incluídos. Constatamos que a inserção dos jovens em políticas de inclusão digital através da escola é limitada e a internet tem sido usada pelos jovens entrevistados predominantemente como espaço de sociabilidade e de pesquisas escolares. O acesso à internet apresenta inúmeras desigualdades. Palavras-chave inclusão digital, internet, rede sociotécnica, jovens, políticas públicas Abstract This article presents results from the diagnosis of the implications of public policies for digital inclusion in secondary schools of the micro-region of Viçosa, Minas Gerais, Brazil. The amplitude and effect of these policies for the youngsters of this region were analyzed, exploring qualitatively the dimensions of the inclusion, especially through the analysis of the uses of technology by the teenagers considered. It could be verified that the insertion of these youngsters in digital inclusion policies at school is limited, and that the Internet has been used by the juveniles interviewed predominantly as a space for sociability and school research. Access to the Internet represents innumerable inequalities. Keywords digital inclusion, internet, socio-technical web, youngsters, public policies

  10. Risky consumption habits and safety of fluid milk available in retail sales outlets in Viçosa, Minas Gerais State, Brazil.

    Science.gov (United States)

    Pieri, Fabio Alessandro; Colombo, Monique; Merhi, Carolina Milner; Juliati, Vinícius Augusto; Ferreira, Marcello Sebe; Nero, Marcelo Antônio; Nero, Luis Augusto

    2014-06-01

    This study aimed to assess raw milk consumption habits in the urban population of Viçosa, Minas Gerais, Brazil, and the microbiological safety and quality of the fluid milk available in retail sales outlets in the same region. A simplified questionnaire regarding raw milk consumption was applied to the persons responsible for food acquisition in 411 residences. The regular consumption of raw milk was observed by 18.5% of the interviewers, and lack of knowledge of possible risks related to this food product. Microbiological safety and quality were assessed for raw (n=69), pasteurized (n=80), and ultra-high-temperature (UHT)-treated milk (n=80) by analyzing the counts of mesophilic aerobes, coliforms, and Escherichia coli, and detection of Listeria monocytogenes and Salmonella spp.; raw milk samples were also subjected to enumeration of coagulase-positive Staphylococcus. Concerning raw milk, 59.4% of the samples were considered as produced in inadequate hygienic conditions, 5.8% of the samples presented counts of coagulase-positive Staphylococcus lower than 100 colony-forming units (CFU)/mL, and no samples presented with positive results for L. monocytogenes or Salmonella spp. All pasteurized and UHT milk samples presented with low counts of mesophilic aerobes and coliforms, while L. monocytogenes and Salmonella spp. were absent. The data demonstrated that raw milk was consumed by the population studied. Despite the absence of potential hazards, raw milk was of poor hygienic quality, in contrast with the processed fluid milk available in retail sales outlets that was safe and of good hygienic quality, highlighting the suitability of pasteurized and UHT milk for human consumption.

  11. Diversidade e equitabilidade de Plantas Alimentícias Não Convencionais na zona rural de Viçosa, Minas Gerais, Brasil

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    T.F. BARREIRA

    2015-01-01

    Full Text Available RESUMO O presente estudo analisou a diversidade e equitabilidade de plantas alimentícias não convencionais (PANCs na zona rural de Viçosa, Minas Gerais, Brasil. A pesquisa foi conduzida utilizando a amostragem Bola de Neve com entrevistas semiestruturadas aplicadas à 20 moradores de nove comunidades rurais. Avaliou-se a frequência relativa de citação das espécies (Fr; a diversidade e equitabilidade das mesmas, utilizando os índices de Shannon-Wiener (H’ e de Pielou (J’, respectivamente. As espécies foram listadas pela família, nome científico, nomes populares, ambiente de propagação, hábito de crescimento, formas de consumo, estado de domesticação, ciclo de produção e registro por meio de consultas em herbários do bioma Mata Atlântica. Foram encontradas 59 espécies de PANCs, distribuídas em 30 famílias botânicas e 48 gêneros. As famílias asteraceae e myrtaceae se destacaram pela riqueza florística, contribuindo com 11 e 7 espécies, respectivamente. Espécies da família asteraceae obtiveram as maiores frequências relativas (32,2. Obteve-se índice de diversidade Shannon-Wiener de 1,65 (Base 10, e de equitabilidade de Pielou de 0,93. Os resultados encontrados estão similares à de outros estudos desenvolvidos no bioma Mata Atlântica, observou-se ampla diversidade de PANCs na área de estudo, e o conhecimento sobre estas encontra-se distribuído uniformemente entre os moradores.

  12. Patrones de riqueza altitudinal de Papilionidae, Pieridae y Nymphalidae (Lepidoptera: Rhopalocera en áreas montañosas de México

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    David

    2013-09-01

    Full Text Available Las mariposas diurnas integran uno de los grupos más utilizados para el reconocimiento y monitoreo de la diversidad de una biota. Se realizó un estudio comparativo de las faunas de mariposas de las familias Papilionidae, Pieridae y Nymphalidae de cinco áreas montañosas de México, situadas en las vertientes Atlántico y Pacífico: las sierras de Atoyac de Álvarez, Manantlán, Juárez, y las áreas de Teocelo-Xalapa y la región Loxicha, con un total de 34 localidades representativas de los cinco transectos altitudinales, que comprenden de los 300 a los 3 100m de altitud. Se observó una tendencia general a la disminución de la riqueza con la altitud. Se analizó la similitud entre el total de localidades mediante el índice de Sørensen, diferenciándose en primer lugar las dos estaciones de elevaciones superiores (sobre los 2 500msnm, caracterizadas por pobres lepidóptero-faunas. En el grupo principal (32 sitios las principales agrupaciones se dan de acuerdo, en primer lugar, a la pertenencia a la vertiente pacífica o atlántica, evento más histórico que ecológico y, después, las estaciones de una misma sierra o según tres diferentes pisos altitudinales, que se caracterizan de acuerdo con los táxones predominantes.

  13. INFLUÊNCIA DOS FATORES EDÁFICOS NA VARIAÇÃO FLORÍSTICA DE FLORESTA ESTACIONAL SEMIDECIDUAL, EM VIÇOSA, MG

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    Antonio Jorge Tourinho Braga

    2015-08-01

    Full Text Available RESUMOO objetivo deste estudo foi verificar a possível correlação dos fatores edáficos na distribuição dos indivíduos de espécies arbóreas e a similaridade florística entre as populações, em dois trechos distintos de um fragmento de Floresta Estacional Semidecidual, em Viçosa, MG (20°46' S e 42°52' W. No trabalho, foram amostrados os indivíduos arbóreos superiores ou iguais a 15 cm (CAP, presentes em 20 parcelas de 25×10 m, estando metade dessas alocadas (10 em cada trecho de floresta. Na área das parcelas, foram coletadas amostras de solo (0-10 cm e submetidas às análises química e física. Os resultados dos atributos físicos e químicos do solo indicaram variações conforme as mudanças na topografia do terreno. A análise de correspondência canônica (CCA indicou correlação significativa entre a distribuição das espécies arbóreas avaliadas no perfil topográfico e a fertilidade do solo, enquanto a comparação entre as espécies pertencentes às florestas inicial e avançada apontou baixa similaridade florística. Verificou-se ainda que espécies como Casearia arborea, Ocotea laxa, Myrcia fallax, Siparuna guianensis, Apuleia leiocarpa, Matayba elaeagnoides e Sparattosperma leucanthum estão associadas a solos argilosos mais ácidos, de encostas e com maior teor de alumínio, permitindo o uso delas em programas de recuperação ambiental.

  14. Estado actual de contaminación con coliformes fecales de los cuerpos de agua de la Península de Osa

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    Jesús Mora

    2010-12-01

    Full Text Available La contaminación de los cuerpos de aguaen Costa Rica y en todo el mundo es unode los principales problemas ambientales,debido a la importancia estratégicade este recurso. El recurso hídrico esun elemento esencial no solo para lapreservación de la vida, sino también parala conservación de la flora y fauna de laregión.Su conservación y su calidad estánestrechamente vinculadas, prácticamente,a todas las actividades económicas ysociales en forma ineludible, así como a lasalud de su población.La Península de Osa se ha caracterizadopor ser una zona con una exuberantebiodiversidad, tanto en su flora comoen su fauna, raramente encontrada enuna zona pequeña.En 1975, se creó elParque Nacional de Corcovado,el más importante parque de Costa Rica y queprotege a un tercio de la península. Esteexótico territorio que es la Península deOsa no está exento de amenazas, debido ala fragmentación y destrucción del hábitat,la deforestación por la explotación de lamadera y el mal planeamiento en el uso dela tierra, la extracción ilegal de recursos,entre ellos el oro, y el crecimiento de lapoblación en sus alrededores.El Reglamento para la evaluación y laclasificación de la calidad de cuerpos deagua superficiales establece como límiteen el contenido de coliformes fecalesen el agua para actividades recreativasde contacto primario, un valor de 1000(NMP/100mL. Este mismo valor máximose aplica para el riego de hortalizas yotros alimentos que se consumen crudos;mientras que para el uso en abrevaderosy actividades pecuarias el valor máximopermisible de coliformes fecales es de2000, por mencionar algunos casos.Se realizó un estudio sobre la contaminaciónmicrobiológica, utilizando como indicador                                                          el contenido de coliformes fecales                                                   

  15. Composición de especies leñosas en comunidades invadidas en montañas del centro de Argentina: su relación con factores ambientales locales

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    Sebastián R. Zeballos

    2014-12-01

    Full Text Available En todo el mundo, las invasiones de especies leñosas exóticas están amenazando las funciones ecosistémicas. La dispersión y el subsecuente reemplazo de bosques de especies nativas por comunidades dominadas por exóticas es evidente, particularmente, en proximidad a centros urbanos donde la presión de propágulos de especies exóticas es alta. Sin embargo, existe una falta de información sobre los factores ambientales que subyacen este reemplazo. En este estudio nos propusimos responder las siguientes preguntas: (1 ¿se observa una segregación espacial a escala local entre especies leñosas exóticas y/o nativas dominantes?, y (2 si existe esa segregación, ¿está asociada a variables ambientales? En el 2010 se establecieron 31 parcelas distribuidas en 16 laderas en los bosques Chaqueños de las Sierras de Córdoba, en Argentina central. En cada uno de los sitios de muestreo se relevó la composición y abundancia de todas las especies leñosas con un diámetro a la altura de la base superior a 5cm. Para caracterizar el ambiente en cada una de las parcelas medimos la posición topográfica (pendiente y orientación y algunas propiedades asociadas con la física (densidad aparente y compactación, estructura (profundidad y textura y con la química (pH y el contenido de nutrientes y agua del suelo. A través, de un análisis jerárquico de agrupamiento, se identificaron cinco comunidades de leñosas coexistiendo: (1 Bosques dominados por Ligustrum lucidum, (2 Bosques mixtos dominados por Lithraea molleoides y Celtis australis, (3 Matorrales de Condalia buxifolia, (4 Matorrales de Cotoneaster glaucophyllus, y (5 Pajonales con emergentes de Pyracantha angustifolia. Estas comunidades se asociaron diferencialmente a las variables topográficas y edáficas locales. La segregación ambiental observada sugiere que las especies invasoras tienen una capacidad potencial para colonizar casi todos los ambientes en el área de estudio (variando la

  16. Condições de serventia de estradas não-pavimentadas: estudo de caso aplicado às vias do município de Viçosa, Estado de Minas Gerais, Brasil = Serviceability of unpaved roads: a case study applied to net road from Viçosa, Minas Gerais

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    Taciano Oliveira da Silva

    2011-04-01

    Full Text Available Este artigo apresenta a adaptação do método de classificação de estradas nãopavimentadas proposto por Eaton às condições encontradas em rodovias vicinais do município de Viçosa, Estado de Minas Gerais, considerando a sua potencialidade como ferramenta de suporte à gerência destas vias. Este estudo foi desenvolvido a partir deavaliações objetiva, realizada com o emprego de uma escala de notas, e subjetiva, em obediência à metodologia de Eaton, que foram conduzidas por uma equipe treinada previamente que executou inspeções de campo, atribuindo notas a 20 unidades amostrais, possuindo cada uma delas 50 m de comprimento e representativas de 10 trechos analisados de vias não-pavimentadas. A análise dos dados desta pesquisa possibilitou concluir que: (i não houve correlação entre os resultados das avaliações subjetiva e objetiva, e a aplicação dametodologia de Eaton à gerência de manutenção de vias não-pavimentadas pode não refletir as suas prioridades reais; (ii a avaliação subjetiva do trecho e a avaliação subjetiva do conjunto de suas unidades amostrais são correlatas, indicando ser coerente o emprego deste procedimento.This paper addresses the adaptation of the method of classification of unpaved roads developed by Eaton to the field conditions of local roads from the city of Viçosa, Minas Gerais State, Brazil, considering its potential as a support tool for the management of these roads. This study was developed encompassing objective evaluation, carried out with the application of a note scale, and subjective evaluation, according to the methodology of Eaton, which were performed by a team that accomplished the field inspections, attributing notes to the 20 sample units, each one 50 meters long andrepresenting 10 analyzed unpaved road segments. Conclusions are as follows: (i it was not observed any correlation between data from the objective and the subjective field evaluations, leading to the conclusion

  17. Tendências recentes nos elementos do clima e suas implicações na evapotranspiração da cultura do milho em Viçosa - MG Recent trends in the weather elements and its implications in the maize crop evapotranspiration in Viçosa-MG, Brazil

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    Leonidas P. de Alencar

    2011-01-01

    Full Text Available A mudança nas condições climáticas tem gerado grandes preocupações em nível mundial, sendo que uma das grandes questões, neste contexto, é o aquecimento global. As alterações ocorridas nas condições climáticas podem afetar a demanda de água das plantas, porque a evapotranspiração é afetada por mudanças nos elementos climáticos. O objetivo deste trabalho foi analisar os efeitos das possíveis mudanças dos elementos do clima na evapotranspiração de referência e na evapotranspiração da cultura do milho para a região de Viçosa - MG. Mediante análise de tendência pelo teste de Mann-Kendall e da estatística do teste t da regressão linear, verificou-se o comportamento dos seguintes elementos climáticos: temperaturas máxima e mínima, insolação, velocidade do vento e umidade relativa. Observou-se uma redução na evapotranspiração de referência e da cultura do milho ao longo dos últimos 41 anos, principalmente em razão da redução da insolação e da velocidade do vento. A evapotranspiração de referência apresentou redução da ordem de 4,2 mm por ano.The change in weather conditions has caused great concern in the world and the major issue, in this context, is the global warming. The changes in climate may affect the water demand of plants, because the evapotranspiration is affected by changes in climatic elements. The objective of this study was to examine the possible effects of climatological changes in evapotranspiration and reference evapotranspiration of corn in Viçosa - MG, Brazil. Trend analysis by the Mann-Kendall statistic and student t test of the linear regression were used to study the behavior of the following weather elements: maximum and minimum temperatures, sunshine duration, wind speed and relative humidity. It was observed a reduction in the reference evapotranspiration and maize crop evapotranspiration over the recent past 41 years, mainly because of reduced solar radiation and wind

  18. Carotenos e provitamina A em bertalha e ervas aromáticas comercializadas em Viçosa, Estado de Minas Gerais, durante as quatro estações do ano = Carotenes and provitamin A in basella and aromatic herbs marketed in Viçosa, Minas Gerais State, during the four seasons of the year

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    Marina Andrade Batista

    2006-01-01

    Full Text Available Este estudo teve como objetivos investigar o teor de a-caroteno, b-caroteno e calcular o valor de vitamina A em hortaliças comercializadas no mercado formal e informal de Viçosa, Estado de Minas Gerais, bem como avaliar a influência das quatro estações doano e do local de comercialização sobre o conteúdo desses nutrientes. As hortaliças (bertalha, cebolinha, coentro, manjericão e salsa foram analisadas utilizando-se a cromatografia líquida de alta eficiência (CLAE. Devido ao conteúdo inexpressivo de a-caroteno em todas as amostras, foi possível quantificar apenas o b-caroteno. Não se verificou diferença estatisticamente significativa (a = 0,05 no conteúdo de b-caroteno das hortaliças entre os diferentes estabelecimentos, nem entre as estações do ano. As hortaliçasmostraram-se excelentes fontes de provitamina A, e se consumidas regularmente, contribuem de forma importante na adequação diária de vitamina A para adultos e crianças. Além disso, esses alimentos são acessíveis à população por apresentarem baixo custo e serem facilmente encontrados.This study aimed to investigate the level of a-carotene, b-carotene and to calculate the value of vitamin A in vegetables sold at local markets and informal markets of Viçosa, Minas Gerais State, as wellas to evaluate the seasonal and commercial effects on the content of these pigments. The vegetables (basella, green onion, cilantro, sweet basil and parsley were analyzed through high-performance liquid chromatography (HPLC, being b-carotene the only pigment present in all the analyzed samples. No significant statistical differences (a = 0.05 were found in the contents of b-carotene of the vegetables either among the different stores, or among the different seasons. The vegetables analyzed are great provitamin A sources and, ifeaten on a regular basis, they can fit the daily requirements of vitamin A for adults and children. Besides, these foods are very accessible due to their

  19. Flutuação populacional de espécies de cigarrinhas transmissoras da clorose variegada dos citros (CVC em Viçosa-MG Population dynamics of sharpshooters species transmitter of citrus variegated chlorosis (CVC in Viçosa-MG

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    Dierlei dos Santos

    2005-08-01

    Full Text Available Os objetivos deste trabalho foram avaliar a presença e a dinâmica populacional, ao longo do ano, de cigarrinhas transmissoras da CVC, no município de Viçosa - MG. As coletas foram realizadas no período de agosto de 2003 a julho de 2004, com auxílio de armadilhas adesivas amarelas e com rede entomológica (puçá. Das onze espécies comprovadamente capazes de transmitir a CVC, foram encontradas nove. O número total de cigarrinhas capturadas foi de 2.966, sendo 2.805 nas armadilhas e 161 no puçá. As três espécies da família Cicadellidae mais expressivas em número de insetos foram Bucephalogonia xanthophis (36,6% capturados na rede entomológica e 34,7% na armadilha, Dilobopterus costalimai (9,9% capturados na rede entomológica e 11,3% na armadilha e Acrogonia citrina (6,8% capturados na rede entomológica e 7,4% na armadilha. No mês de novembro, foram coletadas 378 cigarrinhas, correspondendo ao mês de maior incidência, sendo que 292 dessas foram coletadas na primeira quinzena, concorrendo para um pico populacional. Não houve diferença significativa entre o número médio de cigarrinhas coletadas no interior e na periferia da área.The objectives of this work were to evaluate the presence and the population dynamics of Citrus CVC transmitter sharpshooters along the year in the municipality of Viçosa- MG. The sharpshooter populations were monitored in the period of August 2003 to July 2004 using yellow adhesive traps and entomologic nets. During this period 2966 sharpshooters were captured and identified. Among eleven species known as CVC transmitters, nine were found in the region. The three most expressive species in number found were Bucephalogonia xanthophis (36,6% captured in entomological net and 34,7% in the trap, Dilobopterus costalimai (9,9% captured in entomological net and 11,3% in the trap and Acrogonia citrina (6,8% captured in entomological net and 7,4% in the trap. The largest incidence of sharpshooters occurred

  20. Avaliação do perfil de trabalhadores e das condições de trabalho em marcenarias no município de Viçosa-MG Evalution of workers' profile and work conditions joineries in Viçosa, Minas Gerais, Brazil

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    Kátia Regina Silva

    2002-11-01

    Full Text Available Esta pesquisa foi desenvolvida nos ambientes de trabalho de marcenarias localizadas no município de Viçosa, Minas Gerais, para realizar o levantamento do perfil dos trabalhadores e das condições de trabalho relacionadas às atividades exercidas em marcenarias, visando a melhoria da saúde, do bem-estar, da segurança, do conforto e da produtividade dos trabalhadores. O levantamento do perfil dos trabalhadores e das condições de trabalho foi realizado por intermédio da aplicação de questionários aos trabalhadores das marcenarias avaliadas e das observações e anotações realizadas durante a coleta dos dados. Pelos resultados obtidos, foram constatados diversos problemas relacionados aos marceneiros, como, por exemplo, cansaço, dores nas pernas e na coluna, alergia devido à utilização de produtos químicos e ao pó da madeira, falta de treinamento para exercer a profissão e praticamente nenhuma noção sobre segurança e higiene no trabalho. A incidência de acidentes relatados foi baixa; as mãos foram as partes mais afetadas por cortes leves, não tendo sido relatado nenhum tipo de acidente grave. Pôde-se constatar também que há necessidade de conscientizar os proprietários das marcenarias sobre a importância e os benefícios da segurança e higiene no trabalho para os seus funcionários.This work was carried out in joineries located in Viçosa, Minas Gerais, Brazil, to survey the profile of workers and work conditions related to the activities performed, aiming to promote health, welfare, safety, comfort and productivity of the workers. This survey was carried out by means of the application of questionnaires to the workers and from observations made during data collection. According to the obtained results, various problems related to the joiners were observed, such as fatigue, pain in legs and spine, allergies due to the use of chemicals and sawdust, lack of training for the work and almost none knowledge about work

  1. SO DO SENSOR TM NA ESTIMATIVA DA TEMPERATURA DA SUPERFÍCIE E MUDANÇA NO USO DO SOLO EM VIÇOSA, MG, BRASIL

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    Rafael Coll Delgado

    2015-09-01

    Full Text Available O objetivo deste trabalho foi avaliar a dinâmica nouso e cobertura da terra em área de abrangência de Viçosa, Minas Gerais. Para tanto, utilizou-se o algoritmo SEBAL (Surface Energy Balance Algorithm for Land e o método de classificação não supervisionada por meio do algoritmo ISODATA. Foi utilizada uma série históricade temperatura do ar (ºC, da Estação Meteorológica Convencional (EMC do Instituto Nacional de Meteorologia (INMET e imagens do sensor TM Landsat 5 do Instituto Nacional de Pesquisas Espaciais (INPE, noperíodo que compreendeu 16 anos (1994-2010. Os resultados mostraram que nos anosde 1999, 2000, 2003, 2006, 2009 e 2010 mais de 20 mil hectares foram antropizadas, porém, a partir de 1999 inicia-se um acentuado crescimento das áreas classificadas como mata. Os valores demonstraram avanço das áreas antropizadas (58,92% em 1994 para 71,90% em 2010 e uma redução das áreas de pastagens (27,04% em 1994 para 5,90% em 2010. A temperatura da superfície estimada pelo algoritmo SEBAL para os anos de 1994 e 2010, apresentaram valores máximos de 38ºC em áreas antropizadas e valores mínimos de 18ºC em áreas de vegetação. Com base no cálculo do viés médio (VM, o presente estudo mostrou que os dados estimados da temperatura da superfície apresentaram boa correlação de 0,67 com os dados do INMET, já que as temperaturas foram subestimadas e superestimadas com valores mínimos e máximos de -3,83ºC e 2,65ºC em 1994 e 2003. Os resultados obtidos, ainda que em caráter preliminar, indicam a eficiência do Sensoriamento Remoto (SR por meio da análise das bandas refletivas e termal do satélite Landsat 5 como ferramenta de análise na identificação da dinâmica do uso do solo, mostrando-se eficaz quanto à espacialização dessas anomalias no espaço e no tempo.

  2. USO DO SENSOR TM NA ESTIMATIVA DA TEMPERATURA DA SUPERFÍCIE E MUDANÇA NO USO DO SOLO EM VIÇOSA, MG, BRASIL

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    Rafael Coll Delgado

    2013-11-01

    Full Text Available O objetivo deste trabalho foi avaliar a dinâmica nouso e cobertura da terra em área de abrangência de Viçosa, Minas Gerais. Para tanto, utilizou-se o algoritmo SEBAL (Surface Energy Balance Algorithm for Land e o método de classificação não supervisionada por meio do algoritmo ISODATA. Foi utilizada uma série históricade temperatura do ar (ºC, da Estação Meteorológica Convencional (EMC do Instituto Nacional de Meteorologia (INMET e imagens do sensor TM Landsat 5 do Instituto Nacional de Pesquisas Espaciais (INPE, noperíodo que compreendeu 16 anos (1994-2010. Os resultados mostraram que nos anosde 1999, 2000, 2003, 2006, 2009 e 2010 mais de 20 mil hectares foram antropizadas, porém, a partir de 1999 inicia-se um acentuado crescimento das áreas classificadas como mata. Os valores demonstraram avanço das áreas antropizadas (58,92% em 1994 para 71,90% em 2010 e uma redução das áreas de pastagens (27,04% em 1994 para 5,90% em 2010. A temperatura da superfície estimada pelo algoritmo SEBAL para os anos de 1994 e 2010, apresentaram valores máximos de 38ºC em áreas antropizadas e valores mínimos de 18ºC em áreas de vegetação. Com base no cálculo do viés médio (VM, o presente estudo mostrou que os dados estimados da temperatura da superfície apresentaram boa correlação de 0,67 com os dados do INMET, já que as temperaturas foram subestimadas e superestimadas com valores mínimos e máximos de -3,83ºC e 2,65ºC em 1994 e 2003. Os resultados obtidos, ainda que em caráter preliminar, indicam a eficiência do Sensoriamento Remoto (SR por meio da análise das bandas refletivas e termal do satélite Landsat 5 como ferramenta de análise na identificação da dinâmica do uso do solo, mostrando-se eficaz quanto à espacialização dessas anomalias no espaço e no tempo.

  3. Estructura, riqueza y composición de plantas leñosas en el golfo de Tribugá, Chocó, Colombia

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    Galicano Gloria

    2001-07-01

    Full Text Available Se estudió la estructura, riqueza y composición florística del componente leñoso de los bosques del Golfo de Tribugá, Costa Pacífica del Chocó, Colombia, con base en el muestreo de los individuos con DAP?: 5 cm en dos transectos de 0.4 ha cada uno y en la información previamente publicada para una ha en la misma zona. Los bosques son estructuralmente homogéneos y están caracterizados por la abundancia de palmas arborescentes, la escasez de lianas y la alta frecuencia de raíces zancos. Comparados con otros bosques de la región del Chocó biogeográfico con precipitación similar, los bosques del Golfo de Tribugá son más pobres en especies de plantas leñosas (en promedio 29 especies > 10 cm DAP en 0.1 ha, tienen menos individuos (en promedio 48 individuos z 10 cm DAP en 0.1 ha, árboles más gruesos (en promedio 9.8% de los individuos> 40 cm DAP en 0.1 ha y un área basal mayor (en promedio 3.16 m? por 0.1 ha incluyendo individuos > 10 cm DAP. Estas diferencias parecen ser consistentes con la existencia de una correlación negativa entre la fertilidad del suelo y, la densidad y la riqueza de árboles. A pesar de que la abundancia de especies y familias fue igual en todos los sitios, la similitud en composición florística fue muy baja. Sólo hubo 10 especies > 10 cm DAP comunes a los tres sitios. La importancia ecológica de las Moráceas parece estar entre las más altas registradas en el Neotrópico (VIF=48.2-53.9 para los individuos> 10 cm DAP. La estructura y los valores de riqueza de plantas leñosas de los bosques del Golfo de Tribugá se acercan más a los bosques de La Selva, Costa Rica, que a otros bosques igualmente lluviosos del Chocó biogeográfico.Structure, richness and floristic composition of the woody elements ofthe forests of the Golfo de Tribugá, Pacific Coast of Chocó, Colombia, were studied in two 0.4 ha plots sampled for all individuals ?: 5 cm dbh and using also previously published information for one l

  4. Effects of CPAP-therapy on brain electrical activity in obstructive sleep apneic patients: a combined EEG study using LORETA and Omega complexity : reversible alterations of brain activity in OSAS.

    Science.gov (United States)

    Toth, Marton; Faludi, Bela; Kondakor, Istvan

    2012-10-01

    Effects of initiation of continuous positive airway pressure (CPAP) therapy on EEG background activity were investigated in patients with obstructive sleep apnea syndrome (OSAS, N = 25) to test possible reversibility of alterations of brain electrical activity caused by chronic hypoxia. Normal control group (N = 14) was also examined. Two EEG examinations were done in each groups: at night and in the next morning. Global and regional (left vs. right, anterior vs. posterior) measures of spatial complexity (Omega complexity) were used to characterize the degree of spatial synchrony of EEG. Low resolution electromagnetic tomography (LORETA) was used to localize generators of EEG activity in separate frequency bands. Before CPAP-treatment, a significantly lower Omega complexity was found globally and over the right hemisphere. Due to CPAP-treatment, these significant differences vanished. Significantly decreased Omega complexity was found in the anterior region after treatment. LORETA showed a decreased activity in all of the beta bands after therapy in the right hippocampus, premotor and temporo-parietal cortex, and bilaterally in the precuneus, paracentral and posterior cingulate cortex. No significant changes were seen in control group. Comparing controls and patients before sleep, an increased alpha2 band activity was seen bilaterally in the precuneus, paracentral and posterior cingulate cortex, while in the morning an increased beta3 band activity in the left precentral and bilateral premotor cortex and a decreased delta band activity in the right temporo-parietal cortex and insula were observed. These findings indicate that effect of sleep on EEG background activity is different in OSAS patients and normal controls. In OSAS patients, significant changes lead to a more normal EEG after a night under CPAP-treatment. Compensatory alterations of brain electrical activity in regions associated with influencing sympathetic outflow, visuospatial abilities, long

  5. Reflexiones sobre la protección del consumidor de servicios turísticos frente a la publicidad engañosa de sociedades mercantiles turísticas

    OpenAIRE

    Barrero Rodríguez, Enrique; Viguera Revuelta, Rodrigo; Jiménez Caballero, José Luis (Coordinador)

    2016-01-01

    En la presente Comunicación, sus autores pretenden exponer la situación en la que los potenciales clientes de las empresas turísticas pueden sufrir engaños como consecuencia de la publicidad engañosa. En tales supuestos, el mercado se suele caracterizar por el uso de una determinada publicidad que pretende incidir en la voluntad del consumidor, de manera que la actividad publicitaria se muestra como realmente relevante y decisiva para la formación de la voluntad de los ref...

  6. Resumen de tesis. El régimen jurídico de la publicidad engañosa por omisión: especial referencia a los derechos mexicano y español

    OpenAIRE

    Gómez Anel, María Isabel

    2015-01-01

    [ES] La investigación doctoral analiza el régimen legal de la publicidad engañosa por omisión llevando a cabo un análisis comparativo de los ordenamientos jurídicos español y mexicano. En primer término se aborda la publicidad en el marco de la tutela de los consumidores, los derechos fundamentales extensivos a la publicidad comercial y los principios básicos que las comunicaciones comerciales deben cubrir en torno a la protección jurídica de los consumidores. Es analizada la publicidad il...

  7. Análisis del éxito de incubación de la tortuga lora (Lepidochelys olivacea) en función del manejo de los nidos. Península de Osa, Costa Rica

    OpenAIRE

    Malmierca Pérez, Atenea

    2018-01-01

    En este trabajo de final de grado se expone un análisis del éxito de incubación (éxito de eclosión y éxito de emergencia) de la tortuga lora (Lepidochelys olivacea) en las playas Carate y La Leona (Península de Osa, Costa Rica), según los diferentes métodos de manejo de nidos realizados (nidos in situ, nidos reubicados en playa y nidos reubicados en el vivero). El objetivo principal de este trabajo es ver si tanto el manejo de los nidos, como la temperatura de la arena y el recubrimiento h...

  8. La protección al consumidor por publicidad engañosa en el Ecuador y sus limitaciones legales de acuerdo a la legislación vigente

    OpenAIRE

    Guerra Naranjo, Marco Vinicio

    2006-01-01

    El ámbito comercial, inmensamente competitivo de proveedores de bienes y servicios y la masificación de sus ventas ha llevado a que se utilice con mayor frecuencia estrategias que implican el uso de publicidad agresiva y falsa, que tiende a perjudicar a los consumidores, quienes adquieren bienes y servicios, distintos a los que fueron publicitados o promocionados por cualquier medio, vulnerando con ello sus derechos con la ilícita publicidad engañosa. Por el contrario, el em...

  9. Projeto Sabão Ecológico: uma estratégia educacional para a reciclagem do óleo de cozinha no município de Viçosa

    OpenAIRE

    Yaankha Bharbara Allecxandria Bernardo da Silva Barbosa Cardoso; Sabrina Marcelino Amoglia; Julie Louise McClelland; Amanda Ferreira Teixeira; Laura Fernandes Melo

    2017-01-01

    O descarte inadequado de resíduos de óleo de cozinha usado pode causar danos ambientais no local onde é descartado, bem como no entorno, fato que desrespeita um dos direitos do ser humano: o acesso ao ambiente ecologicamente equilibrado. Neste contexto, o Projeto Sabão Ecológico foi criado pela ONG Engenheiros Sem Fronteiras – Núcleo Viçosa, devido à necessidade de conscientizar a população sobre os danos inerentes ao descarte incorreto desse óleo. Por meio de oficinas teórico-práticas, que e...

  10. Murdelisest tegelaskõnest "Tõe ja õiguse" I osas / Dialect in the Speech of Characters in A. H. Tammsaare’s Truth and Justice Part I

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    Maria Mandri

    2015-06-01

    Full Text Available Teesid: Artikkel keskendub A. H. Tammsaare „Tõe ja õiguse“ pentaloogia I osas leiduvale murdelisele tegelaskõnele. Murdeline tegelaskõne on ilukirjanduslik võte, mis lähtub autori loomingulistest taotlustest ning on seega lahutamatu teose sisust. Keele- ja kirjandusteadust ühendades pakub artikkel seni puudu nud kontekstisidusa käsitluse „Tõe ja õiguse“ I osa tegelaskõnes kasutatud murdepärasuste omadustest ning funktsioonist teose sisu ja kompositsiooni toetamisel. Murdeline tegelaskõne osutab geograafiliselt kesk- ja läänemurde alale, iseloomustab tegelasi kui talurahva hulka kuulujaid, taotleb külaühiskonna realistlikku esitlust, toetab keeleliselt Vargamäe Ees- ja Tagapere ning vanade ja noorte vastandust.    SU M M A R Y   The use of language in Part I of A. H. Tammsaare’s five-volume novel Truth and Justice (Tõde ja Õigus has received quite a bit of scholarly attention. However, up till now there have been few treatments of dialect in characters’ speech that also take into account the coherence of context and the writer’s aesthetic goals. Features of dialect in characters’ speech have been noticed by many researchers, but they mostly limited themselves to giving descriptive accounts of dialect words. These earlier accounts often approached these passages as authentic specimens of dialect, and did not interpret them in context or as aspects of literary form. This article is based on the literary dialect theory of linguist and literary scholar Sumner Ives, who argues from the principle that dialect phenomena in literature cannot be studied as authentic specimens of dialect. In literature, when characters speak in dialect, this serves goals related to the content and composition of the work, and does not attempt to be a precise representation of real dialect speech. In this spirit, I will examine dialect in the characters’ speech in the first volume of Tammsaare’s cycle of novels Truth and Justice

  11. Implantação e impacto do Programa Nacional de Suplementação de Ferro no município de Viçosa - MG Implementation and impact of the National Iron Supplementation Program in the city of Viçosa, State of Minas Gerais

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    Catarina Machado Azeredo

    2011-10-01

    Full Text Available Objetivou-se avaliar a implantação do Programa Nacional de Suplementação de Ferro no município de Viçosa/MG e seu impacto em lactentes não anêmicos de 6 a 18 meses de idade, atendidos pelas Equipes de Saúde da Família. Realizou-se entrevistas aos profissionais de nível superior e às mães/responsáveis pelas crianças. As crianças não anêmicas e que não recebiam suplementação anteriormente (n=133 foram suplementadas com xarope de sulfato ferroso por seis meses. Realizou-se dosagem de hemoglobina, avaliação antropométrica e de condições socioeconômicas, antes e após os seis meses. Classificou-se como alta adesão as crianças que ingeriram 75% ou mais da dose prescrita e como baixa adesão as demais, de acordo com o referido pelas mães. Sobre a implantação do PNSF no município, observou-se que o sistema de distribuição nem sempre foi acessível ao grupo prioritário e houve ausência de capacitação e motivação da maioria dos Agentes Comunitários de Saúde; sobre o grupo prioritário observou-se ausência de divulgação para promoção do PNSF, além de sensibilização e educação somente de parte das mães; quanto ao suplemento as crianças tiveram baixa adesão e a dosagem não foi efetiva na prevenção da anemia. Portanto, a implantação do PNSF no município revelou entraves operacionais importantes.The scope of this work was to evaluate the implementation of the National Iron Supplementation Program (NISP in Viçosa in the State of Minas Gerais and its impact on 6- to 18-month-old non-anemic infants assisted by the Family Health Teams. Interviews were conducted with the professionals and with the children's mothers/guardians. The non-anemic children who didn't receive the earlier supplementation (n=133 were given ferrous sulphate syrup for six months. Hemoglobin dosage, anthropometric evaluation and a socioeconomic survey were conducted before and after the six-month period. Children who ingested 75

  12. Análise hidrológica e socioambiental da bacia hidrográfica do córrego Romão dos Reis, Viçosa-MG The hydrographic watershed of Romão dos Reis stream, Viçosa-MG

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    Genice Vieira Santos

    2007-10-01

    Full Text Available O objetivo deste trabalho foi analisar os aspectos hidrológico e socioeconômico da bacia hidrográfica do córrego Romão dos Reis, que se localiza no Município de Viçosa, na região da Zona da Mata do Estado de Minas Gerais. O estudo enfatizou o uso e ocupação da terra como fatores determinantes na análise da qualidade da água, além dos fatores físicos da bacia. Esta foi dividida em sub-bacias, o que possibilitou a escolha de locais representativos para coleta e análise de dados. Coletaram-se os dados referentes a vazão, qualidade da água, elevações, precipitação, uso do solo, tipo de solo e aspectos sociais e econômicos. Para a elaboração dos mapas, utilizou-se o modelo digitalizado, construído a partir de mosaicos e fotos aéreas da região, na escala de 1:30.000. As informações sobre o número de moradores e proprietários, assim como os seus respectivos sistemas de cultivos e ocupação na bacia, foram obtidas por meio de entrevistas semi-estruturadas, visando melhor compreender a organização social e o manejo de uso da terra das propriedades. Foram apontados indicadores de degradação, assim como estratégias de manejo adequadas à melhoria ambiental, que venham contribuir e garantir a sustentabilidade da bacia.This study was carried out to analyze the hydrological and socioeconomic aspects in the hydrographic watershed of Romão dos Reis stream in Viçosa county, Zona da Mata region, Minas Gerais State. In this study, the land use and occupation are emphasized as determinant factors for analyzing water quality, besides physical factors. The watershed was divided into sub-watersheds enabling to choose the representative sites for data collection and analysis. Data on flow rate, water quality, relief, precipitation, landscape (top, hillside and terrace, soil type, social and economic aspects were collected. A digitalized model built from mosaics and aerial photos of the area at 1:30.000 scale was used to draw up

  13. Composição florística de dois trechos em diferentes etapas serais de uma floresta estacional semidecidual em Viçosa, Minas Gerais Floristic composition of two sites different seral stages of semideciduous seasonal montane forest in Viçosa, Minas Gerais

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    Rogério Ferreira Ribas

    2003-12-01

    Full Text Available O presente estudo foi desenvolvido em dois trechos de floresta semidecídua, com diferentes estádios de sucessão secundária, localizada no município de Viçosa-MG, objetivando verificar variações qualitativas na composição florística. Foram demarcadas, em cada trecho, dez parcelas de 10 x 20 m, nas quais foram inventariados todos os indivíduos lenhosos com circunferência à altura de 130 cm do solo maior ou igual a 5 cm. A similaridade florística entre as parcelas foi avaliada por meio de análise de agrupamentos, utilizando o índice de Sørensen. Foram amostradas 67 espécies no trecho com 15 anos e 69 no trecho com 30 anos. Dentre as espécies exclusivas, 38 foram para o trecho com 15 anos e 40 para o trecho com 30 anos. As famílias Annonaceae, Leguminosae Caesalpinioideae e Sapindaceae, com cinco, quatro e quatro espécies cada, respectivamente, e o gênero Nectandra, com duas espécies, foram os taxa mais bem representados no trecho com 15 anos. Por outro lado, as famílias Flacourtiaceae, Meliaceae e Myrtaceae, com quatro, três e quatro espécies, respectivamente, e o gênero Ocotea, com três espécies, foram mais bem representados no trecho com 30 anos. A similaridade florística entre parcelas de um mesmo trecho foi considerada alta, tendo sido relacionada à proximidade espacial, o que implica históricos de perturbação e regeneração semelhantes, resultando, conseqüentemente, em composições florísticas mais similares e mesmo estádio de sucessão secundária.This study was carried out in two sites of a semideciduous forest, under different stages of secondary succession in Viçosa, MG to verify qualitative variations in floristic composition. In each site, ten plots of 10 m x 20 m were delimited, with all woody individuals with circumference at 130 cm height from the soil larger than or equal to 5 cm being listed. Floristic similarity among parcels was evaluated through clustering analysis, using the S

  14. Fatores socioeconômicos da produção de queijo minas frescal em agroindústrias familiares de Viçosa, MG Socioeconomic factors in the production of fresh cheese in family agribusiness of Viçosa, MG, Brazil

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    Mariana Barboza Vinha

    2010-09-01

    Full Text Available A produção de queijo minas frescal em agroindústrias familiares é amplamente difundida no Estado de Minas Gerais (MG associada à tradição cultural, à demanda do consumidor e ao rendimento do produto. Os objetivos deste estudo foram avaliar aspectos socioeconômicos da produção de queijos minas frescal fabricados em agroindústrias familiares no município de Viçosa-MG e caracterizar as principais dificuldades do setor. Os dados foram levantados pelo método de entrevista in loco em 12 agroindústrias, seis inspecionadas e seis não inspecionadas A renda do produtor familiar proveniente da produção do queijo minas frescal variou de 10 a 85% do total da renda familiar, com maiores percentuais para as agroindústrias inspecionadas. Em 83% das agroindústrias inspecionadas, a renda total era vinculada principalmente à produção do queijo. Os entraves na produção formal incluíram a competição com produtos informais, o baixo preço e a dificuldade de acesso a linhas de crédito e, para os produtores informais, incluíram escassez de matéria-prima e de mão de obra, variação sazonal da produção e ausência de infraestrutura adequada para produção. A produção de queijo minas frescal é uma atividade relevante na composição da renda familiar das agroindústrias, entretanto há necessidade de implementação de políticas públicas locais para melhor estruturação do setor, o que contribuirá para a sustentabilidade da produção familiar.The production of minas frescal cheese in familiar agribusiness is widely diffused in Minas Gerais State, associated to cultural tradition, consumer demand and product yield. The objectives of this study were to evaluate socioeconomic aspects on the production of minas frescal cheese produced in familiar agroindustries in the city of Viçosa-MG, Brazil and to characterize the main difficulties in this sector. Data were collected by the in loco interview method in 12 agribussiness, six of

  15. Equação de biomassa e estoque de carbono do pinhão manso, no município de Viçosa, MG Biomass equation and carbon stock of jatropha crop, in Viçosa, Minas Gerais, Brazil

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    Diego de Paula Toledo

    2012-11-01

    Full Text Available O presente trabalho teve como objetivo estimar equações de biomassa e o estoque de carbono da cultura do Pinhão Manso (Jatrophacurcas L.. A área estudada localiza-se no município de Viçosa, MG. O plantio foi realizado em espaçamento 3,5x3,0m, em 4,64ha. Para quantificação da biomassa, foi utilizado o método direto e destrutivo, aplicado às árvores-amostra, que foram selecionadas de acordo com as medidas da altura, do diâmetro das copas e do número de ramos. A determinação da biomassa de cada árvore foi obtida pelo método da proporcionalidade. Os modelos testados foram adaptados de Spurr e de Schumacher & Hall, para biomassa aérea e biomassa total (biomassa aérea mais biomassa de raízes pivotantes. O estoque de carbono foi estimado através da multiplicação da biomassa seca pelo teor de carbono da matéria seca, que foi obtido pelo método da calcinação em mufla. A estimativa do CO2 equivalente estocado foi obtida pela multiplicação do estoque de carbono pelo fator 44/12. A equação que obteve melhor ajuste e que foi utilizada para determinação do estoque de carbono deste estudo foi a de Spurr, com os dados de biomassa total, B=0,7601*(DC2*H0,8949, em que B = biomassa (kg; DC = diâmetro de copa (m; e H = altura (m. O estoque de carbono encontrado da cultura, no quarto ano, foi de 6,79MgC ha-1, correspondendo a 24,89Mg CO2(eq ha-1. Os resultados mostram que o pinhão-manso é ambientalmente viável para elaboração de projetos MDL de florestamento/reflorestamento ou em projetos de carbono para mercados voluntários, agregando renda ao produtor rural e melhorando a atratividade financeira da cultura.This study had the objectives to estimate equations of biomass and carbon stock of Jatropha (Jatrophacurcas L.. The area of this study is located in Viçosa, Minas Gerais, planting carried out in 3.5x3.0m spacing at 4.64ha. To biomass quantification, we used the direct destructive method, applied to trees, which were

  16. Epidemiological survey of the taeniasis/cysticercosis complex in cattle farms in Viçosa County, Minas Gerais, Brazil Inquérito epidemiológico sobre o complexo teníase-cisticercose bovina no município de Viçosa, Minas Gerais

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    Tatiane O. Santos

    2013-04-01

    Full Text Available Despite the importance of human taeniasis/bovine cysticercosis for public and animal health and the economy, its actual epidemiological status in Brazil is not well-studied. We sought to assess the epidemiological profile of this zoonosis in the rural area of Viçosa County, Minas Gerais, Brazil. The prevalence of bovine cysticercosis was 0.42%, whereas no case of human taeniasis was diagnosed. Factors favoring the persistence of zoonosis were identified. These included the supply of untreated water to animals, animals raised for slaughter without sanitary supervision, poor mechanization of raising techniques, and the use of untreated water for human consumption. Bovine meat for human consumption acquired in the city or from the farm itself was characterized as a risk factor for bovine cysticercosis (Odds Ratio (OR =16.77; pApesar da importância do complexo teníase-cisticercose bovina para a saúde pública, animal e para a economia, a realidade epidemiológica da ocorrência dessas zoonoses no Brasil é pouco conhecida. Este estudo foi realizado com o objetivo de avaliar o perfil epidemiológico desta zoonose na zona rural do município de Viçosa, MG. A prevalência encontrada de cisticercose bovina foi de 0,42%, e nenhum caso de teníase humana foi diagnosticado. Foi verificada presença de fatores favoráveis a manutenção dessa zoonose, como fornecimento de água sem tratar aos animais, criação de animais destinados ao abate sem inspeção sanitária, criação de bovinos com baixa adoção de tecnologia, e utilização de água sem tratamento. O consumo de carne bovina oriunda da propriedade e da cidade foi caracterizado como variável de risco (OR=16,77; p<0,05 para a cisticercose bovina. Apesar disso, as famílias das propriedades pesquisadas possuíam hábitos favoráveis como medida de controle para o desenvolvimento desta parasitose, como a quase ausência de esgoto a céu aberto e a ingestão de carne bovina bem passada. A

  17. Estrutura do componente arbustivo-arbóreo de dois estádios sucessionais de floresta estacional semidecidual na Reserva Florestal Mata do Paraíso, Viçosa, MG, Brasil Structure of the tree-shrub component in two successional stages of semideciduous forest in the Mata do Paraíso Forest Reserve, Viçosa, MG, Brazil

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    Sheila Isabel do Carmo Pinto

    2007-10-01

    Full Text Available Realizou-se o estudo das variações estruturais do componente arbustivo- arbóreo em dois estádios sucessionais - inicial e madura - de Floresta Estacional Semidecidual, na Reserva Florestal Mata do Paraíso, em Viçosa, MG, Brasil. A Reserva Florestal está situada nas coordenadas 20º45'S e 42º55'W e a uma altitude média de 689 m. O clima da região é classificado como Cwb pelo sistema de Köppen. As espécies arbustivo-arbóreas foram amostradas dentro de 20 parcelas de 10 x 30 m, sendo 10 parcelas em cada estádio sucessional, sendo considerados apenas os indivíduos com diâmetro a 1,30 m do solo (DAP > 4,8 cm. Na floresta inicial foram amostrados 399 indivíduos, distribuídos em 27 famílias e 55 espécies. As espécies com maior valor de importância (VI foram Piptadenia gonoacantha, Vernonanthura diffusa, Miconia cinnamomifolia, Piptocarpha macropoda e Luehea grandiflora. O índice de diversidade de Shannon (H' foi de 3,31 nat.ind.-1 e a equabilidade de Pielou (J', igual a 0,83. No estádio floresta madura foram amostrados 623 indivíduos, distribuídos em 31 famílias e 78 espécies. As espécies com maior valor de importância (VI foram Euterpe edulis, Piptadenia gonoacantha, Nectandra lanceolata, Myrcia sphaerocarpa e Guapira opposita. O índice de diversidade de Shannon (H' foi de 3,46 nat.ind.-1 e a equabilidade de Pielou (J', igual a 0,79. As distribuições diamétricas das quatro espécies mais abundantes em cada estádio sucessional apresentaram padrões distintos, aparentemente relacionados ao estádio sucessional.The study of the floristic and structural variations of the tree-shrub component was carried out in two successional stages of Semideciduous Forest, initial and mature, located in the Mata do Paraíso Forest Reserve, in Viçosa, Minas Gerais State, Brazil. The Forest Reserve is located at 20º45'S and 42º55'W, with average altitude of 689 m. The regional climate is classified as Cwb by the Köppen system

  18. Composição florística de uma floresta estacional semidecidual montana no município de Viçosa-MG Floristic composition of a montane seasonal semideciduous tropical forest in Viçosa, MG, Brasil

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    João Augusto Alves Meira-Neto

    2002-08-01

    Full Text Available O objetivo do presente estudo foi investigar a composição florística arbórea da Mata da Silvicultura (20º45'S e 42º55'W, município de Viçosa, Zona da Mata de Minas Gerais, com o intuito de avaliar sua similaridade com outras florestas. Para comparação florística foi utilizada a análise de agrupamentos pelo método de médias aritméticas não-ponderadas (UPGMA, a partir dos índices binários de similaridade de Sørensen entre as florestas comparadas. Foram relacionadas 154 espécies de 47 famílias botânicas para a Mata da Silvicultura. Esta mata mostrou-se mais similar às florestas semideciduais de altitude de Lavras (MG e de Atibaia (SP e menos similar às florestas submontanas e litorâneas. Estes resultados evidenciam uma importante influência das temperaturas na determinação do tipo florístico das florestas do Sudeste e Sul brasileiros.This study aims to investigate the floristic composition of the Silvicultura forest (20º45`S and 42º55´W by comparing it to other forest compositions. Thus, the cluster analysis method of unweighted pair-group using arithmetic averages (UPGMA was used, applying the Sørensen binary similarity index found among compared forests. A list of 154 species of 47 families was recorded. The Silvicultura forest is more similar to the montane semideciduous forests of Lavras and Atibaia, but less similar to submontane and coastal forests. These results show that temperature plays an important role in the floristic differentiation of the southern and southeastern Brazilian forest types.

  19. Vulnerabilidad por aprovechamiento y distribución de especies leñosas desde la perspectiva comunitaria en la reserva cañón del Usumacinta, Tabasco, México

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    Samuel Cabrera-Pérez

    2015-08-01

    Full Text Available El objetivo de la investigación fue docu-mentar los usos y grado de vulnerabilidad de la flora leñosa multiuso, usando para ello la perspectiva de los pobladores, así como describir la distribución en los ambientes de estas especies sobre el territorio que ocupa la comunidad de Niños Héroes, Tenosique, Tabasco, México. Se emplearon métodos etnobotánicos tales como: recorridos de campo con conocedores de la flora del sitio, colecta botánica y aplicación de entrevistas en cada vivienda de la comunidad. Estas últimas, incluyeron preguntas generales y específicas para documentar los usos y pedir colaboración para la realización de un taller comunitario para fundamentar la construcción del índice vulnerabilidad por aprovechamiento de la flora leñosa. Se identificaron 168 especies de flora leñosa útil, de las cuales 97 son multiusos. Éstas se agruparon en 20 categorías de utilidad, entre las que destaca la leña con 71 especies, seguidas por materiales para instrumentos de trabajo de campo (65, materiales para la construcción de casas rurales (63, cerco muerto (53, comestible (53, y cerco vivo (50. La selva y el acahual son los hábitats con mayor número de especies de flora multiusos y proveen al colectivo 27 y 26% del total respectivamente. El 22% de las especies multiusos presentan alta vulnerabilidad de aprovechamiento, mientras que 50% están categorizadas con vulnerabilidad baja por aprovechamiento. El índice aquí evaluado, permite detectar el grado de vulnerabilidad al aprovechamiento de manera local o regional, pero no se corresponde a los índices de amenaza establecidos por la Norma Oficial Mexicana NOM-059-SEMARNAT de protección ambiental de especies nativas de México. Este índice permite poner alertas a nivel local o regional con relación a la fragilidad de las especies. La información generada, sienta bases para el manejo de los recursos y puede servir de guía para las agencias del gobierno, instituciones

  20. Ocorrência da síndrome da apneia obstrutiva do sono (SAOS em crianças respiradoras orais Obstructive sleep apnea syndrome (OSAS in mouth breathing children

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    Suemy Cioffi Izu

    2010-10-01

    Full Text Available É bem estabelecido que a respiração oral em crianças está relacionada à hipertrofia adenoamigdaliana, que é a principal causa de apneia do sono nesta população. Apesar da importância deste tema, há poucos estudos que comprovam a relação entre SAOS e respiração oral. OBJETIVO: Determinar a prevalência de distúrbios respiratórios do sono em crianças respiradoras orais e sua correlação com achados otorrinolaringológicos. MATERIAL E MÉTODO: Foram avaliados retrospectivamente 248 prontuários de crianças respiradoras orais do serviço de Otorrinolaringologia Pediátrica de uma grande instituição entre 2000 e 2006, analisando os achados otorrinolaringológicos, polissonografia, nasofibroscopia e/ou radiografia em perfil do Cavum. O principal dado polissonográfico utilizado foi o índice de apneia (IA. Classificou-se como ronco primário aqueles com IA1. Desenho Científico: Coorte retrospectivo. RESULTADOS: Dos 248 pacientes incluídos, 144 (58% apresentavam ronco primário e 104 (42% apresentavam SAOS. Os achados otorrinolaringológicos mais frequentes foram Hipertrofia adenoamigdaliana (n=152; 61,2%, Hipertrofia de tonsila palatina (n=17; 6,8% Hipertrofia da tonsila faríngea (n=37; 14,9%, Rinite Alérgica (n=155; 62,5% e Otite Secretora (36; 14,5%. CONCLUSÕES: Ronco Primário e SAOS são frequentes em crianças respiradoras orais. A afecção otorrinolaringológica mais encontrada em crianças com SAOS é a hipertrofia adenoamigdaliana acompanhada ou não de rinite alérgica.It is well known that mouth breathing is associated with adenotonsillar hypertrophy - which is the main cause of obstructive sleep apnea among children. Despite the importance of this matter, there are only a handful of studies showing the relationship between OSAS and mouth breathing. AIM: to determine the prevalence of obstructive sleep disorders in mouth breathing children and study its correlation with otorhinolaryngological findings. STUDY

  1. Evolución de la propiedad, la tecnología y la sostenibilidad en la región montañosa de Nariño.

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    Irma Baquero

    2010-05-01

    Full Text Available Se analiza el efecto de las instituciones en las decisiones de conservación de recursos naturales de los productores agropecuarios en la región montañosa de Nariño. El análisis se basa en las características del sistema de propiedad: derecho de exclusión, seguridad y capacidad de ser transado. A pesar de que la teoría considera a la propiedad privada como la que mayores incentivos genera para la conservación, los resultados del análisis demuestran que esto no siempre es cierto y que otros factores, como los demográficos y tecnológicos, fueron determinantes de las decisiones.

  2. Dinámica del crecimiento del bosque húmedo tropical, 19 años después de la cosecha bajo cuatro sistemas de aprovechamiento forestal en la Península de Osa, Costa Rica Growth dynamics of tropical rainforest, 19 years after harvest under four forest harvesting systems in the Osa Peninsula, Costa Rica

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    Ruperto Quesada Monge

    2012-11-01

    Full Text Available Dentro del proyecto “Monitoreo de ecosistemas forestales para el fortalecimiento de estrategias de conservación y uso de bosques: una contribución a la iniciativa Costa Rica Carbono Neutral.”, se llevo a cabo el estudio de la dinámica del crecimiento del bosque húmedo tropical, diecinueve años después de la cosecha bajo cuatro sistemas de aprovechamiento forestal. Por medio de la medición de todos los árboles (d ≥ 10 cm, se identificaron botánicamente los ingresos en tres sitios de la Península de Osa (Estero Guerra, Dos Brazos de Río Rincón y Los Mogos, donde se instaló cuatro parcelas permanentes de muestreo (PPM de 1 ha, establecidas en el año 1990. En ese momento y, posteriormente, quince y diecinueve años (2007 y 2011, respectivamente, se analizó el estado del bosque primario después de aplicar cuatro sistemas de aprovechamiento forestal: Sistema de aprovechamiento con bueyes (SACB, Sistema de aprovechamiento mejorado (SATM, Sistema de aprovechamiento tradicional (SATT y Sistema de aprovechamiento bueyes- tractor, (SABT. El análisis de la dinámica del bosque se realizó con base en el crecimiento, tasas de mor talidad, de reclutamiento y de recambio. El incremento corriente anual (ICA promedio para el periodo evaluado varió de los 2,47 a los 3,56 mm/ año.El análisis estadístico mostró que el valor ICA presenta una distribución normal y homocedasticidad, y el análisis de varianza indica que no existen diferencias significativas entre los ICA de cada sistema de aprovechamiento (p = 0,3410. La tasa de mortalidad promedio para los cuatro sistemas de aprovechamiento es de 1,301% y la de reclutamiento de 1,869%, mientras que la tasa de recambio anual es de 0,569%. El análisis estadístico comprobó que las tasas de mortalidad, reclutamiento y recambio presentan una distribución normal y homocedasticidad, y, por su parte, el análisis de varianza mostró que las diferencias entre los aprovechamientos no son

  3. Análisis de la calidad de varios cuerpos de agua superficiales en el GAM y la Península de Osa utilizando el Índice Holandés Quality analysis of various surface water bodies in the GAM and the osa peninsula using the Dutch Index

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    Guillermo Calvo Brenes

    2012-11-01

    Full Text Available A pesar de la cantidad de ríos que tiene Costa Rica, la mayoría muestra algún grado de contaminación. Por lo tanto, resultan de particular interés aquellos que forman parte de la Gran Área Metropolitana, en donde se concentra el 70% de la población del país. Si bien la calidad del agua se puede determinar por medio del análisis de distintos indicadores, es ventajosa su simplificación por medio del uso de índices de calidad del agua. Uno de los índices adoptados en Costa Rica es el “Índice holandés de valoración de la calidad del agua” (ICA holandés, el cual se basa en el uso de tres indicadores: la demanda bioquímica de oxígeno, el nitrógeno amoniacal y el oxígeno disuelto, este último expresado como porcentaje de saturación de oxígeno. En el presente estudio se analizaron estos indicadores en diez ríos localizados en las provincias de San José, Alajuela, Heredia y Cartago, así como en la Península de Osa. Además, para correlacionar el ICA holandés con la densidad poblacional, se muestrearon tres puntos en cada río: la zona alta cercana a la naciente del río, la zona media y la zona baja, ubicada cerca de la desembocadura del río. Se encontró que los ríos que atraviesan las ciudades altamente densas, las cuales poseen densidades poblacionales superiores a los 8000 habitantes por kilómetro cuadrado (hab/km2, muestran niveles de contaminación en los ríos de “severa” a “muy severa”; por otra parte, lugares con densidades poblacionales entre los 3000-8000 hab/km2, en general, muestran niveles de contaminación de “moderada” a “severa”; mientras que los poblados con menos de 1000 hab/ km2 causan que la calidad de las aguas presente un nivel de contaminación de “incipiente” a “no contaminada”. Estos resultados pueden variar dependiendo del caudal de los ríos, su recorrido total y el uso que se le dé a la tierra. El análisis de Regresión Lineal Univariable mostró una correlaci

  4. Kellele ema kellele tütar. Bain & Co uuring : kuus järeldust töötegemise vahendite kohta / Vello Rääk

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    Rääk, Vello

    2005-01-01

    Rahvusvahelise konsultatsioonifirma Bain & Co poolt läbi viidud uuringust, mille käigus selgitati välja, milliseid juhtimise tööriistu firmad kasutavad. 2005. aasta uuringu kuuest põhijäreldusest. Graafikud

  5. Composição florística da vegetação arbórea de um trecho de floresta estacional semidecídua em Viçosa, Minas Gerais, e espécies de maior ocorrência na região Floristic composition of trees in a seasonal semidecious forest in Viçosa, Minas Gerais, and species of greater ocurrence in the region

    Directory of Open Access Journals (Sweden)

    Walnir Gomes Ferreira Júnior

    2007-12-01

    Full Text Available É grande a demanda por estudos ecológicos em florestas que possam embasar trabalhos de recuperação, conservação da biodiversidade e apoio à legislação ambiental. Entre esses estudos, primordialmente está o levantamento da flora. Nesse sentido, este trabalho teve como objetivo determinar a composição florística de um trecho da Reserva da Biologia, em Viçosa, MG, em regeneração natural há 80 anos, bem como realizar uma análise comparativa com outros trabalhos conduzidos na região, fornecendo, assim, informações que poderão embasar estudos sobre recuperação e conservação da biodiversidade dos fragmentos de Floresta Estacional Semidecidual. Os dados florísticos foram obtidos mediante a amostragem fitossociológica em 1 ha, pelo método de parcelas contíguas, em que todos os indivíduos arbóreos com circunferência de tronco >15 cm a 1,30 m do solo foram amostrados. Registraram-se 130 espécies, distribuídas em 94 gêneros, pertencentes a 38 famílias botânicas. A análise desses dados conjuntamente com de outros levantamentos realizados em trechos distintos da Reserva da Biologia, no campus da UFV, denota a marcante influência de variáveis ambientais locais (topografia, declividade, face de exposição solar e disponibilidade hídrica na distribuição da riqueza florística desse fragmento. Casearia decandra, Guapira opposita, Apuleia leiocarpa, Dalbergia nigra, Jacaranda macratha, Matayba elaeagnoides, Piptadenia gonoacantha, Bathysa nicholsonii, Carpotroche brasiliensis, Luehea grandiflora, Mabea fistulifera, Ocotea odorifera, Sorocea bonplandii e Zanthoxylum rhoifolium foram as espécies de maior ocorrência nos fragmentos estudados na região de Viçosa e adjacências, apresentando potencial para uso na recuperação florestal de áreas degradadas.There is a great demand for ecological studies on forests focusing on biodiversity conservation and establishment of environmental laws. The major need, however, is

  6. Papilionoideae (Leguminosae arbóreas e lianas na estação de pesquisa, treinamento e educação ambiental (EPTEA, Mata do Paraíso, Viçosa, Zona da Mata Mineira Trees and lianes of the papilionoideae (Leguminosae in the research, training and environmental education station (EPTEA, Mata do Paraíso, Viçosa, Zona da Mata Mineira

    Directory of Open Access Journals (Sweden)

    Izabella Martins da Costa Rodrigues

    2007-01-01

    Full Text Available Este trabalho consiste em um levantamento florístico das árvores e lianas pertencentes à Papilionoideae da Mata do Paraíso, importante fragmento de Floresta Estacional Semidecidual Submontana, no Município de Viçosa, Zona da Mata mineira. A pesquisa de campo foi realizada por meio de visitas à área de estudo, no período de julho/2004 a agosto/2005. Foram reconhecidos 12 táxons infra-específicos pertencentes a oito gêneros, sendo Machaerium Pers. (4 spp. e Dalbergia L. f. (2 spp. os mais representativos. São apresentados chaves de identificação, descrições, ilustrações e comentários sobre os táxons analisados. Dalbergia nigra (Vell. Allemão ex Benth., espécie vulnerável, e Ormosia vicosana Rudd, endêmica da região, foram encontradas na EPTEA.This work is a floristic survey of trees and lianas of the Papilionoideae in the Mata do Paraíso, an important fragment of Submontane Semideciduous Seasonal Forest, in Viçosa, Zona da Mata Mineira. The fieldwork was carried out through visits to the studied area, from July/2004 to August/2005. Twelve taxa represented by eight genera were recorded. Machaerium Pers. (4spp. and Dalbergia L. f. (2 spp. were the most representatives. Identification keys, descriptions and illustrations are presented for the analyzed taxa. Dalbergia nigra (Vell. Allemão ex Benth., vulnerable species and, Ormosia vicosana Rudd, endemic for the region were found at EPTEA.

  7. El Trabajo Comunitario en la Comunidad Montañosa de Jibacoa: Acciones de Recreación Física y Cultura Artística y Literaria

    Directory of Open Access Journals (Sweden)

    Javier Rodríguez Galindo

    2009-12-01

    Full Text Available En nuestro país, Cuba, se brinda gran atención al mejoramiento de la calidad de vida de los habitantes de las comunidades ubicadas en los cuatros macizos montañosos a través del Programa de montaña conocido como Plan Turquino; específicamente en nuestra provincia se ha logrado resultados significativos en los programas socio- culturales dirigidos a tales fines. Nuestra investigación se ha encaminado al estudio de la Recreación Física y la Cultura Artística y Literaria en la comunidad montañosa de Jibacoa. Las bases que nos antecedieron sobre esta temática nos muestra las insuficiencias en la integración entre los profesionales de la cultura física, promotores culturales y otros gestores del trabajo comunitario en la realización de las actividades recreativas y artísticas, la poca diversidad de las propuestas que se ofertan a la población, en especial a niñas y niños, insuficiente aprovechamiento del medio natural para la realización de las actividades, así como por las exigencias actuales de brindarles a las niñas y niños opciones recreativas en vistas del logro de una cultura general integral. Para llevar a cabo todo un proceso de recopilación de información se han aplicado diferentes métodos como: observación, encuestas, así como la aplicación de diferentes técnicas grupales, las cuales nos permitieron conocer el estado actual de la recreación en la comunidad montañosa de Jibacoa, enfatizando en la presencia de elementos físicos recreativos y artísticos y literarios. Dicha constatación nos colocan en la propuesta de un plan de acciones en correspondencias con los gustos y preferencias de las niñas y niños de la comunidad en estudio, la cual después de ser validada por parte del Grupo de Trabajo y otros Evaluadores Externos se llevo a la Práctica, logrando los criterio por parte de la comunidad, para estar en condiciones de una nueva planificación.

  8. Integração na criação de frangos de corte na microrregião de Viçosa - MG: viabilidade econômica e análise de risco

    Directory of Open Access Journals (Sweden)

    Adelson Martins Figueiredo

    2006-12-01

    Full Text Available Na microrregião de Viçosa - MG, a criação de frango de corte via contratos de integração com a PIF-PAF S/A Indústria e Comércio tornou-se fonte adicional de renda para as propriedades rurais de pequeno e médio porte. Assim, este trabalho visou verificar a viabilidade de contratos de integração nessa região; especificamente, pretendeu-se elaborar e analisar um projeto de implantação de um aviário, determinar a rentabilidade do investimento, mensurar os riscos da atividade sob o ponto de vista do integrado e auxiliar a tomada de decisão. Para isso, calcularam-se indicadores de viabilidade econômica do projeto, como Valor Presente Líquido, Taxa Interna de Retorno e Razão Benefício/Custo; além disso, foi feita uma análise de sensibilidade para posterior análise de risco. Os resultados apontaram para a viabilidade econômica do projeto; ademais constatou-se que a sua lucratividade é mais sensível aos componentes da receita do que dos custos, sendo o preço recebido por ave a variável de maior sensibilidade. Percebeu-se também que os contratos de integração não eliminam totalmente o risco da atividade e que a integradora transfere parte do risco de preços ao produtor.The chicken production in Viçosa area is done by integration agreement with Pif Paf Company and it is an important option for increasing the income of small farmers. The objective of this paper is to check the viability of integration agreements. A project of a plant for chicken production was drawn and observed in order to determine its profitability and risks, with the purpose of helping the decision making. The Net Present Value, Internal Rate of Return, Cost/Benefit Ratio, Risk Sensitivity and Risk Analysis were calculated. The results show that the project is feasible and the profitability is more sensitive to changes in production price than changes in production costs. This study also points out that the integration agreement does not eliminate the

  9. Regeneración natural de plantas leñosas en una plantación costarricense de Vochysia guatemalensis (Vochysiaceae y el efecto de la fertilización con P y NPK

    Directory of Open Access Journals (Sweden)

    José Fco Di Stefano

    2009-11-01

    Full Text Available Las estrategias de manejo y las especies seleccionadas en plantaciones forestales pueden tener efectos positivos o negativos sobre la regeneración vegetal en los trópicos. Esta investigación estudió la abundancia y riqueza de plantas leñosas bajo el dosel de un monocultivo de Vochysia guatemalensis de diez años. Se evaluaron 19 parcelas de 80 m²en Tabarcia de Mora, con varios tratamientos de fertilización (0-0; 0-50; 50-0, 50-50 g/ planta de P, y NPK, respectivamente, este ultimó se aumentó de 150 a 200 g hasta que la plantación alcanzó los seis años, en un diseño factorial totalmente al azar. Se contaron e identificaron todas las especies leñosas con más de 0.5 m de altura, con un total de aproximadamente 10 000 ind/ha en 90 especies, siendo éstas principalmente nativas de la zona (varias maderables, otras importantes para la fauna, la mayoría con bajos índices de importancia (suma de la densidad y frecuencias relativas. Un 16% alcanzaron alturas superiores a 2.5 m. Se considera que varios factores pudieron favorecer dicha regeneración, como un dosel con una apertura inter-media, un manejo forestal de bajo impacto, la cercanía de un fragmento boscoso maduro, y el establecimiento de la plantación en sustitución de un cafetal donde se aplicaban estrategias de conservación de suelos y se fertilizaba anualmente. Finalmente, se determinó una mayor abundancia y riqueza en las parcelas con solo P (χ²=15.364, gl=3, p=0.002, probablemente porque los árboles de Vochysia tendieron a ser menos desarrollados en comparación con los otros tratamientos.

  10. Carotenos e provitamina A em bertalha e ervas aromáticas comercializadas em Viçosa, Estado de Minas Gerais, durante as quatro estações do ano - DOI: 10.4025/actascihealthsci.v28i1.1122 Carotenes and provitamin A in basella and aromatic herbs marketed in Viçosa, Minas Gerais State, during the four seasons of the year - DOI: 10.4025/actascihealthsci.v28i1.1122

    Directory of Open Access Journals (Sweden)

    José Benício Paes Chaves

    2006-03-01

    Full Text Available Este estudo teve como objetivos investigar o teor de α-caroteno, β-caroteno e calcular o valor de vitamina A em hortaliças comercializadas no mercado formal e informal de Viçosa, Estado de Minas Gerais, bem como avaliar a influência das quatro estações do ano e do local de comercialização sobre o conteúdo desses nutrientes. As hortaliças (bertalha, cebolinha, coentro, manjericão e salsa foram analisadas utilizando-se a cromatografia líquida de alta eficiência (CLAE. Devido ao conteúdo inexpressivo de α-caroteno em todas as amostras, foi possível quantificar apenas o β-caroteno. Não se verificou diferença estatisticamente significativa (α = 0,05 no conteúdo de β-caroteno das hortaliças entre os diferentes estabelecimentos, nem entre as estações do ano. As hortaliças mostraram-se excelentes fontes de provitamina A, e se consumidas regularmente, contribuem de forma importante na adequação diária de vitamina A para adultos e crianças. Além disso, esses alimentos são acessíveis à população por apresentarem baixo custo e serem facilmente encontrados.This study aimed to investigate the level of α-carotene, β-carotene and to calculate the value of vitamin A in vegetables sold at local markets and informal markets of Viçosa, Minas Gerais State, as well as to evaluate the seasonal and commercial effects on the content of these pigments. The vegetables (basella, green onion, cilantro, sweet basil and parsley were analyzed through high-performance liquid chromatography (HPLC, being β-carotene the only pigment present in all the analyzed samples. No significant statistical differences (α = 0.05 were found in the contents of β-carotene of the vegetables either among the different stores, or among the different seasons. The vegetables analyzed are great provitamin A sources and, if eaten on a regular basis, they can fit the daily requirements of vitamin A for adults and children. Besides, these foods are very

  11. Comportamento resiliente de um solo argiloso da região de Viçosa-MG no estado natural e estabilizado com cimento e alcatrão fracionado

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    Sant'Anna Giovanni Levi

    2003-01-01

    Full Text Available A importância do estudo das características resilientes dos solos e das misturas estabilizadas quimicamente justifica-se pela necessidade de conhecer o seu comportamento mecânico, sob a ação de cargas repetidas e transientes, quando constituintes do pavimento de estradas florestais. O método tradicional de determinação do módulo de resiliência, em laboratório, requer o emprego de um equipamento triaxial de cargas repetidas, que é relativamente complexo e caro, o que leva à necessidade de se desenvolver métodos mais simples para determinação do módulo de resiliência. Assim, buscou-se com este trabalho determinar o módulo de resiliência de um solo argiloso comum na região de Viçosa-MG em seu estado natural e quando estabilizado com cimento e alcatrão, como também propor correlações empíricas entre este e outros parâmetros geotécnicos de fácil obtenção em laboratório.

  12. Projeto Sabão Ecológico: uma estratégia educacional para a reciclagem do óleo de cozinha no município de Viçosa

    Directory of Open Access Journals (Sweden)

    Yaankha Bharbara Allecxandria Bernardo da Silva Barbosa Cardoso

    2017-12-01

    Full Text Available O descarte inadequado de resíduos de óleo de cozinha usado pode causar danos ambientais no local onde é descartado, bem como no entorno, fato que desrespeita um dos direitos do ser humano: o acesso ao ambiente ecologicamente equilibrado. Neste contexto, o Projeto Sabão Ecológico foi criado pela ONG Engenheiros Sem Fronteiras – Núcleo Viçosa, devido à necessidade de conscientizar a população sobre os danos inerentes ao descarte incorreto desse óleo. Por meio de oficinas teórico-práticas, que ensinam a produção de sabão artesanal a partir do óleo usado, o projeto apresenta um destino sustentável para o mesmo, gerando um produto capaz de auxiliar no orçamento doméstico ou mesmo gerar renda para a comunidade, já tendo alcançado avaliação positiva pelos participantes. Dessa forma, o projeto tem impactado diversas esferas, promovendo benefícios ambientais, sociais e financeiros aos envolvidos, por meio da educação ambiental, utilizada como ferramenta de transformação da sociedade.

  13. WILD PINEAPPLE (ANANAS BRACTEATUS (LINDL., VAR. ALBUS HARVESTED IN FOREST PATCHES IN RURAL AREA OF VIÇOSA, MINAS GERIAS, BRAZIL: EXCELLENT SOURCE OF MINERALS AND GOOD SOURCE OF PROTEINS AND VITAMIN C

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    GALDINO XAVIER DE PAULA FILHO

    2016-01-01

    Full Text Available ABSTRACT In the rural region of the municipality of Viçosa, Minas Gerais, forest patches are encountered and they present a great diversity of wild and edible fruit, where wild pineapple (Ananas bracteatus (Lindl., var. albus is one of those of greatest occurrence. Given that, little is known about the nutritional characteristics of this fruit, the present study aimed to investigate the physical and physic-chemical characteristics, chemical composition (titratable acidity, total soluble solids, pH, moisture content, ash, protein, lipids and dietary fiber, carotenoids (a-carotene, ß-carotene, ß-cryptoxanthin and lycopene, vitamin C (AA and DHA by HPLC-DAD, vitamin E (a-, ß-, ?-, d-, tocopherols and tocotrienols by HPLC-fluorescence, and minerals (P, K, Ca, Mg, Cu, Fe, Zn, Mn, Na, Cr, Se and Mo by ICP-AES. Fruits showed a moisture content average of 78.5 g 100g-1, 16.3 ° Brix of soluble solids, titratable acidity equal to 1.71 g 100g-1 of citric acid, 1.66 g 100g-1 of dietary fiber, 1.41 g 100 g-1 of lipids and caloric density of 83.15 kcal 100g-1. We considered it a source of carbohydrates (12.82 g 100g-1, proteins (4.79 g 100g-1 and Zn (0.98 mg 100g-1; a good source of vitamin C (18.70 mg 100g-1; and an excellent source of Cu (0.48 mg 100g-1, Fe (2.05 mg 100g-1, Mn (8.87 mg 100g-1 and Mo (0.15 mg 100g-1.

  14. UMA ANÁLISE DO PROCESSO DE MUDANÇA ORGANIZACIONAL E DA CAPACIDADE DE ADAPTAÇÃO DE UMA ENTIDADE FECHADA DE PREVIDÊNCIA COMPLEMENTAR, PATROCINADA PELA UNIVERSIDADE FEDERAL DE VIÇOSA

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    Humberto Santiago Pazzini

    2014-06-01

    Full Text Available No campo da Teoria das Organizações, a discussão a respeito da importância dos objetivos é frequente, atingindo não somente aspectos relacionados ao planejamento, mas atingindo questões ligadas à própria existência da organização. Sendo os fins que se procura alcançar, ou os resultados finais em direção aos quais as atividades são dirigidas, os objetivos orientam as ações organizacionais. Neste trabalho investigaram-se a dimensão e as implicações da mudança de objetivos em entidade fechada de previdência privada. Estudou-se o caso do AGROS, Instituto UFV de Seguridade Social, criado pela Universidade Federal de Viçosa, para suplementar os benefícios da previdência oficial dos servidores. Com o advento da Lei do Regime Jurídico Único, que modificou o sistema de aposentadoria dos servidores federais, a existência da instituição passou a ser questionada. Na pesquisa, utilizou-se o método do estudo de caso, sendo a coleta de dados feita através de entrevistas e análise documental. Os resultados indicaram uma significativa mudança de objetivos. Concluiu-se que a adaptação da organização exigiu ajustes na estrutura e nos objetivos, impactando a tecnologia, a cultura e o clima organizacional.

  15. Influência do tráfego de veículos comerciais em rodovias vicinais não pavimentadas: estudo de caso aplicado à VCS 346, Viçosa, MG

    Directory of Open Access Journals (Sweden)

    Taciano Oliveira da Silva

    2011-06-01

    Full Text Available Este artigo aborda a influência da variação da carga por eixo e da pressão de enchimento dos pneus sobre as deflexões superficiais recuperáveis previstas na estrutura de pavimento da estrada não pavimentada VCS 346, considerada representativa da malha vicinal do Município de Viçosa, MG. O programa de estudo considerou as seguintes análises: (i contagem volumétrica do tráfego, inclusive de veículos comerciais do tipo 2C; (ii deflexões recuperáveis previstas, em função dos dados disponíveis no estudo; (iii estrutura do pavimento, com dados referentes ao material das camadas. Com as análises, observou-se que a aplicação de níveis mais críticos de carregamento interferiu significativamente na vida útil do pavimento e, dependendo da combinação da carga por eixo e da pressão de enchimento dos pneus, a vida útil da estrada pode sofrer redução da ordem de 89%. Investigaram-se ainda, neste trabalho, dois métodos para dimensionar a espessura do revestimento primário para rodovias não pavimentadas. Um desses métodos foi o empírico, qual seja, o método do DNIT para dimensionamento de pavimentos flexíveis; e o outro foi fundamentado em teoria elástica para sistemas de camadas. Para o dimensionamento de estradas não pavimentadas melhoradas com uma camada de revestimento primário (sistema de duas camadas, concluiu-se que o procedimento mais adequado foi o emprego da teoria elástica.

  16. "Ma vihkan suuremat osa inimesi!" / Kristiina Davidjants

    Index Scriptorium Estoniae

    Davidjants, Kristiina, 1974-

    2008-01-01

    Paul Thomas Andersoni Upton Sinclairi "Õli" järgi lavastatud "Veri hakkab voolama" ("There Will Be Blood"), peaosas Daniel Day-Lewis : Ameerika Ühendriigid 2007. Lisatud väljavõte Berlinale pressikonverentsilt P.T. Andersoni esinemisega

  17. Survivability in Object Service Architectures (OSA)

    National Research Council Canada - National Science Library

    Wells, David

    1999-01-01

    .... The size and complexity of the software systems necessary to achieve this goal makes them highly vulnerable to the loss or degradation of hosts, networks, or processed due to physical and information...

  18. Elu on osa haridusteest / Silver Meikar

    Index Scriptorium Estoniae

    Meikar, Silver, 1978-

    2004-01-01

    Ilmunud ka: Hiiu Leht, 14. mai 2004, lk. 2; Valgamaalane, 15. mai 2004, lk. 2; Nädaline, 18. mai 2004, lk. 4; Põhjarannik, 20. mai 2004, lk. 2; Pärnu Postimees, 21. mai 2004, lk. 11; Sakala, 21. mai 2004, lk. 2; Meie Maa, 21. mai 2004, lk. 2; Severnoje Poberezhje, 25. mai 2004, lk. 2; Koit, 25. mai 2004, lk. 6. Autori hinnangul on Eesti noorte ebaproportsionaalselt suur tung kõrghariduse omandamisele seotud sooviga olla iseseisev ja avardada oma silmaringi. Alternatiivsetest võimalustest nende eesmärkide saavutamiseks

  19. OSA – a risk factor for stroke

    Directory of Open Access Journals (Sweden)

    Ryan CM

    2011-12-01

    Full Text Available Clodagh M RyanCentre for Sleep Health and Research, University of Toronto/Toronto General Hospital, Toronto, CanadaAbstract: Obstructive sleep apnea is a sleep breathing disorder characterized by recurrent and intermittent hypoxia with continued respiratory effort against a closed glottis. The result of this is a cascade of acute and chronic systemic pathophysiological responses that cause endothelial dysfunction, atherosclerosis and lead to cardiovascular and cerebrovascular disease. This article focuses on the clinical evidence linking obstructive sleep apnea and stroke and on the specific mechanisms perpetuating stroke risk in this population.Keywords: stroke, obstructive sleep apnea, brain injury, atherosclerosis, continuous positive airway pressure, outcomes

  20. Kaebus sunnib teatreid suitsetamise osas aru pidama

    Index Scriptorium Estoniae

    2009-01-01

    Draamateatri külastaja kaebuse peale - etenduses "Pedro Páramo" suitsetas näitleja Mait Malmsten kogu esimese vaatuse - arutab Eesti Etendusasutuste Liit peagi laval suitsetamisega seotud küsimusi

  1. Kunstisuvi 2008, esimene osa / Andri Ksenofontov

    Index Scriptorium Estoniae

    Ksenofontov, Andri, 1962-

    2008-01-01

    Eesti Maalikunstnike Liidu aastanäitused: Mara Koppel-Ljutjuki ja Toomas Tõnissoo kureeritud "Perfektne ring" ArtDepoo galeriis, Tiiu Talvistu ja Mare Joonsalu kureeritud "Äratus" Rotermanni soolalaos. Mart Lepa ja Rene Kuulmanni kogudest avatud näitus "Kirg ja valu" Tartu Kunstimuuseumis. Ilmar Kruusamäe näitus "30 aastat hiljem" Tampere majas. Tartu Ülikooli maaliosakonna lõputööde väljapanekud Tartu Kunstimaja monumentaalgaleriis (Eda Lõhmus), Athena keskuses (Natali Pahapill) ja Tartu Kunstimuuseumis (Maria Ader, Riho Pärn, Katrin Paomets). Vaal-galerii korraldatud rändnäitus "Sinimustvalge eesti kunstis" Tartu Kunstimajas. Ernö Kochi näitus Haus galeriis. Maret Olveti näitus Vabaduse ja SEBi galeriis. Vive Tolli juubelinäitused Tallinna Kunstihoone galeriis ja Eesti Lastekirjanduse Keskuses

  2. Kunstisuvi 2008, teine osa / Andri Ksenofontov

    Index Scriptorium Estoniae

    Ksenofontov, Andri, 1962-

    2008-01-01

    Sirje Runge tööde näitus Eesti Panga galeriis. Aneri Kärkkäineni ja Elis Saarevälja näitus "Sad Sack" ArtDepoo galeriis. Nadezhda Tshernobai "Kollase süütuse suudlus", Ilme Rätsepa kangamaalid "Kolmainsus" ning Kadri Kangilaski ja Toomas Tõnissoo maalinäitus "Perekonnaelu" Draakoni galeriis. Kati Kerstna ja Kairi Orgusaare "Läbivaade" Tallinna Kunstihoone galeriis. Mare Saare "Fragiilid" ja Alice Kase tööd Hobusepea galeriis. Ulvi Haagenseni "Antipoodid" HOP galeriis. Alvar Reisneri "Extra & Ordinary" Vaal-galeriis. Liisi Eelmaa videoinstallatsioon-aktsioon "Õnnekeeks" (11. VII), Minna Hindi interaktiivne installatsioon "Ainult täna õhtul: Minna Hint" (18. VII), Sirli Heina maal "Kirsitort" (16. VII) Artishoki näitusel Tallinna Linnagaleriis. Ado Lille "Nude alive" Haus galeriis. Toomas Altnurme "Metafüüsika seitsmes dimensioon" SEBi galeriis. 5. VII toimunud kunstinädala "Kultuurikatapuldid 2008" üritused (esinejad: Linnar Priimägi, Jüri Ojaver, Erik Alalooga, Siim-Tanel Annus, E. Saareväli, Jaan Toomik, Kiwa) Haapsalus

  3. OSA Imaging and Applied Optics Congress Support

    Science.gov (United States)

    2017-02-16

    Digest (online) (Optical Society of America, 20 16), paper JT3A .41. V. Katkovnik, "Sparse phase retrieval from noisy data: variational formulation and...A. Wojdyla, G. Gunjala, J. Dong, M. Benk, A. Neureuther, K. Goldberg , and L. Waller, "Off-axis Aberration Estimation in an EUV Microscope Using...2016, (Optical Society of America, 20 16), paper JT3A.41. V. Katkovnik, "Sparse phase retrieval from noisy data: variational formulation and algorithms

  4. Composição florística do componente arbustivo-arbóreo em dois trechos de floresta estacional semidecidual na Mata do Paraíso, Viçosa, MG

    Directory of Open Access Journals (Sweden)

    Sheila Isabel do Carmo Pinto

    2013-09-01

    Full Text Available É grande a demanda por estudos ecológicos em florestas que possam embasar trabalhos de recuperação e conservação da biodiversidade. Entre esses estudos, primordialmente está o levantamento da flora. Nesse sentido, realizou-se o estudo das variações florísticas do componente arbustivo-arbóreo em dois trechos de Floresta Estacional Semidecidual, floresta inicial e floresta madura, situados na Reserva Florestal Mata do Paraíso, em Viçosa, Minas Gerais. As espécies arbóreo-arbustivas foram amostradas dentro de 20 parcelas de 10 x 30 m, 10 parcelas em cada trecho de floresta, sendo considerados apenas os indivíduos com diâmetro a 1,30 m do solo (DAP  4,8 cm. Na floresta inicial foram amostradas 55 espécies pertencentes a 47 gêneros e 27 famílias. A família com maior riqueza florística foi Fabaceae, com 10 espécies (18%, seguida de Euphorbiaceae (cinco espécies; 9%, Annonaceae, Lauraceae, Meliaceae e Salicaceae (três espécies; 6%. Na floresta madura foram amostradas 78 espécies distribuídas em 62 gêneros e 31 famílias. A família com maior riqueza florística foi Fabaceae, com 13 espécies (17%, seguida de Lauraceae e Myrtaceae (seis espécies; 8%, Euphorbiaceae, Sapindaceae e Salicaceae (cinco espécies; 6%, Annonaceae e Meliaceae (quatro espécies, 5%, Rubiaceae e Moraceae (três espécies; 4%. O grupo ecológico que mais se destacou nos dois trechos de floresta foi o das secundárias iniciais, seguido pelas secundárias tardias na floresta madura e pelas pioneiras na floresta inicial. A variabilidade na composição florística e na proporção de espécies em cada grupo ecológico foi resultante das variações na intensidade da ação antrópica nestas florestas e do tempo de regeneração florestal.

  5. AVALIAÇÃO DA QUALIDADE FÍSICO-QUÍMICA, MICROBIOLÓGICA E MICROSCÓPICA DE POLPAS DE FRUTAS CONGELADAS COMERCIALIZADAS NA CIDADE DE VIÇOSA-MG

    Directory of Open Access Journals (Sweden)

    J. M. A. T. K. PEREIRA

    2009-01-01

    Full Text Available

    O objetivo deste trabalho foi avaliar a qualidade físico-química e o aspecto higiênico-sanitário de polpas de frutas congeladas comercializadas na cidade de Viçosa-MG. Foram realizadas análises físico-químicas, microbiológicas e de microscopia em polpa de fruta congelada, de três marcas comerciais (A, B e C, das seguintes frutas: açaí, caju, goiaba, graviola e morango, totalizando 15 amostras. As análises realizadas foram: pH, sólidos solúveis em ºBrix, atividade de água, cor (L*, a*, b*, microbiológicas (coliformes totais, coliformes à 45 ºC e fungos filamentosos e leveduras e microscopia (análise de sujidade e fragmentos. Os resultados obtidos indicaram que, do ponto de vista físico-químico, as polpas açaí- marcas A, B e C, graviola - marca B e graviola, caju e goiaba - marca C apresentaram valores de ºBrix inferiores ao exigido pela legislação que regulamenta 40 ºBrix, 9,00 ºBrix, 10,0 ºBrix e 7,00 ºBrix , respectivamente. As demais amostras atenderam à legislação. As análises estatísticas de cor mostraram diferença significativa (p<0,05 entre as marcas. As contagens de fungos filamentosos variaram de < 10 a 2,6x104 UFC/g e as contagens de coliformes à 45 ºC nas amostras foram < 3 NMP/g. As análises microscópicas classificaram algumas amostras como inaceitáveis para o consumo, sendo encontrados fragmentos de insetos/larvas nas polpas de caju (marcas A e C, goiaba (marca B e graviola (marca A. Os resultados obtidos evidenciam a necessidade de maior fiscalização e treinamento dos manipuladores de polpas para melhoria da qualidade do produto.

  6. Composição florística da regeneração natural de espécies arbóreas ao longo de oito anosem um fragmento de floresta estacional semidecidual, em Viçosa, MG Floristic composition of natural regeneration of tree species in a mountain seasonal semideciduous florest fragment over an eigth year period, in Viçosa, MG, Brazil

    Directory of Open Access Journals (Sweden)

    Pedro Higuchi

    2006-12-01

    Full Text Available A florística da regeneração natural foi estudada em 10 locais, com seis sub-parcelas em cada local, em 1992, 1995 e 2000, em fragmento de Floresta Estacional Semidecidual Montana, em Viçosa, MG. A amostragem da classe 1 de tamanho de planta (até 1 m de altura, classe 2 (1-3 m de altura e classe 3 (>3 m de altura e The floristic composition of the natural regeneration in a secondary Seasonal Semideciduous Forest fragment in the Atlantic Forest domain, Southeastern Brazil, was studied in the years 1992, 1995 and 2000. The sampling unit sizes were 0.5x10m, 0.5x20m and 1x20m, respectively, for plant size class 1 (height up to 1 m, class 2 (height from 1 to 3 m and class 3 (height > 3m and DBH < 5cm. A total of 4,149 individuals were sampled over the inventory period, comprising 42 families and 160 species, being 11.7 % pioneer, 62.1 % early secondary, and 26.2 % late secondary species. Family number did not change and number of species increased with time. Fabaceae, Myrtaceae, Rubiaceae and Lauraceae were the predominant families. Species ingrowth was higher than mortality. Shannon-Weaver diversity index was significantly lower (P < 0.05 only for the plant size class 1 as compared to the other size classes, in 1992, and it increased significantly from 3.45 (average of all plant size classes, in 1992, to 3.67 and 3.64 in 1995 and 2000, respectively. The Pielou equability index per inventory date varied from 0.71 to 0.74, and it was 0.71; 0. 79 and 0.82 for the size classes 1, 2 and 3, respectively. Overall, the results showed that monitoring the natural regeneration over an age sequence is important to understand the dynamics of the secondary forest fragments.

  7. Regeneración natural de plantas leñosas en una plantación costarricense de Vochysia guatemalensis (Vochysiaceae y el efecto de la fertilización con P y NPK

    Directory of Open Access Journals (Sweden)

    José Fco Di Stefano

    2009-11-01

    Full Text Available Las estrategias de manejo y las especies seleccionadas en plantaciones forestales pueden tener efectos positivos o negativos sobre la regeneración vegetal en los trópicos. Esta investigación estudió la abundancia y riqueza de plantas leñosas bajo el dosel de un monocultivo de Vochysia guatemalensis de diez años. Se evaluaron 19 parcelas de 80 m²en Tabarcia de Mora, con varios tratamientos de fertilización (0-0; 0-50; 50-0, 50-50 g/ planta de P, y NPK, respectivamente, este ultimó se aumentó de 150 a 200 g hasta que la plantación alcanzó los seis años, en un diseño factorial totalmente al azar. Se contaron e identificaron todas las especies leñosas con más de 0.5 m de altura, con un total de aproximadamente 10 000 ind/ha en 90 especies, siendo éstas principalmente nativas de la zona (varias maderables, otras importantes para la fauna, la mayoría con bajos índices de importancia (suma de la densidad y frecuencias relativas. Un 16% alcanzaron alturas superiores a 2.5 m. Se considera que varios factores pudieron favorecer dicha regeneración, como un dosel con una apertura inter-media, un manejo forestal de bajo impacto, la cercanía de un fragmento boscoso maduro, y el establecimiento de la plantación en sustitución de un cafetal donde se aplicaban estrategias de conservación de suelos y se fertilizaba anualmente. Finalmente, se determinó una mayor abundancia y riqueza en las parcelas con solo P (χ²=15.364, gl=3, p=0.002, probablemente porque los árboles de Vochysia tendieron a ser menos desarrollados en comparación con los otros tratamientos.Natural regeneration of woody species in a Costa Rican plantation of Vochysia guatemalensis (Vochysiaceae and the effect of P and NPK fertilization. Forest plantation management strategies, including the selection of species, may have positive or negative effects over plant regeneration in the tropics. in this case, understory woody plants density and richness were studied in

  8. ASOCIACIÓN DE ESPECIES LEÑOSAS EN BANCOS DE FORRAJE: INFLUENCIA SOBRE EL APORTE DE HOJARASCA, DESCOMPOSICIÓN Y LIBERACIÓN DE NITRÓGENO

    Directory of Open Access Journals (Sweden)

    Fernando Casanova Lugo

    2012-01-01

    Full Text Available Se evaluó el aporte de hojarasca, descomposición y liberación de N del follaje de tres especies leñosas, Leucaena leucocephala, Guazuma ulmifolia y Moringa oleifera, en bancos de forraje puros y la asociación de L. leucocephala + G. ulmifolia y L. leucocephala + M. oleifera, como bancos de forraje mixto. Se utilizaron 20 parcelas (200 m2 en un diseño de bloques completos al azar con cuatro repeticiones. La producción de hojarasca se estimó mediante el uso de trampas, instaladas en la hilera central de cada parcela. Para la descomposición se utilizaron hojas frescas de L. leucocephala, G. ulmifolia, M. oleifera, y de las mezclas de éstas. Se utilizaron 120 litter bags de 30 × 30 cm cada una, distribuidas aleatoriamente dentro de las parcelas (6 bolsas por parcela. Se retiraron 2 bolsas de cada parcela a las 4, 8 y 16 semanas. El material remanente se pesó, secó, fue molido y se determinó el contenido de N. Para determinar la constante de descomposición (k, se utilizó el modelo Y=a•e^(-k•t. El aporte de hojarasca acumulado fue diferente entre los tratamientos (P < 0.05. El banco de forraje de L. leucocephala + G. ulmifolia tuvo la mayor producción, mientras el de M. oleifera la menor. L. leucocephala, asociada con G. ulmifolia tuvo un menor aporte de hojarasca (385 kg MS ha-1, que cuando se asoció con M. oleifera o se encontraba sola (623.3 y 653.2 kg MS ha-1, respectivamente. M. oleifera asociada a L. leucocephala, incrementó su producción de hojarasca comparado con el monocultivo (124.1 vs. 58.0 kg MS ha-1. A las 4 semanas, la hojarasca de los bancos de M. oleifera, L. leucocephala y G. ulmifolia registraron una descomposición del 88, 76 y 73%, respectivamente; mientras que L. leucocephala + G. ulmifolia y L. leucocephala + M. oleifera mostraron una descomposición de 76 y 83%, respectivamente. Los bancos de forraje de M. oleifera, L. leucocephala y G. ulmifolia

  9. Análisis de la repelencia al agua en una pequeña cuenca hidrográfica afectada por fuego controlado en el área montañosa central de Portugal

    Directory of Open Access Journals (Sweden)

    Ceballos, A.

    1999-12-01

    Full Text Available In this work it is described and analyzed the water repellency observed in a small catchment subject to prescribed burning and located in mountainous central part of Portugal. As well, a discussion about the methodologies usually used to measure the soil hydrophobocity, the replicability between field and laboratory data is established. The results show the little influence in soil physical parameters and organic matter content of prescribed burning and indicate a close relationship between spatial distribution of Erica sp. and water repellency. The replicability between soil hydrophobocity data from the field and laboratory is limited; nevertheless, a high level of correspondence exists between Molarity of an Ethanol Droplet and Water Drop Penetration Time data in the laboratory.

    [es] - En el presente trabajo se describe y analiza la repelencia al agua detectada en una pequeña cuenca hidrográfica afectada por fuego controlado en el área montañosa central de Portugal. También se establece una discusión acerca de los métodos utilizados para medir la hidrofobia y el grado de correspondencia entre los resultados obtenidos en el campo y en el laboratorio. Los resultados muestran la escasa influencia del fuego controlado sobre los parámetros físicos y contenido de materia orgánica del suelo, indicando, sin embargo, una estrecha relación entre la distribuci��n espacial de Erica sp. y suelos más hidrófobos. El grado de replicación entre la hidrofobia medida en el campo y en el laboratorio es discreto; no obstante, en el laboratorio sí se ha encontrado un buen nivel de correspondencia entre las dos técnicas utilizadas (Molarity of an Ethanol Droplet y Water Drop Penetration Time. [fr] Dans cet article est décrit puis analysé le phénomène de répulsion à l'eau qui a été observé dans un petit bassin hydrographique soumis au feu contrôlé dans la zone montagneuse centrale du Portugal. Une discussion est

  10. Fusarium ründab igast asendist / Elina Akk, Heino Lõiveke

    Index Scriptorium Estoniae

    Akk, Elina, 1968-

    2012-01-01

    Seeneperekond Fusarium spp. toodab toksilisi mükotoksiine ja põhjustab üle maailma suuri saagikadusid. Uute ning ohtlikumate Fusarium'i liikide levik teraviljakasvatuses üha laieneb, ka Põhja- ja Baltimaades

  11. O uso da gestão de projetos para a implantação de uma gestão da informação integrada e participativa: a experiência da coordenadoria de educação aberta e a distância da Universidade Federal de Viçosa-MG

    Directory of Open Access Journals (Sweden)

    Leo Jaime Ribeiro Faria

    2012-12-01

    Full Text Available Management of Distance Education demands competences at planning, systematization, organization, and controlling of processes and projects. These tasks cannot be carried out successfully without information management system that meets the requirements of integration, collective responsibility and participation. Therefore, this study aimed at implementing an information management system at the Coordination of Open and Distance Education of Federal University of Viçosa (CEAD-UFV, following the methodology of Project Management. For this purpose, it was developed and implemented an information management system based on the methodology of project management for information, technology and communication companies, by adapting the dotProjec -, an open source software. It was noted that the model implanted offered to CEAD-UFV a systemic view of their projects and a dynamic information flow. The experience also showed that an information management based on project management allows focusing on the synergy between groups required in distance education context.

  12. O uso da gestão de projetos para a implantação de uma gestão da informação integrada e participativa: a experiência da coordenadoria de educação aberta e a distância da Universidade Federal de Viçosa-MG

    Directory of Open Access Journals (Sweden)

    Leo Jaime Ribeiro Faria

    2012-01-01

    Full Text Available http://dx.doi.org/10.5007/1983-4535.2012v5n4p78   A gerência da Educação a Distância exige que seus gestores executem tarefas de planejamento, sistematização, organização, direção e controle de processos e projetos e por isso não pode prescindir de um gerenciamento da informação que atenda aos requisitos de integração, de responsabilidade coletiva e de participação. Sendo assim, este trabalho teve como objetivo a implementação da gestão da informação na Coordenadoria de Educação Aberta e a Distância da Universidade Federal de Viçosa (CEAD-UFV, seguindo a metodologia de gerenciamento de projetos com base numa modificação dodotProject, um software livre de código aberto. Para tanto, foi desenvolvido e implementado um sistema de gerenciamento da informação na Coordenadoria, com base na metodologia da gestão de projetos para organizações de tecnologia da informação e comunicação. Constatou-se que o modelo implantado ofereceu à CEAD-UFV uma visão sistêmica de seus projetos e dinamizou o fluxo de informações. A experiência mostrou ainda que a gestão baseada nagerência de projetos permite enfatizar a sinergia entre grupos necessária no contexto de EaD.

  13. CSR kui äristrateegia osa / Tuuliki Kasonen-Lins

    Index Scriptorium Estoniae

    Kasonen-Lins, Tuuliki

    2008-01-01

    Autor selgitab, et ettevõtte ühiskondlik vastutus ei ole kord aastas korraldatav heategevuskampaania. Näitena ettevõtte ühiskondlikust vastutusest nimetab autor panustamist tööjõu koolitusse või töötute sotsiaalsete gruppidega tegelemisse

  14. Obstructive sleep apnoea (OSA) - a silent killer in anaesthesia ...

    African Journals Online (AJOL)

    Sleep-disordered breathing (SDB) encompasses a wide range of disorders that afflict both adults and children. These disorders are often unrecognised preoperatively and the pathophysiological consequences may impact severely on the patient in the peri-operative period.

  15. A Surgical Treatment of Obstructive Sleep Apnoea (OSA)

    African Journals Online (AJOL)

    Snoring is now seen as one end of sleep-related breathing disorder resulting ultimately in obstructive sleep apnea. Uvulopalatopharyngoplasty (UPPP) is the first surgical procedure specifically designed to alleviate the abnormalities, although the use of laser appears to be the new trend. We present a case of Obstructive ...

  16. Kodu osa isiklikus ja ühiskondlikus elus

    Index Scriptorium Estoniae

    2008-01-01

    15. II avatakse Eesti Tarbekunsti-ja Disainimuuseumis Eesti Vabariigi 90. aastapäevale pühendatud näitus "Varamu. Esindusruum ja moodne kodu 1918-1940", mille on koostanud Merike Alber, kujundanud Margit Lillak ning graafiliselt kujundanud Denes Farkas. Eksponaadid on pärit riigikogust, presidendi kantseleist, Eesti muuseumidest ning erakogudest. Lõik Hanno Kompuse artiklist ajakirjas "Kaunis Kodu", 1935, nr. 3

  17. Kodu osa isiklikus ja ühiskondlikus elus

    Index Scriptorium Estoniae

    2008-01-01

    15. veebruaril 2008. a. avatakse Eesti Tarbekunsti-ja Disainimuuseumis Eesti Vabariigi 90. aastapäevale pühendatud näitus "Varamu. Esindusruum ja moodne kodu 1918-1940", mille on koostanud Merike Alber, kujundanud Margit Lillak ning graafiliselt kujundanud Denes Farkas. Eksponaadid on pärit riigikogust, presidendi kantseleist, Eesti muuseumidest ning erakogudest. Lõik Hanno Kompuse artiklist ajakirjas "Kaunis Kodu", 1935, nr. 3

  18. Norma juht hämas Venemaa osas / Annika Matson

    Index Scriptorium Estoniae

    Matson, Annika, 1976-

    2005-01-01

    Norma juhatuse esimees Peep Siimon teatas osalise tööaja rakendamise vajadust 551 töötaja puhul ning põhjendab seda keerulise olukorraga Venemaal. Diagramm: Vene autoturg kasvab. Vt. samas: Eesti analüütikud osalise tööaja teadet ei pelga. Kommenteerib Valentin Jurkin

  19. Abort on osa seksuaalkultuuri pärandist / Kai Haldre

    Index Scriptorium Estoniae

    Haldre, Kai, 1965-

    2005-01-01

    Abordikultuuri tekkest Ida-Euroopas ja Nõukogude Liidus ning selle jõudmisest Eestisse. Autori arvates soovimatute raseduste ja uute ilmakodanike vahele ei saa panna võrdusmärki ning abortide arvu vähenemine ei too iseenesest kaasa sündimuse kasvu. Lisa: diagramm

  20. Gregor Mendel, OSA (1822-1884), founder of scientific genetics.

    Science.gov (United States)

    Dunn, P M

    2003-11-01

    Gregor Mendel, an Augustinian monk and part-time school teacher, undertook a series of brilliant hybridisation experiments with garden peas between 1857 and 1864 in the monastery gardens and, using statistical methods for the first time in biology, established the laws of heredity, thereby establishing the discipline of genetics.

  1. Maailma sporthobuste kasvatajad Inglismaal. I-II osa / Raigo Kollom

    Index Scriptorium Estoniae

    Kollom, Raigo, 1936-

    2013-01-01

    Maailma Sporthobuste Kasvatajate Föderatsiooni peaassambleel Inglismaal Newmarketi väikelinnas toimunud külastustest British Racing School'i, British Racing Museum'i ning Dubai valitseja ja Araabia Ühinenud Emiraatide asepresidendi šeik Mohammed bin Rashid Al Maktoumi hobusekasvandusse Darley Stud

  2. Nokia ampsas tagasi suure osa kaotatud turuosast / Annika Matson

    Index Scriptorium Estoniae

    Matson, Annika, 1976-

    2005-01-01

    Turu-uuringutefirma Gartner andmetel võitis mobiiltelefonide tootja Nokia turuosa tagasi juba kolmandat kvartalit järjest, kuid jääb ikkagi alla 2003. aasta neljandale kvartalile. Diagrammid: Nokia turuosa taas kosumas; Analüütikud soovitavad Nokia aktsiat enim osta

  3. Programs of the Office of the Science Advisor (OSA)

    Science.gov (United States)

    Office of the Science Advisor provides leadership in cross-Agency science and science policy. Program areas: Risk Assessment, Science and Technology Policy, Human Subjects Research, Environmental Measurement and Modeling, Scientific Integrity.

  4. Mineviku esitamine kui osa ajaloo loomisprotsessist / Tiiu Jaago

    Index Scriptorium Estoniae

    Jaago, Tiiu, 1960-

    2011-01-01

    Tutvustus: Heimo, Anne. Kapina Sammatissa : vuoden 1918 paikalliset tulkinnat osana historian yhteiskunnallisen rakentamisen prosessia. Helsinki : Suomalaisen Kirjallisuuden Seura, 2010 (dissertatsioon)

  5. Avalik väljendusvabadus ja demokraatia. [1.- 2. osa

    Index Scriptorium Estoniae

    Ernits, Madis, 1971-

    2007-01-01

    Väljendusvabaduse arengust Eestis ja Euroopa inimõiguste konventsiooni 10 artiklist. Prima facie õigusest. Avaliku väljendusvabaduse kolmikmõju juhtumite analüüs. Erisustest, mis tekivad nalja vormis avaldatud kriitika käsitlemisel, Eesti ajakirjanduseetika koodeksi käsitlusest Eesti kohtute praktikas

  6. Euroopa Komisjoni rikkumismenetlused otseste maksude osas / Erki Uustalu

    Index Scriptorium Estoniae

    Uustalu, Erki, 1976-

    2010-01-01

    Euroopa Komisjoni pressiteadete põhjal tehtud ülevaade liikmesriikide vastu algatatud rikkumismenetlustest. Menetlused nr. 2007/4435 (Saksamaa), 2008/4250 ja 2005/5060 (Belgia), 2008/2157 (Taani), 2008/2207 ja 2005/2301 (Holland), 2007/2365 (Portugal), 2007/2382 (Hispaania), 2006/4101 ja 2007/2103 (Eesti), 2007/2364 (Portugal), 2009/4083 (Kreeka)

  7. Hariduse osa teadmistepõhises Eestis / Mailis Reps

    Index Scriptorium Estoniae

    Reps, Mailis, 1975-

    2004-01-01

    Kuigi viimasel kümnel aastal on koostatud arvukalt strateegiaid hariduse ja teaduse edendamiseks, pole enamik neist leidnud rakendust ning Eesti vajaks uut teadmistepõhist hariduskontseptsiooni, leiab autor

  8. Suursaadiku osas Eestile ettekirjutusi ei tehtud / Kärt Anvelt

    Index Scriptorium Estoniae

    Anvelt, Kärt, 1973-

    2007-01-01

    Saksa ajaleht Financial Times Deutschland väitis, nagu oleks Venemaa nõustunud lõpetama Eesti Moskva-saatkonna piiramist juhul, kui Eesti suursaadik Marina Kaljurand lahkub Moskvast. Välisminister Urmas Paet vastas eitavalt küsimusele, kas Saksa välisminister Walter Steinmeier vahendas talle Venemaa välisministri sellekohase nõudmise

  9. Oodatav tsensuuri moment on osa kunstilisest teostusest / Tiiu Leis

    Index Scriptorium Estoniae

    Leis, Tiiu

    1998-01-01

    Viljandis toimunud kunstipäevade "Kiriküüt" raames Pärnu-Ikla-Tartu-Tallinna maanteel valminud "Maantee näituse", kus pärnakaist esinevad Andrus Joonas, Sütevaka Andres, Taave Tuutmaa, Kadri Alesmaa, filmile (teost. Jasper Zoova) jäädvustamiseks korraldatud bussireisist ja intsidendist graffiti'ga kaetud bussi pärast.

  10. Eesti tahab Aasia paisuvast pirukast oma osa haugata / Adele Pao

    Index Scriptorium Estoniae

    Pao, Adele

    2011-01-01

    Majandus- ja kommunikatsiooniministeeriumis on valmimas programm, mille sihiks on suurendada eksporti Aasia riikidesse ja suurendada Eesti atraktiivsust sealsete investorite silmis. Arengufond töötab Eesti ja India majandusssuhete kallal, Kaubandus-Tööstuskoda püüab Hiina turu suhtes leida ühist keelt Rootsi ja Soome partneritega. Diagramm: Aasia riikide kasvuootused Europast suuremad

  11. Side effects of intraoral devices for OSAS treatment.

    Science.gov (United States)

    Teixeira, Andressa Otranto de Britto; Andrade, Ana Luiza Ladeia; Almeida, Rhita Cristina da Cunha; Almeida, Marco Antonio de Oliveira

    2017-10-14

    Intraoral devices have increasingly assumed a key role in the treatment of obstructive sleep apnea syndrome, but there are limitations to their indication and side effects that result from their continuous use, as well as the use of the continuous positive airway pressure device. To evaluate the changes in dental positioning caused by the continuous use of mandibular advancement devices. A prospective longitudinal study with a sample of 15 patients, with evaluation of complete documentation after a mean time of 6.47 months, assessed changes in dental positioning due to the use of the Twin Block oral device for the treatment of patients with apnea. The following variables were evaluated: overjet, overbite, upper and lower intermolar distances, upper and lower intercanine distances, Little's irregularity index and the incisor mandibular plane angle. An intraclass correlation test was performed and a correlation index>0.08 was accepted. After verifying the normal sample distribution (Shapiro-Wilks), a parametric test was used (t test), with a significance level set at 5%. There was a decrease in the values of overjet, overbite and Little's irregularity index, whereas there was an increase in the lower intercanine distance and IMPA values. All these variables are influenced, at different levels, by the forward inclination of the lower incisors, an action that can be expected due to the force applied by the device on the dentition. The other variables did not show statistically significant differences. After a mean time of 6.47 months of use of the mandibular advancement device, there were statistically significant changes in the dental positioning, but they were not clinically relevant. However, it is relevant that this device is commonly in use over long periods of time, making the monitoring of these patients of the utmost importance for the duration of their therapy. Copyright © 2017 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  12. Kes keelas C. R. Jakobsoni lugemisraamatu teise osa? / Vello Paatsi

    Index Scriptorium Estoniae

    Paatsi, Vello, 1948-2015

    2016-01-01

    Carl Robert Jakobsoni "Kooli Lugemise raamatu" teist jagu (Tartu : H. Laakmann, 1875) ei lubatud rahvakoolides kasutada rahvusliku sisu ning usuleiguse tõttu. Keelu taga oli Liivimaa Ülem-maakoolivalitsus

  13. Avaliação da precipitação efetiva de um fragmento de Mata Atlântica em diferentes estágios de regeneração no município de Viçosa, MG

    Directory of Open Access Journals (Sweden)

    José Carlos de Oliveira Júnior

    2007-04-01

    Full Text Available O presente trabalho teve por objetivo avaliar a precipitação efetiva de um fragmento do bioma Mata Atlântica composto por floresta estacional semidecidual em diferentes estágios de regeneração no município de Viçosa, MG, no período de novembro de 2005 a outubro de 2006. Foram demarcadas quatro parcelas experimentais, sendo três em uma área de estágio de regeneração inicial e uma em estágio de regeneração avançado. Durante o estudo foram efetuadas 24 coletas de precipitação a céu aberto, precipitação interna e escoamento pelo tronco, constituídas de um ou mais eventos de chuva. A precipitação média total do período estudado foi de 997 mm. A precipitação efetiva na área em que o estágio de regeneração se encontra mais avançado, com área basal igual a 3,28 m², foi de 813,90 mm o que correspondeu a 81,63% da precipitação a céu aberto. Na área em que o estágio de regeneração se encontra inicial, com área basal igual a 1,22 m², a precipitação efetiva foi de 792,46 mm o que correspondeu a 79,43% da precipitação a céu aberto. A interceptação pelas copas resultou em 18,37% e 20,57% para as áreas de regeneração avançada e inicial, respectivamente. Os resultados analisados estatisticamente pelos testes t e teste f, não apresentaram diferença significativa.ao nível de 5% de probabilidade.

  14. Efeito do exercício físico e do polimorfismo T-786C na pressão arterial e no fluxo sanguíneo de idosas Efecto del ejercicio físico y del polimorfismo T-786C en la presión arterial y en el flujo sanguíneo de añosas Effect of physical activity and t-786C polymorphism in blood pressure and blood flow in the elderly

    Directory of Open Access Journals (Sweden)

    Anderson Saranz Zago

    2010-10-01

    ón, pudiendo este efecto ser revertido por el ejercicio físico. OBJETIVO: Investigar la influencia del entrenamiento aeróbico y del polimorfismo T-786C en las concentraciones de los metabolitos del óxido nítrico (NOx, en el flujo sanguíneo (FS y en la presión arterial (PA. MÉTODOS: Treinta y dos añosas prehipertensas (59 ± 6 años fueron separadas en dos grupos de acuerdo con el polimorfismo T-786C (TT y TC+CC. Fueron analizadas las concentraciones de NOx (plasma y flujo sanguíneo por pletismografía de oclusión venosa en reposo, 1, 2 y 3 minutos post oclusión (FS-0, FS-1, FS-2, FS-3, respectivamente. Las evaluaciones fueron realizadas antes y después de 6 meses de un programa de ejercicio aeróbico. RESULTADOS: En las evaluaciones pre entrenamiento, los niveles de NOx fueron menores en el grupo TC+CC en relación al grupo TT. El grupo TT presentó correlaciones entre NOx y FS-0 (r = 0,6 y presión arterial diastólica (PAD y FS-0 (r = -0,7, sin embargo ninguna correlación fue encontrada en el grupo TC+CC. En las evaluaciones post entrenamiento, ocurrieron correlaciones entre NOx y FS-0 (r = 0,6 y en los cambios del NOx y PAD (r = -0,6 en el grupo TT. También fueron obtenidas correlaciones entre PAD y FS-1 (r = -0,8, PAD y FS-2 (r = -0,6, PAD y FS-3 (r = -0,6, en los cambios entre NOx y FS-1 (r = 0,8 y cambios del NOx y PAD (r = -0,7 en el grupo TC+CC. CONCLUSIÓN: Se concluye que 6 meses de ejercicio aeróbico pueden contribuir a aumentar las relaciones existentes entre NO, PA y FS en añosas portadoras del alelo C.BACKGROUND: The T-786C polymorphism of the gene for endothelial nitric oxide synthase (eNOS and superoxide anion production may reduce production and bioavailability of nitric oxide, affecting the degree of vasodilation. This effect can be reversed by exercise. OBJECTIVE: To investigate the influence of aerobic training and T-786C polymorphism in the concentrations of nitric oxide metabolites (NOx in blood flow (BF and blood pressure (BP. METHODS

  15. Carbon footprint of construction, operation and maintenance of waterways and traffic; Merenkulun ja liikenteen hiilijalanjaelki. Osa 1: Merenkulun hiilijalanjaelki, Osa 2: Tie-, rata- ja meriliikenteen hiilijalanjaeljet

    Energy Technology Data Exchange (ETDEWEB)

    Illman, J.; Kumpulainen, A.; Pesola, A.; Vanhanen, J.

    2012-07-01

    In 2010, the Finnish Transport Agency launched a project to study the carbon footprint of the construction, use and maintenance of Finland's transport network infrastructure. This report presents the results of the second phase, where the carbon footprint was calculated for the coastal ports and fairways used for merchant shipping (part 1 of this report). In addition, the carbon footprint of traffic operating on the road and rail networks and on the coastal fairways was calculated (part 2 of this report). The carbon footprints of four Finnish coastal merchant shipping ports and the fairways leading into them were calculated during a 100-year period. Based on these four cases and statistics the rest of the coastal ports were categorised into four groups: passenger ports, unitized cargo ports, bulk ports and liquid bulk ports. Based on this categorisation the carbon footprint for the infrastructure of coastal merchant shipping was estimated. A carbon footprint tool was developed to enable the modelling of the impacts of different port and fairway planning parameters on the life-cycle emissions. The main source of emissions in the selected cases was the energy used during the use phase: the fuel used by the machinery or the electricity consumed during the operation of the port. In the construction of the examined ports and fairways, the materials used, their transportation and installation do not have a significant impact on the life-cycle emissions. The carbon footprint of Finland's coastal merchant shipping ports and fairways (35 ports and 3 230 km of fairways) during the 100-year period was estimated at 150 000 tCO{sub 2}/a. The emissions of ports vary between 1 900-15 000 tCO{sub 2}/a. The largest sources of emissions do not always originate from the use phase as in the selected cases. The emissions of construction and maintenance can be larger than of the use phase in ports that occupy a large area of land in relation to the amount of traffic flowing through them. In the second part of this project, emissions caused by traffic operating on the road and rail networks and waterways were calculated. The sources of emissions were first identified and categorised into primary and secondary emissions. Primary emissions include the greenhouse gas emissions from fuels used by vehicles. Secondary emissions result from operations that enable traffic to flow such as the energy used by gas stations and railway stations or the construction and maintenance of parking areas. It was concluded that the emissions caused by traffic are significantly larger than those of constructing, using and maintaining the transport infrastructure. The infrastructure of the road network has a carbon footprint of 511 000 tCO{sub 2}/a, while the emissions of traffic on the network are around 8,3 MtCO{sub 2}/a. The emissions of the main railway infrastructure are approximately 142 000 tCO{sub 2}/a and railway traffic has a carbon footprint of 315 000 tCO{sub 2}/a. For waterways the infrastructure emissions are 150 000 tCO{sub 2}/a and the emissions caused by traffic 2,4 MtCO{sub 2}/a. The share of secondary emissions of total emissions remains small. (orig.)

  16. Rahvusvaheline fotograafia suvekool Latgales / Taavi Tatsi

    Index Scriptorium Estoniae

    Tatsi, Taavi

    2007-01-01

    Augustis 2007 toimus rahvusvaheline fotograafia suvekool (ISSP) Latgales, Lätis. Osavõtjad Lätist, Eestist, Leedust, Venemaalt, Saksamaalt, Poolast, Suurbritanniast ja Hispaaniast. Keskenduti kontseptuaalsele lähenemisele ja maailmamõistmise avardamisele fotograafia vahendite abil

  17. Haridusvabadus / ajakirjast "The Freeman" tlk. Riinu Pall

    Index Scriptorium Estoniae

    2000-01-01

    Praegune haridussüsteem on vastuolus individuaalse vabaduse ja vastutuse põhimõtetega vabas ühiskonnas, hariduse kvaliteedi tõstmise asemel on süsteemis madal tase ja ebatõhus vahendite kasutamine

  18. Keskkonnaõiguse meetod : [bakalaureusetöö] / Rita Annus ; Tartu Ülikool, õigusteaduskond ; juhendaja: Hannes Veinla

    Index Scriptorium Estoniae

    Annus, Rita

    1996-01-01

    Keskkonnaõiguses kasutatavate õigusliku reguleerimise vahendite üldiseloomustus, Eesti keskkonnaõiguse eesmärk ja selle saavutamiseks kasutatavad vahendid, keskkonnaekspertiis preventiivse vahendina keskkonnaõiguses

  19. Hispaania kurk, made in Poland / Gunnel Koba

    Index Scriptorium Estoniae

    Koba, Gunnel

    2009-01-01

    Taimekaitse vahendite kahjulikust mõjust inimese tervisele ning Veterinaar- ja toiduameti andmed Eestis aastail 1998-2007 uuritud puu-, juur- ning aedviljade taimekaitsevahendite ja pestitsiidijääkide seire proovidest

  20. Pereat Iustitia, Fiat Mundus: What is left of the European economic constitution after the Gauweiler litigation? / Christian Joerges

    Index Scriptorium Estoniae

    Joerges, Christian

    2016-01-01

    Gauweiler'i kaasusest ja kohtuotsusest, Saksa konstitutsioonikohtust, Euroopa Liidu õiguse rakendamisest, Euroopa Keskpanga õigusest anda rahanduspoliitikale sisu ja Euroopa Keskpanga vahendite kasutamisest majanduskriisis. Kohtute suutmatusest leevendada kriisi õigusnormide rakendamise kaudu

  1. Selgus õiguses tuleb vaieldes / Leon Glikman, Risto Rüütel

    Index Scriptorium Estoniae

    Glikman, Leon, 1957-

    2009-01-01

    Euroopa kohaliku omavalitsuse harta ja põhiseadus annavad omavalitsustele ulatusliku iseseisvuse, mis on vastuolus vajadusega kontrollida avalike vahendite kasutamist. Riigikohtu 2009. aasta 19. märtsi ostusest

  2. I chocolate you = maailm estetiseeritakse / Askur Alas

    Index Scriptorium Estoniae

    Alas, Askur, 1973-

    2007-01-01

    Vene-ameerika kunstniku ja uusmeedia teoreetiku Lev Manovich'i eluloolisi andmeid, tema tegevusest. Infotehniliste vahendite estetiseerimise trendist. Mobiiltelefonide disaini muutumisest. Lev Manovich viibis Tallinna ülikoolis interaktiivse meedia ja teadmuskeskkondade magistriprogrammi kutsel

  3. A designated centre for people with disabilities operated by Muiríosa Foundation, Kildare

    LENUS (Irish Health Repository)

    Murphy, JFA

    2012-03-01

    Doctors’ relationship with patients and their role in society is changing. Until the 1960s doctors concentrated on the welfare of patients with less emphasis placed on patients’ rights1. Over recent decades there has been increasing empowerment of the individual across all facets of society including health care. Doctors continue to be perceived as having expertise and authority over medical science. Patients, however, now hold sway over questions of values or preferences. We all must be aware of this change in the doctor- patient interaction. We need to be more aware of the outcomes that patients view as important. The concept of shared decision-making with the patient is now widely appreciated. The process involves a change in mind set particularly for doctors who trained in an earlier era.

  4. Riigivara õiguslikust režiimist. [1.-2. osa] / Peeter Kask

    Index Scriptorium Estoniae

    Kask, Peeter

    1996-01-01

    Riigivara õiguslik režiim 1990-1996. Riigivara baasil tegutsevate organisatsioonide jaotamine rühmadesse. Riigivaraseaduse üldmõistetest, riigivara kasutada andmisest, võõrandamisest, kõlbmatuks tunnistamisest, riigivara registrist ning eraõigusliku juriidilise isiku halduses olevast riigivarast. Õiend Juridica, 1997, Nr. 1, Lk. 40

  5. Olulised on kokkulepped Euroopa vaesema ja rikkama osa vahel / Viktor Sartakov ; interv. Tiia Truu

    Index Scriptorium Estoniae

    Sartakov, Viktor, 1947-

    2002-01-01

    Eestimaa Tootjate Keskliidu juhatuse esimees Viktor Sartakov osalemisest Kopenhaagenis EL-i Põllumajandusorganisatsioonide Komitee (COPA) ja Põllumajandusühistute Peakomitee (COGECA) toimkondade töös, EL-i liikmesmaade suhtumisest kandidaatriikidesse, EL-iga liitumise kasust, ohtudest

  6. Popkultuurgi on rahvuskultuuri osa / Valle-Sten Maiste ja Jan Kaus

    Index Scriptorium Estoniae

    Maiste, Valle-Sten, 1972-

    2009-01-01

    Õnnestunud muusikafestival Tallinn Music Week tõstatas olulisi kultuuripoliitilisi küsimusi. Jan Kaus ja Valle-Sten Maiste arutlevad artiklis selle üle, et popkultuur vajaks hariduse ja tugistruktuuride näol toestamist, tuleks tunnustada kodumaist väärt pop- ja rockmuusikat

  7. Religiooni osa poliitilise repressiooni järgse traumaga toimetulekul / Tõnu Lehtsaar, Heino Noor

    Index Scriptorium Estoniae

    Lehtsaar, Tõnu, 1960-

    2003-01-01

    Ülevaade traumajärgsest stresshäirest, poliitilisest repressioonist kui trauma liigist ning religiooni osast traumaga toimetulekul. Teoreetilisi seisukohti näitlikustavad 64 poliitiliselt represseeritu ankeetküsitluse tulemused

  8. Elamor que no osa decir su nombre ... :(3) Bisexuales en tierra de nadie

    OpenAIRE

    Esther, Rebeca

    2004-01-01

    Creemosque resulta imprescindible partir de la definición de bisexualidad para adentrarnoesn la comprensión de este mundo en cierto modo desconocido, ubicado en fierra de nadie, al estar descolgado de las orientaciones homo y heterosexual. Para ello heconsideradoimportante dar comienzo a estas líneas determinando el significado de dosconceptos básicos que nos ayudarán a conocer mejor qué es la bisexualidad. Debemosdiferenciar entre las nociones de identidad de género y orientac...

  9. Kristi Liiva: investeerige suurem osa ajast oma inimestesse / intervjueerinud Annela Laaneots

    Index Scriptorium Estoniae

    Liiva, Kristi, 1971-

    2014-01-01

    Intervjuu Arvamusfestivali korraldaja Kristi Liivaga, kelle Eesti Ajalehtede Liidu liikmeslehtede peatoimetajad valisid 2013. a. pressisõbraks. Arvamusfestivali tulemustest, kommunikatsioonist ühiskonna paremaks muutmisel

  10. OSA Trends in Optics and Photonics Series. Volume 13: Ultrafast Electronics and Optoelectronics

    Science.gov (United States)

    1997-01-01

    tomography. Many materials such as plastics, cardboard, wood and rubber have good transparency in the terahertz frequency range. Hence, this new...Ultrafast processes in semiconductors. Introduction Nonlinear Bragg reflector ( NBR ) consists of periodically distributed optical nonlinearity coexisting...with multiple reflection and group-delay dispersion. Recent theoretical analyses showed the potential of NBR in ultrafast optoelectronics such as all

  11. Hispaania kuningapaar pühendas osa külaskäiguajast kohtumistele kohaliku rahvaga

    Index Scriptorium Estoniae

    2009-01-01

    Hispaania kuninga Juan Carlos I ja kuninganna Sofia riigivisiidist Eestisse. Külalisi võõrustasid president Toomas Hendrik Ilves ja proua Evelin Ilves. Fotod pidulikult õhtusöögilt rahvusooper Estonia kontserdisaalis, jalutuskäigult Tallinna vanalinnas ja külaskäigust Eesti Lastekirjanduse Keskusse

  12. Abituriendid: osa eksamist oli raske / Ingel Kübar, Jaana Nirk, Rene Lomp ... [jt.

    Index Scriptorium Estoniae

    2012-01-01

    Tallinna Liivalaia gümnaasiumi abituriendid Ingel Kübar, Jaana Nirk, Rene Lomp, Uve-Ananda Uustalu, Henri Soosalu ja vilistlane Anni Koppel vastavad küsimusele: Kas uues vormis kaheosaline emakeele riigieksam vastas teie ootustele?

  13. A designated centre for people with disabilities operated by Muiríosa Foundation, Westmeath

    LENUS (Irish Health Repository)

    Elmusharaf, Khalifa

    2015-09-01

    Universal health access will not be achieved unless women are cared for in their own communities and are empowered to take decisions about their own health in a supportive environment. This will only be achieved by community-based demand side interventions for maternal health access. In this review article, we highlight three common strategies to increase demand-side barriers to maternal healthcare access and identify the main challenges that still need to be addressed for these strategies to be effective.

  14. Osa kultuuripealinna jälle vastu taevast, aidaa linnahalli remondile! / Raimo Poom

    Index Scriptorium Estoniae

    Poom, Raimo

    2010-01-01

    Autor selgitab Tallinna ja linnahalli investeerida soovivaid USA ettevõtjaid koondava firma Tallinn Entertainment LLC vahel sõlmitud eellepingut ning leiab, et tõenäoliselt on välistatud linnahalli renoveerimise algus enne 2011. aastat

  15. Realidade ou utopia: Tarifa Zero em Viçosa/MG?

    Directory of Open Access Journals (Sweden)

    Neiva Aparecida Pereira Lopes

    2017-12-01

    Full Text Available O objetivo deste artigo é trazer à discussão a temática do transporte coletivo gratuito, que tem relevância acadêmica, por abordar o problema da cidade e das políticas públicas e possuir, portanto, relevância social. A tarifa zero é realidade em 17 municípios brasileiros e em vários países. Nesse contexto, o artigo relata as manifestações sociais ocorridas em 2013, protestando quanto à insustentabilidade do Sistema de Transporte Coletivo Brasileiro no sentido financeiro, social e moral. Como consequência, em 15 de setembro de 2015 foi aprovada a EC 90, incluindo o transporte como direito social.

  16. MITOS DE LA PSICOLOGÍA POSITIVA: MANIOBRAS ENGAÑOSAS Y PSEUDOCIENCIA

    Directory of Open Access Journals (Sweden)

    Luis Fernández-Ríos

    2016-05-01

    Full Text Available La Psicología Positiva (PsP ha tenido un gran auge en los últimos veinte años. El objetivo del presente trabajo es enumerar una serie de mitos y maniobras argumentales falaces que siembran serias dudas acerca de lo novedoso y original de la PsP. En su discurso destaca lo pseudocientífico y una cierta deshonestidad intelectual. Además, disemina a través de redes sociales, libros y revistas especializadas, un conocimiento, se supone que empíricamente fundamentado, pero que en realidad está plagado de afirmaciones tautológicas, conocimientos superficiales y conclusiones evidentes. Todo el conocimiento generado por la PsP pone de manifiesto lo que aporta el sentido común sensato, y la razonable sabiduría tradicional. En conclusión, para esto, no hace falta la PsP y, además, se convierte, en cierta medida, en académica y socialmente innecesaria, irrelevante y prescindible. El trabajo finaliza con una serie de consideraciones acerca del incierto futuro de la siempre controvertida PsP.

  17. OSA Trends in Optics and Photonics Series, Volume 14 Spatial Light Modulators

    Science.gov (United States)

    1998-05-26

    controlled optical diffraction by volume holograms in electrooptic crystals," Sov. Tech. Phys. Lett. v. 3, pp. 36-38, 1977. 9. A. J. Agranat and M. Silberg ...the BCB layer using CF4 + 02 (average etch rate 0.21 fim per minute) or SF6 + 02 gas chemistries (0.25 [im per minute). For a 2 /im patterned via...5,000 angstroms of pure aluminum is then deposited as the upper mirror layer. The aluminum is dry etched in a chlorine-based gas chemistry . The

  18. Eestlased võtsid aktiivselt osa uue linnapargi avamisest / fotod: Michael Dulics, Madis Alvre

    Index Scriptorium Estoniae

    2006-01-01

    Sydney Eesti Maja lähedal avati 18. novembril Harmony nimeline linnapark. Avamisele olid kutsutud kohalikud rahvusgrupid, sealhulgas Eesti Arhiiv Austraalias ning eesti lauljad, tantsijad. Eestlased esinesid kolme rahvatantsuga Piret Hinrikus Sage juhtimisel, lauluansambel "Lõke" esitas rahvaviise ja rahvatantsurühm "Virmalised" tantse.

  19. Euroopa Liit läks Kosovo tunnustamise osas lõhki / Ahto Lobjakas

    Index Scriptorium Estoniae

    Lobjakas, Ahto, 1970-

    2008-01-01

    Euroopa Liidu välisministrite kohtumisel ei saavutatud üksmeelt Kosovo tunnustamises. EL-i avalduse kohaselt langetab iga EL-i liikmesriik suhete loomise otsuse ise. Lisa: Kosovo jäetakse ukse taha

  20. Tolkieni "Sõrmuste isanda" triloogia esimene osa jõuab ekraanile / Timo Diener

    Index Scriptorium Estoniae

    Diener, Timo

    2001-01-01

    Režissöör Peter Jacksoni käe all valmivast kolmest filmist esimene : J.R.R. Tolkieni triloogia "Sõrmuste isand" alusel - "Sõrmuse vennaskond", "The Lord of the Rings : The Fellowship of the Ring" : Uus-Meremaa, Ameerika Ühendriigid 2001. Ajakiri on topeltnumber : 2001/2002; Dets./Jaan

  1. Lapsen musiikkiterapian eri osa-alueet - "musiikki alkaa siitä mihin sanat loppuvat"

    OpenAIRE

    Joensuu, Tuija

    2009-01-01

    Opinnäytetyön tarkoituksena oli tehdä systemaattinen kirjallisuuskatsaus lapsista musiikkiterapian käyttäjinä. Tavoitteena oli selvittää, mitä musiikkiterapia on, ketkä hyötyvät musiikkiterapiasta ja miten musiikkiterapia vaikuttaa yksilön elä-mänlaatuun. Opinnäytetyön tarkoituksena oli tehdä kirjallisuuskatsaus, jota voidaan hyödyntää hoitoalalla. Opinnäytetyö auttaa tulevia ja jo valmistuneita hoitoalan työntekijöitä ymmärtämään musiikkiterapian tuoman hyödyn yksilön elämälle. Kirjalli...

  2. Juhatus ja raamatupidaja jagavad vastutust. [1.-2. osa] / Ene Ahas, Alo Pormeister

    Index Scriptorium Estoniae

    Ahas, Ene, 1973-

    2017-01-01

    Varalise vastutuse kokkuleppest, raamatupidaja ja juhatuse vastutusest. Tööõiguslikust vastutusest töölepingu seaduse alusel ja kahju hüvitamisest tööandjale. Lepingulisest ja lepinguvälisest vastutusest. Sisaldab asjakohast kohtupraktikat

  3. First Image Products from EcoSAR - Osa Peninsula, Costa Rica

    Science.gov (United States)

    Osmanoglu, Batuhan; Lee, SeungKuk; Rincon, Rafael; Fatuyinbo, Lola; Bollian, Tobias; Ranson, Jon

    2016-01-01

    Designed especially for forest ecosystem studies, EcoSAR employs state-of-the-art digital beamforming technology to generate wide-swath, high-resolution imagery. EcoSARs dual antenna single-pass imaging capability eliminates temporal decorrelation from polarimetric and interferometric analysis, increasing the signal strength and simplifying models used to invert forest structure parameters. Antennae are physically separated by 25 meters providing single pass interferometry. In this mode the radar is most sensitive to topography. With 32 active transmit and receive channels, EcoSARs digital beamforming is an order of magnitude more versatile than the digital beamforming employed on the upcoming NISAR mission. EcoSARs long wavelength (P-band, 435 MHz, 69 cm) measurements can be used to simulate data products for ESAs future BIOMASS mission, allowing scientists to develop algorithms before the launch of the satellite. EcoSAR can also be deployed to collect much needed data where BIOMASS satellite wont be allowed to collect data (North America, Europe and Arctic), filling in the gaps to keep a watchful eye on the global carbon cycle. EcoSAR can play a vital role in monitoring, reporting and verification schemes of internationals programs such as UN-REDD (United Nations Reducing Emissions from Deforestation and Degradation) benefiting global society. EcoSAR was developed and flown with support from NASA Earth Sciences Technology Offices Instrument Incubator Program.

  4. Linnamaastike kaitse on osa arengust / Jukka Jokilehto, Mehr Azar Soheil ; intervjueerinud Liisa Pakosta

    Index Scriptorium Estoniae

    Jokilehto, Jukka

    2010-01-01

    Vestlus soome arhitekti, Nova Gorica ülikooli professori, UNESCO ja ICOMOSi konsultandi Jukka Jokilehto ja tema abikaasa, pärslannast arhitekti Mehr Azar Soheiliga. Ka Tallinna vanalinnast maailmapärandi komitees valmivate linnamaastike kaitseks mõeldud soovituste valguses, linna arengust sadama suunas. Eestikeelsena ilmus J. Jokilehto raamat "Arhitektuuri konserveerimise ajalugu" (Tallinn : Eesti Kunstiakadeemia, 2010)

  5. OSA 1: Itämeren suojelun taloudelliset hyödyt ja kustannukset

    DEFF Research Database (Denmark)

    Hyytiäinen, Kari; Ahlvik, Lassi; Ahtiainen, Heini

    2012-01-01

    The Sustainable Development Subcommittee of the Government Advisory Board for Sectoral Research decided in 2009 to initiate two projects. The first one ”Protection of the Baltic Sea: Benefits, Costs and Policy Instruments” was conducted by a consortium led by MTT Agrifood Research Finland, together....... The projects were funded by the Ministry of Agriculture and Forestry and the Ministry of the Environment, along with a small contribution from the Ministry of Transport and Communications and Ministry of Finance. A common steering group for both projects was appointed by the Ministry of Agriculture...... with the Finnish Environment Institute (SYKE) and the University of Helsinki. The other project ”Cost-efficient instruments for the protection of the Baltic Sea” was led by the University of Helsinki, Department of Economics and Management, in cooperation with the Government Institute for Economic Research...

  6. Osa ristluslaevu võiks tulevikus tuua turistid Paljassaare sadamasse / Agnes Ojala

    Index Scriptorium Estoniae

    Ojala, Agnes

    2010-01-01

    Tallinna Sadam peab Paljassaart ristluslaevade maabumiseks arvestatavaks alternatiiviks, juhul kui viiakse ellu Paljassaare piirkonna arenguvisioon. Tallinna külastas 2009. a. 416 000 ristlusreisijat, 10% rohkem kui aasta varem

  7. Fecal contamination in several rivers of the Greater Metropolitan Area and the Osa Peninsula

    OpenAIRE

    Calvo-Brenes, Guillermo; Mora-Molina, Jesús

    2012-01-01

    Contamination of rivers in Costa Rica is an issue that requires special attention. The term “river con- tamination” means the incorporation of strange matter such as microorganisms (total and fecal coliforms), chemical products (soaps, fertilizers, pesti- cides), heavy metals (such as chrome, lead, mercury), or organic matter, the last one coming from soil through superficial water runoff as well as domestic wastewaters. All of them deteriorate the water qua- lity and reduce the different wat...

  8. Vene riik paneb suure osa nafta hinna tõusust enda taskusse / Annika Matson

    Index Scriptorium Estoniae

    Matson, Annika, 1976-

    2004-01-01

    Tulevikus kahaneb Vene naftagigantide kasum, kuna riik maksustab eksporditava nafta kasumi kuni 90 protsendiga. Vt. samas: Aleksander Malugin. Venemaa metallisektor õitseb. Lisa: Investeerimispankade lemmikud Venemaa börsil

  9. A designated centre for people with disabilities operated by Muiríosa Foundation, Kildare

    LENUS (Irish Health Repository)

    Lawton, Aoife

    2010-11-18

    Up until September 2010 teaching was delivered in person by the College of Psychiatry in Ireland to its students. A move towards elearning was initiated and as part of this move, an online instruction module in “Health Information Literacy” based on the five steps of Evidence-Based-Medicine was developed. The Systems Librarian from the Health Service Executive wrote the content which was reviewed by a senior Psychiatrist in the college. The Librarian worked with the e-learning specialist at the College to develop the online e-tutorial. This consisted of seven lessons. Feedback to date has been positive. At the end of the module, participants received a certificate of achievement. The methodology used for this course could be expanded to other medical disciplines.

  10. Changes in quality parameters of bread supplemented with OSA starch during storage

    OpenAIRE

    Hadnađev-Dapčević, Tamara R.; Dokić, Ljubica P.; Hadnađev, Miroslav S.; Pojić, Milica M.; Rakita, Slađana M.; Torbica, Aleksandra M.

    2013-01-01

    Different methods are available for the monitoring of visual and structural changes during bread staling such as differential scanning calorimetry, X-ray diffraction, enzymatic tests, sensory evaluations and/or crumb texture analysis. However, since they are often rather expensive and time consuming, the aim of this study was to investigate the possibility to monitor the progress of bread stalling by following the changes in bread crumb colour characteristics. In order to achieve this, the re...

  11. Genotsiid ja apartheid okupeeritud Eestis. [1.-3. osa] / Enn Sarv

    Index Scriptorium Estoniae

    Sarv, Enn, 1921-2008

    1997-01-01

    Peatükk raamatust "Õigluse vastu ei saa ükski". NSVLi poolt eestlaste kallal toimepandud inimsusevastased kuriteod. Inimkaotused, raamatute hävitamine. Sõjakuriteod ja nende eest karistamise võimalused

  12. A designated centre for people with disabilities operated by Muiríosa Foundation, Westmeath

    LENUS (Irish Health Repository)

    Nichol, Alistair

    2015-02-08

    Traumatic brain injury is a leading cause of death and disability worldwide. Laboratory and clinical studies demonstrate a possible beneficial effect of erythropoietin in improving outcomes in the traumatic brain injury cohort. However, there are concerns regarding the association of erythropoietin and thrombosis in the critically ill. A large-scale, multi-centre, blinded, parallel-group, placebo-controlled, randomised trial is currently underway to address this hypothesis.

  13. Startup inkubaator soovitab: 10 sammu ideest suure ärini. 1.-8. osa / Brit Tammeorg

    Index Scriptorium Estoniae

    Tammeorg, Brit

    2013-01-01

    Etapid: elujõulisuse kinnitamine, meeskonna loomine, ärimudeli läbimõtlemine, osanikevaheliste suhete reguleerimine, finantseeringute leidmine, planeerimine, koostöö ärikiirendi või inkubaatoriga, äriprojekti esitlemine, turundus

  14. A designated centre for people with disabilities operated by Muiríosa Foundation, Westmeath

    LENUS (Irish Health Repository)

    Tonry, Claire L

    2016-07-18

    Prostate Cancer (PCa) is the second most commonly diagnosed cancer in men worldwide. Although increased expression of prostate-specific antigen (PSA) is an effective indicator for the recurrence of PCa, its intended use as a screening marker for PCa is of considerable controversy. Recent research efforts in the field of PCa biomarkers have focused on the identification of tissue and fluid-based biomarkers that would be better able to stratify those individuals diagnosed with PCa who (i) might best receive no treatment (active surveillance of the disease); (ii) would benefit from existing treatments; or (iii) those who are likely to succumb to disease recurrence and\\/or have aggressive disease. The growing demand for better prostate cancer biomarkers has coincided with the development of improved discovery and evaluation technologies for multiplexed measurement of proteins in bio-fluids and tissues. This review aims to (i) provide an overview of these technologies as well as describe some of the candidate PCa protein biomarkers that have been discovered using them; (ii) address some of the general limitations in the clinical evaluation and validation of protein biomarkers; and (iii) make recommendations for strategies that could be adopted to improve the successful development of protein biomarkers to deliver improvements in personalized PCa patient decision making.

  15. Groundwater Quality Assessment in Eti-Osa, Lagos-Nigeria using ...

    African Journals Online (AJOL)

    Michael Horsfall

    routine monitoring and thorough treatment before consumption. The study demonstrates ... The use of groundwater has increased significantly in ... the south by Atlantic Ocean, in the east by Ojo local ... of 2500mm and temperature of 300C.

  16. Omavalitsus on riigi täisväärtuslik osa / Uno Silberg

    Index Scriptorium Estoniae

    Silberg, Uno, 1964-

    2005-01-01

    Autor on seisukohal, et valitsus peab kohalikele omavalitsustele tagama tulubaasi, mis katab neile pandud ülesannete täitmiseks vajalikud kulud ning võimaldab teha kohalikuks arenguks vajalikke investeeringuid

  17. A designated centre for people with disabilities operated by Muiríosa Foundation, Kildare

    LENUS (Irish Health Repository)

    McGrath, Bridget

    2012-01-01

    This study explored registered psychiatric nurses\\' (RPNs\\') interactions and level of empathy towards service users with a diagnosis of borderline personality disorder (BPD). A qualitative approach was used, and 17 RPNs were interviewed using a semistructured interview schedule incorporating the "staff-patient interaction response scale" (SPIRS). Four themes emerged following data analysis: "challenging and difficult," "manipulative, destructive and threatening behaviour," "preying on the vulnerable resulting in splitting staff and other service users," and "boundaries and structure." Additionally, low levels of empathy were evident in the majority of participants\\' responses to the SPIRS. The findings provide further insight on nurses\\' empathy responses and views on caring for service users with BPD and further evidence for the need for training and education for nurses in the care of service users diagnosed with BPD.

  18. A designated centre for people with disabilities operated by Muiríosa Foundation, Laois

    LENUS (Irish Health Repository)

    Murphy, Mark E

    2017-08-04

    Poorly controlled type 2 diabetes mellitus (T2DM) is a major international health problem. Our aim was to assess the effectiveness of healthcare interventions, specifically targeting patients with poorly controlled T2DM, which seek to improve glycaemic control and cardiovascular risk in primary care settings.

  19. Mida toob aasta 2009 maksusüsteemis. 1.-2. osa / Lemmi Oro

    Index Scriptorium Estoniae

    Oro, Lemmi

    2009-01-01

    Riigi eelarvepoliitikast ja maksusüsteemist, maksukoormuse vähendamisest, keskkonnamaksudest, aktsiisimaksudest ja sõiduautode erisoodustusest. Tabel: Valitsussektori tulud Eestis ; Valitsussektori tulud EL27s. Diagramm: Maksukoormus ; Maksutulud

  20. Valitud peatükke puulandi ajaloost. 1.-5. osa / Kalle Kroon

    Index Scriptorium Estoniae

    Kroon, Kalle, 1966-

    2014-01-01

    Landid, voblerid. Kuidas Michigani osariigis elanud mesinik 1898. a puulandi leiutas, kes ja kuidas seda edaspidi täiustas. Mudelid Wiggler, Pikie ja Huskie. Kuulsad firmad Creek Chub, Heddon, South Bend jt

  1. Raoul Grünstein : kultuurisponsorlus on turureklaami osa / Imbi Paju

    Index Scriptorium Estoniae

    Paju, Imbi, 1959-

    1998-01-01

    Kultuurisponsorlusest Soomes, ettevõtete vähesest huvist kultuuri toetamise vastu varem, suhtumise muutumisest nüüd. Kultuurisponsorluse algataja Soomes - firma Image Match juht, fotokunstnik Raoul Grünstein. Image Matchi klientidest, ettevõtmistest, viimasest projektist - Kiasmale sponsorluse korraldamisest.

  2. Acoustic analysis of snoring sounds recorded with a smartphone according to obstruction site in OSAS patients.

    Science.gov (United States)

    Koo, Soo Kweon; Kwon, Soon Bok; Kim, Yang Jae; Moon, J I Seung; Kim, Young Jun; Jung, Sung Hoon

    2017-03-01

    Snoring is a sign of increased upper airway resistance and is the most common symptom suggestive of obstructive sleep apnea. Acoustic analysis of snoring sounds is a non-invasive diagnostic technique and may provide a screening test that can determine the location of obstruction sites. We recorded snoring sounds according to obstruction level, measured by DISE, using a smartphone and focused on the analysis of formant frequencies. The study group comprised 32 male patients (mean age 42.9 years). The spectrogram pattern, intensity (dB), fundamental frequencies (F 0 ), and formant frequencies (F 1 , F 2 , and F 3 ) of the snoring sounds were analyzed for each subject. On spectrographic analysis, retropalatal level obstruction tended to produce sharp and regular peaks, while retrolingual level obstruction tended to show peaks with a gradual onset and decay. On formant frequency analysis, F 1 (retropalatal level vs. retrolingual level: 488.1 ± 125.8 vs. 634.7 ± 196.6 Hz) and F 2 (retropalatal level vs. retrolingual level: 1267.3 ± 306.6 vs. 1723.7 ± 550.0 Hz) of retrolingual level obstructions showed significantly higher values than retropalatal level obstruction (p smartphone can be effective for recording snoring sounds.

  3. Festival "Meretagune asi" kutsub osa saama vendade Tuulikute loomingust / Ivika Laanet

    Index Scriptorium Estoniae

    Laanet, Ivika

    2009-01-01

    Kuressaares toimub Saaremaa Rahvateatri ja Kuressaare Linnateatri poolt korraldatud harrastusteatrite festival "Meretagune asi", mis on pühendatud vendadele Ülo ja Jüri Tuulikule. Festivali raames toimub kuuldemängunädal, teatri- ja kirjanduskonverents ning Jüri Tuuliku näitemängude päev

  4. Venemaa keelab osa kaupade sisseveo TIR-märkmiku katte all / Lauri Lusti

    Index Scriptorium Estoniae

    Lusti, Lauri

    1997-01-01

    1998. aastast rakendab Venemaa olulisi piiranguid seoses TIR-süsteemi kasutamisega kauba sisseveol. Lisatud Vene Föderatsiooni Riikliku Tollikomitee käskkiri 22. augustist 1997 nr. 513 "TIR-karneti kasutamine mõne kategooria kaupade veoks"

  5. Eesti tudengite eelistused kodumaiste või välismaiste mittealkohoolsete jookide osas / Kaia Timpmann

    Index Scriptorium Estoniae

    Timpmann, Kaia

    2005-01-01

    Päritoluriigi maine teoreetilistest aspektidest, Eesti tudengite seas läbiviidud päritoluriigi maine uuringu tulemustest, soovitusi tootjatele päritoluriigi maine paremaks kasutamiseks mittealkohoolsete jookide puhul. Skeem. Tabelid

  6. Head, Neck, and Oral Cancer

    Medline Plus

    Full Text Available ... find out more. Obstructive Sleep Apnea (OSA) Obstructive Sleep Apnea (OSA) Obstructive sleep apnea (OSA) is a ... find out more. Obstructive Sleep Apnea (OSA) Obstructive Sleep Apnea (OSA) Obstructive sleep apnea (OSA) is a ...

  7. Administration of Anesthesia

    Medline Plus

    Full Text Available ... find out more. Obstructive Sleep Apnea (OSA) Obstructive Sleep Apnea (OSA) Obstructive sleep apnea (OSA) is a ... find out more. Obstructive Sleep Apnea (OSA) Obstructive Sleep Apnea (OSA) Obstructive sleep apnea (OSA) is a ...

  8. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... find out more. Obstructive Sleep Apnea (OSA) Obstructive Sleep Apnea (OSA) Obstructive sleep apnea (OSA) is a ... find out more. Obstructive Sleep Apnea (OSA) Obstructive Sleep Apnea (OSA) Obstructive sleep apnea (OSA) is a ...

  9. Obstructive Sleep Apnea

    Medline Plus

    Full Text Available ... find out more. Obstructive Sleep Apnea (OSA) Obstructive Sleep Apnea (OSA) Obstructive sleep apnea (OSA) is a ... find out more. Obstructive Sleep Apnea (OSA) Obstructive Sleep Apnea (OSA) Obstructive sleep apnea (OSA) is a ...

  10. Obstructive Sleep Apnea

    Science.gov (United States)

    ... find out more. Obstructive Sleep Apnea (OSA) Obstructive Sleep Apnea (OSA) Obstructive sleep apnea (OSA) is a ... find out more. Obstructive Sleep Apnea (OSA) Obstructive Sleep Apnea (OSA) Obstructive sleep apnea (OSA) is a ...

  11. Kas osanikul on õigus osaühingust välja astuda ja nõuda oma osa eest ühingult hüvitist? / Margus Moor, Urmas Volens

    Index Scriptorium Estoniae

    Moor, Margus, 1982-

    2012-01-01

    Osanike väljaastumisõiguse ja hüvitisnõude aluseks olevatest normidest Saksa ja Eesti õiguses. Väljaastumisõiguse kasutamise eeldustest, selle reguleerimise võimalustest põhikirjas ning õiguslikust tagajärjest

  12. Caracterización Física, Química y Energética de Biomasa Leñosa como materia prima leñosa

    OpenAIRE

    Carmona Cerda, René Julio

    2015-01-01

    Chile posee una matriz energética poco diversificada, altamente dependiente de los combustibles fósiles, los que además son en gran parte de origen foráneo. Estas condiciones hacen de Chile un país susceptible a la inestabilidad de los precios del mercado internacional e inseguridad en el abastecimiento entre otras desventajas, lo que compromete el desarrollo futuro del país. Por otro lado, las autoridades del Estado chileno conscientes del efecto que tiene el uso indiscriminado de petró...

  13. Contaminación fecal en varios ríos de la Gran Área Metropolitana y la Península de Osa Fecal contamination in several rivers of the Greater Metropolitan Area and the Osa Peninsula

    OpenAIRE

    Guillermo Calvo Brenes; Jesús Mora Molina

    2012-01-01

    La contaminación en los ríos de Costa Rica es un problema que merece especial atención. El concepto “contaminación del agua” implica la incorporación de materias extrañas a esta, tales como microorganis- mos (coliformes totales y fecales), productos quími- cos (jabones, fer tilizantes, pesticidas), metales pesados (cromo, plomo, mercurio, etc.) o materia orgánica proveniente de los suelos a través de la escorrentía superficial y de las aguas residuales domésticas. Estas materias deterioran la...

  14. Chuva de sementes em Floresta Estacional Semidecidual em Viçosa, MG, Brasil Seed rain in a seasonal semideciduous forest at Viçosa, Minas Gerais State, Brazil

    Directory of Open Access Journals (Sweden)

    Érica Pereira de Campos

    2009-06-01

    Full Text Available Este estudo objetivou avaliar a composição florística, a densidade e a freqüência de sementes, em 25 coletores, em um trecho de Floresta Estacional Semidecidual. Além disso, classificar os táxons quanto à forma de vida, às síndromes de dispersão e, nas arbóreas, quanto ao estádio sucessional e verificar a similaridade florística entre as espécies identificadas na chuva de sementes e as espécies arbóreas localizadas nas mesmas parcelas dos coletores. O trabalho foi realizado entre dezembro/2004 a novembro/2006. Foram reconhecidos 43 táxons, sendo que Leguminosae foi representada por 11 espécies. A forma de vida dominante foi arbórea (63,1%, as lianas foram representadas por 28,9% das espécies amostradas, as herbáceas por 5,3% e as arbustivas por 2,6%. A densidade média de sementes no primeiro ano foi de 113,92 sementes.m-2 e no segundo de 2.603,84 sementes.m-2. Essas diferenças demonstraram heterogeneidade espacial e temporal da chuva de sementes. A similaridade florística encontrada pelo índice de Sørensen entre as espécies da chuva de sementes e as espécies arbóreas do trecho do fragmento estudado foi de 32%, valor considerado baixo (This study aims to evaluate the floristic composition, density and frequency of seeds in 25 traps in a section of seasonal semideciduous forest, as well as classify taxons as to life form, dispersal syndromes, and succession phase of the tree species, and verify floristic similarities between seed rain species and tree species located in the same plots. The work was carried out from December/2004 to November/2006. Forty three taxons were recognized and Leguminosae was represented by 11 species. The dominant life form was arboreal (63.1%, climbers were represented by 28.9% of the sampled species, herbs by 5.3% and shrubs by 2.6%. Mean seed density in the first year was 113.92 seeds.m-2 and 2603.84 seeds.m-2 in the second year. These differences showed spatial and seasonal heterogeneity of the seed rain. Floristic similarity using Sørensen's index between seed-rain species and tree species from the studied fragment was 32%, a value considered to be low (< 50%. This result showed that the adjacent arboreal vegetation composition had little influence on the seed rain.

  15. Structured Light in Structured Media: From Classical to Quantum Optics Incubator, OSA Workshop, Washington, DC 28 September-1 October 2013

    Science.gov (United States)

    2015-08-02

    division- multiplexing , MDM) as a possible next domain to exploit. One MDM approach is multiplexing of optical beams carrying orbital angular momentum...of pseudo-spin with optical angular momentum (AM) and corresponding peculiar spatial structure of a laser beam. Specifically, we study AM dynamics... Angular Momentum of Light Forces Materials to Become Chiral Nano- Structures, Takashige Omatsu, Chiba University Laser beams termed ‘Optical vortex

  16. Mehe ettekujutus võrdõiguslikkusest : Areeni modernromaani I-XII osa / Tõnu Kaalep, Harry Liivrand, Barbi Pilvre

    Index Scriptorium Estoniae

    Kaalep, Tõnu, 1966-

    2002-01-01

    Järg: 4. apr., lk. B4; 11. apr., lk. B25; 18. apr., lk. B4; 25. apr., lk.B9; 2. mai., lk. B4; 9. mai, lk. B27; 16. mai, lk. B12; 23. mai, lk. B4; 30. mai, lk. B11; 6. juuni, lk. B14; 13. juuni, lk. B27. Sisu : Nicolette'i Meestemaja; Maakler lagedal maastikul; Vaba mees; Kass, Inessa, kass!; Masin jookseb kokku; Õpetatud mees; Mõned vanad kirjad; Meesteõhtu; Teel; Esimene laip; Arkaadia. Epiloog.

  17. Converting a Manned LCU into an Unmanned Surface Vehicle (USV): An Open Systems Architecture (OSA) Case Study

    Science.gov (United States)

    2014-09-01

    Better Buying Power BCA business case analysis BDA battle damage assessment BII Business Innovation Initiative BSA battle space awareness C&C command...developed and used USVs for purposes such as minesweeping and battle damage assessment ( BDA ) (James 2012). At the same time, the U.S. Navy developed...rint’ Corps mot1Vt1 media by Lat)’"~,: Cpl. Juancnnqw Combat Camera/Released) Monnes and SailorS asstaned 10 1he 261h M:mnc: E~pc.:ditionary Unil

  18. Riigi sisejulgeolekut tagava jälitustegevuse eesmärgid ja kontroll. [1.-2. osa] / Saale Laos

    Index Scriptorium Estoniae

    Laos, Saale

    2008-01-01

    Ülevaade jälitustegevuse lubatavatest eesmärkidest ning jälitustegevuse üle teostatava kontrolli põhimõtetest. Jälitustegevuse mõistest, kehtivast regulatsioonist, põhiseaduslikust taustast ning eesmärkidest. Riigi sisejulgeolekust, ning vastavast seadusandlusest

  19. Ellu jääda ja edasi minna. [1.-5. osa] / Ilmar Tammelo ; tõlkinud Ilmar Anvelt

    Index Scriptorium Estoniae

    Tammelo, Ilmar, 1917-1982

    1990-01-01

    Õigluse mõiste, materiaalne õiglus ja negatiivne, positiivne ja neutraalne olemine. Inimsuhtluse mõiste, inimene, seadus ja kommunikatsioon ning kommunikatsiooni kohustus. Poliitiline võim ja maailmakord. Lisad: Järvelaid, Peeter. Ilmar Tammelo (1917-1982) / nr. 10, lk. 2219-2231 ; Ilmar Tammelo teoste bibliograafia / koost. Jaan Isotamm, nr. 10, lk. 2232-2240

  20. Utilización de grano de sorgo y forraje de leñosas en la ceba porcina

    Directory of Open Access Journals (Sweden)

    R Herrera

    Full Text Available El objetivo de este trabajo fue evaluar los indicadores productivos en cerdos de ceba con la sustitución del 30 % de la proteína bruta aportada por el concentrado comercial, mediante variantes de alimentación que incluyeron harina de sorgo (Sorghum bicolor y plantas forrajeras proteínicas (Morus alba y Tithonia diversifolia. La investigación se realizó en las áreas de producción de la Estación Experimental de Pastos y Forrajes «Indio Hatuey» y en ella se utilizaron 44 cerdos; estos se distribuyeron aleatoriamente en cuatro tratamientos experimentales con 11 cerdos cada uno y tenían un peso promedio inicial de 26 kg. El grupo control (C recibió solo concentrado comercial; el grupo concentrado-sorgo (C-S dispuso de 70 % de concentrado y 30 % de harina de sorgo; el grupo concentrado-sorgo-titonia (C-S-T recibió 70 % de concentrado, 20 % de harina de sorgo y 10 % de forraje fresco de titonia; y el grupo concentrado-sorgo-morera (C-S-M, 70 % de concentrado más 20 % de harina de sorgo y 10 % de forraje fresco de morera. Los incrementos de peso vivo, el consumo de alimentos y la conversión alimenticia se determinaron con una frecuencia quincenal. El experimento se detuvo a los 108 días, cuando los animales alcanzaron el peso de sacrificio. Las ganancias promedio acumuladas (g/animal/día de los grupos C (623 y C-S (625 mostraron diferencias significativas (P<0,01 con respecto a C-S-T (570 y C-S-M (524. La conversión alimenticia global (kg MS/kg de PV fue de 3,56 para C; 4,21 para C-S; 5,39 para C-S-T y 5,18 para C-S-M. Se concluye que la inclusión de la harina de sorgo como recurso energético y su combinación con forraje de plantas forrajeras proteínicas constituye una alternativa viable para la porcinocultura cubana

  1. Patendivolinik - tööstusomandi õiguskaitse osutaja. 1.-3. osa / Jüri Käosaar

    Index Scriptorium Estoniae

    Käosaar, Jüri, 1945-

    2006-01-01

    Patendiameti ülesannetest ning patendivolinikuks saamise tingimustest ja ülesannetest. Euroopa Patendikonventsioonist ja Euroopa patendivolinikust, Euroopa Ühenduse kaubamärgist, Ülemaailmsest Intellektuaalse Omandi Assotsiatsioonist ning Intellektuaalomandi Kaitse Rahvusvahelisest Assotsiatsioonist

  2. Omakapitali väljamaksete maksustamisest ja deklareerimisest. 1.-2. osa / Ester Brückel

    Index Scriptorium Estoniae

    Brückel, Ester

    2009-01-01

    1. jaan. 2009 jõustunud tulumaksuseadus muutis residendist äriühingu maksustamise korda. Vabastusmeetodist dividendide väljamaksmisel ja selle deklareerimisest. Deklaratsiooni vormide TSD lisa 7, INF 1, INF 11 ja TD näidised

  3. Plántulas de algunas especies leñosas nativas y connaturalizadas del bosque subandino Silvania- Cundinamarca- Colombia

    Directory of Open Access Journals (Sweden)

    Barrera Torres Eduardo

    1992-06-01

    Full Text Available Con el propósito de identificar, en el medio natural, los primeros estadios de crecimiento de algunas especies de árboles y arbustos representativps de la franja inferior del Bosque Subandino, se describen las plántulas de 45 taxa de Dicotiledóneas, obtenidas mediante la germinación de semillas en condiciones de vivero semidescubierto. Entre otros caracteres observados, útiles para el reconocimiento taxonómico, se cuentan las modalidades de germinación, la estructuración y organización de los cotiledones, del hipocotilo y el epicotilo, complementados con la determinación de la filotaxis y la diferenciación foliar. Las familias con mayor número de especies estudiadas corresponden a los ordenes Fabales y Myrtales , con 13 y 6 especies, respectivamente.In order to identify in the natural medium the first growth sta tes of some trees and ahrubs represented on the inferiorfringe of the andino woods, 45 taxa of Dicotyledons seedlings are described, obtained through germination of seeds under semigreenhouse conditions. Among other characters observed which are used for taxonomic identification are: The germination, structure and organization of the Cotyledons, hypocotyl, andepicotyl coupled with the determination of the filotaxis and leaf diferentiation. The familias of the higher species studied
    correspond to the orders: Fabales and Myrtales, whith 13 and 6 species respectively.

  4. Actualization and perspectives of Bachelor degree in Biochemistry from Universidade Federal de Viçosa(UFV - (Symposium SBBq Brazil

    Directory of Open Access Journals (Sweden)

    J. L. R. Fietto

    2013-05-01

    Full Text Available The Bachelor Degree in Biochemistry of the UFV was  created in 2001 by the Biochemistry and Molecular Biology Department as a  groundbreaking initiative at Brazil. The program was an attempt to assume both academic and biotechnology sectors, preparing capable professionals for the development of new products and biochemical process. Our initial challenge came with the ingress of the first classes bringing doubts related to their formation and action profiles, sometimes confused with clinical analysts or pharmacists. Lecture series with professionals was used to demonstrate the present scenario with a growing market share, instigating discussions about the pedagogic project. The secondchallenge was the student’s pressure to recognition of under graduation programby the Brazilian Education Ministry (MEC and the biochemical professional recognition by one Regional Council. The bachelor degree was recognized by the MEC in 2004 and the Regional Council of Chemistry became our major partner. The  success of the initiative of the UFV has been giving good results such as the participation in the formation process of the Bachelor Degree in Biochemistry of the Federal University of São João Del Rei (UFSJ and stimulated the creation of another biochemistry course at State University of Maringá (UEM. The success of our students in Phd programs spread in Brazil evidences the quality of Biochemistry bachelors from UFV. Now the egresses have been recognized by biochemistry and biotechnology industry. However we still face problems with impaired recognition in many federal concourses that do not recognize the Biochemist as a chemistry and biotechnology professional. With high expectative, we wait that the biochemistry bachelordegree spreads widely in the country making possible the opening of new opportunities in all ways.

  5. OSA Proceedings on Ultrafast Electronics and Optoelectronics Held in San Francisco, California on January 25 -27, 1993. Volume 14,

    Science.gov (United States)

    1993-01-27

    Fetterman , University of California, Los Angeles M. Fischetti, IBM T. J. Watson Research Center D. Grischkowski, IBM T. J. Watson Research Center E. P. Ippen...Spectroscopy System ............................. 112 Jeffrey S. Bostak, Daniel W. Van Der Weide, Ikuro Aoki, Bertram A. Aul" and David M. Bloom Sub-Picosecond...Martin, F. K. Oshita, and H. R. Fetterman ix On-Wafer Optoelectronic Techniques for Millimeter-Wave Generation, Control, and Circuit Characterization

  6. Conflitos socioambientais: o caso da carcinicultura no complexo estuarino Caravelas - Nova Viçosa/Bahia-Brasil

    Directory of Open Access Journals (Sweden)

    Henrique Machado Dias

    2012-04-01

    Full Text Available Este artigo analisa o contexto de um conflito socioambiental no município de Caravelas, extremo sul da Bahia/Brasil, a partir da proposta de implantação do que seria o maior empreendimento de produção de camarão exótico do país, em importante região socioeconômica e ambiental associada ao banco coralíneo dos Abrolhos. Parte do pressuposto de que a carência de políticas públicas definidoras dos parâmetros decisórios do financiamento de projetos de carcinicultura tem permitido que empreendimentos sejam implantados desequilibrando o meio ambiente, sem apontar alternativas produtivas sustentáveis, a partir da geração de trabalho e de produção de alimentos. A metodologia qualitativa adotou a observação participante e o trabalho de campo objetivando identificar os danos ambientais provenientes da carcinicultura e relacioná-los aos fatores que colaboram para perpetuação desses modelos predatórios e para constituição de movimentos de resistência, visando a identificar as potencialidades locais e os possíveis caminhos de uma gestão socioambiental sustentável.This article analyzes a socioenvironmental conflict in the municipality of Caravelas, Bahia / Brazil. The studied conflict emerged from the proposal for the establishment of what would become the largest shrimp farm in Brazil. The proposed area for the establishment of the shrimp farm was part of an important socioeconomic and environmental region associated to the Abrolhos Coral Reef Bank. It assumes that the lack of public policies that define the parameters of the decision-making for financing shrimp farming projects has allowed the establishment of shrimp farms along the Brazilian coast, without pointing sustainable productive alternatives, which consider the generation of employment and food production. The qualitative methodology adopted participant observation and fieldwork aiming to identify the environmental damage associated to shrimp farming and relate them to factors that contribute to the perpetuation of these predatory model and for the establishment of resistance movements in order to identify local potentialities and possible paths for a sustainable social and environmental management.

  7. Sotsiaalvõrgustike analüüs / Innar Liiv

    Index Scriptorium Estoniae

    Liiv, Innar, 1982-

    2005-01-01

    Sotsiaalvõrgustike analüüs (social network analys - SNA) on tehnikate, meetodite ning vahendite kogum, mis aitab avastada mustreid sotsiaalsetes struktuurides. Analüüsi kasutamisest energeetikaettevõtte Enron ja kohalike ettevõtete võrgustike näitel. Skeemid

  8. Uue teabe omandamine projekteerimisprotsessis = Capturing unknown knowledge in design / Roly Hudson

    Index Scriptorium Estoniae

    Hudson, Roly

    2011-01-01

    Artikkel uurib parameetriliste vahendite rolli tänapäeva disainipraktikas ja toob välja nende praktilised kasutegurid. Näitena kasutatakse autori enda kogemusi parameetriliste tehnikate rakendamisel sõltumatu konsultandina Aviva staadioni (avati mais 2010) kavandamisel Dublinis

  9. Karm tegelikkus: kuu sissetulek 1000 krooni / Dannar Leitmaa

    Index Scriptorium Estoniae

    Leitmaa, Dannar, 1982-

    2010-01-01

    Tallinna tervishoiu- ja sotsiaalameti hoolekandeosakonna peaspetsialisti Ljudmilla Leiuse hinnangul on toimetuleku piir ajale jalgu jäänud. Tallinnas on toimetulekutoetust saavate perede hulk kasvanud aastaga mitu korda. Sotsiaalminister Hanno Pevkuri sõnul on toimetulekupiiri tõstmise eelduseks eelarveliste vahendite olemasolu. Graafik, diagramm

  10. Paths to subreplacement fertility : the empirical evidence / Tomas Frejka, John Ross

    Index Scriptorium Estoniae

    Frejka, Tomas

    2001-01-01

    Autorid väidavad, et paljudes riikides jääb sündimus ka edaspidi väga madalaks. Vaadeldakse 54 riigis abielude sõlmimist, rasestumisvastaste vahendite kasutamist ja abortide arvu. Diagrammid ja tabelid. Lisa lk. 213-254

  11. Spirituaalne ruum vaimsuse otsingutes = Sacred spaces as a medium for connecting people in their search for spirituality / Tom Callebaut

    Index Scriptorium Estoniae

    Callebaut, Tom

    2015-01-01

    Essees vaadeldakse arhitektuuri kui vahendit pakkumaks inimestele võimalust luua oma spirituaalne nägemus ja kogemus. Spirituaalse ruumi loomisel võetakse aluseks, et luuakse koht, kus inimestele antakse võimalus arendada individuaalselt või kollektiivselt oma spirituaalset identiteeti.

  12. E-õppe programmi BeSt mõjud partnerkõrgkoolides / Jüri Lõssenko

    Index Scriptorium Estoniae

    Lõssenko, Jüri

    2015-01-01

    Aastatel 2008-2013 viidi Hariduse Infotehnoloogia Sihtasutuse (HITSA) koordineerimisel ellu kõrghariduse e-õppe programm BeSt, mille eesmärk oli e-õppe vahendite ja võimaluste kasutamise toel tõsta programmi kaasatud kõrgkoolides taseme- ja täiendusõppe kvaliteeti

  13. Vene tank kui force majeure / Andrei Hvostov

    Index Scriptorium Estoniae

    Hvostov, Andrei, 1963-

    2008-01-01

    Autor on seisukohal, et eestlane ei taha oma ametnikke ülal pidada. Küsimus laieneb tema sõnul eksistentsiaalseks: kas eestlane tahab üldse oma riiki ülal pidada? Rahvas näeb riigis vaid küllusesarve, poliitikud oma ambitsioonide realiseerimise vahendit

  14. Magushapud riigihanked / Fredy-Edwin Esse

    Index Scriptorium Estoniae

    Esse, Fredy-Edwin

    2010-01-01

    19. novembril toimunud Nordecon International AS-i aktsionäride erakorralisel koosolekul kiideti heaks tütarfirmade liitmine emaettevõttega uue ärinime Nordecon AS all. Ettevõtte juht Jaano Vink ja selle omanik Toomas Luman leiavad, et edaspidise ebakompetentsuse kõrvaldamiseks ja vahendite kokkuhoidmiseks tuleks riigihanked ühise organisatsiooni alla tuua. Graafik

  15. E-piima Põltsamaa Meierei juustumuuseum = E-Piim Põltsamaa Dairy Cheese Museum

    Index Scriptorium Estoniae

    2004-01-01

    Pealeehitus tootmishoonele. Juustutööstust eksponeeritakse läbi laeakende ning multimeedia ja graafiliste vahendite abil seintel ja kaldtasandil. Projekteerija: 3+1 arhitektid. Autorid Markus Kaasik, Kalle Komissarov, Andres Ojari, Ilmar Valdur. Konstruktor Tõnu Peipmann. Projekt 2001. 11 ill

  16. Central Bank's tools for tackling financial instability : feasibility to implement emergency lending facility in Estonia / Jana Kask

    Index Scriptorium Estoniae

    Kask, Jana

    2006-01-01

    Keskpanga ülesandeks finantssüsteemi stabiilsuse eest seismisel on hoolitseda, et finantsvahendus riigis toimiks efektiivselt ja tõrgeteta. Krediidiasutuste ajutiste likviidsusprobleemide lahendamiseks kuulub keskpanga raha- ja finantspoliitika töövahendite hulka ka erakorralise likviidsuslaenu (ELA - emergency liquidity assistance) instrument. Tabelid, diagrammid

  17. Keha ja häälega kirjutatud lood I-III / Heili Einasto

    Index Scriptorium Estoniae

    Einasto, Heili

    2006-01-01

    Mõtteid Soome Rahvusooperi etendustelt 2006. aasta kevadel. Põhjamaade koreograafia õhtust. I. osa: Põhjamaade koreograafia õhtu; II. osa: John Neumeieri "Kajakas"; III. osa: W. A. Mozarti ooperid

  18. Head, Neck, and Oral Cancer

    Medline Plus

    Full Text Available ... sleep apnea (OSA) is a serious and even life-threatening condition. The risks of undiagnosed OSA are ... sleep apnea (OSA) is a serious and even life-threatening condition. The risks of undiagnosed OSA are ...

  19. Administration of Anesthesia

    Medline Plus

    Full Text Available ... sleep apnea (OSA) is a serious and even life-threatening condition. The risks of undiagnosed OSA are ... sleep apnea (OSA) is a serious and even life-threatening condition. The risks of undiagnosed OSA are ...

  20. Obstructive Sleep Apnea

    Medline Plus

    Full Text Available ... sleep apnea (OSA) is a serious and even life-threatening condition. The risks of undiagnosed OSA are ... sleep apnea (OSA) is a serious and even life-threatening condition. The risks of undiagnosed OSA are ...

  1. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... sleep apnea (OSA) is a serious and even life-threatening condition. The risks of undiagnosed OSA are ... sleep apnea (OSA) is a serious and even life-threatening condition. The risks of undiagnosed OSA are ...

  2. Keelan, käsen, poon ja lasen või osutan abi? [1.-2. osa] / Kärt Muller

    Index Scriptorium Estoniae

    Muller, Kärt

    2007-01-01

    Kaalutlusõiguse sisust ja põhimõtetest hoolekande teostamisel väljamõeldud kaasuste näitel, põhjendamiskohustuse sisust ja vajalikkusest. Võrdsest kohtlemisest kaalutlusõiguses, kaalutlusvigade kataloogist ja kaalutlusõiguse teostamisest praktikas Riigikohtu lahendite näite

  3. Pedagogia Social nos CRAS: Novos Entrecruzamentos Identitários para os/as Pedagogos/as (Social Pedagogy in the CRAS: New Identity Intercrossings for...

    Directory of Open Access Journals (Sweden)

    Berenice dos Anjos Miranda

    2017-10-01

    Full Text Available Resumo: A partir da institucionalização do Sistema Único de Assistência Social (SUAS no Brasil, a proteção social assume um caráter interdisciplinar sobre intervenções com famílias e seus/suas membros em situações de riscos e vulnerabilidades sociais. Este estudo é proveniente de Trabalho de Conclusão de Curso de Licenciatura em Pedagogia, abordada pela perspectiva qualitativa com recursos da pesquisa documental e com a aplicação de um questionário para dar suporte ao estudo de caso em um dos onze municípios pesquisados na microrregião de Andradina, situados no Oeste do Estado de São Paulo. Os apontamentos conclusivos nos retornaram possíveis truncamentos entre aquilo que é especificidade da Pedagogia e as práticas que são direcionadas pelas Orientações técnicas do CRAS para ações dos/das Técnicos/as de Referência das famílias.Palavras-chave: Pedagogia Social. Educação Não-Formal. Assistência Social.Abstract: From the institutionalization of the Unified System of Social Assistance (SUAS in Brazil, social protection assumes an interdisciplinary character in the interventions with families and their members in situations of risks and social vulnerabilities. This study is a work of conclusion of course of Degree in Pedagogy, approached by the qualitative perspective with documentary research resources and with the application of a questionnaire to support the case study in one of the eleven municipalities surveyed in the Andradina microregion, located in the west of the São Paulo State. The concluding remarks have given us possible truncations between what is specificity of Pedagogy and the practices that are directed by the CRAS Technical Guidelines for actions of the Reference Technician of families. Keywords: Social Pedagogy. Non-formal Education. Social Assistence.

  4. Upper airway stabilization by osteopathic manipulation of the sphenopalatine ganglion versus sham manipulation in OSAS patients: a proof-of-concept, randomized, crossover, double-blind, controlled study.

    Science.gov (United States)

    Jacq, Olivier; Arnulf, Isabelle; Similowski, Thomas; Attali, Valérie

    2017-12-20

    Osteopathic manipulative treatment (OMT) of the sphenopalatine ganglion (SPG) is used empirically for the treatment of rhinitis and snoring and is thought to increase pharyngeal stability. This trial was designed to study the effects of this treatment on pharyngeal stability evaluated by critical closing pressure in obstructive sleep apnoea syndrome. This single-centre, randomized, crossover, double-blind study compared active manipulation and sham manipulation of the SPG. Randomization was computer-generated. Patients each received one active manipulation and one sham manipulation at an interval of 21 days and were evaluated 30 min and 48 h after each session administered by a qualified osteopath. Neither the patients, nor the investigator performing the evaluations were informed about the order of the two techniques (double-blind). The primary endpoint was the percentage of responding patients presenting increased pharyngeal stability defined by a variation of critical closing pressure (Pcrit) of at least -4 cmH 2 O at 30 min. Secondary endpoints were the variation of Pcrit in absolute values, sleepiness and snoring. Others endpoints were lacrimation (Schirmer's test), induced pain, sensations experienced during OMT. Ten patients were included and nine (57 [50; 58] years, comprising 7 men, with an apnoea-hypopnoea index of 31.0 [25.5; 33.2]/h; (values are median [quartiles])) were analysed. Seven patients were analysed for the primary endpoint and nine patients were analysed for secondary endpoints. Five patients responded after active manipulation versus no patients after sham manipulation (p = 0.0209). Active manipulation induced more intense pain (p = 0.0089), increased lacrimation (ns) and more tactile, nociceptive and gustatory sensations (13 versus 1) compared to sham manipulation. No significant difference was observed for the other endpoints. Osteopathic manipulative treatment of the SPG may improve pharyngeal stability in obstructive sleep apnoea syndrome. This trial validates the feasibility of the randomized, controlled, double-blind methodology for evaluation of this osteopathic treatment. Studies on a larger sample size must specify the efficacy on the apnoea-hypopnoea index. The study was retrospectively registered in the clinicaltrial.gov registry under reference NCT01193738 on 1st September 2010 (first inclusion May 19, 2010).

  5. Flora y vegetación leñosa de los bosques de los Andes en la región de Madidi, La Paz (Bolivia)

    OpenAIRE

    Fuentes Claros, Alfredo Fernando

    2016-01-01

    Introducción: La región del Madidi en el noroeste de Bolivia es una de las más biodiversas del mundo, por incluir un amplio rango altitudinal desde los 200 hasta más de 6000 m, y floras de los Andes y la Amazonía, dos de las regiones biogeográficas más diversas del mundo. Esta región comprende territorios de tres áreas protegidas de interés nacional (Madidi, Apolobamba y Pilón Lajas), superpuestas a comunidades indígenas, campesinas, y áreas de exploración hidrocarburífera, lo cual ha generad...

  6. Muutumismäng 2010. 1.-5. osa / tekst Kerttu Soans ; kommenteerinud Tõnis Elling, Maiu Herzmann, Reet Martinson, Marek Sildoja, Pille Mitt, Marko Vilipson

    Index Scriptorium Estoniae

    Soans, Kerttu, 1961-

    2010-01-01

    Ajakirja Üks Muutumismäng 2010 jälgib nende käekäiku, kes soovivad langetada kaalu osaledes spordiklubi Artic Sport XL-treeningprogrammis. Tutvustatakse ka inimest, kes on eeskujuks teistele treenijatele ja kaalulangetajatele

  7. Keiserlikud portreegaleriid : kujunemislugu ning osa poliitilises ja kunstielus = Russian Imperial Portrait Galleries - Their History and Role in Art and Politics / Jelizaveta Renne

    Index Scriptorium Estoniae

    Renne, Jelizaveta, 1951-

    2008-01-01

    Portreemaalide kollektsioneerimisest Venemaal 18. sajandil - era- ja keiserlike portreegaleriide loomisest, kogude komplekteerimisest, ajaloolisest tähtsusest ja saatusest. Çeşme paleest ja kogust, Marmorpalee pildigaleriist, Romanovite portreegaleriist

  8. Muutumismäng 2011. 1.-6. osa / Sille Laidmaa, Leho Säde, Eda Holmberg ... [jt.] ; kommenteerinud Aleksandra Lear, Andres, Barabanov, Maiki Ritslaid ... [jt.

    Index Scriptorium Estoniae

    2012-01-01

    Eksperiment 5 osalejaga, kes kõik soovivad muuta erinevaid füüsilise tervise näitajaid ning kasutavad ka erinevaid treeningviise. Eesti Olümpiakomitee ja ühenduse Sport Kõigile kampaaniast "Eestimaa liigub!", et arendada eestimaalaste liikumisharrastust (nr. 3) Eesti Olümpiakomitee uuendatud kodulehest (6)

  9. Vulnerabilidad y adaptabilidad al ascenso del nivel del mar en humedales y poblaciones costeras: el manglar del humedal nacional Térraba-Sierpe de Osa, Costa Rica

    Directory of Open Access Journals (Sweden)

    Valverde Sánchez, Ricardo

    2016-06-01

    Full Text Available El pronosticado ascenso en el nivel medio del mar convierte a los litorales costarricenses en espacios vulnerables. Las características geomorfológicas predominantes de la costa pacífica costarricense, consistente de playas en el frente de llanuras aluviales y marismas, convierte a esta región en una zona susceptible a la expansión marina como resultado del ascenso del nivel del mar. Es bajo este contexto que la presente investigación busca analizar la vulnerabilidad de poblaciones y ecosistemas costeros, en una unidad geográfica específica del litoral del pacífico sur costarricense: el manglar del Humedal Nacional Térraba-Sierpe (HNTS, así como dotar a estos entornos y comunidades humanas dependientes de los mismos de herramientas que ayuden a reducir su vulnerabilidad. El análisis socioespacial evidencia espacios costeros donde coexisten poblaciones humanas y bosques de mangle vulnerables a la trasgresión y expansión marinas asociadas con el ascenso del nivel del mar. La percepción de la población consultada y las observaciones de campo, constatan que el crecimiento del nivel del mar constituye un factor que está generando modificaciones en la dinámica costera, con las consecuentes repercusiones sobre el manglar y sus poblaciones. The geomorphologic traits of Costa Rica's Pacific coastline, consisting of beachfronts on coastal plains and sea marshes, turn it into a vulnerable spatial unit to the predicted rise in the average sea level with its subsequent sea water expansion. Under this scenario, the current research focuses on analyzing the vulnerability of coastal ecosystems and their human settlements, in a specific geographical unit of Costa Rica's south Pacific coast: The mangrove of the Terraba-Sierpe National Wetland, as well as on providing these surroundings and their depending communities with some tools oriented to diminish their vulnerability. The socio-spatial analysis shows coastal areas with human populations and mangrove forests that due their close proximity to the coastline, are highly exposed to the sea level rise effects. The perception of the surveyed local population and the field findings demonstrate that the sea level rise has become a changing factor of the coastal dynamics, with its subsequent repercussions on the mangrove and its human settlements.

  10. E2023 ITEA SHOPS Collection of information on electricity. Part 2/2; E2023 ITEA SHOPS - Saehkoeenergiatiedon keruu. Osa 2/2

    Energy Technology Data Exchange (ETDEWEB)

    Savelius, A. [Enermet Oy, Jyskae (Finland)

    2006-12-19

    The Smart Home Payment Services (SHOPS) project aims at supporting those advanced functions for the payment of home utilities leading to innovative solutions and opening the door to a new generation of services. The main project innovation is a proposed open, cross-domain, platform-neutral system for describing services (e.g. Automatic Meter Reading) provided by devices and applications. The system description model elaborated by SHOPS combined existing standards and extend their reach. The technology developed will provide a high-level design base, reducing the cost and delay of new devices and applications creation. SHOPS architecture is based on advanced network and web technologies while careful attention is paid to data security and user privacy. (orig.)

  11. CRIAÇÃO DA REDE E BASE DE DADOS PARA O SISTEMA VIÁRIO de VIÇOSA - MG, UTILIZANDO SIG

    Directory of Open Access Journals (Sweden)

    Antonio Cleber Gonçalves Tibiriçá

    2002-12-01

    Full Text Available One of the urban activities that constantly demands investments and planning is the streets system and the transportation system, in order to facilitate flow of people and commodities and to minimize the operational costs with transportation. Setting up a network database for the streets set of a city allows a series of studies and complex analyses to be performed, helping in decision making and planning of the streets and transportation systems. This paper presents a methodology aimed to automate the derivation of the center lines for representing the streets network as a set of single arcs. A network having those characteristics can then be used for specifying and identifying locations by their addresses, a process known as geocoding. The case study was performed for streets network of the city of Vicosa, in the State of Minas Gerais, Brazil, using Arc/INFO and ArcView.

  12. El efecto de información engañosa para eventos emocionales: ¿cuán susceptibles son nuestras memorias?

    OpenAIRE

    Neufeld, Carmem Beatriz; Brust, Priscila Goergen; Stein, Lilian Milnitsky

    2008-01-01

    O presente trabalho visa fornecer evidências científicas da susceptibilidade das memórias a distorção através do estudo das falsas memórias (lembranças de eventos que, na realidade, não ocorreram) para situações emocionalmente carregadas. Foi usada a versão brasileira dos instrumentos e procedimentos de Cahill, Prins, Weber, e McGaugh e adaptada por Neufeld, Brust e Stein para a investigação do efeito da emoção na memória e nas falsas memórias. O experimento investigou o efeito de sugestão de...

  13. Ühiskondlik-poliitiline kriis ja poliitiliste valikute osa kriisi lahendamisel. Eesti ja Soome radikaalsed liikumised 1920.-1930. aastatel / Mart Nutt

    Index Scriptorium Estoniae

    Nutt, Mart, 1962-

    2006-01-01

    Ühiskondlik-poliitilise kriisi põhjustest ja tagajärgedest Euroopas pärast Esimest maailmasõda, Eesti ning Soome riikluse ja poliitilise süsteemi kujunemisest, radikaalsete poliitiliste liikumiste tekkest, taotlustest ning mõjust poliitikale

  14. Diagnóstico del uso de animales de tiro en una zona montañosa del norte del Cauca

    Directory of Open Access Journals (Sweden)

    Herrera Gutiérrez Oscar Alonso

    1995-12-01

    Full Text Available

    The possibilities to stablish an organization of plowmen were studied in the northern zone of the Department del Cauca (Colombia in 1993. This research was carried out in four representative subzones, San Antonio, Mondomo, El Pital and Pescador. The factors included in the study were: the regional pattern of mechanization (PMR, draught offer, economical analysis and animal management. At the same time, a survey between the plowmen supplied information about feeding, health, criteria for the selection of draught animals, machines and implements, monthly income and regional pattern of mechanization (PMR. As a result, the Regional Organization of Plowmen of the Northern Cauca was created. The draught offer in the zone (number of oxen and plowmen was concentrated (more than 80% in the subzones of Pescador and Mondomo. San Antonio and El Pital were the most profitable subzones, The survey revealed a necessity for the education of plowmen and a supplementary action to diet and sanitary care of the oxen because it is difficult to define a feeding rule with reference to the energy requirements.

    En 1993, en la Zona norte del Departamento del Cauca, Colombia, se llevó a cabo un estudio que se ocupó de establecer las posibilidades de organización de los yunteros locales; de realizar, en cuatro subzonas representativas de la región -San Antonio, Mondomo, El Piral y Pescador-, estudios de caso respecto al Patrón de Mecanización Regional (PMR, oferta de tiro, análisis económico y manejo de los animales; igualmente, a través de 40 encuestas entre yunteros de la zona se indagó acerca de la alimentación, enfermedades y criterios de selección de los animales de tiro; y de los tipos de máquinas y de aperos utilizados, ingresos mensuales y Patrón de Mecanización Regional (PMR. Como resultado de varios encuentros regionales de yunteros se constituyó la ORGANIZACION REGIONAL DE BUEYEROS DEL NORTE DEL CAUCA. La oferta de tiro (número de bueyes y de bueyeros, se concentra en más del 80% en la subzonas de Pescador y Mondomo; las subzonas más rentables fueron San Antonio y El Pital. Se debe capacitar a los yunteros en suplementación de las dietas y en el manejo sanitario de los bueyes, pues es difícil precisar en la zona un patrón de alimentación con respecto a los requerimientos energéticos.

  15. Raadiomängud Eestis Teise maailmasõja ajal ja järel. 1.-7. osa / Jaak Pihlau

    Index Scriptorium Estoniae

    Pihlau, Jaak, 1937-2014

    2010-01-01

    Luureoperatsioonidest Teise maailmasõja ajal. Eesti territooriumiga seotud Abwehr'i luuregruppidest ja Eesti alal Teise maailmasõja ajal tegutsenud luurekoolidest. Raadiomängudest (Blind, Sever, Javka jm.). Eestlastest Saksa Soome luureüksustes. Lennuoperatsioone alustamine USA poolt Leetu 1950. aastal. USA ja Briti luurejuhtide kohtumisest Münchenis. Eesti agentide saabumisest Lätti. Briti-Eesti luureagentide saabumisest Eestisse 1952. aastal. Eesti NSV Riikliku Julgeoleku Ministeeriumi poolt alustatud raadiomängust "Universitet", hilisema nimega "Berkut". USA luureoperatsioonidest Leetu ja Eestisse

  16. Respuesta de plántulas leñosas mediterráneas a la disponibilidad de luz y agua en condiciones experimentales

    OpenAIRE

    Sánchez Gómez, David

    2007-01-01

    Resumen de la Tesis Doctoral. Departamento de Ecología de la Universidad Complutense de Madrid. Realizada en el Centro de Ciencias Medioambientales, CSIC. Abril 2006. Dirección: Fernando Valladares Ros y Miguel Ángel de Zavala Gironés.

  17. OSA (Optical Society of America) Proceedings on Short Wavelength Coherent Radiation: Generation and Applications Held in North Falmouth, Massachusetts on 26-29 September 1988. Volume 2

    Science.gov (United States)

    1988-09-01

    in Nikel -like Ions",Phys. 16. Y. Ichikawa et al.,"Highly damage- Rev. Lett. 59, 2157-2160 (1987). resistant Mo mirror for high-power TEA CO 5. S...the current. This gain estimate assumes a neon ion density of 1018 Gas puff Z-pinches and imploding wire arrays are cm-3 . copious X-ray sources. When...brought to in Z-pinches, compared to ordinary metals that can be within 4 cm of each other. The advantage of this made into wires and imploded as arrays

  18. CARACTERIZACIÓN DE REGENERACIÓN LEÑOSA POST-INCENDIO DE UN ECOSISTEMA TEMPLADO DEL PARQUE ECOLÓGICO CHIPINQUE, MÉXICO

    Directory of Open Access Journals (Sweden)

    Eduardo Alanís-Rodríguez

    2011-01-01

    ha, con una cobertura foliar de 12,526 m2·ha-1, lo que indica una cobertura del 100 % y sobreposición de copas. Los valores del índice de riqueza de Margalef (DMg=3.64 y de diversidad de Shannon (H'=2.39 indicaron alta diversidad.

  19. Omavalitsuseta omavalitsused : Eesti omamaise haldusvõimu taastamine NSV Liidu ja Saksamaa vahelise sõja tingimustes. 1.-3. osa / Meelis Maripuu

    Index Scriptorium Estoniae

    Maripuu, Meelis, 1966-

    2012-01-01

    NSV Liidu okupatsioonivõimu poolt Eesti kohaliku omavalitsussüsteemi lammutamine. Administratiivvõimu taastamine. Kohalikud Omakaitse üksused. Valla- ja linnavalitsuste rakendamisest. Katsetest taastada volikogude tegevus. Eesti valitsemise ettevalmistamisest Saksamaal. Eesti Omavalitsuse esimestest sammudest. Leedu ülestõus. Läti poliitikategelaste sise- ja välisheitlustest. Võrdlevaid tähelepanekuid.

  20. "Vaba ja sotsiaalne" kui õiguspõhimõte. [1.-2. osa] / Joachim Ruckert ; tõlkinud Marju Luts-Sootak

    Index Scriptorium Estoniae

    Ruckert, Joachim

    2008-01-01

    Sotsiaalsest õiglusest filosoofilisest aspektist ning "vaba ja sotsiaalse" probleemi lahendamisest. Tõlkeallikas: Würzburger Vorträge zur Rechtsphilosophie, Rechtstheorie und Rechtssoziologie, Heft 34. Baden-Baden, 2006

  1. OSA Proceedings of the Topical Meeting on Nonlinear Guided-Wave Phenomena Held in Cambridge, England (United Kingdom) on 2-4 September 1991. Volume 15

    Science.gov (United States)

    1992-05-22

    spatial soliton dynamics in the framwork of equation (I) is reduced to the investigation of a particle of unit mass in a field of effective anharmonic...looses their relative symmetry as seen in Fig. 3 134 / MF4-3 Retaining this higher gain (G=0.2) and increasing the velocity, v= 0.65, conceptually new

  2. Tracking Pulse Oximeter Findings Before, During and After Titration of Mandibular Advancement Devices (MAD) for Patients With Mild to Moderate Obstructive Sleep Apnea (OSA)

    Science.gov (United States)

    2015-06-01

    Orofacial Pain Naval Post Graduate Dental School Uniformed Services University TRACKING PULSE OXIMETER FINDINGS BEFORE, DURING AND AFTER TITRATION...Commander, Dental Corps United States Navy A thesis submitted to the Faculty of the Orofacial Pain Graduate Program Naval Postgraduate Dental School...Dental Research, Thesis Supervisor Ist£4ifil!P ·, CAPT, DC, USN Depaiiment Chair, Orofacial Pain Glenn . mro, DDS, MBA CAPT, DC, USN Dean, Naval

  3. Õigusteaduse osa Eesti õiguskorra kujunemises : teaduskonverents professor Kalle Meruski 60. juubeli auks / koost. Peep Pruks. K. Meruski bibliograafia: Maia Ruttu

    Index Scriptorium Estoniae

    2009-01-01

    Sisu: Programm. Õigusteaduse rollist Eesti Vabariigi põhiseaduse aluspõhimõtete sisustamisel / Raul Narits. Keskkonnaõiguse kodifitseerimise teaduslikud alused / Hannes Veinla. "Kord Vestmann peal ja Piibeleht all, siis jälle..." : praktika ja õigusteaduse vahekord õiguse kujundamisel 19. sajandi Läänemereprovintsides / Marju Luts-Sootak. Teaduslik analüüs tsiviilõigusloomes / Paul Varul. Õiguslaenud ja võrdlev õigusteadus Eesti eraõiguse süsteemi kujundamisel / Irene Kull. Professor Meruski juubeliks / Märt Rask. Kolleegi kiituseks / Raul Narits. Professor Kalle Merusk : õpetaja ja inimene / Ivo Pilving. Kalle Merusk : valikbibliograafia 1990-2009 / koost. Maia Ruttu

  4. Hongos ectomicorrícicos de plantas leñosas en terrenos degradados de Asturias por actividad minera e industrial

    OpenAIRE

    Fernández-Miranda Cagigal, Elena

    2014-01-01

    En Asturias existen numerosas zonas con suelos pobres, degradados o contaminados debido a actividades mineras e industriales. El suelo de estas zonas suele contener metales pesados, que hace difícil e incluso imposible su recuperación forestal cuando se realizan técnicas convencionales. Numerosos trabajos están demostrando que si se revegetan zonas degradadas con árboles micorrizados se consiguen tasas de supervivencia y desarrollo muy superiores a las alcanzadas con árboles sin micorrizar. ...

  5. Esporogénesis y esporas de Equisetum bogotense (Equisetaceae de las áreas montañosas de Colombia

    Directory of Open Access Journals (Sweden)

    Edgar Javier Rincón-Baron

    2013-09-01

    Full Text Available Los estudios sobre aspectos reproductivos son escasos en Equisetum. Por eso, hemos realizado un análisis detallado del proceso de esporogénesis, desarrollo de las esporas, ultraestructura de procesos que tienen lugar durante la meiosis, formación de la pared esporal, orbículas y eláteres de E. bogotense, en especímenes procedentes del Cauca, Colombia. Los estudios se efectuaron mediante microscopía fotónica, electrónica de transmisión (TEM y de barrido (SEM. Los estróbilos llevan numerosos esporangióforos maduros, cada uno con un escutelo peltado, unido al eje del estróbilo por el manubrio y portador de 5-6 esporangios sésiles. Los esporocitos experimentan meiosis dando origen a tétradas de esporas. El tapete pierde la integridad histológica en las primeras etapas de esporogénesis y rodea los esporocitos premeióticos, posteriormente a las tétradas y finalmente las esporas inmaduras, que experimentan cambios citológicos y de tamaño antes de alcanzar la etapa adulta. El esporodermo de las esporas adultas de E. bogotense consiste de seudoendosporio, exosporio y perisporio. Vistos con MEB, el exosporio de las esporas adultas es liso a rugulado con microperforaciones y el perisporio es muriforme, rugado, con pliegues delicados, estrechos, discontinuos, que se distribuyen al azar y delimitan aréolas incompletas. Externamente el perisporio está cubierto por orbículas, que se forman también en la cara externa y los márgenes de los eláteres. Vistos con TEM, el exosporio es una capa de material granular fino y el perisporio, una capa mucho más delgada con orbículas discretas. Los eláteres están formados por dos capas de naturaleza fibrilar, orientadas longitudinalmente y transversalmente. La esporogénesis en E. bogotense es sincrónica, similar a la de E. giganteum, otra especie de distribución tropical que también crece en Colombia.

  6. Implicações do sofrimento moral para os(as enfermeiros(as e aproximações com o Burnout

    Directory of Open Access Journals (Sweden)

    Graziele de Lima Dalmolin

    2012-01-01

    Full Text Available Fue realizada una revisión integradora, con objetivo de identificar las consecuencias del sufrimiento moral para enfermeros, similitudes entre sufrimiento moral y burnout, y estrategias de enfrentamiento del sufrimiento moral, en la literatura científica nacional e internacional publicada en los últimos 10 años. Las bases de datos fueron CINAHL, MEDLINE y SAGE, con las palabras clave sufrimiento moral, burnout y enfermería. Se obtuvieron 21 artículos para análisis, realizada en cuatro etapas: reducción, visualización y comparación de los datos, verificación y esbozo de la conclusión. El sufrimiento moral sufrido por enfermeros se manifiesta en dimensión personal, con cambios emocionales y físicos, en dimensión profesional, con insatisfacción en el trabajo, burnout y abandono de la profesión. Fue constatado estrategias de enfrentamiento en tres dimensiones: educativa, comunicativa y organizacional. Se considera necesaria mayor exploración de este tema, contribuyendo a prevención del sufrimiento moral.

  7. Kindral Clark: tehke NATOs kõva häält! / Wesley K Clark ; interv. Kaarel Kaas

    Index Scriptorium Estoniae

    Clark, Wesley K

    2005-01-01

    NATO Euroopa liitlasvägede endine juhataja, USA erukindral 2004. aasta presidendivalimistest USA-s, võimalikust kandideerimisest presidendiks 2008. aasta valimistel, demokraatide võimalustest järgmised presidendivalimised võita, oma seisukohtadest Iraagi sõja küsimuses, diplomaatiliste vahendite kasutamisest sõjaliste konfliktide lahendamisel, NATO laienemisest ja organisatsiooni sõjalisest suutlikkusest ning intsidendist Vene hävitajaga. Lisa: Wesley K. Clark

  8. Pildi vaatenurgast : Fotograafilise tähenduse tõlgenduslikud strateegiad / Jay Ruby

    Index Scriptorium Estoniae

    Ruby, Jay, 1935-

    2010-01-01

    Fotograafia rollist antropoloogias ja selle sihist, fotode tõlgendamisest ja kontekstist, pildiliste sõnumite osast kultuuris. Foto kui kunst, kui esteetiline objekt versus foto kui reaalsuse "vahendamata" salvestus - need levinud seisukohad häirivad fotode teadusliku interpretatsiooni väljakujunemist ja fotode antropoloogilise tõlgendamise süsteemi väljatöötamist. Eesmärgiks peaks olema pakkuda antropoloogidele kommunikatsiooni pildilist vahendit

  9. Levantamento da fauna de abelhas silvestres na "zona da mata" de Minas Gerais: III. Mata secundária na região de Viçosa (Hymenoptera, Apoidea Survey of the wild bees of the "zona da mata" of Minas Gerais, Brazil: III. Secondary forest in Viçosa region (Hymenoptera, Apoidea

    Directory of Open Access Journals (Sweden)

    José Ricardo Cure

    1992-01-01

    Full Text Available The outcome of a wild bee fauna survey in a secondary forest is reported. Sampling was carried out mainly on herbaceous and shrubby vegetation under and at the border of the forest. Results are compared with data collected with the same methodology from a previously surveyed grassland nearby. The secondary forest was richer in Anthophoridae and Apidae species, and less diverse in Megachilidae. Similarity between the two habitats was low. Several unidentified species of Ceratinula, Trichocerapis mirabilis and the stingless bees Melipona bicolor, M. quadrifasciata, M. marginata, Paratrigona subnuda, Scaptotrigona tubiba and S. xanthotricha, are among the species dependent on the forest environment to survive. Bee population densities in the forest understory are as large as the largest values found for open vegetation in Southeastern Brazil; species richness is also comparable to those of other areas in Southeastern Brazil. Sampling strategies are discussed.

  10. Características anatômicas e valor nutritivo de quatro gramíneas predominantes em pastagem natural de Viçosa, MG Anatomical evaluation and nutritive value of four prevailing forage grasses in natural pasture of Viçosa-MG

    Directory of Open Access Journals (Sweden)

    Maristela de Oliveira Bauer

    2008-01-01

    Full Text Available Avaliou-se a influência das características anatômicas e dos sítios de lignificação dos tecidos sobre o valor nutritivo de lâminas foliares de quatro gramíneas coletadas nas estações chuvosa e seca. Amostras frescas das duas últimas lâminas foliares recém-expandidas, correspondentes à última e à penúltima posição no perfilho de capim-gordura (Melinis minutiflora Pal. De Beauv, capim-braquiária (Brachiaria decumbens Staph., capim-sapé (Imperata brasiliensis Trin. e capim-jaraguá (Hyparrhenia rufa (Nees Staph. foram avaliadas quanto às características anatômicas, segundo técnicas de microscopia de luz e varredura. Nessas amostras analisou-se a proporção de tecidos e de sítios de lignificação. Também foram determinadas as concentrações de fibra em detergente neutro (FDN, fibra em detergente ácido (FDA, lignina e celulose da parede celular, assim como a digestibilidade in vitro da matéria seca (DIVMS. Os dados foram analisados segundo delineamento inteiramente casualizado, com os tratamentos no esquema fatorial, com três repetições. Determinaram-se as correlações entre DIVMS, componentes químicos da parede celular e proporção de tecidos. Observou-se o mesmo padrão de proporção de tecidos e DIVMS no capim-gordura e no capim-braquiária, assim como nos capins sapé e jaraguá. A digestibilidade in vitro da matéria seca e os componentes da parede celular sofreram influência da estação, enquanto as características anatômicas não foram significativamente influenciadas por esse fator. Os capins gordura e braquiária caracterizaram-se por maiores proporções de bainha parenquimática do feixe e os capins sapé e jaraguá por maiores proporções de xilema e esclerênquima. Altos coeficientes negativos de correlação foram estabelecidos entre os coeficientes de digestibilidade e as proporções de xilema e esclerênquima, assim como com os teores de FDN, FDA e lignina das lâminas foliares.It was evaluated the effect of anatomical characteristics and tissue lignification sites on the leaf blade nutritive value of four grasses sampled during the dry and rainy season. Fresh samples of the two last expanded leaf blades on the tiller tops of molassesgrass (Melinis minutiflora Pal. De Beauv, signalgrass (Brachiaria decumbens Staph., sapegrass (Imperata brasiliensis Trin. and, jaraguagrass (Hyparrhenia rufa (Nees Staph. were collected in the rainy and dry seasons. These samples were evaluated according to anatomical characteristics using light and scan microscopy (proportion of xylem and sclerenchyma tissues, chemical composition and in vitro dry matter digestibility (IVDMD. The experimental data were submitted to statistical analysis appropriate to the completely random design, in the factorial arrangement with three replications per treatment. The same pattern of tissue proportion and IVDMD values were observed for molassesgrass and signalgrass, as well as for sapegrass and jaraguagrass. The seasons of the year influenced the IVDMD and the concentrations of the cell wall components, but their effect on the leaf blades anatomical characteristics was inconsistent. Significant and negative correlation coefficients were observed between the IVDMD and the proportions of lignified vascular bundle sheath, sclerenchyma and phloem as well as with NDF, ADF and lignin contents of the leaf blades.

  11. Obstructive Sleep Apnea

    Medline Plus

    Full Text Available ... threatening condition. The risks of undiagnosed OSA include heart attack, stroke, irregular heartbeat, high blood pressure, heart disease and decreased libido. In addition, OSA causes ...

  12. Workplace worries: a preliminary look at online sexual activities at the office-emerging issues for clinicians and employers.

    Science.gov (United States)

    Cooper, Al; Safir, Marilyn P; Rosenmann, Amir

    2006-02-01

    Concerns about the impact of online sexual activities (OSA) on work-life are drastically increasing. This study examined 3,466 respondents who reported OSA, 18.5% of whom reported engaging in OSA at work. They were compared with the 81.5% who engaged in OSA at home, on average time spent in OSA, workplace policies regarding OSA, and relationship status. Two themes were identified and discussed: opportunity and sexual distress. Our findings indicate that participants are cognizant of issues of opportunity (e.g., the OSA from home group was more likely to indicate their workplace has established policies regarding OSA), and privacy, representing an important aspect of this theme (e.g., participants engaging in OSA at work were found to be twice as likely to have extra-marital affairs, compared with the OSA from home group). Secondly, our data suggests that many participants, especially from the OSA at work group, experience OSA-related distress. Engaging in OSA at the workplace may result in decreased productivity, issues of sexual harassment, and concerns about employee well-being. Clearly stated and consistently enforced policies regulating OSA are likely to mitigate workplace OSA. However, a significant minority of employees may have difficulties curbing OSA. Therefore, more sophisticated strategies to deal with workplace OSA should be established. Additional implications of importance for organizations and mental health professionals who support them are discussed.

  13. Aktsiaseltsi ja osaühingu kapitalinõuete rikkumine kontsernisisese cash pooling`u raames : [magistritöö] / Karl Kull ; Tartu Ülikool, õigusteaduskond ; juhendaja: Andres Vutt

    Index Scriptorium Estoniae

    Kull, Karl, 1987-

    2011-01-01

    Cash poolingust kontsernis ja sellega seonduvatest kapitalinõuetest, kapitali sissemaksmise ja suurendamise nõuete rikkumistest, emaettevõtjale laenu andmise keelu rikkumisest, aktsionäri ja osaniku kohustuste rikkumisest

  14. Noor-Eesti enesekoloniseerimisprojekt. Teine osa Olulised kirjandusmõtteviisid . The Self-Colonization Project of Young Estonia. Part II. Modes of Literary Thinking and Relations with Colonialism in Estonian Literature of the beginning of the 20th century

    Directory of Open Access Journals (Sweden)

    Tiit Hennoste

    2012-04-01

    Full Text Available The topic of this article is the literary discourse of Young Estonia; its relations with other important Estonian literary discourses from the beginning of the 20th century, and its relations with colonial cultural discourse. First, I give an overview of the basic positions of the Young Estonians’ literary discourse, the main shapers of which were Friedebert Tuglas, Gustav Suits, later on Johannes Semper as well. Next, I present the basic principles of three Estonian literary discourses from the beginning of the 20th century, which were also important to the Young Estonians: nationalist-naturalistic (close-to-life; socialist/ class-based, and 20th century modernist. The Young Estonians began as nationalists and/or socialists. During the formation of Young Estonia’s discourse at the end of the first and beginning of the second decade of the 20th century, 20th century modernism began, which the Young Estonians regarded first and foremost with irony. The Young Estonians’ literary discourse is a mixture of aestheticism, decadence, symbolism, romanticism, and classicism. The point of departure for the Young Estonian approach to literature was eurocentrism. They took a superior and negative view of existing Estonian literature, which they regarded as having fallen drastically behind Europe. Since it was unable to build on its own foundation, it had to borrow from Europe. The discourse’s understandings of cultural values – theory, reading, knowledge, ready-made culture, derive from the centrality of the dynamic of borrowing. New culture could be created freely, without the support of previous local tradition; it was to be an elite culture, while the writer remained an individualist. Literature was to follow the principle of art for art’s sake; aesthetics and the form of the work of art were basic criteria. The formal ideals of the work of art were classicist: unity, integrity (wholeness, harmony, order, logic, etc. Thirdly, I outline the basic positions of colonial thinking about culture, and compare the Young Estonian approaches to literature with colonial thought. The foundation of colonialism is eurocentrism: if Europe is the core; everything else belongs to the periphery, and regarded from the outset as of lesser inherent worth: colonialism is characterized by a superior and negative attitude toward local culture. The colonizing culture interprets its own values and experiences as universals; these are congruent with the outlines of what is deemed to be ”European” culture. The mission of colonialism is to bring the periphery into the sphere of influence of the enlightened core. Though colonial thinking does not commit itself to any specific artistic movement or style, its most important tenet with regard to evaluating art is classicist, emphasizing enduring values and good ”handiwork”. The bases for the creation of colonial culture are ready-made models and categories, and the outcome of colonization is culture constructed according to a model. The outcome of the analysis is that the Young Estonian way of thinking is in close consonance with the colonial way of thinking. Those attitudes that Young Estonians did not adopt, or those they relinquished and discarded, are in opposition to it. My own basic claim is that the Young Estonians unconsciously carried a colonial way of thinking, and that they might be considered to be self-colonizers.

  15. Ecologia Comportamental dos cães domésticos em áreas rurais e urbanas do município de Viçosa, MG

    OpenAIRE

    Martinez, Edilberto Nobrega

    2012-01-01

    Após a revolução industrial principalmente a partir do século XX, auge do êxodo rural, houve um incremento do processo de urbanização no Brasil. Nos dias atuais o progresso de atividades econômicas tem contribuído para a crescente aquisição de animais de estimação nos lares brasileiros, principalmente cães (Canis lupus familiaris). Para contemplar essa demanda, milhares de novos indivíduos nascem todos os anos sem um controle adequado. Este processo corrobora com o aumento de cães abandonados...

  16. Estilos geotectónicos bidimensionales y tridimensionales interbloques: Una nueva categoría neotectónica para la determinación de morfoestructuras montañosas

    Directory of Open Access Journals (Sweden)

    José Ramón Hernández Santana

    1994-01-01

    Full Text Available Cuban Archipelago geologic evolution reveals a W to E migration in Early Mezo–Cenozoic vulcanism and magmatism as well as an increased activity in neotectonics, seismicity, and recent secular endodynamics originating a conspicuous geomorphological variety in the eastern edge in which, along the tectogenetical axis occupied by the Barlett deeptrench, horizontal left–lateral displacements occur. During the relief developmental neotectonic–geomorphologic stage, the convergent compressive movements were discontinued existing a horst–and–graben–like block tectonical expansion regime with peculiar styles for every mountainous macro and mesomorphoestructures. Among the 18 different tridimensional interblock interrelation system shaping the Eastern Cuba mountains there are: arch isometric–block; stepped asymmetral–jibbed block; alternate asymmetral horst–and–graben–blocks; stepped block isometric; arch–horst linear, jibbed; horst–and–graben blocks alternate symetric with transitional–transversal asymmetral stepping; irregularly stepped–jibbed blocks; block linear; arch–horst linear; block irregular; monolitic isometric; stepped–horst irregular; stepped–horst linear; stepped, jibbed and bearing–rotated horst linear; irregular block isometric; horst– and–graben block with strong inner fracture stepped alternate; and asymmetral horst–and–graben alternate. At the same time, in this paper we report some mexican geotectonic models: the flower structure of volcanic complex of Temascalcingo, Acambay´s graben; the continental rifting in the Amatlán de Cañas Volcanic field; and the branching scheme of the Sierra Atravesada–Istmo de Tehuantepec.

  17. Eesti õiguse vastavus direktiivile 2003/109/EÜ pikaajalise elaniku staatuse saamist reguleerivate sätete osas : [magistritöö] / Maret Kruus ; Tartu Ülikool, õigusteaduskond ; juhendaja: Ene Andresen

    Index Scriptorium Estoniae

    Kruus, Maret

    2014-01-01

    Direktiivi 2003/109/EÜ ülevõtmise üldküsimustest, sisulistest tingimustest pikaajalise elaniku staatuse saamiseks, menetluslikest nõuetest pikaajalise elaniku staatuse saamiseks ja õiguskaitsega seonduvatest probleemidest

  18. Ecological aspects of lake regulation in Northern Finland. Part 2. Geomorphology and vegetation of the littoral zone. Ekologiset naekoekohdat joidenkin Pohjois-Suomen jaervien saeaennoestelyssae. Osa 2. Rannan geomorfologia ja vesikasvillisuus

    Energy Technology Data Exchange (ETDEWEB)

    Hellsten, S.; Alasaarela, E. (9830800FI); Keraenen, R.; Nykaenen, M. (Oulu Univ. (Finland)); Neuvonen, I. (Kainuun Vesi- ja ympaeristoepiiri, Kajaani (Finland))

    1989-02-01

    Ecological aspects of lake regulation were studied in certain lakes in northern Finland in 1984-1987. The general aims of the project were to analyze the effects of regulation on lake ecosystems and to produce information that can be applied when assessing the possible effects of hydroelectric projects. The effects of lake regulation were easy to observe in the littoral zone of Lake Ontojaervi, the sandy shores in particular were unstable both above and below the water level. The shores were very much steeper than those of Lake Lentua, which affected the distribution of bottom types, minerogenic bottoms were more common than in the latter lake. The results from the two lakes were used to calculate a simple model to forecast the distribution of bottom types of Lake Ontojaervi before regulation. The effect of penetration by ice was also easy to recognize on the shores of Lake Ontojaervi; the surface sediment being frozen to a greater depth than in Lake Lentua. Beneath the freezing zone in ice just pressed down on the sediment. The littoral vegetation decreased markedly after regulation and was entirely absent in open places. Changes in abundance were particularly clear, with decreases in the large isoetides and helophytes and increases of small isoetides. The results from Lake Lentua were used to formulate a simple ecological model for the frequency of macrophytes.

  19. Fiebre manchada de las montañas rocosas: ni tan manchada ni tan montañosa como pensábamos Rocky Mountain Spotted Fever: not as spotted

    Directory of Open Access Journals (Sweden)

    James Samir Díaz

    2010-12-01

    Full Text Available La fiebre manchada de las Montañas Rocosas es una infección producida por Rickettsia rickettsii, un cocobacilo polimorfo perteneciente a la familia Rickettsiaceae. A pesar de que ha pasado más de un siglo desde que fue descrita, continúa siendo una de las zoonosis más importantes en todo el mundo. Aunque los casos se presentan de manera focal y esporádica, en los últimos años se ha notado un incremento de su incidencia en los Estados Unidos y parece estar resurgiendo en varios países de Suramérica. En Colombia, poco se sabía de la enfermedad desde 1937, cuando fue descrita por primera vez, pero, en los últimos años se han presentado nuevos casos con alta tasa de mortalidad. Dado que los hallazgos clínicos y de laboratorio son inespecíficos, la fiebre manchada de las Montañas Rocosas debe incluirse en el diagnóstico diferencial de los síndromes febriles de causa no clara. A continuación se presenta una revisión de la literatura, señalando los aspectos más importantes del resurgimiento de la enfermedad en Colombia y se resaltan su etiopatogenia, manifestaciones clínicas, diagnóstico y tratamiento, con el objeto de mejorar el conocimiento local de esta infección, probablemente subdiagnosticada, que puede curarse fácilmente con unas cuantas dosis de antibióticos por vía oral.Rocky Mountain Spotted Fever (RMSF is an infection caused by Rickettsia rickettsii, a pleomorphic cocobacillae which belongs to the Rickettsiaceae family. Although it has been more than a century since its first description, this disease is still one of the most important zoonosis in the world. Usually cases occur in focal and sporadic form, but an unusual increase in the frequency of cases during the last few years has drawn the attention of surveillance systems in United States and some South American countries. Little was known about the disease in Colombia when it was first described in 1937, but in recent years new cases have been reported showing high mortality rates. Since clinical and laboratory findings have not been specific, the RMSF must be included in the differential diagnosis of febrile syndromes of unknown origin. A literature review follows herein, pointing out the most important features of the cases diagnosed in Colombia and highlighting their pathogenesis, clinical manifestations, diagnosis, and treatment, and attempting to improve local knowledge of this infection. The disease is probably under-diagnosed and could be treated with a few doses of PO antibiotics.

  20. Piinamise ja ebainimliku või alandava kohtlemise või karistamise tõkestamise Euroopa konventsioon ja Komitee ning Eesti kohta koostatud raportite vanglaid puudutav osa : [bakalaureusetöö] / Mariko Jõeorg ; Tartu Ülikool, õigusteaduskond ; juh

    Index Scriptorium Estoniae

    Jõeorg, Mariko

    2003-01-01

    Euroopa Nõukogust, piinamise ja ebainimliku või alandava kohtlemise või karistamise tõkestamise Euroopa konventsiooni loomine, mõisted, Komitee visiidid Eestisse ja raportid vanglate kohta (1997, 1999), Eesti vastulaused

  1. Ebaühtlane ühtne süsteem : sovetliku passisüsteemi kujunemine, regulatsioon ja rakendamine Eesti NSV-s. 1.-2. osa / Indrek Paavle

    Index Scriptorium Estoniae

    Paavle, Indrek, 1970-

    2010-01-01

    Kodanike dokumenteerimisest NSV Liidus 1917-1932. Passisüsteemi kehtestamise põhjustest, eestmärkidest ja regulatsioonist. Passiliikidest. Passiandmetest ja nende kasutamisest. Režiimipiirkondadest ja elukohapiirangutest. . Passisüsteemi kindlustamisest ja kontrollist. Karistuspraktikast passisüsteemi rikkujate suhtes

  2. Valoração de contingente pelas modelagens logit e análise multivariada: um estudo de caso da disposição a aceitar compensação dos cafeicultores vinculados ao PRO-CAFÉ de Viçosa - MG Contingent valuation with modeling logit and multivariate analyses: a case study of the willingness of coffee planters linked to the PRO-COFFEE of Viçosa - MG to accept compensation

    Directory of Open Access Journals (Sweden)

    Pedro Silveira Máximo

    2009-12-01

    Full Text Available O objetivo deste estudo foi, justamente, identificar, entre os métodos LOGIT e a análise multivariada, qual a mais eficaz para estimar a Disposição a Aceitar Compensação (DAC dos cafeicultores quando o viés da utilidade marginal é passível de ocorrência. Para tal, foi elaborado um formulário com 33 perguntas envolvendo informações sobre características socioeconômicas dos cafeicultores, o uso da metodologia de valoração de contingente (MVC e do veículo de pagamento dos "Jogos de Lances", que revelou a Disposição a Aceitar uma Compensação (DAC na troca de um hectare de café por um hectare de mata. Como esperado, por causa do viés da utilidade marginal o método LOGIT foi incapaz de produzir resultados consistentes. Já a estimação da DAC pela análise multivariada mostrou que, caso o governo estivesse disposto a aumentar a provisão de mata em 70 ha, ele deveria despender 254.200 reais por ano, tratando apenas dos cafeicultores vinculados ao programa do PRO-CAFÉ.The object of this study was to identify which method, either LOGIT or multivariate analyses, was the most efficient to estimate the coffee planters' Willingness to Accept a Compensation, when there was a possibility of occurrence of marginal utility. For such, a questionnaire was formulated, with 33 questions involving information on coffee planters' socio - economic characteristics, the use of the methodology of contingent valuation (MCV, and the payment of the "offer game" that reveled the willingness to accept a compensation (WAC, by exchanging a hectare of coffee by a hectare of forest. As expected, because of the marginal utility's bias, the LOGIT method was unable to produce consistent results. However, when the WAC was estimated by multivariate analyses, the results showed that if the government is willing to increase the provision of forest to 70 hectares, it should pay out 254,200 reais (around 116,000 dollars, dealing only with the coffee planters linked to the PRO-CAFÉ organization.

  3. Kiwa : Kiwanalüüs = Kiwanalysis / Elnara Taidre

    Index Scriptorium Estoniae

    Taidre, Elnara, 1983-

    2007-01-01

    Tegutsedes mitmes meediumis ja valdkonnas - tekstid (esseed, luule), visuaalne kunst (skulptuur, kehamaaling, maal, videod, performance, installatsioon) ja helikunst ning erinevad rollid kuraatori, toimetaja, modelli ja seltskonnategelasena, moodustavad need Kiwa loomingus kõik ühe terviku, kus üks teema väljendub eri vahendite kaudu. Kiwa puudutab paralleelselt nii subkultuure kui ka poliitilist kunsti, etendades oma ajastu antikangelast, kellel on tugevalt väljendunud automütoloogia, enese projitseerimine oma töödesse. Ta naudib kunstnikuna illusoorsust ja imaginaarsust, tema looming on kui labürint, mis on kui tema isiklik universum

  4. Seda on vaja teada piiril : seda on vaja teada tollis

    Index Scriptorium Estoniae

    1994-01-01

    Kauba deklareerimine, ajutine sisse- ja väljavedu, päritolusertifikaat, piirituse, alk.jookide, õlle ning tubakatoodete vedu; Litsenseeritud kaubad; Puidu import ja eksport; Transiitvedu; Metallide import ja eksport; Televisiooni- ja raadioettevõtete, filmistuudiote ja ajakirjandustöötajate töövahendite tollivormistus; Postisaadetised; Turismi- ja spordilaevade tollivormistus; Mootorikütuse ja -õli import ja eksport; Tagastamatu majandusabi; Üksikisiku kauba kontroll; Deklareerimiskohustus; Kaubad, mille toimet. üle Eesti riigipiiri on keelatud; Kultuuriväärtused; Väärismetallid, vääriskivid ja neid sisaldavad esemed; Relvad; Mootorsõidukid; Tolliladustamine; Veterinaalkontrollile alluvad kaubad; Piirkogused; Tolliinspektuuride aadressid ja telefoninumbrid

  5. Tööjuhendid loovuse arendajana / Ene Lind

    Index Scriptorium Estoniae

    Lind, Ene

    2001-01-01

    Loovuse arendamine tööõpetuse ja käsitöö tunnis. Katsest Tallinna koolide 2. ja 4. klasside õpilaste seas, milles katsetati kaht töö raskusastme ning kasutatavate materjalide ja töövahendite poolest erinevat tööjuhendit. Katse järel viidi läbi küsitlus, kus lapsed andsid hinnangu ja kommenteerisid tööjuhendi järgi iseseisvalt töötamist tööõpetuse tunnis

  6. What is the most important factor affecting the cognitive function of obstructive sleep apnea syndrome patients: a single center study

    OpenAIRE

    LI Xiang; LI Yan-peng; WU Hui-juan; ZHANG Lin; ZHAO Zheng-qing; PENG Hua; ZHAO Zhong-xin

    2013-01-01

    Objective Patients with obstructive sleep apnea syndrome (OSAS) usually complain of daytime hypersomnia and decrease in cognitive function, which affects the quality of their work and life. The reason why the cognitive function of OSAS patients decreased remains controversial. The aim of this study is to evaluate the impairment and the main influencing factors of cognitive function in OSAS. Methods There were totally 50 OSAS patients (OSAS group) and 25 volunteers (control group) included i...

  7. Rhythm disturbances in childhood obstructive sleep apnea during apnea-hypopnea episodes

    International Nuclear Information System (INIS)

    Khositseth, Anant; Chokechuleekorn, Jittamas; Kuptanon, Teeradej; Leejakpai, Anchalee

    2013-01-01

    Obstructive sleep apnoea (OSA) can result in cardiovascular complications. Nocturnal arrhythmias are reported up to 50% of adult OSA patients. Arrhythmias and heart rate variability in children with OSA have not been well studied. We sought to study rhythm disturbances in childhood OSA and also to analyze the relationship of heart rate variability to the severity of OSA in children. In a retrospective cross sectional study, records of children aged < 15 years with history of snoring and suspected OSA, who had undergone polysomnography (PSG) for first time were analyzed. The cardiac rhythm and heart rate variability were studied during PSG. A total of 124 patients diagnosed with OSA were grouped into mild (n = 52), moderate (n = 30), and severe (n = 42) OSA. During PSG, all had sinus arrhythmias and only three patients had premature atrial contractions (PACs). The standard deviation of heart rate (SD-HR) during rapid eye movement (REM) sleep in severe OSA (9.1 ± 2.4) was significantly higher than SD-HR in mild OSA (7.5 ± 1.3, P < 0.0001). The maximum heart rate (max-HR) during REM-sleep in severe OSA (132.1 ± 22.1) was significantly higher than the max-HR in mild OSA (121.3 ± 12.6 bpm, P = 0.016). There was no significant arrhythmia in children with OSA during their sleep. Heart rate variability correlated with the severity of OSA

  8. Obstructive sleep apnea and cortical thickness in females and males.

    Science.gov (United States)

    Macey, Paul M; Haris, Natasha; Kumar, Rajesh; Thomas, M Albert; Woo, Mary A; Harper, Ronald M

    2018-01-01

    Obstructive sleep apnea (OSA) affects approximately 10% of adults, and alters brain gray and white matter. Psychological and physiological symptoms of the disorder are sex-specific, perhaps related to greater injury occurs in female than male patients in white matter. Our objective was to identify influences of OSA separated by sex on cortical gray matter. We assessed cortical thickness in 48 mild-severe OSA patients (mean age±std[range] = 46.5±9.0[30.8-62.7] years; apnea-hypopnea index = 32.6±21.1[6-102] events/hour; 12 female, 36 male; OSA severity: 5 mild, 18 moderate, 25 severe) and 62 controls (mean age = 47.7±8.9[30.9-65.8] years; 22 female, 40 male). All OSA patients were recently-diagnosed via polysomnography, and control subjects screened and a subset assessed with sleep studies. We used high-resolution magnetic resonance imaging to identify OSA-related cortical thinning, based on a model with condition and sex as independent variables. OSA and OSA-by-sex interaction effects were assessed (Pfrontal lobe in female OSA vs. all other groups. Significant thinning within the pre- and post-central gyri and the superior temporal gyrus, extending into the insula, appeared between the general OSA populations vs. control subjects. No areas showed increased thickness in OSA vs. controls or positive female OSA interaction effects. Reduced cortical thickness likely represents tissue atrophy from long term injury, including death of neurons and supporting glia from repeated intermittent hypoxic exposure in OSA, although disease comordities may also contribute to thinning. Lack of polysomnography in all control subjects means results may be confounded by undiagnosed OSA. The greater cortical injury in cognitive areas of female OSA patients may underlie enhanced symptoms in that group. The thinning associated with OSA in male and females OSA patients may contribute to autonomic dysregulation and impaired upper airway sensori-motor function.

  9. Obstructive sleep apnea combined dyslipidemia render additive effect on increasing atherosclerotic cardiovascular diseases prevalence.

    Science.gov (United States)

    Cao, Zhiyong; Zhang, Ping; He, Zhiqing; Yang, Jing; Liang, Chun; Ren, Yusheng; Wu, Zonggui

    2016-05-26

    Current study was designed to investigate the effects of obstructive sleep apnea (OSA) combined dyslipidemia on the prevalence of atherosclerotic cardiovascular diseases (ASCVD). This was a cross-sectional study and subjects with documented dyslipidemia and without previous diagnosis of OSA were enrolled. Polysomnography was applied to evaluate apnea-hypopnea index (AHI). Based on AHI value, subjects were classified into four groups: without OSA, mild, moderate and severe OSA groups. Clinical characteristics and laboratory examination data were recorded. Relationship between AHI event and lipid profiles was analyzed, and logistic regression analysis was used to evaluate the effects of OSA combined dyslipidemia on ASCVD prevalence. Totally 248 subjects with dyslipidemia were enrolled. Compared to the other 3 groups, subjects with severe OSA were older, male predominant and had higher smoking rate. In addition, subjects with severe OSA had higher body mass index, waist-hip ratio, blood pressure, and higher rates of overweight and obesity. Serum levels of fasting plasma glucose, glycated hemoglobin, LDL-C and CRP were all significantly higher. ASCVD prevalence was considerably higher in subjects with severe OSA. AHI event in the severe OSA group was up to 35.4 ± 5.1 events per hour which was significantly higher than the other groups (P dyslipidemia plus no-OSA group (reference group), OSA enhanced ASCVD risk in subjects with dyslipidemia, regardless of OSA severity. After extensively adjusted for confounding variables, the odds of dyslipidemia plus mild-OSA was reduced to insignificance. While the effects of moderate- and severe-OSA on promoting ASCVD risk in subjects with dyslipidemia remained significant, with severe-OSA most prominent (odds ratio: 1.52, 95% confidence interval: 1.13-2.02). OSA combined dyslipidemia conferred additive adverse effects on cardiovascular system, with severe-OSA most prominent.

  10. Clinical, polysomnographic, and CPAP titration features of obstructive sleep apnea: Mixed versus purely obstructive type.

    Science.gov (United States)

    Lee, Sang-Ahm; Lee, Gha-Hyun; Chung, Yoo-Sam; Kim, Woo Sung

    2015-08-15

    To determine whether obstructive sleep apnea syndrome (OSAS) patients with mixed sleep apnea (MSA) have different clinical, polysomnographic, and continuous positive airway pressure (CPAP) titration findings compared to OSAS patients without MSA. We retrospectively reviewed the records of OSAS patients who had undergone CPAP titration and categorized them into pure-OSA and mixed-OSA groups. Demographic features, daytime sleepiness, and apnea severity were compared between the two groups using univariate and multivariate analyses. CPAP titration findings were also compared between the two groups. One hundred and ninety-five subjects (n=126 pure-OSA; n=69 mixed-OSA) were included in the analysis. Compared to the pure-OSA group, the mixed-OSA group had a higher percentage of males (p=0.003) and a higher body mass index (p=0.044), Epworth Sleepiness Scale score (p=0.028), and apnea-hypopnea index (AHI) (ptitration, and a higher titrated pressure than the pure-OSA group. Severe OSA, older age, male sex, obesity, and daytime sleepiness were related to mixed-OSA. Complex sleep apnea, less optimal titration, and a higher titrated CPAP were also associated with MSA in OSAS patients. Copyright © 2015 Elsevier B.V. All rights reserved.

  11. Vene teatri interjööride restaureerimine ja sisekujundus. Vabaduse väljak 5, Tallinn / Aivar Oja, Riin Luuk, Piret Bender...[jt.

    Index Scriptorium Estoniae

    2007-01-01

    5 värv. sisevaadet; sisekujundajad: A. Oja, R. Luuk (ajalooline osa), P. Bender (uus osa); siseviimistluse, maalingute ja valgustite restaureerimine: KAR Grupp; 1926. a. valminud hoone arhitekt: F. Skujinsh

  12. Vene teatri interjööride restaureerimine ja sisekujundus : Vabaduse väljak 5, Tallinn = Renovation and redesign of the Russian Theatre interiors : Vabaduse väljak 5, Tallinn

    Index Scriptorium Estoniae

    2007-01-01

    Sisekujundajad Aivar Oja, Riin Luuk (ajalooline osa) ja Piret Bender (uus osa). Siseviimistluse, maalingute ja valgustite restaureerimine ja konserveerimine: KAR GruppS. Juurdeehitise arhitekt Ra Luhse. 5 värv. vaadet

  13. Obstructive Sleep Apnea and Age: A Double Insult to Brain Function?

    OpenAIRE

    Ayalon, Liat; Ancoli-Israel, Sonia; Drummond, Sean P. A.

    2010-01-01

    Rationale: Healthy aging is associated with cognitive deficits similar to those found in obstructive sleep apnea (OSA). As in OSA, older adults show compensatory cerebral activation during cognitive demands in the face of neurocognitive decline.

  14. Obstructive Sleep Apnea

    Medline Plus

    Full Text Available ... a serious and even life-threatening condition. The risks of undiagnosed OSA are many. Click here to ... a serious and even life-threatening condition. The risks of undiagnosed OSA are many. Click here to ...

  15. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... a serious and even life-threatening condition. The risks of undiagnosed OSA are many. Click here to ... a serious and even life-threatening condition. The risks of undiagnosed OSA are many. Click here to ...

  16. Administration of Anesthesia

    Medline Plus

    Full Text Available ... a serious and even life-threatening condition. The risks of undiagnosed OSA are many. Click here to ... a serious and even life-threatening condition. The risks of undiagnosed OSA are many. Click here to ...

  17. Head, Neck, and Oral Cancer

    Medline Plus

    Full Text Available ... a serious and even life-threatening condition. The risks of undiagnosed OSA are many. Click here to ... a serious and even life-threatening condition. The risks of undiagnosed OSA are many. Click here to ...

  18. Systematic review on noninvasive assessment of subclinical cardiovascular disease in obstructive sleep apnea: new kid on the block!

    Science.gov (United States)

    Ali, Shozab S; Oni, Ebenezer T; Warraich, Haider J; Blaha, Michael J; Blumenthal, Roger S; Karim, Adil; Shaharyar, Sameer; Jamal, Omar; Fialkow, Jonathan; Cury, Ricardo; Budoff, Matthew J; Agatston, Arthur S; Nasir, Khurram

    2014-10-01

    Patients with obstructive sleep apnea (OSA) have a high burden of cardiovascular disease (CVD) but a causal relationship between OSA and atherosclerotic CVD remains unclear. We systematically reviewed the literature analyzing the relationship. A review of the Medline database for studies noninvasively evaluating subclinical CVD in OSA was conducted. A total of fifty-two studies were included in this review. Across the studies the prevalence of atherosclerosis, as assessed by coronary artery calcification, carotid intima-media thickness, brachial artery flow-mediated dilation and pulse wave velocity was higher in patients with OSA and correlated with increasing severity and duration of OSA. This study shows OSA is an independent predictor of subclinical CVD as CVD is more likely to occur in patients with long standing and severe OSA. Further research is however necessary to identify specific OSA populations that would benefit from aggressive screening. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Endothelial Dysfunction in the Microcirculation of Patients with Obstructive Sleep Apnea

    OpenAIRE

    Patt, Brian T.; Jarjoura, David; Haddad, Diane N.; Sen, Chandan K.; Roy, Sashwati; Flavahan, Nicholas A.; Khayat, Rami N.

    2010-01-01

    Rationale: Obstructive sleep apnea (OSA) is a risk factor for cardiovascular disease. We hypothesized that patients with OSA and no cardiovascular disease have oxidant-related microcirculatory endothelial dysfunction.

  20. Tarkon pürib Euroopas liidriks / Nils Niitra

    Index Scriptorium Estoniae

    Niitra, Nils, 1975-

    2008-01-01

    Tarkon laiendab oma ettevõtet, eesmärgiga hõivata valdkonna Euroopa liidri positsioon. Suurem osa firma toodangust läheb telekomi-, tööstus- ja kliimaseadmete tootjatele. Vt. samas: Hanza kontserni osa

  1. Obstructive Sleep Apnea

    Medline Plus

    Full Text Available ... Apnea (OSA) Download Download the ebook for further information Obstructive sleep apnea (OSA) is a serious and ... that can create the necessary air passageway. The information provided here is not intended as a substitute ...

  2. 26. III avati Tartu Y-galerii E-saalis...

    Index Scriptorium Estoniae

    2004-01-01

    MTÜ loovkeskuse ja Anne noortekeskuse multimeedialabori interdistsiplinaarse Art-Merge õpikoja näitus. 20.-26. III toimunud õpikoja tegevuskunsti osa juhtis inglise kunstnik Natalie Waldbaum, multimeedia sektorit Jane Remm, kaasaegse tantsu ja teatri osa Kaia Kapsta

  3. Physiological consequences of CPAP therapy withdrawal in patients with obstructive sleep apnoea—an opportunity for an efficient experimental model

    OpenAIRE

    Schwarz, Esther I.; Stradling, John R.; Kohler, Malcolm

    2018-01-01

    Randomised controlled trials (RCTs) of continuous positive airway pressure (CPAP) in obstructive sleep apnoea (OSA) are time consuming, and their findings often inconclusive or limited due to suboptimal CPAP adherence in CPAP-naïve patients with OSA. Short-term CPAP withdrawal in patients with prior optimal CPAP adherence results in recurrence of OSA and its consequences. Thus, this experimental model serves as an efficient tool to investigate both the consequences of untreated OSA, and poten...

  4. EEG arousal prediction via hypoxemia indicator in patients with ...

    African Journals Online (AJOL)

    Obstructive sleep apnea syndrome (OSAS) is a sleep breathing disorder characterized by recurrent airflow obstruction caused by a total or partial collapse of the upper airway. OSAS is a common affliction suffered by millions. The arousal index (ArI) is the best predictor of daytime somnolence for patients with OSAS, ...

  5. Memory and Executive Screening for the Detection of Cognitive Impairment in Obstructive Sleep Apnea.

    Science.gov (United States)

    Mu, Li; Peng, Liping; Zhang, Zhengjiao; Jie, Jing; Jia, Siqi; Yuan, Haibo

    2017-10-01

    Obstructive sleep apnea (OSA) is commonly associated with cognitive dysfunction, which is more apparent in severe OSA and impairs quality of life. However, the clinical screening methods for these impairments in OSA are still limited. In this study, we evaluated the feasibility of using the Memory and Executive Screening (MES) for assessing cognitive performance in OSA. Twenty-four patients with nonsevere OSA and 36 patients with severe OSA participated in this study. All participants underwent comprehensive, laboratory-based polysomnography and completed assessments of cognitive function, which included both the MES and the Beijing version of the Montreal Cognitive Assessment (MoCA-BJ). Both the total MES scores and 5 recall scores of the MES (MES-5R) were significantly lower in the severe OSA group than those in the nonsevere OSA group. The patients with severe OSA performed worse on the memory subtests of the MES-5R, especially on immediate recall. The sensitivity and specificity of the MES for identifying cognitive impairment in patients with OSA were 63.89% and 66.67%, respectively, for a cutoff value of cognitive dysfunction in patients with OSA. The sensitivity and specificity of the MES were similar to those of the MoCA-BJ. The MES-5R and total MES scores can assess the presence and severity of cognitive impairment in patients with severe OSA. Copyright © 2017 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

  6. Raznõje litsa Indreka Paasa / Eteri Kekelidze

    Index Scriptorium Estoniae

    Kekelidze, Eteri, 1944-

    2008-01-01

    Vargamäel 22 tundi kestnud maratonetendusest Tammsaare "Tõe ja õiguse" põhjal - Elmo Nüganeni lavastused "Tõde ja õigus. Teine osa", "Karin. Indrek. Tõde ja õigus. 4" ja "Wargamäe Wabariik" (III osa) ning Jaanus Rohumaa lavastus "Vargamäe kuningriik" (I ja V osa). Pikemalt "Wargamäe Wabariigi" lavastusest

  7. Reduced Inspiratory Muscle Strength in Patients with Type 2 Diabetes Mellitus and Obstructive Sleep Apnoea

    DEFF Research Database (Denmark)

    Rehling, Thomas; Banghoj, Anne Margareta; Kristiansen, Marie Hvelplund

    2017-01-01

    Background: Obstructive sleep apnoea (OSA) is related to type 2 diabetes (T2DM), and it may be associated with reduced inspiratory muscle strength (IMS). The aim of this study was to investigate the IMS in patients with T2DM, with or without OSA. Methods: Patients with T2DM with OSA (n = 33...

  8. Vargamäelt leigust ei leitud / Jan Kaus

    Index Scriptorium Estoniae

    Kaus, Jan, 1971-

    2008-01-01

    Vargamäel 21. juunil 22 tundi kestnud maratonetendusest Tammsaare "Tõe ja õiguse" põhjal - Elmo Nüganeni lavastused "Tõde ja õigus. Teine osa", "Karin. Indrek. Tõde ja õigus. 4" ja "Wargamäe Wabariik" (III osa) ning Jaanus Rohumaa lavastus "Vargamäe kuningriik" (I ja V osa)

  9. Outcomes in coronary artery disease patients with sleepy obstructive sleep apnoea on CPAP

    NARCIS (Netherlands)

    Peker, Yuksel; Thunstrom, Erik; Glantz, Helena; Wegscheider, Karl; Eulenburg, Christine

    2017-01-01

    Coronary artery disease (CAD) patients with obstructive sleep apnoea (OSA) have increased risk for major adverse cardiovascular and cerebrovascular events (MACCEs) compared with CAD patients without OSA. We aimed to address if the risk is similar in both groups when OSA patients are treated. This

  10. Koguteos Soome põllumajanduse ajaloost / Ülle Tarkiainen

    Index Scriptorium Estoniae

    Tarkiainen, Ülle

    2007-01-01

    Rerts. rmt.: Suomen maatalouden historia, osa 1. Perinteisen maatalouden aika. Esihistoriasta 1870-luvulle. Toim. Viljo Rasila, Eino Jutikkala, Anneli Mäkelä-Alitalo. Helsinki, 2003. 646 lk. ; osa 2. Kasvun ja kriisien aika. 1870-luvulta 1950-luvulle. Toim. Matti Peltonen. Helsinki, 2004. 534 lk.; osa 3. Suurten muutosten aika. Jälleenrakennuskaudesta EU-Suomeen. Toim. Pirjo Markkola. Helsinki, 2004. 518 lk.

  11. Upper airway sensory function in children with obstructive sleep apnea syndrome.

    Science.gov (United States)

    Tapia, Ignacio E; Bandla, Preetam; Traylor, Joel; Karamessinis, Laurie; Huang, Jingtao; Marcus, Carole L

    2010-07-01

    Children with the obstructive sleep apnea syndrome (OSAS) have impaired responses to hypercapnia, subatmospheric pressure, and inspiratory resistive loading during sleep. This may be due, in part, to an impairment in the afferent limb of the upper airway sensory pathway. Therefore, we hypothesized that children with OSAS had diminished upper airway sensation compared to controls. Case-control. Academic hospital. Subjects with OSAS aged 6-16 years, and age- and BMI-matched controls. Two-point discrimination (TPD) was measured during wakefulness with modified calipers in the anterior tongue, right interior cheek, and hard palate. Thirteen children with OSAS and 9 controls were tested. The age (mean +/- SD) for OSAS and controls was 11 +/- 4 vs. 13 +/- 2 years (NS); OSAS BMI Z score 2.4 +/- 0.5, controls 2.2 +/- 0.5 (NS); OSAS apnea hypopnea index 31 +/- 48, controls 0.4 +/- 0.5 events/hour (P Children with OSAS had impaired TPD in the anterior tongue (median [range]) = 9 [3-14] mm, controls 3 [1-7], P = 0.002) and hard palate (OSAS 6 [3-9] mm, controls 3 [1-4], P children with OSAS during wakefulness. We speculate that this impairment might be due to a primary sensory function abnormality or secondary to nerve damage and/or hypoxemia caused by OSAS. Further studies after treatment of OSAS are needed.

  12. The why, when and how to test for obstructive sleep apnea in patients with atrial fibrillation.

    Science.gov (United States)

    Desteghe, Lien; Hendriks, Jeroen M L; McEvoy, R Doug; Chai-Coetzer, Ching Li; Dendale, Paul; Sanders, Prashanthan; Heidbuchel, Hein; Linz, Dominik

    2018-04-12

    Sleep apnea is associated with increased cardiovascular risk and may be important in atrial fibrillation (AF) management. It is present in up to 62% of the AF population and is highly under-recognized and underdiagnosed. Obstructive sleep apnea (OSA) is strongly associated with AF and non-randomized trials have shown that its treatment can help to reduce AF recurrences and maintain sinus rhythm. The 2016 European Society of Cardiology guidelines for the management of AF recommend that AF patients should be questioned regarding the symptoms of OSA and that OSA-treatment should be optimized to improve AF treatment results. However, strategies on how to implement OSA testing in the standard work-up of AF patients are not provided in the guidelines. Additionally, overnight OSA monitoring rather than interrogation for OSA-related clinical signs alone may be necessary to reliably identify OSA in the majority of AF patients. This review summarizes the available clinical data on OSA in AF patients, and discusses the following key questions: Why and When is testing for OSA needed in AF patients? How and Where should it be performed and coordinated? and Who should test for OSA? To implement OSA testing in a cardiology or electrophysiology clinic, we propose a multidisciplinary integrated care approach based on a chronic care model. We describe the tools, infrastructure and coordination needed to test for OSA in the standard workup of patients with symptomatic AF prior to the initiation of directed invasive or pharmacological rhythm control management.

  13. Palved eesti, soome ja vene keeles: grammatika pragmaatika teenistuses / Requests in Estonian, Finnish and Russian: Grammar and pragmatics

    Directory of Open Access Journals (Sweden)

    Renate Pajusalu

    2014-04-01

    Full Text Available Artikkel käsitleb palvete ja küsimuste vormistamise stereotüüpe eesti, vene ja soome keeles. Materjal on kogutud küsitluste abil, milles vastajad pidid kirjutama, mida nad kirjeldatud situatsioonis ütleksid või kirjutaksid (nn diskursuse täiendamise ülesanne. Iga vaadeldava keele kohta loodi andmebaas, milles on 200 palvet. Nende alusel vaadeldakse kümmet esitatud situatsiooni võrdlevalt kolmes keeles, tuues välja nii sarnasused kui erinevused. Kokkuvõttes tehakse üldistused palvete kodeerimisel esinenud sagedamate grammatiliste vahendite (lausetüüp, verbi morfoloogiline vorm, eituse olemasolu, pöördumine sina- või teie-vormiga jm esinemise kohta eesti, soome ja vene keeles.

  14. Continuous Positive Airway Pressure Prevents Hypoxia in Dental Patient with Obstructive Sleep Apnea Syndrome under Intravenous Sedation.

    Science.gov (United States)

    Kasatkin, Anton A; Reshetnikov, Aleksei P; Urakov, Aleksandr L; Baimurzin, Dmitrii Y

    2017-01-01

    Use of sedation in patients with obstructive sleep apnea (OSA) in dentistry is limited. Hypoxia may develop during medication sleep in dental patients with OSA because of repetitive partial or complete obstruction of the upper airway. In this regard, anesthesiologists prefer not to give any sedative to surgical patients with OSA or support the use of general anesthesia due to good airway control. We report a case where we could successfully sedate a dental patient with OSA using intraoperative continuous positive airway pressure (CPAP) without hypoxia. Use of sedation and intraoperative CPAP in patients with OSA may be considered only if the effectiveness at home CPAP therapy is proven.

  15. Evaluation studies on the combined effect of hydrothermal treatment and octenyl succinylation on the physic-chemical, structural and digestibility characteristics of sweet potato starch.

    Science.gov (United States)

    Lv, Qing-Qing; Li, Gao-Yang; Xie, Qiu-Tao; Zhang, Bao; Li, Xiao-Min; Pan, Yi; Chen, Han-Qing

    2018-08-01

    In order to increase the degree of substitution (DS), a combination of heat-moisture treatment (HMT) and octenyl succinylation (OSA) was used to modify sweet potato starch (SPS). The content of OSA had significant influence on the DS of starch, and DS of HMT OSA-modified SPS (HOSA-SPS) was higher than that of OSA-modified SPS (OSA-SPS), indicating that prior HMT could enhance the reaction. HOSA-SPS showed higher contents of SDS and RS in comparison with OSA-SPS as OSA concentration was beyond 6%. HMT decreased swelling power of starch while OSA modification had a contrary role (p < 0.05). Scanning electron microscopy (SEM) showed starch was destroyed by OSA modification while HMT had slight effect on the structure. X-ray diffraction (XRD) indicated that crystal type of starch was transformed from C- to A-type resulted from HMT, and remained unchanged by OSA modification. The onset, peak, and conclusion gelatinization temperatures of starch increased by HMT and decreased by OSA modification (p < 0.05). Copyright © 2018 Elsevier Ltd. All rights reserved.

  16. Childhood obstructive sleep apnea associates with neuropsychological deficits and neuronal brain injury.

    Directory of Open Access Journals (Sweden)

    Ann C Halbower

    2006-08-01

    Full Text Available Childhood obstructive sleep apnea (OSA is associated with neuropsychological deficits of memory, learning, and executive function. There is no evidence of neuronal brain injury in children with OSA. We hypothesized that childhood OSA is associated with neuropsychological performance dysfunction, and with neuronal metabolite alterations in the brain, indicative of neuronal injury in areas corresponding to neuropsychological function.We conducted a cross-sectional study of 31 children (19 with OSA and 12 healthy controls, aged 6-16 y group-matched by age, ethnicity, gender, and socioeconomic status. Participants underwent polysomnography and neuropsychological assessments. Proton magnetic resonance spectroscopic imaging was performed on a subset of children with OSA and on matched controls. Neuropsychological test scores and mean neuronal metabolite ratios of target brain areas were compared. Relative to controls, children with severe OSA had significant deficits in IQ and executive functions (verbal working memory and verbal fluency. Children with OSA demonstrated decreases of the mean neuronal metabolite ratio N-acetyl aspartate/choline in the left hippocampus (controls: 1.29, standard deviation [SD] 0.21; OSA: 0.91, SD 0.05; p = 0.001 and right frontal cortex (controls: 2.2, SD 0.4; OSA: 1.6, SD 0.4; p = 0.03.Childhood OSA is associated with deficits of IQ and executive function and also with possible neuronal injury in the hippocampus and frontal cortex. We speculate that untreated childhood OSA could permanently alter a developing child's cognitive potential.

  17. Self-control predicts attentional bias assessed by online shopping-related Stroop in high online shopping addiction tendency college students.

    Science.gov (United States)

    Jiang, Zhaocai; Zhao, Xiuxin; Li, Cancan

    2017-05-01

    The aim of this study was to examine the relationships of personality types (i.e., self-control, BAS/BIS) and online shopping addiction (OSA) behavior and to investigate whether high-OSA tendency individuals display attentional biases toward online shopping-related (OS-related) stimuli as well as the links between attentional bias and personality types. The study included 98 college students divided into three groups (i.e., high-, medium- and low-OSA) according to their OSA behavior. The personality types (i.e., self-control, BAS/BIS) and OSA behavior were investigated by questionnaires. The attentional bias was evaluated by the OS-related Stroop and dot-probe task (DPT) paradigms. OSA was positively predicted by time spent on online shopping per day and average consumption for online shopping monthly, and negatively by self-control. High-OSA individuals displayed significant attentional biases toward OS-related stimuli in the Stroop, but not DPT paradigm. Moreover, the attentional bias toward OSA-related stimuli in high-OSA individuals was negatively correlated with self-control. These findings demonstrated the critical role of self-control in OSA behavior and attentional bias to OS-related stimuli in high-OSA individuals, indicating that more importance should be attached to self-control for the clinical intervention of online shopping addiction in future studies. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Biology, diagnosis and treatment of canine appendicular osteosarcoma: similarities and differences with human osteosarcoma.

    Science.gov (United States)

    Morello, Emanuela; Martano, Marina; Buracco, Paolo

    2011-09-01

    Osteosarcoma (OSA) is the most common primary bone tumour in dogs. The appendicular locations are most frequently involved and large to giant breed dogs are commonly affected, with a median age of 7-8 years. OSA is a locally invasive neoplasm with a high rate of metastasis, mostly to the lungs. Due to similarities in biology and treatment of OSA in dogs and humans, canine OSA represents a valid and important tumour model. Differences between canine and human OSAs include the age of occurrence (OSA is most commonly an adolescent disease in humans), localisation (the stifle is the most common site of localisation in humans) and limited use of neoadjuvant chemotherapy in canine OSA. Copyright © 2010 Elsevier Ltd. All rights reserved.

  19. Obstructive sleep apnea decreases central nervous system-derived proteins in the cerebrospinal fluid.

    Science.gov (United States)

    Ju, Yo-El S; Finn, Mary Beth; Sutphen, Courtney L; Herries, Elizabeth M; Jerome, Gina M; Ladenson, Jack H; Crimmins, Daniel L; Fagan, Anne M; Holtzman, David M

    2016-07-01

    We hypothesized that one mechanism underlying the association between obstructive sleep apnea (OSA) and Alzheimer's disease is OSA leading to decreased slow wave activity (SWA), increased synaptic activity, decreased glymphatic clearance, and increased amyloid-β. Polysomnography and lumbar puncture were performed in OSA and control groups. SWA negatively correlated with cerebrospinal fluid (CSF) amyloid-β-40 among controls and was decreased in the OSA group. Unexpectedly, amyloid-β-40 was decreased in the OSA group. Other neuronally derived proteins, but not total protein, were also decreased in the OSA group, suggesting that OSA may affect the interaction between interstitial and cerebrospinal fluid. Ann Neurol 2016;80:154-159. © 2016 American Neurological Association.

  20. Manifestations of Insomnia in Sleep Apnea: Implications for Screening and Treatment.

    Science.gov (United States)

    Bailes, Sally; Rizzo, Dorrie; Baltzan, Marc; Grad, Roland; Pavilanis, Alan; Creti, Laura; Fichten, Catherine S; Libman, Eva

    2016-01-01

    The aims of this study were to examine the presence, type, and severity of insomnia complaints in obstructive sleep apnea (OSA) patients and to assess the utility of the Sleep Symptom Checklist (SSC) for case identification in primary care. Participants were 88 OSA patients, 57 cognitive-behavioral therapy for insomnia (CBT-I) patients, and 14 healthy controls (Ctrl). Each completed a sleep questionnaire as well as the SSC, which includes insomnia, daytime functioning, psychological, and sleep disorder subscales. Results showed that OSA patients could be grouped according to 3 insomnia patterns: no insomnia (OSA), n = 21; insomnia (OSA-I), n = 30, with a subjective complaint and disrupted sleep; and noncomplaining poor sleepers (OSA-I-NC), n = 37. Comparisons among the OSA, CBT-I, and Ctrl groups demonstrate distinct profiles on the SSC subscales, indicating its potential utility for both case identification and treatment planning.

  1. Análise descritiva de variáveis teoricamente associadas ao risco de quedas em mulheres idosas Análisis descritivo de variábles teoricamente asociadas al riesgo de caidas en mujeres añosas Descriptive analysis of variables theoretically associated to the risk of falls in elder women

    Directory of Open Access Journals (Sweden)

    Joanna Miguez Nery Guimarães

    2005-10-01

    Full Text Available As quedas são um problema de saúde pública entre os idosos, em vista da mortalidade, morbidade e dos custos social e econômico decorrentes. O objetivo do estudo foi analisar a relação do histórico relatado de quedas em um grupo de sujeitos com mais de 65 anos de idade, participantes de um programa de atividades físicas, com variáveis apontadas pela literatura como associadas ao risco desses eventos: visão, uso de medicamentos, doenças associadas, flexibilidade, força e equilíbrio. Após entrevista com um grupo inicial de 72 sujeitos, foram selecionadas 30 pessoas cujos relatos indicaram maior freqüência de quedas nos últimos 12 meses e após os 65 anos de idade. As variáveis de exposição foram testadas neste subgrupo e os resultados comparados com a freqüência de quedas por meio de estatística descritiva (valores absolutos e relativos, com uso de tabelas de contingência confeccionadas para cada variável. Os resultados indicaram que a deterioração da visão, uso simultâneo de medicamentos (especialmente diuréticos e psicoativos e flexibilidade reduzida (quadril e tornozelos parecem associar-se com a freqüência de quedas nos períodos observados. Esses fatores deveriam ser considerados em programas para prevenção de quedas em idosos.Las caídas son un problema de salud publica entre los añosos, en vista de la mortalidad, morbilidad y de los costos socilaes y económicos ocasionados. El objetivo de este estudio fué el de analizar analizar la relación los interrogatorios de historias de caidas en un grupo de sujetos con mas de 65 años de edad, participantes de um programa de actividades físicas, con variables presentadas en la literatura como asocciadas al riesgo de estos eventos: visión, uso de medicación, patologías asociadas, flexibilidad, fuerza y equilibrio. Después de la entrevista con el grupo inicial de 72 sujetos, fueron selecionadas 30 personas cuyos relatos indicaron mayor frecuencia de caidas en los últimos 12 meses y después de los 65 años de edad. Las variábles de exposición fueron testadas en este subgrupo y los resultados comparados con la frecuencia de caídas por medio de estadística descriptiva (valores absolutos y relativos, con uso de tablas de contingencia confeccionadas para cada variable. Los resultados indicaron que el deterioro de la visión, uso simultáneo de medicamentos (especialmente diuréticos y psicoactivos y flexibilidad reducida (cadera y tobillo parecen asociarse con la frecuencia de caidas en los períodos observados. Estos factores deberían ser considerados en programas para la prevención de las caídas en añosos.Falls are a public health problem among elderly persons having in mind the mortality and morbidity rates, and the social and economical costs they cause. The purpose of this study was to analyze the relationship of the historic of falls reported in a group of individuals with more than 65 years old participating in a physical activity program, with variables defined by the literature as being associated to the risk of these kind of event: lack of sight, use of drugs, related diseases, poor strength and balance. After an interview with an initial group composed by 72 individuals, it was selected a sample of 30 persons whose reports indicated major frequency of falls in the previous twelve months, with ages after 65 years old. The exposition variables were tested in this subgroup, and the results were compared with the frequency of falls by means of a descriptive statistics (absolute and relative values using contingency charts for each variable. Results indicated that the deterioration of sight, the simultaneous use of drugs (especially diuretics and psycho-actives and reduced flexibility (hips and ankles seem to be associated with the frequency of falls in the period observed. Such factors should be considered in programs designed to prevent falls in the elderly.

  2. Influência da cobertura e do solo na composição florística do sub-bosque em uma floresta estacional semidecidual em Viçosa, MG, Brasil Cover and soil influence at understory of a Seasonal Tropical Forest, Minas Gerais State, Brazil

    Directory of Open Access Journals (Sweden)

    João Augusto Alves Meira-Neto

    2005-09-01

    Full Text Available A relação ecológica planta-luz tem sido estudada desde o início do século XX. As análises da relação da luminosidade ao nível das comunidades florestais têm se valido de medições indiretas por meio de índices de cobertura, mas sem a aplicação da fotogrametria para estimar essa cobertura. Este trabalho foi idealizado para utilizar fotogrametria do dossel, tornando-a aplicável ao estudo da luminosidade no sub-bosque herbáceo-arbustivo. Teve como objetivos estabelecer a relação existente entre espécies do estrato herbáceo-arbustivo e a cobertura do dossel e averiguar a existência de correlações entre espécies, luminosidade e variáveis pedológicas. Para tanto, foram tiradas fotografias em preto e branco nos períodos seco e chuvoso, em 100 (1 m×1 m parcelas aplicadas para a amostragem da vegetação herbácea. Foram colhidas amostras de solo em cada parcela. A partir dos valores médios das medidas de cobertura estimada pelas fotografias dos períodos seco e chuvoso calculou-se o valor médio de cobertura para cada espécie amostrada. Por meio do teste "t" student e da Análise de Correspondência Canônica foram determinadas as relações entre as espécies, a luminosidade e as variáveis pedológicas no estrato herbáceo-arbustivo. A cobertura não foi significativamente diferente nas épocas seca e na chuvosa. Apenas três espécies, Heisteria silviani, Calathea brasiliensis e Psychotria conjugens, tiveram médias de cobertura significativamente maiores que a média amostral e outras três, Olyra micrantha, Lacistema pubescens e Pteris denticulata, tiveram médias menores. As distribuições de parcelas pelos valores de cobertura, de tamanho de clareiras e pelo número de clareiras mostraram-se similares às distribuições encontradas na literatura para outras florestas tropicais e, portanto, o método da fotogrametria revelou-se adequado para a avaliação da cobertura. Verificou-se que os teores de cálcio, magnésio e potássio estavam correlacionados positivamente entre si e negativamente aos teores de alumínio. A cobertura revelou-se correlacionada negativamente aos teores de alumínio. Foram detectados cinco grupos de espécies segundo as preferências que apresentaram aos teores de cálcio, magnésio, potássio, alumínio e a valores de cobertura. Os teores de alumínio revelaram-se os maiores determinantes da variação encontrada na vegetação de sub-bosque. As variáveis pedológicas mostraram-se mais importantes que a variação de cobertura encontrada no sub-bosque para determinar alterações estruturais no estrato herbáceo-arbustivo.Plant-light ecological relations have been studied since the early 20th century. Light within forests has been studied since then. At community level, light environment analysis has been carried out by indirect cover measurement, but without any photogrammetric methods. This work aims to apply the canopy photogrammetric method in light environment studies of understory. Correlations among edaphic, cover and species variations were investigated to understand the understory environment. These studies were carried out in a sampled area for understory phytosociological analysis. The black and white canopy photographs were taken for cover estimation. Photographs were taken in dry and rainy seasons at 100 sample quadrats. Soil samples were taken at these quadrats. The cover average for sampled species was calculated and "t" student test was applied for testing the significance of difference between specific and populational means. Correspondence Canonical Analysis was applied to determine correlations among species, edaphic factors and cover. Cover was not significantly different in dry and rainy seasons. Only three species Heisteria silviani, Calathea brasiliensis and Psychotria conjugens, had mean cover greater than the populational mean. Other three species, Olyra micrantha, Lacistema pubescens and Pteris denticulata, had mean cover smaller than the populational mean. The sample quadrats frequency distribution and the gap size frequency distribution were similar to those found in other tropical forests. Thus, the canopy photogrammetric method was appropriate for the indirect evaluation of light environmemt of tropical seasonal and rain forests. The Correspondence Canonical Analysis showed that calcium, magnesium and potassium grades were positively correlated among themselves and negatively correlated to aluminium grades. Cover was negatively correlated to aluminium grades. Five species groups were detected by preferences to calcium, magnesium, potassium and aluminium grades and cover percentage. The aluminium grades are the main variable relatated to the herb-shrub vegetation changes. The edaphic factor variations were more important than the cover percentage variations in determining structural alterations of forest herb-shrub layer.

  3. Caracterização da condutividade hidráulica dos solos e estudo da vulnerabilidade à contaminação dos aquíferos da sub-bacia do Córrego Palmital Viçosa/MG

    OpenAIRE

    Betim, Luiza Silva

    2013-01-01

    A crescente importância e utilização das águas subterrâneas torna fundamental a avaliação da vulnerabilidade à contaminação de aquíferos, a qual pode constituir uma ótima ferramenta de planejamento ambiental. Tal avaliação exige uma caracterização do meio físico, especialmente relacionada às propriedades físicas dos solos e aquíferos, dentre as quais destaca-se a condutividade hidráulica. Nesse contexto, a presente pesquisa tem como objetivos o estudo da condutividade hidráulica dos solos e a...

  4. The potential association between obstructive sleep apnea and diabetic retinopathy in severe obesity-the role of hypoxemia.

    Directory of Open Access Journals (Sweden)

    Dev Banerjee

    Full Text Available Obstructive sleep apnea (OSA is common in obese patients with type 2 diabetes mellitus (DM and may contribute to diabetic microvascular complications.To investigate the association between OSA, hypoxemia during sleep, and diabetic retinal complications in severe obesity. This was a prospective observational study of 93 obese patients mean (SD age: 52(10 years; mean (SD body mass index (BMI: 47.3(8.3 kg/m(2 with DM undergoing retinal screening and respiratory monitoring during sleep. OSA was defined as apnea-hypopnea index (AHI of ≥15 events/hour, resulting in two groups (OSA+ vs. OSA-.Forty-six patients were OSA+: median (95% CI AHI = 37(23-74/hour and 47 were OSA-ve (AHI = 7(4-11/hour. Both groups were similar for ethnicity, BMI, cardiovascular co-morbidities, diabetes duration, HbA1c, and insulin treatment (p>0.05. The OSA+ group was significantly more hypoxemic. There was no significant difference between OSA+ and OSA- groups for the presence of retinopathy (39% vs. 38%. More OSA+ subjects had maculopathy (22% vs. 13%, but this did not reach statistical significance. Logistic regression analyses showed that AHI was not significantly associated with the presence of retinopathy or maculopathy (p>0.05. Whilst minimum oxygen saturation was not significantly associated with retinopathy, it was an independent predictor for the presence of maculopathy OR = 0.79 (95% CI: 0.65-0.95; p<0.05, after adjustment.The presence of OSA, as determined by AHI, was not associated with diabetic retinal complications. In contrast, severity of hypoxemia during sleep (minimum oxygen saturations may be an important factor. The importance of hypoxia in the development of retinal complications in patients with OSA remains unclear and further studies assessing the pathogenesis of hypoxemia in patients with OSA and diabetic retinal disease are warranted.

  5. Investigation of the relationship between mean platelet volume and obstructive sleep apnea syndrome

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    Ersin Şükrü Erden

    2013-12-01

    Full Text Available Objective: Obstructive sleep apnea syndrome (OSAS is characterized by recurrent upper airway obstruction and intermittent hypoxia during sleep. Intermittent hypoxia and increased inflammatory activity plays a role in increased risk of cardiovascular disease in the OSAS. OSAS is an important cause of morbidity and mortality and cardiovascular disorders are the most important complications of OSAS. Mean platelet volume (MPV is a marker of platelet activation and function, and increased platelet volume is associated with increased platelet activity. Different diseases related with inflammation, hypoxia, vascular injury, thrombosis and atherosclerosis were found to be associated with MPV. In this study, we aimed to investigate the relationship between OSAS and MPV. Methods: In this retrospective study, data of sex and age matched 33 patients with moderate OSAS, 34 patients with severe OSAS and 30 healthy subjects were evaluated. Results: The mean MPV was found in control, moderate OSAS and severe OSAS groups as 7.83±1.00, 8.26±1.40 and 8.94±1.20 (fL respectively. The mean MPV value was significantly higher in severe OSAS group than control subjects (p=0.001. In correlation analysis, there were positive correlation between MPV with apnea-hypopnea index and total sleep time, and negative correlation between MPV with platelet count and minimum oxygen saturation (Respectively, p=0.003 / R=0.295, p=0.030 / R=0.221, p=0.011 / R= -0.257, p=0.019 / R= -0.238. Conclusion: In this study, the increased MPV was associated with severe OSAS and the results of this study suggest that the platelet activation is increased in OSAS. Hypoxia caused by OSAS, due to the activated platelets, may play a role in the development of cardiovascular diseases which is an important cause of morbidity and mortality in OSAS. J Clin Exp Invest 2013; 4 (4: 492-496

  6. Effects of positive airway pressure therapy on cardiovascular and metabolic markers in males with obstructive sleep apnea.

    Science.gov (United States)

    Feliciano, A; Oliveira, M J; Cysneiros, A; Martinho, C; Reis, R P; Penque, D; Pinto, P; Bárbara, C

    Obstructive sleep apnea syndrome (OSAS) is associated with cardiovascular/metabolic complications. Some analytical parameters (homocysteine, glycemic and lipidic profiles) are recognized markers of these consequences. Limited data is available on the association of these markers and OSAS's severity/response to positive airway pressure therapy (PAP). In this prospective study we analyzed polysomnographic and analytical data of male patients admitted to sleep laboratory. The aim was to evaluate metabolic/cardiovascular markers in snorers and OSAS patients, to relate with sleep parameters and PAP response. One-hundred and three patients were included, and 73 (71%) were OSAS patients. OSAS patients were similar to snorers except for higher body mass index (BMI) and dyslipidemia. Severe OSAS patients showed higher glycemia, HbA1c, insulin, and insulin resistance, and lower HDL cholesterol in comparison to mild-moderate (pprofile and triglycerides were slightly correlated with OSAS severity. 46 OSAS patients were submitted to 6 months of PAP, with a statistical decrease in mean values of homocysteine, glycemia, total and LDL cholesterol (pprofiles changed significantly after 6 months of PAP therapy in OSAS, supporting its cardiovascular and metabolic protective effect. Our study has reinforced the importance of analytical cardiovascular/metabolic evaluation as complementary tool of diagnosis/treatment response in OSAS. Copyright © 2017 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L.U. All rights reserved.

  7. Impact of obstructive sleep apnea in transsphenoidal pituitary surgery: An analysis of inpatient data.

    Science.gov (United States)

    Chung, Sei Y; Sylvester, Michael J; Patel, Varesh R; Zaki, Michael; Baredes, Soly; Liu, James K; Eloy, Jean Anderson

    2018-05-01

    Although previous studies have reported increased perioperative complications among obstructive sleep apnea (OSA) patients undergoing any surgery requiring general anesthesia, there is a paucity of literature addressing the impact of OSA on postoperative transsphenoidal surgery (TSS) complications. The aim of this study was to analyze postoperative outcomes in transsphenoidal pituitary surgery patients with OSA. Secondarily, we examined patient characteristics and comorbidities. Retrospective analysis. The 2002 to 2013 National Inpatient Sample was queried for patients undergoing TSS for pituitary neoplasm. Patients with an additional diagnosis of OSA were identified, and compared to a non-OSA cohort. There were 17,777 patients identified; 5.0% (N = 889) had an additional diagnosis of OSA. The OSA cohort had more comorbidities including diabetes mellitus, congestive heart failure, chronic pulmonary disease, coagulopathy, hypertension, hypothyroidism, liver disease, obesity, peripheral vascular disease, renal failure, acromegaly, and Cushing's syndrome. Postoperatively, OSA was independently associated with increased risks of tracheostomy (P = .015) and hypoxemia (P transsphenoidal pituitary surgery, OSA was associated with higher rates of certain pulmonary and airway complications. OSA was not associated with increased non-pulmonary/airway complications or inpatient mortality, despite older average age and higher comorbidity rates. 2C. Laryngoscope, 128:1027-1032, 2018. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  8. Sleep apnoea and driving risk: the need for regulation

    Directory of Open Access Journals (Sweden)

    Walter T. McNicholas

    2015-12-01

    Full Text Available Obstructive sleep apnoea syndrome (OSAS is a highly prevalent chronic respiratory disorder with prevalence among adult males of ≥10%. The most common daytime symptom associated with OSAS is excessive sleepiness, which in more severe manifestations can result in sleepiness at the wheel while driving and probably contributes to the substantial increase in accident risk among patients with OSAS. Fortunately, current evidence indicates that successful therapy of OSAS, particularly with continuous positive airway pressure, can bring the accident risk down to levels similar to an equivalent general population. The recognition of the increased driving accident risk in OSAS prompted the Transport and Mobility Directorate of the European Commission to establish a working group on this topic in 2012, which ultimately led to a revision of Annex III of the EU Driving Licence Directive, which is subject to mandatory implementation by European Union member states by December 2015. This directive specifies that patients with moderate or severe OSAS associated with significant daytime sleepiness should be prohibited from driving until effective therapy is established. These new regulations are designed to balance the legitimate objective of public safety with not penalising OSAS patients who are complying with effective therapy. Successful implementation of regulations on driving in OSAS patients must also include measures to educate relevant stakeholders including patients, medical personnel, traffic police and employers in the transport industry. The key objective is to encourage patients with possible OSAS to seek diagnosis and treatment and not to inhibit OSAS patients from coming forward.

  9. Impact of gender on snore-based obstructive sleep apnea screening

    International Nuclear Information System (INIS)

    De Silva, S; Abeyratne, U R; Hukins, C

    2012-01-01

    Obstructive sleep apnea syndrome (OSA) is a serious widespread disease in which upper airways (UA) are collapsed during sleep. OSA has marked male predominance in prevalence. Although women are less vulnerable to OSA, under-diagnosed OSA in women may associate with serious consequences. Snoring is commonly associated with OSA and one of the earliest symptoms. Snore sounds (SS) are generated due to vibration of the collapsing soft tissues of the UA. Structural and functional properties of the UA are gender dependent. SS capture these time varying gender attributed UA properties and those could be embedded in the acoustic properties of SS. In this paper, we investigate the gender-specific acoustic property differences of SS and try to exploit these differences to enhance the snore-based OSA detection performance. We developed a snore-based multi-feature vector for OSA screening and one time-measured neck circumference was augmented. Snore features were estimated from SS recorded in a sleep laboratory from 35 females and 51 males and multi-layer neural network-based pattern recognition algorithms were used for OSA/non-OSA classification. The results were K-fold cross-validated. Gender-dependent modeling resulted in an increase of around 7% in sensitivity and 6% in specificity at the decision threshold AHI = 15 against a gender-neutral model. These results established the importance of adopting gender-specific models for the snore-based OSA screening technique. (paper)

  10. Perioperative management of children with obstructive sleep apnea.

    Science.gov (United States)

    Schwengel, Deborah A; Sterni, Laura M; Tunkel, David E; Heitmiller, Eugenie S

    2009-07-01

    Obstructive sleep apnea syndrome (OSA) affects 1%-3% of children. Children with OSA can present for all types of surgical and diagnostic procedures requiring anesthesia, with adenotonsillectomy being the most common surgical treatment for OSA in the pediatric age group. Thus, it is imperative that the anesthesiologist be familiar with the potential anesthetic complications and immediate postoperative problems associated with OSA. The significant implications that the presence of OSA imposes on perioperative care have been recognized by national medical professional societies. The American Academy of Pediatrics published a clinical practice guideline for pediatric OSA in 2002, and cited an increased risk of anesthetic complications, though specific anesthetic issues were not addressed. In 2006, the American Society of Anesthesiologists published a practice guideline for perioperative management of patients with OSA that noted the pediatric-related risk factor of obesity, and the increased perioperative risk associated with adenotonsillectomy in children younger than 3 yr. However, management of OSA in children younger than 1 yr-of-age was excluded from the guideline, as were other issues related specifically to the pediatric patient. Hence, many questions remain regarding the perioperative care of the child with OSA. In this review, we examine the literature on pediatric OSA, discuss its pathophysiology, current treatment options, and recognized approaches to perioperative management of these young and potentially high-risk patients.

  11. Prevalence of obstructive sleep apnea in patients with chronic wounds.

    Science.gov (United States)

    Patt, Brian T; Jarjoura, David; Lambert, Lynn; Roy, Sashwati; Gordillo, Gayle; Schlanger, Richard; Sen, Chandan K; Khayat, Rami N

    2010-12-15

    Chronic non-healing wounds are a major human and economic burden. Obstructive sleep apnea (OSA) is prevalent in patients with obesity, diabetes, aging, and cardiovascular disease, all of which are risk factors for chronic wounds. We hypothesized that OSA would have more prevalence in patients of a wound center than the general middle-aged population. Consecutive patients of the Ohio State University Comprehensive Wound Center (CWC) were surveyed with the Berlin and Epworth questionnaires. In the second stage of the protocol, 50 consecutive unselected CWC patients with lower extremity wounds underwent home sleep studies. In 249 patients of the CWC who underwent the survey study, OSA had been previously diagnosed in only 22%. The prevalence of high-risk status based on questionnaires for OSA was 46% (95% CI 40%, 52%). In the 50 patients who underwent home sleep studies, and using an apnea hypopnea index of 15 events per hour, the prevalence of OSA was 57% (95% CI 42%, 71%). There was no difference between the Berlin questionnaire score and weight between patients with OSA and those without. The prevalence of OSA in patients with chronic wounds exceeds the estimated prevalence of OSA in the general middle aged population. This study identifies a previously unrecognized population with high risk for OSA. Commonly used questionnaires were not sufficiently sensitive for the detection of high risk status for OSA in this patient population.

  12. Assessment of obstructive sleep apnoea treatment success or failure after maxillomandibular advancement.

    Science.gov (United States)

    de Ruiter, M H T; Apperloo, R C; Milstein, D M J; de Lange, J

    2017-11-01

    Maxillomandibular advancement (MMA) is an alternative therapeutic option that is highly effective for treating obstructive sleep apnoea (OSA). MMA provides a solution for OSA patients that have difficulty accepting lifelong treatments with continuous positive airway pressure or mandibular advancement devices. The goal of this study was to investigate the different characteristics that determine OSA treatment success/failure after MMA. The apnoea-hypopnoea index (AHI) was used to determine the success or failure of OSA treatment after MMA. Sixty-two patients underwent MMA for moderate and severe OSA. A 71% success rate was observed with a mean AHI reduction of 69%. A statistically significant larger neck circumference was measured in patients with failed OSA treatments following MMA (P=0.008), and older patients had failed OSA treatments with MMA: 58 vs. 53 years respectively (P=0.037). Cephalometric analysis revealed no differences between successful and failed OSA treatment outcomes. There was no difference in maxillary and mandibular advancements between success and failed MMA-treated OSA patients. The complications most frequently reported following MMA were sensory disturbances in the inferior alveolar nerve (60%) and malocclusion (24%). The results suggest that age and neck girth may be important factors that could predict susceptibility to OSA treatment failures by MMA. Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  13. Screening for Obstructive Sleep Apnea in Adults: US Preventive Services Task Force Recommendation Statement.

    Science.gov (United States)

    Bibbins-Domingo, Kirsten; Grossman, David C; Curry, Susan J; Davidson, Karina W; Epling, John W; García, Francisco A R; Herzstein, Jessica; Kemper, Alex R; Krist, Alex H; Kurth, Ann E; Landefeld, C Seth; Mangione, Carol M; Phillips, William R; Phipps, Maureen G; Pignone, Michael P; Silverstein, Michael; Tseng, Chien-Wen

    2017-01-24

    Based on data from the 1990s, estimated prevalence of obstructive sleep apnea (OSA) in the United States is 10% for mild OSA and 3.8% to 6.5% for moderate to severe OSA; current prevalence may be higher, given the increasing prevalence of obesity. Severe OSA is associated with increased all-cause mortality, cardiovascular disease and cerebrovascular events, diabetes, cognitive impairment, decreased quality of life, and motor vehicle crashes. To issue a new US Preventive Services Task Force (USPSTF) recommendation on screening for OSA in asymptomatic adults. The USPSTF reviewed the evidence on the accuracy, benefits, and potential harms of screening for OSA in asymptomatic adults seen in primary care, including those with unrecognized symptoms. The USPSTF also evaluated the evidence on the benefits and harms of treatment of OSA on intermediate and final health outcomes. The USPSTF found insufficient evidence on screening for or treatment of OSA in asymptomatic adults or adults with unrecognized symptoms. Therefore, the USPSTF was unable to determine the magnitude of the benefits or harms of screening for OSA or whether there is a net benefit or harm to screening. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for OSA in asymptomatic adults. (I statement).

  14. Evaluation of P16 expression in canine appendicular osteosarcoma.

    Science.gov (United States)

    Murphy, B G; Mok, M Y; York, D; Rebhun, R; Woolard, K D; Hillman, C; Dickinson, P; Skorupski, K

    2017-06-20

    Osteosarcoma (OSA) is a common malignant bone tumor of large breed dogs that occurs at predictable anatomic sites. At the time of initial diagnosis, most affected dogs have occult pulmonary metastases. Even with aggressive surgical treatment combined with chemotherapy, the majority of dogs diagnosed with OSA live less than 1 year from the time of diagnosis. The ability to identify canine OSA cases most responsive to treatment is needed. In humans, OSA is also an aggressive tumor that is histologically and molecularly similar to canine OSA. The expression of the tumor suppressor gene product P16 by human OSA tissue has been linked to a favorable response to chemotherapy. We identified an antibody that binds canine P16 and developed a canine OSA tissue microarray in order to test the hypothesis that P16 expression by canine OSA tissue is predictive of clinical outcome following amputation and chemotherapy. Although statistical significance was not reached, a trend was identified between the lack of canine OSA P16 expression and a shorter disease free interval. The identification of a molecular marker for canine OSA is an important goal and the results reported here justify a larger study.

  15. Obstructive sleep apnea: management considerations in psychiatric patients

    Directory of Open Access Journals (Sweden)

    Heck T

    2015-10-01

    Full Text Available Taryn Heck,1 Monica Zolezzi21Pharmacy Department, University of Alberta Hospital, Alberta Health Services, Edmonton, AB, Canada; 2Clinical Pharmacy and Practice, College of Pharmacy, Qatar University, Doha, QatarAbstract: Psychiatric disorders and obstructive sleep apnea (OSA are often comorbid. However, there is limited information on the impact of psychotropic medications on OSA symptoms, on how to manage psychiatric pharmacotherapy in patients presenting with OSA, or on the effectiveness and challenges of OSA treatments in patients with comorbid mental illness. As such, the objective of this article is to provide an overview of some epidemiological aspects of OSA and treatment considerations in the management of OSA in individuals with comorbid psychiatric disorders. Predefined keywords were used to search for relevant literature in electronic databases. Data show that OSA is particularly prevalent in patients with psychiatric disorders. The medical care that patients with these comorbidities require can be challenging, as some of the psychiatric medications used by these patients may exacerbate OSA symptoms. As such, continuous positive airway pressure continues to be the first-line treatment, even in patients with psychiatric comorbidity. However, more controlled studies are required, particularly to determine continuous positive airway pressure compliance in patients with mental illness, the impact of treating OSA on psychiatric symptoms, and the impact of the use of psychotropic medications on OSA symptoms.Keywords: obstructive sleep apnea, psychiatric disorders, comorbidity, psychotropic medications

  16. Sleep apnoea and driving risk: the need for regulation.

    Science.gov (United States)

    McNicholas, Walter T; Rodenstein, Daniel

    2015-12-01

    Obstructive sleep apnoea syndrome (OSAS) is a highly prevalent chronic respiratory disorder with prevalence among adult males of ≥10%. The most common daytime symptom associated with OSAS is excessive sleepiness, which in more severe manifestations can result in sleepiness at the wheel while driving and probably contributes to the substantial increase in accident risk among patients with OSAS. Fortunately, current evidence indicates that successful therapy of OSAS, particularly with continuous positive airway pressure, can bring the accident risk down to levels similar to an equivalent general population. The recognition of the increased driving accident risk in OSAS prompted the Transport and Mobility Directorate of the European Commission to establish a working group on this topic in 2012, which ultimately led to a revision of Annex III of the EU Driving Licence Directive, which is subject to mandatory implementation by European Union member states by December 2015. This directive specifies that patients with moderate or severe OSAS associated with significant daytime sleepiness should be prohibited from driving until effective therapy is established. These new regulations are designed to balance the legitimate objective of public safety with not penalising OSAS patients who are complying with effective therapy. Successful implementation of regulations on driving in OSAS patients must also include measures to educate relevant stakeholders including patients, medical personnel, traffic police and employers in the transport industry. The key objective is to encourage patients with possible OSAS to seek diagnosis and treatment and not to inhibit OSAS patients from coming forward. Copyright ©ERS 2015.

  17. Perioperative management of obstructive sleep apnea: a survey of Veterans Affairs health care providers.

    Science.gov (United States)

    Dhanda Patil, Reena; Patil, Yash J

    2012-01-01

    (1) To determine the presence of Veterans Affairs (VA) institutional guidelines for the perioperative management of obstructive sleep apnea (OSA); (2) to examine current use of preoperative screening tools for OSA in the VA; and (3) to understand current VA practice patterns regarding postoperative disposition of patients with OSA. Survey study. Veterans Affairs hospitals with surgical services; sample size 102 facilities. Veterans Affairs health care providers. The authors surveyed health care providers at VA hospitals using a survey tool developed by the authors. The response rate was 80%. A variety of preoperative screening tools for OSA were used by respondents, most commonly American Society of Anesthesiologists guidelines (53%). A policy for postoperative disposition of known and presumed OSA was present in 26% and 19% of responses, respectively. Of those respondents reporting a formal postoperative care policy, 48% and 30% admitted patients to a monitored ward bed and surgical intensive care unit, respectively. Of the 74% of respondents unaware of an institutional policy, Anesthesia and Surgery worked together to dictate postoperative disposition of patients with known OSA 73% of the time. The degree of OSA was ranked as the most important factor (58%) influencing postoperative disposition. Ten percent of respondents reported a major perioperative complication attributable to OSA in the past year. This survey study elucidates the heterogeneity of preoperative screening for and postoperative care of veterans with OSA. Future investigators may use these data to formalize institutional policies with regard to patients with OSA, with potentially significant impacts on patient care and usage of financial resources.

  18. Inflammatory markers and obstructive sleep apnea in obese children: the NANOS study.

    Science.gov (United States)

    Gileles-Hillel, Alex; Alonso-Álvarez, María Luz; Kheirandish-Gozal, Leila; Peris, Eduard; Cordero-Guevara, José Aurelio; Terán-Santos, Joaquin; Martinez, Mónica Gonzalez; Jurado-Luque, María José; Corral-Peñafiel, Jaime; Duran-Cantolla, Joaquin; Gozal, David

    2014-01-01

    Obesity and obstructive sleep apnea syndrome (OSA) are common coexisting conditions associated with a chronic low-grade inflammatory state underlying some of the cognitive, metabolic, and cardiovascular morbidities. To examine the levels of inflammatory markers in obese community-dwelling children with OSA, as compared to no-OSA, and their association with clinical and polysomnographic (PSG) variables. Methods. In this cross-sectional, prospective multicenter study, healthy obese Spanish children (ages 4-15 years) were randomly selected and underwent nocturnal PSG followed by a morning fasting blood draw. Plasma samples were assayed for multiple inflammatory markers. 204 children were enrolled in the study; 75 had OSA, defined by an obstructive respiratory disturbance index (RDI) of 3 events/hour total sleep time (TST). BMI, gender, and age were similar in OSA and no-OSA children. Monocyte chemoattractant protein-1 (MCP-1) and plasminogen activator inhibitor-1 (PAI-1) levels were significantly higher in OSA children, with interleukin-6 concentrations being higher in moderate-severe OSA (i.e., AHI > 5/hrTST; P < 0.01), while MCP-1 levels were associated with more prolonged nocturnal hypercapnia (P < 0.001). IL-6, MCP-1, and PAI-1 are altered in the context of OSA among community-based obese children further reinforcing the proinflammatory effects of sleep disorders such as OSA. This trial is registered with ClinicalTrials.gov NCT01322763.

  19. Inflammatory Markers and Obstructive Sleep Apnea in Obese Children: The NANOS Study

    Directory of Open Access Journals (Sweden)

    Alex Gileles-Hillel

    2014-01-01

    Full Text Available Introduction. Obesity and obstructive sleep apnea syndrome (OSA are common coexisting conditions associated with a chronic low-grade inflammatory state underlying some of the cognitive, metabolic, and cardiovascular morbidities. Aim. To examine the levels of inflammatory markers in obese community-dwelling children with OSA, as compared to no-OSA, and their association with clinical and polysomnographic (PSG variables. Methods. In this cross-sectional, prospective multicenter study, healthy obese Spanish children (ages 4–15 years were randomly selected and underwent nocturnal PSG followed by a morning fasting blood draw. Plasma samples were assayed for multiple inflammatory markers. Results. 204 children were enrolled in the study; 75 had OSA, defined by an obstructive respiratory disturbance index (RDI of 3 events/hour total sleep time (TST. BMI, gender, and age were similar in OSA and no-OSA children. Monocyte chemoattractant protein-1 (MCP-1 and plasminogen activator inhibitor-1 (PAI-1 levels were significantly higher in OSA children, with interleukin-6 concentrations being higher in moderate-severe OSA (i.e., AHI > 5/hrTST; P<0.01, while MCP-1 levels were associated with more prolonged nocturnal hypercapnia (P<0.001. Conclusion. IL-6, MCP-1, and PAI-1 are altered in the context of OSA among community-based obese children further reinforcing the proinflammatory effects of sleep disorders such as OSA. This trial is registered with ClinicalTrials.gov NCT01322763.

  20. Pulmonary hypertension and echocardiogram parameters in obstructive sleep apnea.

    Science.gov (United States)

    Wong, H T; Chee, K H; Chong, A W

    2017-06-01

    Obstructive sleep apnea (OSA) is a growing health hazard in the United States and worldwide. OSA is now recognized as a disorder with systemic manifestations and its association with obesity and adverse cardiovascular consequences. There is increasing evidence that OSA may be associated with systemic hypertension and an increased incidence of stroke, heart failure, myocardial infarction, and arrhythmias. Less information is available about the association between OSA and pulmonary hypertension (PH). We therefore conduct this study to look at the prevalence of the pulmonary hypertension in obstructive sleep apnea patient and to identify risk factors leading to pulmonary hypertension among OSA patient. We studied and analyzed all OSA patient confirmed by polysomnograph in the year 2015. Twenty-five patients with OSA were included in this study with prevalence of pulmonary hypertension of 16%. Univariate analysis of various factors revealed a statistically significant association between having the lowest SpO 2 of pulmonary hypertension (p = 0.016). There were no statistically significant associations between age, gender, smoking status, hypertension, body mass index (BMI), or apnea-hypopnea index (AHI) with occurrence of pulmonary hypertension. AHI is not a good predictor for pulmonary hypertension. The real value of using AHI to predict the health risk of OSA is doubtful. We recommend routine echocardiogram among OSA patient. The objective information in the echocardiogram provides evidence for counseling of patient with disease of OSA and hence hopefully can improve compliance of patient to treatment especially usage of CPAP.

  1. Association of obstructive sleep apnea with homocystein, nitric oxide and total antioxidant capacity levels in patients with or without coronary artery disease.

    Science.gov (United States)

    Ortaç Ersoy, Ebru; Fırat, Hikmet; Akaydın, Sevgi; Özkan, Yeşim; Durusu, Mine; Darılmaz Yüce, Gülbahar; Ergün, Recai; Topeli, Arzu; Ardıç, Sadık

    2014-01-01

    Obstructive sleep apnea (OSA) is associated with cardiovascular morbidity and mortality. Deficiency of nitric oxide (NO) and plasma levels of homocystein have been implicated in the pathogenesis of cardiovascular disease. OSA results in oxygen desaturation and arousal from sleep. Free oxygen radicals can be produced by hypoxia-reoxygenation. To test for the hypothesis that OSA is associated with cardiovascular morbidity, we investigated levels of homocystein, NO and total antioxidant capacity in OSA patients with and without coronary artery disease (CAD) in comparison with normal subjects and patients with CAD without OSA. Polysomnography was performed in 27 patients who had a myocardial infarction and in 25 patients without evidence of CAD. Patients were grouped according their polysomnography results as OSA with CAD (group 1), OSA without CAD (group 2), CAD (group 3), and normal (group 4) . Levels of homocystein, NO and total antioxidant capacity were determined after an overnight fasting. Data were analysed with parametric and non parametric statistical tests. According to apnea-hypopnea index (AHI) 44.4% of CAD patients were OSA. After polysomnographic evaluation, the patients were re-distributed as follows: OSA with CAD (n= 12), OSA without CAD (n= 14), CAD (n= 15), and normal (n= 11). Homocystein levels were higher in 3 groups compared to controls. AHI, MDI and desaturation time was higher in three -vessel disease compared to one and two- vessel diseases (p< 0.05). NO levels were correlated with the period of oxygen desaturation (r: -0.45, p= 0.031). The antioxidant capacity did not differ between OSA and healthy groups. OSA is frequent in CAD. AHI, MDI and desaturation time are higher in patients with severe CAD. It is important to evaluate OSA patients for CAD.

  2. Influence of Gender on Associations of Obstructive Sleep Apnea Symptoms with Chronic Conditions and Quality of Life

    Directory of Open Access Journals (Sweden)

    Sarah Appleton

    2018-05-01

    Full Text Available Women are less likely than men to be diagnosed with obstructive sleep apnea (OSA. We examined contemporary gender differences in symptoms, health status, and quality of life associated with diagnosed OSA and OSA symptoms in a population-based sample. A 2015 postal/on-line questionnaire of 2889 active participants of The North West Adelaide Health Study (response rate = 54%, male n = 704; female n = 856; age 30–100 years assessed previously diagnosed OSA, OSA symptoms, insomnia, doctor-diagnosed medical conditions, and the SF-36. In weighted analyses, self-reported diagnosed OSA (men: 12.6%, n = 95; women: 3.3%, n = 27 and OSA symptoms (men: 17.1%; women: 9.7% were more common in men. Diagnosed OSA showed stronger adjusted associations with typical OSA features in women, including obesity (women-odds ratio (OR, 95% CI: 5.7, 1.9–17.1, men: 2.2, 1.2–4.0, daytime sleepiness (women: 6.4, 2.7–15.6, men: 3.3, 2.1–5.4, and loud snoring (women: 25.4, 9.4–69.1, men: 8.7, 5.2–14.4. Diagnosed OSA was independently associated with cardiovascular disease (CVD in men, and in women with high cholesterol, respiratory disease, insomnia, and reduced SF-36 Physical Component Summary score. In both sexes, OSA symptoms were significantly associated with depression, insomnia, and moderate to severe impairments in SF-36 physical and mental component summary scores. Diagnosed women showed clinical characteristics overtly related to OSA. A higher index of clinical suspicion of OSA may be required in women for a condition regarded as male-predominant to increase equity in health outcomes.

  3. Obstructive sleep apnoea is independently associated with the metabolic syndrome but not insulin resistance state

    Directory of Open Access Journals (Sweden)

    Sithole J

    2006-11-01

    Full Text Available Abstract Obstructive sleep apnoea (OSA is a cardio-metabolic disorder. Whether metabolic syndrome (MS, insulin resistance (IR and albuminuria are independently associated with OSA is unclear, but defining the interactions between OSA and various cardiovascular (CV risk factors independent of obesity facilitates the development of therapeutic strategies to mitigate their increased CV risks. We prospectively recruited 38 subjects with OSA and 41 controls. Anthropometric measurements, glucose, lipids, insulin and blood pressure (BP were measured after an overnight fast. IR state was defined as homeostasis model assessment (HOMA value >3.99 and MS diagnosed according to the International Diabetes Federation (IDF criteria. Subjects with OSA were more obese, more insulin resistant, more hyperglycaemic, had higher Epworth score (measure of day time somnolence and systolic blood pressure levels. The prevalence of MS was higher in OSA compared with non-OSA subjects (74% vs 24%, p 103 cm would predict MS in patients with OSA at 75–78% sensitivity and 61–64% specificity. The agreement between MS and IR state in this cohort is poor. Thus, OSA is associated with MS independent of obesity predominantly due to increased triglyceride, glucose and Epworth score values but not IR or microalbuminuria status. This observation suggests an alternative pathogenic factor mediating the increased cardiovascular risk in patients with OSA and MS, other than that due to IR. The independent link between Epworth score and MS in patients with OSA implicates the role of daytime sleepiness and chronic hypoxia as a potential mediator. Given the discordant between MS and IR state, measurement of waist is useful for predicting mainly MS but not insulin resistance status in patients with OSA. Appropriate pharmacological intervention targeting these independent factors is important in reducing the increased CV risks among patients with OSA.

  4. Pulse oximetry recorded from the Phone Oximeter for detection of obstructive sleep apnea events with and without oxygen desaturation in children.

    Science.gov (United States)

    Garde, Ainara; Dehkordi, Parastoo; Wensley, David; Ansermino, J Mark; Dumont, Guy A

    2015-01-01

    Obstructive sleep apnea (OSA) disrupts normal ventilation during sleep and can lead to serious health problems in children if left untreated. Polysomnography, the gold standard for OSA diagnosis, is resource intensive and requires a specialized laboratory. Thus, we proposed to use the Phone Oximeter™, a portable device integrating pulse oximetry with a smartphone, to detect OSA events. As a proportion of OSA events occur without oxygen desaturation (defined as SpO2 decreases ≥ 3%), we suggest combining SpO2 and pulse rate variability (PRV) analysis to identify all OSA events and provide a more detailed sleep analysis. We recruited 160 children and recorded pulse oximetry consisting of SpO2 and plethysmography (PPG) using the Phone Oximeter™, alongside standard polysomnography. A sleep technician visually scored all OSA events with and without oxygen desaturation from polysomnography. We divided pulse oximetry signals into 1-min signal segments and extracted several features from SpO2 and PPG analysis in the time and frequency domain. Segments with OSA, especially the ones with oxygen desaturation, presented greater SpO2 variability and modulation reflected in the spectral domain than segments without OSA. Segments with OSA also showed higher heart rate and sympathetic activity through the PRV analysis relative to segments without OSA. PRV analysis was more sensitive than SpO2 analysis for identification of OSA events without oxygen desaturation. Combining SpO2 and PRV analysis enhanced OSA event detection through a multiple logistic regression model. The area under the ROC curve increased from 81% to 87%. Thus, the Phone Oximeter™ might be useful to monitor sleep and identify OSA events with and without oxygen desaturation at home.

  5. Association between Obstructive Sleep Apnea and Community-Acquired Pneumonia.

    Directory of Open Access Journals (Sweden)

    Eusebi Chiner

    Full Text Available We hypothesized that obstructive sleep apnea (OSA can predispose individuals to lower airway infections and community-acquired pneumonia (CAP due to upper airway microaspiration. This study evaluated the association between OSA and CAP.We performed a case-control study that included 82 patients with CAP and 41 patients with other infections (control group. The controls were matched according to age, sex and body mass index (BMI. A respiratory polygraph (RP was performed upon admission for patients in both groups. The severity of pneumonia was assessed according to the Pneumonia Severity Index (PSI. The associations between CAP and the Epworth Sleepiness Scale (ESS, OSA, OSA severity and other sleep-related variables were evaluated using logistic regression models. The associations between OSA, OSA severity with CAP severity were evaluated with linear regression models and non-parametric tests.No significant differences were found between CAP and control patients regarding anthropometric variables, toxic habits and risk factors for CAP. Patients with OSA, defined as individuals with an Apnea-Hypopnea Index (AHI ≥10, showed an increased risk of CAP (OR = 2·86, 95%CI 1·29-6·44, p = 0·01. Patients with severe OSA (AHI≥30 also had a higher risk of CAP (OR = 3·18, 95%CI 1·11-11·56, p = 0·047. In addition, OSA severity, defined according to the AHI quartile, was also significantly associated with CAP (p = 0·007. Furthermore, OSA was significantly associated with CAP severity (p = 0·0002, and OSA severity was also associated with CAP severity (p = 0·0006.OSA and OSA severity are associated with CAP when compared to patients admitted to the hospital for non-respiratory infections. In addition, OSA and OSA severity are associated with CAP severity. These results support the potential role of OSA in the pathogenesis of CAP and could have clinical implications. This link between OSA and infection risk should be explored to investigate the

  6. Review of and Updates on Hypertension in Obstructive Sleep Apnea

    Directory of Open Access Journals (Sweden)

    Masood Ahmad

    2017-01-01

    Full Text Available Obstructive sleep apnea (OSA is a prevalent sleep disorder as is hypertension (HTN in the 21st century with the rising incidence of obesity. Numerous studies have shown a strong association of OSA with cardiovascular morbidity and mortality. There is overwhelming evidence supporting the relationship between OSA and hypertension (HTN. The pathophysiology of HTN in OSA is complex and dependent on various factors such as sympathetic tone, renin-angiotensin-aldosterone system, endothelial dysfunction, and altered baroreceptor reflexes. The treatment of OSA is multifactorial ranging from CPAP to oral appliances to lifestyle modifications to antihypertensive drugs. OSA and HTN both need prompt diagnosis and treatment to help address the growing cardiovascular morbidity and mortality due to these two entities.

  7. Improvement in Obstructive Sleep Apnea With Weight Loss is Dependent on Body Position During Sleep.

    Science.gov (United States)

    Joosten, Simon A; Khoo, Jun K; Edwards, Bradley A; Landry, Shane A; Naughton, Matthew T; Dixon, John B; Hamilton, Garun S

    2017-05-01

    Weight loss fails to resolve obstructive sleep apnea (OSA) in most patients; however, it is unknown as to whether weight loss differentially affects OSA in the supine compared with nonsupine sleeping positions. We aimed to determine if weight loss in obese patients with OSA results in a greater reduction in the nonsupine apnea/hypopnea index (AHI) compared with the supine AHI, thus converting participants into supine-predominant OSA. Post hoc analysis of data from a randomized controlled trial assessing the effect of weight loss (bariatric surgery vs. medical weight loss) on OSA in 60 participants with obesity (body mass index: >35 and sleep study at 2 years. Eight of 37 (22%) patients demonstrated a normal nonsupine AHI (sleep avoidance may cure their OSA. © Sleep Research Society 2017. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.

  8. Frequency of distribution of inflammatory cytokines IL-1, IL-6 and TNF-alpha gene polymorphism in patients with obstructive sleep apnea.

    Science.gov (United States)

    Popko, K; Gorska, E; Potapinska, O; Wasik, M; Stoklosa, A; Plywaczewski, R; Winiarska, M; Gorecka, D; Sliwinski, P; Popko, M; Szwed, T; Demkow, U

    2008-12-01

    Obesity is one of the most commonly identified factors for the obstructive sleep apnea syndrome (OSAS). Adipose tissue is the source of many cytokines, among them there are IL-6, IL-1, and TNF-alpha. The level of inflammatory cytokines increases in people with OSAS and obesity. The aim of this study was to evaluate the distribution of genotypes in inflammatory cytokine genes in people with obesity-related OSAS. The examined group consisted of 102 person with obesity related-OSAS and 77 normal weight person without OSAS. Genotyping of DNA sequence variation was carried out by restriction enzyme (IL-1: Taq I, IL-6: Lwe I, TNF-alpha: Nco I) analysis of PCR amplified DNA. The study revealed a significant correlation between polymorphism located in the promoter region of inflammatory cytokine genes and obesity-related OSAS.

  9. Portable Prescreening System for Sleep Apnea

    DEFF Research Database (Denmark)

    Guul, Martin Kjær; Jennum, Poul; Sørensen, Helge Bjarup Dissing

    2016-01-01

    for sleep apnea is at high risk or low risk of having OSA. A new test setup was developed containing an Android based smartphone, the built in accelerometer, and a microphone. To ease the clinical analysis of the data a MATLAB based graphical user interface has been developed visualizing the data allowing......Obstructive sleep apnea (OSA) occurs in more than 4 % of the adult population. Diagnoses for OSA in sleep clinics are costly and more than half of those submitted to a sleep clinic do not have OSA. A simple, easy, and portable homebased monitoring system to evaluate who are in high- or low risk...... of suffering from OSA would be beneficial. The system must be able to identify individuals with a high pre-test reliability regarding OSA with the aim of referral and further investigation. We aimed to develop a portable, smartphone, and homebased monitoring system to classify whether a patient screened...

  10. Comparative review of human and canine osteosarcoma: morphology, epidemiology, prognosis, treatment and genetics.

    Science.gov (United States)

    Simpson, Siobhan; Dunning, Mark David; de Brot, Simone; Grau-Roma, Llorenç; Mongan, Nigel Patrick; Rutland, Catrin Sian

    2017-10-24

    Osteosarcoma (OSA) is a rare cancer in people. However OSA incidence rates in dogs are 27 times higher than in people. Prognosis in both species is relatively poor, with 5 year OSA survival rates in people not having improved in decades. For dogs, 1 year survival rates are only around ~ 45%. Improved and novel treatment regimens are urgently required to improve survival in both humans and dogs with OSA. Utilising information from genetic studies could assist in this in both species, with the higher incidence rates in dogs contributing to the dog population being a good model of human disease. This review compares the clinical characteristics, gross morphology and histopathology, aetiology, epidemiology, and genetics of canine and human OSA. Finally, the current position of canine OSA genetic research is discussed and areas for additional work within the canine population are identified.

  11. Obstructive sleep apnea and cancer: effects of intermittent hypoxia?

    Science.gov (United States)

    Kukwa, Wojciech; Migacz, Ewa; Druc, Karolina; Grzesiuk, Elzbieta; Czarnecka, Anna M

    2015-01-01

    Obstructive sleep apnea (OSA) is a common disorder characterized by pauses in regular breathing. Apneic episodes lead to recurrent hypoxemia-reoxygenation cycles with concomitant cellular intermittent hypoxia. Studies suggest that intermittent hypoxia in OSA may influence tumorigenesis. This review presents recent articles on the potential role of OSA in cancer development. Relevant research has focused on: molecular pathways mediating the influence of intermittent hypoxia on tumor physiology, animal and epidemiological human studies linking OSA and cancer. Current data relating OSA to risk of neoplastic disease remain scarce, but recent studies reveal the potential for a strong relation. More work is, therefore, needed on the impact of OSA on many cancer-related aspects. Results may offer enlightenment for improved cancer diagnosis and treatment.

  12. Continuous positive airway pressure for the treatment of obstructive sleep apnea.

    Science.gov (United States)

    Nurwidya, Fariz; Susanto, Agus Dwi; Juzar, Dafsah A; Kobayashi, Isao; Yunus, Faisal

    2016-01-01

    Obstructive sleep apnea (OSA) is a recurrent episode of partial or complete upper airway obstruction during sleep despite ongoing respiratory efforts and is implicated as the risk factor of cardiovascular disease. The OSA syndrome is typified by recurring partial or total occlusion of the pharynx, sleep fragmentation, episodes of gasping, and, eventually, daytime sleepiness. If it is left untreated, OSA syndrome can cause hypertension, coronary artery disease congestive heart disease, insulin resistance and death. In this review, we describe the pathogenesis and diagnosis of OSA. We also focused on the continuous positive airway pressure (CPAP) as the main therapy for OSA. CPAP has been shown to provide benefit for not only respiratory system, but also for cardiovascular system and metabolic system. Finally, we discussed briefly about the issue of adherence of using CPAP that could contribute to lower compliant in patient with OSA.

  13. Correlation of obstructive sleep apnoea and laryngopharyngeal reflux: phmetry study.

    Science.gov (United States)

    Elhennawi, D M; Ahmed, M R; Abou-Halawa, A S

    2016-12-01

    To study the correlation of obstructive sleep apnoea (OSA) and laryngopharyngeal reflux (LPR). A descriptive study. Suez Canal University Hospital, Ismailia, Egypt. 62 patients with polysomnography confirmed OSA. Patients were evaluated with ambulatory 24-h double channel pH monitoring. Mean reflux symptom index in the study group was 9 ± 5.5, and it was > 13 in all patients with severe OSA. Signs of LPR reflux were present in 34 (55%) patients. Abnormal reflux was detected in the distal oesophagus in 41 patients (66%) and in the proximal oesophagus in 21 patients (34%). Patients with severe OSA had significantly higher nocturnal LPR reflux episodes compared to patients with mild disease (P .05). LPR is common in patients with OSA. Patients with severe OSA have significantly higher nocturnal LPR. This should be considered when treating this group of patients. © 2016 John Wiley & Sons Ltd.

  14. [Mandibular advancement devices in the treatment of obstructive sleep apnea].

    Science.gov (United States)

    Korczyński, Piotr; Górska, Katarzyna; Wilk, Krzysztof; Bielicki, Piotr; Byśkiniewicz, Krzysztof; Baczkowski, Tadeusz

    2004-12-01

    Obstructive sleep apnea (OSA) affects approximately 450,000 people in Poland. Use of nasal continuous positive airway pressure (nCPAP) devices and laryngeal surgery are widely accepted OSA treatment methods. In 1995 ASDA approved oral devices for treatment of OSA patients. The aim of the study was to determine efficiency of mandibular advancement devices (MAD) in OSA therapy. The study group included 20 patients with OSA, all of whom did not tolerate nCPAP and did not have indications or did not agree for surgical treatment. Control polysomnography was carried out in 11 patients using MAD. In 64% of patients AHI was lower then 10. No correlation between MAD use and AHI values was found. 45% of patients declared improvement of sleep quality and life comfort. Use of mandibular advancement devices is an important alternative therapy of OSA.

  15. Office management of obstructive sleep apnoea: appliances.

    Science.gov (United States)

    Johnson, Matthew D

    2015-08-01

    Oral appliances are becoming increasingly common in the treatment of obstructive sleep apnoea (OSA). They work by advancing the mandible and opening the pharynx. There are several types of devices available for use. Many patients intolerant to continuous positive airway pressure (CPAP) are using oral appliances for OSA. Oral appliances have been shown to improve polysomnography, quality of life and health measures associated with OSA. There is current work to better identify patients who are ideal candidates. Development of titratable devices and monitoring are optimizing usage. They have been compared with CPAP, with both showing improvement in OSA; however, CPAP remains superior overall. Oral appliances are becoming first-line therapy for mild and moderate OSA. They provide a meaningful alternative in severe OSA for patients unable to use CPAP. Device titration and usage monitoring are beginning to hone oral appliances as a therapeutic option.

  16. Correlation of Lateral Cephalogram and Flexible Laryngoscopy with Sleep Study in Obstructive Sleep Apnea

    OpenAIRE

    Narayanan, Anila; Faizal, Bini

    2015-01-01

    Objective. To study the correlation between lateral cephalogram, flexible laryngoscopy, and sleep study in patients diagnosed with obstructive sleep apnea (OSA). Background. Screening tools should be devised for predicting OSA which could be performed on an outpatient basis. With this aim we studied the skeletal and soft tissue characteristics of proven OSA patients. Methods. A prospective study was performed in patients diagnosed with obstructive sleep apnea by sleep study. They were evaluat...

  17. Evaluation of Ocular Surface Health in Patients with Obstructive Sleep Apnea Syndrome

    Directory of Open Access Journals (Sweden)

    Emine Esra Karaca

    2016-06-01

    Full Text Available Objectives: To evaluate ocular surface health in obstructive sleep apnea syndrome (OSAS and to investigate the tendency of these patients toward dry eyes. Materials and Methods: Fifty patients who underwent polysomnography and were diagnosed with OSAS and 50 normal control subjects were compared with respect to ocular surface disease index (OSDI, Schirmer I test and tear film break-up time (TBUT values. Results: Patients were grouped as mild (n=15, 30%, moderate (n=15, 30% and severe (n=20, 40% according to apnea-hypopnea index values. The right eyes of patients were included in both groups. OSDI values were as follows: control group, 18.7±8.5; mild OSAS group, 40.2±2.8; moderate OSAS group, 48.5±2.2 and severe OSAS group, 62.7±2.3 (p<0.001. TBUT values were as follows: control group, 12.3±4.9; mild OSAS group, 8.2±4.7; moderate OSAS group, 5.8±2.1 and severe OSAS group, 4.2±3.7 (p<0.001. Schirmer values were as follows: control group, 18±6.1 mm; mild OSAS group, 12.9±6.7 mm; moderate OSAS group, 8.5±5.2 mm and severe OSAS group, 7.9±4.7 mm (p<0.001. Conclusion: Patients with OSAS seem to have a tendency toward dry eyes. Clinicians should be aware of dry eye development in these patients

  18. Thiol/disulfide homeostasis in pregnant women with obstructive sleep apnea syndrome.

    Science.gov (United States)

    Üstündağ, Yasemin; Demirci, Hakan; Balık, Rifat; Erel, Ozcan; Özaydın, Fahri; Kücük, Bilgen; Ertaş, Dilber; Ustunyurt, Emin

    2017-11-27

    Repetitive episodes of hypoxia and reoxygenation during sleep in patients with obstructive sleep apnea syndrome (OSAS) resemble an ischemia-reperfusion injury. We aimed to test the hypothesis that oxidative stress occurs in pregnant women with OSAS. We also aimed to compare thiol/disulfide homeostasis with ischemia-modified albumin (IMA) and total antioxidant capacity (TAC) as markers of ischemia-reperfusion injury in pregnant women with and without OSAS and healthy control. This study included 29 pregnant women with OSAS, 30 women without OSAS in the third trimester applying for periodic examinations, and 30 healthy women. Serum IMA and TAC (using the ferric reducing power of plasma method) were measured. Serum thiol/disulfide homeostasis was determined by a novel automated method. The mean age of the pregnant women with OSAS was 31.0 ± 4.7 years with a mean gestational age of 36.5 ± 3.0 weeks. The mean age of pregnant women without OSAS was 29.8 ± 4.9 years with a mean gestational age of 36.9 ± 2.7 weeks. The mean age of the nonpregnant control group was 29.7 ± 6.4 years. Both native thiol (291 ± 29 μmol/L versus 314 ± 30 μmol/L; p = .018) and total thiol (325 ± 32 versus 350 ± 32, p = .025) levels were lower in pregnant women with OSAS compared to pregnant women without OSAS, respectively (p total thiol levels were lower in pregnant women with OSAS compared to those without OSAS. However, dynamic thiol/disulfide homeostasis parameters cannot provide valuable information to discriminate OSAS in pregnant women.

  19. Association of pediatric obstructive sleep apnea with poor academic performance: A school-based study from India

    OpenAIRE

    Abhishek Goyal; Abhijit P Pakhare; Girish C Bhatt; Bharat Choudhary; Rajesh Patil

    2018-01-01

    Background: Pediatric obstructive sleep apnea (OSA) is a highly prevalent but often neglected disorder. There is paucity of reports on the prevalence of pediatric OSA from India. This study was done to estimate the prevalence of OSA in school children aged 5–10 years and its association with academic performance. Methodology: This school-based cross-sectional epidemiological study was conducted from July 2015 to November 2015. A questionnaire seeking information on sociodemographic variables,...

  20. Gümnaasiumi kodanikuõpetuse eksam / Mare Räis

    Index Scriptorium Estoniae

    Räis, Mare

    2002-01-01

    2001/2002. õppeaastal esimest korda toimuva kodanikuõpetuse eksami korraldusest. Eksamitöö koosneb kolmest osast: I osa - arutlus (20 p); II osa - töö allikatega: pildid, dokumendid, andmed, kaardid vms (30 p); III osa - ülesanded on paigutatud kahele A3 lehele, mis on kujundatud vihikuna, st ülesanded järgnevad üksteisele lehekülgede kaupa (50 p). Arutluse hindamisjuhend

  1. Predictors of anxiety and depression in patients with obstructive sleep apnea

    Directory of Open Access Journals (Sweden)

    Rasha Daabis

    2012-07-01

    Conclusion: Anxious and depressive symptoms are highly prevalent in patients with moderate to severe untreated OSAS. The severity of depressive symptoms maybe more related to excessive daytime sleepiness than to nocturnal hypoxemia. The reduced QOL is a strong predictor of psychiatric symptoms in OSAS patients. Therefore, patients with OSAS should be routinely screened for psychiatric symptoms to improve QOL and optimize diagnosis and therapy in these patients.

  2. Anticancer Effects of Geopropolis Produced by Stingless Bees on Canine Osteosarcoma Cells In Vitro

    OpenAIRE

    Cinegaglia, Naiara Costa; Bersano, Paulo Ricardo Oliveira; Ara?jo, Maria Jos? Abigail Mendes; B?falo, Michelle Cristiane; Sforcin, Jos? Maur?cio

    2013-01-01

    Geopropolis is produced by indigenous stingless bees from the resinous material of plants, adding soil or clay. Its biological properties have not been investigated, such as propolis, and herein its cytotoxic action on canine osteosarcoma (OSA) cells was evaluated. OSA is a primary bone neoplasm diagnosed in dogs being an excellent model in vivo to study human OSA. spOS-2 primary cultures were isolated from the tumor of a dog with osteosarcoma and incubated with geopropolis, 70% ethanol (geop...

  3. Remission and incidence of obstructive sleep apnea from middle childhood to late adolescence.

    Science.gov (United States)

    Spilsbury, James C; Storfer-Isser, Amy; Rosen, Carol L; Redline, Susan

    2015-01-01

    To study the incidence, remission, and prediction of obstructive sleep apnea (OSA) from middle childhood to late adolescence. Longitudinal analysis. The Cleveland Children's Sleep and Health Study, an ethnically mixed, urban, community-based cohort, followed 8 y. There were 490 participants with overnight polysomnography data available at ages 8-11 and 16-19 y. Baseline participant characteristics and health history were ascertained from parent report and US census data. OSA was defined as an obstructive apnea- hypopnea index ≥ 5 or an obstructive apnea index ≥ 1. OSA prevalence was approximately 4% at each examination, but OSA largely did not persist from middle childhood to late adolescence. Habitual snoring and obesity predicted OSA in cross-sectional analyses at each time point. Residence in a disadvantaged neighborhood, African-American race, and premature birth also predicted OSA in middle childhood, whereas male sex, high body mass index, and history of tonsillectomy or adenoidectomy were risk factors among adolescents. Obesity, but not habitual snoring, in middle childhood predicted adolescent OSA. Because OSA in middle childhood usually remitted by adolescence and most adolescent cases were incident cases, criteria other than concern alone over OSA persistence or incidence should be used when making treatment decisions for pediatric OSA. Moreover, OSA's distinct risk factors at each time point underscore the need for alternative risk-factor assessments across pediatric ages. The greater importance of middle childhood obesity compared to snoring in predicting adolescent OSA provides support for screening, preventing, and treating obesity in childhood. © 2014 Associated Professional Sleep Societies, LLC.

  4. The correlation between growth hormone receptor (GHR) polymorphism and obstructive sleep apnea syndrome among the Han and Hani population in China.

    Science.gov (United States)

    Ji, Juanjuan; Yang, Yunwei; Lin, Yan; Li, Xudong; Wu, Xiaoguang; Yang, Xi; Zhong, Ling; Tang, Ying; Huang, Zhiyong; He, Xiaoguang

    2018-04-13

    Obstructive sleep apnea syndrome (OSAS) is a common health problem that is associated with abnormality in craniofacial morphology. The growth hormone receptor (GHR) belongs to the cytokine receptor superfamily and mediates the majority of growth hormone signaling, which, among other functions, determines mandibular growth and development. The aim of this study was to determine if correlations exist between single nucleotide polymorphisms (SNPs) in the GHR gene and OSAS in the Han or Hani ethnic groups in China. A total of 274 Han subjects (106 with OSAS and 168 without OSAS) and a total of 270 Hani subjects (64 with OSAS and 206 without OSAS) were enrolled in our study. Genomic DNA was extracted from peripheral blood obtained from all subjects. Genotyping was undertaken for eight SNPs in the GHR gene (rs3756416, rs7727047, rs2910875, rs12153009, rs2972781, rs12518414, rs4410646, and rs6451620) using PCR amplification and Sanger sequencing. The genotype frequency of rs12518414 was associated with OSAS in both the Han and Hani groups, and the A allele frequency was remarkably lower in Hani OSAS patients compared with Hani controls (16.7 vs 29.9%). In addition, the G allele frequency of the rs3756416 SNP was significantly lower in OSAS patients compared with normal controls in the Hani ethnic group (12.5 vs 24.6%). In a comparison between ethnic groups, genotype frequencies of four SNPs (rs2972781, rs6451620, rs12518414, and rs7727047) differed between Han and Hani OSAS patients, with the A allele frequency of the rs12518414 and G allele frequency of the rs7727047 were significantly higher in the Han OSAS patients. In conclusion, significant associations were detected between some SNPs in the GHR gene and OSAS occurrence while others appeared to be ethnicity-dependent.

  5. Omega-3 Index and Obstructive Sleep Apnea: A Cross-Sectional Study.

    Science.gov (United States)

    Tittus, Janine; Huber, Marie Theres; Storck, Klaus; Köhler, Anton; Köhler, Jan M; von Arnim, Thomas; von Schacky, Clemens

    2017-10-15

    Erythrocyte levels of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) (Omega-3 Index) were previously found to be associated with obstructive sleep apnea (OSA) at very low levels (Omega-3 Index. These comorbidities can be improved by increasing intake of EPA and DHA, and thus the Omega-3 Index, preferably to its target range of 8% to 11%. Symptoms of OSA might improve by increasing the Omega-3 Index, but more research is needed. In our sleep laboratory, 357 participants with OSA were recruited, and data from 315 participants were evaluated. Three categories of OSA (none/ mild, moderate, severe) were defined based on apnea-hypopnea index. Anthropometrics and lifestyle characteristics (smoking, alcohol, fish intake, omega-3 supplementation) were recorded. Erythrocyte fatty acid compositions were assessed with the HS-Omega-3 Index methodology. The mean Omega-3 Index in all 3 categories of OSA was 5.7%, and no association with OSA was found. There were more male participants with severe OSA (79.7%, P = .042) than females, and participants with severe OSA had a significantly higher body mass index (32.11 ± 6.39 kg/m 2 , P = .009) than participants with mild or moderate OSA. Lifestyle characteristics were not significantly different. In contrast to our hypothesis, an Omega-3 Index of 5.7% was not associated with OSA severity. Previously, an Omega-3 Index Omega-3 Index > 5.7% in an intervention trial with EPA and DHA in OSA, comorbidities of OSA suggest a target range of 8% to 11%. © 2017 American Academy of Sleep Medicine

  6. Comparative review of human and canine osteosarcoma: morphology, epidemiology, prognosis, treatment and genetics

    OpenAIRE

    Simpson, Siobhan; Dunning, Mark D.; de Brot, Simone; Grau-Roma, Llorenc; Mongan, Nigel P.; Rutland, Catrin S.

    2017-01-01

    Osteosarcoma (OSA) is a rare cancer in people. However OSA incidence rates in dogs are 27 times higher than in people. Prognosis in both species is poor, with five year osteosarcoma survival rates in people not having improved in decades. For dogs, one year survival rates are only around ~45%. Improved and novel treatment regimens are urgently required to improve survival in both humans and dogs with OSA. Utilising information from genetic studies could assist in this in both species, with th...

  7. Osteocalcin and Osteonectin Expression in Canine Osteosarcoma.

    Science.gov (United States)

    Wehrle-Martinez, A S; Dittmer, K E; Aberdein, D; Thompson, K G

    2016-07-01

    Osteosarcoma (OSA) is a malignant heterogeneous primary bone tumor responsible for up to 90% of all primary bone tumors in dogs. In this study, osteocalcin (OC) and osteonectin (ON) immunoreactivity was evaluated in 23 canine OSAs, 4 chondrosarcomas, 4 fibrosarcomas, 2 hemangiosarcomas, and 4 histiocytic sarcomas. The effects of three different decalcification agents (ethylenediaminetetraetic acid [EDTA], formic acid and hydrochloric acid [HCl]) on the immunoreactivity for OC and ON was also assessed. Immunoreactivity to OC was present in 19/23 (83%) cases of OSA and all cases of chondrosarcoma. In three OSAs the extracellular matrix showed immunoreactivity to OC. None of the fibrosarcomas, histiocytic sarcomas or hemangiosarcomas showed immunoreactivity to OC. The sensitivity and specificity for OC in canine OSA in this study was 83% and 71% respectively. For ON, 100% of both OSAs (23/23) and non-OSAs (14/14) showed cytoplasmic immunoreactivity to this antibody, giving a sensitivity of 100% but a complete lack of specificity. There were no significant differences in immunoreactivity for OC and ON between the different decalcification agents used. In conclusion, OC showed high sensitivity for identifying OSA but it failed to distinguish between OSA and chondrosarcoma, and the osteoid produced by neoplastic cells in most cases did not show immunoreactivity to OC. These factors may limit the practical utility of OC in the diagnosis of OSA in dogs when chondrosarcoma is a differential diagnosis. ON showed no specificity in detecting OSA and has little practical application for the diagnosis of OSA in dogs. © The Author(s) 2016.

  8. Ööpäeva väldanud etendused keerasid näitlejate ja publiku elurütmi pea peale / Marika Rajamäe, Merili Nikkolo

    Index Scriptorium Estoniae

    Rajamäe, Marika, 1952-

    2008-01-01

    Vargamäel 22 tundi kestnud maratonetendusest Tammsaare "Tõe ja õiguse" põhjal - Elmo Nüganeni lavastused "Tõde ja õigus. Teine osa", "Karin. Indrek. Tõde ja õigus. 4" ja "Wargamäe Wabariik" (III osa) ning Jaanus Rohumaa lavastus "Vargamäe kuningriik" (I ja V osa). Reportaaž on tähtsamatest hetkedest alates 21. juuni kell 11.00 kuni 22. juuni 10.00-ni

  9. Treatment of Obstructive Sleep Apnea Using Temporary Mandible Advancement Device: A Case Report

    Directory of Open Access Journals (Sweden)

    Young-Chan Choi

    2015-06-01

    Full Text Available Obstructive sleep apnea (OSA is the most prevalent type of sleep apnea, and oral appliance may be one of the options for treatment of OSA. But, the problems with the oral appliance are high cost, possible low compliance, and complications such as temporomandibular disorder. In this article, we described a severe OSA case that was successfully improved by using temporary mandible advancement device, which was designed for therapeutic effect of mandible advancement with low cost and simplified fabrication procedure.

  10. Prevalence of metabolic syndrome in a north Indian hospital-based population with obstructive sleep apnoea

    Science.gov (United States)

    Agrawal, Swastik; Sharma, Surendra K.; Sreenivas, Vishnubhatla; Lakshmy, Ramakrishnan

    2011-01-01

    Background & objectives: Obstructive sleep apnoea (OSA) is known to be associated with cardiovascular risk factors and metabolic syndrome (MS). The burden of MS in patients with OSA in India is unknown. We investigated the prevalence of MS and its components in a cross-sectional study in patients with and without OSA in a hospital-based population of a tertiary health care centre in New Delhi, India. Methods: Consecutive patients undergoing overnight polysomnography in the Sleep Laboratory of the Department of Internal Medicine of All India Institute of Medical Sciences (AIIMS) hospital, New Delhi, were studied. Anthropometry and body composition analysis, blood pressure (BP), fasting blood glucose, insulin resistance by homeostasis model assessment (HOMA-IR) and fasting blood lipid profile were measured. MS was defined using the National Cholesterol Education Program Adult treatment panel III criteria, with Asian cut-off values for abdominal obesity. Results: Of the 272 subjects recruited, 187 (82%) had OSA [apnoea-hypopnoea index (AHI)>5 events/h] while 40 (18%) had a normal sleep study. Prevalence of MS in OSA patients was 79 per cent compared to 48 per cent in non-OSA individuals [OR 4.15, (2.05-8.56), P<0.001]. Prevalence of OSA in mild, moderate and severe OSA was 66, 72 and 86 per cent, respectively (P<0.001). Patients with OSA were more likely to have higher BP [OR: 1.06 (1.02-1.11)], fasting insulin [OR: 1.18 (1.05-1.32)], HOMA-IR [OR: 1.61 (1.11-2.33)] and waist circumference [OR: 1.20 (1.13-1.27)]. Interpretation & conclusions: Our findings suggest that OSA is associated with a 4-fold higher occurrence of MS than patients without OSA. The prevalence of MS increases with increasing severity of OSA, therefore, early detection will be beneficial. PMID:22199102

  11. Relationship between hematological examination, glucose, HbA1clevel, and disease stages in patients with obstructive sleep apnea syndrome

    Directory of Open Access Journals (Sweden)

    Erhan Ugurlu

    2018-01-01

    CONCLUSION: In conclusion, even though significant differences were not found in the glucose and HbA1c levels of patients with OSAS, glucose metabolism was deteriorated when saturation was decreased in severe OSAS. Therefore, glucose levels should be observed frequently, particularly in severe cases of OSAS or in patients with hypoxia, regardless of the stage. More attention should also be paid to the development of diabetes.

  12. Folkloor muutuvas maailmas / Annika Markson ; juhendaja Mari Raidmets

    Index Scriptorium Estoniae

    Markson, Annika

    2008-01-01

    Artikli esimene osa kirjeldab rahvaluulet ja selle arengut tänapäeval, teine osa rahvatantsu ja line-tantsu arengut Eestis ning kolmandas osa räägitakse grafiti ajaloost ja selle rollist tänapäeva ühiskonnas. Töö lisades on välja toodud intervjuud, küsitluste vastused ning diagrammilised ülevaated küsitlustest

  13. Obstructive sleep apnea and the risk of atopic dermatitis: a population-based case control study.

    Directory of Open Access Journals (Sweden)

    Kai-Jen Tien

    Full Text Available BACKGROUND: Obstructive sleep apnea (OSA is associated with systemic inflammation and induces various comorbid medical diseases. To date, no study has explored the relationship between OSA and atopic dermatitis (AD, an inflammatory and autoimmune skin disorder. This study investigated the longitudinal risk for AD in patients with OSA. METHODS: A random sample of 1,000,000 individuals from Taiwan's National Health Insurance database was collected. From this sample, 1222 patients with newly-diagnosed OSA between 2000 and 2005 were identified and compared with a matched cohort of 18330 patients without OSA. All patients were tracked for 5.5 years from the index date in order to identify which patients subsequently developed AD. RESULTS: During the 5.5-year follow-up period, the incidence rates of AD in the OSA cohort and comparison groups were 9.81 and 6.21 per 1000 person-years, respectively. After adjustment for age, gender, diabetes, hypertension, coronary heart disease, obesity, allergy, allergic rhinitis, asthma, monthly income, and geographic location, patients with OSA were 1.5-times more likely to develop AD than patients without OSA (95% CI = 1.15-1.95, p = 0.0025. The hazard risk for AD was greater in male OSA patients and young OSA patients (0-18 and 19-34 years, adjusted HRs being 1.53 (95% CI = 1.14-2.06, p = 0.005, 4.01(95% CI = 1.57-10.26, p = 0.0038 and 1.75(95% CI = 1.00-3.04, p = 0.0483, respectively. The log-rank test indicated that OSA patients <35-years-old had significantly higher cumulative incidence rates of AD than those patient of the same age in the comparison group (p = 0.0001. CONCLUSION: Patients with OSA, especially male patients and younger patients, are at an increased risk for AD later in life.

  14. Kaheksa aastat mudelseadust: kas Eesti vahekohtumenetlus vastab mudelile? / Pirkka-Marja Põldvere

    Index Scriptorium Estoniae

    Põldvere, Pirkka-Marja

    2014-01-01

    1. jaan. 2006 jõustunud tsiviilkohtumenetluse seadustiku 14. osa reguleerib vahekohtumenetlust. Eesti kehtiva vahekohtumenetluse reeglistiku kooskõlast vahekohtumenetluse rahvusvaheliselt tunnustatud teooria ja praktikaga

  15. Oaasid üksilduse kõrbes / Rein Veidemann

    Index Scriptorium Estoniae

    Veidemann, Rein, 1946-

    2012-01-01

    Mõtteid seoses 2011. aastal Eesti kultuuriministeeriumis vastu võetud otsusega broneerida osa rahvaraamatukogude raamatute ostuks eraldatavast eelarvelisest rahast kaasaja kirjanduse ja kultuuriajakirjanduse soetamiseks

  16. "Silent" Sleep Apnea in Dentofacial Deformities and Prevalence of Daytime Sleepiness After Orthognathic and Intranasal Surgery.

    Science.gov (United States)

    Posnick, Jeffrey C; Adachie, Anayo; Singh, Neeru; Choi, Elbert

    2018-04-01

    The purposes of this study were to determine the occurrence of undiagnosed "silent" obstructive sleep apnea (OSA) in dentofacial deformity (DFD) patients at initial surgical presentation and to report on the level of daytime sleepiness in DFD patients with OSA and chronic obstructive nasal breathing (CONB) after undergoing bimaxillary, chin, and intranasal surgery. A retrospective cohort study of patients with a bimaxillary DFD and CONB was implemented. Patients were divided into those with no OSA (group I) and those with OSA (group II). Group II was further subdivided into patients referred with polysomnogram (PSG)-confirmed OSA (group IIa) and those with a diagnosis of OSA only after surgical consultation, airway evaluation, and a positive PSG (group IIb). Group II patients were analyzed at a minimum of 1 year after surgery (range, 1 to 10 years) for daytime sleepiness with the Epworth Sleepiness Scale. Patients with postoperative excessive daytime sleepiness were assessed for risk factors and continued need for OSA treatment. Patients in group II were studied to determine which DFD patterns were most associated with OSA. We compared the prevalence of OSA between our study population and the general population. Two hundred sixty-two patients met the inclusion criteria. Of these, 23% (60 of 262) had PSG-confirmed OSA (group II). This rate was much higher than that found in the general population. Of the patients, 7% (19 of 262) were known to have OSA at initial surgical consultation (group IIa). An additional 16% (41 of 262) were later confirmed by PSG to have OSA (group IIb). Patients with primary mandibular deficiency and short face DFDs were most likely to have OSA (P surgery. A significant association was found between group II patients with postoperative excessive daytime sleepiness ("sleepy" or "very sleepy") and a preoperative body mass index category of overweight (P = .026). Our study found silent OSA to be frequent in the DFD population. The

  17. Plasma natriuretic peptides in children and adolescents with obstructive sleep apnoea and their changes following intervention

    Directory of Open Access Journals (Sweden)

    Albert Martin Li

    2014-03-01

    Full Text Available Objective: This study aimed to evaluate circulating natriuretic peptides (NP concentration in obese and non-obese children and adolescents with and without OSA, and their levels following OSA treatment.Methods: Subjects with habitual snoring and symptoms suggestive of OSA were recruited. They underwent physical examination and overnight polysomnography (PSG. OSA was diagnosed if obstructive apnea hypopnea index (OAHI ≥1/h. Fasting serum atrial natriuretic peptide (ANP and brain natriuretic peptide (BNP were taken after overnight PSG. The subjects were divided into obese, non-obese, with and without OSA groups for comparisons.Results: 114 children (77 were boys with a median (IQR age of 10.8 (8.3-12.7 years (range: 2.4-11.8 years were recruited. Sixty-eight subjects were found to have OSA. Natriuretic peptide levels did not differ between subjects with and without OSA in both obese and non-obese groups. . Stepwise multiple linear regressions revealed that body mass index (BMI z-score was the only independent factor associated with NP concentrations. Fifteen children with moderate-to-severe OSA (OAHI >5/h underwent treatment and there were no significant changes in both ANP and BNP levels after intervention.Conclusion: BMI rather than OSA was the main determinant of natriuretic peptide levels in school-aged children and adolescents.

  18. Airway inflammation in patients affected by obstructive sleep apnea syndrome.

    Science.gov (United States)

    Salerno, F G; Carpagnano, E; Guido, P; Bonsignore, M R; Roberti, A; Aliani, M; Vignola, A M; Spanevello, A

    2004-01-01

    Obstructive sleep apnea syndrome (OSAS) has been shown to be associated to upper airway inflammation. The object of the present study was to establish the presence of bronchial inflammation in OSAS subjects. In 16 subjects affected by OSAS, and in 14 healthy volunteers, airway inflammation was detected by the cellular analysis of the induced sputum. OSAS patients, as compared to control subjects, showed a higher percentage of neutrophils (66.7+/-18.9 vs. 25.8+/-15.6) (Pbronchial inflammation characterized by a significant increase in neutrophils.

  19. A method to screen obstructive sleep apnea using multi-variable non-intrusive measurements

    International Nuclear Information System (INIS)

    De Silva, S; Abeyratne, U R; Hukins, C

    2011-01-01

    Obstructive sleep apnea (OSA) is a serious sleep disorder. The current standard OSA diagnosis method is polysomnography (PSG) testing. PSG requires an overnight hospital stay while physically connected to 10–15 channels of measurement. PSG is expensive, inconvenient and requires the extensive involvement of a sleep technologist. As such, it is not suitable for community screening. OSA is a widespread disease and more than 80% of sufferers remain undiagnosed. Simplified, unattended and cheap OSA screening methods are urgently needed. Snoring is commonly associated with OSA but is not fully utilized in clinical diagnosis. Snoring contains pseudo-periodic packets of energy that produce characteristic vibrating sounds familiar to humans. In this paper, we propose a multi-feature vector that represents pitch information, formant information, a measure of periodic structure existence in snore episodes and the neck circumference of the subject to characterize OSA condition. Snore features were estimated from snore signals recorded in a sleep laboratory. The multi-feature vector was applied to a neural network for OSA/non-OSA classification and K-fold cross-validated using a random sub-sampling technique. We also propose a simple method to remove a specific class of background interference. Our method resulted in a sensitivity of 91 ± 6% and a specificity of 89 ± 5% for test data for AHI THRESHOLD = 15 for a database consisting of 51 subjects. This method has the potential as a non-intrusive, unattended technique to screen OSA using snore sound as the primary signal

  20. The roles of dentisty in obstructive sleep apnea syndrome

    International Nuclear Information System (INIS)

    Kikuchi, Makoto; Higurashi, Naoki; Miyazaki, Soichiro

    2007-01-01

    The roles of dentistry in obstructive sleep apnea syndrome (OSAS) are mainly: Craniofacial skeletal diagnosis, Treatment by oral appliance, Prevention of craniofacial skeletal problem. We use cephalometrics, CT and MRI to diagnose craniofacial skeleton of the patients and treat the OSAS patient by the oral appliance. We could make the airway of the OSAS patients bigger by the orthodontic treatment and ENT doctor could make the airway of the patient's patency by removing tonsils and adenoids. If the patient has the airway patency, the mandible of the patient could grow naturally in advanced position and have the airway bigger, consequently the patient could avoid OSAS in his future. (author)

  1. Moscow brings plant import ban to EU

    Index Scriptorium Estoniae

    2004-01-01

    Taimetoodangu inspektsiooni juhi Roland Nymanni sõnul pole Venemaalt taimsetele toodetele kehtestatud sisseveokeelu osas niipea lahendust oodata, kuna Venemaa viis diskussiooni Euroopa Liidu tasandile

  2. Autentsete tunnete kunstifestival : Tartus toimunud multikultuurifestival "Ground Rush" otsis tugevat ja autentset tunnet / Kiwa

    Index Scriptorium Estoniae

    Kiwa, pseud., 1975-

    2001-01-01

    Festival toimus Tartu Kõrgema Kunstikooli väljaehitamata osas. Enamasti tundmatute kunstnike ja kooliõpilaste loodud kohaspetsiifilised ja ruumiinstallatsioonid. Tuntud kunstnikest Kaarel Kurismaa ja Paul Rodgers

  3. Gastric bypass is an effective treatment for obstructive sleep apnea in patients with clinically significant obesity.

    Science.gov (United States)

    Rasheid, Sowsan; Banasiak, Magdalena; Gallagher, Scott F; Lipska, Anna; Kaba, Shadi; Ventimiglia, Daniel; Anderson, W McDowell; Murr, Michel M

    2003-02-01

    We have demonstrated that obstructive sleep apnea (OSA) is prevalent in 60% of patients undergoing bariatric surgery. A study was conducted to determine whether weight loss following bariatric surgery ameliorates OSA. All 100 consecutive patients with symptoms of OSA were prospectively evaluated by polysomnography before gastric bypass. Preoperative and postoperative scores of Epworth Sleepiness Scale (ESS), Respiratory Disturbance Index (RDI), and other parameters of sleep quality were compared using t-test. Preoperative RDI was 40 +/- 4 (normal 5 events/hour, n = 100). 13 patients had no OSA, 29 had mild OSA, while the remaining 58 patients were treated preoperatively for moderate-severe OSA. At a median of 6 months follow-up, BMI and ESS scores improved (38 +/- 1 vs 54 +/- 1 kg/m2, 6 +/- 1 vs 12 +/- 0.1, P losing weight (BMI 40 +/- 2 vs 62 +/- 3 kg/m2, P sleep efficiency (85 +/- 2% vs 65 +/- 5%), all P < 0.001, postop vs preop; and RDI (56 +/- 13 vs 23 +/- 7, P = 0.041). Regression analysis demonstrated no correlation between preoperative BMI, ESS score and the severity of OSA; and no correlation between % excess body weight loss and postoperative RDI. Weight loss following gastric bypass results in profound improvement in OSA. The severity of apnea cannot be reliably predicted by preoperative BMI and ESS; therefore, patients with symptoms of OSA should undergo polysomnography.

  4. Recent advances in the management of obstructive sleep apnea: The dental perspective.

    Science.gov (United States)

    Prabhat, K C; Goyal, Lata; Bey, Afshan; Maheshwari, Sandhya

    2012-07-01

    Obstructive sleep apnea (OSA) is common in adult population. OSA shows detrimental effects on health, neuropsychological development, quality-of-life, and economic potential and now it is recognized as a public health problem. Despite the availability of expanded therapeutic options, polysomnography and nasal continuous positive airway pressure (CPAP) are the gold standards for the diagnosis and treatment for OSA. Recently, American Academy of Sleep Medicine has recommended oral appliances for OSA. Hence the therapeutic interventions that are directed at the site of airway obstruction in the maxillofacial region are within the scope of dentistry. Treatment of OSA can improve vitality, social and daytime functioning, family life and mental health of a person and hence the quality-of-life. Obesity is the main predisposing factor for OSA. Other than obesity, craniofacial abnormalities such as micrognathia and retrognathia, age, ethnic background and genetic predisposition, consumption of alcohol, smoking, and sedatives may also predispose to OSA. Treatment modalities for OSA are behavior modification, diet and medication, CPAP devices, surgical (maxillo-mandibular advancement surgery), and oral appliances. Treatment of a patient with OSA not only improves the physical health of the patients but also the mental and social well-being.

  5. Kunstihoones saab vastutustundlikult vahetuskaupa teha / Andris Feldmanis

    Index Scriptorium Estoniae

    Feldmanis, Andris, 1982-

    2006-01-01

    Tutvustatakse Andrea Creutzi kunstiprojekti "Varjatud ressursivoog", mis on osa Tallinna Kunstihoones eksponeeritavast näitusest "Kapital (See veab meid alt)". Näitus tegeleb alternatiivsete majandusmudelitega

  6. Effects of obstructive sleep apnea on hemodynamic parameters in patients entering cardiac rehabilitation.

    Science.gov (United States)

    Hargens, Trent A; Aron, Adrian; Newsome, Laura J; Austin, Joseph L; Shafer, Brooke M

    2015-01-01

    Obstructive sleep apnea (OSA) is a prevalent form of sleep-disordered breathing. Evidence suggests that OSA may lead to cardiac remodeling, although the literature is equivocal. Previous literature suggests a high percentage of individuals entering a cardiac rehabilitation (CR) program also have OSA. The objective of this study was to determine whether resting hemodynamic variables were altered in OSA subjects entering CR compared with those without OSA, as determined by impedance cardiography. Subjects entering an early outpatient CR program were screened for OSA using an at-home screening device and verified by a sleep physician. Subjects were divided into an OSA group (n = 48) or a control group (n = 25) on the basis of the screening results. Hemodynamic variables were measured during supine rest using impedance cardiography. A 6-minute walk test was performed to assess functional capacity. The proportion of cardiac diagnoses was similar between groups. Overall, 66% of the subjects were positive for OSA. Subject groups did not differ by age, body mass index, heart rate, diastolic blood pressure, or functional capacity. Cardiac output, cardiac index, stroke volume, contractility index, and left cardiac work index were all significantly decreased in the OSA group compared with the control group (P disadvantage in recovering from their cardiac event, and place them at increased risk for secondary complications.

  7. Obstructive Sleep Apnea and Retinopathy in Patients with Type 2 Diabetes. A Longitudinal Study

    Science.gov (United States)

    Altaf, Quratul A.; Dodson, Paul; Ali, Asad; Raymond, Neil T.; Wharton, Helen; Fellows, Hannah; Hampshire-Bancroft, Rachel; Shah, Mirriam; Shepherd, Emma; Miah, Jamili; Barnett, Anthony H.

    2017-01-01

    Rationale: Obstructive sleep apnea (OSA) is associated with several pathophysiological deficits found in diabetic retinopathy (DR). Hence, it’s plausible that OSA could play a role in the pathogenesis of sight-threatening DR (STDR). Objectives: To assess the relationship between OSA and DR in patients with type 2 diabetes and to assess whether OSA is associated with its progression. Methods: A longitudinal study was conducted in diabetes clinics within two U.K. hospitals. Patients known to have any respiratory disorder (including OSA) were excluded. DR was assessed using two-field 45-degree retinal images for each eye. OSA was assessed using a home-based multichannel cardiorespiratory device. Measurements and Main Results: A total of 230 patients were included. STDR and OSA prevalence rates were 36.1% and 63.9%, respectively. STDR prevalence was higher in patients with OSA than in those without OSA (42.9% vs. 24.1%; P = 0.004). After adjustment for confounders, OSA remained independently associated with STDR (odds ratio, 2.3; 95% confidence interval, 1.1–4.9; P = 0.04). After a median (interquartile range) follow-up of 43.0 (37.0–51.0) months, patients with OSA were more likely than patients without OSA to develop preproliferative/proliferative DR (18.4% vs. 6.1%; P = 0.02). After adjustment for confounders, OSA remained an independent predictor of progression to preproliferative/proliferative DR (odds ratio, 5.2; 95% CI confidence interval, 1.2–23.0; P = 0.03). Patients who received continuous positive airway pressure treatment were significantly less likely to develop preproliferative/proliferative DR. Conclusions: OSA is associated with STDR in patients with type 2 diabetes. OSA is an independent predictor for the progression to preproliferative/proliferative DR. Continuous positive airway pressure treatment was associated with reduction in preproliferative/proliferative DR. Interventional studies are needed to assess the impact of OSA

  8. Impact of obstructive sleep apnea on lung volumes and mechanical properties of the respiratory system in overweight and obese individuals.

    Science.gov (United States)

    Abdeyrim, Arikin; Zhang, Yongping; Li, Nanfang; Zhao, Minghua; Wang, Yinchun; Yao, Xiaoguang; Keyoumu, Youledusi; Yin, Ting

    2015-07-25

    Even through narrowing of the upper-airway plays an important role in the generation of obstructive sleep apnea (OSA), the peripheral airways is implicated in pre-obese and obese OSA patients, as a result of decreased lung volume and increased lung elastic recoil pressure, which, in turn, may aggravate upper-airway collapsibility. A total of 263 male (n = 193) and female (n = 70) subjects who were obese to various degrees without a history of lung diseases and an expiratory flow limitation, but troubled with snoring or suspicion of OSA were included in this cross-sectional study. According to nocturnal-polysomnography the subjects were distributed into OSA and non-OSA groups, and were further sub-grouped by gender because of differences between males and females, in term of, lung volume size, airway resistance, and the prevalence of OSA among genders. Lung volume and respiratory mechanical properties at different-frequencies were evaluated by plethysmograph and an impulse oscillation system, respectively. Functional residual capacity (FRC) and expiratory reserve volume were significantly decreased in the OSA group compared to the non-OSA group among males and females. As weight and BMI in males in the OSA group were greater than in the non-OSA group (90 ± 14.8 kg vs. 82 ± 10.4 kg, p volumes decreases were independent from BMI and associated with the severity of OSA. This result was further confirmed by the female cohort. Significant increases in total respiratory resistance and decreases in respiratory conductance (Grs) were observed with increasing severity of OSA, as defined by the apnea-hypopnea index (AHI) in both genders. The specific Grs (sGrs) stayed relatively constant between the two groups in woman, and there was only a weak association between AHI and sGrs among man. Multiple-stepwise-regression showed that reactance at 5 Hz was highly correlated with AHI in males and females or hypopnea index in females, independently

  9. [Obesity and obstructive sleep apnea in children].

    Science.gov (United States)

    Amaddeo, A; de Sanctis, L; Olmo Arroyo, J; Giordanella, J-P; Monteyrol, P-J; Fauroux, B

    2017-02-01

    Obesity, along with hypertrophy of the adenoids and the tonsils, represents one of the major risk factors for obstructive sleep apnea (OSA) in children. Obesity is associated with an increase in the prevalence and the severity of OSA and is a major factor in the persistence and aggravation of OSA over time. Neurocognitive dysfunction and abnormal behavior are the most important and frequent end-organ morbidities associated with OSA in children. Other deleterious consequences such as cardiovascular stress and metabolic syndrome are less common in children than in adults with OSA. Defining the exact role of obesity in OSA-associated end-organ morbidity in children is difficult because of the complex and multidimensional interactions between sleep in general, OSA, obesity, and metabolic dysregulation. This may explain why obesity itself has not been shown to be associated with a significant increase in OSA-associated end-organ morbidity. Obesity is linked to a decreased treatment efficacy and, in particular, of adenotonsillectomy. Peri- and postoperative complications are more common and more severe in obese children as compared with normal-weight controls. Continuous positive airway pressure (CPAP) is frequently needed, but compliance with CPAP is less optimal in obese children than in non-obese children. In conclusion, obesity represents a major public health problem worldwide; its prevention is one of the most efficient tools for decreasing the incidence and the morbidity associated with OSA in children. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  10. Ühiskonnakriitika kinos / Inge Pitsner

    Index Scriptorium Estoniae

    Pitsner, Inge

    2004-01-01

    Baltimaade dokfilmiprogramm "Subjektiivne kaamera", mis tutvustab uuemaid provokatiivseid, poleemikat tekitavaid autorikeskseid filme. See on osa Tallinnas toimuvast 8. Läänemere Dokumentalistika Foorumist

  11. Kartelnõi sgovor strahhhovõhh firm / Jevgeni Zhukov

    Index Scriptorium Estoniae

    Zhukov, Jevgeni

    2000-01-01

    Liikluskindlustuse lepingu sõlmimise tariifide samaaegne tõstmine kindlustusfirmades Sampo Eesti Kindlustus, Nordika ja Bico Kindlustus ning Leks, annavad alust kahtlustusteks kartellikokkuleppe sõlmimise osas

  12. Rhythm disturbances in childhood obstructive sleep apnea during apnea-hypopnea episodes

    Directory of Open Access Journals (Sweden)

    Anant Khositseth

    2013-01-01

    Methods: In a retrospective cross sectional study, records of children aged < 15 years with history of snoring and suspected OSA, who had undergone polysomnography (PSG for first time were analyzed. The cardiac rhythm and heart rate variability were studied during PSG. Results: A total of 124 patients diagnosed with OSA were grouped into mild ( n = 52, moderate ( n = 30, and severe ( n = 42 OSA. During PSG, all had sinus arrhythmias and only three patients had premature atrial contractions (PACs. The standard deviation of heart rate (SD-HR during rapid eye movement (REM sleep in severe OSA (9.1 ± 2.4 was significantly higher than SD-HR in mild OSA (7.5 ± 1.3, P < 0.0001. The maximum heart rate (max-HR during REM-sleep in severe OSA (132.1 ± 22.1 was significantly higher than the max-HR in mild OSA (121.3 ± 12.6 bpm, P = 0.016. Conclusions: There was no significant arrhythmia in children with OSA during their sleep. Heart rate variability correlated with the severity of OSA.

  13. Obstructive sleep apnoea is frequent in patients with type 1 diabetes

    DEFF Research Database (Denmark)

    Banghoej, Anne Margareta; Nerild, Henriette Holst; Kristensen, Peter Lommer

    2017-01-01

    mild OSA (60 patients (69%)). OSA was present in 32% of the patients with normal BMI, in 60% of overweight patients, and in 61% of obese patients. Patients with type 1 diabetes and OSA were largely asymptomatic and did not report more sleepiness than patients without OSA. At multivariate analysis, age......AIM: Obstructive Sleep Apnoea (OSA) is frequent in patients with type 2 diabetes. The aim of this study is to evaluate prevalence of OSA in patients with type 1 diabetes. METHODS: In a cross-sectional design, all patients with type 1 diabetes attending the outpatient clinic were offered screening...... of 200 of 518 eligible patients with type 1 diabetes (39%) participated (68% men; age 52±15years (mean±SD), diabetes duration 24±14years and BMI 25.3±3.3kg/m(2)). OSA was diagnosed in 92 patients (46% (95% CI: 40-53)). Five patients had known OSA, and OSA was newly diagnosed in 87 patients, predominantly...

  14. Association of Canine Osteosarcoma and Monocyte Phenotype and Chemotactic Function.

    Science.gov (United States)

    Tuohy, J L; Lascelles, B D X; Griffith, E H; Fogle, J E

    2016-07-01

    Monocytes/macrophages are likely key cells in immune modulation in dogs with osteosarcoma (OSA). Increased peripheral monocyte counts are negatively correlated with shorter disease-free intervals in dogs with OSA. Understanding the monocyte/macrophage's modulatory role in dogs with OSA can direct further studies in immunotherapy development for OSA. That OSA evades the immune response by down-regulating monocyte chemokine receptor expression and migratory function, and suppresses host immune responses. Eighteen dogs with OSA that have not received definitive treatment and 14 healthy age-matched controls Clinical study-expression of peripheral blood monocyte cell surface receptors, monocyte mRNA expression and cytokine secretion, monocyte chemotaxis, and survival were compared between clinical dogs with OSA and healthy control dogs. Cell surface expression of multiple chemokine receptors is significantly down-regulated in peripheral blood monocytes of dogs with OSA. The percentage expression of CCR2 (median 58%, range 2-94%) and CXCR2 expression (median 54%, range 2-92%) was higher in control dogs compared to dogs with OSA (CCR2 median 29%, range 3-45%, P = 0.0006; CXCR2 median 23%, range 0.2-52%, P = 0.0007). Prostaglandin E2 (PGE2 ) (OSA, median 347.36 pg/mL, range 103.4-1268.5; control, 136.23 pg/mL, range 69.93-542.6, P = .04) and tumor necrosis factor-alpha (TNF-α) (P = .02) levels are increased in OSA monocyte culture supernatants compared to controls. Peripheral blood monocytes of dogs with OSA exhibit decreased chemotactic function when compared to control dogs (OSA, median 1.2 directed to random migration, range 0.8-1.25; control, 1.6, range of 0.9-1.8, P = .018). Dogs with OSA have decreased monocyte chemokine receptor expression and monocyte chemotaxis, potential mechanisms by which OSA might evade the immune response. Reversal of monocyte dysfunction using immunotherapy could improve survival in dogs with OSA. Copyright © 2016 The Authors. Journal of

  15. Cytotoxic action of Brazilian propolis in vitro on canine osteosarcoma cells.

    Science.gov (United States)

    Cinegaglia, N C; Bersano, P R O; Búfalo, M C; Sforcin, J M

    2013-09-01

    Osteosarcoma (OSA) is a primary bone neoplasm frequently diagnosed in dogs. The biology of OSA in pet dogs is identical to that of pediatric patients, and it has been considered an excellent model in vivo to study human OSA. Since the individual response to chemotherapy is unpredictable and considering that propolis is a natural product with several biological properties, this work evaluated the cytotoxic action of propolis on canine OSA cells. The primary cell culture of canine OSA was obtained from the tumor of a dog with OSA. Cell viability was assessed after incubation with propolis, 70% ethanol (propolis solvent), and carboplatin after 6, 24, 48, and 72 h. Cell viability was analyzed by the crystal violet method. Data showed that canine OSA cells were sensitive to propolis in a dose- and time-dependent manner and had a distinct morphology compared to control. Its solvent (70% ethanol) had no effect on cell viability, suggesting that the cytotoxic action was exclusively due to propolis. Our propolis sample exerted a cytotoxic effect on canine OSA cells, and its introduction as a possible therapeutic agent in vivo could be investigated, providing a new contribution to OSA treatment. Copyright © 2012 John Wiley & Sons, Ltd.

  16. BMI1 is expressed in canine osteosarcoma and contributes to cell growth and chemotherapy resistance.

    Directory of Open Access Journals (Sweden)

    Mehdi Hayat Shahi

    Full Text Available BMI1, a stem cell factor and member of the polycomb group of genes, has been shown to contribute to growth and chemoresistance of several human malignancies including primary osteosarcoma (OSA. Naturally occurring OSA in the dog represents a large animal model of human OSA, however the potential role of BMI1 in canine primary and metastatic OSA has not been examined. Immunohistochemical staining of canine primary and metastatic OSA tumors revealed strong nuclear expression of BMI1. An identical staining pattern was found in both primary and metastatic human OSA tissues. Canine OSA cell lines (Abrams, Moresco, and D17 expressed high levels of BMI1 compared with canine osteoblasts and knockdown or inhibition of BMI1 by siRNA or by small molecule BMI1-inhibitor PTC-209 demonstrated a role for BMI1 in canine OSA cell growth and resistance to carboplatin and doxorubicin chemotherapy. These findings suggest that inhibition of BMI1 in primary or metastatic OSA may improve response to chemotherapy and that the dog may serve as a large animal model to evaluate such therapy.

  17. BMI1 is expressed in canine osteosarcoma and contributes to cell growth and chemotherapy resistance.

    Science.gov (United States)

    Shahi, Mehdi Hayat; York, Daniel; Gandour-Edwards, Regina; Withers, Sita S; Holt, Roseline; Rebhun, Robert B

    2015-01-01

    BMI1, a stem cell factor and member of the polycomb group of genes, has been shown to contribute to growth and chemoresistance of several human malignancies including primary osteosarcoma (OSA). Naturally occurring OSA in the dog represents a large animal model of human OSA, however the potential role of BMI1 in canine primary and metastatic OSA has not been examined. Immunohistochemical staining of canine primary and metastatic OSA tumors revealed strong nuclear expression of BMI1. An identical staining pattern was found in both primary and metastatic human OSA tissues. Canine OSA cell lines (Abrams, Moresco, and D17) expressed high levels of BMI1 compared with canine osteoblasts and knockdown or inhibition of BMI1 by siRNA or by small molecule BMI1-inhibitor PTC-209 demonstrated a role for BMI1 in canine OSA cell growth and resistance to carboplatin and doxorubicin chemotherapy. These findings suggest that inhibition of BMI1 in primary or metastatic OSA may improve response to chemotherapy and that the dog may serve as a large animal model to evaluate such therapy.

  18. Metabolic aspects of obstructive sleep apnoea syndrome

    Directory of Open Access Journals (Sweden)

    M. R. Bonsignore

    2009-06-01

    Full Text Available Insulin resistance is often associated with obstructive sleep apnoea syndrome (OSAS and could contribute to cardiovascular risk in OSAS. Sleep loss and intermittent hypoxia could contribute to the pathogenesis of the metabolic alterations associated with obesity, a common feature of OSAS. The biology of the adipocyte is being increasingly studied, and it has been found that hypoxia negatively affects adipocyte function. In November 2007, the European Respiratory Society and two EU COST Actions (Cardiovascular risk in OSAS (B26 and Adipose tissue and the metabolic syndrome (BM0602, held a Research Seminar in Düsseldorf, Germany, to discuss the following: 1 the effects of hypoxia on glucose metabolism and adipocyte function; 2 the role of inflammatory activation in OSAS and obesity; 3 the alarming rates of obesity and OSAS in children; 4 the harmful effects of the metabolic syndrome in OSAS; 5 the effects of OSAS treatment on metabolic variables; and 6 the relationship between daytime sleepiness and hormonal and inflammatory responses. Insulin resistance in skeletal muscle, the role of the endocannabinoid system and novel pharmacological approaches to treat insulin resistance were also discussed. As obesity and hypoxia could be the basic links between OSAS and adipocyte dysfunction, further research is needed to translate these new data into clinical practice.

  19. Influence of obstructive sleep apnea on fatty liver disease: role of chronic intermittent hypoxia.

    Science.gov (United States)

    Türkay, Cansel; Ozol, Duygu; Kasapoğlu, Benan; Kirbas, Ismail; Yıldırım, Zeki; Yiğitoğlu, Ramazan

    2012-02-01

    Currently the common pathogenetic mechanisms in nonalcoholic fatty liver disease (NAFLD) and obstructive sleep apnea (OSA) are gaining increased attention. The aim of this study is to find out the influence of chronic intermittent hypoxemia and OSA related parameters to the severity of NAFLD. We examined the liver functions tests and ultrasonographic data of liver as well as markers of OSA severity (apnea-hypopnea index [AHI], oxygen desaturation index, minimum oxygen saturation, percentage of time spent with S(pO(2)) hypoxia during sleep. The prevalence of NAFLD was higher in patients with severe OSA, suggesting a role for nocturnal hypoxemia in the pathogenesis of fatty liver disease.

  20. Intermittent hypoxia simulating obstructive sleep apnea causes pulmonary inflammation and activates the Nrf2/HO-1 pathway.

    Science.gov (United States)

    Wang, Yeying; Chai, Yanling; He, Xiaojie; Ai, Li; Sun, Xia; Huang, Yiling; Li, Yongxia

    2017-10-01

    Obstructive sleep apnea (OSA) is a disorder with high morbidity in adults. OSA damages multiple organs and tissues, including the cardiovascular and cerebrovascular systems, the metabolism system, the lungs, liver and heart. OSA-induced damage is earliest and greatest to the pulmonary tissue. The present study established a rat OSA model of differing severity by inducing intermittent hypoxia with different concentrations of O 2 and it was determined that OSA caused a severe oxidative stress response and pulmonary inflammation in a dose-dependent manner. OSA increased serum levels of C-reactive protein and 8-isoprostane and elevated the expression of malondialdehyde, tumor necrosis factor α, interleukin (IL)-1β and IL-6 in the pulmonary tissue. Furthermore, the expression of two important antioxidants, superoxide dismutase and glutathione, was downregulated following intermittent hypoxia. By contrast, levels of cylooxygenase 2 and inducible nitric oxide synthase, which are crucial in the antioxidative response, increased. In addition, OSA activates the nuclear factor erythroid 2-related factor 2 (Nrf2)/heme oxygenase (OH)-1 antioxidative signaling pathway. Finally, all increases and decreases in levels of inflammatory and antioxidative substances were dependent on oxygen concentrations. Therefore, the present study demonstrated that OSA, simulated by intermittent hypoxia, caused an oxidative stress response and pulmonary inflammation, and activated the canonical antioxidative Nrf2/HO-1 signaling pathway in a dose-dependent manner. These results may facilitate the development of clinical therapies to treat pulmonary diseases caused by OSA.

  1. Effect of CPAP on arterial stiffness in severely obese patients with obstructive sleep apnoea.

    Science.gov (United States)

    Seetho, Ian W; Asher, Rebecca; Parker, Robert J; Craig, Sonya; Duffy, Nick; Hardy, Kevin J; Wilding, John P H

    2015-12-01

    Obstructive sleep apnoea (OSA) may independently increase cardiovascular risk in obesity. Although there is evidence that arterial stiffness is altered in OSA, knowledge of these effects with continuous positive airway pressure (CPAP) in severe obesity (body mass index (BMI) ≥ 35 kg/m(2)) is limited. This study aimed to explore how arterial stiffness, as measured by the augmentation index (Aix), changed in severely obese patients with OSA who were treated with CPAP and in patients without OSA. Forty-two patients with severe obesity-22 with OSA, 20 without OSA-were recruited at baseline and followed-up after a median of 13.5 months. Pulse wave analysis (PWA) was performed using applanation tonometry at the radial artery to measure augmentation index (Aix), augmentation pressure (AP) and subendocardial viability ratio (SEVR). Cardiovascular parameters and body composition were also measured. There were significant improvements in Aix, AP (both P CPAP compared with subjects without OSA. Epworth scores (P CPAP. Regression showed that CPAP was significantly associated with change in arterial stiffness from baseline. However, patients with OSA on CPAP continued to have increased arterial stiffness (Aix) (P CPAP in severe obesity, CPAP alone is not sufficient to modify PWA measures to levels comparable with non-OSA patients. This supports a need for a multifaceted approach when managing cardiovascular risk in patients with severe obesity and obstructive sleep apnoea receiving CPAP therapy.

  2. Obstructive sleep apnea and severe mental illness: evolution and consequences.

    Science.gov (United States)

    Lin, Wei-Chen; Winkelman, John W

    2012-10-01

    Sleep complaints are commonly encountered in psychiatric clinics. Underlying medical disorders or sleep disorders need to be identified and treated to optimize treatment of the mental illness. Excessive daytime sleepiness, which is the main symptom of obstructive sleep apnea (OSA), overlaps with those of many severe mental illnesses. Medication side effects or the disorder itself maybe account for daytime sleepiness but comorbid OSA is a possibility that should not be overlooked. The diagnosis of OSA is straightforward but treatment compliance is problematic in psychiatric patients. This article summarizes studies concerning comorbid OSA in patients with severe mental illness and includes suggestions for future investigations.

  3. Obstructive Sleep Apnea Screening Using a Piezo-Electric Sensor.

    Science.gov (United States)

    Erdenebayar, Urtnasan; Park, Jong Uk; Jeong, Pilsoo; Lee, Kyoung Joung

    2017-06-01

    In this study, we propose a novel method for obstructive sleep apnea (OSA) detection using a piezo-electric sensor. OSA is a relatively common sleep disorder. However, more than 80% of OSA patients remain undiagnosed. We investigated the feasibility of OSA assessment using a single-channel physiological signal to simplify the OSA screening. We detected both snoring and heartbeat information by using a piezo-electric sensor, and snoring index (SI) and features based on pulse rate variability (PRV) analysis were extracted from the filtered piezo-electric sensor signal. A support vector machine (SVM) was used as a classifier to detect OSA events. The performance of the proposed method was evaluated on 45 patients from mild, moderate, and severe OSA groups. The method achieved a mean sensitivity, specificity, and accuracy of 72.5%, 74.2%, and 71.5%; 85.8%, 80.5%, and 80.0%; and 70.3%, 77.1%, and 71.9% for the mild, moderate, and severe groups, respectively. Finally, these results not only show the feasibility of OSA detection using a piezo-electric sensor, but also illustrate its usefulness for monitoring sleep and diagnosing OSA. © 2017 The Korean Academy of Medical Sciences.

  4. Effects of obstructive sleep apnea and its treatment over the erectile function: a systematic review

    Directory of Open Access Journals (Sweden)

    Felix Campos-Juanatey

    2017-01-01

    Full Text Available Erectile dysfunction (ED is considered a condition with a broad range of etiologies. Obstructive sleep apnea (OSA syndrome is one of the lesser studied risk factors for ED. We intend to summarize the current evidence on the relationship between OSA and sexual impairment, focusing on the results in terms of erectile function of the different therapies offered to OSA patients. A systematic review was conducted, selecting articles related to the physiology of OSA and ED, and to the treatments of OSA syndrome and their reported outcomes in erectile and sexual function. Higher prevalences of ED in the OSA groups have been published. However, whether this effect on the erectile function occurs in the entire range of OSA severities remains unclear. Several hypotheses were proposed to explain the physiology of this association. Continuous Positive Airway Pressure as a treatment for OSA patients with ED has achieved a significative improvement in the sexual parameters in most of the studies. Phosphodiesterase type 5 inhibitors (iPDE5 on demand are useful as a treatment for ED in this subgroup of patients, with high satisfaction rates. The surgical treatment for the OSA evidenced benefits over the erectile function, and the effect on the sexual satisfaction of the therapy using Mandibular Advancement Devices is still undefined.

  5. [Quality of life in patients with obstructive sleep apnea].

    Science.gov (United States)

    Kasibowska-Kuźniar, Kamilla; Jankowska, Renata; Kuźniar, Tomasz

    2004-11-01

    Obstructive sleep apnea syndrome (OSA) is a condition affecting up to 5% of the population, in which episodes of upper airway obstruction lead to temporary cessation of airflow, disturbed sleep architecture and daily somnolence. The health consequences of OSA also include psychological and cognitive deficits, an increased risk of systemic and pulmonary hypertension, coronary disease, bradyarrhythmias and motor vehicle accidents. Symptoms and complications of OSA lead to a significant decrease of health-related quality of life (HRQOL) of affected patients. We review the current literature on HRQOL effects of OSA and its treatment. There is good evidence of beneficial effect of the continuous positive airway pressure (CPAP) therapy on the quality of life of patients with OSA. Improvements in HRQOL are most appreciable in patients with moderate to severe OSA, although they also seem to be present in selected patients with mild OSA. The effects of dental devices and surgical procedures on HRQOL of patients with OSA have not been studied in randomized, placebo-controlled trials. Health-related quality of life has become one of the major outcome measures in patients with sleep apnea. Assessment of HRQOL has become a crucial part of any clinical study involving patients with OSA.

  6. Role of the Gut Microbiome in Obstructive Sleep Apnea-Induced Hypertension.

    Science.gov (United States)

    Durgan, David J; Ganesh, Bhanu P; Cope, Julia L; Ajami, Nadim J; Phillips, Sharon C; Petrosino, Joseph F; Hollister, Emily B; Bryan, Robert M

    2016-02-01

    Individuals suffering from obstructive sleep apnea (OSA) are at increased risk for systemic hypertension. The importance of a healthy gut microbiota, and detriment of a dysbiotic microbiota, on host physiology is becoming increasingly evident. We tested the hypothesis that gut dysbiosis contributes to hypertension observed with OSA. OSA was modeled in rats by inflating a tracheal balloon during the sleep cycle (10-s inflations, 60 per hour). On normal chow diet, OSA had no effect on blood pressure; however, in rats fed a high-fat diet, blood pressure increased 24 and 29 mm Hg after 7 and 14 days of OSA, respectively (Phypertensive OSA rats on high-fat diet into OSA recipient rats on normal chow diet (shown to be normotensive) resulted in hypertension similar to that of the donor (increased 14 and 32 mm Hg after 7 and 14 days of OSA, respectively; Phypertension, and suggest that manipulation of the microbiota may be a viable treatment for OSA-induced, and possibly other forms of, hypertension. © 2015 American Heart Association, Inc.

  7. Satelliittelevisiooni piiriks on taevas / tõlk. Eva Rüütel

    Index Scriptorium Estoniae

    2003-01-01

    Briti juhtiv maksulise televisiooni firma BSkyB, mida kontrollib Rupert Murdochi News Corporation, näitab maailmale teed digitaaltelevisiooni uusima tehnoloogia osas. Diagrammid: Digitaaltelevisiooni tasuvus

  8. Polymorphisms in nitric oxide synthase and endothelin genes among children with obstructive sleep apnea.

    Science.gov (United States)

    Chatsuriyawong, Siriporn; Gozal, David; Kheirandish-Gozal, Leila; Bhattacharjee, Rakesh; Khalyfa, Ahamed A; Wang, Yang; Sukhumsirichart, Wasana; Khalyfa, Abdelnaby

    2013-09-06

    Obstructive sleep apnea (OSA) is associated with adverse and interdependent cognitive and cardiovascular consequences. Increasing evidence suggests that nitric oxide synthase (NOS) and endothelin family (EDN) genes underlie mechanistic aspects of OSA-associated morbidities. We aimed to identify single nucleotide polymorphisms (SNPs) in the NOS family (3 isoforms), and EDN family (3 isoforms) to identify potential associations of these SNPs in children with OSA. A pediatric community cohort (ages 5-10 years) enriched for snoring underwent overnight polysomnographic (NPSG) and a fasting morning blood draw. The diagnostic criteria for OSA were an obstructive apnea-hypopnea Index (AHI) >2/h total sleep time (TST), snoring during the night, and a nadir oxyhemoglobin saturation DNA from peripheral blood was extracted and allelic frequencies were assessed for, NOS1 (209 SNPs), NOS2 (122 SNPs), NOS3 (50 SNPs), EDN1 (43 SNPs), EDN2 (48 SNPs), EDN3 (14 SNPs), endothelin receptor A, EDNRA, (27 SNPs), and endothelin receptor B, EDNRB (23 SNPs) using a custom SNPs array. The relative frequencies of NOS-1,-2, and -3, and EDN-1,-2,-3,-EDNRA, and-EDNRB genotypes were evaluated in 608 subjects [128 with OSA, and 480 without OSA (NOSA)]. Furthermore, subjects with OSA were divided into 2 subgroups: OSA with normal endothelial function (OSA-NEF), and OSA with endothelial dysfunction (OSA-ED). Linkage disequilibrium was analyzed using Haploview version 4.2 software. For NOSA vs. OSA groups, 15 differentially distributed SNPs for NOS1 gene, and 1 SNP for NOS3 emerged, while 4 SNPs for EDN1 and 1 SNP for both EDN2 and EDN3 were identified. However, in the smaller sub-group for whom endothelial function was available, none of the significant SNPs was retained due to lack of statistical power. Differences in the distribution of polymorphisms among NOS and EDN gene families suggest that these SNPs could play a contributory role in the pathophysiology and risk of OSA-induced cardiovascular

  9. Sleep Misperception in Chronic Insomnia Patients with Obstructive Sleep Apnea Syndrome: Implications for Clinical Assessment.

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    Choi, Su Jung; Suh, Sooyeon; Ong, Jason; Joo, Eun Yeon

    2016-11-15

    To investigate whether sleep perception (SP), defined by the ratio of subjective and objective total sleep time, and habitual sleep time in various sleep disorders may be based on comorbid insomnia status. We enrolled 420 patients (age 20-79 y) who underwent polysomnography (PSG). They were divided into three groups based on chief complaints: chronic insomnia (CI, n = 69), patients with both obstructive sleep apnea and insomnia (OSA-I, n = 49) or OSA only (OSA, n = 149). Healthy volunteers were also recruited (normal controls [NC], n = 80). We compared differences in PSG parameters and habitual sleep duration and investigated the discrepancy between objective and subjective total sleep time (TST) and sleep latency among four groups. Subjective TST was defined as sleep time perceived by participants the next morning of PSG. SP for TST was highest in the OSA group (median 92.9%), and lowest in the CI group (80.3%). SP of the NC group (91.4%) was higher than the CI, but there was no difference between OSA-I and OSA groups. OSA-I had higher depressive mood compared to the OSA group (p insomnia and arousal index of PSG. Insomnia patients with (OSA-I) or without OSA (CI) reported the smallest discrepancy between habitual sleep duration and objective TST. Patients with OSA with or without insomnia have different PSG profiles, which suggests that objective measures of sleep are an important consideration for differentiating subtypes of insomnia and tailoring proper treatment. A commentary on this articles appears in this issue on page 1437. © 2016 American Academy of Sleep Medicine

  10. Prevalence of obstructive sleep apnea in Asian adults: a systematic review of the literature

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    Mirrakhimov Aibek E

    2013-02-01

    Full Text Available Abstract Background Obstructive sleep apnea (OSA is a common disease, affecting approximately 2% of women and 4% of men residing in Western communities. No systematically reviewed data are available about the prevalence of this disease in Asia, the most heavily populated continent. Methods PubMed/Medline, Scopus and Google Scholar were searched for articles published from 1993 to May 2012 that reported the prevalence of OSA diagnosed via sleep monitoring and the prevalence of patients at risk for OSA as assessed by symptomatology and/or sleep questionnaires. We have also searched abstract database of major pulmonary and sleep scientific societies for relevant abstracts presented from 2010 to 2012. The following inclusion criteria were used: articles published in English, age ≥ 18 years, ≥ 100 participants in studies using sleep monitoring for the diagnosis of OSA, ≥ 300 participants in studies using questionnaires to detect patients at high risk for OSA. Exclusion criteria: duplicate publications, studies reporting the prevalence of central sleep apnea only, hospital based studies as well as studies assessing OSA prevalence among patients with resistant arterial hypertension, chronic kidney disease, heart failure and in patients with concomitant neurological disease. Results Twenty four articles were found to meet the inclusion criteria, covering 47,957 subjects (26,042 men and 21,915 women and four relevant abstracts were noted. OSA prevalence ranged from 3.7% to 97.3%. Male gender, older age, a higher BMI and waist to hip ratio, greater neck circumference, arterial hypertension, smoking, snoring and daytime sleepiness were associated with OSA. Sample size, difference between the populations studied and the fact that some works included patients with a high pre-test probability of OSA explain the difference in prevalence rates. Conclusion This systematic review highlights the lack of data regarding the prevalence of OSA in Asians

  11. Evaluation of behavioral change after adenotonsillectomy for obstructive sleep apnea in children with autism spectrum disorder.

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    Murata, Emi; Mohri, Ikuko; Kato-Nishimura, Kumi; Iimura, Jiro; Ogawa, Makoto; Tachibana, Masaya; Ohno, Yuko; Taniike, Masako

    2017-06-01

    Obstructive sleep apnea (OSA) may affect daily cognitive functioning in children. The aims of our study were two-fold. The first aim was to detect, using the Child Behavior Checklist (CBCL), whether adenotonsillectomy (AT) for the treatment of OSA improved the behavior of children with autism spectrum disorder (ASD). The second aim was to identify characteristics for behavioral improvement following the treatment of OSA in these children with ASD. The behaviors of ASD children aged 5-14 years diagnosed as having OSA (n=30) were evaluated using CBCL before and after AT. CBCL evaluation of ASD children without OSA at two time points with the same interval served as a control (n=24). We statistically examined the two groups. In addition, we conducted a paired t-test to assess changes in CBCL Tscores between the improved group and unchanged/deteriorated group to identify characteristics that may affect behavioral changes following OSA treatment. After AT, T-scores of the CBCL scales were significantly improved in the OSA group, but no change was observed in the control. A paired t-test revealed that the improved group had significantly higher scores on the CBCL pre-AT than the unchanged/deteriorated group in ASD children with OSA after OSA treatment. Behavioral problems were significantly improved following AT in ASD children with OSA. Early detection and treatment of children with OSA is essential to prevent behavioral problems and to support mental development. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  12. Association between absolute tumor burden and serum bone-specific alkaline phosphatase in canine appendicular osteosarcoma.

    Science.gov (United States)

    Sternberg, R A; Pondenis, H C; Yang, X; Mitchell, M A; O'Brien, R T; Garrett, L D; Helferich, W G; Hoffmann, W E; Fan, T M

    2013-01-01

    In dogs with appendicular osteosarcoma (OSA), increased pretreatment serum bone-specific alkaline phosphatase (BALP) activity is a negative prognostic factor, associated with shorter disease-free intervals and survival times, but a biologic basis for observed differential serum BALP activities in canine OSA patients remains incompletely defined. Serum BALP activity will correlate with absolute tumor burden in dogs with OSA. This study included 96 client-owned dogs with appendicular OSA. In canine OSA cell lines, the expression and membranous release of BALP was evaluated in vitro. The correlation between serum BALP activity and radiographic primary tumor size was evaluated in OSA-bearing dogs. In dogs developing visceral OSA metastases, serial changes in serum BALP activities were evaluated in relation to progression of macroscopic metastases, and visceral metastatic OSA cells were evaluated for BALP expression. In vitro, BALP expression was not associated with either tumorigenic or metastatic phenotype, rather the quantity of membranous BALP released was proportional with cell density. In dogs devoid of macroscopic metastases, there was a positive correlation between serum BALP activity and absolute primary tumor size. In dogs with progressive OSA metastases, serum BALP activity increased and coincided with the development of macroscopic metastases. OSA cells derived from visceral metastatic lesions retained BALP expression. Tumor burden is a determinant of serum BALP activity in dogs with appendicular OSA. The association between increased pretreatment BALP activity and negative clinical prognosis may simply be attributed to greater initial tumor burden, and consequently more advanced tumor stage. Copyright © 2013 by the American College of Veterinary Internal Medicine.

  13. Pharyngeal chemosensitivity in patients with obstructive sleep apnea and healthy subjects.

    Science.gov (United States)

    Heiser, Clemens; Zimmermann, Ingo; Sommer, J Ulrich; Hörmann, Karl; Herr, Raphael M; Stuck, Boris A

    2013-09-01

    Signs of pharyngeal neurodegeneration have been detected in patients with obstructive sleep apnea (OSA). Along with this neurodegeneration, a decreased pharyngeal sensitivity to mechanical stimulation has been described. The decreased sensitivity may play a role in the pathophysiology of this disease. The aim of the study was to investigate the chemosensitivity of the pharyngeal mucosa in patients with OSA compared with controls. Healthy controls and patients with OSA (age: 30-60 years) were included. Testing of oropharyngeal chemosensitivity was performed with subjective intensity ratings of capsaicin (SIR, visual analogue scale 0-10), air puffs (presented with an olfactometer), and stimulation with CO2 at the posterior pharyngeal wall. A 2-point discrimination test at the soft palate, an intensity rating of capsaicin at the tongue, and a nasal lateralization test were performed. Twenty-six patients with OSA and 18 healthy controls were included. No differences were detected in the SIR of capsaicin at the tongue or in the nasal lateralization test. At the pharynx, a decreased sensitivity to capsaicin (OSA: 6.8 ± 2.3; healthy control: 8.6 ± 1.3), air puffs (OSA: 2.8 ± 1.9; healthy control: 4.2 ± 1.6), and stimulation with CO2 (OSA: 1.5 ± 1.7; healthy control: 2.8 ± 1.8) were demonstrated in patients with OSA (all P < 0.05). Two-point discrimination at the soft palate was reduced with statistical significance in the OSA group (OSA: 11.5 ± 5.4 mm; healthy control: 5.0 ± 2.4 mm). The results suggest reduced pharyngeal chemosensitivity in OSA patients in addition to the reduced mechanical pharyngeal sensitivity shown with 2-point discrimination. This demonstrates peripheral neurodegeneration in the context of this disease.

  14. Impaired Neurobehavioural Performance in Untreated Obstructive Sleep Apnea Patients Using a Novel Standardised Test Battery

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    Angela L. D'Rozario

    2018-05-01

    Full Text Available Objective/BackgroundAlthough polysomnography (PSG is the gold-standard measure for assessing disease severity in obstructive sleep apnea (OSA, it has limited value in identifying individuals experiencing significant neurobehavioural dysfunction. This study used a brief and novel computerised test battery to examine neurobehavioural function in adults with and without OSA.Patients/Methods204 patients with untreated OSA [age 49.3 (12.5 years; body mass index, [BMI] 33.6 (8.0 kg/m2; Epworth sleepiness scale 12 (4.9/24; apnea hypopnea index 33.6 (25.8/h] and 50 non-OSA participants [age 39.2 (14.0 years; BMI 25.8 (4.2 kg/m2, ESS 3.6 (2.3/24]. All participants completed a computerised neurobehavioural battery during the daytime in the sleep clinic. The OSA group subsequently underwent an overnight PSG. The 30 min test battery assessed cognitive domains of visual spatial scanning and selective attention (Letter Cancellation Test, executive function (Stroop task and working memory (2- and 3-Back tasks, and a validated sustained attention task (psychomotor vigilance task, PVT. Group differences in performance were compared. Associations between disease severity and performance were examined in the OSA group.ResultsAfter controlling for age, gender and education, OSA patients demonstrated impaired performance on the Stroop-Text, 2 and 3-Back tasks, and the PVT compared with the non-OSA group. OSA patients had worse performance on the LCT with fewer average hits albeit with better accuracy. Some OSA polysomnographic disease severity measures were weakly correlated with performance.ConclusionsThis brief test battery may provide a sensitive, standardised method of assessing daytime dysfunction in OSA.

  15. Prevalence of obstructive sleep apnea among obese toddlers and preschool children.

    Science.gov (United States)

    Bin-Hasan, Saadoun; Katz, Sherri; Nugent, Zoe; Nehme, Joy; Lu, Zihang; Khayat, Abdullah; Al-Saleh, Suhail; Amin, Reshma; Narang, Indra

    2018-05-01

    Obstructive sleep apnea (OSA) is a common disorder estimated at 1-5% in the school-aged children. With the obesity prevalence reaching staggering rates globally, OSA in obese adolescents is estimated to be 4-5-folds higher than their lean peers. There is a paucity of data regarding obesity-related OSA in children 6 years and less. This is particularly relevant as OSA is associated with neurocognitive deficits. The aim of this study is to evaluate the prevalence of OSA among obese toddlers and preschool children and further to determine what other factors may be associated with the presence of OSA. A retrospective study involving children ≤6 years, identified from two Canadian pediatric tertiary care centers who had an in-lab polysomnography (PSG). Obesity was defined by a BMI of > 95th percentile for age and gender or a z-score of > 2. OSA was diagnosed if the obstructive apnea-hypopnea index (OAHI) was greater than 2 events per hour. There were 60 participants included; the mean age was 4.4 years (standard deviation [SD] ± 1.7), mean BMI z-score was 3.0 (SD ± 1.2). Of these, 22/60 (36.6%) had OSA. Compared with the non-OSA group, the OSA group had a higher Epworth sleepiness score (p = 0.03) and were more likely to snore (p = 0.01). Young obese children should be assessed for OSA. A history of snoring and daytime sleepiness may be useful indicators to facilitate triage for a PSG, especially in resource-limited settings.

  16. Relação entre variáveis da composição corporal e densidade mineral óssea em mulheres idosas Relación entre las variables de la composición corporal y la densidade mineral ósea en mujeres añosas Relationship between variables of body composition and mineral bone density in elder women

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    Luciane Moreira Chaves

    2005-12-01

    Full Text Available Na literatura, há controvérsias sobre a importância da massa corporal total (MCT, da massa magra (MM e da massa gorda (MG como determinantes da densidade mineral óssea (DMO em mulheres idosas. OBJETIVOS: Determinar a relação da DMO com a MCT, MM e MG em mulheres idosas. MÉTODOS: Foram estudadas 97 mulheres com idade entre 60-70 anos e média de 66,41 ± 4,82 anos. Nenhuma participante fazia uso de hormônios ou qualquer outro medicamento que pudesse afetar o metabolismo ósseo, assim como não tinham o hábito de fumar ou de ingerir bebidas alcoólicas. A composição corporal e a DMO do colo femoral (CF e da coluna lombar (CL foram medidas através da DXA, um DPX-IQ lunar. As relações entre MCT, MM e MG e a DMO do CF e da CL foram realizadas separadamente, através da análise de regressão linear. A análise de regressão múltipla foi utilizada para determinar a contribuição da MCT, MM e MG sobre a DMO do CF e da CL. RESULTADOS: A MCT mostrou-se fortemente correlacionada com a DMO do CF e da CL (r = 0,54, p = 0,01 e r = 0,37, p = 0,01, respectivamente, do que a MG (r = 0,30, p = 0,01 e r = 0,19, p = 0,06, respectivamente e MM (r = 0,44, p = 0,01 e r = 0,26, p = 0,05, respectivamente. CONCLUSÃO: A MCT e a MM foram os componentes corporais que mantiveram relação significativa com a DMO do CF e da CL. A MG mostrou correlação fraca com a DMO do CF e da CL, não sendo estatisticamente significativa neste último sítio. Assim, a MCT e a MM são, entre as variáveis da composição corporal, as que mais significativamente determinam a DMO em mulheres idosas.En la literatura, hay controversias sobre la importancia de la masa corporal total (MCT, la masa magra (MM, y la masa grasa (MG como decisivas sobre la estimación de la densidad mineral osea (DMO en las mujeres mayores. OBJETIVO: Determinar la relación de DMO con MCT, MM y MG en las mujeres mayores. MÉTODOS: Se estudiaron 97 mujeres con la edad entre 60 -70 años de promedio entre 66,41 ± 4,82 años. No se identificó ningún uso de hormonas ni cualquier otra medicina que pudieran afectar el metabolismo del hueso, así como las mujeres no tenían hábito de fumar ni de ingerir alcohólico. La composición corporal y DMO de la región femoral (CF y de la columna lumbar (CL fueron moderados a través de DXA, un DPX-IQ lunar. Las relaciones entre MCT, MM y MG y DMO de CF y de CL fueron hechas separadamente, a través del análisis de regresión lineal. El análisis de regresión múltiple fue usado para determinar la contribución de MCT, MM y MG en DMO de CF y de CL. RESULTADOS: MCT mostró una correlación con DMO de CF fuertemente y de CL (r = 0,54, p = 0,01 y r = 0,37, p = 0,01 respectivamente, que la MG (r = 0,30, p = 0,01 y r = 0,19, p = 0,06 respectivamente y MM (r = 0,44, p = 0,01 y r = 0,26, p = 0,05 respectivamente. CONCLUSIÓN: MCT y MM fueron los componentes corpórales que mantuvieron la relación significante con DMO de CF y de CL. MG mostró una correlación débil con DMO de CF y de CL, no siendo estatisticamente significante en este último rango. Así, MCT y una saludable MM, son entre las variables de la composición corporal, uno de los determinantes significativos de la DMO en las mujeres más viejas.There are controversies in the literature as to the importance of the total body mass (TBM, lean mass (LM, and fat mass (FM as determinant factors to the mineral bone density (MBD in elder women. PURPOSE: To determine the relationship of the MBD to the TBM, LM and FM in elder women. METHODS: It was studied ninety-seven 60-70 years old women (mean 66.41 ± 4.82 years. None of the participants was using hormones or any other medication that could affect the bone metabolism, as well as they were not smokers or alcohol consumers. The body composition and the MBD of the femoral cervix (FC and lumbar spine (LS were measured through DXA, a lunar DPX-IQ. The relationship between TBM, LM, and FM as well as the FC and LS' MBD were performed separately using linear regression analysis. The multiple regression analysis was used to determine the TBM, LM, and FM on the FC and CL MBD. RESULTS: The TBM was strongly correlated to the FC and LS' MBD (r = 0.54, p = 0.01, and r = 0.37, p = 0.01, respectively than the FT (r = 0.30, p = 0.01, and r = 0.19, p = 0.06, respectively and the LM (r = 0.44, p = 0.01, and r = 0.26, p = 0.05, respectively. CONCLUSION: The TBM and LM were the body components that kept a significant relationship to the FC and LS' MBD. The FM showed a weak correlation to the FC and LS' MBD, and it was not significant in this last site. Thus, the TBM and the LM are the most significantly determinants among the body composition to the MBD in elder women.

  17. O efeito da sugestão de falsa informação para eventos emocionais: quão suscetíveis são nossas memórias? El efecto de información engañosa para eventos emocionales: ¿cuán susceptibles son nuestras memorias? Misinformation effect on memory for emotional events: how susceptible are our memories?

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    Carmem Beatriz Neufeld

    2008-09-01

    Full Text Available O presente trabalho visa fornecer evidências científicas da susceptibilidade das memórias a distorção através do estudo das falsas memórias (lembranças de eventos que, na realidade, não ocorreram para situações emocionalmente carregadas. Foi usada a versão brasileira dos instrumentos e procedimentos de Cahill, Prins, Weber, e McGaugh e adaptada por Neufeld, Brust e Stein para a investigação do efeito da emoção na memória e nas falsas memórias. O experimento investigou o efeito de sugestão de falsa informação em 138 alunos universitários. O procedimento também testou um material de sugestão de falsa informação congruente com a história na forma de um artigo de jornal. Os resultados indicam que a memória verdadeira não foi imune a erros e distorções, apesar de aparentemente ter sido auxiliada pela emocionalidade do evento. Ou seja, a sugestão de falsa informação parece ter auxiliado na discriminação dos itens sugeridos.El presente trabajo tiene el objetivo de proporcionar evidencias científicas de la susceptibilidad de la memoria y su distorsión a través del estudio de las falsas memorias (recuerdo de eventos que en realidad, no ocurrieron para situaciones emocionalmente intensas. En este estudio se utilizó la versión brasileña de los instrumentos y procedimientos Cahill, Prins, Weber y McGaugh adaptada por Neufeld, Brust y Stein para la investigación del efecto de la emoción en la memoria y las falsas memorias. El experimento investigo el efecto de sugestión de falsa información en 138 alumnos universitarios. El procedimiento también evaluó un material de sugestión de falsa información congruente con la historia en forma de un artículo de periódico. Los resultados indican que la memoria verdadera no fue inmune a errores y distorsiones a pesar de aparentemente haber sido auxiliada para la emocionalidad del evento, o sea, la sugestión de la falsa información parece haber auxiliado la discriminación de los ítems sugeridos.The current essay forwards scientific evidence on the susceptibility of distorted memories by assessing false memories (remembrance of events which actually did not occur in emotionally arousing situations. The Brazilian version of the Cahill, Prins, Weber and McGaugh's instruments and procedures adapted by Neufeld, Brust and Stein on the evaluation of the effect of emotion on memory and false memories were used. Misinformation effect on memory of 138 college students has been investigated. Misinformation material congruent to the story given in a newspaper article has also been tested. Results suggest that true memory has not been immune from errors and distortions even though it has apparently been supported by emotionally arousing events. In fact, misinformation seems to have assisted memory in the discrimination of the items suggested.

  18. Kõik mehed on vist sead? / Kristel Kirss

    Index Scriptorium Estoniae

    Kirss, Kristel, 1967-

    2003-01-01

    Arvustus: O'Brien, Edna. Maatüdrukud : [romaan] / tõlkinud [ja järelsõna:] Sirje Leol. Tallinn : Eesti Raamat, c2002 ; O'Brien, Edna. Üksildane tüdruk : [triloogia 2. osa] ; Tüdrukud abielutaevas : [triloogia 3. osa] / tõlkinud Sirje Leol. Tallinn : Eesti Raamat, 2003

  19. Excessive daytime sleepiness and metabolic syndrome in men with obstructive sleep apnea: a large cross-sectional study.

    Science.gov (United States)

    Fu, Yiqun; Xu, Huajun; Xia, Yunyan; Qian, Yingjun; Li, Xinyi; Zou, Jianyin; Wang, Yuyu; Meng, Lili; Tang, Xulan; Zhu, Huaming; Zhou, Huiqun; Su, Kaiming; Yu, Dongzhen; Yi, Hongliang; Guan, Jian; Yin, Shankai

    2017-10-03

    Excessive daytime sleepiness is a common symptom in obstructive sleep apnea (OSA). Previous studies have showed that excessive daytime sleepiness is associated with some individual components of metabolic syndrome. We performed a large cross-sectional study to explore the relationship between excessive daytime sleepiness and metabolic syndrome in male OSA patients. A total of 2241 suspected male OSA patients were consecutively recruited from 2007 to 2013. Subjective daytime sleepiness was assessed using the Epworth sleepiness scale. Anthropometric, metabolic, and polysomnographic parameters were measured. Metabolic score was used to evaluate the severity of metabolic syndrome. Among the male OSA patients