WorldWideScience

Sample records for vahendite osa teraviljakasvatuses

  1. ISH...? ISH! / Eve Osa

    Index Scriptorium Estoniae

    Osa, Eve

    1999-01-01

    23.-27. märtsini 1999. a. Frankfurdis Maini ääres toimunud 20. ehitustehnoloogia messist ISH, seal eksponeeritud vannitoa ja tualettruumi sisustusest. Osa võttis 2243 firmat 42 riigist. 22 illustratsiooni

  2. Intermittent Hypoxemia and OSA

    Science.gov (United States)

    Nieto, F. Javier; Somers, Virend K.

    2015-01-01

    OSA is a common chronic disorder that is associated with significant morbidity and mortality including cardiovascular, metabolic, and neurocognitive disease and increased cancer-related deaths. OSA is characterized by recurrent episodes of apneas and hypopneas associated with repetitive episodes of intermittent hypoxemia, intrathoracic pressure changes, and arousals. Intermittent hypoxemia (IH) is now being recognized as a potential major factor contributing to the pathogenesis of OSA-related comorbidities. OSA-related high-frequency IH is characterized by cycles of hypoxemia with reoxygenation that is distinctly different than sustained low-frequency hypoxia and contributes to ischemia-reperfusion injury. Data from both animal and human studies support mechanistic links between IH and its adverse impact at the tissue level. IH promotes oxidative stress by increased production of reactive oxygen species and angiogenesis, increased sympathetic activation with BP elevation, and systemic and vascular inflammation with endothelial dysfunction that contributes to diverse multiorgan chronic morbidity and mortality affecting cardiovascular disease, metabolic dysfunction, cognitive decline, and progression of cancer. Data from observational studies in large population groups also support the role for hypoxia in the pathogenesis of OSA comorbidity. Treatment with CPAP to reverse OSA-related symptoms and comorbidities has been shown to provide variable benefit in some but not all patient groups. Early treatment with CPAP makes intuitive sense to promote maximal functional recovery and minimize residual injury. More studies are needed to determine the interacting effects of IH and obesity, differential effects of both short-term and long-term hypoxemia, and the effect of CPAP treatment. PMID:25560865

  3. OSA and coronary plaque characteristics.

    Science.gov (United States)

    Tan, Adeline; Hau, William; Ho, Hee-Hwa; Ghaem Maralani, Haleh; Loo, Germaine; Khoo, See-Meng; Tai, Bee-Choo; Richards, A Mark; Ong, Paul; Lee, Chi-Hang

    2014-02-01

    Virtual histology intravascular ultrasound (VH-IVUS) is an intravascular imaging technique that enables the characterization of coronary plaques. We sought to determine the association between OSA and coronary plaque characteristics in patients presenting with coronary artery disease. We prospectively recruited patients with angiographically proven coronary artery disease for a VH-IVUS examination and home-based sleep study. The total atheroma volume of the entire target coronary artery and the incidence of thin cap fibroatheroma of patients with no to mild and moderate to severe OSA were compared. One hundred eighteen patients were recruited from two university-affiliated centers. Among the 93 patients who completed the study, 32 (34.4%) had newly diagnosed moderate to severe OSA (apnea-hypopnea index > 15). Compared with patients with no to mild OSA, those with moderate to severe OSA had a larger total atheroma volume (461.3 ± 250.4 mm³ vs 299.2 ± 135.6 mm³, P OSA and no to mild OSA regarding the prevalence of thin cap fibroatheroma in the culprit lesion (53.1% vs 54.2%, P = .919). In patients presenting with coronary artery disease, moderate to severe OSA was independently associated with a larger total atheroma volume in the target coronary artery. Further studies on the effects of CPAP on total atheroma volume are warranted. ClinicalTrials.gov; No.: NCT01306526; URL: www.clinicaltrials.gov.

  4. Relationship Between OSA and Hypertension.

    Science.gov (United States)

    Torres, Gerard; Sánchez-de-la-Torre, Manuel; Barbé, Ferran

    2015-09-01

    There is a bidirectional association between OSA and systemic hypertension. The strengths of this relationship appear to be modulated by factors such as age, sex, and somnolence. The 24-h BP circadian pattern also appears to be influenced by OSA. Patients with this syndrome exhibit a high prevalence of nondipping or riser circadian patterns, which are related to clinical and subclinical organ damage in the heart and brain. However, the influence of OSA on nocturnal hypertension development has not yet been clarified. A special area of interest is the recognized relationship between OSA and resistant hypertension. The majority of patients with resistant hypertension suffer OSA. CPAP treatment significantly reduces BP in such patients and could play a clinical role in the management of BP in these patients. Several meta-analyses have demonstrated a concordant mild effect of CPAP on systemic hypertension. This effect is related to CPAP compliance, somnolence status, and baseline BP. The effects of oral appliances on BP in patients with OSA must be evaluated in randomized controlled trials. In the absence of additional data reported by clinical studies on other antihypertensive drug treatments, diuretics, particularly antialdosteronic diuretic agents, should be considered the first-line antihypertensive drug treatment in patients with OSA. By reducing parapharyngeal edema and secondary upper airway obstruction, these drugs appear to improve OSA severity and also to reduce BP.

  5. Update on Oral Appliance Therapy for OSA.

    Science.gov (United States)

    Marklund, M

    2017-01-01

    The majority of the adult population is affected by obstructive sleep apnea (OSA), according to recent epidemiological research. Oral appliance (OA) therapy is increasingly recommended, particularly for patients with milder OSA. This review updates the evidence in favor of OA therapy. A high level of evidence shows that OA is effective in the treatment of OSA, but continuous positive airway pressure (CPAP) is more efficient. Higher adherence with OAs may compensate for this difference. Daytime sleepiness is better treated with CPAP than with OA in patients with severe OSA. In patients with milder OSA, it is unclear whether sleepiness is significantly reduced. The long-term effectiveness of OAs is uncertain because of side-effects and the risk of OSA deterioration. OAs are effective, but their efficacy is more variable than that of CPAP. More research is needed about the mechanism of action of OA, subjective effects and long-term health outcomes.

  6. OSA and Cardiac Arrhythmogenesis: Mechanistic Insights.

    Science.gov (United States)

    May, Anna M; Van Wagoner, David R; Mehra, Reena

    2017-01-01

    A surge of data has reproducibly identified strong associations of OSA with cardiac arrhythmias. As an extension of epidemiologic and clinic-based findings, experimental investigations have made strides in advancing our understanding of the putative OSA and cardiac arrhythmogenesis mechanistic underpinnings. Although most studies have focused on the links between OSA and atrial fibrillation (AF), relationships with ventricular arrhythmias have also been characterized. Key findings implicate OSA-related autonomic nervous system fluctuations typified by enhanced parasympathetic activation during respiratory events and sympathetic surges subsequent to respiratory events, which contribute to augmented arrhythmic propensity. Other more immediate pathophysiologic influences of OSA-enhancing arrhythmogenesis include intermittent hypoxia, intrathoracic pressure swings leading to atrial stretch, and hypercapnia. Intermediate pathways by which OSA may trigger arrhythmia include increased systemic inflammation, oxidative stress, enhanced prothrombotic state, and vascular dysfunction. Long-term OSA-associated sequelae such as hypertension, atrial enlargement and fibrosis, ventricular hypertrophy, and coronary artery disease also predispose to cardiac arrhythmia. These factors can lead to a reduction in atrial effective refractory period, triggered and abnormal automaticity, and promote slowed and heterogeneous conduction; all of these mechanisms increase the persistence of reentrant arrhythmias and prolong the QT interval. Cardiac electrical and structural remodeling observed in OSA animal models can progress the arrhythmogenic substrate to further enhance arrhythmia generation. Future investigations clarifying the contribution of specific OSA-related mechanistic pathways to arrhythmia generation may allow targeted preventative therapies to mitigate OSA-induced arrhythmogenicity. Furthermore, interventional studies are needed to clarify the impact of OSA pathophysiology

  7. 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,

  8. Impact of Weight Loss Management in OSA.

    Science.gov (United States)

    Joosten, Simon A; Hamilton, Garun S; Naughton, Matthew T

    2017-07-01

    The interaction between obesity and OSA is complex. Although it is often assumed that obesity is the major cause of OSA, and that treatment of the OSA might mitigate further weight gain, new evidence is emerging that suggests this may not be the case. Obesity explains about 60% of the variance of the apnea-hypopnea index (AHI) definition of OSA, mainly in those OSA with CPAP is associated with a small but significant weight gain. This weight gain effect may result from abolition of the increased work of breathing associated with OSA. Unfortunately, weight loss by either medical or surgical techniques, which often cures type 2 diabetes, has a beneficial effect on sleep apnea in only a minority of patients. A short jaw length may be predictive of a better outcome. The slight fall in the overall AHI with weight loss, however, may be associated with a larger drop in the nonsupine AHI, thus converting some patients from nonpositional to positional (ie, supine only) OSA. Importantly, patients undergoing surgical weight loss need close monitoring to prevent complications. Finally, in patients with moderate to severe obesity-related OSA, the combination of weight loss with CPAP appears more beneficial than either treatment in isolation. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

  9. 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

  10. Depression and Obstructive Sleep Apnea (OSA

    Directory of Open Access Journals (Sweden)

    O'Hara Ruth

    2005-06-01

    Full Text Available Abstract For over two decades clinical studies have been conducted which suggest the existence of a relationship between depression and Obstructive Sleep Apnea (OSA. Recently, Ohayon underscored the evidence for a link between these two disorders in the general population, showing that 800 out of 100,000 individuals had both, a breathing-related sleep disorder and a major depressive disorder, with up to 20% of the subjects presenting with one of these disorders also having the other. In some populations, depending on age, gender and other demographic and health characteristics, the prevalence of both disorders may be even higher: OSA may affect more than 50% of individuals over the age of 65, and significant depressive symptoms may be present in as many as 26% of a community-dwelling population of older adults. In clinical practice, the presence of depressive symptomatology is often considered in patients with OSA, and may be accounted for and followed-up when considering treatment approaches and response to treatment. On the other hand, sleep problems and specifically OSA are rarely assessed on a regular basis in patients with a depressive disorder. However, OSA might not only be associated with a depressive syndrome, but its presence may also be responsible for failure to respond to appropriate pharmacological treatment. Furthermore, an undiagnosed OSA might be exacerbated by adjunct treatments to antidepressant medications, such as benzodiazepines. Increased awareness of the relationship between depression and OSA might significantly improve diagnostic accuracy as well as treatment outcome for both disorders. In this review, we will summarize important findings in the current literature regarding the association between depression and OSA, and the possible mechanisms by which both disorders interact. Implications for clinical practice will be discussed.

  11. 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.

  12. 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.

  13. Intraoperative BiPAP in OSA Patients.

    Science.gov (United States)

    Singh, Bhavna P; Ns, Kodandaram

    2015-04-01

    Obstructive sleep apnea syndrome (OSA) is characterized by recurrent episodes of partial or complete upper airway obstructions during sleep. Severe OSA presents with a number of challenges to the anesthesiologist, the most life threatening being loss of the airway. We are reporting a case where we successfully used intraoperative bi level positive pressure ventilation (BiPAP) with moderate sedation and a regional technique in a patient with severe OSA posted for total knee replacement (TKR). A 55-year-old lady with osteoarthritis of right knee joint was posted for total knee replacement. She had severe OSA with an apnea-hypopnea index of 35. She also had moderate pulmonary hypertension due to her long standing OSA. We successfully used in her a combined spinal epidural technique with intraoperative BiPAP and sedation. She had no complications intraoperatively or post operatively and was discharged on day 5. Patients with OSA are vulnerable to sedatives, anaesthesia and analgesia which even in small doses can cause complete airway collapse. The problem, with regional techniques is that it requires excellent patient cooperation. We decided to put our patient on intraoperative BiPAP hoping that this would allow us to sedate her adequately for the surgery. As it happened we were able to successfully sedate her with slightly lesser doses of the commonly used sedatives without any episodes of desaturation, snoring or exacerbation of pulmonary hypertension. Many more trials are required before we can conclusively say that intraoperative BiPAP allows us to safely sedate OSA patients but we hope that our case report draws light on this possibility. Planning ahead and having a BiPAP machine available inside the operating may allow us to use sedatives in these patients to keep them comfortable under regional anaesthesia.

  14. OSA and Prognosis After Acute Cardiogenic Pulmonary Edema: The OSA-CARE Study.

    Science.gov (United States)

    Uchôa, Carlos Henrique G; Pedrosa, Rodrigo P; Javaheri, Shahrokh; Geovanini, Glaucylara R; Carvalho, Martinha M B; Torquatro, Ana Claudia S; Leite, Ana Paula D L; Gonzaga, Carolina C; Bertolami, Adriana; Amodeo, Celso; Petisco, Ana Claudia G P; Barbosa, José Eduardo M; Macedo, Thiago A; Bortolotto, Luiz A; Oliveira, Múcio Tavares; Lorenzi-Filho, Geraldo; Drager, Luciano F

    2017-12-01

    Acute cardiogenic pulmonary edema (ACPE) is a life-threatening condition. OSA may be a modifiable risk factor for ACPE recurrence. This study was designed to evaluate the impact of OSA on the incidence of cardiovascular events following ACPE recovery. Consecutive patients with confirmed ACPE from 3 centers underwent a sleep study following clinical stabilization. OSA was defined as an apnea-hypopnea index (AHI) ≥ 15 events/h. The mean follow-up was 1 year, and the primary outcome was ACPE recurrence. A total of 104 patients were included in the final analysis; 61% of the patients had OSA. A higher rate of ACPE recurrence (25 vs 6 episodes; P = .01) and a higher incidence of myocardial infarction (15 vs 0 episodes; P = .0004) were observed in patients with OSA than in those without OSA. All 17 deaths occurred in the OSA group (P = .0001). In a Cox proportional hazards regression analysis, OSA was independently associated with ACPE recurrence (hazard ratio [HR], 3.3 [95% CI, 1.2-8.8]; P = .01), incidence of myocardial infarction (HR, 2.3 [95% CI, 1.1-9.5]; P = .02), cardiovascular death (HR, 5.4 [95% CI, 1.4-48.4]; P = .004), and total death (HR, 6.5 [95% CI, 1.2-64.0]; P = .005). When the analysis was limited only to patients with OSA, levels of AHI and hypoxemic burden and rates of sleep-onset ACPE were significantly higher in those who presented with ACPE recurrence or who died than in those who did not experience these events. OSA is independently associated with higher rates of ACPE recurrence and both fatal and nonfatal cardiovascular events. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  15. 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

  16. Teraviljakasvatus : [Eestis 2003-2004] / Elsa Nurk

    Index Scriptorium Estoniae

    Nurk, Elsa

    2005-01-01

    Ilmunud ka: Agriculture and the development of rural life : overview 2004/2005. - Tallinn, 2005, lk. 31-34. Koristatud teraviljasaaak 2004. a. oli 599,7 tuhat tonni, millest 19,7 tuhat tonni oli rukist, 184,7 tuhat tonni nisu ja 289,5 tuhat tonni otra. Tabel

  17. Heritability of OSA in a Rural Population.

    Science.gov (United States)

    de Paula, Lilian K G; Alvim, Rafael O; Pedrosa, Rodrigo P; Horimoto, Andrea R V R; Krieger, José E; Oliveira, Camila M; Pereira, Alexandre C; Lorenzi-Filho, Geraldo

    2016-01-01

    OSA has a familial aggregation pattern indicating that it can be partially caused by a genetic component. However, the heritability of OSA has been estimated based on the study of families of obese probands of urban populations with established OSA diagnosis. The objective of this genetic-epidemiologic study is to study families ascertained from a general rural population to determine an unbiased estimate of OSA heritability. We studied a sample of families living in Baependi, a small rural southeastern Brazilian city. Participants were assessed for anthropometric measurements, physical examination, Epworth Sleepiness Scale, blood samples for glucose and cholesterol determination, and overnight home portable monitoring. We studied 587 participants (399 women) from 91 families, with a median (interquartile range [IQR]) of 4 (2-8) participants per family. The median age of the population was 44 years (IQR, 29-55 years) and median BMI was 25.0 kg/m(2) (IQR, 22.1-28.6 kg/m(2)). OSA, defined by apnea-hypopnea index (AHI) > 5/h, was diagnosed in 18.6% of the sample. Two polygenic models, model I (no covariate effects) and model II (with covariate effects), were fitted to the data in all analyses. Heritability estimates for AHI were 0.23 and 0.25 for model I and II, respectively. Covariates (age, sex, and BMI) showed no significant effects on the heritability estimate for AHI. The heritability of AHI in a rural population with low levels of obesity is intermediate (25%). Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  18. The association of NOV/CCN3 with obstructive sleep apnea (OSA): preliminary evidence of a novel biomarker in OSA.

    Science.gov (United States)

    Weingarten, Jeremy A; Bellner, Lars; Peterson, Stephen J; Zaw, Moe; Chadha, Puja; Singh, Shailendra P; Abraham, Nader G

    2017-09-01

    Obstructive sleep apnea (OSA) has a strong association with cardiovascular and metabolic abnormalities, although the mechanism driving this association is not well established. NOV/CCN3, a multifunctional extracellular matrix protein, may play a mechanistic and/or prognostic role in these associations. We hypothesized that patients with OSA, which primarily affects obese individuals, will have increased levels of NOV, and that NOV can serve as a biomarker in patients to predict OSA as well as metabolic and cardiac risk. Ten morbidly obese and 10 healthy lean subjects underwent overnight polysomnography (PSG) and clinical evaluation. Blood samples were analyzed for NOV levels, adiponectin and IL-6. OSA was found in nine obese subjects and three lean subjects. NOV levels were significantly higher in the OSA vs. no OSA group (2.1 ± 0.9 vs. 1.3 ± 0.8, p OSA vs. no OSA group (2.1 ± 0.9 vs. 1.0 ± 0.4, p OSA vs. no OSA were consistent with an inflammatory phenotype in obese subjects and OSA subjects. NOV is a novel biomarker of the presence and severity of OSA and a potential marker of future cardiovascular and metabolic disease in OSA patients.

  19. Computed tomography cephalometric and upper airway measurements in patients with OSA and erectile dysfunction.

    Science.gov (United States)

    Drakatos, Panagis; Karkoulias, Kiriakos; Giannitsas, Konstantinos; Kalogeropoulou, Christina; Papapanagiotou, Nikos; Lykouras, Dimosthenis; Sampsonas, Fotis; Petsas, Theodoros; Perimenis, Petros; Spiropoulos, Konstantinos

    2016-05-01

    Erectile dysfunction (ED) has been linked to obstructive sleep apnea (OSA). This study used computed tomography (CT) to identify cephalometric and upper airway anatomic features in patients with OSA that correlate with the presence of ED. In this prospective study, 20 CT cephalometric and upper airway measurements, most commonly associated with OSA, were analyzed in 53 age- and BMI-matched consecutive eligible subjects. Twenty-two were diagnosed with OSA and ED (OSA+/ED+), 17 with OSA without ED (OSA+/ED-), and 14 without OSA and ED (OSA-/ED-) serving as a control group. Although OSA+/ED+ did not differentiate significantly in CT measurements from OSA+/ED-, they showed more alterations when compared to OSA-/ED-, which included narrower bony oropharynx, longer soft palate and uvula (PNS-P), and narrower retropalatal and retrolingual airway diameter (p OSA (OR = 1.129, 95 % CI = 1.0005-1.268, p = 0.041). In the OSA+/ED+ group, PNS-P correlated with the percentage of total sleep time with oxygen saturation OSA. Only OSA+/ED+ showed significant narrowing in the retropalatal, retrolingual, and bony oropharynx level when compared with BMI-matched OSA-/ED-.

  20. Surface cephalometric and anthropometric variables in OSA patients: statistical models for the OSA phenotype.

    Science.gov (United States)

    Perri, Rita A; Kairaitis, Kristina; Cistulli, Peter; Wheatley, John R; Amis, Terence C

    2014-03-01

    We used statistical modelling to probe the contributions of anthropometric and surface cephalometric variables to the OSA phenotype. The design is prospective cohort study. The setting is community-based and sleep disorder laboratory. Study #1-Model development study: 147 healthy asymptomatic volunteers (62.6 % Caucasian; age, 18-76 years; 81 females; median multivariable apnea prediction index=0.15) and 140 diagnosed OSA patients (84.3 % Caucasian; age, 18-83 years; 41 females; polysomnography [PSG] determined apnea-hypopnea index >10 events/h). Study #2-Model test study: 345 clinic patients (age, 18-86 years; 129 females) undergoing PSG for diagnosis of OSA. We measured 10 anthropometric and 34 surface cephalometric dimensions (calipers) and calculated mandibular enclosure volumes for study #1 and recorded age and neck circumference for study #2. Statistical modelling included principal component (PC), logistic regression, and receiver-operator curve analyses. Model development study: A regression model incorporating three identified PC predicted OSA with 88 % sensitivity and specificity. However, a simplified model based on age and NC alone was equally effective (87 % sensitivity and specificity). Model test study: The simplified model predicted OSA with high sensitivity (93 %) but poor specificity (21 %). We conclude that in our clinic-based cohort, craniofacial bony and soft tissue structures (excluding neck anatomy) do not play a substantial role in distinguishing patients with OSA from those without. This may be because craniofacial anatomy does not contribute greatly to the pathogenesis of OSA in this group or because referral bias has created a relatively homogeneous phenotypic population.

  1. OSA and pulmonary hypertension: time for a new look.

    Science.gov (United States)

    Ismail, Khalid; Roberts, Kari; Manning, Patrick; Manley, Christopher; Hill, Nicholas S

    2015-03-01

    OSA is a common yet underdiagnosed disorder encountered in everyday practice. The disease is a unique physiologic stressor that contributes to the development or progression of many other disorders, particularly cardiovascular conditions. The pulmonary circulation is specifically affected by the intermittent hypoxic apneas associated with OSA. The general consensus has been that OSA is associated with pulmonary hypertension (PH), but only in a minority of OSA patients and generally of a mild degree. Consequently, there has been no sense of urgency to screen for either condition when evaluating the other. In this review, we explore available evidence describing the interaction between OSA and PH and seek to better understand underlying pathophysiology. We describe certain groups of patients who have a particular preponderance of OSA and PH. Failure to recognize the mutual additive effects of these disorders can lead to suboptimal patient outcomes. Among patients with PH and OSA, CPAP, the mainstay treatment for OSA, may ameliorate pulmonary pressure elevations, but has not been studied adequately. Conversely, among patients with OSA, PH significantly limits functional capacity and potentially shortens survival; yet, there is no routine screening for PH in patients with OSA. We think it is time to study the interaction between OSA and PH more carefully to identify high-risk subgroups. These would be screened for the presence of combined disorders, facilitating earlier institution of therapy and improving outcomes.

  2. OSA and cardiometabolic risk: What's the bottom line?

    Science.gov (United States)

    Hoyos, Camilla M; Drager, Luciano F; Patel, Sanjay R

    2017-04-01

    Obstructive sleep apnoea (OSA) is a common condition characterized by repetitive upper airway obstruction during sleep. OSA promotes wide intrathoracic pressure swings, intermittent hypoxia and sleep fragmentation. Growing evidence derived from animal models mimicking the oxygen profile observed in patients with OSA as well as clinical studies support that this important sleep-disordered breathing is associated with increased cardiovascular risk. Although the precise mechanisms are not fully established, it is conceivable that the metabolic deregulation promoted by the components of OSA may have an important causal role in the poor cardiovascular prognosis. In this review, we summarize the potential role of OSA and its components on cardiometabolic disease. We also summarize evidence evaluating the impact of OSA treatment (notably continuous positive airway pressure) on reversing the metabolic deregulation promoted by OSA. Finally, we discuss the research agenda and perspectives for this important research area. © 2017 Asian Pacific Society of Respirology.

  3. The efficacy of the OSA-18 as a waiting list triage tool for OSA in children.

    Science.gov (United States)

    Walter, Lisa M; Biggs, Sarah N; Cikor, Natascha; Rowe, Kathy; Davey, Margot J; Horne, Rosemary S C; Nixon, Gillian M

    2016-05-01

    Sleep disordered breathing (SDB) is common in children, resulting in extensive waiting lists for specialist clinics. There is an urgent need for a valid method of triaging patients and the OSA-18, a disease-specific tool, is an attractive candidate for this role. We aimed to examine the OSA-18 as a measurement tool in detail and to determine whether the score or aspects of it could be used as a screening tool for SDB in children. Retrospective analysis of 582 children (6 months to 16.4 years)-216 underwent overnight PSG and 366 overnight oximetry. Confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were conducted. Receiver operating characteristic curve analysis assessed the diagnostic accuracy of the factors for the presence of OSA. Rasch analysis was used to assess the structure of the items (1-18) and categories of response (Likert scale). The CFA with a forced five-factor structure, revealed three factors with Eigenvalues >1, and explained 73.7 % of the variance. EFA resulted in a two-factor structure, explaining 60.3 % of the variance. Assessment of sensitivity and specificity showed a high false-positive rate, irrespective of the factor structure tested. Rasch analysis showed poor discrimination between adjacent categories on the Likert scale. This study confirmed that the predictive value of the OSA-18 for SDB severity is weak. Some questions perform better than others statistically, and the seven categories of response introduce significant statistical noise, raising the possibility that modification of the OSA-18 may improve its performance in the prediction of OSA severity.

  4. Back to sleep or not: the effect of the supine position on pediatric OSA: Sleeping position in children with OSA.

    Science.gov (United States)

    Walter, Lisa M; Dassanayake, Daranagama U N; Weichard, Aidan J; Davey, Margot J; Nixon, Gillian M; Horne, Rosemary S C

    2017-09-01

    In both adults and children, obstructive sleep apnea (OSA) has significant adverse cardiovascular consequences. In adults, sleeping position has a marked effect on the severity of OSA; however, the limited number of studies conducted in children have reported conflicting findings. We aimed to evaluate the effect of sleeping position on OSA severity and the cardiovascular consequences in preschool-aged children. This was a retrospective analysis of children (3-5 years of age) diagnosed with OSA (n = 75) and nonsnoring controls (n = 25). Sleeping position was classified as supine, semi-supine, left lateral, right lateral, prone, and semi-prone by using video recordings during one night of attended polysomnography. OSA severity and cardiovascular parameters were compared between the positions. All children spent significantly more sleep time in the supine position than in any other position. The obstructive apnea-hypopnea index was higher in the supine position than in the other sleeping positions during NREM (p OSA group when sleeping in the supine position than when sleeping in the left and right lateral positions (p OSA in the supine and lateral positions (p OSA, predominately sleep in the supine position, and OSA was more severe in the supine position. We suggest that to avoid the supine sleep position, positional therapy has the potential to ameliorate OSA severity, and the known cardiovascular consequences. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Antiinflammatory therapy outcomes for mild OSA in children.

    Science.gov (United States)

    Kheirandish-Gozal, Leila; Bhattacharjee, Rakesh; Bandla, Hari P R; Gozal, David

    2014-07-01

    OSA is highly prevalent in children and usually initially treated by adenotonsillectomy. Nonsurgical alternatives for mild OSA primarily consisting of antiinflammatory approaches have emerged, but their efficacy has not been extensively assessed. A retrospective review of clinically and polysomnographically diagnosed patients with OSA treated between 2007 and 2012 was performed to identify otherwise healthy children ages 2 to 14 years who fulfilled the criteria for mild OSA and who were treated with a combination of intranasal corticosteroid and oral montelukast (OM) for 12 weeks (ICS + OM). A subset of children continued OM treatment for 6 to 12 months. A total of 3,071 children were diagnosed with OSA, of whom 836 fulfilled mild OSA criteria and 752 received ICS + OM. Overall, beneficial effects occurred in > 80% of the children, with nonadherence being documented in 61 children and adenotonsillectomy being ultimately performed in 12.3%. Follow-up polysomnography in a subset of 445 patients showed normalization of sleep findings in 62%, while 17.1% showed either no improvement or worsening of their OSA. Among the latter, older children (aged > 7 years; OR, 2.3; 95% CI, 1.43-4.13; P 1.65; OR: 6.3; 95% CI, 4.23-11.18; P OSA appears to provide an effective alternative to adenotonsillectomy, particularly in younger and nonobese children. These results support implementation of multicenter randomized trials to more definitively establish the role of ICS + OM treatment in pediatric OSA.

  6. Serum testosterone and depressive symptoms in severe OSA patients.

    Science.gov (United States)

    Bercea, R M; Patacchioli, F R; Ghiciuc, C M; Cojocaru, E; Mihaescu, T

    2013-10-01

    Obstructive sleep apnoea (OSA), also characterised by hypoxia-related sleep- fragmentation, has been studied in relation to depression and serum testosterone deficit. In middle-aged men, it has been reported the association between depressive mood and low serum testosterone level; however, no data are available about this association in OSA patients. Therefore, the aim of this study was to investigate in adult obese males, affected by severe OSA, the relationship between serum testosterone concentration and depressive symptoms, in order to identify among all measured parameters (serum testosterone morning concentration, polysomnography parameters, body mass index, Epworth Sleepiness Scale) those predictors for OSA-related depression. Forty patients diagnosed with severe OSA and forty subjects for the control-matched group were enroled in the study. The results indicated that the serum testosterone in OSA group was significantly lower than in controls. In addition, the OSA group presented a level of depression although moderate, yet significantly higher than controls. Furthermore, a statistically significant inverse correlation has been found between serum testosterone level and depressive symptoms. Among all variables, serum testosterone level was shown to be the only independent variable significantly predictor for depression in OSA patients. © 2012 Blackwell Verlag GmbH.

  7. Cost-effectiveness strategies in OSAS management: a short review.

    Science.gov (United States)

    Toraldo, D M; Passali, D; Sanna, A; De Nuccio, F; Conte, L; De Benedetto, M

    2017-12-01

    Obstructive sleep apnoea (OSAS) is an underdiagnosed chronic disease with a high prevalence in adults. It is becoming a significant social problem, since it is associated with a worsening in quality of life and increase in mortality. The cost-effectiveness ratio of diagnostic and therapeutic management of OSAS is a strategic issue to counteract the expected increasing demand of objective testing. OSAS patients with any clinical evidence of comorbidities must be studied using simplified and less expensive systems such as Home Sleep Testing (HST). On the other hand, Sleep Laboratory Polysomnography (PSG) is the gold standard to manage OSAS patients with comorbidities. It should be pointed out that the use of HST can lead to incorrect diagnosis in poorly selected OSAS subjects. This short review discusses various topics for the proper diagnosis and treatment of OSAS in view of epidemiological factors and results in terms of costs and social benefit of the disease. Whatever the strategy chosen and/or the organisational model adopted for managing OSAS, it cannot and should not take into account only cost-effectiveness. Long-term prospective studies evaluating cost-effectiveness ratios and outcomes of OSAS treatment of hospital management models versus home care models are needed. © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale, Rome, Italy.

  8. 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).

  9. Obstructive Sleep Apnea Syndrome (OSAS) and Cardiovascular System.

    Science.gov (United States)

    Lombardi, Carolina; Tobaldini, Eleonora; Montano, Nicola; Losurdo, Anna; Parati, Gianfranco

    2017-08-28

    There is increasing evidence of a relationship between Obstructive Sleep Apnea (OSA) and cardiovascular diseases. The strong association between OSA and arterial hypertension, in particular in patients with resistant hypertension and/or a non-dipping profile, has been extensively reported. The relationship between OSA and high blood pressure (BP) has been found independent from a number of confounders, but several factors may affect this relationship, including age and sex. It is thus important to better assess pathophysiologic and clinical interactions between OSA and arterial hypertension, also aimed at optimizing treatment approaches in OSA and hypertensive patients with co-morbidities. Among possible mechanisms, cardiovascular autonomic control alterations, altered mechanics of ventilation, inflammation, endothelial dysfunction, and renin-angiotensin-aldosterone system should be considered with particular attention. Additionally, available studies also support the occurrence of a bidirectional association between OSA and cardiovascular alterations, in particular heart failure, stroke and cardiac arrhythmias, emphasizing that greater attention is needed to both identify and treat sleep apneas in patients with cardiovascular diseases. However, a number of aspects of such a relationship are still to be clarified, in particular with regard to gender differences, effect of sleep-related breathing disorders in childhood, and influence of OSA treatment on cardiovascular risk, and they may represent important targets for future studies.

  10. Hearing loss in mild OSAS and simple snoring patients.

    Science.gov (United States)

    Spinosi, Maria Carla; D'Amico, Francesca; Passali, Giulio; Cingi, Cemal; Rodriguez, Hugo; Passali, Desiderio

    2017-04-30

    Introduction Obstructive Sleep Apnea Syndrome (OSAS) is characterized by recurrent episodes of prolonged partial or complete obstruction of the upper airways. Several study groups studied the effect of snoring and OSAS on auditory function, showing an increase in the incidence of hearing loss in apneic patients, an earlier onset and/or a degree of hearing loss deeper than in peers. The aim of our study is to evaluate the audiological performance of a population of simple-snoring patients and patients suffering from mild OSAS, and the impact that such pathological condition can have on the auditory function, considering the significant levels of chronic noise. Materials and Methods Data was collected by analyzing audiometric exams on snoring patients and a control group of non-snoring patients. Our study included simple snoring patients without OSAS (AHI < 5) or with low level of OSAS (5< AHI < 15). Possible hearing loss was classified in a crescent scale (A-B-C-D-E), from greater to minor auditory performance, according to the indications of the national protocol of occupational medicine for evaluation of hearing loss in patients exposed to chronic noise. Results We have found independence between simple snorers, mild-OSAS snorers and non-snoring patients compared to the scale of hearing performance classification. Conclusions Our results show a distribution of hearing loss in the different groups that appear independent of the presence or absence of snoring, complicated or uncomplicated by mild OSAS.

  11. Gender dimorphism in pediatric OSA: Is it for real?

    Science.gov (United States)

    Brockmann, Pablo E; Koren, Dorit; Kheirandish-Gozal, Leila; Gozal, David

    2017-11-01

    In epidemiologic studies focused on adults, obstructive sleep apnea (OSA) has higher prevalence in men than in women. The evidence supporting a gender-related discrepant prevalence of OSA is however much more tenuous in children. Here, we aimed to review the evidence concerning gender- based differences in the prevalence of OSA in children, and if so, to examine the evidence with the intent to identify potential factors that may account for this putative association. Gender-based perception and reporting of clinical manifestations of OSA may be modulated by several social and cultural factors in children. Among those factors, gender may crucially affect the reporting of symptoms such as snoring, and therefore markedly skew the male:female prevalence ratios of OSA. On the other hand, hormonal changes associated with puberty, may be playing a role, albeit a relatively smaller one than previously construed. Gender bias in OSA is most likely due to complex interactions between several physiological and epidemiologic factors that are clearly operational in adults. However, the evidence of clear gender-based differences in OSA prevalence or severity remains unclear in pre-pubertal children, and may be detectable in adolescents only when concurrent obesity is also present. Furthermore, no published evidence emerged supporting increased susceptibility to OSA-related in pre-pubertal boys vs. girls, except in obese adolescents or in girls with elevated testosterone levels. Future research in OSA may give clues on the role of gender-related hormonal changes as a modulating factor in childhood. Copyright © 2016 Elsevier B.V. All rights reserved.

  12. Cross-cultural adaptation and validation of the Greek OSA-18 questionnaire in children undergoing polysomnography.

    Science.gov (United States)

    Mousailidis, George K; Lachanas, Vasileios A; Skoulakis, Charalampos E; Sakellariou, Achilles; Exarchos, Sotirios T; Kaditis, Athanasios G; Bizakis, John G

    2014-12-01

    Translations of validated questionnaires help to compare different countries/cultures populations and establish protocols for global health. OSA-18 is a validated disease-specific questionnaire for pediatric Obstructive Sleep Apnea (OSA). Our aim was to validate OSA-18 in Greek and correlate it with polysomnography results and OSA severity. Prospective instrument validation study. OSA-18 was translated in Greek and back into English. Children undergoing polysomnography due to snoring were recruited prospectively. OSA-18 was completed by parents during the initial clinic visit (test), in the evening prior to the sleep study (retest), and 3 months postoperatively for subjects who underwent adenotonsillectomy. Internal consistency and test-retest reliability were evaluated. Validity was assessed by exploring correlations between OSA-18 and AHI, by comparing OSA-18 of OSA and non-OSA groups, and by calculating questionnaire's sensitivity and specificity for detecting OSA. Total scores of non-OSA, mild, moderate and severe OSA subgroups were compared. In OSA children who underwent adenotonsillectomy, preoperative and postoperative total scores were compared to assess responsiveness. Test-retest questionnaires were fully completed for 141 children. OSA-18 in Greek had good internal consistency (Cronbach's alpha 0.951 for test and 0.947 for retest) and test-retest reliability (Pearson's correlation coefficients between test and retest scores: 0.850-0.946; PGreek OSA-18 is an instrument with satisfactory internal consistency, reliability, and responsiveness, but it is a poor predictor of OSA severity. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  13. 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)

  14. Oropharyngeal Crowding Closely Relates to Aggravation of OSA.

    Science.gov (United States)

    Ito, Eiki; Tsuiki, Satoru; Maeda, Keiko; Okajima, Isa; Inoue, Yuichi

    2016-08-01

    Obesity is known to be an important risk factor for OSA; however, OSA can also be seen in nonobese patients with a small maxilla and/or mandible as well as in all obese patients with such features. Thus, we hypothesized that regional factors, oropharyngeal crowding associated with fat deposition, and maxillomandibular enclosure size closely related to the severity of OSA. A total of 703 male Japanese subjects were enrolled; theywere classified into obese (BMI ≥ 30 kg/m(2); n = 158) and nonobese (BMI OSA subjects, although BMI and TG/LFC were significantly associated with AHI in both groups. In particular, the contribution of TG/LFC to AHI was larger than that of BMI in the obese group. Oropharyngeal crowding is a local anatomic factor that independently relates to the severity of OSA in both obese and nonobese patients; the more crowded the upper airway, the more severe the OSA. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  15. 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.

  16. Treating OSA: Current and emerging therapies beyond CPAP.

    Science.gov (United States)

    Lorenzi-Filho, Geraldo; Almeida, Fernanda R; Strollo, Patrick J

    2017-11-01

    Continuous positive airway pressure (CPAP) is the standard treatment for moderate-to-severe obstructive sleep apnoea (OSA). However, adherence to CPAP is limited and non-CPAP therapies are frequently explored. Oral appliance (OA) therapy is currently widely used for the treatment of snoring, mild, moderate and severe OSA. The most commonly used and studied OA consists of a maxillary and mandibular splint which hold the lower jaw forward during sleep. The efficacy of OA is inferior to CPAP; however, the effectiveness as measured by sleepiness, quality of life, endothelial function and blood pressure is similar likely due to higher acceptance and subjective adherence. Upper airway stimulation augments neural drive by unilaterally stimulating the hypoglossal nerve. The Stimulation Therapy for Apnea Reduction (STAR) study enrolled 126 patients and demonstrated a 68% reduction in OSA severity. A high upfront cost and variable response are the main limitations. Oropharyngeal exercises consist of a set of isometric and isotonic exercises involving the tongue, soft palate and lateral pharyngeal wall. The collective reported trials (n = 120) showed that oropharyngeal exercises can ameliorate OSA and snoring (~30-40%). Nasal EPAP devices consist of disposable one-way resister valve. A systematic review (n = 345) showed that nasal EPAP reduced OSA severity by 53%. The Winx device consists of a mouthpiece placed inside the oral cavity that is connected by tubing to a console that generates negative pressure. Winx may provide successful therapy for ~30-40% of OSA patients. In conclusion, several non-CPAP therapies to treat OSA are currently available. © 2017 Asian Pacific Society of Respirology.

  17. 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 EEG increased in rapid eye movement (REM) sleep (P 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.

  18. Does remote monitoring change OSA management and CPAP adherence?

    Science.gov (United States)

    Pépin, Jean L; Tamisier, Renaud; Hwang, Dennis; Mereddy, Suresh; Parthasarathy, Sairam

    2017-11-01

    It is increasingly recognized that the high prevalence of obstructive sleep apnoea (OSA), and its associated cardio-metabolic morbidities make OSA a burden for society. Continuous positive airway pressure (CPAP), the gold standard treatment, needs to be used for more than 4 h/night to be effective, but suffers from relatively poor adherence. Furthermore, CPAP is likely to be more effective if combined with lifestyle changes. Thus, the remote telemonitoring (TM) of OSA patients in terms of CPAP use, signalling of device problems, following disease progression, detection of acute events and monitoring of daily physical activity is an attractive option. In the present review, we aim to summarize the recent scientific data on remote TM of OSA patients, and whether it meets expectations. We also look at how patient education and follow-up via telemedicine is used to improve adherence and we discuss the influence of the profile of the healthcare provider. Then, we consider how TM might be extended to encompass the patient's cardio-metabolic health in general. Lastly, we explore how TM and the deluge of data it potentially generates could be combined with electronic health records in providing personalized care and multi-disease management to OSA patients. © 2017 Asian Pacific Society of Respirology.

  19. Surgical Treatment of OSA on Cardiovascular Outcomes: A Systematic Review.

    Science.gov (United States)

    Halle, Tyler R; Oh, Melissa S; Collop, Nancy A; Quyyumi, Arshed A; Bliwise, Donald L; Dedhia, Raj C

    2017-12-01

    OSA is an increasingly prevalent clinical problem with significant effects on quality of life and cardiovascular risk. Surgical therapy represents an important treatment for those unable to use positive airway pressure. This systematic review examines the available cardiovascular risk reduction data for the surgical treatment of OSA. A comprehensive literature search was performed. Articles were included if they met the following criteria: (1) the sample population consisted of adults (age ≥ 18 years); (2) OSA was diagnosed according to a sleep study; (3) surgical intervention was performed for OSA; and (4) one or more physical or biochemical cardiovascular and/or cerebrovascular variables was measured preoperatively and at ≥ 14 days postoperatively. Thirty-three articles were included. The majority of studies were case series and cohort studies (42% and 44%, respectively), with wide-ranging follow-up periods (4 weeks-9 years) and sample sizes (range, 6-10,339; median, 34). The following classes of surgical intervention were examined: pharyngeal surgery (n = 23), tracheostomy (n = 6), maxillomandibular advancement (n = 3), and hypoglossal nerve stimulation (n = 1). In total, 19 outcome measures were assessed. Tracheostomy was most consistently associated with improvement in cardiovascular end points. Pharyngeal surgeries (eg, uvulopalatopharyngoplasty) were variably associated with improvement in cardiovascular end points. The published literature examining cardiovascular end points following surgical treatment of OSA is limited and generally of poor quality. However, available data from mainly small and observational studies suggest that surgical treatment of OSA may provide improvement in some cardiovascular end points. Larger, randomized, and prospective trials with more rigorous study designs are needed. PROSPERO International Prospective Register of Systemic Reviews (PROSPERO 42016040120). Copyright © 2017 American College of Chest Physicians

  20. 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.

  1. Orthodontic and Orthognathic Surgical Treatment of a Pediatric OSA Patient

    Directory of Open Access Journals (Sweden)

    Gregory W. Jackson

    2016-01-01

    Full Text Available A case report is presented which demonstrates the effectiveness of comprehensive orthodontic treatment combined with orthognathic surgery in the correction of malocclusion and reduction in the sequelae of Obstructive Sleep Apnea (OSA. The patient’s severe OSA was improved to very mild as evaluated by full overnight polysomnogram. The orthodontic treatment included the expansion of both dental arches and mandibular advancement surgery. There was significant improvement in the patient’s sleep continuity and architecture with the elimination of obstructive apneas.

  2. Combined Expansion Pharyngoplasty and Anterior Palatoplasty for the Treatment of OSA.

    Science.gov (United States)

    Pang, Kenny P; Piccin, Ottavio; Pang, Edward B; Pang, Kathleen A; Chan, Yiong Huak; Rotenberg, Brian W

    2016-12-01

    To evaluate the success rates of combined Expansion Sphincter Pharyngoplasty and the Anterior Palatoplasty in the treatment of OSA. A two center prospective series of 73 patients with OSA. All patients were >18 years old, retro-palatal obstruction, concentric velo-pharyngeal collapse, BMI OSA, 33 moderate OSA and 20 severe OSA patients. Twenty-three patients had pre-operative DISE, and 61 patients had nose/palate surgery, while only 12 had palate surgery alone. The overall success rate (50 % reduction and AHI OSA patients. Level of evidence IV.

  3. 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

  4. Residual POSA after maxillomandibular advancement in patients with severe OSA

    NARCIS (Netherlands)

    Benoist, L.B.L.; de Ruiter, M.H.T.; de Lange, J.; de Vries, N.; de Vries, N.; Ravesloot, M.; van Maanen, J.P.

    2015-01-01

    In patients with severe or extreme OSA and CPAP failure, maxillomandibular advancement (MMA) can be considered. Because of its considerable morbidity, MMA is mostly reserved for severe to extreme cases, often after less aggressive surgeries have failed. The success rates of MMA are very high:

  5. Ensuring a Future for Marine Corps Operational Support Airlift (OSA)

    Science.gov (United States)

    2013-04-29

    its lift capacity and efficiency to meet the new requirements in the Pacific. History of OSA: Man has looked to the sky in wonder since the... Tommy Turner. Turner was a seasoned Marine and a well respected Marine leader. He was known for his strict discipline and made sure that Marine aviation

  6. Airflow Shape Is Associated With the Pharyngeal Structure Causing OSA.

    Science.gov (United States)

    Genta, Pedro R; Sands, Scott A; Butler, James P; Loring, Stephen H; Katz, Eliot S; Demko, B Gail; Kezirian, Eric J; White, David P; Wellman, Andrew

    2017-09-01

    OSA results from the collapse of different pharyngeal structures (soft palate, tongue, lateral walls, and epiglottis). The structure involved in collapse has been shown to impact non-CPAP OSA treatment. Different inspiratory airflow shapes are also observed among patients with OSA. We hypothesized that inspiratory flow shape reflects the underlying pharyngeal structure involved in airway collapse. Subjects with OSA were studied with a pediatric endoscope and simultaneous nasal flow and pharyngeal pressure recordings during natural sleep. The mechanism causing collapse was classified as tongue-related, isolated palatal, lateral walls, or epiglottis. Flow shape was classified according to the degree of negative effort dependence (NED), defined as the percent reduction in inspiratory flow from peak to plateau. Thirty-one subjects with OSA (mean apnea-hypopnea index score ± SD, 54 ± 27 events/h) who were 50 ± 9 years of age were studied. NED was associated with the structure causing collapse (P < .001). Tongue-related obstruction (n = 13) was associated with a small amount of NED (median, 19; interquartile range [IQR], 14%-25%). Moderate NED was found among subjects with isolated palatal collapse (median, 45; IQR, 39%-52%; n = 8) and lateral wall collapse (median, 50; IQR, 44%-64%; n = 8). The epiglottis was associated with severe NED (median, 89; IQR, 78%-91%) and abrupt discontinuities in inspiratory flow (n = 9). Inspiratory flow shape is influenced by the pharyngeal structure causing collapse. Flow shape analysis may be used as a noninvasive tool to help determine the pharyngeal structure causing collapse. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  7. Endothelial Nitric Oxide Synthase Uncoupling: A Novel Pathway in OSA Induced Vascular Endothelial Dysfunction

    OpenAIRE

    Varadharaj, Saradhadevi; Porter, Kyle; Pleister, Adam; Wannemacher, Jacob; Sow, Angela; Jarjoura, David; Zweier, Jay L.; Khayat, Rami N.

    2014-01-01

    The mechanism of vascular endothelial dysfunction (VED) and cardiovascular disease in obstructive sleep apnea (OSA) is unknown. We performed a comprehensive evaluation of endothelial nitric oxide synthase (eNOS) function directly in the microcirculatory endothelial tissue of OSA patients who have very low cardiovascular risk status. Nineteen OSA patients underwent gluteal biopsies before, and after effective treatment of OSA. We measured superoxide (O2−·) and nitric oxide (NO) in the microcir...

  8. 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

  9. Morbidity and mortality risk ratios are elevated in severe supine dominant OSA: a long-term follow-up study.

    Science.gov (United States)

    Kulkas, Antti; Muraja-Murro, Anu; Tiihonen, Pekka; Mervaala, Esa; Töyräs, Juha

    2015-05-01

    Obstructive sleep apnoea (OSA) is a common public health problem. Sleeping position dependency has been related to OSA, and around half of OSA patients suffer from positional OSA where majority of the respiratory events occur in supine position. The consequences of supine dominant OSA have not been thoroughly investigated in long-term follow-up studies. The aim of the study was to retrospectively investigate the effects of supine dominant OSA on morbidity and mortality risk ratios during long-term follow-up and compare the findings with a non-supine OSA group at different OSA severities. Ambulatory polygraphic recordings of 793 patients with median follow-up time of 194.5 months were retrospectively analysed. The risk ratios of morbidity and mortality of supine dominant OSA and non-supine OSA patients were compared. Supine dominant OSA patients, having majority of the obstruction events occurring in supine position, showed higher mortality and morbidity risk ratios in severe OSA category than the non-supine OSA patients. In severe category, the observed risk ratios were statistically significant. The increased risk ratios of mortality and morbidity found further emphasises that supine OSA might have more severe health consequences than non-positional OSA especially in severe OSA. Severe OSA occurring in supine position was shown to be more deleterious than non-supine OSA based on long-term mortality and morbidity evidence.

  10. Sleep board review questions: CPAP adherence in OSA

    OpenAIRE

    Budhiraja R; Luraschi-Monjagatta C

    2012-01-01

    No abstract available. Article truncated after first question. Which of the following has been shown to be associated with a better adherence to positive airway pressure (PAP) therapy in adults with obstructive sleep apnea (OSA)?1.Use of auto-titrating positive airway pressure (autoPAP) instead of CPAP.2.Cognitive behavioral therapy prior to initiation of PAP therapy.3.Severe sleep apnea on diagnostic polysomnography.4.Epworth Sleepiness Scale (ESS) score at initiation of PAP therapy…

  11. Sleep board review questions: CPAP adherence in OSA

    Directory of Open Access Journals (Sweden)

    Budhiraja R

    2012-01-01

    Full Text Available No abstract available. Article truncated after first question. Which of the following has been shown to be associated with a better adherence to positive airway pressure (PAP therapy in adults with obstructive sleep apnea (OSA?1.Use of auto-titrating positive airway pressure (autoPAP instead of CPAP.2.Cognitive behavioral therapy prior to initiation of PAP therapy.3.Severe sleep apnea on diagnostic polysomnography.4.Epworth Sleepiness Scale (ESS score at initiation of PAP therapy…

  12. Kindlustajad peavad suurt osa kinnisvarast alakindlustatuks / Harry Tuul

    Index Scriptorium Estoniae

    Tuul, Harry

    2006-01-01

    Ilmunud ka: Delovõje Vedomosti 26. juuli lk. 6. Kindlustajate arvates on suurem osa Eesti elamufondist alakindlustatud. Vt. samas: Pangad kinnisvara alakindlustust ei tunneta; Alver Kivirüüt. Ostuhind erineb taastamishinnast; Harri Kahl. Taastamishind algab 8000 krooni juures; Kalli krundi omanik alakindlustatust ei karda; Margus Mändmets. Alakindlustuse vastu aitab ülekindlustus. Lisa: Vale kindlustussumma võib tekitada suurt kahju. Diagrammid

  13. [Quality of life in adult patient (Tunisian) with severe OSA].

    Science.gov (United States)

    Kacem, I; Kalboussi, H; Ben Salem, H; Maoua, M; El Guedri, S; Laayouni, M; Abdelghani, A; Boughattas, W; Brahem, A; Debbabi, F; El Maalel, O; Chatti, S; Benzarti, M; Mrizak, N

    2017-09-01

    The negative impact of obstructive sleep apnea (OSA) on quality of life of affected individuals is a central consequence of this disease. The recognition of the quality of life as a therapeutic target is a relatively new concept. To evaluate the quality of life and its determinants in patients with OSA. We conducted a cross-sectional study during the period from 1st July 2012 to 30th June 2013. The target population was patients with OSA and in employment examined in consultations of pneumology in the teaching hospital Farhat-Hached in Sousse (Tunisia). This study was based on a generic questionnaire (SF-36) to assess the quality of life. The study population included 103 cases with a mean age of 55.15±11.4years and a sex ratio of 0.71. Our patients were obese in 95.1 % of cases with an average BMI of 39.13±7.19kg/m 2 . The majority of our patients had an impaired quality of life with an average score of 44.76 (SF36) and extremes of 22 and 70. There was a positive linear relationship between physical and mental components of the SF-36 and gender, age, BMI, and anxiety and depressive disorders. The OSA is a demanding disease whose impact on the quality of life seems important and requires special attention. The management of this disease should not be limited to controlling the disease but aspire to overall patient satisfaction. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  14. Osa associates with the Brahma chromatin remodeling complex and promotes the activation of some target genes.

    Science.gov (United States)

    Collins, R T; Furukawa, T; Tanese, N; Treisman, J E

    1999-01-01

    The yeast SWI/SNF complex and its Drosophila and mammalian homologs are thought to control gene expression by altering chromatin structure, but the mechanism and specificity of this process are not fully understood. The Drosophila osa gene, like yeast SWI1, encodes an AT-rich interaction (ARID) domain protein. We present genetic and biochemical evidence that Osa is a component of the Brahma complex, the Drosophila homolog of SWI/SNF. The ARID domain of Osa binds DNA without sequence specificity in vitro, but it is sufficient to direct transcriptional regulatory domains to specific target genes in vivo. Endogenous Osa appears to promote the activation of some of these genes. We show evidence that some Brahma-containing complexes do not contain Osa and that Osa is not required to localize Brahma to chromatin. These data suggest that Osa modulates the function of the Brahma complex. PMID:10601025

  15. A novel method for evaluation of oxidative stress in children with OSA.

    Science.gov (United States)

    Gul, Fatih; Muderris, Togay; Yalciner, Gokhan; Mise, Halil Ibrahim; Canan, Yagmur; Babademez, Mehmet Ali; Erel, Ozcan

    2016-10-01

    To evaluate the role of adenotonsillar hypertrophy and the outcomes of adenotonsillectomy (AT) on oxidative stress for obstructive sleep apnea (OSA) in children using a new method; thiol/disulfide homeostasis. The study is consisted of 45 children with OSA and 38 healthy control subjects with similar age and sex. Children 3-12 years of age with OSA, defined as having an apnea/hypopnea index (AHI) of 5 or more in an overnight polysomnography, underwent adenotonsillectomy. OSA was classified as mild (1 ≤ AHIOSA compared to mild OSA; in the preoperative period compared to postoperative period (p OSA in children with adenotonsillar. Adenotonsillectomy for OSA may result in a dramatic improvement in oxidative stress as measured by thiol/disulfide homeostasis. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  16. Dynamic upper airway collapse observed from sleep MRI: BMI-matched severe and mild OSA patients.

    Science.gov (United States)

    Huon, Leh-Kiong; Liu, Stanley Yung-Chuan; Shih, Tiffany Ting-Fang; Chen, Yunn-Jy; Lo, Men-Tzung; Wang, Pa-Chun

    2016-11-01

    Dynamic magnetic resonance imaging (MRI) allows real-time characterization of upper airway collapse in sleeping subjects with obstructive sleep apnea (OSA). The aim of our study was to use sleep MRI to compare differences in upper airway collapse sites between BMI-matched subjects with mild OSA and severe OSA. This is a prospective, nested case-control study using dynamic sleep MRI to compare 15 severe OSA subjects (AHI >40) and 15 mild OSA (AHI BMI. Upper airway imaging was performed on sleeping subjects in a 3.0 T MRI scanner. Sleep MRI movies were used by blinded reviewers to identify retropalatal (RP), retroglossal (RG), and lateral pharyngeal wall (LPW) airway collapse. Mean AHI in the severe OSA group was 70.3 ± 23 events/h, and in the mild group was 7.8 ± 1 events/h (p BMI-matched mild OSA patients.

  17. Is the OSA-18 predictive of obstructive sleep apnea: comparison to polysomnography.

    Science.gov (United States)

    Ishman, Stacey L; Yang, Christina J; Cohen, Aliza P; Benke, James R; Meinzen-Derr, Jareen K; Anderson, Rebecca M; Madden, Marie E; Tabangin, Meredith E

    2015-06-01

    To examine the ability of the OSA-18 to predict Obstructive Sleep Apnea (OSA) in a racially diverse population when compared to overnight polysomnography (PSG). Cross-sectional retrospective. Children 2 to 12 years of age diagnosed with OSA who were treated at a tertiary care institution between 2008 and 2013 and had complete PSG and OSA-18 data were included. We performed logistic regression with OSA as the dependent variable and the OSA-18 total symptom score (TSS), age, gender, race, asthma, and body mass index (BMI) as independent variables. Seventy-nine children (32 females) were included (mean age 5.2 ± 2.4 years). The positive predictive value (PPV) was greater than 90 for an obstructive apnea-hypopnea index (oAHI) ≥ 1. The PPV and specificity were higher for white than for nonwhite children; however, sensitivity and negative predictive value (NPV) of OSA-18 TSS were low for mild, moderate, and severe OSA regardless of race. Age, race, and BMI were not significantly associated with oAHI. This study, conducted in a racially diverse cohort, examined the ability of the OSA-18 to predict OSA when compared to PSG-the gold standard-and found that sensitivity and NPV were extremely low for both white and nonwhite children. This suggests that the OSA-18 is not sufficiently sensitive to detect OSA nor sufficiently specific to determine the absence of OSA. The OSA-18 should be used as a quality-of-life indicator and is not a reliable substitute for PSG. 4. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

  18. Treatment of OSA reduces the risk of repeat revascularization after percutaneous coronary intervention.

    Science.gov (United States)

    Wu, Xiaofan; Lv, Shuzheng; Yu, Xiaohong; Yao, Linyin; Mokhlesi, Babak; Wei, Yongxiang

    2015-03-01

    The impact of OSA treatment with CPAP on percutaneous coronary intervention (PCI) outcomes remains largely unknown. Between 2002 and 2012, we identified 390 patients with OSA who had undergone PCI. OSA was diagnosed through in-laboratory sleep studies and defined by an apnea-hypopnea index ≥ 5 events/h. The cohort was divided into three groups: (1) moderate-severe OSA successfully treated with CPAP (n = 128), (2) untreated moderate-severe OSA (n = 167), and (3) untreated mild OSA (n = 95). Main outcomes included repeat revascularization, major adverse cardiac events (MACEs) (ie, death, nonfatal myocardial infarction, repeat revascularization), and major adverse cardiac or cerebrovascular events (MACCEs). The median follow-up period was 4.8 years (interquartile range, 3.0-7.1). The untreated moderate-severe OSA group had a higher incidence of repeat revascularization than the treated moderate-severe OSA group (25.1% vs 14.1%, P = .019). There were no differences in mortality (P = .64), MACE (P = .33), and MACCE (P = .76) among the groups. In multivariate analysis adjusted for potential confounders, untreated moderate-severe OSA was associated with increased risk of repeat revascularization (hazard ratio, 2.13; 95% CI, 1.19-3.81; P = .011). Untreated moderate-severe OSA was independently associated with a significant increased risk of repeat revascularization after PCI. CPAP treatment reduced this risk.

  19. Treatment of OSA Reduces the Risk of Repeat Revascularization After Percutaneous Coronary Intervention

    Science.gov (United States)

    Wu, Xiaofan; Lv, Shuzheng; Yu, Xiaohong; Yao, Linyin; Mokhlesi, Babak

    2015-01-01

    BACKGROUND: The impact of OSA treatment with CPAP on percutaneous coronary intervention (PCI) outcomes remains largely unknown. METHODS: Between 2002 and 2012, we identified 390 patients with OSA who had undergone PCI. OSA was diagnosed through in-laboratory sleep studies and defined by an apnea-hypopnea index ≥ 5 events/h. The cohort was divided into three groups: (1) moderate-severe OSA successfully treated with CPAP (n = 128), (2) untreated moderate-severe OSA (n = 167), and (3) untreated mild OSA (n = 95). Main outcomes included repeat revascularization, major adverse cardiac events (MACEs) (ie, death, nonfatal myocardial infarction, repeat revascularization), and major adverse cardiac or cerebrovascular events (MACCEs). The median follow-up period was 4.8 years (interquartile range, 3.0-7.1). RESULTS: The untreated moderate-severe OSA group had a higher incidence of repeat revascularization than the treated moderate-severe OSA group (25.1% vs 14.1%, P = .019). There were no differences in mortality (P = .64), MACE (P = .33), and MACCE (P = .76) among the groups. In multivariate analysis adjusted for potential confounders, untreated moderate-severe OSA was associated with increased risk of repeat revascularization (hazard ratio, 2.13; 95% CI, 1.19-3.81; P = .011). CONCLUSIONS: Untreated moderate-severe OSA was independently associated with a significant increased risk of repeat revascularization after PCI. CPAP treatment reduced this risk. PMID:25412159

  20. Are the Epworth Sleepiness Scale and Stop-Bang model effective at predicting the severity of obstructive sleep apnoea (OSA); in particular OSA requiring treatment?

    Science.gov (United States)

    Panchasara, Binita; Poots, Alan J; Davies, Gary

    2017-12-01

    Obstructive sleep apnoea (OSA) is a condition characterised by repetitive upper airway collapse during sleep. The condition carries a range of health sequelae that can prove fatal in cases with co-existing risk factors for the condition, such as obesity and hypertension. Utilisation of a high-performance screening tool for OSA is thus important. A retrospective audit using the ESS and Stop-Bang scores, alongside Apnoea-Hypopnea Index values, for patients who underwent polysomnography over 1 year. Multinomial logistic regression was used to compare the predictive abilities of ESS, SBM, and body mass index (BMI) for the patient outcome groups, "None" (No OSA), "Notreat" (OSA not requiring treatment) and "treat" (OSA requiring treatment). The influences of age, gender and BMI on outcome group were also assessed. 126 bariatric and 66 non-bariatric patients were included. Multinomial logistic regression failed to demonstrate predictive ability of ESS. A higher Stop-Bang score significantly increases the risk being in the "treat" group. In addition, male gender, greater age and a higher BMI each individually increase the risk of OSA requiring treatment. Stop-Bang failed to demonstrate predictive significance when age and gender were controlled for. ESS is not an appropriate screening tool for OSA. Stop-Bang, however, remains a useful screening tool, with the ability to detect patient with OSA in need of treatment. Further study may benefit the development and implementation of a concise and more specific screening tool that considers high evidence-based risk factors for OSA, including male gender, greater age and raised BMI.

  1. OSA is common and independently associated with hypertension and increased arterial stiffness in consecutive perimenopausal women.

    Science.gov (United States)

    Pedrosa, Rodrigo P; Barros, Isly M L; Drager, Luciano F; Bittencourt, Marcio S; Medeiros, Ana Kelley L; Carvalho, Liana L; Lustosa, Thais C; Carvalho, Martinha M B; Ferreira, Moacir N L; Lorenzi-Filho, Geraldo; Costa, Laura O B F

    2014-07-01

    Perimenopause is associated with increased cardiovascular risk. OSA is an emerging risk factor for cardiovascular disease, particularly among men, but the independent contribution of OSA to cardiovascular risk in climacteric women is not clear. We evaluated 277 consecutive women (age, 56 [52-61] years; BMI, 28 [25-32] kg/m2) without manifest cardiovascular disease (heart failure, coronary disease, or stroke). All women underwent 24-h ambulatory BP monitoring, arterial stiffness evaluation (pulse wave velocity), and portable sleep study. OSA (apnea-hypopnea index ≥ 5 events/h) and moderate to severe OSA (apnea-hypopnea index ≥ 15 events/h) were diagnosed in 111 (40.1%) and 31 (11.1%) women, respectively. None of the participants had received a previous diagnosis of OSA. Women with moderate to severe OSA vs those without OSA had a higher prevalence of hypertension, were prescribed more medications for hypertension, had higher awake BP (systolic, 133 [125-142] vs 126 [119-134] mm Hg [P OSA, respectively). OSA is common, underdiagnosed, and independently associated with high BP and increased arterial stiffness in perimenopausal women.

  2. 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

    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...... decision to proceed with a trial of CPAP. Results: The participants were most likely to attribute their OSA to unchangeable and psychological factors. For those with moderate OSA (AHI, 15 to 30) IPQ-R illness consequence was predictive of decision to initiate CPAP (p = 0.002). For severe OSA (AHI >30) age...

  3. 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

  4. 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).

  5. Impact of OSA on biological markers in morbid obesity and metabolic syndrome.

    Science.gov (United States)

    Salord, Neus; Gasa, Mercè; Mayos, Mercedes; Fortuna-Gutierrez, Ana Maria; Montserrat, Josep Maria; Sánchez-de-la-Torre, Manuel; Barceló, Antonia; Barbé, Ferran; Vilarrasa, Núria; Monasterio, Carmen

    2014-03-15

    There is compelling evidence that obstructive sleep apnoea (OSA) can affect metabolic syndrome (MetS) and cardiovascular risk, but the intermediate mechanisms through which it occurs have not been well defined. We explored the impact of OSA in morbidly obese patients with MetS on adipokines, pro-inflammatory markers, endothelial dysfunction, and atherosclerosis markers. We included 52 morbidly obese patients in an observational study matched for age, gender and central obesity in 3 groups (OSA-MetS, Non-OSA-MetS, and Non OSA-non-MetS). Anthropometrical, blood pressure, and fasting blood measurements were obtained the morning after an overnight polysomnography. VEGF, soluble CD40 ligand (sCD40L), TNF-α, IL-6, leptin, adiponectin, and chemerin were determined in serum by ELISA. OSA was defined as apnea/ hypopnea index ≥ 15 and MetS by NCEP-ATP III. Cases and control subjects did not differ in age, BMI, waist circumference, and gender (43 ± 10 years, 46 ± 5 kg/m(2), 128 ± 10 cm, 71% females). The cases had severe OSA with 47 (32-66) events/h, time spent OSA did not determine any differences in the studied mediators when matched by central obesity. Morbidly obese NonOSA-NonMetS had a similar inflammatory, adipokine VEGF, and sCD40L profile as those with established MetS, with or without OSA. Obesity itself could overwhelm the effect of sleep apnea and MetS in the studied biomarkers. Salord N; Gasa M; Mayos M; Fortuna-Gutierrez AM; Montserrat JM; Sánchez-de-la-Torre M; Barceló A; Barbé F; Vilarrasa N; Monasterio C. Impact of OSA on biological markers in morbid obesity and metabolic syndrome.

  6. Greater risk of hospitalization in children with Down syndrome and OSA at higher elevation.

    Science.gov (United States)

    Jensen, Kristin M; Sevick, Carter J; Seewald, Laura A S; Halbower, Ann C; Davis, Matthew M; McCabe, Edward R B; Kempe, Allison; Abman, Steven H

    2015-05-01

    Children with Down syndrome (DS) are at high risk for OSA. Increasing elevation is known to exacerbate underlying respiratory disorders and worsen sleep quality in people without DS, but whether altitude modulates the severity of OSA in DS is uncertain. In this study, we evaluate the impact of elevation (≤ 1,500 m vs > 1,500 m) on the proportion of hospitalizations involving OSA in children with and without DS. Merging the 2009 Kids' Inpatient Database with zip-code linked elevation data, we analyzed differences in the proportion of pediatric hospitalizations (ages 2-20 years) involving OSA, pneumonia, and congenital heart disease (CHD), with and without DS. We used multivariable logistic regression to evaluate the association of elevation with hospitalizations involving OSA and DS, adjusting for key comorbidities. Proportionately more DS encounters involved OSA, CHD, and pneumonia within each elevation category than non-DS encounters. However, the risk difference for hospitalizations involving OSA and DS increased disproportionately at higher elevations (DS: 16.2% [95% CI, 9.2%-23.2%]; non-DS: 0.1% [95% CI, -0.4% to 0.7%]). Multivariable estimates of relative risk indicate increased risk for hospitalization involving OSA at higher elevations for people with DS and in children aged 2 to 4 years or with two or more chronic conditions. At elevations > 1,500 m, children with DS and OSA have a disproportionately higher risk for hospitalization than children with OSA without DS. This finding has not been described previously. With further validation, this finding suggests the need for greater awareness and earlier screening for OSA and its complications in patients with DS living at higher elevations.

  7. Mathematical Objects through the Lens of Two Different Theoretical Perspectives: APOS and OSA

    Science.gov (United States)

    Font Moll, Vicenç; Trigueros, María; Badillo, Edelmira; Rubio, Norma

    2016-01-01

    This paper presents a networking of two theories, the APOS Theory and the ontosemiotic approach (OSA), to compare and contrast how they conceptualize the notion of a mathematical object. As context of reflection, we designed an APOS genetic decomposition for the derivative and analyzed it from the point of view of OSA. Results of this study show…

  8. Statins May Prevent Atherosclerotic Disease in OSA Patients without Co-Morbidities?

    Science.gov (United States)

    Toraldo, Domenico Maurizio; Benedetto, Michele De; Conte, Luana; De Nuccio, Francesco

    2017-01-01

    Obstructive sleep apnoea (OSA) is characterized by repetitive interruptions of breathing, causing Chronic Intermittent Hypoxia (CIH) that can be involved in the development and progression of cardiovascular diseases. There is evidence showing a close relationship between OSA and atherosclerosis, even in patients who do not show co-morbidities such as hypertension, diabetes, high levels of lowdensity lipoprotein cholesterol (LDL-C), cigarette smoking and obesity, which can activate the endothelium. This endothelium activation due to CIH and specific to OSA seems to be dependent on a different pathway. The current first line therapy for OSA is the application of the continuous positive airway pressure (CPAP), but it alone is not enough to reduce cardiometabolic risk in patients with OSA. In contrast, statins, via their pleiotropic property, might be able to change inflammation and early atherosclerosis, lipid profile and cardiovascular outcomes in OSA. The role of statins in OSA patients with or without any co-morbidities could potentially prevent coronary vascular risk and stroke and in the future, represent an additional treatment option along with CPAP therapy. Strengthening the prevention strategies against atherosclerosis in OSA should be one of the focal aims for healthcare programs of the future.

  9. Feasibility of portable sleep monitors to detect obstructive sleep apnea (OSA) in a vulnerable urban population.

    Science.gov (United States)

    Nickerson, Jillian; Lee, Euny; Nedelman, Michael; Aurora, R Nisha; Krieger, Ana; Horowitz, Carol R

    2015-01-01

    Portable sleep monitors may offer a convenient method to expand detection of obstructive sleep apnea (OSA), yet few studies have evaluated this technology in vulnerable populations. We therefore aimed to assess the feasibility and acceptability of portable sleep monitors for detection of OSA in a prediabetic, urban minority population. We recruited a convenience sample of participants at their 12-month follow-up for a community-partnered, peer-led lifestyle intervention aimed to prevent diabetes in prediabetic and overweight patients in this prospective mixed-methods pilot study. All participants wore portable sleep monitors overnight at home. We qualitatively explored perceptions about OSA and portable monitors in a subset of participants. We tested 72 people, predominantly non-White, female, Spanish speaking, uninsured, and of low income. Use of portable sleep monitors was feasible: 100% of the monitors were returned and all participants received results. We detected OSA in 49% (defined as an Apnea-Hypopnea Index [AHI] >5) and moderate-severe OSA in 14% (AHI >15) requiring treatment in 14%. In 21 qualitative interviews, participants supported increased use of portable sleep monitors in their community, were appropriately concerned that OSA could cause progression to diabetes, and thought weight loss could prevent or improve OSA. Portable sleep monitors may represent a feasible method for detecting OSA in high-risk urban minority populations. © Copyright 2015 by the American Board of Family Medicine.

  10. Serum levels of magnesium and their relationship with CRP in patients with OSA.

    Science.gov (United States)

    Karamanli, H; Kizilirmak, D; Akgedik, R; Bilgi, M

    2017-05-01

    Low levels of magnesium (Mg) are associated with chronic inflammatory stress. Some animal studies have reported that a moderate deficiency of Mg, similar to that which occurs in humans, may increase inflammatory or oxidative stress stimulated by other factors, such as disrupted sleep or sleep deficiency. This cross-sectional study evaluated the relationship between serum levels of Mg and the inflammatory response in patients with a new diagnosis of obstructive sleep apnea (OSA). This clinical, retrospective study registered 68 patients with newly diagnosed mild to severe OSA and 30 without OSA. The Apnea-Hypopnea Index (AHI), oxygen desaturation index (ODI), time until blood hemoglobin oxygen saturation OSA than those in controls matched for age, sex, and body mass index (BMI). Patients with OSA had substantially higher plasma CRP concentrations than controls. A negative correlation was observed between the AHI and ODI and Mg levels. Significant differences in Mg and CRP levels were observed between patients with AHI scores of 5-15 and scores ≥30 based on OSA severity but independent of BMI. Furthermore, the AHI, ODI, TST OSA. Low levels were associated with a higher CRP concentration in patients with OSA.

  11. 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

    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...

  12. Osa-containing Brahma chromatin remodeling complexes are required for the repression of Wingless target genes

    Science.gov (United States)

    Collins, Russell T.; Treisman, Jessica E.

    2000-01-01

    The Wingless signaling pathway directs many developmental processes in Drosophila by regulating the expression of specific downstream target genes. We report here that the product of the trithorax group gene osa is required to repress such genes in the absence of the Wingless signal. The Wingless-regulated genes nubbin, Distal-less, and decapentaplegic and a minimal enhancer from the Ultrabithorax gene are misexpressed in osa mutants and repressed by ectopic Osa. Osa-mediated repression occurs downstream of the up-regulation of Armadillo but is sensitive both to the relative levels of activating Armadillo/Pangolin and repressing Groucho/Pangolin complexes present and to the responsiveness of the promoter to Wingless. Osa functions as a component of the Brahma chromatin-remodeling complex; other components of this complex are likewise required to repress Wingless target genes. These results suggest that altering the conformation of chromatin is an important mechanism by which Wingless signaling activates gene expression. PMID:11124806

  13. Endothelial nitric oxide synthase uncoupling: a novel pathway in OSA induced vascular endothelial dysfunction.

    Science.gov (United States)

    Varadharaj, Saradhadevi; Porter, Kyle; Pleister, Adam; Wannemacher, Jacob; Sow, Angela; Jarjoura, David; Zweier, Jay L; Khayat, Rami N

    2015-02-01

    The mechanism of vascular endothelial dysfunction (VED) and cardiovascular disease in obstructive sleep apnea (OSA) is unknown. We performed a comprehensive evaluation of endothelial nitric oxide synthase (eNOS) function directly in the microcirculatory endothelial tissue of OSA patients who have very low cardiovascular risk status. Nineteen OSA patients underwent gluteal biopsies before, and after effective treatment of OSA. We measured superoxide (O2(•-)) and nitric oxide (NO) in the microcirculatory endothelium using confocal microscopy. We evaluated the effect of the NOS inhibitor l-Nitroarginine-Methyl-Ester (l-NAME) and the NOS cofactor tetrahydrobiopterin (BH4) on endothelial O2(•-) and NO in patient endothelial tissue before and after treatment. We found that eNOS is dysfunctional in OSA patients pre-treatment, and is a source of endothelial O2(•-) overproduction. eNOS dysfunction was reversible with the addition of BH4. These findings provide a new mechanism of endothelial dysfunction in OSA patients and a potentially targetable pathway for treatment of cardiovascular risk in OSA. Copyright © 2015 Elsevier B.V. All rights reserved.

  14. Development of emulsifying property in Persian gum using octenyl succinic anhydride (OSA).

    Science.gov (United States)

    Mohammadi, S; Abbasi, S; Scanlon, M G

    2016-08-01

    In the present study, the influence of octenyle succinic anhydride (OSA),gum concentration, pH, temperature and reaction time on esterification of Persian gum (PG), and its soluble (SFPG) and insoluble (IFPG) fractions, were investigated by response surface methodology (RSM) in order to optimize the reaction conditions based on the degree of substitution (DS). The individual effect of all independent variables as well as the interactive effects of temperature-OSA concentration, and OSA-PG concentrations on DS was significant. However, the latter interactive effect (OSA-SFPG) was not significant in case of SFPG. The IFPG did not have any esterification reaction with OSA. The highest DS for PG and SFPG were 0.0285 and 0.0303 at the optimal conditions, respectively. The FTIR spectrums also confirmed the carbonyl group attachment in OSA-PG and OSA-SFPG. The enhancement of emulsifying capability was also confirmed by ECI and EAI values, microscopic images as well as rheological measurements. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. Relationship between Cardio-Ankle Vascular Index (CAVI) and Obstructive Sleep Apnea (OSA).

    Science.gov (United States)

    Romsaiyut, Sasithon; Chotnaiyawattrakul, Wattanachai; Boonyasirinant, Thananya

    2015-02-01

    A non-invasive test called Cardio-Ankle Vascular Index (CA VI) measures aortic stiffness, which is an early sign of atherosclerosis. Obstructive sleep apnea (OSA) has a close association with cardiovascular mortality and morbidity. We sought to assess the relationship between OSA and arterial stiffness. Seventy-one patients with OSA (apnea-hypopnea index AHI ≥ 5, mean age 51.5 ± 14.1 years, 27 females) and 11 controls (AHI OSA and controls were not significantly different. Subjects with OSA demonstrated higher values ofmean ankle artery pulse pressure than the controls (73.1 ± 14.6 vs. 59.6 ± 6.1 mmHg, respectively), but arterial stiffness and CAVI had no statistically significant difference (7.47 ± 1.68 vs. 7.25 ± 1.61, respectively). There was no relationship between arterial stiffness CAVI, and the presence of OSA. However; there was a significant association between ankle artery pulse pressure and the presence of OSA.

  16. New insights on the role of the insular cortex and habenula in OSA.

    Science.gov (United States)

    Li, Ming-Xian; Yan, Chao-Ying; Wang, Shao

    2015-12-01

    Abnormal structure or function in the central nervous system (CNS) can also affect obstructive sleep apnea (OSA). Because human afferent and motor pathways that regulate apnea are still poorly understood, it is not possible to modify the behavior of motor neurons to control airway function. The purpose of this article is to clear the central control mechanism of genioglossus (GG) and to discuss how altered activity in the limbic system and its related structures might affect OSA development, in order to provide help for the treatment of this disease. Functional magnetic resonance imaging (fMRI) data from previous studies on OSA-related brain damage in human beings plus the data from clinical and animal experiments are summarized. These articles are overviewed to discuss the roles of the limbic system-the insular cortex (Ic), the habenula (Hb), and CNS-in the pathogenesis and mechanisms of OSA. The Ic, which relays signals through the Hb, may play a role in OSA because activating the Ic causes the Hb to suppress activity of the raphe nucleus (RN), resulting in lower levels of 5-hydroxytryptamine (5-HT) that decreases the muscle tone of the GG. This leads to airway collapse. The Ic may be an important region in the development of OSA. Altered activity in the limbic system and its related structures could also be associated with OSA.

  17. 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.

  18. COPD-OSA Overlap Syndrome: Evolving Evidence Regarding Epidemiology, Clinical Consequences, and Management.

    Science.gov (United States)

    McNicholas, Walter T

    2017-12-01

    COPD and OSA are both highly prevalent, which implies that both disorders occurring together (overlap syndrome) is likely to be common based on chance association alone. However, different clinical COPD phenotypes influence the likelihood of coexisting OSA in that the increased lung volumes and low BMI associated with the predominant emphysema phenotype protects against OSA, whereas the higher likelihood of peripheral edema and increased BMI associated with the predominant chronic bronchitis phenotype promotes OSA. Both COPD and OSA are associated with similar physiological and molecular consequences, such as hypoxia and systemic inflammation, that contribute to cardiovascular and other comorbidities, and pulmonary hypertension is highly prevalent in patients with the overlap syndrome. However, there have been few published reports that have evaluated systemic inflammation and other cardiovascular comorbidities in patients with overlap syndrome. The diagnosis of OSA in patients with COPD requires awareness of relevant clinical features, and screening questionnaires may help identify suitable patients for further overnight study. The recognition of coexisting OSA in patients with COPD has important clinical relevance, as the management of patients with overlap syndrome is different from the management of COPD alone, and the survival of patients with overlap syndrome that is not treated with nocturnal positive airway pressure is significantly inferior to that of patients with overlap syndrome that is appropriately treated. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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

    Science.gov (United States)

    Matos, María; Marefati, Ali; Gutiérrez, Gemma; Wahlgren, Marie; Rayner, Marilyn

    2016-01-01

    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.

  20. Questionnaire OSA-18 has poor validity compared to polysomnography in pediatric obstructive sleep apnea.

    Science.gov (United States)

    Borgström, Anna; Nerfeldt, Pia; Friberg, Danielle

    2013-11-01

    To evaluate the diagnostic value of the quality-of-life instrument OSA-18 by comparing it with objective data from polysomnography in children with sleep-disordered breathing. Cross-sectional. Full-night polysomnographic data were obtained from 225 subjects, 139 boys and 86 girls, median age 4.5 years (1-12) in our sleep laboratory. Their caregivers answered the OSA-18 quality-of-life instrument (range 18-126). The polysomnographic parameter, the apnea-hypopnea index (AHI) was compared with the total symptom score (TSS) and with the subscale of sleep disturbance (SD) from the OSA-18 questionnaire. Receiver operating characteristic (ROC) curves were created to test the predictive value of OSA-18. With the TSS of the OSA-18 at ≥60, compared with AHI levels of >1 and ≥5, the sensitivity was 55.2% and 59.3% respectively, and the specificity 40.9% and 48.4%, respectively. With the TSS>80 and AHI levels of ≥5 and ≥10, the sensitivity was 24.6% and 32.1%, respectively. For the subscale of SD, the majority of the subjects showed poor correlation with the AHI values. The ROC area under the curve for different levels of the AHI (>1, ≥5, and ≥10) was 0.49, 0.57, and 0.56, respectively. The OSA-18 questionnaire showed poor validity in detecting and predicting pediatric OSA. The majority of the children with severe OSA would not be correctly diagnosed if the OSA-18 were used as a dominant diagnostic tool. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  1. Turkish Anaesthesiologist's Experiences of Anaesthetic Management of Patients with Obstructive Sleep Apnea (OSA).

    Science.gov (United States)

    Erbaş, Mesut; Kiraz, Hasan Ali; Şimşek, Tuncer; Şahin, Hasan; Toman, Hüseyin; Hancı, Volkan

    2015-08-01

    Obstructive sleep apnea (OSA) is an important health problem that is increasing with the increase in the incidence of obesity. For patients with OSA, it is reported that preoperative OSA diagnosis is made in only 10%-20% of the patients. Therefore, it gains importance that these patients are diagnosed in the preoperative period. The aim of this study is to analyze with a survey the experiences of anaesthesia experts working in Turkey about the diagnosis of patients with OSA, anaesthetic methods and postoperative care. The study was completed with an online survey form distributed via email. Survey participants were sent an email, and those experts who wished to participate clicked on the link, answered the questions and returned the survey via email. A total of 134 anaesthesia experts participated in this study. While 97% of the participating anaesthetists considered diagnosis of patients with OSA to be important, only 53% trusted themselves to recognize this patient group. Of the total number of participants. 43% did not know the STOP-BANG test used in the preoperative period to diagnose patients with OSA. The percentage who thought that patients with OSA would increase the incidence of difficult intubation was 84%. In the intraoperative period, the percentage who chose inhalation anaesthetics was 35%, whereas the rate of those who chose total intravenous anesthesia (TIVA) was 48%. This study indicates that the medical knowledge of Turkish anaesthetists on the topic of OSA requires updating. In addition, we believe a practical guide to standardize the diagnosis and preoperative/perioperative management of patients with OSA should be prepared for Turkish anaesthetists.

  2. 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.

  3. Driving simulator performance remains impaired in patients with severe OSA after CPAP treatment.

    Science.gov (United States)

    Vakulin, Andrew; Baulk, Stuart D; Catcheside, Peter G; Antic, Nick A; van den Heuvel, Cameron J; Dorrian, Jillian; McEvoy, R Doug

    2011-06-15

    To assess the effectiveness of CPAP treatment in improving 90-minute driving simulator performance in severe OSA patients compared to age/gender matched controls. Driving simulator performance was assessed at baseline and 3 months later, with OSA patients treated with CPAP during the interval. University Teaching Hospital. Patients with severe OSA (n = 11) and control subjects without OSA (n = 9). CPAP MEASUREMENTS AND RESULTS: Simulator driving parameters of steering deviation, braking reaction time and crashes were measured at baseline and ∼3 months follow-up. At baseline, OSA subjects demonstrated significantly greater steering deviation compared to controls (mean [95% CI], OSA group, 49.9 cm [43.7 to 56.0 cm] vs control group, 34.9 cm [28.1 to 41.7 cm], p = 0.003). Following ∼3 months of CPAP treatment (mean ± SD 6.0 ± 1.4 h/night), steering deviation in OSA subjects improved by an average of 3.1 cm (CI, 1.4 to 4.9), p driving simulator performance improved after ∼3 months of CPAP treatment with high adherence in patients with severe OSA, performance remained impaired compared to control subjects. These results add to the growing body of evidence that some neurobehavioral deficits in patients with severe OSA are not fully reversed by treatment. Further studies are needed to assess causes of residual driving simulator impairment and to determine whether this is associated with persistent elevated real-life accident risk. Data presented in this manuscript was collected as part of a clinical trial "Experimental Investigations of Driving Impairment in Obstructive Sleep Apnoea" ACTRN12610000009011, http://www.anzctr.org.au/trial_view.aspx?ID=334979

  4. Formula for predicting OSA and the Apnea-Hypopnea Index in Koreans with suspected OSA using clinical, anthropometric, and cephalometric variables.

    Science.gov (United States)

    Kim, Seon Tae; Park, Kee Hyung; Shin, Seung-Heon; Kim, Ji-Eun; Pae, Chi-Un; Ko, Kwang-Pil; Hwang, Hee Young; Kang, Seung-Gul

    2017-12-01

    This study developed formulas to predict obstructive sleep apnea (OSA) and the Apnea-Hypopnea Index (AHI) in Korean patients with suspected OSA using clinical, anthropometric, and cephalometric variables. We evaluated relevant variables in 285 subjects with suspected OSA. These included demographic characteristics, sleep-related symptoms, medical history, clinical scales, anthropometric measurements including facial surface measurements, and cephalometric measurements. All participants underwent full-night laboratory polysomnography. The prediction formula for the probability of OSA was created by logistic regression analysis and confirmed by the bootstrap resampling technique. The formula for predicting the AHI was developed using multiple linear regression analysis. The probability of having OSA was as follows: p = 1 / (1 + exponential (exp)-f ), where f = -16.508 + 1.445 × loudness of snoring 4 + 0.485 × loudness of snoring 3 + 0.078 × waist circumference + 0.209 × subnasale-to-stomion distance + 0.183 × thickness of the uvula (UTH) supine + 0.041 × age. The AHI prediction formula was as follows: -112.606 + 3.516 × body mass index + 0.683 × mandibular plane-hyoid supine + 10.915 × loudness of snoring 4 + 6.933 × loudness of snoring 3 + 1.297 × UTH supine + 0.272 × age. This is the first study to establish formulas to predict OSA and the AHI in Koreans with suspected OSA using cephalometric and other variables. These results will contribute to prioritizing the order in which patients with suspected OSA are referred for polysomnography.

  5. The Effect of Montelukast on Mild Persistent OSA after Adenotonsillectomy in Children: A Preliminary Study.

    Science.gov (United States)

    Wang, Bing; Liang, Jia

    2017-05-01

    This study sought to evaluate the treatment effect of montelukast in children with obstructive sleep apnea (OSA) after tonsillectomy and/or adenoidectomy (T&A). Fifty-eight children with persistent OSA after T&A were included and randomly divided into 2 groups: one group was administered montelukast for 12 weeks, and the other received no treatment. Clinical information, such as the apnea-hypopnea index (AHI) and nadir oxyhemoglobin saturation (nadir SpO2), was recorded. Symptoms of OSA were evaluated using the validated Pediatric Sleep Questionnaire (PSQ). After surgery, there was no difference in terms of AHI, nadir SpO2, and PSQ scores between 2 groups. After the 12-week course of montelukast administration, the treatment group had significant improvement in the AHI, nadir SpO2, and PSQ scores ( P .05). In summary, montelukast as a complementary therapy can improve sleep disturbances in children with OSA after T&A.

  6. Obstructive sleep apnea syndrome (OSAS): Pathophysiology in Estonians.

    Science.gov (United States)

    Veldi, Marlit; Ani, Raivo; Vaher, Heisl; Eller, Triin; Hion, Tuuliki; Aluoja, Anu; Vasar, Veiko

    2010-06-01

    The aim of the study was to clarify the roles of age, obesity, smoking, alcohol, pathoanatomy and -physiology in Estonian's OSAS. For this 164 randomly chosen such patients were selected in different regions of Estonia. They underwent naso-oropharyngeal examination, physical examination of craniofacial abnormalities, and polysomnography. They also completed a self-reported questionnaire about smoking, alcohol use, excessive daytime sleepiness, hypertension, cardiac disorders, headaches, concentration disorders, and recurrent upper-airway diseases. The patients (129 men; 35 women) aged between 19 and 75 years (mean 47+/-12), BMI between 21 and 49 (mean 30.5+/-5.15), AHI between 5 and 105 (33+/-22). The results showed that there was a high percentage of naso-oropharyngeal disorders, such as: recurrent upper-airway diseases (54.2%), nasal breathing disorders (63.5%), and hypertrophy of tonsils (57%). There was also a high percentage of general characteristics, such as alcohol use (64%), excessive daytime sleepiness (85.5%), overweight (63%), and hypertension (51.2%). The regression summary for the dependent variable AHI if p-level=0.0042 (R=0.63347013) included age, BMI, hypertension, cardiac disorders, headaches, nasal obstruction, hypertrophy of pharyngeal muscles, tongue level, submental fat and slow-wave sleep (S3+S4%). In conclusion recurrent upper-airway diseases, nasal obstruction, and hypertrophy of tonsils in combination with smoking and alcohol caused the changes in the pharyngeal and lingual muscles. The latter gives rise to such sleep apnea-related problems as heart complaints, hypertension, headache and shortage of slow-wave sleep (SWS). Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  7. What do changes in concentrations of serum surfactant proteins A and D in OSA mean?

    Science.gov (United States)

    Liang, Shao; Li, Nanfang; Heizhati, Mulalibieke; Yao, Xiaoguang; Abdireim, Arikin; Wang, Yingchun; Abulikemu, Zufeiya; Zhang, Delian; Chang, Guijuan; Kong, Jianqiong; Zhou, Ling; Hong, Jing; Ying, Ting; Zhang, Yongping

    2015-09-01

    Previous studies have shown that surfactant proteins are affected by oxygen concentration and mechanic stretches, although the alteration of serum surfactant proteins in individuals with obstructive sleep apnea (OSA) is still unclear. Therefore, the aim of this study is to examine whether serum concentrations of surfactant proteins A and D are altered and related to hypopnea index (HI) in OSA. This is a cross-sectional study. Consecutive 140 males, suspicious of OSA, were studied. OSA was determined by PSG and polysomnographic data examined. Subjects with HI ≥ 10.1/h were classified as higher HI group and those with HI OSA was diagnosed in 110 patients (78.5%). Mild, moderate, and severe OSA constitutes 26.4, 27.8, and 24.3%, respectively. Mean age was 44.6 ± 7.65 years. Subjects with higher HI had lower SP-A (139.54. ± 32.94 vs 158.2 ± 38.9 ng/L, p = 0.005) and SP-D (16.54 ± 3.67 vs 18.10 ± 3.48 ng/L, p = 0.014) compared to those with lower HI. Nocturnal HI was strongly correlated with serum levels of SP-A (r = 0.343, p = 0.012) and SP-D (r = 0.504, p OSA, possibly reflecting severity of hypoxia in OSA.

  8. Characterization of obstructive sleep apnea-hypopnea syndrome (OSA) population by means of cluster analysis.

    Science.gov (United States)

    Lacedonia, Donato; Carpagnano, Giovanna Elisiana; Sabato, Roberto; Storto, Maria Maddalena Lo; Palmiotti, Giuseppe Antonio; Capozzi, Vito; Barbaro, Maria Pia Foschino; Gallo, Crescenzio

    2016-12-01

    Obstructive sleep apnea-hypopnea syndrome (OSA) is being identified increasingly as an important health issue. It is typified by repeated episodes of upper airway collapse during sleep leading to occasional hypoxaemia, sleep fragmentation and poor sleep quality. OSA is also being considered as an independent risk factor for hypertension, diabetes and cardiovascular diseases, leading to increased multi-morbidity and mortality. Cluster analysis, a powerful statistical set of techniques, may help in investigating and classifying homogeneous groups of patients with similar OSA characteristics. This study aims to investigate the (possible) different groups of patients in an OSA population, and to analyse the relationships among the main clinical variables in each group to better understand the impact of OSA on patients. Starting from a well-characterized OSA population of 198 subjects afferent to our sleep centre, we identified three different communities of OSA patients. The first has a very severe disease [apnea-hypopnea index (AHI) = 65.91 ± 22.47] and sleep disorder has a strong impact on daily life: a low level of diurnal partial pressure of oxygen (PaO2 ) (77.39 ± 11.64 mmHg) and a high prevalence of hypertension (64%); the second, with less severe disease (AHI = 28.88 ± 17.13), in which sleep disorders seem to be less important for diurnal PaO2 and have a minimum impact on comorbidity; and the last with very severe OSA (AHI = 57.26 ± 15.09) but with a low risk of nocturnal hypoxaemia (T90 = 11.58 ± 8.54) and less sleepy (Epworth Sleepiness Scale 10.00 ± 4.77). © 2016 European Sleep Research Society.

  9. Amelioration of Obstructive Sleep Apnea in REM Sleep Behavior Disorder: Implications for the Neuromuscular Control of OSA

    Science.gov (United States)

    Huang, Jixiong; Zhang, Jihui; Lam, Siu Ping; Li, Shirley Xin; Ho, Crover Kwok Wah; Lam, Venny; Yu, Mandy Wai Man; Wing, Yun-Kwok

    2011-01-01

    Objectives: The relationship between REM sleep behavior disorder (RBD) and obstructive sleep apnea (OSA) remains unclear. We aimed to (1) explore the association of REM-related EMG activity (REMREEA) with OSA in RBD patients; (2) compare the severity of OSA between RBD patients with OSA (RBD-OSA) and their age-, sex-, AHI-, and BMI- matched OSA controls. Design: a. Correlation study in consecutive RBD subjects and b. case-control study Setting: Sleep laboratory Participants: 71 RBD patients in the correlation study and 55 subjects (28 RBD-OSA cases and 27 OSA controls) in the case-control study. Intervention: N/A Methods: Polysomnographic assessment to document the sleep architecture, sleep apnea related parameters, and REMREEA. Results: (1) In the correlation study, increased REMREEA was associated with lower severity of OSA in RBD patients, including total AHI (r = −0.263), NREM AHI (r = −0.242), obstructive AHI (r = −0.265), and mean apnea duration (r = −0.353) (P sleep apnea parameters than OSA controls in terms of higher nadir SpO2 (85.7% ± 4.9% vs 80.8% ± 5.9%, P sleep exacerbation of sleep apneas was seen only in OSA controls but not in RBD subjects. Conclusions: This study demonstrated that excessive EMG activity in RBD might protect patients against severe OSA and suggests this may be a naturalistic model for understanding neuromuscular control of OSA. Citation: Huang J; Zhang J; Lam SP; Li SX; Ho CKW; Lam V; Yu MWM; Wing YK. Amelioration of obstructive sleep apnea in REM sleep behavior disorder: implications for the neuromuscular control of OSA. SLEEP 2011;34(7):909-915. PMID:21731141

  10. Pre-Operative Ability of Clinical Scores to Predict Obstructive Sleep Apnea (OSA) Severity in Susceptible Surgical Patients.

    Science.gov (United States)

    Deflandre, E; Degey, S; Brichant, J-F; Donneau, A-F; Frognier, R; Poirrier, R; Bonhomme, V

    2017-03-01

    Severe obstructive sleep apnea (OSA) is an independent risk factor for perioperative complications. Clinical scores such as Snoring, Tiredness, Observed apnea, high blood Pressure, Body Mass Index (BMI) higher than 35 kg m-2, Age older than 50 years, Neck circumference larger than 40 cm, and male gender (STOP-Bang), perioperative sleep apnea prediction (P-SAP), and OSA50 have been proposed for detecting OSA. We recently proposed a new score based on morphological metrics only, the DES-OSA score. This study compared the DES-OSA score to the three other ones with regard to their ability to detect OSA. Obese patients are particularly at risk of OSA. Following informed consent and institutional review board (IRB) approval, 1584 consecutive adults were. Should the STOP-Bang be indicative of increased risk of severe OSA, the patient was referred to complementary polysomnography (PSG). Eventual already existing recent PSG data were also collected. The abilities of the four scores to predict OSA severity were compared using sensitivity, specificity, Cohen's kappa coefficient (CKC), and area under ROC curve (AUROC) analysis. PSG was performed in 150 patients. For detecting severe OSA, OSA50 had the highest sensitivity [value (95 % CI) 0.98 (0.90-1)]. STOP-Bang was significantly less sensitive than P-SAP and OSA50. In that respect, DES-OSA was significantly more specific than the three other ones [0.75 (0.65-0.83)]. The AUROC of DES-OSA was significantly the largest [0.9 (0.84-0.95)]. The highest CKC at detecting severe OSA was 0.62 (0.49-0.74) for DES-OSA. Similar results were obtained for moderate to severe OSA prediction. DES-OSA, which is the only exclusively morphological score available, appears to surpass the three other scores in their ability to predict moderate to severe and severe OSA, at least in our setting and in our screened population. ClinicalTrial.gov NCT02051829.

  11. Model for prediction of pediatric OSA: Proposal for a clinical decision rule.

    Science.gov (United States)

    Certal, Victor; Silva, Hélder; Carvalho, Carlos; Costa-Pereira, Altamiro; Azevedo, Inês; Winck, João; Capasso, Robson; Camacho, Macario

    2015-12-01

    Obstructive sleep apnea (OSA) is a syndrome frequently diagnosed in children; however, it lacks optimal diagnostic methods. This study aimed to provide a clinical decision rule for predicting pediatric OSA using commonly available clinical information. A prospective cohort study. Children between the ages of 3 to 6 years-old, referred for an otorhinolaryngology consultation due to clinical suspicion of OSA, were recruited from January to June 2014. At baseline age, weight, height, gender, body mass index, Pediatric Sleep Questionnaire (PSQ) scores, tonsil size, and oxygen desaturation index (ODI) were assessed. A logistic regression modeling was used with backward stepwise elimination to develop a prediction model. Sixty-seven children were included with a mean age of 4.51 years. Of the 67 children included in this study, 25 (37.3%) subjects were diagnosed with pediatric OSA. Significant predictors of pediatric OSA in the final model (odds ratio, 95% confidence interval) included PSQ score (5.12; 3.3-6.5), ODI (1.34; 1.0-1.79) and tonsil size (6.7; 3.22-9.75). The final decision rule had a sensitivity of 88% and a specificity of 86%. The area under the receiver operating characteristic curve was 0.897. The proposed clinical decision rule, based on three readily available variables, is a promising discriminating instrument for prediction of OSA among children between 3 and 6 years. 2b. © 2015 The American Laryngological, Rhinological and Otological Society, Inc.

  12. The overlaps of asthma or COPD with OSA: A focused review.

    Science.gov (United States)

    Owens, Robert L; Macrea, Madalina M; Teodorescu, Mihaela

    2017-08-01

    Asthma, chronic obstructive pulmonary disease (COPD) and obstructive sleep apnoea (OSA) are the most common respiratory disorders worldwide. Given demographic and environmental changes, prevalence for each is likely to increase. Although exact numbers are not known, based on chance alone, many people will be affected by both lower airways obstruction and concomitant upper airway obstruction during sleep. Some recent studies suggest that there is a reciprocal interaction, with chronic lung disease predisposing to OSA, and OSA worsening control and outcomes from chronic lung disease. Thus, the combination of wake and sleep respiratory disorders can create an overlap syndrome with unique pathophysiological, diagnostic and therapeutic concerns. Although much work needs to be done, given the above, Respirologists, Sleep Medicine and Primary Care providers must be vigilant for overlap syndromes. Accurate diagnosis of, for example, OSA as a cause of nocturnal symptoms in a patient with asthma is likely to limit further ineffective titration of medications for asthma. Moreover, prompt treatment of OSA in the overlap syndromes will not only offer symptomatic benefit of OSA, but also improve symptoms and healthcare resource utilization attributable to obstructive lung disease, and in COPD, it may reduce mortality. © 2017 Asian Pacific Society of Respirology.

  13. Relationship between energy expenditure, physical activity and weight loss during CPAP treatment in obese OSA subjects.

    Science.gov (United States)

    Bamberga, Michele; Rizzi, Maurizio; Gadaleta, Felice; Grechi, Attilio; Baiardini, Renata; Fanfulla, Francesco

    2015-04-01

    Increased energy expenditure (EE) has been reported in patients with obstructive sleep apnea (OSA). It has been postulated that CPAP treatment may induce weight reduction in obese patients, even if it has not been confirmed by recent studies. In the present study we investigated the effect of OSA on EE and the effect of CPAP on body weight and physical activity. One hundred and seven obese OSA patients and 25 healthy obese volunteers, as control group, matched for age, sex and BMI, were enrolled. The following evaluation was performed only in OSA patients after 6 months of CPAP treatment. Baseline total EE was similar in the two groups, but OSA patients showed higher EE during the night, while control group during daytime. In patients, EE correlates with OSA severity, degree of daytime sleepiness or obesity. At follow-up evaluation, BMI and total EE were unchanged. However, daytime EE increased (1066 ± 131.5 vs 1104 ± 133 Kcal/die, p weight and daily physical activity did not change in statistically significant way. Copyright © 2015 Elsevier Ltd. All rights reserved.

  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 1st 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 1st and 3rd 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 OSA patients improved significantly to 9.84 ±2.97, p = 0.022, CI (0.3293-4.0106) and 12.29 ±3.97, p OSA. Benefits in daytime sleepiness were observed after short-term as well as long-term use of CPAP therapy.

  16. Development and Validation of a Morphologic Obstructive Sleep Apnea Prediction Score: The DES-OSA Score.

    Science.gov (United States)

    Deflandre, Eric; Degey, Stephanie; Brichant, Jean-Francois; Poirrier, Robert; Bonhomme, Vincent

    2016-02-01

    Obstructive sleep apnea (OSA) is a common and underdiagnosed entity that favors perioperative morbidity. Several anatomical characteristics predispose to OSA. We developed a new clinical score that would detect OSA based on the patient's morphologic characteristics only. Patients (n = 149) scheduled for an overnight polysomnography were included. Their morphologic metrics were compared, and combinations of them were tested for their ability to predict at least mild, moderate-to-severe, or severe OSA, as defined by an apnea-hypopnea index (AHI) >5, >15, or >30 events/h. This ability was calculated using Cohen κ coefficient and prediction probability. The score with best prediction abilities (DES-OSA score) considered 5 variables: Mallampati score, distance between the thyroid and the chin, body mass index, neck circumference, and sex. Those variables were weighted by 1, 2, or 3 points. DES-OSA score >5, 6, and 7 were associated with increased probability of an AHI >5, >15, or >30 events/h, respectively, and those thresholds had the best Cohen κ coefficient, sensitivities, and specificities. Receiver operating characteristic curve analysis revealed that the area under the curve was 0.832 (95% confidence interval [CI], 0.762-0.902), 0.805 (95% CI, 0.734-0.876), and 0.834 (95% CI, 0.757-0.911) for DES-OSA at predicting an AHI >5, >15, and >30 events/h, respectively. With the aforementioned thresholds, corresponding sensitivities (95% CI) were 82.7% (74.5-88.7), 77.1% (66.9-84.9), and 75% (61.0-85.1), and specificities (95% CI) were 72.4% (54.0-85.4), 73.2% (60.3-83.1), and 76.9% (67.2-84.4). Validation of DES-OSA performance in an independent sample yielded highly similar results. DES-OSA is a simple score for detecting OSA patients. Its originality relies on its morphologic nature. Derived from a European population, it may prove useful in a preoperative setting, but it has still to be compared with other screening tools in a general surgical population and in other

  17. Validation study of WatchPat 200 for diagnosis of OSA in an Asian cohort.

    Science.gov (United States)

    Gan, Yijin Jereme; Lim, Louis; Chong, Yaw Khian

    2017-03-01

    To validate a wrist-worn portable device (WatchPat 200) to diagnose OSA in an Asian cohort. To evaluate its cost-effectiveness. Twenty patients with suspected OSA were recruited and had simultaneous polysomnography (PSG) and WatchPAT assessments concurrently within the hospital's sleep laboratory. The study population consisted of 18 male and 2 female patients, whose mean age was 39 (±16) years, mean BMI was 27.2 (±5.5) kg/m2, mean Epworth Sleepiness score was 8.55 (±4.8). The correlation between the AHI was assessed using Spearman's correlation coefficient and agreement was tested via the Bland Altman plot. Sensitivities and specificities were then applied to the various AHI groups. Spearman's coefficient was 0.94, which suggested that a very strong correlation between the AHI recorded by the WatchPat and the PSG. Bland-Altman plot showed good agreement with the AHI mean difference of about 4.23 with a slight tendency to overscore the AHI at the mild range of OSA and underscore the range at the severe end of OSA. The WatchPat showed 100% sensitivity when compared to PSG for mild OSA and is thus a good screening test for the undiagnosed general population. Furthermore, it also showed 100% specificity when compared to PSG for severe OSA suggesting that it is a good diagnostic test for people with a high suspicion of OSA. This facilitates a timelier diagnosis and a more economical approach with potential cost savings of up to $900 per patient.

  18. Exhaled breath profiling in patients with COPD and OSA overlap syndrome: a pilot study.

    Science.gov (United States)

    Dragonieri, Silvano; Quaranta, Vitaliano N; Carratu, Pierluigi; Ranieri, Teresa; Resta, Onofrio

    2016-11-03

    The analysis of volatile organic compounds (VOCs) by an electronic nose (e-nose) is a groundbreaking method that provides distinct exhaled molecular patterns in several respiratory and systemic diseases. It has been shown that an e-nose can detect obstructive sleep apnea (OSA) as well as chronic obstructive pulmonary disease (COPD). OSA and COPD are sometimes associated into the so-called overlap syndrome (OVS). In this pilot study we hypothesized that an e-nose could discriminate the exhaled breath of patients with OVS from that of subjects with OSA and COPD alone. Thirteen patients with OSA, 15 patients with COPD and 13 with OVS participated in a cross-sectional study. Exhaled breath was collected by a formerly validated method and sampled by using an electronic nose (Cyranose 320). Raw data were analyzed by canonical discriminant analysis on principal component reduction. Cross-validation accuracy (CVA) and ROC-curves were calculated. External validation in newly recruited patients (6 OSA, 6 OVS and 6 COPD) was tested using the previous training set. Breathprints of patients with OSA clustered distinctly from those with OVS (CVA  =  96.2%) as well as those with COPD (CVA  =  82.1%). Breathprints from OVS were not significantly separated from those of COPD (CVA  =  67.9%). External validation confirmed the above findings. The e-nose can distinguish with high accuracy the exhaled VOC-profile of patients with OSA from those with OVS as well as those with COPD. This warrants future studies to confirm the potential of this technique in the non-invasive detection of sleep apnea.

  19. Incorporating body-type (apple vs. pear) in STOP-BANG questionnaire improves its validity to detect OSA.

    Science.gov (United States)

    Sangkum, Lisa; Klair, Ikrita; Limsuwat, Chok; Bent, Sabrina; Myers, Leann; Thammasitboon, Supat

    2017-09-01

    The aim of this study is to evaluate whether adding the item of "apple body type" to the STOP-BANG questionnaire enhances diagnostic performance of the questionnaire for detecting obstructive sleep apnea (OSA). Cross-sectional study. Sleep center setting. Two hundred and eight subjects who were referred for an evaluation of possible OSA at Tulane Comprehensive Sleep Center. The exclusion criteria were ageOSA of 2.5 (95% CI, 1.2-5.3) and odds ratio of having moderate-severe OSA of 4.7 (95% CI, 2.5-8.7). In the sleep center setting, adding the body type item to the STOP-BANG questionnaire improves not only clinical prediction for PSG confirmed OSA but also predicts moderate to severe of OSA. Published by Elsevier Inc.

  20. The Chromatin-Remodeling Protein Osa Interacts With CyclinE in Drosophila Eye Imaginal Discs

    Science.gov (United States)

    Baig, Jawaid; Chanut, Francoise; Kornberg, Thomas B.; Klebes, Ansgar

    2010-01-01

    Coordinating cell proliferation and differentiation is essential during organogenesis. In Drosophila, the photoreceptor, pigment, and support cells of the eye are specified in an orchestrated wave as the morphogenetic furrow passes across the eye imaginal disc. Cells anterior of the furrow are not yet differentiated and remain mitotically active, while most cells in the furrow arrest at G1 and adopt specific ommatidial fates. We used microarray expression analysis to monitor changes in transcription at the furrow and identified genes whose expression correlates with either proliferation or fate specification. Some of these are members of the Polycomb and Trithorax families that encode epigenetic regulators. Osa is one; it associates with components of the Drosophila SWI/SNF chromatin-remodeling complex. Our studies of this Trithorax factor in eye development implicate Osa as a regulator of the cell cycle: Osa overexpression caused a small-eye phenotype, a reduced number of M- and S-phase cells in eye imaginal discs, and a delay in morphogenetic furrow progression. In addition, we present evidence that Osa interacts genetically and biochemically with CyclinE. Our results suggest a dual mechanism of Osa function in transcriptional regulation and cell cycle control. PMID:20008573

  1. Reviewing the relationship between OSA and cognition: Where do we go from here?

    Science.gov (United States)

    Bucks, Romola S; Olaithe, Michelle; Rosenzweig, Ivana; Morrell, Mary J

    2017-10-01

    Obstructive sleep apnoea (OSA) is a disorder of breathing during sleep resulting in temporary reduction in cerebral oxygenation and sleep disruption. A growing body of research reveals a relatively consistent pattern of deficits in cognition, particularly in attention, episodic memory, and executive function, which are partially remediated by treatment. This is where the consensus ends. Despite a number of competing explanations regarding how OSA affects cognition, reliable evidence is hard to find, which may relate to the many, common conditions co-morbid with OSA or to the methodological challenges in this field. This paper reviews the evidence for cognitive impairment in OSA, the proposed models of cognitive harm, the impact of co-morbidities and the many methodological and theoretical challenges of exploring the effect of OSA on cognition. To overcome some of these challenges, we end by proposing a number of future directions for the field, including suggesting some core design elements for future studies. © 2017 Asian Pacific Society of Respirology.

  2. MR image analytics to characterize upper airway architecture in children with OSAS

    Science.gov (United States)

    Tong, Yubing; Udupa, Jayaram K.; Torigian, Drew A.; Matsumoto, Monica M. S.; Sin, Sanghun; Arens, Raanan

    2015-03-01

    Mechanisms leading to Obstructive Sleep Apnea Syndrome (OSAS) in obese children are not well understood. We previously analyzed polysomnographic and demographic data to study the anatomical characteristics of the upper airway and body composition in two groups of obese children with and without OSAS, where object volume was evaluated. In this paper, in order to better understand the disease we expand the analysis considering a variety of features that include object-specific features such as size, surface area, sphericity, and image intensity properties of fourteen objects in the vicinity of the upper airway, as well as inter-object relationships such as distance between objects. Our preliminary results indicate several interesting phenomena: volumes and surface areas of adenoid and tonsils increase statistically significantly in OSAS. Standardized T2-weighted MR image intensities differ statistically significantly between the two groups, implying that perhaps intrinsic tissue composition undergoes changes in OSAS. Inter-object distances are significantly different between the two groups for object pairs (skin, oropharynx), (skin, fat pad), (skin, soft palate), (mandible, tongue), (oropharynx, soft palate), (left tonsil, oropharynx), (left tonsil, fat pad) and (left tonsil, right tonsil). We conclude that treatment methods for OSAS such as adenotonsillectomy should respect proportional object size relationships and spatial arrangement of objects as they exist in control subjects.

  3. Predictive models of objective oropharyngeal OSA surgery outcomes: Success rate and AHI reduction ratio.

    Directory of Open Access Journals (Sweden)

    Ji Ho Choi

    Full Text Available The aim of this study was to develop a predictive model of objective oropharyngeal obstructive sleep apnea (OSA surgery outcomes including success rate and apnea-hypopnea index (AHI reduction ratio in adult OSA patients.Retrospective outcome research.All subjects with OSA who underwent oropharyngeal and/or nasal surgery and were followed for at least 3 months were enrolled in this study. Demographic, anatomical [tonsil size (TS and palate-tongue position (PTP grade (Gr], and polysomnographic parameters were analyzed. The AHI reduction ratio (% was defined as [(postoperative AHI-preoperative AHI x 100 / postoperative AHI], and surgical success was defined as a ≥ 50% reduction in preoperative AHI with a postoperative AHI < 20.A total of 156 consecutive OSAS adult patients (mean age ± SD = 38.9 ± 9.6, M / F = 149 / 7 were included in this study. The best predictive equation by Forward Selection likelihood ratio (LR logistic regression analysis was: [Formula: see text]The best predictive equation according to stepwise multiple linear regression analysis was: [Formula: see text] (TS/PTP Gr = 1 if TS/PTP Gr 3 or 4, TS/PTP Gr = 0 if TS/PTP Gr 1 or 2.The predictive models for oropharyngeal surgery described in this study may be useful for planning surgical treatments and improving objective outcomes in adult OSA patients.

  4. Diagnostic utility of abdominal ultrasonography for routine staging at diagnosis of skeletal OSA in dogs.

    Science.gov (United States)

    Wallace, Mandy; Selmic, Laura; Withrow, Stephen J

    2013-01-01

    The rate of soft tissue metastases and the importance of abdominal ultrasonography in initial staging of canine skeletal osteosarcoma (OSA) are not known. The purpose of this study was to determine whether abdominal ultrasonography should be performed routinely at initial diagnosis of skeletal OSA or if certain abnormal physical examination or diagnostic findings would provide greater indication to perform ultrasonography. Eighty dogs with OSA that had an abdominal ultrasonogram performed at diagnosis were included. Abnormal findings were present in 36 of 80 dogs. Twenty-three abnormalities were evaluated with either fine-needle aspirate or biopsy and 19 were benign. None of the ultrasonograms revealed abdominal OSA metastases; however, 4 of the 80 ultrasonograms (5%) revealed another primary neoplasia. Further, 2 of the 9 cases that received an ultrasonogram due to a palpable abdominal mass were diagnosed with another primary neoplasia compared with only 1 of the 49 cases that received an ultrasonogram for routine staging. Abdominal ultrasonography as a part of staging is unlikely to reveal metastases from OSA and may not be a useful routine staging tool; however, in certain populations of dogs, such as those with palpable abdominal masses, abdominal ultrasonography may reveal abnormalities that may influence treatment decisions.

  5. Paediatric obstructive sleep apnoea syndrome (OSAS) is associated with tonsil colonisation by Streptococcus pyogenes

    Science.gov (United States)

    Viciani, Elisa; Montagnani, Francesca; Tavarini, Simona; Tordini, Giacinta; Maccari, Silvia; Morandi, Matteo; Faenzi, Elisa; Biagini, Cesare; Romano, Antonio; Salerni, Lorenzo; Finco, Oretta; Lazzi, Stefano; Ruggiero, Paolo; De Luca, Andrea; Barocchi, Michèle A.; Manetti, Andrea G. O.

    2016-01-01

    The involvement of pathogenic bacteria in obstructive sleep apnoea syndrome (OSAS) has yet to be elucidated. We investigated the possible role of group A streptococcus (GAS) in OSAS pathogenesis. In 40 tonsillectomized patients affected by OSAS and 80 healthy controls, significant (p < 0.0001) association of GAS with paediatric OSAS was found. Supernatant from streptolysin O (SLO)-producing GAS induced production of cysteinyl leukotrienes (CysLTs) in tonsil mononuclear cells (TMCs). CysLTs-treated TMCs showed significant (p < 0.05) proliferation of CD4+ T, CD19+ and CD19+CD27+CD38+ B lymphocytes. We discovered a SLO-dependent activation of CysLTs production through a pathway involving TOLL-like receptor 4 (TLR4), TIR-domain-containing adapter-inducing interferon-β (TRIF), Myeloid differentiation primary response gene 88 (MyD88), and p38 MAP Kinase. In conclusion, we hypothesise that GAS may contribute to paediatric tonsillar hyperplasia through CysLTs production induced by SLO, and this might explain its association with OSAS. PMID:26860261

  6. Attitudes regarding perioperative care of patients with OSA: a survey study of four specialties in the United States.

    Science.gov (United States)

    Auckley, Dennis; Cox, Robynn; Bolden, Norman; Thornton, J Daryl

    2015-03-01

    Obstructive sleep apnea (OSA) is a risk factor for significant perioperative complications. This national survey study sought to determine the attitudes of physicians involved in the perioperative care of OSA patients. We modified the perioperative survey used by Turner et al. among Canadian anesthesiologists. We mailed the survey to 3,000 US physicians practicing in the following specialties (750 of each specialty): anesthesiology (A), primary care (family practice or internal medicine) (PC), sleep (SM), and general surgery (S). The survey asked questions about attitudes and practice patterns regarding OSA in the perioperative setting. Of 2,730 eligible subjects, 783 questionnaires (28.7 %) were returned. Overall, 94 % felt OSA was a risk factor for perioperative complications (no difference by specialty) and 90 % felt it was a moderate to major risk factor (A = 91 %, PC = 81 %, SM = 94 %, S = 72 %; p OSA in the perioperative setting. Despite this, only 71 % reported regularly screening for OSA preoperatively, mostly by history and physical examination (A = 89 %, PC = 52 %, SM = 88 %, S = 49 %; p OSA, 32 % would delay surgery pending a sleep study (A = 4 %, PC = 41 %, SM = 54 %, S = 27 %; p OSA patients. The majority of physicians in this survey felt OSA was a significant risk factor for perioperative complications and most reported experience with OSA patients having an adverse outcome. Perioperative management guidelines for OSA are not available at most institutions. Further work is needed to help physicians identify and intervene on patients with OSA in the perioperative setting before adverse events develop.

  7. Alteration of osa-miR156e expression affects rice plant architecture and strigolactones (SLs) pathway.

    Science.gov (United States)

    Chen, Zhihui; Gao, Xinqiang; Zhang, Jian

    2015-05-01

    Overexpressing osa--miR156e in rice produced a bushy mutant and osa--miR156e regulation of tillering may do this through the strigolactones (SLs) pathway. Appropriate downregulation of osa--miR156 expression contributed to the improvement of plant architecture. Tillering is one of the main determinants for rice architecture and yield. In this study, a bushy mutant of rice was identified with increased tiller number, reduced plant height, prolonged heading date, low seed setting, and small panicle size due to a T-DNA insertion which essentially elevated the expression of osa-miR156e. Transgenic plants with constitutive expression of osa-miR156e also had the bushy phenotype, which showed osa-miR156 may control apical dominance and tiller outgrowth via regulating the strigolactones signaling pathway. Furthermore, the extent of impaired morphology was correlated with the expression level of osa-miR156e. In an attempt to genetically improve rice architecture, ectopic expression of osa-miR156e under the GAL4-UAS system or OsTB1 promoter was conducted. According to agronomic trait analysis, pTB1:osa-miR156e transgenic plants significantly improved the grain yield per plant compared to plants overexpressing osa-miR156e, even though the yield was still inferior to the wild type, making it a very interesting albeit negative result. Our results suggested that osa-miR156 could serve as a potential tool for modifying rice plant architecture through genetic manipulation of the osa-miR156 expression level.

  8. Predicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA): a belief-based theoretical approach.

    Science.gov (United States)

    Skinner, Timothy; McNeil, Lindsay; Olaithe, Michelle; Eastwood, Peter; Hillman, David; Phang, Janet; de Regt, Tamara; Bucks, Romola S

    2013-12-01

    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 biological measures (e.g. Apnoea-Hypopnoea Index [AHI]), symptom experiences (e.g. fatigue) and illness representations (e.g. perceived consequences) predict the decision of individuals newly diagnosed with OSA to undergo a trial of CPAP therapy. Four hundred forty-nine individuals (316 males) newly 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 decision to proceed with a trial of CPAP. The participants were most likely to attribute their OSA to unchangeable and psychological factors. For those with moderate OSA (AHI, 15 to 30) IPQ-R illness consequence was predictive of decision to initiate CPAP (p = 0.002). For severe OSA (AHI >30) age, ESS and IPQ illness causal beliefs were predictive of decision to initiate CPAP (p OSA patients whether or not to undertake a trial of CPAP therapy. Concerns about illness consequences were important in those with moderate OSA. In severe OSA, sleepiness symptoms are more prominent and a more significant determinant of CPAP uptake along with age and causal beliefs.

  9. Validation of the Chinese version OSA-18 quality of life questionnaire in Taiwanese children with obstructive sleep apnea.

    Science.gov (United States)

    Kang, Kun-Tai; Weng, Wen-Chin; Yeh, Te-Huei; Lee, Pei-Lin; Hsu, Wei-Chung

    2014-07-01

    The OSA-18 questionnaire is one of the most widely-used sleep quality measurements in children. We tested the applicability and cross-cultural validation of the traditional Chinese version OSA-18 questionnaire. This cross-sectional study was conducted in a tertiary medical referral center. The translation and cultural adaptation of the OSA-18 questionnaire were performed based on Brislin's revised model. A total of 109 children aged 2-18 years old with sleep problems were recruited. Overnight polysomnography and the OSA-18 questionnaire were administered. The reliability and validity of the traditional Chinese version of OSA-18 questionnaire were verified. Excellent test-retest reliability and good internal consistency were achieved, and the validity of OSA-18 with overnight polysomnography was confirmed. The domain of sleep disturbance, daytime function, caregiver concerns, and the OSA-18 total scores were significantly higher in sleep apnea patients. The domain of caregiver concern had the highest score, while those of emotional distress had the lowest scores. The optimal cut-off point of the OSA-18 total scores for detecting obstructive sleep apnea was 67. The traditional Chinese version of OSA-18 demonstrated high reliability and good validity in our study. The domain of caregiver concern is the major element in Taiwanese children with sleep-disordered breathing. Copyright © 2012. Published by Elsevier B.V.

  10. Hypoglossal nerve stimulation for treatment of obstructive sleep apnea (OSA): a primer for oral and maxillofacial surgeons.

    Science.gov (United States)

    Hong, Sung Ok; Chen, Yu-Feng; Jung, Junho; Kwon, Yong-Dae; Liu, Stanley Yung Chuan

    2017-12-01

    The prevalence of obstructive sleep apnea (OSA) is estimated to be 1-5% of the adult population world-wide, and in Korea, it is reported at 4.5% of men and 3.2% of women (Age 40 to 69 years old). Active treatment of OSA is associated with decrease in insulin resistance, cardiovascular disease, psychosocial problems, and mortality. Surgical treatment of OSA has evolved in the era of neuromodulation with the advent of hypoglossal nerve stimulation (HGNS). We share this review of HGNS with our maxillofacial surgical colleagues to expand the scope of surgical care for OSA.

  11. 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

    © 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...... and hypoxia, this study examined the effect of sleep fragmentation and hypoxia on cognition in OSA, while controlling for potentially confounding variables including sleepiness, age and premorbid intelligence. Method: Participants with and without OSA (N = 150) were recruited from the general community...... 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...

  12. Operative Management of OSAS in a Complex Case of Proteus Syndrome

    Directory of Open Access Journals (Sweden)

    Elena Cantone

    2015-01-01

    Full Text Available Obstructive sleep apnea syndrome (OSAS is a common disorder in childhood with high prevalence in syndromic subjects with craniofacial malformations. Proteus Syndrome (PS is a rare hamartoneoplastic disorder associated with disproportionate and asymmetric overgrowth of body parts and hypertrophy or malformation of lymphatic tissues, such as palatine tonsils. We report a case of a 12-year-old boy diagnosed with Proteus Syndrome (PS and suffering from OSAS due to asymmetric palatine tonsillar hypertrophy, treated with partial resection of left tonsil. To avoid the risk of a general anesthesia and remove only the obstructive portion of the palatine tonsil bipolar radiofrequency-induced thermotherapy (RFITT under local anesthesia was performed. Recovery of the obstructive respiratory disease was obtained. To our knowledge, this is the first case reported in the literature of partial tonsillar resection performed in a patient with PS suffering from OSAS under local anesthesia.

  13. Can upper airway surgery for OSA protect against cardiovascular sequelae via effects on coagulation?

    Science.gov (United States)

    Zhan, Xiaojun; Li, Li; Wang, Ningyu; Ge, Xiaohui; Pinto, Jayant M; Wu, Xiaofan; Wei, Yongxiang

    2016-01-01

    Upper airway surgery is associated with salutary effects on the blood coagulation characteristics of OSA patients, a benefit that may be protective against cardiac and cerebrovascular morbidity and mortality. Increased blood coagulation is an important factor linking OSA and cardiovascular complications. Surgery is an important method to treat OSA, but the effect of surgery on blood coagulation in OSA patients is unknown. the authors performed a prospective clinical trial of adult OSA patients who underwent surgery from 2012-2014. Pre-operative and post-operative blood coagulation parameters and polysomnography (PSG) results were compared. There were 61 subjects. The total rate of success in curing OSA was 11.5%. The rate of response after surgery was 40.8%. Overall, the Apnea-Hypopnea Index (AHI) improved after surgery (from 39.8 3 ± 24.49 to 25.9 7 ± 18.53, p < 0.01). After surgery, serum platelet counts (PLT) decreased (from 242.5 ± 52.6 to 230.9 ± 40.7, p=0.01), and Fibrinogen (FIB) levels declined (from 262.5 ± 52.5 to 247.3 ± 44.4, p = 0.02). Other blood coagulation parameters also improved: prothrombin time (PT) (from 10.6 2 ± 0.62 to 10.8 6 ± 0.70, p=0.01), activated partial thromboplastin time (APTT) (from 26.9 8 ± 4.94 to 27.7 8 ± 3.02, p = 0.06), and Thrombin time (TT) (from 19.5 3 ± 0.84 to 20.1 1 ± 1.31, p < 0.01).

  14. Evidence of perceptive impairment in OSA patients investigated by means of a visual search task.

    Science.gov (United States)

    Giora, Enrico; Galbiati, Andrea; Marelli, Sara; Zucconi, Marco; Ferini-Strambi, Luigi

    2017-10-01

    Obstructive Sleep Apnoea (OSA) is a common sleep disorder characterized by episodes of complete or partial obstruction of respiratory airways during sleep that leads to hypoxaemia and sleep fragmentation. One relevant daytime consequence of OSA is a negative impact on neurocognitive domain, ranging from psychomotor performance to executive function. In spite of a huge amount of evidence regarding cognitive impairment, little is known about perceptual processing in these patients. The aim of this research is to investigate the effects of OSA on visual mechanisms by employing a visual search paradigm. 19 OSA patients and 19 age-matched healthy controls (HC) participated in a case-control study. After a nocturnal cardiorespiratory monitoring, patients performed a visual search task in which they had to detect the presence/absence of a target (letter T) embedded in the 50% of trials into a set of distractors (letters Os, Xs, or Ls). Target's salience and distractors' numerosity were manipulated as independent variables, whereas accuracy and reaction times (RT) were recorded as dependent variables. HC, after the exclusion of any sleep disorder or sleepiness, performed the same experiments. Results generally confirmed the typical effects of visual search. OSA patients reported significantly slower RT in comparison with HC, indicating an overall perceptual deficit consisting in a harder extraction of relevant information from noise. Neither patients' age nor the objective clinical indices were associated with RT. This study indicates the presence of an impairment in OSA patients involving basic mechanisms of visual processing and likely ascribable to the disorder per se. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Genetic analysis of candidate SNPs for metabolic syndrome in obstructive sleep apnea (OSA)

    Science.gov (United States)

    Grilo, Antonio; Ruiz-Granados, Elena S.; Moreno-Rey, Concha; Rivera, Jose M.; Ruiz, Agustin; Real, Luis M.; Sáez, Maria E.

    2014-01-01

    Obstructive sleep apnea (OSA) is a common disorder characterized by the reduction or complete cessation in airflow resulting from an obstruction of the upper airway. Several studies have observed an increased risk for cardiovascular morbidity and mortality among OSA patients. Metabolic syndrome (MetS), a cluster of cardiovascular risk factors characterized by the presence of insulin resistance, is often found in patients with OSA, but the complex interplay between these two syndromes is not well understood. In this study, we present the results of a genetic association analysis of 373 candidate SNPs for MetS selected in a previous genome wide association analysis (GWAS). The 384 selected SNPs were genotyped using the Illumina VeraCode Technology in 387 subjects retrospectively assessed at the Internal Medicine Unit of the “Virgen de Valme” University Hospital (Seville, Spain). In order to increase the power of this study and to validate our findings in an independent population, we used data from the Framingham Sleep study which comprises 368 individuals. Only the rs11211631 polymorphism was associated with OSA in both populations, with an estimated OR=0.57 (0.42-0.79) in the joint analysis (p=7.21 × 10-4). This SNP was selected in the previous GWAS for MetS components using a digenic approach, but was not significant in the monogenic study. We have also identified two SNPs (rs2687855 and rs4299396) with a protective effect from OSA only in the abdominal obese subpopulation. As a whole, our study does not support that OSA and MetS share major genetic determinants, although both syndromes share common epidemiological and clinical features. PMID:23524009

  16. 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/m2 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.

  17. Comparison of two home sleep testing devices with different strategies for diagnosis of OSA.

    Science.gov (United States)

    Gumb, Tyler; Twumasi, Akosua; Alimokhtari, Shahnaz; Perez, Alan; Black, Kathleen; Rapoport, David M; Sunderram, Jag; Ayappa, Indu

    2017-08-19

    Home sleep testing devices are being widely used in diagnosis/screening for obstructive sleep apnea (OSA). We examined differences in OSA metrics obtained from two devices with divergent home monitoring strategies, the Apnea Risk Evaluation System (ARES™, multiple signals plus forehead reflectance oximetry) and the Nonin WristOx2™ (single channel finger transmission pulse oximeter), compared to differences from night-night variability of OSA. One hundred fifty-two male/26 female subjects (BMI = 30.3 ± 5.6 kg/m2, age = 52.5 ± 8.9 years) were recruited without regard to OSA symptoms and simultaneously wore both ARES™ and Nonin WristOx2™ for two nights (n = 351 nights). Automated analysis of the WristOx2 yielded oxygen desaturation index (ODIOx2, ≥4% O2 dips/h), and automated analysis with manual editing of ARES™ yielded AHI4ARES (apneas + hypopneas with ≥4% O2 dips/h) and RDIARES (apneas + hypopneas with ≥4% O2 dips/h or arousal surrogates). Baseline awake oxygen saturation, percent time OSA diagnosis (77-85%) between devices were similar to those seen from night-to-night variability of OSA using a single device. Awake baseline O2 saturation was significantly higher in the ARES™ (96.2 ± 1.6%) than WristOx2™ (92.2 ± 2.1%, p OSA severity metrics predominantly dependent on change in oxygen saturation and metrics used in diagnosis of OSA (AHI4 and ODI) correlated well across devices tested. However, differences in cumulative oxygen desaturation measures (i.e., %time < 90%O2Sat) between the devices suggest that caution is needed when interpreting this metric particularly in populations likely to have significant hypoxia.

  18. 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.

  19. 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.

  20. Evaluation of adenotonsillectomy and tonsillectomy for pediatric obstructive sleep apnea by rhinomanometry and the OSA-18 questionnaire.

    Science.gov (United States)

    Kobayashi, Ryuichi; Miyazaki, Soichiro; Karaki, Masayuki; Hoshikawa, Hiroshi; Nakata, Seiichi; Hara, Hirotaka; Kodama, Satoru; Kikuchi, Atsushi; Kitamura, Takuro; Mori, Nozomu

    2014-08-01

    Nasal resistance and the OSA-18 score were useful for evaluating surgical treatments. The sleep disturbance score may also be useful for predicting the severity of obstructive sleep apnea (OSA) in children. We evaluated the effect of surgery on children with OSA using polysomnography (PSG) parameters, nasal resistance, and the OSA-18 questionnaire, and also investigated the cut-off OSA-18 score to screen for pediatric OSA. This was a retrospective study in which PSG parameters and nasal resistance were measured using a rhinomanometer and the OSA-18 score was obtained from the OSA-18 questionnaire before and after surgery in 45 children with OSA. The mean age of the 45 patients was 5.7 ± 2.0 years. The mean value of the obstructive apnea hypopnea index (O-AHI) improved from 16.2 ± 14.3/h before surgery to 1.1 ± 1.7/h after surgery, the mean nasal resistance improved from 0.44 ± 0.19 to 0.32 ± 0.10 Pa/cm(3)/s, and the mean OSA-18 score improved from 61.1 ± 13.7 to 30.4 ± 5.8, and all these improvements were significant. The O-AHI value was lower than 1/h after surgery in 64.4% of patients (29/45). The O-AHI value was significantly correlated with the sleep disturbance score (r = 0.352, p = 0.018). When the cut-off OSA-18 score for screening was set at 40, sensitivity was 100%.

  1. 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

  2. Effect of OSA on hypoxic and inflammatory markers during CPAP withdrawal: Further evidence from three randomized control trials.

    Science.gov (United States)

    Turnbull, Chris D; Rossi, Valentina A; Santer, Peter; Schwarz, Esther I; Stradling, John R; Petousi, Nayia; Kohler, Malcolm

    2017-05-01

    Obstructive sleep apnoea (OSA) is associated with cardiovascular disease. Intermittent hypoxia, endothelial dysfunction and adipose tissue-mediated inflammation have all been linked to cardiovascular disease in OSA. We therefore explored the effect of OSA on relevant associated blood markers: adrenomedullin (ADM), endocan, endothelin-1 (ET-1), resistin and vascular endothelial growth factor (VEGF). Patients with OSA, established on and compliant with continuous positive airways pressure (CPAP) therapy for >1 year were included from three randomized controlled trials, conducted at two centres. Patients were randomized to either continued therapeutic CPAP or sham CPAP (CPAP withdrawal) for 2 weeks. Blood markers were measured at baseline and at 14 days and the treatment effect between sham CPAP and therapeutic CPAP was analysed. A total of 109 patients were studied (therapeutic CPAP n = 54, sham CPAP n = 55). Sham CPAP was associated with a return of OSA (between-group difference in oxygen desaturation index (ODI) 36.0/h, 95% CI 29.9-42.2, P OSA was not associated with changes in endocan, ET-1, resistin or VEGF. Whilst CPAP withdrawal was associated with return of OSA, it was associated with an unexpected significant reduction in the vasodilator ADM and not with expected increases in hypoxia-induced markers, markers of endothelial function or resistin. We propose that the vascular effects occurring in OSA may be brought about by other mechanisms, perhaps partly through a reduction in ADM. © 2016 Asian Pacific Society of Respirology.

  3. Blood pressure effects of CPAP in nonresistant and resistant hypertension associated with OSA: A systematic review of randomized clinical trials.

    Science.gov (United States)

    Feldstein, Carlos A

    Obstructive sleep apnea (OSA) is a rather common chronic disorder, associated with increased prevalence of hypertension. The pathophysiological mechanisms for hypertension in OSA are at least in part linked to intermittent hypoxia developed during nightly hypopneas and apneas. Hypoxemia stimulates sympathetic overactivity, systemic inflammation, oxidative stress, and endothelial dysfunction. However, it appears that intermittent hypoxemia is not the only factor in the development of hypertension in OSA. Supplemental oxygen therapy that improved oxyhemoglobin saturation to similar levels to those achieved with CPAP treatment did not reduce BP. In this scenario, it could be proposed that hypoxemia acts as a trigger of sympathetic overdrive, which when set is the main factor in the development of hypertension in OSA. This review appraises evidence provided by randomized controlled trials on the BP-lowering effectiveness of continuous positive airway pressure (CPAP) treatment of OSA patients with nonresistant and resistant hypertension. It suggests that CPAP treatment is more effective in treating resistant hypertension than nonresistant hypertension. A possible explanation is that sympathetic overactivity and altered vascular reactivity in OSA could be more severe in resistant hypertension than in nonresistant hypertension. An intricate interaction among compliance, adherence, and their interaction with demographic characteristics, genetic factors, and comorbidities of the population included might explain the differences found between trials on their influence over the antihypertensive effectiveness of CPAP. Further long-term trials are needed in hypertensive OSA patients to assess whether CPAP treatment in OSA patients consistently restores physiological nocturnal BP fall and adjusts resting and circadian heart rate.

  4. The effect of non-benzodiazepine hypnotics on sleep quality and severity in patients with OSA: a meta-analysis.

    Science.gov (United States)

    Zhang, Xiu Juan; Li, Qing Yun; Wang, Yan; Xu, Hua Jun; Lin, Ying Ni

    2014-12-01

    Although there is a high co-occurrence of insomnia and obstructive sleep apnea (OSA), the administration of sedative hypnotics in patients with OSA is still inconsistent. The aim is to study the effect of non-benzodiazepine hypnotics (non-BZDs) on sleep quality and severity in patients with OSA. We conducted a systemic search for controlled clinical trials in multiple databases and pooled analysis of the impact of non-BZDs on objective sleep quality and the severity of OSA, including the apnea-hypopnea index (AHI) and mean and nadir arterial oxygen saturation (SaO2) in patients with OSA. Sensitivity analysis was carried out to explore the robustness of results. Eight relevant placebo-controlled clinical trials involving 448 patients were included. Objective sleep quality, including sleep latency, sleep efficiency, and wake time after sleep onset, was significantly improved in patients taking non-BZDs compared with those taking placebo (pOSA patients (p>0.05). The administration of non-BZDs at the commonly recommended dose has been shown to improve objective sleep quality in OSA patients without worsening sleep apnea. It suggests that OSA patients with a complaint of insomnia symptoms may benefit from taking non-BZDs.

  5. Predictive models of objective oropharyngeal OSA surgery outcomes: Success rate and AHI reduction ratio.

    Science.gov (United States)

    Choi, Ji Ho; Lee, Jae Yong; Cha, Jaehyung; Kim, Kangwoo; Hong, Seung-No; Lee, Seung Hoon

    2017-01-01

    The aim of this study was to develop a predictive model of objective oropharyngeal obstructive sleep apnea (OSA) surgery outcomes including success rate and apnea-hypopnea index (AHI) reduction ratio in adult OSA patients. Retrospective outcome research. All subjects with OSA who underwent oropharyngeal and/or nasal surgery and were followed for at least 3 months were enrolled in this study. Demographic, anatomical [tonsil size (TS) and palate-tongue position (PTP) grade (Gr)], and polysomnographic parameters were analyzed. The AHI reduction ratio (%) was defined as [(postoperative AHI-preoperative AHI) x 100 / postoperative AHI], and surgical success was defined as a ≥ 50% reduction in preoperative AHI with a postoperative AHI regression analysis was: [Formula: see text]The best predictive equation according to stepwise multiple linear regression analysis was: [Formula: see text] (TS/PTP Gr = 1 if TS/PTP Gr 3 or 4, TS/PTP Gr = 0 if TS/PTP Gr 1 or 2). The predictive models for oropharyngeal surgery described in this study may be useful for planning surgical treatments and improving objective outcomes in adult OSA patients.

  6. Evaluation of a biological wastewater treatment system combining an OSA process with ultrasound for sludge reduction.

    Science.gov (United States)

    Romero-Pareja, P M; Aragon, C A; Quiroga, J M; Coello, M D

    2017-05-01

    Sludge production is an undesirable by-product of biological wastewater treatment. The oxic-settling-anaerobic (OSA) process constitutes one of the most promising techniques for reducing the sludge produced at the treatment plant without negative consequences for its overall performance. In the present study, the OSA process is applied in combination with ultrasound treatment, a lysis technique, in a lab-scale wastewater treatment plant to assess whether sludge reduction is enhanced as a result of mechanical treatment. Reported sludge reductions of 45.72% and 78.56% were obtained for the two regimes of combined treatment tested in this study during two respective stages: UO1 and UO2. During the UO1 stage, the general performance and nutrient removal improved, obtaining 47.28% TN removal versus 21.95% in the conventional stage. However, the performance of the system was seriously damaged during the UO2 stage. Increases in dehydrogenase and protease activities were observed during both stages. The advantages of the combined process are not necessarily economic, but operational, as US treatment acts as contributing factor in the OSA process, inducing mechanisms that lead to sludge reduction in the OSA process and improving performance parameters. Copyright © 2016 Elsevier B.V. All rights reserved.

  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. [Tracheotomy or planned prolonged intubation after surgery for patients with OSAS].

    Science.gov (United States)

    Zenner, H P

    2014-10-01

    Patients suffering from obstructive sleep apnea syndrome (OSAS) and obesity have an elevated risk of postoperative complications independent of each other. Within the framework of expert opinions for courts the question arose whether postoperative prolonged intubation or tracheotomy are standard routine approaches which are to be carried out in the normal course of operations on patients with OSAS. A search of the literature was performed using PubMed, Web of Science, Scopus, EMBASE, the Cochrane database of systematic reviews and the Cochrane central register of controlled trials. Furthermore, 78 German otorhinolaryngology (ENT) departments participated in a nationwide survey. The results of the survey showed that after normal complication-free surgery planned postoperative prolonged intubation is not performed in the majority of ENT departments and no department performs a tracheotomy. In contrast, the standard approach for patients with OSAS and obesity who undergo two-level surgery is intubation and subsequent monitoring without ventilation for the first postoperative day. In the literature no evidence of a scientific basis for carrying out prolonged intubation or a tracheotomy could be found. Neither tracheotomy nor prolonged intubation are standard procedures for OSAS patients with obesity after complication-free surgery.

  9. OSAS treatment with oral appliance: assessment of our experience through the use of a new device.

    Science.gov (United States)

    Gasparini, G; Azzuni, C; Rinaldo, F M D; Cervelli, D; Marianetti, T M; Sferrazza, A; Pelo, S

    2013-02-01

    Obstructive sleep apnea syndrome (OSAS) is defined as repeated episodes of obstruction of the upper airway and oxygen desaturation of the arterial hemoglobin. OSAS is associated with loud snoring, excessive daytime sleepiness, cardiovascular and neurocognitive disease, increase risk of road accidents. The aim of this study is to evaluate non-surgical therapy for OSAS using a mandibular advancement device (MAD) that provides for lower jaw protrusion and for an adequate vertical opening, that allows for greater airflow. The device was assembled using the working principles of "Herbst-like" appliances and splints of neuromuscular deprogramming of the "Federici" type used for gnathologic treatments. We selected 17 males and 4 females, with an average age of 42 years, and an average BMI of 29. Eighteen patients were treated with our oral appliance, 1 patient was treated with the orthesis proposed by Schmidt-Nowara et al and 2 patients were treated with the oral appliance proposed by Johal and Battagel. All patients used the appliance for at least 6 months. After treatment with the oral appliance, the posterior airway space increased (p = 0.0002); no statistically significant difference for the improvement degree of OSAS severity (p = 0.1085) was shown; an improvement was found in: AHI (p = 0.0028); Nadir O2 (p = 0.0035); TO2 TMJ) discomfort. Our MAD has proved effective in improving the polysomnographic and radiographic parameters and assures good TMJ compliance.

  10. 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

  11. Positional OSA part 1: towards a clinical classification system for position-dependent obstructive sleep apnoea

    NARCIS (Netherlands)

    Frank, M.H.; Ravesloot, M.J.L.; van Maanen, J.P.; Verhagen, E.; de Lange, J.; de Vries, N.

    2015-01-01

    Background In 1984, Cartwright suggested that physicians should differentiate between patients with either positional obstructive sleep apnoea (POSA) or non-positional OSA. Treatment of POSA has advanced dramatically recently with the introduction of a new generation of positional therapy (PT), a

  12. 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

  13. 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.

  14. Co-morbid OSA and insomnia increases depression prevalence and severity in men.

    Science.gov (United States)

    Lang, Carol J; Appleton, Sarah L; Vakulin, Andrew; McEvoy, R Doug; Wittert, Gary A; Martin, Sean A; Catcheside, Peter G; Antic, Nicholas A; Lack, Leon; Adams, Robert J

    2017-10-01

    Obstructive sleep apnoea (OSA) and insomnia coexist in clinical populations but prevalence in the community and risk factors remain largely unknown. We examined the prevalence and profile of previously undiagnosed co-morbid OSA and insomnia symptoms (COMISA) in community-dwelling men. Men (n = 700, aged 58.5 ± 11.0 (mean ± SD) years) without a prior diagnosis of OSA completed full at-home unattended polysomnography, the Pittsburgh Sleep Quality Index and 36-item short form (SF-36) survey (2007-2012). Insomnia symptoms included difficulty initiating/maintaining sleep in the presence of daytime fatigue (DIMS-F). Depressive symptoms were assessed using the Beck Depression Inventory-1A, Centre for Epidemiological Studies Depression Scale and Patient Health Questionnaire-9 (PHQ-9) (2007-2010). Univariate (χ2 and analysis of variance (ANOVA)) and multiple linear regressions were used to compare data from four groups of individuals: neither disorder; previously undiagnosed OSA (apnoea-hypopnoea index ≥ 10) or DIMS-F alone; and COMISA. COMISA prevalence was 6.7%. Depression prevalence (COMISA, 42.6%; DIMS-F, 21.6%; OSA, 8.4%, χ2  = 71.6, P OSA: 11.4 ± 3.0, P = 0.01) were highest in men with COMISA. In COMISA, respiratory and arousal indices were similar to those observed in OSA whilst reductions in subjective sleep and day dysfunction scores were similar to DIMS-F. After adjustment, predicted mean depression scores were all higher in DIMS-F and COMISA using linear regression (e.g. PHQ-9 β (95% CI): DIMS-F: 2.3 (1.2, 3.5); COMISA: 4.1 (3.0, 5.1)). Men with COMISA have a greater prevalence, and severity, of depression than men with only one disorder. © 2017 Asian Pacific Society of Respirology.

  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. Altered accumulation of osa-miR171b contributes to rice stripe virus infection by regulating disease symptoms.

    Science.gov (United States)

    Tong, Aizi; Yuan, Quan; Wang, Shu; Peng, Jiejun; Lu, Yuwen; Zheng, Hongying; Lin, Lin; Chen, Hairu; Gong, Yifu; Chen, Jianping; Yan, Fei

    2017-07-10

    Viral infection affects the pattern of plant miRNA expression. It has been presumed that reduction of miR171 and several other miRNAs influences viral symptoms in plants. We here experimentally demonstrate the association of osa-miR171b with rice stripe virus (RSV) symptoms in rice. Inhibition of osa-miR171b caused stunting with reduced chlorophyll content in leaves similar to viral symptoms. Overexpression of osa-miR171b by an artificial miRNA extended vegetative growth and enhanced chlorophyll accumulation in leaves. Tillers were thicker, and panicles were longer with more spikelets in plants overexpressing osa-miR171b than in controls, but there were no differences in tiller numbers. Targets of osa-miR171b, OsSCL6-IIa, OsSCL6-IIb, and OsSCL6-IIc, were respectively up- and down-regulated in plants where osa-miR171b was inhibited or overexpressed. In plants overexpressing osa-miR171b, five positive regulators for heading development, Ehd1, Ehd2, Ehd3, Ehd4, and Hd3a were up-regulated, while the negative regulator Ghd7 was down-regulated. Plants overexpressing osa-miR171b were less susceptible to RSV and virus symptoms were attenuated. Taken together, the results reveal that a reduction of osa-miR171b in RSV-infected rice contributes to RSV symptoms, and provide more insight into the roles of osa-miR171b in rice. © The Author 2017. Published by Oxford University Press on behalf of the Society for Experimental Biology.

  18. The effectiveness of combined tonsillectomy and anterior palatoplasty in the treatment of snoring and obstructive sleep apnoea (OSA).

    Science.gov (United States)

    Adzreil, Bakri; Wong, Eugene Hung Chih; Saraiza, Abu Bakar; Raman, Rajagopalan; Amin, Jalaludin

    2017-04-01

    The prevalence of obstructive sleep apnoea (OSA) is increasing due to a rising rate of obesity. Multiple surgical techniques used to address obstruction at the palatal level have been associated with significant morbidities. Few studies have reported good outcomes of anterior palatoplasty (AP) in mild-to-moderate OSA. The aim of this study is to investigate the effectiveness of combining tonsillectomy and anterior palatoplasty in the treatment of snoring and OSA. All patients with snoring and OSA treated with tonsillectomy and anterior palatoplasty were analyzed. The primary outcome was reduction of the apnoea hypopnoea index (AHI) with surgical success criteria; reduction of AHI by ≥50% and AHI ≤10. The secondary outcomes measured were patients' Epworth Sleepiness Scale (ESS) and snoring visual analogue scale (VAS) scores. Thirty one patients completed the study, where 19% had mild, 42% moderate, and 39% had severe OSA. The mean surgical success rate was 45% at 3 months and 32% at 1-year post-operatively. There was a significant reduction of ESS and VAS at 3 months and 1-year post-operatively (p OSA in selected groups of patients (mild-to-moderate OSA with mainly retropalatal obstruction). The surgical success was found to reduce with time, and BMI optimization should be emphasized as part of post-operative care.

  19. Identification of significant obstructive sleep apnoea in the obese patient: development of the novel DX-OSA score.

    Science.gov (United States)

    Godoroja, Daniela D; Cioc, Dan Adrian

    2016-10-01

    There is a high prevalence of undiagnosed obstructive sleep apnoea (OSA) in obese surgical patients. We investigated the extent to which anthropometric measurements can be used to identify the presence of significant OSA (Apnoea/Hypopnoea Index (AHI) ≥ 20) in adult patients. We prospectively studied 1357 adult patients scheduled for elective laparoscopic bariatric surgery. Prior to surgery, body mass index (BMI), gender, neck circumference, STOP-Bang score, SpO2, neck and trunk fat (by dual X-ray absorptiometry) were recorded. All patients with a STOP-Bang score ≥ 5 underwent polysomnography. Auto-titrated Positive Airway Pressure (APAP) therapy was instituted when AHI ≥ 20/h. Predictors of OSA were identified and their cut-off values determined. In total, 1357 patients were screened; 345 patients underwent preoperative polysomnography; 190 had AHI ≥ 20/h and received APAP treatment. The novel Dual X-Ray-Obstructive Sleep Apnoea (DX-OSA) score was derived from the data. The score included 6 items: the STOP-Bang score, BMI, neck fat, trunk fat, baseline SpO2, and Expiratory Reserve Volume (ERV), and its sensitivity, specificity, positive-predictive values, negative-predictive values, likelihood ratios, and post-test probabilities determined. At a cut-off of 3, the DX-OSA score had the same sensitivity as the STOP-bang score, but better specificity. The lowest likelihood ratio was found for STOP-Bang and the highest for the DX-OSA score (OSA probability > 83%). The DX-OSA score may be useful for identifying obese patients with significant OSA who require CPAP (continuous positive airway pressure) treatment, and CPAP could be commenced without the need for polysomnography, therefore, without delaying surgery.

  20. A systematic review and meta-analysis of cohort studies of echocardiographic findings in OSA children after adenotonsilectomy.

    Science.gov (United States)

    Weber, Silke Anna Theresa; Pierri Carvalho, Raíssa; Ridley, Greta; Williams, Katrina; El Dib, Regina

    2014-10-01

    There is evidence that OSA in children can be associated with acute and chronic effects on the cardiovascular system due to repetitive episodes of apnea and hypoxemia. To assess whether there is an association between OSA and echocardiographic findings in children and whether that association persists after adenotonsillectomy. A literature search was conducted based on PUBMED, EMBASE and LILACS. Children with OSA and children who did not have OSA, who were aged ≤12 years. Two reviewers extracted data independently; the risk of bias was assessed by examining the selected sample, the recruitment method, completeness of follow up, and blinding. Seven studies met all the inclusion criteria and methodological requirements. There was a significant difference with elevated mean pulmonary arterial pressure levels in OSA participants compared to those without OSA at preoperative assessment [mean difference (MD) 8.67; confidential interval (CI) 95% 6.09, 11.25]. OSA participants showed a statistically significant increased interventricular septum (IVS) thickness (mm) [MD 0.60; CI 95% 0.09, 1.11]; and right ventricular (RV) dimension (cm/m) [MD 0.19; CI 95% 0.10, 0.28]. There was also a significant increase in right ventricular (RV) dimension (cm/m) [MD 0.10; CI 95% 0.05, 0.14] in OSA children. There is moderate quality evidence regarding possible association between OSA and right heart repercussions. More prognosis studies are needed, to allow the combination of results in a meta-analysis. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  1. 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 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.

  2. Effectiveness of lifestyle interventions on obstructive sleep apnea (OSA): systematic review and meta-analysis.

    Science.gov (United States)

    Araghi, Marzieh Hosseini; Chen, Yen-Fu; Jagielski, Alison; Choudhury, Sopna; Banerjee, Dev; Hussain, Shakir; Thomas, G Neil; Taheri, Shahrad

    2013-10-01

    Obstructive sleep apnea (OSA) is a common sleep disorder associated with several adverse health outcomes. Given the close association between OSA and obesity, lifestyle and dietary interventions are commonly recommended to patients, but the evidence for their impact on OSA has not been systematically examined. To conduct a systematic review and meta-analysis to assess the impact of weight loss through diet and physical activity on measures of OSA: apnea-hypopnea index (AHI) and oxygen desaturation index of 4% (ODI4). A systematic search was performed to identify publications using Medline (1948-2011 week 40), EMBASE (from 1988-2011 week 40), and CINAHL (from 1982-2011 week 40). The inverse variance method was used to weight studies and the random effects model was used to analyze data. Seven randomized controlled trials (519 participants) showed that weight reduction programs were associated with a decrease in AHI (-6.04 events/h [95% confidence interval -11.18, -0.90]) with substantial heterogeneity between studies (I(2) = 86%). Nine uncontrolled before-after studies (250 participants) showed a significant decrease in AHI (-12.26 events/h [95% confidence interval -18.51, -6.02]). Four uncontrolled before-after studies (97 participants) with ODI4 as outcome also showed a significant decrease in ODI4 (-18.91 episodes/h [95% confidence interval -23.40, -14.43]). Published evidence suggests that weight loss through lifestyle and dietary interventions results in improvements in obstructive sleep apnea parameters, but is insufficient to normalize them. The changes in obstructive sleep apnea parameters could, however, be clinically relevant in some patients by reducing obstructive sleep apnea severity. These promising preliminary results need confirmation through larger randomized studies including more intensive weight loss approaches.

  3. Desipramine improves upper airway collapsibility and reduces OSA severity in patients with minimal muscle compensation.

    Science.gov (United States)

    Taranto-Montemurro, Luigi; Sands, Scott A; Edwards, Bradley A; Azarbarzin, Ali; Marques, Melania; de Melo, Camila; Eckert, Danny J; White, David P; Wellman, Andrew

    2016-11-01

    We recently demonstrated that desipramine reduces the sleep-related loss of upper airway dilator muscle activity and reduces pharyngeal collapsibility in healthy humans without obstructive sleep apnoea (OSA). The aim of the present physiological study was to determine the effects of desipramine on upper airway collapsibility and apnoea-hypopnea index (AHI) in OSA patients.A placebo-controlled, double-blind, randomised crossover trial in 14 OSA patients was performed. Participants received treatment or placebo in randomised order before sleep. Pharyngeal collapsibility (critical collapsing pressure of the upper airway (Pcrit)) and ventilation under both passive (V'0,passive) and active (V'0,active) upper airway muscle conditions were evaluated with continuous positive airway pressure (CPAP) manipulation. AHI was quantified off CPAP.Desipramine reduced active Pcrit (median (interquartile range) -5.2 (4.3) cmH2O on desipramine versus -1.9 (2.7) cmH2O on placebo; p=0.049) but not passive Pcrit (-2.2 (3.4) versus -0.7 (2.1) cmH2O; p=0.135). A greater reduction in AHI occurred in those with minimal muscle compensation (defined as V'0,active-V'0,passive) on placebo (r=0.71, p=0.009). The reduction in AHI was driven by the improvement in muscle compensation (r=0.72, p=0.009).In OSA patients, noradrenergic stimulation with desipramine improves pharyngeal collapsibility and may be an effective treatment in patients with minimal upper airway muscle compensation. Copyright ©ERS 2016.

  4. CPAP therapy in patients with mild OSA: implementation and treatment outcome.

    Science.gov (United States)

    Rosenthal; Gerhardstein; Lumley; Guido; Day; Syron; Roth

    2000-07-01

    Objectives: To determine continuous positive airway pressure (CPAP) treatment compliance and reversal of excessive daytime sleepiness in patients with mild OSA.Background: CPAP therapy is the most widely accepted and used intervention in patients with a diagnosis of obstructive sleep apnea (OSA). There are, however, no widely accepted protocols to help guide the rational use of CPAP therapy. Patients with mild OSA (respiratory event index (REI) >5 or CPAP implementation needs to be evaluated.Methods: This is a retrospective study of 740 consecutive patients evaluated for sleep apnea in 1996. Mild OSA was documented in 241 patients, of whom, 41 opted for CPAP therapy. Implementation of CPAP treatment included an education session and an overnight clinical polysomnography (CPSG) for titration purposes. Patients returned for follow-ups after 1 week and 1 year of CPAP use. During each appointment, compliance and response to treatment were evaluated.Results: Of the initial 41 patients nine were lost to follow-up, 16 discontinued CPAP use during the first week, and 16 were still using CPAP after 1 year. For the 16 still using CPAP after one year, hours of use the first week was correlated to hours of use the first year (r=0.81). Patients using CPAP more than 4 h/night experienced a marked improvement in daytime sleepiness after 1 year (PCPAP discontinuation. Those patients who manifested good compliance during the first week of treatment continued using CPAP for the entire first year. These patients experienced improved alertness during the day. A 1 week trial on CPAP therapy is warranted to identify patients who benefit from this form of therapy.

  5. Toidumüüdid & tegelikkus. 1.-2.osa / Marika Makarova

    Index Scriptorium Estoniae

    Makarova, Marika

    2011-01-01

    Söömise, toidu ja tervise kohta liikvel olevate müütide ja legendide tõesusest raamatute "Imeliste arstide õpetused" ja "Üks õun päevas: müüdid, eksiarvamused ja tõde toidu kohta" põhjal. Artikli teises osas vastab küsimustele arst, toitumisterapeut ja psühholoog Anneli Soots, kes on ka Eesti Toitumisteraapia Assotsiatsiooni president ja omanimelise tervisekooli direktor ja õppejõud

  6. 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

  7. Does either obesity or OSA severity influence the response of autotitrating CPAP machines in very obese subjects?

    Science.gov (United States)

    Turnbull, Chris D; Manuel, Ari R; Stradling, John R

    2016-05-01

    The pressures delivered by autotitrating continuous positive airways pressure (CPAP) devices not only treat obstructive sleep apnoea (OSA) effectively but also give potentially interesting physiological information about the forces impinging on the pharynx. In earlier work from this unit, we used correlations between autoCPAP pressure and both OSA severity and obesity, to construct an algorithm to estimate the fixed CPAP pressure a patient required for subsequent clinical use. We wished to discover if these relationships could be reliably extended to a much more obese group. We performed a prospective cohort study in an obese population. Measurements of obesity were made, OSA severity was recorded, and the 95th centile autoCPAP pressure was recorded during 1 week of autoCPAP. Spearman's rank correlation was performed between measurements of obesity and autoCPAP pressure, and between OSA severity and autoCPAP pressure. Fifty-four obese individuals (median body mass index (BMI) 43.0 kg/m(2)), 52 % of whom had OSA (apnoea-hypopnoea index (AHI) ≥ 15), had a median 95th centile autoCPAP pressure of 11.8 cmH2O. We found no significant correlation between autoCPAP pressure and neck circumference, waist circumference or BMI. There was a moderate correlation between autoCPAP pressure and OSA severity (AHI r = 0.34, p = 0.02; oxygen desaturation index (ODI) r = 0.48, p OSA generated high autoCPAP pressures, and thus, the correlation between OSA severity and autoCPAP pressure was only moderate.

  8. A 3-week dietary safety study of octenyl succinic anhydride (OSA)-modified starch in neonatal farm piglets.

    Science.gov (United States)

    Mahadevan, Brinda; Thorsrud, Bjorn A; Brorby, Gregory P; Ferguson, Heather E

    2014-10-01

    Octenyl succinic anhydride (OSA)-modified starch functions as both an emulsifier and emulsion stabilizer in foods, and is intended for use in infant formula, follow-on formula, and formulae for special medical purposes. These formulae predominantly include extensively hydrolyzed protein or free amino acids, rather than intact protein, which otherwise would provide emulsifying functionality. The study objectives were to evaluate (1) the safety of OSA-modified starch after three weeks of administration to neonatal farm piglets, beginning 2 days after birth and (2) the impact of OSA-modified starch on piglet growth. OSA-modified starch was added to formula at concentrations of 2, 4, and 20 g/L. The vehicle control, low-dose, and mid-dose diets were supplemented with Amioca™ Powder to balance the nutritional profiles of all formulations. There were no test article-related effects of any diet containing OSA-modified starch on piglet growth and development (clinical observations, body weight, feed consumption), or clinical pathology parameters (hematology, clinical chemistry, coagulation, urinalysis). In addition, there were no adverse effects at terminal necropsy (macro- and microscopic pathology evaluations). Therefore, dietary exposure to OSA-modified starch at concentrations up to 20 g/L was well tolerated by neonatal farm piglets and did not result in adverse health effects or impact piglet growth. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. 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.

  10. Rapid maxillary expansion in children with Obstructive Sleep Apnoea Syndrome (OSAS).

    Science.gov (United States)

    Marino, A; Ranieri, R; Chiarotti, F; Villa, M P; Malagola, C

    2012-03-01

    to evaluate the effects of rapid maxillary expansion (RME) in a group of OSAS preschool children. Lateral cephalograms of 15 OSAS children (8 boys and 7 girls, age mean ± SD: 5.94 ± 1.64 years) were analysed at the start of treatment with RME (T0). All subjects were revaluated after a mean period of 1.57 ± 0.58 years (T1). At this time the sample was divided into 2 groups according to the change in the respiratory disturbance index (RDI): an improved group (I: 8 subjects) and a stationary/worsened group (SW: 7 subjects). Differences between I and SW children with respect to values of cephalometric variables at T0 and to variations between T0 and T1 were evaluated using Mann-Whitney U test. Differences between T0 and T1 values in the overall group of children and separately in I and SW groups were assessed using Wilcoxon test. At the start of treatment, the I group was characterised by more retrognathic jaws with lower values of SNA (p=0.055) and SNB (p=0.020) and higher age values (p=0.093) when compared to SW group. After treatment, the I group showed an increase in SNA and SNB angle significantly higher than SW group (p=0.004 and p=0.003, respectively). On the contrary, I and SW groups did not differ as for variation in the skeletal divergency and in the total facial height. OSAS preschool children with retrognathic jaws could benefit from RME treatment.

  11. 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.

  12. Brain stem activity changes associated with restored sympathetic drive following CPAP treatment in OSA subjects: a longitudinal investigation.

    Science.gov (United States)

    Lundblad, Linda C; Fatouleh, Rania H; McKenzie, David K; Macefield, Vaughan G; Henderson, Luke A

    2015-08-01

    Obstructive sleep apnea (OSA) is associated with significantly elevated muscle sympathetic nerve activity (MSNA), leading to hypertension and increased cardiovascular morbidity. Although little is known about the mechanisms responsible for the sympathoexcitation, we have recently shown that the elevated MSNA in OSA is associated with altered neural processing in various brain stem sites, including the dorsolateral pons, rostral ventrolateral medulla, medullary raphe, and midbrain. Given the risk associated with elevated MSNA, we aimed to determine if treatment of OSA with continuous positive airway pressure (CPAP) would reduce the elevated MSNA and reverse the brain stem functional changes associated with the elevated MSNA. We performed concurrent recordings of MSNA and blood oxygen level-dependent (BOLD) signal intensity of the brain stem, using high-resolution functional magnetic resonance imaging, in 15 controls and 13 subjects with OSA, before and after 6 mo CPAP treatment. As expected, 6 mo of CPAP treatment significantly reduced MSNA in subjects with OSA, from 54 ± 4 to 23 ± 3 bursts/min and from 77 ± 7 to 36 ± 3 bursts/100 heart beats. Importantly, we found that MSNA-coupled changes in BOLD signal intensity within the dorsolateral pons, medullary raphe, and rostral ventrolateral medulla returned to control levels. That is, CPAP treatment completely reversed brain stem functional changes associated with elevated MSNA in untreated OSA subjects. These data highlight the effectiveness of CPAP treatment in reducing one of the most significant health issues associated with OSA, that is, elevated MSNA and its associated elevated morbidity. Copyright © 2015 the American Physiological Society.

  13. Improvement and prediction of OSA system performance in sludge reduction through integration with thermal and mechanical treatment.

    Science.gov (United States)

    Nazif, Sara; Mehrdadi, Naser; Zare, Sajad; Mosavari, Sarvenaz

    2016-11-01

    The oxic-settling-anoxic (OSA) process is one of the sludge production reduction methods in the activated sludge process. In this method, sludge is stored in an anaerobic tank within the sludge return line before entrance into an aeration tank. Due to this method's flexibility in application to operating treatment plants and not being energy-consuming, its application is developing. In this research, the improvement of the OSA process is investigated via thermal and mechanical treatment in a sequencing batch reactor (SBR). A pilot-scale reactor and domestic wastewater are used. Sludge was subjected to high temperature in an anaerobic tank using a heat transformer and it was subjected to mechanical shear through mechanical mixing in the anaerobic tank. Different temperatures and voltages were tested. The OSA process reduced sludge production by 24% while the chemical oxygen demand (COD) removal rate decreased from 90% to 86%. Thermal treatment combined with the OSA process caused a maximum of 46% sludge production reduction. However temperatures above 90 °C are not recommended due to a high level of decrease in COD removal. Mechanical mixing in combination with the OSA process led to 34% sludge production reduction. The effluent quality is not affected by the OSA process itself but is slightly reduced by thermal treatment and mechanical mixing. Therefore, for reaching the maximum sludge reduction in OSA plus thermal and mechanical treatment it would be necessary to evaluate the effect of different sets of parameters on effluent quality beside the sludge reduction. For this purpose multi-layer perceptron artificial neural network models are developed to predict the effluent total suspended solids and COD removal efficiency as well as sludge production rate. The models perform well and would be useful tools in determining the optimal set of system operation parameters.

  14. Kvartsimaasälpäjauheen käyttö betonin osa-aineksena

    OpenAIRE

    Kynsilehto, Tuomas

    2017-01-01

    Opinnäytetyössä selvitettiin Keliber Oy:n toimittaman kvartsimaasälpäjauheen soveltuvuutta betonin osa-ainekseksi. Kvartsimaasälpäjauheen soveltuvuutta ei ollut aiemmin testattu. Työssä tehtiin kiviaineksen alkututkimukset ja selvitettiin, onko kvartsimaasälpäjauheen käyttö mahdollista lujuusominaisuuksiensa vuoksi, sekä mikä on kvartsimaasälpäjauheen vaikutus tuoreen betonin työstettävyysominaisuuksiin. Kvartsimaasälpäjauheen soveltuvuus testattiin luomalla yhdeksän eri normaalin, täryt...

  15. The correlation of ECHO findings of right cardiac pathologies with BNP, uric acid, and CRP in OSAS.

    Science.gov (United States)

    Araz, Ömer; Yilmazel Uçar, Elif; Değırmencı, Hüsnü; Pulur, Didem; Acemoğlu, Hamit; Bayram, Ednan; Gündoğdu, Fuat; Akgün, Metin

    2014-01-01

    Right cardiac pathologies develop in patients with obstructive sleep apnea syndrome (OSAS) and in most patients there are no symptoms in the early stages of right cardiac disorders. We aimed to evaluate a possible relationship between B-type natriuretic peptide (BNP), blood uric acid, C-reactive protein (CRP), and the right cardiac pathologies in patients with OSAS, and the role of these parameters in the management of patients with OSAS. A total of 98 subjects, 31 (31.6%) controls and 67 (68.4%) with OSAS, were included in the study. All the subjects underwent polysomnography, and standard and tissue Doppler echocardiography (ECHO) examinations. BNP, CRP, and blood uric acid levels were measured in all patients. Upon evaluating the relationship between BNP and ECHO parameters, BNP levels were found to positively correlate with such ECHO parameters as pulmonary artery pressure. As for the association between CRP and ECHO findings, RV diameter exhibited a statistically significant positive correlation with them. Moreover, uric acid was found to statistically correlate positively with right atrium dimensions. BNP, CRP, and blood uric acid levels can be used as adjunctive parameters in the early diagnosis and follow-up of right heart pathologies in patients with OSAS.

  16. Obstructive sleep apnea (OSA) does not affect ventilatory and perceptual responses to exercise in morbidly obese subjects.

    Science.gov (United States)

    Innocenti Bruni, Giulia; Gigliotti, Francesco; Scano, Giorgio

    2012-09-30

    We have tested the hypothesis that high mass loading effects and obstructive sleep apnea (OSA) constrain the ventilatory response to exercise in morbidly obese subjects as compared to their counterparts without OSA. Fifteen obese patients with (8) and without OSA and 12 lean healthy subjects performed incremental cycle exercise. The functional evaluation included ventilation, oxygen uptake, carbon dioxide production, end-expiratory-lung-volumes (EELV), inspiratory capacity, heart rate, dyspnea and leg effort (by a modified Borg scale). Changes in ventilation and dyspnea per unit changes in work rate and metabolic variables were similar in the three groups. Breathing pattern and heart rate increased from rest to peak exercise similarly in the three groups. Leg effort was the prevailing symptom for stopping exercise in most subjects. In conclusion, OSA does not limit exercise capacity in morbidly obese subjects. Ventilation contributes to exertional dyspnea similarly as in lean subjects and in obese patients regardless of OSA. Copyright © 2012 Elsevier B.V. All rights reserved.

  17. Cognitive dysfunction in patients with obstructive sleep apnea (OSA): partial reversibility after continuous positive airway pressure (CPAP).

    Science.gov (United States)

    Ferini-Strambi, L; Baietto, C; Di Gioia, M R; Castaldi, P; Castronovo, C; Zucconi, M; Cappa, S F

    2003-06-30

    The aims of this study were to assess cognitive function in obstructive sleep apnea (OSA) patients and to evaluate the effect of short- and long-term treatment with continuous positive airway pressure treatment (CPAP). A battery of neuropsychological tests, the Epworth Sleepiness Scale (ESS), and the Beck Inventory Scale were administered to 23 patients with severe OSA (age: 56.5+/-6.13; AHI: 54.9+/-13.37) and to 23 age- and education-matched controls. The OSA patients were evaluated in a baseline condition and in two follow-up treatment sessions (after 15 days and 4 months of CPAP, respectively). At baseline, OSA patients had a significant impairment, compared to controls, in tests of sustained attention, visuospatial learning, executive function, motor performance, and constructional abilities. The longitudinal evaluation showed that after a 15-days CPAP treatment attentive, visuospatial learning, and motor performances returned to normal levels. A 4-months CPAP treatment did not result in any further improvement in cognitive tests. Performance on tests evaluating executive functions and constructional abilities was not affected by short- and long-term treatment with CPAP. The findings of this study confirm the hypothesis of partial reversibility of cognitive dysfunction in OSA patients after CPAP.

  18. Oryza sativa H+-ATPase (OSA) is Involved in the Regulation of Dumbbell-Shaped Guard Cells of Rice.

    Science.gov (United States)

    Toda, Yosuke; Wang, Yin; Takahashi, Akira; Kawai, Yuya; Tada, Yasuomi; Yamaji, Naoki; Feng Ma, Jian; Ashikari, Motoyuki; Kinoshita, Toshinori

    2016-06-01

    The stomatal apparatus consists of a pair of guard cells and regulates gas exchange between the leaf and atmosphere. In guard cells, blue light (BL) activates H(+)-ATPase in the plasma membrane through the phosphorylation of its penultimate threonine, mediating stomatal opening. Although this regulation is thought to be widely adopted among kidney-shaped guard cells in dicots, the molecular basis underlying that of dumbbell-shaped guard cells in monocots remains unclear. Here, we show that H(+)-ATPases are involved in the regulation of dumbbell-shaped guard cells. Stomatal opening of rice was promoted by the H(+)-ATPase activator fusicoccin and by BL, and the latter was suppressed by the H(+)-ATPase inhibitor vanadate. Using H(+)-ATPase antibodies, we showed the presence of phosphoregulation of the penultimate threonine in Oryza sativa H(+)-ATPases (OSAs) and localization of OSAs in the plasma membrane of guard cells. Interestingly, we identified one H(+)-ATPase isoform, OSA7, that is preferentially expressed among the OSA genes in guard cells, and found that loss of function of OSA7 resulted in partial insensitivity to BL. We conclude that H(+)-ATPase is involved in BL-induced stomatal opening of dumbbell-shaped guard cells in monocotyledon species. © The Author 2016. Published by Oxford University Press on behalf of Japanese Society of Plant Physiologists.

  19. Characterization of Antibiotic-Loaded Alginate-Osa Starch Microbeads Produced by Ionotropic Pregelation

    Science.gov (United States)

    Fontes, Gizele Cardoso; Calado, Verônica Maria Araújo; Rossi, Alexandre Malta; da Rocha-Leão, Maria Helena Miguez

    2013-01-01

    The aim of this study was to characterize the penicillin-loaded microbeads composed of alginate and octenyl succinic anhydride (OSA) starch prepared by ionotropic pregelation with calcium chloride and to evaluate their in vitro drug delivery profile. The beads were characterized by size, scanning electron microscopy (SEM), zeta potential, swelling behavior, and degree of erosion. Also, the possible interaction between penicillin and biopolymers was investigated by differential scanning calorimetry (DSC), powder X-ray diffraction (XRD), and Fourier transform infrared (FTIR) analysis. The SEM micrograph results indicated a homogeneous drug distribution in the matrix. Also, based on thermal analyses (TGA/DSC), interactions were detected between microbead components. Although FTIR spectra of penicillin-loaded microbeads did not reveal the formation of new chemical entities, they confirmed the chemical drug stability. XRD patterns showed that the incorporated crystalline structure of penicillin did not significantly alter the primarily amorphous polymeric network. In addition, the results confirmed a prolonged penicillin delivery system profile. These results imply that alginate and OSA starch beads can be used as a suitable controlled-release carrier for penicillin. PMID:23862146

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

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    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.

  1. Low socioeconomic status is a risk factor for CPAP acceptance among adult OSAS patients requiring treatment.

    Science.gov (United States)

    Simon-Tuval, Tzahit; Reuveni, Haim; Greenberg-Dotan, Sari; Oksenberg, Arie; Tal, Asher; Tarasiuk, Ariel

    2009-04-01

    To evaluate whether socioeconomic status (SES) has a role in obstructive sleep apnea syndrome (OSAS) patients' decision to accept continuous positive airway pressure (CPAP) treatment. Cross-sectional study; patients were recruited between March 2007 and December 2007. University-affiliated sleep laboratory. 162 consecutive newly diagnosed (polysomnographically) adult OSAS patients who required CPAP underwent attendant titration and a 2-week adaptation period. 40% (n = 65) of patients who required CPAP therapy accepted this treatment. Patients accepting CPAP were older, had higher apnea-hypopnea index (AHI) and higher income level, and were more likely to sleep in a separate room than patients declining CPAP treatment. More patients who accepted treatment also reported receiving positive information about CPAP treatment from family or friends. Multiple logistic regression (after adjusting for age, body mass index, Epworth Sleepiness Scale, and AHI) revealed that CPAP purchase is determined by: each increased income level category (OR, 95% CI) (2.4; 1.2-4.6), age + 1 year (1.07; 1.01-1.1), AHI ( > or = 35 vs. CPAP (2.9, 1.1-7.5), and partner sleeps separately (4.3, 1.4-13.3). In addition to the already known determinants of CPAP acceptance, patients with low SES are less receptive to CPAP treatment than groups with higher SES. CPAP support and patient education programs should be better tailored for low SES people in order to increase patient treatment initiation and adherence.

  2. The SomnuSeal Oral Mask Is Reasonably Tolerated by Otherwise CPAP Noncompliant Patients with OSA

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    N. Katz

    2013-01-01

    Full Text Available Compliance with CPAP is the major limiting factor in treating patients with OSA. The novel SomnuSeal mask is an oral self-adaptable mask located between the teeth and the lips ensuring that there are no air leaks or skin abrasions. Fifty patients with AHI>20, who failed previous CPAP trials, were asked to sleep with the mask for one month. In all patients, the mask was connected to an AutoPAP machine with a heated humidifier. Efficacy, convenience, and compliance (average usage for 4 or more hours per night were monitored. Fifty patients (41 m and 9 f, mean age 57±12 years, BMI 33.6±4.9 kg/m2, and AHI 47±23/h participated. Eleven were classified as compliant (average mask usage of 26 nights, 4.7 hours per night, five were only partially compliant (average usage of 13 nights, 2.9 hours per night, and 34 could not comply with it. In all patients who slept with it, the efficacy (assessed by residual AHI derived from the CPAP device was good with an AHI of less than 8/hour. Interestingly, the required optimal pressure decreased from an average of 9.3 cmH2O to 4.6 cmH2O. The SomnuSeal oral interface is effective and may result in converting noncompliant untreated patients with OSA into well-treated ones.

  3. The SomnuSeal Oral Mask Is Reasonably Tolerated by Otherwise CPAP Noncompliant Patients with OSA.

    Science.gov (United States)

    Katz, N; Adir, Y; Etzioni, T; Kurtz, E; Pillar, G

    2013-01-01

    Compliance with CPAP is the major limiting factor in treating patients with OSA. The novel SomnuSeal mask is an oral self-adaptable mask located between the teeth and the lips ensuring that there are no air leaks or skin abrasions. Fifty patients with AHI > 20, who failed previous CPAP trials, were asked to sleep with the mask for one month. In all patients, the mask was connected to an AutoPAP machine with a heated humidifier. Efficacy, convenience, and compliance (average usage for 4 or more hours per night) were monitored. Fifty patients (41 m and 9 f, mean age 57 ± 12 years, BMI 33.6 ± 4.9 kg/m(2), and AHI 47 ± 23/h) participated. Eleven were classified as compliant (average mask usage of 26 nights, 4.7 hours per night), five were only partially compliant (average usage of 13 nights, 2.9 hours per night), and 34 could not comply with it. In all patients who slept with it, the efficacy (assessed by residual AHI derived from the CPAP device) was good with an AHI of less than 8/hour. Interestingly, the required optimal pressure decreased from an average of 9.3 cmH2O to 4.6 cmH2O. The SomnuSeal oral interface is effective and may result in converting noncompliant untreated patients with OSA into well-treated ones.

  4. Assessment of relationship among sleepiness with polysomnographic parameters in patients with OSA

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    abolfazl Mozafari

    2015-05-01

    Full Text Available Background: Sleepiness that occurs at inappropriate or undesirable times or that interferes with daytime activities is generally considered excessive daytime sleepiness. Obstructive Sleep Apnea (OSA is one of the most common causes of excessive daytime sleepiness. The aim of this study is to finds out the most important nocturnal polysomnographic parameters influencing daytime sleepiness in patients with OSA. Materials and Methods: Considering the inclusion and exclusion criteria, 112 patients referred to Baqiyatallah subspeciality sleep clinic in Qom city were selected. Patients, demographic and Epworth Sleepiness Scale (ESS data were gathered and then comparison among ESS with polysomnography and anthropometric parameter was performed. Chi-square was used for analysis of qualitative parameters. Data analysis was done by SPSS v.18. P value was significant (˂0.05. Results: The mean age of the cases was 55.07 with male frequency 58.9% and female 41.1%. Body mass index was 34.34, apnea hypopnea index 43.62, mean Arousal Index 30.64 and mean ESS was 12.83. There was significant relationship among ESS>10 with arousal index (p=0.009 and mean O2 saturation (p=0.029, But we didn’t detected correlation between ESS>10 with other polysomnographic parameters. Conclusion: According to the data, the most important parameters of sleepiness in obstructive sleep apnea patients were sleep fragmentation and mean O2 saturation.

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

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    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

  6. Enhancer–promoter communication mediated by Chip during Pannier-driven proneural patterning is regulated by Osa

    Science.gov (United States)

    Heitzler, Pascal; Vanolst, Luc; Biryukova, Inna; Ramain, Philippe

    2003-01-01

    The GATA factor Pannier activates proneural achaete/scute (ac/sc) expression during development of the sensory organs of Drosophila through enhancer binding. Chip bridges Pannier with the (Ac/Sc)–Daughterless heterodimers bound to the promoter and facilitates the enhancer–promoter communication required for proneural development. We show here that this communication is regulated by Osa, which is recruited by Pannier and Chip. Osa belongs to Brahma chromatin remodeling complexes and we show that Osa negatively regulates ac/sc. Consequently, Pannier and Chip also play an essential role during repression of proneural gene expression. Our study suggests that altering chromatin structure is essential for regulation of enhancer–promoter communication. PMID:12629041

  7. The Osa-containing SWI/SNF chromatin-remodeling complex regulates stem cell commitment in the adult Drosophila intestine

    Science.gov (United States)

    Zeng, Xiankun; Lin, Xinhua; Hou, Steven X.

    2013-01-01

    The proportion of stem cells versus differentiated progeny is well balanced to maintain tissue homeostasis, which in turn depends on the balance of the different signaling pathways involved in stem cell self-renewal versus lineage-specific differentiation. In a screen for genes that regulate cell lineage determination in the posterior midgut, we identified that the Osa-containing SWI/SNF (Brahma) chromatin-remodeling complex regulates Drosophila midgut homeostasis. Mutations in subunits of the Osa-containing complex result in intestinal stem cell (ISC) expansion as well as enteroendocrine (EE) cell reduction. We further demonstrated that Osa regulates ISC self-renewal and differentiation into enterocytes by elaborating Notch signaling, and ISC commitment to differentiation into EE cells by regulating the expression of Asense, an EE cell fate determinant. Our data uncover a unique mechanism whereby the commitment of stem cells to discrete lineages is coordinately regulated by chromatin-remodeling factors. PMID:23942514

  8. Amsterdam positional OSA classification: the AASM 2012 recommended hypopnoea criteria increases the number of positional therapy candidates.

    Science.gov (United States)

    Duce, Brett; Kulkas, Antti; Langton, Christian; Töyräs, Juha; Hukins, Craig

    2017-05-01

    This study examined the effect of hypopnoea criteria on the prevalence of positional obstructive sleep apnoea (pOSA) identified under the Amsterdam Positional OSA Classification (APOC) system. Three hundred three consecutive patients undertaking polysomnography (PSG) for the suspicion of OSA were included in this retrospective investigation. PSGs were scored using both the 2007 American Academy of Sleep Medicine (AASM) recommended hypopnoea criteria (AASM2007Rec) and the 2012 AASM recommended hypopnoea criteria (AASM2012Rec). For each hypopnoea criteria, OSA patients were grouped according to the APOC categories (I, II or II) or else deemed non-APOC if they did not meet the APOC criteria. Outcome measures, such as Functional Outcomes of Sleep Questionnaire (FOSQ), MOS 36-item short-form health survey (SF-36) and psychomotor vigilance task (PVT), were also compared between the groups. The AASM2012Rec increased the prevalence of OSA compared to AASM2007Rec. The AASM2012Rec trebled the number of APOC I patients compared to AASM2007Rec (297% increase) as well as increased the proportion of females in the APOC I group. AASM2012Rec did not change the number of APOC II and APOC III patients. In fact, the same patients were present in these categories irrespective of hypopnoea criteria. The proportion of non-APOC patients proportionally decreased with the AASM2012Rec criteria. There were no differences in outcome measures between the AASM2012Rec and AASM2007Rec groups. This study demonstrates that, compared to AASM2007Rec, AASM2012Rec increases the prevalence of who could be successfully treated with positional therapy. The proportion of females with pOSA also increases as a consequence of AASM2012Rec.

  9. Depression, physical activity, energy consumption, and quality of life in OSA patients before and after CPAP treatment.

    Science.gov (United States)

    Diamanti, C; Manali, E; Ginieri-Coccossis, M; Vougas, K; Cholidou, K; Markozannes, E; Bakakos, P; Liappas, I; Alchanatis, M

    2013-12-01

    A variety of studies have demonstrated improvement in quality of life and depressive symptoms in obstructive sleep apnea (OSA) patients after continuous positive airway pressure (CPAP) treatment. However, very little is known about the effect of OSA treatment on physical activity and energy consumption. The aim of this study was to evaluate the changes in depression, physical activity, energy expenditure, and quality of life (QoL) in OSA patients before and after CPAP therapy. Forty-one patients with OSA as revealed by polysomnography, were included to the study. They responded to the generic World Health Organization Quality of Life (WHOQoL) questionnaire, to the specific-disease Quebec Sleep Questionnaire, and to Center for Epidemiologic Studies Depression Scale (CES-D) in order to evaluate QoL and the incidence of depression. In addition, all patients wore an accelerometer which measured physical activity and energy expenditure during a week. At least 6 months after initiation of CPAP treatment (mean time, 9 months) we re-examined 24 patients who met the compliance with the treatment criteria. Patients after CPAP therapy had significantly higher scores in all domains of the Quebec Sleep Questionnaire and in the domains of physical health/level of independence and psychological health/spirituality of the WHOQoL. Depression scores were also better in CES-D after treatment. However, despite the improvement in QoL and psychological status, CPAP therapy had no impact on physical activity and energy expenditure. CPAP therapy improves QoL and lessens depressive symptoms in our group of well-treated OSA patients. However, physical activity and energy expenditure did not present statistically significant improvement in the same group of OSA patients.

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

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    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)

  11. Reliability and validity of Thai version Quality of Life Questionnaire (OSA-18) for pediatric obstructive sleep apnea.

    Science.gov (United States)

    Kuptanon, Teeradej; Chukumnerd, Jaruwan; Leejakpai, Anchalee; Preutthipan, Aroonwan

    2015-05-01

    Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a chronic illness affecting either cardiopulmonary or neuropsychiatric function. Besides the functional health, the quality of life of patients with obstructive sleep apnea (OSA) is of interest in literature. In children, the quality of life questionnaire, which consists of 18 items (OSA-18), has been widely accepted as a reliable, valid, and simple to administer. This questionnaire may also be useful in Thai children with OSA. To assess the reliability and validity of the Thai version of OSA-18 in Thai children. This was a cross-sectional study. The original English version of the 18-item pediatric obstructive sleep apnea quality of life questionnaire was translated into Thai following the guidelines of cross-cultural adaptation with permission from Rosenfeld RM, Department of Otolaryngology, SUNY Health Science Center at Brooklyn, USA. The questionnaire was divided into five domains, sleep disturbance, physical suffering, emotional distress, daytime problems, and caregiver concerns. The suspected obstructive sleep apnea children, aged less than 15 years, who did not have cardiovascular diseases, lung diseases, or neuromuscular diseases, and who underwent standardfull night polysomnography were included. The child's caregiver was asked to complete the questionnaire without assistance to determine its reliability and validity. Forty-three children (30 boys, and 13 girls) were enrolled in the present study. The median age was five years (range 2 to 14 years). The median apnea hypopnea index (AHI) was six events/hour and median OSA-18 total score was 66.7 (range 25 to 107). There were excellent test-retest reliability (Cronbach's alpha = 0.91) and internal consistency (Cronbach's alpha = 0.77) between each domain. Correlation between the Thai OSA-18 total scores and AHI was r = 0.48, p = 0.001, which was similar to the original English version (r = 0.43, p OSA-18 has been found to be satisfactory. Therefore, this

  12. The effect of sex and age on the comorbidity burden of OSA: an observational analysis from a large nationwide US health claims database.

    Science.gov (United States)

    Mokhlesi, Babak; Ham, Sandra A; Gozal, David

    2016-04-01

    Obstructive sleep apnoea (OSA) is a highly prevalent condition but studies exploring the burden of OSA-associated comorbidities have been limited by small sample sizes with underrepresentation of women.We queried the Truven Health MarketScan Research Databases 2003-2012, which is a collection of health insurance claims for working adults and retirees with employer-sponsored health insurance. Adults with a diagnostic code for OSA with at least 12 months of follow-up from the index date of OSA diagnosis were compared to a matched random sample. Comorbidities were assessed using International Classification of Diseases, Ninth Edition, codes. A logistic regression model was constructed to test the independent association between OSA and comorbidities.Our cohort included 1,704,905 patients with OSA and 1,704,417 matched controls. All comorbidities were significantly more prevalent in OSA patients. Type 2 diabetes and ischaemic heart disease were more prevalent in men but hypertension and depression were more prevalent in women with OSA. In contrast, the sex differences in the prevalence of congestive heart failure, arrhythmias and stroke were less pronounced. The prevalence of comorbidities increased with age but the effect of age varied based on the specific comorbidity. The divergence between OSA and controls was more pronounced after the sixth decade of life for most cardiovascular diseases (i.e.heart failure, ischaemic heart disease, stroke and arrhythmias), while depression exhibited an opposite trend. In a fully adjusted model, the odds of all comorbidities were significantly increased in OSA patients.In a large, nationally representative sample of working and retired people, OSA is strongly associated with significant comorbidities in both men and women with unique sex differences emerging. Copyright ©ERS 2016.

  13. 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

  14. 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.

  15. Landscape-Scale Controls on Aboveground Forest Carbon Stocks on the Osa Peninsula, Costa Rica

    Science.gov (United States)

    Taylor, Philip; Asner, Gregory; Dahlin, Kyla; Anderson, Christopher; Knapp, David; Martin, Roberta; Mascaro, Joseph; Chazdon, Robin; Cole, Rebecca; Wanek, Wolfgang; Hofhansl, Florian; Malavassi, Edgar; Vilchez-Alvarado, Braulio; Townsend, Alan

    2015-01-01

    Tropical forests store large amounts of carbon in tree biomass, although the environmental controls on forest carbon stocks remain poorly resolved. Emerging airborne remote sensing techniques offer a powerful approach to understand how aboveground carbon density (ACD) varies across tropical landscapes. In this study, we evaluate the accuracy of the Carnegie Airborne Observatory (CAO) Light Detection and Ranging (LiDAR) system to detect top-of-canopy tree height (TCH) and ACD across the Osa Peninsula, Costa Rica. LiDAR and field-estimated TCH and ACD were highly correlated across a wide range of forest ages and types. Top-of-canopy height (TCH) reached 67 m, and ACD surpassed 225 Mg C ha-1, indicating both that airborne CAO LiDAR-based estimates of ACD are accurate in tall, high-biomass forests and that the Osa Peninsula harbors some of the most carbon-rich forests in the Neotropics. We also examined the relative influence of lithologic, topoedaphic and climatic factors on regional patterns in ACD, which are known to influence ACD by regulating forest productivity and turnover. Analyses revealed a spatially nested set of factors controlling ACD patterns, with geologic variation explaining up to 16% of the mapped ACD variation at the regional scale, while local variation in topographic slope explained an additional 18%. Lithologic and topoedaphic factors also explained more ACD variation at 30-m than at 100-m spatial resolution, suggesting that environmental filtering depends on the spatial scale of terrain variation. Our result indicate that patterns in ACD are partially controlled by spatial variation in geologic history and geomorphic processes underpinning topographic diversity across landscapes. ACD also exhibited spatial autocorrelation, which may reflect biological processes that influence ACD, such as the assembly of species or phenotypes across the landscape, but additional research is needed to resolve how abiotic and biotic factors contribute to ACD

  16. PifC and Osa, Plasmid Weapons against Rival Conjugative Coupling Proteins

    Science.gov (United States)

    Getino, María; Palencia-Gándara, Carolina; Garcillán-Barcia, M. Pilar; de la Cruz, Fernando

    2017-01-01

    Bacteria display a variety of mechanisms to control plasmid conjugation. Among them, fertility inhibition (FI) systems prevent conjugation of co-resident plasmids within donor cells. Analysis of the mechanisms of inhibition between conjugative plasmids could provide new alternatives to fight antibiotic resistance dissemination. In this work, inhibition of conjugation of broad host range IncW plasmids was analyzed in the presence of a set of co-resident plasmids. Strong FI systems against plasmid R388 conjugation were found in IncF/MOBF12 as well as in IncI/MOBP12 plasmids, represented by plasmids F and R64, respectively. In both cases, the responsible gene was pifC, known also to be involved in FI of IncP plasmids and Agrobacterium T-DNA transfer to plant cells. It was also discovered that the R388 gene osa, which affects T-DNA transfer, also prevented conjugation of IncP-1/MOBP11 plasmids represented by plasmids RP4 and R751. Conjugation experiments of different mobilizable plasmids, helped by either FI-susceptible or FI-resistant transfer systems, demonstrated that the conjugative component affected by both PifC and Osa was the type IV conjugative coupling protein. In addition, in silico analysis of FI proteins suggests that they represent recent acquisitions of conjugative plasmids, i.e., are not shared by members of the same plasmid species. This implies that FI are rapidly-moving accessory genes, possibly acting on evolutionary fights between plasmids for the colonization of specific hosts. PMID:29201021

  17. Landscape-Scale Controls on Aboveground Forest Carbon Stocks on the Osa Peninsula, Costa Rica.

    Directory of Open Access Journals (Sweden)

    Philip Taylor

    Full Text Available Tropical forests store large amounts of carbon in tree biomass, although the environmental controls on forest carbon stocks remain poorly resolved. Emerging airborne remote sensing techniques offer a powerful approach to understand how aboveground carbon density (ACD varies across tropical landscapes. In this study, we evaluate the accuracy of the Carnegie Airborne Observatory (CAO Light Detection and Ranging (LiDAR system to detect top-of-canopy tree height (TCH and ACD across the Osa Peninsula, Costa Rica. LiDAR and field-estimated TCH and ACD were highly correlated across a wide range of forest ages and types. Top-of-canopy height (TCH reached 67 m, and ACD surpassed 225 Mg C ha-1, indicating both that airborne CAO LiDAR-based estimates of ACD are accurate in tall, high-biomass forests and that the Osa Peninsula harbors some of the most carbon-rich forests in the Neotropics. We also examined the relative influence of lithologic, topoedaphic and climatic factors on regional patterns in ACD, which are known to influence ACD by regulating forest productivity and turnover. Analyses revealed a spatially nested set of factors controlling ACD patterns, with geologic variation explaining up to 16% of the mapped ACD variation at the regional scale, while local variation in topographic slope explained an additional 18%. Lithologic and topoedaphic factors also explained more ACD variation at 30-m than at 100-m spatial resolution, suggesting that environmental filtering depends on the spatial scale of terrain variation. Our result indicate that patterns in ACD are partially controlled by spatial variation in geologic history and geomorphic processes underpinning topographic diversity across landscapes. ACD also exhibited spatial autocorrelation, which may reflect biological processes that influence ACD, such as the assembly of species or phenotypes across the landscape, but additional research is needed to resolve how abiotic and biotic factors

  18. Functional MRI of the pharynx in obstructive sleep apnea (OSA) with rapid 2-D flash sequences; Funktionelle MRT des Pharynx bei obstruktiver Schlafapnoe (OSA) mit schnellen 2D-FLASH-Sequenzen

    Energy Technology Data Exchange (ETDEWEB)

    Jaeger, L. [Inst. fuer Radiologische Diagnostik, Klinikum Grosshadern der Ludwig-Maximilians-Universitaet, Muenchen (Germany); Guenther, E. [Klinik und Poliklinik fuer Hals-, Nasen- und Ohrenkranke, Klinikum Grosshadern der Ludwig-Maximilians-Universitaet, Muenchen (Germany); Gauger, J. [Inst. fuer Radiologische Diagnostik, Klinikum Grosshadern der Ludwig-Maximilians-Universitaet, Muenchen (Germany); Nitz, W. [Siemens Medizintechnik, Erlangen (Germany); Kastenbauer, E. [Klinik und Poliklinik fuer Hals-, Nasen- und Ohrenkranke, Klinikum Grosshadern der Ludwig-Maximilians-Universitaet, Muenchen (Germany); Reiser, M. [Inst. fuer Radiologische Diagnostik, Klinikum Grosshadern der Ludwig-Maximilians-Universitaet, Muenchen (Germany)

    1996-03-01

    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.) [Deutsch] Die funktionelle Bildgebung des Pharynx war bisher eine Domaene der Hochfrequenzroentgenkinematographie, der Computertomographie (CT) und der ultraschnellen Computertomographie. Die Entwicklung moderner Techniken in der Magnetresonanztomographie (MRT) fuehrte zu neuen Ansaetzen in der Diagnostik pharyngealer Dysfunktionen. Ziel der vorliegenden Studie war die Implementierung neuer schneller MR-Sequenzen, um Verschlussmechanismen entlang des Pharnyxschlauches bei Patienten mit obstruktiver Schlafapnoe (OSA) zu untersuchen. 16 Patienten mit OSA und 6 gesunde Probanden wurden an einem 1,5-T-Ganzkoerpermagnetresonanztomographen (`Vision`, Siemens Medizintechnik, Erlangen

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

    Directory of Open Access Journals (Sweden)

    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.

  20. Moderate sleep restriction in treated older male OSA participants: greater impairment during monotonous driving compared with controls.

    Science.gov (United States)

    Filtness, Ashleigh J; Reyner, Louise A; Horne, James A

    2011-10-01

    To examine the effects on monotonous driving of normal sleep versus one night of sleep restriction in continuous positive airway pressure (CPAP) treated obstructive sleep apnoea (OSA) patients compared with age matched healthy controls. Nineteen CPAP treated compliant male OSA patients (OSA-treated patients (OPs)), aged 50-75 years, and 20 healthy age-matched controls underwent both a normal night's sleep and sleep restriction to 5h (OPs remained on CPAP) in a counterbalanced design. All participants completed a 2h afternoon monotonous drive in a realistic car simulator. Driving was monitored for sleepiness-related minor and major lane deviations, with 'safe' driving time being total time driven prior to first major lane deviation. EEGs were recorded continuously, and subjective sleepiness ratings were taken at regular intervals throughout the drive. After a normal night's sleep, OPs and controls did not differ in terms of driving performance or in their ability to assess the levels of their own sleepiness, with both groups driving 'safely' for approximately 90 min. However, after sleep restriction, OPs had a significantly shorter (65 min) safe driving time and had to apply more compensatory effort to maintain their alertness compared with controls. They also underestimated the enhanced sleepiness. Nevertheless, apart from this caveat, there were generally close associations between subjective sleepiness, likelihood of a major lane deviation and EEG changes indicative of sleepiness. With a normal night's sleep, effectively treated older men with OSA drive as safely as healthy men of the same age. However, after restricted sleep, driving impairment is worse than that of controls. This suggests that, although successful CPAP treatment can alleviate potential detrimental effects of OSA on monotonous driving following normal sleep, these patients remain more vulnerable to sleep restriction. Copyright © 2011 Elsevier B.V. All rights reserved.

  1. Association between obstructive sleep apnea (OSA and depression and the effect of continuous positive airway pressure (CPAP treatment

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    El-Sherbini AM

    2011-12-01

    Full Text Available Amr Makram El-Sherbini1, Adel Salah Bediwy2, Ashraf El-Mitwalli31Department of Psychiatry, Elminia University Hospital, Faculty of Medicine, Elminia, 2Chest Department, Faculty of Medicine, Tanta University, 3Department of Neurology, Mansoura School of Medicine, University of Mansoura, Mansoura, EgyptBackground: Obstructive sleep apnea (OSA is a relatively common disorder which has a negative impact on the psychological well-being of affected individuals.Objective: To assess the association between OSA and depression as well as the effect of treatment with continuous positive airway pressure (CPAP.Methods: A total of 37 newly diagnosed individuals with OSA underwent an overnight polysomnography and were assessed using the Epworth Sleepiness Scale (ESS, the Hamilton Depression Rating Scale (HDRS, and the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Patients were assessed before and after 2 months of CPAP use.Results: Of the 37 patients included in the study, 21 (56.7% had clinically relevant depression as indicated by a score >10 on the HDRS and eleven patients (29.7% met the diagnostic criteria for a major depressive episode using the Structured Clinical Interview. Scores on the HDRS were correlated with the Apnea Hypoxia Index, ESS scores, and oxygen saturation. Patients showed a significant reduction in depressive symptoms and improvement in ESS scores after CPAP treatment.Conclusion: Patients with OSA should be screened carefully for depressive disorders. CPAP should be tried first before starting other treatment modalities for depression.Keywords: obstructive sleep apnea, depression in OSA, CPAP and depression

  2. 6A3-5/Osa2 is an Early Activated Gene Implicated in the Control of Vascular Smooth Muscle Cell Functions

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    Gwenaele Garin

    2006-01-01

    Full Text Available Vascular smooth muscle cells (VSMC growth plays a key role in the pathophysiology of vascular diseases. However, the molecular mechanisms controlling gene transcription in VSMC remain poorly understood. We previously identified, by differential display, a new gene (6A3-5 overexpressed in proliferating rat VSMC. In this study, we have cloned the full-length cDNA by screening a rat foetal brain cDNA library and investigated its functions. The 6A3-5 protein shows 4 putative conserved functional motifs: a DNA binding domain called ARID (AT-rich interaction domain, two recently described motifs (Osa Homology Domain, and a nuclear localization signal. The deduced protein sequence was observed to be 85% identical to the recently described human Osa2 gene. Immunolabelling, using an anti-6A3-5/Osa2 monoclonal antibody, showed a nuclear localization of the 6A3-5/Osa2 protein. In addition, PDGF upregulated 6A3-5/Osa2 expression at both the transcript and protein levels in a dose and time-dependent fashion. The pattern of upregulation by PDGF was reminiscent of the early responsive gene c-fos. The PDGF-induced upregulation of 6A3-5/Osa2 and proliferation of VSMC were significantly inhibited in a dose and sequence-dependent fashion by an antisense, but not by sense, scrambled or mismatched oligonucleotides directed against 6A3-5/Osa2. In VSMC of aortas derived from hypertensive (LH rats, 6A3-5/Osa2 is overexpressed as compared to that in normotensive (LL rats. The 6A3-5/Osa2-gene expression is downregulated by an ACE inhibitor and upregulated by exogenous AngiotensinII in LH rats. In summary, these results indicate that 6A3-5/Osa2 is an early activated gene that belongs to a new family of proteins involved in the control of VSMC growth.

  3. Desenvolvimento dos frutos de lulo (Solanum quitoense LAM, em Viçosa-MG Lulo (Solanum quitoense LAM fruits development in Viçosa - MG

    Directory of Open Access Journals (Sweden)

    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.The lulo is a tropical and exotic fruit, originating in the Andes is orange when ripe, and is a globose berry, resembling a tomato, the epicarp is thick and leathery, its pulp is light green, sticky, sour and juicy, containing many seeds. The objective of this study was to monitor the physical, chemical and physiological characteristic changes occurring during lulo fruit

  4. 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 < 0.05). The BMI was higher among women in both CPAP and Sham groups. However, compared to women, men had higher AHI only in the CPAP group (50 vs. 34). Similarly, the arousal index was higher among men in CPAP group. 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 < 0.05), there also were no changes in activity patterns. Except for a modest increase in recreational

  5. Effect of Telemedicine Education and Telemonitoring on Continuous Positive Airway Pressure Adherence. The Tele-OSA Randomized Trial.

    Science.gov (United States)

    Hwang, Dennis; Chang, Jeremiah W; Benjafield, Adam V; Crocker, Maureen E; Kelly, Colleen; Becker, Kendra A; Kim, Joseph B; Woodrum, Rosa R; Liang, Joanne; Derose, Stephen F

    2018-01-01

    Automated telemedicine interventions could potentially improve adherence to continuous positive airway pressure (CPAP) therapy. Examining the effects of telemedicine-delivered obstructive sleep apnea (OSA) education and CPAP telemonitoring with automated patient feedback messaging on CPAP adherence. This four-arm, randomized, factorial design clinical trial enrolled 1,455 patients (51.0% women; age, 49.1 ± 12.5 yr [mean ± SD]) referred for suspected OSA. Nine hundred and fifty-six underwent home sleep apnea testing, and 556 were prescribed CPAP. Two telemedicine interventions were implemented: 1) web-based OSA education (Tel-Ed) and 2) CPAP telemonitoring with automated patient feedback (Tel-TM). Patients were randomized to 1) usual care, 2) Tel-Ed added, 3) Tel-TM added, or 4) Tel-Ed and Tel-TM added (Tel-both). The primary endpoint was 90-day CPAP usage. Secondary endpoints included attendance to OSA evaluation, and change in Epworth Sleepiness Scale score. CPAP average daily use at 90 days was 3.8 ± 2.5, 4.0 ± 2.4, 4.4 ± 2.2, and 4.8 ± 2.3 hours in usual care, Tel-Ed, Tel-TM, and Tel-both groups. Usage was significantly higher in the Tel-TM and Tel-both groups versus usual care (P = 0.0002 for both) but not for Tel-Ed (P = 0.10). Medicare adherence rates were 53.5, 61.0, 65.6, and 73.2% in usual care, Tel-Ed, Tel-TM, and Tel-both groups (Tel-both vs. usual care, P = 0.001; Tel-TM vs. usual care, P = 0.003; Tel-Ed vs. usual care, P = 0.07), respectively. Telemedicine education improved clinic attendance compared with no telemedicine education (show rate, 68.5 vs. 62.7%; P = 0.02). The use of CPAP telemonitoring with automated feedback messaging improved 90-day adherence in patients with OSA. Telemedicine-based education did not significantly improve CPAP adherence but did increase clinic attendance for OSA evaluation. Clinical trial registered with www.clinicaltrials.gov (NCT02279901).

  6. Heart rate recovery post 6-minute walking test in obstructive sleep apnea: cycle ergometry versus 6-minute walking test in OSA patients.

    Science.gov (United States)

    Cholidou, Kyriaki G; Manali, Effrosyni D; Kapsimalis, Fotis; Kostakis, Ioannis D; Vougas, Konstantinos; Simoes, Davina; Markozannes, Evaggelos; Vogiatzis, Ioannis; Bakakos, Petros; Koulouris, Nikolaos; Alchanatis, Manos

    2014-10-01

    To examine the clinical usefulness of heart rate recovery (HRR) post 6-minute walking test (6MWT) as a simple marker of cardiovascular risk in obstructive sleep apnea (OSA) patients in comparison to HRR post cycle ergometry, the validated and more sophisticated protocol. Seventy-four participants underwent full overnight polysomnography, cycle ergometry and 6MWT. The HRR at 1, 2 and 3 min (HRR-1, HRR-2 and HRR-3) 6MWT was compared to HRR at 1, 2, and 3 min post cycle ergometry in normal subjects and in moderate and severe OSA patients before and after 6-month CPAP treatment. The HRR-1, HRR-2 and HRR-3 in 6MWT were significantly different between normal, moderate and severe OSA patients with higher rates achieved in normal. The higher the severity of OSA the lower the HRR was. There were also no differences found between work rate and distance walked during cycle ergometry or 6MWT, respectively, concerning normal, moderate and severe OSA patients. Heart rate recovery was further associated with minimum saturation of oxygen during sleep independently of the duration of apnea episodes of BMI and ESS. The treatment with CPAP had a beneficial effect on HRR both post-6MWT and post cycle ergometry. Autonomic nervous system dysfunction in OSA can be found even with submaximal exertion. Heart rate recovery post-6MWT, such as HRR post cycle ergometry, was significantly impaired in OSA patients in comparison to normals and was favorably influenced from CPAP treatment. Furthermore, it was found to be more sensitive compared with distance walked in 6MWT in discriminating severity of OSA. The HRR post-6MWT was found to be an easily measured and reliable marker of OSA severity both before and after CPAP treatment.

  7. Quantifying the dynamic of OSA brain using multifractal formalism: A novel measure for sleep fragmentation.

    Science.gov (United States)

    Raiesdana, Somayeh

    2017-01-01

    It is thought that the critical brain dynamics in sleep is modulated during frequent periods of wakefulness. This paper utilizes the capacity of EEG based scaling analysis to quantify sleep fragmentation in patients with obstructive sleep apnea. The scale-free (fractal) behavior refers to a state where no characteristic scale dominates the dynamics of the underlying process which is evident as long range correlations in a time series. Here, Multiscaling (multifractal) spectrum is utilized to quantify the disturbed dynamic of an OSA brain with fragmented sleep. The whole night multichannel sleep EEG recordings of 18 subjects were employed to compute and quantify variable power-law long-range correlations and singularity spectra. Based on this characteristic, a new marker for sleep fragmentation named ``scaling based sleep fragmentation'' was introduced. This measure takes into account the sleep run length and stage transition quality within a fuzzy inference system to improve decisions made on sleep fragmentation. The proposed index was implemented, validated with sleepiness parameters and compared to some common indexes including sleep fragmentation index, arousal index, sleep diversity index, and sleep efficiency index. Correlations were almost significant suggesting that the sleep characterizing measure, based on singularity spectra range, could properly detect fragmentations and quantify their rate. This method can be an alternative for quantifying the sleep fragmentation in clinical practice after being approved experimentally. Control of sleep fragmentation and, subsequently, suppression of excessive daytime sleepiness will be a promising outlook of this kind of researches.

  8. 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 titration level (P 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.

  9. Good and poor sleepers among OSA patients: sleep quality and overnight polysomnography findings.

    Science.gov (United States)

    Lusic Kalcina, Linda; Valic, Maja; Pecotic, Renata; Pavlinac Dodig, Ivana; Dogas, Zoran

    2017-07-01

    Previous studies aimed to determine if Pittsburgh sleep quality index (PSQI) is a valid screening instrument for obstructive sleep apnea, indicating its disadvantages. However, the rationale of PSQI use in sleep clinics is not the screening, but the assessment of sleep quality itself. Therefore, the aims of this study were to investigate the sleep quality in obstructive sleep apnea patients and to identify the cutoff point for differentiation of "good" and "poor" sleepers among them. We constructed the Croatian version of PSQI and assessed its psychometric properties. The protocol of the study included the assessment of sleep quality in 130 obstructive sleep apnea patients and 75 healthy control subjects. All subjects completed the Croatian version of the PSQI, and the patients underwent overnight polysomnography screening. Obstructive sleep apnea patients had higher values of the global PSQI component score, indicating lower sleep quality, compared to a healthy control group (p good and poor sleepers significantly in total sleep time, REM duration, time spent awake during sleep, and WASO time. Current findings enhance the interpretability of PSQI results in a population of OSA patients.

  10. [Guidelines for the fitness to drive assessment in people with obstructive sleep apnoea syndrome (OSAS) and narcolepsy].

    Science.gov (United States)

    Garbarino, S; Bonanni, E; Ingravallo, F; Mondini, S; Plazzi, G; Sanna, A

    2011-01-01

    Given the prevalence of sleep disorders and sleep deprivation in modern societies, and the correlation between sleepiness and work and driving accidents, the excessive daytime sleepiness is an important issue. Although many studies showed that patients with untreated Obstructive sleep apnoea syndrome (OSAS) and narcolepsy have an higher risk for driving accidents, neither the European Community regulation nor the Italian law of the driving licence mention restrictions for these disorders. In 2010 the scientific association COMLAS (Association of legal medicine professionals of the Italian National Health Service) published the Guidelines for the examination by the Local Medical Commissions. The author presented the guidelines to assess the fitness to drive of people with OSAS or narcolepsy. The proposed criteria, set up in collaboration with the Commission "Sleepiness, Safety and Transportation" of the Italian Association of Sleep Medicine (AIMS), can be considered among the most advanced internationally.

  11. 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 CPAP for ≥ 70% of days with ≥ 4 h/d [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.

  12. The effectiveness of different mandibular advancement amounts in OSA patients: a systematic review and meta-regression analysis.

    Science.gov (United States)

    Bartolucci, Maria Lavinia; Bortolotti, Francesco; Raffaelli, Eugenia; D'Antò, Vincenzo; Michelotti, Ambra; Alessandri Bonetti, Giulio

    2016-09-01

    The therapy with mandibular advancement devices (MADs) represents a treatment option for patients with obstructive sleep apnea (OSA). The literature does not provide evidence regarding the most effective mandibular advancement; therefore, the aim of this systematic review with meta-regression was to investigate the effectiveness of different mandibular advancement amounts in reducing apnea-hypopnea index (AHI) in OSA patients. An electronic search was performed in MEDLINE, Cochrane Database, Google Scholar Beta, ISI Web of Knowledge, Scopus, and LILACS to select randomized controlled trials (RCTs) investigating the efficacy of MADs in reducing AHI in adult OSA patients. Inclusion criteria were the diagnosis of OSA and success evaluation performed with a polysomnography, follow-up of maximum 12 months, and protrusion amount reported as a percentage of the maximum mandibular advancement. The quality of evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology. The success rate of each study was computed: [(mean AHI at baseline-mean AHI after treatment)/mean AHI at baseline]. Thirteen RCTs performing advancements from 50 to 89 % of maximum mandibular protrusion were included. The meta-regression analysis showed that advancement amounts higher than 50 % do not significantly influence the success rate (Q = 0.373, p = 0.541). According to the GRADE score system, the quality of evidence resulted to be moderate. The AHI improvement resulted to be not proportional to the mandibular advancement increase. It is plausible that the success of the therapy is influenced by a combination of variables that need closer study.

  13. Elevated upper body position improves pregnancy-related OSA without impairing sleep quality or sleep architecture early after delivery.

    Science.gov (United States)

    Zaremba, Sebastian; Mueller, Noomi; Heisig, Anne M; Shin, Christina H; Jung, Stefanie; Leffert, Lisa R; Bateman, Brian T; Pugsley, Lori J; Nagasaka, Yasuko; Duarte, Ingrid Moreno; Ecker, Jeffrey L; Eikermann, Matthias

    2015-10-01

    During pregnancy, upper airway resistance is increased, predisposing vulnerable women to pregnancy-related OSA. Elevation of the upper body increases upper airway cross-sectional area (CSA) and improves severity of OSA in a subgroup of nonpregnant patients (positional-dependent sleep apnea). We tested the hypothesis that elevated position of the upper body improves OSA early after delivery. Following institutional review board approval, we conducted a randomized, crossover study on two postpartum units of Massachusetts General Hospital. Women during the first 48 h after delivery were included. Polysomnography was performed in nonelevated and 45° elevated upper body position. Upper airway CSA was measured by acoustic pharyngometry in nonelevated, 45° elevated, and sitting body position. Fifty-five patients were enrolled, and measurements of airway CSA obtained. Thirty patients completed polysomnography in both body positions. Elevation of the upper body significantly reduced apnea-hypopnea index (AHI) from 7.7 ± 2.2/h in nonelevated to 4.5 ± 1.4/h in 45° elevated upper body position (P = .031) during sleep. Moderate to severe OSA (AHI > 15/h) was diagnosed in 20% of postpartum patients and successfully treated by elevated body position in one-half of them. Total sleep time and sleep architecture were not affected by upper body elevation. Change from nonelevated to sitting position increased inspiratory upper airway CSA from 1.35 ± 0.1 cm2 to 1.54 ± 0.1 cm2 during wakefulness. Position-dependent increase in CSA and decrease in AHI were correlated (r = 0.42, P = .022). Among early postpartum women, 45° upper body elevation increased upper airway CSA and mitigated sleep apnea. Elevated body position might improve respiratory safety in women early after delivery. ClinicalTrials.gov; No.: NCT01719224; URL: www.clinicaltrials.gov.

  14. Characterization of a tooth microphone coupled to an oral appliance device: A new system for monitoring OSA patients.

    Science.gov (United States)

    Castillo, Yolanda; Blanco-Almazan, Dolores; Whitney, James; Mersky, Barry; Jane, Raimon

    2017-07-01

    Obstructive sleep apnea (OSA) is a highly prevalent chronic disease, especially in elderly and obese populations. Despite constituting a serious health, social and economic problem, most patients remain undiagnosed and untreated due to limitations in current equipment. In this work, we propose a novel method to diagnose OSA and monitor therapy adherence and effectiveness at home in a non-invasive and inexpensive way: combining acoustic analysis of breathing and snoring sounds with oral appliance therapy (OA). Audiodontics has introduced a new sensor, a tooth microphone coupled to an OA device, which is the main pillar of this system. The objective of this work is to characterize the response of this sensor, comparing it with a commercial tracheal microphone (Biopac transducer). Signals containing OSA-related sounds were acquired simultaneously with the two microphones for that purpose. They were processed and analyzed in time, frequency and time-frequency domains, in a custom MATLAB interface. We carried out a single-event approach focused on breaths, snores and apnea episodes. We found that the quality of the signals obtained by both microphones was quite similar, although the tooth microphone spectrum concentrated more energy at the high-frequency band. This opens a new field of study about high-frequency components of snores and breathing sounds. These characteristics, together with its intraoral position, wireless option and combination with customizable OAs, give the tooth microphone a great potential to reduce the impact of sleep disorders, by enabling prompt detection and continuous monitoring of patients at home.

  15. Volumetric analysis of the pharynx in patients with obstructive sleep apnea (OSA) treated with maxillomandibular advancement (MMA).

    Science.gov (United States)

    Faria, Ana Célia; da Silva-Junior, Savio Nogueira; Garcia, Luis Vicente; dos Santos, Antonio Carlos; Fernandes, Maria Regina França; de Mello-Filho, Francisco Veríssimo

    2013-03-01

    Maxillomandibular advancement (MMA) has been reported to be the most effective surgical treatment of obstructive sleep apnea (OSA). Most reports about MMA aim to confirm the efficiency of this treatment modality, but few describe the anatomical changes produced in the pharynx by the surgery. Thus, the objective of the present investigation was to quantify the anatomical changes of the pharynx that occur in patients with OSA after MMA surgery using magnetic resonance (MR). Twenty patients with a polysomnographic diagnosis of OSA participated in the study. All patients were submitted to image acquisition by MR performed during wakefulness. Polysomnography and MR were performed preoperatively and 6 months after MMA. Volume analysis (in cubic millimeters) was performed as the sum of the areas multiplied by their thickness, with no intervals between sections. The pharyngeal air space of the region between the hard palate and the base of the epiglottis was divided into a retropalatal (RP) region and a retrolingual (RL) region. Postoperative MR showed a mean volumetric increase of 26.72 % in the RP region and of 27.2 % in the RL region. MMA increases the air space of the pharynx by expanding the facial skeletal structure to which the soft tissues of the pharynx and tongue are fixed, with a consequent reduction of collapsibility in the presence of negative pressure during inspiration. This reduced possibility of pharyngeal collapse may contribute to the reduction of obstructive events.

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

    Directory of Open Access Journals (Sweden)

    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.

  17. Microencapsulation of white champaca (Michelia alba D.C.) extract using octenyl succinic anhydride (OSA) starch for controlled release aroma.

    Science.gov (United States)

    Samakradhamrongthai, Rajnibhas; Thakeow, Prodpran; Kopermsub, Phikunthong; Utama-Ang, Niramon

    2016-12-01

    The objective of the study was to optimise the encapsulation of Michelia alba D.C. (MAD) extract using octenyl succinic anhydride (OSA) starch. The MAD extract (5-10 g/100 g of dry starch) and the OSA starch (25-100 g/100 ml of water) was used in microcapsule preparation and analysed for the physicochemical and encapsulation properties. The optimised formula using the MAD extract and the OSA starch were 15.00 g/100 g of dry starch and 96.32 g/100 g water, which provided the highest in yield recovery (40.65% ± 0.99) and encapsulation efficiency (68.91% ± 1.50), with the lowest moisture content (3.19% ± 0.06) and water activity (0.236 ± 0.004). The aroma release from the optimum encapsulated powder in simulated artificial saliva fluid (SSF) suggested that linalool retention in microcapsules was higher than verbenone and 2-methyl butanoic acid. This study shows that the optimised formulation of MAD encapsulated flavour powder was found to be effective for controlling the aroma release.

  18. Lugejad küsivad - autorid vastavad : [teemad: osaühingu raamatupidamine...] / Maire Otsus-Carpenter, Olesja Timofejeva, Häli Jürimäe ...[jt

    Index Scriptorium Estoniae

    2015-01-01

    Teemad: osaühingu raamatupidamine, sõiduauto liikluskindlustus rendiperioodil, OÜ käibemaksukohustuslasena registreerimine, arvel nõutavad andmed, deklaratsiooni parandamine, päevaraha maksmine lähetuse korral, allkirjastamise õiguse delegeerimine

  19. Sleep-disordered breathing in Ehlers-Danlos syndrome: a genetic model of OSA.

    Science.gov (United States)

    Guilleminault, Christian; Primeau, Michelle; Chiu, Hsiao-Yean; Yuen, Kin Min; Leger, Damien; Metlaine, Arnaud

    2013-11-01

    The objective of this study was to investigate the presence of sleep-disordered breathing (SDB) in patients with Ehlers-Danlos syndrome. Ehlers-Danlos syndrome is a genetic disorder characterized by cartilaginous defects, including nasal-maxillary cartilages. A retrospective series of 34 patients with Ehlers-Danlos syndrome and complaints of fatigue and poor sleep were evaluated by clinical history, physical examination, polysomnography (PSG), and, in some cases, anterior rhinomanometry. Additionally, a prospective clinical investigation of nine patients with Ehlers-Danlos syndrome was performed in a specialized Ehlers-Danlos syndrome clinic. All patients with Ehlers-Danlos syndrome evaluated had SDB on PSG. In addition to apneas and hypopneas, SDB included flow limitation. With increasing age, flow limitation decreased in favor of apnea and hypopnea events, but clinical complaints were similar independent of the type of PSG finding. In the subgroup of patients who underwent nasal rhinomanometry, increased nasal resistance was increased relative to normative values. Nasal CPAP improved symptoms. Patients with Ehlers-Danlos syndrome presenting to the medical clinic had symptoms and clinical signs of SDB, but they were never referred for evaluation of SDB. In patients with Ehlers-Danlos syndrome, abnormal breathing during sleep is commonly unrecognized and is responsible for daytime fatigue and poor sleep. These patients are at particular risk for SDB because of genetically related cartilage defects that lead to the development of facial structures known to cause SDB. Ehlers-Danlos syndrome may be a genetic model for OSA because of abnormalities in oral-facial growth. Early recognition of SDB may allow treatment with orthodontics and myofacial reeducation.

  20. Long-term results in obstructive sleep apnea syndrome (OSAS after laser-assisted uvulopalatoplasty (LAUP.

    Directory of Open Access Journals (Sweden)

    Önder Göktas

    Full Text Available Obstructive sleep apnea syndrome (OSAS is a serious disease. The etiology of and optimum therapy options for this disorder have been much discussed and have been the subject of many publications. One much discussed therapy option is laser-assisted uvulopalatoplasty (LAUP. Despite conflicting opinions and guidelines which recommend that it should not be used, it remains in use. Patients who had previously undergone this procedure were invited for follow-up appointments, at which they were asked to complete a questionnaire, underwent an ENT examination and underwent sleep laboratory analysis using a portable sleep lab device. The average time since LAUP treatment was 11 years. The cohort comprised 25 patients. The average preoperative apnea-hypopnea-index (AHI score was 25.25/h; the average postoperative AHI score 23.62/h. Closer examination of our data enabled us to identify 10 responders (40% and 15 non-responders (60%. 12% (3/25 of non-responders experienced either no reduction in their AHI score or an increase compared to their preoperative AHI score of less than 5/h. In the remaining 48% (12/25, AHI increased by more than 5/h compared to the preoperative figure. Our questionnaire showed that 40% (10/25 of patients suffered from dry mouth and 20% (5/25 from foreign body sensation. The data led us to conclude that laser-assisted uvulopalatoplasty can indeed result in a reduction in AHI score comparable to other mucosal resection methods. Also in common with these methods, the efficacy of the therapy reduces with time and the procedure carries a high risk of bringing about an increase in the patient's AHI score.

  1. Nasal Expiratory Positive Airway Pressure Devices (Provent for OSA: A Systematic Review and Meta-Analysis

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    Muhammad Riaz

    2015-01-01

    Full Text Available Objective. To quantify the effectiveness of nasal expiratory positive airway pressure (nasal EPAP devices or Provent as treatment for obstructive sleep apnea (OSA. Methods. PubMed and six other databases were searched through November 15, 2015, without language limitations. Results. Eighteen studies (920 patients were included. Pre- and post-nasal EPAP means ± standard deviations (M ± SD for apnea-hypopnea index (AHI in 345 patients decreased from 27.32±22.24 to 12.78±16.89 events/hr (relative reduction = 53.2%. Random effects modeling mean difference (MD was −14.78 events/hr [95% CI −19.12, −10.45], p value < 0.00001. Oxygen desaturation index (ODI in 247 patients decreased from 21.2±19.3 to 12.4±14.1 events/hr (relative reduction = 41.5%, p value < 0.00001. Lowest oxygen saturation (LSAT M ± SD improved in 146 patients from 83.2±6.8% to 86.2±11.1%, MD 3 oxygen saturation points [95% CI 0.57, 5.63]. Epworth Sleepiness Scale (ESS M ± SD improved (359 patients from 9.9±5.3 to 7.4±5.0, MD −2.5 [95% CI −3.2, −1.8], p value < 0.0001. Conclusion. Nasal EPAP (Provent reduced AHI by 53.2%, ODI by 41.5% and improved LSAT by 3 oxygen saturation points. Generally, there were no clear characteristics (demographic factors, medical history, and/or physical exam finding that predicted favorable response to these devices. However, limited evidence suggests that high nasal resistance could be associated with treatment failure. Additional studies are needed to identify demographic and polysomnographic characteristics that would predict therapeutic success with nasal EPAP (Provent.

  2. 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.

  3. 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

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

    OpenAIRE

    Alba Lucía Montenegro; Orlando Vargas

    2008-01-01

    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...

  5. Treatment of obese patients with obstructive sleep apnea syndrome (OSAS): effect of weight loss and interference of otorhinolaryngoiatric pathology.

    Science.gov (United States)

    Pasquali, R; Colella, P; Cirignotta, F; Mondini, S; Gerardi, R; Buratti, P; Rinaldi Ceroni, A; Tartari, F; Schiavina, M; Melchionda, N

    1990-03-01

    The role of weight loss in the therapy of obstructive sleep apnea syndrome (OSAS) was investigated in 23 affected patients with various degrees of obesity (body mass index range 26.6-61.0) free of cranio-facial malformations. Weight loss resulted 18.5 +/- 14.7 (s.d.) kg and was significantly correlated with baseline BMI value (r = 0.94; P less than 0.0001). Weight loss significantly reduced the number of apneas + hypopneas per hour of sleep ((A + H)I) from 66.5 +/- 23.0 to 33.0 +/- 26.2 (P less than 0.0001) and improved the mean of oxygen desaturation peaks during apneas (mSaO2) from 81.9 +/- 6.9 to 87.6 +/- 3.9; P less than 0.001). A significant correlation was found between weight loss and changes in the (A + H)I (r = -0.55; P less than 0.01) and the mSaO2 (r = 0.46; P less than 0.05). The (A + H)I significantly improved in both patients who lost more than 10 kg (basal BMI: 42.3 +/- 10.0) and in those who lost less than 10 kg (basal BMI: 30.2 +/- 2.3), whereas the mSaO2 improved only in the former. Obese patients with moderate to heavy ORL pathological findings had worse pretreatment and final OSAS parameters than those with absent or mild ORL lesions. However, both groups showed a significant, although quantitatively different, improvement of the (A + H)I and mSaO2 after weight loss. Compared to those who were cured or improved after the treatment, patients who failed to obtain significant effects on OSAS clinical presentation also had a significantly higher prevalence of ORL pathology. It is concluded that: (1) weight loss improves parameters and clinical presentation of OSAS in the majority of affected obese patients; (2) a relationship exists between the entity of weight loss and that of improvement of the syndrome; (3) weight loss must be encouraged even in patients with mild to moderate overweight; (4) the presence of ORL pathology may represent a confusing factor in the interpretation of the results obtained after weight loss.

  6. Aproximación al estudio de la historia del cantón de Osa (1914-1990

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    Dennis Arias Mora

    2015-03-01

    Full Text Available El artículo realiza una periodización de la historia del cantón de Osa utilizando como ejes temáticos la cuestión ambiental, al impacto de la llegada y retiro de la Compañía Bananera, el problema de la tierra y el agro, y las relaciones entre el municipio, el Estado y la bananera. Para esto se acude principalmente a la documentación resguardada en el Archivo Nacional de Costa Rica.

  7. The utility of home sleep apnea tests in patients with low versus high pre-test probability for moderate to severe OSA.

    Science.gov (United States)

    Goldstein, Cathy A; Karnib, Hala; Williams, Katherine; Virk, Zunaira; Shamim-Uzzaman, Afifa

    2017-11-22

    Home sleep apnea tests (HSATs) are an alternative to attended polysomnograms (PSGs) when the pre-test probability for moderate to severe OSA is high. However, insurers often mandate use anytime OSA is suspected regardless of the pre-test probability. Our objective was to determine the ability of HSATs to rule in OSA when the pre-test probability of an apnea hypopnea index (AHI) in the moderate to severe range is low. Patients who underwent HSATs were characterized as low or high pre-test probability based on the presence of two symptoms of the STOP instrument plus either BMI > 35 or male gender. The odds of HSAT diagnostic for OSA dependent on pre-test probability was calculated. Stepwise selection determined predictors of non-diagnostic HSAT. As PSG is performed after HSATs that do not confirm OSA, false negative results were assessed. Among 196 individuals, pre-test probability was low in 74 (38%) and high in 122 (62%). A lower percentage of individuals with a low versus high pre-test probability for moderate to severe OSA had HSAT results that confirmed OSA (61 versus 84%, p = 0.0002) resulting in an odds ratio (OR) of 0.29 for confirmatory HSAT in the low pre-test probability group (95% CI [0.146, 0.563]). Multivariate logistic regression demonstrated that age ≤ 50 (OR 3.10 [1.24-7.73]), female gender (OR 3.58[1.50-8.66]), non-enlarged neck circumference (OR 11.50 [2.50-52.93]), and the absence of loud snoring (OR 3.47 [1.30-9.25]) best predicted non-diagnostic HSAT. OSA was diagnosed by PSG in 54% of individuals with negative HSAT which was similar in both pre-test probability groups. HSATs should be reserved for individuals with high pre-test probability for moderate to severe disease as opposed to any individual with suspected OSA.

  8. Nasal Dilators (Breathe Right Strips and NoZovent for Snoring and OSA: A Systematic Review and Meta-Analysis

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    Macario Camacho

    2016-01-01

    Full Text Available Objective. To systematically review the international literature for studies evaluating internal (NoZovent and external (Breathe Right Strips nasal dilators as treatment for obstructive sleep apnea (OSA. Study Design. Systematic review with meta-analysis. Methods. Four databases, including PubMed/MEDLINE, were searched through September 29, 2016. Results. One-hundred twelve studies were screened, fifty-eight studies were reviewed, and fourteen studies met criteria. In 147 patients, the apnea-hypopnea index (AHI was reported, and there was an improvement from a mean ± standard deviation (M ± SD of 28.7±24.0 to 27.4±23.3 events/hr, p value 0.64. There was no significant change in AHI, lowest oxygen saturation, or snoring index in OSA patients when using nasal dilators. However, a subanalysis demonstrated a slight reduction in apnea index (AI with internal nasal dilators (decrease by 4.87 events/hr versus minimal change for external nasal dilators (increase by 0.64 events/hr. Conclusion. Although nasal dilators have demonstrated improved nasal breathing, they have not shown improvement in obstructive sleep apnea outcomes, with the exception of mild improvement in apnea index when internal nasal dilators were used.

  9. [The knowledge of the population of Viçosa, MG, about the ways of AIDS transmission].

    Science.gov (United States)

    Lima, Marcela Miranda; Carlos, Jaqueline; Areal, Rômulo Braga; Souza, Rodrigo José Silva; Lima, Swiany Silveira; Campos, Lucio Antonio de Oliveira; Eisenlohr, Pedro Vasconcellos; Filardi, Michelle Picinin

    2008-01-01

    AIDS is a major public health problem reaching all social strata. Knowing about the ways of transmission is a way of preventing the disease. For evaluating the level of knowledge of the population of the city of Viçosa about AIDS transmission, a questionnaire about the ways of transmission of the disease based on studies made in Europe was applied to 376 individuals. The questionnaire consisted of eleven multiple-choice questions about the ways of AIDS transmission, sex, age and educational level of the interviewees. The results showed that the ways of transmission emphasized in health campaigns are well assimilated, while the questions about everyday situations that offer no risk received a high number of incorrect answers. The differences were not significant when data were stratified by sex. The same data stratified by age or educational level showed significant differences for some questions; people aged over 55 and with a lower educational level had a significantly higher number of incorrect answers. It can be concluded that the population of Viçosa knows the main ways of AIDS transmission, but a part of the population does not know that some everyday situations do not pose risk of transmission. These data can be useful for the preparation of elucidative campaigns for reducing prejudice.

  10. 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, R2 = .65; NMF; P = .03, R2 = .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

  11. First record of genus Toxorhynchites Theobald (Diptera, Culicidae) in Mata Atlântica, Viçosa, Minas Gerais State, Brazil

    OpenAIRE

    Daniel Simões Albeny; Cassiano Sousa Rosa; Lívia Maria Silva Ataíde; Evaldo Ferreira Vilela

    2010-01-01

    Durante os meses de março e abril de 2007 foi verificada a presença do gênero Toxorhynchites (Diptera, Culicidae) em fragmentos de Mata Atlântica no município de Viçosa, Minas Gerais, Brasil. No experimento foram utilizadas 500 armadilhas de oviposição. Registrando-se, pela primeira vez na região de Viçosa o gênero Toxorhynchites, sendo as espécies T. pusillus (Costa Lima, 193 1) e T. theobaldi (Dyar & Knab, 1906) encontradas pela primeira vez no Estado de Minas Gerais. As espécies relatadas ...

  12. 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.

  13. A mast fruiting episode of the tropical tree Peltogyne purpurea (Caesalpinaceae) in the Osa Peninsula, Costa Rica.

    Science.gov (United States)

    Rocha, Oscar J; Vílchez, Braulio; Anchetta, Ana L Araya

    2006-12-01

    The 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.

  14. 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

  15. 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

  16. Osa Protein Constitutes a Strong Oncogenic Suppression System That Can Block vir-Dependent Transfer of IncQ Plasmids between Agrobacterium Cells and the Establishment of IncQ Plasmids in Plant Cells

    Science.gov (United States)

    Lee, Lan-Ying; Gelvin, Stanton B.

    2004-01-01

    The osa (oncogenic suppressive activity) gene of the IncW group plasmid pSa is sufficient to suppress tumorigenesis by Agrobacterium tumefaciens. osa confers oncogenic suppression by inhibiting VirE2 protein export. This result is similar, but not identical, to that of oncogenic suppression by the IncQ plasmid RSF1010. We conducted a series of experiments to compare oncogenic suppression by these two systems. Agrobacterium strains harboring plasmids containing osa are more able to effect oncogenic suppression than are similar strains containing various RSF1010 derivatives. When osa is present within a donor Agrobacterium strain that also carries a derivative of RSF1010, the transfer of RSF1010 derivatives to recipient bacteria and their establishment in plants are blocked. Oncogenic suppression is still effected when the osa gene is integrated into the Agrobacterium chromosome, suggesting that it is the osa gene product that is active in suppression and that suppression does not require a protein-nucleic acid intermediate like that described for IncQ plasmids. Extracellular complementation experiments with tobacco leaf disks indicated that Osa blocks stable transfer of RSF1010 to plant cells by inhibiting transfer of VirE2, which is essential for the transfer of RSF1010 into plant cells, and not by inhibiting the actual transfer of RSF1010 itself. Our results suggest that Osa and RSF1010 cause oncogenic suppression by using different mechanisms. PMID:15489437

  17. Capability of Paraguaçu estuary (Todos os Santos Bay, Brazil) to form oil-SPM aggregates (OSA) and their ecotoxicological effects on pelagic and benthic organisms.

    Science.gov (United States)

    Rios, Mariana C; Moreira, Ícaro T A; Oliveira, Olívia M C; Pereira, Taís S; de Almeida, Marcos; Trindade, Maria Clara L F; Menezes, Leonardo; Caldas, Alex S

    2017-01-15

    For experiments concerning the formation of oil-suspended particulate matter (SPM) aggregates (OSA), oil and sediment samples were collected from Campos Basin and six stations of Paraguaçu estuary, Todos os Santos Bay, Brazil, respectively. The sediments samples were analyzed for organic matter determined by the EMBRAPA method, nitrogen determined by the Kjeldahl method, and phosphorus determined by the method described by Aspila. The oil trapped in OSA was extracted following the method described by Moreira. The experiment showed a relationship between the amount of organic matter and OSA formation and consequently the dispersion of the studied oil. On the basis of the buoyancy of OSA and the ecotoxicological effects on pelagic and benthic community, the priority areas for application of remediation techniques are Cachoeira, Maragogipe, and Salinas da Margarida because of the large amount of oil that accumulated at the bottom of the experiment flask (5.85%, 27.95%, and 38,98%; 4.2%, 17.66%, and 32.64%; and 11.82%, 8.07%, and 10.91% respectively). Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. Teatritükk, mille järgmist osa näeb 2040. aastal / Mari Hiiemäe

    Index Scriptorium Estoniae

    Hiiemäe, Mari

    2010-01-01

    VAT Teatri lavastusest "... viimane lint / Saare esimene lint", kus põimuvad Tanel Saare esitus ja Jüri Järvet vana Krappina ("Krappi viimane lint") ekraanil. Tanel Saar lindistab S. Becketti "Krappi viimase lindi" salvestatud osa, mille kuulamine taaslavastatakse 30 aasta pärast, kui T. Saar ise on juba vana Krappi eas

  19. A Comparison of WISC and OSA in Assessing the Intelligence of Immigrant Children of Non-English Speaking Background. A Pilot Project.

    Science.gov (United States)

    Toronto Board of Education (Ontario). Research Dept.

    Twenty-five English speaking and twenty-five non-English speaking Canadian children equated on sex and chronological age were given the Ontario School Ability (OSA) test and the performance section of the Wechsler Intelligence Scale for Children (WISC). The pilot study was conducted to compare the ability of the two tests to assess the…

  20. OSA Proceedings of the Topical Meeting on Soft-X-Ray Projection Lithography Held in Monterey, California on 10-12 April 1991. Volume 12

    Science.gov (United States)

    1992-05-22

    diameter) field of view. *Visiting Scientist from Department of Physics, Brigham Young Univesity , Salt Lake City, Utah. OSA Proceedings on soft-X-Ray...01651002 from the Ministry of Education , 10. E. Ziegler, Y. Lepetre, S. Joksch, V. Saile, S. Science and Culture, Japan and by the U.S.Department

  1. Cardiovascular and psychiatric morbidity in obstructive sleep apnea (OSA) with insomnia (sleep apnea plus) versus obstructive sleep apnea without insomnia: a case-control study from a Nationally Representative US sample.

    Science.gov (United States)

    Gupta, Madhulika A; Knapp, Katie

    2014-01-01

    To evaluate cardiovascular and psychiatric morbidity in patient visits with obstructive sleep apnea (OSA) with insomnia (OSA+Insomnia) versus OSA without insomnia (OSA-Insomnia) in a nationally representative US sample. A retrospective case-control study of epidemiologic databases (National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey) representing an estimated ± standard error (SE) 62,253,910 ± 5,274,747 (unweighted count=7234) patient visits with diagnosis of OSA from 1995-2010, was conducted. An estimated 3,994,104 ± 791,386 (unweighted count=658) were classified as OSA+Insomnia and an estimated 58,259,806 ± 4,849,800 (unweighted count=6576) as OSA-Insomnia. Logistic regression analysis was carried out using OSA+Insomnia versus OSA-Insomnia as the dependent variable, and age (>50 years versus ≤ 50 years), sex, race ('White' versus 'non-White'), essential hypertension, heart failure, ischemic heart disease, cardiac dysrhythmia, cerebrovascular disease, diabetes, obesity, hyperlipidemia, depressive, anxiety, and adjustment disorders (includes PTSD), hypersomnia and all medications used as independent variables. All comorbidities were physician diagnosed using the ICD9-CM. Among patient visits with OSA, an estimated 6.4%± 0.9% also had insomnia. Logistic regression analysis revealed that the OSA+Insomnia group was significantly more likely to have essential hypertension (all ICD9-CM codes 401) (OR=1.83, 95% CI 1.27-2.65) and provisionally more likely to have cerebrovascular disease (ICD9-CM codes 430-438) (OR=6.58, 95% CI 1.66-26.08). The significant OR for cerebrovascular disease was considered provisional because the unweighted count was OSA+Insomnia was associated significantly more frequently with essential hypertension than OSA-Insomnia, a finding that has not been previously reported. In contrast to studies that have considered patient self-reports of psychological morbidity, the absence of a significant

  2. Cardiovascular and psychiatric morbidity in obstructive sleep apnea (OSA with insomnia (sleep apnea plus versus obstructive sleep apnea without insomnia: a case-control study from a Nationally Representative US sample.

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    Madhulika A Gupta

    Full Text Available PURPOSE: To evaluate cardiovascular and psychiatric morbidity in patient visits with obstructive sleep apnea (OSA with insomnia (OSA+Insomnia versus OSA without insomnia (OSA-Insomnia in a nationally representative US sample. METHODS: A retrospective case-control study of epidemiologic databases (National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey representing an estimated ± standard error (SE 62,253,910 ± 5,274,747 (unweighted count=7234 patient visits with diagnosis of OSA from 1995-2010, was conducted. An estimated 3,994,104 ± 791,386 (unweighted count=658 were classified as OSA+Insomnia and an estimated 58,259,806 ± 4,849,800 (unweighted count=6576 as OSA-Insomnia. Logistic regression analysis was carried out using OSA+Insomnia versus OSA-Insomnia as the dependent variable, and age (>50 years versus ≤ 50 years, sex, race ('White' versus 'non-White', essential hypertension, heart failure, ischemic heart disease, cardiac dysrhythmia, cerebrovascular disease, diabetes, obesity, hyperlipidemia, depressive, anxiety, and adjustment disorders (includes PTSD, hypersomnia and all medications used as independent variables. All comorbidities were physician diagnosed using the ICD9-CM. RESULTS: Among patient visits with OSA, an estimated 6.4%± 0.9% also had insomnia. Logistic regression analysis revealed that the OSA+Insomnia group was significantly more likely to have essential hypertension (all ICD9-CM codes 401 (OR=1.83, 95% CI 1.27-2.65 and provisionally more likely to have cerebrovascular disease (ICD9-CM codes 430-438 (OR=6.58, 95% CI 1.66-26.08. The significant OR for cerebrovascular disease was considered provisional because the unweighted count was <30. CONCLUSIONS: In a nationally representative sample, OSA+Insomnia was associated significantly more frequently with essential hypertension than OSA-Insomnia, a finding that has not been previously reported. In contrast to studies that have

  3. 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

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    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

  4. Levantamento de moscas-das-frutas e seus parasitoides em citros, no município de Viçosa, Minas Gerais Survey of fruit-flies and their parasitoids in citrus in Viçosa, Minas Gerais

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    Daniel Lucas Magalhães Machado

    2012-12-01

    Full Text Available As moscas-das-frutas são responsáveis por grandes perdas em fruteiras comerciais no Brasil, por isso é fundamental conhecer as espécies predominantes na região. Objetivou-se com este trabalho estudar a ocorrência de moscas-das-frutas (Diptera: Tephritidae e seus parasitoides em laranjas doces (Citrus sinensis L. Osbeck, tangerina Poncã (Citrus reticulata Blanco e mexerica Rio (Citrus deliciosa Ten, no município de Viçosa, Minas Gerais. Os frutos foram coletados em abril de 2008. No laboratório eles foram acondicionados em caixas plásticas contendo areia umedecida e em ambiente controlado para obtenção dos pupários, que foram contados, acondicionados em frascos de vidro com areia fina e mantidos em estufa até a emergência dos adultos. Somente uma espécie de mosca-das-frutas (Anastrepha fraterculus (Wiedemann, 1830 e uma de parasitoide (Doryctobracon brasiliensis Szépligeti foram identificadas. Dentre as variedades, a laranja doce Baianinha apresentou o maior índice de infestação, e os menores foram atribuídos à mexerica Rio e à tangerina Poncã.Fruit flies are responsible for large losses in commercial orchards in Brazil, thus, it is important to know the predominant species in the region. The objective of this study was to study the occurrence of fruit flies (Diptera: Tephritoidae and of their parasitoids in sweet orange (Citrus sinensis L. Osbeck, 'Poncã' mandarin (Citrus reticulate Blanco and 'Rio' tangerine (Citrus deliciosa Ten, in Viçosa, Minas Gerais. The fruits were collected in April 2008. In the laboratory, the fruits were stored in plastic boxes containing moist sand in a controlled environment, to obtain pupae. Then, the pupae were counted, placed in glass bottles with fine sand and kept in an oven until adult emergence. Only one species of fruit fly (Anastrepha fraterculus (Wiedemann, 1830 and one species of parasitoid (Doryctobracon brasiliensis Szépligeti were identified. Among the varieties, the sweet

  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

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    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. Estrato de regeneração natural de um trecho de floresta estacional semidecidual, Viçosa, MG

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    Brena Karina Siqueira Franco

    2014-02-01

    Full Text Available Este estudo foi realizado na Mata da Praça de Esportes, situada no Campus da UFV, em Viçosa, MG, com 10,65 ha em regeneração há 75 anos. Foram estabelecidos quatro transectos paralelos de 3 x 50 m, espaçados por 3 m e subdivididos em 10 parcelas de 3 x 5 m cada. A amostragem do estrato de regeneração natural incluiu todos os indivíduos com altura ≥ 0,3 m e com DAP < 5 cm. Calcularam-se os parâmetros fitossociológicos, e realizou-se a classificação quanto à classe sucessional e à síndrome de dispersão. Comparou-se a composição florística entre a área estudada e diversos levantamentos florísticos de regeneração na região de Viçosa, MG, por meio de análise de agrupamento. Foram obtidas 30 famílias e 84 espécies. As espécies mais importantes foram Coffea arabica, Siparuna guianensis, Psychotria sessilis e Erythroxylum pelleterianum. Houve predomínio da classe sucessional secundária tardia (49,3% dos indivíduos e da síndrome de dispersão zoocórica (91,6% dos indivíduos. Não houve similaridade florística entre o trecho de floresta estudada e os demais fragmentos florestais da região. A predominância da síndrome de dispersão zoocórica no estrato de regeneração natural é fator importante para a continuidade da manutenção de animais frugívoros na área. A riqueza florística e a abundância de espécies secundárias tardias são fortes indicativos de que o ambiente estudado está oferecendo condições ecológicas adequadas ao desenvolvimento dessas espécies, permitindo, assim, o avanço da sucessão secundária.

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

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    Richard H Swartz

    Full Text Available 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

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

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    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

  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

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    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. 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.

  12. Underwater topography determines critical breeding habitat for humpback whales near Osa Peninsula, Costa Rica: implications for marine protected areas.

    Science.gov (United States)

    Oviedo, L; Solís, M

    2008-06-01

    Migrating humpback whales from northern and southern feeding grounds come to the tropical waters near Osa Peninsula, Pacific of Costa Rica, to reproduce and raise their calves. Planning effective marine protected areas that encompass humpback critical habitats require data about which oceanographic features influence distribution during the breeding period. This study examines the relationship between water depth and ocean floor slope with humpback whale distribution, based on sightings during two breeding seasons (2005 and 2006). Data are from the Southern and Northern subpopulations in the Eastern Tropical Pacific (ETP). Analysis followed the basic principles of the Ecological Niche Factors Analysis (ENFA), where indices of Marginality and Tolerance provide insights on the restrictiveness of habitat use. At a fine scale, physical factors such as water depth and slope define the critical breeding and nursing habitat for M. novaeangliae. Divergence in the subsamples means of depths and slope distribution, with the global mean of the study area in both eco-geographical variables, determine habitat requirements restricted by topographic features such as depths (Protected Areas (MPA's) network plans should consider connectivity of Cafio Island-Drake Bay and the extension of Corcovado National Park maritime borders.

  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. PRESERVATION OF PRIMARY FOREST CHARACTERISTICS DESPITE FRAGMENTATION AND ISOLATION IN A FOREST REMNANT FROM VIÇOSA, MG, BRAZIL1

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    Markus Gastauer

    2015-12-01

    Full Text Available According to its owners, the Forest of Seu Nico (FSN from the Viçosa municipality, Minas Gerais, Brazil, never has been logged and is therefore considered a primary forest. Nevertheless, the forest patch suffered impacts due to selective wood and non-timber extraction, fragmentation and isolation. Aim of this study was to test if the FSN, despite impacts, preserved characteristics of primary forests, which are elevated percentages of non-pioneer (>90%, animal-dispersed (>80 %, understory (>50% and endemic species (~40%. For that, all trees with diameter at breast height equal or major than 3.2 cm within a plot of 100 x 100 m were identified. With 218 tree species found within this hectare, the FSN's species richness is outstanding for the region. The percentages of non-pioneer (92 %, animal-dispersed (85 %, understory (55 % and endemic species (39.2 % from the FSN fulfill the criteria proposed for primary forest. Therefore, we conclude that the FSN maintained its characteristics as a primary forest which highlights its importance for the conservation of biotic resources in the region, where similar fragments are lacking or not described yet.

  15. Impact of continuous positive airway pressure (CPAP) on quality of life in patients with obstructive sleep apnea (OSA).

    Science.gov (United States)

    Batool-Anwar, Salma; Goodwin, James L; Kushida, Clete A; Walsh, James A; Simon, Richard D; Nichols, Deborah A; Quan, Stuart F

    2016-12-01

    Obstructive sleep apnea is a chronic illness with increasing prevalence. In addition to associated cardiovascular comorbidities, obstructive sleep apnea syndrome has been linked to poor quality of life, occupational accidents, and motor vehicle crashes secondary to excessive daytime sleepiness. Although continuous positive airway pressure is the gold standard for sleep apnea treatment, its effects on quality of life are not well defined. In the current study we investigated the effects of treatment on quality of life using the data from the Apnea Positive Pressure Long-term Efficacy Study (APPLES), a randomized controlled trial of continuous positive airway pressure (CPAP) versus sham CPAP. The Calgary Sleep Apnea Quality of Life Index (SAQLI) was used to assess quality of life. Overall we found no significant improvement in quality of life among sleep apnea patients after CPAP treatment. However, after stratifying by OSA severity, it was found that long-term improvement in quality of life might occur with the use of CPAP in people with severe and possibly moderate sleep apnea, and no demonstrable improvement in quality of life was noted among participants with mild obstructive sleep apnea. © 2016 European Sleep Research Society.

  16. Terrestrial ecosystems of the Osa-Golfito region: one component of an integrative cross-disciplinary initiative for sustainability

    Science.gov (United States)

    Broadbent, E. N.; Dirzo, R.; Morales Barquero, L.

    2012-12-01

    Sustainability science seeks to develop approaches incorporating simultaneous human and environmental well-being. The Osa-Golfito Initiative (InOGo), as described in the previous presentation by Dr. Hunt et al. in this session, represents a cutting edge project seeking to develop both a fundamental framework for linking interdisciplinary components to address this objective with the creation of an applied approach for a sustainable future in this area of exceptional cultural and environmental diversity. In this presentation we describe the terrestrial ecosystems component of InOGo. This component incorporates four primary research approaches: (a) an extensive literature review; (b) spatial and non-spatial data aggregation; (c) change analysis via remote sensing; and (d) a questionnaire and participatory mapping survey with relevant experts. Integrating these approaches we seek to: (a) establish a detailed baseline understanding of the terrestrial ecosystems and their spatial distribution in the study region; (b) quantify temporal changes in their extent, connectivity, and ecosystem services; (c) identify the principal conservation priorities and threats in the region; and (d) isolate specific actions to address identified threats. We highlight both the overall approach developed for this component, which is broadly applicable throughout similar tropical regions, as well as results specific to the initiative.;

  17. Comparison between ozonation and the OSA process: analysis of excess sludge reduction and biomass activity in two different pilot plants.

    Science.gov (United States)

    Torregrossa, Michele; Di Bella, Gaetano; Di Trapani, Daniele

    2012-01-01

    The excess biomass produced during biological treatment of municipal wastewater represents a major issue worldwide, as its disposal implies environmental, economic and social impacts. Therefore, there has been a growing interest in developing technologies to reduce sludge production. The main proposed strategies can be categorized according to the place inside the wastewater treatment plant (WWTP) where the reduction takes place. In particular, sludge minimization can be achieved in the wastewater line as well as in the sludge line. This paper presents the results of two pilot scale systems, to evaluate their feasibility for sludge reduction and to understand their effect on biomass activity: (1) a pilot plant with an ozone contactor in the return activated sludge (RAS) stream for the exposition of sludge to a low ozone dosage; and (2) an oxic-settling-anaerobic (OSA) process with high retention time in the anaerobic sludge holding tank have been studied. The results showed that both technologies enabled significant excess sludge reduction but produced a slight decrease of biomass respiratory activity.

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

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    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.

  19. Perceived informational needs, side-effects and their consequences on adherence - a comparison between CPAP treated patients with OSAS and healthcare personnel.

    Science.gov (United States)

    Broström, Anders; Strömberg, Anna; Ulander, Martin; Fridlund, Bengt; Mårtensson, Jan; Svanborg, Eva

    2009-02-01

    To compare perceptions among continuous positive airway pressure (CPAP) treated patients with obstructive sleep apnoea syndrome (OSAS) and healthcare personnel with regard to informational needs, side-effects and their consequences on adherence. A cross-sectional descriptive design was used including 350 CPAP treated OSAS patients from three Swedish hospitals and 105 healthcare personnel from 26 Swedish hospitals. Data collection was performed using two questionnaires covering informational needs, side-effects and adherence to CPAP. Both groups perceived all surveyed informational areas as very important. Patients perceived the possibilities to learn as significantly greater in all areas (pCPAP use to a greater extent (peducational needs, side-effects and their effects on adherence can be important when designing educational programmes to increase CPAP adherence. Measurement of these parameters before, during and after educational programs are suggested.

  20. Primeiro registro do gênero Toxorhynchites Theobald (Diptera, Culicidae em Mata Atlântica, Viçosa, Minas Gerais

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    Daniel Simões Albeny

    2010-04-01

    Full Text Available Durante os meses de março e abril de 2007 foi verificada a presença do gênero Toxorhynchites (Diptera, Culicidae em fragmentos de Mata Atlântica no município de Viçosa, Minas Gerais, Brasil. No experimento foram utilizadas 500 armadilhas de oviposição. Registrando-se, pela primeira vez na região de Viçosa o gênero Toxorhynchites, sendo as espécies T. pusillus (Costa Lima, 193 1 e T. theobaldi (Dyar & Knab, 1906 encontradas pela primeira vez no Estado de Minas Gerais. As espécies relatadas como primeiro registro e sua distribuição são citadas e discutidas.

  1. Regeneração natural em um fragmento de floresta estacional semidecidual em Viçosa, Minas Gerais Natural regeneration in a fragment of a seasonal semideciduous forest in Viçosa - Minas Gerais

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    Luiz Carlos Marangon

    2008-02-01

    Full Text Available O levantamento da regeneração natural das espécies arbóreas em diferentes toposseqüências foi realizado em uma área de aproximadamente 40 ha, localizada no Município de Viçosa, MG, que se encontra nas coordenadas 20º 45' S e 42º 55' W e está preservada desde 1965. A altitude, na área de estudo, apresenta uma cota mínima de 730 m e uma máxima de 870 m, sendo o solo predominante o Latossolo Vermelho-Amarelo álico, com vegetação de Floresta Estacional Semidecidual. Na amostragem de 1,0 ha foram locadas 40 subparcelas de 25 m² (5 x 5 m, em 40 parcelas de 10 x 25 m, utilizadas anteriormente em um levantamento fitossociológico das espécies adultas. Essas subparcelas estão distribuídas nas toposseqüências que apresentam áreas diferenciadas e o número de subparcelas foi proporcional à área. Plano (5,07 ha -5 subparcelas, encosta (13,2 ha - 15 subparcelas, ravina (17,28 ha - 17 subparcelas e topo (2,43 ha - 3 subparcelas. Os indivíduos amostrados foram incluídos em três classes: a classe 1 contemplou indivíduos com altura (H 1,0 3,0 m. O nível de inclusão foi de CAP Natural regeneration of tree species at different toposequences was assessed in an area of 40 ha in Viçosa-MG.( 20º 45'S and 42º 55' W, preserved since 1965, with minimum altitude of 730 m and maximum of 870 m. The soil was classified as Red-yellow alico Latisol and the vegetation was characterized as semideciduous forest.The 1.0 samplings consisted of 40 sub-units (samples with 5 x 5 m. These sub-units were inserted in the middle samples (10 x 25 m.previously evaluated the phyto-sociology of the tree community distributed in the toposequence's different: plan (5.07 ha - 5 sub-units, lean (13.2 ha - 15 sub-units, ravine (17.28 ha - 17 sub-units and top (2.43 ha - 3 sub-units. Was developed with heights divided in three categories (1 - individuals with minimum height 1 3 m. The inclusion level was of CAP < 15,0 cm. 957 individuals were observed, belonging

  2. Effects of CPAP and Mandibular Advancement Devices on Health-Related Quality of Life in OSA: A Systematic Review and Meta-analysis.

    Science.gov (United States)

    Kuhn, Eric; Schwarz, Esther I; Bratton, Daniel J; Rossi, Valentina A; Kohler, Malcolm

    2017-04-01

    Untreated OSA is associated with impaired health-related quality of life (QoL) and excessive daytime sleepiness, which have been shown to improve with treatment. The aim was to compare the effects of CPAP and a mandibular advancement device (MAD) on health-related QoL in OSA. MEDLINE and the Cochrane Library were searched up to November 2015 for randomized controlled trials (RCTs) comparing the effect of CPAP, MADs, or an inactive control treatment on health-related QoL assessed by the 36-Item Short Form Health Survey (SF-36) in OSA. Extraction of study characteristics, quality, and bias assessment were independently performed by three authors. A network meta-analysis using multivariate random-effects meta-regression was performed to assess treatment effects on the mental component score (MCS) and the physical component score (PCS) of the SF-36. Of 1,491 identified studies, 23 RCTs were included in the meta-analysis (2,342 patients). Compared with an inactive control, CPAP was associated with a 1.7 point (95% CI, 0.1-3.2; P = .036) improvement in the MCS and a 1.7 point (95% CI, 0.5-2.9; P = .005) improvement in the PCS. MADs were associated with a 2.4 point (95% CI, 0.0-4.9; P = .053) and a 1.5 point (95% CI, -0.2 to 3.2; P = .076) improvement in the MCS and PCS, respectively, compared with inactive control treatments. There were no statistically significant differences between treatment effects of CPAP and MAD on the SF-36 scores. CPAP is effective in improving health-related QoL in OSA, and MADs may be just as effective, but further RCTs comparing the two treatments are required. Copyright © 2017 American College of Chest Physicians. All rights reserved.

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

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    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

  4. 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.

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

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    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.

  6. Underwater topography determines critical breeding habitat for humpback whales near Osa Peninsula, Costa Rica: implications for Marine Protected Areas

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    L Oviedo

    2008-06-01

    Full Text Available Migrating humpback whales from northern and southern feeding grounds come to the tropical waters near Osa Peninsula, Pacific of Costa Rica, to reproduce and raise their calves. Planning effective marine protected areas that encompass humpback critical habitats require data about which oceanographic features influence distribution during the breeding period. This study examines the relationship between water depth and ocean floor slope with humpback whale distribution, based on sightings during two breeding seasons (2005 and 2006. Data are from the Southern and Northern subpopulations in the Eastern Tropical Pacific (ETP. Analysis followed the basic principles of the Ecological Niche Factors Analysis (ENFA, where indices of Marginality and Tolerance provide insights on the restrictiveness of habitat use. At a fine scale, physical factors such as water depth and slope define the critical breeding and nursing habitat for M. novaeangliae. Divergence in the subsamples means of depths and slope distribution, with the global mean of the study area in both eco-geographical variables, determine habitat requirements restricted by topographic features such as depths (Las ballenas jorobadas viajan a aguas tropicales para reproducirse y criar a sus ballenatos. Es importante entender las características oceanográficas que influencian su distribución para lograr una planificación efectiva de áreas marinas protegidas con hábitats críticos para estos cetáceos. Este estudio examina la relación entre la profundidad, la pendiente del suelo oceánico y la distribución de estas ballenas, usando avistamientos del 2005 y 2006 en la costa Pacífica de la Península de Osa, Costa Rica (temporada de reproducción del sur y norte en el Pacífico Tropical Oriental. Usamos Análisis de Factores de Nicho Ecológico (ENFA por sus siglas en inglés, donde los índices de Marginalidad y Tolerancia ilustran las restricciones en uso de hábitat. En una escala local

  7. LIPID PROFILE AND ASSOCIATED FACTORS AMONG ELDERLY PEOPLE, ATTENDED AT THE FAMILY HEALTH STRATEGY, VIÇOSA/MG.

    Science.gov (United States)

    Danésio de Souza, Jacqueline; Queiroz Ribeiro, Andréia; Oliveira Martinho, Karina; Silva Franco, Fernanda; Vidal Martins, Marcos; Gonçalves Rodrigues, Meirele; Wick, Jeannette Y; Araújo Tinôco, Adelson Luiz

    2015-08-01

    the aging population has been accompanied by epidemiological changes of the Brazilian population, with the highlight being the continued growth of the prevalence of non-communicable chronic diseases especially cardiovascular or artery-coronary, resulting from changes in the lipid profile of the elderly. this study had the aim to describe the behavioral, anthropometric, lifestyle and body composition factors and their association with changes in the lipid profile of elderly people. the sample included 402 participants attended at the Family Health Strategy, Viçosa (MG), to which a questionnaire with socio-demographic, behavioral and lifestyle information was applied. Blood sample was collected to obtain the lipid fractions, and the weight, height, waist circumference and body fat percentage were measured. Multiple linear regression was performed to identify independently associated factors with changes in each of the selected lipid fractions. the factors independently associated with increased levels of total cholesterol were the presence of sedentary behavior, high body fat percentage, greater waist height and greater waist circumference. The consumption of alcoholic beverages and a higher waist-hip ratio remained independently associated with decreased high-density lipoprotein levels. The increased waist circumference was independently associated with low values of the low-density lipoprotein levels. The value of increased triglyceride was independently associated with higher waist-hip ratio, higher body mass index and smoking. modifiable risk factors associated with a changed lipid profile should be prioritized among the actions to be considered in structuring health programs for the elderly. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

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

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    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.

  9. 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.

  10. Valoração ambiental de áreas de preservação permanente da microbacia do ribeirão São Bartolomeu no Município de Viçosa, MG Environmental valuation of permanent preservation areas in São Bartolomeu watershed, Viçosa, Minas Gerais

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    Ana Dantas Mendez de Mattos

    2007-04-01

    Full Text Available O objetivo deste trabalho foi estimar o valor monetário das áreas de preservação permanente da microbacia do ribeirão São Bartolomeu, localizada no Município de Viçosa, Minas Gerais. Utilizou-se o Método de Valoração Contingente para estimar a verdadeira disposição a pagar (DAPv da população de Viçosa pela recuperação ou preservação dessas áreas. A DAPv mensal foi estimada em R$27,98 por domicílio, que resulta, considerando-se a cidade de Viçosa, o montante anual de R$3.863.926,08 para o bem ambiental em questão ou R$3.616,52/ha.ano para a recuperação e, ou, preservação dessas áreas.The objective of this work was to estimate an economic value for the Permanent Preservation Areas in São Bartolomeu watershed, located in Viçosa, MG. The Contingent Valuation Method was used to estimate the true willingness-to-pay (WTP of the city of Viçosa residents for the restoration or preservation of these areas. The monthly true WTP was estimated at R$27.98 per residence, which results in an approximated total value of R$3.863.926.08 or R$3.616.52/ha.year for the restoration or preservation of the areas.

  11. 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

  12. Near-infrared spectroscopy (NIRS as a useful tool to evaluate the treatment efficacy of positive airways pressure therapy in patients with obstructive sleep apnea syndrome (OSAS: A pilot study

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    Zhongxing Zhang

    2014-03-01

    Full Text Available In obstructive sleep apnea syndrome (OSA the periodic reduction or cessation of breathing due to narrowing or occlusion of the upper airway during sleep leads to an impaired cerebral vascular autoregulation that is associated with an increased cardiovascular risk, including stroke. Continuous positive airways pressure (CPAP therapy at night is the most effective treatment for OSA and has been shown to reduce the cardiovascular risk in OSA patients. However, there is no suitable bedside monitoring method evaluating the recovery of cerebral hemodynamics during CPAP therapy. Near-infrared spectroscopy (NIRS is ideally suited for non-invasive monitoring the cerebral hemodynamics during sleep due to its properties of local measurement, totally safe application and good tolerance to motion. In this pilot study, we monitored cerebral hemodynamics during standard CPAP therapy at night in three patients with severe OSA using NIRS. We found periodic oscillations in HbO2, HHb, tissue oxygenation index (TOI and blood volume (BV associated with periodic apnea events without CPAP in all OSA patients. These oscillations were eliminated under the optimal CPAP pressures in all patients. These results suggested that the recovery of cerebral hemodynamics impaired by apnea events can be evaluated by bedside NIRS measurements in real time during all night CPAP therapy. NIRS is a useful bedside monitoring tool to evaluate the treatment efficacy of CPAP therapy in patients with OSA.

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

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    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

  14. 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

  15. 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.

  16. Obstructive Sleep Apnea (OSA and depressive symptoms Sintomas depressivos e síndrome de apnéia obstrutiva do sono

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    Michele Dominici

    2009-03-01

    Full Text Available BACKGROUND: The relationship between obstructive sleep apnea (OSA and depressive symptoms is ambiguous in the literature. PURPOSE: To investigate if there is a correlation between depressive symptoms and the severity of OSA. METHOD: A retrospective, cross-sectional study of data from 123 consecutive adults patients with neither mental illness nor psychotropic drugs intake, referred to a sleep laboratory for an evaluation of OSA. For the statistical analysis (uni- and multivariate, we used the following variables: gender and age, as well as scores based on several scales and indexes such as Beck Depressive Inventory (BDI, Epworth Sleepiness Scale (ESS, Body Mass Index (BMI and Apnea-Hypopnea Index (AHI. RESULTS: Univariate analysis found a weak but statistically significant negative correlation between BDI and AHI. However, with the multivariate logistic regression analysis model, the inverse relation between AHI and BDI no longer has statistical significance. CONCLUSION: There is no causal relationship between OSA and depressive symptoms in the population studied.CONTEXTO: A relação entre apnéia obstrutiva do sono (AOS e sintomas depressivos é ambígua na literatura. OBJETIVO: Investigar se há relação entre sintomas depressivos e intensidade da AOS. MÉTODO: Estudo transversal e retrospectivo com 123 pacientes adultos, consecutivamente atendidos em laboratório de sono, para avaliar AOS, sem transtornos mentais nem uso de psicotrópicos. Para análise estatística (uni e multivariada, utilizamos as seguintes variáveis: sexo e idade, além de escores de diversas escalas: Escala de Depressão de Beck (EDB, Escala de Sonolência diurna de Epworth (EPW, Índice de Massa Corporal e o Índice de Apnéia /Hipopnéia (IAH. RESULTADOS: A análise univariada demonstrou fraca, mas estatisticamente significativa relação negativa entre EDB e IAH. Porém, na análise multivariada por regressão logística, esta relação inversa perdeu sua signific

  17. VALORIZACIÓN INTEGRAL DE LA BIOMASA LEÑOSA AGROFORESTAL A LO LARGO DEL GRADIENTE ALTITUDINAL EN CONDICIONES MEDITERRÁNEAS

    OpenAIRE

    FERNÁNDEZ PURATICH, HARALD WILSON

    2013-01-01

    La biomasa leñosa como recurso material o bioenergético varía principalmente según especie, condiciones ambientales que influyen en su producción y dispersión en el territorio. La estimación de la disponibilidad y aptitud de este recurso es hoy en día crucial para el desarrollo sostenible del sector agroforestal y, en concreto, de la cadena de valor monte-industria-consumo. Debido a la dispersión de esta fuente de materia prima en el territorio y a los altos costes log...

  18. 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

  19. 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

  20. 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

  1. TnaA, an SP-RING Protein, Interacts with Osa, a Subunit of the Chromatin Remodeling Complex BRAHMA and with the SUMOylation Pathway in Drosophila melanogaster

    Science.gov (United States)

    Monribot-Villanueva, Juan; Juárez-Uribe, R. Alejandro; Palomera-Sánchez, Zoraya; Gutiérrez-Aguiar, Lucía; Zurita, Mario; Kennison, James A.; Vázquez, Martha

    2013-01-01

    Tonalli A (TnaA) is a Drosophila melanogaster protein with an XSPRING domain. The XSPRING domain harbors an SP-RING zinc-finger, which is characteristic of proteins with SUMO E3 ligase activity. TnaA is required for homeotic gene expression and is presumably involved in the SUMOylation pathway. Here we analyzed some aspects of the TnaA location in embryo and larval stages and its genetic and biochemical interaction with SUMOylation pathway proteins. We describe that there are at least two TnaA proteins (TnaA130 and TnaA123) differentially expressed throughout development. We show that TnaA is chromatin-associated at discrete sites on polytene salivary gland chromosomes of third instar larvae and that tna mutant individuals do not survive to adulthood, with most dying as third instar larvae or pupae. The tna mutants that ultimately die as third instar larvae have an extended life span of at least 4 to 15 days as other SUMOylation pathway mutants. We show that TnaA physically interacts with the SUMO E2 conjugating enzyme Ubc9, and with the BRM complex subunit Osa. Furthermore, we show that tna and osa interact genetically with SUMOylation pathway components and individuals carrying mutations for these genes show a phenotype that can be the consequence of misexpression of developmental-related genes. PMID:23620817

  2. 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.

  3. Balanço de emissões e remoções de Gases de Efeito Estufa no campus da Universidade Federal de Viçosa

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    Daniel Brianezi

    Full Text Available Objetivou-se com este estudo realizar o balanço das emissões e remoções de Gases de Efeito Estufa (GEE do campus-sede da Universidade Federal de Viçosa - UFV (Viçosa, MG, comparando a emissão de GEE do ano-base adotado (outubro de 2010 a outubro de 2011 e o incremento médio anual de carbono pelos sumidouros da universidade (arborização urbana, florestas nativas e plantadas. Utilizou-se dados coletados na universidade e metodologias da ABNT NBR ISO 14064 e do IPCC. Os resultados encontrados apontaram que o campus-sede da UFV possui uma grande cobertura vegetal que representam 39,84% de sua área total. No entanto, estas áreas não foram suficientes para compensar as 6.034,18 tCO2eq. emitidas pela universidade. Portanto, o balanço geral das emissões e remoções de GEE do campus-sede da UFV foi negativo (déficit de 727,02 tCO2eq.. Embora tenha apresentado este resultado, os sumidouros de carbono foram importantes para a compensação de parte dos GEE gerados.

  4. Prevalência de conjuntivite adenoviral em clínica oftalmológica no município de Viçosa (MG

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    Euldes Nei Rosado-Filho

    2015-08-01

    Full Text Available RESUMO Objetivo: Avaliar a prevalência de Adenovírus como agente etiológico da conjuntivite, em clínica médica oftalmológica especializada, em Viçosa, Minas Gerais, Brasil. Métodos: Amostras da secreção conjuntival de 91 pacientes clinicamente diagnosticados com conjuntivite foram submetidos à reação em cadeia da polimerase (PCR, utilizando primers degenerados para a região codificadora do gene da proteína estrutural II. Posteriormente as amostras positivas foram submetidas a sequenciamento e genotipagem. Resultados: A análise dos resultados de PCR revelou prevalência de 36,3% de Adenovírus. Não havendo distinção entre os sexos e com maior prevalência na faixa etária de 26 a 65 anos com 60,60% dos casos positivos. O sequenciamento dos casos positivos por Adenovírus revelaram a presença dos sorotipos 3, 4, 7, 8 e 34 circulante na região. Conclusão: No município de Viçosa, dois em cada cinco casos de conjuntivite são de etiologia adenoviral.

  5. TnaA, an SP-RING protein, interacts with Osa, a subunit of the chromatin remodeling complex BRAHMA and with the SUMOylation pathway in Drosophila melanogaster.

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    Juan Monribot-Villanueva

    Full Text Available Tonalli A (TnaA is a Drosophila melanogaster protein with an XSPRING domain. The XSPRING domain harbors an SP-RING zinc-finger, which is characteristic of proteins with SUMO E3 ligase activity. TnaA is required for homeotic gene expression and is presumably involved in the SUMOylation pathway. Here we analyzed some aspects of the TnaA location in embryo and larval stages and its genetic and biochemical interaction with SUMOylation pathway proteins. We describe that there are at least two TnaA proteins (TnaA130 and TnaA123 differentially expressed throughout development. We show that TnaA is chromatin-associated at discrete sites on polytene salivary gland chromosomes of third instar larvae and that tna mutant individuals do not survive to adulthood, with most dying as third instar larvae or pupae. The tna mutants that ultimately die as third instar larvae have an extended life span of at least 4 to 15 days as other SUMOylation pathway mutants. We show that TnaA physically interacts with the SUMO E2 conjugating enzyme Ubc9, and with the BRM complex subunit Osa. Furthermore, we show that tna and osa interact genetically with SUMOylation pathway components and individuals carrying mutations for these genes show a phenotype that can be the consequence of misexpression of developmental-related genes.

  6. Olive Volatiles from Portuguese Cultivars Cobrançosa, Madural and Verdeal Transmontana: Role in Oviposition Preference of Bactrocera oleae (Rossi) (Diptera: Tephritidae).

    Science.gov (United States)

    Malheiro, Ricardo; Casal, Susana; Cunha, Sara C; Baptista, Paula; Pereira, José Alberto

    2015-01-01

    The olive fly, Bactrocera oleae (Rossi), a serious threat to the olive crop worldwide, displays ovipositon preference for some olive cultivars but the causes are still unclear. In the present work, three Portuguese olive cultivars with different susceptibilities to olive fly (Cobrançosa, Madural, and Verdeal Transmontana) were studied, aiming to determine if the olive volatiles are implicated in this interaction. Olive volatiles were assessed by SPME-GC-MS in the three cultivars during maturation process to observe possible correlations with olive fly infestation levels. Overall, 34 volatiles were identified in the olives, from 7 chemical classes (alcohols, aldehydes, aromatic hydrocarbons, esters, ketones, sesquiterpenes, and terpenes). Generally, total volatile amounts decrease during maturation but toluene, the main compound, increased in all cultivars, particularly in those with higher susceptibility to olive fly. Sesquiterpenes also raised, mainly α-copaene. Toluene and α-copaene, recognized oviposition promoters to olive fly, were correlated with the infestation level of cvs. Madural and Verdeal Trasnmontana (intermediate and highly susceptible cultivars respectively), while no correlations were established with cv. Cobrançosa (less susceptible). No volatiles with inverse correlation were observed. Volatile composition of olives may be a decisive factor in the olive fly choice to oviposit and this could be the basis for the development of new control strategies for this pest.

  7. 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

  8. Efectos de la aplicación de biosólidos en plantaciones de especies leñosas para restauración de canteras de caliza mediterráneas

    OpenAIRE

    Jorba, Montse; García-Moro, Clara; Ninot i Sugrañes, Josep Maria

    2013-01-01

    Los programas de restauración de las canteras de caliza situadas en el macizo del Garraf (sudoeste de la cordillera Litoral catalana) contemplan la plantación de especies leñosas autóctonas como medida para mitigar el impacto visual y para optimizar la restauración ecológica tras la explotación del recurso mineral. Las condiciones ambientales de partida poco favorables (elevadas pendientes y substratos poco fértiles) pueden ser limitantes para la instalación y evolución de leñosas, de forma q...

  9. Evaluación y clasificación de la calidad de varios cuerpos de agua en la Península de Osa

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    Jesús Mora Molina

    2011-10-01

    Full Text Available El agua es un elemento esencial no solo para la preservación de la vida, sino también para la conservación de la flora y fauna de la región. Su conservación y calidad están estrechamente vinculadas prácticamente a todas las actividades económicas y sociales en forma ineludible, así como a la salud de su población. A la Península de Osa se le reconoce como la zona biológica más rica de Mesoamérica.Alberga una diversidad del hábitat y riqueza biológica raramente encontrada en un área pequeña. Este exótico territorio no está exento de amenazas debido a la fragmentación y destrucción del hábitat, deforestación por la explotación de la madera y mal planeamiento en el uso de la tierra, extracción ilegal de recursos, entre ellos el oro y el crecimiento de la población en sus alrededores.El presente diagnóstico tuvo como objetivo definir la situación actual y los posibles riesgos de contaminación del recurso hídrico evaluada en varios ríos de la zona de Osa. Se muestrearon varios cuerpos de agua en la zona de Piedras Blancas que se encuentra cerca de Chacarita, así como Rincón, Puerto Jiménez y la Bahía Drake, estas últimas pertenecientes a la Península de Osa. La valoración de la calidad del agua se hizo utilizando el Índice de Clasificación Holandés.A pesar de las características de la zona, esta ya presenta una contaminación incipiente, dependiendo del sitio y el mes del muestreo. La contaminación en los ríos depende de la densidad poblacional; sin embargo, los alcances de la contaminación en cada zona dependerán del tipo de suelo, del desarrollo urbanístico y la cobertura boscosa. Típico ejemplo de esta variabilidad son los poblados de Puerto Jiménez, el de Piedras Blancas y el de la Bahía de Drake.

  10. Relações ecológicas entre estratos de uma área restaurada, com 40 anos, Viçosa-MG

    OpenAIRE

    Aurino Miranda Neto; Sebastião Venâncio Martins; Kelly de Almeida Silva; José Marinaldo Gleriani

    2012-01-01

    O objetivo deste trabalho foi avaliar as relações ecológicas entre diferentes estratos de uma área restaurada, em Viçosa-MG. Realizou-se o levantamento florístico do estrato arbóreo, da regeneração natural e do banco de sementes do solo. Comparou-se a composição florística entre os estratos da área restaurada (arbóreo, regeneração, banco de sementes) e entre estes e diversos fragmentos florestais no município, por meio de análise de agrupamento. Comparou-se, pelo teste ANOVA, a classe sucessi...

  11. Riqueza y diversidad de especies leñosas del bosque tropical caducifolio en San Luis Potosí, México

    OpenAIRE

    Alanís Rodríguez, Eduardo; Aranda Ramos, Rafael; Mata Balderas, José M.; Canizales Velázquez, Pamela A.; JIMÉNEZ PÉREZ, JAVIER; Uvalle Sauceda, José I.; Valdecantos Dema, Alejandro; Ruiz Bautista, Milton G.

    2010-01-01

    La presente investigación caracteriza las especies leñosas de un bosque tropical caducifolio en la región de Tamuín, S.L.P., México. Se seleccionaron dos áreas con historial de uso antrópico: una de lomerío y otra de valle. Se registraron catorce órdenes, 18 familias, 27 géneros y 29 especies en total. Las familias más abundantes fueron Fabaceae y Euphorbiaceae. Las especies con mayor peso ecológico son generalistas de áreas abiertas como Bursera simaruba y Tabebuia rosea. Las áreas evalua...

  12. Estimated dietary intake and major food sources of polyphenols in elderly of Viçosa, Brazil: a population-based study.

    Science.gov (United States)

    Nascimento-Souza, Mary Anne; de Paiva, Pedro Gontijo; Pérez-Jiménez, Jara; do Carmo Castro Franceschini, Sylvia; Ribeiro, Andréia Queiroz

    2016-11-21

    Epidemiological studies have remarked the beneficial role that polyphenols may have in the elderly population such as cancer and cardiovascular disease prevention. This is particularly relevant considering the global tendency of population aging. Data on polyphenol intake in the elderly population are scarce and usually provide partial information-only for some polyphenol classes. The aim of this study was to estimate the intake of polyphenols and its major dietary contributors in the population of Viçosa. A cross-sectional population-based survey including 620 elderly was conducted in Viçosa, Brazil. Food intake was estimated by recall of habitual consumption (RHC). Polyphenol intake was calculated by matching food consumption data from the RHC with the polyphenol content in foods listed in the Phenol-Explorer database. The average total polyphenol intake was 1198.6 mg/day (533.7 mg/day as aglycone). The main polyphenol classes were phenolic acids (729.5 mg/day) and flavonoids (444.7 mg/day). The main dietary contributors for total polyphenols were coffee (45.8%), beans (32.8%) and polenta (1.3%). A total of 292 polyphenols divided in 14 classes and 23 subclasses were found. The individual compounds with the highest intake were isomers of chlorogenic acid (i.e., 5-caffeoylquinic acid, 4-caffeoylquinic acid and 3-caffeoylquinic acid) among hydroxycinnamic acids that largely originated from coffee. The data reported here can be used to evaluate the association between the amount and type of ingested polyphenols and health outcomes in epidemiological studies in order to eventually establish nutritional recommendations.

  13. ESTUDO DO COMPORTAMENTO DO FOGO EM UM TRECHO DE FLORESTA ESTACIONAL SEMIDECÍDUA NO MUNICÍPIO DE VIÇOSA, MINAS GERAIS

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    Virgínia Londe de Camargos

    2015-01-01

    Full Text Available The purpose of this study was to evaluate the fire behavior on a part of Semideciduous Seasonal Forest, using the variables: fire intensity, burning time, fuel, heat content and heat released. Ten plots of 5 by 5 meters were used , totalizing 250 m 2 , and the distance between each plot was 1 meter in a place named “Reserva da Biologia” property of Universidade Federal de Viçosa, Minas Gerais, (20º35’-28º50’S e 42º45’-43º00’W . In this place a control burning was performed using strip headfire technique, obeying the slope direction. The amount of local dry matter, fire propagation velocity, intensity, heat released and heat content were measured. The time duration of the burning ranged between plots of 3’30 “to 9’18”. Wind velocity, temperature, relative humidity were constant in all plots, with values 3, 5 m s -1 North, 20º C and 79% respectively. The values found for fire behavior variables ranged between plots: from 0, 32 to 1, and 10 Kg m -2 for fuel, from 11, 94 to 75,79 Kcals -1 m -1 for burning intensity and from 1111 to 3789 Kcal m -2 for heat released. The average values for rate of spread and heat released were 0,017 m s -1 and 4411 Kcal Kg -1 , respectively. In the year 2005, the weather conditions were atypical comparing to another years in Viçosa, witch in every month occurs a certain amount of rain. This fact had interference in the fire behavior parameters, for that reason the burning were classified as low intensity .

  14. 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.

  15. Relações ecológicas entre estratos de uma área restaurada, com 40 anos, Viçosa-MG

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    Aurino Miranda Neto

    Full Text Available O objetivo deste trabalho foi avaliar as relações ecológicas entre diferentes estratos de uma área restaurada, em Viçosa-MG. Realizou-se o levantamento florístico do estrato arbóreo, da regeneração natural e do banco de sementes do solo. Comparou-se a composição florística entre os estratos da área restaurada (arbóreo, regeneração, banco de sementes e entre estes e diversos fragmentos florestais no município, por meio de análise de agrupamento. Comparou-se, pelo teste ANOVA, a classe sucessional e a síndrome de dispersão entre os estratos da área restaurada. O dendrograma obtido distinguiu o banco de sementes dos demais estratos. Não houve similaridade entre a área estudada e os fragmentos florestais em Viçosa. Na distribuição por classe sucessional e síndrome de dispersão, houve diferença significativa entre o banco de sementes e os demais estratos da área restaurada. Os resultados evidenciaram a discrepância da florística do banco de sementes frente aos demais estratos, demonstrando que a área restaurada se encontra em estádio de sucessão mais avançado.

  16. 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.

  17. 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.

  18. 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

  19. Florística e estrutura da comunidade arbórea de uma floresta estacional semidecidual secundária em Viçosa, MG

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    Antonio Jorge Tourinho Braga

    2011-06-01

    Full Text Available Este trabalho teve como objetivo estudar a composição florística e a estrutura da comunidade arbórea, bem como a distribuição das espécies em diferentes grupos ecológicos e os solos dos estádios inicial e avançado, de uma Floresta Estacional Semidecidual localizada no campus da Universidade Federal de Viçosa, em Viçosa, MG (20°46' S e 42°52' W. O levantamento foi realizado em meio hectare, onde foram alocadas 10 parcelas de 25 x 10 m em cada trecho, sendo amostrados todos os indivíduos com circunferência do tronco a 1,30 m do solo (CAP > 15 cm. Registraram-se 820 indivíduos, sendo 440 no trecho de floresta inicial e 380 no de floresta avançada. No levantamento florístico da floresta inicial foram amostradas 76 espécies, pertencentes a 28 famílias, destacando-se como as de maior número de indivíduos Fabaceae (137, Urticaceae (45 e Sapindaceae (41 e, as com os maiores valores de importância, Cecropia glaziovii Snethl., Anadenanthera peregrina (L. Speng., Piptadenia gonoacantha (Mart. Macbr., Allophylus sericeus Radlk., Siparuna guianensis Aubl. e Maclura tinctoria (L. Don ex Steud. O índice de diversidade de Shannon (H' foi de 3,57 nat.ind.-1 e a equabilidade (J', de 0,82. Já na floresta avançada foram amostradas 59 espécies, distribuídas em 26 famílias, das quais Fabaceae (103, Meliaceae (49 e Flacourtiaceae (34 sobressaíram com maior número de indivíduos. Por sua vez, as espécies com os maiores valores de importância foram A. peregrina, Trichilia pallida Swartz, Cariniana estrellensis (Raddi Kuntze., P. gonoacantha, Rollinia silvatica Mart. e S. guianensi. O índice de diversidade de Shannon (H' foi de 3,49 nat.ind.-1 e a equabilidade (J', de 0,85. No contínuo, o índice de Shannon (H' e a equabilidade (J' foram de 3,82 nat.ind.-1 e 0,84, respectivamente. Cada floresta apresentou distinta identidade florística e estrutural, tendendo a ser minimizada com o avanço da sucessão.

  20. 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.

  1. 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.

  2. 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.

  3. 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

  4. Demarcação de uma grade de trilhas no Centro de Pesquisas da Mata do Paraíso, Viçosa, Minas Gerais Plotting of a trail grid system in the Mata do Paraíso Research Center, Viçosa, State of Minas Gerais

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    Rômulo Ribon

    2005-02-01

    Full Text Available O Centro de Pesquisas da Mata do Paraíso (CPMP é parte integrante do maior fragmento de Floresta Semidecidual Altimontana das imediações do município de Viçosa, sudeste de Minas Gerais. Como centro de pesquisas da Universidade Federal de Viçosa, ele tem servido para a coleta de dados de monografias de graduação, dissertações, teses e pesquisas de professores, principalmente dos Departamentos de Biologia Animal, Biologia Vegetal e Engenharia Florestal. Essas pesquisas têm sido conduzidas em trilhas preexistentes, aleatoriamente distribuídas pela mata, ou em novas trilhas abertas conforme a conveniência dos pesquisadores ou a exigência de suas pesquisas. Essa prática impede ou dificulta o mapeamento adequado de locais de amostragem e os monitoramentos temporal e espacial de comunidades animais e vegetais, bem como a repetibilidade de experimentos. No presente trabalho, descreve-se a implantação de um sistema de trilhas em 40 ha do CPMP, formado por um conjunto de cinco trilhas paralelas de 1.000 m e 11 de 400 m, formando 40 quadrados contíguos de 1 ha. O CPMP passou a ser uma das poucas reservas florestais no país a contar com um sistema ordenado e medido de trilhas, abrindo um novo leque de oportunidades para a realização de pesquisas de importância internacional. Destacam-se a urgência de manutenção das trilhas, a necessidade de seu georreferenciamento e a expansão da grade para 100 ha, a fim de que alcance padrões internacionais entre estações de pesquisa de comunidades florestais na região neotropical.Mata do Paraíso Research Center (CPMP is the core area of the largest Lower Montane Semideciduous Atlantic Forest fragment in Viçosa region, southeastern State of Minas Gerais, Brazil. As a research center belonging to the Universidade Federal de Viçosa (UFV, it has been an important site for the fieldwork of undergraduate monographs, Master and Doctorate Thesis, and research conducted by professors, mostly from

  5. Conhecimento sobre aleitamento materno de puérperas atendidas em dois hospitais de Viçosa, Minas Gerais Knowledge about maternal nursing of mothers attended at two hospitals in the city of Viçosa, Minas Gerais, Brazil

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    Nathércia PERCEGONI

    2002-01-01

    Full Text Available Este estudo teve como objetivo investigar o conhecimento de puérperas sobre o aleitamento materno. Foram entrevistadas 266 puérperas atendidas em dois hospitais da cidade de Viçosa, MG. A amostra caracterizou-se por mulheres na faixa etária de 13 a 48 anos, das quais 58,3% residiam em Viçosa. A maioria delas tinha o 1º grau incompleto. Segundo a pesquisa, 32,7% das mães receberam informação sobre amamentação antes do parto e 14,3% delas foram orientadas no pré-natal. Apesar de 99,2% das entrevistadas manifestaram a necessidade de a criança ser amamentada, 54,8% não conheciam outra função do leite além da alimentar. A sucção foi lembrada por apenas 1,5% das puérperas como fator que aumenta a produção de leite, e 61,0% delas não conheciam a maneira correta de a criança abocanhar o mamilo. Quanto ao problema do ingurgitamento mamário, 57,0% não sabiam como resolvê-lo. Com relação às leis de proteção à nutriz trabalhadora, 84,6% as desconheciam. Concluiu-se que o baixo nível de conhecimento, por parte das puérperas, sobre questões fundamentais para o sucesso da amamentação reafirmam a importância do incentivo e da orientação para o aleitamento durante o pré-natal.This study had the objective of investigating the mothers knowledge about maternal nursing. Two hundred and sixty-six mothers attended at two hospitals in the city of Viçosa, state of Minas Gerais, where interviewed.The sample was characterized by women in the age group from 13 to 48 years old, and 58,3% of them lived in Viçosa. The majority of them had not finished elementary school. From the total of mothers interviewed, 32.7% had received information on breast-feeding before the childbirth, and 14.3% of them were oriented in the prenatal period. Although of 99.2% of the mothers considered that the child should be breastfed, 54.8% did not know another function of milk besides feeding. The suction was remembered by only 1.5% of the mothers as a

  6. 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

  7. Effects of replacing the nasal cavity with a simple pipe like structure in CFD simulations of the airflow within the upper airways of OSA patients with patient individual flow rates

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    Hagen Christina

    2017-09-01

    Full Text Available OSA is characterized by repetitive collapses of the upper airways during sleep. Computational fluid dynamics can be used to investigate the abnormal pressure distribution in the patient’s airways. The computational costs and model reconstruction effort can be reduced by focusing the simulations on the pharynx and replacing the nasal cavity by a simple pipe structure. In this work, the effects of the mentioned replacement on the simulated flow are evaluated. Airflow simulations using the k-ω turbulence model are performed in the anatomically correct airway of a patient having a high difference in the inspiratory volume flow rates of both nostrils, as well as in a model with replaced nasal cavity by a simple pipe structure. The simulated pressure distributions of both models are in very good agreement indicating the acceptability of replacing the nasal cavity by simple pipe structures in in-silico airflow analyses of OSA patients.

  8. Evaluación de la calidad del agua en los ríos Tigre y Rincón de la península de Osa en dos períodos de tiempo distintos

    OpenAIRE

    Guillermo Calvo-Brenes; Jesús Mora-Molina

    2015-01-01

    La península de Osa es una zona que se caracteriza por una alta biodiversidad, tanto en su flora como en su fauna. El recurso hídrico no solo es un indicador de la condición económica y social de una región, sino que está estrechamente ligada con la protección de su flora y su fauna. Costa Rica es un país privilegiado por la cantidad de ríos y mantos acuíferos que posee; sin embargo, el incremento en los niveles de contaminación que estos han experimentado es preocupante y la península de Osa...

  9. Comportamiento de la cefalea migrañosa: interconsulta de proyección comunitaria Behavior of migraine headache: community projection interconsultation

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    Aniuska Rodríguez Tudela

    2008-06-01

    Full Text Available INTRODUCCIÓN. El tratamiento del paciente migrañoso es controversial y difícil, a lo cual se suma el hecho de que la migraña es el motivo de consulta más frecuente en atención primaria de salud y en las áreas de urgencias. El objetivo del presente estudio fue evaluar el comportamiento de la migraña en niños y adolescentes que abusaron del consumo de analgésicos antes del diagnóstico y el patrón de presentación de la migraña cambió y esta se convirtió en cefalea diaria. MÉTODOS. Se realizó un estudio clínico-epidemiológico con 80 niños y adolescentes que se atendieron en la consulta de neuropediatría en el Hospital "Leonor Pérez", como parte del algoritmo de la consulta de cefalea originario del Hospital Pediátrico "William Soler" y generalizado al Municipio Boyeros. RESULTADOS. Predominó el sexo femenino (67,5 % y las edades entre 9 y 14 años (68,7 %. El antecedente familiar más relevante fue el de migraña (42,5 %, por vía materna, y el motivo principal de consulta fue la existencia de crisis migrañosa diaria producida por la ingestión excesiva de analgésico (duralgina, lo cual se convirtió en el principal factor desencadenante de las crisis. CONCLUSIONES. El hecho de que la mayoría de los pacientes tuvieran madres migrañosas pudiera demostrar el posible carácter genético de la dolencia. La ingestión excesiva de analgésicos del tipo de la duralgina resultó ser el principal factor desencadenante de las crisis.INTRODUCTION. The treatment of the migraine patient is controversial and difficult, in addition to the fact that migraine is the most frequent chief complaint in primary health care and in the emergency areas. The objective of this study was to evaluate the behaviour of migraine in children and adolescents that abused analgesics before the diagnosis. The pattern of presentation of migraine changed and it became a daily headache. METHODS. A clinical epidemiological study was conducted among 80 children

  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. 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.

  12. GEOTECNOLOGIA COMO SUPORTE PARA GERÊNCIA DE PSFs: UM ESTUDO DE CASO PARA O MUNICÍPIO DE VIÇOSA – MG

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    Taciano Oliveira da Silva

    2010-08-01

    Full Text Available Neste artigo abordou-se a aplicação da geotecnologia na área de saúde pública, a partir da elaboração de um banco de dados sobre as ocorrências de diarréias, dengue, diabetes e hipertensão, no município de Viçosa – MG. Os dados foram coletados nos postos de saúde da família (PSFs, no posto de combate a dengues e no setor de vigilância epidemiológica da secretaria municipal de saúde, e são referentes ao ano de 2007, com exceção para as ocorrências de diarréia que constam também os dados do ano de 2006. A geotecnologia, a partir do uso de equipamento GPS e de um sistema de informação geográfica (SIG, forneceu um suporte valioso para a análise e a compreensão do comportamento espacial das doenças analisadas. Este entendimento permitiu verificar os locais mais carentes de assistência de saúde preventiva. A geração de mapas auxiliará os agentes de saúde na localização das áreas de ocorrência dos eventos, otimizando o trabalho preventivo de saúde no município.

  13. Microbial biodeterioration diagnosis of the 16th century frescoes from the Casa de Fresco de Sanches Baena (Vila Viçosa, Portugal

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    M. R. Martins

    2009-01-01

    Full Text Available The Casa de Fresco de Sanches Baena is located in Vila Viçosa (Southeast Portugal and is a small semi-underground building constructed in a garden over a well and used as a cool refreshing place by the owners. The frescoes that cover the ceilings and the walls present rich mythological scenes together with musical angels, shells, porcelain and other decorative elements, which make them an especially rich and unusual example of this art form. The paintings possess an intense polychromy suggesting the use of a rich palette comprised of different pigments to obtain various colours and hues. Unfortunately, due to partial abandonment and lack of repair the paintings are in an advanced state of degradation exhibiting partial detachment of paint layers and mortars, salt efflorescence and abundant biological colonisations. This work reports the study of the frescoes to allow the identification of the different microorganism populations and to assess their role in the deterioration of these paintings. For the microorganism sampling, sterile cotton buds and stylets were used and the biological materials collected in sterile recipients. The microbiological study by optical microscopy and scanning electron microscopy allowed the isolation of 34 fungi strains and 32 bacterial strains in the four painted panels that compose the frescoes. The predominant bacterial strains were the Gram+ and Gram- strains from the genera Bacillus and Pseudomonas, respectively. As to the fungi populations, the dominant strains identified were from the genera Cladosporium spp. and Penicillium spp. The microbial activity in the 4 panels was assessed by enzymatic essays, namely, dehydrogenase (DHA. The results showed that the decayed areas of the painting present higher dehydrogenase activity and therefore this enzyme seems to be a good indicator of biodegradation.

  14. 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.

  15. The influence of education in the validation process of a food frequency questionnaire for adults in Viçosa, Minas Gerais, Brazil.

    Science.gov (United States)

    Crispim, S P; Ribeiro, R C L; Silva, M M S; Rosado, L E F P; Rosado, G P

    2006-11-01

    To evaluate the educational influence in the relative validation of a semiquantitative food frequency questionnaire (FFQs) for adults in the city of Viçosa, Brazil. Four 24-h dietary recalls (reference method) were applied to a sample of 94 adults of both genders, at intervals of 1 month. At the end of the study, an FFQs consisting of 58 food items was also applied. Then, the individuals were divided into two main groups according to their educational level (lower and higher). The dietary data were calculated by the Diet Pro 4.0 software and analyzed according to differences of means or medians and Pearson's correlation coefficients. These coefficients were adjusted by the energy and corrected by the within-person variance for each educational group, considering the extreme quartiles of the data distribution. The intake of energy and nutrients, based on the 24 h dietary recalls, was inferior for the lower educational group (P education variable in this assessment. Over estimations in the FFQs were identified in the analyses of means and medians for vitamin C and retinol intakes in the lower education group and for retinol in the higher education one. However, when evaluated by correlation coefficients non-adjusted and adjusted, they were well correlated. On the other hand, lipid (r = 0.34) and calcium (r = 0.13) coefficients of the group with less instruction showed beneath the desirable values, suggesting weak consistence of the estimates provided by the FFQs for these nutrients. Correlation means of r = 0.65 and 0.54 were found for the higher and lower educational groups, respectively. The results indicate that FFQs showed acceptable performance on evaluating the habitual food consumption for most of the nutrients in the studied population. A tendency for better quantifications in the groups with higher education was observed, inferring its influence in the assessment of the dietary intake.

  16. Uso de medicamentos potencialmente inadequados entre idosos do Município de Viçosa, Minas Gerais, Brasil: um inquérito de base populacional

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    Gabriela Aires Martins

    2015-11-01

    Full Text Available Resumo Avaliou-se o uso de medicamentos potencialmente inadequados entre idosos de Viçosa, Minas Gerais, Brasil, de acordo com os critérios de Beers 2012 e STOPP, bem como os fatores associados a esse uso. Estudo transversal com 621 idosos não institucionalizados, abordados por entrevista domiciliar. As variáveis explicativas foram sexo, idade, escolaridade, percepção da saúde, restrição de atividades nos últimos 15 dias, capacidade funcional, história de internação hospitalar, número de doenças autorreferidas e polifarmácia. Realizou-se análise de regressão de Poisson multivariada. Observou-se alta prevalência de uso de medicamentos potencialmente inadequados, 43,8% (IC95%: 37,8%-47,8% e 44,8% (IC95%: 40,9%-48,8%, segundo os critérios de Beers 2012 e STOPP respectivamente. Sexo feminino e polifarmácia se mantiveram independentemente associados ao uso de medicamentos potencialmente inadequados, de acordo com os critérios de Beers. Para o critério STOPP, as variáveis independentemente associadas ao uso de medicamentos potencialmente inadequados foram sexo feminino, percepção de saúde regular e polifarmácia. Esforços são necessários para se qualificar a prática da polifarmácia entre idosos.

  17. 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.

  18. 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                                                   

  19. 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

  20. What Is the Prevalence of Symptomatic Obstructive Sleep Apnea Syndrome in Chronic Spinal Pain Patients? An Assessment of the Correlation of OSAS with Chronic Opioid Therapy, Obesity, and Smoking.

    Science.gov (United States)

    Pampati, Sanjana; Manchikanti, Laxmaiah

    2016-05-01

    In modern medicine, obstructive sleep apnea syndrome (OSAS) is a commonly described sleep disorder with airway obstruction, disrupted sleep, and excessive daytime sleepiness. Since its description in 1976 by Guilleminault et al, numerous epidemiologic studies and systematic reviews, with multiple comorbidities related to cardiovascular sequelae, altered cognitive function, and multiple other potential complications have been described. Multiple risk factors have been identified included obesity, smoking, alcohol consumption, and other factors. Chronic pain and chronic opioid therapy also have been described to contribute to a large proportion of patients with OSAS. Chronic pain, obesity, smoking, and chronic opioid therapy are often found together, yet there is a paucity of literature describing OSAS in chronic pain patients. To assess the prevalence of symptomatic OSAS in chronic spinal pain patients receiving chronic opioid therapy and determine the association of OSAS with multiple risk factors and comorbidities. A retrospective assessment of patients who attend a single interventional pain management practice from January 1, 2010to December 31, 2014. A private interventional pain management practice in the United States. The data were collected from 4,036 consecutive patients presenting for assessment to a pain management center from January 1, 2010 to December 31, 2014. All assessments were comprehensive and performed by 2 physicians. The comprehensive assessment included a complete history, a physical examination, and a review of records. The prevalence of OSAS in patients with chronic spinal pain was 13.8%. The results showed a higher prevalence in males compared to females (15.1% versus 12.8%), a higher prevalence in those aged 45 or older compared to those 25-45 years and those 18-25 years (16.3% versus 10.7% or 2.5%), higher prevalence in Hispanics and Asians compared to African Americans and whites (23.7% versus 16.2% versus 13.4%), higher prevalence in

  1. Florística e estrutura da vegetação arbustivo-arbórea do sub-bosque de um povoamento de Eucalyptus grandis W. Hill ex Maiden em Viçosa, MG, Brasil Floristic and structure of tree-shrub vegetation in understory of Eucalyptus grandis W. Hill ex Maiden stands, in Viçosa, MG, Brazil

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    Priscila Bezerra de Souza

    2007-01-01

    Full Text Available Este estudo teve como objetivo conhecer a composição florística e a estrutura da vegetação arbustivo-arbórea no sub-bosque de povoamento de Eucalyptus grandis na Reserva Florestal da Mata do Paraíso, em Viçosa, MG. Foram demarcadas 40 parcelas contíguas de 5 x 5 m, dispostas em transectos de 5 x 50 m, nas quais foram medidos, identificados e classificados quanto às síndromes de dispersão de sementes e às categorias sucessionais. Foram amostrados 884 indivíduos pertencentes a 50 espécies e 22 famílias. As espécies que se destacaram em valor de importância foram Psychotria sessilis, Siparuna guianensis e Erythroxylum pelleterianum, principalmente com relação à elevada densidade. Predominaram em densidade espécies secundárias tardias com síndromes de dispersão zoocórica. A riqueza florística encontrada pode ser considerada alta, por se tratar de sub-bosque de Eucalyptus grandis, e reflete o potencial da utilização dessa espécie como catalisadora de vegetação arbustivo-arbórea nativa em áreas degradadas.The objective of the present study was to analyze the floristic composition and structure of tree-shrub vegetation in understory of Eucalyptus grandis W. former Hill Maiden, Paraíso Forest Reserve, Viçosa, MG. Forty adjacent 5 x 5 m plots were demarcated and arranged in 5 x 50 m transects, in which individuals were measured, identified and classified in relation to seed dispersal syndromes and successional categories. Eight hundred and eighty four individuals belonging to 50 species and 22 families were recorded. The species with the highest Importance Value were Psychotria sessilis, Siparuna guianensis and Erythroxylum pelleterianum, particularly with regard to high density. Late secondary species with zoochorous dispersal syndromes prevailed in density. The founded floristic richness can be considered high for a Eucalyptus grandis understory and reflects the potential for using the species as catalyst for native

  2. Análise dos resíduos madeireiros gerados nas marcenarias do município de Viçosa - Minas Gerais An analysis of the wood residues generated by carpentry shops in Viçosa, state of Minas Gerais

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    Zaíra Morais dos Santos Hurtado de Mendoza

    2010-08-01

    Full Text Available O objetivo deste trabalho foi analisar os resíduos gerados nas marcenarias do município de Viçosa, Minas Gerais, e propor ações potencializadoras para o seu melhor aproveitamento. Foram coletados dados sobre os resíduos de madeira gerados em 17 marcenarias da cidade, por intermédio da aplicação de questionários. Os resultados mostraram que a serragem, os sarrafos, as maravalhas e os cavacos foram os principais tipos de resíduos produzidos, sendo a serragem o resíduo mais abundante. As máquinas que mais geraram resíduos foram a desengrossadeira e a desempenadeira. A maioria das marcenarias doava ou vendia os resíduos produzidos. Constatou-se que não havia preocupação por parte dos proprietários das marcenarias quanto à agregação de valor ao resíduo gerado e quais os danos ambientais que estes poderiam ocasionar. A partir dos resultados, propuseram-se as seguintes medidas de melhor aproveitamento dos resíduos gerados: geração de energia através da queima direta de resíduos oriundos da madeira sólida, fabricação de briquetes, fertilizantes e de "pequenos objetos de madeira" (POM.The objectives of this work were to analyze the residues produced by carpentry shops in Viçosa and to propose actions that would lead to their better use. For this, data were gathered from questionnaires sent to 17 shops in town. The results showed that sawdust, wood strips, planner shavings and chips are the more common type of residues, sawdust being the most abundant. The machines that produced most of the waste were the planners and the jointers. Most of the shops either donate or sell their waste. It was found that the owners showed no regard to increasing the value of the residue or to environmental damage they may cause. Based on the information collected, the following measures are indicated for waste utilization: generation of energy through direct burning of solid wood residues, production of briquet and fertilizers and production

  3. 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

  4. Inspected and non-inspected chilled chicken carcasses commercialized in Viçosa, MG, Brazil: microbiological parameters and Salmonella spp. occurrence Carcaças de frango refrigeradas inspecionadas e não-inspecionadas comercializadas em Viçosa, MG, Brasil: parâmetros microbiológicos e ocorrência de Salmonella spp

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    Marcus Vinícius Coutinho Cossi

    2012-09-01

    Full Text Available Sixty samples of chilled chicken carcasses submitted (30 and not submitted (30 to Brazilian inspection services were analyzed to investigate if inspected and non-inspected chilled carcasses represented different food safety risks in the region of Viçosa, MG, Brazil. The mean counts of indicator microorganisms (mesophilic aerobes, Enterobacteriaceae, total coliforms and Escherichia coli of samples belonging to the inspected and non-inspected lots did not present significant differences (P>0.05. Also, no significant differences (P>0.05 were observed for the numbers of Salmonella spp. and E. coli (higher than 2log cfu g-1 between samples submitted or not to inspection. Statistical differences were observed between the two sample classes only for the numbers of mesophilic aerobes higher than 4 and 5log cfu g-1 (PSessenta amostras de carcaças de frango refrigeradas fiscalizadas (30 e não fiscalizadas (30 por serviços brasileiros de inspeção foram analisadas para investigar se carcaças refrigeradas inspecionadas ou não apresentam diferentes riscos alimentares na região de Viçosa, MG, Brasil. As médias de contagens de microrganismos indicadores de higiene (aeróbios mesófios, Enterobacteriaceae, coliformes e Escherichia coli de amostras inspecionadas ou não inspecionadas não apresentaram diferenças significativas (P>0,05. Também não foram observadas diferenças significativas entre amostras inspecionadas e não inspecionadas com resultados positivos para Salmonella spp. e E. coli (contagens acima de 2log cfu g-1. Diferenças significativas (P<0,05 foram observadas somente entre os números de amostras com contagens de aeróbios mesófilos superiores a 4 e 5log cfu g-1. Os resultados obtidos indicam as limitações dos parâmetros microbiológicas para diferenciar carcaças de frango inspecionadas ou não na região específica onde o estudo foi conduzido.

  5. 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

  6. 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

  7. Custo do ensino de graduação em instituições federais de ensino superior: o caso da Universidade Federal de Viçosa The cost of undergraduate education in federal institutions: the case of the Federal University of Viçosa

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    Elizete Aparecida de Magalhães

    2010-06-01

    Full Text Available Apesar de a educação ser fator-chave no desenvolvimento social e econômico do país, os recursos públicos aplicados para tal fim são escassos para atender à demanda da sociedade. Esta, responsável por parte de seu provimento, também tem o direito de exigir eficiência na aplicação dos recursos. Este artigo apura o custo por aluno no ensino de graduação da Universidade Federal de Viçosa (UFV. Os dados foram obtidos por meio da análise de documentos, relatórios contábeis e relatórios gerados pela central de processamento de dados da instituição. O custo médio por aluno, apurado para o ano de 2004, foi de R$ 8.965,91. O custo por aluno dos departamentos variou de R$ 3.948,59 (curso de matemática a R$ 17.022,79 (curso de zootecnia. As variáveis que mais influenciaram o custo por aluno foram os números de matrículas, de bens móveis, de docentes e de servidores técnico-administrativos. A mensuração de custo por aluno da UFV fornece orientação quanto ao modo de a instituição se expandir sem se onerar, bem como a melhor forma de aproveitar sua estrutura física.Although education is a key factor in Brazil's social and economic development. public funding is not enough to answer society's demands. Partially responsible for this funding, society also has the right to demand efficiency in the application of funds. This article assesses the cost by undergraduate student at the Federal University of Viçosa (UFV. The data was obtained through the analysis of documents, accounting reports and reports generated by the institution's data center. The mean cost by student in 2004 was R$ 8,965.91. The cost by student of the departments ranged from R$ 3,948.59 (Mathematics to R$ 17,022.79 (Zootechnics. The most influential variables were the number of enrolments, assets, faculty members and technical-administrative personnel. Student-based costing can guide UFV's expansion without increasing costs, as well as the use of its

  8. 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.

  9. 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.

  10. 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

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

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    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...

  12. Pollination in olive trees cvs. Galega and Cobrançosa: evaluation of the fruit-set in controlled pollination experiments and of the effect of a biostimulant application

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    Lopes, João Pedro da Ponte Soares

    2011-01-01

    Mestrado em Engenharia Agronómica - Instituto Superior de Agronomia Three pollination methods were tested in olive cultivars Galega and Cobrançosa: auto-pollination, free pollination and cross-pollination (using pollen from cultivar Maçanilha). At the same time the application of a biostimulant based in seaweed was studied. The field trial was conducted in an olive orchard near Santarém. Due to heavy winds and rain it was not possible to carry out the cross-pollination experiments and t...

  13. Valor Predictivo del Urocultivo en el diagnóstico de las complicaciones obstétricas y neonatales, en gestantes adolescentes y añosas atendidas en el INMP, durante el 2011.

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    Sánchez Gonzales, Cinthya

    2013-01-01

    OBJETIVOEl presente estudio, busca determinar el valor predictivo del urocultivo en el diagnóstico de las complicaciones obstétricas y neonatales, en gestantes adolescentes y añosas.MATERIAL Y MÉTODOEstudio retrospectivo, transversal, observacional, tipo caso y control. Se revisó, 453 historias clínicas y datos de recién nacidos de gestantes atendidas en el Instituto Nacional Materno Perinatal, durante el período Enero – Diciembre, 2011. Se redujo la muestra a 338 historias, para mantener una...

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

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    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...

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

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    Zeballos, Sebastián R.; Tecco, Paula A.; Cabido, Marcelo; Gurvich, Diego E.

    2014-01-01

    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 sigui...

  16. 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

  17. Hábitos alimentares de crianças eutróficas e com sobrepeso em Viçosa, Minas Gerais, Brasil Food habits of well nourished and overweight children in Viçosa, Minas Gerais state, Brazil

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    Juliana Farias de Novaes

    2007-12-01

    Full Text Available OBJETIVO: Comparar os hábitos alimentares entre crianças eutróficas e com sobrepeso. MÉTODOS: Estudo caso-controle com 50 crianças eutróficas e 50 com sobrepeso, pareadas de acordo com o sexo, idade e condição socioeconômica, selecionadas a partir da avaliação nutricional de 2.074 crianças, entre 6 e 8 anos, de escolas públicas e privadas da área urbana de Viçosa, Minas Gerais. O estado nutricional foi classificado pelo Índice de Massa Corporal, segundo o Centers for Disease Control and Prevention. Um questionário de freqüência alimentar seletivo de alimentos que contribuem para o sobrepeso, bem como recordatórios alimentares habituais relativos aos dias de semana e finais de semana foram aplicados, sendo, nestes últimos, avaliada a ingestão de energia, carboidrato, lipídio, proteína, vitamina C, vitamina A, ferro, cálcio e fibras. Um quarto questionário foi aplicado, a fim de analisar a prática de realizar dietas pelas crianças. RESULTADOS: Destaca-se a excessiva ingestão de alimentos pelo grupo com sobrepeso, evidenciando um maior consumo de energia, lipídio, carboidrato, proteína, vitamina C e vitamina A (pOBJECTIVE: To compare the food habits between well nourished and overweight children. METHODS: Case-control study with 50 well nourished children and 50 overweight children, paired by gender, age and socioeconomic conditions. They were selected from the nutritional assessment of 2074 children aging from 6 to 8 years, enrolled in public and private schools of the urban area of Viçosa, Minas Gerais State. Nutritional status was classified according to the Body Mass Index criteria of the Center for Disease Control and Prevention. A food frequency questionnaire with the foods that contribute to overweight as well as the usual food recalls regarding week and weekend days were applied. The food recalls were also used to determine intake of energy, carbohydrates, lipids, proteins, vitamin C, vitamin A, iron, calcium

  18. Avaliação do declínio cognitivo e sua relação com as características socioeconômicas dos idosos em Viçosa-MG Evaluation of cognitive decline and its relationship with socioeconomic characteristics of the elderly in Viçosa, Minas Gerais

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    Juliana Costa Machado

    2007-12-01

    Full Text Available INTRODUÇÃO: Este estudo teve como objetivo avaliar o declínio cognitivo de idosos (indivíduos com 60 anos ou mais, freqüentadores do Programa Municipal da Terceira Idade (PMTI, em Viçosa, MG, e sua relação com as características socioeconômicas. MÉTODOS: Realizou-se um estudo analítico transversal com 74 idosos. Foram incluídos no estudo os idosos alfabetizados que preencheram os seguintes critérios: ausência de perda visual ou auditiva, eventualmente corrigidas, ausência de alterações motoras e paralisia nos membros superiores ou a falta deles, ausência de problemas neurológicos ou psiquiátricos que prejudicassem o desempenho no Mini-Exame do estado mental (MEEM. Os instrumentos de coleta de dados adotados foram um questionário, elaborado pela equipe de pesquisadores para a avaliação das características socioeconômicas, e o MEEM. RESULTADOS: Dentre os idosos avaliados, encontrou-se uma freqüência de declínio cognitivo de 36,5%. A média de pontuação no MEEM foi de 19,48 pontos em um total de 30 pontos e a média da idade dos idosos foi de 68,5 anos. DISCUSSÃO: Os resultados encontrados mostram que o menor nível de escolaridade tem influência negativa no estado mental dos idosos. Conclusão: Conclui-se que é alto o número de idosos identificados com declínio cognitivo. Para se concluir um diagnóstico de demência em idosos, cujas respectivas pontuações foram abaixo do determinado, é necessária uma avaliação neuropsicológica mais apurada.INTRODUCTION: This study assesses cognitive decline in individuals 60 years of age and over, participants of a City Third Age Program (CPTA in Viçosa, MG, and its relation with social and economic characteristics. METHODS: A cross-sectional analytical study was carried out with 74 elderly individuals. The study included literate individuals who filled out the following criteria: absence of visual or auditory loss, with some inclusions of corrected cases; absence of

  19. 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

  20. 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

  1. Pró-vitaminas A em hortaliças comercializadas no mercado formal e informal de Viçosa (MG, em três estações do ano Provitamins A in vegetables marked in formal and free market at Viçosa (MG, Brazil, during three seasons of the year

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    Flávia Milagres Campos

    2006-03-01

    Full Text Available Para fornecer dados sobre a influência climática e a forma de comercialização sobre carotenóides de vegetais, este estudo pesquisou o conteúdo de alfa e beta-caroteno e o valor de vitamina A de sete hortaliças (batata-doce, cenoura, moranga, pimentão, quiabo, tomate e vagem, na cidade de Viçosa (MG, utilizando a Cromatografia Líquida de Alta Eficiência. Compararam-se hortaliças comercializadas nos mercados formal (mercados locais e informal (feira livre durante primavera, verão e outono. A cenoura apresentou os teores mais elevados de alfa e beta-caroteno (31,17 e 58,18 µg/g, respectivamente, seguida pela moranga (4,33 e 23,16 µg/g, respectivamente, enquanto a batata-doce apresentou o teor mais reduzido de beta-caroteno (0,51 µg/g. O valor de vitamina A variou conforme o perfil de alfa e beta-caroteno. Com exceção da cenoura e do quiabo, não houve influência significativa do local de comercialização sobre o conteúdo de carotenóides. A variação do conteúdo de carotenos nas estações do ano foi inexpressiva, sendo que apenas o pimentão apresentou valores significativamente diferentes. Porções de 100 g das hortaliças analisadas fornecem entre 3 e 78% da recomendação de vitamina A.With the aim of providing data on the influence of climate and form of commercialization on carotenoid of vegetables, this study evaluate the content of alpha and beta carotene and vitamin A value of seven vegetables (sweet potato, carrot, squash, green pepper, okra, tomato and green bean market in Viçosa (MG, Brazil, using High Performance Liquid Chromatography (HPLC. It was compared vegetables commercialized in two local markets and in the free market during spring, summer and autumn. Carrot presented the highest values of alpha and beta-carotene (31.17 e 58.18 µg/g, respectively, followed by squash (4.33 and 23.16 µg/g, respectively, while sweet potato presented the lowest value of beta carotene (0.51 µg/g. The vitamin A values

  2. 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

  3. 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

  4. Anemia ferropriva e estado nutricional de crianças com idade de 12 a 60 meses do município de Viçosa, MG Iron deficiency anemia and nutritional status of children aged 12 to 60 months in the city of Viçosa, MG, Brazil

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    Adriana da Silva Miranda

    2003-06-01

    Full Text Available Este estudo transversal abrangeu crianças com idade de 12 a 60 meses assistidas pelo serviço público de saúde do município de Viçosa, objetivando avaliar a prevalência de anemia e anemia grave, e a relação entre o estado nutricional e a anemia ferropriva, nessas crianças. Para o diagnóstico de anemia, foi utilizado o beta-hemoglobinômetro (Hemocue, considerando o ponto de corte proposto pela Organização Mundial da Saúde de 11,0 g/dL para anemia, e para a anemia grave considerou-se 9,5g/dL. Das 171 crianças atendidas, 63,2% estavam anêmicas e 43,5% destas apresentavam anemia grave. Analisando o estado nutricional, encontrou-se uma alta porcentagem de crianças desnutridas, sendo considerados os índices de peso/idade, peso/estatura e estatura/idade (11,7%, 7,0% e 5,8%, respectivamente. Observou-se alta prevalência de anemia entre as faixas etárias mais precoces. Não foi verificada associação entre anemia e estado nutricional. Torna-se, portanto, necessário trabalhar de forma preventiva a anemia, bem como alertar os profissionais da área de saúde quanto ao diagnóstico precoce, profilaxia e tratamento.This cross sectional study included children aged 12 to 60 months attended by the public health service in the city of Viçosa, state of Minas Gerais. The objective was to evaluate the prevalences of anemia and serious anemia, the hemoglobin levels and the relation between nutritional status and iron deficiency anemia in these children. For the diagnosis of anemia, (Hemocue was used, and the cutoff point of 11.0 g/dL proposed by the World Health Organization for anemia, and was adopted serious anemia, was adopted 9,5g/dL. A total of 171 children was evaluated; 62.2% were anemic and 43.5% of these were seriously anemic. Analyzing the nutritional status, a high percentage of under nourished children was found, according to the indexes weight/age, weight/height and height/age (11.7%, 7.0% and 5.8%, respectively. A high

  5. 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

  6. 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.

  7. 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

  8. 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

  9. 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.

  10. 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

  11. 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

  12. 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

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    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

  13. 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

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    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.

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

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    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.

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

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    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

  16. 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

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    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

  17. Regeneración de plantas leñosas bajo arbustos aislados en un sector de los esteros del Iberá, Corrientes, Argentina, implicancias etnoecológicas.

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    Héctor A. Keller

    2017-06-01

    Full Text Available Macrosistema Iberá. El objetivo fue evaluar el efecto nodriza de los arbustos y los parámetros estructurales de la regeneración. Se demostró que la presencia de arbustos aislados es determinante en el establecimiento de regeneración y que Ilex dumosa var. guaranina, Ocotea lancifolia y Miconia chamissois promovieron significativamente la abundancia y riqueza de los mismos. La regeneración estuvo compuesta por 21 especies pero principalmente estructurada por Miconia chamissois, Ilex dumosa var. guaranina, Citronella gongonha y Myrsine parvula. Los resultados indican además que Ilex dumosa var. guaranina fue la especie solitaria más abundante, y una de las que mejor regeneran en estas condiciones. Considerando que estos arbustos pueden llegar a constituir el estado inicial en la formación de fragmentos de selva más o menos grandes, se sugiere que el atributo de abundancia de esta especie en este tipo de sucesión leñosa primaria guarda relación con la expresión “ka’a mirĩ” (la selva incipiente, un nombre guaraní de Ilex dumosa var. guaranina.

  18. Regeneração natural de espécies arbóreas em fragmento de Floresta Estacional Semidecidual Montana, no domínio da Mata Atlântica, em Viçosa, MG

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    Cristina Cunha Garcia

    2011-12-01

    Full Text Available O presente estudo objetivou analisar a composição florística atual da regeneração natural, contrastando-a com levantamentos anteriores pertencentes a um monitoramento iniciado em 1992, em fragmento de Floresta Estacional Semidecidual Montana, em Viçosa, MG. Os locais de estudo correspondem a dez sítios escolhidos em função das características fisiográficas declividade, exposição e posição topográfica do terreno. Foram estimados os índices de regeneração natural por espécie para cada classe de tamanho de planta (RNC para obtenção do índice de regeneração natural total (RNT. Foram amostrados 3.516 indivíduos, pertencentes a 140 morfoespécies arbóreas, incluindo indivíduos de 10 cm a 3 m de altura e diâmetro a 1,3 m (DAP menor que 5 cm. O maior número de indivíduos foi amostrado nas famílias Rubiaceae, Fabaceae Mimosoideae, Monimiaceae, Fabaceae Papilionoideae, mas as famílias mais ricas foram Fabaceae Caesalpinoideae, Fabaceae Papilionoideae, Euphorbiaceae, Lauraceae, Myrtaceae e Rubiaceae. As espécies que apresentaram os maiores RNTs foram: Psychotria sessilis, Siparuna guianensis, Anadenanthera peregrina e Piptadenia gonoacantha. Este monitoramento sugere uma substituição contínua de espécies de estágios iniciais de sucessão por outras de estágios mais avançados, demonstrando a importância da proteção dos fragmentos florestais remanescentes para a manutenção ou aumento da biodiversidade da região.

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

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    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.

  20. Dinâmica do uso e ocupação da terra na microbacia do Ribeirão São Bartolomeu - Viçosa, MG

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    Tássia Alves Costa

    2013-09-01

    Full Text Available O presente trabalho teve como objetivo principal mapear as classes de uso e ocupação da terra nos anos de 1963, 1987 e 2007, na microbacia do ribeirão São Bartolomeu, situada no município de Viçosa, Minas Gerais. Para cobrir toda a área de estudo foram necessárias 8 fotografias aéreas de 1963, 4 ortofotocartas de 1987 e 2 imagens IKONOS II de 2007, sendo que as mesmas foram unidas para formar seus respectivos mosaicos. Em seguida, utilizando-se das ferramentas de geoprocessamento, foram mapeadas as áreas de 9 classes de uso da terra em cada um dos anos citados, a saber: Agricultura, Área Urbana, Benfeitoria, Cafezal, Floresta Nativa, Floresta Plantada, Lagos, Pastagem e Vias de Acesso, mediante interpretação visual em tela. Como principais resultados, citam-se: a classe predominante na área de estudo foi a de Pastagem, que ao longo do tempo, se manteve no patamar de 50%; as classes de Cafezal, Agricultura e Área Urbana experimentaram grandes expansões do ano de 1963 para os anos de 1987 e 2007; a classe de Floresta Nativa sofreu pequenas alterações entre as datas avaliadas,tendo permanecido próximo de 30% da área de ocupação. O presente trabalho permitiu avaliar, de forma eficiente, a dinâmica de mudanças das classes de uso e cobertura da terra ao longo de 44 anos, as quais constituem-se em importantes ferramentas de planejamento à tomada de decisão.

  1. 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.

  2. 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.

  3. A política de treinamento dos servidores técnico-administrativos da Universidade Federal de Viçosa (UFV na percepção dos treinados e dos dirigentes da instituição Training policy for the technical-administrative staff at the Federal University of Viçosa (UFV as perceived by trained employees and managers

    Directory of Open Access Journals (Sweden)

    Elenice Maria de Magalhães

    2010-02-01

    Full Text Available Desde a década de 1990, o setor público brasileiro tem buscado modificar sua atuação perante a sociedade. Em um contexto de reformas, a área de recursos humanos tornase essencial, pois são as pessoas que colocam em prática tais mudanças. Uma política de recursos humanos imprescindível para o êxito das reformas é o treinamento, que possibilita a capacitação do funcionário para um melhor desempenho na prestação de serviços aos cidadãos. Este artigo identifica o modo como o treinamento dos servidores técnico-administrativos (STAs influencia a realização das atividades na Universidade Federal de Viçosa (UFV, na percepção dos treinados e dos dirigentes da instituição. As informações foram obtidas por meio de uma revisão da literatura, de visita à diretoria de recursos humanos da UFV, e de entrevistas com alguns treinados e dirigentes da instituição. De acordo com os resultados, existem diversos fatores que interferem positiva e negativamente no processo de treinamento. A falta de uma política de aperfeiçoamento formalizada e a legislação contribuem para essa realidade. Como o processo não é bem estruturado, não existe um planejamento para as atividades de treinamento, nem mesmo uma avaliação do STA que o fez.Since the 1990s the Brazilian public sector has made an effort to improve its performance. In a context of reforms, the human resources area is essential, because it is people who make the change. A human resource policy crucial for the reforms' success refers to training, which gives the employees the skills needed to improve his/hers performance while serving the public. This article identifies the ways in which the training of technical-administrative staff (TAS influences the activities at the Federal University of Viçosa, UFV (in the state of Minas Gerais, Brazil, according to the trained employees and the management. The information was obtained by reviewing the literature, visiting the human

  4. 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

  5. Raamat annab oma osa Betti Alveri tundmiseks

    Index Scriptorium Estoniae

    2007-01-01

    Betti Alver : usutlused. Kirjad. Päevikukatked. Mälestused / koostanud ja toimetanud Kristi Metste, Enn Lillemets. Tallinn : Tänapäev, 2007. Esitlus 30. okt. Tartu Kirjanduse Majas. Vt. ka Linnaleht : Tartu, 1. nov., lk. 2 ; Looming, 2007, nr. 11, lk. 1752

  6. OSA Imaging and Applied Optics Congress Support

    Science.gov (United States)

    2017-02-16

    560 Andreas Erdmann Fraunhofer Institute for Integrated $230 Systems and Device Technology IlSB Moti Fridman Bar Ilan University $230 A mal...Society of America, 2016), paper CT4C.3. D. Marx and B. Kern , "Phase Retrieval Implementation for the WFIRST Coronagraph Development Testbed," in...Holographic Display using Digital Micro-mirror Device ," in Imaging and Applied Optics 2016, (Optical Society of America, 2016), paper JW4A.43. S. JIAO

  7. 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

  8. Teadlikult lihtne osa Saksa disainist / Ave Randviir

    Index Scriptorium Estoniae

    Randviir, Ave, 1981-

    2006-01-01

    1980.-1990. aastate Saksa disaini rändnäitusest "Teadlik, lihtne - teadlikult lihtne" Eesti Tarbekunsti- ja Disainimuuseumis. Kuraatorid Volker Albus, Markus Bach ja Monika Wall. Väljapaistvamatest töödest näitusel

  9. Mitmel koolil osa õppekavu tunnustamata / Sigrid Laev

    Index Scriptorium Estoniae

    Laev, Sigrid

    2004-01-01

    Peale selle, et Tallinna Pedagoogikaülikooli tele- ja raadiorežii eriala kaob, ei saa õppetööd jätkata ka Eesti Kunstiakadeemia Pärnu kolledži kunsti õppekava tudengid ning EBSi ärijuhtimise doktorikraadi tegijad

  10. 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

  11. 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

  12. "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

  13. Tuumajaama projekti osas valitseb teadmatus / Andrus Karnau

    Index Scriptorium Estoniae

    Karnau, Andrus

    2006-01-01

    Ilmunud ka: Postimees : na russkom jazõke 3. apr. lk. 2. TNS Emori avaliku arvamuse küsitluse tulemustest Eesti osalemise kohta Leedu tuumajaama projektis: 36 protsenti vastanuist oli kindlasti ja pigem projektis osalemise poolt ning 41 protsenti kindlasti ja pigem vastu. Lisa: Rahvas kahtleb

  14. 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

  15. 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.

  16. 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.

  17. Thomas Luis, pintor maneirista do sacro e do profano: arte, conservação e restauro:casos de Évora, Aldeia Galega, Elvas, Idanha-a-Nova e Vila Viçosa - Séculos XVI a XVII

    OpenAIRE

    Cordeiro, Filipa Raposo

    2014-01-01

    Tese de doutoramento, História (Arte Património e Restauro), Universidade de Lisboa, Faculdade de Letras, 2014 A presente dissertação tem como objectivo apresentar um estudo interdisciplinar inovador sobre as pinturas retabulares e murais do artista inglês Thomas Luis (Thomas Lewis). Estas obras, realizadas entre c. 1582 e c. 1603, estão localizadas em cinco zonas de Portugal: Évora, antiga Aldeia Galega (actual Montijo), Elvas, Idanha-a-Nova e Vila Viçosa. Trata-se de um pintor pouco estu...

  18. Hábito e preferência alimentar de adolescentes residentes na zona rural e urbana de Viçosa-MG: análise dos fatores determinantes e da relação com o estado nutricional e de saúde

    OpenAIRE

    Silva, Daniela Alves

    2012-01-01

    A adoção de hábitos de vida inadequados na adolescência pode propiciar o desenvolvimento de alterações no estado nutricional, composição corporal e perfil lipídico nesta fase, favorecendo o desenvolvimento de fatores de risco cardiovascular. Objetivou-se avaliar a prevalência e fatores associados às alterações bioquímicas, ao estado nutricional, ao hábito e preferência alimentar e a qualidade da dieta em adolescentes da zona rural e urbana de Viçosa-MG. Inicialmente, buscaram-se os adolesc...

  19. Efecto de la temperatura en la regeneración de especies leñosas del Chaco Serrano e implicancias en la distribución actual y potencial de bosques

    Directory of Open Access Journals (Sweden)

    Ana I Pais Bosch

    2012-12-01

    Full Text Available La temperatura influye sobre los límites de distribución de las especies leñosas, actuando sobre los procesos asociados con la fase regenerativa de las plantas. Nos propusimos analizar su influencia en la distribución altitudinal del bosque chaqueño serrano y su potencial coexistencia con bosquecillos de altura en las Sierras Grandes de Córdoba. Se evaluó la regeneración a campo de dos especies del bosque serrano (Ruprechtia apetala y Lithraea molleoides y la dominante en los bosquecillos de altura (Polylepis australis abarcando el gradiente altitudinal completo de estas sierras (900-2700 m s.n.m.. En el laboratorio se evaluó la germinación bajo cuatro termo-períodos representativos de las condiciones del gradiente altitudinal. Polylepis australis germinó en los cuatro termo-períodos y en los siete niveles altitudinales en el campo. L. molleoides mostró nula germinación a bajas temperaturas (10/5ºC en el laboratorio, pero germinó y sus renovales sobrevivieron en todo el gradiente altitudinal en el experimento de campo. Ruprechtia apetala fue la más restringida, no estableciéndose por encima de 1500 m s.n.m. a campo, ni germinando a bajas temperaturas en el laboratorio. Los resultados obtenidos sugieren que, al menos en términos de reclutamiento y establecimiento de renovales, la franja altitudinal de 1400-1700 m s.n.m. de las Sierras Grandes de Córdoba, tiene potencialidad para albergar una comunidad de transición, con elementos leñosos del bosque serrano y de los bosquecillos de altura.The effect of temperature in the regeneration of Mountain Chaco woody species and implications on the current and potential distribution of forests. Temperature influences the distribution of woody species by acting on processes associated with the regenerative phase of the plants. We analyzed its influence on the altitudinal distribution of the montane Chaco woodland and its potential coexistence with high mountain Polylepis woodlands in

  20. 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

  1. 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

  2. Nikolja Sarkozi dumajet ob estonskihh druzjahh / Aleksei Toom

    Index Scriptorium Estoniae

    Toom, Aleksei

    2004-01-01

    Prantsuse rahandusminister Nicolas Sarkozy kritiseerib Eesti ettevõtetele kehtestatud nullprotsendilist tulumaksu. Ülevaade Euroopa Liidu struktuurifondidest ja nende vahendite eraldamise põhimõtetest

  3. OSA Proceedings on Picosecond Electronics and Optoelectronics. Volume 4

    Science.gov (United States)

    1989-01-01

    Diamond ................ 170 Don Kania, Otto L. Landen, Lawrence Pan, Piero Pianetta, and K V. Ravi- ,. Part 6 Optical Switches, Detectors, and...pro- of the fitted parameters are listed in vided by Prof. Sergio Cova from the Poly- Table lB. Figure 3A shows the instrumental technical University of...Livennore, California 94550 Lawrence Pan and Piero Pianetta Stanford Synchrotron Radiation Laboratory, Stanford University, Bin 99, P.O. Box 4349

  4. Saaremaa rahvaliitlased on liitumise osas ettevaatlikud / Ain Lember

    Index Scriptorium Estoniae

    Lember, Ain

    2009-01-01

    Keskerakonna poolt Rahvaliidule tehtud ühinemisettepanekut arutanud ERL Saaremaa maakonnaühendus ei poolda liitumist seni väljapakutud tingimustel. SDE juhatus moodustas töörühma, kes hakkab pidama konsultatsioone ERL-i ja EER-iga võimaliku liitumise üle

  5. 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.

  6. OR State Profile. Oregon: Oregon State Assessment System (OSAS)

    Science.gov (United States)

    Center on Education Policy, 2010

    2010-01-01

    This paper provides information about Oregon State Assessment System. Its purpose is to assess proficiency in the Essential Skills for the purpose of earning a regular or modified high school diploma. Oregon Assessment of Knowledge and Skills is also used for federal accountability purposes under No Child Left Behind. [For the main report,…

  7. 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.

  8. 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)

  9. 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

  10. 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

  11. Osa raudteest jääb riigile / Andres Reimer

    Index Scriptorium Estoniae

    Reimer, Andres

    2000-01-01

    Eesti Raudtee erastamisnõustaja GIBB Ltd. sai eile teede- ja sideminister Toivo Jürgensonilt ülesande valmistada ette 51-66 % Eesti Raudtee aktsiate erastamine. Ilmunud ka: Delovõje Vedomosti 2. veebr. lk. 6

  12. Oravapartei hüppas aktsiiside osas vastasleeri / Tuuli Koch

    Index Scriptorium Estoniae

    Koch, Tuuli

    2007-01-01

    Ilmunud ka: Postimees : na russkom jazõke, 13. juuni 2007, lk. 2. Postimees : na russkom jazõke autorita. Riigikokku jõuab alkoholi aktsiisitõusu puudutav eelnõu, milles varem kokku lepitud 30%-line aktsiisitõus langes 20%-le opositsiooni ettepanekul ja Reformierakonna vaikival nõusolekul

  13. 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 ...

  14. Vara mahakandmise maksuriskid. [1.-2. osa] / Tõnis Jakob

    Index Scriptorium Estoniae

    Jakob, Tõnis, 1951-

    2017-01-01

    Vara mahakandmise maksuriskidest, vara väärtuse vähenemisest ja allahindamisest raamatupidamises. Vara mahakandmisel tekkivatest maksutagajärgedest tulumaksuseaduse alusel. Vara mahakandmisega seotud käibemaksukohustusest. Sisaldab asjakohast kohtupraktikat

  15. 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

  16. Severni matkarada. 1.-3. osa / Siiri Merila-Hubbard

    Index Scriptorium Estoniae

    Merila-Hubbard, Siiri

    2011-01-01

    Suurbritannia pikima jõe Severni (walesi keeles Hafren) kallast mööda looklevast matkarajast, mis algab Plinlimoni mäeahelikul ning kulgeb läbi Kesk-Walesi ja Lääne Inglismaa Bristoli laheni. Matkarajale jäävate linnade, külade ning endiste tööstusasulate vaatamisväärsustest ja ajaloost

  17. 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

  18. 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

  19. 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.

  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. 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

  2. Tugev sissetuleva turismi osa tagas edu / Liina Leiten

    Index Scriptorium Estoniae

    Leiten, Liina

    2003-01-01

    Reisifirmade TOP 40 2. koht. Reisieksperdi AS-i juhatuse esimees Sven Lõokene vaatleb sissetulevat turismi kui ettevõtte edu alust ning teeb ülevaate klientide sihtgruppidest, kaugreiside korraldamisest ja ettevõtte perspektiividest. Kommenteerivad Estraveli tegevdirektor Anne Samlik ja Baltic Tours'i turunduse projektijuht Janelle Joakit

  3. 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

  4. 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

  5. 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)

  6. 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.

  7. Variaciones climáticas entre 1988 y 2001, y sus posibles efectos sobre la fenología de varias especies leñosas y el manejo de un cafetal con sombra en Ciudad Colón de Mora, Costa Rica

    Directory of Open Access Journals (Sweden)

    Luis A. Fournier

    2004-01-01

    Full Text Available Este estudio analizó la precipitación y temperatura, tomadas in situ por más de 12 años, para determinar los posibles efectos sobre los ciclos fenológicos de varias especies leñosas, y el manejo de un cafetal con sombra en Ciudad Colón de Mora. El patrón climático general de la zona es el descrito para el Valle Intermontano Central. Para los factores climáticos analizados, la mayoría de los meses no mostró tendencias significativas hacia un aumento o disminución a través de los años (excepto para setiembre, donde aumentó la cantidad de lluvia caída y agosto, donde tendió a ampliarse las diferencias entre la temperatura máxima y mínima, pero si importantes variaciones anuales, en general asociadas con “El Niño” y “La Niña”. Estos pulsos tuvieron consecuencias significativas sobre la floración y la cosecha del café, así como en el manejo de las malezas, adelantando, atrasando, aumentando o disminuyendo dichos procesos. También se observó importantes desviaciones en el patrón fenológico de varias especies arbóreas de la región. Se determinó una correlación lineal positiva (P<0,01 entre la productividad y la cantidad de lluvia acumulada entre diciembre y abril, pero negativa con la temperatura máxima y la magnitud del ámbito de temperatura. Fueron detectados cambios temporales en los procesos reproductivos del café hacia un desplazamiento en el mes que se iniciaba la floración y la maduración del fruto. También se observó un decrecimiento general en la productividad del cafetal, siendo las más bajas a partir de 1997-1998. Se considera que otros factores, como la aparición de la roya en los años 80, la sustitución paulatina de la variedad de café, la reducción de la cantidad de fertilizantes, además del clima, interactuaron para provocar los efectos mencionados. Se resalta la importancia de contar con una buena base de datos meteorológicos para una toma de decisiones agronómicas acertada, en el

  8. 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

  9. Sarjateooria / Raivo Kelomees, Tiia Johannson

    Index Scriptorium Estoniae

    Kelomees, Raivo, 1960-

    2007-01-01

    Tiia Johannsoniga kahasse kirjutatud arutlus maalisarjadest kunstis, sarja avaldumisvõimalustest maali- ja videokunstis, erinevate vahendite kasutamisest ühe teema või idee esitamisel, sarjast kui iseseisvast kunstiteosest, mis kujuneb erinevate teoste summana

  10. 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

  11. 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

  12. Kala või õng? / Mai Vöörmann

    Index Scriptorium Estoniae

    Vöörmann, Mai, 1953-

    2002-01-01

    Poliitikauuringute Keskuse Praxis poolt läbi viidud uuringust selgus, et 67,7% sotsiaaltoetusteks eraldatavatest summadest läheb mittevaestele peredele, mis on hoiatav näide meie nappide vahendite kasutamisest

  13. 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

  14. Partnerid õppimises / Veiko Tamm

    Index Scriptorium Estoniae

    Tamm, Veiko

    2004-01-01

    18. detsembril 2003. a. kirjutasid Microsoft ja Eesti haridusministeerium alla rahvusvahelisele 5-aastasele koostööprogrammile "Partnerid õppimises" (Partners in Learning), mille eesmärk on toetada infotehnoloogia vahendite kasutamist üldharidus- ja kutsekoolides

  15. 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

  16. Desenvolvimento do maracujá doce em Viçosa, Minas Gerais Fruit development of sweet passion fruit in Viçosa, Minas Gerais

    Directory of Open Access Journals (Sweden)

    Robson Ribeiro Alves

    2013-02-01

    Full Text Available Foram avaliadas as mudanças físicas, químicas e fisiológicas ocorridas durante o desenvolvimento do maracujá doce, da antese até o completo amadurecimento na planta. Os frutos apresentaram formato ligeiramente oblongo, padrão de desenvolvimento sigmoidal simples e padrão climatérico para a respiração. O desenvolvimento do fruto foi dividido em três fases: divisão celular até 4,70 dias após a antese (daa, expansão celular de 4,70 daa até 28,94 daa e maturação, de 28,94 daa a 91 daa. Na primeira fase, há pouco incremento nas dimensões do fruto, altas taxas respiratórias, crescimento acelerado da espessura do pericarpo e coloração do pericarpo verde-claro. Na fase seguinte, há intenso desenvolvimento das dimensões do fruto, ganho acelerado de massa da matéria fresca e coloração do pericarpo verde-intenso. Na terceira fase, há tendência à estabilização das dimensões, desenvolvimento de polpa acentuado, o teor de sólidos solúveis aumenta, os teores de vitamina C e acidez titulável diminuem. O pico do climatério foi registrado aos 63 daa. No último dia de avaliação, aos 91 daa, a polpa (suco + sementes representava 24,46% da massa da matéria fresca total do fruto, o pericarpo respondia por 74,10% e as sementes isoladas, por 3,14%.The physical, chemical and physiological changes during the development of sweet passion fruit, from anthesis to ripening in the plant, were evaluated. Fruits had a slightly oblong shape, a simple sigmoidal pattern of development and climacteric pattern for respiration. Fruit development was divided into three phases: cell division up to 4.70 days after anthesis (daa; cell expansion from 4.70 daa to 28.94 daa and maturation from 28.94 to 91 daa. In the cell division phase, there is little increase in fruit size, high respiratory rates, rapid growth of the pericarp thickness, and pericarp of clear green color. In the cell expansion phase, there is intense development of the fruit's dimensions, accelerated fresh weight gain and pericarp of intense green color . In the maturation phase, there is a tendency to stabilize dimensions, rapid development of pulp, the soluble solids content increase and vitamin C and titratable acidity decrease. The climacteric peak was recorded at 63 daa. On the last day of evaluation, at 91 daa, the pulp (juice + seeds accounted for 24.46% of total fresh weight of the fruit, the pericarp accounted for 74.10% and isolated seeds for 3.14%.

  17. 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.

  18. 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.

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

    African Journals Online (AJOL)

    Michael Horsfall

    collected in clean 1.5 litre plastic jar with screw caps, and packed in cooler containing ice and transported to the laboratory within 24hours from the time of sample collection. The in situ measurement was carried out using potable digital meter, EXTECH pH-100 and HM digital EC/TDS/Temperature COM-100 respectively.

  20. 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

  1. 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

  2. Diversity of cetaceans in coastal seascape Golfo Dulce, Osa Peninsula, Costa Rica.

    OpenAIRE

    Oviedo, Lenin; Herra-Miranda, David A.; Pacheco-Polanco, Juan Diego; Figgener, Christine; Márquez-Artavia, Amaru; Quiros-Pereira, Wagner; Iñiguez, Miguel

    2015-01-01

    Golfo Dulce is a fiord-lilke embayment located in the southern Pacific of Costa Rica, this coastal-marine ecosystem harbors an important wealth in marine biodiversity, including cetaceans. In this study we describe the cetacean community of Golfo Dulce, in relation to the diversity of habitats constituting the seascape. Sighting data collected in periodic systematic surveys has yielded 943 records (2005-2014≈3 490h≈64 533km), of 12 species of cetaceans. A gradient of cetacean diversity is obs...

  3. Biochemistry Teaching in the Undergraduate Medical Course at Universidade Federalde Viçosa

    Directory of Open Access Journals (Sweden)

    L. Moreira Lima

    2011-04-01

    Full Text Available Background:The current competencies and abilities required for the training of medical professionals, recommended by the National Curriculum Guidelines for Undergraduate Medicine (DCN have initiated discussions about the teaching of biochemistry in medical schools. Objective: This study aimed to describe the rationale of education in the Clinical Laboratory Applieddisciplines – (LAC I, II, III, IV, V, VI, VII and VIII – which will be taught from first to eighth period of medical school at UFV. Methods:The disciplines weredesigned based on the competencies required for graduates of the course with 30 class hours each, always followingthe period of the study unit, integrated with other disciplines. Results:In the disciplines LACI and LAC II, taught in 2010, thestudents learned basic principles of biosafety, collection and storage of biological samples, validation of diagnostic tests, biochemical tests of cerebrospinal fluid, coagulation and renal function. They learned in the context of solving clinical cases presented and discussed in an integrated manner by a physician and a clinical biochemistry professor. Conclusion:According to the DCN, it is essential to facilitate the construction of knowledge in Biochemistry of themedical student, making the run for making clinical decisions based on scientific evidence.

  4. Et noor ei satuks kuritegelikule teele. [1.-2. osa] / Erki Nelis, Marilis Sepp, Merli Klein

    Index Scriptorium Estoniae

    Nelis, Erki

    2008-01-01

    Alaealiste poolt toime pandud varavastastest väärtegudest, kooli- ja perevägivallast, avaliku usalduse vastastest kuritegudest ja liiklusväärtegudest. Alaealiste narkosüütegudest, alkoholi ja tubaka tarbimisest. Alaealiste õigustest ja nende karistamisest

  5. Kott kui osa maailmapildist / Anu Ernits ; intervjueerinud Saara Vahermägi

    Index Scriptorium Estoniae

    Ernits, Anu

    2016-01-01

    Anu Ernitsa poolt disainitud sulgkaal-kottidest. Nende lähtematerjaliks on kootud polüpropüleenist kotikangas. Kasutusel on ainult taaskasutatud materjal, 25 ja 50 kilosed suhkru-, soola- ja jahukotid

  6. Student Service Personnel on Committees: Integration and Outreach. OSA Research Bulletin, Volume 17, Number 11.

    Science.gov (United States)

    Skinner, Kenneth; Hendricks, Glenn

    Besides carrying out specific duties stemming from their positions, student service personnel participate on numerous committees whose activities are related to the university. A survey of permanent and/or professional staff members in student services reveals that individuals serve on over 200 committees with a wide range of purposes. Committees…

  7. 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.

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

    OpenAIRE

    Luis Fernández-Ríos; Manuel Vilariño

    2016-01-01

    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 pla...

  9. 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.

  10. Maailma suusaorienteerumine vaatab kindlalt tulevikku. 1.-2. osa / Margus Hallik

    Index Scriptorium Estoniae

    Hallik, Margus, 1978-

    2009-01-01

    Rahvusvahelise Orienteerumisliidu (IOFi) poolt koostatud suundsuusatamise pikaajalisest strateegiast, spordiala reformimisest ja 2018. aasta taliolümpiamängude uueks spordialaks saamisest, suusaorienteerumise võistlussarjast "Ski-O Tour" ja suusaorienteerumisest Eestis

  11. 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

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

    LENUS (Irish Health Repository)

    Kamel Boulos, Maged N

    2011-12-21

    Abstract \\'Wikification of GIS by the masses\\' is a phrase-term first coined by Kamel Boulos in 2005, two years earlier than Goodchild\\'s term \\'Volunteered Geographic Information\\'. Six years later (2005-2011), OpenStreetMap and Google Earth (GE) are now full-fledged, crowdsourced \\'Wikipedias of the Earth\\' par excellence, with millions of users contributing their own layers to GE, attaching photos, videos, notes and even 3-D (three dimensional) models to locations in GE. From using Twitter in participatory sensing and bicycle-mounted sensors in pervasive environmental sensing, to creating a 100,000-sensor geo-mashup using Semantic Web technology, to the 3-D visualisation of indoor and outdoor surveillance data in real-time and the development of next-generation, collaborative natural user interfaces that will power the spatially-enabled public health and emergency situation rooms of the future, where sensor data and citizen reports can be triaged and acted upon in real-time by distributed teams of professionals, this paper offers a comprehensive state-of-the-art review of the overlapping domains of the Sensor Web, citizen sensing and \\'human-in-the-loop sensing\\' in the era of the Mobile and Social Web, and the roles these domains can play in environmental and public health surveillance and crisis\\/disaster informatics. We provide an in-depth review of the key issues and trends in these areas, the challenges faced when reasoning and making decisions with real-time crowdsourced data (such as issues of information overload, "noise", misinformation, bias and trust), the core technologies and Open Geospatial Consortium (OGC) standards involved (Sensor Web Enablement and Open GeoSMS), as well as a few outstanding project implementation examples from around the world.

  13. Process optimization of ultrasound-assisted curcumin nanoemulsions stabilized by OSA-modified starch.

    Science.gov (United States)

    Abbas, Shabbar; Bashari, Mohanad; Akhtar, Waseem; Li, Wei Wei; Zhang, Xiaoming

    2014-07-01

    This study reports on the process optimization of ultrasound-assisted, food-grade oil-water nanoemulsions stabilized by modified starches. In this work, effects of major emulsification process variables including applied power in terms of power density and sonication time, and formulation parameters, that is, surfactant type and concentration, bioactive concentration and dispersed-phase volume fraction were investigated on the mean droplet diameter, polydispersity index and charge on the emulsion droplets. Emulsifying properties of octenyl succinic anhydride modified starches, that is, Purity Gum 2000, Hi-Cap 100 and Purity Gum Ultra, and the size stability of corresponding emulsion droplets during the 1 month storage period were also investigated. Results revealed that the smallest and more stable nanoemulsion droplets were obtained when coarse emulsions treated at 40% of applied power (power density: 1.36 W/mL) for 7 min, stabilized by 1.5% (w/v) Purity Gum Ultra. Optimum volume fraction of oil (medium chain triglycerides) and the concentration of bioactive compound (curcumin) dispersed were 0.05 and 6 mg/mL oil, respectively. These results indicated that the ultrasound-assisted emulsification could be successfully used for the preparation of starch-stabilized nanoemulsions at lower temperatures (40-45 °C) and reduced energy consumption. Copyright © 2013 Elsevier B.V. All rights reserved.

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

    Science.gov (United States)

    1998-05-26

    characterization study on vicinal (HO)-GaAs substrates," J. Cryst. Growth 132 166-172 (1993) 8. W. Andreas Schroeder, D. S. McCallum D. R. Harken...liquid crystal," Appl. Phys. Lett., 18, pp. 127-128 (1971). - T. J. Scheffer and J. Nehring, Appl. Phys. Lett., 45, pp. 1021 (1984). Ferroelectric

  15. Preliminary results of seaweed extract application on olive trees Cobrançosa and Galega

    OpenAIRE

    Mota, M; Lopes, J.P.S.

    2012-01-01

    Recently, new products designated as biostimulants have become available to farmers, aiming an improvement of the nutrient use and crop performance, namely in fruit set. The application of a seaweed based biostimulant was studied in olive trees ‘Galega’ and ‘Cobrançosa’. The field trial was conducted in an olive orchard near Santarém (Portugal) and biostimulant action was analysed in terms of fruit set and activity of enzymes involved in nitrogen metabolism (nitrate r...

  16. 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

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

    Science.gov (United States)

    1997-01-01

    Kawanishi, H. Takara and M. Saruwatari, "Multiple-output 100 Gb/s all-optical demultiplexer based on multichannel four-wave mixing pumped by a linearly...1995). [7] S. Kawanishi, H. Takara , T. Morioka, O. Kamatani, and M. Saruwatari, 薘 Gb/s, 100 km time division multiplexed optical transmission...47] P.A. Andrekson, "Picosecond optical sampling using four wave mixing in fibre", Electron. Lett.,.27, no. 16, p. 1440, (1991). [48] H. Takara

  18. OSA 1: Itämeren suojelun taloudelliset hyödyt ja kustannukset

    DEFF Research Database (Denmark)

    Hyytiäinen, Kari; Ahlvik, Lassi; Ahtiainen, Heini

    2012-01-01

    to different sectors and how effective are the abatement measures that are used. As part of the projects, cost-benefit analyses were made for the three main threats to the Baltic Sea: eutrophication, oil pollution from maritime traffic and invasive species. The report presents the main results of the studies......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...... 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...

  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. 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

  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. 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

  3. 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

  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. ANTERIOR PALATOPLASTY: EFFECTIVENESS FOR TREATMENT OF SIMPLE SNORING AND MILD OSAS

    Directory of Open Access Journals (Sweden)

    Donatella Marchese

    2017-04-01

    Full Text Available Positive airway pressure is the treatment of choice among obstructive sleep apnea syndrome patients. Among surgical options, multilevel approach is a good option in patients with an involvement of all tract of first airway. The aim of the present work is to establish the efficacy of anterior palatoplasty in the treatment of selected patients with mild obstructive sleep apnea syndrome or simple snoring, within a multilevel surgery. The group was composed of 16 mild obstructive sleep apnea syndrome adult patients collected from January 2015 to June 2016 at University of Palermo, Ear, Nose and Throat Department. To make diagnosis of obstructive sleep apnea syndrome, we employed polysomnography, the Epworth Sleepiness Scale and an endoscopic study of aerodigestive tract in order to identify the sites of collapse. All patients underwent to inferior turbinate reduction, anterior pharyngoplasty and hyoid suspension. After treatment, 11 patients had Apnea Hypopnea Index ≤5 and 4 patients less than 50% compared to the starting one. According to Epworth Sleepiness Scale, the daytime sleepiness enhanced from 12.6 to 8.6 post-operative average. Pre-operative mean value of Muller’s maneuver was N (nose:2.6, O (oropharinx: 3.4, H (hypopharinx:2.5 Before performing surgical procedure each patient was subjected to sleep endoscopy to evaluate better the pattern of collapse. The post-operative mean outcomes of Mueller’s Maneuver was: N 1.5, O 1.3, H 1.3. Barbed Anterior pharyngoplasty, combined with other surgical procedures, can be considered a valid surgical option to relieve snoring, and mild apnoic events. Our preliminary results, show that the anterior palatoplasty, combined with other surgical procedures, can be considered a valid surgical option to relieve snoring and mild apnoic events.

  6. Uuring : suur osa ettevõtmisi viidaks ellu ka riigipoolse abita / Erik Aru

    Index Scriptorium Estoniae

    Aru, Erik

    2007-01-01

    Poliitikauuringute keskuse Praxis uuringutest järeldus, et vähem kui 15% aastal 2004-2005 toetust saanud ettevõtetest on kasutanud rohkem kui ühte riigi poolt ettevõtluse arendamiseks mõeldud toetust, ettevõtjad teavad riigitoetustest vähe. Vt. samas: Vaadeldud projektid

  7. 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.

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

    Science.gov (United States)

    2008-01-01

    i.e., pnea hypoapnea index (AHI)) (Fig. 1) [11]. Furthermore, educed apnea frequency followed weight loss in another ohort study [13]. Although, the...used PAP treatment during the program while the other did not. urprisingly, CPAP users exhibited similar weight loss to the ntreated group. As we...376. 45] I.A. Harsch, P.C. Konturek, et al., Leptin and ghrelin levels in patients with obstructive sleep apnoea: effect of CPAP treatment, Eur. Respir

  9. Osa eestlastest joob vähi teket soodustavat vett / Gert D. Hankewitz

    Index Scriptorium Estoniae

    Hankewitz, Gert D.

    2007-01-01

    Sotsiaalministeeriumi tellimusel valminud uuringu kohaselt tarbib umbes 14 protsenti eestlastest maapõuest pumbatud vett, mille radioaktiivsus ületab kehtestatud norme. Lisaks kaart: Radioaktiivne vesi ohustab elanike tervist mitmes Põhja-Eesti vallas

  10. 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

  11. 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"

  12. 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

  13. 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.

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

    LENUS (Irish Health Repository)

    Smith, Valerie

    2011-02-01

    Hundreds of studies of maternity care interventions have been published, too many for most people involved in providing maternity care to identify and consider when making decisions. It became apparent that systematic reviews of individual studies were required to appraise, summarise and bring together existing studies in a single place. However, decision makers are increasingly faced by a plethora of such reviews and these are likely to be of variable quality and scope, with more than one review of important topics. Systematic reviews (or overviews) of reviews are a logical and appropriate next step, allowing the findings of separate reviews to be compared and contrasted, providing clinical decision makers with the evidence they need.

  15. Positional OSA part 2 : retrospective cohort analysis with a new classification system (APOC)

    NARCIS (Netherlands)

    Ravesloot, M.J.L.; Frank, M.H.; van Maanen, J.P.; Verhagen, E.A.; de Lange, J.; de Vries, N.

    2016-01-01

    Background. In Part 1 of this two-part article, the Amsterdam Positional Obstructive Sleep Apnoea Classification (APOC) was recently introduced, a classification system aimed at facilitating the identification of suitable candidates for positional therapy (PT): patients who will benefit from a

  16. Osa direktoreist peab koolide pantimist sunnitud käiguks / Urmas Seaver

    Index Scriptorium Estoniae

    Seaver, Urmas

    2002-01-01

    Mitu Tallinna koolijuhti peab abilinnapea Rein Langi plaanitava koolide haldusfirma rentnikuks hakkamist sundkäiguks, sest vastasel korral pole neil lootust remondiks raha saada. Langi kava kohaselt looks linn jaanuaris aktsiaseltsi Tallinna Koolimajad, kelle haldusesse antakse esmalt 13 koolihoonet.

  17. 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

  18. 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

  19. Psühholoogilise kriminoloogia arengujoooni. [1.-2. osa] / Jüri Saar

    Index Scriptorium Estoniae

    Saar, Jüri, 1956-

    1999-01-01

    C. Beccaria (1738-1794), J. Benthami (1748-1832), C. Lombroso (1835-1909), E. Durkheimi (1858-1917), A. Binet (1857-1911), H. H. Goddardi (1866-1957) ja S. Freudi (1856-1939) kriminoloogia-alastest teooriatest. Psühhopaatia ja kuritegeliku käitumise vahekorrast, H. J. Eysenck'i (1916-1997) teooriast, biheiviorismist jt. sotsioloogilise ja psühholoogilise kriminoloogia teooriatest

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

    LENUS (Irish Health Repository)

    Kubiak, Christine

    2009-10-16

    Abstract Background Thorough knowledge of the regulatory requirements is a challenging prerequisite for conducting multinational clinical studies in Europe given their complexity and heterogeneity in regulation and perception across the EU member states. Methods In order to summarise the current situation in relation to the wide spectrum of clinical research, the European Clinical Research Infrastructures Network (ECRIN) developed a multinational survey in ten European countries. However a lack of common classification framework for major categories of clinical research was identified, and therefore reaching an agreement on a common classification was the initial step in the development of the survey. Results The ECRIN transnational working group on regulation, composed of experts in the field of clinical research from ten European countries, defined seven major categories of clinical research that seem relevant from both the regulatory and the scientific points of view, and correspond to congruent definitions in all countries: clinical trials on medicinal products; clinical trials on medical devices; other therapeutic trials (including surgery trials, transplantation trials, transfusion trials, trials with cell therapy, etc.); diagnostic studies; clinical research on nutrition; other interventional clinical research (including trials in complementary and alternative medicine, trials with collection of blood or tissue samples, physiology studies, etc.); and epidemiology studies. Our classification was essential to develop a survey focused on protocol submission to ethics committees and competent authorities, procedures for amendments, requirements for sponsor and insurance, and adverse event reporting following five main phases: drafting, consensus, data collection, validation, and finalising. Conclusion The list of clinical research categories as used for the survey could serve as a contribution to the, much needed, task of harmonisation and simplification of the regulatory requirements for clinical research in Europe.

  1. 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

  2. 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

  3. 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.

  4. Origem, sucessão e estrutura de uma floresta de galeria periodicamente alagada em Viçosa-MG Origin, sucession and structure of a periodically flooded gallery forest in Viçosa, Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    João Augusto Alves Meira Neto

    2003-08-01

    Full Text Available O estudo das estruturas fitossociológicas e de tamanhos em fragmentos florestais secundários permite inferências a respeito da composição e das estruturas originais do início da sucessão secundária. Em se tratando de matas de galeria ou ciliares, a importância desses estudos aumenta com a crescente pressão causada por impactos em cursos d'água e suas margens, especialmente as construções de barragens para hidrelétricas. Com este trabalho objetivou-se descrever a estrutura de uma mata de galeria secundária e, a partir desta, identificar uma população de espécie arbórea que participou do início do processo sucessional nessa floresta. Em seguida, com esses dados, objetivou-se estudar a estrutura genética e levantar dados sobre a biologia dessa espécie, que provavelmente iniciou o processo sucessional. Foi realizado um censo de todas as árvores que apresentassem circunferência do caule a 1,3 m do solo maior ou igual a 10 cm. Das 48 espécies de árvores incluídas, 87,5% são endozoocóricas e 12,5 anemocóricas. Das anemocóricas, as com menores diásporos apresentaram maior densidade nessa floresta, que está isolada das outras por pastagens. A mata de galeria em questão apresentou como espécies mais importantes (VI ovata, Erythrina falcata e Euterpe edulis. Espécies de Ficus do subgênero Urostigma apresentaram grande biomassa, apesar da baixa densidade. Erythrina falcata foi considerada uma das espécies de maior importância, provavelmente associada às espécies de Ficus, no início da sucessão secundária, pela estrutura de diâmetros de caule por ela apresentada. Em Erythrina falcata foram analisados os sistemas isoenzimáticos de Isocitrato Desidrogenase, Peroxidase, Fosfogluco Mutase e Xiquimato Desidrogenase por meio de zimogramas. A população dos 27 indivíduos de Erythrina falcata mostrou-se em equilíbrio de Hardy-Weinberg e com relativa alta diversidade alélica. A população de Erythrina falcata mostrou possuir condições biológicas e ecológicas para iniciar a sucessão secundária. A alta diversidade genética da população de Erythrina falcata pode ter sido um dos fatores determinantes do sucesso de colonização da área. A associação de Erythrina falcata com figueiras pode ter sido determinante no sucesso desse processo em seu início, e a associação inicial deve ter funcionado como sistema de baixa diversidade de espécies, comparável a outras florestas alagadas do Sudeste brasileiro.The study of the phytosociological structures and sizes in secondary forest fragments allows to make inferences on the original composition and structures at the beginning of the secondary succession. The importance of gallery or riparian forest studies increases with the increasing concerns on the impacts caused by water courses and their borders, specially the building of power plant dams. The objectives of this work were to describe the structure of a secondary gallery forest to identify an arboreous species population which participated at the beginning of the successional process in this forest and based on these data, to study the genetic structure and to assess the biology of the species which probably started the successional process. A survey of all the trees with a 1,3 m stem circumference from the ground greater than or equal to 10 cm was carried out. Out of the 48 tree species already included, 87.5% are endozoochoric and 12.5% are anemochoric. Out of the latter those with the smallest propagules presented greater density in this forest, which is isolated from others by pastures. The most important species (VI presented by this gallery forest were: Talauma ovata, Erythrina falcata and Euterpe edulis. Ficus species from the subgenus Urostigma presented a great biomass in spite of its low density. Erythrina falcata was considered one of the species of greater importance, probably associated to the Ficus species at the beginning of the secondary succession, due to the structure of the stem diameters presented. In Erythrina falcata, the isoenzymatic systems of Isocitrate Dehydrogenase, Peroxidase, Phosphoglyco Mutase and Xiquimate Dehydrogenase were analyzed by means of zimograms. The population of 27 individuals of Erythrina falcata was found in Hardy-Weinberg balance, presenting a relatively high allelic diversity. The population of Erythrina falcata was found to be under biological and ecological conditions to start the secondary succession. The high genetic diversity of the Erythrina falcata population could be one of the determinant factors for the success of the colonization of the area. The association of Erythrina falcata with trees of the Ficus genus could have been determinant for the successful beginning of this process of colonization, and the initial association may have functioned as a low diversity system of species, comparable to other flooded forests of Southeastern Brazil.

  5. Obstructive sleep apnea syndrome (OSAS) in children with Class III malocclusion: involvement of the PHOX2B gene.

    Science.gov (United States)

    Lavezzi, Anna Maria; Casale, Valentina; Oneda, Roberta; Gioventù, Silvia; Matturri, Luigi; Farronato, Giampietro

    2013-12-01

    The aim of this study is to provide new molecular approaches to the children with obstructive sleep apnea syndrome by evaluating the possible involvement of the PHOX2B gene, notoriously associated to congenital central hypoventilation syndrome (CCHS), in Class III malocclusion. Fifty subjects with Class III malocclusion, aged from 8 to 14 years, and with history of sleep apneic episodes, and 20 age-matched controls were submitted to genomic DNA examination from oral cells to specifically analyze the PHOX2B genotype. Point "silent" mutations affecting different nucleotides of the PHOX2B gene were observed in 32 % of patients with Class III malocclusion and never in controls (0 %). The genetic data obtained in this study in children with Class III malocclusion and sleep-related breathing disorders provide new information useful to the genetic characterization of this pathology. The PHOX2B gene silent mutations can lead to structural and functional modification of their product providing to a group of children with Class III malocclusion similar features to those of CCHS (sleep apnea episodes and craniofacial malformations).

  6. 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

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

    Science.gov (United States)

    2014-09-01

    set five years in the future. Autonomous systems of interest include submerged , surfaced, airborne and space-based robots as well as advanced...through pier-like structure or perform stern- gate marriages to amphibious well deck ships. Welded steel hull construction

  8. Euroopa Komisjoni otsus Kesko ja ICA ühisfirma osas tuleb sel kuul / Andres Kärssin

    Index Scriptorium Estoniae

    Kärssin, Andres, 1971-

    2004-01-01

    Kesko ja ICA teatasid 2003. aasta detsembris, et plaanivad luua ühisfirma ettevõtte seniste üksuste põhjal Eestis, Lätis ja Leedus tegutsemiseks Baltimaade toidukaupade turul. Ettevõtete ühinemisplaani suhtes peaks novembrikuu jooksul otsuse tegema Euroopa Komisjoni Konkurentsi Peadirektoraat

  9. 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.

  10. How the Navy Can Use Open Systems Architecture to Revolutionize Capability Acquisition: The Naval OSA Strategy Can Yield Multiple Benefits

    Science.gov (United States)

    2015-04-30

    between the United States, Canada, United Kingdom, Australia, and New Zealand . Through multinational collaboration and coordinated investment within...research and development effort on middleware for distributed real-time and embedded (DRE) systems. Dr. Schmidt received BS and MA degrees in sociology ...government’s ability to bring third parties into the marketplace to either add new capabilities or compete the role of system integration. This

  11. 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

  12. 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

  13. 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

  14. 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

    2010 to go on sabbatical leave, taking positions in New Zealand and Singapore. He is currently site director for the National Science Foundation’s...Professor, and the Northrop-Grumman Professor of X-ray Photonics. In addition he has worked on sabbatical visits to universities and institutes in German

  15. 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

    short-range vacuum. Unlike past capacitance and potentiometry repulsive forces dominate and deflect the tip and measurements using an SFM 2-4, which...the measurement and potentiometry by force microscopy," CPW circuit using the SFM sampling system. (Bottom) Appi. Phys. Lett., 52, 1103-1105 (1988). 3...have presented a new measurement technique that should be capable of measuring voltage 4 M. Anders, M. Muck, and C. Heiden, " Potentiometry signals

  16. 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.

  17. Validation of a new domiciliary diagnosis device for automatic diagnosis of patients with clinical suspicion of OSA.

    Science.gov (United States)

    Durán-Cantolla, Joaquín; Zamora Almeida, Gabriela; Vegas Diaz de Guereñu, Odei; Saracho Rotaeche, Luis; Hamdan Alkhraisat, Mohammad; Durán Carro, Joaquín; Egea Santaolalla, Carlos; Anitua, Eduardo

    2017-02-01

    Obstructive sleep apnoea is a prevalent and considerably underdiagnosed disease. The development of cost-effective, home-based, automatic diagnostic devices to improve the diagnosis accessibility is therefore essential. In this study, a new portable polygraph (BTI-APNiA) was used to validate automatic scoring. This five-channel device records respiratory flow, oxygen saturation, heart rate, body position and snoring. The validation was performed in two phases. In the first phase, manual and automatic scorings of a new respiratory polygraphy (RP) device (BTI-APNiA) were compared. In the second phase, automatic analysis performed with BTI-APNiA was compared with manual scoring of a validated RP device (Embletta Gold). Phase I was completed by 424 patients (50.5% males, 52.2 ± 12.4 years, BMI of 25.4 ± 4.8 kg/m2 and Epworth Sleepiness Scale score of 8.0 ± 4.0). Manual and automatic analysis resulted in an apnoea-hypopnoea index (AHI) of 13.7 ± 12.7 and 14.0 ± 12.5 (P > 0.05), respectively. The interclass correlation coefficient (ICC) was 0.99 (P automatic analysis of the BTI-APNiA was 13.4 ± 14.7 (P > 0.05). The ICC was 0.68 (P automatic analysis of the BTI-APNiA is as accurate as manual analysis of AHI. This automatic analysis compared well with the manual analysis of a validated RP device (Embletta Gold). © 2016 Asian Pacific Society of Respirology.

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

    OpenAIRE

    Barrera Torres Eduardo

    1992-01-01

    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...

  19. 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.

  20. 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

  1. 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

  2. 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

  3. 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

  4. 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

  5. Za dlinnõm Kremljom / Dmitri Kamõshev, Sergei Minajev

    Index Scriptorium Estoniae

    Kamõshev, Dmitri

    2005-01-01

    Mööduv aasta kujunes Venemaa presidendivalimiste valimistsükli alguseks, Kreml alustas ellu viima plaani, mis tagaks võimu säilimise praegusele valitsevale grupeeringule. Rahvuslikud projektid, mis muudaksid miljonite venelaste elukvaliteeti, kaadri ümberpaigutused, kodanikuühendused riikliku kontrolli all, valimissüsteemi korrigeerimine, rahaliste vahendite allikad

  6. 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.

  7. 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

  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. UNIVERSITAS pöördus Vabariigi Valitsuse poole / Paul Tammela

    Index Scriptorium Estoniae

    Tammela, Paul, 1945-2015

    2007-01-01

    Eesti Kõrgkoolide, Teadus- ja Arendusasutuste Ametiliitude Ühenduse UNIVERSTAS seisukohad kõrgkoolidele ja teadusasutustele rahaliste vahendite eraldamise ning õppejõudude ja teadurite palgatõusu küsimuses. Päevakorral ka kollektiivlepingu uuendamine Tallinna Ülikoolis

  10. 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

  11. 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 ...

  12. 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

  13. 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

  14. Rice Multi-Gene Analysis

    Indian Academy of Sciences (India)

    gdyang

    Maps of all the intronic MIR genes analyzed using MPSS database in rice. Click here for a legend that explains the icons and colors in the image below. Click here to jump in the page below to the specific gene. osa-MIR159f osa-MIR399i osa-MIR418 osa-MIR437 osa-MIR439b osa-MIR439j osa-MIR440 osa-MIR442.

  15. Métodos fisioterápicos prenatales en la mujer añosa gestante: a propósito de un caso

    OpenAIRE

    Sayas Lavilla, Venesa

    2015-01-01

    El embarazo y el parto son procesos fisiológicos y naturales que producen en la mujer cambios destacados a nivel biomecánico y musculoesquelético. La fisioterapia preparto pretende prevenir y tratar alteraciones producidas en determinadas zonas del cuerpo, que se ven sometidas a un mayor estrés. Una de estas regiones es el suelo pélvico, ya que el aumento de peso de la madre, el incremento de la progesterona y la relaxina, la relajación de los músculos de la pared abdominal y el crecimient...

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

    Science.gov (United States)

    2013-09-29

    arbitrary values of permittivity ε and permeability μ and thus offer much expanded freedoms to manipulate EM waves. In this talk, I will briefly review our...arbitrary values of permittivity ε and permeability μ and thus offer much expanded freedoms to manipulate EM waves. In this talk, I will briefly...hyperbolic materials, microwave devices based on metamaterials, cloak, metamaterial absorber and Direct-Write Assembly by ceramic ink . 18

  17. 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

  18. Ümarlaua diskussioon. 1. osa : Euroopa Liidu Läänemere strateegia - väljakutse koostööle kohalikul ja regionaalsel tasandil

    Index Scriptorium Estoniae

    2010-01-01

    Konverentsi ümarlaual võtsid sõna Erik Terk, Toomas Vitsut, Thomas Johansson, Katrin Savomägi, Jasmin Etelämäki, Edvins Karnitis, Ulf Johansson, Per Gudmund Lindencrona, Mika Keränen, Uno Aldegren, Georg Sootla, Heikki Telakivi, Piret Hedin, Mart Repnau, Jüri Riives, Madis Kanarbik, Enn Saar, Tiiu Evert, Galina Gribanova, Keijo Sahrman, Linda Talve

  19. 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

  20. The Development of Freshman English, Chemistry, and Mathematics Course Placement Procedures for Fall, 1975 Freshmen (University of Minnesota, Twin Cities Campus). OSA Research Bulletin, Vol. 17, No. 4.

    Science.gov (United States)

    Armstrong, Roberta A.

    Beginning in Fall, 1975, applicants to Liberal Arts, Technology, and Forestry at the University of Minnesota could submit scores on either the Preliminary Scholastic Aptitude Test (PSAT) or the American College Testing Program's aptitude battery (ACT) to satisfy entrance testing requirements. This study determined that new course placement…

  1. A Comparison of Official Transcripts and Operational Records for Fall, 1975 University of Minnesota Registered Students. OSA Research Bulletin, v17 n7.

    Science.gov (United States)

    Lele, Kaustubh T.; Armstrong, Roberta A.

    This study was undertaken to provide data for a review of the University of Minnesota's two-transcript system, which maintains an operational record (including all work taken) and an official transcript (record of accomplishment only) for each student. The sample included all students registered in fall 1975. Actual differences between the two…

  2. 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

  3. 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.

  4. Diálogos sobre sexualidade com os/as adolescentes/jovens de Cabo de Santo Agostinho e Ipojuca - PE

    OpenAIRE

    Shuña, Rocio del Pilar Bravo

    2014-01-01

    Este estudo busca compreender como as/os adolescentes/jovens (interlocutoras/es), com idades entre 16 e 19 anos, moradores dos municípios de Cabo de Santo Agostinho e Ipojuca, significam a sexualidade, especificamente o início da suas vidas sexuais e o namoro, em interseção com os marcadores sociais de gênero, geração, raça e classe. Desta forma, procurou-se refletir sobre o método de intervenção utilizado, trazendo as experiências que são (re)construídas nos (des)encontros entre a/os pesquis...

  5. 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.

  6. 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

  7. 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

    criteria. a. Inclusion Criteria 1. Diagnosis of mild or moderate obstructive sleep apnea (AHI2:5.:S30) 2. Tricare eligible military health care...Lobbezoo, F., Hamburger, H.L., & Naeije, M. (2011). Oral appliance therapy versus nasal continuous positive airway pressure in obstructive sleep apnea ... oral appliance therapy in obstructive sleep apnea patients: part 1. Cephalometric analysis. American Journal of Orthodontics and Dentofacial Orthopedics

  8. 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.

  9. OSA Proceedings on Advanced Solid-State Lasers. Vol. 10 - Proceedings of the Topical Meeting, Hilton Head, SC, Mar. 18-20, 1991

    Energy Technology Data Exchange (ETDEWEB)

    Dube, G.; Chase, L. (McDonnell Douglas Electonic Systems Co., Saint Louis, MO (United States) Lawrence Livermore National Laboratory, Livermore, CA (United States))

    1991-01-01

    The present volume on advanced solid-state lasers discusses Cr(3+), Cr(4+), short-pulse, titanium, F-center, mid-IR, and diode-pumped lasers, and nonlinear optics. Attention is given to the stabilization and a spectral characterization of an alexandrite laser for water vapor lidar measurements, crystal growth and spectroscopy of Cr:LiBaAlF6, a Q-switched tunable forsterite laser, and electron paramagnetic resonance spectroscopy of chromium-doped forsterite. Topics addressed include efficient frequency doubling of a self-starting additive-pulse mode-locked diode-pumped Nd:YAG laser, recent advances in Ti:Al2O3 unstable-resonator lasers, all-solid-state operation of a CW Ti:Al2O3 laser, and upconversion studies of flashlamp-pumped Cr,T,Ho:YAG. Also discussed are the top output parameters of an Ho-laser, spectroscopy and the 3-micron laser potential of Er crystals, the pulsed operation of microchip lasers, and blue optical parametric generation in LiB3O5.