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[PMID]:28449895
[Au] Autor:El-Solh AA; Vermont L; Homish GG; Kufel T
[Ad] Endereço:VA Western New York Healthcare System, Buffalo, NY, USA; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University at Buffalo, Buffalo, USA; Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, USA. Electronic address: solh@buffalo.e
[Ti] Título:The effect of continuous positive airway pressure on post-traumatic stress disorder symptoms in veterans with post-traumatic stress disorder and obstructive sleep apnea: a prospective study.
[So] Source:Sleep Med;33:145-150, 2017 May.
[Is] ISSN:1878-5506
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Previous retrospective studies have shown that continuous positive airway pressure (CPAP) exerts salutary effect on post-traumatic stress disorder (PTSD) symptoms and nightmare distress. The relative magnitude of therapeutic benefits from CPAP and the strength of associations between duration of CPAP use and PTSD symptomatology are unknown. METHODS: A prospective cohort design involving 47 combat veterans with PTSD and documented obstructive sleep apnea (OSA) by overnight polysomnography. Epworth Sleepiness Scale (ESS) score, PTSD checklist-Military (PCL-M), Nightmare Distress Questionnaire (NDQ), and Nightmare Frequency Questionnaire (NFQ) were administered at baseline and 3 months after CPAP therapy. Objective adherence was assessed at the 3-month follow-up. RESULTS: Twenty-two veterans with mild-to-moderate PTSD (PCL-M score 17-59) and 18 with severe-to-very-severe PTSD (PCL-M score 60-85) completed the study. There was a dose-dependent response of PCL-M to duration of CPAP usage (r = 0.45; p = 0.003). Veterans with severe-to-very-severe PTSD had a larger improvement in PTSD symptoms (d = 0.65; p = 0.004) compared with those with mild-to-moderate PTSD (d = 0.47; p = 0.04). CPAP usage was the only significant predictor of overall subjective improvement in PTSD symptoms (OR 10.5; p = 0.01). Significant changes in NDQ and NFQ scores following 3 months of treatment were observed in veterans adherent to CPAP, but the correlations with duration of CPAP use were not statistically significant (r = 0.24; p = 0.13 and r = 0.13; p = 0.4, respectively). CONCLUSIONS: Improvement of PTSD symptoms in veterans with OSA was more pronounced with prolonged use of CPAP. Adherence to treatment was linked to abatement in nightmare distress and frequency. Future investigation of multimodal treatment, including behavioral intervention combined with CPAP, is warranted.
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas/métodos
Apneia Obstrutiva do Sono/diagnóstico
Apneia Obstrutiva do Sono/terapia
Transtornos de Estresse Pós-Traumáticos/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Idoso
Sonhos/psicologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Polissonografia
Prevalência
Estudos Prospectivos
Apneia Obstrutiva do Sono/complicações
Apneia Obstrutiva do Sono/fisiopatologia
Transtornos de Estresse Pós-Traumáticos/complicações
Transtornos de Estresse Pós-Traumáticos/epidemiologia
Transtornos de Estresse Pós-Traumáticos/terapia
Resultado do Tratamento
Veteranos/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28449889
[Au] Autor:Terzaghi M; Spelta L; Minafra B; Rustioni V; Zangaglia R; Pacchetti C; Manni R
[Ad] Endereço:Unit of Sleep Medicine and Epilepsy, C. Mondino National Neurological Institute, Pavia, Italy. Electronic address: michele.terzaghi@mondino.it.
[Ti] Título:Treating sleep apnea in Parkinson's disease with C-PAP: feasibility concerns and effects on cognition and alertness.
[So] Source:Sleep Med;33:114-118, 2017 May.
[Is] ISSN:1878-5506
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Obstructive sleep apnea (OSA) is highly prevalent in Parkinson disease (PD) and is known to contribute to cognitive impairment and daytime sleepiness. We investigated feasibility of continuous positive airway pressure treatment (CPAP) and its effects on subjective daytime sleepiness and cognitive profile in PD plus OSA subjects in a longitudinal three months follow up study. METHODS: Seventy (age 71.7 ± 7.6, disease duration 9.9 ± 12.3, UPDRS-III 33.7 ± 12.5, MMSE 25.3 ± 3.6; years of education 7.7 ± 3.2) out of 228 consecutive PD patients undergoing in-lab video-polysomnography were found to have obstructive sleep apnea. Thirty-six subjects accepted to titrate therapeutic CPAP. Video-polysomnography, neuropsychological battery evaluating different cognitive domains and subjective scales for daytime sleepiness were scheduled at baseline and after three months. All the patients were given educational informations relative to diagnosis of OSA and benefits of OSA treatment, and an individualized training with CPAP. RESULTS: Twenty-seven (75%) subjects dropped out of the study due to CPAP intolerance. No demographic or disease-related variables (in particular, severity of OSA), could be found between subjects who completed the study versus those who dropped out. Nine subjects completed the three-month follow up, and there were no significant changes in subjective sleepiness, neuropsychological scores and sleep structure (except for reduction in apnea/hypopnea index and a trend toward increase in stage N3 sleep). CONCLUSION: Our data show that feasibility of CPAP treatment can be significantly threatened by overall attrition rates. Further studies should consider well-structured adherence promoting interventions. The actual role of OSA as a determinant of the profile of subjective daytime sleepiness and cognition in PD, and the effects of CPAP in PD need to be further studied.
[Mh] Termos MeSH primário: Atenção/fisiologia
Cognição/fisiologia
Disfunção Cognitiva/complicações
Pressão Positiva Contínua nas Vias Aéreas/métodos
Estudos de Viabilidade
Doença de Parkinson/complicações
Síndromes da Apneia do Sono/terapia
Apneia Obstrutiva do Sono/terapia
[Mh] Termos MeSH secundário: Idoso
Disfunção Cognitiva/epidemiologia
Disfunção Cognitiva/fisiopatologia
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Testes Neuropsicológicos/normas
Doença de Parkinson/epidemiologia
Doença de Parkinson/terapia
Cooperação do Paciente
Polissonografia/métodos
Síndromes da Apneia do Sono/complicações
Síndromes da Apneia do Sono/fisiopatologia
Apneia Obstrutiva do Sono/complicações
Apneia Obstrutiva do Sono/epidemiologia
Apneia Obstrutiva do Sono/fisiopatologia
Fases do Sono/fisiologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29390419
[Au] Autor:Park P; Kim J; Song YJ; Lim JH; Cho SW; Won TB; Han DH; Kim DY; Rhee CS; Kim HJ
[Ad] Endereço:Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea.
[Ti] Título:Influencing factors on CPAP adherence and anatomic characteristics of upper airway in OSA subjects.
[So] Source:Medicine (Baltimore);96(51):e8818, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Although continuous positive airway pressure (CPAP) is the most effective treatment modality, poor adherence still remains a problem for obstructive sleep apnea (OSA) treatment and there is little evidence regarding how this might be improved. This study aims to analyze the anatomic and clinical factors of OSA subjects who failed to comply with CPAP therapy.The medical records of 47 OSA subjects who received CPAP therapy as a first-line treatment modality were retrospectively reviewed. The medical records were reviewed for demographic and polysomnographic data and anatomic findings of the nasal cavity and oropharynx.24 patients who adhered to CPAP therapy and 23 patients who were nonadherent were enrolled in the study. There were no statistically significant differences in sleep parameters between CPAP-adherent patients and CPAP nonadherent subjects. Mean body mass index of CPAP nonadherent group was significantly higher than CPAP adherent group. Higher grades of septal deviation and hypertrophic change of the inferior turbinate were observed more in the CPAP nonadherent group. In addition, CPAP nonadherent subjects showed considerably bigger tonsils and higher grade palatal position comparing with the CPAP adherent subjects. Subjective discomfort including inconvenience, mouth dryness, and chest discomfort were the main problems for OSA subjects who did not comply with CPAP therapy.Excessive upper airway blockage in the nasal cavity and oropharynx was predominant in CPAP nonadherent subjects, which might cause the reported subjective discomfort that reduces CPAP compliance. Therefore, resolution of these issues is needed to enhance CPAP compliance for control of OSA.
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas
Cooperação do Paciente
Apneia Obstrutiva do Sono/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Endoscopia
Feminino
Seres Humanos
Laringe/fisiopatologia
Masculino
Meia-Idade
Septo Nasal/fisiopatologia
Tonsila Palatina/fisiopatologia
Estudos Retrospectivos
Traqueia/fisiopatologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008818


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[PMID]:29210760
[Au] Autor:Sweet M; Armbruster D; Bainbridge E; Reiner B; Tan A; Chipps E
[Ad] Endereço:Newborn Intensive Care Unit, Nationwide Children's Hospital at The Ohio State University Wexner Medical Center, Columbus (Mss Sweet, Bainbridge, and Reiner and Drs Armbruster and Chipps); and College of Nursing, The Ohio State University, Columbus (Drs Tan and Chipps).
[Ti] Título:A Pilot Study of Responses to Suctioning Among Neonates on Bubble Nasal Continuous Positive Airway Pressure.
[So] Source:Adv Neonatal Care;17(6):E3-E11, 2017 Dec.
[Is] ISSN:1536-0911
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Maintenance of a patent airway while the neonate is on nasal continuous positive airway pressure (nasal CPAP) requires vigilant monitoring and oral/nasopharyngeal suctioning. Currently, no evidence-based guidelines for safe suctioning in neonates while on bubble nasal CPAP have been published. PURPOSE: (1) To characterize the clinical and behavioral responses of neonates on bubble nasal CPAP in a level III neonatal intensive care unit following routine oral and nasopharyngeal suctioning. METHODS: This pilot study has a 1-sample within-subject repeated-measures design in which neonates (N = 16) served as their own control. Data on a neonate's physiological and behavior measures (heart rate, respiratory rate, oxygen saturation [SaO2], and Premature Infant Pain Profile [PIPP] score) were collected before, during, and after the completion of suctioning sequence. FINDING/RESULTS: A total of 16 neonates with a mean gestational age of 29.76 weeks and an average day of life of 3.4 were enrolled. The infant's heart rates did not differ significantly (P = .51) across the suctioning sequence. There were no statistical significant changes in the average respiratory rate across the suctioning sequences (P = .79). SaO2 demonstrated a drop between baseline and after each suctioning (P < .001). The PIPP score demonstrated a precipitous increase throughout the procedure (P < .001). On average, it took 9.5 seconds (SD = 4.9) to complete the suctioning sequences. IMPLICATIONS FOR PRACTICE: Our results suggest that the guideline tested is safe and tolerated by infants. IMPLICATIONS FOR RESEARCH: This guideline should be tested in a larger sample and with neonates on other nasal CPAP systems.
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas/efeitos adversos
Recém-Nascido Prematuro
Enfermagem Neonatal
Dor/enfermagem
Síndrome do Desconforto Respiratório do Recém-Nascido/terapia
[Mh] Termos MeSH secundário: Seres Humanos
Unidades de Terapia Intensiva Neonatal
Dor/etiologia
Medição da Dor
Projetos Piloto
Sucção/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1097/ANC.0000000000000442


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[PMID]:28743190
[Au] Autor:Loffler KA; Heeley E; Freed R; Anderson CS; Brockway B; Corbett A; Chang CL; Douglas JA; Ferrier K; Graham N; Hamilton GS; Hlavac M; McArdle N; McLachlan J; Mukherjee S; Naughton MT; Thien F; Young A; Grunstein RR; Palmer LJ; Woodman RJ; Hanly PJ; McEvoy RD; SAVE (Sleep Apnea Cardiovascular Endpoints) Investigators
[Ad] Endereço:1 Adelaide Institute for Sleep Health: A Flinders Centre of Research Excellence and.
[Ti] Título:Effect of Obstructive Sleep Apnea Treatment on Renal Function in Patients with Cardiovascular Disease.
[So] Source:Am J Respir Crit Care Med;196(11):1456-1462, 2017 Dec 01.
[Is] ISSN:1535-4970
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Obstructive sleep apnea (OSA) is associated with impaired renal function, but uncertainty exists over whether OSA treatment can influence renal outcomes. OBJECTIVES: To determine the effects of continuous positive airway pressure (CPAP) on renal function in subjects with coexisting OSA and cardiovascular disease. METHODS: This was a substudy of the international SAVE (Sleep Apnea Cardiovascular Endpoints) trial, in which 2,717 patients with moderate to severe OSA and established coronary or cerebrovascular disease were randomized to receive either CPAP plus usual care or usual care alone. Renal function and adverse renal events were compared between the CPAP (n = 102) and usual care (n = 98) groups. Glomerular filtration rate was estimated at randomization and at the end of follow-up, and the urinary albumin-to-creatinine ratio was measured at study exit. MEASUREMENTS AND MAIN RESULTS: In 200 substudy participants (mean age, 64 yr; median, 4% oxygen desaturation index; 20 events/h; mean estimated glomerular filtration rate at baseline, 82 ml/min/1.73 m ), the median (interquartile range) changes in estimated glomerular filtration rate (ml/min/1.73 m /yr) were -1.64 (-3.45 to -0.740) in the CPAP group and -2.30 (-4.53 to -0.71) in the usual care group (P = 0.21) after a median of 4.4 years. There were no between-group differences in end-of-study urinary albumin-to-creatinine ratio or in the occurrence of serious renal or urinary adverse events during the trial. The level of CPAP adherence did not influence the findings. CONCLUSIONS: CPAP treatment of OSA in patients with cardiovascular disease does not alter renal function or the occurrence of renal adverse events. Clinical trial registered with www.clinicaltrials.gov (NCT00738179).
[Mh] Termos MeSH primário: Doenças Cardiovasculares/complicações
Pressão Positiva Contínua nas Vias Aéreas/métodos
Rim/fisiopatologia
Insuficiência Renal Crônica/complicações
Apneia Obstrutiva do Sono/complicações
Apneia Obstrutiva do Sono/terapia
[Mh] Termos MeSH secundário: Idoso
Doenças Cardiovasculares/fisiopatologia
Feminino
Seres Humanos
Testes de Função Renal/estatística & dados numéricos
Masculino
Meia-Idade
Insuficiência Renal Crônica/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180124
[Lr] Data última revisão:
180124
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170727
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1164/rccm.201703-0603OC


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[PMID]:29261679
[Au] Autor:Nakata K; Miki T; Tanno M; Ohnishi H; Yano T; Muranaka A; Sato T; Oshima H; Tatekoshi Y; Mizuno M; Abe K; Miura T
[Ad] Endereço:Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.
[Ti] Título:Distinct impacts of sleep-disordered breathing on glycemic variability in patients with and without diabetes mellitus.
[So] Source:PLoS One;12(12):e0188689, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sleep-disordered breathing (SDB) is highly prevalent in patients with diabetes mellitus (DM) and heart failure (HF) and contributes to poor cardiovascular outcomes. Enlarged glycemic variability (GV) is a risk factor of cardiac events independently of average blood glucose level, but the influence of SDB on GV is uncertain. In this study, we examined whether the impact of SDB on GV is modified by the presence of DM with or without HF. METHODS AND RESULTS: Two hundred three patients (67.5±14.1 [SD] years old, 132 males) who were admitted to our institute for examination or treatment of DM and/or HF underwent continuous glucose monitoring and polysomnography. Both HbA1c (8.0±2.0 vs. 5.7±0.4%) and mean amplitude of glycemic excursion (MAGE, median: 95.5 vs. 63.5 mg/dl) were significantly higher in a DM group (n = 100) than in a non-DM group (n = 103), but apnea-hypopnea index (AHI: 29.0±22.7 vs. 29.3±21.5) was similar in the two groups. AHI was correlated with log MAGE in the non-DM group but not in the DM group, and multivariate regression analysis revealed that AHI was an independent variable for log MAGE in the non-DM group but not in the DM group. We then divided the non-DM patients into two subgroups according to BNP level (100 pg/ml). AHI was positively correlated with log MAGE (r = 0.74, p<0.001) in the non-DM low-BNP subgroup, but such a correlation was not found in the non-DM high-BNP subgroup. Continuous positive airway pressure (CPAP) reduced MAGE from 75.3 to 53.0 mg/dl in the non-DM group but did not reduce MAGE in the DM group. CONCLUSION: Severity of SDB was associated with higher GV, but DM as well as HF diminished the contribution of SDB to GV. Treatment with CPAP was effective for reduction of GV only in patients without DM.
[Mh] Termos MeSH primário: Glicemia/metabolismo
Diabetes Mellitus Tipo 2/complicações
Síndromes da Apneia do Sono/complicações
[Mh] Termos MeSH secundário: Idoso
Automonitorização da Glicemia
Pressão Positiva Contínua nas Vias Aéreas
Diabetes Mellitus Tipo 2/fisiopatologia
Feminino
Seres Humanos
Masculino
Análise Multivariada
Peptídeo Natriurético Encefálico/metabolismo
Análise de Regressão
Respiração
Sono
Síndromes da Apneia do Sono/fisiopatologia
Síndromes da Apneia do Sono/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Blood Glucose); 114471-18-0 (Natriuretic Peptide, Brain)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188689


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[PMID]:29253872
[Au] Autor:Jacobsen AR; Eriksen F; Hansen RW; Erlandsen M; Thorup L; Damgård MB; Kirkegaard MG; Hansen KW
[Ad] Endereço:Diagnostic Centre, Regional Hospital Silkeborg, Silkeborg, Denmark.
[Ti] Título:Determinants for adherence to continuous positive airway pressure therapy in obstructive sleep apnea.
[So] Source:PLoS One;12(12):e0189614, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Continuous positive airway pressure (CPAP) therapy is an efficacious treatment for patients diagnosed with obstructive sleep apnea (OSA). However, there are only few data on long-term adherence. The aim of this study is to quantify the extent of non-adherence and describe the clinical characteristics. METHODS: A retrospective study including 695 patients with newly diagnosed OSA and prescribed CPAP therapy within an inclusion period of 14 months. All patients were offered free of charge individually adjusted CPAP therapy. Data on comorbidity, medication, BMI and Epworth Sleepiness Score (ESS) were obtained by questionnaires and consultation with an otorhinolaryngeal specialist. RESULTS: The median follow-up time after initiating CPAP therapy was 3.0 (range 2.4-3.6) years. An adherence rate of 89% was found for severe OSA, 71% for moderate OSA and 55% for mild OSA. 18% initiated humidification. Patients adherent to CPAP had a significantly higher Body Mass Index (BMI), Apnea Hypopnea Index (AHI), Oxygen Desaturation Index (ODI) and ESS compared to non-adherent patients. Furthermore, adherence was associated with a higher frequency of observed interrupted breathing, a less frequent use of hypnotic drugs, fewer smokers, and they were more often offered humidification. Age, gender and comorbidity were not significantly associated with adherence. In a Cox model only AHI (Hazard Ratio (HR) 0.963, p < 0.001), ESS (HR 0.939, p = 0.001) and smoking (HR 1.576, p = 0.022) were independently associated with CPAP non-adherence. CONCLUSIONS: The severity of OSA, subjective daytime sleepiness and smoking status are independently related to adherence to CPAP therapy.
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas/métodos
Cooperação do Paciente
Apneia Obstrutiva do Sono/fisiopatologia
Apneia Obstrutiva do Sono/terapia
[Mh] Termos MeSH secundário: Idoso
Índice de Massa Corporal
Feminino
Seres Humanos
Estimativa de Kaplan-Meier
Masculino
Meia-Idade
Polissonografia/métodos
Modelos de Riscos Proporcionais
Estudos Retrospectivos
Índice de Gravidade de Doença
Sono
Fumar
Inquéritos e Questionários
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189614


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[PMID]:28459321
[Au] Autor:Ayas NT; Bhattacharjee R; Pack AI
[Ad] Endereço:1 Department of Medicine University of British Columbia Vancouver, British Columbia, Canada.
[Ti] Título:AJRCCM: 100-Year Anniversary. Sleep-Disordered Breathing: Still the New Kid on the Block.
[So] Source:Am J Respir Crit Care Med;195(9):1107-1111, 2017 May 01.
[Is] ISSN:1535-4970
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Publicações Periódicas como Assunto/história
Pneumologia/história
Síndromes da Apneia do Sono/história
[Mh] Termos MeSH secundário: Aniversários e Eventos Especiais
Pressão Positiva Contínua nas Vias Aéreas
História do Século XX
História do Século XXI
Seres Humanos
Polissonografia
Síndromes da Apneia do Sono/diagnóstico
Síndromes da Apneia do Sono/terapia
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1164/rccm.201701-0199ED


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[PMID]:29183066
[Au] Autor:Neal B; Zhou Z; McEvoy RD
[Ad] Endereço:George Institute for Global Health, University of New South Wales Sydney, Sydney, New South Wales, Australia.
[Ti] Título:Outcomes of Positive Airway Pressure for Sleep Apnea-Reply.
[So] Source:JAMA;318(20):2043-2044, 2017 11 28.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas
Síndromes da Apneia do Sono
[Mh] Termos MeSH secundário: Seres Humanos
Polissonografia
Apneia Obstrutiva do Sono
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171205
[Lr] Data última revisão:
171205
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.16295


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[PMID]:29183061
[Au] Autor:Javaheri S; Campos-Rodriguez F
[Ad] Endereço:Bethesda North Hospital, Cincinnati, Ohio.
[Ti] Título:Outcomes of Positive Airway Pressure for Sleep Apnea.
[So] Source:JAMA;318(20):2042-2043, 2017 11 28.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas
Síndromes da Apneia do Sono
[Mh] Termos MeSH secundário: Seres Humanos
Polissonografia
Apneia Obstrutiva do Sono
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171205
[Lr] Data última revisão:
171205
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.16291



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