Interest in telephone nightmare counselling in patients with sleep-related breathing disorders

Abstract Background and objective Nightmares are typically underdiagnosed and undertreated, even though frequent nightmares are quite common in patients with sleep-related breathing disorders. Based on a previous study, we investigated whether patients would respond if they were specifically asked whether they would be interested in telephone counselling about nightmares and nightmare treatment. Materials and methods The present study included 537 patients with sleep-related breathing disorders who completed a nightmare questionnaire and—if interested—provided their contact data for a telephone counselling session. Results Of the total patients, 5.40% were interested in the telephone counselling. Most of these patients had never sought help for their nightmare condition before. This percentage is much lower than in a previous study, possibly due to the higher time expenditure related to the new consent procedure. Conclusion The findings indicate that patients with nightmare problems can be reached with this approach even though they have never sought professional help before. In order to minimize the threshold, it would be desirable to have clinical in-house nightmare counselling, which would not require a detailed study information brochure and informed consent.

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IMPLEMENTASIROTTERDAM CONVENTION ON THE PRIOR INFORMED CONSENT PROCEDURE FOR CERTAIN HAZARDOUS CHEMICALS AND PESTICIDES IN INTERNATIONAL TRADEBAGI PERKEMBANGAN HUKUM LINGKUNGAN DI INDONESIA

Jurnal Komunikasi Hukum (JKH) ◽

10.23887/jkh.v5i1.16754 ◽

2019 ◽

Vol 5 (1) ◽

pp. 90

Author(s):

Elly Kristiani Purwendah ◽

Elisabet Pudyastiwi

Keyword(s):

Informed Consent ◽

Hazardous Chemicals ◽

Informed Consent Procedure ◽

Prior Informed Consent ◽

Consent Procedure

Konvensi ini memang tidak langsung memberikan efek yang signifikan namun dengan meratifikasi konvensi ini akan memberikan pengaruh terhadap kelangsungan ekspor bahan mentah terlebih sumber daya alam seperti bahan obat-obatan, bahan pangan dan bahan lainnya yang terkontaminasi oleh bahan kimia dan pestisida berbahaya. Ratifikasi konvensi ini akan mempersempit kemungkinan menurunnya kualitas keanekaragaman hayati yang sering dimanfaatkan untuk kebutuhan hidup. Selain itu adanya konvensi ini akan mencegah munculnya masalah terhadap lapangan pekerjaan bagi pihak-pihak yang terkontaminasi limbah maupun bahan kimia dan pestisida yang berbahaya seperti para petani, nelayan dan masyarakat pada umumnya. Jika ditelaah secara mendalam jumlah ekpor pada sektor pertanian setiap tahun terus mengalami penurunan, hal ini disebabkan oleh menurunya kualitas ekosistem persawahan akibat pemakaian pestisida yang berlebihan. Kata kunci : Konvensi Rotterdam, ratifikasi, hukum lingkungan.

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Sleep quality and sleep related breathing disorders among nursing staff working in a tertiary care teaching hospital

MedPulse International Journal of Medicine ◽

10.26611/10111425 ◽

2020 ◽

Vol 14 (2) ◽

pp. 33-38

Author(s):

Amarnath R L C ◽

Keyword(s):

Sleep Quality ◽

Teaching Hospital ◽

Nursing Staff ◽

Tertiary Care ◽

Sleep Related Breathing Disorders ◽

Tertiary Care Teaching Hospital ◽

Care Teaching ◽

Breathing Disorders

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EXPRESS: Hypoxemia during Sleep and Overnight Rostral Fluid Shift in Pulmonary Arterial Hypertension: a pilot study

Pulmonary Circulation ◽

10.1177/2045894021996930 ◽

2021 ◽

pp. 204589402199693

Author(s):

Etienne-Marie Jutant ◽

David Montani ◽

Caroline Sattler ◽

Sven GÃ¼nther ◽

Olivier Sitbon ◽

...

Keyword(s):

Sleep Apnea ◽

Pilot Study ◽

Pulmonary Arterial Hypertension ◽

Arterial Hypertension ◽

Central Sleep Apnea ◽

The Body ◽

Fluid Shift ◽

Sleep Related Breathing Disorders ◽

Breathing Disorders ◽

Pulmonary Arterial

Introduction. Sleep-related breathing disorders, including sleep apnea and hypoxemia during sleep, are common in pulmonary arterial hypertension (PAH), but the underlying mechanisms remain unknown. Overnight fluid shift from the legs to the upper airway and to the lungs promotes obstructive and central sleep apnea, respectively, in fluid retaining states. The main objective was to evaluate if overnight rostral fluid shift from the legs to the upper part of the body is associated with sleep-related breathing disorders in PAH. Methods. In a prospective study, a group of stable patients with idiopathic, heritable, related to drugs, toxins, or treated congenital heart disease PAH underwent a polysomnography and overnight fluid shift measurement by bioelectrical impedance in the month preceding or following a one-day hospitalization according to regular PAH follow-up schedule with a right heart catheterization. Results. Among 15 patients with PAH (women: 87%; median [25th;75th percentiles] age: 40 [32;61] years; mean pulmonary arterial pressure 56 [46;68] mmHg; pulmonary vascular resistance 8.8 [6.4;10.1] Wood units), 2 patients had sleep apnea and 8 (53%) had hypoxemia during sleep without apnea. The overnight rostral fluid shift was 168 [118;263] mL per leg. Patients with hypoxemia during sleep had a greater fluid shift (221 [141; 361] mL) than those without hypoxemia (118 [44; 178] mL, p = 0.045). Conclusion. This pilot study suggests that hypoxemia during sleep is associated with overnight rostral fluid shift in PAH.

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Comparison of Frequency and Severity of Sleep-Related Breathing Disorders in Children with Simple Obesity and Paediatric Patients with Prader–Willi Syndrome

Journal of Personalized Medicine ◽

10.3390/jpm11020141 ◽

2021 ◽

Vol 11 (2) ◽

pp. 141

Author(s):

Agnieszka Lecka-Ambroziak ◽

Marta Wysocka-Mincewicz ◽

Anna Świercz ◽

Małgorzata Jędrzejczak ◽

Mieczysław Szalecki

Keyword(s):

Insulin Resistance ◽

Apnea Hypopnea Index ◽

Oral Glucose ◽

Prader Willi Syndrome ◽

Model Assessment ◽

Sleep Related Breathing Disorders ◽

Breathing Disorders ◽

Simple Obesity ◽

Rhgh Treatment ◽

Group 1

Sleep-related breathing disorders (SRBDs) can be present in children with simple obesity and with Prader–Willi syndrome (PWS) and influence an individual diagnostic and treatment approach. We compared frequency and severity of SRBDs in children with simple obesity and with PWS, both without and on recombinant human growth hormone (rhGH) treatment, and correlation of SRBDs with insulin resistance tests. A screening polysomnography-polygraphy (PSG), the oral glucose tolerance test (OGTT) and homeostasis model assessment of insulin resistance (HOMA-IR) were analysed in three groups of patients—with simple obesity (group 1, n = 30, mean age 14.2 years), patients with PWS without the rhGH therapy (group 2, n = 8, mean age 13.0 years) and during the rhGH treatment (group 3, n = 17, mean age 8.9 years). The oxygen desaturation index (ODI) was significantly higher in groups 2 and 3, compared to group 1 (p = 0.00), and hypopnea index (HI) was higher in group 1 (p = 0.03). Apnea–hypopnea index (AHI) and apnea index (AI) results positively correlated with the insulin resistance parameters in groups 1 and 3. The PSG values worsened along with the increasing insulin resistance in children with simple obesity and patients with PWS treated with rhGH that may lead to a change in the patients’ care.

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