The Treatment of Sleep Apnea and Monitoring Using Iot

2019 ◽  
Vol 1 (6) ◽  
pp. 98-114
Author(s):  
Jeya Sharon J ◽  
Jhansi Mary K ◽  
Jasmine Reshmya S.G. ◽  
Maria Rasitha S ◽  
Birnel Hersy J
Keyword(s):  
Sleep Apnea ◽  
Distributed Computing ◽  
Personal Satisfaction ◽  
Older Individuals ◽  
Sensors And Actuators ◽  
Therapeutic Consideration

Rest apnea has progressed toward becoming in the rest issue that causes more prominent worry lately because of its dismalness and mortality, higher therapeutic consideration expenses and needy individuals personal satisfaction. A few recommendations have tended to rest apnea sickness in older individuals, yet they have still some specialized confinements. Therefore, this paper introduces a creative framework dependent on haze and distributed computing   advancements which in mix with IoT and enormous information stages offers new chances to manufacture novel and imaginative administrations for supporting the rest apnea and to conquer the current restrictions. Especially, the framework is based on a few low-control remote systems with heterogeneous keen gadgets (i.e, sensors and actuators). In the mist, an edge hub (Smart IoT Door) gives IoT association and interoperability and pre-handling IoT information to distinguish occasions progressively that may imperil the older's wellbeing and to act appropriately. In the cloud, a Generic Empowering Influence Context Broker oversees, stores and infuses information into the enormous information analyzer for further handling and investigating. The framework's presentation and emotional relevance are assessed utilizing more than 30 GB size datasets and a survey satisfied by medicals pro, individually. Results demonstrate that the framework information investigation improve the wellbeing experts' basic leadership to screen and guide rest apnea treatment, just as improving old individuals' personal satisfaction.

Sleep Duration, Sleep Apnea, and Gray Matter Volume

2021 ◽  
pp. 089198872098891
Author(s):  
Regina Eun Young Kim ◽  
Robert Douglas Abbott ◽  
Soriul Kim ◽  
Robert Joseph Thomas ◽  
Chang-Ho Yun ◽  
...  
Keyword(s):  
Sleep Apnea ◽  
Sleep Duration ◽  
Gray Matter ◽  
Gray Matter Volume ◽  
Brain Structures ◽  
Brain Regions ◽  
Population Based ◽  
Older Individuals ◽  
Bootstrap Sampling ◽  
Matter Volume

This study aimed to evaluate the effect of sleep duration on brain structures in the presence versus absence of sleep apnea in middle-aged and older individuals. The study investigated a population-based sample of 2,560 individuals, aged 49-80 years. The presence of sleep apnea and self-reported sleep duration were examined in relation to gray matter volume (GMV) in total and lobar brain regions. We identified ranges of sleep duration associated with maximal GMV using quadratic regression and bootstrap sampling. A significant quadratic association between sleep duration and GMV was observed in total and lobar brain regions of men with sleep apnea. In the fully adjusted model, optimal sleep durations associated with peak GMV between brain regions ranged from 6.7 to 7.0 hours. Shorter and longer sleep durations were associated with lower GMV in total and 4 sub-regions of the brain in men with sleep apnea.

scholarly journals Asthma Control and Its Relationship with Obstructive Sleep Apnea (OSA) in Older Adults

2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Mihaela Teodorescu ◽  
David A. Polomis ◽  
Ronald E. Gangnon ◽  
Jessica E. Fedie ◽  
Flavia B. Consens ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Asthma Control ◽  
Severe Asthma ◽  
Older Patients ◽  
Asthma Severity ◽  
Older Individuals ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
Older Subjects

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.

scholarly journals SLEEP APNEA ASSOCIATED COMORBIDITIES AND MORTALITY IN AN OLDER VETERAN POPULATION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S263-S264
Author(s):  
Denise M Kresevic ◽  
muralidahar pallaki ◽  
Christopher J Burant ◽  
Clare Gideon ◽  
Emily Schroeder ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Sleep Apnea ◽  
Mortality Rate ◽  
Population Based ◽  
Older Individuals ◽  
Male Veterans ◽  
The Relationship ◽  
Overall Mortality

Abstract Evidence continues to mount that sleep apnea (SA) occurs in 10-25% of Americans and is associated with significant morbidity and mortality (Schulman 2018). Among veterans, SA has been reported four times more often as compared to other non-veteran cohorts. (Wong 2015). The risk of developing dementia is increased in older individuals with OSA (Shastri, Bangar, & Holmes, 2015). The prevalence and characteristics of older adults with dementia and sleep apnea is not well known and long-term population-based studies on mortality have been lacking. Recent studies have reported overall mortality rates of 19%, in those individuals with SA, an increased rate of 1.5-3 times the mortality rate as compared to those individuals those without SA. Current recommendations support SA screening of high risk individuals including those with symptoms of snoring, fatigue, memory and concentration problems and mood changes. (Krist 2018). Despite a large number of older adults with suspected SA and comorbidities, the majority are not screened, referred, diagnosed and treated. In this VA pilot study of outpatient older male veterans with dementia and SA, N=195, mean age 75.83 years, SD=9.1, 51.3% were white, 37.5% were black. Frequently found comorbidities were: hypertension 88%, congestive heart failure 41%, Diabetes. 62% and, stroke 21%. Of note, among those who died, SA was significantly related to congested heart failure (r=.32, p<.001) and COPD (r=.40, p<.001). The overall mortality rate of 27% was higher than previous reports. Further investigation is needed to better understand the relationship between comorbidities, and SA, screening, treatment and mortality.

scholarly journals 0283 SUBJECTIVE COGNITIVE COMPLAINT IN LATE MIDDLE-AGED AND OLDER INDIVIDUALS WITH OBSTRUCTIVE SLEEP APNEA

SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A104-A104 ◽  
Author(s):  
K Gagnon ◽  
A Baril ◽  
J Montplaisir ◽  
J Carrier ◽  
C D’Aragon ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Older Individuals ◽  
Middle Aged ◽  
Cognitive Complaint ◽  
Obstructive Sleep ◽  
Subjective Cognitive Complaint

A Distributed Computing Algorithm for Deployment of Mobile Robotic Agents with Limited Sensing Ranges

2015 ◽  
Vol 6 (3) ◽  
pp. 46-60
Author(s):  
Jing Wang ◽  
Christopher I. Smith
Keyword(s):  
Distributed Computing ◽  
Embedded System ◽  
Convex Region ◽  
Sensors And Actuators ◽  
Kinematic Constraints ◽  
Computing Algorithm ◽  
Exchange Information ◽  
Simulation Results ◽  
Limited Sensing

In this paper, the authors present a distributed computing algorithm for an application of deploying a group of mobile robotic agents in a convex region. Each agent can be treated as an embedded system with its own sensors and actuators. Under the assumption that agents have limited sensing capabilities, the distributed computing algorithm is designed to make agents cover the convex region so that each member's individual region, the space around them, is optimized. Each agent must accommodate its kinematic constraints and can only exchange information locally based on the range of the sensors equipped. The proposed algorithm utilizes Voronoi partitions to create individual subregions and directs each member toward the centroid of their subregion. The Voronoi partitions are updated with each iteration of the algorithm. Simulation results are provided to validate the proposed algorithm.

Effects of obstructive sleep apnea on human spatial navigational memory processing in cognitively normal older individuals

2021 ◽  
Author(s):  
Anna E. Mullins ◽  
Masrai K. Williams ◽  
Korey Kam ◽  
Ankit Parekh ◽  
Omonigho M. Bubu ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Older Individuals ◽  
Cognitively Normal ◽  
Memory Processing ◽  
Obstructive Sleep ◽  
Navigational Memory

scholarly journals Severe obstructive sleep apnea diagnosed after non-arteritic anterior ischaemic optic neuropathy in a young man

2019 ◽  
Vol 12 (11) ◽  
pp. e232512 ◽  
Author(s):  
Shaobo Lei ◽  
Jonathan A Micieli
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Optic Neuropathy ◽  
Vision Loss ◽  
Older Individuals ◽  
Sleep Study ◽  
Younger Patients ◽  
Obstructive Sleep ◽  
Ischaemic Optic Neuropathy ◽  
Anterior Ischaemic Optic Neuropathy

Non-arteritic anterior ischaemic optic neuropathy (NAION) is the most common acute optic neuropathy in older individuals but may also occur in younger patients. A 30-year-old man presented with a 2-day history of right eye painless vision loss and was found to have right optic disc oedema and a left ‘disc-at-risk’. He was diagnosed with right NAION and review of symptoms revealed witnessed apnea at night and episodes where he woke up gasping for air, concerning for obstructive sleep apnea (OSA). A formal sleep study revealed severe OSA and he was treated with continuous positive airway pressure to reduce his risk of fellow eye involvement and reduce his overall cardiovascular risk. OSA should be considered in every patient with NAION, especially in younger patients without any additional risk factors.

scholarly journals 0713 Association Between Obesity Indices And Obstructive Sleep Apnea Is Modified By Age In A Sex-specific Manner

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A271-A272
Author(s):  
Y Liu ◽  
L Meng ◽  
J Guan ◽  
H Yi ◽  
S Yin
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Apnea Hypopnea Index ◽  
Older Individuals ◽  
Modification Effect ◽  
Obstructive Sleep ◽  
Specific Manner ◽  
Obesity Indices ◽  
Effect Of Age ◽  
Age And Sex

Abstract Introduction The beneficial effects of weight loss on obstructive sleep apnea (OSA) are highly variable. Whether the variability is associated with the effects of age and sex remains unclear. This study examined this issue with large cross-sectional data. Methods A total of 4600 adult males and 1156 females with suspected OSA were included in the study. Anthropometric measurements, polysomnographic variables, biochemical indicators, and medical history were collected for each subject. Multivariable linear regression with interaction terms was used to estimate the modification effect of age on the associations between OSA severity (assessed by apnea-hypopnea index, AHI) with obesity indices (body mass index, BMI; neck circumference, NC; waist circumference, WC) in a sex-specific manner, and vice versa. Results BMI, NC, and WC were all positively correlated with AHI after adjusting for potential confounders in all populations. In males, these associations were much stronger and more significant in younger than older individuals (P for interaction < 0.001). For example, a 10% increase in BMI was independently associated with a 31.6% increase in AHI for males < 40 years old, whereas the corresponding increases were 20.8% and 16.7% for males 40-60 and >60 years old, respectively. By contrast, no modification effect of age was observed in females (P for interaction > 0.05). A 10% increase in BMI was associated with 25.6%, 26.8%, and 23.8% increases in AHI for females < 40, 40-60, and >60 years old, respectively. Conclusion Age modifies the associations between obesity indices and OSA severity in a sex-specific manner, and vice versa. These findings may broaden the understanding of age- and sex-related heterogeneities in the pathogenic role of obesity in OSA, and may be beneficial for individualized risk evaluation and treatment management for patients with OSA. Support This study was funded by Shanghai Municipal Commission of Science and Technology (grant number.18DZ2260200); the National Key R&D Program of China (grant number: 2017YFC0112500); Multi-Center Clinical Research Project from the School of Medicine, Shanghai Jiao Tong University (grant number: DLY201502); and the Shanghai Shen-Kang Hospital Management Center Project (grant number: SHDC12015101 and 16CR3103B).

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