Дисертації з теми "Sleep treatments"
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Moss, James. "Physiological effects of treatments in obstructive sleep apnoea syndrome." Thesis, Sheffield Hallam University, 2013. http://shura.shu.ac.uk/20763/.
Повний текст джерелаEspie, Colin A. "A controlled comparative investigation of psychological treatments for chronic sleep-onset insomnia." Thesis, University of Glasgow, 1987. http://theses.gla.ac.uk/822/.
Повний текст джерелаCrawford, Megan R. "Behavioural adherence in the treatments of disorders of sleep and wakefulness : a biopsychosocial approach." Thesis, University of Glasgow, 2013. http://theses.gla.ac.uk/4191/.
Повний текст джерелаBilliards, Saraid Sheelagh. "Neurosteroid and somnogenic responses to endotoxin and hypoxia treatments in lambs." Monash University, Dept. of Physiology, 2003. http://arrow.monash.edu.au/hdl/1959.1/9553.
Повний текст джерелаLundin, Roger, and Maria Nissinen. "Att främja nattsömnen : En allmän litteraturöversikt över vårdåtgärder vid demens." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-47606.
Повний текст джерелаBakgrund: Demens är idag en folksjukdom och omkring 10 % av befolkningen i Sverige utvecklar demens. Till demenssjukdomen hör kognitiv problematik samt besvärande symtom och framträder hos den sjuke allt eftersom sjukdomen fortskrider. Problem: Sömnstörningar kan vara ett stort problem för människor med demens, dess anhöriga och även vårdpersonal. Som en konsekvens av sömnstörningar kan negativa symtom såsom agitation, depression och apati förstärkas. Detta leder till större arbetsbörda för vårdpersonalen och mer ansträngning emotionellt för de anhöriga. Syftet: Att beskriva vårdåtgärder som främjar nattsömnen hos människor med demens. Metod: En allmän litteraturöversikt där underlaget består av 13 studier som ligger som grund till resultatet. Resultatet: Det framkommer tre kategorier där nattsömnen kan främjas genom aktiviteter, behandlingar och närhet hos människor med demenssjukdom. Utöver den främjade nattsömnen visade resultatet även att förbättring på agitationen, depressionen och apatin kan ske med hjälp av åtgärderna. Slutsats: Nattsömnen hos människor med demens kan främjas genom vårdåtgärderna som redovisas i resultatet. Resultatet indikerar dock att åtgärderna måste utföras utifrån individuella förutsättningar för att på bästa sätt kunna utföra en god vård.
gaddam, sathvika, Ali Bokhari, and Deepika 7471363 Nallala. "ACROMEGALY TREATMENT AND RESOLUTION OF SLEEP APNEA." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/41.
Повний текст джерелаWaters, Karen Ann. "Sleep disordered breathing and its treatment in children." Thesis, The University of Sydney, 1993. https://hdl.handle.net/2123/26603.
Повний текст джерелаDurant, Claire Fiona. "Brain and endocrine mechanisms of sleep disruption : sleep and refractory depression ; new approaches to treatment and their effect on sleep." Thesis, University of Bristol, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.574415.
Повний текст джерелаMehta, Atul S. "Treatment of snoring and obstructive sleep apnoea using a mandibular advancement splint." Master's thesis, Faculty of Dentistry, 1998. http://hdl.handle.net/2123/4904.
Повний текст джерелаYang, Qiao. "The effects of acute and short-term continuous positive airway pressure treatment withdrawal on sleep and neurobehavioural function in patients with obstructive sleep apnea." Thesis, The University of Sydney, 2007. https://hdl.handle.net/2123/28138.
Повний текст джерела胡慧明 and Huie-ming Hou. "Long-term study of sleep apnoea patients treated with MAD." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45012222.
Повний текст джерелаWang, David. "Sleep disordered breathing in stable methadone maintenance treatment patients /." Connect to thesis, 2006. http://eprints.unimelb.edu.au/archive/00002992.
Повний текст джерелаLawton, Carolyn F. "The treatment of infant sleep disturbance by graduated extinction." Thesis, University of Canterbury. Psychology, 1985. http://hdl.handle.net/10092/6857.
Повний текст джерелаChung, Valerie Yeung Shi. "The Effect of Choice on Placebo Treatment for Sleep." Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/16928.
Повний текст джерелаWichmann, Mark William. "A device for the treatment of adult Sleep Apnea Syndrome." Thesis, Virginia Tech, 1988. http://hdl.handle.net/10919/45960.
Повний текст джерелаAn electronically-controlled positive-displacement bellows-type air pump has been developed in the Bio-medical Engineering Laboratory for the treatment of adult Sleep Apnea Syndrome (SAS). An electronically-controlled positive-displacement pump has been employed in order to eliminate the pressure regulator and accompanying noise of present therapeutic devices. The positive-displacement pump is found to quietly and effectively provide the required airway pressures for the treatment of adult Sleep Apnea Syndrome. New developments in the reduction of the size and noise levels of current therapeutic devices, however, preclude mass production of the bellows-type pump because of its size disadvantage. The custom nasal mask and exhalation valve, control system, pressure-monitoring alarm system, and the controlled humidifier of the positive-displacement pump should be incorporated within the present fanâ type Nasal Continuous Positive Airway Pressure (NCPAP) system to provide quieter, more comfortable, and safer NCPAP therapy. Before the design and development of the positive displacement NCPAP pump is detailed in this thesis, however, the problem of adult Sleep Apnea Syndrome is introduced, available therapies are investigated, and the current NCPAP therapy system is examined.
Master of Science
Ahrens, Anika. "A randomized clinical trial of the treatment of obstructive sleep apnoea using oral appliances." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B47849599.
Повний текст джерелаpublished_or_final_version
Dentistry
Doctoral
Doctor of Philosophy
Lai, Yuen-kwan Agnes, and 賴婉君. "Continuous positive airway pressure education on adherence in adults with obstructive sleep apnoea." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/198849.
Повний текст джерелаpublished_or_final_version
Nursing Studies
Doctoral
Doctor of Nursing
Moesbergen, Kevin. "THE TREATMENT OF INFANTS AND PRESCHOOL CHILDREN WITH SLEEP DISTURBANCE." Thesis, University of Canterbury. Psychology, 1987. http://hdl.handle.net/10092/1660.
Повний текст джерелаPatel, Gita. "Investigating the role and treatment of sleep in relation to psychotic experiences." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/investigating-the-role-and-treatment-of-sleep-in-relation-to-psychotic-experiences(473ae105-bd35-4964-80bb-803da583bc30).html.
Повний текст джерелаFisher, Christopher Alan. "Anxiety, Depression, and Sleep Disorders: Their Relationship and Reduction with Neurotherapy." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc31533/.
Повний текст джерелаBurgess, Mary. "Postal self-exposure treatment of recurrent nightmares : a randomised controlled trial." Thesis, King's College London (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.369056.
Повний текст джерелаEngvall, Eva, and Mari Lundin. "Restless legs syndrome - en beskrivning av dess inverkan på individens sömn, livskvalitet samt olika behandlingsformer : En systematisk litteraturstudie." Thesis, Högskolan Dalarna, Omvårdnad, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:du-1659.
Повний текст джерелаGermain, Anne. "Sleep pathophysiology and cognitive-behavioral treatment of posttraumatic and idiopathic nightmares." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/NQ65340.pdf.
Повний текст джерелаAtalla, Angela. "Sleep disordered breathing in chronic heart failure : causes, consequences and treatment." Thesis, Imperial College London, 2013. http://hdl.handle.net/10044/1/11672.
Повний текст джерелаVranish, Jennifer R. "Obstructive Sleep Apnea: Daytime Assessment And Treatment Of A Nighttime Disorder." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/566239.
Повний текст джерелаTanner, Brian Charles. "A center for sleep research at Emory University Hospital." Thesis, Georgia Institute of Technology, 1994. http://hdl.handle.net/1853/24124.
Повний текст джерелаFridel, Keith. "Adherence and Effectiveness of Positional Therapy for Obstructive Sleep Apnea Syndrome." Diss., The University of Arizona, 2011. http://hdl.handle.net/10150/203486.
Повний текст джерелаDanielsson, Katarina. "Delayed Sleep Phase Disorder : Prevalence, Diagnostic aspects, Associated factors and Treatment concepts." Doctoral thesis, Uppsala universitet, Psykiatri, Akademiska sjukhuset, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-299887.
Повний текст джерелаWilliams, Shaun C. J. "Modafinil effects during acute interruption of continuous positive airway pressure in patients with obstructive sleep apnea." Thesis, The University of Sydney, 2009. https://hdl.handle.net/2123/28456.
Повний текст джерелаCheng, Hai-kiu Kelvin. "Evaluation on the quality of life for patients with obstructive sleep apnea using the continuous positive airway pressure device treatment." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B4072041X.
Повний текст джерелаSam, Kim. "Short term effects of an oral appliance in the treatment of mild to moderate Obstructive Sleep Apnea in Chinese subjects." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21879278.
Повний текст джерелаViens, Marcel J. "Generalized anxiety and sleep-onset insomnia: Evaluation of treatment using anxiety management training." Thesis, University of Ottawa (Canada), 1989. http://hdl.handle.net/10393/20931.
Повний текст джерелаEspie, Colin A. "Behavioural sleep medicine conceptualisations and associated treatment of clinical insomnia disorder in adults." Thesis, University of Glasgow, 2013. http://theses.gla.ac.uk/4620/.
Повний текст джерелаPérez, Trenard Diego Oswaldo. "Optimal control of non-invasive neuromodulation for the treatment of sleep apnea syndromes." Thesis, Rennes 1, 2018. http://www.theses.fr/2018REN1S014/document.
Повний текст джерелаSleep apnea syndrome (SAS) is a multifactorial disease characterized by recurrent episodes of breathing pauses or significant reductions in respiratory amplitude during sleep. These episodes may provoke acute cardiorespiratory responses along with alterations of the sleep structure, which may be deleterious in the long term. Several therapies have been proposed for the treatment of SAS, being continuous positive airway pressure the gold standard treatment. Despite its excellent results in symptomatic patients, there is a 15% initial refusal rate and long term adherence is difficult to achieve in minimally symptomatic patients. Therefore, the development of non-invasive SAS treatment methods, with improved acceptability, is of major importance. The objective of this PhD thesis is to propose new signal processing and control methods of non-invasive neuromodulation for the treatment of SAS. The hypothesis underlying this work is that bursts of kinesthetic stimulation delivered during the early phase of apneas or hypopneas may elicit a controlled startle response that can activate sub-cortical centers controlling upper airways muscles and the autonomic nervous system, stopping respiratory events without generating a cortical arousal. In this context, the first part of this manuscript is dedicated to the description of a novel real-time monitoring and therapeutic neuromodulation system, which functions as a multi-purpose device for SAS diagnosis and treatment through kinesthetic stimulation. This system has been developed in the framework of an ANR TecSan project led by our laboratory, with the participation of Sorin CRM SAS. The main contributions in this thesis are focused on the signal processing and control aspects of this system, as well as the electronics associated. Another contribution is related to the evaluation of these methods and devices through specific clinical protocols. In a second part, we propose a first optimal On/Off control method for delivering kinesthetic stimulation, using as control variable the output of a real-time respiratory event detector. A unique stimulation strategy where a constant stimulation amplitude is applied upon event detention was implemented in a first clinical protocol, dedicated to assessing the patient response to therapy. Results showed that 75% of the patients responded correctly to therapy, showing statistically significant reductions in respiratory event durations. Also, significant decreases in the SaO2 variability were also found when implementing a novel acute analysis method. Since we hypothesized that inappropriate patient selection could explain the observed lack of response in 25% of patients, we proposed a method to differentiate patients who could benefit from this therapy based on the estimation of complexity-based indexes of heart rate variability. Results of these analyses showed that the effectiveness of this therapy seems correlated to a functional autonomic nervous system. Finally, an improved closed-loop control method integrating concurrent, coupled proportional-derivative (PD) controllers in order to adaptively change the kinesthetic stimulation was proposed. It uses as control variables three physiological signals recorded in real-time: Nasal pressure, oxygen saturation and the electrocardiogram signal. A second clinical protocol with the main objective of validating the control algorithm for patient-specific adaptive kinesthetic stimulation was launched. Several improvements to the first version of the system were developed to allow the integration of the proposed controller. Preliminary results from the first phase of this study validated the proposed controller operation and showed that the controller was able to provide adaptive kinesthetic stimulation in function of the patient-specific responses. A second phase of this study implementing the proposed controller and the set of the selected control parameters from the first phase is currently ongoing
Bramble, David John. "The assessment and treatment of common sleep problems in severely learning disabled children." Thesis, University of Leicester, 1996. http://hdl.handle.net/2381/34234.
Повний текст джерелаShepherd, Kelly. "Gastro-oesophageal reflux in obstructive sleep apnoea : prevalence and mechanisms." University of Western Australia. School of Anatomy and Human Biology, 2009. http://theses.library.uwa.edu.au/adt-WU2009.0085.
Повний текст джерелаShifflett, D. Edward Jr. "Physiological Responses in OSA Patients to Ramping Exercise After CPAP Treatment." Thesis, Virginia Tech, 1998. http://hdl.handle.net/10919/9865.
Повний текст джерелаMaster of Science
Walker-Engström, Marie-Louise. "Treatment effects with a mandibular advancement appliance and uvulopalatopharyngoplasty in obstructive sleep apnea : randomised controlled trials /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3376.
Повний текст джерелаLedman, Cassandra A. "The effect of continuous positive airway pressure treatment on physical activity levels in obstructive sleep apnea patients." Virtual Press, 2008. http://liblink.bsu.edu/uhtbin/catkey/1391676.
Повний текст джерелаSchool of Physical Education, Sport, and Exercise Science
PERGER, ELISA. "SLEEP APNEA AND HYPOXIA: NEW THERAPEUTIC PROSPECTIVES." Doctoral thesis, Università degli Studi di Milano-Bicocca, 2023. https://hdl.handle.net/10281/404617.
Повний текст джерелаIntroduction: Obstructive sleep apnea (OSA) affects one third of the population in Europe and has major negative consequences for cardiovascular disease and quality of life. OSA is characterized by recurrent episodes of apneas and hypopneas associated with repetitive episodes of intermittent hypoxemia, intrathoracic pressure changes, and arousals. Intermittent hypoxemia, particularly with concomitant hypercapnia, activates the sympathetic nervous system and it is the major contributor to negative cardiovascular consequences. Intermittent hypoxia might also worsen concomitant tonic hypoxia due to high altitude or due to acute or chronic respiratory diseases by promoting oxidative stress and angiogenesis, thus increasing sympathetic activation with blood pressure elevation, inflammation and endothelial dysfunction. Although OSA and its hypoxic consequence are effectively alleviated with positive airways pressure, this treatment is yet unsatisfactory, being poorly tolerated by up to half of patients. Thus, new treatment strategies are strongly needed. With the aim of better understand OSA physiopathology, key contributors of its development have been identified and include upper airway collapsibility, ventilatory instability, low arousal threshold and reduced pharyngeal dilator muscle responsiveness during sleep, due to loss of noradrenergic drive and enhanced muscarinic influences to upper airway muscles. The recognition of these pathophysiological traits permitted to advance the research in the field of OSA new therapeutic perspectives. Aim: The aim of this study was to evaluate the effect of 1-week of reboxetine (a noradrenergic) plus oxybutynin (an antimuscarinic) on OSA severity (primary outcome) and their effect on endotypic traits and cardiovascular autonomic modulation. Methods: We performed a randomized, placebo-controlled, double-blind, crossover trial comparing 4 mg reboxetine plus 5 mg oxybutynin (reb–oxy) to placebo in OSA subjects. After a baseline in-lab polysomnogram (PSG), patients performed PSGs after 7 nights of reb-oxy and 7 nights of placebo to compare apnea-hypopnea index (AHI, primary outcome). Secondary outcomes included hypoxic burden, heart rate variability, blood pressure and heart rate changes and psychomotor vigilance test. Home oximetry evaluated overnight oxygen desaturation throughout treatment. Results: 16 subjects aged 57[51-61] years (median [interquartile range]) with body mass index 30[26-36] kg/m2 completed the study. Reb-oxy lowered AHI from 49[35-57] events/h at baseline to 18[13-21] events/h (59% median reduction) compared with 39[29-48] events/h (6% median reduction) on placebo (p<0·001). Response rate for reb-oxy was 81% versus 13% for placebo p<0·001). Median nocturnal heart rate during the PSG was 65 [60-69] bpm at baseline and increased to 69 [64-77] bpm on reb-oxy vs 66 [59-70] bpm on placebo (p=0.02). Reb-oxy administration was not associated with any modification in heart rate variability, 24-hour, day-time and night-time systolic and diastolic blood pressure. The psychomotor vigilance test decreased from 250[239-312] ms on baseline to 223[172-244] ms on reb-oxy versus 264[217-284] ms on placebo (p<0·001). Home oximetry illustrated acute and sustained improvement in oxygen desaturation index on reb-oxy versus placebo. Conclusions: The recent understanding of OSA pathophysiological mechanisms brought to hypothesize that, among the others, muscle responsiveness would be the main target to develop a precision medicine to treat OSA. We demonstrated that OSA severity and OSA-related hypoxic consequences are greatly decrease by the administration of reboxetine-plus-oxybutynin. These results highlight potential possibilities for personalized medicine with pharmacological therapy to treat OSA and its related hypoxic burden.
Sam, Kim, and 岑儉. "Short term effects of an oral appliance in the treatment of mild to moderate Obstructive Sleep Apnea in Chinese subjects." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31973036.
Повний текст джерела鄭希翹 and Hai-kiu Kelvin Cheng. "Evaluation on the quality of life for patients with obstructive sleep apnea using the continuous positive airway pressure device treatment." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B4072041X.
Повний текст джерелаDewa, Lindsay. "Insomnia in a prison population : a mixed methods study." Thesis, University of Manchester, 2017. https://www.research.manchester.ac.uk/portal/en/theses/insomnia-in-a-prison-population-a-mixed-methods-study(6f501889-4a7f-4029-beb2-67da832cf14a).html.
Повний текст джерелаSidol, Craig. "Evaluating the Effect of Poor Sleep Efficiency and Next-Day Behavior Among Children with Attention Deficit/Hyperactivity Disorder." University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1593266430686674.
Повний текст джерелаSchwartzhaupt, Alexandre Willi. "Estudo da influência da cafeína sobre o efeito antidepressivo da privação de sono em pacientes deprimidos." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2008. http://hdl.handle.net/10183/13193.
Повний текст джерелаIntroduction: Sleep deprivation (SD) has been used as an alternative approach to treat major depressive disorder (MDD), however the efficacy and the effectiveness needs studies with homogeneity and better delineament to strengthen the evidence based medicine to the use in the practical daily use. Besides, since the 1° puplication in 1971 of a case report, by Plug and Tölle, in that one patient with severe melancholic depressive disorder achieved remission in the next day after a total sleep deprivation. However his depressive sintomtology was back after the next night of sleep. Since this almost 40 years, a lot of papers were puplished, and the majority where case report, case reports and open trials with patients with MDD, bipolar depression without make difference between tipe I or II. Caffeine, due to its stimulating effect, could be an alternative to promote sleep deprivation. However, there are no data about its potential influence on the antidepressive effect of SD. The objective of this study is to assess the effect of caffeine on SD in non-psychotic patients with moderate to severe unipolar depression. Methods: Randomized, double-blind, crossover clinical trial comparing caffeine and placebo in moderate to severe depressed patients who underwent total sleep deprivation (SD). The patients were assessed with items of the Bond-Lader Scale, the 6-item Hamilton Depression Rating Scale (HAMD-6), and the Clinical Global Impression (CGI)-Severity/Improvement. Results: Twenty patients participated in this study. The patients who consumed caffeine presented the same score of energy before and after sleep deprivation (lethargicenergetic item of the Bond-Lader scale), while the patients in the placebo group had a reduced score of energy after sleep deprivation (p = 0.0045). There was no difference between the caffeine and placebo groups in the other items of the Bond-Lader scale. Conclusion: The combined use of caffeine and SD can be a useful strategy to keep the 12 patient awake without impairing the effect of SD on depressed outpatients. However, further studies involving patients who have responded to SD are needed in order to verify if caffeine also does not interfere with the results in this group.
Hill, Elizabeth Anne. "Prevalence and treatment of obstructive sleep apnoea/hypopnoea syndrome in adults with Down syndrome." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/22917.
Повний текст джерелаBALIAN, ARAXI. "EFFECTIVENESS OF ORTHODONTIC TREATMENT WITH PREFABRICATED MYOFUNCTIONAL APPLIANCES IN CHILDREN WITH SLEEP-RELATED BREATHING DISORDERS AND OBSTRUCTIVE SLEEP APNEA: AN 18-MONTH FOLLOW-UP." Doctoral thesis, Università degli Studi di Milano, 2022. http://hdl.handle.net/2434/915635.
Повний текст джерелаHarris, Kristie M. "Insomnia, cognitive impairment, and decision-making among patients with heart failure: A randomized study of brief behavioral treatment for insomnia." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1531350697660812.
Повний текст джерелаAmato, Juliana Neide 1989. "Assessment of sleep bruxism, orthodontic treatment need, orofacial dysfunctions and salivary biomarkers in asthmatic children." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289834.
Повний текст джерелаTexto em inglês e português
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: Objetivo: Este estudo objetivou avaliar a presença de bruxismo do sono, maloclusões e disfunções orofaciais bem como os níveis salivares de cortisol e alfa-amilase em crianças asmáticas. Material e Métodos: A amostra consistiu de 108 crianças, de ambos os gêneros, com idade entre sete e nove anos, selecionados da Policlínica Santa Teresinha Doutor Antonio Haddad Dib (grupo com asma, n=53) e das escolas públicas (grupo controle, n=55), ambos do município de Piracicaba, SP, Brasil. O diagnóstico de bruxismo do sono foi confirmado pelo relato dos pais sobre ranger os dentes (pelo menos três vezes por semana) e pela presença de facetas de desgaste em incisivos e/ou molares permanentes. O Índice de Necessidade de Tratamento Ortodôntico ¿ Componente Dentário (IOTN-DHC) foi utilizado para avaliar a oclusão. As disfunções orofaciais foram avaliadas pela versão Brasileira do Nordic Orofacial Test-Screening (NOT-S). O cortisol salivar (?g/dl) e a alfa-amilase (U/ml) foram analisador por kit enzimaimunoensaio. Os dados foram expressos em "resposta ao acordar" (RA), calculada pela diferença entre os valores imediatamente ao acordar e 30 minutos após acordar, e "declínio diurno" (DD), calculado pela diferença entre os valores 30 minutos após acordar e antes de dormir. Os dados foram analisados utilizando os testes Shapiro Wilk/Kolmogorov-Smirnov, Qui-quadrado, teste t não pareado/Mann-Whitney e teste t pareado/Wilcoxon. Resultados: O bruxismo foi mais prevalente em crianças com asma do que controles (47,2% vs. 27,3%, p<0.05). Mais de metade das crianças com asma apresentaram gravidade intermitente (50,9%, p<0.001). O grupo com asma apresentou maiores escores do NOT-S total e entrevista do que o grupo controle (p<0.05). Sintomas de disfunções orais relacionados a (I) Função Sensorial e (IV) Mastigação e Deglutição foram mais frequentes em crianças com asma do que controles (p<0.05). A RA de cortisol salivar no final de semana foi significativamente maior no grupo com asma do que controles (p<0.05). No grupo controle, o DD de cortisol salivar foi significativamente maior em dia de semana do que no final de semana (p<0.05). Conclusões: A presença de asma em crianças esteve associada com sinais e sintomas de bruxismo do sono, percepção negativa das funções sensoriais, mastigação e deglutição e maior concentração de cortisol salivar no final de semana
Abstract: Objective: This study aimed to evaluate the presence sleep bruxism, malocclusions and orofacial dysfunctions as well as the salivary levels of cortisol and alpha-amylase in asthmatic children. Material and Methods: The sample consisted of 108 children of both genders in the age-range from seven to nine years, selected from Policlinic Santa Teresinha Doutor Antonio Haddad Dib (asthma group, n=53) and from public schools (control group, n=55), both of Piracicaba, SP, Brazil. Sleep bruxism diagnosis was confirmed by parental report of grinding sounds (at least three times a week) and the presence of shiny and polish facets on incisors and/or first permanent molars. The Index of Orthodontic Treatment Need ¿ Dental Health Component (IOTN-DHC) was used for occlusion evaluation. Orofacial dysfunctions were evaluated using the Brazilian Portuguese version of the Nordic Orofacial Test-Screening (NOT-S). Salivary cortisol (?g/dl) and alpha-amylase (U/ml) were assayed using enzyme immunoassay kit. These data were expressed as ``awakening response¿¿ (AR), calculated as the difference between levels immediately after awakening and 30 min after waking, and "diurnal decline" (DD), calculated as the difference between levels at 30 min after waking and at bedtime. Data were analyzed using Shapiro-Wilk/Kolmogorov-Smirnov, Chi-square, unpaired t test/Mann-Whitney and paired t/Wilcoxon tests. Results: Sleep bruxism was more prevalent in children with asthma than controls (47.2% vs. 27.3%, p<0.05). More than half of the asthmatic children had intermittent severity (50.9%, p<0.001). The asthma group had higher scores of NOT-S total and interview than control group (p<0.05). Symptoms of oral dysfunctions related to (I) Sensory Function and (IV) Chewing and Swallowing were more frequent in children with asthma than controls (p<0.05). Salivary cortisol AR on weekend was significantly higher for asthma group than controls (p<0.05). In control group, salivary cortisol DD was significantly higher on weekday than weekend (p<0.05). There were no significant differences in alpha-amylase values in and between groups. Conclusions: The presence of asthma in children was associated with signs and symptoms of sleep bruxism, negative perception of sensory, chewing and swallowing functions, and higher concentrations of salivary cortisol on weekend
Mestrado
Odontopediatria
Mestra em Odontologia
Banthia, Rajni. "Post-treatment fatigue in breast cancer survivors : the role of sleep quality and depressed mood /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2004. http://wwwlib.umi.com/cr/ucsd/fullcit?p3130213.
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