DOI: 10.5958/0974-0155.2016.00007.3 |
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Shrivastava D. Childhood Adenoidectomy and Tonsillectomy (CHAT) Randomized Controlled Trial: Impact on the Management of Obstructive Sleep Apnea in Children. Indian Sleep Med 2016; 11 (2):47-50.
The results of the first randomized controlled trial popularly known as Childhood adenoidectomy and tonsillectomy (CHAT) in otherwise healthy children of older age (five to nine years) are at best intriguing. These subjects diagnosed with mild to moderate Obstructive sleep apnea (OSA) by polysomnography (PSG) underwent the recommended first line treatment adenotonsillectomy (AT) or watchful waiting. AT provided benefit in terms of quality of life, improvement in symptoms and behavior. There is high quality evidence that AT is beneficial in terms of improvement in PSG parameters. On the contrary, high quality evidence indicates lack of benefit in objective measures of attention and neurocognitive performance compared with watchful waiting. Since its publication, CHAT database has been used for many follow up randomized trials with assessment of cardio-metabolic and demographic variables, respiratory parameters, complication rates, and weight gain.
Background: Periodontal Diseases encompass diseases of the gingiva & supporting structures such as bone and cementum. Periodontal diseases are known to have an interconnect with cardiovascular diseases, metabolic disorders, and atherosclerosis. Recent evidence suggests a relationship between periodontal diseases and Obstructive sleep apneas (OSA).
Aim: The present study was conducted to assess the relationship between periodontal diseases and Daytime Somnolence using the Epworth Sleepiness Scale (ESS).
Results: The results of this study revealed a strong relationship between severity of periodontal diseases and Daytime somnolence, although not statistically significant.
There is a strong association between sleep and depression. Depressed patients often report sleep problems, including difficulty in initiation and maintenance of quality sleep. There are both subjective and objective changes in sleep pattern during depressed states. Together, these symptoms cause enormous distress and adversely impact the quality of life of the patients. Sleep problems often appear before depression symptoms and subjective sleep quality worsens before the onset of an episode. Insomnia is considered a key symptom of depression and could be the primary reason the depressed one seeks medical help. Sleep disturbance, hence, should be successfully managed in depression, in order to improve the quality of life in these patients. This paper reviews the existing scientific literature to explore the association between sleep and depression.
Rajat Sanker Roy Biswas,
Introduction: Snoring is a common health condition which is unexplored in Bangladesh. So the objective of the present study is to find out the frequency of snoring among the healthy Bangladeshi people.
Methodology: It was a single-center cross-sectional study done in the Department of Internal Medicineof a tertiary care hospital of Bangladesh, among 119 apparently healthy adults. A‘Snore Survey’ questionnaire adopted from an Indian Study4 was used for this study (questionnaire was itself based onthe Berlin Questionnaire).
Results: With an 88.1% valid response rate the present study included 63 males (52.94%) and 56 females (47.06%). The majority of the subjects were <30 years of age (47.9%). And a considerable majority of 82.4% was recruited from the urban locality. The frequency of snoring was seen in 28 of the total subjects (23.5%). Of the frequent snorers, 33.3% were males and 12.5% were females. Snoring distributed from daily (25.0%) to monthly (28.6%) attacks. Some snored very loudly (25.0%) while the rest had variable loudness in snoring. Male snorers had significantly higher level of height, bodyweight and neck circumference than female snorers (p <0.05).
Conclusion: This is probably the first such study from Bangladesh to the best of our knowledge. Snoring is to be explored widely in future as it is associated with many other health conditions.