Navegando por Palavras-chave "Sleep Disorders"
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- ItemSomente MetadadadosApneia Do Sono Na Doença De Machado-Joseph: Avaliação Clínica E Polissonográfica(Universidade Federal de São Paulo (UNIFESP), 2018-02-22) Santos, Felipe Augusto Folha [UNIFESP]; Pedroso, Jose Luiz [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: Machado-Joseph Disease (Mjd) Or Spinocerebellar Ataxia Type 3 (Sca3) Is The Most Common Type Of Autosomal Dominant Spinocerebellar Ataxia (Acs). The Onset Of Symptoms Is Around The 3rd Or 4th Decade, Leading To Progressive Degeneration Of The Nervous System. The Disease Causes Diffuse Neurological Impairment And Affects The Cerebellum, Brainstem, Basal Ganglia, Spinal Cord, Peripheral Nerves, And The Clinical Spectrum Of Dmj Includes Varying Degrees Of Cerebellar Ataxia, Ophthalmoplegia, Nystagmus, And Pyramidal Signs. Sleep Disorders Have Been Described As Frequent Non-Motor Symptoms In Jdm And With Marked Impairment In Quality Of Life. However, Few Studies Have Evaluated The Frequency And Characteristics Of Sleep Apnea In Jdm.Methodology: This Study Analyzed The Prevalence Of Sleep Apnea In 47 Jdm Patients Using Polysomnography. Clinical Variables Such As Age, Duration Of Illness, Bmi, Severity Of Ataxia Scales And Cag Repeat Length Were Compared With The Polysomnographic Findings. Results: Pa
- ItemSomente MetadadadosAspectos biológicos do sono e seus distúrbios(Universidade Federal de São Paulo (UNIFESP), 1996) Tufik, Sergio [UNIFESP]
- ItemSomente MetadadadosAvaliação da função cognitiva da aprendizagem em crianças com distúrbios obstrutivos do sono(Universidade Federal de São Paulo (UNIFESP), 2006) Uema, Sandra Fumi Hamasaki [UNIFESP]; Pignatari, Shirley Shizue Nagata [UNIFESP]Objetivo: Avaliar se pacientes com distúrbios obstrutivos do sono apresentam alteração de aprendizagem, memória e atenção. Método: Foram avaliadas 81 crianças de 6 a 12 anos de idade, divididas em 3 grupos: grupo SAHOS (n=24), grupo Ronco Primário (n=37) e grupo Controle (n=20), através de testes de aprendizagem (Teste de Rey) e cognitivos (Dígitos, Código, Cancelamento de Letras e Símbolos). Todas as crianças realizaram polissonografia. Resultados: Os grupos SAHOS (n=24) e Ronco Primário (n=37) apresentaram diferença estatisticamente significante na evocação da variável A1 do Teste de Rey (p=O,011) e o grupo Ronco Primário (n=37), nas evocações das variáveis A2, A4, A6 e A T no teste de aprendizagem e memória do Teste de Rey (p=O,011; p=O,02; p=O,OO4;p=O,05, respectivamente) em relação ao controle (n=20). Não houve diferença em relação aos testes de atenção entre os 3 grupos de estudo. Conclusão: Crianças portadoras de distúrbios obstrutivos do sono apresentam piores scores nos testes de aprendizagem e memória imediata, principalmente crianças com Ronco primário. Os testes de atenção apresentam resultados semelhantes entre crianças portadoras e não portadoras de distúrbios obstrutivos do sono.
- ItemAcesso aberto (Open Access)Estudo dos distúrbios do sono em pacientes com distonia focal: blefaroespasmo(Universidade Federal de São Paulo (UNIFESP), 2020-07-30) Lestingi, Silvia Cordova [UNIFESP]; Borges, Vanderci [UNIFESP]; Coelho, Fernando Morgadinho Santos [UNIFESP]; http://lattes.cnpq.br/4520146294812879; http://lattes.cnpq.br/2742450111759824; http://lattes.cnpq.br/5531342388610304; Universidade Federal de São PauloObjective: We evaluated the quality of sleep and circadian rhythm in a sample of Brazilian blepharospasm patients. Methods: A total of 51 patients, who met the clinical criteria for blepharospasm, evaluated by two specialists in movement disorders, were recruited from the outpatient clinic for movement disorders of two reference centers in the city of São Paulo: Federal University of São Paulo and São Paulo Public Servants Hospital. The selected 13 patients were evaluated from 13 days before to 13 days after the use of botulinum toxin. They were interviewed, underwent physical examination and actigraphy, and completed sleep diaries. Results: Seven patients (58.8%) were at risk for developing obstructive sleep apnea syndrome (OSAS). The quality of sleep was poor for eight patients (61.5%) and showed a strong positive correlation coefficient with insomnia. After the use of botulinum toxin, the group that reported sleep improvement exhibited a 50% decrease in sleep latency. There was no change in the circadian rhythm. Patients who reported no sleep improvement after the use of botulinum toxin presented with poorer synchronization of the light-dark cycle. Conclusion: Blepharospasm patients present with poor sleep quality, displaying a strongly positive correlation with the insomnia severity index. About 50% of the patients presented with sleep improvement after using botulinum toxin. The synchronization of the light-dark cycle may influence this improvement.
- ItemSomente MetadadadosO impacto da adenoamigdalectomia nas funções cognitivas em crianças com distúrbios respiratórios do sono(Universidade Federal de São Paulo (UNIFESP), 2011) Uema, Sandra Fumi Hamasaki [UNIFESP]; Pignatari, Shirley Shizue Nagata [UNIFESP]Objetivo: Avaliar o impacto da adenoamigdalectomia no desempenho da atencao, memoria e aprendizagem em criancas com disturbios respiratorios do sono apos 5 anos de seguimento. Metodo: Foram avaliadas inicialmente 81 criancas, respiradoras orais de ambos os sexos, idade entre 6 e 12 anos, atraves de polissonografia, audiometria e imitanciometria, teste de aprendizagem (Rey Auditory Verbal Learning Test u teste de Rey) e testes cognitivos (Digitos e Codigos u subtestes do Wechsler Intelligence Scale for Children III, Cancelamento de Letras e de Simbolos). As criancas com disturbios respiratorios do sono e hipertrofia adenoamigdaliana com indicacao cirurgica de adenoamigdalectomia foram encaminhadas para a cirurgia e apos cinco anos de seguimento, 43 criancas permaneceram no estudo. Os pacientes foram divididos em tres grupos: grupo Ronco Primario (n=19), grupo Sindrome da Apneia Obstrutiva do Sono (n=14) e grupo Controle (n=10). Todas as criancas realizaram novamente a polissonografia, audiometria e imitanciometria e foram reavaliadas atraves dos mesmos testes cognitivos. Resultados: Na avaliacao inicial do teste de Rey, o grupo Ronco Primario e Sindrome da Apneia Obstrutiva do Sono apresentaram pior desempenho na aprendizagem em relacao ao grupo Controle. Apos a adenoamigdalectomia, o desempenho do grupo Ronco Primario foi melhor em todas as passagens do teste, quando se compararam as medias antes e apos a cirurgia em relacao ao grupo Controle: A1 (p=0,000), A2 (p= 0,000), A3 (p=0,000), A4 (p=0,000), A5 (p=0,000), At1 (p=0,000), B (p=0,019), A6 (p=0,000), A7(p=0,000) e R (p=0,000). O grupo Sindrome de Apneia Obstrutiva do Sono tambem apresentou melhor desempenho nas passagens A1 (p=0,001), A2 (p=0,000), A3 (p=0,000), A4 (p=0,001), A5 (p=0,001), At1(p=0,000), A6(p=0,002), A7 (p= 0,002) quando se compararam as medias antes e apos a cirurgia em relacao ao grupo Controle. Conclusao: Criancas com disturbios respiratorios do sono e alteracoes cognitivas apresentam melhora apos a adenoamigdalectomia no desempenho da memoria imediata e aprendizagem e no desempenho da atencao, em alguns testes atencionais
- ItemSomente MetadadadosRestless legs syndrome during pregnancy in Brazilian women(Elsevier B.V., 2010-12-01) Galdino Alves, Debora A. [UNIFESP]; Coin de Carvalho, Luciane Bizari [UNIFESP]; Morais, Jose Fausto de [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Ctr Univ LavrasObjective: the objective of this study was to identify the prevalence of restless legs syndrome (RLS) among pregnant Brazilian women, with individual diagnostic clinical interviews during the trimesters of pregnancy, and to determine the severity.Methods: It was a cross-sectional study. We interviewed 524 pregnant women (18-45 years old) who came to the prenatal outpatient clinic to consult an obstetrician. We used a RLS clinical-diagnostic interview and the International RLS Study Group rating scale (IRLS).Results: the prevalence of RLS during pregnancy was 13.5% in our sample, among which 90.1% of the cases started with their symptoms during pregnancy. More than half of the patients (53.5%) presented severe or very severe symptoms and the largest proportion of them (15.2%) were in their third trimester. We did not observe any demographic differences among the trimesters for RLS prevalence and RLS severity.Conclusion: RLS during pregnancy is more frequent than in the general population, such that more than half of the pregnant women with RLS present it severely or very severely. It occurs especially in the third trimester. (C) 2010 Elsevier B.V. All rights reserved.
- ItemSomente MetadadadosWomen's Sleep Disorders: Integrative Care(Elsevier Science Bv, 2017) Frange, Cristina [UNIFESP]; Banzoli, Carolina Vicente [UNIFESP]; Colombo, Ana Elisa [UNIFESP]; Siegler, Marcele [UNIFESP]; Coelho, Glaury [UNIFESP]; Bezerra, Andreia Gomes [UNIFESP]; Csermak, Marcelo [UNIFESP]; Naufel, Maria Fernanda [UNIFESP]; Cesar-Netto, Cristiana [UNIFESP]; Batista Castelo Girao, Manoel Joao [UNIFESP]; Tufik, Sergio [UNIFESP]; Andersen, Monica Levy [UNIFESP]; Hachul, Helena [UNIFESP]The integrative care model is rooted in a biopsychosocial approach. Integrative is a term which refers to increasing the harmony and coherence of your whole being, and integrative care is therefore focused on the person, not on either the disease or a therapy. It is provided collaboratively by a health team comprising physicians, psychologists, physiotherapists, acupuncturists, and meditation, nutrition, and floral therapy. Previous studies have demonstrated that interventions based on the integrative care model improved womens lifestyle and quality of life. Our aim was to describe the use of complementary and alternative medicine (CAM) alongside traditional medicine among women with sleep conditions in our Womens Sleep Disorders Integrative Treatment Outpatient Clinic. We are sharing our experiences and clinical practice as the model we developed seems to have both physical and psychological benefits for women with sleep problems. We discuss the wide range of benefits that result from this type of complex intervention, and the contextual factors that may influence these benefits. This will inform future practitioners and we hope to contribute to quantitative research in the clinical setting The study highlights the importance of treating sleep complaints with a caring relationship and a CAM approach, alongside conventional medicine. Exploration of the lived experience of CAM and its meaning enables healthcare professionals to gain insights into the patients needs, preferences, and values. Gynecologists, clinicians, and health care providers should support and guide patients in their decision to use CAM by providing evidence-based and comprehensive advice on the potential benefits, risks and related safety issues of this approach.