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Differences in three-dimensional craniofacial anatomy between responders and non-responders to mandibular advancement splint treatment in obstructive sleep apnea patients

Differences in three-dimensional craniofacial anatomy betwee...

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中国睡眠研究会第十一届全国学术年会

作者： Hui Chen Ghizlane Aarab Frank Lobbezoo Jan De Lange Paul Van der Stelt M. Ali Darendeliler Peter A. Cistulli kate sutherland Oyku Dalci ShanDong University Academic Centre for Dentistry Amsterdam（ACTA） University of Sydney Department of Respiratory and Sleep Medicine Royal North Shore Hospital

Aim The primary aim of this study was to assess the differences in the upper airway morphology between responders and non-responders to mandibular advancement splint（MAS） treatment in obstructive sleep apnea（OSA） management. The secondary aim was to assess the correlation between the minimum cross-sectional area of the upper airway and the anatomical structures（ie., mandibular external length, maxillary length, soft palate length, area of the tongue, maxillomandibular enclosure size, and anatomical balance ratio） surrounding the upper airway. The third aim was to assess the differences in the overall skeletal configuration between responders and non-responders to MAS treatment. Methods Data from 64 patients（23 females and 41 males） diagnosed with OSA by polysomnography（PSG） at baseline and provided with an adjustable MAS were analyzed. All patients had NewTom3 G cone beam computed tomography（CBCT） scans, performed in the supine position, at baseline. After acclimatization to MAS, follow-up PSG tests were performed to assess the apnea-hypopnea index（AHI） with the MAS in situ. Responders were defined by a post-treatment AHI＜10/hour and ≥ 50% reduction in AHI, and non-responders by a post-treatment AHI≥ 10/hour or ＜ 50% reduction in AHI. Several upper airway and anatomical variables surrounding the upper airway based on CBCT images were measured to determine the differences between responders and non-responders to MAS. Results There were 36 responders（AHI=24.8±11.9 at baseline） and 28 non-responders（AHI=31.2±20.3 at baseline） to MAS. There were no significant differences in the upper airway morphology between responders and non-responders（P=0.17-0.93） or in the anatomical structure surrounding the upper airway（P=0.24-0.58）. Conclusion Within the limitations of this study, it can be concluded that there are no significant differences in upper airway morphology and in anatomical structures surrounding the upper airway between responders and non-responders to MAS treatmen

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Change in Functional Status from Preoperative to One Year Postoperative in Patients Who Have Undergone Elective Open-Heart Surgery: A Repeated-Measures Study

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World Journal of Cardiovascular Diseases 2024年第6期14卷 421-433页

作者： A. kate MacPhedran David Barker Mark Marbey Kieran Fogarty Physical Therapy Program Morosky College of Health Professions and Sciences Gannon University Erie PA USA Interdisciplinary Health Sciences PhD Program College of Health and Human Sciences Western Michigan University Kalamazoo MI USA Organizational Learning and Leadership PhD Program College of Humanities Education and Social Sciences Gannon University Erie PA USA Cardiac Surgery Services AHN Saint Vincent Health Center Erie PA USA

Purpose: Although patient-related factors affect surgical outcomes, preoperative functional status is not measured by any cardiac risk score. Functional status can, however, be objectively measured using validated outcome tools such as the Late-Life Function and Disability Instrument (LLFDI). The purpose of this study was to determine 1) if there was a change over time in functional status, as measured by the LLFDI, in patients who underwent elective cardiac surgery, and if so, 2) what specific aspect(s) of functional status changed. Methods: A prospective longitudinal study of one year was conducted on elective cardiac surgery patients (n = 43) using the self-reported LLFDI, which measures Disability Frequency (frequency of participation in social tasks), Disability Limitation (ability to participate in social tasks) and Function Total (ease in performing routine activities). Higher scores indicate increased function and decreased disability. LLFDI scores were compared at three times (preoperative, six-week and one-year postoperative) using repeated measures ANOVA. Post hoc pairwise comparison was conducted for specific interactions. Results: Both Function Total and Disability Frequency significantly changed over time (p = 0.047 and p = 0.013, respectively). Specifically, patients’ function level was significantly higher one-year postoperative compared to preoperative (M difference = +3.48, SE = 1.48, p = 0.026). Likewise, Disability Frequency scores were significantly higher (i.e. more active) at one-year postoperative versus preoperative (M difference= +5.98, SE = 2.19, p = 0.033). Disability Limitation scores were not significantly different between any time points (p > 0.05). Conclusion: By one-year postoperative, patients demonstrated increased ease in their routine physical activities and were more participatory in social life tasks. Individuals who underwent elective cardiac surgery took more than six weeks to detect notable improvement in functional status,

关键词： Functional Status Elective Cardiac Surgery Late-Life Function and Disability Instrument

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爱尔兰潜藏着的教育实力

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教师博览（上旬刊） 2024年第5期 46-47页

作者： kate 不详

与英国隔海相望的爱尔兰,有着“欧洲硅谷”的美誉,每年迎来送往的全球商人络绎不绝。更让人感到不可思议的是,这还是一个盛产美国总统的国家——在46任总统中,近一半是爱尔兰裔或有着爱尔兰血统,其中也包括美国现任总统拜登。

关键词：现任总统爱尔兰不可思议美国

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The Experience and Impact of a Fitbit-Based Physical Activity and Sleep Hygiene Intervention for Older Adults Experiencing Cognitive Decline

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Advances in Aging Research 2024年第3期13卷 41-59页

作者： kate Walker Chris Griffiths Jen Yates Louise Birkett-Swan Farah Hina Chee Siang Ang Research and Innovation Department Northamptonshire Healthcare NHS Foundation Trust Northampton UK Institute of Mental Health University of Nottingham Nottingham UK Dementia and Older People’ s Psychology Provision Northamptonshire Healthcare NHS Foundation Trust Northampton UK School of Computing University of Kent Canterbury UK

Objectives: This study aimed to understand the experience and impact of a physical activity and sleep wrist-worn tracker (Fitbit)-based healthy lifestyle intervention for older patients attending a memory assessment service, who are experiencing cognitive impairment but do not receive a dementia diagnosis. Methods: A qualitative design was employed. Semi-structured interviews were conducted with a purposeful sample of thirteen participants recruited from a memory assessment service. Thematic analysis, that was data driven and inductive, was undertaken to analyse the data. Results: Two global themes were developed. “Understanding exercise and sleep as part of my lifestyle” was made up of themes representing how participants viewed exercise and sleep as part of their lifestyles in terms of acknowledging the positive impacts and the barriers to exercise and sleep. The second global theme “Understanding my experience of the healthy lifestyle intervention” was made up of themes that identified the positive impact of the intervention regarding improving health and wellbeing, enabling validation of proactive behaviours and motivation to engage in healthy lifestyle behaviours, so promoting positive behaviour change. Conclusion: Patients experiencing age-related cognitive impairment, applied and benefited from a healthy lifestyle Fitbit-based intervention to facilitate and promote physical activity, better sleep hygiene and healthy lifestyles.

关键词： Cognitive Impairment Healthy Lifestyle Intervention Fitbit Health and Wellbeing Behaviour Change

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相关的人和事

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英语角 2024年第20期 14-15页

作者： kate 张霞(画) 不详

从东汉未年到三国时期,纷争不断。乱世给予谋士们更多大展拳脚的机会和舞台。你对这一时期的历史事件和人物关系了解多少呢?一起来看看吧。

关键词：三国时期乱世谋士

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银色辫子

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中学生英语 2024年第3期 12-17页

作者： kate E.Anderson 杨舟(译) 不详

真是个错误。在一场大型比赛中,我与步行者和慢跑者一起从后面起跑,这让我陷入了长达一英里的人流拥堵中。在穿过奥格登半程马拉松赛中一片宽阔的绿色山谷后,我已经有了一种失落感。然而这还只是第一英里。

关键词：半程马拉松步行者失落感起跑慢跑者

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范蠡相关的人和事

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英语角 2024年第8期 8-9页

作者： kate 张霞(画) 欣巴达(画) 不详

范蠡前半生从政,后半生经商。在他的一生中,出现过一些知名的历史人物,发生过非常重要的历史事件。你了解多少?一起来看看吧。

关键词：范蠡后半生前半生历史

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同时期的人

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英语角 2024年第11期 8-9页

作者： kate 张霞欣(画) 巴达(画) 不详

孙膑经历过屈辱,也经历过荣耀。他参与过许多重要的历史事件,也遇到过一些知名的历史人物。你了解多少?一起来看看吧。Harming Sun Bin:Pang Juan lied to King Hui of Weiandsaid Sun Bin wantedto betray(背叛)Wei.陷害孙膑:(担心魏... 详细信息

孙膑经历过屈辱,也经历过荣耀。他参与过许多重要的历史事件,也遇到过一些知名的历史人物。你了解多少?一起来看看吧。Harming Sun Bin:Pang Juan lied to King Hui of Weiandsaid Sun Bin wantedto betray(背叛)Wei.陷害孙膑:(担心魏惠王重用孙膑)污孙膑有叛国的意图。

关键词：魏惠王 Sun 孙膑

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