Obstructive Sleep Apnea Treatment with Oral Appliance in a Myotonic Dystrophy Type I Subject: A Case Report.

 to report a myotonic dystrophy type 1 (MD1) subject with obstructive sleep apnea syndrome treated with oral appliance.  A review of individual's history and records, associated with a photographic register of all diagnostic methods and literature research about the topic were done.  This case depicts the therapeutical choices disposable to treat subjects with obstructive sleep apnea and DM1.

Self-rated health among adolescents from vulnerable areas and their sociodemographic, lifestyle and contextual factors: A multilevel analysis.

Purpose: Understanding self-rated health in young people can help orient global health actions, especially in regions of social vulnerability. The present study analysed individual and contextual factors associated with self-rated health in a sample of Brazilian adolescents.

Design And Methods: Cross-sectional data from 1272 adolescents (aged 11-17; 48.

Spigelian hernia diagnosis: Case report.

Introduction And Importance: Spigelian hernia is a rare abdominal wall hernia, representing 0.1 to 2 % of all ventral hernias. Clinically, the signs and symptoms are nonspecific and unclear.

Spontaneous pneumomediastinum in a young adult female.

Spontaneous pneumomediastinum is characterized by the accumulation of air in the mediastinum with no identified cause. It is a rare and self-limiting condition. We report the case of a 32-year-old female patient with controlled bronchial asthma, who presented with spontaneous pneumomediastinum, with no precipitating event.

Health Promoting School Interventions in Latin America: A Systematic Review Protocol on the Dimensions of the RE-AIM Framework.

Understanding the dimensions of internal and external validities (e.g., using the RE-AIM model: Reach, Effectiveness/Efficacy, Adoption, Implementation, and Maintenance) of school interventions is important to guide research and practice in this context.

Electrophysiological activity of the pharyngoesophageal transition of total laryngectomees.

Objectives/hypothesis: To determine the association of the electrophysiological activity of the pharyngoesophageal transition with tracheoesophageal speech proficiency in total laryngectomees.

Study Design: An observational (nonexperimental) study of the correlation type with a descriptive approach.

Methods: Thirty-four individuals (26 males), average age 62.

Analysis of mean transcutaneous capnography in consecutive patients undergoing polysomnography.

Unlabelled: Transcutaneous capnography is a noninvasive method useful for analysis of the behavioral tendency of transcutaneous CO₂pressure (PtcCO₂) in patients undergoing polysomnography, to evaluate respiratory sleep disorders.

Objective: Determine normative PtcCO₂values in normal patients undergoing polysomnography.

Method: One hundred seventy-nine patients who underwent polysomnography with simultaneous PtcCO₂measurement were assessed by means of a transcutaneous capnograph (TCM4 series from Radiomiter).

Coexistence of two chronic neuropathies in a young child: Charcot-Marie-Tooth disease type 1A and chronic inflammatory demyelinating polyneuropathy.

We report an 18-month-old Charcot-Marie-Tooth type 1A (CMT1A) patient who developed a rapid-onset neuropathy, with proximal and distal weakness, and non-uniform nerve conduction studies. The neuropathy responded well to immunomodulation, confirming the coexistence of an inherited and an inflammatory neuropathy. Unexpected clinical and/or electrophysiological manifestations in CMT1A patients should alert clinicians to concomitant inflammatory neuropathy.

Electrophysiologic activity of the vestibular fold.

Objectives: To assess the vestibular fold muscle after cordectomy and laryngeal reconstruction, the pattern of motor unit recruitment during sound emission, and the morphologic characteristics of motor unit action potentials.

Design: Prospective analysis.

Setting: Tertiary academic hospital.

Quantitative structure - photodegradation relationships of polybrominated diphenyl ethers, phenoxyphenols and selected organochlorines.

Among other developments, the technological revolution has lead to introduction of new chemicals to better serve in instruments and materials. The consequences of the extensive increase in use of new chemicals can be detected in the environment world wide, i.e.

Photochemical decomposition of dissolved hydroxylated polybrominated diphenyl ethers under various aqueous conditions.

The area of fire protection has grown over the last decades with an increasing use of brominated flame retardants (BFRs). Some of the BFRs are phenolic compounds as applied, e.g.

A standardized method for assessment of oxidative transformations of brominated phenols in water.

The term persistence has been used to confusion since it is used as a conceptual parameter without a uniform definition. Work is therefore being done in order to unite ideas and describe persistence based on the chemical reactivity and chemico-physical properties of compounds via investigation of the main degradation pathways in the environment; photolysis, hydrolysis-substitution-elimination (hse), oxidation, reduction and radical reactions. The present work is focused on developing a method to determine oxidative degradation rates of chemicals and thereby measurement of their susceptibility to undergo oxidation reactions.

Episodes of Guillain-Barré syndrome associated with the acute phase of HIV-1 infection and with recurrence of viremia.

We report a severe case of Guillain-Barré syndrome (GBS) characterized by flaccid areflexive tetraplegia and signs of autonomic instability related to acute HIV-1 infection, and the occurrence of relapse episodes coinciding with the detection of HIV-1 RNA in blood during the phase of irregular treatment with antiretroviral agents. The patient has been asymptomatic for 3 years and has an HIV-1 load below the limit of detection. The recurrence of GBS in this case may be related to alterations of the immunologic response caused by disequilibrium in the host-HIV relationship due to the increase in HIV-1 viremia.