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Carneiro L, Souza CF, Giugliani R, Fagondes SC. Oropharyngeal Dysphagia in Mucopolysaccharidoses: Evidence from Videofluoroscopic Swallowing Study. J inborn errors metab screen 2022. [DOI: 10.1590/2326-4594-jiems-2022-0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Affiliation(s)
| | - Carolina F.M. Souza
- Hospital de Clínicas de Porto Alegre, Brazil; Universidade Federal do Rio Grande do Sul, Brazil
| | - Roberto Giugliani
- Hospital de Clínicas de Porto Alegre, Brazil; Universidade Federal do Rio Grande do Sul, Brazil
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Abstract
PURPOSE To assess the current diagnostic methods for sleep bruxism (SB). MATERIALS AND METHODS This review of the literature evaluates all available instrumental and noninstrumental methods of bruxism/SB diagnosis. RESULTS SB diagnosis can be performed using self-reports and clinical examination, but these methods have little agreement with polysomnography. Two portable electromyography/electrocardiography appliances have been validated against polysomnography (BiteStrip and Bruxoff), but they are indicated only for primary SB. Polysomnography is considered the gold standard and is indicated for secondary SB; however, it is expensive and time-consuming. CONCLUSION No perfect method of SB diagnosis exists, and future research should concentrate on improving SB self-reports.
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Pires PJ, Mattiello R, Lumertz MS, Morsch TP, Fagondes SC, Nunes ML, Gozal D, Stein RT. Validation of the Brazilian version of the Pediatric Obstructive Sleep Apnea Screening Tool questionnaire. Jornal de Pediatria (Versão em Português) 2019. [DOI: 10.1016/j.jpedp.2018.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Almeida STD, Ferlin EL, Maciel AC, Fagondes SC, Callegari-Jacques SM, Fornari F, Sérgio G. Silva DB, Goldani HAS. Acoustic signal of silent tracheal aspiration in children with oropharyngeal dysphagia. LOGOP PHONIATR VOCO 2018; 43:169-174. [DOI: 10.1080/14015439.2018.1487993] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Sheila T. de Almeida
- Post-Graduate Program: Science in Gastroenterology and Hepatology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Elton L. Ferlin
- Modelling and Signal Analysis Unit, Hospital de Clinicas de Porto Alegre (HCPA), Porto Alegre, Brazil
| | | | | | | | - Fernando Fornari
- Post-Graduate Program: Science in Gastroenterology and Hepatology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - de Barros Sérgio G. Silva
- Post-Graduate Program: Science in Gastroenterology and Hepatology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
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Drager LF, Lorenzi-Filho G, Cintra FD, Pedrosa RP, Bittencourt LRA, Poyares D, Carvalho CG, Moura SMGPT, Santos-Silva R, Bruin PFCD, Geovanini GR, Albuquerque FN, Oliveira WAAD, Moreira GA, Ueno LM, Nerbass FB, Rondon MUPB, Barbosa ERF, Bertolami A, Paola AAVD, Marques BBS, Rizzi CF, Negrão CE, Uchôa CHG, Maki-Nunes C, Martinez D, Fernández EA, Maroja FU, Almeida FR, Trombetta IC, Storti LJ, Bortolotto LA, Mello MTD, Borges MA, Andersen ML, Portilho NDP, Macedo P, Alves R, Tufik S, Fagondes SC, Risso TT. 1º Posicionamento Brasileiro sobre o Impacto dos Distúrbios de Sono nas Doenças
Cardiovasculares da Sociedade Brasileira de Cardiologia. Arq Bras Cardiol 2018; 111:290-340. [PMID: 30335871 DOI: 10.5935/abc.20180154] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
| | | | | | - Rodrigo P Pedrosa
- Pronto Socorro Cardiológico de Pernambuco (PROCAPE) - Universidade de Pernambuco, Recife, PE - Brasil
| | | | - Dalva Poyares
- Universidade Federal de São Paulo (UNIFESP), São Paulo, SP - Brasil
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Denis Martinez
- Universidade Federal do Rio Grande do Sul (UFRS), Porto Alegre, RS - Brasil
| | | | | | | | | | - Luciana J Storti
- Universidade Federal de São Paulo (UNIFESP), São Paulo, SP - Brasil
| | | | | | | | | | | | - Paula Macedo
- Hospital de Base do Distrito Federal, Brasília, DF - Brasil.,Hospital do Coração do Brasil, Brasília, DF - Brasil
| | - Rosana Alves
- Fleury Medicina e Saúde, Rio de Janeiro, RJ - Brasil
| | - Sergio Tufik
- Universidade Federal de São Paulo (UNIFESP), São Paulo, SP - Brasil
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Affiliation(s)
- M L Grossi
- UFRGS, Porto Alegre, RS, Brazil.,University of Michigan, Ann Arbor, MI, USA.,University of Toronto, Toronto, ON, Canada.,Post-Graduate Program in Dentistry (Prosthodontics), Faculty of Dentistry, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil
| | - M P Pattussi
- Passo Fundo University, Passo Fundo, Brazil.,University College London, London, UK.,Public Health Graduate Program, Vale do Rio dos Sinos University, São Leopoldo, RS, Brazil
| | - V C Mainieri
- UFRGS, Porto Alegre, RS, Brazil.,Post-Graduate Program in Dentistry (Prosthodontics), Faculty of Dentistry, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.,Faculty of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - S C Fagondes
- UFRGS, Porto Alegre, RS, Brazil.,Pneumology Center, Sleep Laboratory, Clinical Hospital of Porto Alegre (HCPA), Porto Alegre, RS, Brazil
| | - A C Saueressig
- UFRGS, Porto Alegre, RS, Brazil.,PUCRS, Porto Alegre, RS, Brazil.,Faculty of Dentistry, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil
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Forte GC, Barni GC, Perin C, Casarotto FC, Fagondes SC, Dalcin PDTR. Relationship Between Clinical Variables and Health-Related Quality of Life in Young Adult Subjects With Cystic Fibrosis. Respir Care 2015; 60:1459-68. [PMID: 25969516 PMCID: PMC9993759 DOI: 10.4187/respcare.03665] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND Health-related quality of life (HRQOL) has received much attention in patients with cystic fibrosis (CF). The goal of this study was to evaluate the association between clinical, lung function, sleep quality, and polysomnographic variables with 2 HRQOL questionnaires, the shorter-version World Health Organization Quality of Life (WHOQOL-BREF) and Cystic Fibrosis Quality of Life (CFQOL) questionnaires, in adult subjects with CF. METHODS In a cross-sectional study, 51 subjects underwent clinical evaluation and overnight polysomnography and answered WHOQOL-BREF, CFQOL, Pittsburgh Sleep Quality Index, and Epworth Sleepiness Scale questionnaires. In addition, pulmonary function tests, 6-min walk tests, and echocardiography were performed. RESULTS For WHOQOL-BREF scores, the sleep quality index was associated with the physical domain; the percent-of-predicted 6-min walk distance (6MWD) and sleepiness scale were associated with the psychological domain; the percent-of-predicted FEV1 and sleep quality index were associated with the social relationship domain; and the sleep quality index was associated with the environment domain. For CFQOL scores, age at diagnosis, clinical score, and sleep quality index were associated with the physical functioning domain; the percent-of-predicted 6MWD and pulmonary arterial systolic pressure were associated with the role domain; sex and sleep quality index were associated with the vitality domain; the apnea-hypopnea index was associated with the emotional functioning domain; sex and body mass index (BMI) were associated with the body image domain; the percent-of-predicted 6MWD and sleep quality index were associated with the health perception domain; age, sex, BMI, and arousal index were associated with the weight domain; age, sex, percent-of-predicted FEV1, percent-of-predicted 6MWD, and pulmonary arterial systolic pressure were associated with the respiratory symptom domain; and the clinical score was associated with the digestive symptom domain. CONCLUSIONS The sleep quality index score, 6MWD, sleepiness scale score, and FEV1 were predictors of WHOQOL-BREF scores. Age at diagnosis, clinical score, sleep quality score, 6MWD, sex, apnea-hypopnea index, BMI, current age, arousal index, FEV1, and pulmonary arterial systolic pressure were predictors of CFQOL scores.
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Affiliation(s)
- Gabriele C Forte
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Gabriela C Barni
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Christiano Perin
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Fernanda C Casarotto
- Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Simone C Fagondes
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil. Pneumology Department, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
| | - Paulo de Tarso Roth Dalcin
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil. Pneumology Department, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
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Zancanella E, Haddad FM, Oliveira LAMP, Nakasato A, Duarte BB, Soares CFP, Cahali MB, Eckeli A, Caramelli B, Drager LF, Ramos BD, Nóbrega M, Fagondes SC, Andrada NC. Obstructive sleep apnea and primary snoring: diagnosis. Braz J Otorhinolaryngol 2014; 80:S1-S16. [PMID: 24838760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/11/2012] [Indexed: 06/03/2023] Open
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9
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Zancanella E, Haddad FM, Oliveira LAMP, Nakasato A, Duarte BB, Soares CFP, Cahali MB, Eckeli A, Caramelli B, Drager LF, Ramos BD, Nóbrega M, Fagondes SC, Andrada NC. Obstructive sleep apnea and primary snoring: treatment. Braz J Otorhinolaryngol 2014; 80:S17-S28. [PMID: 24838761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/30/2012] [Indexed: 06/03/2023] Open
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Berger KI, Fagondes SC, Giugliani R, Hardy KA, Lee KS, McArdle C, Scarpa M, Tobin MJ, Ward SA, Rapoport DM. Respiratory and sleep disorders in mucopolysaccharidosis. J Inherit Metab Dis 2013; 36:201-10. [PMID: 23151682 PMCID: PMC3590419 DOI: 10.1007/s10545-012-9555-1] [Citation(s) in RCA: 94] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2012] [Revised: 10/12/2012] [Accepted: 10/15/2012] [Indexed: 12/24/2022]
Abstract
MPS encompasses a group of rare lysosomal storage disorders that are associated with the accumulation of glycosaminoglycans (GAG) in organs and tissues. This accumulation can lead to the progressive development of a variety of clinical manifestations. Ear, nose, throat (ENT) and respiratory problems are very common in patients with MPS and are often among the first symptoms to appear. Typical features of MPS include upper and lower airway obstruction and restrictive pulmonary disease, which can lead to chronic rhinosinusitis or chronic ear infections, recurrent upper and lower respiratory tract infections, obstructive sleep apnoea, impaired exercise tolerance, and respiratory failure. This review provides a detailed overview of the ENT and respiratory manifestations that can occur in patients with MPS and discusses the issues related to their evaluation and management.
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Affiliation(s)
- Kenneth I Berger
- Department Medicine, Physiology and Neuroscience, André Cournand Pulmonary Physiology Laboratory, Bellevue Hospital, New York University School of Medicine, New York, NY, USA.
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Saueressig AC, Mainieri VC, Grossi PK, Fagondes SC, Shinkai RSA, Lima EM, Teixeira ER, Grossi ML. Analysis of the influence of a mandibular advancement device on sleep and sleep bruxism scores by means of the BiteStrip and the Sleep Assessment Questionnaire. INT J PROSTHODONT 2010; 23:204-213. [PMID: 20552084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
PURPOSE A before-and-after experimental clinical study was carried out with the objective of evaluating the effect of a mandibular advancement device (MAD; 75% advancement), made of a thermoplastic material, on sleep bruxism (SB) and sleep scores. MATERIALS AND METHODS After a habituation period of 1 week, SB scores were taken at baseline and after use of the MAD for 30 days. Scores were compared using the newly developed BiteStrip, which registers the number of contractions of the unilateral masseter muscle after a 5-hour period, giving a severity score from 0 to 3 after the registrations. To assess sleep, the Sleep Assessment Questionnaire (SAQ), a screening tool with scores ranging from 0 to 68, was used before and after use of the MAD. Twenty-eight subjects (13 women, 15 men; mean age: 42.9 +/- 12.0 years) with a clinical history of SB and no spontaneous temporomandibular disorder (TMD) pain were selected. The clinical diagnosis of either moderate or severe SB was further confirmed through use of the BiteStrip (scores 2 or 3) at baseline. A 30-day follow-up period was used for evaluation. Both methods were validated against polysomnography. In addition, common signs and symptoms of TMD based on the Research Diagnostic Criteria for Temporomandibular Disorders were also evaluated before and after use to assess the side effects of the MAD. RESULTS There was a statistically significant improvement in both SB and sleep scores based on the BiteStrip and the SAQ (Wilcoxon signed rank and Student paired t test, P < .05). In the signs and symptoms of TMD, there was a significant reduction in temporomandibular joint sounds as well as in masseter and temporalis tenderness to palpation. None of the SB subjects experienced any breakage of the MAD. CONCLUSION The MAD had a positive effect on SB and sleep scores, measured by the BiteStrip and the SAQ, respectively, and did not increase any traditional signs and symptoms of TMD in a 30-day evaluation period.
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Molle LD, Goldani HAS, Fagondes SC, Vieira VG, Barros SGS, Silva PS, Silveira TR. Nocturnal reflux in children and adolescents with persistent asthma and gastroesophageal reflux. J Asthma 2009; 46:347-50. [PMID: 19484667 DOI: 10.1080/02770900802712948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND A higher frequency of nocturnal gastroesophageal reflux (GER) in adult patients with respiratory symptoms has been demonstrated. The aim of this study was to determine the prevalence of nocturnal GER by using prolonged intraesophageal pH monitoring and compare it with spirometry results in children with persistent asthma. METHODS Thirty-eight patients with persistent asthma for at least 2 years were studied. Gastrointestinal symptoms suggestive of GER were considered as regurgitation, heartburn, and abdominal pain. All patients underwent prolonged intraesophageal pH study and spirometry. GER was considered positive when a reflux index (RI) was higher than 5%. Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV(1)), forced mid-expiratory flow rate (FEF(25-75%)), and FEV(1)/FVC ratio were measured. RESULTS Median age was 10 years of age (range 5 to 15) and 58% were male; GER prevalence was 47.3%. Median (range) of reflux index during supine and upright periods from GER patients were, respectively, 8.7% (3.2 to 23.6) and 10.5% (5.2 to 15.0) (p = 0.913), and only FEF(25-75%) was below the predicted value: 54.5% (39.4 to 96.9). Reflux index was not significantly correlated with FVC, FEV(1) and FEF(25-75%). CONCLUSIONS A high prevalence of GER was found in children and adolescents with persistent asthma, equally distributed in the supine (nocturnal) and upright positions. There was no correlation with pulmonary function test.
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Affiliation(s)
- Lucas Dalle Molle
- Pediatric Gastroenterology Unit, Hospital de Clinicas de Porto Alegre-UFRGS, Porto Alegre, RS, Brazil.
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