RESUMEN
Introduction: This study aims to evaluate the effectiveness of simultaneous uvulopalatoplasty and nasal surgery in patients with moderate obstructive sleep apnoea syndrome. Materials and Methods: We studied 48 patients with obstructive sleep apnoea syndrome and nasal breathing disorders. The 1st group of 20 patients underwent septoplasty and volumetric tissue reduction of inferior turbinates and the 2nd group of 28 patients underwent septoplasty, volumetric tissue reduction of inferior turbinate, uvulopalatoplasty. Results: In the 1st group, the pre-operative apnoea-hypopnea index median decreased from 22.1 ep/h to 14.9 ep/h after the surgery. Pre-operative median of nasal airflow volume grew from 167.0 cm3 to 609.5 cm3 post-operatively and the loudness of snoring decreased from 2.7±0.2 to 0.7±0.2. In the 2nd group, the apnoea-hypopnea index median decreased from 20.4 ep/h to 5.3 ep./h. The pre-operative median of nasal airflow volume grew from 189.5 cm3 to 519.5 cm3 post-operatively and the loudness of snoring improved from 2.6±0.2 pre-op to 1.1±0.2. Conclusion: Patients with moderate obstructive sleep apnoea syndrome and nasal breathing disorders are advised to have nasal surgery combined with uvulopalatoplasty for a better outcome.
RESUMEN
This article is based on research on the response to drug use and HIV in Armenia and its conflicts with international law. It was conducted via an assessment of legal documents, resolutions, and position papers on drugs, human rights, and HIV, and an analysis of their practical exercise in Armenia. The article provides an overview of challenges to effective responses to drug use and HIV in Armenia, outlines the rationale for adopting human rights-based approaches, provides justification that the latter approaches would allow Armenia to better comply with its obligations under international treaties, and proposes policy recommendations for the promotion of human rights-based approaches.