Assuntos
Procedimentos Cirúrgicos do Sistema Digestório/métodos , Drenagem/métodos , Endossonografia/métodos , Abscesso Hepático Amebiano/diagnóstico por imagem , Abscesso Hepático Amebiano/cirurgia , Cirurgia Assistida por Computador/métodos , Criança , Feminino , Humanos , Ruptura Espontânea , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Obstructive sleep apnea (OSA) is a common but underdiagnosed sleep disorder, which is associated with systemic consequences such as hypertension, stroke, metabolic syndrome, and ischemic heart disease. Nocturnal laboratory-based polysomnography (PSG) is the gold standard test for diagnosis of OSA. PSG consists of a simultaneous recording of multiple physiologic parameters related to sleep and wakefulness including electroencephalography (EEG), electrooculography (EOG), surface electromyography (EMG), airflow measurement using thermistor and nasal pressure transducer, pulse oximetry and respiratory effort (thoracic and abdominal). Multiple alternative and simpler methods that record respiratory parameters alone for diagnosing OSA have been developed in the past two decades. These devices are called portable monitors (PMs) and enable performing sleep studies at a lower cost with shorter waiting times. It has been observed and reported that comprehensive sleep evaluation coupled with the use of PMs can fulfill the unmet need for diagnostic testing in various out-of-hospital settings in patients with suspected OSA. This article reviews the available medical literature on PMs in order to justify the utility of PMs in the diagnosis of OSA, especially in resource-poor, high-disease burden settings. The published practice parameters for the use of these devices have also been reviewed with respect to their relevance in the Indian setting.
Assuntos
Monitorização Ambulatorial/instrumentação , Monitorização Ambulatorial/métodos , Polissonografia/instrumentação , Apneia Obstrutiva do Sono/diagnóstico , Eletroencefalografia/instrumentação , Humanos , Monitorização Ambulatorial/normas , Oximetria/instrumentação , Oximetria/métodos , Oximetria/normas , Guias de Prática Clínica como AssuntoRESUMO
Plasmodium vivax infection causing severe malaria is increasingly being reported. Six children aged 1.5-11 years with severe vivax malaria who presented with cerebral malaria (three) and severe anaemia (two) are reported; two had altered renal function. Thrombocytopenia was detected in all cases. P. vivax infection should be considered in children presenting with severe malaria.