La endoscopia del sueño inducido

Este documento pretende dar a conocer la endoscopia de sueño inducido entre los distintos especialistas que tratan a los pacientes con trastornos respiratorios del sueño y ser una guía para los especialistas que vayan a realizarla de modo que pueda ser reproducible

Is There a Connection Between the Tax Administration and the Political Power?

This paper offers empirical evidence from Spain of a connection between the tax administration and the political power at the regional level. Firstly, the system of unconditional grants from the central layer of government provokes an “income effect” which disincentivises the efforts of the regional tax administration. Secondly, these efforts tend to be lower in those electoral districts where vote turnout is high, the margin to lose a parliamentary seat is narrow and their parliamentary representation is high, although the importance of these disincentives decreases according to the parliamentary strength of the incumbent. Finally, leftist governments, through the tax administration, tend to exert a greater effort in ensuring tax compliance. Copyright Springer Science + Business Media, Inc. 2005tax administration, political economy,

Habitual snoring and atopic state: correlations with respiratory function and teeth occlusion

<p>Abstract</p> <p>Background</p> <p>Allergy represents a risk factor at the base of sleep-disordered breathing in pediatric age. Among allergic diseases, the atopy is characterized by a tendency to be “hyperallergic.” Sleep-disordered breathing is also known in orthodontics as correlated with the morphology of craniofacial complex. The aim of this study was to investigate the relation between atopy and sleep-disordered breathing (oral breathers with habitual snoring), comparing atopic children with sleep-disordered breathing (test group) with nonatopic ones with sleep-disordered breathing (control group), in the prevalence of dento-skeletal alterations and other risk factors that trigger sleep-disordered breathing, such as adenotonsillar hypertrophy, turbinate hypertrophy, obesity, and alteration of oxygen arterial saturation.</p> <p>Methods</p> <p>In a group of 110 subjects with sleep-disordered breathing (6 to 12 years old), we grouped the subjects into atopic (test group, 60 subjects) and nonatopic (control group, 50 subjects) children and compared the data on the following: skin allergic tests, rhinoscopy, rhinomanometry, night home pulsoxymetry, body mass index, and dento-facial alterations.</p> <p>Results</p> <p>Even if our results suggest that atopy is not a direct risk factor for sleep-disordered breathing, the importance of a physiologic nasal respiration in the pathogenesis of sleep-disordered breathing seems to be demonstrated in our study by the higher prevalence of hypertrophy in the adenotonsillar lymphatic tissue, odontostomatological alterations, alterations of the oxygen saturation to pulsoxymetry, and higher prevalence of obesity observed in our children with sleep-disordered breathing, in percentages higher than that of the general pediatric population previously observed in the literature.</p> <p>Conclusions</p> <p>The importance of a physiologic nasal respiration in the pathogenesis of sleep-disordered breathing is demonstrated in our study.</p

Political fragmentation and projected tax revenues: evidence from Flemish municipalities

Revenue projections, Forecast accuracy, Local taxation, Flemish municipalities, Government fragmentation, D72, H72, H79,