CONSEQUENCES HEMODYNAMIQUES AIGUES DES APNEES DU SOMMEIL (DOCTORAT MODELISATION ET INSTRUMENTATION EN MEDECINE ET BIOLOGIE)

GRENOBLE1-BU Médecine pharm. (385162101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Prise en charge de patients adultes souffrant de troubles du sommeil à l officine et au centre santé et sommeil de Grenoble (a)

Les troubles du sommeil représentent un réel problème en matière de santé publique. L'objectif de notre thèse est de servir d'outil aux pharmaciens confrontés à des patients se plaignant d'un mauvais sommeil. Notre travail concerne l étude de quatre grands troubles du sommeil ainsi que leurs traitements : certains très fréquents tels que l insomnie et le syndrome d apnées du sommeil et d autres beaucoup moins connus comme le syndrome des jambes sans repos et la narcolepsie. Cette étude est également basée sur différents cas cliniques rencontrés à l officine et au Centre Santé et Sommeil de Grenoble qui ont été suivis pendant l année 2007 illustrant le côté pratique de la prise en charge de ces patients.GRENOBLE1-BU Médecine pharm. (385162101) / SudocSudocFranceF

Which memory processes are affected in patients with obstructive sleep apnea? An evaluation of 3 types of memory.

International audienceSTUDY OBJECTIVE: To investigate which memory processes are affected by obstructive sleep apnea (OSA). DESIGN: Three separate memory systems were investigated in patients with OSA and normal subjects. Verbal episodic memory was tested after forced encoding, in order to control the level of attention during item presentation; procedural memory was tested using a simplified version of a standard test with an interfering task; lastly, working memory was examined with validated paradigms based on a theoretical model. SETTING: Sleep laboratory and outpatient sleep clinic in a French tertiary-care university hospital. PARTICIPANTS: Ninety-five patients with OSA and 95 control subjects matched for age and level of education. Group 1 (54 patients, 54 controls) underwent an extensive battery of tasks evaluating verbal episodic, procedural, and working memory. Group 2 (16 patients, 16 controls) underwent procedural memory tests only, and group 3 (25 patients, 25 controls) working memory tests only. INTERVENTIONS: N/A. MEASUREMENTS AND RESULTS: Compared with matched controls, patients with OSA exhibited a retrieval deficit of episodic memory but intact maintenance, recognition, and forgetfulness; decreased overall performance in procedural memory, although pattern learning did occur; and impairment of specific working memory capabilities despite normal short-term memory. No consistent correlation was found between OSA severity and memory deficit. The long duration of the test session did not negatively impact the patients' performance. CONCLUSIONS: Memory impairment in OSA is mild and does not affect all memory processes but, rather, specific aspects, underscoring the need for extensive and specific memory testing in clinical and research settings

Which memory processes are affected in patients with obstructive sleep apnea? An evaluation of 3 types of memory.

International audienceSTUDY OBJECTIVE: To investigate which memory processes are affected by obstructive sleep apnea (OSA). DESIGN: Three separate memory systems were investigated in patients with OSA and normal subjects. Verbal episodic memory was tested after forced encoding, in order to control the level of attention during item presentation; procedural memory was tested using a simplified version of a standard test with an interfering task; lastly, working memory was examined with validated paradigms based on a theoretical model. SETTING: Sleep laboratory and outpatient sleep clinic in a French tertiary-care university hospital. PARTICIPANTS: Ninety-five patients with OSA and 95 control subjects matched for age and level of education. Group 1 (54 patients, 54 controls) underwent an extensive battery of tasks evaluating verbal episodic, procedural, and working memory. Group 2 (16 patients, 16 controls) underwent procedural memory tests only, and group 3 (25 patients, 25 controls) working memory tests only. INTERVENTIONS: N/A. MEASUREMENTS AND RESULTS: Compared with matched controls, patients with OSA exhibited a retrieval deficit of episodic memory but intact maintenance, recognition, and forgetfulness; decreased overall performance in procedural memory, although pattern learning did occur; and impairment of specific working memory capabilities despite normal short-term memory. No consistent correlation was found between OSA severity and memory deficit. The long duration of the test session did not negatively impact the patients' performance. CONCLUSIONS: Memory impairment in OSA is mild and does not affect all memory processes but, rather, specific aspects, underscoring the need for extensive and specific memory testing in clinical and research settings

Lacération profonde de la couronne avec arrachement du sabot et section totale ou partielle de la capsule et des ligaments de l'articulation interphalangienne distale

Town of Cumberland Town Council Meeting June 16, 2014 is the complete packet for the Cumberland Town Council meeting for June 16, 2014, and includes the minutes of the Town Council meeting of June 2, 2014. Agenda items include swearing in newly-elected Town Councilors; electing Council Chair and Vice-Chair; holding a Public Hearing to award the Tax Anticipation Notes for FY’15; hearing a report from the Finance Committee Chair and authorizing the Town Manager to transfer interdepartmental operating funds for FY’14; Commercial Hauler’s license renewals; FY’15 Town Council Committee Assignments; holding a Public Hearing to consider and act on annual temporary Victualer’s Licenses for Non-Profit Organizations; setting a Special Town Council Meeting date of June 30, 2014; setting a Public Hearing date of June 30th to consider and act on authorizing the Town Manager to execute a lease agreement with Verizon; setting a Public Hearing date of June 30th to consider and act on authorizing the Town Manager to execute a Purchase & Sale Agreement with the Maine Central Railroad Company; amending the dollar amount for the municipal property tax levy for LD1 for FY’14; setting a workshop date of July 14th re: amendments to Chapter 200 (Roads and Public Property), Section 2 (Animals at large) and Chapter 17 (Animal Control), Sections 3 (Dogs at Large) and 5 (Violations and Penalties) of the Cumberland Code; and authorizing the Town Manager to enter into an agreement with Sevee & Mahar to close the construction and demolition landfill at the Public Works facility on Drowne Road

Severe Central Sleep Apnea Associated With Chronic Baclofen Therapy

International audienc