Central sleep apnea.

Abstract:

:Central sleep apnea (CSA) is characterized by the periodic occurrence of apnea caused by loss of ventilatory motor output. CSA is often discussed as a minor variant of obstructive sleep apnea.However, this view obscures the critical contribution of CSA as an important manifestation of breathing instability in a variety of conditions with diverse causes. Central apnea can also be a physiologic phenomenon in healthy people during sleep onset. Conversely, patients who have obstructive apnea may also develop episodes of apparent central apnea, and apneas that begin as central may become obstructive as respiratory effort is restored ("mixed apneas"). Thus, there is a significant overlap between obstructive and central apnea. This article addresses the pathophysiology, clinical features, and management of normocapnic and hypercapnic CSA.

journal_name

Prim Care

journal_title

Primary care

authors

Badr MS

doi

10.1016/j.pop.2005.02.003

keywords:

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

361-74, vi

issue

2

eissn

0095-4543

issn

1558-299X

pii

S0095-4543(05)00004-7

journal_volume

32

pub_type

杂志文章,评审
  • Nephrolithiasis.

    abstract::Kidney stones affect more than 5% of adults in the United States, and the prevalence is rising. The fundamental cause for all stones is supersaturation of urine with respect to the stone components; factors affecting solubility include urine volume, pH, and total solute excretion. Calcium stones are the most common in...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2008.01.005

    authors: Worcester EM,Coe FL

    更新日期:2008-06-01 00:00:00

  • Approaching Foot and Ankle Injuries in the Ambulatory Setting.

    abstract::Foot and ankle injuries account for a significant volume of primary care office visits each year. Given the incidence of injury and concern for long-term sequelae, it is imperative that primary care physicians familiarize themselves with commonly encountered foot and ankle injuries. Coupling a sound understanding of k...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2019.10.007

    authors: Albano AW Jr,Nelson V

    更新日期:2020-03-01 00:00:00

  • Foot and ankle update.

    abstract::The purpose of this foot and ankle update is to educate the reader on important foot and ankle topics including current controversies, physical examination, diagnostics, and management. Quick-view lists are used to give easy access to the most significant knowledge points for providing patient care for these entities....

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2013.02.015

    authors: Saleh A,Sadeghpour R,Munyak J

    更新日期:2013-06-01 00:00:00

  • Cleaning and disinfection of lower gastrointestinal endoscopes.

    abstract::Cleaning and disinfection are two necessary and equally important steps to prevent transmission of infection from patient to patient by the endoscope and accessories. There is no evidence that complete sterility is necessary; high-level disinfection is recommended. Controversy remains as to how "high level" this disin...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Tremain SC

    更新日期:1995-09-01 00:00:00

  • Routine screening tests for the adolescent.

    abstract::Routine preventive health examinations for adolescents should be conducted annually, and screening tests are an important part of such periodic evaluations. This article outlines the recommended screening tests for all teenagers, and defines the additional screening tests necessary for high risk youth. Annual health s...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Long TJ

    更新日期:1987-03-01 00:00:00

  • Bacterial Skin Infections.

    abstract::Skin and soft tissue infections account for 0.5% of outpatient visits to primary care. Skin and soft tissue infections can usually be managed in an outpatient setting. However, there are certain circumstances as discussed in this article that require more urgent care or inpatient management. Primary care providers sho...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2015.08.001

    authors: Ibrahim F,Khan T,Pujalte GG

    更新日期:2015-12-01 00:00:00

  • Cancer control in low- and middle-income countries: the role of primary care physicians.

    abstract::Cancer is among the most preventable and the most curable of the major chronic life-threatening diseases. As the cancer burden grows, it is evident that new approaches must be developed to more effectively manage the disease. Given their unique role, primary care physicians and health workers are critically important ...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:10.1016/j.pop.2009.04.008

    authors: Grey N,Garces A

    更新日期:2009-09-01 00:00:00

  • Cost-effectiveness and cost containment. A physician's primer.

    abstract::Cost-effectiveness and cost containment are becoming increasingly more important in medicine as health care costs continue to rise and as public attention continues to focus on these costs. This article examines the major issues and terminology of cost-effectiveness and cost containment in the context of primary care....

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(05)70265-7

    authors: Bishof RO,Nash DB

    更新日期:1996-03-01 00:00:00

  • Prostatitis.

    abstract::Classification of patients with prostatic complaints into one of the categories of bacterial or nonbacterial prostatitis or prostatodynia (see Table 3) enables a physician to give rational advice to men with confusing symptoms. By examining the prostatic fluid of patients with prostatic symptoms, a physician may easil...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Shortliffe LM

    更新日期:1985-12-01 00:00:00

  • Junior League Football: risks versus benefits.

    abstract::Major concerns about physical injury, emotional stress, poor adult leadership, and interference with junior high school football programs contribute to the Junior League Football controversy. In the final analysis, benefits of participation in these football programs are shown to far outweigh the risks. ...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Godshall RW

    更新日期:1980-06-01 00:00:00

  • Language dysfunction in cerebrovascular disease.

    abstract::Language disorder is often mistaken for confusion, psychosis, or memory loss, and thorough evaluation may require much time. A simple beside examination can often separate aphasic syndromes, and the anatomic location of the lesion can be inferred. Speech therapy, although not entirely satisfactory, is helpful in most ...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Palmer EP

    更新日期:1979-12-01 00:00:00

  • Complementary and Alternative Treatment for Allergic Conditions.

    abstract::This article explains the proposed pathophysiology, evidence of efficacy, and adverse effects of several complementary and alternative medicine modalities, for the treatment of allergic conditions, such as traditional Chinese medicine formula, herbal treatments, acupuncture, and homeopathy. ...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2016.04.012

    authors: Qiu J,Grine K

    更新日期:2016-09-01 00:00:00

  • Palliative Care Approach to Chronic Diseases: End Stages of Heart Failure, Chronic Obstructive Pulmonary Disease, Liver Failure, and Renal Failure.

    abstract::Management of chronic diseases is often palliative by definition. Empowering primary care providers to manage symptoms and effectively prognosticate is necessary for this challenging population. In this article, the authors focus specifically on end-stage congestive heart failure, chronic obstructive pulmonary disease...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2019.05.008

    authors: Mechler K,Liantonio J

    更新日期:2019-09-01 00:00:00

  • Outpatient surgery and anesthesia.

    abstract::Outpatient surgery and anesthesia are offered as a means of reducing the costs of health care delivery. Certain principles for outpatient anesthesia are apparent. Inhalational anesthesia is preferred over many intravenous agents. If intravenous agents are used, the doses must be limited. Intravenous agents that are qu...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Barton MD

    更新日期:1977-03-01 00:00:00

  • Injury prevention in children.

    abstract::Injuries are the leading cause of death in children. Approximately 23,000 children are killed each year in the United States, and many more suffer from nonlethal injuries. This article discusses general principles of effective intervention strategies, the most serious injury categories, and practical injury prevention...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Losh DP

    更新日期:1994-12-01 00:00:00

  • Tick-borne infections in the United States.

    abstract::Patients with illnesses caused by ticks may present with flulike symptoms. Physicians should learn how to recognize these illnesses by specific aspects in the patients' histories and physical examinations. Prevention of mortality and morbidity may depend on correct early diagnosis and treatment. Illness prevention may...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2013.05.003

    authors: Pujalte GG,Chua JV

    更新日期:2013-09-01 00:00:00

  • The primary care physician's approach to congenital anomalies.

    abstract::Children with congenital anomalies often represent a special diagnostic and management challenge. To provide optimal care for these children, one must employ a systematic approach to identify the likely pathogenic mechanism leading to the birth defects present. Determining how distinct anomalies relate to one another ...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2004.04.015

    authors: Falk MJ,Robin NH

    更新日期:2004-09-01 00:00:00

  • Gastroenteritis and antibiotic-associated diarrhea.

    abstract::Acute gastroenteritis is a common cause of emergency and office visits. This article reviews causes, pathogenesis, diagnosis, prevention, and treatment. The incidence of antibiotic-associated colitis is increasing worldwide as a consequence of widespread use of broad-spectrum antibiotics for various illnesses. The pat...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(02)00060-x

    authors: Jabbar A,Wright RA

    更新日期:2003-03-01 00:00:00

  • Sexuality in the Older Adult.

    abstract::Sexuality is an important part of a person's life continuing into older age. Physiologic changes that occur with aging can affect sexual function and may be exacerbated by comorbid disease. To diagnose sexual dysfunction, providers must obtain a thorough history and physical examination, including psychosocial factors...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2017.04.004

    authors: Morton L

    更新日期:2017-09-01 00:00:00

  • Staphylococcal and streptococcal infections of the skin.

    abstract::Acute pyogenic infections of the skin, caused by hemolytic streptococci and S. aureus, account for the vast majority of bacterial infections of the skin seen in ambulatory practice. In preschool children the principal manifestation is pyoderma, which is usually caused by Group A Streptococcus. In this age group pyoder...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Causey WA

    更新日期:1979-03-01 00:00:00

  • Respiratory and allergic diseases: from upper respiratory tract infections to asthma.

    abstract::Patients with asthma and allergic rhinitis may benefit from hydration and a diet low in sodium, omega-6 fatty acids, and transfatty acids, but high in omega-3 fatty acids (i.e., fish, almonds, walnuts, pumpkin, and flax seeds), onions, and fruits and vegetables (at least five servings a day). Physicians may need to be...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(01)00008-2

    authors: Jaber R

    更新日期:2002-06-01 00:00:00

  • Mechanical therapy for low back pain.

    abstract::Physical therapy and manual medicine for low back pain encompass many different treatment modalities. There is a vast variety of techniques that physical therapists commonly use in the treatment of low back pain. Some of the therapies include, but are certainly not limited to, education, exercise, lumbar traction, man...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2012.06.006

    authors: Guild DG

    更新日期:2012-09-01 00:00:00

  • Workup for proteinuria.

    abstract::The kidney has anatomic and physiologic features that prevent protein from reaching the urine. In disease processes, this natural mechanism is disrupted, causing protein to leak into the urine. Proteinuria can be used as a marker for disease and disease progression. The general anatomy of the glomerulus along with pre...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2014.08.010

    authors: Snyder S,John JS

    更新日期:2014-12-01 00:00:00

  • Mosquito-Borne Diseases.

    abstract::Mosquito-borne diseases have become more common as previously geographically isolated diseases have spread globally. Chikungunya, dengue, Japanese encephalitis, malaria, West Nile, yellow fever, and Zika are a few of the common and emerging viral diseases spread by mosquitoes. A thorough patient history, physical, and...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2018.05.001

    authors: Lee H,Halverson S,Ezinwa N

    更新日期:2018-09-01 00:00:00

  • Prevention, diagnosis, and treatment of common infections in geriatric patients.

    abstract::Prevention of infection in the elderly is far preferable to treatment of the disease, and can be promoted through precautionary measures when undertaking invasive procedures in older patients as well as through the administration of available vaccines. Difficulties in diagnosing bacterial pneumonia, influenza, tubercu...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Beam TR Jr

    更新日期:1982-03-01 00:00:00

  • Risk stratification in patients with chest pain.

    abstract::This article reviews the role of exercise testing in the assessment of patients with suspected coronary disease. To accomplish this, four major topics are considered: the general concept of risk stratification; the estimation of outcomes using data from the initial evaluation of the patient; diagnostic assessment with...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(05)70009-9

    authors: Mark DB

    更新日期:2001-03-01 00:00:00

  • Diagnosing cancer in the symptomatic patient.

    abstract::Finding cancer at its earliest, most treatable stage gives patients the greatest chance of survival. For a number of cancers, screening tests allow for early detection and treatment, and thereby, reduce cancer-related mortality. However, many cancers are discovered by symptomatic presentation rather than screening. Th...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2009.07.005

    authors: Salzman BE,Lamb K,Olszewski RF,Tully A,Studdiford J

    更新日期:2009-12-01 00:00:00

  • The course and management of the 2009 H1N1 pandemic influenza.

    abstract::The 2009 influenza A (H1N1) pandemic provided a major test to the public health system in the United States and abroad. Although the virus was rapidly identified, it took longer than expected to bring an effective vaccine to market. During the interim the virus demonstrated a predilection for infecting younger persons...

    journal_title:Primary care

    pub_type: 历史文章,杂志文章,评审

    doi:10.1016/j.pop.2011.07.007

    authors: Kimmel SR

    更新日期:2011-12-01 00:00:00

  • Office procedures. Electrosurgical loop excision of the cervix.

    abstract::This article discusses the technique of cervical electrosurgical loop excision, which allows for treatment of premalignant conditions of the cervix. The primary goal of cervical loop excision is to provide a method of managing preneoplastic cervical conditions in a safe, effective manner while minimizing the chance of...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(05)70394-8

    authors: Newkirk GR

    更新日期:1997-06-01 00:00:00

  • Communicating About Immunizations.

    abstract::A significant minority of patients and parents are vaccine hesitant, defined as having the desire to delay or defer immunizations despite easy access to vaccines. Vaccine hesitancy exists along a spectrum, from patients who are concerned but willing to accept the recommended vaccine schedule to those who wish to use a...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2020.05.010

    authors: Loehr J

    更新日期:2020-09-01 00:00:00