Obstructive Sleep Apnoea Syndrome

Study Course Description

Course Description Statuss:Approved

Course Description Version:5.00

Study Course Accepted:05.09.2022 12:24:41

Study Course Information
Course Code:		MUSZKK_010		LQF level:		Level 7
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine		Target Audience:		Medicine; Dentistry
Study Course Supervisor
Course Supervisor:		Juris Svaža
Study Course Implementer
Structural Unit:		Department of Oral and Maxillofacial Surgery and Oral Medicine
The Head of Structural Unit:
Contacts:		Riga, Dzirciema street 20, office 318, office 21, MSZKKrsu[pnkts]lv, +371 67457663
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		5	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		10
Classes (count)		0	Class Length (academic hours)		0	Total Contact Hours of Classes		0
Total Contact Hours								10
Study course description
Preliminary Knowledge:
To start study course (or semester) all previous assessments according to Study plan (D1) should be successfully passed. Course participants must know the normal and pathophysiology, Internal diseases.
Objective:
The course must provide knowledge for students in obstructive sleep apnoea syndrome, its pathophysiological factors, clinical symptoms, options of treatment and differentialdiagnosis. To recognise most common complications of obstructive sleep apnoea syndrome
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Overview of Normal sleep and most common sleep disorders			Lectures		1.00	other
2	Overview of Sleep Disordered Breathing, pathogenesis of OSA			Lectures		1.00	other
3	Most common systemic consequences of OSA – cardiometabolic and cognitive			Lectures		1.00	other
4	Sleep studies: Polysomnography, polygraphy and sleep staging.			Lectures		1.00	other
5	Surgical treatment of snoring and OSAHS			Lectures		1.00	other
Assessment
Unaided Work:
Individual theoretical preparation for each class, independent literature reading. Please fill in the course evaluation form at the end of the course.
Assessment Criteria:
Attendance, active participation and discussion in lectures. At the end of course, examination (100%). Qualitative answers to 3 theoretical questions identify disease, options of diagnostics and treatment.
Final Examination (Full-Time):		Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		Students must recognise and identify the clinical signs and symptoms as well as physical signs of the most common sleep disorders - Obstructive sleep apnoea syndrome, Restless legs, Narkolepsy, Insomnia. Memorise the classification of sleep disorders and characteristics of the sleep in childhood and elderly. Students must describe the etiology and pathophysiology, medical and social consequences of the most common sleep disorders.
Skills:		After this course the student will be able to evaluate patients with increased risk of OMAS, choose the necessary diagnostic method, send patients to sleep examinations, be able to interpret their results, choose the optimal treatment method and alternatives in each individual case.
Competencies:		Students understand general principles of pathogenesis of the disease, know its role in development of cardiovascular, metabolic and cognitive consequences. Know main clinical signs, symptoms and predisposing factors, are able to recognize elevated risk of the disease and know general methods of diagnostics. Know general considerations in treatment of the OSAS.
Bibliography
No.	Reference
Required Reading
1	Principles and practice of sleep medicine . 7th edition / By Meir H. Kryger, MD. FRCPC, Thomas Roth, PhD and Cathy A Goldstein, MD/ Elsevier 2022.
2	Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine. Clinical Guideline for the Evaluation, Management and Long-term Care of Obstructive Sleep Apnea in Adults // J Clin Sleep Med, 2009; 5(3): 263–76. (akceptējams izdevums)
3	Leung RS, Bradley TD. Sleep apnea and cardiovascular disease// Am J Respir Crit Care Med. Dec 15 2001;164(12):2147-65. [Medline]. (akceptējams izdevums)
Additional Reading
1	Punjabi N. M. The Epidemiology of Adult Obstructive Sleep Apnea // Proceedings of the American Thoracic Society, 2008; 5:136.– 43.
2	Netzer N.C., Hoegel J.J., Loube D., et al. Prevalence of symptoms and risk of sleep apnea in primary care // Chest, 2003; 124:1406-14.
3	Parati G, Lombardi C, Hedner J, Bonsignore M.R, Grote L, Tkacova R, et al. EU COST Action B26 members. Recommendations for the management of patients with obstructive sleep apnoea and hypertension // Eur Respir J. 2013 Mar;41(3):523-38.
4	Foster G.D., Sanders M.H., Millman R., Zammit G., et al. Obstructive sleep apnea among obese patients with type 2 diabetes // Diabetes Care 2009; 32:1017-9.
5	Jennum P., Santamaria J. Members of the Task Force. Report of an EFNS task force on management of sleep disorders in neurologic disease (degenerative neurologic disorders and stroke) // Eur J Neurol, 2007; 14(11):1189-200.
6	Friedman M. Sleep apnea and snoring: surgical and non-surgical therapy// ISBN 978-1-4160-3112-3, Elsevier Inc, 2020; 104-7.
7	Aurora R.N., Casey K.R., Kristo D., Auerbach S., Bista S.R., Chowdhuri S., et al. American Academy of Sleep Medicine. Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults // Sleep, 2010; 33(10):1408-13.
8	Shahar E, Whitney CW, Redline S, et al. Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study. Am J Respir Crit Care Med. Jan 2001;163(1):19-25. [Medline].
Other Information Sources
1	http://www.esrs.eu/
2	http://www.sleepandbreathing.org/
3	http://www.aasmnet.org/