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Obstructive Sleep Apnoea Syndrome

Study Course Description

Course Description Statuss:Approved
Course Description Version:2.00
Study Course Accepted:01.03.2018
Study Course Information
Course Code:MUSZKK_010LQF level:Level 7
Credit Points:2.00ECTS:3.00
Branch of Science:MedicineTarget Audience:Medicine; Dentistry
Study Course Supervisor
Course Supervisor:Juris Svaža
Study Course Implementer
Structural Unit:Department of Oral and Maxillofacial Surgery
The Head of Structural Unit:Ilze Akota
Contacts:Rīga, Dzirciema iela 20, 318.kabinets, 21.kabinets, MSZKK@rsu.lv, MSZKK@rsu.lv, +371 67457663
Study Course Planning
Full-Time - 1. Semester No.
Lectures (count)4Lecture Length (academic hours)2Total Contact Hours of Lectures8
Classes (count)6Class Length (academic hours)2Total Contact Hours of Classes12
Total Contact Hours20
Study course description
Preliminary Knowledge:
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.TopicType of ImplementationNumberVenue
1Overview of Normal sleep and most common sleep disordersLectures1.00auditorium
2Overview of Sleep Disordered Breathing, pathogenesis of OSALectures1.00auditorium
3Most common systemic consequences of OSA – cardiometabolic and cognitiveLectures1.00auditorium
4Sleep studies: Polysomnography, polygraphy and sleep staging.Lectures1.00auditorium
5Other diagnostic tools: questionnaires , assessment of Daytime SleepinessClasses5.00clinical base
6Options of treatment of OSAHS – positive pressure treatmentClasses1.00clinical base
7Anatomy of Sleep and the Upper AirwayClasses1.00clinical base
8Surgical treatment of snoring and OSAHSClasses1.00clinical base
9Mandibular repositioning splintsClasses1.00clinical base
10Patient consultationClasses2.00clinical base
11Home sleep studiesClasses1.00clinical base
12Polysomnography and split night studiesClasses1.00clinical base
13Positive pressure treatment of OSAHSClasses1.00clinical base
14Insomnia, Circadian Rhythm Disorders, ParasomniasClasses1.00clinical base
15Medicolegal Aspects of Sleep DisordersClasses1.00clinical base
Assessment
Unaided Work:
Individual theoretical preparation for each class, independent literature reading.
Assessment Criteria:
- Attendance, active participation in theoretical and practical works, oral answers quality in all classes. - Theoretical skills assessment in colloquiums - At the end of course, examination. Qualitative answers to 3 theoretical questions identify disease, options of diagnostics and treatment.
Final Examination (Full-Time):Test (Semester)
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 must demonstrate methods of evaluation in patients with sleep disorders and should know the options of treatment.
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
1Principles and practice of sleep medicine . 3rd edition / M.H. Kryger, T. Roth, W.C. Dement. W.B.Saunders Company. 2000.
2Adult 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.
3Leung RS, Bradley TD. Sleep apnea and cardiovascular disease// Am J Respir Crit Care Med. Dec 15 2001;164(12):2147-65. [Medline].
Additional Reading
1Punjabi N. M. The Epidemiology of Adult Obstructive Sleep Apnea // Proceedings of the American Thoracic Society, 2008; 5:136.– 43.
2Netzer 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.
3Parati 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.
4Foster 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.
5Jennum 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.
6Friedman M. Sleep apnea and snoring: surgical and non-surgical therapy// ISBN 978-1-4160-3112-3, Elsevier Inc, 2009; 104-7.
7Aurora 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.
8Shahar 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
1http://www.esrs.eu/
2http://www.sleepandbreathing.org/
3http://www.aasmnet.org/