Comparison of positional and rapid eye movement-dependent sleep apnea syndromes.

AIM: We aimed to compare the clinical, epidemiological, and polysomnographic features of rapid eye movement (REM)-dependent obstructive sleep apnea syndrome (OSAS) and positional OSAS which are two separate clinical entities. METHODS: Between January 2014 and December 2015, at the Akdeniz University Medical Faculty Hospital, patients who were diagnosed REM-dependent and positional OSAS with polysomnography were retrospectively studied. RESULTS: In this study, 1727 patients were screened consecutively. Five hundred and eighty-four patients were included in the study. Of the patients, 24.6% (140) were diagnosed with REM-dependent OSAS and 75.4% (444) were diagnosed as positional OSAS. Female predominance was found in REM-dependent OSAS (P < 0.001). The mean total apnea-hypopnea index (AHI), non-REM AHI, and supine AHI in REM-dependent OSAS were 14.73, 9.24, and 17.73, respectively, and these values were significantly lower when compared with positional OSAS (P < 0.001). Patients diagnosed with REM-dependent OSAS had a statistically significant tendency to be overweight (P < 0.001). For REM-dependent OSAS, total pulse rate, supine pulse rate, and REM pulse rate were statistically higher than positional OSAS (P < 0.001). CONCLUSION: Positional OSAS is a clinical entity that is more common than REM-dependent OSAS. OSAS severity is higher in positional OSAS than REM-dependent OSAS. REM-dependent OSAS is observed more commonly in women.

Evaluation of Ear, Nose, and Throat Involvement in Pemphigus Vulgaris in Comparison with Pemphigus Severity Scoring Systems: A Cross-sectional Study.

Pemphigus vulgaris (PV) frequently affects the mucous membranes of the ear, nose, and throat (ENT). Since ENT examination is not a routinely performed procedure, the exact involvement of PV remains unrecognized. The available severity scoring systems (Pemphigus Disease Area Index (PDAI) and Autoimmune Bullous Skin Disorder Intensity Score (ABSIS)) for PV do not include a full ENT examination. This study was designed to evaluate the real extent of PV in ENT areas and to find out the specific scores which indicate the need for ENT examination. The patients were evaluated for ENT manifestations by endoscopic examination whether or not they exhibited symptoms. PDAI, ABSIS, and ENT scores were calculated, and the results were compared for correlation and significance. The mucosal involvement was more severe when scored by ENT examination than when assessed by PDAI or ABSIS. The ENT score was significantly associated with symptoms and endoscopic findings, especially when PDAI ≥15 and/or ABSIS ≥17. ENT endoscopic examination could result in more accurate grading in PV. In particular, performing such an examination should be considered in patients, especially when PDAI ≥15 and/or ABSIS ≥17, regardless of ENT symptoms.

Characterization of products from hydrothermal carbonization of orange pomace including anaerobic digestibility of process liquor.

In this study, the effect of the temperature and reaction time on hydrothermal carbonization (HTC) of orange pomace was investigated. In addition, a set of anaerobic batch tests were performed to determine the resulting biogas and methane potential of the spent liquor. Hydrochar yields followed a decreasing trend with the increasing temperature, whereas reaction time had no considerably effect on the yield. The evolution of the H/C and O/C atomic ratios from the raw material to the hydrochars suggested that dehydration reactions prevail during HTC. The hydrochars tended to become enriched in Ca, Mg and P minerals by increasing HTC temperature. The heavy metal contents in hydrochars were found below limits and no PAH compound was detected. Anaerobic digestion tests showed that the aqueous phase from HTC can be used as feedstocks for biogas production.

Combustion behavior of different kinds of torrefied biomass and their blends with lignite.

In this study, the combustion behavior of different kinds of torrefied biomass (lignocellulosic and animal wastes) and their blends with lignite was investigated via non-isothermal thermogravimetric method under air atmosphere. For comparison, combustion characteristics of raw biomasses were also determined. Torrefaction process improved the reactivity of char combustion step of biomasses. Characteristic combustion parameters for blends showed non-additivity behavior. It was found that the mixture of torrefied biomasses and lignite at a ratio of 1:1 had a lower ignition and burnout temperature than the coal-only sample. Although no interactions were observed between the lignite and torrefied biomass at initial step of combustion, a certain degree of interaction between the components occurred at char combustion step. Kinetic parameters of combustion were calculated by using the Coats Redfern model. Overall, this study showed that poultry litters can be used as a substitute fuel in coal/biomass co-firing systems by blending with lignocellulosic biomass.