RESUMEN
Introduction: obstructive sleep apnea syndrome (OSAS) is the most common sleep-related breathing disorder. Knowledge about OSAS incidence trends could be extremely useful in assessing health needs and implementing preventive measures accordingly. This study aimed at the epidemiological and clinical specificities of OSAS and to give an update on its current chronological trends. Methods: we conducted a retrospective study including all cases of OSAS diagnosed over 11 years, from January 1, 2012, to December 31, 2022, at the Sleep Unit of the Neurophysiology Department of the Sahloul University Hospital, Tunisia. Results: overall, 848 new cases of OSAS were diagnosed. The mean annual number of OSAS cases was 74.8/year. The crude incidence rate (CIR) was 12.3/100000 inhabitants/year, it was significantly increasing over the years (rho=0.7; p=0.01). The median age was 56 (IQR= [48-64]) years, it increased significantly during the study period from 54 years (IQR= [43-63]) in 2012 to 58 years (IQR= [50.5-65]) in 2022 (rho=0.7; p=0.015). The median BMI was 35.5 (IQR= [31.3-40.3]) kg/m2. The median BMI of patients diagnosed with OSAS increased significantly from 34.6 kg/m2 to 38.3 kg/m2 (rho=0.75; p=0.008). This equated to an annual increase in median BMI of 0.41 kg/m2. The median AHI showed a significant upward trend for all patients, rising from 26.30 events/h in 2012 to 34.07 events/h in 2022 (rho=0.68; p=0.02). Conclusion: the CIR of OSAS is related to BMI and age. Thus, we assume that it will continue to increase in the coming years with the rise in obesity and the aging of the population.
Asunto(s)
Índice de Masa Corporal , Apnea Obstructiva del Sueño , Humanos , Apnea Obstructiva del Sueño/epidemiología , Túnez/epidemiología , Estudios Retrospectivos , Masculino , Persona de Mediana Edad , Femenino , Adulto , Incidencia , Anciano , Obesidad/epidemiología , Factores de RiesgoRESUMEN
The present study aimed to explore the effects of a single 10-mg dose of melatonin (MEL) administration after exhaustive late-evening exercise on sleep quality and quantity, and short-term physical and cognitive performances in healthy teenagers. Ten male adolescent athletes (mean ± SD, age = 15.4 ± 0.3 years, body-mass = 60.68 ± 5.7 kg, height = 167.9 ± 6.9 cm and BMI = 21.21 ± 2.5) performed two test sessions separated by at least one week. During each session, participants completed the Yo-Yo intermittent-recovery-test level-1 (YYIRT-1) at ~20:00 h. Then, sleep polysomnography was recorded from 22:15 min to 07:00 h, after a double blind randomized order administration of a single 10-mg tablet of MEL (MEL-10 mg) or Placebo (PLA). The following morning, Hooper wellness index was administered and the participants performed the Choice Reaction Time (CRT) test, the Zazzo test and some short-term physical exercises (YYIRT-1, vertical and horizontal Jumps (VJ; HJ), Hand grip strength (HG), and five-jump test (5-JT)). Evening total distance covered in the YYIRT-1 did not change during the two conditions (p > 0.05). Total sleep time (Δ = 24.55 mn; p < 0.001), sleep efficiency (Δ = 4.47%; p < 0.001), stage-3 sleep (N3 sleep) (Δ = 1.73%; p < 0.05) and rapid-eye-movement sleep (Δ = 2.15%; p < 0.001) were significantly higher with MEL in comparison with PLA. Moreover, sleep-onset-latency (Δ = -8.45mn; p < 0.001), total time of nocturnal awakenings after sleep-onset (NA) (Δ = -11 mn; p < 0.001), stage-1 sleep (N1 sleep) (Δ = -1.7%; p < 0.001) and stage-2 sleep (N2 sleep) (Δ = -1.9%; p < 0.05) durations were lower with MEL. The Hooper index showed a better subjective sleep quality, a decrease of the subjective perception of fatigue and a reduced level of muscle soreness with MEL. Moreover, MEL improved speed and performance but not inaccuracy during the Zazzo test. CRT was faster with MEL. Morning YYIRT-1 (Δ = 82 m; p < 0.001) and 5-JT (Δ = 0.08 m; p < 0.05) performances were significantly higher with MEL in comparison with PLA. In contrast, HG, VJ and HJ performances did not change during the two conditions (p > 0.05). The administration of a single dose of MEL-10 mg after strenuous late-evening exercise improved sleep quality and quantity, selective attention, subjective assessment of the general wellness state, and some short-term physical performances the following morning in healthy teenagers.
Asunto(s)
Ritmo Circadiano/efectos de los fármacos , Ejercicio Físico/fisiología , Melatonina/farmacología , Sueño/efectos de los fármacos , Adolescente , Atletas , Rendimiento Atlético/fisiología , Ritmo Circadiano/fisiología , Método Doble Ciego , Prueba de Esfuerzo , Fuerza de la Mano/fisiología , Frecuencia Cardíaca/efectos de los fármacos , Humanos , Masculino , Tiempo de Reacción , Sueño/fisiologíaRESUMEN
This paper describes for the first time the extension of the anaerobic digestion model No. 1 (ADM1) to handle and simulate the anaerobic degradation processes of phenol compounds and homologues in olive mill wastewater (OMW) and olive mill solid waste (OMSW) at thermophilic temperature (55 degrees C). The general structure of the ADM1 was not changed except for the modifications related to the inclusion of phenolic compounds degradation processes into acetate and further into methane and CO(2). The effect of soluble phenolic compounds upon pH was taken into account in the pH simulation equations. The inhibitory effect of phenolic compounds on the fermenting process and methanogenic sub-populations was accounted for by the use of non-competitive inhibition functions. The most sensitive and new phenolic parameters were calibrated and validated using experimental data from our previous study dealing with the thermophilic anaerobic co-digestion of OMW with OMSW in semi-continuous tubular digesters. The simulation results indicated that the extended ADM1 was able to predict with reasonable accuracy effluent phenol concentrations and gas flow rates and effluent pH of various influent concentrations digested at hydraulic retention times (HRTs) of 36 and 24 days.
Asunto(s)
Anaerobiosis , Industria de Alimentos , Calor , Residuos Industriales , Aceites de Plantas , Contaminantes del Agua/metabolismo , Calibración , Concentración de Iones de Hidrógeno , Cinética , Aceite de Oliva , Fenol/químicaRESUMEN
The presence of toxic metals in municipal sewage sludge restricts the application of this biomass in agricultural area. A chemical leaching process using a combination of inorganic acid and two oxidants has been developed for sludge decontamination. The present study investigated the effects of the concentrations of sulphuric acid (H2SO4), hydrogen peroxide and ferric chloride on metal solubilization from sewage sludge, as well as preservation of fertilizing properties (nutrient content) and dewatering ability of the treated sludge. The analysis of the results from batch leaching tests has allowed to define the optimal conditions for the reagent concentrations, which are 56 kg Fe3+ tonne(-1) of dry sludge solids (tds), 8 kg H2O2 tds(-1), and enough H2SO4 to reach a pH between 2.0 and 2.5 but less than 142 kg H2SO4 tds(-1). Finally, under these conditions, oxidoreduction potential values are found to be between 450 and 475 mV.
Asunto(s)
Metales Pesados/aislamiento & purificación , Aguas del Alcantarillado/química , Eliminación de Residuos Líquidos/métodos , Cloruros , Compuestos Férricos/química , Fertilizantes , Peróxido de Hidrógeno/química , Concentración de Iones de Hidrógeno , Metales Pesados/toxicidad , Solubilidad , Ácidos Sulfúricos/químicaRESUMEN
Anaerobic co-digestion is a well established process for treating many types of organic wastes, both solid and liquid. In this study we have investigated, on a laboratory scale, the anaerobic co-digestion of olive mill wastewater (OMW) with olive mill solid waste (OMSW) using semi-continuous, feeding, tubular digesters operated at mesophilic temperatures. Each digester was fed with an influent, composed of OMW and OMSW, at an organic loading rate (OLR) varying between 0.67 and 6.67 g COD/l/d. The hydraulic retention times (HRT) were 12, 24 and 36 days. The TCOD concentrations of OMW used as the main substrate were 24, 56 and 80 g COD/l; the amount of the dry OMSW used as a co-substrate was fixed to approximately 56 g/l of OMW. The results indicated that the best methane production was about 0.95 l/l/day obtained at an OLR = 4.67 g COD/l/d, corresponding to influent TCOD = 56 g COD/l at an HRT = 12d. In contrast, the maximum TCOD removal efficiency (89%) was achieved at an OLR = 0.67 g COD/l/d, corresponding to influent TCOD = 24 g COD/l at an HRT = 36 d. Moreover, the inhibition of biogas production was observed at the highest OLR studied.