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Biomedical subjects

M Pressman

Publications and source records attributed to M Pressman.

8 recordsLinked to original sources

Orbital herniation associated with noninvasive positive pressure ventilation.

A diagnosis of severe obstructive sleep apnea was made after a 52-year-old hypertensive man developed a large intracranial hemorrhage. Therapeutic noninvasive positive pressure ventilation (NPPV) for obstructive sleep apnea and hypoventilation was complicated by transient unilateral orbital herniation. As best as can be determined, this represents a new, potentially deleterious side effect of NPPV.

Cerebral Hemorrhage↗

Portable recording in the assessment of obstructive sleep apnea. ASDA standards of practice.

The objective assessment of patients with a presumptive diagnosis of obstructive sleep apnea (OSA) has primarily used attended polysomnographic study. Recent technologic advances and issues of availability, convenience and cost have led to a rapid increase in the use of portable recording devices. However, limited scientific information has been published regarding the evaluation of the efficacy, accuracy, validity, utility, cost effectiveness and limitations of this portable equipment. Attaining a clear assessment of the role of portable devices is complicated by the multiplicity of recording systems and the variability of clinical settings in which they have been analyzed. This paper reviews the current knowledge base regarding portable recording in the assessment of OSA, including technical considerations, validation studies, potential advantages and disadvantages, issues of safety, current clinical usage and areas most in need of further study.

Ambulatory Care↗

Input and distractor modality effects upon the release from proactive interference in children.

Build-up of proactive interference (PI) with visual-picture and auditory-verbal input modalities and the subsequent release from Pi following a change in modality was investigated in three experiments with boys and girls, as follows: Experiment I (n=64) at two mean age levels, 7-6 and 10-5; Experiment II (n=64) at mean age 7-6; and Experiment III (n=48) at age 11-4. PI build-up occurred in both modalities for all ages tested. Release from PI occurred following a change from auditory to visual input by not from PI occurred following a change from auditory shift. In the final experiment, this asymmetrical improvement in performance was dependent upon an interaction between the modality of the input and distractor task on the final or release trial; changing to visual input produced a release effect regardless of the distractor task modality, while auditory input was associated with improvement in recall if a visual distractor task was employed whether or not a shift in input modality had occurred. This improvement was hypothesized to represent a decrease in retroactive interference rather than a release from proactive interference.

Child↗