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Sindrome delle apnee ostruttive del sonno
Introduzione: La sindrome delle apnee ostruttive del sonno è caratterizzata da ostruzioni delle vie aeree come risultato di un singolo o multiplo restringimento delle vie respiratorie a livello dell'orofaringe, del rinofaringe o dell’ ipofaringe.
Obiettivi: Scopo dello studio è illustrare la patologia e suggerire adeguati provvedimenti medici.
Metodi: E’ possibile formulare una diagnosi presuntiva clinica, in presenza di determinate caratteristiche, seguita da un corretto esame obiettivo.
Risultati: Si evidenzia che l’ostruzione, incompleta (ipopnea) o totale (apnea), genera fatica respiratoria e risvegli notturni determinando l’insorgenza di sonno inquieto e sonnolenza mattutina. Il paziente è spesso accompagnato allo studio del medico da un familiare o dal partner disturbato dal russamento.
Conlusioni: La polisonnografia notturna rappresenta il gold standard diagnostico. La terapia può avvalersi di un approccio sia di tipo chirurgico che non chirurgicoIntroduction: OSAS is characterized by airway obstruction as a result of a single or multiple narrowing of the airways at the level of the oropharynx, nasopharynx or hypopharynx.
Objectives: The aim of the study is to explain the disease and suggest appropriate medical measures.
Methods: It is possible to make a presumptive diagnosis clinic, in the presence of certain features, followed by a proper examination.
Results: We note that the obstruction, partial (hypopnea) or complete (apnea), generates respiratory effort and nocturnal awakenings determining the onset of restless sleep and morning drowsiness. The patient is often accompanied to the doctor's office by a family member or partner disturbed by snoring.
Concluding remarks: Nocturnal polysomnography is the diagnostic gold standard. Therapy can adopt an approach that is surgical or not surgica
ITALY
From 2003 to 2016, Prof. Alberto Musso has written and up-dated every year this Chapter, priorly written by Prof. Mario Fabiani. In particular, since 2003, the Chapter has analyzed the main changes in Italian Copyright Law, both from European sources - the Italian implementation of Directive 2001/29/EC on the harmonisation of certain aspects of copyright and related rights in the information society (legislative decree N° 68/2003); of Directive 2001/84/EC on the resale right for the benefit of the author of an original work of art (Legislative Decree N° 118/2006); of Directive 2011/77/EU on the term of protection of copyright and certain related rights (Legislative Decree N° 22/2014); of Directive 2012/28/EU on certain permitted uses of orphan works (Legislative Decree N° 163/2014) - and from only national provisions (e.g. Articles 15, sec. 3, and 15-bis of the Italian Copyright Act on public performances of protected works in libraries, museums or cultural clubs.; the link with the Regulation of the Italian Authority on Communication about copyright protection on the net, pursuant to Article 32-bis of Legislative Decree N° 177/2005, and to Legislative Decree n° 9/2008 on audiovisual rights on sport events, etc.). These positive sources are always accompanied - also with criticism - by a wide description of case law and scholars' constructions of law and pratice of copyright and related rights in text and footnotes
The guitarist - singer's voice: the effect of musical instrument - posture on MDVP and spectrogram.
Italy
Il capitolo "Italy", come per ogni altro Paese, viene redatto dal Prof. Musso a partire dal 2003, aggiornando costantemente la disciplina normativa e l'evoluzione giurisprudenziale o dottrinale tramite accurato repertorio di note. L'intera materia dei diritti d'autore e connessi viene affrontata in maniera sistematica, adatta a giuristi teorici e pratici
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