Reyes Haro-Valencia

Ansiedad y depresión en fumadores mexicanos y su relación con el grado de adicción

Objetivo. Determinar la asociacion entre el grado de adiccion (GA) y patron de consumo de tabaco (PCT) con la ansiedad y depresion en fumadores que quieren dejar de fumar (FQDF). Material y metodos. En 495 sujetos que acudieron a un programa para dejar de fumar se determino la ansiedad (inventario IDARE) y depresion (cuestionario BECK), el GA (cuestionario de Fagerstrom) y PCT (paquetes-ano). Resultados. El GA>= a 6 puntos se asocio con niveles de ansiedad altos [RM=1.94, (IC95%1.02-3.72), p = a 21 paquetes ano, se asocio con ansiedad rasgo media; [RM=3.19 (IC95%1.94-5.25), p<.00]; ansiedad rasgo alta; [RM=3.36 (IC95% 1.66-6-80), p<.00]; con depresion moderada; [RM=3.14, (IC95% 1.75-5-62) p<.00] y depresion grave; [RM=9.85, (IC95% 3.30-29.37), p<.00)]. Conclusion. Existe una asociacion significativa en fumadores con alto GA y PCT, con la presencia de ansiedad y sintomas de depresion moderada a grave que deben considerarse en FQDF.

Efficacy of Submucosal Sodium Tetradecyl Sulfate in the Soft Palate as a Treatment of the Mild Obstructive Sleep Apnea Syndrome: A Pilot Study

Background. As described by Mair et al. in 2001, snoreplasty, the application of sclerosant agents in the palate is a promising and cheap alternative to treat snoring. We decided to try this kind of therapy for the management of mild sleep apnea. Study Design. Experimental, longitudinal, prospective, nonrandomized, self-controlled pilot study. Methods. 11 patients were included, all of them with a polysomnographic study showing an Apnea-Hypopnea Index (AHI) from 5 to 20, and with a Müller maneuver showing only retropalatal collapse. Results. We found significant decrease in the number of apneas hypopneas and oxygen desaturation as well as in the snoring index (P < 0.05), although no differences were found in the number of arousals. Conclusion. Sclerosant agents might become a relevant part in the treatment of sleep apnea, in very well-selected patients.