Prevention of leakage due to mouth opening through applying an oral shield device (Sominpax (TM)) during nasal CPAP therapy of patients with obstructive sleep apnea
SLEEP MEDICINE
Authors: Foellner, Sebastian; Guth, Patricia; Jorde, Ilka; Luecke, Eva; Ganzert, Christine; Stegemann-Koniszewski, Sabine; Schreiber, Jens
Abstract
Background/objective: The first line treatment for obstructive sleep apnea (OSA) is nasal continuous positive airway pressure (nCPAP), for which a variety of masks are available. While nasal masks (NM) are the first choice; oronasal masks (ONM) are also frequently used to prevent mouth dryness resulting from mouth opening. Our cross-sectional, prospective, randomized, un-blinded study addressed the efficacy of wearing an oral shield in addition to NM in preventing mouth leakage Methods: Patients with OSA and established therapy using NM and complaining about mouth dryness (n = 29) underwent three polysomnographies (PSGs) using NM, ONM or a nose mask in combination with an oral shield (NMS). Mask leakage was continuously documented and objective sleep quality was assessed. Results: There were significant differences in the apnea-hypopnea-index (AHI) between ONM (8.5/h; SD 6,7) and NM/nasal mask combined with oral shield device (NMS) (2.6/h; SD 2,3; 2.7/h; SD 2,6) (p < 0,05) as well as in leakage [ONM (39.7 l/min SD 12,4); NM (34.6 l/min SD 9,4); NMS (33.1 l/min SD 9,6)] (p = 0.011). Furthermore, analysis of sleep quality (NREM3) favored NM and NMS over ONM (p = 0.02). There were no significant differences between NM and NMS in any objective outcome. Conclusions: Our data consistently confirmed the NM as the first choice for continuous positive airway pressure (CPAP) therapy of OSA. Notably, we demonstrated a high potential of the oral shield for patients with mouth opening to achieve additional comfort and thereby possibly compliance, without affecting nCPAP therapy effectiveness. (C) 2019 Published by Elsevier B.V.
Biomolecule assisted morphology-controllable synthesis of Zinc Sulphide nanomaterials for efficient photocatalytic activity under solar irradiation
JOURNAL OF ALLOYS AND COMPOUNDS
Authors: Samanta, Dhrubajyoti; Basnet, Parita; Chanu, T. Inakhunbi; Chatterjee, Somenath
Abstract
Tuning the optical and morphological properties of Zinc Sulphide (ZnS) nanomaterials (NMs) may be executed based on its synthetic approaches with experimental parameters that may improve the photocatalytic degradation efficiency as compared to bulk ZnS. A bio-molecule (Citrus limetta juice) assisted synthetic method was employed with the variation of precursors and stabilizer ratio for manipulating the morphology of as-synthesized ZnS NMs. Field emission scanning electron microscopic analysis confirmed the structure of nanospheres/nanoflowers/nanotubes of ZnS NMs, corresponding to different sulphur ratios and amount of Citrus limetta juice-extract. Chemical composition of the ZnS NMs was substantiated by X-ray photoelectron spectroscopy. The photocatalytic degradation ability of the ZnS NMs toward major water pollutants: Rhodamine B and Methyl orange, indicated the correlation between morphological and photocatalytic properties. Highest defect emission due to Sulphur interstices and lowest band edge emission due to less electron-hole pair recombination, as-observed through Photoluminescence spectroscopy, accounted for maximum degradation of dyes by ZnS nanospheres as compared to nanoflowers/nanotubes, which may be attributed to the high separation efficiency of electron-hole pairs and high surface-to-volume ratio. Electrochemical impedance spectroscopy established the highest electrical conductivity of ZnS nanospheres. 85% degradation of RhB and 82% degradation of MO under sunlight were achieved with ZnS nanospheres. Reusability and radical scavenging studies revealed reduction of similar to 10% degradation efficiency after 3rd cycle and super oxide radical ions as the prominent reactive species during degradation processes, respectively. (C) 2020 Elsevier B.V. All rights reserved.