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发布日期: 2017 年 8 月 4 日，星期五 自动测量夜间血样水平可以加速对儿童睡眠呼吸暂停症的诊断 简单又廉价的检测就可以断定打鼾儿童是否患有睡眠呼吸暂停症 通过电脑分析睡眠时血液中的氧含量—仅通过这一方法—就可以ᨀ供一种简单便捷的，价 格相对低廉的且可靠的方法来确定哪些习惯性打鼾的儿童可以从诊断和治疗睡眠呼吸暂停症中 收益。这种方法对于患有严重睡眠呼吸暂停症的儿童来说是最精准的。 由于缺少临床睡眠实验室和有资质的儿童睡眠专家，同时考虑到高昂的成本，给父母和孩 子造成的不便以及夜间护理人员的需求，即使在美国和欧洲国家，只有极少数患病儿童接受了 病情评估。在欠发达国家里，资源的缺失使得对睡眠的研究更加困难。 “通过简化检测过程并大幅度降低检测成本，有理由相信我们可以评估更多有重大风险的 患病儿童，尤其是在那些缺少儿童睡眠实验室设施的地区，”该项研究的资深作者 Gozal 说 到。David Gozal,医学博士，工商管理硕士，芝加哥大学儿科学教授，美国胸科协会(ATS)前任主 席。 在 ATS 发行的《美国呼吸和重症医学期刊》中，一个来自多国的研究小组᧿述说，他们开 发出了一种自动计算系统，可以将 23 种分析特征整合到一个诊断用的神经网络算法中去。 所有的数据都来自于一台脉搏血氧仪——一个戴在患者指尖，用来在夜间检测患者心率指 数和血氧含量的简单仪器。 他们的研究结果《以夜间血氧仪为基础对习惯性打鼾儿童的评估报告》，早些时候发布到 了期刊的网站上，表明了这种简便的方法要比全面的睡眠研究更加有利。作者估计这种方法会 节省 90%-95%的检测成本。 先前美国检测睡眠呼吸暂停症的方法是使用多功能睡眠记录仪。这种方式基于通过血氧仪 记录血氧含量，同时又增加了许多配套检测仪器。比如说大脑活动检测仪、眼球运动评估仪、 心脏信号记录仪和肌肉紧张程度测量仪。通常用摄像机记录下每一项检测。这种方法曾被认为 是最权威的，但是需要大量仪器和不同的检测员。为了评估这些额外的诊断措施的必要性，研究员们比对了血氧仪为基础的自动计算系统和 多功能睡眠记录仪记录的数据。他们分析了超过 4000 分案例，这些数据取材于全球 13 个睡眠 实验室中 2-18 岁经常打鼾或有 OSA 其他特征的儿童。研究员们发现：除了血氧仪测量的数据以 外，其他数据的附加价值是非常有限的。 “以一种奇怪的方式，消减资源的努力可以被看作是一个重大的进步，”Gozal 说到。“使 用一种精确而操作简单的诊断工具，如使用夜间血氧仪来检测阻塞性睡眠呼吸暂停症，可以增 加检测频率，降低检测成本，ᨀ供了一种简单的、可靠的方法来检测高危儿童并让他们接受治 疗。” 它还有助于节省资源。儿童睡眠呼吸暂停症是常见病，影响了 3%-5%的儿童。儿童睡眠的 中断，会影响孩子的认知能力、身体发育同时增加了他们在以后生活中罹患高血压，糖尿病和 心血管疾病的风险。 作者说到，仅血氧仪的准确度就可以达到：“可靠度随着病症严重程度增加而增加。”这 次检测约有 75%的儿童有轻微病症——其中大多数儿童不需要接受治疗——82%的儿童病症适 中，90%的儿童患有严重的睡眠呼吸暂停症。作者建议那些不需要接受治疗的儿童：“如果症 状持续，可以在几周内复检。” 作者写到，这一方法：“能够尽早地，频繁地，廉价地对打鼾儿童进行筛查，并确定哪些 儿童确实需要接受治疗。”

Serenium™ is a revolutionary and disruptive new health care business based on over 15 years of clinically and statistically validated research and development. It is now ready and available for global commercialization. Serenium is targeting 500,000,000 plus consumers in the US and China alone, and will achieve sales in excess of $ 1,000,000,000 by 2025. Serenium’s innovative solutions focus on early identification and intervention for respiratory related disorders, long before they result in the chronic, non-curable disease states such as hypertension, diabetes, ADHD, impotence, and anxiety disorders to which they have been associated . By allowing such early intervention, one can inexpensively mitigate the resource expenditure of managing chronic disease while providing improved population health outcomes and lower overall cost. Sleep disordered breathing (SDB) is the single most under-diagnosed and under-treated medical condition that often leads to chronic diseases. Patients diagnosed with sleep apnea are two to three times more likely to develop expensive and difficult to treat co-morbidities. Yet 90% of sleep apnea sufferers currently remain undiagnosed and untreated. Over 500 million people in the United States and China have sleep and respiratory related issues. Clinically, sleep disordered breathing issues can contribute to suppression of the immune system which negatively affects a multitude of chronic health conditions including hypertension, diabetes, depression, ADHD, and cancer. Serenium delivers a new and innovative approach to preventative health care by initially focusing on sleep disordered breathing including sleep apnea and Upper Airway Resistance Syndrome. By developing a proprietary consumer-focused risk assessment screening process, Serenium facilitates the reallocation of worldwide health care resources from expensive chronic disease management to an early detection, consumer-controlled wellness initiative.

MIao Village is designed as a social experiment to assist Miao people in south China (PRC) to convert needle work skills into income instead of exporting their heritage. Miao People in south west China rent their skills to Western Designers. Attempt to lift income above current per ca pita $200/Yr without destroying culture and living environment through industrialization.

Producer publisher of financial information on Japan focusing on japanese 10k YOUKA SHOOKEN HOKOKSHO (YUHO). Owner of patents in the area of corporate and governmental disclosureCoined the term REPURPOSE.

CTI provides Educational, Transitional, and Business Foundation services for Expat executives and their families relocating to China, or Western managers with management responsibilities for the Chinese market.

Investment Banking, Vulture Investments in Japan after the Burst of The Japanese Economic Bubble. Securities, Real Estate etcWestern Collaborators - Bear Stearns, Oppenhimer, The various Lazar Houses, US Hedge Funds