61. Abstract Viewer Endemic pickwickian syndrome Professor James (Rex) Ferris Email Address rferris@adhb.govt.nz Obesity is a major health problem in New Zealand, http://www.anzfss2004.org.nz/cgi-bin/ViewAbstracts.cgi?paperid=364

62. Obesity And Respiratory Disorders Reversal of the pickwickian syndrome by longterm use of nocturnal nasal-airway Progesterone for outpatient treatment of pickwickian syndrome. http://www.umdnj.edu/rspthweb/bibs/obesity.htm

Obesity and Respiratory Disorders Bardoczky GI, Yernault JC, Houben JJ, d'Hollander AA. Large tidal volume ventilation does not improve oxygenation in morbidly obese patients during anesthesia. Anesth Analg. Blocker WP Jr, Ostermann HJ. Obesity: evaluation and treatment. Dis Mon. Cohn AI, Hart RT, McGraw SR, Blass NH. The Bullard laryngoscope for emergency airway management in a morbidly obese parturient. Anesth Analg. Collop NA. Refractory hypoxemia in a morbidly obese 28-year-old woman. Chest. Dumont L, Mattys M, Mardirosoff C, et al. Changes in pulmonary mechanics during laparoscopic gastroplasty in morbidly obese patients. Acta Anaesthesiol Scand. Hakala K, Mustajoki P, Aittomaki J, Sovijarvi A. Improved gas exchange during exercise after weight loss in morbid obesity. Clin Physiol. Harman E, Wynne JW, Block AJ, Malloy-Fisher L. Sleep-disordered breathing and oxygen desaturation in obese patients. Chest. Harman EM, Wynne JW, Block AJ. The effect of weight loss on sleep-disordered breathing and oxygen desaturation in morbidly obese men. Chest.

63. UpToDate Pathogenesis Of Obesity Hypoventilation Syndrome The OHS is also known as the pickwickian syndrome, based upon a character in Charles Dickens book The Posthumous Papers of the Pickwick Club 1. http://patients.uptodate.com/topic.asp?file=sleepdis/5091

64. UpToDate An Overview Of Obstructive Sleep Apnea: Epidemiology, Pathophysiology, applied the name pickwickian syndrome to the combination of obesity, with the pickwickian syndrome and described all three types of apnea. http://patients.uptodate.com/topic.asp?file=sleepdis/12387

65. RedNova News - Health - Death During Polysomnography Of A Patient With Cheyne-St The tracings confirmed severe sleep apnea syndrome. of death occurring during polysomnography in patients suffering from pickwickian syndrome or CHF. http://www.rednova.com/news/health/106579/death_during_polysomnography_of_a_pati

ANDP("ntn"); Ads_kid=0;Ads_bid=0;Ads_xl=0;Ads_yl=0;Ads_xp='';Ads_yp='';Ads_xp1='';Ads_yp1='';Ads_opt=0;Ads_wrd='[KeyWord]';Ads_prf='';Ads_par='';Ads_cnturl='';Ads_sec=0;Ads_channels=''; Home News Video Images ... Site Map SPECIAL NEWS Return to Flight REDNOVA NEWS Space Science Technology Health ... Video News REDNOVA EXTRAS RedNova E-Mail My RedNova Join RedNova RSS Feeds ... Tell A Friend, Win $500 Ads by Google Posted on: Sunday, 28 November 2004, 03:00 CST E-mail this to a friend Printable version Discuss this story in the forum Change Font Size: A A A Death During Polysomnography of a Patient With Cheyne-Stokes Respiration, Respiratory Acidosis, and Chronic Heart Failure* A patient with chronic heart failure and chronic respiratory failure (CRF) underwent ambulatory polysomnography at home. She was found dead on the morning after the recording. The tracings confirmed severe sleep apnea syndrome. After 8 h of incessant Cheyne- Stokes respiration during sleep, respiratory arrest occurred, followed 7 min later by asystole. This report illustrates a case of respiratory drive failure during sleep as the mode of death in a patient with heart failure, sleep apnea syndrome, and CRF. (CHEST 2004; 126:1698-1700) Key words: Cheyne-Stokes respiration; heart failure; sleep apnea syndrome

66. Your Family Doctor - Medical Articles The pickwickian syndrome Definition pickwickian syndrome is a disorder that was named after Joe, the fat, red faced boy in Charles http://www.online-ambulance.com/articles/doc/8/grp/Psychology/pg/2

Ask The Doctor Live Talk Encyclopedia Medical Articles ... News irrefragable answers on any medical questions another medical opinion on the problem information on symptoms and diseases Menu Home Page Medical News Ask The Doctor Live Talk ... Calories Sign Up/ Login Login Password remind SignUp Forgot Password Ask our doctors General practitioner Dermatologist Urologist Dietician ... ORDER CONSULTATION Our psychologist is ready to talk to you about any problems you meet with. Sometimes psychological problem is the main cause of many diseases. That`s why it`s very important that it`s an experienced psychologist who can help you to solve these problems. Our psychologist is ready to help you. Psychologist: Jean-Louis Berge-Lefranc How Does Psychotherapy Help People Recover From Depression? Can social phobia be helped? Birth and the origin of violence Psychology back to category list prev next What Causes Bipolar Disorder? What Causes Bipolar Disorder? We have all asked this question at some time. I've heard explanations ranging from a shortage of Lithium in the brain to dog bites in childhood! Obviously, there is a great deal of misinformation to be ... Stressed-Out Kids Become Depressed Adults Stressed-Out Kids Become Depressed Adults Anxiety more common in childhood than once thought Stress happens even to kids. Most parents believe their children will bounce back ...

67. Goodhealth N You In the 1800s, it was known as pickwickian syndrome (today this term would The term pickwickian syndrome became supplanted by Obstructive Sleep Apnea http://www.goodhealthnyou.com/hot/sleep1.php3?id=1451

68. J Hist Med Allied Sci -- Sign In Page http://jhmas.oxfordjournals.org/cgi/reprint/40/1/66

JOURNAL HOME HELP FEEDBACK SUBSCRIPTIONS ... SEARCH QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This item requires a subscription* to Journal of the History of Medicine and Allied Sciences Online. * Please note that articles prior to 1996 are not normally available via a current subscription. In order to view content before this time, access to the Oxford Journals digital archive is required. Alternatively, you may purchase short-term access on a Pay per Article basis. Please see below for more details. PDF SCHILLER J Hist Med Allied Sci. This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager ... Request Permissions PubMed Articles by SCHILLER, F. To view this item, select one of the options below: Sign In User Name Sign in without cookies. Can't get past this page? Help with Cookies. Need to Activate? Password Forgot your user name or password?

69. Benefits Of Bariatric Surgery pickwickian syndrome. This syndrome was named after a character in one of Charles The three clinical components of pickwickian syndrome are day time http://www.obesityhelp.com/morbidobesity/benefits.phtml

Association for Morbid Obesity Support Resources and peer support for morbid obesity and weight loss surgery AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Current Month Next Month Previous Month January, 1995 February, 1995 March, 1995 April, 1995 May, 1995 June, 1995 July, 1995 August, 1995 September, 1995 October, 1995 November, 1995 December, 1995 January, 1996 February, 1996 March, 1996 April, 1996 May, 1996 June, 1996 July, 1996 August, 1996 September, 1996 October, 1996 November, 1996 December, 1996 January, 1997 February, 1997 March, 1997 April, 1997 May, 1997 June, 1997 July, 1997 August, 1997 September, 1997 October, 1997 November, 1997 December, 1997 January, 1998 February, 1998 March, 1998 April, 1998 May, 1998 June, 1998 July, 1998 August, 1998 September, 1998 October, 1998 November, 1998 December, 1998 January, 1999 February, 1999 March, 1999 April, 1999 May, 1999 June, 1999 July, 1999 August, 1999 September, 1999 October, 1999 November, 1999 December, 1999 January, 2000 February, 2000 March, 2000

70. Meta Name= Keywords Content= Sleep, Polysomnography, Sleep Apnea Later, the term pickwickian syndrome became supplanted by Obstructive Sleep Apnea, which includes a wider range of less severe cases without the daytime http://www.geocities.com/HotSprings/Spa/4752/page72.html

LinkExchange Member Free Home Pages at GeoCities Article #36 History of Clinical Research on the Sleep Apnea Syndrome Wolfgang Kuhl Deutsche Klinik fur Diagnostik, Wiebaden, Deutschland Published in Respiration Vol. 64(Supple 1) pp 5-10, 1997 SUMMARY Polysomnography is defined succinctly if a bit vaguely in Stedman's Medical Dictionary as the "simultaneous and continuous recordingof normal and abnormal physiological activity during sleep." Most sleep specialists consider it the key laboratory study for the diagnosis of sleep apnea and other sleep-related breathing disorders.Furthermore, many would consider the electroencephalogram or EEGa record from scalp electrodes of the electrical activity of the brainas a key measure of "physiological activity" in describing sleep patterns, and therefore as important as the measurement by various means of breathing itself and its results (i.e., blood oxygen saturation) in defining sleep apnea. We should be aware that the EEG dates back only to Berger's first recordings in 1929. Berger noted changing patterns of EEG activity with changing levels of consciousness, from wakefulness to sleep. Recording of the EEG with other physiological measures, especially eye movements, enabled Dement and Kleitman in 1957 to define different stages of sleep, particularly the recurrent cycling throughout the night of Rapid Eye Movement (REM) sleep, associated with the waking pattern of the EEG but no return of consciouness or responsiveness to the outside environment.

71. Review Of The Literature suffering from the pickwickian syndrome were performed by Jung Kuhlo in 1965 (10). pickwickian syndrome, a terminological predecessor of OSAS, http://herkules.oulu.fi/isbn9514266552/html/c146.html

Snoring and obstructive sleep apnea in young children: A 6-month follow-up study Prev Next Chapter 2. Review of the literature Table of Contents History of sleep apnea among children Normal sleep in 3 to 10 year old children Definitions Classification of sleep-related airway obstruction ... Natural history 2.1. History of sleep apnea among children Charles Dickens was probably the first to describe the features of sleep apnea in his famous comic narrative The Posthumous Papers of the Pickwick Club (4). The fat boy Joe was snoring heavily, he was falling constantly asleep and was described as having slow perception. Damn that boy...! In 1889, William Hill (5) recognized the symptoms of the syndrome, describing the stupid lazy-looking kid who frequently suffers from headaches at school, breathes through his mouth instead of his nose, snores and is restless at night. He speculated that some of their backwardness was secondary to some hampering of the cerebral functions rather than deafness. Hill also found adenotonsillectomy to be helpful for these children. In 1965 Menashe et al.

72. Introduction: Sleep Disorders - WrongDiagnosis.com Insomnia Sleep apnea Obstructive sleep apnea Problem Sleepiness Narcolepsy Fatal Familial Insomnia; pickwickian syndrome http://www.wrongdiagnosis.com/s/sleep_disorders/intro.htm

Home Symptoms Diseases Risks ... Diseases Search our medical database Subscribe to our free Newsletter sample Send this page to a friend Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Sleep disorders Next sections Basic Summary for Sleep disorders Prevalence and Incidence of Sleep disorders Types of Sleep disorders Prevalence of Types of Sleep disorders ... Causes of Sleep disorders Next chapters: Insomnia Sleep apnea Obstructive sleep apnea Problem Sleepiness ... Feedback Introduction: Sleep disorders Sleep disorders: Various disorders of sleeping. Sleep disorders: Sleep disorders are disturbances of sleep that may be caused by many factors such as retirement and changes in social patterns or medications. While changes in sleep patterns have been viewed as part of the normal aging process, new information indicates that many of these disturbances may be related to pathological processes that are associated with aging. In addition to affecting the quality of life, troubled sleep has been implicated with excess mortality. Conditions list: The list of conditions in the Sleep disorders group includes: Insomnia Sleep apnea Obstructive sleep apnea Problem Sleepiness ... Fatal Familial Insomnia Pickwickian syndrome Misdiagnosis and Sleep disorders: Research more detailed information about misdiagnosis of Sleep disorders failure to diagnose Sleep disorders underlying causes of Sleep disorders (possibly misdiagnosed), or research

73. Re: Pickwickian Syndrome In Reply to pickwickian syndrome posted by Terri Griffith Bledsaw on December 27, Re pickwickian syndrome Hans van der Heijden 8/06/99 (3) http://www.sleepnet.com/forum5/messages/290.html

Re: Pickwickian Syndrome Follow Ups Post Followup Diagnostic Dilemmas FAQ Posted by Eric Stephens on January 04, 1999 at 19:00:33: In Reply to: Pickwickian Syndrome posted by Terri Griffith Bledsaw on December 27, 1998 at 08:03:14: Channing L. Bete Co,. Inc. has a great brochure on the subject. It's easy to understand, they're very good about sending out free brochures, and they pride themselves on mailing requests by the next day. Their web site is WWW.channing-bete.com Phone: 1-800-628-7733 Also try your local sleep lab for info. Good luck. Follow Ups: Re: Pickwickian Syndrome nicky squire Re: Pickwickian Syndrome mary trainor Re: Pickwickian Syndrome Ms P Thamgam Re: Pickwickian Syndrome ernest scarcelli Re: Pickwickian Syndrome Marilyn MacLean Re: Pickwickian Syndrome Ma. Naval C. Rivas MD. Re: Pickwickian Syndrome Julie Re: Pickwickian Syndrome Rosemary Re: Pickwickian Syndrome Ma. Naval C. Rivas MD. Re: Pickwickian Syndrome Sarah Carter Re: Pickwickian Syndrome Hans van der Heijden Re: Pickwickian Syndrome YVETTE HALL Re: Pickwickian Syndrome cicchiello Re: Pickwickian Syndrome tony Post a Followup Name : E-Mail : Subject : Comments: PLEASE ONLY CLICK THE SUBMIT FOLLOW UP BUTTON ONCE!!. Thanks, Sandman

74. Re: Atrial Fibrilation The pickwickian syndrome is a condition of hypoventilation (poor air flow) pickwickian syndrome itself does not cause atrial fibrillation (afib) but it http://www.medhelp.org/forums/cardio/archive/2004.html

Questions in The Heart Forum are being answered by doctors from The Cleveland Clinic Heart Center, consistently ranked the #1 Heart Center in America. Subject: Re: Atrial Fibrilation Forum: The Heart Forum Topic Area: Heart Disease Posted by CCF CARDIO MD - CRC on June 29, 1998 at 15:35:43: In Reply to: Atrial Fibrilation posted by csmith on June 27, 1998 at 01:28:15: : I am a 54 yo female,300# plus. DX with atrial fibvrilation 9-97. Converted to normal rhythm on my own. I was also diagnosed with Pickwickian Syndrome. I cannot find any online information on the pickwickian thing. I am also presently suspecting hypothyroid condition which I am taking basal temps with none above 97.4 after 1 month. I have read "somewhere" theatrial fibs and Pickwickian are related to hypothyroid. Can you give me any information or advice where to obtain information? Thanks for your help!! Dear csmith, The Pickwickian syndrome is a condition of hypoventilation (poor air flow) and excessive drowsiness due to obesity. It is named after a fictional character, Mr. Pickwick, in Charles Dicken’s "The Pickwick Papers". The treatment is weight loss. In some persons who fail to lose weight a trachestomy tube (tube in breathing pipe) is necessary. Pickwickian syndrome itself does not cause atrial fibrillation (afib) but it may lead to changes in the heart (high blood pressure and right sided heart failure) that cause afib. Hypothyroidism is also a potential cause of afib. You should ask you doctor to run tests on your thyroid to check it’s function. In addition he may want to check some heart tests such an echocardiogram. This will evaluate the heart’s function and also rule out other potential causes of afib such as problems with the heart valves.

75. Pickwickian Syndrome (obesity-hypoventilation Syndrome) pickwickian syndrome (obesityhypoventilation syndrome). pickwickian syndrome is characterized by gross obesity and hypoventilation (insufficient breathing) http://www.cartage.org.lb/en/themes/Reference/dictionary/Biologie/P/16.html

Pickwickian syndrome (obesity-hypoventilation syndrome) Pickwickian syndrome is characterized by gross obesity and hypoventilation (insufficient breathing). Obstructive sleep apnea, pulmonary hypertension, cor pulmonale may be present.

76. Imigraine.Net  B. Todd Troost, M.D. and situations such as the pickwickian syndrome are often accompanied by is a combination of hypoxia and hypercapnia as in the pickwickian syndrome. http://www.imigraine.net/other/meta.html

10.0: Headache associated with metabolic disorder There are a variety of types of headache that may be associated with different derangements of metabolism. This subject is only covered briefly in this chapter and the interested reader is referred to other more extensive headache texts such as Dalessio (1993) and Raskin (1988). 10.1: Hypoxia Headache Associated with Hypoxia There are a variety of specific situations in which headache may occur from hypoxia alone or from hypoxia and hypercapnia together, as described below. Decompression Headache Arterial hypoxia, not contaminated by hypercapnia, occurs in those exposed to high altitudes and in those in decompression chambers. Decompression sickness appears when a sudden change in the pressure of ambient gases, to which the subject has become equilibrated, occurs. A sudden reduction in pressure of 45% is usually sufficient to cause symptoms. The symptoms produced by rapid decompression are caused primarily by the formation of nitrogen gas bubbles in blood and fatty tissues. Nitrogen does not diffuse readily and is not used in body metabolism. When body fluids and tissues saturated with nitrogen are suddenly exposed to a lower pressure, bubbles of nitrogen gas form that lodge in small blood vessels and fatty tissues, because nitrogen is five times more soluble in oil than in water (Behnke, 1965).

77. Pickwickian Syndrome » Medical Diagnosis pickwickian syndrome. Medical Diagnosis » P » pickwickian syndrome 278.8 pickwickian syndrome (see images) Want to discuss this term? http://www.medfamily.org/diagnosis/P/diagnosis-terms-Pickwickian_syndrome.phtml

Medical Diagnosis Search A B ... Z Pickwickian syndrome Pickwickian syndrome OVERVIEW: Extreme obesity with polycythemia, somnolence, hypoventilation, arterial unsaturation and hypercapnia, and pulmonary hypertension. Usual course - chronic; intermittent. CAUSES: TREATMENT MISCELLANEOUS SYNONYMS: ICD-9-CM: 278.8 pickwickian syndrome see images Want to discuss this term? Visit our forum or our chat room SEE ALSO (Enter the keywords below into our search box or click on the link): n/a Web medfamily.org Total Medical Terms: Rate this site! 1 - Worst 10 - Best Joint Partnership with Care Earth SGU Community Solo Futbol TUMS-Ped ... Cheap Store We're still here, you rockin' with the best! Best View with 1024x768 screen and IE 5.0 Although the medFamily materials have been developed by physicians and health care provider it is designed for educational purposes only. The site is not engaged in rendering medical advice. The information provided should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. It is solely for information and second opinion purposes. If you have or suspect you may have a health problem, you should consult your health care provider and use the information here as a cross references. The authors, editors, producers, sponsors, and contributors shall have no liability, obligation or responsibility to any person or entity for any loss, damage, or adverse consequence alleged to have happened directly or indirectly as a consequence of this material.

78. ScienceDaily -- Browse Topics: Health/Conditions_and_Diseases/Sleep_Disorders/Sl Books Gale Encyclopedia of Medicine pickwickian syndrome See Larger Image Pickwickian A physician s story of a patient with the syndrome. http://www.sciencedaily.com/directory/Health/Conditions_and_Diseases/Sleep_Disor

@import "/styles/navbar.css"; @import "/styles/tabStyles.css"; Set home page Bookmark site Add search Latest News ... Email to friend Text Size A A A Front Page ... Sleep Apnea : Pickwickian Syndrome Subtopics See Also: Health: Conditions and Diseases: Cardiovascular Disorders: Heart Disease: Cor Pulmonale Health: Conditions and Diseases: Nutrition and Metabolism Disorders: Obesity Search Google: Pickwickian Syndrome News Books Links ... UF Scientist Finds Unexpected Link Between Cat And Human AIDS Viruses (September 9, 2005) full story Mayo Clinic Develops New Coma Measurement System (September 8, 2005) full story Nitric Oxide Could Extend Fertility (September 8, 2005) Biochemistry , an American Chemical Society journal. full story Flipped, Expelled, Copied, And Shrunk: Researchers Document Dramatic Genome Alterations During Primate Evolution (September 6, 2005) Genome Research presents a series of studies that provide insight into the evolution and variation of primate genomes. The issue will appear online and in print on September 1, concomitant with the publication of the chimpanzee genome sequence in the journal Nature full story Discovery Will Aid Identification Of Misregulated Genes In Rett Syndrome (September 4, 2005)

79. Obesity Hypoventilation Syndrome (OHS) In OHS, a very obese person does not breathe a sufficient amount of oxygen during sleep or while awake. Alternative Names. pickwickian syndrome http://www.healthscout.com/ency/1/000085.html

Search HealthScout Web MEDLINE Special Offers TV Specials Chronic Pain Erectile Dysfunction GERD Diabetes ... High Tech Health Top Features Bipolar Disorder Resources Sleep Skin Cancer Migraines ... Diabetes Health Organizer Resources Healthscout News 3D Health Animations Health Videos Health Encyclopedia ... Drug Library Drug Information Drug Search Drug Interactions Image Database Pill Identifier Channels Home Today Women Men ... Drug Checker Medical Health Encyclopedia Obesity hypoventilation syndrome (OHS) Injury Disease Nutrition Poison ... Prevention Obesity hypoventilation syndrome (OHS) Definition: Obesity hypoventilation syndrome (OHS) is a condition related to (but can occur separately from) obstructive sleep apnea . In OHS, a very obese person does not breathe a sufficient amount of oxygen during sleep or while awake. Alternative Names: Pickwickian syndrome Causes, incidence, and risk factors: The cause of OHS in unknown, but it likely involves a combination of a disorder in the brain's control over breathing and the effects of obesity on the chest wall. With the excess weight of massive obesity, the muscles of the chest wall can have difficulty expanding the chest enough to exchange air efficiently. This results in a decreased ability to oxygenate the blood, and the retention of carbon dioxide (see

80. Sleep Apnea,Pediatric Obstructive Sleep Apnea,Obstructive Sleep pickwickian syndrome Central Sleep Apnea Mixed Sleep Apnea In some cases, sleep apnea is referred to as pickwickian syndrome. http://www.icomm.ca/geneinfo/slpapn.htm

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