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Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome

This practice guideline focuses on uncomplicated childhood OSAS, that is, OSAS associated with adenotonsillar hypertrophy and/or obesity in an otherwise healthy child who is being treated in the primary care setting.

Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome

Although OSAS improved postoperatively, the proportion of patients who had residual OSAS ranged from 13% to 29% in low-risk populations to 73% when obese children were included and stricter polysomnographic criteria were used, suggesting OSAS may improve after AT even in obese children, thus supporting surgery as a reasonable initial treatment.

An Official American Thoracic Society Clinical Practice Guideline: Pediatric Chronic Home Invasive Ventilation.

Collative generalist and subspecialist comanagement is the Medical Home model most likely to be successful for the care of children requiring chronic invasive ventilation.

Adherence to and Effectiveness of Positive Airway Pressure Therapy in Children With Obstructive Sleep Apnea

Both CPAP and BPAP are highly efficacious in pediatric obstructive apnea, however, treatment with PAP is associated with a high dropout rate, and even in the adherent children, nightly use is suboptimal considering the long sleep hours in children.

Childhood Obstructive Sleep Apnea Associates with Neuropsychological Deficits and Neuronal Brain Injury

Childhood OSA is associated with deficits of IQ and executive function and also with possible neuronal injury in the hippocampus and frontal cortex, suggesting that untreated childhood OSA could permanently alter a developing child's cognitive potential.

Heterogeneous pulmonary phenotypes associated with mutations in the thyroid transcription factor gene NKX2-1.

Patients with mutations in NKX2-1 may present with pulmonary manifestations in the newborn period or during childhood when thyroid or neurologic abnormalities are not apparent, andSurfactant dysfunction and, in more severe cases, disrupted lung development are likely mechanisms for the respiratory disease.

Sleep disorders in children.

This review assesses the most recent literature on pediatric sleep disorders from May 1, 2002, until April 30, 2003 and concludes that there are no outcome studies that track the long-term consequences of Pediatrics or their contribution to adult sleep problems.

A Lightweight and Inexpensive In-ear Sensing System For Automatic Whole-night Sleep Stage Monitoring

The evaluation results show that LIBS can monitor biosignals representing brain activities, eye movements, and muscle contractions with excellent fidelity such that it can be used for sleep stage classification with an average of more than 95% accuracy.

Family Chaos and Child Functioning in Relation to Sleep Problems Among Children at Risk for Obesity

Families at high risk for obesity showed children with poorer emotional and behavioral functioning were at higher risk for problematic sleep behaviors, although it was found no link between obesity and child sleep.

Chronic intrauterine pulmonary hypertension impairs endothelial nitric oxide synthase in the ovine fetus.

It is concluded that chronic intrauterine pulmonary hypertension decreases eNOS in the fetal lung and speculated that decreased NO production contributes to failure of postnatal adaptation in this experimental model of persistent pulmonary hypertension of the newborn.
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