Download or read book A Retrospective Chart Review of Sleep Questionnaires in Children with Down Syndrome written by and published by . This book was released on 2019 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the high prevalence of obstructive sleep apnea (OSA) in children with Down syndrome (DS), very few subjective pediatric assessments have been evaluated in this population. The Sleep-Related Breathing Disorder subscale of the Pediatric Sleep Questionnaire (SRBD-PSQ) and Obstructive Sleep Apnea-18 Quality-of-Life Questionnaire (OSA-18) are two sleep-related questionnaires previously validated for the general pediatric population. Our aim was to assess the performance of these questionnaires in our DS population. We performed a retrospective case series of patients with DS, ages 2-18 years, seen in our tertiary care DS clinic between May 1, 2009 and October 1, 2018. A Student's t-test was used to compare mean SRBD-PSQ total score to published norms. Spearman correlation coefficients were calculated between obstructive apnea-hypopnea index (oAHI) and SRBD-PSQ or OSA-18 total scores, as well as domain scores. Questionnaire scores seemed to be most strongly, positively correlated with oAHI in adolescents and negatively correlated in children. The SRBD-PSQ and OSA-18 demonstrated weak to moderate correlations with oAHI, but scores within domains of each questionnaire showed varying strengths of correlation with polysomnography. Further study is needed to better define how these questionnaires should be used and interpreted in the DS population.

Download or read book Sleep and Activity Patterns of Children with Down Syndrome in Relation to Sleep Disordered Breathing written by Shervin Churchill and published by . This book was released on 2013 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sleep disordered breathing (SDB) is a major health problem in children with Down syndrome (DS), and may adversely affect not only health, but also accomplishment of life's daily activities and habits. Obesity is a known risk factor of SDB in the general population, but in children with DS there have been conflicting reports on the role of obesity in SDB. The goal of this dissertation is to: 1) review the current state of knowledge in sleep of children with DS; 2) describe sleep patterns, and examine the relationship of sleep disturbances, including SDB, with the accomplishment of daily life habits; and 3) describe activity patterns, and evaluate the relationships between SDB, sleep duration, obesity and physical activity (PA) in a sample of children with DS. A review of the English language literature between 1960 and 2012 was completed, studies were described and synthesized. An Internet sample of 139 parents of children ages 5 to 18 years (110 parents of children with DS, 29 parents of children with typical development [TD]), completed a 45-minute online survey. The survey included previously tested and established subjective instruments on sleep characteristics; the Children's Sleep Habits Questionnaire (CSHQ), the Life Habits Questionnaire (LIFE-H), and Children's Physical Activity Questionnaire (CPAQ). Patterns of sleep, life habits accomplishment, and PA were described and compared between children with DS and TD. The associations of sleep indicators with life habits accomplishment, and SDB and sleep duration with obesity and PA were evaluated in a series of regression analyses. The presence of SDB in a large proportion of children with DS is well documented in the literature. Sleep disturbances did impact the accomplishment of daily life habits over and above the impact of DS itself. The impact of SDB on life habits accomplishment figures prominently among eight measured domains of sleep disturbances. While children with DS had longer sleep duration compare with children with TD, SDB is a significant explanatory factor in duration of sleep among all children. Presence of SDB symptoms was associated with a 38-minute decrease in sleep duration (95% confidence interval [CI]: 12- 64 minute decrease, probability [p] =0.005). A dose response relationship was observed between overweight and SDB. Obese children (body mass index > 95th percentile) had almost a six-fold risk for presence of SDB symptoms (odds ratio [OR] =5.78, 95% CI=1.90-17.61, p=0.002). Every hour increase of moderate to vigorous PA was associated with a 13% reduction in risk of obesity (OR=0.87, 95% CI=0.78-0.96, p=0.006). SDB is a major contributor to compromised accomplishment of daily life habits in children with DS. Overweight and obesity are implicated in contributing to SDB. Interventions for increasing PA and reducing obesity in children with DS have the potential to decrease the symptoms of SDB and improve the accomplishment of life habits and life quality.

Download or read book Adolescents with Down Syndrome written by Siegfried M. Pueschel and published by . This book was released on 1997 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stands as the major existing source book on adolescence and Down syndrome The significant scientific and educational advances of the past several years have given young people with Down syndrome many new opportunities and challenges. With this in mind, the authors focus on the specific issues that adolescents face as they grow up with Down syndrome. Written for health care professionals, psychologists, developmental disabilities practitioners, educators, and parents, this book shows readers how to encourage good nutrition and exercise, promote self-esteem and self-competence, respond to challenging behaviors, plan for transitions, and help adolescents develop leisure pursuits. Contributions from leading experts lend experience and perspective to this multidisciplinary resource.

Download or read book Sleep in Children with Neurodevelopmental Disabilities written by Jennifer A. Accardo and published by Springer. This book was released on 2018-12-13 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical guide presents approaches to working with children and adolescents with neurodevelopmental disabilities who have sleep problems. Divided into four sections, the book begins with the impact of sleep problems in children with disabilities and the evaluation of sleep complaints. The next two sections cover the major categories of sleep disorders as they apply in children with disabilities, and specific neurodevelopmental disabilities with their characteristic sleep manifestations. The last section details options for treatment, which include behavioral and environmental strategies, occupational therapy, exercise, and medications. Chapters feature case studies that introduce and reinforce diagnostic and therapeutic approaches. Those engaged in the care of children with neurodevelopmental disabilities and sleep problems will find this text to be an invaluable guide when assessing and treating sleep disorders.

Download or read book Education for Individuals with Down Syndrome written by Sue Buckley and published by DSE Enterprises. This book was released on 2000 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Beyond Myalgic Encephalomyelitis Chronic Fatigue Syndrome written by Institute of Medicine and published by National Academies Press. This book was released on 2015-03-16 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: Myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS) are serious, debilitating conditions that affect millions of people in the United States and around the world. ME/CFS can cause significant impairment and disability. Despite substantial efforts by researchers to better understand ME/CFS, there is no known cause or effective treatment. Diagnosing the disease remains a challenge, and patients often struggle with their illness for years before an identification is made. Some health care providers have been skeptical about the serious physiological - rather than psychological - nature of the illness. Once diagnosed, patients often complain of receiving hostility from their health care provider as well as being subjected to treatment strategies that exacerbate their symptoms. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome proposes new diagnostic clinical criteria for ME/CFS and a new term for the illness - systemic exertion intolerance disease(SEID). According to this report, the term myalgic encephalomyelitis does not accurately describe this illness, and the term chronic fatigue syndrome can result in trivialization and stigmatization for patients afflicted with this illness. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome stresses that SEID is a medical - not a psychiatric or psychological - illness. This report lists the major symptoms of SEID and recommends a diagnostic process.One of the report's most important conclusions is that a thorough history, physical examination, and targeted work-up are necessary and often sufficient for diagnosis. The new criteria will allow a large percentage of undiagnosed patients to receive an accurate diagnosis and appropriate care. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome will be a valuable resource to promote the prompt diagnosis of patients with this complex, multisystem, and often devastating disorder; enhance public understanding; and provide a firm foundation for future improvements in diagnosis and treatment.

Download or read book The Ehlers Danlos Syndrome written by Peter Beighton and published by . This book was released on 1970 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ehlers-Danlos Syndrom.

Download or read book Clinical Dermatology E Book written by Thomas P. Habif and published by Elsevier Health Sciences. This book was released on 2015-04-23 with total page 1089 pages. Available in PDF, EPUB and Kindle. Book excerpt: Identify, treat, and manage the full range of skin diseases with guidance from Clinical Dermatology: A Color Guide to Diagnosis and Therapy – the world’s leading dermatology manual. Clean formatting, easy indexing, and exceptional color images make this an indispensable source for definitive, state-of-the-art answers on every aspect of dermatologic care. Presents outstanding photographs for virtually every common skin disorder. Organizes disease information with a Disorders Index on the inside front cover, allowing for quick access to specific guidance, and a brand new Regional Diagnosis Atlas in chapter 1. Uses a consistent format in every chapter to present information in a logical, easy-reference fashion. Make rapid, confident decisions on diagnosis and treatment by comparing your clinical findings to over 1,000 of the highest quality color images—including hundreds of original, never-before-published photographs—depicting virtually any skin condition. Apply the newest developments in diagnosis and treatment thanks to thorough updates throughout including an extensive section on the management of acne, eczema, and psoriasis as well as expanded coverage of arthropod disease. Prescribe effective dermatologic treatment with an expanded formulary to the most commonly used drugs; detailed guidance on the use of antibiotics; and the inclusion of the latest drug treatment options. Quickly access vital, up-to-date information from new tables throughout summarizing "need to know" diagnostic and therapeutic evidence.

Download or read book Principles and Practice of Geriatric Sleep Medicine written by S. R. Pandi-Perumal and published by Cambridge University Press. This book was released on 2009-11-26 with total page 471 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a concise and comprehensive review of geriatric sleep medicine from a multidisciplinary viewpoint.

Download or read book Circadian Rhythm Sleep Wake Disorders written by R. Robert Auger and published by Springer Nature. This book was released on 2020-05-26 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book resolves to bridge the communication gap between research and clinical practice for circadian rhythm sleep-wake disorders. Beginning with a scientific background on biological timekeeping, opening chapters describe the crucial nature of maintaining delicate temporal organization of physiological and molecular events within the body. Following this are discussions on circadian physiology and methods of circadian assessments. Subsequent chapters then relay comprehensive information regarding the International Classification of Sleep Disorders-defined circadian rhythm sleep-wake disorders (CRSWDs), specifically discussing etiology and epidemiology, but focusing on evidence-based treatment data. Concluding discussions provide guidance for the application of light therapy and discuss future roles for optimized lighting environments. Nuanced and market-demanded, Circadian Rhythm Sleep-Wake Disorders: An Evidence-Based Guide for Clinicians and Investigators is an invaluable resource for Sleep Medicine clinicians, circadian researchers, and other interested parties.

Download or read book The Difficult Airway written by David B. Glick and published by Springer Science & Business Media. This book was released on 2012-12-05 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Difficult Airway provides a comprehensive textual and visual coverage of how to deal with patients who have expected or unexpected difficult airways. The text begins with a description of the incidence and importance of the difficult airway and then describes the ASA Difficult Airway Algorithm created to facilitate the management of “difficult airways.” The majority of the book features a comprehensive step-by-step approach to the rescue techniques listed as part of the ASA Algorithm. Noted experts in each of the techniques have been recruited by the book editors to present the information. Figures throughout the book illustrate important points and procedures. This is a wonderful resource for professionals in the health care field including anesthesiologists, intensive care physicians, emergency room physicians, nurses, and out-of-hospital first responders.

Download or read book The CMS Hospital Conditions of Participation and Interpretive Guidelines written by and published by . This book was released on 2017-11-27 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.

Download or read book Research Methods in Human Development written by Paul C. Cozby and published by WCB/McGraw-Hill. This book was released on 1989 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: For undergradute social science majors. A textbook on the interpretation and use of research. Annotation copyright Book News, Inc. Portland, Or.

Download or read book Child Growth and Development 2000 2001 written by Chris Boyatzis and published by McGraw-Hill/Dushkin. This book was released on 2000 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: This annually updated reader is a compilation of articles from magazines, newspapers and journals in the area of child growth and development.

Download or read book Sleep in the Military written by Wendy M. Troxel and published by Rand Corporation. This book was released on 2015-04-30 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sleep problems can have long-term consequences for servicemembers' health and for force readiness and resiliency. This first-ever comprehensive review of sleep-related policies and programs led to recommendations for improving sleep across the force.

Download or read book Night Noise Guidelines for Europe written by Charlotte Hurtley and published by WHO Regional Office Europe. This book was released on 2009 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: The WHO Regional Office for Europe set up a working group of experts to provide scientific advice to the Member States for the development of future legislation and policy action in the area of assessment and control of night noise exposure. The working group reviewed available scientific evidence on the health effects of night noise, and derived health-based guideline values. In December 2006, the working group and stakeholders from industry, government and nongovernmental organizations reviewed and reached general agreement on the guideline values and key texts for the final document of the "Night noise guidelines for Europe". Considering the scientific evidence on the thresholds of night noise exposure indicated by "Lnight,outside" [L suffix night,outside] as defined in the Environmental Noise Directive (2002/49/EC), an Lnight, outside of 40 dB should be the target of the night noise guideline (NNG) to protect the public, including the most vulnerable groups such as children, the chronically ill and the elderly. "Lnight,outside" value of 55 dB is recommended as an interim target for the countries where the NNG cannot be achieved in the short term for various reasons, and where policy-makers choose to adopt a stepwise approach. These guidelines are applicable to the Member States of the European Region, and may be considered as an extension to, as well as an update of, the previous WHO "Guidelines for community noise" (1999). [Ed.]

Download or read book The Health Consequences of Involuntary Exposure to Tobacco Smoke written by and published by . This book was released on 2006 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Surgeon General's report returns to the topic of the health effects of involuntary exposure to tobacco smoke. The last comprehensive review of this evidence by the Department of Health and Human Services (DHHS) was in the 1986 Surgeon General's report, The Health Consequences of Involuntary Smoking, published 20 years ago this year. This new report updates the evidence of the harmful effects of involuntary exposure to tobacco smoke. This large body of research findings is captured in an accompanying dynamic database that profiles key epidemiologic findings, and allows the evidence on health effects of exposure to tobacco smoke to be synthesized and updated (following the format of the 2004 report, The Health Consequences of Smoking). The database enables users to explore the data and studies supporting the conclusions in the report. The database is available on the Web site of the Centers for Disease Control and Prevention (CDC) at http://www.cdc.gov/tobacco.