OSAS in children: Correlation between endoscopic and polysomnographic findings

2005 ◽  
Vol 132 (2) ◽  
pp. 268-272 ◽  
Author(s):  
Fabiana C. P. Valera ◽  
Melissa A. G. Avelino ◽  
Márcia B. Pettermann ◽  
Reginaldo Fujita ◽  
Shirley S. N. Pignatari ◽  
...  
Keyword(s):  
Clinical History ◽  
Clinical Findings ◽  
Preschool Age ◽  
School Age Children ◽  
School Age ◽  
Tonsillar Hypertrophy ◽  
Adenotonsillar Hypertrophy ◽  
Obstructive Sleep ◽  
Preschool Age Children ◽  
History Of

OBJECTIVES: To correlate polysomnographic findings with clinical history of apnea, the degree of obstruction caused by tonsillar hypertrophy, and to age group. STUDY DESIGN AND SETTING: 267 children with a clinical diagnosis of obstructive sleep apnea (OSAS) were evaluated. Patients were divided into preschool- and school-age categories, and subdivided in 3 additional groups, according to tonsillar hypertrophy. Polysomnographic findings were compared within groups. RESULTS: 34% of children had history of OSAS and normal polysomnographic findings. Tonsillar hypertrophy was correlated to more severe apnea among preschool-age children, but not among school-age children. Among children with tonsillar hypertrophy, more severe apnea was observed in preschool-age children than in school-age children. CONCLUSIONS: There is little correlation between polysomnographic and clinical findings in children with OSAS. SIGNIFICANCE: Adenotonsillar hypertrophy leads to more severe polysomnographic patterns in preschool-age children. More severe apnea is observed in younger children with adenotonsillar hypertrophy than in older ones.

scholarly journals Sleep clinical record: what differences in school and preschool children?

2016 ◽  
Vol 2 (1) ◽  
pp. 00049-2015 ◽  
Author(s):  
Maria Pia Villa ◽  
Hanaa Shafiek ◽  
Melania Evangelisti ◽  
Jole Rabasco ◽  
Manuela Cecili ◽  
...  
Keyword(s):  
Preschool Children ◽  
Age Groups ◽  
Inferior Turbinate ◽  
Sleep Apnoea ◽  
Clinical Record ◽  
School Age Children ◽  
Saddle Nose ◽  
School Age ◽  
Tonsillar Hypertrophy ◽  
Obstructive Sleep

The sleep clinical record (SCR) may be a valid method for detecting children with obstructive sleep apnoea (OSA). This study aimed to evaluate whether there were differences in SCR depending on age and to identify the possible risk factors for OSA development.We enrolled children with sleep disordered breathing between 2013 and 2015, and divided them according to age into preschool- and school-age groups. All patients underwent SCR and polysomnography.OSA was detected in 81.1% and 83.6% of preschool- and school-age groups, respectively. Obesity, malocclusions, nasal septal deviation and inferior turbinate hypertrophy were significantly more prevalent in school-age children (p<0.05); however, only tonsillar hypertrophy had significant hazard ratio (2.3) for OSA development. Saddle nose, nasal hypotonia, oral breathing and tonsillar hypertrophy were significantly more prevalent for development of OSA in preschoolers (p<0.03). The SCR score was significantly higher among preschool children than in school-age children (8.4±2.22versus7.9±2.6; p=0.044). Further, SCR score >6.5 had a sensitivity of 74% in predicting OSA in preschool children with positive predictive value of 86% (p=0.0001).Our study confirms the validity of the SCR as a screening tool for patient candidates for a PSG study for suspected OSA, in both school and preschool children.

scholarly journals Pronunciation simplification strategies in child language. Experimental study

2017 ◽  
pp. 46-72
Author(s):  
Eglė Krivickaitė
Keyword(s):  
Primary School ◽  
Preschool Age ◽  
School Age Children ◽  
Consonant Clusters ◽  
School Age ◽  
Older Children ◽  
Word Repetition ◽  
Preschool Age Children ◽  
Primary School Age ◽  
Repetition Task

The aim of this study is to determine the strategies of pronunciation simplification. The sample of the study consisted of 288 Lithuanian children: 96 preschool age children (4;00–4;11), 95 pre-primary school age children (6;00–6;11) and 97 junior primary school age children (8;00–8;11). The data were collected using a non-word repetition task in Lithuanian.The results of the research have shown that Lithuanian children apply universal strategies of pronunciation simplification, mostly substitution and omission; other strategies such as consonant assimilation, metathesis, sound migration to another syllable and sound addition were much less frequent. Also the results show that children possibly apply associations with real Lithuanian words or their derivational forms.The research has demonstrated that the ability to repeat different structure words is related to the rules of Lithuanian phonotactics. Consonant clusters which are typical of Lithuanian words were pronounced accurately, whereas clusters which are rare in Lithuanian words were simplified in their pronunciation. Age was an important factor in the present study: older children repeated non-words more accurately. Older children have a larger lexicon and eventually develop it further; they learn new consonant clusters, which they are capable to pronounce more accurately.

scholarly journals Natural history of snoring and obstructive sleep apnea in Thai school-age children

2005 ◽  
Vol 39 (5) ◽  
pp. 415-420 ◽  
Author(s):  
Wanaporn Anuntaseree ◽  
Surachai Kuasirikul ◽  
Somchai Suntornlohanakul
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Natural History ◽  
School Age Children ◽  
School Age ◽  
Obstructive Sleep ◽  
History Of

scholarly journals Algorithm for diagnosis of early Schistosoma haematobium using prodromal signs and symptoms in pre-school age children in an endemic district in Zimbabwe

2021 ◽  
Vol 15 (8) ◽  
pp. e0009599
Author(s):  
Tariro L. Mduluza-Jokonya ◽  
Arthur Vengesai ◽  
Herald Midzi ◽  
Maritha Kasambala ◽  
Luxwell Jokonya ◽  
...  
Keyword(s):  
Risk Score ◽  
Schistosoma Haematobium ◽  
Signs And Symptoms ◽  
Preschool Age ◽  
School Age Children ◽  
School Age ◽  
Endemic District ◽  
Preschool Age Children ◽  
Normocytic Anaemia

Introduction Prompt diagnosis of acute schistosomiasis benefits the individual and provides opportunities for early public health intervention. In endemic areas schistosomiasis is usually contracted during the first 5 years of life, thus it is critical to look at how the infection manifests in this age group. The aim of this study was to describe the prodromal signs and symptoms of early schistosomiasis infection, correlate these with early disease progression and risk score to develop an easy to use clinical algorithm to identify early Schistosoma haematobium infection cases in resource limited settings. Methodology Two hundred and four, preschool age children who were lifelong residence of a schistosomiasis endemic district and at high risk of acquiring schistosomiasis were followed up from July 2019 to December 2019, during high transmission season. The children received interval and standard full clinical evaluations and laboratory investigations for schistosomiasis by clinicians blinded from their schistosomiasis infection status. Diagnosis of S. haematobium was by urine filtration collected over three consecutive days. Signs and symptoms of schistosomiasis at first examination visit were compared to follow-up visits. Signs and symptoms common on the last schistosomiasis negative visit (before a subsequent positive) were assigned as early schistosomiasis infection (ESI), after possible alternative causes were ruled out. Logistic regression identified clinical predictors. A model based score was assigned to each predictor to create a risk for every child. An algorithm was created based on the predictor risk scores and validated on a separate cohort of 537 preschool age children. Results Twenty-one percent (42) of the participants were negative for S. haematobium infection at baseline but turned positive at follow-up. The ESI participants at the preceding S. haematobium negative visit had the following prodromal signs and symptoms in comparison to non-ESI participants; pruritic rash adjusted odds ratio (AOR) = 21.52 (95% CI 6.38–72.66), fever AOR = 82 (95% CI 10.98–612), abdominal pain AOR = 2.6 (95% CI 1.25–5.43), pallor AOR = 4 (95% CI 1.44–11.12) and a history of facial/body swelling within the previous month AOR = 7.31 (95% CI 3.49–15.33). Furthermore 16% of the ESI group had mild normocytic anaemia, whilst 2% had moderate normocytic anaemia. A risk score model was created using a rounded integer from the relative risks ratios. The diagnostic algorithm created had a sensitivity of 81% and a specificity of 96.9%, Positive predictive value = 87.2% and NPV was 95.2%. The area under the curve for the algorithm was 0.93 (0.90–0.97) in comparison with the urine dipstick AUC = 0.58 (0.48–0.69). There was a similar appearance in the validation cohort as in the derivative cohort. Conclusion This study demonstrates for the first time prodromal signs and symptoms associated with early S. haematobium infection in pre-school age children. These prodromal signs and symptoms pave way for early intervention and management, thus decreasing the harm of late diagnosis. Our algorithm has the potential to assist in risk-stratifying pre-school age children for early S. haematobium infection. Independent validation of the algorithm on another cohort is needed to assess the utility further.

scholarly journals Kepercayaan Diri Ibu Berhubungan dengan Perkembangan Anak Usia Pra Sekolah

2020 ◽  
Vol 8 (2) ◽  
pp. 169
Author(s):  
Selpina Embuai ◽  
Moomina Siauta
Keyword(s):  
Preschool Children ◽  
Child Development ◽  
Preschool Age ◽  
School Age Children ◽  
School Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Maternal Confidence ◽  
Preschool Age Children ◽  
The Relationship

Ibu memiliki peranan yang sangat penting dalam setiap tahap perkembangan anak. Gangguan perkembangan bicara dan bahasa dialami oleh 8% anak usia prasekolah. Kepercayaan ibu akan kemampuannya untuk merawat anak-anaknya sangatlah diperlukan. Akibat dari kurangnya kepercayaan diri ibu akan mempengaruhi perkembangan anaknya. Tujuan penelitian adalah diketahuinya hubungan kepercayaan diri ibu dengan perkembangan anak usia prasekolah di Kelurahan Benteng Kecamatan Nusaniwe Kota Ambon. Metode : Jenis penelitian adalah cross sectional. Populasinya adalah seluruh anak prasekolah di kelurahan benteng dengan jumlah sampel sebesar 107 orang. Teknik pengambilan sampel dilakukan dengan cara purposive sampling. Uji yang digunakan adalah Chi Square. Instrumen yang digunakan adalah kuesioner yang telah diuji validitas dan reliabilitasnya. Hasil Penelitian menunjukkan bahwa jumlah ibu yang memiliki kepercayaan diri yang tinggi (50.5%) juga memiliki anak dengan tingkat perkembangan yang normal (61.7%). Hasil penelitian juga menunjukkan bahwa adanya hubungan antara kepercayaan diri ibu dengan perkembangan anak usia prasekolah (p = 0.001). Kepercayaan diri ibu memiliki peranan penting dan sangat berpengaruh terhadap perkembangan anak usia pra sekolah. Kata kunci: anak usia pra sekolah, kepercayaan diri ibu, perkembangan anak, anak usia pra sekolah THE RELATIONSHIP BETWEEN MOTHER CONFIDENCE WITH DEVELOPMENT OF PRE-SCHOOL AGE CHILDREN ABSTRACTMothers have a very important role in each stage of child development. Speech and language developmental disorders are experienced by 8% of preschool age children. A mother's trust in her ability to care for her children is needed. As a result of lack of confidence in the mother will affect the development of their children. The purpose of this study was to determine the relationship of maternal confidence with the development of preschool age children in Benteng Subdistrict, Nusaniwe Subdistrict, Ambon City. Method: This type of research is cross sectional. The population is all preschool children in Benteng village with a total sample of 107 people. The sampling technique is done by purposive sampling. The test used is Chi Square. The instrument used was a questionnaire that had been tested for validity and reliability. The results showed that the number of mothers who had high self-confidence (50.5%) also had children with normal developmental levels (61.7%). The results also showed that there was a relationship between maternal confidence with the development of preschool children (p = 0.001). Mother's confidence has an important role and is very influential in the development of pre-school age children. Keywords: child development,, mother's confidence, pre-school age children

scholarly journals Pain and factors that affect its definition as defined by preschool age children: a qualitative study

2018 ◽  
Vol 20 ◽  
Author(s):  
Sevil Inal ◽  
Ayse Sonay Turkmen ◽  
Nejla Canbulat Sahiner ◽  
Alper Yusuf Koroglu
Keyword(s):  
Quantitative Research ◽  
Life Experiences ◽  
Preschool Age ◽  
School Age Children ◽  
Health Staff ◽  
School Age ◽  
Qualitative And Quantitative ◽  
Preschool Age Children ◽  
The City ◽  
Hospital Equipment

The aim of this study was to determine the definitions of pain by pre-school age children and factors that affect these definitions. The study was conducted on children aged between four and six years (N=146) in the city of Karaman in Turkey. Qualitative and quantitative research design were used together in this study. This study’s qualitative tradition method was phenomenologic research.The data were assessed using descriptive statistics and thematic analysis. The children’s definitions of pain were found to be affected by their hospital and daily life experiences. The preschool age children generally defined pain in similar ways, and everything that made children feel pain made them think about it. Sometimes their family members, hospital equipment, and health staff lead them to think about pain.

scholarly journals Anger in infancy and its implications: History of attachment in mother–child and father–child relationships as a moderator of risk

2018 ◽  
Vol 31 (04) ◽  
pp. 1353-1366 ◽  
Author(s):  
Rebecca L. Brock ◽  
Grazyna Kochanska
Keyword(s):  
Preschool Age ◽  
Complex Nature ◽  
School Age ◽  
Strange Situation ◽  
Car Seat ◽  
Early School ◽  
History Of ◽  
Early School Age ◽  
The Impact ◽  
Parent Child

AbstractGrowing research has documented distinct developmental sequelae in insecure and secure parent–child relationships, supporting a model of early attachment as moderating future developmental processes rather than, or in addition to, a source of direct effects. We explored maladaptive developmental implications of infants’ anger proneness in 102 community families. Anger was assessed in infancy through observations in the Car Seat episode and parents’ ratings. Children's security with parents was assessed in the Strange Situation paradigm at 15 months. At preschool age, child negativity (defiance and negative affect) was observed in interactions with the parent, and at early school age, oppositionality was rated by parents and teachers. Security was unrelated to infant anger; however, it moderated associations between infant anger and future maladaptive outcomes, such that highly angry infants embarked on a negative trajectory in insecure, but not in secure, parent–child dyads. For insecure, but not secure, mother–child dyads, infants’ mother-rated anger predicted negativity at preschool age. For insecure, but not secure, father–child dyads, infants’ anger in the Car Seat predicted father- and teacher-rated oppositional behavior at early school age. Results highlight the developmentally complex nature of the impact of attachment, depending on the relationship with mother versus father, type of measure, and timing of effects.

scholarly journals Prevalence of scabies and its associated factors among school age children in Arba Minch zuria district, Southern Ethiopia, 2018

2020 ◽  
Author(s):  
Abayneh Tunje ◽  
Chuchu Churko ◽  
Desta Haftu ◽  
Amsalu Alagaw ◽  
Eyayou Girma
Keyword(s):  
Bacterial Infection ◽  
Skin Disease ◽  
General Health ◽  
Associated Factors ◽  
School Age Children ◽  
Southern Ethiopia ◽  
School Age ◽  
The World ◽  
History Of ◽  
Considerable Impact

AbstractBackgroundScabies, a common human skin disease with a prevalence range of 0.2% to 71.4% in the world. It can have considerable impact on general health leading to illness and death not only through direct effect of its infestation and as a result of secondary bacterial infection. The aim of this study was to assess the prevalence of scabies and its associated factors among school age children in Arba Minch zuria district, Gamo zone, Southern Ethiopia.MethodsA community based cross sectional study was carried out in 845 school age children from February 20 to March 30, 2018. Multi-stage sampling technique was used to select study populations. Logistic regression an analysis was used to identify factors associated with scabies. Findings were presented using 95% CI of Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR. To declare statistical significance, p-value less than 0.05 was used.ResultA total of 825 children participated in the study with response rate of 97.6%. The overall prevalence of scabies was 16.4% [95% CI: 13.9%, 18.9%]. overcrowding index, family history of itching in the past two weeks, wealth index, knowledge of scabies, climatic zone, frequency of washing body, frequency of washing clothes, finger nails cutting practice, history of skin contact with scabies patient, washing hair more than once weekly, and sharing of clothes were significantly associated scabies disease.ConclusionIn conclusion, the prevalence of scabies in Arba Minch lies at 16.4% in the global scabies range 0.2% to 71.4%. The prevalence was highest in highlands followed by midland and then lowland. This represents a significant scabies burden which we recommend warrants health service intervention.Authors summaryScabies, a common human skin disease with a prevalence range of 0.2% to 71.4% in the world. It can have considerable impact on general health leading to illness and death not only through direct effect of its infestation and as a result of secondary bacterial infection. Conducting a research on this neglected tropical disease would contribute in designing a policies and strategies on prevention and control measures in the study area. Therefore, the aim of this study was to assess the prevalence of scabies and its associated factors among school age children in Arba Minch zuria district, Gamo zone, Southern Ethiopia.

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