Дисертації з теми "Pediatric sleep"
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Chambers, Danielle. "An Exploration of the Referral Behaviors of Pediatric Medical Professionals for Pediatric Behavioral Disordered Sleep." OpenSIUC, 2018. https://opensiuc.lib.siu.edu/theses/2338.
Повний текст джерелаPolaha, Jodi. "The Management of Common Sleep Problems in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/6694.
Повний текст джерелаCampbell, Leah Catherine. "Exploring Differences in Pediatric and Adult Sleep: Two Mathematical Investigations." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1338312080.
Повний текст джерелаCronly, Jo. "Development of a Simplified Pediatric Obstructive Sleep Apnea (OSA) Screening Tool." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3337.
Повний текст джерелаFrench, Rachel B. "Health and behavioral problems associated with symptoms of pediatric sleep disorders." [Tampa, Fla] : University of South Florida, 2008. http://purl.fcla.edu/usf/dc/et/SFE0002767.
Повний текст джерелаBurns, Lisa A. "Ambulatory Blood Pressure And Cardiac Remodeling After Adenotonsillectomy In Pediatric Sleep Apnea." University of Cincinnati / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384334242.
Повний текст джерелаSelvganesan, Padmini. "Smart Statistics, Signal Processing and Instrumentation for Improved Diagnosis of Pediatric Sleep Apnea." University of Akron / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=akron159550472185963.
Повний текст джерелаChambers, Danielle Elizabeth. "BRIEF INTERVENTION TO ADDRESS BEHAVIORAL DISORDERED SLEEP: EXAMINING FACTORS RELATED TO INTERVENTION EFFICACY." OpenSIUC, 2021. https://opensiuc.lib.siu.edu/dissertations/1953.
Повний текст джерелаHuss, Debra B. "Comorbidity of pediatric migraine and sleep disturbances the role of a dysfunctional autonomic nervous system /." Lexington, Ky. : [University of Kentucky Libraries], 2007. http://hdl.handle.net/10225/766.
Повний текст джерелаTitle from document title page (viewed on March 18, 2008). Document formatted into pages; contains: vii, 48 p. : ill. Includes abstract and vita. Includes bibliographical references (p. 37-45).
Huss, Debra B. "COMORBIDITY OF PEDIATRIC MIGRAINE AND SLEEP DISTURBANCES: THE ROLE OF A DYSFUNCTIONAL AUTONOMIC NERVOUS SYSTEM." UKnowledge, 2008. http://uknowledge.uky.edu/gradschool_diss/582.
Повний текст джерелаPires, Priscila de Jesus Souza. "Valida??o da vers?o brasileira do question?rio Pediatric Obstructive Sleep Apnea Screening Tool." Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2017. http://tede2.pucrs.br/tede2/handle/tede/7806.
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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES
Introduction: The Pediatric obstructive sleep apnea screening tool is a short hierarchical 6-item questionnaire developed to evaluate sleep disordered breathing in 3 to 9 years old children. This set of questions allows to discriminate children at high risk of obstructive sleep apnea (OSA) and to screen which patients need promptly objective diagnostic tests and treatment. Objective: To validate the Pediatric Obstructive Sleep Apnea Screening Tool to be used in Brazil, in a Portuguese language version. Methods: The Brazilian version of the questionnaire was developed as following: a) translation; b) back-translation; c) conclusion of final version and d) pretesting. The questionnaire was applied previously to the polysomnography in 3 to 9 years old children included in the study from October 2015 until October 2016. Validity and reliability were the psychometric proprieties evaluated. The comparison between polysomnography results and the questionnaire`s cumulative score allowed the accuracy evaluation. Results: Sixty patients were included in the final sample. Accordingly to the polysomnography, 29 (48%) patients had normal apnea and hipopnea index and 31 (51,7%) presented abnormal results. The minimum O2 saturation level was significantly lower among children with OSA (p=0,021). Satisfactory concordance was observed between the apnea and hipopnea index and the questionnaire score. The Brand Altman bias plot was 0,1 for the difference between two measures, with 5,34 (IC95% 4,14 to 6,55) of upper limit agreement and -5,19 (IC95% -6,39 to -3,98) of the agreement lower limit. The questionnaire?s internal consistency calculated by Cronbach's alpha was 0,848 (IC95% 0,780-0,901). Conclusion: The Pediatric obstructive sleep apnea screening tool was translated and validated to an adequate Brazilian-Portuguese version. The questionnaire presented satisfactory results of reliability and concordance in relation to the apnea and hipopnea index.
Introdu??o: O Pediatric obstructive sleep apnea screening tool ? um question?rio com 6 itens de avalia??o de dist?rbios respirat?rios do sono em crian?as de 3 a 9 anos de idade. ? um instrumento de f?cil aplica??o que consegue discriminar as crian?as com maior risco para s?ndrome da apneia obstrutiva do sono (SAOS) e, consequentemente, que necessitam com maior brevidade de exames objetivos para o diagn?stico e do in?cio do tratamento. Objetivo: Validar o question?rio Pediatric obstructive sleep apnea screening tool para o seu uso no Brasil, em uma vers?o em portugu?s. Materiais e m?todos: A vers?o brasileira do question?rio foi desenvolvida a partir das seguintes etapas: a) tradu??o; b) retro-tradu??o; c) conclus?o da vers?o final e d) pr?-teste. A vers?o brasileira do question?rio foi aplicada previamente ao in?cio da polissonografia em pacientes de 3 a 9 anos que foram inclu?dos no estudo no per?odo de outubro de 2015 a outubro de 2016. As propriedades psicom?tricas avaliadas foram validade e confiabilidade. A acur?cia foi avaliada pela compara??o entre os resultados da polissonografia com o escore cumulativo do question?rio. Resultados: A amostra final do estudo foi composta por sessenta pacientes. Vinte e nove (48%) pacientes apresentaram ?ndices de apneia e hipopneia normais e 31 (51,7%) apresentaram resultados alterados conforme os resultados da polissonografia. A satura??o m?nima de O2 (p=0,021) foi significativamente menor entre os pacientes com s?ndrome de apneia obstrutiva do sono. O ?ndice de apneia e hipopneia apresentou concord?ncia satisfat?ria com os resultados do question?rio. Foi identificado um vi?s m?dio de 0,1 para a diferen?a entre as medidas, com um limite superior de 5,34 (IC95% 4,14 a 6,55) e um limite inferior de -5,19 (IC95% -6,39 a -3,98). A consist?ncia interna do question?rio avaliada pelo ? de Cronbach foi de 0,848 (IC95% 0,780-0,901). Conclus?o: O question?rio Pediatric obstructive sleep apnea screening tool foi traduzido e validado adequadamente para a vers?o em portugu?s brasileiro. O question?rio apresentou boa confiabilidade e concord?ncia com o ?ndice de apneia e hipopneia.
Tooley, Ursula Ann. "Longitudinal Analysis of Sleep Disruption in Pediatric Subjects with Down Syndrome: Effects on Language and Executive Function." Thesis, The University of Arizona, 2014. http://hdl.handle.net/10150/322063.
Повний текст джерелаPopkave, Kyle Marissa. "The Relationship between Parent Identified Sleep Problems, Internalizing Behaviors, Externalizing Behaviors, and Adaptive Functioning in a Pediatric Population." Scholar Commons, 2007. http://scholarcommons.usf.edu/etd/3829.
Повний текст джерелаPereira, Alexandre Kirchhofer. "The association between sleep duration in pediatric ages and the risk for overweight: a systematic review with practical suggestions." Master's thesis, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/46191.
Повний текст джерелаPereira, Alexandre Kirchhofer. "The association between sleep duration in pediatric ages and the risk for overweight: a systematic review with practical suggestions." Dissertação, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/46191.
Повний текст джерелаAx, Erin Elizabeth. "Implications of sleep disorders symptoms on school behavior, academics, and quality of life." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001760.
Повний текст джерелаWELLS, CAROLYN T. "SLEEP PROBLEMS FOLLOWING MODERATE-TO-SEVERE PEDIATRIC TRAUMATIC BRAIN INJURY: PRESENCE, NATURE, LONG-TERM PATTERN, AND RELATIONSHIP TO NEUROPSYCHOLOGICAL DEFICITS." University of Cincinnati / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1116193567.
Повний текст джерелаAngelhoff, Charlotte. "What about the parents? : Sleep quality, mood, saliva cortisol response and sense of coherence in parents with a child admitted to pediatric care." Doctoral thesis, Linköpings universitet, Avdelningen för omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-136442.
Повний текст джерелаThe electronic version of the thesis is a corrected version of the printed thesis.
This thesis has also been funded by Barnklinikens 60-årsfond, Filip SchelinsStiftelse, Riksföreningen för barnsjuksköterskor and Synskadades Riksförbund (Lyckopenningen).
Wells, Carolyn T. "Sleep problems following moderate-to-severe pediatric traumatic brain injury presence, nature, long-term pattern, and relationship to neuropsychological deficits /." Cincinnati, Ohio : University of Cincinnati, 2005. http://www.ohiolink.edu/etd/view.cgi?acc%5Fnum=ucin1116193567.
Повний текст джерелаEdwards, Kristin Lynn. "Sleep Disorders in Children with Autism Spectrum Disorder: A Pilot Study of an Assessment of Pediatric Providers' Practices and Perceptions." Scholar Commons, 2018. https://scholarcommons.usf.edu/etd/7502.
Повний текст джерелаTrindade, Carla Sofia Sobral. "O Sono na Infância: Educar para Promover o Sono Saudável – Atuação do Enfermeiro Especialista em Enfermagem de Saúde Infantil e Pediátrica." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2019. http://hdl.handle.net/10400.26/28840.
Повний текст джерелаEste relatório de estágio documenta a trajetória realizada durante o estágio final, fundamentado e refletindo a aquisição e o desenvolvimento de competências comuns e específicas do enfermeiro especialista em enfermagem de saúde infantil e pediátrica, bem como as competências de Mestre. Inerente ao processo de desenvolvimento de competências, demonstra se as atividades realizadas nos diferentes contextos de estágio, no âmbito da metodologia de projeto, tendo em conta as necessidades e especificidades de cada contexto, e a temática central do projeto. A temática do projeto, inscreve-se na linha de investigação Segurança e Qualidade de Vida e está relacionada com o Sono Infantil: Educar para Promover o Sono Saudável. Foram realizados estágios em diferentes contextos de assistência à criança e família, o que permitiu realizar diferentes atividades com vista à maximização da saúde da criança/jovem e família. O projeto foi desenvolvido com recurso à metodologia de projeto, metodologia essa reflexiva, baseada e suportada pela indagação participativa, desenvolvendo intervenções práticas. O sono infantil saudável corresponde à quantidade e à qualidade de sono adequado à faixa etária, primordial para o desenvolvimento infantil. Atualmente, não se respeita os ritmos circadianos do ser humano e existe muitas vezes uma tentativa de reprogramação do ritmo interno, devido às exigências da sociedade, mostrando-se assim uma temática da atualidade, o enfermeiro especialista em enfermagem de saúde infantil e pediátrica, tem uma intervenção abrangente, logo poderá ser um elemento fundamental no evitamento da privação de sono nos lactentes/crianças e jovens.
This traineeship report documents the trajectory carried out during the final stage, grounded and reflecting the acquisition and development of common and specific competences of nurses specialized in child and pediatric health nursing, as well as Master's competences. Inherent in the competency development process, the activities carried out in the different internship contexts within the scope of the project methodology are shown, taking into account the needs and specificities of each context and the central theme of the project. The theme of the project is in line with the research on Safety and Quality of Life and is related to the Infant Sleep: Educate to Promote Healthy Sleep. Internships were carried out in different contexts of child and family care, which allowed different activities to be carried out in order to maximize child / youth health and family health. The project was developed using the methodology of the project, a methodology that is reflexive, based and supported by the participatory inquiry, developing practical interventions. Healthy infant sleep corresponds to the quantity and quality of sleep appropriate to the age group, which is primordial for child development. Currently, the circadian rhythms of the human being are not respected and there is often an attempt to reprogram the internal rhythm, due to the demands of society, thus showing a thematic of the present time. The nurse specialist in pediatric and child health nursing, has a comprehensive intervention, could thus be a key element in avoiding sleep deprivation in infants / children and young people.
Araujo, Patricia Daniele Piaulino de. "Validação do questionário do sono infantil de Reimão e Lefèvre (QRL)." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/5/5138/tde-30072012-082245/.
Повний текст джерелаINTRODUCTION: The pediatric population, sleep deprivation and disturbance of sleep pattern influences several organic process, also influences behavior and mood, neuropsychomotor performance, cognition and relationships, and it is detrimental to quality of life. The diagnostic method used in this population also includes the use of questionnaires. Sleep questionnaires are instruments which easily assist to diagnose sleep disorders and parasomnias in children. Infant Sleep Questionnaire Reimão and Lefèvre (RLQ) is an instrument of subjective evaluation, developed in Brazil, and if validated, will be very helpful for clinical and epidemiologic research as well as for clinical practice. OBJECTIVES: Is to check validity (internal consistency and reproducibility) of RLQ and to verify if it could be used as specific instrument of evaluation of sleep disorders in children; To check prevalence of sleep disorders in children between three to five years old of both males and females; To establish characteristics of sleep patterns in children between three to five years old and recognize the habits and rituals used by these children to sleep. METHODS: Prospective and observational study for evaluation of internal consistency and reproducibility of RLQ. For the evaluation of internal consistency, 60 children were studied. Age ranged from 3 to 5 years old of both males and females. After medical diagnosis, they were divided in three subgroups: GI- Children with diagnosed sleep disorder; GII - Children without the presence of any sleep disorder; GIII - Children with or without sleep disorders. The results of RLQ were compared with reports from medical neurologist specialized in sleep disorders. For the reproducibility of RLQ, the questionnaire was applied twice to 1021 children between 3 and 5 years old, in public schools in Sao Paulo, during a period that ranged between 14 and 21 days. RESULTS: The questionnaire showed high reproducibility Kappa 0.798 to 1.0, the internal consistency was high for all three groups (080 to 0.86) second coefficient alpha Cronbach. The total sleep time ranged from 10 and 11 hours for children between 3 and 5 years old. The most frequently sleep disorders reported was restlessness during sleep (48.5), snoring (35.8 %), daytime sleepiness (33.2%) and enuresis (21.9 %). Most sleep disorders occurred daily, were more common in females and decreased with age. CONCLUSIONS: The internal consistency and reproducibility of RLQ suggested that this is an adequate instrument for evaluation of sleep disorders in children. The prevalence of sleep disorders varies with gender, age and frequency of this disorder
Trindade, Carla Sofia Sobral. "O sono na infância: educar para promover o sono saudável - Atuação do enfermeiro especialista em enfermagem de saúde infantil e pediátrica." Master's thesis, Universidade de Évora, 2019. http://hdl.handle.net/10174/26684.
Повний текст джерелаEste relatório de estágio documenta a trajetória realizada durante o estágio final, fundamentado e refletindo a aquisição e o desenvolvimento de competências comuns e específicas do enfermeiro especialista em enfermagem de saúde infantil e pediátrica, bem como as competências de Mestre. Inerente ao processo de desenvolvimento de competências, demonstra se as atividades realizadas nos diferentes contextos de estágio, no âmbito da metodologia de projeto, tendo em conta as necessidades e especificidades de cada contexto, e a temática central do projeto. A temática do projeto, inscreve-se na linha de investigação Segurança e Qualidade de Vida e está relacionada com o Sono Infantil: Educar para Promover o Sono Saudável. Foram realizados estágios em diferentes contextos de assistência à criança e família, o que permitiu realizar diferentes atividades com vista à maximização da saúde da criança/jovem e família. O projeto foi desenvolvido com recurso à metodologia de projeto, metodologia essa reflexiva, baseada e suportada pela indagação participativa, desenvolvendo intervenções práticas. O sono infantil saudável corresponde à quantidade e à qualidade de sono adequado à faixa etária, primordial para o desenvolvimento infantil. Atualmente, não se respeita os ritmos circadianos do ser humano e existe muitas vezes uma tentativa de reprogramação do ritmo interno, devido às exigências da sociedade, mostrando-se assim uma temática da atualidade, o enfermeiro especialista em enfermagem de saúde infantil e pediátrica, tem uma intervenção abrangente, logo poderá ser um elemento fundamental no evitamento da privação de sono nos lactentes/crianças e jovens.
This traineeship report documents the trajectory carried out during the final stage, grounded and reflecting the acquisition and development of common and specific competences of nurses specialized in child and pediatric health nursing, as well as Master's competences. Inherent in the competency development process, the activities carried out in the different internship contexts within the scope of the project methodology are shown, taking into account the needs and specificities of each context and the central theme of the project. The theme of the project is in line with the research on Safety and Quality of Life and is related to the Infant Sleep: Educate to Promote Healthy Sleep. Internships were carried out in different contexts of child and family care, which allowed different activities to be carried out in order to maximize child / youth health and family health. The project was developed using the methodology of the project, a methodology that is reflexive, based and supported by the participatory inquiry, developing practical interventions. Healthy infant sleep corresponds to the quantity and quality of sleep appropriate to the age group, which is primordial for child development. Currently, the circadian rhythms of the human being are not respected and there is often an attempt to reprogram the internal rhythm, due to the demands of society, thus showing a thematic of the present time. The nurse specialist in pediatric and child health nursing, has a comprehensive intervention, could thus be a key element in avoiding sleep deprivation in infants / children and young people.
Nunes, Michelle Darezzo Rodrigues. "Avaliação da fadiga em crianças e adolescentes hospitalizados com câncer e sua relação com padrão de sono e qualidade de vida relaconada à saúde." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-03022015-103612/.
Повний текст джерелаPURPOSE: Children and adolescents with cancer experience multiple symptoms, such as fatigue, sleep disturbance, pain, and nausea. These symptoms are associated with lower health-related quality of life (HRQoL). The purpose of this research was to examine: a) fatigue, sleep patterns, and HRQoL in hospitalized children and adolescents with cancer; b) relationships among fatigue, sleep patterns, and HRQoL; c) factors, such as age, gender, cancer diagnosis, reason for hospitalization, length of chemotherapy, use of dexamethasone, hematocrit and hemoglobin levels and days post-chemotherapy that may have significant effects on fatigue, sleep and HRQoL. THEORETICAL FRAMEWORK: The Symptom Management Theory (SMT) was used as a guiding framework for the research. SMT consists of three components that are interrelated: symptom experience, symptom management strategies and outcomes, which are embedded in the context of person, health/illness, and environment. METHODS: The research design was quantitative, descriptive and cross-sectional. Participants completed the PedsQL(TM) Multidimensional Fatigue Scale to measure fatigue, wore the wrist Actigraph for the minimum of three days to assess sleep patterns, and the PedsQL(TM) Pediatric Quality of Life Inventory (Generic and Cancer) to assess HRQoL. RESULTS: The participants were 38 children (9.7 ±1.3 age in years) and adolescents (14.8 ± 1.4 age in years) hospitalized with cancer at a public hospital in the interior of the State of São Paulo, Brazil. The results demonstrated low fatigue scores (63.8 ± 18.5) and quality of life (HRQoL) scores (generic: 61.1± 17.0; cancer: 59.1 ± 16.7). Sleep duration was 3.4 ± 1.9 hours. Variations in fatigue levels may be explained by: 1) a diagnosis of brain tumor, the length of chemotherapy and total HRQoL (81.1%); 2) a diagnosis of sarcoma, length of chemotherapy, pain and hurt, procedural anxiety, cognitive problems and physical appearance (89.6%); and 3) the total HRQoL (cancer) and sleep duration (74.7%). CONCLUSIONS: Hospitalized children and adolescents with cancer experience fatigue, sleep disturbance, and low HRQoL. Nurses need to assess fatigue, sleep, and HRQoL. Future studies are needed to investigate effective management strategies that may decrease fatigue, improve sleep, and increase HRQoL in hospitalized children and adolescents with cancer
Corrigan, Fiona MacDonald. "Sleep and forgetting in children with genetic generalised epilepsy." Thesis, University of Glasgow, 2015. http://theses.gla.ac.uk/6695/.
Повний текст джерелаTrickett, Jayne K. "Sleep in children with neurodevelopmental disorders." Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8328/.
Повний текст джерелаLÃlis, Ana Luiza Paula de Aguiar. "Cross-cultural adaptation and validation of Infant Sleep Questionnaire for use in Brazil with caregivers of children from 12 to 18 months." Universidade Federal do CearÃ, 2015. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=15470.
Повний текст джерелаA avaliaÃÃo de alteraÃÃes no comportamento do sono em crianÃas com e sem paralisia cerebral por meio de instrumento psicomÃtrico se faz importante, sendo o Infant Sleep Questionnaire (ISQ) um questionÃrio que avalia o relato dos pais sobre o comportamento do sono em crianÃas de 12 a 18 meses. Objetivou-se traduzir, adaptar e validar o ISQ para a versÃo brasileira com cuidadores de crianÃas com e sem paralisia cerebral. Estudo do tipo metodolÃgico, desenvolvido no NÃcleo de Tratamento e EstimulaÃÃo Precoce, no AmbulatÃrio Especializado de Pediatria e no Centro de Desenvolvimento Familiar da Universidade Federal do CearÃ. Seguiu as cinco etapas do processo de adaptaÃÃo transcultural: 1. TraduÃÃo inicial; 2. SÃntese da traduÃÃo; 3. TraduÃÃo de volta ao idioma original; 4. RevisÃo pelo Comità de Especialistas; e 5. Teste da versÃo prÃ-final com 10 cuidadores de crianÃas saudÃveis e com 10 de crianÃas com paralisia cerebral. ApÃs essa fase, o ISQ- versÃo brasileira foi aplicado a 50 cuidadores de crianÃas saudÃveis e 20 cuidadores de crianÃas com PC, totalizando uma amostra de 70 cuidadores. A validade de conteÃdo foi verificada por meio do julgamento de trÃs juÃzes e pelo Ãndice de validade de conteÃdo (IVC). A validade de construto foi analisada pela comparaÃÃo da pontuaÃÃo final do questionÃrio entre os grupos e da associaÃÃo dessa pontuaÃÃo com variÃveis sociodemogrÃficas do cuidador e clÃnicas da crianÃa. Considerou-se o intervalo de confianÃa de 95% (p<0,05) para todos os testes. Os dados foram coletados com o FormulÃrio para CaracterizaÃÃo dos Participantes e o ISQ- versÃo brasileira. O processo de adaptaÃÃo transcultural resultou em um instrumento vÃlido (IVC=0,93). Quanto a comparaÃÃo da pontuaÃÃo do ISQ- versÃo brasileira por grupos de cuidadores, a maioria das mÃdias das questÃes nÃo apresentou diferenÃa estatisticamente significante por grupo, exceto a questÃo cinco (p=0,046). Todavia, a chance da crianÃa com PC apresentar dificuldade para dormir à 2,6 vezes maior do que a da crianÃa saudÃvel e a mÃdia da pontuaÃÃo total do ISQ- versÃo brasileira mostrou-se mais elevada no grupo de cuidadores de crianÃas com PC (13,25), quando comparada a mÃdia do grupo de cuidadores das crianÃas saudÃveis (8,86), sendo essa comparaÃÃo entre as mÃdias estatisticamente significante (p=0,017). A testagem da confiabilidade indicou que os valores do Alpha de Conbrach, Coeficiente de Spearman-Brown e Coeficiente de Guttman Split-Half foram acima de 0,70 e a aplicaÃÃo do teste-reteste por meio do r de Spearman (p<0,001), teste de Wilcoxon (p>0,220) e McNemar (p=1,000) indicaram uma adequada estabilidade entre a primeira e segunda aplicaÃÃo das nove das dez questÃes do questionÃrio. O processo de traduÃÃo e adaptaÃÃo do ISQ-versÃo brasileira resultou em um instrumento adaptado, confiÃvel e vÃlido à lÃngua portuguesa adotada no Brasil.
A avaliaÃÃo de alteraÃÃes no comportamento do sono em crianÃas com e sem paralisia cerebral por meio de instrumento psicomÃtrico se faz importante, sendo o Infant Sleep Questionnaire (ISQ) um questionÃrio que avalia o relato dos pais sobre o comportamento do sono em crianÃas de 12 a 18 meses. Objetivou-se traduzir, adaptar e validar o ISQ para a versÃo brasileira com cuidadores de crianÃas com e sem paralisia cerebral. Estudo do tipo metodolÃgico, desenvolvido no NÃcleo de Tratamento e EstimulaÃÃo Precoce, no AmbulatÃrio Especializado de Pediatria e no Centro de Desenvolvimento Familiar da Universidade Federal do CearÃ. Seguiu as cinco etapas do processo de adaptaÃÃo transcultural: 1. TraduÃÃo inicial; 2. SÃntese da traduÃÃo; 3. TraduÃÃo de volta ao idioma original; 4. RevisÃo pelo Comità de Especialistas; e 5. Teste da versÃo prÃ-final com 10 cuidadores de crianÃas saudÃveis e com 10 de crianÃas com paralisia cerebral. ApÃs essa fase, o ISQ- versÃo brasileira foi aplicado a 50 cuidadores de crianÃas saudÃveis e 20 cuidadores de crianÃas com PC, totalizando uma amostra de 70 cuidadores. A validade de conteÃdo foi verificada por meio do julgamento de trÃs juÃzes e pelo Ãndice de validade de conteÃdo (IVC). A validade de construto foi analisada pela comparaÃÃo da pontuaÃÃo final do questionÃrio entre os grupos e da associaÃÃo dessa pontuaÃÃo com variÃveis sociodemogrÃficas do cuidador e clÃnicas da crianÃa. Considerou-se o intervalo de confianÃa de 95% (p<0,05) para todos os testes. Os dados foram coletados com o FormulÃrio para CaracterizaÃÃo dos Participantes e o ISQ- versÃo brasileira. O processo de adaptaÃÃo transcultural resultou em um instrumento vÃlido (IVC=0,93). Quanto a comparaÃÃo da pontuaÃÃo do ISQ- versÃo brasileira por grupos de cuidadores, a maioria das mÃdias das questÃes nÃo apresentou diferenÃa estatisticamente significante por grupo, exceto a questÃo cinco (p=0,046). Todavia, a chance da crianÃa com PC apresentar dificuldade para dormir à 2,6 vezes maior do que a da crianÃa saudÃvel e a mÃdia da pontuaÃÃo total do ISQ- versÃo brasileira mostrou-se mais elevada no grupo de cuidadores de crianÃas com PC (13,25), quando comparada a mÃdia do grupo de cuidadores das crianÃas saudÃveis (8,86), sendo essa comparaÃÃo entre as mÃdias estatisticamente significante (p=0,017). A testagem da confiabilidade indicou que os valores do Alpha de Conbrach, Coeficiente de Spearman-Brown e Coeficiente de Guttman Split-Half foram acima de 0,70 e a aplicaÃÃo do teste-reteste por meio do r de Spearman (p<0,001), teste de Wilcoxon (p>0,220) e McNemar (p=1,000) indicaram uma adequada estabilidade entre a primeira e segunda aplicaÃÃo das nove das dez questÃes do questionÃrio. O processo de traduÃÃo e adaptaÃÃo do ISQ-versÃo brasileira resultou em um instrumento adaptado, confiÃvel e vÃlido à lÃngua portuguesa adotada no Brasil.
Roche, Johanna. "Le sommeil, ses troubles et la santé cardio-métabolique d'adolescents obèses : effets d'une prise en charge associant exercice physique et modification des habitudes alimentaires." Thesis, Bourgogne Franche-Comté, 2018. http://www.theses.fr/2018UBFCE010.
Повний текст джерелаSleep, through its restorative functions, is essential for life. However, lifestyle modifications, sedentary and unhealthy feeding behaviors trigger sleep curtailment and sleep disruption, leading together to weight gain. Obesity is usually associated with obstructive sleep apnea (OSA), and these two diseases both induce metabolic dysfunctions and low-grade systemic inflammation. To the best of our knowledge, no study has assessed the effects of exercise reconditioning and modified food habits on these parameters. The purpose of this work was to assess and compare, from an ancillary study, polysomnographic variables between obese adolescents and normal-weight (NW) controls. In the main study, the effects of a 9-month program (exercise reconditioning, adapted physical activities and modified food habits) on sleep architecture, sleep duration, OSA, biological factors (inflammatory, hormonal, carbohydrates and lipid profiles) and physiological adaptations at exercise were assessed, in order to a better understanding of the roles of cardiorespiratory fitness and sleep disorders on cardio-metabolic health. Thirty-two obese adolescents (age: 14.6 years, BMI z-score: 4.7) were recruited. Every parameters were assessed at admission and post-intervention. Short sleep duration and a high prevalence of OSA (58%) were observed at admission in obese adolescents despite a satisfying sleep architecture, compared with NW controls. Post-intervention, weight loss (11kg) and improved parameters of physiological adaptations at exercise (MAP, VE, VO2peak) were found in every subject and OSA was normalized in 46% of them. Sleep quantity and sleep quality were improved. Decreased C-reactive protein (6.78 vs 10.98 mg/l) and leptin concentrations, and increased adiponectin levels were found, and cardio-metabolic risk (CMR) was decreased. At admission, obesity explains by itself the systemic inflammation whereas the decrease in inflammation, post-intervention, is explained by enhanced cardiorespiratory fitness related to fat-free mass, after controlling for sex, weight loss, change in sleep duration and OSA. Prevention of OSA and metabolic dysfunctions by chronic exercise should be an integral part of the obesity management in youths in order to decrease the risk of cardiovascular morbi-mortality in adulthood
Witte, Rachel B. "The relationship between sleep, behavior, and pre-academic skills in pre-kindergarteners." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001795.
Повний текст джерелаVenker, Claire C. "Psychomotor Vigilance Task Performance in Children Ages 6-11: Results From the Tucson Children's Assessment of Sleep Apnea." Thesis, The University of Arizona, 2006. http://hdl.handle.net/10150/193324.
Повний текст джерелаChen, Hongyan. "Insufficient Sleep and Incidence of Dental Caries in Deciduous Teeth among Children in Japan: A Population-Based Cohort Study." Kyoto University, 2019. http://hdl.handle.net/2433/243308.
Повний текст джерелаAuc?lio, Carlos Nogueira. "Estudos anal?ticos dos grafoelementos do eletroencefalograma em sono: fusos do sono, ondas agudas do v?rtex e o gradiente de freq??ncia e amplitude, como indicadores de comprometimento neurol?gico na crian?a." Universidade Federal do Rio Grande do Norte, 2006. http://repositorio.ufrn.br:8080/jspui/handle/123456789/13109.
Повний текст джерелаInnumerable studies have focused been reported on the sleep spindles (SS), Sharp Vertex Waves (SVW) and REM, NREM Sleep as indicators interpreting EEG patterns in children. However, Frequency and Amplitud Gradient (FAG) is rarely cited sleep parameter in children,that occurs during NREM Sleep. It was first described by Slater and Torres, in 1979, but has not been routinely evaluated in EEG reports. The aim of this study was to assess the absence of SS, SVW and FAG, as an indication of neurological compromise in children. The sample consisted of 1014 EEGs of children referred to the Clinical Neurophysiology Laboratory, Hospital Universit?rio de Bras?lia (HUB), from January 1997 to March 2003, with ages ranging from 3 months to 12 years old, obtained in spontaneous sleep or induced by choral hydrate. The study was transversal and analytical, in which, visual analysis of EEG traces was perfumed individually and independently by two electroencephalographers without prior knowledge of the EEG study or neurological findings. After EEG selection, the investigators analyzed the medical reports in order to define and correlate neurological pattern was classified according to the presence or absence of neurological compromise, as Normal Neurological Pattern (NNP), and Altered Neurological Pattern (ANP) respectively. From the visual analysis of the EEG(s), it was possible to characterize 6 parameters: 1- FAG present (64,1%); 2- FAG absent (35,9%); 3 - normal SS (87,9%); 4 - altered SS s (12,1%); 5 - normal SVW s (95,7%); 6 - altered SVW s (4,3%). The prevalence of well-formed FAG is found in the 3 months to 5 years age group in the children with NNF. FAG was totally absent from the age of 10 years. When comparing the three sleep graphielements, it was observed that SVW and SS were predominant in children with NNF. However, FAG absent was more prevalent in the ANF than in altered SS an SVW. The statistical analysis showed that there is a strong association of FAG absent, with isolated alteration, in ANF patients, in that the prevalence ratio was 6,60. The association becomes stronger when FAG absent + altered SS(s) is considered (RP= 6,68). Chi-square test, corrected by Yates technique, showed a highly significant relation for FAG ρ= 0,00000001, for error X of 5%, or else the 95% confidence interval (ρ<0,05). Thus, the FAG absent were more expressive in ANF patient than altered SS(s) and SVW(s). The association becomes stronger in order to establish a prognostic relation, when the FAG is combined with the SS. The results os this study allow us to affirm that the FAG, when absent at ages ranging from 3 months to 5 years , is an indication of neurological compromise. FAG is an age-dependent EEG parameter and incorporated systematically, in the interpretation criteria of the EEG of children s sleep, not only in the maturational point of view, but also neurological disturbances with encephalic compromise
In?meras pesquisas t?m focalizado periodicamente os fusos do sono (FS), as ondas agudas do v?rtex (OAV), o complexo K e o padr?o do sono REM e NREM como indicadores de avalia??o eletrencefalogr?fica da inf?ncia. O GFA ? um padr?o EEG do sono de crian?as que ocorre durante o sono NREM, raramente citado na literatura, e que, descrito pela primeira vez por Slater e Torres, em 1979, e n?o devidamente valorizado na rotina dos laudos EEG. Nas montagens referenciais ? caracterizado por uma progressiva diminui??o de voltagem e aumento de freq??ncia na dire??o p?stero-anterior. O objetivo desta tese, foi analisar o gradiente de freq??ncia e amplitude, um padr?o EEG do sono de crian?as que ocorre durante o sono NREM; estudar os fusos do sono(FS), ondas agudas do v?rtex (OAV), como indicadores de comprometimento neurol?gico. A popula??o de estudo constitui-se de 1014 EEG de crian?as atendidas no Laborat?rio de Neurofisiologia Cl?nica do Hospital Universit?rio de Bras?lia (HUB) no per?odo de janeiro de 1997 a mar?o de 2003, nas faixas et?rias de 3 meses a 12 anos de idade, obtidos em sono espont?neo ou induzido por hidrato de cloral. O tipo de ensaio foi transversal-anal?tico, onde os EEG foram avaliados independentemente por 2 examinadores sem pr?vio conhecimento do padr?o neurol?gico e da indica??o cl?nica. Ap?s an?lise visual do EEG, foram pesquisados os prontu?rios m?dicos de todas as crian?as inclu?das no estudo, a fim de definir e associar o padr?o neurol?gico com os par?metros fusos do sono, ondas agudas do v?rtex, e GFA. O padr?o neurol?gico foi classificado segundo a presen?a ou aus?ncia de comprometimento neurol?gico em padr?o neurol?gico normal (PNN) e padr?o neurol?gico anormal (PNA), respectivamente. Com base na an?lise visual dos EEG, foi caracterizado o GFA em duas categorias: 1) GFA presente (64,1%); 2) GFA ausente ( 35,9%); 3) FS normais (87,9%); 4) FS alterados (12,1%); 5) OAV normais (95,7%); 6) OAV alteradas (4,3%). A melhor express?o do GFA presente com PNN ocorreu nas faixas et?rias de 3 meses a 5 anos. Observou-se tamb?m que o GFA torna-se ausente a partir dos 10 anos de idade em crian?as com PNN. Comparando os 3 grafoelementos do sono, as OAV e FS, foram respectivamente predominantes nas crian?as com PNN. A an?lise estat?stica mostrou que existe uma forte associa??o de aus?ncia de GFA, como altera??o isolada, nos pacientes com PNA, uma vez que a raz?o de preval?ncia foi de 6,60. A associa??o torna-se mais forte, quando se considerou GFA ausente + FS alterados (RP=11,9) e GFA ausente + FS alterados + OAV alterados (RP= 6,68). O teste do qui-quadrado, com corre??o pela t?cnica de Yates, mostrou uma rela??o altamente significativa, quando envolvido o GFA. Assim, o GFA ausente foi mais expressivo no PNA que os FS e as OAV alterados. A associa??o se torna ainda mais forte a ponto de estabelecer uma rela??o com valor progn?stico, quando o GFA se encontra-se combinado com o FS. Embora estatisticamente significante, n?o houve associa??o quando as OAV se encontra isoladas em compara??o aos demais par?metros. Os dados obtidos neste estudo permitem afirmar que, entre os grafo- elementos do sono, o GFA, quando ausente nas faixas et?rias de 3 meses a 5 anos, ? um indicador de comprometimento neurol?gico, sendo tal conclus?o mais expressiva do que os par?metros FS e OAV. O GFA ? um par?metro idade dependente e deve ser valorizado e incorporado, sistematicamente, aos crit?rios de interpreta??o do tra?ado EEG do sono de crian?as, tanto no ponto de vista da avalia??o maturacional como dos dist?rbios neurol?gicos com comprometimento encef?lico
Cowgill, Brittany M. "Rest Uneasy: Sudden Infant Death Syndrome in Twentieth-century America." University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1439282125.
Повний текст джерелаTroncoso, Eliane Aparecida de Mello. "Hábitos e distúrbios do sono em escolares da rede municipal de ensino." Faculdade de Medicina de São José do Rio Preto, 2012. http://bdtd.famerp.br/handle/tede/149.
Повний текст джерелаIntroduction: Sleep disorders are not only a problem in Brazil, has become a worldwide public health condition, affecting people physically and emotionally, and even putting them in danger of life. Objectives: To identify, analyze and compare habits and sleep disturbances (SD) in a sample of students from municipal schools in a midsize city in the state of Sao Paulo. Method: A study descriptive, qualitative-quantitative, with data collection conducted between November and December 2009, 188 children between six and 11 years of municipal schools in the city of Sao Jose do Rio Preto, SP, from screenplay data demographic questions about sleep habits and the Sleep Disorders Scale for Children (EDSC), completed by the parents / caregivers. The same was conducted within the standards required by the Helsinki Declaration, Resolution 196/96 of the National Health Council (NHC) and approved by the ethics committee of the Faculty of Medicine of São José do Rio Preto (Number 316/269). Results: Overall, the results indicate that the prevalence of SD in the sample school Sao Jose do Rio Preto, hit rate higher than that reported in literature with greater frequency among those who studied in the morning, consistent with research area, and whose parents / caregivers are considered mulatto. Students belonging to families with more members showed a greater tendency to Sleep Disordered Breathing (SDB), those taking medication for SED, and those who complained of pain or discomfort, for all SD. Boys were more SD, poor sleep habits healthy and more probability to Sleep Hyperhidrosis (HS) and enuresis, compared to girls in the study, was found increased occurrence and association between HS and SDB. Students with behavioral problems, expulsion and insufficient grade school tended to some SD specific, indicating a relationship between the variables. With regard to the habits that influence the quality of sleep, significant amount of students took plenty of fluids, including milk, close to bedtime, some children from school B responded in the affirmative to play strong, and the school A to the games video game or computer. After lying down, was the high amount of which were sporadic use of television and slept without turning it off, irregularities in the time and place to sleep were also identified in both institutions, as well as the permanence of parents / caregivers in the room until the child fall asleep. Conclusions: The SH, SD poorly addressed by the scientific literature was identified with high frequency in the population studied, and the SDB. Participants who showed sleep habits that were unfavorable constitute a significant portion of the sample, that may be influencing both the quantity and quality of sleep, increasing the risks related to diseases, as well as interfering with the development of intellectual abilities and school behavior. More detailed studies on SH as well as surveys are suggested, and specialty specific assistance programs should be developed and deployed for this community.
Introdução: Distúrbios do sono (DS) constituem um problema não só no Brasil, já se tornou condição de saúde pública mundial, prejudicando as pessoas, física e emocionalmente, e até colocando-as em perigo de vida. Objetivos: Identificar, analisar e comparar hábitos e distúrbios do sono em uma amostra de alunos da rede municipal de ensino de uma cidade de médio porte do interior do estado de São Paulo. Método: Pesquisa descritiva, qualiquantitativa, com coleta de dados realizada entre novembro e dezembro de 2009, em 188 crianças entre seis e 11 anos, de escolas municipais da cidade de São José do Rio Preto, São Paulo, a partir de um Roteiro de dados demográficos, Questões sobre hábitos do sono e Escala de Distúrbios do Sono para Crianças (EDSC), preenchidos pelos pais/responsáveis. A mesma foi conduzida dentro dos padrões exigidos pela Declaração de Helsinque, Resolução 196/96 do Conselho Nacional de Saúde e aprovada pela comissão de ética da Faculdade de Medicina de São José do Rio Preto - Parecer n° 316/269. Resultados: No geral, a prevalência de DS da amostra em escolares de São José do Rio Preto, SP, atingiu índice superior ao relatado pela literatura, com maior frequência entre os que estudavam no período matutino, e os cujos pais/responsáveis se consideraram pardos. Escolares pertencentes a famílias com maior número de integrantes demonstraram maior tendência para Distúrbio Respiratório do Sono (DRS), os que tomavam remédio, para Sonolência Excessiva Diurna (SED), e aqueles que apresentavam queixa de dor ou incômodo, para todos os DS. Os meninos apresentaram mais DS, hábitos desfavoráveis ao sono saudável e maior tendência para Hiperhidrose do Sono (HS) e enurese, quando comparados às meninas do estudo; foi verificada maior ocorrência e associações entre HS e DRS. Escolares com problemas de comportamento, notas insuficientes e expulsão, demonstraram tendência para alguns DS específicos, indicando uma estreita relação entre as variáveis. Com relação aos hábitos que influenciam a qualidade do sono, quantidade significativa de escolares tomava muito líquido, incluindo o leite, próximo da hora de dormir, algumas crianças da escola B responderam de forma afirmativa às brincadeiras vigorosas, e os da escola A aos jogos de vídeo game ou computador. Após deitar, foi alta a quantidade dos que faziam uso esporádico da televisão e que dormiam sem desligá-la, irregularidades quanto ao horário e local para dormir também foram identificadas em ambas as instituições, bem como a permanência de pais/responsáveis no quarto até a criança adormecer. Conclusões: A HS, DS pouco abordado pela literatura científica, foi identificada com alta frequência na população estudada, bem como o DRS. Participantes que mostraram hábitos considerados desfavoráveis ao sono constituem parcela significativa da amostra, que podem estar influenciando tanto a quantidade quanto a qualidade do sono, aumentando os riscos relacionados às doenças, bem como interferindo no desenvolvimento das capacidades intelectuais e do comportamento escolar. Estudos mais detalhados sobre HS, bem como inquéritos populacionais são sugeridos, e programas específicos de intervenções especializadas devem ser elaborados e implantados para este público.
García, Olivia Macarro. "Promoção do sono/repouso da criança durante o primeiro ano de vida; a importância do controlo do ruído ambiente." Master's thesis, Universidade de Évora, 2018. http://hdl.handle.net/10174/23412.
Повний текст джерелаChen, Sin Yu, and 陳信宇. "Cephalometric Measurement System for Pediatric Obstructive Sleep Apnea SyndromeApnea Syndrome." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/xmx3kj.
Повний текст джерела元培科技大學
放射技術研究所
97
Obstructive sleep apnea syndrome (OSAS) is a frequent sleep disorder in children and is highly related to the anatomy of upper airway. Cephalometry is a useful tool for evaluation of craniofacial skeletal and soft tissue structure of upper airway in OSAS patients. The goal of this study is to use MATLAB which is a semi-automatic measurement system to obtain the cephalometric parameters and analyze the correlation between cephalometric parameters and apnea-hypopnea index (AHI). The parameters of 66 children age from 4 to 15 years with OSAS were analyzed. All patients underwent polysomnographic (PSG) and cephalometric examinations. The study collected cephalometric parameters of 9 angles, 9 lines, and 2 ratios. Additionally, tonsillar sizes were graded. The hyoid position (Gn-Go-H and MP-H) were positively correlated to AHI scores (p=0.002, p< 0.001). The intermaxillary angle (PNSANS-GoGn) was positively correlated to AHI scores (p=0.031). Relative hyoid distance (GoGn-H/GoGn) was also positively correlated to AHI scores (p<0.001). The adenoid and tonsillar hypertrophy were positively correlated to AHI scores (p=0.015, p=0.009). Using MATLAB can obtain cephalometric parameters of pediatric OSAS more efficiently. There is significant correlation between cephalometric variables and AHI scores. Cephalometric is a simple tool to evaluate upper airway anatomy and could further facilitate the diagnosis and treatment of pediatric OSAS.
Costa, Mariana Isabel Lopes da. "Pediatric Obstructive Sleep Apnea and Metabolic Syndrome - a birth portuguese cohort." Master's thesis, 2017. https://hdl.handle.net/10216/104087.
Повний текст джерелаCosta, Mariana Isabel Lopes da. "Pediatric Obstructive Sleep Apnea and Metabolic Syndrome - a birth portuguese cohort." Dissertação, 2017. https://repositorio-aberto.up.pt/handle/10216/104087.
Повний текст джерелаKang, Kun-Tai, and 康焜泰. "Detection for pediatric obstructive sleep apnea syndrome: Role of objective and subjective measures." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/53463910845935537693.
Повний текст джерела國立臺灣大學
流行病學與預防醫學研究所
102
Background: Obstructive sleep apnea syndrome (OSAS) is an upper airway disorder. Over-night polysomnography is the “gold standard” for the diagnosis of pediatric OSAS. Information from objective and subjective measures for children with OSAS helps clinicians in decision making. Purpose: To assess diagnostic abilities of objective measures, subjective measures, and combined objective and subjective measures in detecting pediatric obstructive sleep apnea syndrome, and to compare performance difference and clinical utilities between objective measures, subjective measures, and combined objective and subjective measures for detection of pediatric OSAS. Study Design: Cross-sectional study. Methods: Children aged 2-18 years were recruited. Children were assessed objectively for tonsil size, adenoid size, and obesity; tonsils were graded by otolaryngologist using the scheme by Brodsky et al.; adenoid size was measured based on a lateral cephalometric radiographs (Fujioka method); obesity was determined by a measure of body mass index percentile of each child. Subjective measures for symptoms were recorded using a standard sheet. Objective measures significantly correlated with OSAS were put into the objective model, whereas subjective measures into the subjective model. Accordingly, objective and subjective measures significantly correlated with OSAS were served as the combined model. Diagnosis of OSAS was made by polysomnography. Diagnostic performances of models in detecting OSAS were analyzed by model fit, discrimination (C-index), calibration (Hosmer-Lemeshow test), and reclassification. The model was internal validated using the leave-one-out cross-validation, bootstrapping method, and k-fold cross-validation. Results: In total, 222 children were enrolled. Objective model included tonsil hypertrophy, adenoid hypertrophy, and obesity, whereas subjective model included snoring frequency, snoring duration, awaken, and breathing pause. The chi-square test was significant in the objective model, subjective model, and the combined model (P < 0.001). The C-index was 0.84 for the combined model, which was significantly differed from that in the objective model (0.78, P = 0.0032) and the subjective model (0.72, P = 0.0001). The Hosmer-Lemeshow test showed adequate fit (P > 0.05) for all models. Compared to objective model or subjective model, the combined model correctly reclassified 10.3% (P = 0.044) and 21.9% (P = 0.003) of all subjects. Internal validation of the combined model showed fair model performance and no obvious over-fitting. Conclusions: Overall performance of combined objective and subjective measures, as compared with objective measures or subjective measures alone, offer incremental utility in detecting OSAS. This finding provides the rationale to combine both objective and subjective measures in developing a screen tool for pediatric OSAS.
"Cardiovascular complications of childhood obstructive sleep apnea syndrome." 2007. http://library.cuhk.edu.hk/record=b5893248.
Повний текст джерелаThesis (M.Phil.)--Chinese University of Hong Kong, 2007.
Includes bibliographical references (leaves xxvii-lv).
Abstracts in English and Chinese.
ACKNOWLEDGEMENTS --- p.i
ABSTRACT
In English --- p.ii
In Chinese --- p.v
LIST OF TABLES --- p.vii
ABBREVIATIONS
For Units --- p.ix
For Prefixes of the international system of units --- p.ix
For Terms commonly used in the report --- p.x
STATEMENT OF WORK DONE --- p.xvi
Chapter CHAPTER 1 --- Overview of Childhood Obstructive Sleep Apnea Syndrome (OSAS)
Chapter 1.1. --- Clinical Features of Childhood OSAS --- p.1
Chapter 1.2. --- Definition of Childhood OSAS --- p.2
Chapter 1.3. --- Prevalence of Childhood OSAS --- p.3
Chapter 1.4. --- Pathophysiology --- p.4
Chapter 1.5. --- Risk Factors --- p.6
Chapter 1.6. --- Diagnosis --- p.10
Chapter 1.7. --- Treatment
Chapter 1.7.1. --- Tonsillectomy and Adenoidectomy (T&A) --- p.12
Chapter 1.7.2. --- Continuous Positive Airway Pressure (CPAP) --- p.14
Chapter 1.7.3. --- Corticosteroids --- p.15
Chapter 1.7.4. --- Leukotriene Receptor Antagonist --- p.16
Chapter 1.8. --- Complications of Childhood OSAS
Chapter 1.8.1. --- Growth Failure --- p.17
Chapter 1.8.2. --- Neurocognitive Abnormalities --- p.19
Chapter 1.8.3. --- Cardiovascular Abnormalities --- p.20
Chapter CHAPTER 2 --- Cardiovascular Complications of OSAS in Adults (Literature Review)
Chapter 2.1. --- Acute Effects of OSAS on Cardiovascular System --- p.21
Chapter 2.2. --- Chronic Effects of OSAS on Cardiovascular System --- p.23
Chapter 2.3. --- Hypertension --- p.24
Chapter 2.4. --- Heart Failure --- p.28
Chapter 2.5. --- Pulmonary Hypertension --- p.30
Chapter 2.6. --- Arrhythmias --- p.31
Chapter 2.7. --- Cardiac Ischemia and Vascular Disease --- p.33
Chapter 2.8. --- Stroke --- p.34
Chapter CHAPTER 3 --- Cardiovascular Complications of Childhood OSAS (Literature Review)
Chapter 3.1. --- Blood Pressure --- p.37
Chapter 3.2. --- Ventricular Structure and Function --- p.40
Chapter 3.3. --- Arterial Distensibility --- p.42
Chapter 3.4. --- Heart Rate Variability --- p.42
Chapter CHAPTER 4 --- Ambulatory Blood Pressure in Children with OSAS
Chapter 4.1. --- Introduction --- p.44
Chapter 4.2. --- Methods
Chapter 4.2.1. --- Subjects and Study Design --- p.46
Chapter 4.2.2. --- Polysomnography (PSG) --- p.47
Chapter 4.2.3. --- Ambulatory Blood Pressure Measurement (ABPM) --- p.49
Chapter 4.2.4. --- Statistical Analysis --- p.50
Chapter 4.3. --- Results
Chapter 4.3.1. --- Subject Characteristics --- p.52
Chapter 4.3.2. --- Blood Pressure during Wakefulness --- p.55
Chapter 4.3.3. --- Blood Pressure during Sleep --- p.57
Chapter 4.4. --- Discussion --- p.62
Chapter 4.5. --- Conclusion --- p.70
Chapter CHAPTER 5 --- Cardiac Remodeling and Dysfunction in Children with OSAS
Chapter 5.1. --- Introduction --- p.71
Chapter 5.2. --- Methods
Chapter 5.2.1. --- Subjects and Study Design --- p.72
Chapter 5.2.2. --- Polysomnography (PSG) --- p.74
Chapter 5.2.3. --- Conventional Echocardiography --- p.75
Chapter 5.2.4. --- Tissue Doppler Imaging --- p.76
Chapter 5.2.5. --- Statistical Analysis --- p.77
Chapter 5.3. --- Results
Chapter 5.3.1. --- Study Population --- p.79
Chapter 5.3.2. --- Polysomnographic Findings --- p.79
Chapter 5.3.3. --- Echocardiographic Findings
Chapter 5.3.3.1. --- Right Ventricle --- p.81
Chapter 5.3.3.2. --- Left Ventricle --- p.83
Chapter 5.3.4. --- Treatment Effect --- p.86
Chapter 5.4. --- Discussion --- p.90
Chapter 5.5. --- Conclusion --- p.95
Chapter CHAPTER 6 --- Conclusion --- p.96
APPENDIX I Hong Kong Children Sleep Questionnaire (Chinese) --- p.xvii
APPENDIX II Hong Kong Children Sleep Questionnaire (English) --- p.xxii
REFERENCES --- p.xxvii
Huang, Ruo-Wei, and 黃若維. "Stress, Anxiety and Quality of Sleep of the Primary Caregivers with Children in the Pediatric Intensive Care Unit (PICU)." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/c647dx.
Повний текст джерела國立陽明大學
護理學系
105
The aim of this study was to investigate the correlation of stress, anxiety and sleep quality among primary caregivers of children in intensive care units in China. METHODS: A cross-sectional descriptive study was conducted. A total of 147 pri-mary caregivers were collected from the Pediatric Intensive Care Unit (PICU) of Tai-pei Medical Center(Taipei, Danshui and Hsinchu), the use of structural questionnaire to collect information, research scale includes:(A) Basic Tables of Population Attrib-utes of Sick Children and Primary Caregivers; (B) Chinese Version of the Parental Stressor Scale: Pediatric Intensive Care Unit(PSS:PICU);(C) Chinese version of the State-Trait Anxiety Inventory;(D) Pittsburgh Sleep Quality Index (PSQI), the data were analyzed by descriptive statistical analysis, t test, Pearson product difference correlation and multiple regression with SPSS Windows version 18. The results of the study show that the main caregivers in the stress source scale items in the study before the results of five: "8. See the baby who placed the pipeline, such as: the endotracheal tube, nasogastric tube or use the respirator, (M = 3.27, SD = 1.24) ,"32.when the baby showed pain or pain-like appearance (M = 3.32, SD = 1.20) ,"34. When the baby can not speak due to intubation or crying sound, let me feel" (M = 3.14, SD = 1.58), "10. See the baby who was examined (such as pumping spinal fluid, ascites, etc.) (M = 3.07, SD = 1.61), "20. When the baby cries, I can not accompany him and make me feel" (M = 3.03, SD = 1.22). Comparing the differences in parental stress, the study found that the main caregivers were the most painful in tracheal intubation, followed by the degree of pain in the child, the appearance of the child and the noise of the unit. The relationship between the main attributes of caregivers and their stress: (1) The statistic of "relational identity" was significant at the change of caregiver role, in-dicating that the change of caregiver's basic attribute and caregiver role was obvious The relationship between parental self-esteem and parental self-esteem was signifi-cantly higher than that of the other three. The main caregiver's gender "and" relation-ship's identity "statistically significant level, indicating that the main caregiver" gender "and" relationship between identity "and the context Anxiety was significantly associ-ated with the existence of the mother's situation anxious than father. (2) There was a significant correlation between "age of the child" and "hospitalization expectation" in the communication of nurses, and there was a clear correlation between the "child age" and the "expected hospitalization" The expectation of hospitalization was significantly higher than that of caregiver stress, indicating that the basic attributes of "expected hospitalization" and overall caregiver stress were significant There was a significant association between those who were not expected to be hospitalized and those with a higher degree of stress than expected. (3) Increasing caregiver stress and understand-ing the impact factors of sleep quality of primary caregivers when the patient is in the intensive care unit where the primary caregiver loses parents' role, messages and un-certainty about the outcome, as a result of which the regression coefficient is signifi-cant (Β = .21, p <.01), and "situational anxiety" (β = .25, p <.01), indicating that these variables had a positive Related.Therefore, when the number of weeks of pregnancy and the greater the child's caregiver at the higher level of perceived anxiety situations, the caregiver's quality of sleep scores will be higher, on behalf of the poorer quality of sleep. DISCUSSION: The results of this study were in agreement with several litera-ture studies. The study found that the age, educational attainment and income of pri-mary caregivers were no longer a source of stress, "age of caregiver" and "stress" at all levels and (Segre, 2014; Brooten et al., 1988; Rogers et al., 2013, & Vanderbilt, 2009). The overall correlation coefficient was not significant. Age, educational attainment and income were not significantly associated with negative affect.In addition, qualita-tive findings were consistent with the impact of PICU on primary caregivers (Colville, 2009). PSS: PICU used in Haines (1995) between intensive care unit intubation and primary caregivers of non-intubated sick children, witnessing medical procedures and multiple medical piping appearances on children are highly related to their stress, and the mother's Stress and anxiety were significantly higher than those of fathers (Lefkowitz, Baxt, & Evans, 2010; Pinelli et al., 2008; Segre; McCabe; Siewert, 2014). In line with a number of studies, when caregivers are deprived of parental roles, mes-sages, and prognosis uncertainties increase the caregiver pressure when the child is admitted to the intensive care unit, effective communication and support from the caregiver can reduce the number of primary caregivers Pressure (Lefkowitz, Baxt, Evans, 2010; Colville, Pierce, 2012).Furthermore, the results of this study found that the higher the stress of the caregiver, the higher the age of the caregiver. For example, disease severity: lack of intelligence, cerebral palsy, spina bifida, retardation, limb dis-orders, etc., the parent's feelings of parental stress will be (Als, Nadel, Cooper, et al. 2016; Abidin, 1990). Parents of children with chronic or congenital conditions also experience higher parental stress than parents of average children (Garralda, Gledhill, Nadel, et al., 2009; Goldberg, Morris, Simmons & Fowler, 1990;You,1993) CONCLUSIONS: The results of this study found that stressors (high) and sleep quality (low) in the primary caregivers were associated with an increased number of pro- cesses in the intensive care unit (number of weeks of gestation). Due to the envi-ronmental noise in the ICU and the stress and anxieties experienced by the patient, the child care team should provide the primary caregiver with appropriate knowledge and psychological support for the critical care of the child, Reduce the stress and anxiety of the primary caregiver, and thus expect to maintain their sleep quality.
"Follow-up study of childhood obstructive sleep apnoea syndrome: a cardiovascular perspective." 2010. http://library.cuhk.edu.hk/record=b5894309.
Повний текст джерелаThesis (M.Phil.)--Chinese University of Hong Kong, 2010.
Includes bibliographical references (leaves xvi-xlviii).
Abstracts in English and Chinese.
ACKNOWLEDGEMENTS --- p.i
ABSTRACT
In English --- p.ii
In Chinese --- p.iv
LIST OF TABLES --- p.vi
LIST OF FIGURE --- p.viii
ABBREVIATIONS
For Units --- p.ix
For Prefixes of the International System of Units --- p.ix
For Terms Commonly Used --- p.X
Chapter CHAPTER 1 --- Overview of Childhood Obstructive Sleep Apnoea Syndrome (OSAS)
Chapter 1.1 --- Prevalence --- p.1
Chapter 1.2 --- Clinical Features --- p.3
Chapter 1.3 --- Definitions and Cutoffs --- p.4
Chapter 1.4 --- Pathophysiology --- p.6
Chapter 1.5 --- Risk Factors
Chapter 1.5.1 --- Gender --- p.8
Chapter 1.5.2 --- Obesity --- p.9
Chapter 1.5.3 --- Adenotonsillar Hypertrophy --- p.10
Chapter 1.5.4 --- Genetic --- p.11
Chapter 1.5.5 --- Atopic Diseases --- p.12
Chapter 1.6 --- Complications
Chapter 1.6.1 --- Neurobehavioural Deficits --- p.13
Chapter 1.6.2 --- Growth Defects --- p.14
Chapter 1.6.3 --- Metabolic Disorders --- p.16
Chapter 1.6.4 --- Systemic inflammation --- p.17
Chapter 1.6.5 --- Cardiovascular Consequences --- p.19
Chapter 1.7 --- Diagnosis --- p.20
Chapter 1.8 --- Treatment
Chapter 1.8.1 --- Surgical Treatment --- p.22
Chapter 1.8.2 --- Continuous Positive Airway Pressure (CPAP) --- p.24
Chapter 1.8.3 --- Corticosteroids --- p.24
Chapter 1.8.4 --- Leukotriene Receptor Antagonist --- p.25
Chapter 1.8.5 --- Oral Appliances --- p.26
Chapter 1.8.6 --- Weight Control --- p.27
Chapter CHAPTER 2 --- OSAS and Cardiovascular Complications in Adults
Chapter 2.1 --- Mechanism
Chapter 2.1.1 --- Acute Cardiovascular Responses --- p.28
Chapter 2.1.2 --- Chronic Cardiovascular Responses --- p.29
Chapter 2.2 --- Hypertension
Chapter 2.2.1 --- Epidemiological and Clinical Data --- p.31
Chapter 2.2.2 --- Characteristics --- p.32
Chapter 2.2.3 --- Mechanisms --- p.33
Chapter 2.2.4 --- Treatment --- p.34
Chapter 2.3 --- Heart Failure --- p.35
Chapter 2.4 --- Stroke --- p.37
Chapter 2.5 --- Cardiac Arrhythmias --- p.39
Chapter 2.6 --- Myocardial Ischemia and Vascular Disease --- p.41
Chapter 2.7 --- Pulmonary Hypertension --- p.43
Chapter CHAPTER 3 --- OSAS and cardiovascular complication in children
Chapter 3.1 --- Blood Pressure --- p.45
Chapter 3.2 --- Ventricular Hypertrophy and Dysfunctions --- p.48
Chapter 3.3 --- Heart Rate Variability --- p.50
Chapter 3.4 --- Arterial Tone --- p.51
Chapter 3.5 --- Endothelial Function --- p.51
Chapter CHAPTER 4 --- Longitudinal follow-up study of children with OSAS - a cardiovascular perspective
Chapter 4.1 --- Introduction --- p.53
Chapter 4.2 --- Methods
Chapter 4.2.1 --- Subjects and Study Design --- p.57
Chapter 4.2.2 --- Polysomnography --- p.59
Chapter 4.2.3 --- Ambulatory Blood Pressure Measurement --- p.61
Chapter 4.2.4 --- Statistical Analysis --- p.62
Chapter 4.3 --- Results
Chapter 4.3.1 --- Subject Characteristics --- p.64
Chapter 4.3.2 --- Blood Pressure During Wakefulness --- p.71
Chapter 4.3.3 --- Blood Pressure During Sleep --- p.76
Chapter 4.3.4 --- Nocturnal Blood Pressure Dipping --- p.83
Chapter 4.3.5 --- Blood Profile --- p.86
Chapter 4.4 --- Discussion --- p.87
Chapter 4.5 --- Conclusion --- p.99
Reference List --- p.xvi
ROCHE, Johanna. "Le sommeil, ses troubles et la santé cardio-métabolique d'adolescents obèses : effets d'une prise en charge associant exercice physique et modification des habitudes alimentaires." Thesis, 2018. http://www.theses.fr/2018UBFCE010.
Повний текст джерелаSleep, through its restorative functions, is essential for life. However, lifestyle modifications, sedentary and unhealthy feeding behaviors trigger sleep curtailment and sleep disruption, leading together to weight gain. Obesity is usually associated with obstructive sleep apnea (OSA), and these two diseases both induce metabolic dysfunctions and low-grade systemic inflammation. To the best of our knowledge, no study has assessed the effects of exercise reconditioning and modified food habits on these parameters. The purpose of this work was to assess and compare, from an ancillary study, polysomnographic variables between obese adolescents and normal-weight (NW) controls. In the main study, the effects of a 9-month program (exercise reconditioning, adapted physical activities and modified food habits) on sleep architecture, sleep duration, OSA, biological factors (inflammatory, hormonal, carbohydrates and lipid profiles) and physiological adaptations at exercise were assessed, in order to a better understanding of the roles of cardiorespiratory fitness and sleep disorders on cardio-metabolic health. Thirty-two obese adolescents (age: 14.6 years, BMI z-score: 4.7) were recruited. Every parameters were assessed at admission and post-intervention. Short sleep duration and a high prevalence of OSA (58%) were observed at admission in obese adolescents despite a satisfying sleep architecture, compared with NW controls. Post-intervention, weight loss (11kg) and improved parameters of physiological adaptations at exercise (MAP, VE, VO2peak) were found in every subject and OSA was normalized in 46% of them. Sleep quantity and sleep quality were improved. Decreased C-reactive protein (6.78 vs 10.98 mg/l) and leptin concentrations, and increased adiponectin levels were found, and cardio-metabolic risk (CMR) was decreased. At admission, obesity explains by itself the systemic inflammation whereas the decrease in inflammation, post-intervention, is explained by enhanced cardiorespiratory fitness related to fat-free mass, after controlling for sex, weight loss, change in sleep duration and OSA. Prevention of OSA and metabolic dysfunctions by chronic exercise should be an integral part of the obesity management in youths in order to decrease the risk of cardiovascular morbi-mortality in adulthood
Pardalejo, Ana Sofia Almeida. "Sleep@home: remote monitoring of sleep apnea syndrome patients." Master's thesis, 2008. http://hdl.handle.net/10316/12255.
Повний текст джерелаSilva, Filipe Miguel da Glória e. "Hábitos e problemas do sono das crianças dos 2 a 10 anos." Doctoral thesis, 2014. http://hdl.handle.net/10362/14234.
Повний текст джерелаSerras, Mariana Sofia Figueira. "Bem-estar em famílias de crianças com doenças alérgicas respiratórias : contributo de variáveis individuais e familiares." Master's thesis, 2019. http://hdl.handle.net/10400.14/29541.
Повний текст джерелаPediatric respiratory allergic diseases are increasingly common and affect children and their families, leading to families having some change in the health conditions of their children. Recognizing the role of the family in controlling these diseases, the importance of understanding families’ adaptation and the need to use positive indicators has been highlighted. The present study aimed to understand children with allergic diseases well-being, considering the role of individuals, parents and family members and the role of children's sleep quality in the relationship between these factors and family well-being. 139 children with respiratory diseases (asthma or rhinitis) parents/caregivers participated in this study by completing questionnaires to measure temperament, family resilience factors, marital satisfaction, parental self-regulation, family well-being and asthma severity. Sociodemographic and clinical data were also collected. The results support the importance of parental and family resources for family well-being, as well as the importance of considering other child health indicators and functioning, in this case, sleep quality to understand families well-being. Family resources revealed positive family factors that contribute to the caregivers' perception of family well-being. The marital subsystem and parental self-regulation were also related to family well-being, revealing that both influence the way we respond to parenting challenges. Sleep quality was also mediating and moderating in the relationship between family resources and family well-being. The results suggest potential resources for parents’ adaptation as well as the areas of vulnerability. Addressing family system factors and considering sleep quality can be crucial in promoting the well-being of children with allergical diseases families.
Malboeuf-Hurtubise, Catherine. "Un pilote avec groupe témoin : effets de la méditation de pleine conscience sur la qualité de vie, le sommeil et l’humeur chez des adolescents atteints de cancer." Thèse, 2015. http://hdl.handle.net/1866/13743.
Повний текст джерелаNews of a cancer diagnosis often elicits a strong emotional reaction in teenagers and their parents. To address these emotional challenges, various psychosocial approaches have been developed, including mind-body therapies. Mindfulness-based meditation, inspired from the Buddhist tradition, and adapted to improve quality of life in patients suffering from chronic illnesses, constitutes a promising option. Altogether, authors have suggested that mindfulness meditation could have beneficial effects on physical and psychological symptoms among adults with different chronic illnesses, namely cancer, and could hence be an interesting therapeutic avenue in the treatment of these conditions. The emerging research in pediatrics is suggesting similar effects in children and adolescents. The goal of this thesis was to develop a randomized clinical trial with the aim to evaluate the effects of a mindfulness- based intervention on quality of life, sleep and mood in adolescents with cancer, while documenting lessons learned from this experience and obtained results. This thesis is comprised of two scientific articles. The first article presents the initial study protocol that was planned for this study, although this could not be implemented because of multiple feasibility challenges that were met along the way. Preliminary steps in developing this research project, giving prominence to its intervention manual. The structure of the project, namely the choice of design and participant flow, the targeted sample size, along with recruitment and randomization strategies, are described in this article. For the purposes of this project, an intervention manual was written. The mindfulness-based intervention, given by two trained instructors, comprised of eight weekly sessions, lasting 90 minutes each. A detailed description of each weekly session was included in this article, in order to foster the dissemination of our research protocol. The second article is firstly based on our experience of carrying out a mindfulness- based clinical trial with a group of teenagers treated for cancer. While the initial goal of the trial was to expand the field of mindfulness research of youth with cancer, it became clear that much was to be learned from the challenges we met along the way. The goal of this article was therefore to document lessons learned from completing this trial to improve feasibility of future similar trials. Our findings are described in terms of the challenges encountered according to the following three categories: 1) recruitment and retention challenges; 2) treatment acceptability; 3) timing and commitment. Over 9 months of recruitment, 481 youth were screened for participation in the present project. Of these, 418 (86,9 %) were excluded. Of the 63 that were approached, only 7 (1,4%) agreed to participate in the project, gave consent and provided a complete dataset. A narrow pool of eligible participants, along with high refusal rates, scheduling conflicts with school and absenteeism had a significant impact on sample size in this project. Although there is manifest interest from the medical care community and scientific merit to conducting clinical trials, the resources needed for implementing these types of projects are often underestimated. Effective recruitment and retention merits particular attention. Secondly, this article presents results of our mindfulness-based intervention in adolescents with cancer, specifically in terms of quality of life, sleep and mood. Participants from the experimental group completed follow-up measures. Testing revealed no significant differences on any variable between participants from the experimental group and participants from the control group pre-to-post assessment. This could be explained by a lack of exposure to mindfulness techniques following the eight weeks program, limiting the generalization potential beyond therapy sessions. Moreover, encountered difficulties with homework, previously mentioned, could explain the absence of a mindfulness skills acquisition. Globally, our results could be explained by the inherent developmental changes of adolescence, impacting participants’ openness and adherence to mindfulness. Sub-clinical psychological symptoms could also strongly impact the usefulness of mindfulness meditation in youth with cancer. Data from this pilot study suggests that caution is required in generalizing the results used to determine the effectiveness of mindfulness interventions in adults with cancer, as they are not a guarantee of success and effectiveness for adolescent oncology populations. In conclusion, the present thesis helps advance the state of knowledge in mindfulness and youth research, namely by presenting data that questions the relevance of mindfulness interventions for teenagers with cancer. It is necessary to be cautious in analysing results from this thesis, especially when taking into consideration the methodological limitations that were faced in its completion and their impact on feasibility and reproducibility of such a project on a larger scale. Thus, lessons learned from the implementation of a mindfulness intervention project in pediatric oncology were of crucial importance in the completion of this project and will be an essential part of any attempt to replicate a project of this nature. Further research in this field will be necessary to conclude whether mindfulness interventions are beneficial for teenagers with cancer and whether they are feasible with pediatric populations.
Saidj, Soraya. "Les facteurs de risque maternels, la santé pondérale et cardiométabolique des jeunes, et l’importance des habitudes de vie." Thesis, 2020. http://hdl.handle.net/1866/24586.
Повний текст джерелаMaternal and children’s health are major worldwide public health concerns. The current thesis aimed to explore the impact of maternal health during pregnancy on children’s and adolescents’ health and included three original research projects. The first study found that a prenatal exposure to independent or combined suboptimal gestational factors (SGF : gestational diabetes mellitus, hypertensive disorders during pregnancy, maternal smoking during pregnancy) was positively associated with obesity and cardiometabolic risk factors in children around puberty, and these associations were sex-dependent. The second study found that children exposed to one SGF display a similar physiological response in terms of mechanical efficiency and substrate oxidation at rest and during exercise (submaximal and maximal) in comparison with non-exposed children. The third study of the thesis found that light-intensity physical activity reduced the adverse impact of prenatal exposure to combined SGF on high density lipoprotein-cholestrol levels in boys. A sleep duration within the range of the current Canadian recommendations for sleep did not mitigate the risk of high waist circumference (children) and obesity (girls) in a context of exposure to maternal smoking during pregnancy. Furthermore, other lifestyle factors such as moderate-to-vigorous physical activity and a healthy diet (intakes of: fruits and vegetables, grains, and dairy products), did not mitigate the adverse impact of a prenatal exposure to independent or combined SGF on children’s risk of obesity and cardiomeatbolic outcomes. Taken together, these results suggest that it is important to continue maternal SGF prevention and management programs to provide optimal health for children. Moreover, future studies should also develop and evaluate the impact of lifestyle habits interventions to design future prevention strategies during childhood and adolescence to reduce obesity and cardiometabolic risk factors in this population.
Martins, Cristiana Filipa Honrado. ""Ventilação Domiciliária na Doença Crónica Complexa em Pediatria: Que Impacto na Qualidade de Vida e do Sono dos Cuidadores?"." Master's thesis, 2019. http://hdl.handle.net/10316/89851.
Повний текст джерелаRESUMOIntrodução: A acessibilidade a cuidados de saúde mais diferenciados possibilitou o aumento da esperança média de vida em patologias com prognósticos anteriormente reservados, embora frequentemente com aumento das co-morbilidades. Deste modo, as crianças dependentes de tecnologia no domicílio, têm vindo a aumentar, com implicações no tipo de vigilância e assistência dos seus cuidadores. Objetivos: avaliação da qualidade do sono e qualidade de vida (QdV) de cuidadores de crianças/adolescentes com doença crónica complexa (DCC) e necessidade de ventilação mecânica domiciliária (VMD), relacionando-as com características sociodemográficas e clínicas. Materiais e Métodos: Estudo prospetivo, exploratório e observacional, incluindo pais/cuidadores de crianças/adolescentes com DCC, sob VMD. Utilizaram-se como instrumentos de avaliação o PSQI-PT e o WHOQOL-Bref, validados para a população portuguesa, complementados com variáveis clínicas e sociodemográficas. Período: Outubro/2018-Janeiro/2019. Obteve-se consentimento informado escrito. Análise estatística: IBM SPSS Statistics ®, versão 25 (nível de significância: 5%).Resultados: Responderam ao questionário 36 cuidadores (86,1% eram mães; idade média de 42 anos), sendo que 33 preencheram o PSQI e 35 o WHOQOL-Bref; 16,7% dos cuidadores apresentava doença crónica e 22,2% patologia/distúrbio do sono. As crianças/adolescentes com DCC pertenciam maioritariamente ao género masculino (66,7%), com predomínio de adolescentes (58,3% na faixa 11-18 anos) e o principal grupo diagnóstico foi o genético/polimalformativo (41,7%).Verificou-se uma discrepância entre a qualidade subjetiva do sono (“Boa” em 63,6%) e a pontuação global final do PSQI, mostrando “Má Qualidade do Sono” em 72,4%. Salienta-se elevada percentagem de sonolência/disfunção diurnas (75%). O valor geral mediano da QdV foi de 87; 48,6% considerou a sua QdV como “Boa ou Muito Boa”. O domínio das relações sociais foi o que obteve pontuação mais baixa.Cuidadores de doentes com patologia respiratória apresentaram valores inferiores de qualidade do sono, enquanto hipoventilação central apresentaram valores inferiores de QdV. Não foram registadas variações significativas com a frequência de estabelecimento escolar, autonomia para as atividades diárias ou interface utilizado. Apesar de não se demonstrar correlação, o aumento de horas diárias de VMD na criança/adolescente parece condicionar qualidade de sono inferior nos cuidadores. Como esperado, os cuidadores com patologia/distúrbio do sono relataram pior qualidade do sono.Discussão e Conclusão: A qualidade de sono dos cuidadores pareceu ser negativamente afetada pela necessidade de VMD, ao contrário da QdV, que não registou alterações, embora o domínio social tenha sido o mais afetado. Os valores encontrados estão de acordo com a literatura e devem alertar as equipas assistenciais para a sobrecarga e risco de exaustão dos cuidadores de crianças com elevada dependência de tecnologia.
ABSTRACTBackground: Better health care and accessibility leads to the rise of many pediatric chronic diseases, with increased life expectancy, even though the upcoming comorbidities. This way, children with specialized health care needs, dependents on domiciliary technology, have been rising, with implications on the caregivers’ type of vigilance/assistance and impact on personal, familiar and social dynamics. The main aims of this study were the quality of sleep and life evaluation of children/adolescents with complex chronic disease and home mechanical ventilation caregivers’, linking them to sociodemographic and clinical characteristics. Methods: A prospective, exploratory and observational study was taken. The sample consisted of parents/caregivers of children/adolescents with complex chronic disease and home mechanical ventilation. As evaluation instruments, we used the PSQI and the WHOQOL-Bref, both validated to the Portuguese population. They were complemented with other sociodemographic variables. Study period: October/2018 to January/2019. We conducted the data analysis with IBM SPSS Statistics ® software, version 25, with a significance level of 5%.Results: We had 36 caregivers responding to the questionnaire (86,1% were mothers, mean age of 42 years), with 33 responding to PSQI and 35 to WHOQOL-Bref; 16,7% of the caregivers had chronic disease and 22,2% had sleep pathology/disturbance. Children/adolescents with chronic complex disease were mainly male (66,7%) and adolescents (58,3% between 11 and 18 years). The principal diagnosis group was genetic/polymorphic syndrome. There was a difference between sleep subjective quality (‘Good’ in 63,6%) and PSQI final global score, with 72,4% being ‘poor sleepers’ and a high percentage of somnolence and diurnal dysfunction (75%). The quality of life general median score was 87 and 48,6% classified their own quality of life as ‘Good or Very good’. Social relations domain was the one who get the lowest scores. Caregivers of children with respiratory pathology had the lowest scores in quality of sleep and caregivers of children with central hypoventilation had the lowest score in quality of life. There was no significant differences between school attendance, daily activities autonomy or ventilation forms. Although the correlation was not demonstrated, a superior daily number of ventilation hours seemed to predict worse caregiver sleep quality. As we expected, caregivers with sleep pathology/disorders had the worst sleep quality.Discussion and Conclusions: Caregivers’ sleep quality seemed to be negatively affected by domiciliary mechanical ventilation needs. In the other side, quality of life did not registered any changes, even though the social domain was the one who get the lowest scores. These results are similar to the ones found on the literature and should alert care teams to the burden and exhaustion risk of caregivers of children highly dependent on technology.
Silva, Renata Souto. "Hábitos e perturbações do sono em crianças em idade pré-escolar e escolar." Master's thesis, 2014. http://hdl.handle.net/10451/24440.
Повний текст джерелаIntroduction: Sleep is influenced by biopsychological factors and by the cultural, social and familiar environment. Inadequate sleep causes cognitive, behavioral and emotional problems in children. The aim was to compare sleep between preschool (PS) and school (S) aged children. Materials and Methods: The Children’s Sleep Habits Questionnaire-PT was applied to children aged three to ten years old. Descriptive and comparative statistics - SPSS® 21. Significance level of 5%. Results: 185 questionnaires. Calculated mean wakeup time, bedtime and sleep duration were similar to reference values from portuguese children. S children woke up 13 minutes earlier (p <0,01) and slept 14 minutes less (p <0,01) during the week. The prevalence of parent reported sleep problems was 14,3% in the PS group and 12,2% in the S group, in contrast with the obtained scores: 41% and 30,3%, respectively, presented a sleep disturbance index ≥ 48. The problems with the highest scores were: daytime sleepiness and bedtime resistance. Most sleep habits presented an higher prevalence in PS; bedtime resistance had significantly higher score in this age group (p <0,05). Conclusion: Parents have poor perception of sleep. Both age groups sleep less than recommended. Sleep problems are prevalent in children and should be actively investigated. It’s necessary to educate parents about healthy sleep.
Introdução: O sono é influenciado por fatores biopsicológicos e pelo meio sociocultural e familiar. Sono inadequado causa problemas cognitivos, comportamentais e emocionais em crianças. O objetivo foi comparar o sono em crianças em idade pré-escolar (PEsc) e escolar (Esc). Material e Métodos: Aplicação do questionário CSHQ – Children’s Sleep Habits Questionnaire-PT a crianças entre três e dez anos. Estatística descritiva e comparativa - SPSS® 21. Nível de significância 5%. Resultados: 185 questionários. As médias horárias foram semelhantes a valores de referência para a população portuguesa. As crianças Esc acordaram 13 minutos mais cedo (p <0,01) e dormiram menos 14 minutos (p <0,01) na semana. A prevalência de problemas do sono referidos pelos pais foi 14,3% no PEsc e 12,2% no Esc, contrastando com as cotações: 41% e 30,3%, respetivamente, apresentaram índice de perturbação do sono ≥48. As cotações mais elevadas coincidiram: sonolência diurna e resistência em ir para a cama. A maioria dos hábitos de sono apresentou maior prevalência no PEsc; resistência em ir para a cama teve cotação significativamente superior neste grupo (p <0,05). Conclusão: Os pais têm má perceção do sono. Ambos os grupos têm uma quantidade de sono inferior ao desejável. Os problemas de sono são prevalentes nas crianças e devem ser pesquisados ativamente. É necessário educar os pais para hábitos de sono saudáveis.