The Orchid and the Dandelion by W Thomas Boyce review – which are you?

This study by a paediatric health expert considers why children with the greatest potential are also the ones most likely to falterSome people seem to have terrible childhoods and yet manage to thrive despite them. Others grow up in loving homes but suffer from mental and physical health difficulties, even if their siblings do not. Why?Research shows that about 15 to 20 % of children experience well over half of the recorded psychological illnesses. The remaining 75 to 80 % are comparatively healthy. This pattern continues into adulthood, and appears to be true for children around the world.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Science and nature books Society books Culture Psychology Source Type: news

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We present a case of a 3-week-old male infant with persistent and worsening noisy breathing, snoring, and poor weight gain, prompting further evaluation. The patient had an initial diagnosis of laryngomalacia and obstructive sleep apnea with complete resolution of loud breathing with continuous positive airway pressure. A repeated evaluation of the upper airway for further investigation led to the diagnosis of a neck mass compressing the airway. We review the clinical presentation, management, and follow-up of this patient, as well as the literature of possible etiologies. In the case of our patient, timely diagnosis and t...
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Autosomal dominant spinocerebellar ataxia type 17 (SCA17) is known to have various manifestations. Previously, ataxia and autonomic dysfunction have been reported with this disorder, making an overlap with multiple systemic atrophy (MSA). However, respiratory complications, especially stridor during sleep, have not yet been reported with SCA17, in contrast to MSA, in which stridor occurs during sleep and is associated with an increased risk of death. Herein, we report a patient with SCA17, in whom stridor developed during sleep.Citation:Kim KJ, Kim JM, Bae YJ, Yoon IY, Song YS, Kim SE. Occurrence of stridor during sleep in...
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Study Objectives:We sought to evaluate cerebral hemodynamics in obstructive sleep apnea (OSA) and actigraphy-defined short sleep duration using transcranial Doppler ultrasound (TCD) blood flow velocity in a subsample of Hispanics/Latinos without stroke and cardiovascular disease.Methods:The sample consisted of consecutive participants at the Miami site of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with overnight home sleep testing and 7 days of wrist actigraphy in the Sueño sleep ancillary study. Ninety-five participants had sleep data and TCD determined cerebral hemodynamics. We evaluated the a...
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Conclusions:A two-stage model that combines BMI or the MVAP score in the first stage, with EKG in the second, had robust discriminatory power to identify severe OSA in CMVOs.Citation:Lyons MM, Kraemer JF, Dhingra R, Keenan BT, Wessel N, Glos M, Penzel T, Gurubhagavatula I. Screening for obstructive sleep apnea in commercial drivers using EKG-derived respiratory power index.J Clin Sleep Med. 2019;15(1):23–32.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Study Objectives:To compare Epworth Sleepiness Scale (ESS) scores of men and women and determine if there is a correlation with sleep-disordered breathing (SDB) based on subsequent polysomnography (PSG).Methods:Consecutive adult patients were identified who completed ESS and PSG at Mayo Clinic in Rochester, Minnesota, between January 1, 2013, and January 31, 2015. Apnea-hypopnea index (AHI)≥ 5 events/h was classified as presence of SDB, and increasing values represented greater severity.Results:Among 6,593 patients with valid ESS scores and timely subsequent PSG, 42% were women. Mean (standard deviation [SD]) age of wom...
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Conclusions:No significant difference in the H-PSG characteristics was observed between the patients with IBD with active disease and those in remission; however, the perception of the participants with IBD showed significant effect on the sleep quality and fatigue symptoms.Citation:Paixão DL, Poyares D, de Paula MS, Duarte JW, Castelo PM, Ambrogini-Júnior O, Miszputen SJ, Oshima CT, Chagas JR, Paiotti AP. Evaluation of home polysomnography findings, quality of sleep, and fatigue in inflammatory bowel disease: a case series.J Clin Sleep Med. 2019;15(1):39–45.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Conclusions:Symptoms during CPAP therapy predicted the nonroutine contacts well. In line with this, patients with symptoms have become a priority follow-up group, and could constitute the only follow-up policy when dealing with insufficient medical resources.Citation:Avellan-Hietanen H, Brander P, Bachour A. Symptoms during CPAP therapy are the major reason for contacting the sleep unit between two routine contacts.J Clin Sleep Med. 2019;15(1):47–53.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
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