How Common is Restless Legs Syndrome in Children?
Discussion Restless legs syndrome (RLS) is also known as Willis-Ekbom disease. RLS is a clinical diagnosis with criteria being: 1. An urge to move the legs usually accompanied by uncomfortable and unpleasant sensations in the lower extremities (Note: sometimes other body parts can be affected) 2. The urge to move begins or worsens when sitting or lying down 3. The urge to move is partially or totally relieved by movement (Note: relief by activity may not be noticable if severely affected but must have been previously present) 4. The urge to move the legs and any accompanying unpleasant sensations during rest or in activity only occur or are worse in the evening or night then during the day. (Note: worsening may not be noticable at night if severely affected but must have been previously present) 5. The symptoms are not accounted for by another primary medical or behavioral condition. There must be a significant impact on sleep, cognition, mood, and/or behavior (especially in school or homelife) to make the diagnosis. For adults, all 5 criteria must be met. For children, all must be met but there are caveats depending on timing, severity and the child’s own cognition and language development. The descriptive words must be from the child themself and not the parent. Words children and adolescents use to describe their symptoms include: “boo-boos,” “oowies,” “creepy,” “crawly,” “tingling,” “tickle,&rdquo...
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Authors: Rautava S Abstract Breastfeeding confers the infant short- and long-term health benefits and significantly modulates the developing infant gut microbiome. A specific human milk microbiome has relatively recently been discovered, but its origin remains poorly understood. Data from experimental and clinical studies suggest that the bacteria in milk may originate in the maternal gut and be transported via a specific enteromammary pathway, the details of which have not been elucidated yet. The milk microbiome is affected by the maternal metabolic state, antibiotic use, as well as the mode of delivery. We are o...
CONCLUSIONS: different predictors were identified to ECMO complications. The knowledge of these predictors enables the individualized targeting of preventive interventions by multidisciplinary team for modifiable factors, as well as intensification of monitoring for early recognition of non-modifiable factors. PMID: 32236371 [PubMed - in process]
Sufficient Lumbar Lateral Recess Decompression Acquired by Undercutting "Superior Articular Process Neck" Plus Intervertebral Disk Annuloplasty in Percutaneous Transforaminal Endoscopic Surgery. Med Sci Monit. 2020 Apr 03;26:e921119 Authors: Liu X, Peng Y, Pei L, Zhu Y Abstract BACKGROUND Percutaneous transforaminal endoscopic surgery has been used as a surgical measure for lumbar lateral recess stenosis. However, the necessary decompressive range has never been clearly documented in detail. Here, we discuss the effectiveness of a percutaneous transforaminal endoscopic procedure with clearly ...
CONCLUSIONS A prognostic model based on six variables was predictive for incident type 2 diabetes mellitus and prediabetes in a healthy population in Japan. PMID: 32235819 [PubMed - in process]
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