Rapid maxillary expansion in children with nocturnal enuresis:A randomized placebo-controlled trial.

Rapid maxillary expansion in children with nocturnal enuresis:A randomized placebo-controlled trial. Angle Orthod. 2019 Jul 15;: Authors: Ring IJ, Nevéus T, Markström A, Magnuson A, Bazargani F Abstract OBJECTIVE: To investigate whether rapid maxillary expansion (RME) is a useful treatment method for nocturnal enuresis (NE) and whether the treatment effect is due to placebo. The study also aimed to identify prognostic variables in patients responding to treatment. MATERIALS AND METHODS: Thirty-eight children with therapy-resistant NE were recruited and randomized into two groups: the intervention group or placebo group. Both groups were treated with RME, but the placebo group received treatment with a sham appliance for 2 weeks before having the actual treatment. A medical history focused on micturition habits, previous treatment, heredity, and sleep disorders was taken. Daytime voided volumes and nocturnal urine production during wet nights were recorded before the intervention. RESULTS: Of the 38 patients recruited, two dropped out as one patient was unable to take dental impressions and one refused to have the appliance fitted. There was a statistically significant reduction of wet nights after the RME treatment (P
Source: The Angle Orthodontist - Category: Dentistry Authors: Tags: Angle Orthod Source Type: research

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ConclusionThe choice of treatment should include psychological/behavioural interventions in all cases to improve the therapeutic outcome. All primary care Pediatricians should be aware of the all aspects of NE to choose the best way to treat every patient.
Source: Italian Journal of Pediatrics - Category: Pediatrics Source Type: research
ConclusionsDesmopressin ODTs (25 and 50  μg) demonstrated long‐term efficacy, improved QoL, and were well tolerated in Japanese male and female patients with nocturia treated for up to 1 year. Clinically meaningful improvements in patients’ QoL, assessed by N‐QoL, sleep quality, and bother, occur later than objective symptom im provements, such as voids.
Source: LUTS: Lower Urinary Tract Symptoms - Category: Urology & Nephrology Authors: Tags: ORIGINAL ARTICLE Source Type: research
Publication date: Available online 23 August 2020Source: Actas Urológicas Españolas (English Edition)Author(s): L. Martínez Cayuelas, J.A. March-Villalba, V. Valencia Guadalajara, A. Serrano Durbá, M.Á. Conca Baenas, A. Polo Rodrigo, C. Domínguez Hinarejos, F. Boronat Tormo
Source: Actas Urologicas Espanolas - Category: Urology & Nephrology Source Type: research
Nocturia is one of the most bothersome lower urinary tract symptoms and often impairs sleep quality in the elderly. Although previous studies on nocturia have indicated that the successful treatment of nocturi...
Source: BMC Urology - Category: Urology & Nephrology Authors: Tags: Study protocol Source Type: research
ejos C, Boronat Tormo F Abstract OBJECTIVES: To analyze if there is a higher prevalence of sleep disturbances and hygiene disorders in patients with monosymptomatic enuresis (MEN) with respect to general population and to patients with corrected MEN. Assess the usefulness of the BEARS sleep disorder screening tool for children with MEN. MATERIAL AND METHODS: Transverse observational study (n=341) classified as: MEN (n=122), corrected MEN (≥ 1 one year without recurrence) (ANTENUR) (n=47) and controls (n=172). The BEARS childhood sleep disorder screening questionnaire was used. Clinical variables were colle...
Source: Actas Urologicas Espanolas - Category: Urology & Nephrology Authors: Tags: Actas Urol Esp Source Type: research
Desmopressin – Cardiology MCQ – Answer Which of the following is not an adverse effect of desmopressin used in the treatment of postural hypotension? – Correct answer: d) Nocturnal diuresis Suppression of nocturnal diuresis is an important mechanism of action of low dose desmopressin. Desmopressin is a synthetic analogue of the naturally occuring pituitary hormone which is 8-arginine vasopressin (anti diuretic hormone, ADH). The drug acts on vasopressin receptor type 2 in the renal collecting ducts and increases water reabsorption, causing water retention. The synthetic molecule has only minimal action on...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
CONCLUSION: We found strong relationships between Child-ACEs reported on the Whole Child Assessment and odds of poor child health and psychosocial outcomes in pediatric patients age 5-11 years old, which supports the validity of using the Whole Child Assessment at well-child visits. PMID: 32289566 [PubMed - as supplied by publisher]
Source: Child Abuse and Neglect - Category: Child Development Authors: Tags: Child Abuse Negl Source Type: research
AbstractIntroductionNocturnal enuresis is an infrequent uncontrolled voiding during sleep in a child aged 5  years or more without any congenital or acquired disorders of the central nervous system.ObjectiveTo compare  immediate and short-term effects of interferential currents (IFC) and transcutaneous electrical nerve stimulation (TENS) in the treatment of children with primary nocturnal enuresis (PNE) in numbers of wet nights and quality of life (QoL).Study design52 children aged 7 –14 (10.6 ± 1.9) having PNE, were assigned randomly into two groups (26 children for each group). B...
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
IntroductionDepressive and manic episodes of bipolar disorder can interact with sleep complaints, followed by a worsened psychiatric condition. The aim of this study was to examine the interaction of sleep disorders with bipolar disorder in youths during depressive and manic episodes.MethodsThe target population was children and adolescents drawn from the Children and Adolescents Affective Disorder Program. Clinical assessment for current psychiatric diagnosis was done by direct clinical interview, Diagnostic Interview for Children and Adolescents (DSM-IV), and best-estimated clinical consensus. We applied sleep questionna...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
ConclusionsThe qualitative data derived from the focus group discussion was incredibly valuable as it enabled the research and design team to experience the perspectives of the families in terms of the challenges and conflicts of managing the condition and the limited utility of existing post-void alarms. This has improved our understanding of the social and environmental challenges that will need to be considered during the design process.
Source: Pharmaceutical Medicine - Category: Drugs & Pharmacology Source Type: research
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