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  1. Article ; Online: Pediatric Obstructive Sleep Apnea and Sickle Cell Disease: Demographic and Polysomnographic Features.

    Abijay, Claire A / Kemper, W Craig / Pham, An / Johnson, Romaine F / Mitchell, Ron B

    The Laryngoscope

    2023  Volume 133, Issue 7, Page(s) 1766–1772

    Abstract: Objective: Obstructive sleep apnea (OSA) is prevalent in children with sickle cell disease (SCD). We compared the demographic, clinical, and polysomnographic characteristics of children with and without SCD.: Methods: This retrospective chart review ... ...

    Abstract Objective: Obstructive sleep apnea (OSA) is prevalent in children with sickle cell disease (SCD). We compared the demographic, clinical, and polysomnographic characteristics of children with and without SCD.
    Methods: This retrospective chart review included children with SCD (n = 89) and without SCD (n = 192) ages 1-18 years referred for polysomnography (PSG) for OSA.
    Results: Children with SCD were predominantly African American when compared to the non-SCD group (95% vs. 28%, p < 0.001). The non-SCD group had a higher BMI z-score (1.3 vs. 0.1, p < 0.001) and a higher percentage of patients classified as obese (52% vs. 13%, p < 0.001). In children with SCD, 43% had severe OSA and 5.6% had no OSA. In the non-SCD group, 67% had severe OSA and 4.7% had no OSA. The SCD compared to the non-SCD group had a lower mean apnea-hypopnea index (AHI) (13.6 vs. 22.4, p = 0.006) but a higher percent sleep time below 90% oxygen saturation (10.5% vs. 3.5%, p < 0.001). Predicted probability for severe OSA in children with SCD decreased with increasing age (OR = 0.81, 95% CI: 0.70-0.93).
    Conclusion: Children with SCD referred for PSG are at risk for severe OSA. Compared with the non-SCD group, most children were African American with lower rates of obesity and lower AHIs but longer periods of nocturnal hypoxemia. Likelihood for severe OSA decreased with increasing age for the SCD group.
    Level of evidence: 3, retrospective comparative study Laryngoscope, 133:1766-1772, 2023.
    MeSH term(s) Child ; Humans ; Retrospective Studies ; Sleep Apnea, Obstructive/diagnosis ; Sleep Apnea, Obstructive/epidemiology ; Sleep Apnea, Obstructive/etiology ; Anemia, Sickle Cell/complications ; Anemia, Sickle Cell/epidemiology ; Sleep ; Obesity ; Demography
    Language English
    Publishing date 2023-03-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.30638
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ul II Zs.82: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Dysphagia in an 8-Year-Old Child.

    Kemper, W Craig / Teplitzky, Taylor B / Brown, Ashley F / Mitchell, Ron B / Shah, Gopi B

    Ear, nose, & throat journal

    2022  , Page(s) 1455613221102866

    Language English
    Publishing date 2022-05-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 750153-5
    ISSN 1942-7522 ; 0145-5613
    ISSN (online) 1942-7522
    ISSN 0145-5613
    DOI 10.1177/01455613221102866
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 107: Show issues Location:
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  3. Article ; Online: Differences in Short-Term Sport-Specific Functional Recovery After Primary ACL Reconstruction in the Adolescent Athlete.

    Kemper, W Craig / Carpenter, Connor M / Wagner, K John / Chen, Chien-Cheng / Saleem, Laura / Wilson, Philip L / Ellis, Henry B

    Sports health

    2023  Volume 16, Issue 1, Page(s) 139–148

    Abstract: Background: Although anterior cruciate ligament (ACL) injury rates have been studied extensively, it is unclear whether levels of functional and psychological readiness for return-to-sport after primary ACL reconstruction (ACLR) differ based on an ... ...

    Abstract Background: Although anterior cruciate ligament (ACL) injury rates have been studied extensively, it is unclear whether levels of functional and psychological readiness for return-to-sport after primary ACL reconstruction (ACLR) differ based on an athlete's primary sport.
    Hypothesis: Youth athletes in different primary sports will demonstrate differences in short-term functional recovery, as well as patient-reported psychological and functional recovery after primary ACLR.
    Study design: Retrospective cohort study of consecutive patients treated for ACL injury in pediatric sports medicine clinics.
    Level of evidence: Level 3.
    Methods: Patients included underwent primary ACLR between December 1, 2015 and December 31, 2019 and reported sports participation at the time of injury. Demographic data, sports participation, surgical data, functional testing scores (Y-Balance Test [YBT]), functional and psychological patient-reported outcome measures (PROMs), and timing of return-to-play clearance were reviewed. YBT scores were the primary metric for clearance. Four groups were studied: soccer, football, basketball, and other.
    Results: A total of 220 male and 223 female athletes were included; 65.28% of soccer players were female and 100% of football players were male (
    Conclusion: After primary ACLR, athletes, especially female athletes, demonstrated short-term sport-specific differences in YBT scores. Soccer players attained clearance sooner than football players. Level of competition influenced YBT composite scores in all athletes and time to clearance in female athletes.
    Clinical relevance: Sport-specific differences in reinjury should be investigated to determine whether changes in return-to-play evaluation should be implemented.
    MeSH term(s) Child ; Humans ; Male ; Adolescent ; Female ; Retrospective Studies ; Anterior Cruciate Ligament Injuries ; Athletes ; Soccer ; Return to Sport/psychology
    Language English
    Publishing date 2023-03-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2508802-6
    ISSN 1941-0921 ; 1941-7381
    ISSN (online) 1941-0921
    ISSN 1941-7381
    DOI 10.1177/19417381231156395
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6996: Show issues Location:
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