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      Respiratory morbidity in children with cerebral palsy: an overview

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          Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management.

          This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2-18 years. Prospective cohort studies describing the natural history of SDB or randomised, double-blind, placebo-controlled trials regarding its management are scarce. Selected evidence (362 articles) can be consolidated into seven management steps. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are present (step 1). Central nervous or cardiovascular system morbidity, growth failure or enuresis and predictors of SDB persistence in the long-term are recognised (steps 2 and 3), and SDB severity is determined objectively preferably using polysomnography (step 4). Children with an apnoea-hypopnoea index (AHI) >5 episodes·h(-1), those with an AHI of 1-5 episodes·h(-1) and the presence of morbidity or factors predicting SDB persistence, and children with complex conditions (e.g. Down syndrome and Prader-Willi syndrome) all appear to benefit from treatment (step 5). Treatment interventions are usually implemented in a stepwise fashion addressing all abnormalities that predispose to SDB (step 6) with re-evaluation after each intervention to detect residual disease and to determine the need for additional treatment (step 7).
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            Survival of individuals with cerebral palsy born in Victoria, Australia, between 1970 and 2004.

            This study used data collected prospectively since 1986 from a population-based cerebral palsy registry to explore the rates, predictors, trends, and causes of mortality for individuals born in Victoria, Australia, between 1970 and 2004.
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              The growing spine: how spinal deformities influence normal spine and thoracic cage growth.

              This article aims to provide an overview of how spinal deformities can alter normal spine and thoracic cage growth.
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                Author and article information

                Affiliations
                [1 ]Department of Paediatric Pulmonology; Antwerp University Hospital; Antwerp Belgium
                [2 ]Neuromuscular Reference Centre and Centre for Home Mechanical Ventilation; Inkendaal Rehabilitation Hospital; Vlezenbeek Belgium
                [3 ]Department of Pulmonology; Antwerp University Hospital; Antwerp Belgium
                [4 ]Faculty of Medicine and Health Sciences; University of Antwerp; Antwerp Belgium
                [5 ]Laboratory of Experimental Medicine and Paediatrics; University of Antwerp; Antwerp Belgium
                Journal
                Developmental Medicine & Child Neurology
                Dev Med Child Neurol
                Wiley
                00121622
                October 15 2018
                10.1111/dmcn.14060
                © 2018

                http://doi.wiley.com/10.1002/tdm_license_1.1

                http://onlinelibrary.wiley.com/termsAndConditions#vor

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