examen anatomia ii 1er parcial sobre la faringe: su límite inferior se proyecta sobre c6. es cierto que: ninguna es cierta. músculos de la laringe: inervados. “La inmunología es la ciencia que estudia los procesos moleculares y celulares propios del sistema inmune en su acción defensiva” (Peña. -Dormir a pierna suelta (Círculo de lectores) -Dormir sin descanso (Editorial .. El resto de amígdalas del anillo de Waldeyer se suelen denominar de otra.

Author: Groshura Zushicage
Country: Czech Republic
Language: English (Spanish)
Genre: Education
Published (Last): 17 October 2017
Pages: 312
PDF File Size: 15.25 Mb
ePub File Size: 13.86 Mb
ISBN: 657-9-83297-177-6
Downloads: 8095
Price: Free* [*Free Regsitration Required]
Uploader: Necage

The survey is a quick test that can be used by physicians of various specialties.

Inmunología. Generalidades by Atzi Frutiz on Prezi

How to cite this article. Ann Otol Rhinol Laryngol. Caregivers answered the surveys while at the hospital in the presence of a physician. Surgery has been proven effective in controlling neurocognitive sequelae of OSAS, such as poor school performance and attention deficit and hyperactivity disorder, in improving left and right ventricular ejection fraction, and in decreasing the levels of biomarkers of inflammation 4. The protocol was approved by the Ethics Committee of wsldeyer institution.

First place–resident clinical science award The OSA is a quick, easy-to-use, highly reliable and consistent test used to evaluate the subjective aspects of quality of life in children with OSAS 6. This instrument, called the OSA survey, inquires caregivers in five domains: Une methode de classification sociale d’echantillons de population.

This is an Open Waledyer article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. This survey allows physicians to better assess the impact of OSAS on affected children and their families, in addition to improving the selection from different treatment classes when combined with other clinical parameters and objectives.

Recently, Franco et al.

However, PSG is expensive, time consuming, and not all sleep labs run this test in children. Our protocol for Obstructive Sleep Apnea Syndrome 10 includes systematic interviews in which caregivers are asked about the nocturnal signs and symptoms related to obstructive disease, including parasomnias, daytime symptoms, signs of adenotonsillar hypertrophy, and cognitive and behavioral problems.


Wldeyer Apnea and Snoring: Neurobehavioral implications of habitual snoring in children. Pediatric OSAS became an important topic not only because of its high prevalence, but also due to its associations with different comorbidities, some of which bearing possible implications to the affected subject’s adult life.

Anel linfático de Waldeyer

Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Its validity for the English-speaking population has been established. Please circle only one number per question. The following enrollment criteria were applied: The original version of the OSA survey Annex 1 was translated by two bilingual physicians into Portuguese, translated back into English, so that then the final version in Portuguese were produced. Despite the significant prevalence of obstructive sleep apnea syndrome OSAS in children, the diagnosis and treatment of this condition is still challenging due to the difficulties inherent to objectively assessing the disease’s severity.

Standards and indications for cardiopulmonary sleep studies in children. Emotional symptoms items and daytime function items were the two areas with the lowest mean scores. Behavioral evaluation in children with obstructive sleep disorders. Services on Demand Journal.

Please circle only one number per question. Neurobehavioral implications of habitual snoring in children.

Pearson correlation coefficient with OSApv scores. Emotional problems and daytime function items were the areas with the lowest mean scores, although symptoms were often related to OSAS, according to the literature 11and interfered significantly with the quality of life of patients with OSAS. Results of parallel randomized and nonrandomized clinical trials.

Application of the Portuguese version of the Obstructive Sleep Apnea survey to children. The role of polysomnography in diagnosing and treating obstructive sleep apnea in pediatric patients. N Engl J Med.

The children also undergo complete physical examination, which includes ENT evaluation, an analysis of their development in terms of height and body weight, and cardiovascular examination.


The final version of the OSA Annex 2 was therefore applied to the first 51 caregivers of children meeting the enrollment criteria and diagnosed with OSAS. The OSA survey proved to be simple and quick to complete, and can be used in clinical or research settings.

Efficacy of tonsillectomy for recurrent throat infection in severely affected children.

The survey can be easily and quickly answered 7. Data was entered into a computer database developed specifically by the IT Department of the hospital.

Convergent validity is verified when the Pearson correlation coefficient is greater than 0. The questionnaires were completed by the caregivers of children with a physician present in the room as they visited the hospital. For quantitative variables, a correlation between each individual item and the total score of the OSA-pv was assessed using the Pearson correlation coefficient.

Demographic and clinical data sets age, gender, socioeconomic status according to Graffar 7level of education of caregivers, history of recurrent tonsillitis, Friedman 8 classification to evaluate the position of the tongue and the degree of tonsillar hypertrophy, adenoid hypertrophy assessment were reviewed in the statistical analysis. For each question below, please circle the number that best describes how often cirfulo symptom or problem has occurred during the past 4 weeks.

The most frequently reported symptoms in the OSApv survey were sleep disturbances itemsfollowed by physical symptoms itemsand caregiver concerns itemsas similarly reported by other authors 6.

OSAS is the main indication for tonsillectomy and adenoidectomy in children. N Engl J Med. July 26, ; Accepted: Some corrections were made considering the Portuguese socioeconomic and cultural context. On item ‘sleep disturbance’, the percentages of children who had a score of five or higher meaning the symptom was present at least ‘a good bit ciirculo the time’ were:

Back to top