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Treatment guidelines recommend that the physician counsel the parents, [10] warning about psychological consequences caused by pressure, shaming, or punishment for a condition children cannot control. [6] Bedwetting is the most common childhood complaint. [11] [12] [13]
Without treatment, the sleep deprivation and lack of oxygen caused by sleep apnea increases health risks such as cardiovascular disease, aortic disease (e.g. aortic aneurysm), [165] high blood pressure, [166] [167] stroke, [168] diabetes, clinical depression, [169] weight gain, obesity, [66] and even death.
It is estimated that in the U.S., the average untreated sleep apnea patient's annual health care costs $1,336 more than an individual without sleep apnea. This may cause $3.4 billion/year in additional medical costs. Whether medical cost savings occur with treatment of sleep apnea remains to be determined. [116]
The enuresis alarm methodology originated from French and German physicians in the first decade of the 20th century. Meinhard von Pfaundler, a German pediatrician made the discovery accidentally, with the original intention to create an alarm device that would notify nursing staff when a child had bed wetting and needed to be changed, showing the device to have a significant therapeutic ...
In order to be considered pathological, the ICSD-II requires that in the sleep-related rhythmic movements should “markedly interfere with normal sleep, cause significant impairment in daytime function, or result in self-inflicted bodily injury that requires medical treatment (or would result in injury if preventive measures were not used)”.
Central hypoventilation syndrome (CHS) is a sleep-related breathing disorder that causes ineffective breathing, apnea, or respiratory arrest during sleep (and during wakefulness in severe cases). CHS can either be congenital (CCHS) or acquired (ACHS) later in life.
[2] [3] The term enuresis is often used to refer to urinary incontinence primarily in children, such as nocturnal enuresis (bed wetting). [4] UI is an example of a stigmatized medical condition, which creates barriers to successful management and makes the problem worse. [5]
Plates vi & vii of the Edwin Smith Papyrus (around the 17th century BC), among the earliest medical guidelines. A medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare.
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