52 research outputs found

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    Prevalence and predictors of obstructive sleep apnea in young children with Down syndrome

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    BackgroundChildren with Down syndrome (DS) are vulnerable to obstructive sleep apnoea (OSA) because of their unique craniofacial anatomy and hypotonia. Understanding the predictors of OSA in DS may enable targeted screening.MethodsChildren with DS (n = 202) aged from six months to below six years (110 boys) were recruited from three UK children's hospitals. The clinical assessment included height, weight and tonsillar size. The parents either set up cardiorespiratory polygraphy at home or chose laboratory studies. Studies with less than four hours of interpretable data were repeated where possible. American Academy of Sleep Medicine (AASM) 2012 scoring criteria were used to derive an obstructive apnoea/hypopnoea index (OAHI). Predictors of moderate to severe OSA were examined.ResultsIn total, 188/202 (93%) participants were successfully studied. Of these, 169 studies were completed at home and 19 in a sleep laboratory. Moderate to severe OSA, defined by an OAHI of &gt;5/h, was found in 14% and mild to moderate OSA (1/h≥OAHI &lt;5/h) was found in 59% of the children. Male gender and habitual snoring predicted OSA but did not have independent predictive power in the presence of the other factors. Age in months, body mass index (BMI) centile and tonsillar size did not predict OSA.ConclusionsModerate to severe OSA is common in very young children with DS. Examination of tonsillar size did not predict OSA severity. Population-based screening for OSA is recommended in these children, and domiciliary cardiorespiratory polygraphy is an acceptable screening approach. Further research is required to understand the natural history, associated morbidity, optimal screening methodology and treatment modality for OSA in these children.</p

    Pollen Composition Significantly Impacts the Development and Survival of the Native Small Carpenter Bee, Ceratina Calcarata

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    As native bee populations decrease, there is a need to better understand their nutritional requirements to sustain healthy pollinator populations. A common native bee to eastern North America is the small carpenter bee, Ceratina calcarata. Previous studies have shown that the primary pollen sources for C. calcarata consist of clover and rose. • The aim of this study is to compare the effects of diet composition on body size, development and survival. Artificial pollen diets were created using five different ratios of commercially available clover and rose pollen. • Diets containing higher ratios of clover pollen produced larger individuals with increased survival rates and faster development times. To examine this further, the macronutrient profiles of clover and rose pollen were characterised comparing: protein, sugar, fatty acid, and amino acid content. Results indicated that rose pollen contained significantly higher protein and sugar content, while clover pollen had higher concentrations of essential amino acids. These are crucial to bee health and development, which helps to explain the increased survivorship observed on high clover diet treatments. • Taken together, these results show that clover pollen provides a higher quality diet for larval development and survival of the native small carpenter bee. This research indicates that diet has a significant effect on the health of the native pollinator community and more research is needed to further explore the balance between pollen quality and availability, including essential macronutrients and the availability of these floral sources for wild bees
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