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Sleep apnea - Obstructive Sleep Apnea (OSA) in Children: Symptoms, diagnosis and treatment - Duration: 7:01.Sleep Apnoea in Children:Symptoms, diagnosis and importance of early treatment
What is Sleep Apnoea
pause and breathing for about 10 seconds that's what to sleep apnea is defined as
really it's an obstruction in the air flow to the lungs and hence the oxygen
supply to the brain so there's a pause and breathing for a few seconds but this
could be happening for lots of episodes of sleep apnea could be happening during
the nights during the child's sleep here so if it's happening a lot of times
that's a lot of oxygen deprivation to the brain and we know the brain cells
they die off that's true people think sleep apnoea only happens to fat
people that's not true it's there in children and I'm sure you
talked to some of the teachers and schools and they'll be able to tell you
this children that are they're not doing so well not able to pay attention may be
disruptive in the classes and when you look at those children then you often
just see that there are mouth breathing children they've read too many faces ask
a few more questions those moms will tell you those kids are all moving all
around the bed they're tired in the morning or as they're running around
with too much energy and they're tired later on and they they're not able to
pay attention and they don't do well in School
What are the early signs of sleep apnoea in children that parents need to look for?
teeth grinding the mouth open at night , recurrent infections, chesty coughs: you may notice your child's
bedwetting or they might be waking up with nightmares quite regularly that's
another indication because that's when the brain is really getting disturbed
because of the lack of oxygen and maybe they're not doing so well in school or
they're not able to pay attention but sleep apnoea is a big problem today and
it can be happening in your child and you may not know that
Should I be concerned if my child or somebody in my family snores?
it's not a normal thing to be happening really if patients are having disturbed
sleep or the snoring is an indicator that airflow may not be efficient to the
lungs and hence the oxygen supply again to the brain if the oxygen supply isn't
efficient then of course brain cells are going to be affected here and this has
been shown and the MRI scans now that their areas in the brain are actually
obliterated and especially memory cells
modern research now is telling us a little bit more that these children with
ADHD in fact it may be not really a disease but just more of a symptom of
breathing disorders at nighttime and their behavior has changed and of course
they're unlabeled as possibly on a spectrum when in fact
it might only be actually a sleep disorder they have their Airways were
developed as a younger age they may not have any problems and we are seeing that
as well. because when there isn't efficient oxygen supply to the brain the
brain is a very greedy organ it needs it so initially it's going to instruct the
cerebellum area to start you know let's get the heart rate going up and the
blood pressure will rise and the adrenal glands will start producing more
adrenaline we're starting to get more sugar supply the diabetes is another
factor that's that's going to be playing into any disturbance in and breathing at
nighttime so chronic illnesses then you know irritable bowel and Crohn's disease
other things have been mentioned we still can't prove everything here but
certainly all these patients that tend to have sleep apnoea are more prone to
stroke for instance snoring we know creates plaque buildup in the carotid
artery and these plaque buildups as you know can easily just fly off and
cause someone to have a stroke
when we see children with
their mouth open, the problem with mouth open is that
we're not getting the tongue up into the roof of the mouth to guide the face to
grow forwards so what happens then is the structure is growing in a negative
way the lower jaw is beginning to fall down and roll backwards we got to
realize we have to have enough room in their mouth for all the teeths that we
are designed to have which is 32 teeth later on we also need room for our
tongue and as soon as the face is growing downwards and backwards the
tongue doesn't have enough room in there later on so it's sitting further back in
the airway and as soon as it starts to sit further back in the airway it has a
negative effect an airflow into the lungs and the child may find that
they're struggling for air at night it may move around the bed at night they
possibly could have sleep apnea if the tongue is obstructing air flow at all
even for a few seconds our brain needs oxygen all the time if it's not getting
it there is going to be problems
so if we have a tube you know a breathing tube here in the throat this
is the collapsible part of the airway now it's slightly supported at the fact
that the whole front of it is collapsible and if you're not working
those muscles and there are many muscles that I'm talking about in this whole
area between the chin this hyoid bone and right down to the clavicle or the
collarbone and the breastbone or the sternum if you're not working those
muscles and they're all the ones we work in myofunctional therapy you're going to
end up with flaccid or flabby muscles and that's where you have your apneas
the super important thing about treating children early enough is that you can
guide a face to grow forward to get the jaws further forward improve the size of
the airway and as soon as the airway is bigger they're breathing better they're
sleeping better, they're standing better they're looking better
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Incredible Results After First ANF Treatment - Duration: 1:18.Hello JP thanks for coming back to ANF clinic at Marbella. Tell us how have you
been these days after the first session I don't know why but it is this one
literally now I was at my official therapy here in Melbourne for my
shoulder Mississippi desert have never been so loose in two years this whole
muscle so yeah that's amazing that yes would you recommend the therapy tha's
yes he fall friends family everyone and you can see him better from the first
day right in a few minutes yeah dry mouth is always water what's
bothering me my father is perfectly now you're gonna
continue with the segment to see what else is in there to do the next session
and still continue okay
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Factors determining the effectiveness of treatment with ATG following transplantation - Duration: 5:13.ATG is an antibody which was introduced more than 30 years ago and it was
introduced to prevent GvHD and to prevent rejection of the graft. It
has been used in various doses in various timings, in pediatrics, in adults,
and what I have presented yesterday— what my lab group has analyzed over the last
five/six years is that the dosing— or that the pharmacokinetics is very
variable between the various patients. So, we have analyzed the pharmacokinetic
profiles from about 500 patients, pediatric and adult patients, in an age
range between 0 and 70 years and what we found is that these pharmacokinetic
profiles were all over the place. By developing and validating a
pharmacokinetic model, we found out that below the weights of 40 kg, the two
predictors for the ATG clearance were weight and absolute lymphocyte
count, and above the weight of 40 kg, it was only absolute lymphocyte count. So,
dosing ATG in the older children and the adult population is probably not to do
by weights but to do by absolute lymphocyte count. And after having
developed this PK model, we were obviously interested in what is
the relation between the various exposures of ATG after transplantation
and the outcomes: survival, GvH, relapse, etc., and what we found that depending on
the setting of the transplant, myeloablative setting non-myeloablative
setting, there's an optimum of ATG exposure. For instance, in the myeloablative
setting, using marrow or unrelated cord blood, the best exposure after
transplantation needs to be very low, but this does not suggest that we should
not give ATG, because we also found out that giving ATG before or having a
certain exposure of ATG before transplantation related to lower
incidence of GvHD. So, there is a place for ATG, but give it early and give it
before the transplantation. And in the adult population using non-myeloablative
regimens, there needs to be a certain exposure of ATG after the
infusion of the cells. Those who were under-exposed, they had a higher incidence
of acute GvHD and higher non-relapse mortality and
those who were overexposed in this analysis, faced more relapse and
subsequently a lower survival. How can we target— how can we get to this optimal
exposure? Using this model, we have developed it's better to those the
patients based on absolute lymphocyte count and not based on weight because
the absolute lymphocyte count, that's the receptor load in the body and when you
have low receptors to be bound to, you will have a very slow ATG clearance,
and it's likely that you will be overexposed, but you have a high
absolute lymphocyte count, you have a lot of receptors circulating so the ATG will
bound and will be cleared much faster. So, that was more or less a summary of
what I spoke about yesterday and as a little add-on to this
presentation, I also showed in this presentation that's the
context where ATG is given is also very important so do you give the AT— do you
use for instance TBI or do you use a chemotherapy-based conditioning regimen,
this influences the absolute lymphocyte count. So, if you get first for instance
TBI, your absolute lymphocyte count will be lower. So, it's important to consider the
conditioning regimens, because this will influence the absolute lymphocyte count
on the day of the ATG dose.
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Tongue Tie Treatment - O'Connor Dental Health - Duration: 2:56.Dr. Tony O'Connor: The assessment , diagnosis and treatment of tongue tie
there's various types of tongue-tie, we identify for different grades and the
obvious ones most people as when the child can't get the tongue past their
lower lip and they're really tied down and most of these children would have
been picked up much earlier in hospital but we are seeing many more kids who
miss that and they're coming in with like what we'd call a grade two tongue
tie when we identify that we have to give instructions to the child and the
mother in how to get them to do exercises prior to doing a release
when we do the release with a laser were literally just melting that tight little
attachment under the tongue and allowing the tongue free and it's fairly simple
it only takes two or three minutes
yes there will be a little bit of discomfort following day usually do me
it varies everybody heals in different way so some people may have pain for one
or two days some people might have discomfort for over a week it's pretty
hard to judge that but they'll all get a big improvement as long as they maintain
the exercises for a couple of weeks well I think it's safer to use laser in my
hands it's safer I feel it minimizes bleeding and I find the healing
afterwards is quicker and while with the laser I can see the attachments and the
connective tissue attachments in a much more easier fashion than it would be
with with a scalpel or scissors
sometimes without us the the relief can be very quick a following day or even
sometimes in the following hour they're feeling better it's quite phenomenal the
relief that people get
they may be able to move their necks better they may be able to even walk
better they don't feel as much tension in their face and their head someone
will tell you that you know I've slept a lot better since I got my tongue tie
release actually the first lady I did she she did start doing your yoga
postures a lot better
well children won't report really anything significant
about their tongue they might tell you yes I can lick an ice cream much better
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Current landscape and future prospects for Hodgkin lymphoma treatment - Duration: 1:39.Well right now there are still two standards of care for first-line treatment
of Hodgkin lymphoma. That's ABVD and BEACOPP escalated, so the two competing
European regiments which are being used all over the world, and that's in my
hands a choice which is not only made by me but also by the patient based on
individual risk profiles and preferences and which toxicities are important for
you, for example the fertility, which is
reduced or destroyed by BEACOPP escalated might be an issue to some patients and
not to others. So that's a really a patient-centered approach. Then the novel
agents, which are the ones you're asking about, they are not really accessible yet
outside of clinical studies so I don't have to make that choice yet,
but hopefully and probably very soon we are going to get approval for one or
more of the novel agents in first-line. And we'll have to
wait and see what the clinical landscape will look like. Hopefully we will have
the option of including patients in more clinical studies to
come because certainly there are a few answers that have been given by the
studies already performed and the ones that are being performed now, but
even more questions are opening and left to be answered by clinical studies in
the future. So hopefully we will have more clinical studies answering, not only
can we or can we not use the novel agents but how should we use them? Should
we sequence? Should we give it in combination? And to what patients?
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Natural Herbs & Essential Oils For Asthma Treatment & Prevention Remedies - Duration: 8:02.Natural Home Remedies For Asthma.
Asthma is a chronic respiratory disorder that is responsible for the deaths of more than
250,000 persons every year.
While there are many corrective and remedial treatments for asthma including the use of
conventional medications, there are also non-conventional, natural treatment methods for the condition.
The following are some natural home remedies that can be employed in bringing quick relief
to asthma patients in the case of an asthma attack.
Eucalyptus oil.
This is an essential oil gotten from the leaves of the eucalyptus plant.
Eucalyptus oil can be used to effectively allay the breathing difficulty associated
with asthma attacks.
To do this, you will need to dribble some drops of the oil into boiling water and inhale
the aroma.
Doing this will make breathing less difficult again.
Lavender oil.
Lavender oil can also be used in reducing the symptoms of asthma.
The soothing effect of the oil helps to relax the airways while its anti-inflammatory properties
work to prevent inflammation.
This treatment method is similar as with eucalyptus oil.
add a few drops of lavender oil to a bowl of hot water and inhale for about 10 minutes.
You should do this at least once daily.
Eat foods rich in omega-3 fatty acids.
Foods such as salmon are good sources of healthy omega-3 fatty acids.
These acids have been positively linked with several diseases, including asthma.
So eating more foods containing these fats can help asthmatics in the long-run.
Ginger.
The medicinal benefits of ginger are so many that one begins to wonder whether there is
any condition that cannot be treated with the rhizome plant.
For the purpose of relieving asthma symptoms, a mixture of grated ginger with honey and
pomegranate should be consumed two or three times every day.
Garlic.
Like ginger like garlic.
This common kitchen ingredient has powerful medicinal properties that make it useful in
the treatment of many health conditions.
The anti-inflammatory effect of the herb comes into play in the treatment of asthma as it
can help in reducing the inflammation.
Figs.
Another amazing plant that can bring relief to asthmatics is the fig.
Dried fruits of the fig tree soaked in water and left over the night have potent effects
on the symptoms of asthma when eaten early the next day.
Use a humidifier.
A humidifier is any device that keeps the air in a room moist.
Wheezing, which is a common symptom of an asthma attack, can be more frequent in an
environment where the air is dry.
Keeping the air wet is a simple way of preventing and treating wheezing.
For even better results, adding some essential oil such as peppermint oil wouldn�t be a
bad idea.
Coffee.
The caffeine present in coffee is helpful in the treatment of asthma.
Drinking two or three cups of coffee during the day can help to clear nasal congestion,
thereby, making breathing less difficult.
Black tea.
Like coffee, caffeinated tea like black tea can also be beneficial in treating asthma.
Reports point to the fact that the caffeine in black tea helps to clear congested airways
as with theophylline � a conventional asthma medication.
The relief from this tea can last for up to four hours, making black tea a great emergency
remedy for an asthma attack.
Mustard oil.
Mustard oil is a common ingredient for soap-making.
Mixing this oil with camphor can be an effective treatment for asthma attacks.
Symptoms of asthma such as chest pain and wheezing can be reduced by massaging the chest
region with the mixture.
In addition, cold around the chest can also be rectified by warming the mustard oil before
mixing.
Turmeric.
Though research on the use of turmeric as an alternate treatment method for asthma is
limited, some reports suggest that the spice may be helpful in reducing some symptoms of
asthma like allergic reactions.
Steam bath.
Although there are no studies or clinical reports that assert the effectiveness of steam
baths in treating asthma, there are suggestions that they may have positive impact on the
symptoms of asthma.
Thus, this remedy should be taken with a �pinch of salt.�
Honey.
Honey has been linked with the treatment of respiratory conditions like cough, which is
also a symptom of asthma.
The sweet liquid can be mixed with other herbs like ginger to bring fast relief.
That said, there are no studies to confirm the use of honey as a natural treatment for
asthma, but there�s no harm in taking some spoonfuls of the natural sweetener.
Get rid of asthma triggers.
Exposure to allergens and air irritants can trigger an asthma attack within minutes.
Stressful physical activities can also exacerbate the condition.
Hence, it is important that such triggers and others should be avoided.
Raw onions.
Onion is a vegetable packed with so many antioxidants; unfortunately, many do not savor the vegetable
due to its acrid taste and smell.
Asthmatics can find relief to their condition using onions.
This is because onions possess anti-inflammatory properties that help to keep the swelling
at bay.
So adding some slices of raw onions atop your meal can help you.
Bishop�s weed (Khella).
Bishop�s weed, also known as �khella� in India, can be helpful in relieving the
symptoms of asthma in the case of an emergency.
This herb has anti-allergic and antispasmodic properties that help in preventing allergic
reactions and in dilating constricted airways respectively.
To use this herb, drip about 5 drops of its tincture in a cup of water and drink.
This should be done three times every day and also before bedtime.
Note, however, that the use of khella for asthma treatment is only recommended for preventative
purposes and not as a remedy.
Eat foods rich in carotenoids.
Carotenoids are antioxidants found in plants.
These chemical compounds can be found in foods and fruits such as carrots and tomatoes, as
they are responsible for their characteristic colors.
Beyond this, carotenoids are also important ingredients for the production of vitamin
A in the body.
Severe cases of asthma have been linked with a deficiency in vitamin A. So increasing your
intake of carotenoid-rich foods can help to reduce the risk of asthma attacks.
De-stress.
Although the direct relationship between stress and asthma attacks has not been established,
stress, however, plays a role in increasing the risk of such attacks.
Using natural stress relievers such as massage, yoga poses, and even chiropractic treatment
can help in controlling asthma.
Himalayan salt inhaler.
This is a natural treatment for asthma that involves the use of inhalers to absorb minute
salt particles which coat the tissues of the bronchioles, thus, reducing inflammation and
mucus production.
This type of inhaler is considered safe for everyone including children and should be
carried around for an emergency asthma attack.
Astralagus.
This herbal plant can be used for managing asthma attacks.
The herb works by strengthening the lungs and protecting the body from respiratory infections
which may otherwise trigger an asthma attack.
Cordyceps.
Like astralagus, cordyceps are also useful in managing asthma as they help in reducing
the production of mucus and in strengthening the lungs.
Lobelia.
Regarded as one of the most effective herbs for respiratory problems including asthma,
lobelia helps asthmatics by preventing spasms and in promoting the discharge of mucus from
the respiratory tract.
For More Research Based Home Remedies And Natural Health Tips, Subscribe To The Channel.
Follow Us On Facebook @naturalherbcures and Twitter @ naturalherbcure.
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Vaccines for the treatment of CMV in stem cell transplant recipients - Duration: 1:06.There was a CMV vaccine: the plasmid DNA vaccine, that was studied in a phase III
trial. Unfortunately, this trial did not meet
the primary endpoint. The primary endpoint was 1 year overall survival and
CMV disease so this plasmid DNA vaccine, developed by Astellas, did not meet that
primary endpoint compared to placebo. We only know the top line results so we yet
have to understand the significance of these findings and how to move forward.
There are a number of other vaccines that are in development. Probably the
most advanced is the City of Hope vaccine which is a vaccine geared
towards people with a specific HLA allele and also furthermore there are
other vaccines that are based on some viral vectors.
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