Publications by authors named "John Pascoe"

Article Synopsis
  • - The study focused on evaluating the effectiveness of standard treatments for sleep-disordered breathing (SDB) in children with myelomeningocele (MMC), a type of spina bifida, as existing data on their longitudinal care is limited.
  • - Researchers analyzed medical records from three spina bifida clinics, examining the changes in apnea-hypopnea index (AHI) for 71 patients who underwent treatment, finding a significant reduction in AHI post-treatment.
  • - Results showed that a majority of children improved after treatment, particularly those receiving supplemental oxygen or continuous positive airway pressure, while those treated with adenotonsillectomy had lower rates of improvement.
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Cerebral palsy Foreword.

Curr Probl Pediatr Adolesc Health Care

November 2024

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Sleep disordered breathing (SDB) is prevalent among children with neuromuscular disorders (NMD). The combination of respiratory muscle weakness, altered drive, and chest wall distortion due to scoliosis make sleep a stressful state in this population. Symptomatology can range from absent to snoring, nocturnal awakenings, morning headaches, and excessive daytime sleepiness.

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Overactive bladder (OAB) syndrome is a common condition characterised by urinary urgency, with or without urgency incontinence, frequency and nocturia, in the absence of any other pathology. Clinical diagnosis is based upon patient self-reported symptomology. Currently there is a plethora of treatments available for the management of OAB.

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A wide variety of minimally invasive surgical techniques are now being offered for treating voiding lower urinary tract symptoms (LUTS) secondary to benign prostatic obstruction (BPO). These options offer an alternative to both medical therapy and traditional surgical options. Minimally invasive surgical treatments in LUTS/BPO boast both day case and local anaesthetic options, with a potentially reduced side effect profile compared to traditional surgical interventions matching the needs for a range of patients.

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Sleep-disordered breathing (SDB) is common in Chiari Malformation (CM) and Spina Bifida (SB) and can lead to adverse consequences if untreated. Therefore, screening is very important but the Pediatric Sleep Questionnaire (PSQ) has not been validated in this population. Further, there is limited data on the validity of this tool in children with central nervous system malformations.

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The relationship between children's caregivers and pediatricians is both complex and critical to the well-being of patients. A strong partnership has been shown to improve children's health outcomes 1. Patient and family engagement has been defined as patients, families/guardians, and health care professionals working together in an active partnership to improve patients' health outcomes 1.

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Objectives: Parent distress and child sleep problems have been associated in earlier research. The present study expands on past research on parent depressive symptoms and their child's sleep. This study examines the relation between parents who screen positive for depressive symptoms and their perception of their child's sleep.

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Objective: This study explores parents' perceptions of their child's health status and their strengths and difficulties using 2 validated instruments in primary care settings.

Methods: This cross-sectional study was conducted between February 2018 and October 2019. Parents of children aged 2 to 18 years completed the Children with Special Health Care Needs (CSHCN) screener and the Strengths and Difficulties Questionnaire (SDQ) as well as demographics.

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Paratesticular tumours are tumours arising from within the scrotum not of testicular origin. They may originate from the epididymis, spermatic cord, tunica vaginalis and other supporting structures. Preoperative diagnosis can be difficult as benign and malignant cases are often indistinguishable and may be confused with other benign or malignant pathology (testicular tumours or hernias).

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Objective: To determine the prevalence and correlates of children's underinsurance pre- and post-implementation of the Affordable Care Act (ACA).

Study Design: A cross-sectional survey of a convenience sample of 5043 parents of children greater than 6 months old who had health insurance in the previous 12 months. Respondents completed the Medical Expenses for Children Survey.

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