Publications by authors named "R J Gemke"

Polysomnography, the gold-standard for measuring sleep, is costly, intrusive and usually limited to 1 night. Actigraphy offers a more affordable, less intrusive method over multiple nights. However, little research validates ActiGraph accelerometers against polysomnography, especially in children.

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  • Sleep is crucial for children's overall development, yet 20-30% experience sleep problems, which can often be improved with better sleep hygiene.* -
  • More serious sleep disorders like insomnia and sleep apnea can lead to long-term issues such as cognitive decline and increased risk of mental and physical health problems if not treated.* -
  • The paper emphasizes the importance of recognizing and managing these disturbances, recommending behavioral interventions and discussing other treatment options while considering future research to enhance children's sleep health.*
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  • - The study investigated fatigue levels in children aged 6 to 17 with severe asthma, finding they experience significantly higher fatigue than their peers, with around 28% classified as "fatigued" and 15.4% as "severely fatigued."
  • - Researchers utilized the Pediatric Quality of Life Inventory Multidimensional Fatigue Scale to measure fatigue and explored its relationship with asthma-related quality of life, symptom control, and other clinical factors.
  • - The findings highlight the importance of addressing fatigue in severe pediatric asthma as a key factor in treatment and overall patient well-being.
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  • Sleep is essential for mental and physical health, and its disturbances are linked to psychiatric disorders, particularly in anorexia nervosa (AN), where the connection is not well understood.
  • A systematic review analyzed 67 studies on sleep in patients with AN, revealing significant differences in sleep patterns compared to healthy controls, such as reduced total sleep time and efficiency, increased wake after sleep onset, and altered sleep stages.
  • The findings indicate that sleep issues in AN are significant, and simply restoring weight may not improve sleep quality, highlighting the need for treatment strategies that address these sleep disturbances.
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Although sleep is essential for (recovery of) health, it is adversely affected by hospitalization, due to disease discomfort, environmental noise, and care routines, causing reduced sleep and increased disturbances. This study evaluates factors affecting sleep quality and quantity in hospitalized children and compares inpatient sleep with sleep at home. Using an observational, prospective study design, we assessed sleep in hospitalized children aged 1-12 years, admitted to a tertiary center, and compared this with home 6-8 weeks after discharge.

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