• Publications
  • Influence
Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American
TLDR
The task force made recommendations concerning recommended and alternative sensors for the detection of apnea and hypopnea to be used during diagnostic and positive airway pressure (PAP) titration polysomnography, and recommended scoring rules.
Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome
TLDR
Although OSAS improved postoperatively, the proportion of patients who had residual OSAS ranged from 13% to 29% in low-risk populations to 73% when obese children were included and stricter polysomnographic criteria were used, suggesting OSAS may improve after AT even in obese children, thus supporting surgery as a reasonable initial treatment.
Obstructive sleep apnea and the prefrontal cortex: towards a comprehensive model linking nocturnal upper airway obstruction to daytime cognitive and behavioral deficits
TLDR
A causal model by which to understand psychological effects among OSA patients is outlined, proposing that sleep disruption and blood gas abnormalities prevent sleep‐related restorative processes, and further induce chemical and structural central nervous system cellular injury.
Respiratory care of the patient with Duchenne muscular dystrophy: ATS consensus statement.
TLDR
This work presents a meta-analysis of consensus committee methodologies for Synthesizing Expert Consensus Evaluation and Anticipatory Guidance of the Patient with DMD onoutine Evaluation of Respiratory Function and End of Life Directives.
A randomized trial of adenotonsillectomy for childhood sleep apnea.
TLDR
Surgical treatment for the obstructive sleep apnea syndrome in school-age children did not significantly improve attention or executive function as measured by neuropsychological testing but did reduce symptoms and improve secondary outcomes of behavior, quality of life, and polysomnographic findings, thus providing evidence of beneficial effects of early adenotonsillectomy.
Sleep-disordered breathing and school performance in children.
  • D. Gozal
  • Medicine
    Pediatrics
  • 1 September 1998
TLDR
SAGEA is frequently present in poorly performing first-grade students in whom it adversely affects learning performance and the data suggest that a subset of children with behavioral and learning disabilities could have SAGEA and may benefit from prospective medical evaluation and treatment.
Behavioral and Anatomical Correlates of Chronic Episodic Hypoxia during Sleep in the Rat
TLDR
It is concluded that EHYP is associated with marked cellular changes over time within neural regions associated with cognitive functions and may underlie components of the learning and memory impairments found in OSA.
Adenotonsillectomy outcomes in treatment of obstructive sleep apnea in children: a multicenter retrospective study.
TLDR
AT leads to significant improvements in indices of sleep-disordered breathing in children, however, residual disease is present in a large proportion of children after AT, particularly among older (>7 yr) or obese children.
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