Kenneth J. Pituch

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STUDY OBJECTIVES Attention-deficit/hyperactivity disorder (ADHD) has shown associations with restless legs syndrome (RLS) and periodic leg movements during sleep (PLMS) among small samples of referred children, but whether RLS or PLMS are common more generally among hyperactive children has not been well studied. DESIGN Cross-sectional survey. SETTING(More)
OBJECTIVE Inattention and hyperactivity are frequent among children with sleep-disordered breathing (SDB) and often improve when SDB is treated. However, the frequency of SDB symptoms among inattentive and hyperactive children has received little study. DESIGN Cross-sectional survey. SETTING Two university-affiliated but community-based general(More)
Children with sleep disorders are often inattentive or hyperactive, and some carry a diagnosis of attention deficit/hyperactivity disorder (ADHD) until their sleep disorder is detected. However, the potential behavioral impact of undiagnosed sleep disorders is not known. We sought to determine whether children with higher levels of inattention and(More)
OBJECTIVE We assessed the frequency of childhood sleep problems at 2 general pediatric clinics. STUDY DESIGN Parents of 1038 unselected children (554 boys) aged 2.0 to 13.9 years completed a validated Pediatric Sleep Questionnaire while waiting for appointments. RESULTS Habitual snoring was reported in 176 (17%) of the children. Criterion scores(More)
OBJECTIVE To describe parent perspectives regarding the end-of-life experience of children with advanced heart disease. DESIGN Cross-sectional multicenter survey study of bereaved parents. SETTING Two tertiary care pediatric hospitals. SUBJECTS Parents of children younger than 21 years with primary cardiac diagnoses who died in the hospital 9 months(More)
OBJECTIVE Sleep disorders can cause substantial morbidity but often remain undiagnosed among adults. We identified a series of children with sleep-related symptoms and reviewed medical chart notes for the previous 2 years to determine how often sleep problems had been addressed. DESIGN Observational. Setting. Two university-affiliated but community-based(More)
In 2006, hospice and palliative medicine (HPM) became an officially recognized subspecialty. This designation helped initiate the Accreditation Council of Graduate Medical Education Outcomes Project in HPM. As part of this process, a group of expert clinician-educators in HPM defined the initial competency-based outcomes for HPM fellows (General HPM(More)
OBJECTIVE To identify factors in the pediatric intensive care unit (PICU) patient population that may result in increased risk of depressive symptoms in their parents. DESIGN Six-month, prospective, observational study in a tertiary-level PICU on parents of chronically ill children admitted to PICU. Parents were assessed by background questionnaire and(More)
In 2004, the Department of Obstetrics and Gynecology at the University of Michigan decided to stop offering routine circumcision for specialty and disciplinary, logistic, and educational reasons. The Pediatric Hospitalist Service assumed responsibility for the procedures and the educational process with resultant patient and staff satisfaction, educational,(More)
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