Febbraio 2005 - Volume XXIV - numero 2
Pagine elettroniche
1ASL Napoli 1, UOMI Distretto 49
2Dipartimento di Pediatria, Università “Federico II”, Napoli
3ASL Napoli 1, UOAR Distretto 52
Indirizzo per corrispondenza: pisacane@unina.it
Key words: Disabled children, Parents’needs, Rehabilitation services
We have investigated some characteristics of health care provided to children with disabilities as well as the needs of their families in two health districts of Naples. The parents of 137 disabled children were interviewed. The mean age of patients was 8 years (SD 3.29). The main diagnoses were cerebral palsy, Down syndrome and mental retardation. Rehabilitation lasted for several years and was provided by private structures for over 90% of children. Thirty percent of the parents reported to have a limited knowledge of the disability of their children as well as to have received insufficient information about the objectives and the results of the therapy by the attending health team. Most children were attending school, mainly in the morning. Usually no car services were provided by town or school authorities. Architectural barriers were reported for 45% of the schools. The relationship with the teachers was defined satisfactory by 59% of the parents. When asked finally about the free time, only 10% of the parents reported that their children had usually spend their play-time and their holidays with other children.
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Pagine elettroniche
UOC Chirurgia Maxillo-Facciale, Ospedale S. Giovanni-Addolorata, Roma
Key words: Obstructive sleep apnoea syndrome, Mandibular advancement device, Rapid maxillary expansion
Obstructive Sleep Apnoea Syndrome (OSAS) is a breathing disturbance, characterised by breathing halts during sleep, which affects 1-3% of children. Therapy is different according to OSAS aetiology and it can consist of either medical or surgical therapy, treatment with CPAP or orthodontic-orthopaedic therapy. Orthodontic-orthopaedic therapy consists in using intraoral devices, such as Rapid Maxillary Expansion (RME) or mandibular advancement appliances. In this study the Authors describe two clinical cases of OSAS patients, one treated with RME and the other with mandibular advancement appliance. In both patients an improvement in nocturnal apnoeas and snoring was obtained, as confirmed by polysomnographic tests.
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