Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
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This study aimed to describe the professional practices in pediatric transfusion to assess the accuracy of transfusion guidelines in children. ⋯ Malignancies, intensive care, and surgery are the main indications for transfusion in children. Substantial discrepancy between recommendations and actual practices was observed. This illustrates the variability of risk evaluation. This should be made simpler by the use of photochemical pathogen inactivation techniques.
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Obstructive sleep apnea (OSA) is common in childhood obesity and is mainly due to adenoid and tonsillar hypertrophy. Surgical management with adenotonsillectomy will be the first line of treatment for obese children with OSA in addition to weight loss. In addition, recent data suggested that sleep deprivation in infancy may be associated with obesity later in life, probably due to hypothalamic dysregulation with modifications in hormones involved in food intake regulation. It confirms that it is crucial to evaluate sleep for all obese children with questionnaire in order to improve their management and their quality of life.