Simultane Polysomnographie mit Langzeit-pH-Metrie bei Kindern

Abstract

Zusammenfassung SummarySchlafbezogene Atmungssttirungen (SBAS) und eine gastro6sophageale Refluxkrankheit (GOR) sind bei Kindern nicht selten vergesellschaftet. Mit einer kompletten polysomnographischen Untersuchung im p~idiatrischen Schlaflabor sind AtmungsstOrungen sicher zu objektivieren, die Langzeit-pH-Metrie ist die Standardmethode zur Bestimmung saurer Refluxe. Da sich o.g. St6rungen oft gegenseitig beeinflussen, erscheint eine sichere Abkl~irung beider Entit~iten vor Einleitung einer komplexen Therapiefiihrung dringend indiziert. Mit simultaner Anwendung von Polysomnographie (PSG) und Langzeit-pH-Metile in einer Gerfitekonfiguration kann die Entscheidungsfindung fth" die .jeweilige Behandlungsstrategie verbessert und die Effektivit~it der Therapie langfristig iiberprtift werden.SchliisselwOrter Apnoesyndrome -Gastro6sophageale Refluxkrankheit -Kinder -Diagnostikmethoden -simultane Untersuchung -Indikationen.The parallel occurrence of sleep-related breathing disorders (SRBD) and gastroesophageal refluxes (GER) in childhood is not uncommon. As both entities often influence each other, optimal individual therapeutical strategy for patients with symptoms of both sleep apnea syndrome and gastroesophageal reflux disease may be difficult to determine. A complete polysomnography in the pediatric sleep laboratory allows secure detection of sleep-related breathing disorders. 24-hour pH monitoring is an established method for measurement of acid refluxes. Simultaneous application of both methods can help to improve treatment strategies and to controll the therapeutical effects.

ε′/ε and rare K and B decays in the MSSM

“…As ∆ρ susy is positive, it is tightly constrained. The analysis of [80], on the other hand, includes also the information relative to the restricted Higgs sector of the MSSM and leads to ∆ρ susy = −0.0004 +0.0017 −0.0013 at the 2σ level, which again shows no deviations from the SM. Another alternative formulation in terms of the parameter T ≈ α∆ρ leads to very similar results (0 < T susy < 0.2 at 95% CL [67,76]).…”

“…Another alternative formulation in terms of the parameter T ≈ α∆ρ leads to very similar results (0 < T susy < 0.2 at 95% CL [67,76]). We will therefore require ∆qρ (0) < 1.5 × 10 −3 , which appears to be a conservative bound, also taking into account that QCD effects tend to enhance significantly the squark contributions to ∆ρ [81], and that present data improve on the 1998 results employed in [79,80], especially on M W .…”

Singlet Higgs phenomenology and the electroweak phase transition

“…To carry out this fit, we have employed the GAPP program [35] that has been used in arriving at the best-fit values in the RPP, but using the value of the top quark mass m t = 170.9 ± 1.8 given in Ref. [36].…”

Fundamental parameters from precision tests

“…Both, p(M H ) and p non−inf (M H ), are improper (not integrable) distributions, but the likelihood, p(data|M H ), constructed from the precision measurements assures a proper posterior. [9] for the Higgs boson mass. The probability is shown for bin sizes of 1 GeV.…”