A Sea of Stars by Kate Maryon

By Kate Maryon

Ladies with very varied lives come jointly during this appealing and relocating tale of friendship and family members, through a tremendous new voice in girls’ fiction. Meet Maya. She has a comfortable, secure lifestyles along with her a little hippy ma and pa through the ocean in Cornwall. yet as an merely baby, Maya feels smothered by means of her parents’ love and longs to be a given extra freedom and independence; yet what Maya desires greater than whatever is a sister. Meet Cat. She’s by no means identified her dad and her mum’s an alcoholic and isn't in a position to taking care of herself, not to mention her eleven 12 months outdated daughter. Cat’s spent her lifestyles maintaining her mum and maintaining a few darkish secrets and techniques; all she desires is to be left by myself. yet Cat and Maya’s worlds collide whilst Cat is taken into care and Maya’s mom and dad make the life-changing choice to undertake her. Maya can’t wait to welcome Cat into the kinfolk and hopes that via having a sister, her mom and dad could discover ways to ‘chill out’ and provides Maya a section extra freedom. yet Cat is offended and green with envy and resists Maya’s makes an attempt at friendship and shortly Maya’s proposal of an ideal relatives is blown out of the water. As tensions upward push and secrets and techniques pop out, will the women ever turn into pals, not to mention sisters?

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They and others around them may perceive these as lapses in attention rather than actual periods of sleep. In short, signs and symptoms of narcolepsy include the following: ❚❚ ❚❚ ❚❚ ❚❚ ❚❚ excessive daytime sleepiness, even with sufficient sleep opportunity; falling asleep in school; cataplexy; hypnagogic hallucinations; and sleep paralysis. Narcolepsy occurs in approximately 25 to 50 per 100,000 people (Longstreth, Koepsell, Ton, Hendrickson, & van Belle, 2007). Although the disorder typically begins in adolescence, it is not usually identified until adulthood, often because of the subtle features that can be confused with attention lapses, poor motivation, or adolescent delayed sleep onset.

31 32 P e d i at r i c S l e e p P r o b l e m s common sleep disorders outside the scope of this book. As described below, children who present with signs and symptoms of obstructive sleep apnea (OSA), restless-legs syndrome (RLS), periodic limb movement disorder (PLMD), or narcolepsy should be referred to a sleep specialist or physician for a thorough examination and sleep evaluation. Once the medical issues are addressed, the behavioral strategies included in this book can be highly effective in improving children’s (and their parents’) sleep.

Common Pediatric Sleep Problems P 2 ediatric providers should be familiar with both medically based and behaviorally based sleep problems. Providers should know how to recognize signs of medical sleep disorders so that appropriate referrals can be made. Generally, medical sleep disorders should be treated first by the child’s primary care physician or sleep physician before implementing inter­ ventions for behavioral sleep disturbances. In this chapter, we review the more common medical sleep disorders in children, as well as the typical behaviorally based sleep disturbances for which treatments are described later in the book.

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