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1

J, Epstein Charles, Nadel Lynn, and National Down Syndrome Society (U.S.), eds. Down syndrome and Alzheimer disease: Proceedings of the National Down Syndrome Society Conference on Down Syndrome and Alzheimer Disease, held in New York, January 16 and 17, 1992. New York: Wiley-Liss, 1992.

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2

1944-, Patterson David, and Epstein Charles J, eds. Molecular genetics of chromosome 21 and Down syndrome: Proceedings of the Sixth Annual National Down Syndrome Society Symposium, held in New York, NY, December 7-8, 1989. New York: Wiley-Liss, 1990.

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3

Tocci, Salvatore. Down syndrome. New York: Franklin Watts, 2000.

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4

Down syndrome. New York: Chelsea House, 2008.

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5

Down syndrome. New York: Cavendish Square Publishing, 2016.

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6

Parks, Peggy J. Down syndrome. San Diego: ReferencePoint Press, 2008.

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7

Down syndrome. New York: Rosen Pub. Group, 2007.

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8

Burns, Yvonne, and Pat Gunn, eds. Down Syndrome. Boston, MA: Springer US, 1993. http://dx.doi.org/10.1007/978-1-4899-7240-8.

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9

Cohen, William I., Lynn Nadel, and Myra E. Madnick, eds. Down Syndrome. New York, USA: John Wiley & Sons, Inc., 2002. http://dx.doi.org/10.1002/0471227579.

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10

Down syndrome. Mankato, MN: Amicus Publishing, 2015.

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11

Royston, Angela. Explaining down syndrome. Mankato, Minn: Smart Apple Media, 2010.

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12

Unruh, John F. Down syndrome: Successful parenting of children with Down syndrome. Eugene, Or: Fern Ridge Press, 1994.

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13

I have Down syndrome. New York, NY: Gareth Stevens Pub., 2011.

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14

Bryan, Jenny. Living with Down syndrome. Austin,Tex: Raintree Steck-Vaughn, 1999.

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15

Down syndrome: The facts. Oxford: Oxford University Press, 1990.

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16

Down syndrome: The facts. 3rd ed. Oxford: Oxford University Press, 2008.

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17

Buckley, Sue. Living with Down Syndrome. Southsea: Down Syndrome Educational Trust, 2002.

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18

Selikowitz, Mark. Down syndrome: The facts. 2nd ed. Oxford: Oxford University Press, 1997.

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19

M, Strode Robin, ed. The source for down syndrome. East Moline, IL: LinguiSystems, 1999.

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20

Let's talk about Down syndrome. New York: PowerKids Press, 1999.

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21

Center on Aging with Mental Retardation. Alzheimer's disease and Down Syndrome. S.l: s.n, 1995.

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22

M, Strode Robin, ed. For parents & professionals: Down syndrome. East Moline, IL: LinguiSystems, 2000.

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23

Tourville, Amanda Doering. My friend has down syndrome. Minneapolis, Minn: Picture Window Books, 2010.

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24

Lubec, G., ed. Advances in Down Syndrome Research. Vienna: Springer Vienna, 2003. http://dx.doi.org/10.1007/978-3-7091-6721-2.

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25

Rondal, Jean-Adolphe, Juan Perera, and Donna Spiker, eds. Neurocognitive Rehabilitation of Down Syndrome. Cambridge: Cambridge University Press, 2009. http://dx.doi.org/10.1017/cbo9780511919299.

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26

Tourville, Amanda Doering. My friend has down syndrome. Minneapolis, Minn: Picture Window Books, 2010.

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27

Royston, Angela. Down Syndrome. Heinemann Library, 2005.

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28

Garcia, Ann. Down Syndrome. Baker Hill Pub, 1995.

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29

Buckley, Susan. Down Syndrome. Blackwell Publishers, 2005.

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30

Dey, Subrata, ed. Down Syndrome. InTech, 2013. http://dx.doi.org/10.5772/46009.

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31

Capone, George T. Down Syndrome. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199937837.003.0056.

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People with Down syndrome (trisomy 21) are distinguished by having an extra copy of chromosome 21. Chromosome 21 contains an estimated 562 genes, including 161 known to code for functional proteins, and at least 396 considered novel. Gene dosage imbalance is the primary mechanism, which results in the molecular, cellular, histological, and anatomical features characteristic of the condition. Throughout brain development, major neurobiological events go awry, resulting in a differently organized brain and characteristic developmental delays noted during infancy and the preschool years. The consequences of gene dosage imbalance continue to have repercussions on neurobiological function throughout childhood and adult life.
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32

Lin, Erica P., and James P. Spaeth. Down Syndrome. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0062.

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Trisomy 21, or Down syndrome, is the most common human chromosomal syndrome, with an overall incidence of 1:700 live births. Because of its association with other congenital anomalies, children with this syndrome often present for surgical procedures that require general anesthesia. Anesthesiologists caring for these patients must be familiar with the implications of Down syndrome on perioperative care.
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33

Lin, Erica P., James P. Spaeth, and Melanie Handley. Down Syndrome. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0057.

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The majority of children with Down syndrome are friendly and separate from parents easily. The presence of comorbidities should be the area of focus for the anesthesiologist. Cardiac anomalies are commonly present, and the most common of these is common atrioventricular canal. Not all patients present with cardiac disease though, and some may present with gastrointestinal anomalies. These children also exhibit sensitivity to inhalational anesthetics resulting in bradycardia during inhalation induction. They tend to have very narrow auditory canals, making myringotomy challenging and resulting in relatively longer anesthetics for ear tube placement. Careful attention should be paid to positioning of the neck during instrumentation of the airway as well due to possible instability of the cervical spine.
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34

Down Syndrome. New York: John Wiley & Sons, Ltd., 2006.

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35

National Institute of Health (U.S.), ed. Down Syndrome. Bethesda, Md: National Institutes of Health, 1990.

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36

Living with Down Syndrome (Down Syndrome Issues & Information). Down Syndrome Educational Trust, 2000.

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37

Kaposy, Chris. Choosing Down Syndrome. The MIT Press, 2018. http://dx.doi.org/10.7551/mitpress/11556.001.0001.

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38

Buckley, Susan, and Gillian Bird. Education for Individuals with Down Syndrome (Down Syndrome Issues & Information). Down Syndrome Educational Trust, 2000.

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39

Brown, Roy. Life for Adults with Down Syndrome (Down Syndrome Issues & Information). Down Syndrome Educational Trust, 2004.

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40

Jackson, Robin. Advocacy for Adults with Down Syndrome (Down Syndrome Issues & Information). Down Syndrome Educational Trust, 2004.

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41

Brandt, Caroline. He Has Up Syndrome Not Down Syndrome. PublishAmerica, 2005.

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42

Adults With Down Syndrome. Brookes Publishing Company, 2006.

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43

A, Rondal J., and Perera Juan, eds. Down syndrome: Neurobehavioral specificity. Chichester, England: Wiley, 2006.

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44

Valentine, Dmitriev, and Oelwein Patricia L, eds. Advances in Down syndrome. Seattle: Special Child Publications, 1988.

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45

International Symposium on Trisomy 21 (1989 : Rome, Italy), ed. Trisomy 21 (Down syndrome). New York: Wiley-Liss, 1990.

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46

Brill, Marlene Targ. Down Syndrome (Health Aleart). Benchmark Books (NY), 2006.

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47

Down Syndrome (Venture Book). Franklin Watts, 2000.

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48

Pueschel, Siegfried. Overview of Down Syndrome. Assn for Retarded Citizens Mi, 1986.

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49

Cicchetti, Dante, and Marjorie Beeghly, eds. Children with Down Syndrome. Cambridge University Press, 1990. http://dx.doi.org/10.1017/cbo9780511581786.

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50

Down syndrome: The facts. Oxford: Oxford University Press, 1997.

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