Objectives. Morbidity from asthma among children is one of the most important US health concerns. This study examines relationship baseline nonadherence to subsequent morbidity inner-city children. Methods. A multisite, prospective, longitudinal panel was conducted 1199 who were aged 4 9 years and had their caregivers, whom parents, in emergency departments clinics at 8 research centers 7 metropolitan areas. Nine indicators collected 3, 6, months after baseline, including hospitalizations,...

Objective. The inability to adhere a prescribed therapeutic program for the treatment of chronic disease may be responsible in part continued activity. This problem more an issue asthma, common, potentially lethal condition which lack symptoms interpreted as remission. Adherence was one key areas interest National Cooperative Inner-City Asthma Study. focus this study identify those issues reported by families that could adversely affect their adherence asthma care program. identification...

We compared the ability of definitions/symptoms asthma to identify urban, elementary schoolchildren with physician-diagnosed and bronchial hyperresponsiveness(BHR) post-exercise challenge. Definitions from literature were compared, including American Thoracic Society (ATS) British Medical Research Council (BMRC) definitions. Modified ATS had highest sensitivity (77%), whereas BMRC specificity (99%). The most sensitive symptom was “wheeze cold” (89%). specific symptoms “medication required,”...

Guerra S, Wright AL, Morgan WJ, Sherrill DL, Holberg CJ, Martinez FD. Am J Respir Crit Care Med. 2004;170:78–85To evaluate factors the may influence persistence or remission of childhood asthma after onset puberty.A subset birth cohort (n = 1246) enrolled in Tucson Children’s Respiratory Study between 1980 and 1984.The population underwent a series evaluations questionnaires at years 2, 3, 6, 8, 11, 13, 16. Questions regarding puberty appeared 13 were also asked about presence frequency...

Perzanowski, MS, Ronmark E, Platts-Mills TAE, Lundback B. Am J Respir Crit Care Med. 2002;166:696–702To determine what effect living with a cat or dog has on the development of allergy and asthma.This study was conducted in 3 towns close to Arctic circle Sweden. In 1996, first second grade students (ages 7–8 years) were invited participate. The number participants 3431. Families asked questions modeled after International Study Asthma Allergies Childhood (ISAAC) which definition asthma based...

Koopman LP, van Strien RT, Kerkhof M, et al. Am J Respir Crit Care Med. 2002;166:307–313To look at the effect of using house dust mite impermeable mattress covers on development respiratory symptoms, atopic eczema, and sensitization in children born to mothers with allergy.This study is a report from Prevention Incidence Asthma Mite Allergy (PIAMA) which has been conducted number European centers. There were total 1282 pregnant women who participated. These randomized intervention ([IS]; n =...

Todd GRG, Acerini CL, Ross-Russell R, Zahra S, Warner JT, McCance D. Arch Dis Child. 2001;87:457–461This is a report from national survey performed in the United Kingdom that looks at frequency of acute adrenal crisis associated with use inhaled corticosteroids (ICS).A questionnaire was sent to pediatricians and adult endocrinologists. The question asked as whether or not they had ever encountered cases thought be used treat asthma. Those who such an experience were subsequently contacted...

In this study, we assessed whether multisystem reactions to egg and extensively-heated (EH) during OFCs were associated with a history of reactions. Records children, who underwent OFC or EH over five-year period reviewed. Of the 120 challenges, 26 (21.67 %) failed, 38.4 % (10/26) having 13 had on initial presentation, only two (15.4 similar outcome. Eighty percent (8/10) those reaction less severe presentation. Initial not each other.

Massie J, Efron D, Cerritelli B, et al. Arch Dis Child. 2004;89:660–664To evaluate a systemic and coordinated approach to the development implementation of evidence-based asthma guidelines for pediatric hospital.This was comparative study conducted at Royal Children’s Hospital in Melbourne, Australia. There were 3 cohorts children evaluated between ages 2 18 years who presented with acute emergency department. Cohort 1 before guidelines, cohort recruited assess effectiveness guideline...

The cost of treatment for ragweed hay fever can vary considerably. newer classes antihistamines are purported to be effective and without major side effects, but they costly. This study compared the cost-effectiveness terfenadine chlorpheniramine/pseudoephedrine. We found that maximum use a low dose chlorpheniramine/pseudoephedrine was daytime sedation should considered when ragweed-induced allergic rhinitis is begun.

Celedon JC, Litonjua AA, Ryan L, Weiss ST, Gold DR. Am J Respir Crit Care Med. 2002;166:72–75To examine the association between frequency of use antibiotics in first year life and occurrence asthma, allergic rhinitis, eczema at 5 years. This was a prospective study that examined antibiotic development disease.The reports on 498 infants who had history allergy or asthma least 1 parent. At 2 months subsequently every until age 2, questionnaire given to primary caregiver. After second life,...

McDowell KM, Chatburn RL, Myers TR, O'Riordan MA, Kercsmar CMArch Pediatr Adolesc Med.1521998977984The purpose of this study was to show that the use an “Assessment-driven protocol” for those children admitted hospital status asthmaticus will result in improved health care outcomes at reduced costs.Children 1 18 years age were a ward where asthma algorithm (ACA) used. Control subjects different wards and managed according orders admitting physician. There no ACA forms or protocols followed...