- Cystic Fibrosis Research Advances
- Neonatal Respiratory Health Research
- Congenital Diaphragmatic Hernia Studies
- Respiratory viral infections research
- Pneumonia and Respiratory Infections
- Homelessness and Social Issues
- Child Nutrition and Feeding Issues
- Child and Adolescent Health
- Tracheal and airway disorders
- Viral gastroenteritis research and epidemiology
- Pleural and Pulmonary Diseases
- Respiratory Support and Mechanisms
- Geriatric Care and Nursing Homes
- Housing, Finance, and Neoliberalism
- Neuroscience of respiration and sleep
- Asthma and respiratory diseases
- Restraint-Related Deaths
- Respiratory and Cough-Related Research
- Palliative Care and End-of-Life Issues
- Breastfeeding Practices and Influences
- Child Nutrition and Water Access
- Transplantation: Methods and Outcomes
- Ultrasound in Clinical Applications
- Sinusitis and nasal conditions
- Child Abuse and Trauma
University of Washington
2022-2025
Harborview Medical Center
2020-2024
University of Florida
2019
New York Medical College
2017
Westchester Medical Center
2017
Case Western Reserve University
2015
University School
2015
University of Miami
2007-2011
Children’s Institute
2008
University of California, San Diego
1995-2003
This guideline is a revision of the clinical practice guideline, “Diagnosis and Management Bronchiolitis,” published by American Academy Pediatrics in 2006. The applies to children from 1 through 23 months age. Other exclusions are noted. Each key action statement indicates level evidence, benefit-harm relationship, recommendation. Key statements as follows:
Bronchiolitis is a disorder most commonly caused in infants by viral lower respiratory tract infection. It the common infection this age group. characterized acute inflammation, edema, and necrosis of epithelial cells lining small airways, increased mucus production, bronchospasm. The American Academy Pediatrics convened committee composed primary care physicians specialists fields pulmonology, infectious disease, emergency medicine, epidemiology, medical informatics. partnered with Agency...
This Policy Statement was reaffirmed February 2019. Palivizumab licensed in June 1998 by the Food and Drug Administration for reduction of serious lower respiratory tract infection caused syncytial virus (RSV) children at increased risk severe disease. Since that time, American Academy Pediatrics has updated its guidance use palivizumab 4 times as additional data became available to provide a better understanding infants young greatest hospitalization attributable RSV infection. The...
Guidance from the American Academy of Pediatrics (AAP) for use palivizumab prophylaxis against respiratory syncytial virus (RSV) was first published in a policy statement 1998. initially based on result single randomized, placebo-controlled clinical trial conducted 1996-1997 describing an overall reduction RSV hospitalization rate 10.6% among placebo recipients to 4.8% children who received prophylaxis. The results second with hemodynamically significant heart disease were 2003 and revealed...
<i>Background/Aims:</i> The treatment of frontotemporal dementia (FTD) has been mainly symptomatic. Small randomized or open-label case control studies neurotransmitters have inconclusive. We tried galantamine in the 2 most common varieties FTD. <i>Method:</i> Thirty-six behavioral variety FTD and primary progressive aphasia (PPA) patients were treated an period 18 weeks a randomized, placebo-controlled phase for 8 with galantamine. efficacy measures Frontal...
Cystic fibrosis (CF) is a complex illness characterized by chronic lung infection leading to deterioration in function and respiratory failure over 85% of patients. An understanding the risk factors for that progression interaction these with current therapeutic strategies should materially improve prevention this progressive disease. The Epidemiologic Study Fibrosis (ESCF) was therefore designed as multicenter, longitudinal, observational study prospectively collect detailed clinical,...
Chronic rhinosinusitis is extremely common in patients with cystic fibrosis. It causes numerous problems these and can put them at risk for life-threatening illness. Potential include nasal obstruction, congestion, sinus pain pressure, infection (usually Pseudomonas organisms), hyposmia or anosmia, the seeding of bacteria into lower respiratory tract. Cystic fibrosis chronically infected sinuses are increased pneumonia following lung transplantation. A prophylactic protocol has been...
Twenty-four preterm infants with respiratory failure from severe hyaline membrane disease (HMD) received mechanical ventilation at high frequencies. The average birthweight of the was 1244 ± 301 g, and 7 babies weighed less than 1000 g. gestational age 30 2 weeks, 6 were born 28 weeks or less. method included (1) frequencies 60–110/min, sometimes brief manual more rapid rates, (2) peak inflation pressures (PIP) 35 cm H2O, (3) inspiratory durations 0.15–0.25 sec, (4) positive end-expiratory...
Changes in calorie intake and weight gain were evaluated five children with cystic fibrosis (CF) who received behavioral intervention four CF served as wait list controls. The was a 6-week group treatment that provided nutritional education plus management strategies aimed at mealtime behaviors parents find most problematic. control identified prospectively on all dependent measures the same points time pre- posttreatment group. Difference scores from to compared between groups using t tests...
To investigate calorie intake, behavioral eating styles, and parent perception of behavior school-age children with cystic fibrosis (CF) compared healthy peers.A two-group comparison study.A clinical sample 28 CF a community peers matched for age (6 to 12 years) socioeconomic status.The consumed more calories per day (2175 cal/d) than the control (1875 achieved significantly higher recommended daily allowance (RDA) energy (128% RDA) (91.61% RDA). Fifty-four percent were achieving dietary...
Abstract Objective To examine how asthma control is related to the association between division of responsibility for management and asthma-related quality life among early adolescents. Methods Forty-nine youth aged 10–15 years (Mage = 12.25, 57.1% female) with a physician-verified diagnosis completed Standardized Pediatric Asthma Quality Life Questionnaire (PAQLQ) Control Test (ACT). Youth their caregivers also Responsibility (ARQ). Higher ACT scores indicate better control. Results There...
<i>Both the recorded prevalence of moral distress among health and social service professionals (HSSPs) as well needs an increasingly older homeless population warrants further examination how HSSPs experience navigate when working with patients concurrently facing serious illness homelessness. Through I-poems iterative thematic analysis 30 interviews, this study identified: (1) expectations versus reality, in which contrasted advertised duties actual tasks; (2) helplessness care...
The authors sent questionnaires to 127 apnea monitoring programs asking whether they had treated patients whose appeared have been induced by a parent (Munchausen syndrome proxy-apnea, or MBPA). Fifty-one (40%) reported 54 cases of this kind from among their 20,090 monitored (0.27%). obtained further information on 32 these patients, 83% whom presented with infantile before the third month life. Although medical problems were documented, including apnea, clinical condition infants was...
Abstract Background Successful management of a complex disease, such as cystic fibrosis (CF), requires support from family and friends; however, few studies have examined social in adolescents with CF. Methods Twenty‐four were interviewed about the they receive friends. Interviews transcribed, coded analysed to determine types, frequency perceived supportiveness specific behaviours. Results Both friends provided treatment‐related Family more tangible relational support. Adolescents also...
ABSTRACT Investigators participating in the Epidemiologic Study of Cystic Fibrosis project began to collect microbiological, pulmonary, and nutritional data on cystic fibrosis (CF) patients at 180 North American sites 1994. Part this study was a survey undertaken August 1995 determine microbiology laboratory practices with regard pulmonary specimens from CF patients. The included section test ordering, completed by site clinician, performance reporting, each site’s clinical staff....
Selectional preferences have a long history in both generative and computational linguistics. However, since the publication of Resnik's dissertation 1993, new approach has surfaced linguistics community. This line research combines knowledge represented pre-defined semantic class hierarchy with statistical tools including information theory, modeling, Bayesian inference. These are used to learn selectional from examples corpus. Instead simple sets classes, viewed as probability...
Florida experiences year-round outbreaks of respiratory syncytial virus (RSV), but it is unknown if there a correlation between RSV virology data and disease-related hospitalizations. We analyzed surveillance hospitalization for the state to determine an association seasonal incidence International Classification Diseases, 9th revision, clinical modification (ICD-9-CM) coded hospitalizations lower tract illness.We conducted retrospective analysis each 5 regions 4 years (2001-2004) monthly...
Southeast Florida generally experiences longer seasonal epidemics of respiratory syncytial virus (RSV) than other parts the country. In this report, primary objective was to more accurately define onset, peak, and duration RSV season in Florida. The results obtained for region were also compared with those reported state nation. Seasonal patterns analyzed based on total number tests performed, positive tests, percent children presenting bronchiolitis 3 emergency departments from January 2003...