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PRACTICE GUIDELINES
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NGC is the National Guideline Clearinghouse.
Documents Development and Implementation Committee
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Work-exacerbated asthma ( CP), Paul Henneberger ( pkh0@cdc.gov), 3. Pediatric sleep disorders ( SRN), Ann Halbower ( halbower.ann@tchden.org), 4. ... 3rd Jack Pepys workshop on workplace asthma ( CP) Susan Tarlo ( susan.tarlo@utoronto.ca) 3.
www.naspghan.org/user-assets/Documents/pdf/CDHNF%20Old%20Site/Reflux%20and%20GERD%20Medical%20Professional%20Resources/GastroRefluxDisease_PediatricPopulation.pdf
www.naspghan.org -
Gastroesophageal Reflux Disease in the Pediatric Population A summary of two key 2009 publications which provide important guidance for the physician in regard to the diagnosis and management of gastroesophageal reflux ... disease in the pediatric

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JOURNAL SCAN
Observations on Power-Line Magnetic Fields Associated With Asthma in Children--Reply [The Pediatric Forum]
archpedi.ama-assn.org - 1/2/12
Using Reminder/Recall Systems to Improve Influenza Immunization Rates in Children With Asthma
www.jpedhc.org - 2/10/12
Abstract: Introduction: Asthma is a major public health concern in the U.S. pediatric population. Children with asthma tend to fare worse when they acquire respiratory illnesses such as influenza, requiring more episodic office visits and hospitalizations than do healthy children with the same illnesses. Despite the American Academy of Pediatrics recommendation that children with chronic diseases be immunized for seasonal influenza annually, influenza immunization rates in this population peaks at < 30%.
Observations on Power-Line Magnetic Fields Associated With Asthma in Children [The Pediatric Forum]
archpedi.ama-assn.org - 1/2/12
Obesity-associated asthma in children- a distinct entity
chestjournal.chestpubs.org - 10/6/11
AbstractBackground:Obesity-associated asthma has been proposed to be a distinct entity, differing in immune pathogenesis from atopic asthma. Both obesity-mediated inflammation and increase in adiposity are potential mechanistic factors that are poorly defined among children. We hypothesize that pediatric obesity-associated asthma will be characterized by T helper 1(Th1), rather than the Th2 polarization associated with atopic asthma. Moreover, we speculate that Th1 biomarkers and anthropometric measures w
Exposure to Magnetic Fields During Pregnancy and Asthma in Offspring [The Pediatric Forum]
archpedi.ama-assn.org - 1/2/12

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Asthma

  • Infant and Toddler With History of Cough

    A 6-month-old boy has a 1-week history of dry cough that worsens at night. He has been wheezing intermittently for the past month. A 2-year-old girl has had severe nighttime cough, congestion, and fever for 2 days. She recently recovered from a respiratory illness of 1 month's duration. Chest radiographs of both patients are shown… Read More

  • Is Your Room an Asthma "Nightmare"?

    If your bedroom or other rooms in your home look a lot like the one here, you may be living in an asthma "nightmare"—an environment full of potential causes of asthma attacks. Many people with asthma have allergies that make their asthma worse… Read More

  • Exercise and Asthma: Guidelines From the NIH

    Patients with asthma may be reluctant to exercise for fear of triggering an attack. You can reassure them that adequate control can allow them to participate in almost any physical activity they wish. Recommendations from the NIH offer guidance on prevention of exercise-induced bronchospasm… Read More

  • Asthma Control in Children Younger Than 5 Years

    In the United States, asthma affects approximately 1.4 million children younger than 5 years and causes frequent activity limitations and hospitalizations. Unfortunately, a substantial number of children in this age-group have suboptimal asthma control, demonstrated by the higher rates of ER visits and hospitalizations in preschool-aged children than in older children … Read More

 
 
LATEST FEATURES
March 14, 2012
Home Remedies for Bronchitis: Maybe Your Mother Was Right?
Here are some home treatments I have recommended for children with persistent cough due to bronchitis. More »
February 17, 2012
Update on Pediatric Pneumonia: Causes—Treatment Options
Here we summarize the evaluation of pediatric pneumonia and offer our management recommendations—based on a... More »
February 16, 2012
Wood Smoke, Indoor Air, and Asthma
In many parts of the country—and for people of all ages—a turn of the calendar to the winter months means more time spent indoors. For patients with asthma, however, an evening spent in front of a crackling fire may simply serve as a trigger for an attack. More »
January 12, 2012
How to Interpret Office Spirometry (Part I): 5 Criteria for Interpreting Flow-Volume Curves
Regular measurement of lung function using spirometry ensures successful asthma management—even in children.... More »
January 10, 2012
Podcast: Controller Use in Children With Asthma
Here to discuss her observations about controller medication use and sleep problems in children with asthma is... More »
January 6, 2012
Radiology Quiz: Bronchiolitis? Pneumonia? Croup? Epiglottitis?
A 27-month-old girl is brought in for evaluation of hoarseness. She was born at 27 weeks' gestation, and spent... More »
January 6, 2012
Are Children with Asthma and a Single Parent at Greater Risk for Emergency Care?
Children with asthma living in single-parent homes were found 50% more likely to return to the hospital within... More »
January 5, 2012
History of Cough in an Infant and a Toddler
A 6-month-old boy with 1-week history of dry cough that worsened at night. He had been wheezing off and on for the past month and had visited the emergency department on one... More »
December 2, 2011
Podcast: 5 Myths About Office-Based Spirometry—and Why You Really Do Need This Essential Tool
In this podcast, Dr John Kelso dispels myths and makes a case for office-based spirometry for pediatricians. ... More »
November 21, 2011
Controlling Nocturnal Asthma: Rx for Quality of Life
For some people with asthma, daytime sleepiness may be the only clue to an overnight attack. Others, however,... More »
Showing 1 - 10 of 93 results.
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MULTIMEDIA

Podcast: 5 Myths About Office-Based Spirometry—and Why You Really Do Need This Essential Tool
December 2, 2011

In this podcast, Dr John Kelso dispels myths and makes a case for office-based spirometry for pediatricians.

Video: Conducting Spirometry in Children
October 19, 2011

Prof. Dominic Fitzgerald, a pediatric respiratory and sleep physician, reviews the basics about spirometry, and explains its use in children.

 
MEDLINE
Overcoming barriers through community engagement. Pediatric asthma program succeeds through collaboration and commitment.
pubmed.gov - 3/23/12
22439544 2012 03 23 2012 04 17 0883-5381 27 2 2012 Mar-Apr Healthc Exec 64, 66 Sinai Health System, Chicago, USA. alan.channing@sinai.org Channing Alan H AH eng Journal Article United States Healthc Exec 8612808 0883-5381 H organization
Measurement characteristics of the pediatric asthma health outcome measure.
pubmed.gov - 4/2/12
The Pediatric Asthma Health Outcome Measure (PAHOM) was designed to measure quality-adjusted life years (QALYs) in children with asthma. Our objective was to compare parent- and child-reported PAHOM scores to each other, to parent-reported scores on the Juniper Asthma Control Questionnaire (ACQ), and to physician-rated asthma control.|A convenience sample of primarily African-American parent-child dyads (N = 261) was recruited from asthma clinics between May 2008 and May 2010. Correlations and differences in scores between the instruments and respondents were compared across variables of interest. The sensitivity and specificity of each, relative to physician-rated asthma control, were estimated.|Mean (SD) parent- and child-reported PAHOM scores were significantly different, 0.91 (0.13) and 0.95 (0.08), respectively, (p < .01) and were weakly correlated (0.24). Parent-reported PAHOM and parent-reported ACQ, 5-item version (ACQ5) scores were moderately correlated (-0.69). Both the
Pediatric asthma management.
pubmed.gov - 2/2/12
22304805 2012 02 06 2012 04 03 0020-1324 57 2 Feb Respir Care 332-3; author reply 333-4 Miller Andrew A eng Comment Letter United States Respir Care 7510357 0020-1324 IM Respir Care. 2011 Sep; 56( 9): 1389-407; discussion 1407-10 21944687 diagnosis
Noninvasive testing of lung function and inflammation in pediatric patients with acute asthma exacerbations.
pubmed.gov - 2/2/12
There is limited information on performance rates for tests of lung function and inflammation in pediatric patients with acute asthma exacerbations. We sought to examine how frequently pediatric patients with acute asthma exacerbations could perform noninvasive lung function and exhaled nitric oxide (FE(NO)) testing and participant characteristics associated with successful performance.|We studied a prospective convenience sample aged 5-17 years with acute asthma exacerbations in a pediatric emergency department. Participants attempted spirometry for percent predicted forced expiratory volume in 1 second (%FEV(1)), airway resistance (Rint), and FE(NO) testing before treatment. We examined overall performance rates and the associations of age, gender, race, and baseline acute asthma severity score with successful test performance.|Among 573 participants, age was (median [interquartile range]) 8.8 [6.8, 11.5] years, 60% were male, 57% were African-American, and 58% had Medicaid insurance
Late-night wheezer: providers respond to pediatric asthma patient.
pubmed.gov - 1/2/12
Asthma is a common disease. The main stay of "rescue" therapy in asthma is the administration of nebulized bronchodilators. The prompt administration of these agents can be life saving. Always question the patient about home beta-2 agonist used. Remember the phenomenon of tachyphylaxis and consider switching to a different medication in the same class if the patient reports prolonged usage or ineffectiveness of their current bronchodilator. Remember asthma can be life threatening.

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ASTHMA NEWS
www.medpagetoday.com/upload/2008/10/30/NEJMoa0804633v1.pdf
www.medpagetoday.com -
10.1056/nejmoa0905506 nejm.org 1 The new england journal of medicine Combined Immunodeficiency Associated with DOCK8 Mutations Qian Zhang, M.D., Jeremiah C. Davis, M.P.H., Ian T. Lamborn, B.S., Alexandra F. Freeman, M
www.medpagetoday.com -
Allergy & Immunology News plus CME
www.medpagetoday.com -
Other Tools. 03/01/2005. Researchers reporting in the American Journal of Respiratory and Critical Care Medicine found a link between body mass index and asthma risk in females who became ... 02/09/2005. Cautioning that the results are far from conclusive
Survey
www.medpagetoday.com -
20120426114500405. Personalize Your Medical News: Login Register Today. WelcomeWelcomePutting Breaking Medical News Into Practice. Quick Find Keyword Search. Specialty. Allergy &Immunology. Anesthesiology. Cardiovascular. Columns. Critical Care.
Medical News: Reflux Drugs No Help for Children With Asthma
www.medpagetoday.com -
Video Source: JAMA. Researchers found proton pump inhibitor ( PPI) treatment doesn't ease asthma for children without gastroesophageal reflux symptoms, even for those with a positive pH test demonstrating. ... National Heart, Lung, and Blood Institute

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FROM PHYSICIANS PRACTICE
Physician Performance Goals Are Great, But Balance Is More Realistic
Jennifer Frank, MD,  May 15, 2012
Performance measurements for physicians are well-intentioned and get me to rethink how I practice. But in the end I won't make the goals, so I'll have to go with balance over perfection.
Designing the Perfect Business Card for Your Medical Practice
C. Noel Henley, MD,  May 11, 2012
Does your business card say anything substantive about the valuable work you do in your practice? Here’s how to re-design your next business card for maximum impact and engagement.
Registered Nurses an Ideal Fit for Primary Care Practices
Audrey "Christie" McLaughlin, RN,  May 10, 2012
Here are four good reasons to hire a registered nurse for your primary care practice …maybe even instead of a medical assistant.
The Five Biggest Medical Practice Marketing Mistakes
James Doulgeris,  May 10, 2012
There are best practices to marketing your practice, but often, success is more about knowing what not to do. Here are the five most common pitfalls …and how to avoid them.
Can You Practice Medicine and Manage Your Practice?
Rosemarie Nelson,  May 9, 2012
Whether you practice alone, or in a group, if you're trying to see patients in this pay-for-volume environment and also run the business of your practice, you may be missing out on important opportunities.
 
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