PediatricsConsultantLive Members: Login | Register

 
PRACTICE GUIDELINES
National Guideline Clearinghouse | Search Results
www.guidelines.gov -
NGC is the National Guideline Clearinghouse.
www.naspghan.org/user-assets/Documents/pdf/CDHNF%20Old%20Site/Reflux%20and%20GERD%20Medical%20Professional%20Resources/PediatricGastroRefluxClinicalPracticeGuidelineSummary.pdf
www.naspghan.org -
primary and specialist healthcare provider in the evaluation and management of gastroesophageal reflux ( GER) and gastroesophageal reflux disease ( GERD) in the pediatric age group infants, children and adolescents. ... They were written by a joint
Evidence Table 20. Managing Exacerbations: Heliox
www.nhlbi.nih.gov -
37 White, 3 not given Moderate to-severe asthma Patients presented to urban, pediatric ED Pulmonary index ( PI) score of > 8 out of 15; mean 10.2 at entry Beta2-agonist, ... Albuterol nebulized in heliox in the initial ED treatment of pediatric asthma:
Evidence Table 19. Managing Exacerbations: Magnesium Sulfate
www.nhlbi.nih.gov -
July 2007 2 Evidence Table 19. Managing Exacerbations: Magnesium Sulfate Study Population Citation ( Sponsor) Study Design Study N ( Number Evaluable) Population Characteristics Asthma Severity at Baseline ( if reported) Magnesium by Nebulizer

Result Pages: 1 2 3 Next



 
JOURNAL SCAN
Global strategy for the diagnosis and management of asthma in children 5 years and younger.
pubmed.gov - 1/1/11
Asthma is the most common chronic disease of childhood and the leading cause of childhood morbidity from chronic disease as measured by school absences, emergency department visits, and hospitalisation. During the past two decades, many scientific advances have improved our understanding of asthma and our ability to manage and control it effectively. However, in children 5 years and younger, the clinical symptoms of asthma are variable and non-specific. Furthermore, neither airflow limitation nor airway inflammation, the main pathologic hallmarks of the condition, can be assessed routinely in this age group. For this reason, to aid in the diagnosis of asthma in young children, a symptoms-only descriptive approach that includes the definition of various wheezing phenotypes has been recommended. In 1993, the Global Initiative for Asthma (GINA) was implemented to develop a network of individuals, organizations, and public health officials to disseminate information about the care of
Association of CD14
pubmed.gov - 1/1/11
Asthma is a phenotypically diverse disease with genetic susceptibility. A single nucleotide polymorphism (SNP) in the CD14 gene at position -260 (also known as -159) C>T has been inconsistently associated with asthma. The aim of this study was to estimate the combined likelihood of developing asthma given the CD14 -260C>T genotype.|Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search and meta-analysis of the literature was conducted to estimate the association between this SNP and asthma. Planned subgroup analyses were performed to detect potential sources of heterogeneity from selected study characteristics. Post-hoc sensitivity analysis was performed to identify studies exerting excessive influence on among-study heterogeneity and combined effects.|Meta-analysis of 23 studies yielded a non-significant overall association with high heterogeneity across studies. After restricting analysis to studies using atopic
Japanese pediatric guidelines for the treatment and management of bronchial asthma 2008.
pubmed.gov - 4/2/10
Abstract The fourth version of the Japanese Pediatric Guidelines for the Treatment and Management of Bronchial Asthma 2008 (JPGL 2008) was published by the Japanese Society of Pediatric Allergy and Clinical Immunology in December 2008. In JPGL 2008, the recommendations were revised on the basis of the JPGL 2005. The JPGL 2008 is different to the Global Initiative for Asthma guideline in that it contains the following items: a classification system of asthma severity; recommendations for long-term management organized by age; a special mention of infantile asthma; and an emphasis on prevention and early intervention. Here we show a summary of the JPGL 2008 revising our previous report concerning JPGL 2005.
The association between atopy and childhood/adolescent leukemia: a meta-analysis.
pubmed.gov - 4/1/10
Atopic disease is hypothesized to be protective against several malignancies, including childhood/adolescent leukemia. To summarize the available epidemiologic evidence, the authors performed a meta-analysis of associations between atopy/allergies, asthma, eczema, hay fever, and hives and childhood/adolescent leukemia, acute lymphoblastic leukemia (ALL), and acute myeloid leukemia (AML). They searched MEDLINE literature (1952-March 2009) and queried international experts to identify eligible studies. Ten case-control studies were included. Summary odds ratios and 95% confidence intervals were computed via random-effects models. Odds ratios for atopy/allergies were 1.42 (95% confidence interval (CI): 0.60, 3.35) for 3 studies of leukemia overall, 0.69 (95% CI: 0.54, 0.89) for 6 studies of ALL, and 0.87 (95% CI: 0.62, 1.22) for 2 studies of AML, with high levels of heterogeneity detected for leukemia overall and ALL. Inverse associations were observed for ALL and asthma (odds ratio (OR)
Canadian Thoracic Society Asthma Management Continuum--2010 Consensus Summary for children six years of age and over, and adults.
pubmed.gov - 2/25/10
To integrate new evidence into the Canadian Asthma Management Continuum diagram, encompassing both pediatric and adult asthma.|The Canadian Thoracic Society Asthma Committee members, comprised of experts in pediatric and adult respirology, allergy and immunology, emergency medicine, general pediatrics, family medicine, pharmacoepidemiology and evidence-based medicine, updated the continuum diagram, based primarily on the 2008 Global Initiative for Asthma guidelines, and performed a focused review of literature pertaining to key aspects of asthma diagnosis and management in children six years of age and over, and adults.|In patients six years of age and over, management of asthma begins with establishing an accurate diagnosis, typically by supplementing medical history with objective measures of lung function. All patients and caregivers should receive self-management education, including a written action plan. Inhaled corticosteroids (ICS) remain the first-line controller therapy for

Result Pages: 1 2 3 4 5 6 Previous Next



 
CONNECT WITH US
 Become a fan on
 Facebook
 Add us on
 Google Plus
 Follow us on
 Twitter
 Join our
 LinkedIn group
 Sign up for our
 Newsletters
 Subscribe to our
 RSS Feed

 

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
April 3, 2013
Go For The Glory Quiz: Carcinoma?; Spirometry to Assess Chronic Cough?; Neurofibroma?; Laryngeal Neoplasm?
Carcinoma?; spirometry to assess chronic cough?; neurofibroma?; laryngeal neoplasm?; More »
March 7, 2013
An Overview of Chronic Cough in Children
Here: an overview of the pathophysiology of chronic cough, its epidemiology and etiology; the clinical evaluation, diagnostic workup, and a summary of treatment options. More »
February 26, 2013
Allergy, Asthma, and Immunology Meeting Research Update
Increased exposure to polycyclic aromatic hydrocarbons in air pollution is associated with certain immune system effects and asthma diagnosis, according to research reported the 2013 Annual Meeting of the American Academy of Allergy, Asthma & Immunology. More »
January 28, 2013
Depression Alters Asthma Interventions and Quality of Life in Urban Teens
Primary care physicians can take the lead in helping address these additional comorbidities in their patients with asthma. More »
December 10, 2012
Asthma Therapy Complicated by Peters Plus Syndrome
The authors describe the case of a 2-year-old girl with severe persistent asthma whose disease management was complicated by this rare clinical diagnosis. More »
October 18, 2012
Asthma Medication: Lowest Effective Dose Works Best
Children who use glucocorticoid inhalers to prevent asthma attacks may be on average a half-inch shorter as adults, according to a recent study. More »
June 6, 2012
Atopic Dermatitis
This distribution of an inflammatory disorder in a very young child almost always indicates atopic dermatitis. The family history of asthma suggests the atopic diathesis. More »
March 14, 2012
Home Remedies for Bronchitis: Maybe Your Mother Was Right?
Persistent cough and bronchitis are common, and normal, among children. Here are some home treatments I have recommended. 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 literature review and on clinical experience—in the outpatient setting. 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 »
Showing 1 - 10 of 100 results.
Page of 10
First Previous Last
 
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
Evaluation of laryngopharyngeal reflux in pediatric patients with asthma using a new technique of pharyngeal pH-monitoring.
pubmed.gov - 12/31/12
There is a debate about the association between asthma and gastroesophageal and/or laryngopharyngeal reflux (LPR). Pharyngeal pH-monitoring is a new technique that allows a physician to assess whether reflux passes the upper esophageal sphincter barrier. The aim of the study was to assess the prevalence of LPR in children with difficult-to-treat asthma. The present study was an open, prospective one. A total of 21 subjects of the mean age 12.7 years were enrolled in the study. All children were asked to fill out a Reflux Symptoms Index questionnaire and a 24-h pharyngeal pH monitoring was performed, using the Dx-pH Measurement System. The LPR was diagnosed in 13 (61.9%) children. There was a positive correlation between LPR diagnosis and the degree of asthma control. The LPR was more frequent in children treated with a higher than lower doses of fluticasone (p = 0.019, OR = 17.3) and in those using montelukast compared with non-users (p = 0.008, OR = 19.0). The mean Reflux Symptoms
Correlation of care process measures with childhood asthma exacerbations.
pubmed.gov - 12/31/12
We sought to define processes of pediatric asthma care identifiable through administrative data that correlate with asthma exacerbations for use in quality improvement.|Commercially insured children aged 5 to 17 years from the Pediatric Physicians' Organization at Children's, an independent practice association affiliated with Boston Children's Hospital, with persistent asthma in 2008, 2009, or 2010 were identified. The correlations of various process measures with asthma exacerbations, defined as hospitalizations or emergency department visits for asthma or outpatient visits for asthma with an oral steroid prescription, were analyzed by using logistic regression.|Significant correlations were found between filling 0 vs 1 controller medications in all years (relative risk [RR] 3.35, 2.11, and 2.71 in 2008, 2009, and 2010, respectively) although only 4% of subjects overall filled no controller medications. The asthma medication ratio (controller prescriptions divided by total
Secondhand tobacco smoke exposure and severity of influenza in hospitalized children.
pubmed.gov - 12/31/12
To assess whether children with influenza who are exposed to secondhand tobacco smoke (SHS) would have more severe illness than those not exposed.|We abstracted charts from pediatric inpatients with confirmed influenza from 2002-2009 for demographics, medical history, and smoke exposure. Severity indicators included intensive care, intubation, and length of stay (LOS) in the hospital; potential confounding factors included demographics and the presence of asthma or chronic conditions. All (2), t tests, and regression analyses were run using SPSS v. 18.0.|Of 117 children, 40% were exposed to SHS, who had increased need for intensive care (30% vs 10%, P < .01) and intubation (13% vs 1%, P < .05), and had longer LOS (4.0 vs 2.4 days, P < .01). Children with chronic conditions and SHS exposure required more intensive care (53% vs 18%, P < .05) and had longer LOS (10.0 vs 3.5 days, P < .01) than children not exposed to SHS with chronic conditions. In multivariate analyses controlling for
Medical home quality and readmission risk for children hospitalized with asthma exacerbations.
pubmed.gov - 12/31/12
The medical home likely has a positive effect on outpatient outcomes for children with asthma. However, no information is available regarding the impact of medical home quality on health care utilization after hospitalizations. We sought to explore the relationship between medical home quality and readmission risk in children hospitalized for asthma exacerbations.|We enrolled 601 children, aged 1 to 16 years, hospitalized for an acute asthma exacerbation at a single pediatric facility that captures >85% of all asthma admissions in an 8-county area. Caregivers completed the Parent's Perception of Primary Care (P3C), a Likert-based, validated survey. The P3C yields a total score of medical home quality and 6 subscale scores assessing continuity, access, contextual knowledge, comprehensiveness, communication, and coordination. Asthma readmission events were prospectively collected via billing data. Hazards of readmission were calculated by using Cox proportional hazards adjusting for
Readability, suitability, and characteristics of asthma action plans: examination of factors that may impair understanding.
pubmed.gov - 12/31/12
Recognition of the complexity of asthma management has led to the development of asthma treatment guidelines that include the recommendation that all pediatric asthma patients receive a written asthma action plan. We assessed the readability, suitability, and characteristics of asthma action plans, elements that contribute to the effectiveness of action plan use, particularly for those with limited literacy.|This was a descriptive study of 30 asthma action plans (27 state Department of Health (DOH)-endorsed, 3 national action plans endorsed by 6 states). Outcome measures: (1) readability (as assessed by Flesch Reading Ease, Flesch-Kincaid, Gunning Fog, Simple Measure of Gobbledygook, Forcast), (2) suitability (Suitability Assessment of Materials [SAM], adequate: 0.4; unsuitable: <0.4), (3) action plan characteristics (peak flow vs symptom-based, symptoms, recommended actions).|Mean (SD) overall readability grade level was 7.2 (1.1) (range = 5.7-9.8); 70.0% were above a sixth-grade

Result Pages: 1 2 3 4 5 6 Next




 
ASTHMA NEWS
U.K. Kids Breath Easier With Smoke-Free Laws (CME/CE)
www.medpagetoday.com - 1/20/13
(MedPage Today) -- English anti-smoking legislation was significantly associated with reductions in asthma-related hospitalizations in pediatric patients, researchers found.
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 -
Asthma News, Pulmonology News plus CME
www.medpagetoday.com -
said. 02/27/2010. NEW ORLEANS -- Vitamin D may boost the anti-inflammatory efficacy of asthma medications but tends to be low in kids who need the drugs, researchers said. ... trials. 11/12/2009. MIAMI BEACH -- Researchers reported here that pediatric
ACAAI News, Meeting Coverage plus CME
www.medpagetoday.com -
Friday, May 11, 2012. Other Tools. 11/12/2009. MIAMI BEACH -- Researchers reported here that pediatric patients with asthma treated with fluticasone propionate plus salmeterol in a fixed-dose combination experienced ... fewer serious asthma exacerbations

Result Pages: 1 2 3 4 5 6 Next


 
FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 
 
COMMENTS