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status asthma management pediatric

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https://www.readbyqxmd.com/read/27901627/effects-of-pediatric-asthma-care-coordination-in-underserved-communities-on-parent-perceptions-of-care-and-asthma-management-confidence
#1
Mary R Janevic, Alan P Baptist, Tyra Bryant-Stephens, Marielena Lara, Victoria Persky, Gilberto Ramos-Valencia, Kimberly Uyeda, Rebecca Hazan, Ashley Garrity, Floyd J Malveaux
OBJECTIVE: Disparities by race and socioeconomic status persist in pediatric asthma morbidity, mortality, and treatment. Improving parent/provider communication and parents' asthma-management confidence may result in better asthma control in vulnerable populations. The Merck Childhood Asthma Network, Inc. funded an initiative to implement medical-social care coordination to improve asthma outcomes at sites in four low-income, urban communities (Los Angeles, CA; Philadelphia, PA; Chicago, IL; and San Juan, PR...
November 30, 2016: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/27867307/adequate-vitamin-d-intake-but-low-serum-levels-in-pediatric-asthma-patients-a-pilot-study-alberta-children-s-hospital
#2
Sarah Howe McKenna, Tanis R Fenton, Mary Noseworthy, Mark Anselmo
Background. We assessed vitamin D intakes and serum 25(OH) vitamin D levels in pediatric asthma patients on moderate-to-high dose inhaled steroids and compared them to published findings of healthy children in our city. Methods. Parents and/or patients were interviewed to estimate the children's vitamin D intakes from foods and supplements (using an adapted validated food frequency questionnaire) and asthma duration and management. Vitamin D status: serum 25-hyroxy vitamin D (25(OH)D) was obtained from the medical records...
2016: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
https://www.readbyqxmd.com/read/27423071/evaluation-of-therapeutics-management-patterns-and-glycemic-control-of-pediatric-type-1-diabetes-mellitus-patients-in-turkey-a-nationwide-cross-sectional-study
#3
Şükrü Hatun, Hüseyin Demirbilek, Şükran Darcan, Ayşegül Yüksel, Cigdem Binay, Damla Gökşen Şimşek, Cengiz Kara, Ergun Çetinkaya, Tolga Ünüvar, Ahmet Uçaktürk, Filiz Tütüncüler, Yaşar Cesur, Ruveyde Bundak, Halil Sağlam, Enver Şimşek, Abdullah Bereket
AIMS: To evaluate the management strategies, glycemic control and complications of pediatric type 1 diabetes mellitus (T1DM) patients in Turkey. METHODS: Study included 498 patients with T1DM between the ages 1-18. Data provided from patients' hospital files were recorded on standard case report forms by applicant clinicians within the 3months of data collection period between October 2012 and July 2013. RESULTS: Mean age of patients was 11...
September 2016: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/27282717/health-disparities-in-pediatric-asthma-comprehensive-tertiary-care-center-experience
#4
Laurens Holmes, Fanta Kalle, Laura Grinstead, Maritza Jimenez, Meghan Murphy, Pat Oceanic, Diane Fitzgerald, Kirk Dabney
LOCATION: Study conducted at Nemours /Alfred I. duPont Hospital for Children, Wilmington, DE 19803 BACKGROUND: Although the treatment and management of asthma hasimproved over time, incidence and prevalence among children continues to rise in the United States. Asthma prevalence, health services utilization, and mortality rate demonstrate remarkable disparities. The underlying causes of these disparities are not fully understood. We aimed to examine racial/ethnic variances in pediatric asthma prevalence/admission...
March 2015: Journal of the National Medical Association
https://www.readbyqxmd.com/read/27227975/a-screening-tool-for-assessing-alcohol-use-risk-among-medically-vulnerable-youth
#5
Sharon Levy, Fatma Dedeoglu, Jonathan M Gaffin, Katharine C Garvey, Elizabeth Harstad, Andrew MacGinnitie, Paul A Rufo, Qian Huang, Rosemary E Ziemnik, Lauren E Wisk, Elissa R Weitzman
BACKGROUND: In an effort to reduce barriers to screening for alcohol use in pediatric primary care, the National Institute on Alcoholism and Alcohol Abuse (NIAAA) developed a two-question Youth Alcohol Screening Tool derived from population-based survey data. It is unknown whether this screening tool, designed for use with general populations, accurately identifies risk among youth with chronic medical conditions (YCMC). This growing population, which comprises nearly one in four youth in the US, faces a unique constellation of drinking-related risks...
2016: PloS One
https://www.readbyqxmd.com/read/26959517/predictors-of-emergency-department-utilization-among-children-in-vulnerable-families
#6
Colin Flood, Karen Sheehan, Marie Crandall
: Preventable visits to the emergency department (ED) are estimated to represent as much as 56% of overall annual ED utilization and contribute to the high cost of health care in the United States. There are more than 25 million annual pediatric ED visits. OBJECTIVE: The aim of this study was to identify factors associated with high ED utilization among children in vulnerable families. METHODS: The Fragile Families and Child Wellbeing Study is a longitudinal cohort of approximately 5000 vulnerable children...
March 8, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/26868727/practice-variation-in-management-of-childhood-asthma-is-associated-with-outcome-differences
#7
Jane M Garbutt, Yan Yan, Robert C Strunk
BACKGROUND: Although specialist asthma care improves children's asthma outcomes, the impact of primary care management is unknown. OBJECTIVE: To determine whether variation in preventive and acute care for asthma in pediatric practices affects patients' outcomes. METHODS: For 22 practices, we aggregated 12-month patient data obtained by chart review and parent telephone interviews for 948 children, 3 to 12 years old, diagnosed with asthma to obtain practice-level measures of preventive (≥1 asthma maintenance visit/year) and acute (≥1 acute asthma visit/year) asthma care...
May 2016: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/26761478/noninvasive-ventilation-in-status-asthmaticus-in-children-levels-of-evidence
#8
Paula de Souza Silva, Sérgio Saldanha Menna Barreto
OBJECTIVE: To evaluate the quality of available evidence to establish guidelines for the use of noninvasive ventilation for the management of status asthmaticus in children unresponsive to standard treatment. METHODS: Search, selection and analysis of all original articles on asthma and noninvasive ventilation in children, published until September 1, 2014 in all languages in the electronic databases PubMed, Web of Science, Cochrane Library, Scopus and SciELO, located using the search terms: "asthma", "status asthmaticus", "noninvasive ventilation", "Bronchospasm", "continuous positive airway pressure", "child", "infant", "pediatrics", "hypercapnia", "respiratory failure" and the keywords "BIPAP", "CPAP", "Bilevel", "acute asthma" and "near fatal asthma"...
October 2015: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/26291141/a-snapshot-of-pharmacist-attitudes-and-behaviors-surrounding-the-management-of-pediatric-asthma
#9
Amanda Elaro, Smita Shah, Carol L Armour, Sinthia Bosnic-Anticevich
OBJECTIVE: The aim of this study is to identify the current status of pediatric asthma management in the Australian community pharmacy setting from the pharmacists' perspective. This research will allow us to identify training needs of community pharmacists. METHOD: Pharmacists were recruited from the Sydney metropolitan region and asked to complete a self-reported questionnaire that elucidated information on four general domains relating to pediatric asthma management within community pharmacy...
2015: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/26172939/predicting-high-cost-pediatric-patients-derivation-and-validation-of-a-population-based-model
#10
Lindsey J Leininger, Brendan Saloner, Laura R Wherry
BACKGROUND: Health care administrators often lack feasible methods to prospectively identify new pediatric patients with high health care needs, precluding the ability to proactively target appropriate population health management programs to these children. OBJECTIVE: To develop and validate a predictive model identifying high-cost pediatric patients using parent-reported health (PRH) measures that can be easily collected in clinical and administrative settings...
August 2015: Medical Care
https://www.readbyqxmd.com/read/26120539/guideline-on-allergen-specific-immunotherapy-in-ige-mediated-allergic-diseases-s2k-guideline-of-the-german-society-for-allergology-and-clinical-immunology-dgaki-the-society-for-pediatric-allergy-and-environmental-medicine-gpa-the-medical-association-of-german
#11
Oliver Pfaar, Claus Bachert, Albrecht Bufe, Roland Buhl, Christof Ebner, Peter Eng, Frank Friedrichs, Thomas Fuchs, Eckard Hamelmann, Doris Hartwig-Bade, Thomas Hering, Isidor Huttegger, Kirsten Jung, Ludger Klimek, Matthias Volkmar Kopp, Hans Merk, Uta Rabe, Joachim Saloga, Peter Schmid-Grendelmeier, Antje Schuster, Nicolaus Schwerk, Helmut Sitter, Ulrich Umpfenbach, Bettina Wedi, Stefan Wöhrl, Margitta Worm, Jörg Kleine-Tebbe, Susanne Kaul, Anja Schwalfenberg
The present guideline (S2k) on allergen-specific immunotherapy (AIT) was established by the German, Austrian and Swiss professional associations for allergy in consensus with the scientific specialist societies and professional associations in the fields of otolaryngology, dermatology and venereology, pediatric and adolescent medicine, pneumology as well as a German patient organization (German Allergy and Asthma Association; Deutscher Allergie- und Asthmabund, DAAB) according to the criteria of the Association of the Scientific Medical Societies in Germany (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, AWMF)...
2014: Allergo Journal International
https://www.readbyqxmd.com/read/26117001/pharmacist-led-screening-program-for-an-inner-city-pediatric-population
#12
Jennifer Padden Elliott, Chelsea Harrison, Chelsea Konopka, Jennifer Wood, Nicole Marcotullio, Phil Lunney, David Skoner, Deborah Gentile
OBJECTIVES: To identify the prevalence of asthma, obesity, hypertension, and environmental tobacco smoke (ETS) exposure among youth and provide recommendations for follow-up care. METHODS: This cross-sectional study consisted of 12 health screenings for children between 5 and 17 years of age in various inner city, lower socioeconomic, and predominantly black communities throughout the city of Pittsburgh, PA. The screenings were conducted by pharmacists and student pharmacists from April 2010 to April 2012...
July 2015: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/26103063/population-health-considerations-for-pediatric-asthma-findings-from-the-2011-2012-california-health-interview-survey
#13
Ulfat Shaikh, Robert S Byrd
Childhood asthma is a prevalent and costly chronic condition. Optimal management enables secondary and tertiary prevention. The goal was to identify population health considerations for pediatric asthma in California to inform the development of quality improvement interventions. California Health Interview Survey 2011-2012 is a random-digit dial telephone survey conducted in 5 languages. It includes 44,000 households from all 58 counties in California. This study assessed factors related to symptom control and health care use in children ages 2-11 years with asthma...
April 2016: Population Health Management
https://www.readbyqxmd.com/read/25938584/incidence-and-risk-factors-of-childhood-pneumonia-like-episodes-in-biliran-island-philippines-a-community-based-study
#14
Hisato Kosai, Raita Tamaki, Mayuko Saito, Kentaro Tohma, Portia Parian Alday, Alvin Gue Tan, Marianette Tawat Inobaya, Akira Suzuki, Taro Kamigaki, Soccoro Lupisan, Veronica Tallo, Hitoshi Oshitani
Pneumonia is a leading cause of deaths in infants and young children in developing countries, including the Philippines. However, data at the community level remains limited. Our study aimed to estimate incidence and mortality rates and to evaluate risk factors and health-seeking behavior for childhood pneumonia. A household level interview survey was conducted in Biliran Island, the Philippines. Caregivers were interviewed using a semi-structured questionnaire to check if children had symptoms suggesting pneumonia-like episodes from June 2011 to May 2012...
2015: PloS One
https://www.readbyqxmd.com/read/25738493/diastolic-hypotension-in-pediatric-patients-with-asthma-receiving-continuous-albuterol
#15
Sarah Wisecup, Shannan Eades, Syed Shahrukh Hashmi, Cheryl Samuels, Ricardo Alberto Mosquera
OBJECTIVES: Concerns have been raised regarding cardiac side effects of continuous high-dose albuterol nebulization in status asthmaticus management. Our study goal was to determine prevalence and potential risk factors for hypotension development during continuous albuterol administration in pediatric patients. METHODS: A retrospective cohort study was conducted at Children's Memorial Hermann Hospital from 1 January 2011 to 31 August 2012. A total of 152 patients admitted to pediatric intensive or intermediate care units who received continuous albuterol nebulization for management of status asthmaticus were analyzed...
September 2015: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/25580870/volatile-anesthetics-for-status-asthmaticus-in-pediatric-patients-a-comprehensive-review-and-case-series
#16
REVIEW
Sabrina Carrié, Thomas Anthony Anderson
Status asthmaticus is an acute, intractable asthma attack refractory to standard interventions that can lead to progressive respiratory failure. Successful management requires a fundamental understanding of the disease process, its clinical presentation, and proper evaluation. Treatment must be instituted early and is aimed at reversing the airway inflammation, bronchoconstriction, and hyper-reactivity that often lead to lower airway obstruction, impaired ventilation, and oxygenation. Most patients are effectively treated with standard therapy including beta2-adrenergic agonists and corticosteroids...
May 2015: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/25285426/health-related-quality-of-life-for-chronically-ill-children
#17
Mary Ann Cantrell, Michelle M Kelly
Approximately 43% of children in the United States (32 million) are currently living with at least 1 of 20 common chronic childhood illnesses. The most common chronic childhood illnesses are asthma, cystic fibrosis, diabetes, obesity, malnutrition, developmental disabilities, cerebral palsy, consequences of low birthweight, and mental illness. For all chronically ill pediatric populations, the outcome of health-related quality of life (HRQOL) is particularly important because many of these children have not and will not be cured, and will continue to manage their chronic illness into adulthood...
January 2015: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/25178176/japanese-guideline-for-childhood-asthma-2014
#18
REVIEW
Yuhei Hamasaki, Yoichi Kohno, Motohiro Ebisawa, Naomi Kondo, Sankei Nishima, Toshiyuki Nishimuta, Akihiro Morikawa
The Japanese Guideline for the Diagnosis and Treatment of Allergic Diseases 2013 (JAGL 2013) describes childhood asthma after the Japanese Pediatric Guideline for the Treatment and Management of Asthma 2012 (JPGL 2012) by the Japanese Society of Pediatric Allergy and Clinical Immunology. JAGL 2013 provides information on diagnosis by age group from infancy to puberty (0-15 years of age), treatment for acute exacerbations, long-term management by anti-inflammatory drugs, daily life guidance, and patient education to allow non-specialist physicians to refer to this guideline for routine medical treatment...
September 2014: Allergology International: Official Journal of the Japanese Society of Allergology
https://www.readbyqxmd.com/read/25174321/implementation-and-evaluation-of-an-integrated-computerized-asthma-management-system-in-a-pediatric-emergency-department-a-randomized-clinical-trial
#19
RANDOMIZED CONTROLLED TRIAL
Judith W Dexheimer, Thomas J Abramo, Donald H Arnold, Kevin Johnson, Yu Shyr, Fei Ye, Kang-Hsien Fan, Neal Patel, Dominik Aronsky
OBJECTIVE: The use of evidence-based guidelines can improve the care for asthma patients. We implemented a computerized asthma management system in a pediatric emergency department (ED) to integrate national guidelines. Our objective was to determine whether patient eligibility identification by a probabilistic disease detection system (Bayesian network) combined with an asthma management system embedded in the workflow decreases time to disposition decision. METHODS: We performed a prospective, randomized controlled trial in an urban, tertiary care pediatric ED...
November 2014: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/25015124/progress-in-pediatrics-in-2013-choices-in-allergology-endocrinology-gastroenterology-hypertension-infectious-diseases-neonatology-neurology-nutrition-and-respiratory-tract-illnesses
#20
REVIEW
Carlo Caffarelli, Francesca Santamaria, Alessandra Vottero, Carlotta Povesi Dascola, Virginia Mirra, Francesco Sperli, Sergio Bernasconi
This review will provide new information related to pathophysiology and management of specific diseases that have been addressed by selected articles published in the Italian Journal of Pediatrics in 2013, focusing on allergology, endocrinology, gastroenterology, hypertension, infectious diseases, neonatology, neurology, nutrition and respiratory tract illnesses in children. Recommendations for interpretation of skin prick test to foods in atopic eczema, management of allergic conjunctivitis, hypertension and breastfeeding in women treated with antiepileptic drugs and healthy breakfast have been reported...
2014: Italian Journal of Pediatrics
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