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https://www.readbyqxmd.com/read/29618481/is-there-a-role-for-montelukast-in-the-management-of-viral-induced-wheeze-in-preschool-children
#1
Alisha Burman
No abstract text is available yet for this article.
April 4, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29605813/association-between-asthma-and-lung-function-in-adolescents-born-very-preterm-results-of-the-epipage-cohort-study
#2
Alice Hadchouel, Jessica Rousseau, Jean-Christophe Rozé, Catherine Arnaud, Adèle Bellino, Laure Couderc, Stéphane Marret, Marie Mittaine, Didier Pinquier, Marie Verstraete, Pierre-Yves Ancel, Christophe Delacourt
Prematurity and bronchopulmonary dysplasia (BPD) affect long-term lung function. We studied the respiratory outcome of adolescents born very preterm and controls from the Etude EPIdémiologique sur les Petits Ages Gestationnels cohort and analysed their current lung function in relation to asthma symptoms (categorised in three age groups) from birth. In models including BPD, asthma at each age and confounding factors in the preterm group, BPD and preschool wheeze were the only independent variables associated with FEV1 Preschool wheeze is an independent factor associated with FEV1 impairment in adolescents born very preterm...
March 31, 2018: Thorax
https://www.readbyqxmd.com/read/29603800/remodeling-and-inflammation-in-preschoolers-with-severe-recurrent-wheeze-and-asthma-outcome-at-school-age
#3
Guillaume Lezmi, Antoine Deschildre, Rola Abou Taam, Michael Fayon, Sylvain Blanchon, Françoise Troussier, Philippe Mallinger, Bruno Mahut, Philippe Gosset, Jacques de Blic
BACKGROUND: The influence of airway remodeling and inflammation in preschoolers with severe recurrent wheeze on asthma outcomes is poorly understood. OBJECTIVE: To assess their association with asthma symptoms and lung function at school age. METHODS: Preschoolers (38.4 months) initially investigated with bronchial biopsies were re-assessed for asthma symptoms and lung function at school age. RESULTS: Thirty six of 49 preschoolers (73...
March 31, 2018: Clinical and Experimental Allergy: Journal of the British Society for Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/29575037/mechanical-bacterial-lysate-administration-prevents-exacerbation-in-allergic-asthma-children-the-eolia-study
#4
Andrzej Emeryk, Malgorzata Bartkowiak-Emeryk, Zbigniew Jan Raus, Fulvio Braido, Guido Ferlazzo, Giovanni Melioli
BACKGROUND: Despite progress in asthma management, prevention of asthma exacerbation remains challenging in school-aged children with allergic asthma. New therapeutic approaches are needed. Previously, a chemical bacterial lysate has been successfully used in preschool children to reduce wheezing attacks. We assessed the effect of Polyvalent Mechanical Bacterial Lysate (PMBL® ) Tablet on asthma clinical course and control in 6- to 16-year old children with partly controlled or uncontrolled allergic asthma...
March 25, 2018: Pediatric Allergy and Immunology
https://www.readbyqxmd.com/read/29549705/early-detection-of-airway-obstruction-by-impulse-oscillometry-system-in-methacholine-challenge-testing-in-preschool-children
#5
Jung Won Yoon, Youn Ho Sheen, Eun Kyo Ha, Ji Hyun Baek, Hey Sung Baek, Sun Hee Choi, Man Yong Han
BACKGROUND: Small airway hyperresponsiveness is a critical aspect in preschool children with asthmatic symptoms interms of asthma control. The aim of this study was to elucidate the relationship of changes in reactance (Xrs) and resistance (Rrs) of IOS and FEV1 with those in clinical parameters and to determine which IOS parameter is correlated with bronchial hyperresponsiveness before positive clinical endpoints. METHODS: We performed the methacholine challenge test in ninety-four preschool children (4...
March 12, 2018: Asian Pacific Journal of Allergy and Immunology
https://www.readbyqxmd.com/read/29546394/longitudinal-associations-between-respiratory-infections-and-asthma-in-young-children
#6
Alban Ramette, Ben D Spycher, Jingying Wang, Myrofora Goutaki, Caroline S Beardsmore, Claudia E Kuehni
We examined temporal dependencies between repeated assessments of respiratory infections and asthma in children in the Leicester Respiratory Cohort, Leicestershire, UK. Asthma (doctor diagnosis, health care visits, wheeze frequency) and respiratory infections (cold duration and frequency, cough with colds, ear infections) in the previous 12 months were assessed repeatedly at ages 1, 4, and 6 years for children born between April 1996 and April 1997. We determined associations between contemporaneous and lagged measures of asthma and respiratory infections using structural equation modelling...
March 13, 2018: American Journal of Epidemiology
https://www.readbyqxmd.com/read/29524536/managing-asthma-in-pregnancy-map-trial-feno-levels-and-childhood-asthma
#7
Matthew Morten, Adam Collison, Vanessa E Murphy, Daniel Barker, Christopher Oldmeadow, John Attia, Joseph Meredith, Heather Powell, Paul D Robinson, Peter D Sly, Peter G Gibson, Joerg Mattes
BACKGROUND: The single-centre double-blind, randomised controlled Managing Asthma in Pregnancy (MAP) trial in Newcastle, Australia, compared a treatment algorithm using the fraction of exhaled nitric oxide (FeNO) in combination with asthma symptoms (FeNO group) against a treatment algorithm using clinical symptoms only (clinical group) in pregnant asthmatic women (ANZ Clinical Trials Registry, number 12607000561482). The primary outcome was a 50% reduction in asthma exacerbations during pregnancy in the FeNO group...
March 7, 2018: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/29512854/contribution-of-repeated-infections-in-asthma-persistence-from-preschool-to-school-age-design-and-characteristics-of-the-predicta-cohort
#8
Paraskevi Xepapadaki, Claus Bachert, Susetta Finotto, Tuomas Jartti, George N Konstantinou, Alexander Kiefer, Marek Kowalski, Anna Lewandowska-Polak, Heikki Lukkarinen, Eirini Roumpedaki, Anna Sobanska, Ina Sintobin, Tytti Vuorinen, Nan Zhang, Theodor Zimmermann, Nikolaos G Papadopoulos
BACKGROUND: The PreDicta cohort was designed to prospectively evaluate wheeze/asthma persistence in preschoolers in association to viral/microbial exposures and immunological responses. We present the cohort design, demographic/disease characteristics and evaluate unsupervised and predefined phenotypic subgroups at inclusion. METHODS: PreDicta is a 2-year prospective study conducted in five European regions, including children 4-6 years with a diagnosis of asthma as cases and healthy age-matched controls...
March 7, 2018: Pediatric Allergy and Immunology
https://www.readbyqxmd.com/read/29484853/impulse-oscillometry-at-preschool-age-is-a-strong-predictor-of-lung-function-by-flow-volume-spirometry-in-adolescence
#9
Eero Lauhkonen, Riikka Riikonen, Sari Törmänen, Petri Koponen, Kirsi Nuolivirta, Merja Helminen, Jyri Toikka, Matti Korppi
BACKGROUND: The transition from early childhood wheezing to persistent asthma is linked to lung function impairment over time. Little is known how the methods used to study lung function at different ages correlate longitudinally. METHODS: Sixty-four children with a history of hospitalization for bronchiolitis before 6 months of age were prospectively studied with impulse oscillometry (IOS) at the mean age of 6.3 years and these preschool IOS results were compared with flow-volume spirometry (FVS) measurements at mean age of 11...
February 27, 2018: Pediatric Pulmonology
https://www.readbyqxmd.com/read/29469196/the-relationship-between-inflammation-and-remodeling-in-childhood-asthma-a-systematic-review
#10
REVIEW
Jose A Castro-Rodriguez, Sejal Saglani, Carlos E Rodriguez-Martinez, Maria A Oyarzun, Louis Fleming, Andrew Bush
OBJECTIVES: We aimed to perform a systematic review of all studies with direct measurements of both airway inflammation and remodeling in the subgroup of children with repeated wheezing and/or persistent asthma severe enough to warrant bronchoscopy, to address whether airway inflammation precedes remodeling or is a parallel process, and also to assess the impact of remodeling on lung function. METHODS: Four databases were searched up to June 2017. Two independent reviewers screened the literature and extracted relevant data...
February 22, 2018: Pediatric Pulmonology
https://www.readbyqxmd.com/read/29468750/wheezing-preschool-children-with-early-onset-asthma-reveal-a-specific-metabolomic-profile
#11
Silvia Carraro, Sara Bozzetto, Giuseppe Giordano, Dania El Mazloum, Matteo Stocchero, Paola Pirillo, Stefania Zanconato, Eugenio Baraldi
BACKGROUND: Many children of preschool age present with recurrent wheezing. Most of them outgrow their symptoms, while some have early-onset asthma. Aim of this prospective preliminary study was to apply a metabolomic approach to see whether biochemical-metabolic urinary profiles can have a role in the early identification of the children with asthma. METHODS: Preschool children with recurrent wheezing were recruited and followed up for 3 years, after which they were classified as cases of transient wheezing or early-onset asthma...
February 22, 2018: Pediatric Allergy and Immunology
https://www.readbyqxmd.com/read/29449165/spirometry-and-impulse-oscillometry-in-preschool-children-acceptability-and-relationship-to-maternal-smoking-in-pregnancy
#12
Meyer Kattan, Leonard B Bacharier, George T O'Connor, Robyn Cohen, Ronald L Sorkness, Wayne Morgan, Peter J Gergen, Katy F Jaffee, Cynthia M Visness, Robert A Wood, Gordon R Bloomberg, Susan Doyle, Ryan Burton, James E Gern
BACKGROUND: Comparisons of the technical acceptability of spirometry and impulse oscillometry (IOS) and clinical correlations of the measurements have not been well studied in young children. There are no large studies focused on African American and Hispanic children. OBJECTIVES: We sought to (1) compare the acceptability of spirometry and IOS in 3- to 5-year-old children and (2) examine the relationship of maternal smoking during pregnancy to later lung function...
February 13, 2018: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/29373235/oral-prednisolone-in-preschool-children-with-virus-associated-wheeze-a-prospective-randomised-double-blind-placebo-controlled-trial
#13
S J Foster, M N Cooper, S Oosterhof, M L Borland
BACKGROUND: Children of preschool age often have episodes of virus-associated wheeze, and research assessing efficacy of corticosteroids for paediatric wheeze exacerbations is inconclusive. METHODS: This non-inferiority, randomised, double-blind, placebo-controlled trial was to compare the efficacy of placebo versus oral prednisolone in children aged 24-72 months presenting with virus-associated wheeze at the paediatric emergency department of Princess Margaret Hospital in Perth, WA, Australia...
February 2018: Lancet Respiratory Medicine
https://www.readbyqxmd.com/read/29361392/preschool-wheeze-genes-and-treatment
#14
REVIEW
Chinedu Nwokoro, Jonathan Grigg
Preschool wheeze is a common but poorly understood cause of respiratory morbidity that is both distinct from and overlaps with infantile bronchiolitis and school age asthma. Attempts at classification by epidemiology, pathophysiology, therapeutic response and clinical phenotype are imperfect and yet fundamental to both treatment choice and research design. The four main therapeutic classes for preschool wheeze, namely beta2 agonists, anticholinergics, corticosteroids and leukotriene modifiers are employed with variable and often scanty evidence base, with evidence for a genetic influence on response variations...
December 5, 2017: Paediatric Respiratory Reviews
https://www.readbyqxmd.com/read/29352664/oral-corticosteroids-reduce-length-of-hospital-stay-for-preschool-children-with-virus-associated-wheeze
#15
Joseph J Zorc
No abstract text is available yet for this article.
February 2018: Lancet Respiratory Medicine
https://www.readbyqxmd.com/read/29333271/childhood-asthma-prevalence-cross-sectional-record-linkage-study-comparing-parent-reported-wheeze-with-general-practitioner-recorded-asthma-diagnoses-from-primary-care-electronic-health-records-in-wales
#16
Lucy J Griffiths, Ronan A Lyons, Amrita Bandyopadhyay, Karen S Tingay, Suzanne Walton, Mario Cortina-Borja, Ashley Akbari, Helen Bedford, Carol Dezateux
Introduction: Electronic health records (EHRs) are increasingly used to estimate the prevalence of childhood asthma. The relation of these estimates to those obtained from parent-reported wheezing suggestive of asthma is unclear. We hypothesised that parent-reported wheezing would be more prevalent than general practitioner (GP)-recorded asthma diagnoses in preschool-aged children. Methods: 1529 of 1840 (83%) Millennium Cohort Study children registered with GPs in the Welsh Secure Anonymised Information Linkage databank were linked...
2018: BMJ Open Respiratory Research
https://www.readbyqxmd.com/read/29330038/asthmatic-wheezing-phenotypes-in-preschool-children-influential-factors-health-care-and-urban-rural-differences
#17
Susanne Kutzora, Alisa Weber, Stefanie Heinze, Lana Hendrowarsito, Uta Nennstiel-Ratzel, Erika von Mutius, Nina Fuchs, Caroline Herr
BACKGROUND: Different wheezing and asthmatic phenotypes turned out to indicate differences in etiology, risk factors and health care. We examined influential factors and urban-rural differences for different phenotypes. METHODS: Parents of 4732 children filled out a questionnaire concerning children's health and environmental factors administered within the Health Monitoring Units (GME) in a cross-sectional study in Bavaria, Germany (2014/2015). To classify respiratory symptoms, five phenotype groups were built: episodic, unremitting and frequent wheeze, ISAAC (International Study of Asthma and Allergies in Children) - asthma and physician-diagnosed asthma (neither of the groups are mutually exclusive)...
March 2018: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/29314338/reduced-cdhr3-expression-in-children-wheezing-with-rhinovirus
#18
Katarina Stenberg Hammar, Katarzyna Niespodziana, Marianne van Hage, Juha Kere, Rudolf Valenta, Gunilla Hedlin, Cilla Söderhäll
BACKGROUND: Rhinovirus-induced wheezing in young children has been associated with increased asthma risk at school age. Recently, the transmembrane protein cadherin-related family member 3 (CDHR3) was identified as the RV-C receptor and the genetic variant rs6967330 (p.Cys529Tyr) was reported to be associated with enhanced RV-C binding and increased replication in vitro. The aim of this study was to examine rs6967330 genotypes and mRNA expression of CDHR3 in relation to presence of rhinovirus and clinical symptoms in children with acute wheezing and compare to a group of age-matched healthy children...
March 2018: Pediatric Allergy and Immunology
https://www.readbyqxmd.com/read/29283360/the-influence-of-dilution-on-the-offline-measurement-of-exhaled-nitric-oxide
#19
Victoria MacBean, Dharmika Pooranampillai, Catherine Howard, Alan Lunt, Anne Greenough
OBJECTIVE: Measurement of fractional exhaled nitric oxide (FeNO) is used to determine the presence and severity of eosinophilic airway inflammation in asthma and other wheezing illnesses. The gold standard of online measurement during a single prolonged exhalation is not suitable for use in young children. The international guidelines for offline measurements recommend collection of exhaled gas in an appropriate reservoir for later analysis in young children. The apparatus required for gas collection, however, creates dead space within the system, which may result in sample dilution and hence inaccuracy...
February 26, 2018: Physiological Measurement
https://www.readbyqxmd.com/read/29279792/personalized-medicine-in-preschool-children-with-asthma
#20
Hengameh Raissy, Kathryn Blake
A growing body of literature has investigated optimizing asthma management by identifying phenotypes and biomarkers to guide the treatment. In particular, management of asthma in preschool children remains challenging due to different phenotype presentation in early life. The focus of this review is to summarize the recent data on personalized medicine in management of preschool children with wheezing.
December 1, 2017: Pediatric Allergy, Immunology, and Pulmonology
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