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https://www.readbyqxmd.com/read/29115814/calculated-decisions-westley-croup-score
#1
Joshua Beiner, Matthew Lecuyer
No abstract text is available yet for this article.
November 1, 2017: Pediatric Emergency Medicine Practice
https://www.readbyqxmd.com/read/29100262/comparison-of-the-effect-of-cold-drink-and-dexamethasone-and-their-combined-effect-on-children-with-croup
#2
Mojgan Faraji-Goodarzi, Nadereh Taee, Mehrnoosh Mohammadi-Kamalvand
Aims Croup is a clinical syndrome which included inspiratory stridor, coughing with a dog-like sound, noise obstruction and respiratory distress symptoms. This present study was conducted to compare the effects of cold drink and dexamethasone, and the effects of their co-administration on children's croup. Materials and Methods In this study, all patients with croup admitted to the emergency ward of Madani Hospital Khorramabad were divided through the simple randomized method into 3 groups after informed consents were taken from their parents...
November 3, 2017: Drug Research
https://www.readbyqxmd.com/read/29094427/dermoscopic-analysis-of-the-skin-of-healthy-warmblood-horses-a-descriptive-study-of-34-cases-in-italy
#3
Sara Legnani, Eric Zini, Paola Roccabianca, Beatrice Funiciello, Giordana Zanna
BACKGROUND: Dermoscopy is a diagnostic tool that has been introduced into small animal dermatology for the evaluation of hair and the skin surface. To the best of the authors' knowledge, the use of this technique on horses and the dermoscopic appearance of equine hair and skin have yet to be reported. HYPOTHESIS/OBJECTIVES: To assess the feasibility of dermoscopy, and to describe hair and skin surface features of healthy warmblood horses. ANIMALS: Thirty four client-owned, healthy adult horses...
November 1, 2017: Veterinary Dermatology
https://www.readbyqxmd.com/read/29060916/cough-sound-analysis-for-diagnosing-croup-in-pediatric-patients-using-biologically-inspired-features
#4
Roneel V Sharan, Udantha R Abeyratne, Vinayak R Swarnkar, Paul Porter
This paper aims to diagnose croup in children using cough sound signal classification. It proposes the use of a time-frequency image-based feature, referred as the cochleagram image feature (CIF). Unlike the conventional spectrogram image, the cochleagram utilizes a gammatone filter which models the frequency selectivity property of the human cochlea. This helps reveal more spectral information in the time-frequency image making it more useful for feature extraction. The cochleagram image is then divided into blocks and central moments are extracted as features...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29045097/management-of-airway-obstruction-and-stridor-in-pediatric-patients
#5
Ashley Marchese, Melissa L. Langhan
Stridor is a result of turbulent air-flow through the trachea from upper airway obstruction, and although in children it is often due to croup, it can also be caused by noninfectious and/or congenital conditions as well as life-threatening etiologies. The history and physical examination guide initial management, which includes reduction of airway inflammation, treatment of bacterial infection, and, less often, imaging, emergent airway stabilization, or surgical management. This issue discusses the most common as well as the life-threatening etiologies of acute and chronic stridor and its management in the emergency department...
November 2017: Pediatric Emergency Medicine Practice
https://www.readbyqxmd.com/read/29034735/failure-of-outpatient-management-with-different-observation-times-after-racemic-epinephrine-for-croup
#6
Nadine Smith, Kathryn Giordano, Amy Thompson, Andrew DePiero
BACKGROUND: Observation is necessary following racemic epinephrine (RE) for patients with croup. The ideal length of this observation period is unclear. OBJECTIVE: To compare the rate of failed outpatient management utilizing different observation times after RE administration for croup. METHODS: We performed a retrospective chart review of children with croup who required RE. Failure of treatment was defined as requiring a second RE treatment and/or returning to the pediatric emergency department for croup symptoms within 24 hours of discharge...
October 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28953096/management-of-croup-in-the-emergency-department-the-role-of-multidose-nebulized-epinephrine
#7
Taylor Bagwell, Amanda Hollingsworth, Tonya Thompson, Thomas Abramo, Mary Huckabee, Di Chang, Leroy Crawley, James M Robbins
OBJECTIVES: Croup occasionally requires medical intervention for respiratory distress. Mainstays of treatment are corticosteroids and nebulized epinephrine. Diagnosis and assessment of severity remain clinical. Safety of discharge from an emergency department (ED) after treatment with corticosteroids and 1 nebulized epinephrine has been established. No evidence exists regarding risk associated with discharge after multidose nebulized epinephrine. Many patients requiring multidose nebulized epinephrine are reflexively admitted...
September 25, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28899875/stridor-is-not-always-croup-infantile-haemangioma-in-the-airway
#8
Joana Cunha Oliveira, Inês Azevedo, Augusta Gonçalves, Carla Moreira
No abstract text is available yet for this article.
September 12, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28893261/a-tale-of-two-systems-practice-patterns-of-a-single-group-of-emergency-medical-physicians-in-taiwan-and-china
#9
I-Anne Huang, Tang-Her Jaing, Chang-Teng Wu, Chee-Jen Chang, Shan-Hsuan Hsia, Nicole Huang
BACKGROUND: The quality of pediatric emergency care has been a major concern in health care. Following a series of health system reforms in China, it is important to do this assessment of pediatric emergency care, and to explore potential influences of health care system. This study aimed to compare practice differences in treating children with respiratory illnesses in two emergency department (ED) settings within different health care systems: China and Taiwan. METHODS: A pooled cross-sectional hospital-based study was conducted in two tertiary teaching hospitals in Xiamen, China and Keelung, Taiwan belong to the same hospital chain group...
September 11, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28858086/association-of-croup-with-asthma-in-children-a-cohort-study
#10
Sheng-Chieh Lin, Hui-Wen Lin, Bor-Luen Chiang
Asthma and croup are common inflammatory airway diseases involving the bronchus in children. However, no study has reported the effects of urbanization, sex, age, and bronchiolitis on the association of croup and its duration with asthma development. We used the Taiwan Longitudinal Health Insurance Database (LHID) to perform this population-based cohort study; here, the cluster effect caused by hospitalization was considered to evaluate the association between croup and asthma development and the risk factors for asthma in children of different age groups...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28835504/attenuated-human-parainfluenza-virus-type-1-expressing-the-respiratory-syncytial-virus-rsv-fusion-f-glycoprotein-from-an-added-gene-effects-of-prefusion-stabilization-and-packaging-of-rsv-f
#11
Xiang Liu, Bo Liang, Joan Ngwuta, Xueqiao Liu, Sonja Surman, Matthias Lingemann, Peter D Kwong, Barney S Graham, Peter L Collins, Shirin Munir
Human respiratory syncytial virus (RSV) is the most prevalent worldwide cause of severe respiratory tract infection in infants and young children. Human parainfluenza virus type 1 (HPIV1) also causes severe pediatric respiratory illness, especially croup. Both viruses lack vaccines. Here, we describe the preclinical development of a bivalent RSV/HPIV1 vaccine based on a recombinant HPIV1 vector, attenuated by a stabilized mutation, that expresses RSV F protein modified for increased stability in the prefusion (pre-F) conformation by previously described disulfide bond (DS) and hydrophobic cavity-filling (Cav1) mutations...
November 15, 2017: Journal of Virology
https://www.readbyqxmd.com/read/28831577/chest-radiographic-features-of-human-metapneumovirus-infection-in-pediatric-patients
#12
Melissa A Hilmes, F Daniel Dunnavant, Sudha P Singh, Wendy D Ellis, Daniel C Payne, Yuwei Zhu, Marie R Griffin, Kathryn M Edwards, John V Williams
BACKGROUND: Human metapneumovirus (HMPV) was identified in 2001 and is a common cause of acute respiratory illness in young children. The radiologic characteristics of laboratory-confirmed HMPV acute respiratory illness in young children have not been systematically assessed. OBJECTIVE: We systematically evaluated the radiographic characteristics of acute respiratory illness associated with HMPV in a prospective cohort of pediatric patients. MATERIALS AND METHODS: We included chest radiographs from children <5 years old with acute respiratory illness who were enrolled in the prospective New Vaccine Surveillance Network (NVSN) study from 2003 to 2009 and were diagnosed with HMPV by reverse transcription-polymerase chain reaction (RT-PCR)...
December 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/28816002/maternal-body-mass-index-relation-with-infant-respiratory-symptoms-and-infections
#13
Ashley Rajappan, Anna Pearce, Hazel M Inskip, Janis Baird, Sarah R Crozier, Cyrus Cooper, Keith M Godfrey, Graham Roberts, Jane S A Lucas, Katharine C Pike
BACKGROUND: Maternal obesity is increasingly prevalent in many westernized countries. Many studies report associations between maternal obesity and childhood wheeze or asthma but few have considered maternal obesity in relation to respiratory infections or symptoms other than wheeze during infancy. This study assesses the relationship between maternal BMI and reported wheeze, cough and respiratory infections during the first year of life. METHODS: In 2799 mother-child pairs, we examined the relations between maternal pre-pregnancy BMI and pregnancy weight gain and reported offspring wheeze, prolonged cough, lower respiratory tract infection, croup, and ear infection before age 1 year, along with reported diarrhea or vomiting...
October 2017: Pediatric Pulmonology
https://www.readbyqxmd.com/read/28777267/mistaken-identity-asthma-and-croup-in-a-previously-healthy-9-year-old-male
#14
Sylvia Owusu-Ansah, Oluwakemi Badaki-Makun, Thuy L Ngo
Cough is one of the most common presenting complaints encountered in primary care settings and the emergency department. In 2010, the Centers for Disease Control and Prevention reported approximately 31 million visits to ambulatory care centers for cough, making cough the most frequent presenting complaint in ambulatory visits (2010 National Ambulatory Medical Care Survey). Significant causes of cough can often be overlooked because it is a common symptom of a myriad of pathologies. We report the case of an otherwise healthy 9-year-old male who presented with worsening cough over a month and a half, subsequently noted to have a mediastinal mass, and diagnosed with lymphoma...
August 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28757139/clinical-and-epidemiological-characteristics-of-human-parainfluenza-virus-infections-of-children-in-southern-taiwan
#15
Kai-Wen Wu, Shih-Min Wang, Ching-Fen Shen, Tzong-Shiann Ho, Jen-Ren Wang, Ching-Chuan Liu
BACKGROUND: Human parainfluenza viruses (HPIV) 1-4 had been analyzed as being one of the most frequent causes of hospitalizations for young children with respiratory tract illnesses. METHODS: This retrospective study was performed from children virologically confirmed as HPIV infection through throat swab or nasopharyngeal aspirates at a tertiary care university hospital, between January 2012 and December 2014. HPIV4 was not checked and analyzed, due to not include in the commercial kit...
June 22, 2017: Journal of Microbiology, Immunology, and Infection, Wei Mian Yu Gan Ran za Zhi
https://www.readbyqxmd.com/read/28735259/observational-study-on-the-palatability-and-tolerability-of-oral-prednisolone-and-oral-dexamethasone-in-children-in-saudi-arabia-and-the-uk
#16
Fahad Aljebab, Mofadhi Alanazi, Imti Choonara, Sharon Conroy
BACKGROUND: Short-course oral corticosteroids are routinely used to treat acute asthma and croup. We evaluated their tolerability and palatability in Saudi Arabian (SA) and UK children. METHODS: Prospective observational/interview study (3 months in each country). Palatability was evaluated using a 5-point facial Hedonicscale and tolerability by direct questioning of patient/parents. RESULTS: In SA, of 122 patients (2-10 years) recruited, 52 received prednisolone base tablets, 37 prednisolone sodium phosphate syrup and 33 received dexamethasone elixir...
July 22, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28696771/occurrence-of-wounds-in-nigerian-horses
#17
Onyinyechukwu A Agina, John I Ihedioha
This study investigated the occurrence of wounds in Nigerian horses. The study population was 1,621 horses sold at the Obollo Afor horse lairage in Enugu State, Nigeria, during a 6-month period: 3 months of dry season and 3 months of rainy season (February-April and June-August 2012). A total of 207 horses were systematically sampled and subjected to a comprehensive physical examination. Those with wounds were marked, recorded, and clinically examined. Of the 207 horses sampled, 21 (10.1%) had wounds. The body distribution of the wounds was 9...
October 2017: Journal of Applied Animal Welfare Science: JAAWS
https://www.readbyqxmd.com/read/28622285/what-is-the-effectiveness-of-systemic-corticosteroids-in-children-with-croup
#18
Elizabeth Muñoz-Osores, Deidyland Arenas
Systemic corticosteroids constitute standard treatment in children with acute obstructive laryngitis (croup). However, there is some uncertainty in relation with the magnitude of the benefits and risks associated with their use. To answer this question, we used Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. We identified six systematic reviews including 25 randomized trials relevant for the question of interest...
June 6, 2017: Medwave
https://www.readbyqxmd.com/read/28594619/managing-acute-respiratory-tract-infections-in-children
#19
C Schuster Bruce, Clare Hoare, Atanu Mukherjee, Siba Prosad Paul
Respiratory tract infections (RTIs), including community-acquired pneumonia (CAP), bronchiolitis, viral-induced wheeze and croup, account for more primary care consultations than any other illness group and are the most likely reason for a parent or carer to contact a health professional. The majority of RTIs in fully immunised children are usually self-limiting. However, in a small percentage of children RTIs may become life threatening and it is crucial that all front-line health professionals are able to recognise and identify these children who are at risk of deterioration...
June 8, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28556543/westley-score-and-clinical-factors-in-predicting-the-outcome-of-croup-in-the-pediatric-emergency-department
#20
Wen-Chieh Yang, Jung Lee, Chun-Yu Chen, Yu-Jun Chang, Han-Ping Wu
BACKGROUND: Westley croup score has been generally used to assess the severity of croup. This study aimed to identify the individual factors associated with Westley score (WS) and other clinical factors in predicting the outcomes in the pediatric emergency department (PED). POPULATION AND METHOD: We prospectively recruited patients with croup from the PED. The individual factors of WS, fever, age, and the length of hospital stay were analyzed to predict clinical outcomes...
October 2017: Pediatric Pulmonology
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