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https://www.readbyqxmd.com/read/29310492/prognostic-factors-and-importance-of-recognition-of-adult-croup
#1
Tomoyasu Tachibana, Yorihisa Orita, Takuma Makino, Yasutoshi Komatsubara, Yuko Matsuyama, Yuto Naoi, Michihiro Nakada, Yasuharu Sato, Kazunori Nishizaki
OBJECTIVES: Croup, or laryngotracheobronchitis, is a common disease in childhood. On the other hand, to our knowledge, there are only 14 cases in six English literatures describing adult croup (AC). The clinical features of AC have not been well known. METHODS: We conducted a retrospective analysis of medical records of 18 patients with AC during the period from 2008 to 2016. RESULTS: None of the 18 patients required an urgent airway intervention...
January 8, 2018: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29247097/which-outcomes-are-important-to-patients-and-families-who-have-experienced-paediatric-acute-respiratory-illness-findings-from-a-mixed-methods-sequential-exploratory-study
#2
Michele P Dyson, Kassi Shave, Allison Gates, Ricardo M Fernandes, Shannon D Scott, Lisa Hartling
OBJECTIVES: To identify the outcome priorities of parents of children who had experienced an acute respiratory infection (ARI). DESIGN: This was a two-phase, mixed methods study with a sequential exploratory design. We used a cross-sectional quantitative web-based survey to elicit parents' priorities for paediatric ARI. We then used a discussion moderated via Facebook to elucidate richer descriptions of parents' priorities. SETTING: Survey and discussion data were collected via the internet...
December 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/29217058/management-of-infantile-hemangiomas-of-the-airway
#3
REVIEW
David H Darrow
Infantile hemangiomas (IHs) of the airway are far less common than their cutaneous counterparts, and their symptoms mimic those of viral croup. As a result, by the time these lesions are diagnosed, they are often advanced and causing airway compromise. Fortunately, the evolution of propranolol as an effective and safe pharmacotherapy has simplified management of IH and reduced the likelihood of complications previously seen with steroid therapy and surgery. Nevertheless, the otolaryngologist must be prepared with an alternate plan to manage lesions refractory to pharmacotherapy...
February 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29200244/management-of-airway-obstruction-and-stridor-in-pediatric-patients-digest
#4
Ashley Marchese, Melissa L Langhan, Kathryn H Pade
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 22, 2017: Pediatric Emergency Medicine Practice
https://www.readbyqxmd.com/read/29189589/pediatric-emergency-research-canada-origins-and-evolution
#5
Liza Bialy, Amy Plint, Roger Zemek, David Johnson, Terry Klassen, Martin Osmond, Stephen Freedman
OBJECTIVE: The objective of the study was to describe the origins, growth, and progress of a national research network in pediatric emergency medicine. METHODS: The success of Pediatric Emergency Research Canada (PERC) is described in terms of advancing the pediatric emergency medicine agenda, grant funding, peer-reviewed publications, mentoring new investigators, and global collaborations. RESULTS: Since 1995, clinicians and investigators within PERC have grown the network to 15 active tertiary pediatric emergency medicine sites across Canada...
November 20, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29187536/inflammasome-antagonism-by-human-parainfluenza-virus-type-3-c-protein
#6
Niraj K Shil, Swechha M Pokharel, Amiya K Banerjee, Michael Hoffman, Santanu Bose
Human parainfluenza virus type 3 (HPIV3) is a negative-sense single-stranded RNA virus belonging to the paramyxoviridae family. HPIV3 is a lung tropic virus causing airway diseases including pneumonia, croup, and bronchiolitis during infancy and childhood. Activation of inflammasome by pathogens results in production of pro-inflammatory cytokines like IL-1β during infection. Thus, inflammasome mediated pro-inflammatory response plays a critical role in regulating immune response and virus clearance. Inflammasome is a multimeric protein complex triggering caspase-1 activation...
November 29, 2017: Journal of Virology
https://www.readbyqxmd.com/read/29178963/chloral-hydrate-enteral-infusion-for-sedation-in-ventilated-children-the-chosen-pilot-study
#7
Ari R Joffe, Jessica Hogan, Cathy Sheppard, Gerda Tawfik, Jonathan P Duff, Gonzalo Garcia Guerra
BACKGROUND: We aimed to test a novel method of delivery of chloral hydrate (CH) sedation in ventilated critically ill young children. METHODS: Children < 12 years old, within 72 hours of admission, who were ventilated, receiving enteral tube-feeds, with intermittent CH ordered were enrolled after signed consent. Patients received a CH loading-dose of 10 mg/kg enterally, then a syringe-pump enteral infusion at 5 mg/kg/hour, increasing to a maximum of 9 mg/kg/hour...
November 26, 2017: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/29115814/calculated-decisions-westley-croup-score
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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