Paediatric asthma and allergy最新文献

{"title":"Parents’ and health professionals’ perceptions of asthma medication noncompliance among Puerto Rican children","authors":"L. Nieves","doi":"10.1183/13993003.CONGRESS-2019.PA934","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2019.PA934","url":null,"abstract":"Parents’ and Health Professionals’ Perceptions of Asthma Medication Noncompliance Among Puerto Rican Children by Luz E. Nieves MPH, University of Puerto Rico, 1992 BSN, University of Puerto Rico, 1986 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University February 2019 Abstract Children of Hispanic origin have the highest prevalence of asthma of all ethnic groups in the United States, especially Puerto Rican children, who have a prevalence of 12.9%. Treatment nonadherence has been identified as one contributing factor. The purpose of this qualitative study was to explore the reasons for nonadherence to the asthma treatment regimen among Puerto Rican children. Parents and health care providers of asthmaticChildren of Hispanic origin have the highest prevalence of asthma of all ethnic groups in the United States, especially Puerto Rican children, who have a prevalence of 12.9%. Treatment nonadherence has been identified as one contributing factor. The purpose of this qualitative study was to explore the reasons for nonadherence to the asthma treatment regimen among Puerto Rican children. Parents and health care providers of asthmatic children were interviewed regarding their beliefs about asthma as a disease, its effect on the child’s life, and their experience with asthma treatment. Two models served as the theoretical framework: the health belief model and the Institute of Medicine model framework for asthma disparities. Interview data were collected from 8 parents using a questionnaire, and a focus group was conducted with 3 health care professionals. Data were manually coded to identify emerging themes. Even though parents reported fear of asthma medications and medication side effects, none of the parents stopped the asthma treatment. Results also indicated that lack of education about asthma, asthma treatment, and asthma action plan was evident in 75% of the parents. None of the parents who migrated to the United States from Puerto Rico received education about asthma while living in Puerto Rico. Health care professionals reported that although parents are familiar with asthma, they do not understand that it is a chronic disease that requires daily treatment. Findings may be used to create an asthma education plan tailored to the needs of the Hispanic population. Parents’ and Health Professionals’ Perceptions of Asthma Medication Noncompliance Among Puerto Rican Children by Luz E. Nieves MPH, University of Puerto Rico, 1992 BSN, University of Puerto Rico, 1986 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy","PeriodicalId":114886,"journal":{"name":"Paediatric asthma and allergy","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115513711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life evaluation of children exposed to second-hand smoke","authors":"Ana Pégolo, Mariana Fogarolli, M. Bigotto, Henrique Lopes Cardoso, Mariana Reis, Silvana Scolfaro, R. Vieira, R. Marques","doi":"10.1183/13993003.congress-2019.pa4502","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa4502","url":null,"abstract":"Environmental exposures associated with host immune system factors can trigger and worse several forms of allergic diseases. Second-hand smoke (SHS) is a known factor that exacerbates numerous diseases in children, such as asthma, respiratory tract infections and sudden infant death syndrome. During childhood the main source of exposure to SHS is the children own home. This study aimed to compare the prevalence of asthma and its impact on life quality of children exposed or not to SHS. Children with ages between 7 to 17 years old answered an ISAAC (International Study of Asthma and Allergies in Childhood) questionnaire to diagnose asthma. Subsequently they were questioned about the presence of smokers at home. Those classified as asthmatics answered a PAQLQ-A (Pediatric Asthma Quality of Life Questionnaire-Adapted). Five hundred and forty questionnaires were distributed and 257 were correctly filled, the mean age of the volunteers was (9,61±1,73 years). According to our data, ISAAC global score pointed out to a 21.01% prevalence of asthma. Among the asthmatic children 66.67% were exposed to SHS at home and 37.44% of non-asthmatic children were also exposed to SHS at home. The association between asthma symptoms and SHS at home was observed with the odds ratio test (p","PeriodicalId":114886,"journal":{"name":"Paediatric asthma and allergy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125830846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The development of an asthma transition model from paediatric to adult care","authors":"Victoria Worral, H. James, G. Jones, R. Thursfield","doi":"10.1183/13993003.congress-2019.pa928","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa928","url":null,"abstract":"","PeriodicalId":114886,"journal":{"name":"Paediatric asthma and allergy","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127341777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcriptome-wide association study (TWAS) of nasal respiratory epithelium and childhood asthma","authors":"E. Forno, Rong Zhang, Yale Jiang, Qi Yan, Yueh-Ying Han, E. Acosta-Pérez, N. Boutaoui, G. Canino, Wei Chen, J. Celedón","doi":"10.1183/13993003.congress-2019.oa4943","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.oa4943","url":null,"abstract":"","PeriodicalId":114886,"journal":{"name":"Paediatric asthma and allergy","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128254941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamics of serum interferons and Th2-type interleukins during viral upper respiratory tract infections in pediatric asthmatic patients","authors":"O. Shvaratska, Y. Bolbot","doi":"10.1183/13993003.congress-2019.oa4940","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.oa4940","url":null,"abstract":"","PeriodicalId":114886,"journal":{"name":"Paediatric asthma and allergy","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117082005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An economic evaluation of adding inhaled corticosteroids to systemic corticosteroids for treating acute asthma exacerbations","authors":"C. R. Martinez, Mónica P. Sossa-Briceño, J. Castro-Rodriguez","doi":"10.1183/13993003.congress-2019.pa951","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa951","url":null,"abstract":"","PeriodicalId":114886,"journal":{"name":"Paediatric asthma and allergy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114681196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between exposure to household air pollution and asthma in children: a systematic review and meta-analysis","authors":"K. Viaje, Christina Ma, C. Chiang, Kevin Karivelil, O. Kurmi","doi":"10.1183/13993003.congress-2019.pa4505","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa4505","url":null,"abstract":"Introduction: Over 40% of the world’s population are exposed to high levels of household air pollution (HAP) from solid fuel use. Although HAP is a risk factor for asthma morbidity in adults, the findings in children have not been extensively reviewed. Aims: To summarize the relationship between HAP exposure and asthma in children. Methods: We searched PubMed, Medline, Scopus, Web of Science, CINAHL, Cochrane, and LILACS databases to identify eligible observational and RCT studies of HAP and its link to asthma in children ≤18 years old. Article screening and data extraction were carried out in duplicate using standardised forms and quality assessed using the NIH Quality Assessment Tools. A random effects meta-analysis was performed using the generic inverse variance method. Complete protocol has been published in PROSPERO (CRD42018094283). Results: Out of 25,865 articles identified initially, 15,045 titles and abstracts were screened following duplicate removal. Data were extracted from 30 studies that reported on asthma or wheezing outcomes and met the inclusion criteria. Compared to non-solid fuel use, use of solid fuel for cooking or heating was associated with an increased risk of asthma (OR 1.19, 95% CI 0.99-1.42) and wheezing (1.2, 1.03-1.40) though statistically not significant marginally for asthma. Further analysis showed that use of wood for cooking increased the risk of asthma (1.65, 0.96-2.83) and wheeze (1.32, 0.57-3.04), though statistically not significant. There was moderate to high heterogeneity (49-87%) between the studies. Discussion: Overall, the results show exposure to solid fuel is associated with asthma and episodes of wheezing in children.","PeriodicalId":114886,"journal":{"name":"Paediatric asthma and allergy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129059364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intra-device repeatability of the NIOX-MINO handheld fractional exhaled nitric oxide monitor","authors":"Spencer Williams, Franklin Sopuluchukwu, S. Sivagnanasithiyar, M. Robertson, R. Iles","doi":"10.1183/13993003.congress-2019.pa4510","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa4510","url":null,"abstract":"Background: The fraction of exhaled nitric oxide has increasingly been used as a non-invasive biomarker of airway inflammation. Current European Respiratory Society recommendations from 1999 state that repeated exhalations are performed until two nitric oxide values agree at the 5% level. In the preceding years, there has been marked advancements in exhaled nitric oxide measurement devices using electrochemical sensors. However, while the intra-repeatability of the NIOX-MINO has been investigated, such data have been largely obtained with subjects without a respiratory condition. Objective: The objective of the current study was to determine the feasibility of only obtaining a single fraction of exhaled nitric oxide measurement by assessing the intra-repeatability of the NIOX-MINO, with a sample representative of the population referred for respiratory assessment by the paediatric respiratory medicine service at the Evelina London Children’s Hospital; due to the relatively high cost to number of sensor uses ratio. Methods: Four-hundred and twenty-one datasets were included (aged 4–17 years) of patients who had paired fraction of exhaled nitric oxide measurements using the NIOX-MINO. The intra-repeatability of the paired fraction of exhaled nitric oxide measurements were analysed using a one-way repeated measures analysis of variance test. Results: No significant difference was observed between the first and second paired fraction of exhaled nitric oxide measurements (p = 0.153). Conclusions: The findings of the current study go further to support the use of a single fraction of exhaled nitric oxide measurement within clinical practice.","PeriodicalId":114886,"journal":{"name":"Paediatric asthma and allergy","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124489293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical characteristics, lung function, quality of life, exercise capacity and inflammatory biomarkers in induced sputum and serum in children and adolescents with uncontrolled severe asthma","authors":"N. Y. Matsunaga, T. N. Mazzola, M. S. Oliveira, Lívea Gianfrancesco, B. Zaidan, I. Barreto, A. Morcillo, M. D. C. Toro, Maria Cristina Ribeiro Dos Santos Simeoes, M. A. Ribeiro, J. Ribeiro, A. A. Toro","doi":"10.1183/13993003.congress-2019.pa954","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa954","url":null,"abstract":"","PeriodicalId":114886,"journal":{"name":"Paediatric asthma and allergy","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128160384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Externally validating the asthma remission prediction model to the Dutch asthma remission studies","authors":"O. Carpaij, J. Vonk, M. Nawijn, H. Kerstjens, G. Koppelman, M. Berge","doi":"10.1183/13993003.congress-2019.pa4512","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa4512","url":null,"abstract":"","PeriodicalId":114886,"journal":{"name":"Paediatric asthma and allergy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130467458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}