Psychological approaches to the management of respiratory symptoms in children and adolescents

2004 ◽  
Vol 5 (3) ◽  
pp. 214-224 ◽  
Author(s):  
Colin Powell ◽  
Anna Brazier
Keyword(s):  
Children And Adolescents ◽  
Respiratory Symptoms

scholarly journals Total and Specific Immunoglobulin E and Their Relationship to Respiratory Symptoms in Quebec Children and Adolescents

2005 ◽  
Vol 12 (8) ◽  
pp. 426-432 ◽  
Author(s):  
Benoît Levesque ◽  
Jean-François Duchesne ◽  
Suzanne Gingras ◽  
Pierre Allard ◽  
Edgar Delvin ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Respiratory Symptoms ◽  
Immunoglobulin E ◽  
Geometric Mean ◽  
Allergic Sensitization ◽  
Population Sample ◽  
Ethnic Origin ◽  
Total Ige ◽  
Specific Immunoglobulin E ◽  
Specific Immunoglobulin

BACKGROUND: Respiratory disease is a major cause of morbidity in young people. It is now recognized that atopy plays an important role in the development of chronic respiratory symptoms in children.OBJECTIVE: To examine the determinants and consequences of serum total and specific immunoglobulin E (IgE) in a general population sample of Québec children and adolescents.METHODS: In 1999, 2349 children and adolescents (nine, 13 or 16 years of age) who had participated in a respiratory symptom and disease questionnaire had their total IgE measured. Of these participants, a subsample of 451 children and adolescents was analyzed to detect antibodies to eight specific allergens (ie, allergens of dust mites [Dermatophagoides farinae and Dermatophagoides pteronyssinus], cat, dog, ragweed, Timothy grass, mould [alternaria] and cockroach).RESULTS: The geometric mean of the total IgE was 44.4 U/mL among all participants. Concentrations were higher in boys and increased with age. More than 41% of the participants were sensitized to at least one specific allergen. Such sensitization was strongly associated with the occurrence of respiratory conditions and symptoms, namely asthma, wheezing and rhinitis. Family history, school location and ethnic origin had an impact on the prevalence of atopy and total IgE levels.CONCLUSIONS: Allergic sensitization is a major determinant in the development of asthma, wheezing and rhinitis in children and adolescents in the province of Québec.

scholarly journals Sensitization and Respiratory symptoms induced by Peach tree pollen in highly exposed Children and Adolescents.

2019 ◽  
Vol 143 (2) ◽  
pp. AB235
Author(s):  
Maria Luisa Somoza ◽  
Laura Victorio Puche ◽  
Natalia Blanca-Lopez ◽  
Elisa Haroun Diaz ◽  
Maria Garrido Arandia ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Respiratory Symptoms ◽  
Peach Tree ◽  
Tree Pollen

BACK TO BASICS

1996 ◽  
Vol 17 (2) ◽  
pp. 53-63
Author(s):  
Karen Z. Voter ◽  
John T. McBride
Keyword(s):  
Pulmonary Function ◽  
Pulse Oximetry ◽  
Children And Adolescents ◽  
Respiratory Function ◽  
Respiratory Symptoms ◽  
Peak Flow ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Blood Gas ◽  
Objective Measurements

Objective measurements of a wide variety of aspects of respiratory function can be useful in the evaluation and management of children and adolescents who have respiratory symptoms or disorders. Many of the tests described in this article can be performed reasonably in the pediatrician's office. Pediatricians can be comfortable in measuring and interpreting pulse oximetry, blood gas analysis, spirometry, and peak flow. They also should be familiar with the indications for the less common tests of pulmonary function that now are widely available.

scholarly journals More complaints than findings - Long-term pulmonary function in children and adolescents after COVID-19

2021 ◽  
Author(s):  
Leona Knoke ◽  
Anne Schlegtendal ◽  
Christoph Maier ◽  
Lynn Eitner ◽  
Thomas Luecke ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Children And Adolescents ◽  
Respiratory Symptoms ◽  
Severe Infection ◽  
Preliminary Evidence ◽  
Long Term Effects ◽  
Diffusion Capacity ◽  
Persistent Symptoms ◽  
Abnormal Pulmonary Function

Background: The frequency of persistent symptoms after coronavirus disease 2019 (COVID-19) in adults varies from 4.5% to 87%. Pulmonary function can also show long-term impairment in adults: 10% of hospitalised adults had reduced spirometry values, and 24% had decreased diffusion capacity. To date, only preliminary evidence is available on persistent respiratory sequelae in children and adolescents, therefore our objective was to examine the long-term effects of COVID-19 on pulmonary function in this age group. Methods: Multiple-breath washout, body plethysmography, and diffusion capacity testing were performed after an average of 2.6 months (range 0.4-6.0) following COVID-19 in 73 children and adolescents (age 5-18 years) with different disease severity. Cases were compared to 45 controls with and without infection within six months prior to assessment after exclusion of severe acute respiratory coronavirus-2 infection (SARS-CoV-2). Results: Of the 19 patients (27.1%) who complained about persistent or newly emerged symptoms since COVID-19, 8 (11.4%) reported respiratory symptoms. Comparing patients with COVID-19 to controls, no significant differences were detected in frequency of abnormal pulmonary function (COVID-19: 12, 16.4%; controls: 12, 27.7%; OR 0.54, 95% CI 0.22-1.34). Only two patients with persistent respiratory symptoms showed abnormal pulmonary function. Multivariate analysis revealed reduced forced vital capacity (p=0.045) in patients with severe infection regardless of SARS-CoV-2 infection. Discussion: Pulmonary function is rarely impaired in children and adolescents after COVID-19, except of those with severe infection. The discrepancy between persistent respiratory symptoms and normal pulmonary function suggests a different underlying pathology such as dysfunctional breathing.

scholarly journals CLINICAL MANIFESTATIONS OF CHILDREN AND ADOLESCENTS WITH COVID-19: REPORT OF THE FIRST 115 CASES FROM SABARÁ HOSPITAL INFANTIL

2021 ◽  
Vol 39 ◽  
Author(s):  
Anna Clara Rabha ◽  
Francisco Ivanildo de Oliveira Junior ◽  
Thales Araújo de Oliveira ◽  
Regina Grigolli Cesar ◽  
Giuliana Fongaro ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Respiratory Symptoms ◽  
Clinical Manifestations ◽  
Gastrointestinal Symptoms ◽  
Upper Airway ◽  
Nasal Discharge ◽  
Hospitalized Children ◽  
Low Oxygen ◽  
Cross Sectional ◽  
Airway Symptoms

ABSTRACT Objective: To describe the clinical manifestations and severity of children and adolescents affected by COVID-19 treated at Sabará Hospital Infantil. Methods: This is a cross-sectional, retrospective, and observational study. All cases of COVID-19 confirmed by RT-qPCR of patients seen at the hospital (emergency room, first-aid room, and ICU) were analyzed. The severity of the cases was classified according to the Chinese Consensus. Results: Among the 115 children included, a predominance of boys (57%) was verified, and the median age was two years. A total of 22 children were hospitalized, 12 in the ICU. Of the total, 26% had comorbidities with a predominance of asthma (13%). Fever, cough, and nasal discharge were the most frequent symptoms. Respiratory symptoms were reported by 58% of children and gastrointestinal symptoms, by 34%. Three children were asymptomatic, 81 (70%) had upper airway symptoms, 15 (13%) had mild pneumonia, and 16 (14%) had severe pneumonia. Hospitalized children were younger than non-hospitalized children (7 months vs. 36 months). In hospitalized patients, a higher frequency of irritability, dyspnea, drowsiness, respiratory distress, low oxygen saturation, and hepatomegaly was observed. Chest radiography was performed in 69 children with 45% of abnormal exams. No child required mechanical ventilation and there were no deaths. Conclusions: Most of children and adolescents affected by COVID-19 had mild upper airway symptoms. Clinical manifestations of COVID-19 were more severe among younger children who exhibited gastrointestinal and respiratory symptoms more frequently.

Lung Function, Allergic Sensitization and Respiratory Symptoms Among Children and Adolescents with Sickle Cell Disease

2016 ◽  
Vol 137 (2) ◽  
pp. AB5
Author(s):  
Gustavo Wandalsen ◽  
Maíra Moya ◽  
Carolina Cobra ◽  
Cíntia Jonhston ◽  
Josefina Braga ◽  
...  
Keyword(s):  
Sickle Cell Disease ◽  
Lung Function ◽  
Children And Adolescents ◽  
Sickle Cell ◽  
Respiratory Symptoms ◽  
Allergic Sensitization ◽  
Cell Disease

scholarly journals RESPIRATORY VIRAL INFECTIONS IN CHILDREN AND ADOLESCENTS WITH HEMATOLOGICAL MALIGNANCIES

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Seung Beom Han ◽  
Ju Ae Shin ◽  
Seong koo Kim ◽  
Jae Wook Lee ◽  
Dong-Gun Lee ◽  
...  
Keyword(s):  
Polymerase Chain Reaction ◽  
Children And Adolescents ◽  
Respiratory Symptoms ◽  
Hematological Malignancies ◽  
Respiratory Infections ◽  
Chain Reaction ◽  
Respiratory Illnesses ◽  
Group I ◽  
Polymerase Chain ◽  
Pcr Test

Abstract Background: Despite the introduction of a polymerase chain reaction (PCR) test for the diagnosis of respiratory viral infection (RVI), guidance on the application of this test and the management of RVI in immunocompromised children is lacking. This study evaluated the clinical characteristics of RVI and established strategies for the PCR test in children and adolescents with hematological malignancies.Methods: This study included children and adolescents with underlying hematological malignancies and respiratory symptoms, in whom a multiplex PCR test was performed. Patients in whom RVI was identified and not identified were categorized into Groups I and II, respectively. Group I was sub-divided into patients with upper and lower respiratory infections. The medical records of the enrolled patients were retrospectively reviewed.Results: A total of 93 respiratory illnesses were included. Group I included 46 (49.5%) cases of RVI, including 31 (67.4%) upper and 15 (32.6%) lower respiratory infections. Rhinovirus (37.0%) was the most common viral pathogen. Significantly more patients in Group I had community-acquired respiratory illnesses (p=0.003) and complained of rhinorrhea (p<0.001) and sputum (p=0.008) than those in Group II. In Group I, significantly more patients with lower respiratory infections had uncontrolled underlying malignancies (p=0.038) and received re-induction or palliative chemotherapy (p=0.006) than those with upper respiratory infections.Conclusions: A multiplex PCR test should be considered for RVI diagnosis in immunocompromised children and adolescents with respiratory symptoms, especially in those with rhinorrhea or sputum prominent over a cough. The early application of the PCR test in patients with uncontrolled underlying malignancies may improve outcomes. Keywords: child, hematologic neoplasms, polymerase chain reaction, respiratory tract infections

scholarly journals Mediastinal tuberculous lymphadenitis presenting with insidious back pain in a male adult: a case report and review of the literature

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098710
Author(s):  
Xuli Ren ◽  
Kai Li ◽  
Longyun Li ◽  
Guoqing Zhao
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Children And Adolescents ◽  
Respiratory Symptoms ◽  
Clinical Characteristics ◽  
Chronic Back Pain ◽  
Tuberculous Lymphadenitis ◽  
Review Of The Literature ◽  
Male Adult ◽  
Initial Symptoms

Mediastinal tuberculous lymphadenitis (MTL) is mostly observed in primary tuberculosis in infants, children and adolescents, and is not found commonly in adults. Mediastinal tuberculous lymphadenitis cases may present with an insidious progression of tuberculous symptoms, including gradual deterioration in the lungs and a variety of clinical characteristics; however, initial symptoms are rarely only chronic back pain. We present the case of a 33-year-old man with mediastinal tuberculous lymphadenitis misdiagnosed as myofascitis. Since such individuals do not develop respiratory symptoms in the initial stages, they often go undiagnosed and can potentially spread tuberculosis.

scholarly journals Adverse Respiratory Symptoms and Environmental Exposures among Children and Adolescents following Hurricane Katrina

2011 ◽  
Vol 126 (6) ◽  
pp. 853-860 ◽  
Author(s):  
Barbara Rath ◽  
Elizabeth A. Young ◽  
Amy Harris ◽  
Keith Perrin ◽  
Daniel R. Bronfin ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Hurricane Katrina ◽  
New Orleans ◽  
Respiratory Symptoms ◽  
Environmental Exposures ◽  
Flood Damage ◽  
Storm Damage ◽  
Cross Sectional ◽  
Convenience Sample ◽  
At Home

Objectives. Children and adolescents are especially vulnerable to environmental exposures and their respiratory effects. Following Hurricane Katrina in 2005, residents experienced multiple adverse environmental exposures. We characterized the association between upper respiratory symptoms (URS) and lower respiratory symptoms (LRS) and environmental exposures among children and adolescents affected by Hurricane Katrina. Methods. We conducted a cross-sectional study following the return of the population to New Orleans after Hurricane Katrina (October 2005 and February 2006) among a convenience sample of children and adolescents attending New Orleans health facilities. We used uni-, bi-, and multivariable analyses to describe participants, exposures, and associations with URS/LRS. Results. Of 1,243 participants, 47% were Caucasian, 50% were male, and 72% were younger than 11 years of age. Multiple environmental exposures were identified during and after the storm and at current residences: roof/glass/storm damage (50%), outside mold (22%), dust (18%), and flood damage (15%). Self-reported URS and LRS (76% and 36%, respectively) were higher after the hurricane than before the hurricane (22% and 9%, respectively, p<0.0001). Roof/glass/storm damage at home was associated with URS (adjusted odds ratio [AOR] = 1.59, 95% confidence interval [CI] = 1.15, 2.21) and LRS (AOR=1.35, 95% CI 1.01, 1.80), while mold growth at home was associated with LRS (AOR=1.47, 95% CI 1.02, 2.12). Conclusions. Children and adolescents affected by Hurricane Katrina experienced environmental exposures associated with increased prevalence of reported URS and LRS. Additional research is needed to investigate the long-term health impacts of Hurricane Katrina.

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