Impact of the COVID-19 pandemic on infant and pediatric asthma: a multi-center survey using an administrative database in Japan

AbstractBackgroundLimited data are available on the relationship between infant and pediatric asthma and severe acute respiratory syndrome coronavirus 2 (COVID-19).Political limitations such as school closure may affect the treatment behavior of pediatric asthma. To investigate the trends of treatment behavior in the field of pediatrics during the COVID-19 pandemic.MethodsThis is a retrospective observational study using Diagnosis Procedure Combination (DPC) data from the Quality Indicator/Improvement Project (QIP) database. We identified children with asthma aged 15 years or younger who were patients from July 1, 2018, to June 30, 2020. The main outcome was a comparison between asthma patients’ treatment behavior before the COVID-19 pandemic and during the COVID-19 pandemic.We statistically tested the admission volume changes based on the discharge date after adjusting for seasonality through a Fourier term using an interrupted time-series analysis (ITS).ResultsWe identified 10,481 inpatients cases in 67 hospitals and 258,911 out-patients cases in 180 hospitals who were diagnosed with asthma. We performed ITS analysis for inpatients. The reduction in the number of patients during this period was estimated to be 232 (P=0.001). In addition, ITS analysis was performed for patients aged <3 years. The reduced number of patients during this period was estimated to be 155 (P<0.001).ConclusionsWe found that the number of pediatric asthma patients dramatically decreased during the COVID-19 pandemic. We need to continue research into the trends of pediatric asthma patients after the COVID-19 pandemic in Japan.Key MessagesThere are increasingly available data on the relationship between adults’ asthma and COVID-19. However, in the fields of pediatrics, limited data are available. Patients with moderate to severe asthma who needed hospitalization dramatically decreased during the COVID-19 pandemic. Besides, doctors prescribed nebulizers more than metered-dose inhalers by the clinical guideline recommendation. Our findings reinforce the value of political inventions, such as school closure reduced the number of asthma attacks in infants and school-age children.

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Allergic Rhinitis: Natural History. A Twenty Years Follow up Study

European Journal of Inflammation ◽

10.1177/1721727x0300100105 ◽

2003 ◽

Vol 1 (1) ◽

pp. 17-23 ◽

Cited By ~ 2

Author(s):

D. Passàli ◽

V. Damiani ◽

G.C. Passàli ◽

F.M. Passàli ◽

L. Bellussi

Keyword(s):

Allergic Rhinitis ◽

Natural History ◽

Symptomatic Treatment ◽

Follow Up Study ◽

Number Of Patients ◽

Asthma Patients ◽

Lower Airways ◽

The Relationship

Although there is an agreement on the increase of the prevalence of allergic rhinitis in last decades, data emerging from various studies appear to be widely dishomogeneous. Another point that needs a clarification is the relationship between allergic rhinitis and lower airways pathologies such as asthma or bronchitis. In this study, we followed the evolution of allergic rhinitis in a group of patients in the last 20 years to highlight the efficacy of different treatments in the prevention of complications, specifically asthma. Patients who didn't receive any kind of treatment experimented a remission of symptoms in 4 cases, a stability of the disease in 6 and the development of complications in 11. In the group treated with symptomatic drugs we highlighted a recovery in 11 patients, a stability of symptoms in 2 and complications in 2. At last, patients undergone immunotherapy considered their symptoms improved in 60 % and stable in 40 % of cases. In conclusion, Immunotherapy guarantees, in a large number of patients, remission of local symptoms and valid protection against district and bronchial complications. Symptomatic treatment with antihistamines and/or cortisones represents a valid alternative, and it's always to be preferred to abstention from any treatment.

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Current Recommendations on the Management of Pediatric Asthma and Allergic Rhinitis during the COVID-19 Pandemic versus Real-Life Practice

International Archives of Allergy and Immunology ◽

10.1159/000521117 ◽

2021 ◽

pp. 1-8

Author(s):

Pinar Gokmirza Ozdemir ◽

Velat Celik

Keyword(s):

Allergic Rhinitis ◽

Online Survey ◽

Real Life ◽

Pediatric Asthma ◽

Family Physicians ◽

Treatment Compliance ◽

Asthma Attack ◽

Asthma Patients ◽

The Relationship

Introduction: Several statements and position papers on the management of childhood asthma and allergies during the COVID-19 pandemic have been published of late. The aim of this study was to evaluate the knowledge and awareness of pediatricians and family physicians regarding the management of asthma and allergic rhinitis during the pandemic according to recently published updated guidelines. Method: We conducted an online survey among pediatricians and family physicians in Turkey, using a questionnaire designed to evaluate 4 items: (1) the relationship between COVID-19 infection risk and pediatric asthma/allergic rhinitis and medications used in treatment; (2) the follow-up and management of asthma/allergic rhinitis according to published updated recommendations; (3) pediatricians’ and family physicians’ observations and perceptions of treatment compliance and the attitudes of their pediatric asthma patients; and (4) pediatricians and family physicians’ attitudes to using telehealth in the follow-up and management of pediatric asthma patients during the pandemic. Results: A total of 346 participants responded to the survey. The relationship between the risk of COVID-19 and asthma was known by less than 25% of the participants. More than 33% of family physicians and 20% of pediatricians were unaware that asthma medication does not lead to a susceptibility to COVID-19 infection; 55% of family physicians and 48% of pediatricians thought that patients showed better compliance with asthma controller medication; over 33% of pediatricians and approximately 50% of family physicians stated that they could not distinguish between an asthma attack and lung involvement in COVID-19 infection; of the respondents, over 75% stated that they prefer face-to-face visits with patients, even in situations that do not require a physical examination. Conclusion: The overall knowledge and awareness of pediatricians and, especially, family physicians regarding the management of pediatric asthma/allergic rhinitis during the pandemic is not at a satisfactory level. There is an urgent need to inform them about updated recommendations appearing in recent guidelines published by allergy organizations.

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Childhood Obesity in Difficult to Control Pediatric Asthma Patients in a Tertiary Pediatric Subspecialty Clinic

PEDIATRICS ◽

10.1542/peds.137.supplement_3.140a ◽

2016 ◽

Vol 137 (Supplement 3) ◽

pp. 140A-140A

Author(s):

Yasmin Hamzavi Abedi ◽

Amy M. Perkins ◽

Maripaz B. Morales

Keyword(s):

Childhood Obesity ◽

Pediatric Asthma ◽

Asthma Patients ◽

Pediatric Subspecialty

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Risk factors of hospital admissions and recurrent emergency department visits among pediatric asthma patients

International Journal of Medicine in Developing Countries ◽

10.24911/ijmdc.51-1586725862 ◽

2020 ◽

pp. 1011-1015

Author(s):

Abdullah Aldamigh ◽

Afaf Alnefisah ◽

Abdulrahman Almutairi ◽

Fatima Alturki ◽

Suhailah Alhtlany ◽

...

Keyword(s):

Risk Factors ◽

Emergency Department ◽

Hospital Admissions ◽

Pediatric Asthma ◽

Emergency Department Visits ◽

Asthma Patients

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Self-Care IoT Platform for Diabetic Mellitus

Applied Sciences ◽

10.3390/app11052006 ◽

2021 ◽

Vol 11 (5) ◽

pp. 2006

Author(s):

Jai-Chang Park ◽

Seongbeom Kim ◽

Je-Hoon Lee

Keyword(s):

Blood Glucose ◽

Self Care ◽

Target Range ◽

Process Data ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Iot Platform ◽

Number Of Patients ◽

Glucose Management ◽

The Relationship

Diabetes mellitus is a severe chronic disease, and the number of patients has increased. To manage blood glucose levels, patients should frequently measure their blood glucose and analyze which lifestyle habits affect blood glucose levels. However, it is hard to record and analyze the relationship between their blood glucose levels and lifestyle. The internet of things (IoT) is useful to interconnect, monitor, obtain, and process data between various devices used in everyday life to fulfill a common objective. This paper proposes an intelligent self-care platform using IoT technology that helps patients with chronic diabetes manage their blood glucose levels in their target range. In particular, we developed various devices called the self-care IoT pack. It consists of five different types of devices to obtain blood glucose levels, physical activities, food intake, medication, sleeping, and so on. They can collect blood glucose levels with lifestyles that automatically impact the patient’s blood glucose level. We also devised a self-care application to display and analyze the data obtained from the IoT pack. Consequently, the proposed self-care IoT platform collects the blood glucose levels and the lifestyles without any burden of record. By reviewing the accumulated information, the patients can find bad habits in blood glucose management and improve their lifestyle.

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The Effect of Sex and Age on Bone Morphology and Strength in the Metacarpus and Humerus in Beef-Cross-Dairy Cattle

Animals ◽

10.3390/ani11030694 ◽

2021 ◽

Vol 11 (3) ◽

pp. 694

Author(s):

Michaela Gibson ◽

Rebecca Hickson ◽

Penny Back ◽

Keren Dittmer ◽

Nicola Schreurs ◽

...

Keyword(s):

Dairy Cattle ◽

Quantitative Computed Tomography ◽

Live Weight ◽

Peripheral Quantitative Computed Tomography ◽

Bone Size ◽

Limited Data ◽

Bone Morphology ◽

Relationship Of ◽

The Relationship ◽

Effect Of Age

In cattle, limited data have been reported about the relationship between live weight, bone size, and strength and how this relationship can be altered by factors such as sex and age. The aim of this study was to describe the relationship of peripheral quantitative computed tomography (pQCT)-derived parameters of bone strength and morphology with live weight, age and sex in beef-cross-dairy cattle. All animals were weighed the day before slaughter. The metacarpus and humerus were collected at slaughter and scanned at the mid-diaphysis using pQCT. Live weight was the primary explanatory variable for bone size and strength in all cohorts. However, the effect of age was significant, such that magnitude of response to liveweight was less in the 24-month-old cohort. Sex was significant within cohorts in that bulls had a shorter metacarpus than steers and heifers had a shorter metacarpus than steers at age of slaughter.

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Physical Therapist–Established Intensive Care Unit Early Mobilization Program: Quality Improvement Project for Critical Care at the University of California San Francisco Medical Center

Physical Therapy ◽

10.2522/ptj.20110420 ◽

2013 ◽

Vol 93 (7) ◽

pp. 975-985 ◽

Cited By ~ 49

Author(s):

Heidi J. Engel ◽

Shintaro Tatebe ◽

Philip B. Alonzo ◽

Rebecca L. Mustille ◽

Monica J. Rivera

Keyword(s):

Quality Improvement ◽

Physical Therapy ◽

San Francisco ◽

Physical Therapist ◽

Medical Center ◽

Early Mobilization ◽

Quality Improvement Project ◽

Improvement Project ◽

Icu Admission ◽

Number Of Patients

Background Long-term weakness and disability are common after an intensive care unit (ICU) stay. Usual care in the ICU prevents most patients from receiving preventative early mobilization. Objective The study objective was to describe a quality improvement project established by a physical therapist at the University of California San Francisco Medical Center from 2009 to 2011. The goal of the program was to reduce patients' ICU length of stay by increasing the number of patients in the ICU receiving physical therapy and decreasing the time from ICU admission to physical therapy initiation. Design This study was a 9-month retrospective analysis of a quality improvement project. Methods An interprofessional ICU Early Mobilization Group established and promoted guidelines for mobilizing patients in the ICU. A physical therapist was dedicated to a 16-bed medical-surgical ICU to provide physical therapy to selected patients within 48 hours of ICU admission. Patients receiving early physical therapy intervention in the ICU in 2010 were compared with patients receiving physical therapy under usual care practice in the same ICU in 2009. Results From 2009 to 2010, the number of patients receiving physical therapy in the ICU increased from 179 to 294. The median times (interquartile ranges) from ICU admission to physical therapy evaluation were 3 days (9 days) in 2009 and 1 day (2 days) in 2010. The ICU length of stay decreased by 2 days, on average, and the percentage of ambulatory patients discharged to home increased from 55% to 77%. Limitations This study relied upon the retrospective analysis of data from 6 collectors, and the intervention lacked physical therapy coverage for 7 days per week. Conclusions The improvements in outcomes demonstrated the value and feasibility of a physical therapist–led early mobilization program.

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Fecundity Comparisons for Various Stocks of Lake Whitefish, Coregonus clupeaformis

Journal of the Fisheries Research Board of Canada ◽

10.1139/f75-048 ◽

1975 ◽

Vol 32 (3) ◽

pp. 404-407 ◽

Cited By ~ 7

Author(s):

M. C. Healey ◽

C. W. Nicol

Keyword(s):

Northwest Territories ◽

Lake Erie ◽

Fork Length ◽

Nonlinear Relationship ◽

Coregonus Clupeaformis ◽

Lake Whitefish ◽

Limited Data ◽

Relative Fecundity ◽

Great Slave Lake ◽

The Relationship

We found no significant differences in slope or intercept for the regression of loge fecundity on loge fork length among samples of whitefish from four lakes near Yellowknife in the Northwest Territories. The equation describing the relationship between fecundity and fork length for these populations was:[Formula: see text]Five other populations for which length–fecundity relationships could be calculated had length exponents ranging from 3.20 to 4.38, suggesting a nonlinear relationship between weight and fecundity. Six of the nine populations as well as four others for which limited data were available all had similar relative fecundities. Fish from Buck Lake in Alberta and from Lake Erie had high relative fecundities while fish from Great Slave Lake had low relative fecundity.

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Knowledge management implementation in Indian automobile ancillary industries

Journal of Modelling in Management ◽

10.1108/jm2-04-2015-0018 ◽

2016 ◽

Vol 11 (3) ◽

pp. 802-810 ◽

Cited By ~ 9

Author(s):

Nitin Yashwant Patil ◽

Ravi M. Warkhedkar

Keyword(s):

Knowledge Management ◽

Industrial Area ◽

Total Quality ◽

Limited Data ◽

Interpretive Structural Modeling ◽

Content Type ◽

Relationship Of ◽

Power And Dependence ◽

The Relationship

Purpose In the past decade, much has been written about knowledge management (KM) in the manufacturing; however, less attention has been paid to the Indian automobile ancillary industries located in Chinchwad, Pune. It is suitable to find out the relationship of the factors of the study. It helps in identifying the hierarchy of factors to be taken, and interlinking of production department with KM improves the productivity of the industries. Categorization of these principles based on their driving power (principles which hold other principles) and dependence (principles which are dependent on other principles) has also been examined for KM implementation to study the driving power and dependence power of these principles. This paper aims to determine the roadmap of KM implementation and categorize KM principles based on their driving power for manufacturing industries with the use of the interpretive structural modeling (ISM)-based model. The results indicate that the principles possessing higher driving power, such as KM, inventory control, quality control, productivity and scheduling and their interlinking. The major contribution of this research lies in the development of contextual relationship among various identified factors of KM and determination of their driving and dependence power through a single systemic framework. Design/methodology/approach In this paper, author find out the suitability ISM for Indian Automobile industries to find the relation among the variables. Findings ISM model has been developed for the hierarchy of the identified KM. As ISM model results a hypothetical hierarchy which needs a proper quantitative analysis to evaluate their percentage effectiveness in the hierarchy. Research limitations/implications It is applied to automobile industries with limited number of variables that will show the dependence variable and driving variables and their interrelations. It can be applied other fields to fine the relationship of variables. Practical implications The ISM may be used in supply chain management and total quality management to find interlinking between the variables. Originality/value The limited data collected from Pimpri Chinchwad industrial area of Pune from Maharashtra state (India).

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