Clinical Efficacy of Treatment of Children with Bronchial Asthma, Population in Remote Areas in Terms of Regional Respiratory Centre as Sanatorium Type: Work Results for 10 Years

The purpose of this work is to improve the specialized medical care for children with bronchial asthma, people living in remote areas and villages. Materials and methods: The study involved 1,024 children with asthma (solid sample, 2003) which were observed in period of 2003 to 2013. There are 391 children-villagers as the main group; clinical examination was carried out by district pediatrician and 633 children as regional city residents (the comparison group); clinical examination was carried out by district pediatrician together with pulmonologist or allergist. The author used the methods of observation (solid documentary and selective, current, prospective) and the method of expert evaluations. Results: a significant discrepancy (p=0,03) in the evaluation by district pediatrician, practitioner or family doctor) of severity bronchial asthma and absence of bronchial asthma treatment in 28% of patients of the main group has been demonstrated in 2003. The discrepancy in the diagnosis of bronchial asthma of light degree and medium severe degree (p=0.03) were detected by a positively accepted method (examination of pulmonologist/allergist, clinical and instrumental examination, 2008). Clinical efficacy of treatment of children with bronchial asthma as residents in regional respiratory centre has been proven. For ten years the number of children with BA decreased by 25%, the number of bronchial asthma patients with moderate current (p=0.03) decreased and the number of patients with medium severe degree bronchial asthma (p=0.01) significantly increased. In 2013, the patients of the main group observations received adequate basic therapy bronchial asthma; number of children with asthma decreased in 2 times (p=0.03); the calls in the ambulance and the need for hospitalization decreased more than 2 times (p=0.03); the number of children with controlled bronchial asthma increased from 26 to 64% (p=0.05).

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Clinical efficacy of Kasakartari Gutika in the management Kasa in Tamaka Shwasa w.s.r. to Bronchial Asthma

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.4.3.3 ◽

2019 ◽

Vol 4 (03) ◽

Author(s):

Pallavi T. Pawar ◽

P. D. Londhe ◽

C. S. Majgaonkar

Keyword(s):

Bronchial Asthma ◽

Clinical Efficacy ◽

Prominent Symptom ◽

Effective Remedy ◽

Trial Drug

Background: The disease Kasa and Tamaka Shwasa mentioned by Acharya Charaka separately, both the disease are originating from Pranavaha Srotas and can damage Pranavaha Srotas permanently. Especially in Tamaka Shwasa Vyadhi, Kasa is very common as a prominent symptom. In fact patient gets more detoriated after onset of Kasa Vega and fills better when it gets subside. Though Tamaka Shwasa Vyadhi is Pitta Samudbhava, Kapha and Vata are always predominant factors. The Strotorodha made by Styana Kapha provocate Vayu excessively and result into Kasa Vega as symptom. According to Ayurveda the contain of Kasakartari Gutika is act as Kasa-shwashar property and hence for present study Kasakartari Gutika was selected as trial drug for treating the patient of Kasa in Tamaka Shwasa. Aim: To study the efficacy of ‘Kasakartari Gutika’ in the management of Kasa in Tamaka Shwasa w.s.r. to Bronchial Asthma. Material and Methods: Total 30 paients of Kasa in Tamaka Shwasa from OPD and IPD unit of Dr. M. N. Agashe Hospital, Satara, were selected and treated with Kasakartari Gutika 1gm B.D. for the duration of 2 month. Result: Maximum 81.81% relief was observed in Kshudhamandya and 80.64% relief was observed in Ayasenshwasa and 77.5% relief was observed in Kasa. Conclusion: The compound formulation ‘Kasakartari Gutika’ was found as an effective remedy for Kasa in Tamaka Shwasa. The parameters like Kasa, Ayasenshwasa and Kshudhamandya shows that they are highly significant result

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AN ESTIMATE OF THE PREVALENCE OF ASTHMA AND WHEEZING AMONG INNER-CITY CHILDREN

PEDIATRICS ◽

10.1542/peds.96.2.388b ◽

1995 ◽

Vol 96 (2) ◽

pp. 388-389

Author(s):

Clifton T. Furukawa ◽

Kirk A. Kinberg

Keyword(s):

Inner City ◽

Number Of Children ◽

Children With Asthma

The prevalence of asthma among innercity children may be substantially higher than has been appreciated. This may imply that in this population a large number of children with asthma may be inadequately diagnosed and treated.

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The Differentiated Directions of Psychological Correction in Families with Children with Asthma

Pediatrician (St Petersburg) ◽

10.17816/ped84105-110 ◽

2017 ◽

Vol 8 (4) ◽

pp. 105-110

Author(s):

Tatyana I. Nikolskaya ◽

Elena Yu. Galitsyna

Keyword(s):

Cluster Analysis ◽

Family Functioning ◽

Chronic Diseases ◽

Bronchial Asthma ◽

Effective Interaction ◽

Healthy Children ◽

Children With Asthma ◽

Current Article ◽

Families With Children

The current article analyzes the parental defensive styles, codes and types of upbringing in families with children diagnosed with asthma in comparison with families of healthy children. The study involved 80 families. Of these, 41 families with children with asthma (41 mothers and 37 fathers) and 39 families with children without chronic diseases (39 mothers and 38 fathers). It was revealed that the fathers of children with asthma differ in educational insecurity, and mothers have persistent educational stereotypes that interfere with effective interaction with the child. In mothers of children with asthma, non-adaptive protective styles predominate, and fathers distort, whereas in the parents of healthy children adaptive protective styles are expressed. With the cluster analysis, three groups of families with children with asthma are distinguished, differing in the level of effectiveness of family functioning. The conjugation of violations of family functioning and the severity of the asthma in a child was determined. Based on the data obtained, differentiated directions of psycho-correction for families with children with asthma are described, depending on the severity of the child's disease and the level of effectiveness of family functioning. A trial program of psychological correction was conducted, according to the described directions. The analysis of the results of the second study showed the effectiveness of the proposed program of psychological correction for families with children suffering from bronchial asthma.

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Current trends in the prevalence of asthma-like symptoms in elementary school children

Pediatrics (Suppl Consilium Medicum) ◽

10.26442/26586630.2021.2.200990 ◽

2021 ◽

pp. 138-140

Author(s):

Margarita K. Ermakova ◽

Larisa P. Matveeva ◽

Natalya R. Kapustina

Keyword(s):

Elementary School ◽

Comparative Study ◽

Bronchial Asthma ◽

School Children ◽

Elementary School Children ◽

First Graders ◽

Number Of Children ◽

Current Trends ◽

Udmurt Republic ◽

The Difference

Aim. To study the prevalence of bronchial asthma (BA) symptoms among elementary schoolchildren in the Udmurt Republic in the dynamics over 20 years. Materials and methods. A comparative study of the prevalence of BA was carried out. A questionnaire was administered to 2899 parents of first-graders, using the international standardized ISAAC program. Results. The prevalence of BA symptoms on the ISAAC program among elementary schoolchildren in the Udmurt Republic in 2020 was 7.70.2%, being significantly lower than in the previous studies of 2002 and 2009 (p0.001). Conclusion. There was a further downward trend in the prevalence of AD symptoms in younger schoolchildren. The difference between the current symptoms of the disease and the established diagnosis remained rather significant. Reliable (p10.001) increase in the number of children with dry cough, not related to cold, and children with bronchospasm connected with physical load was revealed.

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THE RELATIONSHIP BETWEEN PARENTAL AND CHILDREN'S SERUM IMMUNOGLOBULIN E (IgE) AND ASTHMA

PEDIATRICS ◽

10.1542/peds.98.2.329a ◽

1996 ◽

Vol 98 (2) ◽

pp. 329-329

Author(s):

Stanley P. Galant

Keyword(s):

Bronchial Asthma ◽

Immunoglobulin E ◽

Skin Tests ◽

Z Score ◽

Significant Determinant ◽

Positive Skin ◽

Asthmatic Children ◽

Children With Asthma ◽

Z Scores ◽

The Relationship

Purpose of the Study. To examine parental factors that influence bronchial asthma and immunoglobulin E (IgE) levels in their children. Methods. The data in this study were derived from the Tucson Epidemiological Study of Airways Obstructive Diseases since 1972. Eleven evaluation periods have been performed since that time. Asthma histories were established by questionnaire. IgE levels were obtained in 738 children, 1043 fathers, and 1261 mothers. IgE levels were determined by paper radioimmunosorbent (PRIST) technique. IgE Z scores were established. An IgE Z score is the number of standard deviations IgE differs from matched age and sex-matched subjects and log corrected. Skin tests were performed by prick technique to house dust, mold, grass, tree and weed mix and appropriate controls. Results. The percentage of children with bronchial asthma increased with the presence of asthma in parents so that 11.5% of children with asthma occurred in families with no parental asthma compared with 48.6% when both parents had asthma. The rate of childhood bronchial asthma was significantly related to parental IgE levels only when the mother and father had bronchial asthma (43% vs 20%) and much less so (22% vs 10%), when there was no parental asthma. In addition, asthma in the child proved to be a highly significant determinant of the child's IgE Z score, even after correcting for parental IgE Z score. The presence of atopy (ie, positive skin tests) was also not a significant determinant of IgE levels in asthmatic children. Discussion. The authors conclude that the inheritance of IgE is only one factor related to the development of asthma, and is limited as a predictor.

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The Asthmatic Child and His Participation in Sports and Physical Education

PEDIATRICS ◽

10.1542/peds.56.5s.953 ◽

1975 ◽

Vol 56 (5s) ◽

pp. 953-954

Author(s):

Robert B. Kugel ◽

Giulio J. Barbero ◽

John Bowman Bartram ◽

Roger B. Bost ◽

David G. Dickinson ◽

...

Keyword(s):

Emotional Disorders ◽

Severe Asthma ◽

Bronchial Asthma ◽

School Attendance ◽

Chronic Fatigue ◽

Daily Routine ◽

School Work ◽

Number Of Children ◽

Regular School ◽

The Individual

Bronchial asthma is a chronic pulmonary disorder, frequently allergic in nature, and characterized by paroxysms of dyspnea, wheezing, tightness in the chest, and bronchospasm. Asthmatic attacks may be minor and short in duration with little discomfort, or they may be very severe and of long duration, producing the characteristic picture of intractability. During symptomatic periods, it is usually possible to demonstrate changes in certain aspects of pulmonary function. With mild symptoms or between the episodes of severe asthma, the individual may be at little or no disadvantage in any or all activities. However, when the symptoms of pulmonary distress become severe or prolonged, this may lead to interruption of the child's daily routine, including school attendance. Occasionally, such children may become home or hospital bound for long periods of time. Between the two extremes of no symptoms and severe asthma, there is a spectrum of respiratory or pulmonary disability—the nature and severity of which requires that each child receive individual consideration and evaluation in the matter of his daily activity. The outlooks for the control of asthma in children has been improving during the past several decades. However, with the increase in population, there is an increasing number of children who require medical management for this disorder. It is a leading medical cause for school absenteeism and probably contributes to inefficient school work because of chronic fatigue, irritability, decreased attention span, and secondary emotional disorders. There is general agreement among physicians that most children with bronchial asthma should attend regular school since, when under proper control and with no residual pulmonary defect the child needs no special facilities.

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CONNECTION BETWEEN THE PARAMETERS OF ECG SUPRAVENTRICULAR COMPONENT AND BRONCHIAL HYPERREACTIVITY IN CHILDREN WITH BRONCHIAL ASTHMA

PEDIATRIA Journal named after G N SPERANSKY ◽

10.24110/0031-403x-2021-100-5-28-34 ◽

2021 ◽

Vol 100 (5) ◽

pp. 28-34

Author(s):

K.A. Egoshina ◽

◽

E.V. Tush ◽

K.S. Popov ◽

A.V. Gordina ◽

...

Keyword(s):

Bronchial Asthma ◽

Vital Capacity ◽

Heart Rhythm ◽

Bronchial Hyperreactivity ◽

Atopic Asthma ◽

Research Assessment ◽

Children With Asthma ◽

And Gender ◽

Electrocardiographic Parameters ◽

Effect Of Age

Uncontrolled course of bronchial asthma (BA) is associated with the risk of heart rhythm disturbances. Objective of the study: to analyze the electrocardiographic parameters of the atrial complex and atrioventricular conduction and to assess their relationship with changes in spirometric parameters in tests with dosed physical activity (PA), reflecting bronchial hyperreactivity (BHR) in children with BA. Materials and methods of research: assessment of the parameters of the supraventricular component of the ECG in comparison with changes in spirometric parameters in tests with dosed PA was performed in 55 children aged 6–17 years with atopic asthma. To level the effect of age on ECG indices, the «relative PQ» (rPQ) index was introduced, calculated as the ratio of the patient's PQ interval duration to the median PQ values characteristic of a given age and gender. Results: it was found that a decrease in the Tiffno index (TI) in tests with PA is accompanied by a statistically significant increase in the rPQ index, an increase in the PQ segment (sPQ) and an increase in the proportion of the PQ interval in the structure of the R–R interval (PQ/RR); similar patterns were obtained when comparing the variability instantaneous volumetric expiratory flow rate at the level of 25% of the vital capacity of the lungs (MOS25). Analysis of the available data indicates a statistically significant lengthening of the PQ and sPQ intervals, as well as an increase in the rPQ and PQ/R–R indices in children with BA as the afterload changes in the small bronchi, indirectly assessed by MOC25. Conclusion: children with asthma who have spirometric signs of BHR in the test with PA may have electrocardiographic signs of a slowdown in supraventricular conduction.

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