جستجوی مقالات مرتبط با کلیدواژه "childhood asthma" در نشریات گروه "پزشکی"

Genetic susceptibility and environmental factors play crucial roles in the development of childhood asthma. It seems that asthma pathology initiates in utero. The purpose of this study was to examine the relationship between various perinatal exposures and events, and the later development of childhood asthma.

A total of ninety children, 45 with childhood asthma and with 45 healthy controls, referred to the Allergy Clinic of Azad University Hospitals between January 2020 and January 2021 were enrolled in the study. All caregivers or parents of these children were interviewed to collect sufficient data concerning the patients’ asthma history.

Gestational age, gender, low birth weight, delivery mode, maternal pre-eclampsia, maternal smoking during pregnancy, smoking exposure during the neonatal period, antibiotic prescription in the neonatal period, acetaminophen use in the neonatal period, assisted ventilation and oxygen therapy, neonatal icterus, neonatal respiratory infection, chronic pulmonary disease of prematurity, meconium aspiration, birth order as the first-born child and parental history of allergy wereassessed. Among these, the use of antibiotics, oxygen therapy, respiratory infections during the neonatal period, meconium aspiration during labor, and history of allergy in first-grade relatives were the most predictable separate factors, demonstrating the key role of the perinatal period in the development of childhood asthma.

To conclude, although previous studies mostly suggested the causal effects of modifiable behaviors or exposures on the development of childhood asthma, the risk factors in the present study were mostly genetic influences, postnatal infections or obstetrics events or their management, which were inevitable in the process of labor.

Preventive care can support and direct the nurse's efforts to deliver an asthma intervention for children as part of nursing interventions. Despite the significance, there have been few meta studies demonstrating the effectiveness of nursing interventions for the treatment of childhood asthma that includes only randomised controlled trials (RCTs). Therefore, this meta study was conducted to comprehensively evaluate the efficacy of nursing care interventions for the management of childhood asthma.

STATA 14.2 (StataCorp, College Station, TX, USA) was used to conduct the meta-analysis. From 1964 to July 2022, we searched Medline, the Cochrane library, EMBASE, Scopus Science Direct, and Google Scholar. Depending on the type of outcome, a meta-analysis was performed using a random-effects model, pooled weight mean difference (WMD), standardised mean difference (SMD), and/or risk ratio (RR) with stated 95 percent confidence intervals (CIs). PRISMA guidelines were followed for conducing this study.

Nine studies were analysed in total. The pooled RR for emergency visits was 0.49 (95%CI: 0.32 to 0.77), for hospitalizations was 0.64 (95%CI: 0.21 to 1.89). The pooled SMD for frequency of asthma attacks was -2.88 (95%CI: -3.22 to -2.54), quality of life was 0.49 (95%CI: 0.22 to 0.75) and asthma control was 1.25 (95%CI: -0.77 to 3.28).

Paediatric asthma patients who received nursing interventions reported an improved quality of life and a decrease in emergencies and acute attacks due to asthma. Future RCTs should focus on uncovering the short- and long-term effects of these nursing interventions to provide optimal management and care.

Glucocorticoid (GC) is a fundamental drug used to treat asthma. GC binds to its corresponding receptor (GR) to formulate a complex that increases the production of anti-inflammatory factors and decreases the amount of pro-inflammatory mediators, covering many cytokines. GR is a nuclear receptor superfamily protein, encoded by NR3C1 gene. Studies suggest that polymorphisms of the NR3C1 gene contribute to a decreased response to GC for the treatment of asthma, even leading to drugresistance. Also, TGF-β1 plays a central role in airway remodeling, GC significantly inhibits the production of TGF-β1, and TGF-β1 can induce GC resistance. Thus, it is possible that the polymorphisms of the NR3C1 gene can affect the expression of TGF-β1 mRNA and tissue remodeling.

This study evaluates the effect of polymorphisms (TthIII1, BclI, ER22/23EK, and N363S) of the NR3C1 GR gene on TGF-β1 mRNA expression in children with asthma.

The samples of this study included 52 outpatients (age range: 6 - 14 years) with asthma referred to Huai’an First People’s Hospital, Nanjing Medical University, from January 2018 to June 2019. Meanwhile, 40 healthy volunteers were included as the control group.

The polymorphisms of the NR3C1 GR gene were identified using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP), and TGF-β1 mRNA levels were measured by real-time reverse transcription (RT)-PCR. TthIII1 and TGF-β1 mRNA expression levels had significant (P = 0.011) correlations. But BclI showed no e effect on TGF-β 1 mRNA, N363S, and ER22/23EK had not been examined.

According to the results, there was a relationship between single nucleotide polymorphisms (SNPs) of the NR3C1 gene and TGF-β1 mRNA in asthmatic children. TthIII1 CC and CT genotype have the strongest induction effect on the expression of TGF-1. The phenomenon suggests that SNPs may be involved in the asthma pathology

This research was designed to probe into the role of miRNA-21 in the pathogenesis of childhood asthma and its correlation with the severity.

Fifty-four children with bronchial asthma admitted to the Third Affiliated Hospital of Qiqihar Medical University from Jun 2018 to Dec 2019 were included. Forty nine healthy children underwent physical examination at this time period were also enrolled. The miR-21 expression in peripheral blood serum was analyzed by qRT-PCR. The relationship between the expression and severity of asthma in children was explored by Spearman correlation analysis and ROC curve. Bronchial epithelial cell lines were cultured in vitro and divided into blank control group, negative control group and miR-21 inhibition and activation group. The changes of cell proliferation after treatment were detected by CCK-8 test in different groups. The expression of TGF-β1/Smad signaling pathway protein in cells was assessed by Western blot (WB).

Compared with that of healthy children, the miR-21 expression in peripheral blood serum of asthmatic children was higher (P<0.001). MiR-21 expression was positively correlated with the severity of illness (r=0.853, P<0.001). The results of cell experiments in vitro signified that miR-21 can promote the proliferation of bronchial epithelial cells, and may be involved in regulating the expression of TGF-β1/ Smad3 signaling pathway, thus affecting cell proliferation.

miRNA-21 regulates the proliferation of bronchial epithelial cells by activating TGFβ1/Smad signaling pathway. And it is positively correlated with the severity of asthma in children.

Asthma as the most common chronic disease in childhood reduces the quality of life of children and their families. We aimed to estimate the cost of managing childhood asthma in Iran and to examine its variability depending on asthma severity.

The cost of asthma was estimated by building a cost assessment model regarding the factors that influence the cost of asthma in children including age and sex distribution, prevalence of disease severity, level of resource utilization depending on disease severity (3 groups of controlled, partly controlled and uncontrolled were defined). The model was comprised of both medical (cost of medication, physician visit and respiratory tests) and non-medical (transportation and hoteling) costs. Furthermore, the average family income in each category was figured and the share of asthma managing costs from the average income was calculated in different groups.

According to model, the total cost of childhood asthma in Iran was around 516.5 million dollars. Moreover, direct medical cost represented 49% of the total costs, among which 66% accounting for medication cost. Direct non-medical costs were estimated 51% with the majority (93%) expended on transportation. In addition, the mean annual cost per child was approximately 466 dollars. In addition, the results indicate the vast majority of patients (46%) are categorized in the uncontrolled group.

The cost of childhood asthma in Iran is extremely high comparing to the average income of Iranian families in all categories of asthma severity. Considering the high amount of transportation cost, the accessibility of asthma treatment does not appear to be acceptable. The major source of costs is found to be related to medicine expenditure. Since it has been proven that using medicine does not necessarily result in a well-controlled disease status, alternative approaches should be considered in asthma management.

Climate change represents a possible threat to patients with bronchial asthma. The purpose of this study was to investigate any association between specific meteorological conditions and the rate of hospital admission for bronchial asthma and wheezy chest.

A retrospective study was conducted to observe the effects of changes in some meteorological variables on children aged 1-13 years with bronchial asthma and wheezy chest. Data were obtained from hospital registries for the study period involving all patients admitted with the diagnosis of wheezy chest and bronchial asthma. The meteorological data were obtained from the Iraqi World Meteorological Organization and Seismology and consisted of the mean monthly values of humidity, rain, temperature, dust, wind, and thunderstorms. The correlation between the mean monthly admission for bronchial asthma and changes in weather variables were investigated.

There were 1043 admissions for asthma or wheezy chest (7.76%). Out of all asthma cases, 75% (n=783) were 1-5 years, while 25% (n=260) were 6-13 years. Male patients predominate 67.8%, with a male to female ratio of 2:1. Hospital admissions for asthma and wheezy chest showed a seasonal variation especially for younger children. Higher monthly admission rates were associated with high relative humidity, rain, increase in wind speed, and lower temperature, whereas rising dust and thunderstorms did not show notable effects on children's admission for asthma.

The findings suggested that changes in weather conditions, especially high relative humidity and cold weather, may trigger asthma attacks especially in younger children, and thus protective measures are recommended for at risk children.