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1.
Caribbean health ; 4(2): 21-23, Apr. 2001. tab
Artigo em Inglês | MedCarib | ID: med-17323

RESUMO

The management of asthma in children, though similar to that of adults, has important differences. Practitioners caring for young children need to be aware of these differences. An area of difficulty for clinicians is that of diagnosis, especially in infants and toddlers. This problem stems from a fear of "labeling". Parents and practitioners fear that a label of asthma may have an adverse effect on the child. Evidence does suggest, however, that a correct diagnosis benefits all concerned, and proper management, even in mild asthmatics, can result in restful sleep, better school performance, and improved activity. The key to efffective asthma management is the education of patients and their parents about the disease. Emphasis has to be placed on providing trained personnel in clinics to provide not only information on asthma, but also to teach the use of inhalers, spacers, peak-flow meter, symptoms diary, and the self-management action plan (AU)


Assuntos
Criança , Asma/tratamento farmacológico , Sons Respiratórios/diagnóstico
2.
West Indian med. j ; 47(suppl. 2): 22-3, Apr. 1998.
Artigo em Inglês | MedCarib | ID: med-1912

RESUMO

In Barbados, there has been a fourfold increase in the number of asthmatic visits to the Accident and Emergency department of the Queen Elizabeth Hospital between 1980 and 1994. However, there are no data on the prevalence of asthma in Barbados. This study was done to determine the prevalence of childhood asthma using the International Study of Asthma and Allergy in Childhood (ISAAC) questionnaires. Questionnaires were distributed to parents of 3,894 pupils (age group 6-7 years) in all 91 primary schools in Barbados, and 3,500 questionnaires were completed by pupils (age 13-14 years) in all 46 secondary schools. The data analysis was carried out by Systems Caribbean Limited utilising SPSS. In the 6-7 years olds, the prevalence of self-reported asthma was 16.8 percent with doctor diagnosed asthma of 16.5 percent wheeze had occurred at some time in 30.7 percent and in the previous 12 months in 18.3 percent. In the 13-14 year-olds, self reported asthma was 17 percent, doctor diagnosed asthma 15.9 percent, wheeze occurring at some time was 30.1 percent and wheeze in the previous 12 months was 17.7 percent. Of the 6-7 year-olds, of those who wheezed in the previous 12 months, 78 percent had 1-3 attacks, 18.5 percent had 4-12 attacks and 3.5 percent had more than 12 attacks. In the 13-14 year-olds, 76.5 percent had 1-3 attacks in the previous 12 months, 18.2 percent had 4-12 attacks, 5.3 percent had more than 12 attacks. There was no difference in frequency of smokers in the household between those who wheezed in the previous 12 months and those who never wheezed. Overall, wheezing was more frequent in boys than in girls. The prevalence of asthma in Barbados is high for a tropical island with relatively little atmospheric pollution. The increase has coincided with increasing affluence and trend toward urbanisation and modernisation of the domestic environment.(AU)


Assuntos
Adolescente , Criança , Feminino , Humanos , Masculino , Asma/epidemiologia , Sons Respiratórios , Barbados/epidemiologia
4.
Bahamas Med J ; 3(2): 15-16, July - Dec. 1989.
Artigo em Inglês | MedCarib | ID: med-3483
5.
Bahama Med ; 1(1): 9-12, Nov.- Dec. 1984. tab
Artigo em Inglês | MedCarib | ID: med-4174
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