Environmental measures in domicilliary interventions of asthmatic children.

OBJECTIVE: To evaluate the impact of environmental interventions and lifestyle management on respiratory symptoms, concurrent changes in asthma management and whether any observed health benefit could be attributed to these interventions. METHODS: A longitudinal single cohort pre-post study was conducted on children between 5­14 y with moderate to severe asthma in an outpatient clinic at Jamshedpur over 2 y. History was noted using the pre-intervention questionnaire covering a period of 3 mo prior to enrolment. Participants were followed for 6 mo post- intervention. A childhood asthma severity (CHAS) scale was made and statistical analysis such as Wilcoxon rank sum tests and Mcnemar's test performed to validate the outcomes. Principal component analysis was performed to classify the participants having no, mild and severe symptoms. RESULTS: There was significant reduction in symptoms and need for medical care post-intervention. Mean of the respiratory symptom score decreased from 7.4 to 2.4 (p < 0.0001) and mean of the health care utilization score decreased from 4.1 to 1.7 (p < 0.0004) in the wilcoxon rank sum tests. Mcnemar's test was used for the analysis of individual item of the asthma symptoms. A significant reduction in wheeze and cough (p < 0.001), slowing down physical activity (p < 0.001), diurnal symptoms (p < 0.000), school absence (p < 0.000), rescue therapy requirement (p < 0.1) and hospitalization (p < 0.000) was seen. PCA was used successfully to classify the participants on the basis of their severity of asthma. CONCLUSIONS: Respiratory symptoms decreased significantly among asthmatic children following environmental interventions.

Convulsões tardias após herniotomia inguinal em bebê prematuro: relato de caso / Delayed onset seizures after inguinal herniotomy in a premature infant: a case report

Relatamos um caso de recém-nascido prematuro, nascido com 34 semanas e operado com seis semanas de idade, que desenvolveu convulsões, aparentemente inexplicáveis, dez horas após o final da cirurgia sob injeção única de analgesia epidural caudal com bupivacaína e lidocaína combinadas com anestesia geral.

We report a case of a premature neonate born at 34 weeks and operated at 6 weeks of age developing unexplained seizures 10 hours after the end of surgery under single shot caudal epidural analgesia with bupivacaine and lidocaine combined with general anesthesia.

Relatamos aquí, el caso de un recién nacido prematuro, con 34 semanas, y operado con seis semanas de edad, que desarrolló convulsiones, aparentemente inexplicables, diez horas después del final de la cirugía bajo la inyección única de analgesia epidural caudal con bupivacaína y xilocaína combinadas con la anestesia general.

Delayed onset seizures after inguinal herniotomy in a premature infant: a case report.

We report a case of a premature neonate born at 34 weeks and operated at 6 weeks of age developing unexplained seizures 10 hours after the end of surgery under single shot caudal epidural analgesia with bupivacaine and lidocaine combined with general anesthesia.