Danger of using an unreliable classification system for preschool wheeze.

نویسندگان

  • A Schultz
  • D Payne
چکیده

Therefore, from a TB transmission perspective it seems less informative to stratify extreme levels of poverty, and more informative to evaluate whether the available epidemiological evidence supports the existence of a threshold effect. Determination of a threshold effect will guide epidemiological thinking and potentially assist in identifying global poverty alleviation targets. Measuring child TB incidence rates as an epidemiological marker of ongoing transmission could be considered in future analyses, once more reliable WHO data becomes available. MYERS et al. [7] have found lower income, ethnicity and immigration status to be significantly associated with child TB incidence in California, USA.

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منابع مشابه

Classification and pharmacological treatment of preschool wheezing : changes since 2008 Paul

Since the publication of the European Respiratory Society Task Force report in 2008, significant new evidence has become available on the classification and management of preschool wheezing disorders. In this report, an international consensus group reviews this new evidence and proposes some modifications to the recommendations made in 2008. Specifically, the consensus group acknowledges that ...

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Bacteria in the respiratory tract and wheeze in children.

In the linked cohort study Bisgaard and colleagues assess the association between wheezy symptoms in young children and the presence of bacteria in the airway. Lower respiratory tract illnesses presenting with cough, shortness of breath, or wheeze are common in preschool years. It has been proposed that, for the management of preschool wheeze, a distinction is made between episodic and multiple...

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Airway eosinophils in older teenagers with outgrown preschool wheeze: a pilot study.

Preschool wheezing affects one-third of all children growing up in the UK [1]. It varies in clinical presentation and severity, and there is evidence to suggest the co-existence of different wheeze phenotypes [2], some of which have been associated with adult asthma and chronic obstructive pulmonary disease [3]. Using data from the Leicester Respiratory Cohort studies [4], we have previously ap...

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Timing and nature of wheezing at the endpoint of a bronchial challenge in preschool children.

Bronchial reactivity to inhaled agents in preschool children can be undertaken by auscultating the lungs to detect wheezing, but there is a lack of information on when wheeze first appears at the endpoint of the challenge and on the acoustic characteristics of the wheeze. We recorded breath sounds continuously during tidal breathing inhalation challenges with adenosine 5'-monophosphate, using s...

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عنوان ژورنال:
  • The European respiratory journal

دوره 33 4  شماره 

صفحات  -

تاریخ انتشار 2009