Rozprawy doktorskie: „Asthma in children”

1

Russell, Linda Moreno. "The effects of family functioning, child behaviors, and asthma beliefs on asthma management in children and adolescents /". Digital version accessible at:, 2000. http://wwwlib.umi.com/cr/utexas/main.

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Kamath, S. V. "Inflammation in paediatric asthma". Thesis, Queen's University Belfast, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.269034.

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Mai, Xiao-Mei. "Asthma, bronchial hyperresponsiveness and body weight in children /". Linköping : Univ, 2003. http://www.bibl.liu.se/liupubl/disp/disp2003/med806s.pdf.

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4

Toop, Leslie John. "Cough sound analysis in children with asthma". Thesis, University of Bristol, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.361104.

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Myslytska, H. O., i U. I. Marusyk. "Аtopic reactivity in children with bronchial asthma". Thesis, БДМУ, 2021. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/18411.

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Tan, Chee Chun. "Spirometry Use in Children Hospitalized with Asthma". University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1321888428.

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7

溫煜讚 i Yuk-tsan Wun. "A study of the peak expiratory flow rates in children in a general practice". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1990. http://hub.hku.hk/bib/B31981422.

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8

Hederos, Carl-Axel. "Asthma in young children : epidemiology, burden of asthma and effects of a parental information program /". Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-251-4/.

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9

Smith, Nerida Ann. "The effects of intervention on medication compliance and asthma control in children with asthma". Thesis, The University of Sydney, 1987. http://hdl.handle.net/2123/1613.

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Asthma can be a chronic disorder requiring regular medications if the symptoms are persistent. The regimen is often complex, involving a number of drugs and a variety or routes of administration. Although drug therapy may not alter the natural history of asthma it can improve lung function enabling those with asthma to lead as near a normal life as possible. Thus medication compliance is an important factor in the managemnt of asthma. (Note : Special enclosures (Publication reprints) at end of thesis have been removed for digital submission, with permission of author)

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Smith, Nerida Ann. "The effects of intervention on medication compliance and asthma control in children with asthma". University of Sydney, 1987. http://hdl.handle.net/2123/1613.

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Doctor of Philosophy
Asthma can be a chronic disorder requiring regular medications if the symptoms are persistent. The regimen is often complex, involving a number of drugs and a variety or routes of administration. Although drug therapy may not alter the natural history of asthma it can improve lung function enabling those with asthma to lead as near a normal life as possible. Thus medication compliance is an important factor in the managemnt of asthma. (Note : Special enclosures (Publication reprints) at end of thesis have been removed for digital submission, with permission of author)

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11

Erasmus, Esther W. "Insights into the psychobiology of personality of individuals living with chronic asthma to inform treatment planning". Pretoria : [s.n.], 2007. http://upetd.up.ac.za/thesis/available/etd-06292007-163159.

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Ferdousi, Hosne Ara. "Pollinosis in children with special reference to the development of asthma /". Linköping : Univ, 2004. http://www.bibl.liu.se/liupubl/disp/disp2004/med842s.pdf.

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13

Modi, Avani C. "Adherence in children with cystic fibrosis and asthma". [Gainesville, Fla.] : University of Florida, 2004. http://purl.fcla.edu/fcla/etd/UFE0005641.

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Thesis (Ph.D.)--University of Florida, 2004.
Typescript. Title from title page of source document. Document formatted into pages; contains 94 pages. Includes Vita. Includes bibliographical references.

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14

Ferrugio, Carla Ianni. "Caregivers description of illness in children with asthma". FIU Digital Commons, 1998. http://digitalcommons.fiu.edu/etd/3315.

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Recent studies identify infants, toddlers and preschoolers as high risk groups exhibiting vulnerability and increased morbidity rates associated with asthma. The data collected via review of ER medical records, were analyzed using descriptive and inferential statistics, where appropriate. The study was conducted on a convenience sample of 110 asthmatic children brought to a Children's Emergency Room (ER) in West Palm Beach, Florida for urgent care. This retrospective descriptive correlational study examined the relationship between the caregiver's description of the child's presenting illness and degree of the asthma exacerbation upon admission to the emergency department for management. Relationships between/among these variables were also explored for children with or without a primary care provider and health insurance. Research findings lend support to the hypothesis (p = .001) that the lesser the degree of severity of the child's asthma exacerbation, the less likely caregivers will describe respiratory distress as the presenting illness. However, the findings fail to support the hypotheses that caregivers of children with a primary care provider or health insurance coverage are more likely to appropriately describe the presenting illness as respiratory distress. Other findings point to the need for client-tailored management plans to maximize caregivers and/or child learning about asthma and its management, client education and follow up.

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15

Hijazi, Nariman. "Epidemiology of asthma among children in Saudi Arabia". Thesis, University of Aberdeen, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.322584.

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16

Sinha, Ian. "Outcomes in clinical trials in children with asthma". Thesis, University of Liverpool, 2011. http://livrepository.liverpool.ac.uk/3193/.

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The selection of outcomes is a critically important decision when designing randomised controlled trials (RCTs). Informed clinical decisions can only be based on the results of RCTs that have measured outcomes of importance to both clinicians and patients. It can be difficult to know which outcomes should be measured in RCTs. Some groups advocate core outcome sets, which are a minimum set of outcomes that should be measured, and reported, in all clinical trials in a given condition. These increase the likelihood that important outcomes are measured, reduce nonuniformity between studies, and reduce the risk of outcome reporting bias. We systematically reviewed studies that determined which outcomes to measure in clinical trials in children, and found that such work had been conducted in only few conditions, and the quality of existing work was variable. Few studies used structured consensus techniques to reach agreement about which outcomes to measure in trials, and parents were seldom involved. No studies included children. One condition in which there were no robust recommendations about which outcomes to measurein RCTs was childhood asthma, which is a condition of considerable global importance. We subsequently aimed to assess whether the absence of a core outcome set for RCTs of children with asthma meant that certain outcome domains were measured less frequently than others, and whether there was nonuniformity between studies in terms of outcomes selected. We conducted a systematic review of RCTs of children with asthma, published between January 1988 and December 2007, and found that the included studies focussed on short-term disease activity, but quality of life, functional status, and long-term outcomes were infrequently measured. Certain outcomes were measured and reported in various ways. We recommended that a core outcome set should be developed for childhood asthma, using structured consensus techniques, such as the Delphi process. In order to aid the development of such a core set, we first systematically reviewed studies that used the Delphi process to determine which outcomes to measure in clinical trials. We observed variations in the methodology used, identified potential sources of bias, and provided recommendations about how such studies could be conducted and reported. In order to develop a core outcome set for childhood asthma, we used a Delphi process to ascertain the views of 46 clinicians, and around 100 parents and young people, about which outcomes are most important and relevant from their perspective, when making shared decisions about regular therapies which control asthma. The most important outcomes were symptoms, exacerbations, and quality of life. Although consensus still needs to be reached amongst other groups of individuals involved in clinical trials, we conclude that these outcomes should be measured, and reported, in all RCTs that aim to evaluate the effectiveness of regular therapies for children and young people with asthma.

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17

Piotrowska, Zofia. "Rhinovirus-associated wheezing and asthma in young children". [New Haven, Conn. : Yale University], 2008. http://ymtdl.med.yale.edu/theses/available/etd-12092008-151207/.

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18

Grover, Charu. "Medication use in children with asthma-user’s perspective". Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/9928.

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Aim This study compared asthma medication experiences of children with asthma and their parents/carers in Australia and India. Further, these findings were used to inform the design and evaluation of an intervention to improve asthma medication use. Methods Semi structured interviews were conducted with a purposive convenience sample of children between the age of 7 to 12 years with asthma and their parents, recruited from General Practices in Sydney and specialty hospitals in New Delhi, India. Then, a parallel group repeated measures pilot study was conducted in tertiary chest hospital in New Delhi, India. Results Common issues reported in both countries included poor parent/child understanding of medications, fears about long term medication use, inadequate inhaler technique, non adherence and issues with cost of medication. The evaluation of the child friendly asthma education program, SSP (Sehantmaand Saanse Program), demonstrated positive outcomes in terms of improved: asthma knowledge, asthma control, inhaler technique, caregiver quality of life and patient satisfaction. Conclusion It is possible that simple models of culturally relevant patient/carer education, empowerment and child inclusion in medical consultations could be designed to enhance the quality use of asthma medications in children in both settings, but are especially needed in developing nations.

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19

Khan, Md Sanaur Rahman School of Women?s &amp Children?s Health UNSW. "Improving the management of childhood asthma". Awarded by:University of New South Wales. School of Women?s and Children?s Health, 2003. http://handle.unsw.edu.au/1959.4/19256.

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Objectives: To improve the management of childhood asthma. Subjects & Setting: Children admitted with asthma from 1st January 2000 to 31st December 2000; and children discharged with asthma from Emergency Department (ED) of Sydney Children?s Hospital (SCH) between 16th October 2000 and 28th February 2002. Methods: There were two major studies addressing aspects of asthma management, namely the retrospective in-patient study and the prospective ED presentation study. Each of these was subdivided in two different studies to address different research questions. In the first retrospective study, a priori criteria for theoretical "time ready for discharge" (TRD) for asthmatic admissions were defined based on frequency of use of salbutamol. In the second retrospective study, we followed 361 children for 1 year from the date of their discharge, to find out whether those who received asthma education, written asthma action plan, and preventer medications at the time of discharge and whose follow?up was arranged prior to discharge, represented to the ED or were readmitted. The prospective study, which also addressed two different research questions, was a randomised-controlled trial in which parents of 310 children who had been discharged from ED with asthma, received written asthma materials only or received telephone consultation in addition to written materials. Background severity and control of asthma were assessed in baseline study from parent?s reported symptom frequency and medication uses. Outcome measures: readmission and representation to the ED, regular use of preventer medications, possession and use of written asthma action plan, and asthma symptom measures. Results: (1) 116 (27.7%) children were discharged before our theoretical TRD and only 2 child who were discharged after achieving TRD, developed symptoms which required oxygenation and more frequent doses of salbutamol. Both readmission and representation to ED within one week of discharge were uncommon. (2) 121 children represented within 1 year of their discharge, of whom 68 children were readmitted. Both receiving asthma education during admission and arranging follow-up prior to discharge were associated with a decreased likelihood of representation as well as readmission (P > 0.001). (3) In RCT, the baseline study showed that 14% of children were not receiving appropriate preventer therapy despite indications; and a further 34% had frequent symptoms despite receiving preventer therapy. 62% of the parents reported of having written asthma action plan but less than 50% of them reported using it regularly. At follow up we observed both possession and use of written asthma action plan (p = 0.002) as well as regular use of preventer medications (p = 0.001) were improved in the intervention group compared with the control group. Conclusions: Discharge on 3-hourly rather than 4-hourly doses of salbutamol appears safe and shortens length of stay by an average of 5.5 hrs. Both asthma education and follow-up at the time discharge appear to reduce readmission and representation to ED. Telephone consultation can increase the regular use of preventer medications and written asthma action plan.

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20

Turczynowicz, Leonid. "Asthma and risk factors in South Australia : an ecologic analysis". Title page, table of contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmt933.pdf.

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Includes CD-ROM inside back cover of volume 2. Bibliography: p. 178-222. Aims to identify current risk factors for asthma and to determine which of these factors, at the population level, is associated with asthma prevalence in children in South Australia. In addition, modelling techniques are used to determine which factors are significant predictors of asthma prevalence in 4 to 5 year old children in S.A. Study results show that at the population level, 9 risk factors are significantly associated with lifetime prevalence and 24 factors with period prevalence. Study findings are generally consistent with existing literature.

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21

Schuckard, Eeuwe. "Functional Asthma Severity and Impulsive Behaviour in 6 and 7 Year-old Children". Thesis, University of Canterbury. College of Education, 2007. http://hdl.handle.net/10092/1705.

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There is evidence that children with asthma exhibit more externalizing behaviour problems than other children. Impulsive behaviours can mark the onset and severity of externalizing behaviour problems. The present paper reports an exploratory examination of relationships between functional asthma severity and impulsivity in 6 and 7 year old children with asthma (N = 16). Participants with varying functional asthma severity were recruited at age 5 from a larger community study (the Children’s Learning Study). Parents completed items from three subscales of the Connors’ Parent Rating Scale-Revised (CPRS-R), the Hyperactive-Impulsive, Conners’ Global Index: Restless-Impulsive and the DSM-IV Hyperactive-Impulsive subscales. Children completed the Two Choice Paradigm (TCP), a computer program measuring delay aversion type impulsive behaviours. Mean (SD) CPRS-R Hyperactive-Impulsive, Conners’ Global Index: Restless-Impulsive and DSM-IV Hyperactive-Impulsive subscale scores were 59 (11), 56 (10) and 59 (10) respectively. There was no correlation between functional asthma severity and delay aversion or CPRS-R subscale scores and there was no evidence of a trend for such a relationship. Preliminary investigations conducted with a small sample of 6-7 year-old children with asthma thus suggest that functional asthma severity is not related to impulsivity.

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22

McGovern, Colleen M. "COPE for Asthma: A Cognitive Behavioral Skills-Building Intervention for Children with Asthma and Anxiety". The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1541269539391523.

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McCants, Kellie M. "Factors affecting treatment regimen adherence in children and adolescents with asthma". Connect to this title online, 2003. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1041866923.

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Thesis (Ph. D.)--Ohio State University, 2004.
Title from first page of PDF file. Document formatted into pages; contains xv, 134 p.; also includes graphics Includes bibliographical references (p. 101-108). Available online via OhioLINK's ETD Center

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Gaytan, Monika. "The association of dust events with asthma exacerbation in the U.S.-Mexico Border children". To access this resource online via ProQuest Dissertations and Theses @ UTEP, 2009. http://0-proquest.umi.com.lib.utep.edu/login?COPT=REJTPTU0YmImSU5UPTAmVkVSPTI=&clientId=2515.

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Cox, Karen R. (Karen Rose). "Effects of a self-care deficit nursing theory-designed nursing system on symptom control in children with asthma". free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3036817.

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Friedman, Abby H. "Parenting factors related to asthma and anxiety in children". Morgantown, W. Va. : [West Virginia University Libraries], 2007. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=4983.

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HOWARD, JOANNE KAY HERGENROTHER. "COGNITIVE ADAPTATION AND THE SCHOOLAGER WITH ASTHMA". Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/183895.

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The purpose of this study was to examine the interrelationships among the themes of Taylor's (1983) Cognitive Adaptation Theory for schoolagers with asthma. In addition, the influence of Taylor's (1983) themes on the children's social behavior was also tested. The three themes of Taylor's (1983) theory included A Search for Meaning, Restoration of Self-Esteem, and Gaining a Sense of Self-Mastery. Two components of A Search for Meaning included the Impact of Disease and the Cause of Disease. Relating Behaviors-Cooperating Behaviors was the index of social behavior. Forty-five Caucasian children between the ages of seven and ten years who had a diagnosis of asthma and did not have any mental disability were the convenient sample. Data were collected in the children's homes. Three questionnaires and two interviews were used to measure Taylor's (1983) themes and Relating Behaviors-Cooperating Behaviors. Descriptive statistics were used to answer the research questions and provide additional findings related to the conceptual framework. Two relationships among Taylor's (1983) themes were significant (p ≤ .05). Children who reported greater impact of asthma upon their lives (Impact of Disease) reported lower self-esteem (Restoration of Self-Esteem). Children who reported greater impact of asthma upon their lives (Impact of Disease) also reported a lesser internal locus of control orientation (Gaining a Sense of Self-Mastery). The Cause of Disease was the only concept which correlated significantly with Relating Behaviors-Cooperating Behaviors and thus, influenced this concept. Children who named a cause for their asthma reported more relating and cooperating skills. The Cause of Disease explained 6.5% of the variance for Relating Behaviors-Cooperating Behaviors. Characteristics of the children's asthma condition and their families were significantly related to the themes of Taylor's (1983) theory and Relating Behaviors-Cooperating Behaviors. Developmental differences were found from age group analyses. The classification of the children's responses for the cause of asthma and reliability and validity estimation for the HIIS were also reported. Five potential sources of error which may have affected the findings included design, instrument, subject, investigator, and specification errors. Suggestions for future research with the conceptual framework were discussed.

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Gupta, Atul. "Vitamin D and severe therapy resistant asthma in children". Thesis, Imperial College London, 2013. http://hdl.handle.net/10044/1/40890.

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Background There is increasing evidence that low vitamin D levels are implicated in paediatric asthma Hypotheses Children with severe, therapy resistant (STRA) have low serum vitamin D levels which are associated with worse asthma control and airway pathology. In vitro, steroid responsiveness of peripheral blood mononuclear cells (PBMCs) from STRA is improved by vitamin D. Methods Serum 25-hydroxyvitamin D (25[OH]D3) was measured in 36 STRA, 26 mild/moderate asthmatics (MA) and 24 non-asthmatic controls, and related to asthma control and exacerbations. 22/36 children with STRA underwent bronchoscopy with assessment of airway inflammation and remodelling. The in vitro steroid responsiveness of PBMC was assessed, in the absence or presence of dexamethasone and vitamin D. Results Median 25[OH]D3 levels were significantly lower in STRA (28nmol/L) than MA (42.5nmol/L) and controls (56.5nmol/L). There were positive relationships between 25[OH]D3 levels and %predicted first second forced expired volume (r=0.4, p<0.001) and forced vital capacity (r=0.3, p=0.002). 25[OH]D3 levels were positively associated with asthma control test (ACT) (r=0.6, p<0.001) and inversely associated with exacerbations (r=-0.6, p<0.001) and inhaled steroid dose (r=-0.39, p=0.001) in asthmatics. Airway smooth muscle (ASM) mass was inversely related to 25[OH]D3 levels (r=-0.6, p<0.01). Asthmatic children had diminished levels of bronchoalveolar lavage IL-10 (p<0.001). Their PBMC also demonstrated significantly impaired capacity to secrete IL-10 in culture (p<0.001) and the inclusion of vitamin D, enhanced dexamethasone-induced IL-10 (p<0.05), production. Furthermore vitamin D status correlated with airway IL-10 (r=0.6, p<0.01) and CD4+ FoxP3 T regulatory cells (r=0.6, p<0.01). Children with STRA had significantly higher vitamin D binding protein (VDBP) levels in BAL compared to MA (p<0.05) and controls (p<0.01) and these were positively associated with symptoms (ACT) (r=0.5, p=0.01) and inhaled corticosteroid usage (r=0.6, p=0<0.01). Summary Lower serum vitamin D levels in STRA children were associated with increased ASM mass, worse asthma control, lung function and reduced BAL IL-10 and T regulatory cells. In vitro vitamin D enhanced dexamethasone-induced IL-10 production. These data suggest vitamin D supplementation may be useful in STRA and support the need for a clinical trial.

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Murdoch-Schon, Allison. "A study of parents and their children with asthma". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq23436.pdf.

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Wallace, Andrea Schneider. "Accessing asthma care : a case study of urban children /". Connect to full text via ProQuest. IP filtered, 2006.

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Thesis (Ph.D. in Nursing) -- University of Colorado at Denver and Health Sciences Center, 2006.
Typescript. Includes bibliographical references (leaves 188-199). Free to UCDHSC affiliates. Online version available via ProQuest Digital Dissertations;

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Beynon, Stephanie Jane. "Behaviour Problems in Children with Asthma and their Siblings". Thesis, University of Canterbury. Educational Studies and Human Development, 2008. http://hdl.handle.net/10092/3158.

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The aim of this study was to examine the relationship between asthma and behaviour, between children with asthma (mean age= 6.11), and their siblings without asthma (mean age= 6.03). Maternal reports of children’s behaviour with asthma (N=10) and their siblings without asthma (N=10) were measured using the Strengths and Difficulties Questionnaire. Additional questions on asthma severity and general health were also included. Using a Chi-square method for matched pairs, the findings indicated that children with asthma did not have more behaviour problems than their siblings who did not have asthma. However, children with asthma were more likely to have tantrums and problems with attention than were their siblings without asthma. The total behaviour score indicated that for seven of the sibling pairs their behaviour was similar, in that there were no problems. Additionally, children who had asthma and took preventer medication were less likely to have behaviour problems than children who did not use asthma preventers. This study was limited by the small sample size and the reliance on maternal reported measure of behaviour. Important factors that might affect behaviour in children with asthma and their siblings were identified, and directions for future research and clinical practice have been proposed.

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Tang, Ho-ming Raymond. "Empathy and psychological adjustment in Chinese children with asthma". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B29789497.

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Crowley, Suzanne. "Growth and endocrine function in prepubertal children with asthma". Thesis, University of Southampton, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.245044.

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Ross, Kristie R. "Sleep Disordered Breathing, Obesity, and Asthma Severity in Children". Case Western Reserve University School of Graduate Studies / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=case1291296902.

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Dawson, Caroline W. "The Lived Experience of Caregivers for Children with Asthma". Thesis, State University of New York at Albany, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10284037.

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The purpose of this study is to describe the meaning of the lived experiences of caregivers of rural children with asthma In order to study the meaning of the experiences for caregivers of asthmatic children with moderate to severe asthma, it was essential that a qualitative methodology in order to explore contextual aspects of the participants’ lives, and the in-depth meaning of their experiences.

The research question was: What is the lived experience of caregivers of children with moderate to severe asthma? Sub-questions included: - What was their understanding of asthma? - How did they respond to their child’ symptoms? - How did their symptoms affected their siblings and spouse? - How did their care needs impact family communication and activities? - What was the impact of care needs on the child’s psychosocial development? - How the child and family response to negative stressors? - What was their perception of social support; and the kinds of support that were - available to them? - What was their perception of control over the management of symptoms? - What was their perception of the social and physical environmental factors affecting asthma symptom management.

The researcher’s primary goal was to learn the lived experience of families with children with asthma from the perspective of the participant. This narrowed the choice of qualitative methodologies to a phenomenological study. The overall intent of the phenomenological study was to learn the meanings that participants attributed to their experiences.

Four overall themes emerged from the study. The themes and sub-themes were: Uncertainty and fear (fear and helplessness; child might die; relief when the symptoms were under control; and long-term effects on the child’s life): Vigilance (potential triggers; early symptoms; emotional changes before the attack; medical regimen; consultation with the physician; and emotional control): Family impact (maternal focus of attention; effects of the hospitalization on child, siblings, and spouse; family social impacts; effects on the child and physical activities; caregivers’ employment; caregiver and child psychological impacts): Social support (spousal; sibling; and physician support).

Earlier studies had identified three primary themes: uncertainty and fear, vigilance, and family impacts. A fourth theme was identified in this study; that asthma is perceived as a chronic condition.

The results demonstrated that there is a need to address both the physiological and the developmental needs not only of the child with asthma but also the child’s family. The results also found that the majority of the caregivers might experience less stress if there were additional sources of social support.

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Sicouri, Gemma. "Understanding and treating anxiety disorders in children with asthma". Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/17269.

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The aim of this thesis was to provide research to understand and treat anxiety in children with asthma. Specifically, the aims were to: (1) investigate the parent and cognitive factors associated with anxiety in children with asthma; and (2) evaluate a cognitive behavioural treatment (CBT) specifically developed for children in this population. The rationale behind this research was the identification of a higher prevalence of anxiety disorders in children with asthma compared to healthy children, yet very little understanding about the factors which may underlie this relationship. This poor understanding has translated into a lack of evidence-based treatments for this population. The research comprises of five empirical studies, including a meta-analysis, two cross-sectional empirical studies, a case series analysis of treatment and a qualitative study. The findings of this thesis highlight that some parenting behaviours, namely parental control, and child cognitions, namely avoidant coping, whilst understandable in the context of a chronic illness, may – in fact – also confer risk for anxiety in these children. The results also showed promise for the efficacy of a group CBT intervention for a small number of participants with asthma and a comorbid anxiety disorder, however critically a large number of eligible participants declined to take part. It appears that a number of barriers to treatment engagement exist, which relate specifically to parent beliefs and understanding about the link between asthma and anxiety. Additional research is needed with larger samples in order to further explicate the role of parent and cognitive factors in the development and maintenance of anxiety in children with asthma, and establish CBT as an evidence-based treatment for this population.

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Shaw, Michele R. "Perceptions of Exercise Among School Aged Children with Asthma". Diss., The University of Arizona, 2010. http://hdl.handle.net/10150/194722.

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This grounded theory driven study explored the predominant categories and concepts involved with perceptions of exercise among school aged children with asthma. Ten children (five males, five females), ages 8-12, with various asthma disease severity, were interviewed in their homes. In addition, nine parents completed a health history questionnaire. The emergent grounded theory: The process of creating perceptions of exercise was identified from the data. The ongoing creation of perceptions of exercise was influenced by four predominant categories: perceived benefits, striving for normalcy, exercise influences, and asthma's influence. Because process is an ongoing occurrence, the four predominant categories may influence the creation of exercise perceptions simultaneously, or at different times and in various ways dependent upon the characteristics of the child and their unique situations and experiences (context). Perceived benefits, striving for normalcy, exercise influences, and asthma's influence were identified categories involved with the interactions, actions, and consequences interwoven throughout the creation of perceptions of exercise process. These categories help explain how exercise perceptions are developed from the participants' perspective. The process of creating perceptions of exercise is a continuous, circular, happening with the consequences leading to the development of exercise perceptions. The context may change but the overall process retains applicability to creating perceptions of exercise. The subjective insight gained throughout the development of the theory: the creation of perceptions of exercise, gives light to numerous areas for future nursing research and practice in hopes of improving the overall quality of life among this population.

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38

Holzheimer, Leisa E. "Asthma education for young children aged 2-5 years". Thesis, Queensland University of Technology, 1994.

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Childhood asthma is a significant health problem in Australia. The disease affects approximately 25% of children, of whom 5% require daily medication for the control of frequent or persistent symptoms. Many children who experience their first symptomatic episode of asthma prior to the age of 5 years continue to experience symptoms on an intermittent and variable basis throughout their childhood and adult years. The prevalence of asthma is increasing in Australia and other western countries, and the condition has been associated with high rates of mortality and morbidity. Ironically, these increases have occurred despite a greater understanding of the mechanisms of asthma and improvements in pharmacotherapy. Numerous asthma education programs have been developed with the goal of increasing patient knowledge of the condition, improving compliance with medication regimens and encouraging greater involvement in the management of the disease. Many of these programs have not been founded on sound theoretical principles and their effectiveness in improving asthma management has rarely been evaluated. Additionally, these programs have focused on older children with few programs designed to meet the needs of young children at the time when they first experience symptomatic episodes. This study is concerned with the development and evaluation of asthma education materials which have been specifically designed for children aged 2-5 years. A video tape and children's picture book developed in accordance with the principles of content analysis, social learning theory and consideration of the developmental stages of children, present information about the prevention and management of an acute asthma attack.

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Kelly, Yvonne Jones. "Risk factors for respiratory morbidity in primary school children in Merseyside". Thesis, University of Liverpool, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.243256.

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Allan, Keith M. "Maternal diet during pregnancy and childhood asthma : a prospective study". Thesis, University of Aberdeen, 2011. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=185609.

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The SEATON cohort comprising 2000 pregnant women recruited 1997-99 was established to test if maternal nutrition during pregnancy affects the likelihood of children developing asthma. At 32 weeks gestation mothers’ diets were assessed by food frequency questionnaire. 1,924 live singleton births comprised the birth cohort with follow-up at 6 months, 1, 2, 5 and 10 years (the latter the focus of this thesis). Children’s diets were assessed at 5 and 10 years. Their asthmatic status was assessed by International Study of Asthma and Allergies in Childhood questionnaire. Children participating at 5 or 10 years were also invited for measurement of spirometry and allergy. Cross-sectionally at 10 years 934 children (48% boys) participated by return of questionnaire, 449 also took part in the in-depth assessment. Higher maternal vitamin D intakes were associated with decreased odds of ‘doctor diagnosed asthma’, ‘wheeze ever’ and ‘wheeze in the last year’ in the children. Contrary to findings at 5 years no association between maternal vitamin E intake and asthma outcomes was seen. Longitudinally over the 10 years of the study, higher maternal vitamin D and E intakes during pregnancy were both associated with a decreased likelihood of ‘doctor diagnosed asthma’, ‘active asthma’ and ‘wheeze in the last year’ in the children. In conclusion, reduced maternal vitamin D and E intakes during pregnancy are associated with an increased likelihood of childhood asthma during the first ten years of life. Vitamin E appears to be associated with early asthma and wheeze possibly reflecting a role in affecting early airway remodelling processes. Associations with vitamin D were seen consistently over different time-points, possibly having its effect in an immunomodulatory fashion. Intervention trials are required to ascertain if intervention during pregnancy actually reduces childhood asthma rates.

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Al-Makoshi, Amel Abdullah. "Study of asthma to investigate in utero effects of diet (Saudi)". Thesis, University of Aberdeen, 2014. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=211220.

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Objective: Reduced maternal levels of vitamin D, E and zinc during pregnancy has been linked to the development of asthma and allergic disease in children. The birth cohort investigated if maternal dietary intake in pregnant Saudi women was associated with childhood asthma and allergic disease up to 24 months of age. Methods: One thousand six hundred and twenty four women were recruited to a prospective birth cohort from an antenatal clinic in Riyadh, Saudi Arabia. A food frequency questionnaire was used to characterize diet during pregnancy and serum micronutrient levels were measured. 1436 singleton children were followed up at 6, 12 and 24 months of age by interview administrated telephone calls. Results: Multivariate analyses revealed no associations between the primary maternal dietary nutrient intakes of vitamin E and zinc and the respiratory outcomes in the cohort children at 24 months of age. There was a borderline significant association between increasing maternal zinc intake and maternal reports of food allergy in the cohort children at 24 months. Positive associations with maternal dietary folate intake with maternally reported ‘itchy rash for at least 6 consecutive months' (OR= 2.36 p-=0.020) and any food allergies (OR= 2.18 p= 0.025). Conclusion: This study suggests no conclusive evidence that maternal intake of vitamin D, E and zinc of Saudi women may lower the risks of developing asthma and allergic disease in early childhood. However, a higher dietary intake of folate during pregnancy increased the risk of reported itchy rash, eczema and food allergy in the cohort children up to 24 months. Further follow up of the cohort will provided evidence that will support or refute whether maternal diet during pregnancy is associated with asthma and allergic disease in childhood.

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King, M. Jonathan. "The effect of a physical training programme on exercise-induced asthma". Master's thesis, University of Cape Town, 1987. http://hdl.handle.net/11427/25678.

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Briggs, Joanna Elizabeth. "Asthma on the Wirral : place, pollen and peak flow". Thesis, Lancaster University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.387437.

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Hoover, Evelyn Louise. "The effect of functional health literacy and education level on parental asthma knowledge and the health outcomes of their child with asthma". Diss., Online access via UMI:, 2009.

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Arkoazi, Nadia, i Veronica Rantzow. "Oral hälsa hos barn med och utan astma". Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-12129.

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Bakgrund: Astma är en kronisk inflammatorisk luftvägssjukdom som är vanligt förekommande i alla åldersgrupper. Över 300 miljoner människor världen över beräknas ha sjukdomen. Syfte: Syftet med litteraturstudien var att undersöka om den orala hälsan hos barn med astma skiljer sig från den orala hälsan hos barn utan astma. Metod: Metoden som användes var en allmän litteraturstudie och litteratursökningarna gjordes i den medicinska databasen PubMed. Resultatet baseras utifrån en sammanställning av 13 vetenskapliga artiklar. Artiklarna var kliniska studier och 11 av dessa hade en kontrollgrupp där barn med och utan astma jämfördes. Övriga två artiklar studerade antingen hur den orala hälsan påverkades av kombinationsbehandling med specifika läkemedel eller jämförde den orala hälsan hos barn med olika duration och medicinering mot astma. Resultat: Några av de inkluderade studierna fann att barn med astma hade en ökad kariesförekomst jämfört med barn utan astma, medan andra studier visade att det inte fanns någon skillnad mellan grupperna. Avseende plack, blödning och kariesrelaterade bakterier var resultaten också motstridiga. Barn med astma som medicinerades med β2-stimulerare kombinerat med kortikosteroider hade ett minskat salivflöde och en ökad nivå av kariesrelaterade bakterier. Slutsats: Det finns motstridigheter kring om den orala hälsan hos barn med astma skiljer sig från den orala hälsan hos barn utan astma. Kombinationsbehandling med β2-stimulerare och kortikosteroider medför ett reducerat salivflöde och en ökad nivå av kariesrelaterade bakterier hos barn med astma.
Background: Asthma is a chronic inflammatory airway disease which is common in all ages. Over 300 million people worldwide are estimated to have the disease. Aim: The aim of this study was to investigate whether the oral health differs between children with and without asthma. Method: The method used was a literature review and the literature searches were made in the medical database PubMed. The results were based on a compilation of 13 clinical scientific studies and 11 of these compared children with and without asthma. The remaining articles studied either how the oral health was affected by the combination treatment with specific drugs or compared the oral health of children with different duration and medication for asthma. Results: Some of the included studies found that children with asthma had an increased cariesprevalence compared with children without asthma, while other studies showed that there was no difference between the groups. Regarding the plaque, bleeding and caries-related bacteria, the results were also conflicting. Medication with β2-agonist combined with corticosteroids contributed to a reduced salivary flow and an increased level of caries-related bacteria among children with asthma. Conclusion: There are conflicting results regarding whether the oral health differs between children with and without asthma. Combination treatment with β2-agonists and corticosteroids contributed to a reduced salivary flow and an increased level of caries-related bacteria.

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Spurrier, Nicola J. "Parent's management of childhood asthma : the relevance of psychosocial factors /". Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09PH/09phs7722.pdf.

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Buford, Terry A. Hall. "Transfer of responsibility for asthma self-management from parents to their school-age children". free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3036810.

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Delane, Tiffany. "Childhood Asthma in the Midwest". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5549.

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In spite of the National Asthma Education and Prevention Program guidelines outlining how to diagnose, treat, and educate asthmatics, asthma morbidity and mortality rates are still mounting. Furthermore, the minority population has disproportionately higher rates of unfavorable outcomes from asthma, thereby diminishing their quality of life. The study's theoretical framework was based on the health belief model and explored associations of asthma control with self-efficacy and asthma education. Few studies focus on asthma inequity. The purpose of this quantitative study was to assess relationships between asthma control, race, asthma education, and healthcare utilization amongst asthmatic children residing in the Midwest. Secondary data from the Centers for Disease Control's Behavioral Risk Factor Surveillance System's Asthma Call-back Survey were used (n=477,221). Participant characteristics were examined using descriptive statistics. A sequence of bivariate and logistic regression analysis was used to test each hypothesis. The findings revealed significant associations amongst asthma control, race, asthma education, and healthcare utilization. In addition, children with uncontrolled asthma have greater visits to the emergency department and to their pediatrician's office due to their asthma symptoms. Moreover, the study results indicated that African American children experienced uncontrolled asthma at a higher rate when compared to other children, consequently decreasing their quality of life. The study showed the need for policy change to expand funding and programs aimed at decreasing uncontrolled asthma by improving asthma education, especially in African American communities, in hope of empowering asthmatics to play a vital role in their health and increasing their quality of life.

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Rossetti, Lavinia. "Super Air : The asthma inhaler for superheroes". Thesis, Linnéuniversitetet, Institutionen för design (DE), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-45143.

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Nobody can live without oxygen. What happens when you have a chronic disorder that prevents the oxygen from reaching your lungs? This condition is called asthma and affects millions of people. Symptoms might be from a wheezing to a severe asthma attack with airways obstruction. It is difficult, above all for children, to accept a condition that might unexpectedly come anytime. The Super-air inhaler is thought as a Super Hero, the worship the child has for the Hero will make the child feel strong and he will not feel ashamed of using it when having an attack. The inhaler has also been designed to make it easy for the child to take his medicine during the day and at night time too.

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Krishna, Santosh. "Evaluation of a web-enabled interactive multimedia pediatric asthma education program /". free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3012990.

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