Metered-dose inhalers with spacers vs nebulizers for pediatric asthma

Article Abstract:

Metered dose inhalers (MDIs) with spacers appear to be as effective as nebulizers in delivering bronchodilator drugs to asthmatic children. MDIs and nebulizers are devices used to administer inhalation drugs. Researchers administered the bronchodilator albuterol to 152 children with asthma who were brought to a hospital emergency department. Seventy-one children received albuterol by MDIs with spacers while 81 received nebulized albuterol. On average, children in both treatment groups had similar final asthma severity scores, percent predicted peak expiratory flow rate, and final oxygen saturation. The average number of treatments, the percent of children who received steroids, and the rate of hospital admission were similar in both treatment groups. Children who used MDIs with spacers had a shorter average treatment time and fewer vomited during therapy than nebulizer users.

Evaluation, Drug therapy, Asthma in children, Childhood asthma, Respiratory therapy, Nebulizers and vaporizers, Nebulizers (Medicine), Vaporizers, Respiratory therapy for children

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Predictors of recurrent febrile seizures: a prospective cohort study

Article Abstract:

Certain characteristics may enable doctors to predict which children experiencing their first fever seizure are likely to have seizures in future illnesses. Researchers tracked 428 children with first fever seizures for two or more years. Nearly one-third experienced another fever seizure. Four factors predicted increased likelihood of a repeat event: young age at first fever seizure, a parent or sibling who had fever seizures, a low degree of fever as measured in the emergency department, and brief interval between fever onset and seizure. Fever seizures disappear with age, and the risks of preventative treatment outweigh the benefits.

Risk factors, Child health, Febrile convulsions, Febrile seizures

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A Comparison of New York City Playground Hazards in High- and Low-Income Areas

Article Abstract:

Urban playgrounds in low-income districts may contain more hazards to children than those in high-income districts. Researchers evaluated 45 playgrounds in New York City and found that playgrounds in low-income areas had an average of six hazards, while those in more affluent areas had four hazards. The equipment in low-income areas, although similar to the equipment in high-income areas, was more poorly maintained.

United States, Injuries, Pediatric injuries, Social classes, Social class, Playgrounds, Playground equipment

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