Pre-school wheeze: determinants and health care effects

作者: A.C. van der Gugten

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摘要: Wheezing illnesses are an important health problem in children and a threat to the quality of life their families account for large number primary healthcare consultations first years life. Pre-school wheeze is symptom that can precede development childhood asthma; however majority with wheezing do not experience these symptoms after age three years. When healthy baby born, it difficult predict whether infant will case also asthma during childhood. Identifying determinants associated may help long-term outcomes have consequences prevention, diagnosis treatment. In this thesis we showed accelerated weight gain months life, as well reduced neonatal compliance five An increased resistance only Infant Human Rhinovirus infections predictor wheezing; appears be because susceptible partly lung function. Most harmless self-limiting often influenced by medication. Nevertheless, such cause great anxiety parents, consultation rates, particularly care, high. As medical treatment usually ineffective, many cases doctors confine explaining course self-limitedness reassurance parents. Internet plays increasing role providing care information parents appear frequent internet–users searching pregnancy child. One could hypothesize reliable online provides desired knowledge, reassures thereby influences behaviour utilization. We developed parent program about respiratory infants studied randomized controlled trial effect on utilisation. Although highly appreciate provided facilities, personalized e-support did reduce qualitative study was found need when child displays symptoms, its easy accessibility internet major source information. However, physician take away doubts insecurity decision consult based parents’ own sense does interfere this.

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