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- IRMS - Nicolae Testemitanu SUMPh
- REVISTE MEDICALE NEINSTITUČIONALE
- The Moldovan Medical Journal
- The Moldovan Medical Journal
- The Moldovan Medical Journal 2018
- The Moldovan Medical Journal, Vol. 61, No 2, June 2018
Please use this identifier to cite or link to this item:
http://hdl.handle.net/20.500.12710/1184
Title: | Modern approach to pediatric asthma |
Authors: | Sciuca, Svetlana Antonovici, Natalia Dolganiuc, Angela |
Keywords: | asthma;recommendations;pediatric;children;pathogenesis;therapy;management |
Issue Date: | 2018 |
Publisher: | The Scientific Medical Association of the Republic of Moldova |
Citation: | SCIUCA, Svetlana, ANTONOVICI, Natalia, DOLGANIUC, Angela. Modern approach to pediatric asthma. In: The Moldovan Medical Journal. 2018, vol. 61, no 2, pp. 51-62. ISSN 2537-6373. |
Abstract: | Background: The article reviews aims to promote the communication between scientists engaged in basic research and clinicians working with children,
in order to better understand the mechanism and work together towards an optimal management of this prominent pediatric condition. We reviewed the
recent advancements in regards to pediatric asthma related to pathogenesis, diagnostic criteria and differential diagnosis, and peer-reviewed evidence for
efficiency of pharmacological and non- pharmacological/alternative/adjuvant treatment; we also emphasize the importance of education of all parties
involved in care, outpatient management, age-appropriate involvement of children in their own care, and asthma prevention measures in children. Clinically
asthma is characterized by recurrent episodes of wheezing, dyspnea, and cough; at the pathophysiological level the airway wall thickness is increased and
involves both smooth muscle and collagen tissue, the mucous glands and mucus production are increased, and the vascularity of the airways is increased,
all leading to chronic inflammatory remodeling of the airways and resulting in reduction of lung function.
Conclusions: Asthma among children has been on the rise for decades. With an estimated prevalence of 10-30%, asthma is the most prevalent chronic
disease of pediatric population worldwide and one with a large health care burden. The approach to diagnosis and treatment of asthma in children is
distinct from adults; so is the management, prevention and the education of parties involved in care. Recently there has been a significant progress in
mechanistic understanding of asthma; further, asthma management in children is becoming a top priority |
metadata.dc.relation.ispartof: | The Moldovan Medical Journal |
URI: | http://repository.usmf.md/handle/20.500.12710/1184 https://doi.org/10.5281/zenodo.1299035 http://moldmedjournal.md/wp-content/uploads/2019/01/moldmedjournal-2018-61-2-full-issue.pdf |
ISSN: | 2537-6373 2537-6381 |
Appears in Collections: | The Moldovan Medical Journal, Vol. 61, No 2, June 2018
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