Clinical trials: Giving back to the community

It's hard for families to volunteer for clinical research trials in asthma. It means added time and attention tracking the smallest changes of a frustrating and life-threatening disease.

By participating in these important trials, however, parents and children not only help themselves, they also further our knowledge of new treatments for the entire asthma community.

There are many benefits to participating in clinical trials, including personalized attention from a team of specialists.

But there is also added benefit in the knowledge of doing something good for fellow patients with asthma, since asthmatics, particularly children, need help.

Pediatric Asthma is the most common chronic childhood disorder, affecting nearly 6.7 million children in the United States. That's roughly one out of every 10 children.

Pediatric Asthma - either inadequately controlled or undiagnosed - is a leading cause of missed school and missed participation in healthy activities like sports.

We are near the top in per capita emergency room visits for children's asthma in the state.

Too often, children in our community need intensive care to treat asthma attacks that could have been avoided. Without a dedicated pediatrician, children with asthma may go undiagnosed, leaving them at risk for severe asthma attacks and families unaware and unable to control the disease.

Just as patient families volunteer themselves for clinical trials to help, we can also donate our time and experience to make an impact on the Jacksonville community.

We as providers and citizens can also promote the importance of primary care for all children and the importance of detecting asthma symptoms.

At Nemours, we have one of the leading pediatric asthma research teams in the country.

Our group finds it imperative to act locally by supporting events like the American Lung Association's recent Night Air Affair, the recent GreenWalk at the University of North Florida and their Climb Jacksonville event in February.

New Nemours clinical studies are available to pediatric asthma sufferers, as well as educational programs.

It will take all of us - patients, families, providers and everyday citizens - to combat this growing problem and make Jacksonville an easier place to breathe.

So go ahead, do something good for others.

Join us.


P.S. Boost your over-all health by eating lots of Vitamin C and Vitamin D rich foods and fruits.




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Dealing With Childhood Asthma

Asthma is a terrible disease, one that is hard enough to live with if you are an adult, but if you are a child it is especially traumatic. Childhood asthma can be so severe that it is practically debilitating, and can really take one’s childhood away from them. If your child has childhood asthma, also known as pediatric asthma, it is important that you make yourself as educated as you can on the disease and also that you watch and make sure that their symptoms do not worsen. If their symptoms ever do worsen and they start to have an asthma attack, they are going to need medical attention right away to treat the asthma. Symptoms would include anything from tightness in the chest and wheezing to coughing and shortness of breath. Keep in mind that these are not the only childhood asthma symptoms and that the asthma symptoms in children will vary from one to another.

Of course one of the most important issues on the subject of childhood asthma is management. There is no cure for the disease as of yet, but there are many effective treatments and remedies that you can use to keep the symptoms under control and help avoid the onset of attacks.

pWhen you are treating asthma in a child it will be much different than it would be in an adult. This is because children are much more susceptible to the effects of asthma, and also because their bodies are smaller and so therefore they are not able to use some of the treatments and remedies that are available to adults.

Combination therapy is the best option when it comes to keeping childhood asthma under control. This means using an inhaler that contains two or more medications rather than just one. Using inhaled corticosteroids only when needed may improve compliance which is likely to occur in patients with mild asthma who have infrequent symptoms.

Taking just one medication or another may help but for childhood asthma you want to avoid asthma attacks even more than you would in adults and so therefore using a combination of medications in the inhaler is going to be your best bet.

If your child has asthma, take every step that you can to become more informed and aware, and that you take every precaution possible to ensure that your child’s pediatric asthma stays under as best control as possible. Work as a team with your doctor to make sure that this happens.


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Symptoms of Asthma in Infants

The symptoms of asthma in infants can be so subtle that you don't even realize infant asthma might be involved. Baby asthma is challenging to diagnose too, because your infant can't tell you in words how he or she is feeling. So doctors rely more on the parent's description of a pattern of symptoms and behavior, as well as family medical history, in deciding what type of breathing problem your baby may have.

Asthma is the most common chronic disease in babies and children. In fact, 1 out of every 10 kids has asthma today. So, if you find out your baby has asthma too, you'll have lots of company. If you do suspect infant asthma is causing your child's breathing problems, it's important to find out for sure as soon as you can. The inflammation of the airways that asthma causes can cause severe respiratory distress and may even lead to death, if left untreated or uncontrolled. Babies are especially susceptible to complications, because their lungs are not as mature to begin with, so early diagnosis and treatment are essential.


What Are the Symptoms of Asthma in Infants?

Common asthma symptoms in adults include:

* Wheezing
* Coughing
* Shortness of breath
* Chest tightness

But it's important to note that the pattern and intensity of asthma symptoms can vary greatly from person to person. With infant asthma, symptoms can be even more variable. They are also different, to some extent, than in adults.

In baby asthma, coughing is often the only symptom the infant will have. Some kids cough all night, but have no noticeable symptoms during the daytime hours. Other infants may cough intermittently throughout the day. Also, when babies wheeze, it's not always because of asthma. It could just be a viral respiratory infection.

So, doctors look closely at patterns when trying to decide whether your infant has asthma. First off, they'll ask you if you've noticed repeated instances of:

* Coughing, especially at night
* Wheezing
* Trouble breathing or fast breathing

The doctor will also look for symptoms that are worsened by:

* Frequent viral infections, such as colds or bronchitis, that seem to "go right to the chest" and last
* Exposure to tobacco smoke or other strong odors / fumes
* Active play
* Contact with common allergic triggers, such as pets, pollen, and dust
* Changes in the weather
* Crying or laughing

Diagnosing asthma in infants can be hard because symptoms must be observed, rather than described. And common testing used to diagnose asthma, such as spirometry, can't be used with infants. And just having any one of the above findings is probably not going to lead your baby's doctor to an asthma diagnosis. But having several of them may. In the end, doctors often diagnose asthma by ruling out other possibilities.


What Other Diagnoses Have Similar Symptoms?

As noted above, wheezing in infants can be caused by more than just asthma. And the good news is that these other conditions are often milder than asthma and may go away completely within a few years, as opposed to asthma, which usually lasts throughout childhood and maybe even into adulthood.

Some of the names for conditions that cause recurrent wheezing and coughing episodes in infancy are:

* Wheezing bronchitis, which is a viral infection
* Bronchiolitis
* Asthmatic bronchitis
* Wheezing associated with respiratory illness or breathing problems
* Para-infectious bronchial hyperreactivity
* RAD

The common factor with all of these labels is that the wheezing is not associated with allergic disease as asthma usually is in children. One of the most common catch-all terms for non-asthma wheezing is reactive airway disease, which is also called RAD for short. RAD may be used to avoid labeling an infant too soon with a more serious diagnosis of asthma.

However, both RAD and infant asthma are often treated the same, because doctors really can't tell for sure if an infant has asthma, and won't know until at least age 5. So, they treat "as if" the infant has asthma.

But parents' worries about their babies taking possibly unnecessary medicine can be soothed by the knowledge that asthma treatment is safe, even for infants. What risks there may be are considered to be offset by the very real benefits of keeping asthma – if it does exist – under control. Preventing more serious respiratory problems down the line is well worth it.
In Summary

If you notice a chronic cough in your infant, especially if it is waking your baby and you up at night, it would be wise to talk with your pediatrician about it. The same is true if you notice your baby having frequent and / or severe chest colds. And remember, wheezing does not have to be present in infants with asthma, as it almost always is with adults. And if your baby does wheeze, it doesn't necessarily mean he or she has asthma.

Don't ignore such symptoms or fear an asthma diagnosis. Asthma is fairly easy to manage with medicine and environmental changes, and taking such steps can help ensure that your infant is able to have a normal, active life.


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Inhalers for Asthma

From my childhod days until I turned 23 years of age, my asthma medication consists only of tablets and capsules or just leave it be. But right after that, I tried the asthma inhaler and immediately I got hooked. The healing time of tablets ranges from 2 hours to 3 hours but for the inhaler it took only 1 or 2 seconds.

Inhalers are the main source of treatment for asthmatic patients and enables them to lead active lives without the fear of an attack. There are different types of inhalers available in the market which can make things confusing.

This article will give some more information about the inhalers for asthma.

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Pediatric Asthma

Ever since I was a child I far as I can remember, I already have asthma. Most of it would occur at night. I cannot breathe properly when lying down. So I have to sit down while relaxing my breathing. There came a point wherein my parents use a nebulizer to calm my asthma.

Asthma is commonly seen in children. It is a leading cause of hospital stays and school absences. Children with asthma may be able to breathe normally most of the time. When they encounter a substance that can cause problems (a "trigger"), an asthma attack (exacerbation) can occur.

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