ABSTRACT
Background: Significant research papers were published to assess different risk factors associated with development of status asthmaticus [SA] in children and prevention. Understanding the different risk factors associated with SA development in children will help in the early prediction of the cases that might develop SA in future which may cause death in few cases
Objectives: In this study, we aimed at evaluating the various risk factors, etiologies that stand behind of status asthmaticus development and Assessment of SA management in emergency department
Methods: PubMed database were used for articles selection. All relevant articles related to our review were chosen to cover the following topics: Asthma, SA management, SA in children risk factors. We excluded other articles, which are not related tour objectives. The data have been extracted according to specific form to be reviewed by the group members to assess the different risk factors, and management modalities of SA
Conclusion: Delay in seeking medical help, poor compliance to the treatment, multiple previous admissions, frequent chest infections, and obesity are major risk factors of complicating asthma in children leading to life threatening attacks [SA]. Preventing the risk factors is major task of the management and it is as important as the treatment of asthmatic attacks
ABSTRACT
Introduction: Despite of these side effects, many studies concluded that the benefits of prophylactic brain radiation in prevention and delaying the spread of cancer overcome its harmful effects. This review aimed to evaluate the literature assessing the role of prophylactic radiotherapy in prevention of metastasis to the brain tissues, measure its incidence and the overall survival rates in patient with lung cancer to provide evidence-based data
Methods: Electronic search was performed in Medline using Pubmed resulted in 107 eligible studies. The titles and abstracts of all these articles, was screened and based on this reading studies excluded due to irrelevancy or duplication
Results:Search of the literature identified total of 107 studies, after exclusion of irrelevant, duplicated and review studies, five studies were included in the review as they met the inclusion criteria. The included studies pointed to assess the effect of prophylactic radiotherapy in avoidance of brain metastasis. All included studies were randomized controlled trials. Total numbers of 1399 patients were recruited in the included studies. Age of patients range from 39 up to 84 years old or more. Small-cell lung cancer was the primary cancer in three of the included studies. One of the included studies assessed patients with non-small cell lung cancer and one study included patients with small cell anaplastic bronchogenic carcinoma
Conclusions: The use of prophylactic radiotherapy is effective in reduction of incidence of brain metastasis, but it had no role in rising of the overall survival