RESUMO
INTRODUCTION AND OBJECTIVES: Allergic rhinitis (AR) is the most common allergic disease in childhood. Nasal obstruction is a typical symptom of AR, however, its quantification by clinical examination is difficult. To provide an objective assessment of nasal patency, the peak nasal inspiratory flow (PNIF) is used. Symptoms of AR have a noticeable impact on the quality of life. The aim of this study was to assess which factors may have an impact on PNIF values and to evaluate the possible relationships between PNIF and QoL in children with AR. Patients and METHODS: We recruited patients aged 6-17 years (n = 208, 89 girls and 119 boys) with AR. All children underwent PNIF measurements. Parents and children completed KINDL-R generic questionnaires, to assess the quality of life of the children. RESULTS: The average PNIF value was 98.9 ± 37.4 L/min. A very strong (p < 0.001) relationship between the PNIF value and height, age and weight of the child was observed. The sex of the patient has no influence on the PNIF value. We showed that PNIF values significantly increased with each attempt. The children assessed their QoL at 45.6 ± 8.5 points in the KINDL-R questionnaire and the parents rated their children's QoL at 73.7 ± 10.7 points. We observed a weak negative correlation between PNIF and the QoL based on the parents' assessment and the child's self-assessment. CONCLUSIONS: PNIF values depend mostly on height, but also on the child's age and weight. A learning effect (significant increase in PNIF upon each attempt) was shown. Higher PNIF does not improve the QoL
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Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Rinite Alérgica/diagnóstico , Pico do Fluxo Expiratório , Qualidade de Vida , Inquéritos e Questionários , Análise de Variância , Modelos LinearesRESUMO
INTRODUCTION AND OBJECTIVES: Allergic rhinitis (AR) is the most common allergic disease in childhood. Nasal obstruction is a typical symptom of AR, however, its quantification by clinical examination is difficult. To provide an objective assessment of nasal patency, the peak nasal inspiratory flow (PNIF) is used. Symptoms of AR have a noticeable impact on the quality of life. The aim of this study was to assess which factors may have an impact on PNIF values and to evaluate the possible relationships between PNIF and QoL in children with AR. PATIENTS AND METHODS: We recruited patients aged 6-17 years (nâ¯=â¯208, 89 girls and 119 boys) with AR. All children underwent PNIF measurements. Parents and children completed KINDL-R generic questionnaires, to assess the quality of life of the children. RESULTS: The average PNIF value was 98.9⯱â¯37.4â¯L/min. A very strong (pâ¯<â¯0.001) relationship between the PNIF value and height, age and weight of the child was observed. The sex of the patient has no influence on the PNIF value. We showed that PNIF values significantly increased with each attempt. The children assessed their QoL at 45.6⯱â¯8.5 points in the KINDL-R questionnaire and the parents rated their children's QoL at 73.7⯱â¯10.7 points. We observed a weak negative correlation between PNIF and the QoL based on the parents' assessment and the child's self-assessment. CONCLUSIONS: PNIF values depend mostly on height, but also on the child's age and weight. A learning effect (significant increase in PNIF upon each attempt) was shown. Higher PNIF does not improve the QoL.
Assuntos
Inalação , Obstrução Nasal , Qualidade de Vida , Rinite Alérgica , Adolescente , Criança , Feminino , Humanos , Masculino , Obstrução Nasal/etiologia , Rinite Alérgica/complicaçõesRESUMO
A case of hepatic lues is described manifesting itself with yellow discoloration of the sclerae and raised aminotransferase level. The patient was referred to hospital with the diagnosis of virus hepatitis. Rash was observed on the trunk. Differential diagnostic procedures and good result of specific treatment established the diagnosis of luetic background of liver disease.
Assuntos
Hepatite/diagnóstico , Sífilis/diagnóstico , Adulto , Diagnóstico Diferencial , Hepatite/tratamento farmacológico , Hepatite B/diagnóstico , Humanos , Masculino , Penicilina G Procaína/uso terapêutico , Sífilis/tratamento farmacológico , Sorodiagnóstico da SífilisRESUMO
Serological and clinical examinations were made among persons contacting animals infected by listeriosis. It was found that the risk of the infection among humans is small.
