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Bacterial toxin may protect infants from asthma

A US study of nearly 500 infants found that higher levels of endotoxin in the home were associated with a lower risk of developing eczema during their first year of life. Infants living in homes with dogs also had a reduced risk of eczema, but this relationship was weakened when adjusting for endotoxin exposure.

SourceBoston Children's Hospital·JournalPEDIATRICS·DateJul 6, 2004

American Thoracic Society Journal news tips for May 2004 (first issue)

A study found that furosemide inhalation alleviated severe breathlessness in patients with moderate to severe chronic obstructive pulmonary disease (COPD). Additionally, researchers developed a new model for neonatal bronchopulmonary dysplasia (BPD) using nasal continuous positive airway pressure (nCPAP) therapy.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateApr 30, 2004

American Thoracic Society Journal news tips for April 2004 (second issue)

Research suggests that community-acquired pneumonia patients who are discharged from the hospital may face a higher risk of mortality in the subsequent 2-3 years if they have certain predictors, such as increasing age and cardiovascular disease. The study also found no excess mortality in younger patients without accompanying diseases.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateApr 12, 2004

UCSF study: Pediatrician's judgment often better than clinical guidelines for treating infant fever

A recent UCSF study found that pediatricians' clinical judgment may be more effective than strict adherence to guidelines in managing febrile illnesses in infants. The study analyzed data from 3,066 infants and found that experienced clinicians using clinical judgment may reduce unnecessary hospitalizations and improve treatment outcomes.

Risk of stillbirth on weekends

A new study published in the Canadian Medical Association Journal found that infants born over the weekend had a slightly elevated risk of stillbirth and neonatal death compared to those born on weekdays. The researchers suggested that selective timing of low-risk elective deliveries may explain this difference.

SourceCanadian Medical Association Journal·JournalCanadian Medical Association Journal·DateFeb 2, 2004

Call for increase in flu vaccination among young children

Recent studies suggest that pediatric influenza is a significant medical problem, causing excess hospitalizations and antibiotic prescriptions. Experts call for increased efforts to identify and vaccinate high-risk children, as well as educating parents and physicians about the importance of flu vaccination.

SourceThe Lancet_DELETED·JournalThe Lancet Infectious Diseases·DateJan 28, 2004

American Thoracic Society Journal news tips for January 2004 (first issue)

Researchers found that infants with reduced interferon gamma production at age 3 months and lower soluble CD14 levels at birth are 4.5 times more likely to develop recurrent wheezing. Chronic cough is also linked to abnormal release of inflammatory mediators within the airway, according to a separate study.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateDec 31, 2003

Emory and CDC scientists explore why most breastfed infants of HIV-positive mothers resist infection

Researchers identified several factors that may enable or prevent HIV transmission through breastfeeding, including the hostile environment of saliva and immune activation in the gastrointestinal tract. Protective factors include natural killer cells, natural antibodies, and specific antibody responses.

SourceEmory University Health Sciences Center·JournalThe Lancet Infectious Diseases·DateNov 25, 2003