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Biomedical subjects

S Janson

Publications and source records attributed to S Janson.

44 records · Page 3Linked to original sources
PubMed1993

Dental health in suburban Jordanian preschool children.

There is no previous report from Jordan on dental health in preschool children. In the present study, carried out from November 1988 to January 1989, 255 Jordanian children aged 6 months to 6 years and living in a suburb of Amman were examined for dental caries and related factors. The disease was clinically visible in the second year of life. In the age group 3-6 years 72% had acquired caries, most of them severe. Boys and girls were affected similarly. The prevalence of caries was independent of social background factors. The reason for the high prevalence was probably early and uncontrolled intake of sweets combined with absence of dental cleaning. The authors pose that dental caries is becoming a major health problem among suburban Jordanian children and propose that this preventable disease should be tackled a the child health centers through teaching programmes directed to parents, commencing when the child is under one year of age.

Child↗
PubMed1990

Severe mental retardation in Jordanian children. A retrospective study.

The etiology of severe mental retardation has not previously been studied in Jordan. In a group of 203 mainly severely mentally retarded children born 1975-1985, we found the etiology to be related to two main factors: (1) sequele from high perinatal morbidity or meningitis in infancy leading to a combination of severe mental retardation and cerebral palsy; (2) a high degree of intermarriage and a high frequency of retarded siblings indicating that genetic causes of MR are common. The results underscore the importance of further development of antenatal and perinatal care, especially for poor people and the need of genetic counselling.

Child↗
PubMedDate not supplied

Use of biological markers of airway inflammation to detect the efficacy of nurse-delivered asthma education.

OBJECTIVE: The purpose of this study was to determine whether analysis of the constituents of induced sputum could be used to document the efficacy of a nurse-delivered patient education intervention and whether changes in the biological markers of inflammation in sputum would correlate with improvements in pulmonary function and symptoms. DESIGN: The study design was prospective, open trial with repeated measures. SETTING: The study took place at a West Coast academic medical center laboratory. SUBJECTS: Subjects included 12 nonsmoking persons with asthma, ages 23 to 51 years, on prescribed daily anti-inflammatory inhaled therapy who had not required oral prednisone in the previous 4 weeks of enrollment. METHOD: The effect of one 30-minute asthma education session on spirometry, peak flow, symptoms, and biological markers of inflammation in sputum was tested for 8 weeks to determine whether biological markers reflect the efficacy of educational interventions. RESULTS: Mean symptom scores decreased and lung function increased slightly over 8 weeks. Markers of eosinophil degranulation decreased by 50% and albumin by 25% from baseline to 8 weeks. Eosinophil percentages dropped 20% over time but did not change consistently at all time points. Clinical markers of asthma control correlated in the low-to-moderate range with biological markers of airway inflammation. CONCLUSION: The results of this study show the effects of a patient education intervention can be detected in both clinical and biological outcomes. Individual education may influence self-care of asthma including adherence to inhaled corticosteroid therapy and thereby suppress airway inflammation.

Adult↗
PubMedDate not supplied

National Asthma Education and Prevention Program, Expert Panel Report. II: Overview and application to primary care.

The National Asthma Education and Prevention Program is housed in the National Heart, Lung and Blood Institute (NHLBI) of the National Institutes of Health. To help health professionals care for people with asthma, the NHLBI convened panels of experts twice to prepare guidelines for the diagnosis and management of asthma. The first Expert Panel Report was released in 1991. The new 1997 guidelines are an evolutionary update of the initial 1991 report and are based on an improved understanding of the mechanisms of the disease and newer approaches to treatment. The recommendations are based on a review of more than 6000 scientific articles reviewed by the Expert Panel over the last 2 years. Four essential components of asthma management are described with new classifications of asthma severity and new guidelines for step therapy. The role of patient education in asthma management is emphasized in the report as well as the role of the primary care clinician and the expert consultant.

Anti-Asthmatic Agents↗