Simple Bronchitis Research Articles

Treatment of pneumonia in children

Abstracts. Pediatrics. Treatment of pneumonia in children. Epstein (Arch, of Pediatrics, vol. XLV, no. 10) prioritizes prevention in the treatment of bronchopneumonia. If the child's illness is accompanied by a change in the respiratory tract, at least a simple bronchitis, for example, with measles, flu, whooping cough, and others., The child must be immediately put to bed. The main concerns for a child already sick with bronchopneumonia should be directed to care, hygiene, etc. food; plentiful fresh air is needed; food should contain mainly carbohydrates (cereals, raw and boiled fruits, juices). The author considers the use of oanoks to be scientifically unfounded and in some cases harmful (scares children, injures the skin). The use of rubbing the skin with all kinds of oils is considered useless in relation to the pulmonary process and harmful in terms of hygiene.

Further Observations on the Roentgen-Ray Treatment of Bronchial Asthma and Allied Conditions

ABOUT two years ago, in a previous communication, attention was directed to the roentgen-ray treatment in true bronchial asthma and various types of chronic bronchitis. Since that time further experience has shown that the method has a real place in therapy. In the treatment of bronchial asthma, the first and most important consideration is the matter of diagnosis. It is extremely important that the treatment be limited to cases of true bronchial asthma; otherwise unnecessary treatment is apt to be applied with no beneficial results. Numerous cases of supposed bronchial asthma have been proved later to be merely cardiac asthma or simple bronchitis without complications. The essential element is the proof that we are dealing with a true protein intoxication. Of course, it will be urged that in these cases the newer and more modern methods of treatment, such as vaccination, etc., should be used. This is quite true, and, in fact, the vast majority of cases that have come to my attention for treatment have been those in which all the modern methods have already been applied but without any real lasting benefit. Many were cases in which numerous operations had been performed, particularly in the upper respiratory tract. In selecting the cases for treatment a careful study of the sputum is often important. Those patients who have the characteristic elements in their sputum, such as pearl bodies, Curschmann's spirals, and eosinophiles, are apt to be most responsive to roentgen-ray therapy. Cases which already have marked emphysema, and particularly hypertonia, are least benefited. However, treatment should not be withheld from even these terminal types, as there is no danger of making the condition worse if the treatment is applied cautiously. No estimate as to prognosis can be based upon the blood examination alone. Some of the observers have felt that individuals with high eosinophile counts in the blood would respond better to X-ray treatment than those without. The careful work of Schilling shows that this idea has no real foundation. The matter of duration of the disease also is of little help in prognosis. Many cases of years' duration have reacted as well or better than others of short duration. This does not of course apply to old cases with emphysema. When the latter is present as a complication the condition is usually refractory. I have previously described the two methods of treatment with X-rays, the direct and the indirect. In the first, the rays are applied directly to the chest. In the indirect method, the rays are applied to distant regions, such as the spleen, the pituitary, adrenals, etc. There is no unanimity of opinion in the current literature as to the best method of treatment. Klewitz in his most recent contribution has reported 121 cases, all of them treated by the direct method alone.

TARDY MALNUTRITION: ITS TREATMENT BY DIET AND REST.

By tardy malnutrition I am to be understood as referring to the condition met in children who, after the age of two years, while free from diseases such as tuberculosis, syphilis and chronic nephritis, show marked physical developmental defects in that they are underweight or are both undersized and underweight. They may be of average height, but are invariably underweight usually from five to fifteen pounds. They show poor muscle development, a condition which is often emphasized by the prominent scapulae, drop shoulder and spinal curvature, conditions due to muscle weakness and faulty postural habits. These children tire easily and have a diminished resistance not only to exercise or its equivalent work, but to disease as well. A simple digestive disturbance or bronchitis requires several days before relief is furnished. They almost invariably suffer from secondary anemia; they have indifferent appetites and often are habitually constipated. This picture briefly drawn