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首页> 外文会议>World Asthma COPD Forum >Tobacco Passive Smoking: Negative Effects in Asthma Prevalence Among Kids in Bosnian Gypsies and Assesstment Level Severity
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Tobacco Passive Smoking: Negative Effects in Asthma Prevalence Among Kids in Bosnian Gypsies and Assesstment Level Severity

机译：烟草被动吸烟：波斯尼亚吉普赛人的儿童哮喘患病率的负面影响和评估水平严重程度

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Introduction: The use of tobacco products by adults has an enormous adverse impact on the health of children. Asthma is the most common chronic childhood illness. Some analysis of Roma minority group in Bosnia and Herzegovina indicate that this group, when compared to other minority ethnic groups in Bosnia and Herzegovina, is the biggest one, but Gypsies kids live in bad conditions with high number of asthma surrounding with tobacco smoke. Methods and Materials: Authors compared the NHLBI and HEDIS measures of asthma severity in Gypsies preeschool kids as passive smokers by calculating the sensitivity and specificity of the HEDIS criteria in measuring persistent asthma. We used the NHLBI measure, a clinical assessment, as our gold standard. Results: Exposure of children to ETS in the home increases the incidence of asthma, wheeze, cough, , bronchitis, bronchiolitis, pneumonia, impaired pulmonary function, middle ear disease and phlegm production and it has also been associated with snoring, adenoid hypertrophy, tonsillitis, and sore throats.. Asthma affects four hundred and fifty Bosnian preeschool kids in munipalicity Center of Sarajevo (11,63%), including nearly 89 Gypsies children, almost a fifteenth of the population (14,85%) and one fifth of asthma kids patient (19.77%). Discussion: Cotinine measurements provide a practical objective assessment of exposure to tobacco smoke. Spirometry is recommended for the screening, diagnosis, and monitoring of respiratory disease and is increasingly advocated in primary pediatrics care practice as a useful tool for the diagnosis and monitoring of kids with lung disease. Conclusions: Long term lung damage could occur due to passive exposure from tobacco products reaching the fetus via the placental circulation in utero, and through the air in infants and children. ETS increases both the prevalence and the severity of asthma. The study in Gypsies children show that reduced lung function continues into childhood in those with smoking parents or household (more than 80% smokers).
机译：简介：成人使用烟草产品对儿童的健康产生了巨大的不利影响。哮喘是最常见的慢性儿童疾病。关于波斯尼亚和黑塞哥维那罗姆少数民族群体的一些分析表明，与波斯尼亚和黑塞哥维那的其他少数民族相比，这一组是最大的，但吉普赛人孩子们生活在烟草烟雾周围大量哮喘的糟糕条件下。方法和材料：作者将吉普斯在玻璃体预定标准的敏感性和特异性在测量持续性哮喘中的敏感性和特异性，将NHLBI和HEDIS对哮喘严重程度的哮喘严重程度进行了比较。我们使用NHLBI措施，临床评估，作为我们的黄金标准。结果：儿童对家庭ETS的暴露增加了哮喘，喘息，咳嗽，支气管炎，支气管炎，肺炎，肺功能，中耳病和痰多的发病率，并且它也与打鼾，腺样肥大，扁桃体炎有关和喉咙痛。哮喘影响Sarajevo（11,63％）的4000名波斯尼亚幼儿童，其中包括近89名巨型儿童，几乎十五岁（14,85％）和五分之一的哮喘儿童患者（19.77％）。讨论：Cotinine测量提供对烟草烟雾暴露的实际客观评估。推荐肺活量测定呼吸系统疾病的筛查，诊断和监测，并越来越多地倡导原发性儿科护理实践作为肺病诊断和监测儿童的有用工具。结论：由于烟草产品通过UTERO中的胎盘循环和通过婴儿和儿童的空气，可能发生长期肺损伤。 ETS增加了哮喘的患病率和严重程度。吉普赛人的研究表明，在吸烟或家庭（超过80％的吸烟者）中，减少肺功能的肺功能持续到儿童。

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