Background: Lung function in children with persistent asthma may be impaired during preschool and school ages. The aim of this study was to describe if some preschool impulse oscillometry (IOS) parameters are related to spirometry alterations on reaching school age.Methods: In 66 diagnosed with persistent asthma, an IOS was performed at entrance and followed-up to school age where a spirometry was done.
Results:The mean age was 4.9 years at the first evaluation and 7.9 years at the second evaluation, and 59.1% were male. During preschool, R5, R20, Fres, AX, and D5−20 were found to have diagnostic accuracy (area under the curve > 0.7) for predicting abnormal spirometry during school age (defined as FEV1 and/or FEV/FVC and/or FVC values below the lower limit of normality according to Quanjer predictive values). AX, D5−20, and R5 had the best LR+ to increase the probability of abnormal spirometry (50, 10, and 7.1, respectively). R20, R5, and AX was the best IOS parameters for discriminating bronchodilator response (BDR) in schoolchildren (LR+ = 3.4, 2.9, and 2.8, respectively).
Conclusion:The findings of this study indicate that some IOS parameters between 3 and 5 years of age are useful for predicting abnormal spirometry and BDR at school age.
Summary. Although the degu has a long gestation period (87 \ m=+-\ 3 days) the pattern of development from mating to birth is similar to that of other rodents. However, each of the basic processes occurs more slowly than in myomorph rodents and the degu could therefore be useful for studies on embryonic development.
The prenatal development of the clavicular area was studied in two species: the domesticated sheep, which lacks a clavicle, and the cat, with a nonfunctional, rudimentary clavicle. A morphological and computerized morphometric study of the clavicle was performed in 18 cat embryos between 25 and 48 days of gestation, and in 12 sheep embryos of 37-45 days. One group of embryos was processed with double staining in toto according to Hanken and Wassersug in 1981. The other group was examined by histological techniques: hematoxylin-eosin-Alcian blue and picrosirius. In both species, clavicular ossification is delayed (27% of gestation time elapsed in sheep and 53% in cats) compared to 16% in humans. Histological and morphological differences in shape and length of the clavicle were observed in both species. The clavicle is transient in sheep, whereas in the cat it persists with little change. In neither species does secondary cartilage develop. In cats, the periosteum is well developed with active osteoblasts, whereas in sheep the clavicle is surrounded by a single layer of epitheloid cells and the periosteum is less developed and contains osteoclasts. These results suggest that the morphogenetic pattern for the clavicle is altered at about day 34 in cats and day 40 in sheep, and is subsequently partly inhibited in the former and blocked in the latter.
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