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1. Phenotypes of Recurrent Wheezing in Preschool Children: Identification by Latent Class Analysis and Utility in Prediction of Future Exacerbation

Author

Fitzpatrick, Anne M, Bacharier, Leonard B, Guilbert, Theresa W, Jackson, Daniel J, Szefler, Stanley J, Beigelman, Avraham, Cabana, Michael D, Covar, Ronina, Holguin, Fernando, Lemanske, Robert F, Martinez, Fernando D, Morgan, Wayne, Phipatanakul, Wanda, Pongracic, Jacqueline A, Zeiger, Robert S, Mauger, David T, AsthmaNet, NIH NHLBI, Baxi, Sachin, Benson, Mindy, Blake, Kathryn, Boehmer, Susan, Burnham, Carey-Ann, Cabana, Michael, Castro, Mario, Chmiel, James, Daines, Cori, Daines, Michael, Fitzpatrick, Anne, Gaffin, Jonathan, Gentile, Deborah Ann, Gower, W Adam, Guilbert, Theresa, Israel, Elliot, Jackson, Daniel, Kelly, H William, Kumar, Harsha Vardhan, Lang, Jason, Lazarus, Stephen, Lima, John, Lemanske, Robert, Ly, Ngoc, Martinez, Fernando, Marbin, Jyothi, Mauger, David, Meade, Kelley, Moy, James, Myers, Ross, Olin, Tod, Paul, Ian, Peters, Stephen, Pongracic, Jacqueline, Raissy, Hengameh, Robison, Rachel, Ross, Kristie, Sorkness, Christine, Sheehan, William, Szefler, Stanley, Teague, W Gerald, and Thyne, Shannon

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Asthma, Lung, Clinical Trials and Supportive Activities, Prevention, Infectious Diseases, Clinical Research, Respiratory, Adrenal Cortex Hormones, Child, Preschool, Cross-Over Studies, Disease Progression, Female, Humans, Hypersensitivity, Infant, Latent Class Analysis, Male, Phenotype, Respiratory Sounds, Asthma in children, Asthma exacerbation, Wheeze, Preschool child, Inhaled corticosteroid, Sensitization, Latent class analysis, Type 2 inflammation, NIH/NHLBI AsthmaNet, Immunology
Abstract

BackgroundRecurrent preschool wheezing is a heterogeneous disorder with significant morbidity, yet little is known about phenotypic determinants and their impact on clinical outcomes.ObjectiveLatent class analysis (LCA) was used to identify latent classes of recurrent preschool wheeze and their association with future exacerbations and inhaled corticosteroid (ICS) treatment response.MethodsData from 5 clinical trials of 1708 children aged 12 to 71 months with recurrent wheezing were merged. LCA was performed on 10 demographic, exposure, and sensitization variables to determine the optimal number of latent classes. The primary outcome was the annualized rate of wheezing exacerbations requiring systemic corticosteroids during the study intervention period; the secondary outcome was the time to first exacerbation. Exploratory analyses examined the effect of daily ICS treatment on exacerbation outcomes.ResultsFour latent classes of recurrent wheezing were identified; these were not distinguished by current symptoms or historical exacerbations but differed with regard to allergen sensitization and/or exposures. Annualized exacerbation rates (mean ± SEM/year) were 0.65 ± 0.06 for class 1 ("minimal sensitization"), 0.93 ± 0.10 for class 2 ("sensitization with indoor pet exposure"), 0.60 ± 0.07 for class 3 ("sensitization with tobacco smoke exposure"), and 0.81 ± 0.10 for class 4 ("multiple sensitization and eczema") (P < .001). In a research setting of high adherence, daily ICS treatment improved exacerbation rates in classes 2 and 4 but not the other groups.ConclusionsSensitization and exposure assessments are useful in the prediction of future exacerbation and may identify children most likely to respond favorably to daily ICS treatment.

Published
2019

2. Individualized therapy for persistent asthma in young children.

Author

Fitzpatrick, Anne M, Jackson, Daniel J, Mauger, David T, Boehmer, Susan J, Phipatanakul, Wanda, Sheehan, William J, Moy, James N, Paul, Ian M, Bacharier, Leonard B, Cabana, Michael D, Covar, Ronina, Holguin, Fernando, Lemanske, Robert F, Martinez, Fernando D, Pongracic, Jacqueline A, Beigelman, Avraham, Baxi, Sachin N, Benson, Mindy, Blake, Kathryn, Chmiel, James F, Daines, Cori L, Daines, Michael O, Gaffin, Jonathan M, Gentile, Deborah Ann, Gower, W Adam, Israel, Elliot, Kumar, Harsha Vardhan, Lang, Jason E, Lazarus, Stephen C, Lima, John J, Ly, Ngoc, Marbin, Jyothi, Morgan, Wayne, Myers, Ross E, Olin, J Tod, Peters, Stephen P, Raissy, Hengameh H, Robison, Rachel G, Ross, Kristie, Sorkness, Christine A, Thyne, Shannon M, Szefler, Stanley J, and NIH/NHLBI AsthmaNet

Subjects
NIH/NHLBI AsthmaNet, Humans, Asthma, Recurrence, Albuterol, Leukotriene Antagonists, Adrenal Cortex Hormones, Treatment Outcome, Administration, Inhalation, Follow-Up Studies, Child, Preschool, Infant, United States, Female, Male, Precision Medicine, asthma biomarkers, asthma phenotype, asthma treatment, inhaled corticosteroid, leukotriene receptor antagonist, personalized medicine, treatment response, Lung, Clinical Trials and Supportive Activities, Pediatric, Clinical Research, Evaluation of treatments and therapeutic interventions, 6.1 Pharmaceuticals, Respiratory, Good Health and Well Being, Immunology, Allergy
Abstract

BackgroundPhenotypic presentations in young children with asthma are varied and might contribute to differential responses to asthma controller medications.MethodsThe Individualized Therapy for Asthma in Toddlers study was a multicenter, randomized, double-blind, double-dummy clinical trial in children aged 12 to 59 months (n = 300) with asthma necessitating treatment with daily controller (Step 2) therapy. Participants completed a 2- to 8-week run-in period followed by 3 crossover periods with daily inhaled corticosteroids (ICSs), daily leukotriene receptor antagonists, and as-needed ICS treatment coadministered with albuterol. The primary outcome was differential response to asthma medication based on a composite measure of asthma control. The primary analysis involved 2 stages: determination of differential response and assessment of whether 3 prespecified features (aeroallergen sensitization, previous exacerbations, and sex) predicted a differential response.ResultsSeventy-four percent (170/230) of children with analyzable data had a differential response to the 3 treatment strategies. Within differential responders, the probability of best response was highest for a daily ICS and was predicted by aeroallergen sensitization but not exacerbation history or sex. The probability of best response to daily ICS was further increased in children with both aeroallergen sensitization and blood eosinophil counts of 300/μL or greater. In these children daily ICS use was associated with more asthma control days and fewer exacerbations compared with the other treatments.ConclusionsIn young children with asthma necessitating Step 2 treatment, phenotyping with aeroallergen sensitization and blood eosinophil counts is useful for guiding treatment selection and identifies children with a high exacerbation probability for whom treatment with a daily ICS is beneficial despite possible risks of growth suppression.

Published
2016

3. Acetaminophen versus Ibuprofen in Young Children with Mild Persistent Asthma

Author

Sheehan, William J, Mauger, David T, Paul, Ian M, Moy, James N, Boehmer, Susan J, Szefler, Stanley J, Fitzpatrick, Anne M, Jackson, Daniel J, Bacharier, Leonard B, Cabana, Michael D, Covar, Ronina, Holguin, Fernando, Lemanske, Robert F, Martinez, Fernando D, Pongracic, Jacqueline A, Beigelman, Avraham, Baxi, Sachin N, Benson, Mindy, Blake, Kathryn, Chmiel, James F, Daines, Cori L, Daines, Michael O, Gaffin, Jonathan M, Gentile, Deborah A, Gower, W Adam, Israel, Elliot, Kumar, Harsha V, Lang, Jason E, Lazarus, Stephen C, Lima, John J, Ly, Ngoc, Marbin, Jyothi, Morgan, Wayne J, Myers, Ross E, Olin, J Tod, Peters, Stephen P, Raissy, Hengameh H, Robison, Rachel G, Ross, Kristie, Sorkness, Christine A, Thyne, Shannon M, Wechsler, Michael E, and Phipatanakul, Wanda

Subjects
Pediatric, Clinical Research, Lung, Asthma, Clinical Trials and Supportive Activities, Respiratory, Acetaminophen, Child, Preschool, Double-Blind Method, Female, Fever, Humans, Ibuprofen, Incidence, Infant, Kaplan-Meier Estimate, Male, Pain, Prospective Studies, NIH/NHLBI AsthmaNet, Medical and Health Sciences, General & Internal Medicine
Abstract

BackgroundStudies have suggested an association between frequent acetaminophen use and asthma-related complications among children, leading some physicians to recommend that acetaminophen be avoided in children with asthma; however, appropriately designed trials evaluating this association in children are lacking.MethodsIn a multicenter, prospective, randomized, double-blind, parallel-group trial, we enrolled 300 children (age range, 12 to 59 months) with mild persistent asthma and assigned them to receive either acetaminophen or ibuprofen when needed for the alleviation of fever or pain over the course of 48 weeks. The primary outcome was the number of asthma exacerbations that led to treatment with systemic glucocorticoids. Children in both groups received standardized asthma-controller therapies that were used in a simultaneous, factorially linked trial.ResultsParticipants received a median of 5.5 doses (interquartile range, 1.0 to 15.0) of trial medication; there was no significant between-group difference in the median number of doses received (P=0.47). The number of asthma exacerbations did not differ significantly between the two groups, with a mean of 0.81 per participant with acetaminophen and 0.87 per participant with ibuprofen over 46 weeks of follow-up (relative rate of asthma exacerbations in the acetaminophen group vs. the ibuprofen group, 0.94; 95% confidence interval, 0.69 to 1.28; P=0.67). In the acetaminophen group, 49% of participants had at least one asthma exacerbation and 21% had at least two, as compared with 47% and 24%, respectively, in the ibuprofen group. Similarly, no significant differences were detected between acetaminophen and ibuprofen with respect to the percentage of asthma-control days (85.8% and 86.8%, respectively; P=0.50), use of an albuterol rescue inhaler (2.8 and 3.0 inhalations per week, respectively; P=0.69), unscheduled health care utilization for asthma (0.75 and 0.76 episodes per participant, respectively; P=0.94), or adverse events.ConclusionsAmong young children with mild persistent asthma, as-needed use of acetaminophen was not shown to be associated with a higher incidence of asthma exacerbations or worse asthma control than was as-needed use of ibuprofen. (Funded by the National Institutes of Health; AVICA ClinicalTrials.gov number, NCT01606319.).

Published
2016

4. Phenotypes of Recurrent Wheezing in Preschool Children: Identification by Latent Class Analysis and Utility in Prediction of Future Exacerbation

Author

Bacharier, Leonard B., Baxi, Sachin, Beigelman, Avraham, Benson, Mindy, Blake, Kathryn, Boehmer, Susan, Burnham, Carey-Ann, Cabana, Michael, Castro, Mario, Chmiel, James, Covar, Ronina, Daines, Cori, Daines, Michael, Fitzpatrick, Anne, Gaffin, Jonathan, Ann Gentile, Deborah, Gower, W. Adam, Guilbert, Theresa, Holguin, Fernando, Israel, Elliot, Jackson, Daniel, Kelly, H. William, Kumar, Harsha Vardhan, Jason Lang, Lazarus, Stephen, Lima, John, Lemanske, Robert, Jr., Ly, Ngoc, Martinez, Fernando, Marbin, Jyothi, Mauger, David, Meade, Kelley, Morgan, Wayne, Moy, James, Myers, Ross, Olin, Tod, Paul, Ian, Peters, Stephen, Phipatanakul, Wanda, Pongracic, Jacqueline, Raissy, Hengameh, Robison, Rachel, Ross, Kristie, Christine Sorkness, Sheehan, William, Szefler, Stanley, Teague, W. Gerald, Thyne, Shannon, Fitzpatrick, Anne M., Guilbert, Theresa W., Jackson, Daniel J., Szefler, Stanley J., Cabana, Michael D., Lemanske, Robert F., Jr., Martinez, Fernando D., Pongracic, Jacqueline A., Zeiger, Robert S., and Mauger, David T.

Published
2019
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8. Contributors

Author

Abzug, Mark J., Acharya, Krishna K., Adams, Denise M., Adelson, Stewart, Adrian, Molly C., Ahlfeld, Shawn K., Aiken, John J., Akdis, Cezmi A., Albokhari, Daniah, Alderman, Elizabeth M., Ali, Omar, Allen-Rhoades, Wendy A., Almutlaq, Nourah N., Amos, Louella B., Anari, Jason B., Anderson, Karl E., Anupindi, Sudha A., Appleby, Brian S., Ardoin, Stacy P., Arkader, Alexandre, Armangué, Thaís, Arndt, Carola A.S., Arnold, Danielle E., Artis, Adrianne R., Asher, David M., Asselin, Barbara L., Astley, Christina M., Atkinson, Norrell K., Augustine, Erika F., Augustyn, Marilyn C., Bacharier, Leonard B., Bacino, Carlos A., Bailey, Zinzi D., Balamuth, Frances B., Baldassano, Robert N., Baldwin, Keith D., Bales, Christina B., Balistreri, William F., Balwani, Manisha, Bamba, Vaneeta, Banerji, Aleena, Bang, Janet Y., Barai, Nikita, Baranowski, Katherine, Barclay, Sarah F., Barkoudah, Elizabeth, Barrero-Castillero, Alejandra, Barrett, Katherine J., Barron, Karyl S., Basel, Donald, Bass, Dorsey M., Bassett, Mary T., Bassiri, Hamid, Baum, Rebecca A., Behrens, Edward M., Bell, Michael J., Benjamin, Daniel K., Jr., Bennett, Amanda E., Bergerson, Jenna R.E., Bernstein, Daniel, Bernstein, Henry H., Bice-Urbach, Brittany J., Bielory, Brett P., Bielory, Leonard, Blanchard, Samra S., Blanchette, Eliza, Blatter, Joshua A., Bleyer, Archie, Boas, Steven R., Bock, Margret E., Boggs, Sarah R., Boivin, Michael J., Bonn, Julie, Bonthius, Daniel J., Boppana, Suresh B., Bordini, Brett J., Borst, Alexandra J., Bosse, Kristopher R., Boyer, Kenneth M., Brady, Patrick W., Brady, Rebecca C., Brady, Samuel L., Branchford, Brian R., Brandow, Amanda M., Brandsma, Erik, Breault, David T., Breuner, Cora Collette, Bridgemohan, Carolyn F., Britt, William J., Brower, Laura, Brown, Maria D., Brownell, Jefferson N., Browning, Meghen B., Brunetti-Pierri, Nicola, Bunyavanich, Supinda, Burstein, Danielle S., Bustinduy, Amaya L., Buyon, Jill P., Cabada, Miguel M., Cada, Michaela, Cairo, Mitchell S., Calello, Diane P., Cameron, Lindsay H., Campbell, Angela J.P., Candelaria, Margo, Cannon, Laura, Carlin, Rebecca F., Carlucci, James G., Carr, Michael R., Carrigan, Robert B., Carter, Rebecca G., Carter-Hamilton, Gail V., Case, Abigail, Chang, Pearl W., Chelimsky, Gisela G., Chelimsky, Thomas, Chemaitilly, Wassim, Chiotos, Kathleen, Chiu, Yvonne E., Chong, Hey Jin, Chou, Stella T., Christ, Lori A., Christenson, John C., Chugh, Ankur A., Cieslak, Theodore J., Claes, Donna J., Coates, Thomas D., Sánchez Códez, María I., Coffin, Susan E., Cohen, Mitchell B., Cohen, Susan S., Cole, F. Sessions, III, Collaco, J. Michael, Collins, James W., Jr., Congeni, Joseph A., Conrad, Máire A., Corcoran, Justin N., Corley, Alexandra M.S., Cox, Amanda L., Coyle, Anne M., Coyne-Beasley, Tamera, Craig, Sansanee S., Creighton, Sarah M., Crigger, Chad B., Crowe, James E., Jr., Culbert, Gabriel, Czinn, Steven J., Dalal, Aarti S., Dalmau, Josep, D’Andrea, Lynn A., Danziger-Isakov, Lara A., Darville, Toni, David, Richard J., Davidoff, Katharine, Davidson, Loren T., Davidson, Richard S., Davies, H. Dele, Davis, Stephanie D., Davis-Kankanamge, Christina, Daw, Najat C., Dean, Shannon L., DeBiasi, Roberta L., Delair, Shirley, DeLaroche, Amy M., De León-Crutchlow, Diva D., Oquendo Del Toro, Helen M., Del Valle Mojica, Coralee, DeMaso, David R., Dendrinos, Melina L., Dent, Arlene E., Desnick, Robert J., Deterding, Robin R., Devarajan, Prasad, deVeber, Gabrielle A., Dhar, Vineet K., Dhossche, Julie M., Diab, Liliane K., Di Carlo, Heather N., Dietz, Harry C., III, Dietze-Fiedler, Megan L., DiMeglio, Linda A., Dixon, Bradley P., DiVasta, Amy D., Dlamini, Nomazulu, Dobbs, Katherine R., Dodhia, Sonam N., Doerholt, Katja, Dolin, Cara D., Dominguez, Samuel R., Donohoue, Patricia A., Dow, Jennifer, Downes, Kevin J., Doyle, Daniel A., Doyle, Jefferson J., Dror, Yigal, Dubowitz, Howard, Dumler, J. Stephen, Duncan, Andrea F., Durant, Nefertiti H., Dvergsten, Jeffrey A., Earing, Michael G., Eberly, Col. Matthew D., Egan, Marie E., Eichenwald, Eric C., Elkadri, Abdul-Aziz K., Englander, Elizabeth, Ericson, Jessica E., Erkan, Elif, Etzel, Ruth A., Evans, Sarah Helen, Faherty, Erin, Falk, Marni J., Familiar-Lopez, Itziar, Fargo, John H., Feemster, Kristen A., Fehnel, Katie P., Feigelman, Susan, Feldman, Amy G., Feldman, Heidi M., Fels, Edward C., Felner, Eric I., Feng, Sing-Yi, Ferkol, Thomas W., Jr., Finberg, Karin E., Finder, Jonathan D., Fiorino, Kristin N., Fischer, Philip R., Fitzpatrick, Anne M., Flannery, Dustin D., Fleming, Nicholas L., Flood, Veronica H., Flores, Francisco X., Flynn, Joseph T., Flynn, Patricia M., Foglia, Elizabeth E., Forkey, Heather C., Forman, Joel A., Freeman, Alexandra F., Friedman, Deborah M., Friedman, Susan A., Friehling, Erika D., Fritz, Stephanie A., Frush, Donald P., Fuleihan, Ramsay L., Gahagan, Sheila, Gallagher, Patrick G., Galloway, David P., Gans, Hayley A., Garber, Andrea K., Gardiner, Paula M., Garibaldi, Luigi R., Gauthier, Gregory M., Gerber, Jeffrey S., Gershon, Anne A., Ghadersohi, Saied, Gibbs, Kathleen A., Gibson, Mark, Gigante, Joseph, Gigliotti, Francis, Gilley, Stephanie P., Gilliam, Walter S., Ginde, Salil, Girotto, John A., Goldfarb, Samuel B., Goldman, David L., Goldman, Stanton C., Gómez-Duarte, Oscar G., Good, Misty, Goodbody, Christine M., Goodman, Denise M., Goodman, Tracey, Goodyer, William R., Gordon, Catherine M., Gordon, Leslie B., Gordon, Rebecca J., Gordon-Lipkin, Eliza, Gorelik, Michael, Gower, W. Adam, Graber, Evan G., Graff, Zachary T., Graham, Robert J., Green, Cori M., Green, Michael, Greenbaum, Larry A., Greenbaum, V. Jordan, Greiner, Mary V., Griffiths, Anne G., Grizzle, Kenneth L., Groner, Judith A., Grumach, Anete Sevciovic, Gueye-Ndiaye, Seyni, Guz-Mark, Anat, Haamid, Fareeda, Haddad, Gabriel G., Haddad, Joseph, Jr., Haemer, Matthew A., Hagan, Joseph F., Jr., Haider, Suraiya K., Hakim, Hana, Haldeman-Englert, Chad R., Halstead, Scott B., Hamie, Lamiaa, Hammerschlag, Margaret R., Hammershaimb, E. Adrianne, Hampton, Elisa, Hamvas, Aaron, Hanchard, Neil A., Hanley, Patrick C., Hanna, Melisha G., Harijan, Pooja D., Harrison, Douglas J., Harstad, Elizabeth B., Haslam, David B., Hauck, Fern R., Havers, Fiona P., Hayes, Ericka V., Heard-Garris, Nia J., Hedrick, Holly L., Hemingway, Cheryl, Heneghan, Chelsea, Hernandez, Michelle L., Hernandez-Trujillo, Vivian P., Hernandez Tejada, Fiorela N., Herrick, Heidi M., Hershey, Andrew D., Herzog, Cynthia E., Heston, Sarah M., Hijazi, Ghada, Hill, Samantha V., Hochberg, Jessica, Hodes, Deborah, Hoefgen, Holly R., Holinger, Lauren D., Holland-Hall, Cynthia M., Hollenbach, Laura L., Holler-Managan, Yolanda F., Hooper, David K., Hooven, Thomas A., Hoover-Fong, Julie E., Hopper, Rachel K., Hord, Jeffrey D., Horn, B. David, Horstmann, Helen M., Hotez, Peter J., House, Samantha A., Howard, Ashley C., Howard, Mary Beth, Hsu, Evelyn K., Hsu, Katherine, Huddleston, Heather G., Huh, Winston W., Humphrey, Stephen R., Hunstad, David A., Hunger, Stephen P., Hunt, Carl E., Huppert, Stacey S., Huppler, Anna R., Hurt, Hallam, Izumi, Kosuke, Jackson, Allison M., Jackson, Mary Anne, Jaffe, Ashlee M., James, Kiera M., Janowski, Andrew B., Jenssen, Brian P., Jinnah, H.A., John, Chandy C., Johansen, Kari, Johnson, Susan L., Johnston, Brian D., Jongco, Artemio M., III, Josephson, Cassandra D., Joyce, Joel C., Jyonouchi, Soma, Kabbany, Mohammad Nasser, Kabbouche, Marielle, Kacperski, Joanne, Kadry, Nadia A., Kaj-Carbaidwala, Batul, Kalish, Jennifer M., Kamat, Deepak, Kansra, Alvina R., Kanter, David M., Kao, Carol M., Kapavarapu, Prasanna K., Kattan, Jacob, Kelly, Andrea, Kelly, Desmond P., Kelly, Matthew S., Kelly, Michael E., Kendi, Sadiqa, Kerem, Eitan, Kerr, Julie M., Khan, David A., Khan, Seema, Khatami, Ameneh, Khaytin, Ilya, Kier, Catherine, Kilinsky, Alexandra, Kim, Chong-Tae, Kim, Jung Won, Kim, Rosa K., King, J. Michael, Kirschen, Matthew P., Kishnani, Priya S., Klawonn, Meghan A., Klein, Bruce L., Klein, Bruce S., Kliegman, Alison S., Kliegman, Robert M., Kneyber, Martin C.J., Koch, William C., Kochanek, Patrick M., Kodish, Eric, Kohlhoff, Stephan A., Kortepeter, Mark G., Kotloff, Karen L., Koumbourlis, Anastassios C., Krause, Peter J., Krebs, Nancy F., Kreipe, Richard E., Krug, Steven E., Kwiatkowski, Janet L., Kwon, Jennifer M., Ladisch, Stephan, Lakser, Oren J., Lalor, Leah, Lam, Simon, Lambert, Michele P., Lampe, Christina, Landry, Gregory L., Lane, Wendy G., Larson, A. Noelle, LaRussa, Phillip S., Lawrence, J. Todd R., Lee, Brendan, Lee, Erica H., Leiding, Jennifer W., Lemmon, Monica E., Lesser, Daniel J., Lestrud, Steven O., Leung, Donald Y.M., Levas, Michael N., Liacouras, Chris A., Lipkin, Paul H., Liptzin, Deborah R., Liu, Andrew H., Lo, Mindy S., Lo, Stanley F., Long, Sarah S., Lord, Katherine, Macias, Charles G., Macias, Michelle M., Macumber, Ian R., Magnusson, Mark R., Magoulas, Pilar L., Maguire, Kathleen J., Mahajan, Prashant V., Majzoub, Joseph A., Mamula, Petar, Manak, Colleen K., Mangus, Courtney W., Manoli, Irini, Manzur, Adnan Y., Maqbool, Asim, Maranich, Col. Ashley M., Margetts, Miranda, Margolis, David, Marin, Mona, Marini, Joan C., Markowitz, Morri, Maroushek, Stacene R., Marsh, Justin D., Marshall, Trisha L., Martin, Kari L., Masson, Vicki K., Matalon, Dena R., Matalon, Reuben K., Mathijssen, Irene M.J., Reddy Matta, Sravan Kumar, Maxwell, Elizabeth C., Maybank, Aletha, McCabe, Megan E., McCain, Darla H., McColley, Susanna A., McConnico, Neena, McCormick, Elizabeth M., McDonald, Christine M., McGovern, Margaret M., McGrath-Morrow, Sharon A., McInerney, Alissa, McKinney, Jeffrey S., McLeod, Rima, McVay-Gillam, Marcene R., Meade, Julia C., Meehan, William P., III, Mejias, Asuncion, Melby, Peter C., Melzer-Lange, Marlene D., Merves, Jamie F., Messacar, Kevin B., Michaels, Marian G., Michniacki, Thomas F., Mikati, Mohamad A., Miller-Handley, Hilary E., Mink, Jonathan W., Mirasola, Karolyn, Mistovich, R. Justin, Mohr, Emma L., Montoya-Williams, Diana, Moon, Rachel Y., Morava, Eva, Moreno, Megan A., Morgan, Ryan W., Morrison, Peter E., Morrison, Wynne, Mukhopadhyay, Sagori, Munoz, Flor M., Munson, David A., Murphy, Timothy F., Murray, Karen F., Murray, Thomas S., Mutlu, Levent, Nagata, Jason M., Narula, Sona, Nataro, James P., Navsaria, Dipesh, Nduati, Ruth W., Nehus, Edward J., Nelson, Maureen R., Neri, Caitlin M., Nevin, Mary A., Newburger, Jane W., Newmark, Jonathan, Nield, Linda S., Niermeyer, Susan, Nocton, James J., Nogee, Lawrence M., Noje, Corina, Nowak-Wegrzyn, Anna H., Obaro, Stephen K., Obeid, Makram M., O’Callaghan, Kevin P., Oleszek, Joyce L., Olitsky, Scott E., Olsson, John M., O’Neill, Meghan E., Onigbanjo, Mutiat T., Opoka, Robert O., Orenstein, Walter A., Orkin, Sarah H., Orscheln, Rachel C., Ortega, Camile, O’Toole, Timothy R., Owens, Judith A., Ozen, Seza, Pach, Sophie, Pachter, Lee M., Padhye, Amruta, Pandurangi, Sindhu, Pak-Gorstein, Suzinne, Palla, John, Palmieri, Tina L., Palmieri, Jessica M., Pappas, Diane E., Parent, John J., Parga-Belinkie, Joanna J., Parikh, Bijal A., Parker, Alasdair P.J., Partridge, Emily A., Patel, Ami B., Patel, Trusha, Patrick, Stephen W., Patterson, Briana C., Pelosi, Emanuele, Permar, Sallie R., Perry, Michael, Perry, Tamara T., Peters, Mark J., Peters, Timothy R., Peterson, Stacy J.B., Phelan, Rachel A., Pinto, Anna L., Pipan, Mary, Player, Brittany, Prince, William Benjamin, Proctor, Mark R., Prozora, Stephanie, Pryor, Howard I., II, Pyles, Lee A., Quinn, Molly M., Quint, Elisabeth H., Rabinovich, C. Egla, Raffini, Leslie J., Ragoonanan, Dristhi S., Rahman, Shamima, Ralston, Shawn L., Ram, Sanjay, Ramilo, Octavio, Ramirez, Kacy A., Rand, Casey M., Rasmussen, Sonja A., Rathke, Kevin M., Ratner, Adam J., Ratner, Lee, Reed, Ann M., Reich, Patrick J., Reif, Shimon, Reller, Megan E., Remick, Katherine E., Remiker, Allison S., Reyes, Jorge D., Richardson, Katherine M., Rintoul, Natalie E., Ritchey, A. Kim, Robinson, Angela Byun, Rodrigues, Kristine Knuti, Rogers, Michael E., Romano, Mary E., Roosevelt, Genie E., Roper, Stephen M., Rosenthal, Stephen M., Ross, A. Catharine, Rossano, Joseph W., Rothman, Jennifer A., Rotta, Alexandre T., Rozenfeld, Ranna A., Russo, Michael E., Ryan, Kelsey S., Ryan, Monique M., Ryu, Julie, Sabbagh, Sara E., Sachdev, H.P.S., Sadarangani, Manish, Sadun, Rebecca E., Sahin, Mustafa, Saint-Cyr, Martine, Salata, Robert A., Salazar, José H., Salvana, Edsel Maurice T., Samelson-Jones, Benjamin J., Sammons, Julia S., Sampson, Hugh A., Samsel, Chase B., Sandora, Thomas J., Sankar, Wudbhav N., Sarnaik, Ashok P., Sato, Alice I., Satter, Lisa Forbes, Scaggs Huang, Felicia A., Schaffzin, Joshua K., Schechter, Michael S., Schilling, Samantha, Schleiss, Mark R., Schluter, W. William, Schondelmeyer, Amanda C., Schroeder, James W., Jr., Schulte, Elaine E., Schuster, Jennifer E., Schuster, Marcy, Schuster, Mark A., Scott, Daryl A., Scott, John P., Seaborg, Kristin A., Seed, Patrick C., Serwint, Janet R., Shah, Dheeraj, Shah, Samir S., Shah, Shivang S., Shamir, Raanan, Shanti, Christina M., Shapiro, Bruce K., Shaywitz, Bennett A., Shaywitz, Sally E., Shchelochkov, Oleg A., Shulman, Stanford T., Sicherer, Scott H., Simmons, Jeffrey M., Simões, Eric A.F., Simonsen, Kari A., Simpson, Tess S., Sinclair-McBride, Keneisha R., Singh, Arunjot, Sink, Jacquelyn R., Sisk, Bryan A., Sivaraman, Vidya, Slattery, Susan M., Slavotinek, Anne M., Smith, Jessica R., Smith-Whitley, Kim, Solensky, Roland, Son, Mary Beth F., Soranno, Danielle E., Sosa, Tina K., Soto-Rivera, Carmen L., Sosinsky, Laura Stout, Souder, Emily E., Souverbielle, Cristina Tomatis, Spearman, Paul, Spiegel, David A., Spinks-Franklin, Adiaha I.A., Sprecher, Alicia J., Squires, James E., Srivastava, Siddharth, St. Geme, Joseph W., III, St. John, Rachel D., Stambough, Kathryn C., Stanberry, Lawrence R., Starke, Jeffrey R., Starr, Taylor B., Steenhoff, Andrew P., Stein, Ronen E., Steinbach, William J., Stillwell, Terri L., Stone, Deborah L., Su, Stefani, Sucato, Gina S., Suchy, Frederick J., Sullivan, Kathleen E., Swami, Sanjeev K., Szafron, Vibha A., Szilagyi, Moira, Taha, Dalal, Tan, Libo, Tantisira, Kelan G., Taylor, Alex M., Tchapyjnikov, Dmitry, Tesini, Brenda L., Theobald, Jillian L., Thielen, Beth K., Thom, Christopher S., Thornburg, Courtney D., Tieder, Joel S., Tissières, Pierre, Tolentino, Victorio R., Jr., Topjian, Alexis A., Tower, Richard L., Trachtman, Rebecca, Triebwasser, Jourdan E., Trowbridge, Sara K., Truglio, Joseph M., Tubergen, David G., Turk, Margaret A., Tymon-Rosario, Joan R., Ufberg, Paul J., Ullrich, Christina, Ullrich, Nicole, Valika, Taher S., Van Hare, George F., Van Mater, Heather A., Varnell, Charles D., Jr., Vash-Margita, Alla, Vece, Timothy J., Vemana, Aarthi P., Venditti, Charles P., Vepraskas, Sarah, Verbsky, James W., Vermilion, Jennifer A., Vickery, Brian P., Vockley, Jerry, Voynow, Judith A., Walch, Abby, Waldrop, Stephanie W., Walker, David M., Walkovich, Kelly J., Walter, Heather J., Wambach, Jennifer A., Wamithi, Susan, Wang, Julie, Wang, Marie E., Wangler, Michael F., Ware, Stephanie M., Washam, Matthew C., Wasserman, Jonathan D., Wassner, Ari J., Watson, Andrew M., Wattier, Rachel L., Weber, David R., Webster, Jennifer, Weese-Mayer, Debra E., Weinberg, Jason B., Weinman, Jason P., Weisman, Steven J., Weiss, Anna K., Weiss, Scott L., Weiss, Pamela F., Weitzman, Carol C., Wells, Lawrence, Wen, Jessica W., Wendel, Danielle R., Werlin, Steven L., Wexler, Isaiah D., Whitaker, Alexander S., White, A. Clinton, Jr., White, Perrin C., Willoughby, Rodney E., Jr., Wilschanski, Michael, Wiley, Susan E., Williams, Brendan A., Wilson, Karen M., Wilson, Pamela E., Winell, Jennifer J., Witters, Peter, Wolf, Joshua, Wolfe, Joanne, Wolfgram, Peter M., Woods, Brandon T., Wright, Benjamin L., Wright, Terry W., Wu, Eveline Y., Yagupsky, Pablo, Yang, Edward, Yang, Kesi C., Yang, Ming, Yaron, Michael, Younger, Sarah B., Yuskaitis, Christopher J., Zachariah, Philip, Zafar, Muhammad S., Zahler, Stacey G., Zajac, Lauren M., Zaky, Wafik, Zaspel, Jennifer A., Zerra, Patricia E., Zhou, Amy, Zuckerman, Barry S., and Zur, Karen B.

Published
2025
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14. The role of religion and spirituality in caregiver decision-making about tracheostomy for children with medical complexity.

Author

Nageswaran, Savithri, Banks, Quincy, Golden, Shannon L., Gower, W. Adam, and King, Nancy M. P.

Subjects
TRACHEOTOMY, CAREGIVER attitudes, OCCUPATIONAL roles, SERVICES for caregivers, SPIRITUALITY, CLERGY, INTERVIEWING, FAMILIES, MEDICAL personnel, QUALITATIVE research, PATIENTS' families, PATIENT-family relations, DECISION making, RESEARCH funding, PSYCHOLOGY of caregivers, PSYCHOLOGICAL adaptation, DATA analysis software, THEMATIC analysis, CONTENT analysis, RELIGION
Abstract

Children with medical complexity (CMC) receive life-sustaining treatments such as tracheostomy. The objective of this paper is to explore the roles of religion and spirituality (R&S) of caregivers of children with medical complexity (CMC) in their decision to pursue tracheostomy for their children. We conducted 41 in-depth interviews of caregivers of CMC who had received tracheostomies in the prior 5 years. Four themes emerged: (1) Caregivers believed R&S to be powerful for their children's healing, and helped them cope with their children's illnesses; (2) Spirituality was an important factor for caregivers in the decision to pursue tracheostomy for their children; (3) Many caregivers did not discuss their spirituality with clinicians for a variety of reasons; (4) Clergy and hospital chaplains played a major supportive role overall; however, they did not play a significant role in the decision-making process. Our study shows the importance of R&S, and the roles of clergy and chaplains in pediatric tracheostomy decision-making. [ABSTRACT FROM AUTHOR]

Published
2022
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16. Colaboradores

Author

Abidi, Nadia Y., Abzug, Mark J., Adams, David R., Adams, Nicholas S., Adelson, Stewart L., Ahlfeld, Shawn K., Ahmad, Osman Z., Aiken, John J., Akdis, Cezmi A., Alessandrini, Evaline A., Alexander, Michael A., Ali, Omar, Anderson, Karl E., Anthony, Kelly K., Antoon, Alia Y., Apkon, Susan D., Ardoin, Stacy P., Arkader, Alexandre, Armangué, Thaís, Arndt, Carola A.S., Aronson, Paul L., Asher, David M., Ashworth, Ann, Assa, Amit, Asselin, Barbara L., Astley, Christina M., Ater, Joann L., Atkinson, Norrell, Augustine, Erika U., Augustyn, Marilyn C., Avitzur, Yaron, Bacino, Carlos A., Bailey, Zinzi D., Balakrishnan, Binod, Balamuth, Frances B., Baldassano, Robert N., Baldwin, Keith D., Bales, Christina, Balistreri, William F., Ballantine, Allison, Baltimore, Robert S., Balwani, Manisha, Bamba, Vaneeta, Banwell, Brenda L., Barclay, Sarah F., Barnes-Davis, Maria E., Barron, Karyl S., Basel, Donald, Bass, Dorsey M., Bassett, Mary T., Bauerfeld, Christian P., Baum, Rebecca A., Bell, Michael J., Bender, Nicole R., Benjamin, Daniel K., Jr, Bennett, Michael J., Bernstein, Daniel, Bernstein, Henry H., Bharucha-Goebel, Diana X., Biggs, Holly M., Blanchard, Samra S., Blatter, Joshua A., Bleyer, Archie, Blum, Nathan J., Boas, Steven R., Bockting, Walter O., Boguniewicz, Mark, Boivin, Michael J., Bonthius, Daniel J., Bordini, Brett J., Bosse, Kristopher R., Bostwick, Bret L., Boyer, Kenneth M., Brady, Jennifer M., Brady, Patrick W., Brady, Rebecca C., Brady, Samuel L., Brandow, Amanda M., Breault, David T., Breuner, Cora Collette, Bridgemohan, Carolyn, Britt, William J., Brower, Laura, Brown, Rebeccah L., Brownell, J. Naylor, Browning, Meghen B., Brunetti-Pierri, Nicola, Bryant, Phillip R., Buckley, Rebecca H., Budek, Cynthia Etzler, Bunyavanich, Supinda, Burnham, Carey-Ann D., Burstein, Gale R., Bustinduy, Amaya L., Buyon, Jill P., Cabada, Miguel M., Cada, Michaela, Caglar, Derya, Cairo, Mitchell S., Calello, Diane P., Camarda, Lauren E., Cameron, Lindsay Hatzenbuehler, Camitta, Bruce M., Campbell, Angela J.P., Carlin, Rebecca F., Carr, Michael R., Carrigan, Robert B., Carroll, Michael S., Carter, Rebecca G., Caserta, Mary T., Chapman, Jennifer I., Cheifetz, Ira M., Chelimsky, Gisela G., Chelimsky, Thomas C., Chemaitilly, Wassim, Chen, Yuan-Tsong, Chiriboga, Jennifer A., Chiu, Yvonne E., Cho, Christine B., Chong, Hey Jin, Chou, Stella T., Christenson, John C., Chun, Robert H., Chusid, Michael J., Cieslak, Theodore J., Claes, Donna J., Clark, Jeff A., Clemens, John David, Coates, Thomas D., Coffin, Susan E., Cohen, Joanna S., Cohen, Mitchell B., Cohen-Wolkowiez, Michael, Colbert, Robert A., Cole, F. Sessions, III, Collaco, J. Michael, Colombo, John L., Congeni, Joseph A., Conner, Lindsay N., Creighton, Sarah M., Crowe, James E., Jr, Czinn, Steven J., Dalal, Aarti S., Dalmau, Josep O., Danziger-Isakov, Lara A., Darville, Toni, Daum, Robert S., Davidson, Loren T., Davidson, Richard S., Davies, H. Dele, Daw, Najat C., Dean, Shannon L., Toro, Helen M. Oquendo Del, DeMaso, David R., Denison, Mark R., Dent, Arlene E., Desnick, Robert J., Deterding, Robin R., Devarajan, Prasad, deVeber, Gabrielle A., Dhar, Vineet, Dhawan, Anil, Dick, André A.S., Dietz, Harry C., III, Diiorio, Daren A., DiMeglio, Linda A., Dixon, Bradley P., Dlamini, Nomazulu, Dodhia, Sonam N., Donohoue, Patricia A., Downes, Kevin J., Doyle, Alexander J., Doyle, Daniel A., Doyle, Jefferson J., Dreskin, Stephen C., Driscoll, Sherilyn W., Dror, Yigal, D'souza, Jill N., Dubowitz, Howard, Dumler, J. Stephen, Duncan, Janet, Dvergsten, Jeffrey A., Earing, Michael G., Eberly, Matthew D., Eddy, S. Derrick, Egan, Marie E., Elder, Jack S., Englander, Elizabeth, Enlow, Elizabeth, Eppes, Stephen C., Ericson, Jessica, Erkan, Elif, Ermias, Yokabed, Eskew, Ashley M., Etzel, Ruth A., Fahrenkopf, Matthew P., Falk, Marni J., Faria, John J., Fargo, John H., Feemster, Kristen A., Feigelman, Susan, Feinstein, Jeffrey A., Feldman, Amy G., Felner, Eric I., Fels, Edward C., Feng, Sing-Yi, Ferkol, Thomas W., Jr, Finberg, Karin E., Finder, Jonathan D., Finkelstein, Laura H., Fiorino, Kristin N., Fischer, Philip R., Fisher, Brian T., Flood, Veronica H., Flores, Francisco X., Flynn, Joseph T., Flynn, Patricia M., Forman, Joel A., Frank, Michael M., Frenck, Robert W., Jr, Friedman, Deborah M., Friehling, Erika, Fritz, Stephanie A., Frush, Donald P., Gadomski, Anne M., Gaensbauer, James T., Gahagan, Sheila, Gahl, William A., Gallagher, Patrick G., Gans, Hayley A., Garcia-mauriño, Cristina, Gardiner, Paula M., Garibaldi, Luigi R., Gauthier, Gregory M., Gerber, Jeffrey S., Gershon, Anne A., Ghadersohi, Saied, Gibson, Mark, Gigliotti, Francis, Gilliam, Walter S., Ginde, Salil, Girotto, John A., Goldfarb, Samuel B., Goldman, David L., Goldman, Stanton C., Goldstein, Neal D., Goldstein, Stuart L., Gonzalez-Heydrich, Joseph, Goodman, Denise M., Goodman, Tracy S., Gordon, Catherine M., Gordon, Leslie B., Goto, Collin S., Gower, W. Adam, Goyal, Neera K., Goyeneche, Nicholas P., Graepel, Kevin W., Graham, Robert J., Greally, John M., Green, Cori M., Green, Michael, Greenbaum, Larry A., Greenbaum, V. Jordan, Greenberg, James M., Griffiths, Anne G., Grizzle, Kenneth L., Groner, Judith A., Guarino, Alfredo, Gurria, Juan P., Guz-Mark, Anat, Haddad, Gabriel G., Haddad, Joseph, Jr, Hagan, Joseph F., Jr, Hagood, James S., Haider, Suraiya K., Haliloglu, Goknur, Halstead, Scott B., Hammer, Allison R., Hammerschlag, Margaret R., Hamvas, Aaron, Harris, James C., Harrison, Douglas J., Hartman, Corina, Hartman, Mary E., Haslam, David B., Hassan, H. Hesham Abdel-Kader, Hauck, Fern R., Havers, Fiona P., Hayes, Ericka V., Hecht, Jacqueline T., Heidemann, Sabrina M., Heimall, Jennifer R., Hemingway, Cheryl, Hendley, J. Owen, Hernandez, Michelle L., Hershey, Andrew D., Herzog, Cynthia E., Hirner, Jesse P., Hochberg, Jessica, Hodes, Deborah, Hoefgen, Holly R., Holinger, Lauren D., Holland-Hall, Cynthia M., Hooper, David K., Hoover-Fong, Julie E., Hord, Jeffrey D., Horn, B. David, Horstmann, Helen M., Horton, William A., Hotez, Peter J., House, Samantha A., Hsu, Evelyn, Hsu, Katherine, Huang, Felicia A. Scaggs, Huddleston, Heather G., Huepenbecker, Sarah P., Huff, Vicki, Huh, Winston W., Humphrey, Stephen R., Hunger, Stephen P., Hunstad, David A., Hunt, Carl E., Huppert, Stacey S., Huppler, Anna R., Ibeziako, Patricia I., Ibrahim, Samar H., Jackson, Allison M., Jackson, Elizabeth C., Jackson, Mary Anne, Jaffe, Ashlee, Janowski, Andrew B., Jatlaoui, Tara C., Jelsing, Elena J., Jensen, M. Kyle, Jenssen, Brian P., Jerardi, Karen E., John, Chandy C., Johnston, Brian D., Johnston, Michael V., Johnston, Richard B., Jr, Jones, Bridgette L., Joselow, Marsha, Josephson, Cassandra D., Jospe, Nicholas, Joyce, Joel C., Kabbouche, Marielle A., Kacperski, Joanne, Kamat, Deepak, Kamath-Rayne, Beena D., Kansra, Alvina R., Kanter, David M., Karlin, Aaron M., Kattan, Jacob, Kazura, James W., Kearns, Gregory L., Kelly, Andrea, Kelly, Desmond P., Kelly, Kevin J., Kelly, Matthew S., Kelly, Michael, Ken, Kimberly M., Kennedy, Melissa A., Kerem, Eitan, Kerschner, Joseph E., Khan, Seema, Khatami, Ameneh, Khatua, Soumen, Kilinsky, Alexandra, Kim, Chong-Tae, Kim, Wendy E., King, Charles H., Kingma, Paul S., Kinsman, Stephen L., Kishnani, Priya S., Klein, Bruce L., Klein, Bruce S., Kliegman, Robert M., Koch, William C., Kochanek, Patrick M., Kodish, Eric, Kohlhoff, Stephan A., Kostic, Mark A., Kotloff, Karen L., Krane, Elliot J., Krause, Peter J., Kreipe, Richard E., Krug, Steven E., Kwiatkowski, Janet L., Kwon, Jennifer M., Lachenauer, Catherine S., Ladisch, Stephan, Lakser, Oren J., Landrigan, Philip J., Landry, Gregory L., Lane, Wendy G., Larson, A. Noelle, LaRussa, Phillip S., Lawrence, J. Todd R., Lee, Brendan, Lee, K. Jane, Leeder, J. Steven, Leiding, Jennifer W., Lentze, Michael J., Lestrud, Steven O., Leung, Donald Y.M., Levas, Michael N., Levy, Rona L., Li, B U.K., Liacouras, Chris A., Liebig, Christopher W., Lipkin, Paul H., Liptzin, Deborah R., Liu, Andrew H., Lo, Lucinda, Lo, Stanley F., Long, Kathleen A., Long, Sarah S., Lopez, Anna Lena, Lopez, Santiago M.C., Lossef, Steven V., Lowry, Jennifer A., Macumber, Ian R., Magnusson, Mark R., Magoulas, Pilar L., Mahajan, Prashant V., Majzoub, Joseph A., Mann, Robert J., Manoli, Irini, Maqbool, Asim, Maranich, Ashley M., Marcantuono, Nicole, Margolis, David, Marin, Mona, Marini, Joan C., Markello, Thomas C., Markowitz, Morri, Maroushek, Stacene R., Marsh, Justin D., Martin, Kari L., Martinez, Maria G., Mason, Wilbert H., Maalon, Reuben K., Matta, Sravan Kumar Reddy, Maybank, Aletha, Mazor, Robert L., McAllister, Jennifer, McCabe, Megan E., McClean, Megan E., McColley, Susanna A., McGann, Patrick T., McGovern, Margaret M., McGrath-Morrow, Sharon A., McKinney, Jeffrey S., McLaughlin, Matthew J., McLeod, Rima, Mejias, Asuncion, Melby, Peter C., Melzer-Lange, Marlene D., Merguerian, Matthew D., Merhar, Stephanie L., Merritt, Diane F., Messacar, Kevin, Michaels, Marian G., Michniacki, Thomas F., Mikati, Mohad A., Milgrom, Henry, Mink, Jonathan W., Mistovich, R. Justin, Mitchell, Jonathan A., Mitsnefes, Mark M., Mohandas, Sindhu, Moon, Rachel Y., Moran, Joan P., Morava, Eva, Moreno, Megan A., Morgan, Esi, Morrison, Peter E., Moseley, Lovern R., Mozer-Glassberg, Yael, Muglia, Louis J., Murphy, Kevin P., Murphy, Timothy F., Murray, Karen F., Murray, Thomas S., Narula, Sona, Natale, Mindo J., Nathan, Amy T., Navsaria, Dipesh, Neal, William A., Nehme, Grace, Nehus, Edward J., Nelson, Maureen R., Neri, Caitlin M., Neuman, Mark I., Nevin, Mary A., Newburger, Jane W., NewMark, Jonathan, Nield, Linda S., Niss, Omar, Noah, Zehava L., Nocton, James J., Nogee, Lawrence M., Noje, Corina, Norton, Laura E., Nowak-Węgrzyn, Anna, Obaro, Stephen K., Obeid, Makram M., O’Brien, Hope L., Okwo-Bele, Jean-Marie, Oleszek, Joyce L., Olitsky, Scott E., Olsson, John M., Ombrello, Amanda K., O’Neill, Meghan E., Onigbanjo, Mutiat T., Orenstein, Walter A., Orscheln, Rachel C., Osorio, Marisa, Otto, Christian A., Owens, Judith A., Özen, Seza, Pachter, Lee M., Padhye, Amruta, Pak-Gorstein, Suzinne, Panganiban, Jennifer, Pappas, Diane E., Parent, John J., Parker, Alasdair P.J., Parks, Elizabeth Prout, Patterson, Briana C., Patterson, Maria Jevitz, Peters, Anna L., Peters, Timothy R., Phelan, Rachel A., Pinto, Anna, Poindexter, Brenda B., Pollard, Andrew J., Preciado, Diego, Proctor, Mark R., II, Howard I. Pryor, Pyles, Lee A., Quinn, Molly, Quint, Elisabeth H., Rabatin, Amy E., Rabinovich, C. Egla, Raffini, Leslie J., Ralston, Shawn L., Ram, Sanjay, Ramilo, Octavio, Ramirez, Kacy A., Rand, Casey M., Ratner, Adam J., Ratner, Lee, Raymond, Gerald V., Reed, Ann M., Reif, Shimon, Reller, Megan E., Reuter, Caroline H., Reyes, Jorge D., Rinawi, Firas, Ritchey, A. Kim, Rivara, Frederick P., Robinette, Eric, Robinson, Angela Byun, Rodrigues, Kristine Knuti, Rodriguez-Buritica, David F., Rodríguez-Fernández, Rosa, Roosevelt, Genie E., Rosenberg, David R., Roskind, Cindy Ganis, Ross, A. Catharine, Rossano, Joseph W., Rothman, Jennifer A., Rozenfeld, Ranna A., Ryan, Colleen A., Ryan, Monique M., Ryu, Julie, Sachdev, H.P.S., Sadarangani, Manish, Sadun, Rebecca E., Sahin, Mustafa, Sainath, Nina N., Salata, Robert A., Salvana, Edsel Maurice T., Sampson, Hugh A., Samsel, Chase B., Sandora, Thomas J., Sandritter, Tracy L., Sankar, Wudbhav N., Sarkissian, Eric J., Sarnaik, Ajit A., Sarnaik, Ashok P., Sarnat, Harvey B., Schaffzin, Joshua K., Schanberg, Laura E., Schechter, Michael S., Schleiss, Mark R., Schor, Nina F., Schroeder, James W., Jr, Schulte, Elaine E., Schuster, Mark A., Scott, Daryl A., Scott, J. Paul, Scott, John P., Seed, Patrick C., Serwint, Janet R., Shah, Apurva S., Shah, Dheeraj, Shah, Samir S., Shaikhkhalil, Ala, Shamir, Raanan, Shanti, Christina M., Shapiro, Bruce K., Shaughnessy, Erin E., Shaywitz, Bennett A., Shaywitz, Sally E., Shchelochkov, Oleg A., Sheanon, Nicole M., Shneider, Benjamin L., Shulman, Stanford T., Sicherer, Scott H., Simms, Mark D., Simmons, Jeffery M., Simões, Eric A.F., Simonsen, Kari A., Sinclair-McBride, Keneisha, Sivaraman, Vidya, Slavotinek, Anne M., Smith, Jessica R., Smith, Stephanie H., Smith-Whitley, Kim, Son, Mary Beth F., Sosinsky, Laura Stout, Souder, Emily, Spahn, Joseph D., Spearman, Paul, Sperling, Mark A., Spiegel, David A., Spitzer, Jaclyn B., Spranger, Jürgen W., Squires, James E., Srivastava, Siddharth, Geme, Joseph W. St, III, Stallings, Amy P., Stallings, Virginia A., Stambough, Kathryn C., Stanberry, Lawrence R., Stanley, Charles A., Starke, Jeffrey R., Starr, Taylor B., Steenhoff, Andrew P., Stein, Ronen E., Steinbach, William J., Stewart, Janet, Storch, Gregory A., Strauss, Ronald G., Sucato, Gina S., Suchy, Frederick J., Suhrie, Kristen R., Sullivan, Kathleen E., Szilagyi, Moira, Tabbah, Sammy M., Tanz, Robert R., Tarango, Cristina, Tarek, Nidale, Tasker, Robert C., Tchapyjnikov, Dmitry, Tesini, Brenda L., Theobald, Jillian L., Thielen, Beth K., Thomas, Anita A., Thomas, Cameron W., Thornburg, Courtney D., Tieder, Joel S., Tifft, Cynthia J., Todd, James K., Tolentino, Victor R., Jr, Toro, Camilo, II, Richard L. Tower, Trapasso, Joseph M., Troncone, Riccardo, Tsao, Elaine, Tubergen, David G., Tuchman, Lisa K., Turk, Margaret A., Turner, David A., Ullrich, Christina, Ullrich, Nicole, Upadhya, Krishna K., Urion, David K., Valika, Taher, Van Hare, George F., Van Mater, Heather A., Varnell, Charles D., Jr, Vaughan, Ana M., Vece, Timothy J., Vemana, Aarthi P., Venditti, Charles P., Vepraskas, Sarah, Verbsky, James W., Vermilion, Jennifer A., Vickery, Brian P., Vitola, Bernadette E., Voynow, Judith A., Wagner, Jonathan B., Waguespack, Steven G., Walker, David M., Walkovich, Kelly J., Walter, Heather J., Wambach, Jennifer A., Wang, Julie, Wangler, Michael F., Ware, Russell E., Ware, Stephanie M., Washam, Matthew C., Wassner, Ari J., Wattier, Rachel, Weber, David R., Weese-Mayer, Debra E., Weinberg, Jason B., Weinman, Jason P., Weise, Kathryn L., Weiss, Anna K., Weiss, Pamela F., Weitzman, Carol, Welebir, Morgan P., Wells, Lawrence, Wen, Jessica W., Wendel, Danielle, Werlin, Steven L., Wessels, Michael R., Wetmore, Ralph F., Wexelblatt, Scott L., Wexler, Isaiah D., Clinton White, A., Jr, White, Perrin C., Williams, John V., Willoughby, Rodney E., Jr, Wilschanski, Michael, Wilson, Karen M., Wilson, Pamela, Winell, Jennifer J., Winnie, Glenna B., Wissow, Lawrence, Witters, Peter, Wolf, Joshua, Wolfgram, Peter M., Wolfe, Joanne, Woods, Brandon T., Wright, Benjamin L., Wright, Joseph L., Wright, Terry W., Wu, Eveline Y., Yagupsky, Pablo, Yeh, E. Ann, Yeshokumar, Anusha K., Zaky, Wafik, Zapata, Lauren B., Zeltzer, Lonnie K., Zhou, Amy, and Zuckerman, Barry S.

Published
2020
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21. Evaluation and management of pulmonary disease in ataxia-telangiectasia

Author

McGrath-Morrow, Sharon A., primary, Gower, W. Adam, additional, Rothblum-Oviatt, Cynthia, additional, Brody, Alan S., additional, Langston, Claire, additional, Fan, Leland L., additional, Lefton-Greif, Maureen A., additional, Crawford, Thomas O., additional, Troche, Michelle, additional, Sandlund, John T., additional, Auwaerter, Paul G., additional, Easley, Blaine, additional, Loughlin, Gerald M., additional, Carroll, John L., additional, and Lederman, Howard M., additional

Published
2010
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