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Sharek, et al (2004)/Low-Income Kids with Asthma

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A 4 page article critique that examines a study by Sharek, et al (2004), which looked at data concerning asthma disease management in children. While asthma is the most common chronic childhood disease, there is currently “no validated ‘gold standard’ for measuring’ asthma outcomes (Sharek, et al, 2004, p. 797). Frequently asthma intervention are evaluated by utilizing a variety of disease status outcomes, but this can lead to ambiguous information and, subsequently, an increase in errors. Sharek, et al (2004) address this problem. No additional sources cited.

Page Count:

4 pages (~225 words per page)

File: D0_khshetal.rtf

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Unformatted sample text from the term paper:

asthma over time. Relevance/importance of the study While asthma is the most common chronic childhood disease, there is currently "no validated gold standard for measuring asthma outcomes (Sharek, et al, 2004, p. 797). Frequently asthma intervention are evaluated by utilizing a variety of disease status outcomes, but this can lead to ambiguous information and, subsequently, an increase in errors. The National Health Interview Survey revealed that form 1980 to 1994, the incidence of asthma increased across the nation among children by 75 percent, with mortality rates due to asthma for children aged 5 to 14 increasing by 147 percent (Sharek, et al, 2004). This is a dire problem and the lack of an accepted "gold standard" for asthma disease status limits the effectiveness of clinicians and researchers at comparing the efficacy of asthma interventions. Sampling frame and how participants were recruited In this study, the researchers used data from a previous randomized controlled trial. In the study from which the data was drawn, the sample group was recruited from low-income urban areas associated with San Francisco and San Jose, California. The sampling criteria identified children between the ages of 5 and 12, who had been diagnosed with asthma for at least 6 months prior to enrollment. Participants, by parent report, experienced daily symptoms, 2 asthma attacks per week, persistent cough and were using bronchodilator therapy daily. Variables analyzed Sharek, et al (2004) performed Spearman correlations of the following variables: parent-reported disease symptoms, parent-reported health care utilization, functional health status using the American Academy of Pediatrics validated Child Health Survey for Asthma (CHSA), diary data (symptom scores, night wakings, and bronchodilator use), and pulmonary function tests at baseline, 32 weeks, 52 weeks, and changes from baseline to 52 weeks (Sharek, et al, 2004, p. 797). ...

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