The investigators reported that even more kids who received corticosteroids were discharged at 3 hours than those in the placebo group. A major difference between both of these studies and our study is that we included the PRAM score, a measure that is validated against preschool lung function21 and that has a good internal consistency and reliability among raters.24 For short-term outcomes, we found no significant difference between the two study groups in the 4-hour PRAM score and in the proportion of children who had been discharged home by 6 hours. The original PRAM results claim that nearly all children had mild-to-moderate wheezing, rather than severe wheezing.24 However, PRAM scores were assessed after the administration of high-dosage inhaled albuterol and for that reason did not reflect the maximum severity of wheezing.On affected area Apply. Wash it off after 20-30 minutes with lukewarm water. Help to make a paste of neem leaves with turmeric powder. Apply on affected region. Wash it off after 20-30 a few minutes with lukewarm water.
P.J. Devereaux, M.D., Ph.D., Marko Mrkobrada, M.D., Daniel I. Sessler, M.D., Kate Leslie, M.B., B.S., M.D., M.Epi., Pablo Alonso-Coello, M.D., Ph.D., Andrea Kurz, M.D., Juan Carlos Villar, M.D., Ph.D., Alben Sigamani, M.B., B.S., M.D., Bruce M. Biccard, M.B., Ch.B., Ph.D., Christian S. Meyhoff, M.D., Ph.D., Joel L. Parlow, M.D., Gordon Guyatt, M.D., Andrea Robinson, B.Sc., Amit X. Garg, M.D., Ph.D., Reitze N.