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B.R.'s breathing was labored and was not significantly improved by the interventions, although suctioning to clear the airways and the introduction of oxygen ensured adequate oxygen intake. Postiaux et al. found that the addition of prolonged slow expirations and provoked coughs could contribute "actively to a direct and immediate drainage of secretions" (2011). This might have helped alleviate "some bronchial obstruction symptoms that are usually associated with an increased load of breathing, due to a positive intrathoracic pressure and an increased respiratory rate" (Postiaux et al., 2011).
Potential Long-Term Effects / Complications
An early and severe infection with RSV bronchiolitis is associated with breathing difficulties such as asthma, wheezing, and atopy later in life (Todd et al., 2010). Whether the RSV causes these problems or whether a common factor makes infants more susceptible to bronchiolitis and later breathing problems is uncertain (Todd et al., 2010). Therefore, B.R. is considered to be at a higher risk of developing these problems.
References
Essouri, S., Durand,...
(2011).
Optimal level of nasal continuous positive airway pressure in severe viral bronchiolitis. Intensive Care Medicine, 37, 2002-2007.
Fitzgerald, D. (2011). Viral bronchiolitis for the clinician. Journal of Paediatrics and Child
Health, 47, 160-166.
Papoff, P., Moretti, C., Cangiano, G., Boncia, E., Roggini, M. Pierangeli, A., Scagnoli, C.,
Antonelli, Gl., & Midulla, F. (2011). Incidence and predisposing factors for severe disease in previously health term infants experiencing their first episode of bronchiolitis. Acta Paediatrica, 100, e17-e23.
Postiaux, G., Louis, J., Labasee, H., Gerroldt, J., Kotik, A., Lemuhot, A., & Patte, C. (2011).
Evaluation of an alternative chest physiotherapy method in infants with respiratory syncytial virus bronchiolitis. Respiratory Care, 56(7), 989-994.
Todd, F., Roberg, K., & Welliver, R. (2010). Preventing RSV infection in at-risk infants:
Current and emerging strategies. Pediatric Nursing, 1-14.
References
Essouri, S., Durand, P., Chevret, L., Balu, L., Devictor, D., Fauroux, B., & Tissieres, P. (2011).
Optimal level of nasal continuous positive airway pressure in severe viral bronchiolitis. Intensive Care Medicine, 37, 2002-2007.
Fitzgerald, D. (2011). Viral bronchiolitis for the clinician. Journal of Paediatrics and Child
Health, 47, 160-166.
The Hebrew bible also view sexual relations as highly divine (Isaak, 1998). Some suggest that Paul preferred that "Christians remain unmarried" and that sexuality and sexual activity may be akin to human weakness, even though Jesus accepted the "institution of marriage" (Isaak, 1998). The predominant theme in these texts suggest that intercourse outside of marriage is wrong, and as such homosexuality is wrong because it is not conducive to sex
The brain while expanding pushes the skull outward in the same perpendicular to the closed structure. This will be marked by the occurrence of 'papilledema' 'pseudoproptosis' as also 'optic atrophy.' (39) This results in the orbital socket being smaller and the eyes getting 'protoposed'. The intercranial pressure is bound to be high. The symptoms in such cases will be optic atrophy, head ache and papilledema. Or in the case
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At one point or another in our lives, we are all beginners. We begin college, a first job, a first love affair, and perhaps a first dissertation project. We bring a great deal to these new situations, including our temperament, previous education, and family situations. Yet, as adults, we also learn. In romantic relationships, couples report having to learn how to interact successfully with their partners. College students routinely report
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