Gastroesophageal reflux (GER) is common among patients with asthma, and it has been speculated that high GER may exacerbate asthma in some. This study was designed to determine if suppression of acid reflux in patients with asthma would improve pulmonary function. A double-blind, placebo-controlled crossover study design was used to determine the effect of GER suppression with omeprazole (20 mg twice daily) on pulmonary function among asthmatic patients with esophagitis. Four of 15 (27%) asthma patients with GER were shown to have a > or = 20% net improvement in pulmonary function (FEV1) after treatment for six weeks with omeprazole. These results indicate that some patients with asthma and GER will have improved pulmonary function when acid GER is treated with omeprazole.
The salient findings are presented Irom two] Studies to determine tinprevalence and charaeteristivs of individual learning disahilitii >o existing in I if), second grade classes in eight Rocky Mountain States, Approximately 15 percent of the more than JlltIO children in the sample revealed some specific learning disorder winclt was frequently associated with sequencing difficulties. Three levels of diagnosis were employed; the informed judgment of teachers, using a new Classroom Screening Instrument described here, was related to the findings of psycho-educational and medical diagnosticians. An Individualized Instructional System which is being developed for the remediation and/or prevention of learning disorders i\ outlined. ‘An variier, lev. complete, vertlon oi this paper was presented ai a section meeting oj tin Minimi foi Children with Communication Ofterden for the 47th A rimii;l International Convention of ihr Council lor Kxiepltonal Children held in Denver, Colorado, I'MV,
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