To compare the effects of a single nocturnal dose of 3 honey products (eucalyptus honey, citrus honey, or labiatae honey) to placebo (silan date extract) on nocturnal cough and difficulty sleeping associated with childhood upper respiratory tract infections (URIs).
A survey was administered to parents on 2 consecutive days, first on the day of presentation, when no medication had been given the previous evening, and the following day, when the study preparation was given before bedtime, based on a double-blind randomization plan. Participants included 300 children aged 1 to 5 years with URIs, nocturnal cough, and illness duration of ≤ 7 days from 6 general pediatric community clinics. Eligible children received a single dose of 10 g of eucalyptus honey, citrus honey, labiatae honey, or placebo administered 30 minutes before bedtime. Main outcome measures were cough frequency, cough severity, bothersome nature of cough, and child and parent sleep quality.
In all 3 honey products and the placebo group, there was a significant improvement from the night before treatment to the night of treatment. However, the improvement was greater in the honey groups for all the
Parents rated the honey products higher than the silan date extract for symptomatic relief of their children's nocturnal cough and sleep difficulty due to URI. Honey may be a preferable treatment for cough and sleep difficulty associated with childhood URI.
"Cough in children is the most common presenting symptom to general practitioners and persistent cough is commonly referred to paediatricians for further investigation and treatment . The cough can be very distressing for parents to watch especially if it interferes with daily activities and often disturbs both the parents and child’s sleep . While coughing may be seen as a mere troublesome symptoms without any serious consequences, ignoring cough that may be the sole presenting symptom of an underlying respiratory disease may lead to delayed diagnosis and progressions of a serious illness or chronic respiratory morbidity. "
[Show abstract][Hide abstract] ABSTRACT: Cough is one of the most common symptoms that patients bring to the attention of primary care clinicians. Cough can be designated as acute (<3 weeks in duration), prolonged acute cough (3 to 8 weeks in duration) or chronic (> 8 weeks in duration). The use of the term 'prolonged acute cough' in a cough guideline allows a period of natural resolution to occur before further investigations are warranted. The common causes are in children with post viral or pertussis like illnesses causing the cough. Persistent bacterial bronchitis typically occurs when an initial dry acute cough due to a viral infection becomes a prolonged wet cough remaining long after the febrile illness has resolved. This cough responds to a completed course of appropriate antibiotics.
[Show abstract][Hide abstract] ABSTRACT: Review question We undertook a review to determine the effectiveness of over-the-counter cough medicines in reducing cough in children and adults in community settings. We found 29 trials involving 4835 people. Background Acute cough is a common and troublesome symptom in children and adults suffering from acute upper respiratory tract infection (URTI). Many people self prescribe over-the-counter (OTC) cough preparations, and health practitioners often recommend their use for the initial treatment of cough. There is substantial variation between countries in the availability and guidelines for use of many of these preparations. Study characteristics We identified a broad range of studies of different types of preparations used at different dosages in both adults and children. Key results The evidence is current up to March 2014. We found no good evidence for or against the effectiveness of OTC medications in acute cough. Nineteen studies reported adverse effects of these medications and described infrequent, mainly minor side effects such as nausea, vomiting, headache and drowsiness. Quality of the evidence The results of this review have to be interpreted with caution because the number of studies in each category of cough preparations was small. Many studies were poorly reported making assessment of risk of bias difficult. While all studies were placebo-controlled randomised controlled trials only a minority reported their methods of allocation and randomisation and there was lack of reporting of blinding of outcome assessors and whether cough outcome measures were validated. In addition, studies supported by pharmaceutical companies or other providers were more likely to have positive results. Studies were very different from each other in terms of treatment types, treatment duration and outcomes measured, making evaluation of overall effectiveness of OTC cough medicines difficult.
[Show abstract][Hide abstract] ABSTRACT: In the bee world, the unit of life is the colony, not the bee. None of the three casts, i.e. queen, worker or drone, can survive alone nor reproduce itself. Swarming is a collective behavior by which the colony reproduces itself. For this purpose, the workers build special cells in which the queen deposits eggs. The hatching larvae are fed with a secretion of the worker bees, the royal jelly, which is necessary for the growth of the future queens. When laying eggs the queen is too heavy to fly; the bees then starve her to prepare her for swarming. When the queen cells are ready and the queen able to fly, about one-half of the bee population, together with the old queen, leaves the original nest to find another home.
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