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Six-minute walk distance (6MWD) and the product of 6MWD and body weight (6MWORK) were related to aerobic capacity. Data were analyzed using Student's t-test and Pearson correlation. 13 healthy subjects [9 females, mean age 15.8?��?3.6 years, % predicted forced expiratory volume in one second (FEV1) 105?��?12%, 6MWD 557?��?73?m, peak oxygen uptake ( max) 41.4?��?7.2?ml/kg/min, and heart rate (HR) at max 180?��?10] and 11 CF subjects (3 females, mean age 14.3?��?3.8 years, FEV1 67?��?25.9%, 6MWD 468?��?68?m, max 27.0?��?8.1?ml/kg, and HR at max 163?��?22] were studied. 6MWD correlates with max in normal subjects (r?=?0.59, P?Sitaxentan NS). We conclude that the 6MWD corresponds with aerobic fitness in normal pediatric subjects and 6MWORK corresponds with aerobic fitness in CF subjects. We speculate that 6MWORK is superior to 6MWD for assessment of aerobic fitness in children with CF. Pediatr Pulmonol. 2010; 45:135�C140. ? 2010 Wiley-Liss, Inc. ""Although Pediatric Respiratory Medicine as a subspecialty has a long tradition and is well established in some countries, there is a wide variation across different regions of the DNA Damage inhibitor world with regard to e.g. recognition of the discipline, training requirements, training facilities and clinical needs. This review summarizes the situation in North America (US and Canada), South America, Asia, Australia, Israel and Europe with the aim to highlight commonalities and differences and, ultimately, to further support continuous development of paediatric Respiratory Medicine Worldwide. Pediatr Pulmonol. 2010; 45:14�C24. ? 2009 Wiley-Liss, Inc. ""Inhaled tobramycin has been shown to transiently clear Pseudomonas from lower airways in early cystic fibrosis (CF), but does not markedly reduce lung inflammation, a key factor in disease progression. Test the hypothesis that systemic antibiotics are more effective than inhaled antibiotics for reducing lower airways inflammation. Clinically stable CF children learn more with recent Pseudomonas were randomized to receive 4 weeks of inhaled tobramycin or 2 weeks of systemic antibiotics (intravenous ceftazidime and tobramycin). Bronchoalveolar lavage fluid was obtained just before and 4�C6 weeks after treatment. The primary outcome was change in % neutrophils in lavage fluid. Fifteen subjects (inhaled?=?6, systemic?=?9) completed the protocol. Three Systemic Group subjects could not have central venous access established and were treated with oral ciprofloxacin (plus inhaled tobramycin) for 2 weeks as an alternative ��systemic�� regimen, per protocol. Groups were well matched in age, markers of disease severity, and initial % neutrophils. The Systemic Group showed a modest median change in percent neutrophils (?7%) which was not statistically significant compared to inhaled (+5.4%, P?=?0.07).