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Re: Conflicting asthma guidelines cause confusion in primary care

Source: BMJ Comments - Category: General Medicine Source Type: forums

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BOSTON (CBS) – Health officials say the flu season may be peaking which hopefully means that cases will soon start to decline. There’s some evidence that this is happening in Massachusetts but only time will tell. That said it is still not too late to get a flu shot so please get one. People with flu symptoms often wonder when they should just stay at home or when they should see a doctor. If you have underlying medical conditions like asthma or heart disease or if you’re pregnant and you think you have the flu, call your doctor. They may want to treat you with anti-viral medication. Otherwise healthy o...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Health Local News Syndicated Local Dr. Mallika Marshall Flu Source Type: news
Purpose: Community/retail pharmacists in Greater Manchester (GM) have been providing an inhaler check service to adults for several years. Many adults using this pharmacy service report that they have had their inhaler since childhood/adolescence and have never been shown how to use it. There have also been asthma-related deaths in GM schools in recent years. This led to a bid for funding to bring the pharmacist-led service into schools, for children and young people (CYP) to master their inhaler at an early age —and hopefully to sustain good technique into adulthood with associated positive health outcomes.
Source: Journal of Adolescent Health - Category: Child Development Authors: Source Type: research
Purpose: Allergies are the third most common chronic disease in children under 18 and the sixth leading chronic disease among all age groups in the United States. Allergic rhinitis is prevalent in adolescence and can worsen outcomes in patients with asthma. A quality improvement project was done to develop, test, and reliably implement evidence-based care for allergic rhinitis in adolescents with asthma.
Source: Journal of Adolescent Health - Category: Child Development Authors: Source Type: research
Conclusion: Parent-reported wheezing is more prevalent than GP-recorded asthma diagnoses in the preschool years, and this difference diminishes in primary school-aged children. Further research is needed to evaluate the implications of these differences for the characterisation of longitudinal childhood asthma phenotypes from EHRs. PMID: 29333271 [PubMed]
Source: Respiratory Care - Category: Respiratory Medicine Authors: Tags: BMJ Open Respir Res Source Type: research
ConclusionsThe SCBA does not increase the propensity or severity for EIB in subjects with BHR. Those subjects with asthma but no BHR to inhaled mannitol did not exhibit EIB. The BHR to a hyperosmolar stimulus maybe considered a useful screening tool for potential recruits with a history of asthma. Purpose Protective self-contained breathing apparatus (SCBA) used for firefighting delivers decompressed (cold) dehumidified air that may enhance the severity of exercise-induced bronchoconstriction (EIB) in those susceptible. We investigated the effect of SCBA during exercise on airway caliber in people with asthma and healt...
Source: Medicine and Science in Sports and Exercise - Category: Sports Medicine Tags: Applied Sciences Source Type: research
Purpose of review Emerging research on the pediatric microbiome implicates the importance of the microbiome on the development of the immune system, nervous system, and growth. Changes to the microbiome during infancy are associated with the development of chronic illnesses such as asthma and inflammatory bowel disease. Additionally, the microbiome provides protection against certain pathogens, affects vaccine responses, and alters drug metabolism. This review highlights what is known about the microbiome, the establishment of a healthy microbiome and the significance that changes to the microbiome composition have on gr...
Source: Current Opinion in Pediatrics - Category: Pediatrics Tags: INFECTIOUS DISEASES AND IMMUNIZATION: Edited by Yvonne J. Bryson Source Type: research
Conclusion This systematic review, which only included patients from ED settings, did not identify any single sign or symptom that had acceptable sensitivity to be useful in ruling out a diagnosis of HF, chronic obstructive pulmonary disease, asthma, or pulmonary embolism. Elevated jugular venous pressure (0.88, pooled odds ratio: 7), added third heart sound (0.97), and lung crepitations (0.77, pooled odds ratio: 11) are useful in ruling in HF.
Source: European Journal of Emergency Medicine - Category: Emergency Medicine Tags: Original Articles Source Type: research
A. Marahatta, I. H. Baek, J. S. Pyo, B. Bhandary, H.K. Kim, J. S. Bang, H. Yoon, K. Y. Rhew, O. H. Chai and Y. C. Lee*
Source: Indian Journal of Pharmaceutical Sciences - Category: Drugs & Pharmacology Source Type: research
CONCLUSIONS: Engaging community residents as experts provided a deeper understanding of the issues around children's asthma in the community, which can contribute to the design of a more effective intervention. PMID: 29332847 [PubMed - in process]
Source: Progress in Community Health Partnerships - Category: International Medicine & Public Health Tags: Prog Community Health Partnersh Source Type: research
Purpose of review To provide a fast overview about the introduction and development of anticholinergic drugs in Western medicine to their current indications particularly in asthma. Recent findings Although short-acting muscarinic antagonists have been positioned in the last 15 years for the treatment of adults and children with moderate-to-severe acute asthma in the emergency setting (reducing the risk of hospital admissions and improving lung function), a growing body of evidence has recently emerged that positions the long-acting muscarinic anticholinergic tiotropium bromide as add-on therapy to at least inhaled co...
Source: Current Opinion in Allergy and Clinical Immunology - Category: Allergy & Immunology Tags: MECHANISMS OF ALLERGY AND ADULT ASTHMA: Edited by J. Andrew Grant and Gustavo J. Rodrigo Source Type: research
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