Asthma in Adults

Asthma affects approximately 300 million people worldwide and approximately 7.5% of adults in the United States. Asthma is characterized by inflammation of the airways, variable airflow obstruction, and bronchial hyperresponsiveness. The diagnosis of asthma is a clinical one with the history and physical examination being significant, but objective measures, such as pulmonary function testing, can be used to aid in the diagnosis. There are multiple associated comorbidities with asthma, including rhinitis, sinusitis, gastroesophageal reflux disease, obstructive sleep apnea, and depression. There is often an allergic component of asthma, and patient education is vital.
Source: Medical Clinics of North America - Category: Primary Care Authors: Source Type: research

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Publication date: Available online 25 September 2019Source: Canadian Journal of DiabetesAuthor(s): Tyler B. Dubois, Scot H. Simpson, Dean T. EurichAbstractObjectivesOur aim in this study was to determine whether differences exist in time to treatment intensification in newly treated type 2 diabetes patients in Canada and the United States (US).MethodsTwo separate retrospective cohorts of diabetes patients were used from Canada and the US. Time to treatment intensification (i.e. addition of a second antihyperglycemic agent after initial metformin use) was determined using multivariate Cox proportional hazard models.ResultsA...
Source: Canadian Journal of Diabetes - Category: Endocrinology Source Type: research
Publication date: Available online 9 December 2019Source: The Journal of Prosthetic DentistryAuthor(s): Mariana B. Câmara-Souza, Olívia M.C. Figueredo, Renata C.M. Rodrigues GarciaAbstractStatement of problemOcclusal devices are the gold standard for managing the signs and symptoms of sleep bruxism (SB). Nevertheless, their influence on the tongue, quality of life, and sleep quality is not clear.PurposeThe purpose of this prospective clinical study was to evaluate the effects of an occlusal device on maximum tongue force, oral health–related quality of life (OHRQoL), and subjective sleep quality in indiv...
Source: The Journal of Prosthetic Dentistry - Category: Dentistry Source Type: research
ConclusionsOlder patients with hematologic cancer are at high risk to experience depressive symptoms and low QoL. Health care professionals should assess geriatric symptoms and screen for depression to allow for early interventions and improve treatment outcomes.
Source: Journal of Geriatric Oncology - Category: Cancer & Oncology Source Type: research
ConclusionsFindings from this research will contribute to the evidence-base for suicide prevention programs in Australian schools and, if proven effective, YAM could be widely delivered in Australian secondary schools, providing a valuable new resource.
Source: Mental Health and Prevention - Category: Psychiatry Source Type: research
Publication date: Available online 9 December 2019Source: Neuroscience &Biobehavioral ReviewsAuthor(s): Joscha Böhnlein, Luisa Altegoer, Nina Kristin Muck, Kati Roesmann, Ronny Redlich, Udo Dannlowski, Elisabeth J. LeehrABSTRACTAlthough Exposure Therapy (ET) is the first-line treatment of Specific Phobia (SP), there is no clear consensus on which factors influence its success, and thus on how to conduct it most efficiently. This review summarizes the current state of research regarding this topic. N = 111 studies were in accordance with our eligibility criteria: participants had at least symptoms of ...
Source: Neuroscience and Biobehavioral Reviews - Category: Neuroscience Source Type: research
Publication date: Available online 9 December 2019Source: NeuronAuthor(s): Michelle C.D. Bridi, Fang-Jiao Zong, Xia Min, Nancy Luo, Trinh Tran, Jiaqian Qiu, Daniel Severin, Xue-Ting Zhang, Guanglin Wang, Zheng-Jiang Zhu, Kai-Wen He, Alfredo KirkwoodSummaryA balance between synaptic excitation and inhibition (E/I balance) maintained within a narrow window is widely regarded to be crucial for cortical processing. In line with this idea, the E/I balance is reportedly comparable across neighboring neurons, behavioral states, and developmental stages and altered in many neurological disorders. Motivated by these ideas, we ...
Source: Neuron - Category: Neuroscience Source Type: research
Diego ZuluagaYesterday, Joe Nocera penned an extraordinarycolumn expressing his bafflement at the Trump administration ’sdrive to release Fannie Mae and Freddie Mac, two firms that purchase and guarantee around half of single-family mortgages in the United States, from government conservatorship. Nocera argues against such a move, writing that “if it ain’t broke, don’t fix it . . . Fannie Mae and Freddie Mac ain’t broke.”The piece is disconcerting from start to finish. Nocera writes that Fannie and Freddie make the 30-year fixed-rate mortgage, a product common only in the U.S., possible ...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
Authors: ┼×air YB, Sevinçok D, Kutlu A, Çakaloz B, Sevinçok L Abstract We investigated whether the affective temperaments of mothers and maternal depression before and during the index pregnancy are related to the development of Attention-Deficit Hyperactivity Disorder (ADHD) in their children. One hundred and twenty children were screened for the diagnosis of ADHD. After exclusion and inclusion criteria were applied for children and their mothers, we compared the mothers of children with (n = 63) and without ADHD (n = 60) in terms of affective temperament traits, de...
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
Publication date: Available online 10 December 2019Source: Journal of Forensic and Legal MedicineAuthor(s): Talita Lima de Castro, Sarah Teixeira Costa, Bianca Marques Santiago, Alexandre Rodrigues Freire, Eduardo Daruge Júnior, Felippe Bevilacqua Prado, Ana Cláudia RossiAbstractFirearms injuries have a legal and medico-legal importance, and are especially lethal when they reach the craniofacial regions of the victim. The present study aims to identify the characteristics of craniofacial lesions resulting from firearm projectiles, to register the most affected craniofacial regions by this type of injury and t...
Source: Journal of Forensic and Legal Medicine - Category: Forensic Medicine Source Type: research
William YeatmanYesterday,Vox's Ian Millhiser postedan interesting article on how President Trump's judicial nominees are changing the federal courts.I've no argument with Millhiser's underlying thesis: A lot of (great) judges have been appointed during Trump's administration.The causes for this are obvious. There ’s a Republican in the White House, and Republicans control the Senate, so the appointment process is well-oiled. In addition, past Senates (under both parties) changed the body’s rules so as to ease the confirmation of a president’s nominees.Where I take issue with Millhiser is with his understa...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
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