Current transition management of adolescents and young adults with allergy and asthma: a European survey
ConclusionAlthough there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.
No one needs to wonder whether we have all become more stressed, more anxious, and even more depressed in the past 6 months amid the worst pandemic in over 100 years. Fear of infection with the possibility of illness and even death is accompanied by frustrations and anxieties over the adverse impact that this virus has had on our lives —personal and professional. Most of us are creatures of habit—we like what we like, the way we like it, and when we like it. In the beginning of the pandemic, we were all scared enough that when the shutdown occurred, most of us were more worried about ourselves, our families, an...
This study analyzed cross-sectional datasets of adults (aged ≥ 40 years) in the Korean National Health and Nutrition Examination Survey 2010-2016. Health-related QoL was assessed using the 3-level EuroQoL 5-dimension component (EQ-5D-3L) index score. The presence of chronic cough and other conditions were defined using structured questionnaires. RESULTS: The prevalence of chronic cough was 3.48% ± 0.17% among adults aged ≥ 40 years. The overall EQ-5D-3L index score was significantly lower in subjects with than without chronic cough (0.79 ± 0.01 vs. 0.86 ± 0.00, P
Publication date: September 2020Source: The Journal of Allergy and Clinical Immunology: In Practice, Volume 8, Issue 8Author(s): Chiun Yu Hsu, Heather K. Lehman, Beatrice L. Wood, Jaspreet Benipal, Quratulain Humayun, Bruce D. Miller
By HANS DUVEFELT, MD Now that we are seeing patients via telemedicine or even getting reimbursed for handling their issues over the phone, our existing healthcare institutions are more and more starting to look like shopping malls. They were once traffic magnets, so large that they created new developments far away from where people lived or worked and big and complex enough that going there became an all day affair for many people. What this pandemic has brought us is a shift in our view of where you have to be in order to get things done. If you can earn your wage remotely and still buy things online...
CONCLUSION: Future large studies with a prospective design should determine whether and how stressors or stress cause or worsen asthma in adolescents. At present, clinicians should assess exposure to stressors (e.g., violence or abuse) and screen for anxiety and depressive disorders when caring for adolescents with asthma, providing referrals to social workers or mental health professionals when appropriate. Public health policies are needed to reduce psychosocial stressors such as gun violence and racism in adolescents. PMID: 32653405 [PubMed - as supplied by publisher]
ConclusionsIndividual risk assessment in older individuals should focus on inhaler technique performance (mainly on dose activation and end pause) and adherence, smoking, respiratory comorbidities and cognitive impairment. Placebo device training provided by doctors seems to best suit these patients.
PMID: 32564929 [PubMed - in process]
Evidence for the relationship between allergic diseases and mental health concerns has been steadily accumulating over the past 30 years. This body of research has established robust connections between allergic diseases and a variety of psychiatric symptoms, including stress, anxiety, and depression.1 Moreover, the relationship between particular allergic diseases, such as asthma, and psychiatric symptoms of stress, anxiety, and depression is particularly well-documented.1,2 This relationship warrants attention, given its implications for patient health and functioning both within and outside the allergist ’s office.
Evidence of the relationship between allergic diseases and mental health concerns has been steadily accumulating during the past 30 years. This body of research has established robust connections between allergic diseases and a variety of psychiatric symptoms, including stress, anxiety, and depression.1 Moreover, the relationship between particular allergic diseases, such as asthma, and psychiatric symptoms of stress, anxiety, and depression is particularly well documented.1,2 This relationship warrants attention, given its implications for patient health and functioning within and outside the allergist's office.
Atopic dermatitis (AD) is a chronic inflammatory skin disease that has been of great interest to the practicing allergists because, in childhood, it is recognized as the first step in the atopic march that leads to food allergy, allergic rhinitis, and asthma.1 Recent advances in our understanding of the complex pathobiology of AD reveal an important role for skin barrier dysfunction, genetic variation (particularly filaggrin mutations), environmental factors, and the microbiome and immune pathway polarization.