Characterisation of a paediatric population referred for a dysfunctional breathing assessment

Dysfunctional breathing (DB) is recognised as a modifiable factor in asthma management, and a differential diagnosis for exercise induced breathlessness (EIB). Recognition of DB can prevent excessive use of drug therapy. Further characterisation of this population seeks to assist clinicians in guiding referral for breathing retraining.Consecutive referrals to a dysfunctional breathing physiotherapy clinic were audited between 06/18 and 05/20. Patients with incomplete data sets were omitted. 77 referrals were included (7-17y (median 12y)). 24 (31%) had a confirmed asthma diagnosis, and asthma had been investigated and excluded in 38 (49%). Of that 38, 18 had continued their asthma medication. 17 (22%) had attended A&E with shortness of breath and 19 (25%) referrals mentioned induced laryngeal obstruction (ILO). 59 CYP (77%) presented with exercise induced symptoms, only 14/59 (25%) with breathlessness alone and 38/59 (49%) with breathlessness plus other symptoms including chest tightness, and chest pain. 18/77 referrals did not report exercise induced symptoms and of these 8 presented with anxiety and 5 with suspected habit cough. 28 (36%) of referrals mentioned anxiety. 23 (30%) participated in competitive sport or regular training reporting reduced performance and participation.Onset of breathing difficulty appears to occur in early or pre-adolescence. This may be accounted for by the pubertal growth spurt or changes in exercise habits or symptom awareness.Breathing retraini...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Paediatric asthma and allergy Source Type: research

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Source: Annals of Allergy, Asthma and Immunology - Category: Allergy & Immunology Source Type: research
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Source: Annals of Allergy, Asthma and Immunology - Category: Allergy & Immunology Source Type: research
In the article “New treatments for chronic urticaria” by P Kolkhir et al (Ann Allergy Asthma Immunl 2020:124(1): 2-12), the following text has been removed. The article has been corrected online at https://doi.org/10.1016/j.anai.2019.08.014.
Source: Annals of Allergy, Asthma and Immunology - Category: Allergy & Immunology Source Type: research
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Source: Annals of Allergy, Asthma and Immunology - Category: Allergy & Immunology Authors: Tags: Editorial Source Type: research
We thank the respondents to our article1 for their insightful comments. Although we have matched subjects in both cohorts by age, sex, comorbidities, and index date, Lin et  al2 indicate a lack of adjustment for co-medication status, including the use of corticosteroids and disease-modifying antirheumatic drugs (DMARDs), in the propensity score. We agree that these medications are important confounders on fracture. We therefore had conducted multivariate analysis in t he published article by adjustment for corticosteroids, DMARDs, and phototherapy.
Source: Annals of Allergy, Asthma and Immunology - Category: Allergy & Immunology Authors: Tags: Commentary Source Type: research
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Source: Annals of Allergy, Asthma and Immunology - Category: Allergy & Immunology Authors: Tags: Correspondence Source Type: research
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Source: Allergy, Asthma and Immunology Research - Category: Allergy & Immunology Tags: Allergy Asthma Immunol Res Source Type: research
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Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized COVID-19 News Desk wire Source Type: news
Conclusion The results obtained from this research shows, in general, the fragility in the social and political infrastructure necessary to improve the living conditions of populations, particularly those that depend on family agriculture in drought prone areas. The conditions of social, economic and environmental vulnerabilities presented in the region can be amplified by the drought process, and can aggravate the impacts resulting drought events, thus disadvantaging the population of this region, as shown in the Fig. 1. The general perception of the interviewees of the health sector shows an agreement with what is found...
Source: PLOS Currents Disasters - Category: International Medicine & Public Health Authors: Source Type: research
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