Control de asma en adolescentes

Abstract

Assessment of disease control among asthmatic adolescents Background: The clinical assessment of asthma control is fundamental to evaluate the results of treatment. The Asthma Control Test (ACT) is a questionnaire with five scored items, that differentiates between a well controlled or uncontrolled asthma. It has a Spanish version and has been applied in different countries. Aim: To assess asthma control using the ACT and compare it with the clinical assessment of specialists in a group of pediatric patients. Material and methods: The ACT was applied to 220 adolescents aged 12 to 17 years, 54% males, with persistent asthma, attended at a respiratory disease unit of a pediatric hospital. The concordance between ACT results and the assessment of specialists was also evaluated. Results: According to ACT and specialists, asthma was controlled in 54% and 63% of patients, respectively. There was a weak concordance between ACT and specialists assessment (Kappa Index: 0.27; 95% confidence intervals: 0.14-0.4). The degree of asthma control decreased along with increasing severity of the disease (χ 2 = 10.128, p =0.001). Conclusions: Half of the evaluated asthmatic adolescents do not have an adequate control of their disease. Severity of the disease is inversely related to the degree of control (

Impacto del asma en escolares de dos centros de salud primaria

“…Dado que la mayoría de los pacientes corresponde a asma no-severo es posible especular que el control de la enfermedad no guarda estricta relación con la categorización de severidad 35,36 , y que pese a que el asma severo, tiene peor CVRS y mayores gastos, los pacientes menos severos también tienen indicadores de asma mal controlado, evidenciado en el alto uso de broncodilatadores de rescate. Estos resultados son congruentes con lo reportado en la literatura nacional 37 .…”

Altered fire regimes modify lizard communities in globally endangered Araucaria forests of the southern Andes

“…Surveys took place during December and January of the 2018/2019 summer season. Transects were conducted between 11:00 a.m. and 6:00 p.m. due to greater lizard activity, and when air temperature in the shade was higher than 15 °C 40 . Transect lengths averaged 245 m and ranged from 83 to 440 m, varying according to field conditions (i.e.…”

“…Transect width was truncated following advice on distance sampling methods 72 , which varied by species. Minimum distance between transects was based on average lizards’ home-ranges 40 , to avoid recording same individuals in different sampling units.…”

“…We also investigated habitat attributes, in terms of vegetation and CWD, associated with observed lizard density patterns in burned and unburned forests. We studied lizard species because (1) of the large proportion of endemic species in Chile 40 ; (2) ecological knowledge regarding these species is limited in Chile 30 , 34 ; (3) many have poor conservation status or are under-assessed 41 , 42 ; (4) they occur in different habitat and microhabitat conditions 38 ; and (5) they have been observed to be very sensitive to habitat modification 43 , 44 . We expected that fires would modify lizard richness and density in Araucaria forests, determined by functional traits associated with natural history (e.g., arboreality, ground-dwelling).…”

The northernmost record of King’s Tree Iguana, Liolaemus kingii (Bell, 1843) (Reptilia, Liolaemidae), in Chile

“…This species is included in the kingii group (Cei 1986), belonging to the subgenus Eulaemus, section lineomacu latus (Olave et al 2014). The kingii group includes 13 species and five candidate species (Olave et al 2014), all present in Argentina; six of them are also present in Chile: L. chacabucoense, L. escarchadosi, L. kingii, L. sarmientoi, L. scolaroi, and L. zullyae (Veloso and Navarro 1988;Núñez and Jaksic 1992;Vidal and Labra 2008;Olave et al 2014;Demangel 2016; Ruiz de Gamboa 2016; Mella et al 2018). In Argentina, Liolaemus kingii is widely distributed, inhabiting from northern Chubut Province to south-central Santa Cruz Province, and from the Atlantic coast to the border with Chile (Pincheira-Donoso and Núñez 2005;Breitman et al 2013;Minoli et al 2015), at an altitudes from 0 to 1,340 m a.s.l (Pincheira-Donoso et al 2008).…”