Guidelines management of asthma in a busy urban practice

Foggs, Michael B.

doi:10.1097/mcp.0b013e3282f30234

Cited by 5 publications

(5 citation statements)

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“…In the new asthma guidelines, the definition of asthma severity is linked not only to the severity of symptoms at initial presentation, but also to the degree of persistent residual symptoms and the number of medications that are needed to maintain control of asthma 8, 9. For example, it is apparent that a person with asthma who does well with monotherapy with an anti‐inflammatory medicine is very different than a person with chronic persistent asthma who had mild asthma symptoms despite taking three medications.…”

Section: Discussionmentioning

confidence: 99%

“…The new classification of depression we have proposed in Table 1 includes both the presence and severity of residual symptoms and number of treatment trials that were needed to optimize clinical response. Asthma guidelines also emphasize that attention needs to be focused on adherence to the medical regimen, environmental triggers, and identification and treatment of any comorbidity that may precipitate or aggravate asthma 8, 9. In depression, poor adherence,31 ongoing chronic psychosocial stressors,32 and psychiatric and medical comorbidity3, 11, 12 may also lead to poor disease control and need to be evaluated and addressed.…”

Section: Discussionmentioning

confidence: 99%

“…The classification of patients with asthma into one of these categories is then associated with specific treatment management guidelines. In development of guidelines on asthma there is tacit acknowledgment that many patients have chronic or episodic symptoms despite being treated with multiple medications 9…”

Section: Introductionmentioning

confidence: 99%

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Major depression: the importance of clinical characteristics and treatment response to prognosis

Katon

Unützer²,

Russo

2010

Depress. Anxiety

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Major depression: the importance of clinical characteristics and treatment response to prognosis

Katon

Unützer²,

Russo

2010

Depress. Anxiety

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“…Stoloff 6 described patientcentered objectives for implementing expert guidelines in primary care. To adapt and apply EPR3 guidelines to high-risk, urban patients with asthma, Foggs 7 recommended addressing literacy and cultural and ethnic beliefs to achieve optimal outcomes. Eighty-eight percent of pediatricians responding (57/106) to a survey of asthma care practices in an urban setting reported using National Asthma Education and Prevention Program (NAEPP) guidelines.…”

Section: Summarizing and Implementing Asthma Guidelinesmentioning

confidence: 99%

Pediatric Asthma Management

Francisco

Rood

2011

Journal of Asthma & Allergy Educators

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The purpose of this article is to provide a useful index to English-language, scientific publications (2007English-language, scientific publications ( -2008 related to pediatric asthma management. The authors first surveyed abstracts to identify studies likely to affect the practice and research direction of asthma and allergy educators. To accomplish the goal of providing a comprehensive overview of the literature, only brief descriptions of selected studies are provided. The authors have not attempted to describe and critique research designs or discuss implications of findings. Expert panel reports are specifically designed to accomplish these important goals. However, approximately 5 years lapse between expert panel reports (or updates). In the interim, the authors believe that a year-by-year review of new research will be useful to many people. The draft version of Expert Panel Report 3 was released in January 2007, so the review began with that date. The authors hope this approach will stimulate interest in and improve access to the literature, facilitate collaboration, and perhaps inspire new thinking that could move the asthma and allergy educator community along a little faster in the common effort to reduce asthma burden among children.T he purpose of this article is to provide a useful index to English-language, scientific publications (2007 and related to pediatric asthma management. We first surveyed abstracts to identify studies likely to affect the practice and research direction of asthma and allergy educators. To accomplish the goal of providing a comprehensive overview of the literature, we have provided only brief descriptions of selected studies. We have not attempted to describe and critique research designs or discuss implications of findings.Expert panel reports 1 are specifically designed to accomplish these important goals. However, approximately 5 years lapse between expert panel reports (or updates). In the interim, we believe that a year-by-year review of new research will be useful to many people. The draft version of Expert Panel Report 3 (EPR3) was released in January 2007, so our review began with that date. We hope this approach will stimulate interest in and improve access to the literature, facilitate collaboration, and perhaps inspire new thinking that could move the asthma and allergy educator community along a little faster in the common effort to reduce asthma burden among children.Our original search strategy yielded 493 articles for the years 2007, 2008, and 2009. We limited part 1 of this endeavor to the years 2007 and 2008 to keep to a reasonable article length. The number and importance of publications in 2009 warrants a separate article. Of the more than 250 eligible articles from 2007 and 2008, many have been excluded from this index.Excluded studies included those focused solely on education of health professions students, reports or discussions of interventions not accompanied by results, very small studies with inconclusive results, reports of participant evaluat...

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“…This may result in coughing, wheezing, chest tightness and shortness of breath with symptoms often worse at night. Narrowing of the airways is usually reversible with appropriate pharmacological intervention, but in patients with chronic infl ammatory condition it leads to irreversible airfl ow obstruction [1][2][3]. Characteristic pathology of asthmatic airways displays lung hyperinfl ation, smooth muscle hypertrophy, mucosal edema, lamina thickening, epithelial cell sloughing, cilia disruption and mucus hyper-secretion.…”

mentioning

confidence: 99%

Pulmonary Rehabilitation Using Regular Physical Exercise for the Management of Patients with Asthma

McDonald¹,

Ram²

2017

J Nov Physiother Phys Rehabil

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Background: Regular physical activity increases physical fi tness and lowers ventilation during mild and moderate exercise thereby reducing the likelihood of provoking exercise-induced asthma. Regular exercise may also reduce the perception of breathlessness through a number of mechanisms including strengthening respiratory muscles. Subjectively, many asthmatics report that they are symptomatically better when fi t, but results from trials have varied and have been diffi cult to compare because of different designs and training protocols.Objectives: To assess evidence for the effi cacy and effectiveness of regular physical training in patients with asthma. We searched the Cochrane database, Medline, Sportdiscus and Science citation index. Randomised trials in asthmatic patients undertaking regular physical training aged 7 years and older were considered for inclusion. Regular physical training had to involve at least 20 minutes, 2 to 3 times a week, over a minimum of four weeks. Results:Eight studies could be included in this review. Physical exercise had no effect on resting lung function or the number of days of wheeze. Physical exercise improved cardiopulmonary fi tness as measured by an increase in maximum oxygen uptake of 4.9 ml/kg/min (95% confi dence interval 3.9 to 5.8). Regular exercise did not decrease any lung function measures. There were no data concerning quality of life measurements. Conclusion:In patients with asthma, pulmonary rehabilitation using regular exercise improves cardiopulmonary fi tness without changing lung function. There is no reason to withhold regular physical exercise in patients with asthma for the fear of deteriorating lung function. It is not known whether improved fi tness is translated into improved quality of life. https://www.peertechz.comchronically infl amed with a typical infl ammatory infi ltrate, and that infl ammatory processes are important in causing the main characteristics of asthma of airways obstruction and bronchial hyper-responsiveness. As a result of infl ammation the airways are hyper-responsive and they narrow easily in response to a wide range of stimuli. This may result in coughing, wheezing, chest tightness and shortness of breath with symptoms often worse at night. Narrowing of the airways is usually reversible with appropriate pharmacological intervention, but in patients with chronic infl ammatory condition it leads to irreversible airfl ow obstruction [1][2][3]. Characteristic pathology of asthmatic airways displays lung hyperinfl ation, smooth muscle hypertrophy, mucosal edema, lamina thickening, epithelial cell sloughing, cilia disruption and mucus hyper-secretion. Its pathology is further characterized by the presence of increased numbers of eosinophils, neutrophils, lymphocytes, and plasma cells in the bronchial tissues, bronchial secretions, and mucus.

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Guidelines management of asthma in a busy urban practice

Cited by 5 publications

References 14 publications

Major depression: the importance of clinical characteristics and treatment response to prognosis

Major depression: the importance of clinical characteristics and treatment response to prognosis

Pediatric Asthma Management

Pulmonary Rehabilitation Using Regular Physical Exercise for the Management of Patients with Asthma

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