Clinical importance of identifying immunoglobulin E-mediated disease in patients with Asthma
Clinical Cornerstone, 10/01/2009
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Casale TB et al. – Updated Expert Panel 3 asthma guidelines from the National Asthma Education and Prevention Program reinforce the need for clinicians to identify allergic sensitivities in patients with persistent asthma and determine their clinical relevance ... useful in educating the patient with IgE–mediated asthma about the need for allergic trigger avoidance and can help determine optimal therapy for patients with concomitant asthma and allergy. Implementing this guideline recommendation, however, requires active clinical engagement. Data from a ... clinicians participate in education about the role of IgE in asthma and begin testing their patients for allergy, the recognition of allergies among patients with asthma dramatically increases.
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Consistently very poorly controlled asthma, as defined by the impairment domain of the Expert Panel Report 3 guidelines, increases risk for future severe asthma exacerbations in The Epidemiology and Natural History of Asthma: Outcomes and Treatment Regimens (TENOR) study
Journal of Allergy and Clinical Immunology, 10/09/2009
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Haselkorn T et al. – Consistently VPC asthma, as defined ... by the impairment domain of the 2007 asthma guidelines, is strongly predictive of future asthma exacerbations.
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The Saudi Initiative for asthma
Annals of Thoracic Medicine, 10/13/2009
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Al–Moamary MS et al. – Approaches to asthma treatment in SINA are based on disease control by the utilization of Asthma Control Test for the initiation and adjustment of asthma treatment. This guideline is established for the treatment of asthma in both children ... special attention to children 5 years and younger. It is expected that the implementation of these guidelines for treating asthma will lead to better asthma control and decrease patient utilization of the health care system.
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Bone mineral density and fractures in older men with chronic obstructive pulmonary disease or asthma
Osteoporosis International, 10/13/2009
Dam TT et al.COPD or asthma was associated with lower BMD at the spine and hip and increased risk of vertebral and nonvertebral fractures independent of age, clinic site, BMI, and smoking. A history of COPD or asthma may be a useful clinical risk factor to ... Fractures in Men Study History of COPD or asthma, current treatment with corticosteroids, BMD, bone loss after 4.5 years and fractures ascertained Results- 714 (13%) men reported COPD or asthma, of which 103 were prescribed an oral steroid and 177 an inhaled ... or asthma had the lowest BMD and 2-fold increased risk of vertebral osteoporosis compared to men with no history of COPD or asthma
- During follow-up, BMD increased at spine, but no difference in bone loss at hip
- Men with COPD or asthma had 2.6- and 1.4-fold increased risk of ... vertebral and nonvertebral fractures, respectively
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Identification of Asthma Phenotypes using Cluster Analysis in the Severe Asthma Research Program
American Journal of Respiratory and Critical Care Medicine, 11/09/2009
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Moore WC et al. – Five distinct clinical phenotypes of asthma have been identified using unsupervised hierarchical cluster analysis. All clusters contain subjects who meet the ATS definition of severe asthma ... which supports clinical heterogeneity in asthma and the need for new approaches for the classification of disease severity in asthma.
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Budesonide/formoterol pressurized metered-dose inhaler: a guide to its use in asthma
Drugs & Therapy Perspectives, 10/16/2009
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The corticosteroid budesonide and the long-acting beta2-adrenoceptor agonist formoterol have been combined into a single pressurized metered–dose inhaler (pMDI). The combination pMDI improves lung function, asthma control, asthma symptoms and asthma–related quality ... outcomes in patients with persistent asthma that is mild to moderate or moderate to severe.
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Clinical study of the effects on asthma-related QOL and asthma management of a medical food in adult asthma patients
Current Medical Research and Opinion, 10/09/2009
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Lindemann J et al. - The dietary addition of the medical food EFF1009 to asthma management regimens can improve patient perceived, ARQOL and can also improve asthma management as evidenced by reduced asthma ... symptoms. An additional study of the medical food, with larger subject population and longer treatment duration, is warranted to confirm these findings.
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What's New in Alternative Therapies for Asthmatic Children
Journal of Community Health Nursing, 11/06/2009
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medicine for pediatric asthma. This integrative review searched scientific literature in PubMed and WEB of Science from 2004 to 2009 via key terms: asthma complementary medicine, nursing complementary pediatric asthma, asthma herbal, and herbal pediatric asthma. Nine journal articles met the ... asthma. Evidenced–based research on this focus topic is still in its initial stages. Two themes of maximizing the diet and augmenting conventional therapy with Traditional Chinese Medicine may serve as conduits of patient education.
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Effectiveness of Asthma Education with and Without a Self-Management Plan in Hospitalized Children
Journal of Asthma, 11/10/2009
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Espinoza–Palma T et al. – Asthma education with or without a self–management plan during asthma hospitalization were effective in reducing exacerbations, emergency visits, oral ... This evidence supports the importance of providing a complete asthma education plan in any patient who is admitted for asthma exacerbation.
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The effects of birthweight and breastfeeding on asthma among children aged 1-5 years
Journal of Paediatrics and Child Health, 10/27/2009
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Xu X et al. – Using a categorical variable, low birthweight was positively associated with childhood asthma. Furthermore, authors detected an interaction between birthweight and breastfeeding on childhood asthma. Breastfeeding had a ... effect on asthma among children with high birthweight while it had no significant effect on asthma among children with normal birthweight or LBW.
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