Prenatal Effects of Tobacco Exposure

It is particularly dispiriting that despite mounting evidence as to the deleterious effects of maternal tobacco smoking both pre- and post-natal on the child, mothers continue to smoke. A 2011 publication analyzing data from 1965 to 2008, estimated that anywhere from 22 to 34 percent of American women of reproductive age smoke cigarettes. It is thus a major public health concern due to predictable adverse outcomes and neurodevelopmental deficits in offspring.

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Is Yoga Efficacious in Asthma?

Almost every health professional has been told by a patient that standard asthma treatment produces undesirable side effects, and that a better replacement exists in one or more forms of alternative medicine. Yoga is regarded as a form of mind-body practice and is the sixth most commonly form of complementary…

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It's time for ABC in Asthma

The goal of treatment in asthma is to attain control of the disease. This requires a team approach with the patient being an essential member of the team. Control of asthma is beneficial in that it improves the quality of life for the patient and reduces health care costs.

Controlling asthma is not easy for either patients or health care providers. From the patient’s perspective there are the environmental reduction and avoidance measures that are of primary importance. Then there are the medications, different…

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Asthma and Migraine – a Link?

Leukotrienes play a major role in asthma, which is a chronic inflammatory disease. Inflammatory mediators instigate the contraction of airway smooth muscle and cause inflammation and damage to the lining of the airways. Inflammation is also present in migraine where there is both dilation and constriction of blood vessels. Inflammation then may be the common link between…

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The Yin and Yang of Steroids

In Chinese philosophy, yin represents the negative and yang represents the positive, and their interaction influences the destiny of individuals. So it is with steroids, the most widely used drugs in the world for the treatment of immune and inflammatory diseases. Unfortunately, steroids are non-specific in their action and…

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Anaphylaxis - an Update

Anaphylaxis, from the Greek, means ‘without protection’. The World Health Organization defines anaphylaxis as a “serious, life-threatening, generalized or systemic, allergic or hypersensitivity reaction with sudden onset (minutes to a few hours)”. Anaphylaxis has been seen from infants as young as 2 weeks of age to the elderly. Neugut et al investigated the epidemiology of anaphylaxis in the United States and…

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Treating Anaphylaxis - the Parental Dilemma

The beginning of school or a major holiday is often the time when parents discover that they not only have a child with allergies, but that the allergy is serious enough to cause death. This then is their first contact with anaphylaxis. Derived from the Greek and meaning ‘without protection’, anaphylaxis implies that the body’s natural defence systems are lowered. This can be fatal. Anaphylaxis has been known to occur in infants as young as . . .

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Effect of Second-hand Smoke on Children

The symptomatic response to SHS, and its severity, depends not only on the child but also on the duration of exposure. Prenatal exposure due to maternal smoking has a long-term effect on the child’s respiratory health. The evidence linking asthma with maternal smoking during pregnancy is clearly established, and postnatal exposure to parental smoking is associated with . . .

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Sleep Deprivation in Asthma - Part 2

The quality of sleep is affected even in patients with clinically stable asthma. A study of 74 children, 40 of whom had well-controlled and stable asthma, found that in comparison to their controls, the children with asthma had poorer sleep quality. There was a significant correlation between peak flow readings and…

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Sleep Deprivation in Asthma – Part 1

Sleep is defined medically as a physiologic state of relative unconsciousness and inaction of the voluntary muscles, the need for which occurs periodically. Another definition describes sleep as a "natural and periodic state of rest during which consciousness of the world is suspended." Sleep is no longer considered a passive state but…

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Ozone Air Purifiers

Ozone, a triatomic molecule, consists of three oxygen atoms. Two of these form the basic oxygen molecule necessary for life, while the third acts like a free agent, combining with other substances that react with organic material to form substances that can endanger health. Ozone is a toxic gas.

Outdoor ground-level ozone, a component of smog, is the result of interaction between . . .

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Summary of New Rhinosinusitis Guidelines

Updated clinical practice guidelines for adult sinusitis have just been published. Since sinusitis is almost always attended by inflammation of the nasal mucosa, the term rhinosinusitis is used through the document.

Rhinosinusitis is classified by duration: acute rhinosinusitis (ARS) lasts for less than four weeks, while chronic rhinosinusitis…

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