Who is speaking asthma? - Part 2

Parents and children listed other symptoms that herald an asthma exacerbation. They listed the early markers of an exacerbation as headache, stomach ache, fatigue, dizziness, throat pain, throat  tightening, and malaise. When asked how they knew their children were having an asthma exacerbation, they provided the following observations:

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Who Is Speaking Asthma? - Part 1

Medical terminology has held both a degree of fascination and intimidation for patients who are unfamiliar with it. Between health care professionals, the use of terminology is deliberate and easily understood. It aids communication and becomes a shorthand for conveying a volume of information in a few words. However, while it is helpful for health care professionals, one needs to carefully examine and even question . . .

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Inflammation and Airway Remodeling

Asthma has been defined as a chronic inflammatory disease of the airways characterized by airway obstruction which is at least partially reversible with or without medication, and increased bronchial responsiveness to a variety of stimuli.1 Today, the primary emphasis in treatment is on the reduction of inflammation. Inflammation is the body's response to injury or . . .

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What You Eat Affects How You Breathe

For asthmatic children with allergies to food the statement that what you eat affects breathing is simple to understand. Allergic reactions to food that cause respiratory symptoms are also known in occupational asthma. The allergic response can affect not only the skin and gastrointestinal tract but can be a trigger for asthma resulting in symptoms such . . .

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What is CAM and Who is Using it?

Complementary and Alternative Medicine (“CAM”), also known as Integrative Medicine, is a diverse field covering a variety of treatments that are provided by practitioners with varying degrees of training. CAM can be classified into five areas that include:
1)    alternative medical systems
2)    biologic-based therapies
3)    energy therapies . . .

 

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Patient-Centered Care - Part 1

In 2001, the Institute of Medicine defined Patient-centered care (PCC) as one that “establishes a partnership among practitioners, patients and their families (when appropriate) to ensure that decisions respect patients’ wants, needs, and preferences and solicit patients’ input on the education and support they need to make decisions and participate in their own care.” The NAEPP Expert Panel 3: *Guidelines for the Diagnosis and Management of Asthma . . .

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The Patient’s Perspective on Asthma

For a long time, research on asthma has been focussed on the disease and its pathophysiology, the medications, and ways in which patients can be made more compliant. In comparison, little has been done to gather information on how patients perceive the disease and its treatment. As more and more attention is paid to helping patients to manage and control the disease, it becomes necessary to understand how patients view the disease…

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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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