2013年9月28日星期六

Understanding The Various Treatments For Asthma



The purpose of asthma treatment is to prevent symptoms and to effectively control long-term asthma attacks. Treatment starts with educating the patient or the patient’s parents if the patient is young, about the symptoms of asthma and those things that may trigger an asthma attack. Treatment may include oral medications, inhalers and avoidance of what triggers the asthma attacks. Triggers vary from patient to patient.




If you recognize what triggers your symptoms of asthma you can avoid those triggers or minimize your exposure to them which will then lessen or eliminate your asthma attacks. Many things trigger asthma including irritants, allergens, respiratory infections, exercise and weather. One irritant trigger is dust. If a person’s asthma is triggered by dust they should have someone else dust the house and be sure to take measures to minimize dust especially in the bedroom.




Treatments for asthma include long-term control medications, inhaled corticosteroids, and rescue inhalers. There are many things that determine what medications will be right for your asthma symptoms including the age of the patient, the particular triggers that cause the asthma and your history of prior treatment and the success you had using those treatments.




There are various medications used to treat asthma. Rescue or quick-relief inhalers are used to quickly open airways during an asthma attack. Rescue inhalers may include one of the following medications:




Short-acting beta agonists such as Albuterol, Levalbuterol or Pirbuterol.




Ipratropium, which is a bronchodilator.




Oral and intravenous corticosteroids, which decrease inflammation in the airway.




If allergens are determined to cause asthma you will be prescribed allergy medications. Inhaled corticosteroids are medications that take several days to weeks to reach the full benefit level but have long-term success with low risk of side effects and are safe for patients to use over long periods of time. Oral medications such as leukotriene modifiers are used to prevent asthma symptoms for up to 24 hours after they are taken. Theophylline is a daily pill that is used to help keep airways open and relax the muscles around the airways so breathing is easier. This was a commonly used medication years ago but not used as much nowadays.




If allergies are determined to be a trigger for asthma it is important to take measure to control allergic reactions. Immunotherapy or allergy shots have been used successfully to reduce the allergic reaction experienced by exposure to certain allergens. A person will be tested to discover what the allergens are and then be given an allergy shot schedule; usually once a week for a few months, and then once a month for a period of one to five years depending on how severe the allergy has been determined to be.




Allergy medications can be oral or nasal spray and are usually a combination of antihistamines and decongestants. Corticosteroid, Cromolyn and Ipratropium nasal sprays are commonly used to control allergy symptoms.




Your doctor will discuss various treatment plans with you and your input will be important when deciding what treatment plan is best for you. Your treatment plan may change during the year especially if you have seasonal allergies, have asthma that is triggered by cold weather or participate in sports only part of the year.




Treatment typically is a combination of avoidance, lifestyle changes, medications and patient education about asthma. The treatment plan should be in writing with a way to measure success. Your doctor will want to have follow-up appointments in order to access how well your asthma is being controlled and to adjust your treatment plan to be sure that your asthma is well controlled.




If you would like to know more about Asthma and it’s remedies then click on ASTHMA AND TREATMENT below.


Genetic Risks for Asthma May Persist Into Adulthood: MedlinePlus

Genetic Risks for Asthma May Persist Into Adulthood: MedlinePlus


 







Genetic Risks for Asthma May Persist Into Adulthood


Continued disease, quality-of-life issues remain more likely, study found


By Robert Preidt

Friday, June 28, 2013



HealthDay news image

FRIDAY, June 28 (HealthDay News) — People with more genetic risks for asthma are not only more likely to develop the disease in childhood, but also more likely to continue to have asthma into adulthood, according to a new study.
Previous studies have linked several genes to increased asthma risk, so the researchers wanted to investigate the cumulative effect of those genes.
For the study, they analyzed data from 880 people in New Zealand who have been followed since they were born in 1972 or 1973. Those with more genetic risks for asthma developed asthma earlier in life than those with fewer genetic risks. Among study participants who developed asthma in childhood, asthma that persisted into adulthood was more likely in those with more genetic risks.
These patients also had more allergic reactions associated with severe and persistent asthma and developed lung function problems. Their quality of life also suffered because they missed work and school more often and were admitted to hospital more often due to asthma.
The study appears June 28 in The Lancet Respiratory Medicine.
“We’ve been able to look at how newly discovered genetic risks relate to the life course of asthma at an unprecedented level of resolution,” Daniel Belsky, a postdoctoral fellow at the Duke Institute for Genome Sciences and Policy and the Center for the Study of Aging and Human Development, said in a university news release.
However, much more research is needed before it may be possible to use genetic risk scores for asthma in patients, he noted.
“It will be important to explore how these genetic risks play out in environments that differ in terms of air pollution or other important, modifiable factors,” Belsky said.
He added that the study could lead to a better understanding of the biology of asthma and help efforts to develop new ways to prevent and treat asthma, which affects 26 million people in the United States.



SOURCE: Duke University, news release, June 27, 2013


HealthDay



More Health News on:

Asthma

Asthma in Children

Genes and Gene Therapy


CDC Features - May is Asthma Awareness Month

CDC Features – May is Asthma Awareness Month


May is Asthma Awareness Month



Photo: Father and sonAsthma is one of the most common lifelong chronic diseases. There are almost 26 million Americans living with asthma. The disease affects the lungs, causing repeated episodes of wheezing, breathlessness, chest tightness, and coughing. Although asthma cannot be cured, it is possible to manage asthma successfully to reduce and prevent asthma attacks, also called episodes. Successful asthma management includes knowing the warning signs of an attack, avoiding things that may trigger an attack, and following the advice of your healthcare provider. Using what you know about managing your asthma can give you control over this chronic disease. When you control your asthma, you will breathe better, be as active as you would like, sleep well, stay out of the hospital, and be free from coughing and wheezing. To learn more about how you can control your asthma, visit CDC’s asthma site.
Photo: A woman with an asthma inhalerAsthma affects people of all ages and backgrounds. In most cases, we don’t know what causes asthma, and we don’t know how to cure it. Certain factors may make it more likely for one person to have asthma than another. If someone in your family has asthma, you are more likely to have it. Regular physical exams that include checking your lung function and checking for allergies can help your healthcare provider make the right diagnosis. With your healthcare provider’s help, you can make your own asthma management plan so that you know what to do based on your own symptoms. Use your asthma medicine as prescribed and be aware of common triggers in the environment known to bring on asthma symptoms, including smoke (including second-hand and third-hand cigarette smoke), household pets, dust mites, and pollen. Limit or avoid exposure to these and other triggers whenever possible. The important thing to remember is that you can control your asthma.
To learn about the burden of asthma in the 36 states and territories funded by CDC’s National Asthma Control Program, see our new Asthma State Profiles.


 

More Information



National Recreation and Park Association"s Certified Park and Recreation Professional Test - NRPA CPRP Exam Secrets Study Guide

National Recreation and Park Association’s Certified Park and Recreation Professional Test – NRPA CPRP Exam Secrets Study Guide



NRPA CPRP Exam Secrets Study Guide – Buy Online

- How to Ace the National Recreation and Park Association’s Certified Park and Recreation Professional Examination without weeks and months of endless studying.


If you’d like to get the NRPA CPRP exam score you deserve, to quit worrying about whether your NRPA CPRP exam score is “good enough,” and to beat the test taking game so you can progress in your career, then this might be the most important message you read this year.


Our comprehensive NRPA CPRP exam study guide is written by our NRPA CPRP exam experts, who painstakingly researched every topic and concept you need to know to ace your NRPA CPRP exam. Our original research into the Certified Park and Recreation Professional (CPRP) exam, offered by the National Recreation and Park Association (NRPA), reveals specific weaknesses that you can exploit to increase your NRPA CPRP exam score more than you’ve ever imagined.



For More Informaion Please Click Here


Best Wishes


What Are Sinkholes and Where Do They Occur?

What Are Sinkholes and Where Do They Occur?



What Are Sinkholes and Where Do They Occur?


If you heard recent news reports about a devastating sinkhole in Florida, you may be wondering how this type of event occurs. 

According to the U.S. Geological Survey (USGS), sinkholes are most common in karst terrain, or regions where the rock below the land surface is soluble. When water from rainfall moves down through the soil, the rock begins to dissolve, creating spaces and caverns underground. If the underground spaces get too big, a sudden collapse occurs.


A


bout 20% of the United States is susceptible to sinkhole events, but the most damage tends to occur in Florida, Texas, Alabama, Missouri, Kentucky, Tennessee, and Pennsylvania.

Detailed geologic mapping, which defines areas of soluble rock at the surface and subsurface, can help educate land planners and policy makers about sinkhole risk.


If you know that you live in an area underlain by soluble rock, check your property for holes in the ground or cracks in your structure’s foundation.

Learn more about the science of sinkholes from the U.S. Geological Survey.




Airway microbiota and bronchial hyperresponsiveness in patients with suboptimally controlled asthma

Airway microbiota and bronchial hyperresponsiveness in patients with suboptimally controlled asthma
Yvonne J. Huang, MD



Affiliations
Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of California, San Francisco, Calif
, Craig E. Nelson, PhD
AffiliationsMarine Science Institute, University of California, Santa Barbara, Calif
, Eoin L. Brodie, PhD
AffiliationsEarth Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, Calif
, Todd Z. DeSantis, MS
AffiliationsEarth Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, Calif
, Marshall S. Baek, BS
AffiliationsDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, Calif
, Jane Liu, MS
AffiliationsDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of California, San Francisco, Calif
, Tanja Woyke, PhD
AffiliationsUS Department of Energy, Joint Genome Institute, Walnut Creek, Calif
, Martin Allgaier, PhD
AffiliationsDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, Calif
, Jim Bristow, MD
AffiliationsUS Department of Energy, Joint Genome Institute, Walnut Creek, Calif
, Jeanine P. Wiener-Kronish, MD
AffiliationsDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, Calif
, E. Rand Sutherland, MD, MPH
AffiliationsDivision of Pulmonary and Critical Care Medicine, Department of Medicine, National Jewish Health, Denver, Colo
, Tonya S. King, PhD
AffiliationsDivision of Biostatistics, Department of Public Health Sciences, Pennsylvania State University, Hershey, Pa
, Nikolina Icitovic, MAS
AffiliationsDivision of Biostatistics, Department of Public Health Sciences, Pennsylvania State University, Hershey, Pa
, Richard J. Martin, MD
AffiliationsDivision of Pulmonary and Critical Care Medicine, Department of Medicine, National Jewish Health, Denver, Colo
, William J. Calhoun, MD
AffiliationsDivision of Allergy, Pulmonary, Immunology, Critical Care and Sleep, Department of Internal Medicine, University of Texas Medical Branch at Galveston, Galveston, Tex
, Mario Castro, MD
AffiliationsDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University, St Louis, Mo
, Loren C. Denlinger, MD, PhD
AffiliationsDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of Wisconsin Schools of Medicine and Public Health, Madison, Wis
, Emily DiMango, MD
AffiliationsDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY
, Monica Kraft, MD
AffiliationsDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Duke University, Durham, NC
, Stephen P. Peters, MD, PhD
AffiliationsSection on Pulmonary, Critical Care, Allergy and Immunological Diseases, Department of Internal Medicine, Wake Forest University Health Sciences, Winston-Salem, NC
, Stephen I. Wasserman, MD
AffiliationsAllergy and Immunology Section, Department of Medicine, University of California San Diego, San Diego, Calif
, Michael E. Wechsler, MD
AffiliationsDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, Mass
, Homer A. Boushey, MD
AffiliationsDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of California, San Francisco, Calif
, Susan V. Lynch, PhD
AffiliationsDivision of Gastroenterology, Department of Medicine, University of California, San Francisco, CalifReprint requests: Susan V. Lynch, PhD, Colitis and Crohn’s Disease Center, Division of Gastroenterology, Department of Medicine, Box 0538, University of California, San Francisco, CA 94143.
, National Heart, Lung, and Blood Institute’s Asthma Clinical Research Network


Affiliations
Investigators of the Asthma Clinical Research Network are listed in Appendix E1 in this article’s Online Repository at www.jacionline.org.
Received 17 July 2010; received in revised form 8 October 2010; accepted 27 October 2010. published online 03 January 2011.


Background
Improvement in lung function after macrolide antibiotic therapy has been attributed to reduction in bronchial infection by specific bacteria. However, the airway might be populated by a more diverse microbiota, and clinical features of asthma might be associated with characteristics of the airway microbiota present.


Objective
We sought to determine whether relationships exist between the composition of the airway bacterial microbiota and clinical features of asthma using culture-independent tools capable of detecting the presence and relative abundance of most known bacteria.


Methods
In this pilot study bronchial epithelial brushings were collected from 65 adults with suboptimally controlled asthma participating in a multicenter study of the effects of clarithromycin on asthma control and 10 healthy control subjects. A combination of high-density 16S ribosomal RNA microarray and parallel clone library-sequencing analysis was used to profile the microbiota and examine relationships with clinical measurements.


Results
Compared with control subjects, 16S ribosomal RNA amplicon concentrations (a proxy for bacterial burden) and bacterial diversity were significantly higher among asthmatic patients. In multivariate analyses airway microbiota composition and diversity were significantly correlated with bronchial hyperresponsiveness. Specifically, the relative abundance of particular phylotypes, including members of the Comamonadaceae, Sphingomonadaceae, Oxalobacteraceae, and other bacterial families were highly correlated with the degree of bronchial hyperresponsiveness.


Conclusion: The composition of bronchial airway microbiota is associated with the degree of bronchial hyperresponsiveness among patients with suboptimally controlled asthma. These findings support the need for further functional studies to examine the potential contribution of members of the airway microbiota in asthma pathogenesis.


Airway microbiota and bronchial hyperresponsiveness in patients with suboptimally controlled asthma


ASMA
Actualidad Ultimas noticias – JANOes y agencias –
El asma podría estar relacionada con bacterias de las vías respiratorias
JANO.es y agencias · 21 Febrero 2011 11:32


Científicos de la Universidad de California en San Francisco han observado que las vías aéreas bronquiales de los pacientes asmáticos están infectadas por una colección más compleja y rica de microbios.


El asma podría tener una relación con la composición del grupo de bacterias que viven en los bronquios, un hallazgo que podría sugerir un nuevo tratamiento para esta común enfermedad inflamatoria, según un estudio de la Universidad de California en San Francisco, publicado en el Journal of Allergy and Clinical Immunology.


Utilizando nuevos métodos de detección, los investigadores han descubierto que la diversidad de microbios que habitan en el tracto respiratorio es mucho más grande de lo que se sospechaba, por lo que crean una comunidad microbiana compleja e interconectada que parece estar asociada al asma, similar a la que se ha encontrado en las enfermedades inflamatorias del intestino, la vaginitis, la periodontitis y, posiblemente, incluso en la obesidad.


En contra de la creencia popular, los científicos también vieron que las vías aéreas no son necesariamente ambientes totalmente estériles, incluso en personas sanas. Las vías aéreas de los asmáticos están infectadas por una colección más compleja y rica de bacterias. Estos descubrimientos podrían mejorar la comprensión de la biología del asma y potencialmente, llevar a terapias nuevas y mejoradas.


Durante los tres años que ha durado este proyecto piloto, los científicos recogieron muestras del revestimiento de las vías aéreas de 65 adultos con asma leve a moderado y de 10 sujetos sanos.


Después, utilizando una herramienta capaz de identificar cerca de 8.500 grupos distintos de bacterias en un único ensayo, desarrollaron los perfiles de los organismos presentes en cada muestra para buscar relaciones entre la comunidad de bacterias y las características clínicas de los pacientes con asma.


Descubrieron que las muestras de vías aéreas bronquiales de pacientes asmáticos contenían más bacterias que las muestras de pacientes sanos. Asimismo, encontraron una mayor diversidad de bacterias en los pacientes asmáticos con las vías aéreas más sensibles (una característica del asma).


Según el coautor de este estudio Homer Boushey, profesor de Medicina en la División de Cuidados Médicos Pulmonares y Críticos de la UCSF, “la gente piensa que el asma está causado por la inhalación de alérgenos, pero este estudio muestra que podría ser más complicado que eso, el asma podría conllevar la colonización de las vías aéreas por parte de múltiples bacterias”.


En los últimos años, los científicos habían comenzado a estudiar las comunidades de microorganismos de especies distintas (microbioma), que se encuentran tanto en individuos sanos como enfermos, para entender mejor su papel en una variedad de enfermedades. Pero la investigación en microbioma dentro de la enfermedad respiratoria es un terreno relativamente inexplorado.


Para Yvonne J. Huang, investigadora principal de este estudio, “conocemos bastante poco sobre la diversidad, complejidad y funciones colectivas de las bacterias que viven en el tracto respiratorio y de cómo pueden contribuir al desarrollo de enfermedades como el asma”.


Journal of Allergy and Clinical Immunology 2011;127:372-381
Airway microbiota and bronchial hyperresponsiveness in patients with suboptimally controlled asthma


Journal of Allergy and Clinical Immunology
Journal of Allergy and Clinical Immunology – Home


University of California, San Francisco
University of California, San Francisco | www.ucsf.edu.


Actualidad Ultimas noticias – JANOes y agencias – El asma podria estar relacionada con bacterias de las vias respiratorias – JANO.es – ELSEVIER


Now, It"s Your Turn: How You Can Take Medicine Safely

How You Can Take Medicine Safely | NIH MedlinePlus the Magazine



08/21/2013 04:59 PM EDT

NIH
Related MedlinePlus Page: Medication Errors



pill warning label

Woman Taking Pill

Your doctor has prescribed a medicine. The pharmacist has filled the prescription. Now it’s up to you to take the medicine safely. Here are some tips that can help:


  • Make a list of all the medicines you take, including over-the-counter products and dietary supplements. Show it to all of your healthcare providers including physical therapists and dentists. Keep one copy in your medicine cabinet and one in your wallet or pocketbook. The list should include the: name of each medicine, doctor who prescribed it, reason it was prescribed, amount you take, and time(s) you take it.

  • Read and save in one place all written information that comes with the medicine.

  • Take your medicine in the exact amount and at the time your doctor prescribes.

  • Call your doctor right away if you have any problems with your medicine or if you are worried that it might be doing more harm than good. Your doctor may be able to change your prescription to a different one that will work better for you.

  • Use a memory aid to take your medicines on time. Some people use mealtime or bedtime as a reminder to take their medicine. Other people use charts, calendars, and weekly pill boxes. Find a system that works for you.

  • Do not skip doses of medication or take half doses to save money. Talk with your doctor or pharmacist if you can’t afford the prescribed medicine. There may be less costly choices or special programs to help with the cost of certain drugs.

  • Avoid mixing alcohol and medicine. Some medicines may not work correctly or may make you sick if taken with alcohol.

  • Take your medicine until it’s finished or until your doctor says it’s okay to stop.

  • Don’t take medicines prescribed for another person or give yours to someone else.

  • Don’t take medicine in the dark. To avoid making a mistake, turn your light on before reaching for your pills.

  • Check the expiration dates on your medicine bottles. Your pharmacist can probably tell you how to safely get rid of medicine you no longer need or that is out of date. The pharmacist might be able to dispose of it for you.

  • Make sure you store all medicines and supplements out of sight and out of reach of children. And don’t take your medicines in front of young children. They might try to copy you.



Find Out More



To sign up for regular email alerts about new publications and other information from the NIA, go to www.nia.nih.gov/health.




  • MedlinePlus: www.medlineplus.gov. Type in “medicines” in the Search box. Also, click on “Drugs & Supplements” to search for specific medicines.

  • Visit www.nihseniorhealth.gov, a senior-friendly website from the NIA and the National Library of Medicine. This website has health and wellness information for older adults. Special features make it simple to use. For example, you can click on a button to have the text read out loud or to make the type larger.


  • Centers for Medicare and Medicaid Services
    7500 Security Boulevard
    Baltimore, MD
    21244–1850
    1–800–633–4227 (1–800–MEDICARE/toll-free) www.medicare.gov


  • Food and Drug Administration
    10903 New Hampshire Avenue
    Silver Spring, MD 20993
    1–888–463–6332 (toll-free)
    www.fda.gov


  • Partnership for Prescription Assistance
    1–888–477–2669 (toll-free)
    www.pparx.org



Asthma more common, severe among obese kids: study: MedlinePlus

Asthma more common, severe among obese kids: study: MedlinePlus


 







Asthma more common, severe among obese kids: study




Friday, August 9, 2013





Related MedlinePlus Pages




By Genevra Pittman
NEW YORK (Reuters Health) – Overweight and obese children are more likely to be diagnosed with asthma, according to a new study – and when they do have the condition, it tends to be more severe than in normal weight youth.
Researchers found that heavier kids and teenagers with asthma had more emergency room visits for the condition and used more “rescue” medications.
“If parents are noticing that their overweight or obese child is having asthma-like symptoms, one thing to pay attention to, instead of just addressing the asthma, is to potentially address the child’s weight,” said Mary Helen Black, the study’s lead author from Kaiser Permanente Southern California’s department of research and evaluation.
For their study, she and her colleagues analyzed the electronic health records of 623,000 six- to 19-year-olds covered by Kaiser’s health plan in 2007 through 2011. None of those children initially had asthma.
Over an average of three years, just under 32,000 of them – about five percent – were diagnosed with the condition.
The researchers found that the more children weighed, the more likely they were to develop asthma. Compared to normal weight kids, those who were overweight but not obese were 16 percent more likely to be diagnosed with asthma, and the most obese were 37 percent more likely.
That was after taking into account children’s age, gender and race, the study team wrote this week in the American Journal of Epidemiology.
Among those who developed asthma, heavier kids and teens in the study also tended to have more complications than their slimmer peers.
In the year after their diagnosis, for example, 106 out of every 1,000 extremely obese youth went to the ER for asthma, compared to 87 of every 1,000 normal weight kids with asthma. And obese children were more likely to have an asthma “exacerbation” (that is, worsening of their condition) and to need “rescue” medicines, called short-acting beta agonists, when their usual medicines weren’t enough.
According to the Centers for Disease Control and Prevention, one in 11 U.S. children has asthma. In 2008, asthma caused 10.5 million missed school days.
Black said it’s possible the body-wide inflammation seen in obesity may affect asthma risk and severity. Or, she added, the link between obesity and asthma could be due to the direct effect of extra weight on the airways.
“Especially those (children) who are extremely obese definitely have a more restricted capacity for air exchange and things like that,” Black told Reuters Health.
“It’s a little more difficult for them mechanically to breathe.”
If that’s the case, Black said, “If an extremely obese child is able to get down into even the overweight range, they may have a much greater capacity for breathing normally.”
Dr. Peter Michelson, a pediatrician who has studied obesity and asthma at St. Louis Children’s Hospital, said a limitation of this and other studies is that it’s not clear whether asthma was diagnosed with lung function tests.
Without those measures, he said, it’s possible some kids were being treated for shortness of breath due to being obese and out of shape, and not true asthma.
“The results would be interesting, but I feel that it’s incomplete because the characterization of how severe the asthma is really needs pulmonary function (measurements),” Michelson, who wasn’t involved in the new research, told Reuters Health.
“We need more data specifically about lung function to characterize these patients more definitively and to see if asthma and obesity are as definitively linked as we think.”
“Having an actual quantitative measure of lung function would be ideal,” Black said.
But, she added, “I don’t think there’s gross misclassification going on here.”
Dr. Carlos Camargo, an epidemiologist from the Harvard School of Public Health in Boston who has also studied this topic, said the new report “confirms observations from several prior studies.”
Camargo told Reuters Health in an email that in order to learn how to improve asthma control in people with the condition, and to prevent asthma in the first place, the next step will be to conduct more reliable trials, in which people are randomly assigned to different therapies.
SOURCE: http://bit.ly/18gpxb5 American Journal of Epidemiology, online August 6, 2013.



Reuters Health



More Health News on:

Asthma in Children

Obesity in Children


AHRQ Innovations Exchange | Expert Commentary: National Academy and Affiliated State Chapters Support Pediatricians in Improving Asthma Care, Leading to Better Guideline Adherence and Disease Control, Fewer Acute Episodes

AHRQ Innovations Exchange | Expert Commentary: National Academy and Affiliated State Chapters Support Pediatricians in Improving Asthma Care, Leading to Better Guideline Adherence and Disease Control, Fewer Acute Episodes




Innovation Profile:


National Academy and Affiliated State Chapters Support Pediatricians in Improving Asthma Care, Leading to Better Guideline Adherence and Disease Control, Fewer Acute Episodes


 


Pediatric Asthma Is a Worthy Quality Improvement Target

By Paul V. Williams, MD
Northwest Asthma & Allergy Center


Efforts to improve pediatric asthma care are important, given the prevalence of the condition and its potential for causing adverse health outcomes. As a pediatric allergist, I’ve been involved in quality improvement in my own practice, though not specifically focused on adherence to asthma treatment guidelines. We can gain some insights into the challenges of quality improvement related to asthma care by considering two innovation profiles featured on the AHRQ Health Care Innovations Exchange. One profile—National Academy and Affiliated State Chapters Support Pediatricians in Improving Asthma Care, Leading to Better Guideline Adherence and Disease Control, Fewer Acute Episodes—describes a 1-year quality improvement project by the American Academy of Pediatrics (AAP) that helped 49 pediatric practices in 4 states to better adhere to established asthma care guidelines. The other profile—Mobile Clinic And In-Home Educator Generate Small, Short-Term Increases in Symptom-Free Days in Inner-City Preschool Children With Asthma But No Improvements in Other Key Outcomes—describes an attempt to use a mobile pediatric asthma clinic to improve asthma management among children enrolled in the Head Start program in Baltimore.


The pediatricians who organized the AAP initiative succeeded in what they tried to do, based on the impressive improvements in physician performance reported among the participating practices, with the percentage of patients receiving “optimal” care rising from 35 percent at baseline to 85 percent a year later. It appears that the practices—located in Alabama, Maine, Ohio, and Oregon—represent a reasonable cross-section of pediatric practices in the United States. It’s somewhat surprising that only 58 percent of the patients were considered to have well-controlled asthma at baseline, because you might expect that primary care pediatricians would tend to care for patients with relatively well-controlled, intermittent asthma. However, the practices may have tended to focus their quality improvement efforts on patients with a history of having less-than-optimal disease control.


After the intervention, 72 percent of the patients were classified as having well-controlled asthma, an outcome similar to results in other studies aimed at improving pediatric asthma care. As with other quality improvement studies, the key question is, what will happen to these patients over the long term? If the practices achieved lasting improvement in the asthma care process, the measured gains in physician performance could lead to long-term improvements in asthma control. In any case, if pediatricians in other settings can achieve even a fraction of the reported performance improvements, and demonstrate that the gains are sustainable, there’s a real potential for success. That’s why the AAP is continuing to support quality improvement initiatives that focus on asthma care.


Assuming that proper assessment of asthma severity and control has been accomplished, inadequate adherence to prescribed treatment is generally the main barrier to successful asthma management. We know that many patients who say that they are taking their medications actually haven’t filled or refilled their prescriptions, but their physicians often lack a good way to assess adherence. Even in practices like my own that use an electronic health record system, the infrastructure often is not yet in place to enable electronic communication with pharmacies.


The mobile pediatric asthma clinic that was used in the Baltimore program was introduced in 1995 in Los Angeles. The original Breathmobile program achieved some great successes by taking care to the patients. Back in the 1990s, though, it was probably easier to make a big difference in asthma care. After all, it was only in 1991 that the National Asthma Education and Prevention Program had distributed its initial guidelines on diagnosis and management of asthma, in response to the lack of standardization in asthma care. By 2005, when Baltimore’s Breathmobile program began serving children enrolled in Head Start, the level of asthma care may have been fairly good already. And given the low rates of family participation, we shouldn’t be surprised that the program had such a limited impact on patient outcomes.


Asthma diagnosis is difficult in preschool children, because young children have great variability in disease expression and are not developmentally able to undergo spirometry assessments. Also, we have relatively few data on treatment efficacy in preschool children and their symptoms often improve spontaneously. Although these factors can make it difficult to assess the value of early intervention, efforts to identify and treat high-risk populations are worth pursuing as we seek to address unmet needs for effective care among children with asthma.



About the Author:

Paul V. Williams, MD, is an allergy and asthma specialist at the Mount Vernon, WA, office of the Northwest Asthma & Allergy Center. He is a member of the Board of Directors of the Joint Council on Allergy, Asthma and Immunology, and represents the American Medical Association on the National Asthma Education and Prevention Panel.


Disclosure Statement: Dr. Williams has been involved in a variety of leadership roles with the American Academy of Pediatrics, which developed the asthma care quality improvement project described in the innovation profile about the AAP initiative.


 



Original publication: May 09, 2012.
Original publication indicates the date the profile was first posted to the Innovations Exchange.

Last updated: May 09, 2012.
Last updated indicates the date the most recent changes to the profile were posted to the Innovations Exchange.

2013年9月27日星期五

Answers About Nocturnal Asthma - 5 Answers About Night Time Asthma



An asthma flare up any time of the day can be scary. But experiencing an attack at night leaves you far more vulnerable. Yet those who suffer with this condition often have this scary experience 2 to 3 times a week. And given that studies have shown that 30% of asthma fatalities occur at night, this is a condition that needs to be effectively managed. Here are 5 answers that will help.




What are the causes? No one really knows exactly what causes it, but there are a number of factors that those with the condition have in common. People who are overweight are more prone to the condition. Genetics also play a part in determining who will and will not have it.




There is also a natural decrease in some hormones at night which often allows more mucous production, and bronchial spasms. Add to this the natural drop and body temperature and these factors create conditions that are ripe for an attack.




Is there a cure? The medical community says there is no known cure, but that a combination of medication and lifestyle changes can make it a manageable condition.




What kinds of drugs are the most effective? Drugs for asthma are designed to work in different ways and are prescribed based on the severity of the condition. Bronchodilators are used to relax muscles and enlarge airways making it easier to breathe. This type of drug is used as a quick fix to relieve a flare up. Steroids are used to reduce inflammation in the airways.




Oral steroids affect the entire body while those that are inhaled have the greatest affect locally. Some types of steroids are able to reduce the body’s reaction to triggers and reduce the amount and severity of attacks over time. Your physician will make a decision about which of these will help you manage your asthma more effectively. And it is very likely that some combination will affect a solution that you can literally live with.




What types of irritants can trigger an attack? Night time in the bedroom can be a Pandora’s Box in terms of irritants. One of the most potent triggers is the protein in dust mite feces. And dust mite population is generally highest in the bedroom.




Because mites make their home in your mattress, pillows and linens, unless you cover your bedding with covers that keep them out, you are likely to have problems trying to get a good night’s sleep. Other common triggers include household dust, mold and mildew spores, and pet dander.




What should an effective management plan consist of? One of the most natural ways to start is by eating healthy and controlling your weight. Your physician will most probably design a plan that may include a rescue inhaler, and/or a time-released controller that will lessen your body’s reactions to triggers.




Cleaning up indoor air quality to make it virtually allergen free is also an effective way to control nocturnal asthma.


National Guideline Clearinghouse | ACR Appropriateness Criteria® claudication — suspected vascular etiology.

full-text â–º
National Guideline Clearinghouse | ACR Appropriateness Criteria® claudication — suspected vascular etiology.


National Guideline Clearinghouse (NGC)


December 31, 2012


Guideline Title




ACR Appropriateness Criteria® claudication — suspected vascular etiology.

 




Bibliographic Source(s)








Dill KE, Rybicki FJ, Desjardins B, Flamm SD, Francois CJ, Gerhard-Herman MD, Kalva SP, Mansour MA, Mohler ER III, Oliva IB, Schenker MP, Weiss C, Expert Panel on Vascular Imaging. ACR Appropriateness Criteria® claudication — suspected vascular etiology. [online publication]. Reston (VA): American College of Radiology (ACR); 2012. 7 p. [65 references]




 


Guideline Status


This is the current release of the guideline.
This guideline updates a previous version: Rybicki FJ, Buckley O, Yucel EK, Baum RA, Desjardins B, Flamm SD, Foley WD, Jaff MR, Koss SA, Mammen L, Mansour A, Narra VR, Expert Panel on Vascular Imaging. ACR Appropriateness Criteria® claudication — suspected vascular etiology. [online publication]. Reston (VA): American College of Radiology (ACR); 2009. 7 p. [57 references]



QuickStats: Percentage of Children Aged 5--17 Years Ever Receiving a Diagnosis of Learning Disability,* by Race/Ethnicity† and Family Income Group§ --- National Health Interview Survey,¶ United States, 2007--2009



QuickStats: Percentage of Children Aged 5–17 Years Ever Receiving a Diagnosis of Learning Disability,* by Race/Ethnicity† and Family Income Group§ — National Health Interview Survey,¶ United States, 2007–2009
Weekly
July 1, 2011 / 60(25);853



* Based on parental response to the following question: “Has a representative from a school or a health professional ever told you that [child] had a learning disability?”


† White and black children are non-Hispanic children with a single race reported. Hispanic children might be of any race.


§ Family income group is based on family income and family size using the U.S. Census Bureau poverty thresholds. Family income was imputed when information was missing, using multiple imputation methodology.


¶ Estimates were based on household interviews of a sample of the U.S. civilian noninstitutionalized population. Denominators for each category exclude persons for whom data were missing.


** 95% confidence interval.


During 2007–2009, among children with family incomes http://www.cdc.gov/nchs/hdi.htm.


National Health Interview Survey 2007–2009 data. Available at http://www.cdc.gov/nchs/nhis.htm.


Alternate Text: The figure above shows the percentage of children aged 5-17 years ever receiving a diagnosis of learning disability, by race/ethnicity and family income group in the United States during 2007-2009. Among children with family incomes QuickStats: Percentage of Children Aged 5–17 Years Ever Receiving a Diagnosis of Learning Disability,* by Race/Ethnicity† and Family Income Group§ — National Health Interview Survey,¶ United States, 2007–2009


National Guideline Clearinghouse | Australian clinical practice guidelines: depression and related disorders – anxiety, bipolar disorder and puerperal psychosis – in the perinatal period. A guideline for primary health care professionals.

full-text â–º
National Guideline Clearinghouse | Australian clinical practice guidelines: depression and related disorders – anxiety, bipolar disorder and puerperal psychosis – in the perinatal period. A guideline for primary health care professionals.


National Guideline Clearinghouse (NGC)


August 12, 2013



Guideline Title




Australian clinical practice guidelines: depression and related disorders – anxiety, bipolar disorder and puerperal psychosis – in the perinatal period. A guideline for primary health care professionals.




 


Bibliographic Source(s)








Austin M-P, Highet N, Guidelines Expert Advisory Committee. Australian clinical practice guidelines for depression and related disorders — anxiety, bipolar disorder and puerperal psychosis — in the perinatal period. A guideline for primary health care professionals. Melbourne (Australia): beyondblue: the national depression initiative; 2011 Feb. 108 p. [293 references]




 


Guideline Status


This is the current release of the guideline.



Sugar "n" Spice Not Always Nice: MedlinePlus

Sugar ‘n’ Spice Not Always Nice: MedlinePlus


 







Sugar ‘n’ Spice Not Always Nice


Allergies to cinnamon, vanilla and more can put a crimp on everyday life


By Robert Preidt

Thursday, November 8, 2012



HealthDay news image


Related MedlinePlus Page




THURSDAY, Nov. 8 (HealthDay News) — Spice allergy affects up to 3 percent of people and can seriously restrict their everyday activities, an expert says.
Spices are one of the most widely used products and are found in foods, cosmetics and dental products. Because the U.S. Food and Drug Administration does not regulate spices, they often are not listed on food labels and are therefore difficult to identify and avoid.
Spice allergy is responsible for 2 percent of food allergies, but is under-diagnosed because there are not reliable allergy skin tests or blood tests, according to information presented Thursday at the annual meeting of the American College of Allergy, Asthma and Immunology in Anaheim, Calif.
“While spice allergy seems to be rare, with the constantly increasing use of spices in the American diet and a variety of cosmetics, we anticipate more and more Americans will develop this allergy,” Dr. Sami Bahna, former president of the college, said in a college news release. “Patients with spice allergy often have to go through extreme measures to avoid the allergen. This can lead to strict dietary avoidance, low quality of life and sometimes malnutrition.”
In his presentation, Bahna noted that women are more likely to develop a spice allergy because spices are widely used in cosmetics. Makeup, body oils, toothpaste and fragrances can all include one or more spices.
Spice allergy triggers can include cinnamon, garlic, black pepper and vanilla. Some spice blends contain anywhere from three to 18 spices, and the hotter the spice, the greater the risk for an allergy.
“Boiling, roasting, frying and other forms of applying heat to spices may reduce allergy-causing agents, but can also enhance them depending on the spice,” Bahna said. “Because of this allergy’s complexity, allergists often recommend a treatment plan that includes strict avoidance, which can be a major task.”
Spice allergy should be suspected in people who have multiple reactions to unrelated foods or in those who react to commercially prepared foods but not foods made at home, Bahna said. Symptoms of spice allergy range from mild sneezing to a life-threatening allergic reaction known as anaphylaxis.
Data and conclusions presented at meetings are typically considered preliminary until published in a peer-reviewed medical journal.



SOURCE: American College of Allergy, Asthma and Immunology, news release, Nov. 8, 2012


HealthDay



More Health News on:

Food Allergy


QuickStats: Percentage of Employed Adults* Aged 18–64 Years with Current Asthma,† Skin Condition,§ or Carpal Tunnel Syndrome¶ Who Were Told Their Condition Was Work-Related,** by Sex — National Health Interview Survey, 2010††


QuickStats: Percentage of Employed Adults* Aged 18–64 Years with Current Asthma,† Skin Condition,§ or Carpal Tunnel Syndrome¶ Who Were Told Their Condition Was Work-Related,** by Sex — National Health Interview Survey, 2010††








QuickStats: Percentage of Employed Adults* Aged 18–64 Years with Current Asthma,† Skin Condition,§ or Carpal Tunnel Syndrome¶ Who Were Told Their Condition Was Work-Related,** by Sex — National Health Interview Survey, 2010††



Weekly


December 23, 2011 / 60(50);1712


The figure shows the percentage of employed adults aged 18-64 years with current asthma, skin condition, or carpal tunnel syndrome, who were told their condition was work-related, by sex during 2010, according to the National Health Interview Survey. In 2010, among employed adults aged 18-64 years who currently had asthma, 6.7% had been told their current asthma was work-related. Among employed adults who had a skin condition, 5.8% had been told their skin condition was work-related. Among employed adults who had carpal tunnel syndrome, 69.4% had been told their carpal tunnel syndrome was work-related. Men (61.1%) were less likely than women (73.2%) to have been told their carpal tunnel syndrome was work-related. No significant differences by sex for either work-related current asthma or skin conditions were observed.


* Employed adults are persons who had worked at a job or business any time in the 12 months before the interview (either full-time or part-time).


† Adults were defined as having current asthma if they answered “yes” to the following two questions: “Have you ever been told by a doctor or other health professional that you had asthma?” “Do you still have asthma?”


§ Adults were defined as having a skin condition if they answered “yes” to the following question: “During the past 12 months, have you had dermatitis, eczema, or any other red, inflamed skin rash?”


¶ Adults were defined as having carpal tunnel syndrome if they answered “yes” to the following two questions: “Have you ever been told by a doctor or other health professional that you have a condition affecting the wrist and hand called carpal tunnel syndrome?” and “During the past 12 months, have you had carpal tunnel syndrome?”

** Asthma was considered work-related if a doctor or other health professional had told the adult that it “was probably caused by your work,” “was probably made worse by your work,” or “was ever made worse by any job you have ever had.” Skin condition and carpal tunnel syndrome were considered work-related if a doctor or other health professional had told the adult that the condition “was probably work-related.”


†† Estimates are based on household interviews of a sample of the civilian, noninstitutionalized U.S. population and are derived from the National Health Interview Survey sample adult component. Asthma, skin condition, and carpal tunnel syndrome were the only three conditions for which participants were asked if a doctor or health professional had told them the condition was probably work-related.


§§ 95% confidence interval.

In 2010, among employed adults aged 18–64 years who currently had asthma, 6.7% had been told their current asthma was work-related. Among employed adults who had a skin condition, 5.8% had been told their skin condition was work-related. Among employed adults who had carpal tunnel syndrome, 69.4% had been told their carpal tunnel syndrome was work-related. Men (61.1%) were less likely than women (73.2%) to have been told their carpal tunnel syndrome was work-related. No significant differences by sex for either work-related current asthma or skin conditions were observed.


Source: National Health Interview Survey, 2010 data. Available at http://www.cdc.gov/nchs/nhis.htm.

Alternate Text: The figure above shows the percentage of employed adults aged 18-64 years with current asthma, skin condition, or carpal tunnel syndrome, who were told their condition was work-related, by sex during 2010, according to the National Health Interview Survey. In 2010, among employed adults aged 18-64 years who currently had asthma, 6.7% had been told their current asthma was work-related. Among employed adults who had a skin condition, 5.8% had been told their skin condition was work-related. Among employed adults who had carpal tunnel syndrome, 69.4% had been told their carpal tunnel syndrome was work-related. Men (61.1%) were less likely than women (73.2%) to have been told their carpal tunnel syndrome was work-related. No significant differences by sex for either work-related current asthma or skin conditions were observed.







Nice Famous Celebrities photos


A few nice famous celebrities images I found:




Photo-Montage-Famous-People-Asthma 2 of 17
famous celebrities
Image by ItsOurStory.org
These Power, Passion, and Pride panels depict the achievements made by people with disabilities. They are part of a scroll that when completed will consist of over 1,000 panels measuring 3.75 inches wide and 8.5 inches long. When linked together they will provide over 700 feet of visual history to inspire current and future generations of people with disabilities to reach for the stars as their predecessors have proven are attainable. More resources available at: www.itsourstory.org




Photo-Montage-Famous-People-Asthma 8 of 17
famous celebrities
Image by ItsOurStory.org
These Power, Passion, and Pride panels depict the achievements made by people with disabilities. They are part of a scroll that when completed will consist of over 1,000 panels measuring 3.75 inches wide and 8.5 inches long. When linked together they will provide over 700 feet of visual history to inspire current and future generations of people with disabilities to reach for the stars as their predecessors have proven are attainable. More resources available at: www.itsourstory.org




Related Posts by Categories








A few nice famous celebrities images I found:




Photo-Montage-Famous-People-Asthma 2 of 17
famous celebrities
Image by ItsOurStory.org
These Power, Passion, and Pride panels depict the achievements made by people with disabilities. They are part of a scroll that when completed will consist of over 1,000 panels measuring 3.75 inches wide and 8.5 inches long. When linked together they will provide over 700 feet of visual history to inspire current and future generations of people with disabilities to reach for the stars as their predecessors have proven are attainable. More resources available at: www.itsourstory.org




Photo-Montage-Famous-People-Asthma 8 of 17
famous celebrities
Image by ItsOurStory.org
These Power, Passion, and Pride panels depict the achievements made by people with disabilities. They are part of a scroll that when completed will consist of over 1,000 panels measuring 3.75 inches wide and 8.5 inches long. When linked together they will provide over 700 feet of visual history to inspire current and future generations of people with disabilities to reach for the stars as their predecessors have proven are attainable. More resources available at: www.itsourstory.org




Related Posts by Categories






National Guideline Clearinghouse | Diagnosis and management of asthma.

full-text â–º
National Guideline Clearinghouse | Diagnosis and management of asthma.


National Guideline Clearinghouse (NGC)


January 21, 2013


Guideline Title




Diagnosis and management of asthma.

 




Bibliographic Source(s)








Sveum R, Bergstrom J, Brottman G, Hanson M, Heiman M, Johns K, Malkiewicz J, Manney S, Moyer L, Myers C, Myers N, O’Brien M, Rethwill M, Schaefer K, Uden D. Diagnosis and management of asthma. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2012 Jul. 86 p. [81 references]




 


Guideline Status


This is the current release of guideline.
This guideline updates a previous version: Institute for Clinical Systems Improvement (ICSI). Diagnosis and management of asthma. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2010 Jun. 64 p.



Living With Sarcoidosis - NHLBI, NIH


full-text and VIDEO:
Living With Sarcoidosis – NHLBI, NIH


Living With Sarcoidosis


Sarcoidosis has no cure, but you can take steps to manage the disease. Get ongoing care and follow a healthy lifestyle. Talk with your doctor if you’re pregnant or planning a pregnancy.


Ongoing Care


Ongoing care is important, even if you don’t take medicine for your sarcoidosis. New symptoms can occur at any time. Also, the disease can slowly worsen without your noticing.
How often you need to see your doctor will depend on the severity of your symptoms, which organs are affected, which treatments you’re using, and whether you have any side effects from treatment. Even if you don’t have symptoms, you should see your doctor for ongoing care.
Your doctor may recommend routine tests, such as lung function tests and eye exams. He or she will want to check to make sure that the disease isn’t damaging your organs.
Discuss with your doctor how often you need to have followup visits. You may have some followup visits with your primary care doctor and others with one or more specialists.
Make sure to take all of your medicines as your doctor prescribes.


Lifestyle Changes


Making lifestyle changes can help you manage your health. For example, follow a healthy diet and be as physically active as you can. A healthy diet includes a variety of fruits, vegetables, and whole grains.
It also includes lean meats, poultry, fish, beans, and fat-free or low-fat milk or milk products. A healthy diet is low in saturated fat, trans fat, cholesterol, sodium (salt), and added sugar.
For more information about following a healthy diet, go to the National Heart, Lung, and Blood Institute’s (NHLBI’s) Aim for a Healthy Weight Web site, “Your Guide to a Healthy Heart,” and “Your Guide to Lowering Your Blood Pressure With DASH.” All of these resources include general information about healthy eating.
If you smoke, quit. Talk with your doctor about programs and products that can help you quit. Also, try to avoid other lung irritants, such as dust, chemicals, and secondhand smoke.
If you have trouble quitting smoking on your own, consider joining a support group. Many hospitals, workplaces, and community groups offer classes to help people quit smoking.
For more information about how to quit smoking, go to the Health Topics Smoking and Your Heart article and the NHLBI’s “Your Guide to a Healthy Heart” booklet. Although these resources focus on heart health, both include general information about how to quit smoking.


Emotional Issues


Living with sarcoidosis may cause fear, anxiety, depression, and stress. Talk about how you feel with your health care team. Talking to a professional counselor also can help. If you’re very depressed, your doctor may recommend medicines or other treatments that can improve your quality of life.
Joining a patient support group may help you adjust to living with sarcoidosis. You can see how other people who have the same symptoms have coped with them. Talk with your doctor about local support groups or check with an area medical center.
Support from family and friends also can help relieve stress and anxiety. Let your loved ones know how you feel and what they can do to help you.


Pregnancy


Many women who have sarcoidosis give birth to healthy babies. Women who have severe sarcoidosis, especially if they’re older, may have trouble becoming pregnant. Sometimes sarcoidosis may get worse after the baby is delivered.
If you have sarcoidosis and are pregnant or planning a pregnancy, talk with your doctor about the risks involved. Also, if you become pregnant, it’s important to get good prenatal care and regular sarcoidosis checkups during and after pregnancy.
Some sarcoidosis medicines are considered safe to use during pregnancy; others are not recommended.


2013年9月26日星期四

Preventing Asthma Attacks With an Air Purifier



In recent years environmental researchers have done studies that show that in most cases the air we breathe indoors is more polluted then the air outside. There are a few reasons for this; more energy efficient homes, more synthetic materials used throughout our homes, and the chemicals in many of the cleaners used daily.




Because of this increasing indoor pollution people who suffer from asthma are at a greater risk of having an attack inside. One way to solve this problem is to filter, or purify the indoor air. Pollen, dirt, dust, pet dander, mold spores, and bacteria can all trigger an asthma attack and the best way to deal with these airborne threats is with an air filter.




There are many reasons that asthmatics need clean air to combat the effects of their condition. An understanding of the disease helps to clarify just why this is true.




Asthma affects between 3 to 5 percent of the general population at one time in their life. With the exception of newborns it affects all ages and genders equally. It is a condition that causes the bronchioles and bronchi, (the airways in the lungs), to narrow, restricting airflow and causing difficulty breathing.




The symptoms of asthma are pretty well known; trouble breathing, inability to catch ones breath, and a wheezing cough are the main signs of an asthmatic attack. Most asthmatics seem to experience more severe symptoms at night. The severest of attacks cause a sharp increase in respiration rate and a rapid pulse. Unable to speak the asthmatic may also exhibit cyanosis in which the skin starts to turn blue due to the lack of oxygen.




Pollutants and other foreign substances in the air are the main cause of an asthmatic attack. Bronchiole hypersensitivity to these substances is the main trigger point for this disease. Just about any airborne pollutant can trigger an attack; vehicle exhaust, smoke, smog, animal fur and dander, tobacco smoke, ozone, perfumes, and the list goes on. Because of the increasing amounts of airborne pollution both indoors and out asthma is becoming increasingly common around the world.




While steroid inhalers provide sufferers quick relief from the affects of this condition, avoiding the airborne triggers is an important part of the daily management of asthma. For indoor air an air purifier can significantly reduce the amount of irritants an asthmatic is exposed on a daily basis, helping decrease the number and severity of reactions they might have.




There is one type of air purifier that someone with asthma should avoid; ozone producing air cleaners are not recommended as the ozone they produce may trigger an attack.




Preventing asthma attacks with an air purifier is a good way to manage the affects airborne pollutants have on this condition. There are a wide variety of filters on the market today, from single room units to whole house systems, so be sure to research the choices thoroughly to choose the right filtration option for your needs.