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Showing posts from July, 2019

Video Presentation -Overweight/obesity increases ventilatory capacity and reduces FeNO in asthmatic children

Title: Overweight/obesity increases ventilatory capacity and reduces FeNO in asthmatic children By Dr. Maria Michelle Papamichael Statement of Problem: Universally, bronchial asthma is the most common chronic respiratory disorder in children characterized by airway inflammation, bronchial hyperresponsiveness and recurrent episodes of reversible airway obstruction. Excess weight represents a major global health challenge because of adverse health outcomes including asthma. The concurrent rise in asthma and pediatric obesity postulate a possible link between the two conditions. Excess weight may impact asthma via multiple mechanisms including pulmonary mechanics, lifestyle, dietary, immunological, hormonal and common genetic factors. High bodyweight was found to be associated with reduced pulmonary function and Fractional exhaled Nitric Oxide (FeNO) in adult subjects. Yet the current literature focusing on the effect of obesity and overweight on lung function and FeNO in asthma...

Asthma action plan for proactive bronchial asthma self-management in adults: a randomized controlled trial

Presentation : Asthma action plan for proactive bronchial asthma self-management in adults: a randomized controlled trial. Abstract: Background : Written personalized asthma action plans are recommended as part of patient education and self-management. Objectives: To enable asthmatic adults to proactively self-manage bronchial asthma and sustain asthma quiescent status through the utilization of the Asthma Action Plan (AAP), and to establish a feasible asthmatic/caretaker—health care provider communication. Design: Randomized controlled trial with cluster sampling by pulmonologists. Setting and participants : The study comprised 320 chronic asthmatic patients attending the chest department at the main health insurance hospital in Alexandria that was randomly allocated as the intervention group (AAIG; n=160) that received standard care and intervention by the AAP and a control group (AACG; n=160) that received the routine standard of care. Data were collected through an intervi...