Tag: ‘Asthma’

New Treatment of Asthma

new treatment of asthmaImpaired quality of life, impact on daily life, persistent symptoms … all these criteria are not always sufficiently taken into account in the treatment of asthma. The results of new studies argue for a better evaluation of the care of patients.

There is an increased incidence of asthma by 10% over the last twenty years. In 2001, asthma affected more than 100 million people worldwide. In France, the incidence and severity of the disease are rising steadily since 1960. According to the survey Health and Welfare 1998 (ESPS 98), nearly 3.5 million French are concerned, and 5 million French have had asthma at some time or another in their life. Asthma is a chronic disease of children the most common, with 6-10% of school children affected. It is also the leading cause of school absenteeism.

Between 1979 and 1995 and despite the availability of effective treatments, deaths increased by 30%.
How to assess asthma control?

The main therapeutic goal is the control of symptoms. But conventional DMARDs are sometimes inadequate. Monitoring the effectiveness of treatment can be done by simply measuring periodic FEV (forced expiratory volume in one second) but must incorporate the impact of disease on quality of life. This recent concept should improve the overall care. Various studies have shown that there is no linear relationship between the measurement of FEV and quality life.1. The perception of good asthma control is very discordant between patient and doctor, the first tends to minimize symptoms by frequently “used disability” (study ASHAIR).

Today through appropriate questionnaires professionals have more tools to assess overall as the percentage of days on which asthma has been well controlled or AQLQ for “Asthma Quality of Life Questionnaire. In thirty issues, activity, symptoms, well-being and the patient environment are evaluated. Presented at the MEDEC 2003, the preliminary results of a survey on the perception of this new approach (survey ASTEQ2 for Asthma and Quality of Life) show an interest from the patient but also the physician for consideration quality of life.

Asthma Treatment


For the first time, an international survey identifies key issues related to treatment. The results for France are clear: the adverse effects of treatment combined with a lack of communication between patients and physicians are limiting the effectiveness of care.
The GAPP Survey (Global For the first time, an international survey identifies key issues related to treatment. The results for France are clear: the adverse effects of treatment combined with a lack of communication between patients and physicians are limiting the effectiveness of care. The GAPP Survey (Global Asthma Physician and Patient – International survey on the attitudes of physicians and patients about asthma) was conducted in 16 countries to explore the attitudes and treatment practices the ‘asthma, both in terms of doctors and patients. Three key areas have been screened in this study: adverse reactions to drugs, treatment compliance and patient education. Differences medical patients The results of the GAPP Survey for France are clear, highlighting two main obstacles to effective management: lack of communication between physicians and their patients and the occurrence of adverse reactions related to treatment with inhaled corticosteroids.
* Patients and doctors: misunderstandings persist
* Patients and doctors have differing opinions on information about adverse reactions:
* More than half of patients following their treatment, claiming he never spoke of adverse short-term (63%) and long (60%) with their doctor.
* However, 87% of physicians said they sometimes or always speak of adverse short-term and 32% said they sometimes or always speak of adverse long-term.
* The perception of patient education in practice varies considerably
* 62% of doctors say spent more than a quarter of the time from consultation to discuss techniques to ensure the success of treatment, against only 23% of patients.
* 26% of physicians state that they offer to their patients during consultations in the office, keep a daily log of symptoms, while only 7% of patients reported having such a conversation with their doctor.
* The occurrence of side effects influence adherence to treatment:
* 21% of patients having undergone anti-asthma report having been victims of adverse short-term and 11% of adverse long-term.
* Patients who experienced adverse events were 50% report that they have considered reducing the dosage, and 29% said they have reduced. The survey results Gapp provide unique insights into the current state of asthma in France, both in terms of doctors that adult patients. In addition to caring for adults, the investigation Gapp was also interested in treating children with asthma. The results confirm the need to improve both the safety of proposed treatments and information for parents. Asthma Physician and Patient – International survey on the attitudes of physicians and patients about asthma) was conducted in 16 countries to explore the attitudes and treatment practices the ‘asthma, both in terms of doctors and patients. Three key areas have been screened in this study: adverse reactions to drugs, treatment compliance and patient education. (more…)

Respiratory Acidosis

astma

Respiratory acidosis is a condition that occurs when the lungs can not remove all the carbon dioxide produced by the body. This makes the interference in the body, which is not a balance between acid-base. Body fluids become very acidic.

Respiratory acidosis can be caused by lung diseases such as chronic obstructive pulmonary disease (COPD) and severe asthma. Other conditions that can cause Respiratory acidosis include:
* Obesity
* Excessive fatigue or weakness of the muscles of the rib cage
* Severe defects of the spine and ribs as severe scoliosis
* Airway obstruction

Symptoms may include shortness of breath, easy fatigue, chronic cough, or wheezing.
When Respiratory acidosis is getting worse, the symptoms related to confusion, irritability, or lethargy.

Respiratory acidosis occurs over a long period of time. This leads to a stable situation. This is because the kidneys increase chemicals that help restore the body’s acid-base balance.

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