Correction to: Health care situation in patients with allergic respiratory diseases with special focus on specific immunotherapy

Allergy immunotherapy (AIT) is currently the only disease-modifying treatment for allergic-respiratory diseases. Polysensitization may increase the severity of current disease resulting in subsequent asthma development in patients with allergic rhinitis. Due to the absence of general recommendations for the practical approach to polysensitized patients, clinical management is not standardized. The correlation between sensitizations and clinical symptoms, elimination of possible pollen cross-reactivities and principles of homologous allergen groups will guide the allergists to deduce the most relevant allergens for AIT. In the highlight of the previously proposed approach strategies to polyallergic patients, hereby we propose a revised practical stepwise approach based on the current European Medicine Agency (EMA) guidelines. However, more supporting data from well-designed, controlled, future studies are needed to improve clinical management recommendations for AIT in polyallergic patients.

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Perspectives in multiple sclerosis health care: Special focus on the costs of multiple sclerosis

Autoimmunity Reviews ◽

10.1016/j.autrev.2006.02.001 ◽

2006 ◽

Vol 5 (8) ◽

pp. 511-516 ◽

Cited By ~ 20

Author(s):

Zeev Rotstein ◽

Rivka Hazan ◽

Yoram Barak ◽

Anat Achiron

Keyword(s):

Multiple Sclerosis ◽

Health Care ◽

Special Focus

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Gender discrimination in health-care expenditure: An analysis across the age-groups with special focus on the elderly

Social Science & Medicine ◽

10.1016/j.socscimed.2020.113089 ◽

2020 ◽

Vol 258 ◽

pp. 113089

Author(s):

Bidisha Mondal ◽

Jay Dev Dubey

Keyword(s):

Health Care ◽

Gender Discrimination ◽

Health Care Expenditure ◽

Age Groups ◽

The Elderly ◽

Special Focus

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The therapeutic journey of families of children with respiratory diseases in the public health service

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692012000300005 ◽

2012 ◽

Vol 20 (3) ◽

pp. 453-461 ◽

Cited By ~ 6

Author(s):

Beatriz Rosana Gonçalves de Oliveira ◽

Neusa Collet ◽

Débora Falleiros de Mello ◽

Regina Aparecida Garcia de Lima

Keyword(s):

Public Health ◽

Health Care ◽

Health Services ◽

Respiratory Diseases ◽

Health Issues ◽

Public Health Services ◽

The Public ◽

Primary Health ◽

Therapeutic Encounters ◽

Access To Medical Care

This study's purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.

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Academic Promotion of Physicians in Medical Schools: A Special Focus on Primary Health Care in Taiwan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18189615 ◽

2021 ◽

Vol 18 (18) ◽

pp. 9615

Author(s):

Hsin Ma ◽

Feng-Yuan Chu ◽

Tzeng-Ji Chen ◽

Shinn-Jang Hwang

Keyword(s):

Health Care ◽

Primary Health Care ◽

Impact Factor ◽

Research Output ◽

Scoring Systems ◽

Medical Schools ◽

Special Focus ◽

Academic Promotion ◽

Journal Citation Reports ◽

Primary Health

The quality and quantity of papers published in journals play a crucial role in achieving an academic promotion in medical schools. Reports on the criteria for promotion and their impact on different specialties, especially on primary health care, which has low research output, are rare. We investigated the scoring systems generally adopted for academic promotion at most medical schools in Taiwan. The weighted scores were derived from the multiplication of weights from categories of paper, journal impact factor, or ranking in a certain category by impact factor, and author order. To determine the thresholds of papers required for different levels of promotion, we took papers in the highest- or lowest-ranked journals in the primary health care category in 2019 Journal Citation Reports as examples. Considering publications in the highest-ranked journals, a median of 4.6 first or corresponding author papers were required for a professorship, as well as 3.3 for an associate professorship, and 2.5 for an assistant professorship. In contrast, a median of 30, 20, and 13.5 papers in the lowest-ranked journals was required for the corresponding positions. Thus, academic promotions for primary health care educators in Taiwan are highly demanding. The detrimental effects of scoring systems deserve further research.

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Patient-Controlled Analgesia: A Review of Effectiveness of Therapy and an Evaluation of Currently Available Devices

DICP ◽

10.1177/106002808902301112 ◽

1989 ◽

Vol 23 (11) ◽

pp. 899-904 ◽

Cited By ~ 5

Author(s):

Robert P. Rapp ◽

Brack A. Bivins ◽

Robert A. Littrell ◽

Thomas S. Foster

Keyword(s):

Health Care ◽

Pain Control ◽

Health Care Personnel ◽

Hard Copy ◽

Major Advance ◽

Patient Controlled Analgesia ◽

The Past ◽

Pca Method ◽

Care Situation ◽

Single Publication

Patient-controlled analgesia (PCA) is a major advance in the management of pain in postoperative and cancer patients. The success of PCA has resulted in a proliferation of marketed devices to administer small bolus doses of parenteral pain-control drugs at fixed intervals controlled by the patient with the push of a button. Because patients demonstrate marked individual variation in pain medication requirements, PCA devices should be able to accommodate rapidly changing requirements for drugs with a minimum amount of effort on behalf of health care personnel. Crude electronic devices were developed in the late 1960s and the early 1970s and usually consisted of a syringe pump connected to some sort of timing device. Most modern PCA devices marketed in the past five years are much more sophisticated devices that are microprocessor based and some newer devices even generate hard copy for a permanent record of drug administration. Although many such devices are available (including a totally disposable PCA device), few have undergone extensive clinical evaluation. A review of the literature shows many devices are available for use without a single publication to document the safety and utility of the device in the routine patient care situation. Use of the PCA method of pain control will grow, and all hospital-based health care personnel should become familiar with their use and limitations.

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