scholarly journals Is There a Role for Bronchial Thermoplasty in the Treatment of Asthma?

2012 ◽  
Vol 19 (3) ◽  
pp. 191-192 ◽  
Author(s):  
Louis-Philippe Boulet ◽  
Michel Laviolette

Bronchial thermoplasty is a new technique proposed to improve control of moderate to severe asthma. It delivers thermal energy to the large airways during a bronchoscopy to decrease the amount of bronchial smooth muscle. This intervention has been shown to reduce asthma exacerbations, and improve asthma control and quality of life over a three-year period without significant complications up to a five-year period. It could be considered as another option in the treatment of selected patients requiring oral and/or high doses of inhaled corticosteroids to control asthma. It should, however, be performed in specialized centres in patients who understand the potential benefits and side-effects of this technique. The response to this treatment varies from one patient to another. Consequently, further studies are required to better define the role of this option in the treatment of asthma.

Author(s):  
May Hua

Palliative care is a specialty of medicine that focuses on improving quality of life for patients with serious illness and their families. As the limitations of intensive care and the long-term sequelae of critical illness continue to be delimited, the role of palliative care for patients that are unable to achieve their original goals of care, as well as for survivors of critical illness, is changing and expanding. The purpose of this chapter is to introduce readers to the specialty of palliative care and its potential benefits for critically ill patients, and to present some of the issues related to the delivery of palliative care in surgical units.


2019 ◽  
Vol 3 (3) ◽  
pp. 280-287 ◽  
Author(s):  
Sam Gandy

We are in the midst of a psychedelic research renaissance. With research examining the efficacy of psychedelics as a treatment for a range of mental health indications still in its early stages, there is an increasing body of research to show that careful use of psychedelics can yield a variety of benefits in “healthy normals” and so lead to “the betterment of well people.” Psychedelics have been found to modulate neuroplasticity, and usage in a supportive setting can result in enduring increases in traits such as well-being, life satisfaction, life meaning, mindfulness, and a variety of measures associated with prosocial behaviors and healthy psychological functioning. The effect of psychedelic experience on measures of personality trait openness and is potential implications is examined, and the potential role of awe as a mediator of the benefits of the psychedelic experience is discussed. Special attention is given to the capacity of psychedelics to increase measures of nature relatedness in an enduring sense, which is being correlated with a broad range of measures of psychological well-being as well as a key predictor of pro-environmental awareness and behavior. The effects of particular classical psychedelic compounds on healthy people are discussed, with special attention given to the mystical-type experiences occasioned by high doses of psychedelics, which appear to be an important mediator of long-term benefits and psychotherapeutic gains. Research looking at the potential benefits of psychedelic microdosing is discussed. Potential future research avenues are explored, focusing on the potential development of psychedelics as agents of ecotherapy.


2020 ◽  
Vol 11 ◽  
Author(s):  
Giulia Lanzolla ◽  
Claudio Marcocci ◽  
Michele Marinò

The balance of the cell redox state is a key point for the maintenance of cellular homeostasis. Increased reactive oxygen species (ROS) generation leads to oxidative damage of tissues, which is involved in the development of several diseases, including autoimmune diseases. Graves’ Orbitopathy (GO) is a disfiguring autoimmune-related condition associated with Graves’ Disease (GD). Patients with active, moderate-to-severe GO, are generally treated with high doses intravenous glucocorticoids (ivGCs) and/or orbital radiotherapy. On the contrary, up to recently, local ointments were the treatment most frequently offered to patients with mild GO, because the risks related to ivGCs does not justify the relatively poor benefits expected in mild GO. However, a medical treatment for these patients is heavily wanted, considering that GO can progress into more severe forms and also patients with mild GO complain with an impairment in their quality of life. Thus, based on the role of oxidative stress in the pathogenesis of GO, a therapy with antioxidant agents has been proposed and a number of studies have been performed, both in vitro and in vivo, which is reviewed here.


2020 ◽  
Vol 25 (3) ◽  
pp. 140-143
Author(s):  
Alison E While

Quality of life and life enrichment are important throughout the lifespan and no less during ill-health or later life. The role of the arts and gardens and their potential benefits are not prominent within healthcare practice. This paper outlines the evidence reported in two literature reviews, one addressing the arts and the other focusing on gardens and gardening so that district nurses can understand what art-based and gardening opportunities they may offer their clients and their carers.


2022 ◽  
pp. 123-140
Author(s):  
Jamal Mattar Alsalmi ◽  
Ahmed Maher Khafaga Shehata

Many people use social media as a main source of information and news, and unofficial sites attract vast numbers of visitors. It has become crucial for governments and healthcare authorities to establish and use social media in order to communicate with their populations and counteract misinformation. Beyond this, technical efforts need to be established to ensure that internet and social media users are directed effectively to these official channels. It is also important to encourage these websites to share and repost their content. Social media and IT companies also have a sensitive role to play in supporting this and validating reliable information while disrupting fake news and false content. This chapter covers a number of themes relating to this issue, such as the reasons for and potential benefits of social media communications by governments and health authorities, the role of social media and tech companies to improve the quality of online information, and the risks and challenges of disseminating official information via social media.


2020 ◽  
Vol 7 (10) ◽  
Author(s):  
Cynthia T Nguyen ◽  
Gregory Olson ◽  
Mai T Pho ◽  
Alison K Lew ◽  
David Pitrak ◽  
...  

Abstract There are many unknowns with regard to COVID-19 clinical management, including the role of Infectious Diseases Consultation (IDC). As hospitalizations for COVID-19 continue, hospitals are assessing how to optimally and efficiently manage COVID-19 inpatients. Typically, primary teams must determine when IDC is appropriate, and ID clinicians provide consultation upon request of the primary team. IDC has been shown to be beneficial for many conditions; however, the impact of IDC for COVID-19 is unknown. Herein, we discuss the potential benefits and pitfalls of automatic IDC for COVID-19 inpatients. Important considerations include the quality of care provided, allocation and optimization of resources, and clinician satisfaction. Finally, we describe how automatic IDC changed throughout the COVID-19 pandemic at a single academic medical center.


2017 ◽  
Vol 13 (10) ◽  
pp. e838-e843 ◽  
Author(s):  
Harry Peled ◽  
Kathleen E. Bickel ◽  
Christina Puchalski

In the United States, physician aid in dying (PAD) is now legal in several states. However, neither a requirement for a palliative care (PC) consultation nor a defined education in PC exists for physicians participating in PAD or patients requesting assistance. Patients with advanced chronic and serious illness often experience complex physical, psychosocial, and spiritual distress. PC focuses on relieving this distress and improving patient quality of life through early identification and intervention in all domains of suffering, including physical, psychological, social, and spiritual. Ideally, we would recommend a PC consult, but unfortunately, PC is not readily available or offered at this time to all those who might benefit from it. We present a case for providing an educational handout to patients who inquire about PAD. This handout explains the potential benefits of PC as an additional procedural safeguard to existing regulations. Such information would help to ensure the integrity of the informed consent process, enhance shared decision making, and improve patient comprehension of the options.


2020 ◽  
Vol 16 (2) ◽  
pp. 66-72
Author(s):  
Ghina Fitri Ariesta Susilo ◽  
Utpala Rani

This study is a qualitative desk research that examines the role of the digital economy in the ASEAN-Korea Free Trade Area (AKFTA) relations. ASEAN and Korea pay attention to the development of the 4.0 revolution and form the ASEAN-Korea Free Trade Area (AKFTA) to establish mutually beneficial relations. The development of the 4.0 industrial revolution has the potential to increase the level of global income and improve the quality of life of populations around the world. The success of the Korean industry can provide very valuable lessons for ASEAN by inspiring this group of countries to implement a digital economy. The partnership reflects the potential benefits of industrial improvement through digitalization and automation, the ASEAN-Republic of Korea Cooperation Center has implemented several trade and investment programs in industry segments related to Industry 4.0. AKFTA will enhance the international competitiveness of ASEAN and Korea by promoting the competition and efficiency that both parties have. AKFTA will shift the trade balance to ASEAN encourage rapid growth of the digital economy and give positive impacts to both parties.


Oncology ◽  
2017 ◽  
pp. 1-19
Author(s):  
May Hua

Palliative care is a specialty of medicine that focuses on improving quality of life for patients with serious illness and their families. As the limitations of intensive care and the long-term sequelae of critical illness continue to be delimited, the role of palliative care for patients that are unable to achieve their original goals of care, as well as for survivors of critical illness, is changing and expanding. The purpose of this chapter is to introduce readers to the specialty of palliative care and its potential benefits for critically ill patients, and to present some of the issues related to the delivery of palliative care in surgical units.


Author(s):  
John Lim

Two seemingly disparate phenomena, advancement in computing technologies and rise in complexity of business negotiations owing to globalization, have fostered and made appealing computer-supported negotiations. Whereas past studies of Negotiation Support Systems (NSS) have examined the potential benefits of supporting negotiations, computer support for pre-negotiation activities has been largely ignored in so far as empirical work is concerned. This chapter addresses this gap by categorizing negotiation activities into the pre-negotiation phase and the negotiation phase, and reports on an experimental study of the impact of NSS on the different phases of negotiation. Results show that both pre-negotiation and negotiation support improved gains in outcome with increased time in reaching agreement. Further, pre-negotiation support led to more equal outcomes for negotiating dyads. The findings show the usefulness of NSS in enhancing the quality of differing stages of negotiation. Notably, this chapter recognizes the important role of culture in the negotiation setting, and discusses its pertinence with respect to the context of the current study. The corresponding implications and conclusions are highlighted.


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