Current Recommendations on the Management of Pediatric Asthma and Allergic Rhinitis during the COVID-19 Pandemic versus Real-Life Practice

2021 ◽  
pp. 1-8
Author(s):  
Pinar Gokmirza Ozdemir ◽  
Velat Celik
Keyword(s):  
Allergic Rhinitis ◽  
Online Survey ◽  
Real Life ◽  
Pediatric Asthma ◽  
Family Physicians ◽  
Treatment Compliance ◽  
Asthma Attack ◽  
Asthma Patients ◽  
The Relationship

<b><i>Introduction:</i></b> Several statements and position papers on the management of childhood asthma and allergies during the COVID-19 pandemic have been published of late. The aim of this study was to evaluate the knowledge and awareness of pediatricians and family physicians regarding the management of asthma and allergic rhinitis during the pandemic according to recently published updated guidelines. <b><i>Method:</i></b> We conducted an online survey among pediatricians and family physicians in Turkey, using a questionnaire designed to evaluate 4 items: (1) the relationship between COVID-19 infection risk and pediatric asthma/allergic rhinitis and medications used in treatment; (2) the follow-up and management of asthma/allergic rhinitis according to published updated recommendations; (3) pediatricians’ and family physicians’ observations and perceptions of treatment compliance and the attitudes of their pediatric asthma patients; and (4) pediatricians and family physicians’ attitudes to using telehealth in the follow-up and management of pediatric asthma patients during the pandemic. <b><i>Results:</i></b> A total of 346 participants responded to the survey. The relationship between the risk of COVID-19 and asthma was known by less than 25% of the participants. More than 33% of family physicians and 20% of pediatricians were unaware that asthma medication does not lead to a susceptibility to COVID-19 infection; 55% of family physicians and 48% of pediatricians thought that patients showed better compliance with asthma controller medication; over 33% of pediatricians and approximately 50% of family physicians stated that they could not distinguish between an asthma attack and lung involvement in COVID-19 infection; of the respondents, over 75% stated that they prefer face-to-face visits with patients, even in situations that do not require a physical examination. <b><i>Conclusion:</i></b> The overall knowledge and awareness of pediatricians and, especially, family physicians regarding the management of pediatric asthma/allergic rhinitis during the pandemic is not at a satisfactory level. There is an urgent need to inform them about updated recommendations appearing in recent guidelines published by allergy organizations.

Allergic Rhinitis: Natural History. A Twenty Years Follow up Study

2003 ◽  
Vol 1 (1) ◽  
pp. 17-23 ◽  
Author(s):  
D. Passàli ◽  
V. Damiani ◽  
G.C. Passàli ◽  
F.M. Passàli ◽  
L. Bellussi
Keyword(s):  
Allergic Rhinitis ◽  
Natural History ◽  
Symptomatic Treatment ◽  
Follow Up Study ◽  
Number Of Patients ◽  
Asthma Patients ◽  
Lower Airways ◽  
The Relationship

Although there is an agreement on the increase of the prevalence of allergic rhinitis in last decades, data emerging from various studies appear to be widely dishomogeneous. Another point that needs a clarification is the relationship between allergic rhinitis and lower airways pathologies such as asthma or bronchitis. In this study, we followed the evolution of allergic rhinitis in a group of patients in the last 20 years to highlight the efficacy of different treatments in the prevention of complications, specifically asthma. Patients who didn't receive any kind of treatment experimented a remission of symptoms in 4 cases, a stability of the disease in 6 and the development of complications in 11. In the group treated with symptomatic drugs we highlighted a recovery in 11 patients, a stability of symptoms in 2 and complications in 2. At last, patients undergone immunotherapy considered their symptoms improved in 60 % and stable in 40 % of cases. In conclusion, Immunotherapy guarantees, in a large number of patients, remission of local symptoms and valid protection against district and bronchial complications. Symptomatic treatment with antihistamines and/or cortisones represents a valid alternative, and it's always to be preferred to abstention from any treatment.

A survey to profile conference interpreting practice in China

Interpreting ◽  
2016 ◽  
Vol 18 (2) ◽  
pp. 259-272 ◽  
Author(s):  
Chao Han
Keyword(s):  
Subject Matter ◽  
Online Survey ◽  
Real Life ◽  
Detailed Account ◽  
Diary Study ◽  
Preparation Time ◽  
Simultaneous Interpreting ◽  
Study Results

This report presents findings from an online survey of 140 English/Chinese conference interpreters, conducted as a follow-up of an exploratory diary study (Han 2015), to provide a detailed account of real-life interpreting practice in China. Three main tendencies are identified: a) conference-related materials (mainly programmes and speakers’ scripts/notes) are often received late, leaving little preparation time; b) interpreters do a much wider variety of simultaneous interpreting tasks than previously thought, albeit with varying degrees of frequency; c) difficulties are felt to arise mainly from technical subject matter and terminology, speakers’ delivery (strong accent, speed), and lack of preparation. These findings largely support the diary study results and previous scholarly descriptions.

scholarly journals Diaper need is associated with risk for food insecurity in a statewide sample of WIC participants

2020 ◽  
Author(s):  
Emily H Belarmino ◽  
Amy Malinowski ◽  
Karen Flynn
Keyword(s):  
Food Insecurity ◽  
Online Survey ◽  
Linear Models ◽  
Number Of Children ◽  
Households With Children ◽  
Scientific Attention ◽  
Antipoverty Programs ◽  
The Relationship ◽  
Diaper Need

Diaper need is a form of material hardship that acutely affects families with young children, is not currently addressed by US antipoverty programs, and has received little public or scientific attention. This study examined the association between diaper need and risk for food insecurity in a statewide sample of participants in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Families enrolled in Vermont WIC in August 2019 were invited to an online survey. Generalized linear models were used to estimate the relationship between risk for food insecurity measured by the Hunger Vital Sign tool and diaper need, with and without adjustment for household factors. Follow-up questions asked those with diaper need what they do when they run out of diapers and those without diaper need how they access enough diapers. Complete data were available for 501 households. Over half (52.3%) were at risk for food insecurity and nearly one-third (32.5%) reported diaper need. The odds of experiencing risk for food insecurity were 3.852 (95% CI=2.557, 5.803) times greater for families with diaper need than for families that had enough diapers. The association persisted with adjustment for location, age of respondent, number of children in diapers, and length of time participating in WIC (adjusted OR=4.036, 95% CI=2.645, 6.160). Strategies to avoid running out of diapers included borrowing, stretching supplies, switching to cloth or underwear, and buying on credit. It is possible that public health interventions that address diaper need may reduce food insecurity in households with children.

scholarly journals Impact of the COVID-19 pandemic on infant and pediatric asthma: a multi-center survey using an administrative database in Japan

2020 ◽  
Author(s):  
Seiko Bun ◽  
Kenji Kishimoto ◽  
Jung-ho Shin ◽  
Daisuke Takada ◽  
Tetsuji Morishita ◽  
...  
Keyword(s):  
Pediatric Asthma ◽  
School Closure ◽  
Administrative Database ◽  
Guideline Recommendation ◽  
Limited Data ◽  
Improvement Project ◽  
Its Analysis ◽  
Number Of Patients ◽  
Asthma Patients ◽  
The Relationship

AbstractBackgroundLimited data are available on the relationship between infant and pediatric asthma and severe acute respiratory syndrome coronavirus 2 (COVID-19).Political limitations such as school closure may affect the treatment behavior of pediatric asthma. To investigate the trends of treatment behavior in the field of pediatrics during the COVID-19 pandemic.MethodsThis is a retrospective observational study using Diagnosis Procedure Combination (DPC) data from the Quality Indicator/Improvement Project (QIP) database. We identified children with asthma aged 15 years or younger who were patients from July 1, 2018, to June 30, 2020. The main outcome was a comparison between asthma patients’ treatment behavior before the COVID-19 pandemic and during the COVID-19 pandemic.We statistically tested the admission volume changes based on the discharge date after adjusting for seasonality through a Fourier term using an interrupted time-series analysis (ITS).ResultsWe identified 10,481 inpatients cases in 67 hospitals and 258,911 out-patients cases in 180 hospitals who were diagnosed with asthma. We performed ITS analysis for inpatients. The reduction in the number of patients during this period was estimated to be 232 (P=0.001). In addition, ITS analysis was performed for patients aged <3 years. The reduced number of patients during this period was estimated to be 155 (P<0.001).ConclusionsWe found that the number of pediatric asthma patients dramatically decreased during the COVID-19 pandemic. We need to continue research into the trends of pediatric asthma patients after the COVID-19 pandemic in Japan.Key MessagesThere are increasingly available data on the relationship between adults’ asthma and COVID-19. However, in the fields of pediatrics, limited data are available. Patients with moderate to severe asthma who needed hospitalization dramatically decreased during the COVID-19 pandemic. Besides, doctors prescribed nebulizers more than metered-dose inhalers by the clinical guideline recommendation. Our findings reinforce the value of political inventions, such as school closure reduced the number of asthma attacks in infants and school-age children.

scholarly journals Treatment Efficacy and Compliance in Patients with Diabetic Macular Edema Treated with Ranibizumab in a Real-Life Setting

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Anne-Laurence Best ◽  
Franck Fajnkuchen ◽  
Sylvia Nghiem-Buffet ◽  
Typhaine Grenet ◽  
Gabriel Quentel ◽  
...  
Keyword(s):  
Macular Edema ◽  
Diabetic Macular Edema ◽  
Vision Loss ◽  
Real Life ◽  
Treatment Compliance ◽  
Age Related Macular Degeneration ◽  
Age Related ◽  
Real Life Setting ◽  
The Mean

Purpose. To assess real-life efficacy of ranibizumab and treatment compliance of patients with vision loss secondary to diabetic macular edema (DME). Methods. A retrospective study was conducted in DME patients treated with ranibizumab. Patients were monitored every 4 weeks for visual acuity (VA) and central retinal thickness (CRT) by SD-OCT. All patients received a loading dose of 3 monthly injections followed by retreatments on an as-needed basis. The primary endpoint was the change in VA at M12. Patient compliance to the follow-up and the correlation between the injection number and VA were also investigated. Compliance was compared to that of neovascular age-related macular degeneration (nAMD) patients. Results. Seventy-two eyes of 55 consecutive DME patients were included. At baseline, the mean VA was 56.5 letters and CRT was 470 μm. At M12, the mean VA was 63.4 letters (p<0.0001), 31.1% of patients had a VA > 70 letters, the mean VA change was +6.9 letters, and the mean CRT was 361.9 μm (p=0.0001) after a mean number of 5.33 intravitreal injections. In patients who received ≥7 injections, the VA gain and final VA were significantly higher than in patients who received <7 injections. At M12, 25.45% of DME patients were lost to follow-up versus 16.8% of nAMD patients (n=55). Discussion/Conclusion. Our study confirms the real-life efficacy of ranibizumab in DME at M12 and the need for a large number of injections to achieve better visual outcomes. We also showed a trend to a lower compliance in diabetic versus nAMD patients.

Study and Non-Study Related Technologies use of Flemish Students in Higher Education

2013 ◽  
pp. 84-104
Author(s):  
Steven Bruneel ◽  
Jan Elen ◽  
Kurt De Wit ◽  
Jef C. Verhoeven
Keyword(s):  
Mobile Phones ◽  
Social Networking Sites ◽  
Online Survey ◽  
Learning Technologies ◽  
Exploratory Research ◽  
Survey Results ◽  
The Subject ◽  
The Relationship ◽  
Academic Year

“Living technologies”, such as social networking sites and mobile phones are, nowadays, the subject of educational research. In this chapter we attempt to shed light on the relationship between the reasons for the use of living technologies and learning technologies from students’ perspectives. In this exploratory research project, 15 students were interviewed several times throughout the academic year and 143 students, from various bachelor programs at a Flemish university (Flanders/Belgium) completed an online survey. Results demonstrate that these students make a clear distinction with regard to the frequency and reasons for use of living technologies and learning technologies, with these students rarely use living technologies (for instance, Facebook or mobile phones) for educational purposes. Results are explained in terms of privacy and the reluctance to use particular applications for several non-educational reasons. We end with some possible suggestions for follow-up research.

scholarly journals Allergies, Allergic Comorbidities and the Home Environment in Pediatric Asthma in Southern Florida

2021 ◽  
Vol 18 (8) ◽  
pp. 4142
Author(s):  
Nadia T. Saif ◽  
Gary I. Kleiner ◽  
Lourdes Q. Forster ◽  
Eugene R. Hershorin ◽  
Andrew A. Colin ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Home Environment ◽  
Online Survey ◽  
Pediatric Asthma ◽  
Cross Sectional Study ◽  
South Florida ◽  
Asthma Prevalence ◽  
Early Screening ◽  
Cross Sectional ◽  
Diagnosis Age

Background: Environmental exposure is critical in sensitization to environmental allergens and pediatric asthma morbidity, especially in tropical climates where children are perennially exposed to bioaerosols, such as pollen and mold spores, and endotoxins. Objective: This cross-sectional study examines the association of allergies, associated allergic comorbidities, and the home environment separately and synergistically in pediatric asthma, including in asthma prevalence, severity of asthma, and undiagnosed asthma, in South Florida. Methods: An online survey was administered to the parents of children attending two of the University of Miami pediatric clinics from June to October 2016. Descriptive, factor, and multivariate regression analyses were used to analyze the data. Results: Of 163 children, 22% (36) children had physician-diagnosed asthma; 10% and 32% had allergic rhinitis diagnosis and rhinitis symptoms, respectively, in the past. The allergy diagnosis age was 2.3 years higher than the asthma diagnosis age (p < 0.01). Children with ≥ 2 allergies were 12.8 times more likely to have physician-diagnosed asthma than those without allergies (p < 0.01). Children with allergies and allergic rhinitis were 4.3 (p < 0.05) times more likely to have asthma, and those with asthma were 15 (p < 0.05) times more likely to have an asthma attack than those without known allergies and allergic rhinitis. Conclusion: Allergies and associated comorbidities are risk factors of asthma, asthma persistence, and multiple allergies exacerbate their effects. Early screening for allergies and treatment are warranted to manage asthma. Since the home environment plays an important role in sensitization to allergens, further research is needed to assess home-environment-mediated allergic conditions in the onset and persistence of asthma.

Relationship between family attitudes measured by the Semantic Differential and relapse in schizophrenia: a 2 year follow-up prospective study

1995 ◽  
Vol 25 (2) ◽  
pp. 365-371 ◽  
Author(s):  
Manuel Girón ◽  
Manuel Gomez-Beneyto
Keyword(s):  
Prospective Study ◽  
Negative Symptoms ◽  
Predictive Power ◽  
Treatment Compliance ◽  
Semantic Differential ◽  
Family Attitudes ◽  
Schizophrenic Patients ◽  
A Prospective Study ◽  
The Relationship

SynopsisA prospective study was carried out to investigate the relationship between family attitudes and relapse in a cohort of 80 schizophrenic patients followed up for 2 years. A significant relationship was found between attitudes as measured by means of a semantic differential during hospitalization and later relapse. Lack of treatment compliance, negative symptoms, unemployment and poor pre-morbid adjustment were also associated with relapse. In a multivariate analysis some of these variables changed their predictive power but the association between attitudes and relapse was maintained.

scholarly journals Tolerability of Omalizumab in Asthma as a Major Compliance Factor: 10-Year Follow Up

2018 ◽  
Vol 6 (10) ◽  
pp. 1839-1844 ◽  
Author(s):  
Mona Al-Ahmad ◽  
Jasmina Nurkic ◽  
Ahmed Maher ◽  
Nermina Arifhodzic ◽  
Edin Jusufovic
Keyword(s):  
Adverse Events ◽  
Treatment Efficacy ◽  
Real Life ◽  
Drop Out ◽  
Uncontrolled Asthma ◽  
Increased Risk ◽  
Asthma Patients ◽  
Severe Adverse Events

BACKGROUND: There is a lack of data related to real life, long-term safety, tolerability and compliance of omalizumab treatment in asthma patients beyond 6 years. AIM: Study aimed to assess safety, tolerability, compliance and all reasons for treatment discontinuation during 10 years on omalizumab. SUBJECT AND METHODS: This is a retrospective, observational study of uncontrolled asthma patients receiving omalizumab for the last 10 years. All data were collected from patients’ files (demographics, adverse events, comorbidities, compliance index, reasons for discontinuation of omalizumab). Reactions to omalizumab were classified as local and systemic, and their severity as mild, moderate or severe. Reactions were either immediate (minutes to hours after drug administration) or delayed (after days). Compliance to omalizumab, defined as Compliance index (CI), was calculated by comparing milligrams of given to milligrams of prescribed dose/ per year. RESULTS: Out of 35 patients receiving omalizumab, 15 drop out at different time points mostly due to treatment efficacy or appearance of new comorbidities. Patients who continue for the next ten years had mild to moderate adverse events related to omalizumab. There was no increased risk of severe adverse events during 10 years on omalizumab. Patient’s treatment tolerability, despite mild to moderate adverse events, is in favour of compliance. CONCLUSION: Compliance with omalizumab mildly decreased over 10 years but was not affected by severe adverse events of treatment or new comorbidities. Although, omalizumab is safe medicine appearance of new comorbidities has to be closely followed up.

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