scholarly journals Parietaria Allergy: An Intriguing Challenge for the Allergist

Medicina ◽  
2018 ◽  
Vol 54 (6) ◽  
pp. 106
Author(s):  
Giorgio Ciprandi ◽  
Paola Puccinelli ◽  
Cristoforo Incorvaia ◽  
Simonetta Masieri
Keyword(s):  
Clinical Practice ◽  
Symptom Severity ◽  
Pollen Season ◽  
Clinical Characteristics ◽  
Allergen Immunotherapy ◽  
Correct Diagnosis ◽  
Mediterranean Area ◽  
Pollen Exposure ◽  
Inflammatory Changes ◽  
The Impact

Parietaria pollen is the most important cause of pollen allergies in the Mediterranean area, as Parietaria is widespread in this region. Many issues are associated with Parietaria allergy, including the duration of the pollen season (many doctors in fact believe that it lasts throughout the year), pollen load (which seems to be increasing over time), the impact of age (on IgE production and symptom severity), inflammatory changes (after pollen exposure), and the choice of allergen immunotherapy (AIT). In addition, molecular diagnostics allows for the defining of a correct diagnosis, differentiating between mere sensitization and true allergy. This review considers these topics and will hopefully help the allergist in clinical practice. Parietaria allergy is an intriguing challenge for the allergist in clinical practice, but it may be adequately managed by knowing the peculiarities of respective territories and the clinical characteristics of each patient.

scholarly journals A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of Children

2021 ◽  
Vol 9 ◽  
Author(s):  
Ying Xu ◽  
Fugen Han ◽  
Dongjie Seng ◽  
Lan Jiang ◽  
Shengcai Wang ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Head And Neck ◽  
Clinical Characteristics ◽  
Treatment Plan ◽  
Correct Diagnosis ◽  
Ct Scanning ◽  
Diagnosis And Treatment ◽  
Imaging Features ◽  
The Impact ◽  
Bronchogenic Cysts

Objective: This study was designed to summarize the clinical characteristics, diagnosis and treatment of pharyngeal bronchogenic cysts in children to help in making the correct diagnosis and developing an appropriate treatment plan.Methods: The clinical data of 13 children with bronchogenic cysts in the pharynx, who were treated in otolaryngology head and neck surgery department between September 2013 and July 2019, were analyzed retrospectively. The clinical characteristics were evaluated, and the related factors for diagnosis and treatment were analyzed. Clinical characteristics and imaging features of three cases whose lesions located in the nasopharyngeal, oropharynx, and laryngopharyngeal were demonstrated.Results: All 13 children were male, the youngest being 4 days old, the oldest 6 years and 6 months, and the median age being 1 year and 4 months. Eight patients were diagnosed during a physical examination, and five patients visited the doctor with different degrees of upper airway obstruction. The mass was located in the nasopharynx in one patient, in the oropharynx in eight patients, and in the laryngopharynx in the other four patients. Computed tomography (CT) scanning, which is helpful for a topical diagnosis, showed a dense homogeneous mass. Electronic nasopharyngoscopy showed cystic masses of different sizes in the pharynx. All the children underwent cyst resection under general anesthesia, and the postoperative pathology result was a bronchogenic cyst. One child was lost to follow-up, but the remaining 12 children were followed up for between 6 months and 6 years, during which no recurrence of a cyst was found.Conclusion: Bronchogenic cysts are a rare cyst of the head and neck, and the most common site of the cyst is the oropharynx. The impact on airway obstruction depends on the location and size of the cyst. CT scanning is of great significance for diagnosis. Surgical treatment should be carried out as soon as possible after diagnosis, as surgery is the most effective way to treat bronchogenic cysts. Follow-ups should be carried out regularly to prevent cyst recurrence.

scholarly journals Nonindependence of patient data in the clinical practice research datalink: a case study in atrial fibrillation patients

2020 ◽  
Vol 9 (6) ◽  
pp. 395-403
Author(s):  
Cormac J Sammon ◽  
Thomas P Leahy ◽  
Sreeram Ramagopalan
Keyword(s):  
Atrial Fibrillation ◽  
Clinical Practice ◽  
Clinical Characteristics ◽  
Patient Data ◽  
Practice Research ◽  
Clinical Practice Research Datalink ◽  
Nonvalvular Atrial Fibrillation ◽  
Patient Registration ◽  
The Impact

Aim: The impact of different strategies to handle patients with data recorded under multiple Clinical Practice Research Datalink (CPRD) identifiers (IDs) is unknown. Patients and methods: Six approaches to handling patients appearing under multiple CPRD IDs were defined. The impact of the approaches was illustrated using a case study describing the clinical characteristics of a population of nonvalvular atrial fibrillation patients. Results: 5.6% of patients had more than one CPRD ID. Across all six approaches implemented, no material difference in the characteristics of nonvalvular atrial fibrillation patients were observed. Conclusion: While strategies which longitudinally append patient registration periods under different CPRD IDs maintain independence while using all available data, their implementation had little impact on the results of our case study.

scholarly journals Respiratory syncytial virus infection is an underestimated cause of viral pneumoniae in adults

2021 ◽  
Author(s):  
Lorenz Schubert ◽  
Johanna Steininger ◽  
Felix Lötsch ◽  
Anna Nele Herdina ◽  
Redlberger-Fritz Monika ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Respiratory Syncytial Virus ◽  
Virus Infection ◽  
Chronic Diseases ◽  
Respiratory Disease ◽  
Detection Rate ◽  
Correct Diagnosis ◽  
Advanced Age ◽  
Syncytial Virus ◽  
The Impact

Abstract Respiratory syncytial virus (RSV) testing is generally available in most care centres, but it is rarely performed because clinicians’ seldom suspect RSV to be the underlying pathogen in adults with respiratory disease. Here, we evaluate the impact of broad combined influenza/RSV testing on the clinical practice. Overall, 103 patients were tested positively for RSV. Our study indicates that positively tested patients were mostly of advanced age and suffered from chronic diseases. Mortality was significant in our cohort and higher in patients with advanced age. Further, we report a significant increase in detected RSV cases but also in detection rate. Together, these findings suggest that implementation of a combined influenza/RSV testing led to a significant increase in detection rate, supported clinicians establishing the correct diagnosis and allowed a safe and controlled handling of RSV patients.

scholarly journals Surveillance of respiratory syncytial virus infections in adults, Austria, 2017 to 2019

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Lorenz Schubert ◽  
Johanna Steininger ◽  
Felix Lötsch ◽  
Anna Nele Herdina ◽  
Monika Redlberger-Fritz ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Respiratory Syncytial Virus ◽  
Chronic Diseases ◽  
Respiratory Disease ◽  
Detection Rate ◽  
Correct Diagnosis ◽  
Advanced Age ◽  
Virus Infections ◽  
Syncytial Virus ◽  
The Impact

AbstractRespiratory syncytial virus (RSV) testing is generally available in most care centres, but it is rarely performed because clinicians’ seldom suspect RSV to be the underlying pathogen in adults with respiratory disease. Here, we evaluate the impact of broad combined influenza/RSV testing on the clinical practice. Overall, 103 patients were tested positively for RSV. Our study indicates that positively tested patients were mostly of advanced age and suffered from chronic diseases. Mortality was significant in our cohort and higher in patients with advanced age. Further, we report a significant increase in detected RSV cases but also in detection rate. Together, these findings suggest that implementation of a combined influenza/RSV testing led to a significant increase in detection rate, supported clinicians establishing the correct diagnosis and allowed a safe and controlled handling of RSV patients.

Translating Principles of Speech Science to Clinical Practice: Current and Future Trends in Craniofacial Disorders

2008 ◽  
Vol 18 (1) ◽  
pp. 31-40 ◽  
Author(s):  
David J. Zajac
Keyword(s):  
Clinical Practice ◽  
Speech Intelligibility ◽  
Current Practice ◽  
Computer Assisted ◽  
Behavioral Management ◽  
Single Word ◽  
Future Directions ◽  
Speech Science ◽  
The Impact ◽  
Opinion Article

Abstract The purpose of this opinion article is to review the impact of the principles and technology of speech science on clinical practice in the area of craniofacial disorders. Current practice relative to (a) speech aerodynamic assessment, (b) computer-assisted single-word speech intelligibility testing, and (c) behavioral management of hypernasal resonance are reviewed. Future directions and/or refinement of each area are also identified. It is suggested that both challenging and rewarding times are in store for clinical researchers in craniofacial disorders.

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