scholarly journals Asthma control in adults – unfinished business!

2015 ◽  
Vol 21 (4) ◽  
pp. 90
Author(s):  
Umesh G Lalloo

Asthma treatment has advanced tremendously in the last 3 decades. Medical science has provided evidence based treatment strategies to control over 90% of persons afflicted with asthma. Evidence of the efficacy of this strategy is manifest significantly by a reduction in asthma mortality globally. South Africa, despite being one of the most resourced country on the African continent still has an unacceptably high mortality (1).

Author(s):  
William Breitbart ◽  
Anna L. Dickerman

Fatigue is commonly reported by persons with HIV and AIDS and is associated with impaired physical function, reduced quality of life, and suboptimal treatment adherence. Patients regard fatigue as an important condition to be addressed because it is disabling and distressing. In the past, fatigue was overlooked and undertreated by physicians, but clinicians caring for persons with HIV and AIDS have been giving more attention to symptom management and patients’ quality of life. Increased attention to symptom management in HIV and AIDS warrants familiarity with major issues in evaluation and treatment of fatigue. This chapter reviews the definition and assessment of fatigue, prevalence of fatigue in HIV/AIDS and its impact on patients, medical and psychological causes of fatigue, and evidence-based treatment strategies.


2007 ◽  
Vol 88 ◽  
pp. S52-S60 ◽  
Author(s):  
Joelle Pineau ◽  
Marc G. Bellemare ◽  
A. John Rush ◽  
Adrian Ghizaru ◽  
Susan A. Murphy

Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Emily L. Bilek ◽  
Brian A. Buzzella ◽  
...  

The therapy manuals included in this volume—the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) and Adolescents (UP-A)—include evidence-based treatment strategies to assist child and adolescent clients to function better in their lives. The manuals include specific guidelines for treatment delivery, and they also contain information about how to introduce parent-directed strategies to help promote long-term uptake of youth-directed therapy skills. The evidence-based treatment skills presented may be applied by therapists to children and adolescents with a wide variety of emotional disorders. This treatment guide takes a transdiagnostic approach to the treatment of emotional disorders. Some of the disorders that may be targeted include anxiety disorders and depressive disorders. This treatment is flexible enough for use with some trauma and stress-related disorders (including adjustment disorders), somatic symptom disorders, tic disorders and obsessive-compulsive disorders. The transdiagnostic presentation of evidence-based intervention techniques within these treatments may be particularly useful for children and adolescents presenting with multiple emotional disorders or mixed/subclinical symptoms of several emotional disorders.


2020 ◽  
Vol 55 (9) ◽  
pp. 824-832
Author(s):  
Hiroshi Nakase ◽  
Takayuki Matsumoto ◽  
Kenji Watanabe ◽  
Tadakazu Hisamatsu

2019 ◽  
Vol 19 (1) ◽  
pp. 73-82
Author(s):  
Amirul Hisham Zainol ◽  
Ahmad Filza Ismail ◽  
Fahisham Taib ◽  
Bachok Norsa’adah

Introduction: Asthma is a chronic inflammatory condition that affect physically, emotionally and psychologically. In adolescent, various factors contributed to poor asthma control. This study aims to identify treatment adherence, quality of life, knowledge and attitude in adolescents with asthma. Method: This cross-sectional study randomly selected 14 schools in two districts of a state in North-eastern of Malaysia. Complete information was obtained from 262 adolescents aged 13 to 18 years old, who were diagnosed with bronchial asthma in the last six months or having recurrent wheeze for the past 12 months. The tools used include Asthma control test; Asthma treatment adherence; Knowledge on asthma; Attitude on asthma; Paediatric asthma quality of life questionnaires have undergone various process of translation, face validation and assessment of the reliability and validity to achieve a standardized Malay language version. Results: There were about 30% of the adolescent who have not taking their medicine regularly with 50% non-compliant once symptom control was achieved. 22.5% of the participants felt embarrass when using inhaler in front of their friends. Our study showed a higher adherenceto medication of more than 70% compared to other studies. However, more than 50% of of the participants have minimal understanding on the disease natural history. Approximately 20-30% of them admitted of experiencing overall poor quality of life at the time of the study. Conclusion: Most participants reported having good asthma treatment adherence; but in our study, half of the adolescent have poor knowledge of asthma and negative attitude towards medication which influenced the quality of life. Bangladesh Journal of Medical Science Vol.19(1) 2020 p.73-82


2019 ◽  
Author(s):  
Cylie Williams ◽  
Kelly Gray ◽  
Nina Davies ◽  
Marybeth Barkocy ◽  
Michael Fahey ◽  
...  

Abstract Background Idiopathic toe walking (ITW) is an exclusionary diagnosis and varies in severity, from those children with full range of ankle motion, to those with associated ankle equinus. In the absence of a consensus in the treatment for this gait pattern, many clinicians are faced with challenges in understanding available evidence-based treatment options. The research aim was to understand agreement between health professionals’ knowledge of evidence for common treatment strategies for idiopathic toe walking (ITW) and if health professionals supported these strategies being used in clinical practice. Methods: An international online survey was opened to registered health professionals who treat children with ITW between July 2017 and March 2018. The survey had two components: 1) demographic variables and variables relating to knowledge of evidence about ITW treatments and 2) support for common treatment strategies. Additional data on strategy use, referrals, and preference were collected. Kappa statistics described intra-rater agreement between evidence knowledge and support. Multivariable regression analyses identified factors associated with the 10 most commonly preferred treatments. Results: There were 908 international responses. Kappa agreement for paired correct responses determined a fair agreement for evidence support knowledge for four strategies including Watch and Wait (Kappa=0.24), Stretching (Kappa=0.30), Sensory Integration Strategies (Kappa=0.40) and Motor Control Strategies (Kappa =0.24) and moderate responses for thirteen others. No strategies had greater than moderate agreement between correct knowledge of evidence and strategy support. Profession, location, number of children seen in practice, and not correctly identifying the evidence factored into many of the most commonly used strategies for ITW (p<0.05). Conclusions: The results from this study confirm a variety of interventions are utilised in the management of ITW around the world. Furthermore, there remains a disconnect between clinicians understanding of the evidence of common treatment strategies of ITW and a consensus for the treatment of this condition.


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