L. Prabhakaran, A. Vasu, T. S. Yian, J. Abisheganaden, Wang Meiyi, Wong Wai Mun
{"title":"The Current Care Delivery Practice for Asthma at the Emergency Department in a Tertiary Hospital in Singapore","authors":"L. Prabhakaran, A. Vasu, T. S. Yian, J. Abisheganaden, Wang Meiyi, Wong Wai Mun","doi":"10.1177/2150129712458287","DOIUrl":"https://doi.org/10.1177/2150129712458287","url":null,"abstract":"Introduction. Acute exacerbation of asthma is a common condition managed at emergency departments (EDs) globally, and many patients recognize the ED as a major source for their relief. Objectives. This study was done to evaluate the current care delivery practice for asthma at an ED and proposes possible strategies for improvement. Method. A retrospective chart review of all treated and discharged patients who were diagnosed with asthma was conducted between January 1, 2008, and December 31, 2008. Patients were excluded if they had a history of chronic obstructive pulmonary disease and congestive cardiac failure or were admitted for further management. Results. A total of 1303 patients treated and discharged from the ED were included. The mean age of the study population was 36.2 ± 16.2 years; 52.3% were male and 47.7% were female. Forty-eight percent of the patients were treated and discharged with no follow-up. Of those who were given follow-up appointments, 220 (16.9%) were referred to polyclinics and ...","PeriodicalId":15244,"journal":{"name":"Journal of Asthma & Allergy Educators","volume":"1 1","pages":"15-21"},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90609129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Prabhakaran, Y. NurAdillahA, J. Abisheganaden, G. Lim, Jane Chee, Tan Wei Lee, Fatima Sattar, Christine Nyuk Lian Liew
{"title":"A Clinical Improvement Project: Reducing Default Rates at a Fast Track Asthma Clinic","authors":"L. Prabhakaran, Y. NurAdillahA, J. Abisheganaden, G. Lim, Jane Chee, Tan Wei Lee, Fatima Sattar, Christine Nyuk Lian Liew","doi":"10.1177/2150129712452305","DOIUrl":"https://doi.org/10.1177/2150129712452305","url":null,"abstract":"Introduction. Patients seen at the emergency department (ED) with poor asthma control at a tertiary hospital in Singapore were fast-tracked to the asthma clinic to stabilize and optimize asthma control. However, the default rates at the fast track clinic (FTC) were high since its initiation, hence the need to initiate a quality improvement project to tackle the default rate as well as to reduce patients’ health care utilization and cost. Aim. The aims were to reduce the default rate of referred appointments from the ED to the FTC from the current 50% to less than 10%, to assess the demographic factors associated with patients canceling and defaulting appointments, and to assess short-term health care utilization and costs for patients who were referred to the FTC. Method. Quality improvement project using the clinical practice improvement methodology. Results. The default rates at the FTC were reduced from 50% to less than 10%. There were significant reductions in health care utilization in the 3-month po...","PeriodicalId":15244,"journal":{"name":"Journal of Asthma & Allergy Educators","volume":"71 1","pages":"5-14"},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85031565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ipratropium Bromide/Albuterol Sulfate","authors":"B. Moller","doi":"10.1177/2150129712473114","DOIUrl":"https://doi.org/10.1177/2150129712473114","url":null,"abstract":"I was 73 Kg (161 Lb) at the start and 69.8 Kg (154 Lb) at the end, a loss of 3.2 Kg (7.1 Lb) salbutamol ipratropium bromide drug study ipratropium bromide + albuterol sulfate That was never as true as in politics today ipratropium bromide albuterol sulfate inhalation solution albuterol atrovent nebulizer dose where to buy ipratropium bromide nasal spray (e) You're mistaking populism with demagoguery ipratropium bromide nebuliser dosage ipratropium bromide vs albuterol ipratropium bromide nasal solution 0.06 side effects So I got behind the wheel during a typically sweltering New York summer week, and gave the GT a spin. albuterol and ipratropium bromide solutions albuterol ipratropium nebulizer dose","PeriodicalId":15244,"journal":{"name":"Journal of Asthma & Allergy Educators","volume":"50 1","pages":"28-29"},"PeriodicalIF":0.0,"publicationDate":"2013-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76459051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pilot Community Health Worker Preparatory Course for AE-C Exam:","authors":"E. Becker, Elena Schwolsky-Fitch, J. Mantle","doi":"10.1177/2150129712469970","DOIUrl":"https://doi.org/10.1177/2150129712469970","url":null,"abstract":"Background. Unfamiliar terminology and clinically focused content deters many community health workers (CHWs) from taking the certified asthma educator (AE-C) examination. Yet CHWs are sought after...","PeriodicalId":15244,"journal":{"name":"Journal of Asthma & Allergy Educators","volume":"36 1","pages":"123-133"},"PeriodicalIF":0.0,"publicationDate":"2013-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90313672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral Health in Individuals With Asthma","authors":"S. Patil, Asha R. Iyengar, K. Nagesh, Ramneek","doi":"10.1177/2150129712461793","DOIUrl":"https://doi.org/10.1177/2150129712461793","url":null,"abstract":"Objective. The prevalence of bronchial asthma is increasing globally by 50% every decade. With more individuals presenting with a medical history of asthma and concurrent medication usage, its impact on oral cavity needs to be recognized. The present study was conducted with an aim to assess the oral health status of individuals with asthma aged 12 years and older and to evaluate the effect of various antiasthma medications on oral health. Materials and Methods. Forty individuals with asthma (22 females and 18 males) between 12 and 66 years of age were included in the study after following extensive exclusion criteria. For all subjects a detailed case history was taken. A thorough oral examination was conducted to determine caries experience, periodontal status, and candidiasis. Furthermore, whole unstimulated saliva was collected for pH estimation and cytological smears obtained for the screening of candidiasis. Results. Of the 40 subjects examined, a history of xerostomia was found in 55%, stomatopyrosi...","PeriodicalId":15244,"journal":{"name":"Journal of Asthma & Allergy Educators","volume":"30 1","pages":"250-254"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84293795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attributions in Pediatric Asthma Self-Management Success and Failure An Exploratory Study","authors":"R. Shegog, Amy Pozmantier, R. Addy","doi":"10.1177/2150129712461275","DOIUrl":"https://doi.org/10.1177/2150129712461275","url":null,"abstract":"“Lack of effort” attributions for failure (behavioral self-blame) have been associated with a greater sense of control over illness outcomes because the failure is attributed to internal (ie, subject to personal factors), unstable (ie, amenable to different outcomes on future occasions), and controllable (ie, subject to personal intent) causes. This study examines the causal attributions (locus, stability, control) used by children and their parents to explain success and failure in 3 asthma self-management domains: symptom monitoring, medication adherence, and environmental trigger avoidance. Participants included 65 children (9-13 years) diagnosed with asthma and their primary caregivers, recruited from urban specialty and community clinics and schools. Responses to a structured interview presenting 18 scenarios of self-management success and failure were coded along causal dimensions and causal labels using the Coding Scheme of Perceived Causality. Children attributed self-management success and failur...","PeriodicalId":15244,"journal":{"name":"Journal of Asthma & Allergy Educators","volume":"100 6 1","pages":"274-281"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88094764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Topaz, A. Johnson, R. Pinilla, C. Rand, M. George
{"title":"Primary Care Providers’ Attitudes and Beliefs About Patients’ Complementary and Alternative Medicine Use for Asthma Self-Management An Exploratory Study","authors":"M. Topaz, A. Johnson, R. Pinilla, C. Rand, M. George","doi":"10.1177/2150129712463062","DOIUrl":"https://doi.org/10.1177/2150129712463062","url":null,"abstract":"Background: Asthma is a major cause of health resource utilization, poor quality of life and disability. However, adherence to asthma treatments remains relatively poor, partially because patients often prefer to use complementary and alternative medicine (CAM) instead of conventional therapies. Moreover, individuals with asthma are reluctant to disclose CAM use with their providers. It was suggested that providers’ negative attitude towards CAM is one barrier to creating an open dialogue. Purpose: The aim of this exploratory study was to identify primary care providers’ attitudes and beliefs about their asthma patients’ CAM use. Methods: Providers who referred patients into a research study about asthma self-management, including CAM, completed three surveys: the revised Integrative Medicine Attitude Questionnaire (r-IMAQ) ; the 10-item CAM Health Belief Questionnaire (CHBQ); and the 30-item Morehouse College Survey of CAM Practices (MCSCAMP). Results: Of the 21 referring providers, 14 physicians and 2 n...","PeriodicalId":15244,"journal":{"name":"Journal of Asthma & Allergy Educators","volume":"306 1","pages":"255-263"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77129191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Many Faces of Asthma Medications","authors":"C. Tolomeo","doi":"10.1177/2150129712465269","DOIUrl":"https://doi.org/10.1177/2150129712465269","url":null,"abstract":"","PeriodicalId":15244,"journal":{"name":"Journal of Asthma & Allergy Educators","volume":"13 1","pages":"249-249"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80073495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effectiveness of Pharmacist Interventions on Asthma Management: A Systematic Review","authors":"G. Adunlin, Soheyla Mahdavian","doi":"10.1177/2150129712464775","DOIUrl":"https://doi.org/10.1177/2150129712464775","url":null,"abstract":"Background. In recent years, pharmacists have become more active in patient care and can demonstrate a positive impact on the outcomes of drug therapy in asthma patients. Objective. The primary obj...","PeriodicalId":15244,"journal":{"name":"Journal of Asthma & Allergy Educators","volume":"33 1","pages":"264-273"},"PeriodicalIF":0.0,"publicationDate":"2012-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89974895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Innovative Approach to Partnership in Asthma Care A Shared Medical Appointment for Children With Asthma and Their Caregivers","authors":"C. Wall-Haas","doi":"10.1177/2150129712442538","DOIUrl":"https://doi.org/10.1177/2150129712442538","url":null,"abstract":"","PeriodicalId":15244,"journal":{"name":"Journal of Asthma & Allergy Educators","volume":"39 1","pages":"202-207"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77953478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}