July 2007

Managing Asthma in your child

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 Asthma is the No. 1 cause of hospitalizations among children, but with proper management, children can have full participation in school and sporting events.

Experts estimate nearly 20 million Americans have asthma, ranging from 7 percent to 12 percent of children. Among African-Americans the rate of asthma is even higher.H. James Wedner, M.D., professor of medicine at Washington University School of Medicine in St. Louis and chief of the Division of Allergy and Immunology, says how asthma will affect a child throughout his/her lifetime varies, depending on the child.

“For some children, asthma improves during the teenage years, while others have symptoms that become more severe over time,” Wedner says. “About half of the children who have asthma at a young age appear to ‘outgrow’ it, although the asthma symptoms may reappear later in life.”

Asthma is a chronic, inflammatory disease in which the airways become sensitive to allergens (any substance that triggers an allergic reaction). When the airways are exposed to certain triggers, the lining of the airways become swollen and inflamed, the muscles that surround the airways tighten, and the production of mucus increases. All of these factors will cause the airways to narrow, making it difficult for air to go in and out of the lungs, causing the symptoms of asthma.

Although there are common symptoms of asthma, each child may experience symptoms differently. Symptoms may include:

coughing (either constant or intermittently)
wheezing (this is a whistling sound that may be heard while breathing)
• trouble breathing or shortness of breath while exercising
• chest tightness
• fatigue
• nighttime cough
• noisy breathing

The symptoms of asthma may resemble other problems or medical conditions. Always consult your child’s pediatrician for a diagnosis.

Exercise, such as running, may trigger an asthma attack in the majority of children with asthma. However, with proper management, a child with asthma can maintain full participation in most sports, Wedner says. Aerobic exercise actually improves airway function by strengthening breathing muscles. Some tips for exercising with asthma include the following:

• Have your child stretch before and after exercising, breathing through the nose and not the mouth to warm and humidify the air before it enters the airways.

• Give your child asthma medication before exercising, as recommended by your child’s physician.

• Have your child carry a “reliever” or “reserve” medication, just in case of an asthma attack.

• During cold weather, have your child wear a scarf over the mouth and nose, so that the air breathed in is warm and easier to inhale.

Some children with asthma may need to take their medications during school hours, says Anne Borgmeyer, an allergy/pulmonary nurse practitioner at St. Louis Children’s Hospital, an affiliate of Washington University School of Medicine.

“It is important that the child, family, physician and school staff all work together toward meeting the child’s asthma treatment goals,” Borgmeyer says. “To ensure optimal asthma care for your child at school, the American Academy of Allergy, Asthma, and Immunology recommends meeting with teachers, the school nurse and other relevant school staff to inform them about your child’s condition and special needs. Educate with school personnel on your child’s asthma medications and how to assist during an asthma attack, and ask school staff to treat your child ‘normally’ when the asthma is under control. “

In addition, Borgmeyer says before starting a physical education class, talk with that teacher or coach on exercise-induced asthma, and take steps to prevent asthma symptoms from starting that could hamper your child’s energy level. Ensure your child’s emotional well-being by reassuring him/her that asthma does not have to slow him/her down or make him/her different from the other children.

Washington University School of Medicine’s full-time and volunteer faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Children’s hospitals. The School of Medicine is one of the leading medical research, teaching and patient care institutions in the nation, currently ranked fourth in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Children’s hospitals, the School of Medicine is linked to BJC HealthCare.

90. Macon Telegraph, The GA – September 23, 2002 ASTHMA THE FASTEST-GROWING CHRONIC DISEASE IN THE U.S. Imagine the first gasp, that struggle for breath, the closing in of your lungs as they pant for air that seems not to be there: Asthma.Listen to Daniel Lage, 13, talk about what it feels like: ”It’s like your lungs are getting smaller and smaller and you can’t get enough air and you can’t breathe and you can’t stay standing up.” Daniel, an eighth-grader in Coral Gables, Fla., has had… , of 1294 words 90. Times, The NY – September 19, 2002 Environment Rich in Germs May Reduce Risk of Asthma Children from extremely clean may be more likely to develop asthma and hay fever than those who grow up on farms or in families that allow a bit of dirt in the house, researchers are reporting. Dirt and manure may be beneficial because they are swarming with bacteria, which can help an infant’s immune system to mature and develop tolerance — instead of allergies — to environmental substances like pollen and animal dander.|Study published in New England Journal of… , of 9 words 90. Virginian-Pilot, The Norfolk, VA – January 29, 2002 ASTHMA STUDY SEEMS TO BE REDUCING HOSPITAL VISITS, EDUCATION, SUPPORT HELP PARENTS MANAGE DISEASE IN PRESCHOOLERS Doctors have known for years that preschoolers are more likely than any other age group to land in the hospital for asthma.They are more susceptible to serious attacks because their airways are smaller. They are less able to tell their parents when they feel an attack coming on, sometimes describing it as a stomachache. And they are more likely to catch colds and viruses, which can trigger an attack. But what Dr. Cynthia Kelly wanted to know was this: Could working directly with… , of 1555 words 90. Knight-Ridder/Tribune Business News – January 17, 2002 Tucson, Arizona Respiratory Center Gets $7 Million Grant for Asthma Research Jan. 17–A $7 million federal grant will help the UA’s Arizona Respiratory Center pinpoint genetic processes that cause asthma — research that may lead to a vaccine to prevent the disease. How soon could this happen? We are more advanced than people think, said Dr. Fernando Martinez, a pediatrician and director of the Arizona Respiratory Center. I would say not further than 10 to 15 years from now we will see a vaccine developed in the field… , of 671 words 90. *- November 15, 2001 Exercise-induced asthma can be treated Dear Dr. Gott: I have been diagnosed with exercise-induced asthma. What is this disorder? Can it be fatal? Dear Reader: Asthma can be fatal. In fact, specialists are concerned about the increasing number of unnecessary deaths nationwide due to this common lung condition.Asthma is a chronic, cyclic pulmonary disorder, marked by excess mucus secretions and bronchospasm, narrowing of the breathing passages. This impairs respiration and leads to wheezing, coughing, breathlessness and… , of 11 words 90. Times, The NY – August 13, 2001 Asthma and the Athlete’s Challenge When people talk about the tragic death of Rashidi Wheeler, the Northwestern football player who died of an asthma attack during practice this month, I can hear the disbelief in their voices: He was killed by asthma? My heart goes out to his family. The sad and hard-to-accept truth is that the tragedy that has struck them plays out 5,500 times every year in the United States. Asthma is killing people at alarming rates. I could easily have been one of them.|Jackie Joyner-Kersee Op-Ed… , of 625 words 90. Boston Globe, The MA – May 27, 2001 CAMBRIDGE AND SOMERVILLE TACKLE ENVIRONMENTAL FACTORS OF ASTHMA SOMERVILLE – Cristian Mendoza was only 2 when he was diagnosed with asthma three years ago. He couldn’t breathe. He couldn’t sleep. One day, he was so sick we had to rush him to the emergency room at Somerville Hospital, his mother, Maria Mendoza, recalled through a Spanish interpreter last week. Though doctors put the boy on an inhaler, a nebulizer and medications, asthma continued to wear him down.His parents searched desperately for… , of 15 words 90. *- May 7, 2001 ALLERGY SEASON TRIGGERS ATTACKS ASTHMA TAKES ITS TOLL Experts estimate that more than people die and more than 3,000 people are hospitalized in the St.

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 New Asthma medication

Asthma is a chronic condition that occurs when the airways leading to a patient’s lungs become inflamed or swollen. During an asthma attack, a patient’s lungs become constricted and excrete mucus, making it difficult for the asthmatic to breathe. “You feel like you’re choking or someone is sitting on your chest,” says asthmatic Teo Hoke. A wide range of environmental factors, like pollen, dust, smoke or cold air, can trigger asthma attacks. They can also be caused by exercise, emotional stress or viral illness. Common symptoms of asthma include wheezing, coughing and shortness of breath. During a severe asthma attack, the asthmatic may turn blue from lack of oxygen, experience chest pain, and lose consciousness. Roughly 4,000 people die from asthma-related deaths each year, which is why physicians are always on the lookout for new ways to treat and control asthma. TRADITIONAL TREATMENT: Experts say one of the best ways to treat asthma is to identify what exactly is triggering the attacks (like pets or cigarette smoke) and limit the patient’s exposure to it. “I cannot be around people who smoke cigarettes or have harsh perfumes,” explains Hoke. Desensitization can also help asthmatics cope with common environmental triggers like pollen or dust. Relief medication like fast-acting, pocket-sized bronchodilators filled with medication can help clear an asthmatic’s airways during an attack, and some asthmatics take preventive medication to stop symptoms before they start. Some patients, like Hoke, use oral steroids to control their asthma. “About 5 percent of my asthmatic patients use oral steroids,” says Neil Schachter, M.D., medical director of the respiratory care department at Mount Sinai Medical Center. “They are the most beneficial, the most reliable of all the medications that we use for the treatment of asthma, but they also carry the highest proportion of side effects.” These side effects include excitability, sleeplessness, nervousness, bone damage, infection due to decreased immune system, increased risk for diabetes, and insatiable hunger. “I would get up in the middle of the night and make seven course meals,” says Hoke. “All this because you have this drive to eat, and you cannot control it. [Since getting off the medication,] I have lost 50 pounds, and I sleep well.”

ALTERNATIVES: Researchers are in the midst of conducting clinical trials with three Chinese herbs (Ling-Zhi (Ganoderma lucidum), Ku-Shen (Radix Sophora flavescentis), and Gan Cao (Radix Glycyrrhiza uralensis) to see if they improve lung function in asthmatics. Scientists believe these herbs may provide a natural, highly effective alternative to steroids — without the dangerous side effects. “Many, if not most, of our most effective medications have started off as traditional remedies, as herbal remedies,” Dr. Schachter says

That was the treatment for asthma three decades ago. It was an improvement to what the generation experienced, when the medical profession believed the condition w*all in your head. Treatment and diagnosis have come a long way since then, and it is not only keeping individuals healthier, it’s saving the health-care system time and money,… , of 1560 words 90. *- September 17, 2004 Recent rain dampens this area’s asthma walk Because of the wet weather, the American Lung Association’s Asthma Walk scheduled for Saturday has been moved from Greenfield Lake to Westfield Shoppingtown Independence mall. The walk is one of hundreds held nationwide by the American Lung Association to increase awareness of asthma and to raise funds to benefit asthma research, education and advocacy. Trish Snyder, the walk’s coordinator, said that the recent ra*put a damper on the event,… , of 4 words 90. Contra Costa Times Walnut Creek, CA – May 5, 2004 MORE ASTHMA ATTACKS IN BAY AREA REGIONS, BREATHING DISORDER ON RISE IN CHILDREN, STUDY FINDS SACRAMENTO — Each year in California, 18,000 people are hospitalized for asthma attacks, even though experts say many serious incidents can be avoided.Nearly 7,000 of the hospitalizations involve children, particularly from poorer communities. Asthma-related absences cause schools to lose several hundred millions of dollars each year, according to a study released Tuesday that also found that some of the state’s highest asthma hospitalization rates are in the Richmond, San… , of 955 words 90. Contra Costa Times Walnut Creek, CA – May 5, 2004 MORE ASTHMA ATTACKS IN BAY AREA REGIONS, BREATHING DISORDER ON RISE IN CHILDREN, STUDY FINDS SACRAMENTO — Each year in California, 18,000 people are hospitalized for asthma attacks, even though experts say many serious incidents can be avoided.Nearly 7,000 of the hospitalizations involve children, particularly from poorer communities. Asthma-related absences cause schools to lose several hundred millions of dollars each year, according to a study released Tuesday that also found that some of the state’s highest asthma hospitalization rates are in the Richmond, San… , of 925 words 90. *- October 29, 2003 Walk supports asthma sufferers When a whistle blast kicks off Saturday’s walk to fund asthma programs research, the sound will be a reminder of what many of the sufferers of the widespread lung disease cannot do when an attack occurs. According to Trish Snyder, who is coordinating the local American Lung Association Blow the Whistle on Asthma Walk, the illness, which causes coughing, wheezing, and shortness of breath, is on the rise, with 20.3 percent of Americans suffering from the disease. Asthma deaths are on… , of 6 words 90. Knight-Ridder/Tribune Business News – June 25, 2003 Asthma Rates in North Carolina Trouble Experts Jun. 25 Even with a diagnosis, medications and a firm understanding of his ailment, Aaron Braxton gets panicky when an asthma attack hits and he starts heaving for air. It hurts, like my throat, and my stomach hurts, Aaron said from his home in Pittsboro. The 11-year-old was diagnosed with the breathing disorder about three years ago and has been taking medication, including a steroidal inhalant, ever since.His diagnosis and treatment have helped him forge a… , of 953 words 90. Capital Times, The Madison, WI – June 24, 2003 ANALYZING ASTHMA, STUDY LOOKS AT STATE’S RURAL CHILDREN Do farm kids wheeze more than city dwellers? Or is there something about rural life that protects people from allergies and asthma?These are among the questions being asked in a landmark study of asthma among children in rural Wisconsin. Area families who received one of the ,000 asthma questionnaires are being urged to help guide further research into the causes and prevention of childhood asthma by completing the surveys. We know about the severity of asthma in the… , of 648 words 90. Southern Star, The Brisbane, Australia – October 9, 2002 Coping with asthma A number of Asthma Management Health Care Programs will be held in the area tomorrow. Customers with asthma will be able to visit both Acacia Ridge’s Elizabeth St Chemmart and Terry White Chemist at Sunnybank Hills for information.Elizabeth St Chemmart pharmacist Linda Beaumont said because two in five children and one in 10 adults had asthma, it was important to better manage those who were not correctly administering their medication.“The Asthma Foundation recommends… , of 276 words : 521 – 5 of 295486 |4 44546474849505152 53 545556575859606162

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know the facts about Asthma triggers

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Asthma triggers know the facts : A new report ‘Household Hazards: Potential Hazards of Home Cleaning Products’ released today points to mounting evidence that links exposure to chemicals in cleaning products to a rise in health problems, particularly asthma and reproductive harm. A staff scientist with the national women’s environmental health group Women’s Voices for the Earth (WVE) drew information from over 75 reports and scientific studies, exposing a valid reason for concern about the ingredients in these products. The report highlights the pervasiveness of these health concerns associated with household cleaning products, and the need for companies to label their products with a list of currently “hidden ingredients” which pose potential risks to human health.

The group sent a letter to 23 major manufacturers of cleaning products including Proctor & Gamble and S.C. Johnson, (for full list, please see: www.womenandenvironment.org) requesting full disclosure of chemicals of concern to consumers through product labels. None have responded with a willingness to list these particularly harmful chemicals on its product labels. In the letter WVE states that “individuals affected by conditions such as asthma or allergies often look to avoid substances that may trigger or exacerbate their symptoms. Similarly, women who are pregnant, or trying to get pregnant, take extra precautions to avoid exposures that may impact the development of their child. Individuals with chemical sensitivities or various other diseases are also concerned about controlling their exposures to certain substances.”

Some companies have said that they cannot list ingredients due to the risk of divulging trade secrets to their competitors. WVE has stated that food companies have to label ingredients despite their need to protect “secret recipes,” and this system works quite well in alerting shoppers ingredients they wish to avoid, for allergy reasons or otherwise. The group also notes that if company competitors wanted to steal a formula, they could always take it to a laboratory and determine its ingredients, with much greater accuracy than they would get off an ingredients label. “The public good from making this information readily available clearly outweighs the risk to the company,” says Alexandra Gorman, report author and Director of Science and Research at WVE.

The report ‘Household Hazards’ points to several studies that reveal a higher incidence of asthma in populations, such as janitorial workers, who have high exposure to certain cleaning chemicals. It was also found that frequent use of certain chemicals in household products is associated with persistent wheezing among pre-school children, and increases the likelihood of asthma among children. An estimated 9 million children (12.5% of children) aged 18 or less living in the U.S. have had asthma diagnosed at some time in their lives. According to the Centers for Disease Control, asthma affects 20 million people in the U.S. and is the most common serious chronic childhood disease.

“The epidemic rates of asthma among children under five in our country is frightening,” says Julia Earl of Minneapolis, a mother of a seven year old son with asthma. “The link between asthma and these chemicals in household cleaning products has me extremely concerned. Asthma is a serious condition, and this should be taken seriously by those who have the power to restrict these chemicals when effective alternatives exist.”

The report found that the presence of these chemicals in our daily lives is more pervasive than previously thought, and that children are disproportionately impacted by cleaning chemicals, both at home and at school, being more vulnerable due to underdeveloped immune systems. Infants’ exposure can be particularly high because they crawl on the ground, frequently putting their hands in their mouths, transferring chemicals from floor and carpet finishes and cleaners directly into their bodies. Women are also receiving more chemical exposure than men, since they are still doing over 70% of the housework in the average home. The more time women spend at home, the higher their exposure to potentially hazardous cleaning chemicals, such as monoethanolamine (MEA), glycol ethers and benzalkonium chloride.

“Food manufacturers have to list ingredients, so why shouldn’t cleaning product manufacturers? These chemicals also go into our body via our skin and our lungs. The Made in the USA label is not enough to give us confidence that our children’s health is being protected. The standards for full disclosure of ingredients should be the same, whether a product is made in the U.S. or is made in China,” said Gorman, referring to scandals around toothpaste, pet food and other products made in China.

State, county and city governments have paid increasing attention to this issue, and many have developed purchasing regulations for use in public buildings, which specify changes to milder cleaning products for daily maintenance and avoiding products that are flammable, corrosive or highly toxic. A list of government regulations and guidelines can be found here.

Many consumers are already taking action to prevent overexposure to potentially toxic chemicals in their home. Some of the tips offered in the report include avoiding products that contain these chemicals of concern, using fewer products, buying products that disclose their ingredients, and never mixing products. The release of ‘Household Hazards’ signifies the launch of a new national initiative by Women’s Voices for the Earth to tackle the rising incidence of chronic diseases among women and children linked with exposure to chemicals in consumer products. WVE’s campaign will call on major manufacturers of common household cleaning products to help protect public health by disclosing and ultimately removing hazardous ingredients from their products.

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Houston Chronicle – February 25, 1996 Houston’s breathtaking problems/Doctors connect air pollution to worsening asthma incidence Depending on each individual’s susceptibilities, a wide variety of airborne irritants and allergens can ignite a breath-stealing asthma attack. For Bertha Navarro, 52, a native of Costa Rica who lives near the Houston Ship Channel and its vast array of oil and chemical plants, a personal asth*trigger is industrial pollution. Quimic*- the chemicals sometimes evident in her community’s air – can cause her to have… , of 1 0 words 91. Chicago Sun-Times – October 11, 1993 Asthma Danger Grows Here Cook County Ranks 3rd In U.S. Deaths on Rise For reasons not entirely understood, an increasing number of Cook County residents are developing – and dying from – asthma, an easily treated, often preventable lung disease.Cook County has the nation’s third highest prevalence rate for asthma. And health experts say the number of those hospitalized and dying from the disease, particularly children, is growing at an alarming rate. Cook County and City, which together represent about 7 percent of the… , of 798 words 91. St. Louis Post-Dispatch – September 12, 1993 RISING ASTHMA DEATHS PUZZLE DOCTORS MOST VICTIMS LIVE IN INNER CITY Five years ago, Scott Cristal of St. Peters noticed that his lungs were working harder than usual.An asthma sufferer since his teens, Cristal used an inhaler to make breathing easier. But my breathing became more labored as the day wore on, he said. He was supposed to meet a doctor for dinner, so he decided to wait and ask his advice. He never made his supper date.Just before quitting time at the computer business that he owns, Cristal passed out from lack of… , of 857 words 91. Chicago Sun-Times – May 24, 1993 ASTHMA HELP Chicago Lung Association offers general educational material on asthma and makes referrals to patient-run support groups for children and adults, including Parents of Asthmatic Children and the North Side Allergy and Asthma Support Group. The association also runs a summer camp for children with severe asthma. Call 2 2 -2000.National Allergy and Asthma Network/Mothers of Asthmatics, a nonprofit group, provides a hotli*service, provides patient-education… , of 296 words 91. Los Angeles Times – February 20, 1992 Popular Asthma Drug’s Use Tied to Death Risk Heavy use of one of the most common inhaled asthma drugs is associated with a significantly increased risk of dying of asthma, according to new research that suggests that some treatments themselves may help explain the perplexing rise in asthma deaths worldwide.The study, published today in the New England Journal of Medicine, found that the more heavily a person relied on inhaled drugs called beta agonists, the greater his or her risk of dying of asthma or suffering a near-fatal… , of 1151 words : 511 – 520 of 295486 | 4 445464748495051 52 5 455565758596061
91. Fresno Bee, The CA – September 21, 1991 COUNTY’S ASTHMATIC DEATH RATE 2ND IN US STATISTICS SHOW THAT ABOUT 4,000 PEOPLE IN THENATION DIE ANNUALLY FROM ASTHMA, AN INCREASE OF PERCENT DURING THE PAST DECADE. Fresno County ranks second only to City in a national study of the rate of asthma-related deaths among children and young adults, a ranking that came as no surprise to one Fresno doctor who treats asthma patients.Although only a handful of people in the county die each year from the condition, Nobody should die from asthma, said Dr. A.M. Aminian, a Fresno allergist and immunologist. The area’s poor air quality, the increased number of asthma… , of 890 words 90. Newcastle Herald Australia – July 5, 2005 Asthma ticking in aged UP to one-third of older people have potentially life-threatening asthma but do not know it. Older people account for roughly six in every 10 asthma deaths but despite this statistic experts say little research on the disease has been done among those older than 55.University of Newcastle researcher Dimity Pond said shortness of breath caused by asthma in older people was often confused with the symptoms of chronic obstructive pulmonary disease, making it difficult to diagnose…. , of 7 words 90. Barrie Advance, The Barrie, Ontario, Canada – April 17, 2005 Asthma still a challenge for the medical profession As a child, Paula Ritchie would have to sit on the sidelines while her classmates went to gym class.

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 Why do Asthma attacks occur?

COUGHING. Wheezing. Chest tightness. Shortness of breath. These are some of the symptoms Mrs Wong (not her real name) and many other people with asthma experience – sometimes daily – due to poor asthma control.  

For Mrs Wong and two million Malaysians who suffer from asthma, these symptoms are commonplace and tend to increase, if not properly controlled.  

Asthma is a chronic inflammatory condition of the lung airways. When exposed to certain allergy triggers, the airways become swollen and narrow, causing the symptoms of asthma.  

People with asthma suffer terribly for an average of three to five days during each acute attack, when their asthma becomes uncontrolled.  

In fact, there are about 20 asthmatic episodes experienced per adult per year. This may not sound like a lot, but for an asthma patient, it can be quite debilitating. Her daily activities are disrupted because of these attacks and she has to spend time in hospital.  

Why do these attacks occur? Inflamed and narrow airways lead to coughing, wheezing, chest tightness and laboured breathing. Inflamed airways are the root cause of the problem. Unfortunately, most people with asthma neglect to treat the inflammation, even if it’s what the doctor ordered. 

Most people with asthma recognise asthma symptoms and experience warning signs before the actual attack occurs. But the problem is that they tend to rely heavily on the blue reliever inhaler, to the extent of neglecting the maintenance inhaler.  

What people with asthma need to understand is that both the maintenance and reliever inhaler are needed for proper asthma control.  

They both have specific functions and one cannot compensate for the other, which is why many who rely solely on the blue reliever inhaler don’t notice an improvement in their condition. 

The maintenance inhaler treats the underlying inflammation, and should be used on a daily basis for prevention purposes. The blue reliever inhaler is only used when needed – usually when the airways become narrow – to provide fast relief.  

Right treatment 

It is important to remember that the blue reliever inhaler does not treat inflammation, and over-relying on it will do nothing to help control asthma.  

Proper asthma management requires that sufferers use both inhalers, because treating inflammation is a necessary step in controlling asthma in order to prevent asthma attacks. 

Many patients fail to understand the importance of using both the inhalers as part of their asthma management. Many can’t tell the difference between the functions of inhalers of different colours, and using multiple inhalers becomes confusing for some. 

If the root of the problem lies in inflamed airways, then the solution is to prevent or control this inflammation.  

The key to proper asthma management and prevention of attacks is to treat the underlying airway inflammation early and adequately. People with asthma should consult their physicians on the best way to treat their asthma

Malaysian patients have a poor understanding of their condition and the role of maintenance therapy for treating the underlying inflammation.  

In the Asthma Insights and Reality in Asia Pacific study, the use of maintenance therapy was reported by only 13.6% of asthma patients in Malaysia, while 56.3% used their reliever for quick symptom relief.  

New approach 

Today’s respiratory physicians, referring to the Global Initiative for Asthma guidelines, would treat asthma patients based on control rather than severity. 

The latest approach to asthma management is known as the Single inhaler Maintenance And Reliever Therapy – simply known as SMART. With SMART, people with asthma use just one inhaler, because it provides both the daily maintenance dose and reliever use if needed.  

The new inhaler is easily identified by its colour – a red turbuhaler – which differentiates it from the other inhalers used currently. And having to rely on just one inhaler means people with asthma would not get confused, as they did in the past. 

Extensive clinical research has been done for this new approach. Worldwide, more than 14,000 patients, including Malaysians, participated in the SMART clinical development programme.  

The results showed that SMART provided better overall asthma control and helped reduce the risk and number of serious asthma attacks. 

With the SMART approach, people with asthma can look forward to fast relief, better asthma control and an improved quality of life in the long term. People with asthma can follow some simple actions to control their asthma: 

  • Consult your doctor first – only after the correct diagnosis can the most appropriate asthma management therapy be recommended, tailored specifically to the patient. 
  • Stay alert to your asthma symptoms – know your symptoms well and listen to your body. Act immediately to control your asthma
  • Understand your medicines – heed your doctor’s advice on asthma medications, and when to take them.  
  • Avoid asthma triggers – asthma is a variable disease; many things can trigger an attack, so be alert to what triggers your attacks. Is it cigarette smoke, dust, pollution, pet hair, medication or certain foods?  Don’t let your asthma control you – you can control your asthma
  • Oh, who is Harbor-UCLA Medical Center’s pediatric chief of allergy and immunology, has… , of 811 words 91. THE SAN FRANCISCO CHRONICLE – May 20, 1997 Increase in Asthma Puzzles Scientists Links sought to secondhand smoke, urban violence Researchers seeking to explain the puzzling increase in asthma rates are focusing on a variety of causes, including secondhand smoke, genetic susceptibility and the psychological stress of exposure to violence in America’s inner cities. The number of deaths per year from the disease among adults has nearly doubled in the past 20 years. And among children, asthma now ranks as the leading cause of serious chronic illness. It is the most common ailment that sends youngsters to the… , of 582 words 91. *- March 18, 1997 STUDY LINKS ESTROGEN TO ASTHMA RELIEF Giving asthmatic women estrogen just before menstruation can significantly reduce symptoms of what doctors call pre-menstrual asthma, a University of Kentucky researcher is reporting today. Mary H.H. Chandler, an associate professor of pharmacy at UK, says her findings don’t mean doctors should start treating asthma by giving women estrogen, which carries some cancer risks. But learning more about the estrogen-asthma connection someday might produce new treatments, she said…. , of 675 words : 501 – 510 of 295486 |4 24 4454647484950 51 525 4555657585960
    91. Oregonian, The Portland, OR – December 5, 1996 TEEN’S ASTHMA DEATH UNDERSCORES DEADLY POTENTIAL FROM THE AILMENT The recent death of a 17-year-old Tualatin High School senior was is a tragic reminder that asthma, which afflicts 154,000 Oregonians, has deadly potential.Kimberly Birk, a talented volleyball player, died Friday of an acute asthma attack after working out for several minutes on a treadmill.after less than two minutes on a treadmill. Asthma, which affects million Americans, is a chronic, inflammatory lung disease. It is a growing national problem nationwide, according to the National… , of 587 words 91. *- October , 1996 The Breath of LIFE Asthma’s on the rise, especially among children Take a look inside the school medicine cabinet, watch the sidelines at the next midget football game, the school gym, the park on Saturdays – asthma inhalers are popping up everywhere. If it seems like more kids have asthma these days than they used to … they do.Children with asthma have very sensitive windpipes that narrow at the onset of an asthma attack, causing the windpipe lining to swell and produce mucus. The resulting symptoms include cough, wheezing, increased breathing rate and… , of 1688 words 91. *- October , 1996 The Breath of LIFE Asthma’s on the rise, especially among children Take a look inside the school medicine cabinet, watch the sidelines at the next midget football game, the school gym, the park on Saturdays – asthma inhalers are popping up everywhere. If it seems like more kids have asthma these days than they used to … they do.Children with asthma have very sensitive windpipes that narrow at the onset of an asthma attack, causing the windpipe lining to swell and produce mucus. The resulting symptoms include cough, wheezing, increased breathing rate and… , of 1688 words 91. Chicago Sun-Times – July 17, 1996 Reports of asthma are up in Chicago Reports of asthma among Chicagoans are occurring at a much higher rate than studies found, according to a survey released Tuesday.The survey of 5,500 students in the seventh through ninth grades by Dr. Victoria Persky, an epidemiologist at the School of Public Health at the University of Illinois at Chicago, found that 16 percent had been diagnosed with asthma, up from the 5 percent to 7 percent rate reported in studies made of the same age group in the ’70s and… , of 7 words 91. Star, The Ontario, Canada – April 6, 1996 Natural healers dispute study on asthma drugs ‘Misguided’ fears called legitimate Doctors who believe in natural healing aren’t buying a recently released study of 600 adult Canadian asthma sufferers that concluded many don’t take medications regularly enough because of fears of addiction and side effects. And neither are many of the asthma sufferers themselves.These doctors and patients say the fears are legitimate, and that people are usually better off learning to rely less on drugs and more on their body’s ability to heal… , of 667 words 91.

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    The inhalers for Asthma – How they work

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      Inhalers allow people with asthma to lead active lives without fear of an attack. Here’s a rundown of inhaler types, with tips on proper use.
    Inhalers have transformed asthma treatment. They enable children and adults with asthma to deliver medicine directly to their lungs nearly anytime and anywhere. A variety of inhalers are available to help relieve or control asthma symptoms. Two common types include metered-dose inhalers and dry powder inhalers.

    Using an inhaler is just one part of your asthma treatment plan, which may also include checking your lung function with a peak flow meter, eliminating asthma triggers and exercising. But knowing what types of inhalers are available and how to use them can help you better manage your asthma and get the most from your treatment.

    Types of inhalers
    Inhalers are hand-held portable devices that deliver medication directly to the lungs. A variety of inhalers exist, but they basically fall into two categories:

    Metered-dose inhalers. These inhalers use a chemical propellant to push the medication out of the inhaler. The medication may be released by squeezing the canister or by direct inhalation.
    Dry powder inhalers. These inhalers don’t use a chemical propellant to push the medication out of the inhaler. Instead, the medication is released by your inhaling more rapidly than you would with a traditional metered-dose inhaler.
    Medications delivered through inhalers
    Asthma inhalers are used to deliver a variety of asthma medications — some that assist with long-term control and others that provide quick relief of symptoms. Inhaled asthma medications include:

    Short-acting bronchodilators. These medications, including albuterol (Proventil, Ventolin) and pirbuterol (Maxair), provide immediate relief of asthma symptoms.
    Long-acting bronchodilators. These medications relieve asthma symptoms for longer periods of time. They include salmeterol (Serevent) and formoterol (Foradil).
    Corticosteroids. Used long term to prevent asthma attacks, these medications include beclomethasone dipropionate (QVAR), fluticasone (Flovent), budesonide (Pulmicort), triamcinolone acetonide (Azmacort) and flunisolide (Aerobid).
    Cromolyn or nedocromil. These nonsteroidal medications are used long term to prevent inflammation.
    Corticosteroid plus long-acting bronchodilator. This medication combines a corticosteroid and a long-acting bronchodilator (Advair).

    MORE ON THIS TOPIC
    Asthma medications: Know your options

    How do inhalers work?
    Inhalers may come with slightly different instructions. Follow those instructions carefully and ask your doctor for a demonstration.

    Metered-dose inhalers. These inhalers include a pressurized canister with measured doses of medication inside. Squeezing the top of the canister converts the medication into a fine mist. Some metered-dose inhalers are breath actuated and don’t require you to squeeze the inhaler. You place your lips on or near the inhaler’s mouthpiece to inhale the mist.
    Using the type of metered-dose inhaler with a pressurized canister calls for coordinating two actions: squeezing the canister and inhaling the medication. You may find it easier to do this with a spacer — a short tube that attaches to the inhaler. The spacer acts as a holding chamber that keeps the medication from escaping into the air. Releasing the medication into the chamber gives you time to inhale more slowly. It decreases the amount of medicine that’s deposited on the back of your throat and increases the amount that reaches your lungs.

    Dry powder inhalers. Dry powder inhalers require you to place your lips on the mouthpiece and inhale more rapidly than you would with a traditional metered-dose inhaler. Some people find dry powder inhalers easier to use than the conventional pressurized metered-dose inhalers because hand-lung coordination isn’t required. Available types include a dry powder tube inhaler, a powder disk inhaler and a single dose dry powder disk inhaler. Spacers can’t be used with dry powder inhalers.
    The importance of using inhalers properly
    Inhalers enable people with asthma to lead active lives without fear of an attack. Because inhalers are portable, they’re convenient and can provide immediate relief. But it’s important to use inhalers properly in order for the medications to be effective.

    You may find it difficult to take asthma medication regularly, particularly corticosteroids or other medicines used to prevent asthma symptoms over the long term. You may not feel any immediate benefit from these medications. But if you don’t take them regularly, as prescribed, you may have problems later on. For example, you may rely too heavily on inhaled bronchodilators. These fast-acting medications can relieve symptoms quickly, but they’re no substitute for the long-term medications that keep your asthma under control.

    In addition to taking the medications you’re prescribed, it’s important that you use your inhaler(s) correctly so that the medication reaches your lungs. Carefully follow the instructions. And ask a doctor, nurse or pharmacist for a demonstration. Use the inhaler in front of this person and ask for feedback. Then practice at home in front of a mirror.

    If you’re unable to use an inhaler, a nebulizer may be an option. Nebulizers are designed for those who can’t use an inhaler, such as infants, young children and those who are seriously ill. The device works by converting medication into a mist and delivering it through a mask that you wear over your nose and mouth.
     

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    Oh, who is Harbor-UCLA Medical Center’s pediatric chief of allergy and immunology, has… , of 811 words 91. THE SAN FRANCISCO CHRONICLE – May 20, 1997 Increase in Asthma Puzzles Scientists Links sought to secondhand smoke, urban violence Researchers seeking to explain the puzzling increase in asthma rates are focusing on a variety of causes, including secondhand smoke, genetic susceptibility and the psychological stress of exposure to violence in America’s inner cities. The number of deaths per year from the disease among adults has nearly doubled in the past 20 years. And among children, asthma now ranks as the leading cause of serious chronic illness. It is the most common ailment that sends youngsters to the… , of 582 words 91. *- March 18, 1997 STUDY LINKS ESTROGEN TO ASTHMA RELIEF Giving asthmatic women estrogen just before menstruation can significantly reduce symptoms of what doctors call pre-menstrual asthma, a University of Kentucky researcher is reporting today. Mary H.H. Chandler, an associate professor of pharmacy at UK, says her findings don’t mean doctors should start treating asthma by giving women estrogen, which carries some cancer risks. But learning more about the estrogen-asthma connection someday might produce new treatments, she said…. , of 675 words : 501 – 510 of 295486 |4 24 4454647484950 51 525 4555657585960
    91. Oregonian, The Portland, OR – December 5, 1996 TEEN’S ASTHMA DEATH UNDERSCORES DEADLY POTENTIAL FROM THE AILMENT The recent death of a 17-year-old Tualatin High School senior was is a tragic reminder that asthma, which afflicts 154,000 Oregonians, has deadly potential.Kimberly Birk, a talented volleyball player, died Friday of an acute asthma attack after working out for several minutes on a treadmill.after less than two minutes on a treadmill. Asthma, which affects million Americans, is a chronic, inflammatory lung disease. It is a growing national problem nationwide, according to the National… , of 587 words 91. *- October , 1996 The Breath of LIFE Asthma’s on the rise, especially among children Take a look inside the school medicine cabinet, watch the sidelines at the next midget football game, the school gym, the park on Saturdays – asthma inhalers are popping up everywhere. If it seems like more kids have asthma these days than they used to … they do.Children with asthma have very sensitive windpipes that narrow at the onset of an asthma attack, causing the windpipe lining to swell and produce mucus. The resulting symptoms include cough, wheezing, increased breathing rate and… , of 1688 words 91. *- October , 1996 The Breath of LIFE Asthma’s on the rise, especially among children Take a look inside the school medicine cabinet, watch the sidelines at the next midget football game, the school gym, the park on Saturdays – asthma inhalers are popping up everywhere. If it seems like more kids have asthma these days than they used to … they do.Children with asthma have very sensitive windpipes that narrow at the onset of an asthma attack, causing the windpipe lining to swell and produce mucus. The resulting symptoms include cough, wheezing, increased breathing rate and… , of 1688 words 91. Chicago Sun-Times – July 17, 1996 Reports of asthma are up in Chicago Reports of asthma among Chicagoans are occurring at a much higher rate than studies found, according to a survey released Tuesday.The survey of 5,500 students in the seventh through ninth grades by Dr. Victoria Persky, an epidemiologist at the School of Public Health at the University of Illinois at Chicago, found that 16 percent had been diagnosed with asthma, up from the 5 percent to 7 percent rate reported in studies made of the same age group in the ’70s and… , of 7 words 91. Star, The Ontario, Canada – April 6, 1996 Natural healers dispute study on asthma drugs ‘Misguided’ fears called legitimate Doctors who believe in natural healing aren’t buying a recently released study of 600 adult Canadian asthma sufferers that concluded many don’t take medications regularly enough because of fears of addiction and side effects. And neither are many of the asthma sufferers themselves.These doctors and patients say the fears are legitimate, and that people are usually better off learning to rely less on drugs and more on their body’s ability to heal… , of 667 words 91.

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    The link between allergy and asthma

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      Researchers working on two European Union-funded research projects have unravelled the structure of a key enzyme that can trigger allergies and asthma, giving hopes for more effective therapies, said the European Commission.

    The enzyme, termed LTC4 synthase, is part of a complex process that leads to the production of leukotrienes, which cause allergic symptoms, and motors the inflammatory reaction, which causes asthma attacks.

    Some of the existing medicines block the effect of this enzyme after the process has taken place. Thanks to these latest findings, scientists will now be able to tailor new molecules that block LTC4 before it can act.

    The breakthrough was published in the leading scientific magazine Nature on Sunday.

    The two projects, named EICOSANOX and E-MeP, are headed by professors from Karolinska Institutet in Stockholm and received 20 million euros ($27 million) of funding from EU’s research programme.

    The EU-funded teams have developed the highest ever resolution picture of the structure of LTC4 synthase. This greater clarity of the structure of the enzyme means that scientists now have a much better understanding of how it is formed and how it works. This knowledge can then be used to develop more effective therapies.

    Scientists from around the world have been working on unravelling the structure of LTC4 synthase and the results of two such projects are described in Nature this week.

    The European team, however, has managed to produce the highest resolution information, therefore providing a much better template for drug design.

    Asthma treatment

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    When Devone regained consciousness an hour later, her life was changed. At 50, the Hempstead, N.Y., resident had joined the growing ranks of Americans afflicted with the baffling… , of 605 words 91. Chicago Sun-Times – March 20, 1999 Hispanics get asthma warning One of the first-ever studies of Hispanics and asthma was done in Chicago recently, and it came up with troubling news. The number of Hispanics with asthma is increasing, particularly among Puerto Rican children under age 1. What’s more, the number of asthma deaths among Hispanics also is on the rise. Very often, the study found, Hispanics died before ever getting medical care. Or, by the time Hispanics arrived at the emergency room, they were in such bad shape they could not be… , of 688 words 91. The Orange County Register – March 11, 1999 Asthma program debuts in O.C. HEALTH: Teachers, parents and children are to be taught how to prevent and treat the condition. The Orange County chapter of the American Lung Association kicked off the country’s first comprehensive asthma education program targeting day-care centers Wednesday, hoping to educate and train parents, teachers and children about the disease that affects one in 20 county children. The program, launched at the Buena Park Head Start, will become a model for lung association affiliates throughout the country, officials said. It is being rolled out in Head Start centers throughout… , of 905 words 91. *- February 4, 1999 $68M IS A START VS. ASTHMA IN QUEENS, where ,000 school children suffer from asthma, Hillary Rodham Clinton’s announcement last Thursday that the President’s budget would include $68 million to combat asthma nationwide is welcome news. Queens children suffer from asthma in disproportionate numbers. The problem is compounded in the areas near the airports. It is a very serious problem in southeast Queens, says Tara Fleming, director of public affairs at the Jamaica… , of 689 words 91. Daily Press Newport News, VA – October 8, 1998 ASTHMA DRUG COULD AVERT HOSPITAL STAY Adding a drug to common treatments for severe asthma attacks could help many children avoid a hospital stay, according to a new study done at Children’s Hospital of the King’s Daughters.Emergency room doctors found that use of ipratropium bromide, a plant-based medicine, led to a 15 percent reduction in hospitalizations for children with severe attacks. The study, a joint project of CHKD and Eastern Virginia Medical School, was published today in the New England… , of 7 words 91. St. Louis Post-Dispatch – April 24, 1998 EXPERT BLAMES POLLUTION FOR INCREASED ASTHMA CASES RISE BY 75 PERCENT SINCE 1980, CDC WARNS AND MORE INCIDENCES TURN DEADLY The number of Americans who suffer from asthma has risen 75 percent since 1980 to more than 15 million, in part due to pollution and other environmental factors, federal health officials said Thursday.The Centers for Disease Control and Prevention said the number of doctors’ office visits for asthma treatment had more than doubled since 1975. There were more than 1.8 million emergency room visits for asthma in 1995. The agency said the increase in asthma cases spanned all… , of 4 words 91. *- February 25, 1998 LIVING AND BREATHING IT There are an estimated 500,000 ers with asthma who fight a daily battle to breathe. This is the story of five people who have learned to cope with the disease. Denise Dennis, 44, of Harlem, has waged her fight against asthma on two fronts.The disease itself sent her to St. Luke’s Hospital, choking and wheezing, more than 20 times over an eight-year period. Each episode was terrifying for Dennis, a single woman who lived alone. But the cure was almost as bad.Doctors… , of 1217 words 91. *- June 2, 1997 ASTHMA UNDER ATTACK, Harbor-UCLA researcher looks for genetic causes He was just out of medical school when he decided how he would attack the mystery of asthma.He would go down to the molecule to look for the cause of the complicated disease. Dr. Chad K. Oh now spends most of his time isolating genes in search of solid evidence of the genetic roots of asthma, findings that could lead to a treatment far superior to today’s asthma medications.

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    Symptoms of Asthma attack

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    Until rapid breathing, wheezing and coughing become obvious, the condition of many children with asthma will go undetected. These children with asthma usually suffer some degree of airway obstruction; and unless it is brought under control, the children may suffer respiratory illness more frequently than necessary.

    Hidden asthma, however, can produce so few recognizable symptoms that even the physician might not be able to distinguish abnormal breath sounds with his or her stethoscope but it may cause subtle problems such as limitation of physical activity. Pulmonary function testing usually reveals these cases of airway obstruction.

    WHAT USUALLY TRIGGERS ASTHMA?

    Episodes of asthma often are triggered by some condition or stimulus. Common triggers of asthma are:

    Exercise

    Running can trigger an episode in over 80 percent of children with asthma. Bronchodilator medications used before exercise can prevent most of these episodes. With proper control of asthma, most children with asthma can participate fully in physical activities.

    There might be exceptions, such as prolonged running, especially during cold weather, allergy season or illness from a “cold.” Swimming seems to be the least asthma-provoking form of exercise. However recently there has been concern about excessively chlorinated pools precipitating asthma episodes.

    Infections

    Respiratory infections, including the flu, frequently trigger severe episodes of asthma. Research indicates that these infections are most frequently produced by viruses, rather than bacteria. Antibiotics are of no benefit for viral infections and thus may be of little value in an asthma episode. It is important for all children with asthma to get vaccinated for the flu each year. American Lung Association Research has shown that the vaccination itself will not precipitate an attack.

    Bronchodilator medication, good hydration, and when indicated, corticosteroids are required to control an asthma episode triggered by viral infections. Therefore, a parent should not be surprised if the physician does not prescribe an antibiotic when a child is having a respiratory infection and asthma. On the other hand, the doctor may decide to use an antibiotic if he or she suspects bacterial infection, such as sinusitis or bronchitis.

    Note: Chronic sinusitis in childhood due to bacteria can be a very stubborn chronic trigger for asthma. Treatment for 10 days with antibiotics may not be effective. In these children, sinus x-rays are frequently required to diagnose the underlying condition.

    Antibiotic treatment for 3 to 4 weeks or longer may be required to completely eradicate these infections. Asthma may also be triggered by an ear infection or bronchitis which would also require antibiotic therapy.

    Allergy

    Asthma symptoms of many children with asthma are triggered by allergies. Allergic children suffer reactions to ordinarily harmless material (pollen, mold, food, animals).

    During an allergic reaction, chemicals such as histamine are released from specialized cells. This may produce swelling of the lining of the airway, excessive mucus secretion and muscle contraction in the airways. In this way, an allergy can provoke an asthma episode.

    The allergens involved are common indoor inhalants (dust mites, feathers, molds, pets, insects (especially roaches), outdoor inhalants (molds and pollens), or ingested foods (milk, soy, egg, etc.). Foods are much less frequent causes of asthma. These allergens may produce low-grade reactions which are of no obvious consequence: however, daily exposure to these allergens may result in a gradual worsening of asthma.

    Allergy may be the cause of unrecognized or hidden asthma. Minor allergic reactions can be more important than more obvious or severe reactions, in that an allergic person tends to avoid exposure to allergens that have caused severe reactions, while ignoring the minor allergens.

    For instance, if your child is highly allergic to cats and develops severe wheezing when he or she is around them, you’ll probably avoid cats at all costs. But what about your dog that sleeps with your child and doesn’t cause obvious wheezing? This could be an important factor. If so, skin testing usually will reveal any reaction the child has to the dog. The child would then do better with both the cat and dog removed from his or her environment.

    Irritants

    Cigarette smoke, air pollution, strong odors, aerosol sprays and paint fumes are some of the substances which irritate the tissues of the lungs and upper airways. The reaction (cough, wheeze, phlegm, runny nose, watery eyes) produced by these irritants can be identical to those produced by allergens.

    Cigarette smoke is a good example, because it is highly irritating and can trigger asthma. Most people are not allergic to cigarette smoke; that is, there is no known immunologic reaction. Nevertheless, this irritant can be more significant than any allergen.

    Secondhand smoke can cause serious harm to children. An estimated 400,000 to one million asthmatic children have their condition worsened by exposure to secondhand smoke.5

    Irritants must be recognized and avoided. Cigarette smoking certainly should be avoided in the home of any child with asthma. It has been shown that when the parents of a child with asthma stop smoking, the child’s asthma often improves.

    Weather

    Children with asthma have cited a number of climatic conditions as trigger factors. Many identify cold air as triggering asthma. Pulmonary function studies demonstrate that breathing cold air provokes asthma in most children with asthma.

    Precautions may be necessary to avoid inhalation of cold air, such as wearing a special ski mask designed for this purpose. A heavy scarf, worn loosely over the nose and mouth, will also help avoid cold air induced asthma.

    The weather affects outdoor inhalant allergens (pollens and molds). On a windy day more allergens will be scattered in the air, while a heavy rainfall will wash the air clean of allergens. On the other hand, a light rain might wash out pollen, but actually increase mold concentration.

    There does not seem to be one best climate for all children with asthma, and moving to a new area to reduce asthma severity often is met with disappointment in the long run, even after initial improvement.

    Emotions

    A common misbelief is that children with asthma have a major psychological problem that’s caused the asthma. Emotional factors are not the cause of asthma; however,emotional stress can infrequently trigger asthma.

    A child’s asthma might only be noticeable after crying, laughing or yelling in response to an emotional situation. These normal “emotional” responses involve deep rapid breathing which in turn can trigger asthma, as it does after running.

    Emotional stress itself (anxiety, frustration, anger) also can trigger asthma, but the asthmatic condition precedes the emotional stress. Therefore, a child’s asthma is not “in his or her head,” as many people believe.

    Emotions are associated with asthma for another reason. Many children with asthma suffer from severe anxiety during an episode as a result of suffocation produced by asthma. The anxiety and panic can then produce rapid breathing or hyperventilation, which further triggers the asthma.

    During an episode, anxiety and panic should be controlled as much as possible. The parent should remain calm, encourage the child to relax and breathe easily and give appropriate medications.

    Treatment should be aimed at controlling the asthma. When asthma is controlled, emotional stress will be reduced and other emotional factors can then be dealt with more effectively. Any chronic illness, especially if uncontrolled, can have associated secondary psychological problems. More severe psychological problems require a specialist to help the child and his or her family.
     

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    Christopher J. Dodd assured local clinic workers and pulmonary specialists Monday that they are not battling childhood asthma alone. Responding to recent studies showing alarmingly high rates of asthma among Connecticut children, Dodd gathered with health care providers at the Hill Health Center to describe his efforts for aiding asthma prevention, education and treatment. Despite the best efforts of the health community, childhood asthma is becoming more common, more deadly… , of 718 words 91. Weekend Australian Australia – October 21, 2000 Antihistamines delay asthma LARGE doses of antihistamines can delay the onset of asthma for up to three years in infants at high risk of the disease, an international study has shown. A study of 800 infants aged 1-2 years found children at high risk of asthma, because of eczema and household allergies, could halve their chance of developing asthma by taking antihistamines twice daily.The reduction in asthma incidence lasted 18 months while the children were on the antihistamines and for an additional 18 months when… , of 554 words 91. St. Louis Post-Dispatch – October 12, 2000 CHILDREN WITH ASTHMA CAN SAFELY INHALE STEROIDS, WITH NO SIDE EFFECTS, STUDY SHOWS Research led by a Washington University doctor found that an initial growth delay is only temporary.Inhaling steroids can effectively combat asthma in children without severely harming growth, according to a nationwide study by a St. Louis doctor and other researchers. The study, published today in the New England Journal of Medicine, involved 1,0 children at eight centers around the country. Dr. Robert C. Strunk and his colleagues at Washington University School of Medicine enrolled… , of 1061 words 91. Press-Enterprise, The Riverside, CA – November 16, 1999 Attacking asthma: Getting the proper dose of medication and learning how to cope with asthma can help sufferers stay active at school or work. At age 7, Brian Chandler is no stranger to hospital emergency rooms. He landed there whenever an especially severe asthma attack flared into wheezing, coughing and difficulty breathing, mostly in the middle of the night. Brian’s mother, Sharyl, recalls that Brian was 22 months old when a cold that wouldn’t go away triggered the asthma.After that, it seemed that every cold caused a flare-up and another trip to the hospital in Apple Valley, where the Chandler family… , of 73 words 91. State, The Columbia, SC – September 28, 1999 THE GROWING ASTHMA EPIDEMIC: DISEASE STRIKING THOSE LEAST ABLE TO FIGHT BACK – CHILDREN AND THE POOR For the first two years of his life, Patrick Purves of WildeWood barely left his home other than to visit the hospital.Asthma and allergies would strike so viciously that Patrick was forced to live like a boy in a bubble. Now 11, Patrick’s asthma has not disappeared, though it is under control. He takes medication daily, which allows him to function normally. He even plays soccer. He used to say, ‘Mom, I feel like I’m… , of 16 words 91. *- September 4, 1999 ASTHMA: THE SILENT EPIDEMIC//ONCE ASTHMA WENT ALMOST UNNOTICED. NOW, WATCHING A CHILD FIGHT FOR BREATH IS NOT SUCH AN UNCOMMON SIGHT. A SUBURBAN MARYLAND SOCCER TEAM RECENTLY HAD THREE YOUNG PLAYERS PUFFING THEIR INHALERS BETWEEN PLAYS. In a crayon sketch, a floppy-eared, big-footed elephant crushes a frowning girl into her bed.“It feels like something was standing on my chest when I have an asthma attack,” explained the artist, Madison Benner, an 8-year-old Virginia farm girl. Madison’s asthma is relatively mild. But a disease once treated as a minor irritant is now a global medical problem that has reached epidemic proportions.The number of cases in the United States grew more… , of 24 words : 491 – 500 of 295486 | 4 24 44546474849 50 51525 45556575859
    91. The Kansas City Star – August 7, 1999 Asthma attacks As number of sufferers rises, many find living with disease means drastic changes Mary A. Devone will never forget her first asthma attack. It happened on a Sunday afternoon 10 years ago. She had just arrived home from church and was getting out of her car when she was stunned by the sensation of a vise closing around her lungs. It seemed to squeeze the energy out of her body as she collapsed.

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    Asthma symptom in your child – spot it in time

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    Asthma is one of the most common chronic diseases of childhood.In 2004, an estimated 4 million children under 18 years old have had an asthma attack in the past 12 months, and many others have “hidden” or undiagnosed asthma.1 Asthma is the most common cause of school absenteeism due to chronic disease and accounted for an estimated 14 million lost school days.2 

    Even though asthma cannot be cured, it can almost always be controlled. For this reason, the American Lung Association has chosen control of childhood asthma as one of its top priorities.

    The better you and your child understand asthma and its treatment, the better you will be able to control it.

    HOW DO NORMAL LUNGS FUNCTION?

    Lungs allow oxygen to enter the body in exchange for its waste product, carbon dioxide. As the air passes through the nose and mouth, it is rapidly warmed and moistened to avoid injury to the delicate lining of the airways.

    The nose and airways also trap large particles (dust, pollen, molds, bacteria) and chemicals (smoke, sprays, odors), which could cause serious injury to the lungs.

    The air is then transported through smaller airways. These airways branch like a tree, so that millions of small airways can carry oxygen to the tiny air sacs called alveoli.

    The airways have a delicate cellular lining (mucosa), which is coated with a thin layer of mucus, as is present in the nose. Foreign particles are trapped by the sticky mucus and eventually removed from the airways through the normal cleansing process.

    The process is assisted by the movement of tiny “whip-like” structures called cilia which move the mucus and trapped foreign particles up toward the mouth and nose where they are coughed and sneezed out or swallowed.

    Bundles of muscles surround the airways, and the contraction of these muscles allows airways to selectively direct the flow of air.

    WHAT IS ASTHMA?

    Asthma is an inflammatory condition of the bronchial airways. This inflammation causes the normal function of the airways to become excessive and over-reactive, thus producing increased mucus, mucosal swelling and muscle contraction.

    These changes produce airway obstruction, chest tightness, coughing and wheezing. If severe this can cause severe shortness of breath and low blood oxygen.

    Each individual suffers a different level of severity. Virtually, all children with asthma, however, do enjoy a reversal of symptoms until something triggers the next episode.

    WHAT IS THE CAUSE OF ASTHMA?


    Inflammation of the airways is the common finding in all asthma patients. Recent studies indicate that this inflammation is virtually always causative in the asthmatic condition. This inflammation is produced by allergy, viral respiratory infections, and airborne irritants among others.

    Childhood asthma is a disorder with genetic predispositions and a strong allergic component. Approximately 75 to 80 percent of children with asthma have significant allergies.3 

    Studies indicate that allergic reactions produce both immediate and late phase (delayed) reactions. Research indicates that approximately half of the immediate allergic reactions to inhaled allergens are followed by a late phase reaction.

    This late phase reaction produces more serious injury and airway inflammation. This airway inflammation leads to irritability or hyperresponsiveness of the airways. In addition, prolonged airway inflammation can cause scarring.

    WHAT ARE THE SIGNS AND SYMPTOMS?

    Wheezing, though characteristic of asthma, is not the most common symptom. Coughing is noted especially with even “hidden” asthma when wheezing may not be apparent to the patient, his or her family or the physician.

    Any child who has frequent coughing or respiratory infections (pneumonia or bronchitis) should be evaluated for asthma.

    The child who coughs after running or crying may have asthma. Recurrent night cough is common, as asthma is often worse at night.

    Infants who have asthma often have a rattly cough, rapid breathing and may have an excessive number of “pneumonias,” episodes of bronchitis or “chest colds.” Obvious wheezing episodes might not be noted until after 18 to 24 months of age.4 

    Chest tightness and shortness of breath are other symptoms of asthma that may occur alone or in combination with any of the above symptoms. Since these symptoms can occur for reasons other than asthma, other respiratory diseases must always be considered.

    In a young child the discomfort of chest tightness may lead to unexplained irritability.

    Remember: Any child who has frequent coughing or respiratory infections (pneumonia or bronchitis) should be evaluated for asthma.

    asthma treatment (66)

    Much to his mother’s surprise, 11-year-old Louis Dozier keeps asking when he can go to another asthma management workshop. I was really surprised that he enjoyed it so much and wants to go back, said Louis’ mother, Marilynn Rozier of Carol City. It was educational and it helped us both very much. Even if a doctor gives you a lot of information, you can still learn more. The asthma workshop is part of a program… , of 781 words 91. *- May 6, 2002 Asthma is subject of TAMU-CC study, Researcher looking at link between disease and low air quality A Texas A&M University-Corpus Christi researcher is testing whether elevated ozone levels are aggravating asthma symptoms in Nueces County residents.Dr. Ali Candas left watches asthma sufferer Gabrielle Munguia, 7, blow through a device measuring breathing capacity last week at his office. A local researcher is doing a study examining whether a link exists between air quality and asthma. While Corpus Christi has very few unhealthy ozone level days each year, researcher… , of 8 words 91. *- May 6, 2002 MINNEAPOLIS SCHOOLS// HELPING KIDS FIGHT ASTHMA//THE SCHOOL DISTRICT, HEALTH CARE PROVIDERS AND COMMUNITY GROUPS STARTED A PROGRAM THAT HELPS KEEP STUDENTS WITH ASTHMA FEELING GOOD AND IN CLASS. The 11-year-old girl was a reluctant visitor to nurse Julia Bennett’s office at Andersen Elementary in Minneapolis. Asthma — a familiar foe to the girl and to Bennett — had sidelined her again in gym class.Without prompting, the girl soon was putting together the office’s nebulizer — a machine to convert her medicine into a mist she breathed through a mask. It would take about 10 minutes to complete the treatment, but the girl was restless to move on. This scene… , of 1 5 words : 481 – 490 of 295486 | 4 24 445464748 49 5051525 455565758
    91. The Orange County Register – February 22, 2002 Asthma sufferers learning to cope with ailment afflicting 17 million Some of the world’s best athletes have reached their dreams of achieving Olympic medals — despite suffering from asthma. Olympic runner Jim Ryun, track and field star Jackie Joyner-Kersee and swimmer Debbie Meyer are some of them. The chronic respiratory disease, which causes night-time coughs, chest tightness, wheezing and shortness of breath, affects more than 17 million Americans, according to the Asthma and Allergy Foundation of America. Mission Viejo sisters… , of 991 words 91. Knight-Ridder/Tribune Business News – February 1, 2002 Study Links Smog to Rise in Asthmas Cases of Children Who Play Outside Feb. 1–WASHINGTON — A landmark study released Thursday links smog to dramatic increases in new cases of asthma among children who play outside a lot. Kids who play three or more outdoor sports in smoggy areas were more than three times as likely to develop asthma than those who stayed indoors more often, according to the study, reported in Friday’s edition of the medical journal Lancet.For five years, researchers tracked 3,5 Southern California children who had no … , of 859 words 91. The Sacramento Bee – February 1, 2002 Asthma’s toll A new study links children’s sports activities in smoggy areas to the illness. Children who routinely compete in vigorous after-school sports on smoggy days are three times more likely to get asthma than their nonathletic peers, an extensive California study has found. The study, which tracked Southern California schoolchildren for up to five years, is one of the first to indicate that smog can induce asthma in healthy children who have no history of the respiratory disease. This research suggests that, contrary to conventional wisdom, ozone is… , of 1223 words 91. *- August 6, 2001 KID ASTHMA HOSP RATE DIPS The number of city kids hospitalized with asthma dropped more than 25% between 1999 and 2000, according to the city’s Department of Health. The citywide rate of 6.4 hospitalizations per 1,000 children under age is the lowest since 1988.But even with the steady decline, the city still has uncomfortably high asthma hospitalization rates: 17 per 1,000 children in East Harlem and 9.62 per 1,000 in the Bronx.Mayor Giuliani and Health Commissioner Neal Cohen are set to unveil… , of 1 words 91. *- February 13, 2001 Dodd meets with health workers on asthma Sen.

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    Learn to control your Asthma symptoms

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    Asthma is a disease of the lungs. The airways of people with asthma are extra sensitive to the things they’re allergic to (called allergens) and to other irritating things in the air (called irritants).

    Asthma symptoms start when allergens or other irritants cause the lining of the airways to swell (become inflamed) and narrow. The muscles around the airways can then spasm, (contract rapidly), causing the airways to narrow even more. When the lining of the airways is inflamed, it produces more mucus. The mucus clogs the airways and further blocks the flow of air. This is called an “asthma attack.”

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    How do I control my asthma symptoms?

    Treatment of your symptoms involves avoiding things that cause asthma attacks, keeping track of your symptoms and taking medicine.
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    How can I avoid allergens and irritants?

    If pollen and mold cause your symptoms, use your air-conditioner and try to keep the windows of your home and car closed. Change the filter on your heating and cooling system frequently.

    To keep mold down, clean and air out bathrooms, kitchens and basements often. Keep the level of humidity under 50%. You can do this with an air conditioner or a dehumidifier.

    People who are allergic to dust are actually allergic to the droppings of dust mites. To reduce dust mites in your home, wash bedsheets weekly in hot water (above 130°F). Cover mattresses and pillows in airtight covers and remove carpets and drapes. If you must have carpet, you can treat it with chemicals to help reduce dust mites. Try to avoid stuffed animals, dried flowers and other things that catch dust.

    Pets can cause problems if you’re allergic to them. If you have a pet, keep it out of your bedroom.

    Don’t allow smoking in your house or car. Tobacco smoke can make your asthma worse.
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    How do I control my asthma symptoms?

    Treatment of your symptoms involves avoiding things that cause asthma attacks, keeping track of your symptoms and taking medicine.
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    wide-top.Par.0001.Image Learn to control your Asthma symptoms

    Things that can trigger an asthma attack

    • Air pollution
    • Dust
    • Mold
    • Pollen
    • Tobacco smoke
    • Pet dander
    • Exercise
    • Changes in temperature
    • Some foods
    • Sulfite (food preservative in red wine, beer, salad bars, dehydrated soups and other foods)
    • Aspirin, or ibuprofen (brand names: Advil, Motrin, Nuprin)
    • Heartburn
    • Sinus infections
    • Strong emotions
    • Perfume
    • Spray-on deodorants
    • Viruses

    wide-bottom.Par.0001.Image Learn to control your Asthma symptoms

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    What is a peak flow meter?

    A peak flow meter is a hand-held device that measures your peak expiratory flow rate (PEFR), or how fast you can blow air out of your lungs. Measuring your peak flow regularly can help you tell whether your asthma is getting worse.

    To use a peak flow meter, you will first need to find out your “personal best” peak flow. Take a deep breath and blow as hard as you can into the mouthpiece. Your personal best is the highest reading you get on the meter over a 2-week period when your asthma is under good control.
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    What medicines are used to treat asthma?

    Asthma medicines can generally be divided into two groups: medicines to prevent attacks, (controller medicines), and medicines to treat attacks (sometimes called rescue medicines).

    Your doctor will talk to you about these medicines and what to do if you have an asthma attack.

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    PROGRAM HELPS CONTROL ASTHMA About once every two weeks, SaJuanna Jones has to rush her youngest daughter to the hospital during an asthma attack. Daijah, just 10 months old, often gasps for air, gags on her milk and clutches at her chest in panic. I’ve almost lost her three times, Jones said. It’s so scary. She doesn’t live like a little baby should be. Now, Jones is getting help from an unexpected source — not a doctor or a… , of 1156 words 91. Illawarra Mercury Wollongong, Australia – May 7, 2003 $1.3m boost for asthma kids YEAR 6 student Jodie Robinson knows exactly what to do if her friend Lauren Rouse has an asthma attack, thanks to Dapto Public School’s asthma management plan. The school’s proactive approach to the condition, which affects up to one-in-four primary and one-in-seven secondary students, has received recognition from the NSW Asthma Foundation.The school is one of 112 in the state to achieve asthma friendly status under the Asthma Friendly… , of 654 words 91. Daily Herald – April 29, 2003 Taking stock of asthma Studies say disease under-reported here Local health officials didn’t expect such worriso when they tested West Chicago Middle School students for asthma two years ago.The community has a high Hispanic population, a group with a traditionally low asthma rate. It’s also miles from Chicago, meaning its residents endure fewer of the urban environmental characteristics that cause respiratory distress.Screeners expected about 7 percent of the student body to test positive, in keeping with… , of 923 words 91. Star, The Ontario, Canada – March , 2003 Hitting allergens where they live, Public health project’s aim is to control asthma Parents shown how to take steps to clean up the air HARTFORD, Conn. Dolores DaSilva thought she was doing a pretty good job controlling her son Jonathan’s asthma with medication and trips to the doctor. She had no idea that keeping her 5-year-old’s lungs clear would be a home-improvement project as well as a medical one.DaSilva found that out one recent Saturday when a housing inspector and a public health nurse performed a voluntary inspection of her second-floor walk-up apartment in Stamford, Conn., and pointed out… , of 1115 words 91. Star, The Ontario, Canada – March , 2003 Hitting allergens where they live, Public health project’s aim is to control asthma Parents shown how to take steps to clean up the air HARTFORD, Conn. Dolores DaSilva thought she was doing a pretty good job controlling her son Jonathan’s asthma with medication and trips to the doctor. She had no idea that keeping her 5-year-old’s lungs clear would be a home-improvement project as well as a medical one.DaSilva found that out one recent Saturday when a housing inspector and a public health nurse performed a voluntary inspection of her second-floor walk-up apartment in Stamford, Conn., and pointed out… , of 1115 words 91. Times, The NY – January 24, 2003 Asthma Drug Health Risks Are Suspected GlaxoSmithKline said yesterday that Serevent, one of its popular asthma drugs, might pose a risk of death and serious asthma-related illness in some patients. The company said it was halting the study it had been conducting since 1996 to evaluate Serevent’s safety because the study was unlikely to be conclusive. GlaxoSmithKline said it would work with regulators to design further studies to address concerns about Serevent’s safety.|GlaxoSmithKline says Serevent,… , of 853 words 91. Advertiser, The Adelaide, Australia – June 5, 2002 SA ON SHOW 2002 ADVERTISING FEATURE Asthma action Learn how to respond during an emergency WHICH condition affects 0,000 South Australians and, in severe cases, can cause death? The answer is asthma, an illness that health experts warn is becoming more prevalent in SA. Through its ongoing sponsorship partnership with Asthma SA, ETSA Utilities is helping raise the community’s awareness of asthma, a condition that claimed the lives of South Australians in 2000.During SA on Show, staff from Asthma SA will be at the ETSA stand to provide asthma first-aid… , of 500 words 91. Sun-Sentinel – May 24, 2002 BREATHING EASIER HOSPITAL’S ASTHMA MANAGEMENT WORKSHOP HELPS KIDS KEEP THEIR CONDITION IN CHECK.

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    Asthma Signs and Symptoms what you need to know

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    Recognizing the signs and symptoms of asthma is an important part of managing asthma . Knowing when early warning signs or mild symptoms are occurring is helpful so that treatment and other interventions can begin early. Early treatment is most effective. If severe symptoms are present, it is vital to begin the appropriate treatment immediately. Accurate and timely assessment of your symptoms or your child’s symptoms can help you and your clinician decide if treatment should begin in the home, at your clinician’s office or in the emergency room.

    Early Warning Signs of Asthma
    Asthma Symptoms
    Severe Asthma Symptoms

    Early Warning Signs of Asthma

    Early warning signs are experienced before the start of an asthma episode. By recognizing these clues that occur before actual asthma symptoms, early treatment can be started. These signs are unique to each person. Early warning signs may be the same, similar or entirely different with each episode. Some early warning signs may be noticed only by the individual, while other early warning signs are more likely to be noticed by other persons. In addition, a downward trend in peak flow numbers can be a reliable early warning sign. Some examples of early warning signs are:

    • Breathing changes
    • Sneezing
    • Moodiness
    • Headache
    • Runny/stuffy nose
    • Coughing
    • Chin or throat itches
    • Feeling tired
    • Dark circles under eyes
    • Trouble sleeping
    • Poor tolerance for exercise
    • Downward trend in peak flow number
    • Get a complete checklist of early warning asthma signs

    Asthma Symptoms

    Asthma symptoms indicate that an asthma episode is occurring. Examples of asthma symptoms include:

    Changes have taken place in the airways and airflow is obstructed. Individuals with asthma experience some or all of these during an asthma episode. Action should be taken to treat these symptoms before they become worse. Talk with your healthcare provider about having a written asthma action plan.

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    Severe Asthma Symptoms

    Severe asthma symptoms are a life-threatening emergency. These symptoms indicate respiratory distress. Examples of severe asthma symptoms include:

    • Severe coughing, wheezing, shortness of breath or tightness in the chest
    • Difficulty talking or concentrating
    • Walking causes shortness of breath
    • Breathing may be shallow and fast or slower than usual
    • Hunched shoulders (posturing)
    • Nasal flaring (Nostril size increases with breathing)
    • Neck area and between or below the ribs moves inward with breathing (retractions)
    • Gray or bluish tint to skin, beginning around the mouth (cyanosis)
    • Peak flow numbers may be in the danger zone (usually below 50% of personal best)

    If any of these severe asthma symptoms occur, seek emergency medical treatment right away. Have your asthma action plan for getting emergency care quickly in the event of severe asthma symptoms. Inform family members and those who are close to you or your child of this emergency action plan.

    Keeping a record of asthma symptoms in a symptom diary may be helpful in determining an action plan. There are many types of diaries available or you can use your own notebook. Some things to watch for and record are:

    • Asthma symptoms and their severity
    • Peak flow numbers and/or peak flow zones
    • School/Work days missed because of asthma
    • Number of nighttime awakenings due to asthma symptoms
    • A change in the use of quick-relief medicine
    • Visits to the doctor
    • Emergency room visits and hospital stays, if any

    It is very important to work with your doctor or other healthcare provider to determine the best action plan for early warning signs and for asthma symptoms. These are guidelines and the individual action plan should be determined by you and your healthcare provider.

     

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    … , of 1005 words 91. Daily Gazette, The Schenectady, NY – September 26, 2004 Costly steps don’t always help child fight asthma When Trish Thackston, a resident of Alexandria, Va., learned that her 1-year-old son Connor had asthma, she and her husband, Chris, did everything they could to reduce the boy’s exposure to triggers that set off his attacks, which at times sent him to the emergency room.A skin allergy test had shown that Connor was severely allergic to dust mites, tiny insects that feed on human and animal skin flakes and commonly infest mattresses, bedding, stuffed animals, upholstered… , of 1129 words 91. Star-Ledger, The Newark, NJ – September 7, 2004 Disarming asthma Chronic disease’s triggers lurk in schools and at home Back to school doesn’t come around just once a year for a lot of kids with asthma. For some of more than 5 million school-age children with the disease, going back to class after the condition has kept them out for a spell is a regular occurrence. More than million school days are lost annually to asthma. It’s a leading cause of school absence, said Haesoon Lee, associate professor of pediatrics in the Division of Pediatric… , of 1558 words 91. Newsday Melville, NY – September 5, 2004 ASTHMA Helping your kids breathe easier When Alexandria, Va., resident Trish Thackston learned that her 1 1/2-year-old son Connor had asthma, she and her husband, Chris, did everything they could to reduce the boy’s exposure to triggers that set off his attacks, which at times sent him to the emergency room. A skin allergy test had shown that Connor was severely allergic to dust mites, tiny insects that feed on human and animal skin flakes and commonly infest mattresses, bedding, stuffed animals, upholstered furniture,… , of 11 words 91. *- August 10, 2004 ATHLETES WITH EXERCISE-INDUCED ASTHMA CAN STILL PLAY ON A HIGH LEVEL TREATMENT FOR ALLERGIES COULD ALSO HELP BREATHING PROBLEMS ASHEVILLE — When former Reynolds High School wide receiver Tim Bagamary suits up this fall for the Greensboro College football team, he’ll have asthma medications handy. Although he has had a moderate case of asthma since childhood, Bagamary managed the condition well enough to play football, baseball and run track for the Reynolds Rockets.Dr. W. Leon Elliston of Regional Allergy & Asthma Consultants said that unlike his patient Bagamary, who has persistent asthma,… , of 1102 words 91. *- May 10, 2004 KEEP ASTHMA, ALLERGIES IN CHECK Shhh, listen … hear that wheezing? It’s the sound that accompanies the arrival of national Allergy and Asthma Month.As May’s flowers bloom, so, too, do the respiratory difficulties that result from exposure to plant and tree pollens. The American Academy of Allergy, Asthma and Immunology www.aaaai.org estimates that spring allergies afflict nearly million Americans. Asthma sufferers are less numerous, but just as miserable. The million adults and 9 million… , of 750 words 91. Agence France-Presse – February 17, 2004 Asthma on the rise in Asia due to mounting urbanisation, pollution Asia’s rapid urbanisation, dangerous pollution levels and poor medical treatment have triggered an alarming increase in asthma which affects 0 million people worldwide, experts said Tuesday.The global prevalence of asthma, already the world’s largest respiratory killer, has increased steadily over the past 20 years due mostly to urban development, particularly in the region. This problem is set to worsen as Asian populations become more… , of 598 words 91. *- August 26, 2003 WHO’LL DO THE DOSING?, MANY SCHOOLS HOLD STUDENT MEDICATIONS, BUT RISE IN ASTHMA CASES MEANS CHANGE MAY BE LEGISLATED Regina Jones remembers how worried and anxious she felt the first time her son Michael suffered an asthma attack. During the course of the evening, I was very uneasy and was unsure of what was going to happen, she said. The hospital would continue to give him breathing treatments and they seemed to make him feel better … then his oxygen level would go back down. Michael, now 11, was 3 years old when he was diagnosed with asthma and since… , of 1517 words 91. The News & Observer – June 25, 2003 Asthma rates trouble experts Even with a diagnosis, medications and a firm understanding of his ailment, Aaron Braxton gets panicky when an asthma attack hits and he starts heaving for air. It hurts, like my throat, and my stomach hurts, Aaron said from his home in Pittsboro. The 11-year-old was diagnosed with the breathing disorder about three years ago and has been taking medication, including a steroidal inhalant, ever since. His diagnosis and treatment have helped him forge a… , of 891 words : 471 – 480 of 295486 | 4 24 4454647 48 495051525 4555657

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