These students tended to miss more days of school. Many children within home care have been known to show additional symptoms tied to environmental stress triggers associated with the home specifically (Navaie-Waliser 2004)
In fact, urban children in general tend to show an increased risk to all asthma symptoms. This is based of the assumption of additional and constant stressors being more present within low-income families when compared to other socio-economic classes (Nicholas et al
However, as one study notes, while food allergies do play a significant role as a causative factor in asthma, they are relatively uncommon and only affect approximately one percent of children and half that number of adults. (Food allergy, preservatives and Asthma) a more common cause of asthma that is often mentioned by medical practitioners is inhaled allegergens such as house-dust mites, and cat fur
It is not hard to see how an inflammatory disease that affects the skin might also affect the lungs." (Benabio, 1) Given that the symptoms of eczema are reported as new, it appears a missed opportunity on the part of the physician to identify possibly new elements of the subject's living environment that might have been distinguished as triggers
This deduction confers with present research, which states that "allergic sensitivity to cats, confirmed through skin testing, was associated with a threefold increase in asthma risk in the study, conducted using data from the nationally representative health survey, NHANES III. Cat allergy was the strongest single predictor of asthma risk among the common allergen exposures examined," (Boyles, 1) it should be considered problematic to the assessment of a proper management plan that the initial physician failed to draw an association between Judith's history of sensitivity to allergens -- denoted by her chronic, lifelong hay fever -- and her acquisition of a new cat
Recovery means claiming your circumstances instead of your circumstances claiming you and your happiness." (James & Friedman, 6) With respect to asthma, this will mean finding ways to control triggers and to reduce the potential to heighten the severity of attacks thusly
While exercise can trigger asthma symptoms in some people, there is also evidence that physically active asthmatics tend to have better overall asthma control than their sedentary counterparts." (Norton, 1) This is a useful point of strategy for Judith and her husband, who might significantly benefit from light training in some exercises that can help to improve respiratory abilities without causing too great a physical strain on the subject
Indeed, "early detection and treatment might improve the long-term prognosis of these patients and this secondary prevention may also prevent irreversible loss of function." (Schayck, 1) This pairs the two primary flaws in a continuum of sub-par treatment for the subject, suggesting that her unmanaged allergies and the failure of physicians to help remove her from contexts where triggers invoked these allergies may have contributed to the onset of her asthma later in life
It would be also important to determine what conditions caused women to present more than men at emergency rooms. (Awadh, Chu, Grunfeld, Simpson, & FitzGerald, 1996) more comprehensive study at the Ponce School of Medicine in Puerto Rico studied the female to male ER utilization ratios
This study points to the fact that, in addition to management of the asthma of the patient through protocols and model designs, the emotional and mental states of primary care givers like parents has also to be taken into account. (Bartlett et al
The study showed that such asthma management programs were useful because not only did they reduce hospitalizations, they also reduced emergency room utilizations. (Branin & Cochran, 2002) These results were supported by a study that compared morbidity results in children with asthma in ERs vs
There is a possible relation between an inherited variant in the IL (interleukin) 4 promoter gene which gives hypersentivity to allergens that are harmless to others. (Burchard et al
The study found that though most patients do not follow up, the likelihood of those following up to visit the ER again was higher. (Cabana, Bruckman, Bratton, Kemper, & Clark, 2003) Environmental factors play an important role
This meant that patients more often than not had to undergo hospitalization because of ineffective dosages of medication and improper diagnoses of the severity of the asthmatic condition. (Canny et al
Nasal lavages with leukotrienes receptor agonists such as montelukast have helped in decreasing the levels of cytokines such as IL3 and IL4 (interleukins) and IFN gamma. These medication modulate the levels of these cytokines, effectively making the system less sensitive to allergens (Ciprandi et al
6 times higher for children living in low-income zip codes than for children residing in high-income zip codes. (Davidson, Klein, Settipane, & Alario, 1994) Even when Medicaid was associated with a model of Managed care, and Medicaid recipients were provided with a primary care provider, a pediatric care provider and pediatric hospitalization, emergency room utilizations did not decrease, though hospitalizations from asthma did
Though one would surmise, that children are better of in the care of a primary care physician. (Dinkevich, Cunningham, & Crain, 1998) Such programs reduced the strain on emergency rooms personnel and will result in improved care
The researchers Dutta and Li indicate the beta agonists when administered properly have very few side effects. (Dutta & Li, 2002) Other studies showed the results of the efficaciousness of one combination over the other
An Atlanta study showed that cockroach allergens were present in the dust of most urban homes, but were not found in twenty six suburban homes. (Ernst, Demissie, Joseph, Locher, & Becklake, 2004) Preventive Measures for Asthma Besides the effective treatment methods already established that seek to help patients get rid of immediate symptoms and also long terms effects, it is relatively easy to manage asthma such that normal life can continue with a combination of medication and simple preventive measures
Those who had milder symptoms did not recourse to ERs as much as those with moderate to severe asthma did. (Ford et al