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GINA conducts continuous review of scientific publications on asthma and is a leader in disseminating information about the care of patients with asthma. [2] GINA publishes resources such as evidence-based guidelines for asthma management, and runs special events such as World Asthma Day. GINA's guidelines, revised each year, are used by ...
The airways of asthma patients are "hypersensitive" to certain triggers, also known as stimuli (see below). (It is usually classified as type I hypersensitivity .) [ 4 ] [ 5 ] In response to exposure to these triggers, the bronchi (large airways) contract into spasm (an "asthma attack").
The International Olympic Committee recommends the eucapnic voluntary hyperventilation (EVH) challenge as the test to document exercise-induced asthma in Olympic athletes. [11] In the EVH challenge, the patient voluntarily, without exercising, rapidly breathes dry air enriched with 5% CO 2 for six minutes.
This allows patients to self-monitor and pass information back to their doctor or nurse. [11] Peak flow readings are often classified into 3 zones of measurement according to the American Lung Association; [12] green, yellow, and red. Doctors and health practitioners can develop an asthma management plan based on the green-yellow-red zones.
Occupational asthma is new onset asthma or the recurrence of previously quiescent asthma directly caused by exposure to an agent at workplace. It is an occupational lung disease and a type of work-related asthma. Agents that can induce occupational asthma can be grouped into sensitizers and irritants. [1]
The strongest risk factor for developing asthma is a history of atopic disease; [66] with asthma occurring at a much greater rate in those who have either eczema or hay fever. [80] Asthma has been associated with eosinophilic granulomatosis with polyangiitis (formerly known as Churg–Strauss syndrome), an autoimmune disease and vasculitis. [81]
Systematic review and individual patient data meta analysis research [15] in the centre has shown that, even with little training, people on oral anticoagulation can successfully self-monitor, and even self-manage their disease in the community. [16] Patients capable of self-monitoring and self-adjusting therapy have fewer thromboembolic events ...
Use of evidence-based guidelines often fits poorly for complex, multimorbid patients. This is because the guidelines are usually based on clinical studies focused on single diseases. In reality, the recommended treatments in such circumstances may interact unfavorably with each other and often lead to polypharmacy. [88] [89]