Comprehensive care in the allergy asthma office:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1999
|
| Schriftenreihe: | Immunology and allergy clinics of North America
19,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | IX, 231 S. Ill. |
Internformat
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| 245 | 1 | 0 | |a Comprehensive care in the allergy asthma office |c Frank S. Virant, guest ed. |
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| 300 | |a IX, 231 S. |b Ill. | ||
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| 490 | 1 | |a Immunology and allergy clinics of North America |v 19,1 | |
| 650 | 2 | |a Allergologie et immunologie | |
| 650 | 2 | |a Hypersensibilité - Thérapeutique | |
| 650 | 2 | |a Personnel santé auxiliaire | |
| 650 | 4 | |a Allergy | |
| 650 | 4 | |a Allergy and Immunology | |
| 650 | 4 | |a Allergy |x Diagnosis | |
| 650 | 4 | |a Allied Health Personnel | |
| 650 | 4 | |a Hypersensitivity |x diagnosis | |
| 650 | 4 | |a Hypersensitivity |x therapy | |
| 650 | 0 | 7 | |a Allergisches Asthma |0 (DE-588)4275602-9 |2 gnd |9 rswk-swf |
| 655 | 7 | |0 (DE-588)4143413-4 |a Aufsatzsammlung |2 gnd-content | |
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| 700 | 1 | |a Virant, Frank S. |e Sonstige |4 oth | |
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Datensatz im Suchindex
| _version_ | 1804127079484096512 |
|---|---|
| adam_text | COMI KKlIl NSIVli CAKh IN THK AI.IP.RGY/ASTHMA OFFICE
CONTENTS
Preface xi
Frank S. Virant
Evaluation of Patients with Chronic Respiratory
Symptoms 1
Jonathan W. Becker
A systematic approach by the allied health professional to pa¬
tients with chronic respiratory tract symptoms, as well as history
taking, physical examination, and laboratory evaluation of the
patient are described in this article. Participation in a healthcare
team approach to patient assessment and treatment also is dis¬
cussed.
Evaluation of Chronic Eczema and Urticaria and
Angioedema !9
Michael S. Kennedy
The skin is an organ that is frequently involved in allergic and
pseudoallergic reactions. Eczema (atopic dermatitis) and hives
(urticaria) are important conditions seen by allergists. Under¬
standing the pathophysiology and treatment strategies for these
problems should enhance caring for patients with these afflic¬
tions.
Allergy Testing Using In Vivo and In Vitro Techniques 35
Brian A. Smart
In vivo and in vitro allergy testing, when used by trained profes¬
sionals in conjunction with good history taking and physical
examination techniques, is an essential component of the evalua
IMMUNOLDGY AND ALI.ERGY CLINICS OF NOKIH AMERICA VOLUME 19 • NUMBER 1 • FEBRUARY 1999 v
tion of the potentially allergic patient. This article summarizes
the allergic cascade and describes the molecular basis of in vivo
and in vitro allergy tests. Clinical test techniques and the interpre¬
tation of results are described as well. Strengths and weaknesses
of the different types of allergy tests and their clinical indications
and contraindications are also discussed.
Pulmonary Function Testing 47
Brenda Conner
This article briefly describes the most frequently requested spiro
metric tests for the physician s office and focuses on the role of
the allied health professional in assuring proper technique and
selection of test results for interpretation by the care provider.
The recommendations of the American Thoracic Society are dis¬
cussed for acceptability and reproducibility standards, and qual¬
ity control and reduction of exposure to infection are discussed.
Bronchoprovocation Testing 63
Andrew H. Zwiebel
Methods of assessing bronchial reactivity include a variety of
pharmacologic and nonpharmacologic techniques. The purpose of
the article is to review the clinical methods of bronchoprovocation
challenges in the diagnosis of asthma. This article focuses on a
variety of agents and methods used to elicit bronchial hyper
reactivity.
Oral Diagnostic Challenges 75
Marilyn A. Daniels
Although the double blind, placebo controlled oral challenge re¬
mains the gold standard, under appropriate circumstances, the
clinician can effectively, practically, and safely use open and sin¬
gle blind challenges with benefits to patients and staff of de¬
creased time and expense and increased convenience and flexibil¬
ity; however, unequivocal confirmation of a positive response in
these tests calls for a double blind, placebo controlled challenge.
Environmental Control and the Management of Allergic
Diseases 83
Mary Lou Williams Hayden
Allergic diseases are common in the United States, affecting as
many as 50 million Americans. Exposure and sensitization can
occur with common indoor allergens, such as house dust mites,
pets, cockroaches, and fungi, and outdoor pollens and fungi. Air
pollutants, such as environmental tobacco smoke and chemical
irritants can contribute to symptoms. Assessment of environmen
Vi CONTENTS
tal exposures and development of an allergen and irritant avoid¬
ance plan with the patient are essential components of the man¬
agement of allergic diseases.
Medications in the Allergy/Asthma Office 101
Colleen Lum Lung, Michael Lum Lung, and Christine
Lum Lung
Asthma and allergies are treated with some unique devices that
allow the medications to be placed at the site of the problem, the
nasal passages, and airways. These devices allow people with
asthma to use small doses of medication to attain appropriate
responses. The number of medications used to treat asthma and
allergies has grown in the last few years. As allied health profes¬
sionals, we are responsible for helping our patients understand
their treatment and the methods used to deliver it. Our goal is to
help patients improve their quality of life by optimizing their
therapy.
Allergen Immunotherapy 129
Jan Tippett
Allergen immunotherapy is an effective modality for patients
with allergic rhinitis, allergic asthma, and stinging and biting
insect hypersensitivity. An effective dosage of allergen is neces¬
sary to achieve the desired reduction of symptoms, but it is
essential to balance the risk of anaphylaxis with the need to
relieve symptoms. The allied health caregiver plays an important
role in administration of immunotherapy, prevention, and recog¬
nition of symptoms of adverse reactions, as well as knowledge of
how to initiate expedient treatment of adverse reactions.
Allergic Disease Prevention and Risk Factor
Indentification 149
Mary V. Lasley
Genetic predisposition and environmental exposures are im¬
portant factors in the development of allergic disease. Although
genetic engineering holds promise for absolute prevention in the
future, our current approach relies on preventive strategies that
may help to reduce or delay the occurrence of atopic disorders.
Identifying infants at risk for atopic diseases is the first step, with
a family history of allergy being the most important clue. Risk
factors and their role in allergy prevention are discussed, includ¬
ing those that are not easily altered, as well as those that can be
manipulated to prevent atopic sensitization.
CONTENTS Vii
Education of the Patient with Asthma 161
Corrin M. Ponte
Education of the patient with asthma is an ongoing process. This
article discusses how to create a partnership with the patient;
how to teach effectively and design goals with patient participa¬
tion; and how to integrate patient education into the medical
practice, using clinical staff and physicians. It also emphasizes
how to encourage the patient into self management of asthma by
seeking family involvement in all aspects of the learning process.
This article also discusses which skills and information are most
important for the patient to learn. Asthma is a chronic disease
that causes many hospitalizations and low productivity because
of missed school or work. With proper patient education, unnec¬
essary hospitalizations and decreased productivity can be de¬
creased or eliminated.
Telephone Advice and Triage 171
Lois Hanson
This article describes the guidelines for telephone advice and
triage in an asthma/allergy setting. Medical problems discussed
include rhinosinusitis, conjunctivitis, asthma, anaphylaxis, urti¬
caria and angioedema, and eczema or dermatitis.
Allergies and Asthma in the School Setting 177
Lori Jo Higgins
Allergic emergencies, such as acute asthma or anaphylaxis, are
serious situations that may occur in the school setting. Under¬
standing what triggers an allergic emergency and recognition of
early warning signs are important first steps. Appreciating the
limitations on learning or participation in sports, identifying
health risk factors that may be present in the school setting, and
having a well informed staff with a clear action plan are also
crucial in the management of asthma, allergies, or anaphylaxis.
Pregnancy and Atopic Diseases 191
Dominick A. Minotti
Atopic diseases affect between 15% and 20% of the normal popu¬
lation, and this proportion holds true for women of child bearing
age as well. Asthma, one of the most common of the respiratory
diseases encountered during pregnancy, affects about 4% of preg¬
nant women. This article details the normal physiologic changes
that occur with pregnancy, and discusses the concerns regarding
the use of medications in pregnancy. It reviews the effects of
pregnancy on asthma and the effects of asthma on pregnancy.
Guidelines for the treatment of asthma and other allergic diseases
are presented.
viii CONTENTS
Clinical Research in the Practice Setting 217
Timothy G. Wighton
This article provides a brief history of practice based clinical
research, as well as a clear description of the requirements neces¬
sary to conduct a clinical research protocol in the private prac¬
tice setting.
Index 225
Subscription Information Inside back cover
CONTENTS ix
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| series2 | Immunology and allergy clinics of North America |
| spelling | Comprehensive care in the allergy asthma office Frank S. Virant, guest ed. Philadelphia [u.a.] Saunders 1999 IX, 231 S. Ill. txt rdacontent n rdamedia nc rdacarrier Immunology and allergy clinics of North America 19,1 Allergologie et immunologie Hypersensibilité - Thérapeutique Personnel santé auxiliaire Allergy Allergy and Immunology Allergy Diagnosis Allied Health Personnel Hypersensitivity diagnosis Hypersensitivity therapy Allergisches Asthma (DE-588)4275602-9 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Allergisches Asthma (DE-588)4275602-9 s DE-604 Virant, Frank S. Sonstige oth Immunology and allergy clinics of North America 19,1 (DE-604)BV000645505 19,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008442542&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Comprehensive care in the allergy asthma office Immunology and allergy clinics of North America Allergologie et immunologie Hypersensibilité - Thérapeutique Personnel santé auxiliaire Allergy Allergy and Immunology Allergy Diagnosis Allied Health Personnel Hypersensitivity diagnosis Hypersensitivity therapy Allergisches Asthma (DE-588)4275602-9 gnd |
| subject_GND | (DE-588)4275602-9 (DE-588)4143413-4 |
| title | Comprehensive care in the allergy asthma office |
| title_auth | Comprehensive care in the allergy asthma office |
| title_exact_search | Comprehensive care in the allergy asthma office |
| title_full | Comprehensive care in the allergy asthma office Frank S. Virant, guest ed. |
| title_fullStr | Comprehensive care in the allergy asthma office Frank S. Virant, guest ed. |
| title_full_unstemmed | Comprehensive care in the allergy asthma office Frank S. Virant, guest ed. |
| title_short | Comprehensive care in the allergy asthma office |
| title_sort | comprehensive care in the allergy asthma office |
| topic | Allergologie et immunologie Hypersensibilité - Thérapeutique Personnel santé auxiliaire Allergy Allergy and Immunology Allergy Diagnosis Allied Health Personnel Hypersensitivity diagnosis Hypersensitivity therapy Allergisches Asthma (DE-588)4275602-9 gnd |
| topic_facet | Allergologie et immunologie Hypersensibilité - Thérapeutique Personnel santé auxiliaire Allergy Allergy and Immunology Allergy Diagnosis Allied Health Personnel Hypersensitivity diagnosis Hypersensitivity therapy Allergisches Asthma Aufsatzsammlung |
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