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1;Contents;4 2;Contributors;6 3;Preface;8 4;CHAPTER 1 The scale of the problem;10 4.1;Definition of asthma;10 4.2;Assessing asthma epidemiology;10 4.3;Worldwide distribution of asthma;11 4.4;Asthma in the USA and UK;12 4.5;Ethnicity and social deprivation;13 4.6;Effect of gender and age;13 4.7;Increase in asthma prevalence;14 4.8;Hospital admissions;16 4.9;Asthma mortality;18 4.10;Healthcare costs;20 5;CHAPTER 2 Scientific principles of asthma;22 5.1;Pathology;22 5.2;Airway inflammation in asthma;23 5.3;Origins of atopy;25 5.4;Allergen exposure;26 5.5;Asthma triggers;26 5.6;Atopy;27 5.7;Bronchial hyper-reactivity;27 5.8;Genetics of asthma;28 5.9;Air pollution and smoking;28 5.10;Hypotheses for the increased prevalence of asthma;29 5.11;Natural history of asthma;30 6;CHAPTER 3 Making the diagnosis of asthma;32 6.1;Introduction;32 6.2;Symptoms;32 6.3;Signs;33 6.4;Objective measures in the diagnosis of asthma;33 6.5;Probability of asthma;34 6.6;Asthma subtypes;39 6.7;Associated syndromes;41 7;CHAPTER 4 Inhaler devices;44 7.1;Introduction;44 7.2;Types of inhaler;44 7.3;Inhalers for adults;46 7.4;Inhalers for children (0 12 years);47 7.5;Local effects;47 7.6;How to use and maintain spacers;48 7.7;Combination inhalers;49 7.8;Nebulizers;49 8;CHAPTER 5 Long-term management of asthma in adults;50 8.1;Asthma control;50 8.2;Stepwise management;51 8.3;Stepping down;58 8.4;Control assessment;58 8.5;Anti-IgE monoclonal antibody therapy;59 8.6;Difficult asthma;60 9;CHAPTER 6 Management of acute asthma in adults;62 9.1;Introduction;62 9.2;Adverse psychosocial and behavioural factors;63 9.3;Definition of acute asthma;63 9.4;How to recognize a severe attack;64 9.5;Investigations;65 9.6;Management of severe acute asthma in adults;66 9.7;Referral to intensive care;70 9.8;Monitoring;70 9.9;Hospital discharge;71 9.10;Follow-up;71 10;CHAPTER 7 Management of childhood asthma;74 10.1;Chronic asthma in children;74 10.2;Long-term management of asthma in children;79 10.3;Stepping down therapy;83 10.4;Monitoring;83 10.5;Acute asthma in children;84 10.6;Treatment of acute asthma;86 10.7;Special considerations in children aged less than 2 years;90 10.8;Further investigations/monitoring;91 10.9;Discharge from hospital;91 11;CHAPTER 8 Occupational asthma;92 11.1;Introduction;92 11.2;Who should be investigated for occupational asthma?;92 11.3;Diagnosis of occupational asthma;93 11.4;Causes of occupational asthma;96 11.5;Management of
occupational asthma;97 11.6;Reactive airways dysfunction syndrome;97 12;CHAPTER 9 Educating patients and clinicians;98 12.1;Introduction;98 12.2;Patient education;98 12.3;Sources of information;100 12.4;Asthma action plans;101 12.5;Patient-centred care;105 12.6;Educating health professionals;105 13;CHAPTER 10 Asthma in primary care;108 13.1;Introduction;108 13.2;Diagnosis;109 13.3;Long-term management of asthma;111 13.4;Management of acute exacerbations of asthma;113 13.5;Organization and delivery of care;117 13.6;Provision of asthma care and quality outcomes ;119 14;CHAPTER 11 Asthma and the future;120 14.1;Inroduction;120 14.2;Preventing asthma;120 14.3;Controlling asthma;121 14.4;Managing severe acute asthma;124 14.5;Improved inhaled delivery systems;124 14.6;Asthma genetics;124 14.7;Bronchial thermoplasty;125 15;CHAPTER 12 Clinical cases: diagnosis and management;126 15.1;Diagnostic problems;126 15.1.1;Asthma in the under 5s;126 15.1.2;Exercise-induced breathlessness in children;128 15.1.3;Chronic cough;130 15.1.4;Occupational asthma;132 15.1.5;Asthma vs COPD;134 15.2;Management problems;136 15.2.1;Asthma in pregnancy;136 15.2.2;Lobar collapse;138 15.2.3;Severe chronic asthma;140 15.2.4;Asthma and surgery;142 15.2.5;Asthma and back pain;144 16;Clinician resources;146 17;Patient resources;157 18;Frequently-asked questions;158 19;Glossary;164 19.1;A;164 19.2;B;165 19.3;C;165 19.4;D;166 19.5;E;166 19.6;F;166 EAN/ISBN : 9781840765137 Publisher(s): Manson Publishing Format: ePub/PDF Author(s): Douglas, J. Graham
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