Category Archives: Asma

22nov/07

Lack of control of severe asthma is associated with co-existence of moderate-to-severe rhinitis

Journal compilation  2008 Blackwell Munksgaard
Allergy
Ano: 2008
Volume: 63

Authors: E. V. Ponte, R. Franco,H. F. Nascimento, A. Souza-Machado, S. Cunha, M. L. Barreto, C. Naspitz, . A. Cruz

Background: Retrospective studies provide evidence that rhinitis is associated with more severe asthma. The aim of this study was to evaluate prospectively whether rhinitis is a predictor of increased asthma severity. Methods: Five hundred and fifty seven patients with severe asthma were enrolled. During 1 year of follow-up, each patient was evaluated every 3 months with a record of emergency room visits and supply of topical corticosteroids for asthma and rhinitis. In the 1 year of follow-up visit, the patients were checked for rhinitis diagnosis, severity and answered questionnaires for asthma symptoms and quality of life.  Continue reading

05jan/07

Brazilian political proposal for asthma programs on primary dealth care

Jornal Brasileiro de Pneumologia
Ano: 2007
Volume: 33
Número: 2

Authors: Alcindo Cerci Neto, Mauro Musa Zamboni, Márcia Alcântara Holanda

The asthma programs discussion forum gathered several representative entities of patients, health administrators and specialists, on November 2nd of 2006, during the XXXIII Brazilian Pulmonology and Phthisiology Conference in Fortaleza, in order to discuss and propose suggestions that will improve the actions that have been carried out in asthma programs in Brazil. Currently, it is fundamental to encourage the creation of asthma programs in Brazil. This is due to favorable economic conditions, the increasing demand of the population, the morbidity and mortality rates found, the need to improve the quality of life of these patients and promote the proper current treatment for this disease, based on criteria of severity and incorporating current concepts for the control of this disease.

The decentralization of the programs (transfer of control to cities and regions) is fundamental to their improvement. Successful initiatives, although specific and isolated, have been carried out in Brazil. Finding a solution to the great difficulties encountered by the existing programs is hindered by a lack of support from the administrators, principally regarding qualified staff, well-trained and conscientious health professionals, and regularity in the supply of proper medication, as well as the establishment of a reference and counter-reference system that would integrate the various levels of attention involved. Continue reading