According to Amarjit Mishra, in some cases of severe asthma. There is chronic inflammation and repeated episodes of bronchoconstriction which leads to structural changes in the airway tissues
This document discusses the optimal management of severe or refractory asthma. It defines refractory asthma based on medication requirements, symptoms, exacerbations, and airflow limitation. The pathology of refractory asthma involves persistent airway inflammation often with neutrophils and structural changes like increased smooth muscle mass. Treatment involves confirming the diagnosis, treating exacerbating factors, and optimizing standard pharmacotherapy with inhaled corticosteroids and additional controllers. For uncontrolled cases, alternative options like macrolide antibiotics, antifungals, omalizumab, and bronchial thermoplasty may be considered.
One of the most brilliant researchers of all time Dr. Amarjit Mishra, Ex-Assistant Professor of Auburn University has been working on identifying the various metabolic sensors that can be used for therapeutic purposes for asthma patients.
This document discusses the dental management of asthmatic pediatric patients. It begins by defining asthma as a chronic inflammatory airway disorder characterized by recurrent wheezing, breathlessness, chest tightness and coughing. It notes that asthma prevalence has increased in children in recent decades. The document then discusses the burden of asthma in children, signs and symptoms, diagnosis, medications and management during dental treatment. It provides guidance on avoiding triggers, monitoring the patient, and treating acute asthma attacks if they occur during dental procedures.
This document discusses the dental management of asthmatic pediatric patients. It begins by defining asthma as a chronic inflammatory airway disorder characterized by recurrent wheezing, breathlessness, chest tightness and coughing. It notes that asthma prevalence has increased in children over the past 20 years. The document then discusses the burden of asthma in children, signs and symptoms, diagnosis, medications used to treat and manage asthma, as well as considerations for treating asthmatic patients in a dental setting including avoiding triggers and properly managing acute asthma attacks.
The document describes an acute respiratory distress syndrome (ARDS) care plan. It defines ARDS as hypoxemia and bilateral lung opacities caused by diffuse alveolar damage. The care plan outlines the clinical signs of ARDS including respiratory distress, hypoxemia on blood gases, and bilateral opacities on chest x-ray. The therapeutic goals are supportive care to prevent complications, manage hypoxemia, and decrease oxygen consumption. Monitoring parameters include daily assessment of oxygenation using the PF ratio and ventilator settings. The care plan recommends a lung protective ventilation strategy using low tidal volumes, sedation, conservative fluid management, and treating any infections.
Novel treatments for asthma: Corticosteroids and other anti-inflammatory agents.pharmaindexing
Asthma management is a challenge due to the prevalence of disease in the world. Based on the immunological and inflammatory mechanisms of asthma, corticosteroids and anti-inflammatory participate greatly in the treatment plan. Due to different reasons, there is still an unmet need to develop new agents in this field. A lot of compounds with anti-inflammatory effect are investigated in both pre-clinical and clinical studies.
Novel treatments for asthma corticosteroids and other anti inflammatory agents.pharmaindexing
The document discusses novel treatments for asthma, focusing on corticosteroids and other anti-inflammatory agents. It notes that while inhaled corticosteroids are currently the gold standard for asthma treatment, some patients experience side effects or resistance to the drugs. Researchers are working to develop dissociated corticosteroids that separate anti-inflammatory and side effect mechanisms. Other promising anti-inflammatory treatments discussed include phosphodiesterase 4 inhibitors like roflumilast, which may provide additional treatment options but also have gastrointestinal side effects. Overall the review examines current asthma therapies and novel agents under investigation to improve treatment outcomes.
To hop 3 thao duoc co tac dung tuong tu corticoidNgoc Dang
This study compared the efficacy and safety of an antiasthma herbal medicine intervention (ASHMI) to prednisone for treating moderate-severe allergic asthma. In a double-blind randomized controlled trial, 91 adult asthma patients received either ASHMI capsules with prednisone placebo or prednisone tablets with ASHMI placebo for 4 weeks. Both treatments significantly improved lung function and reduced symptoms and IgE levels. However, prednisone further reduced TH2 cytokines and cortisol levels while ASHMI increased TH1 cytokines and cortisol levels. No severe side effects occurred with either treatment. The study suggests ASHMI is a safe and effective alternative asthma treatment to prednisone without adverse effects on adrenal
This document discusses the optimal management of severe or refractory asthma. It defines refractory asthma based on medication requirements, symptoms, exacerbations, and airflow limitation. The pathology of refractory asthma involves persistent airway inflammation often with neutrophils and structural changes like increased smooth muscle mass. Treatment involves confirming the diagnosis, treating exacerbating factors, and optimizing standard pharmacotherapy with inhaled corticosteroids and additional controllers. For uncontrolled cases, alternative options like macrolide antibiotics, antifungals, omalizumab, and bronchial thermoplasty may be considered.
One of the most brilliant researchers of all time Dr. Amarjit Mishra, Ex-Assistant Professor of Auburn University has been working on identifying the various metabolic sensors that can be used for therapeutic purposes for asthma patients.
This document discusses the dental management of asthmatic pediatric patients. It begins by defining asthma as a chronic inflammatory airway disorder characterized by recurrent wheezing, breathlessness, chest tightness and coughing. It notes that asthma prevalence has increased in children in recent decades. The document then discusses the burden of asthma in children, signs and symptoms, diagnosis, medications and management during dental treatment. It provides guidance on avoiding triggers, monitoring the patient, and treating acute asthma attacks if they occur during dental procedures.
This document discusses the dental management of asthmatic pediatric patients. It begins by defining asthma as a chronic inflammatory airway disorder characterized by recurrent wheezing, breathlessness, chest tightness and coughing. It notes that asthma prevalence has increased in children over the past 20 years. The document then discusses the burden of asthma in children, signs and symptoms, diagnosis, medications used to treat and manage asthma, as well as considerations for treating asthmatic patients in a dental setting including avoiding triggers and properly managing acute asthma attacks.
The document describes an acute respiratory distress syndrome (ARDS) care plan. It defines ARDS as hypoxemia and bilateral lung opacities caused by diffuse alveolar damage. The care plan outlines the clinical signs of ARDS including respiratory distress, hypoxemia on blood gases, and bilateral opacities on chest x-ray. The therapeutic goals are supportive care to prevent complications, manage hypoxemia, and decrease oxygen consumption. Monitoring parameters include daily assessment of oxygenation using the PF ratio and ventilator settings. The care plan recommends a lung protective ventilation strategy using low tidal volumes, sedation, conservative fluid management, and treating any infections.
Novel treatments for asthma: Corticosteroids and other anti-inflammatory agents.pharmaindexing
Asthma management is a challenge due to the prevalence of disease in the world. Based on the immunological and inflammatory mechanisms of asthma, corticosteroids and anti-inflammatory participate greatly in the treatment plan. Due to different reasons, there is still an unmet need to develop new agents in this field. A lot of compounds with anti-inflammatory effect are investigated in both pre-clinical and clinical studies.
Novel treatments for asthma corticosteroids and other anti inflammatory agents.pharmaindexing
The document discusses novel treatments for asthma, focusing on corticosteroids and other anti-inflammatory agents. It notes that while inhaled corticosteroids are currently the gold standard for asthma treatment, some patients experience side effects or resistance to the drugs. Researchers are working to develop dissociated corticosteroids that separate anti-inflammatory and side effect mechanisms. Other promising anti-inflammatory treatments discussed include phosphodiesterase 4 inhibitors like roflumilast, which may provide additional treatment options but also have gastrointestinal side effects. Overall the review examines current asthma therapies and novel agents under investigation to improve treatment outcomes.
To hop 3 thao duoc co tac dung tuong tu corticoidNgoc Dang
This study compared the efficacy and safety of an antiasthma herbal medicine intervention (ASHMI) to prednisone for treating moderate-severe allergic asthma. In a double-blind randomized controlled trial, 91 adult asthma patients received either ASHMI capsules with prednisone placebo or prednisone tablets with ASHMI placebo for 4 weeks. Both treatments significantly improved lung function and reduced symptoms and IgE levels. However, prednisone further reduced TH2 cytokines and cortisol levels while ASHMI increased TH1 cytokines and cortisol levels. No severe side effects occurred with either treatment. The study suggests ASHMI is a safe and effective alternative asthma treatment to prednisone without adverse effects on adrenal
1. The document discusses various respiratory conditions including asthma, COPD, and allergic rhinitis. It describes the pathophysiology and symptoms of each condition.
2. Treatment options for the conditions are explored, including inhaled corticosteroids, bronchodilators, leukotriene antagonists, mast cell stabilizers, and monoclonal antibodies. The mechanisms of action, efficacy, and side effects are summarized for each class of drugs.
3. Additional topics covered include drug delivery methods, managing exacerbations, guidelines for long-term control, and smoking cessation advice for COPD patients.
management of Bronchial asthma microteachingjayaDadhich1
This document provides an overview of bronchial asthma, including its definition, types, pathophysiology, treatment approaches, and recent advances. Bronchial asthma is a chronic inflammatory disease of the airways characterized by reversible bronchial hyperresponsiveness and airflow limitation caused by bronchoconstriction and inflammation. It is classified based on etiology such as allergic or exercise-induced asthma, and symptoms from intermittent to severe. Treatment involves both controllers like corticosteroids and long-acting bronchodilators for long-term control, and relievers like short-acting bronchodilators for acute symptoms. Recent advances include monoclonal antibodies targeting IgE and IL-5, bronchial thermoplasty, and subcutaneous immunotherapy
Bronchial thermoplasty is a treatment for severe persistent asthma that involves delivering controlled radiofrequency energy to heat and reduce airway smooth muscle. It has been shown to improve quality of life and reduce exacerbations, ER visits, and hospitalizations according to clinical studies. However, it carries risks of worsening respiratory symptoms that may require hospitalization during the treatment period when the bronchoscopies are performed. Further research is still needed to identify which patients are most likely to benefit from this treatment.
This document provides information about bronchial asthma. It defines asthma as a chronic inflammatory airway disease characterized by variable airflow obstruction and bronchial hyperresponsiveness. Common symptoms include wheezing, coughing, chest tightness and shortness of breath. Triggers include allergens, infections, pollution, stress and certain drugs. The pathophysiology involves chronic inflammation and constriction of the airways. Diagnosis involves assessing symptoms and using tests like spirometry and imaging. Management consists of pharmacological treatments like bronchodilators and anti-inflammatories as well as nursing care focused on airway clearance, breathing exercises, nutrition, education and managing exacerbating factors.
This document discusses common respiratory diseases like asthma, COPD, and allergic rhinitis. It describes the pathophysiology and symptoms of these conditions. Various treatment approaches are covered, including inhaled bronchodilators, corticosteroids, leukotriene modifiers, cromolyn, and others. Optimal treatment aims to control inflammation and symptoms while minimizing side effects. Local drug delivery by inhalation is preferred over oral or systemic administration when possible.
Updates On Pharmacological Management Of Asthma In AdultsAshraf ElAdawy
The document provides information on pharmacological management of asthma in adults. It defines asthma as a chronic inflammatory airway disease characterized by airway inflammation, obstruction, and hyperresponsiveness. The diagnosis is clinical based on symptoms such as wheezing and tightness. Asthma is caused by airway inflammation and management aims to control inflammation and symptoms. Treatment involves anti-inflammatory controllers such as inhaled corticosteroids and relievers for symptoms. A stepwise treatment approach is used starting with relievers and adding preventers as needed to gain control.
This document provides information on bronchial asthma, including:
- Asthma is a chronic inflammatory airway disease characterized by wheezing, breathlessness, and coughing.
- It affects over 350 million people globally and causes nearly 400,000 deaths per year, most in developing countries.
- Long-term treatment involves inhaled corticosteroids to reduce inflammation. Other treatments include oral corticosteroids, leukotriene modifiers, and long-acting beta-2 agonists.
- Triggers include infections, allergens, exercise, air pollution, weather changes, drugs, stress, and smoking. Proper management is needed to prevent complications and control symptoms.
Management of severe asthma an update 2014avicena1
This document discusses the management of severe asthma. It begins by defining several phenotypes of severe asthma, including refractory asthma and steroid-dependent asthma. It then reviews the diagnostic criteria for severe asthma established by the American Thoracic Society and European Respiratory Society, which requires one or more major criteria and two or more minor criteria. The document further discusses approaches to diagnosing and treating severe asthma, including evaluating for alternative diagnoses, assessing treatment compliance and triggers, addressing comorbidities, and considering immunotherapy options. It emphasizes the importance of phenotyping and endotyping asthma to enable personalized treatment approaches.
This document discusses the pharmacotherapy of bronchial asthma. It begins by defining asthma as a chronic inflammatory airway disorder characterized by variable airflow obstruction and airway hyperresponsiveness. It then discusses the risk factors, pathophysiology, clinical presentation, diagnosis, and therapeutic objectives of asthma. The mainstay of treatment involves reliever medications like short-acting beta-agonists for acute symptoms and controller medications like inhaled corticosteroids to control inflammation and reduce exacerbations. The document outlines the specific drug classes used for treatment, including beta-agonists, anticholinergics, corticosteroids, leukotriene modifiers, mast cell stabilizers, anti-IgE, and anti-IL5 monoclonal antibodies
The Comprehensiveness of Homoeopathy in Bronchial Asthmaijtsrd
The Bronchial Asthma is one of the common chronic disorders of respiratory system. The Individual of all age group can be suffering by this respiratory system disorder. Most often the asthma is disease which is related with the symptoms like difficulty in breathing and cough. Wheezing sound heard while the auscultation of chest. Though the bronchial asthma is critical condition it can be treated with the perfect treatment. The knowledge of respiratory tract disorder like bronchial asthma is Important for community. The people should know what is Bronchial asthma, How it progresses, How to avoid critical attack. 11 On the basis of the concept of persistent airway inflammation, two important principles are there. First, the complaint is chronic, frequently life long second, its severity fluctuates and sometimes there may be prolonged remissions. According to WHO Asthma affected an estimated 262 million people in 2019 worldwide and it caused around 4, 55,000 deaths. The Global Asthma Report 2022, by Global Asthma Network, shows that about 35 million Indian people suffer from asthma in 2022. 11 The bronchial asthma need to be treated by Homoeopathic medicines. Homoeopathic medicines produce similar symptoms after administration of it in the healthy human beings. Some of Homoeopathic medicines can help to relive symptoms of acute attack of asthma. This can also help to prevent the recurrence of asthma. According to Dr. Hahnemann asthma is true chronic disease which is because of Miasm. Sometimes symptoms of asthma may alternate with skin symptoms. 12 Homoeopathic treatment is Important to avoid unnecessary adverse effects of modern medicine. Dr. Jayshree Rathva | Pandya Santosh Kumar Jashvantbhai | Parmar Ketulkumar Dilipbhai "The Comprehensiveness of Homoeopathy in Bronchial Asthma" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-6 , December 2023, URL: https://www.ijtsrd.com/papers/ijtsrd60153.pdf Paper Url: https://www.ijtsrd.com/medicine/other/60153/the-comprehensiveness-of-homoeopathy-in-bronchial-asthma/dr-jayshree-rathva
The Comprehensiveness of Homoeopathy in Bronchial Asthmaijtsrd
The Bronchial Asthma is one of the common chronic disorders of respiratory system. The Individual of all age group can be suffering by this respiratory system disorder. Most often the asthma is disease which is related with the symptoms like difficulty in breathing and cough. Wheezing sound heard while the auscultation of chest. Though the bronchial asthma is critical condition it can be treated with the perfect treatment. The knowledge of respiratory tract disorder like bronchial asthma is Important for community. The people should know what is Bronchial asthma, How it progresses, How to avoid critical attack. 11 On the basis of the concept of persistent airway inflammation, two important principles are there. First, the complaint is chronic, frequently life long second, its severity fluctuates and sometimes there may be prolonged remissions. According to WHO Asthma affected an estimated 262 million people in 2019 worldwide and it caused around 4, 55,000 deaths. The Global Asthma Report 2022, by Global Asthma Network, shows that about 35 million Indian people suffer from asthma in 2022. 11 The bronchial asthma need to be treated by Homoeopathic medicines. Homoeopathic medicines produce similar symptoms after administration of it in the healthy human beings. Some of Homoeopathic medicines can help to relive symptoms of acute attack of asthma. This can also help to prevent the recurrence of asthma. According to Dr. Hahnemann asthma is true chronic disease which is because of Miasm. Sometimes symptoms of asthma may alternate with skin symptoms. 12 Homoeopathic treatment is Important to avoid unnecessary adverse effects of modern medicine. Dr. Jayshree Rathva | Pandya Santosh Kumar Jashvantbhai | Parmar Ketulkumar Dilipbhai "The Comprehensiveness of Homoeopathy in Bronchial Asthma" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-6 , December 2023, URL: https://www.ijtsrd.com/papers/ijtsrd60153.pdf Paper Url: https://www.ijtsrd.com/medicine/other/60153/the-comprehensiveness-of-homoeopathy-in-bronchial-asthma/dr-jayshree-rathva
As the world faces from Covid pandemic it's high time we should take care of our patients suffering from respiratory issues.
On the occasion of World Asthma Day I humbly present you this educational video. I focussed on what realy asthma is,current research in India,use of Artificial Intelligence in the field of Asthma.Most importantly,
I addressed myths about Asthma and shown the true pictures.
Your queries are always welcome.
I hope this video will help lot of Asthma patients and their dear ones who are taking care of them.
This document discusses refractory asthma, defining it as asthma that remains difficult to control despite extensive evaluation and management over at least 6 months. It outlines the major and minor criteria used to define refractory asthma according to the American Thoracic Society. It also discusses the epidemiology, pathophysiology, clinical presentation, risk factors, diagnostic workup, and management approaches for refractory asthma. Management involves high-dose inhaled corticosteroids and additional controller medications, along with addressing comorbidities and adherence issues. Immunomodulators may be considered for patients with uncontrolled asthma despite optimal conventional treatment.
International Journal of Pharmaceutical Science Invention (IJPSI)inventionjournals
This document discusses a study on the safety and efficacy of tiotropium bromide in patients with bronchial asthma. Tiotropium is a long-acting anticholinergic drug that works by blocking muscarinic receptors in the lungs. The study found that in patients with COPD (n=48), tiotropium significantly improved lung function measures (FEV1, FVC, FEV1/FVC ratio) compared to baseline, with few side effects. The document concludes that tiotropium provides measurable bronchodilation in asthma and is well tolerated, suggesting it may be a treatment option for bronchial asthma.
A comparative clinical study to evaluate the efeect of Drakshaadi avleha and ...DrBakhtyar Asharafi
The document summarizes a clinical study comparing the effects of Drakshadi Avleha and Pippalyadi Avleha in treating Tamaka Swasa (childhood asthma) according to Ayurveda. The study aims to evaluate the Ayurvedic and modern literature on Tamaka Swasa, compare the effects of the two herbal formulations, establish a safe and cost-effective treatment, and study the associated effects of the trial drugs. The study will recruit patients from the outpatient department of a hospital and college of Ayurveda in India.
The document summarizes a clinical trial that compared the effectiveness of adding montelukast (Singulair) versus salmeterol/fluticasone (Advair) or increasing the dose of fluticasone for children with uncontrolled asthma on low-dose inhaled corticosteroids. The BADGER trial found that adding salmeterol to fluticasone or increasing the fluticasone dose resulted in better asthma control compared to adding montelukast. However, some children responded better to montelukast. The document concludes that while several options exist, the patient's current level of control indicates a need to step up therapy beyond low-dose inhaled corticosteroids alone
Asthma in pregnancy Dr Muhammad Akram Khan Qaim KhaniMuhammad Akram
This document discusses asthma in pregnancy. It begins by defining asthma according to the WHO. It then discusses the pathophysiology of asthma and how pregnancy affects the respiratory system. It describes how to assess and monitor asthma severity using peak flow meters and spirometry. The document outlines different medication options for treating asthma during pregnancy, including quick relief medications like beta-agonists and long term control medications like inhaled corticosteroids. It discusses factors that influence asthma control and complications that can arise if asthma is not well-controlled during pregnancy.
Smoking is strongly linked to worse asthma outcomes. Exposure to secondhand smoke can cause or exacerbate asthma in both children and adults. Smoking cigarettes leads to higher levels of nicotine and chemicals in the smoke, increasing health risks. The evidence that secondhand smoke causes cancer and other diseases in nonsmokers is conclusive according to leading health organizations.
Evaluation of the Relationship Between Substance P Serum Level with Gasometri...JohnJulie1
Asthma is a chronic inflammatory disease damaged the respiratory system, which has recently been relatively prevalent in developing countries. The presence of inflammatory and intramuscular factors in the smooth muscles of the airway walls may lead to narrowing of these channels.
Evaluation of the Relationship Between Substance P Serum Level with Gasometri...suppubs1pubs1
Asthma is a chronic inflammatory disease damaged the respiratory system, which has recently been relatively prevalent in developing countries. The presence of inflammatory and intramuscular factors in the smooth muscles of the airway walls may lead to narrowing of these channels. Substance P is a member of neurokinin family with 11 amino acids that causes pain relief and has various effects on the smooth muscles of the respiratory airways. In this study, the level of substance P, spirometric parameters and arterial blood gases were analyzed in 60 patients with asthma (30 males and 30 females) with mean age 63.67 ± 14.61 years in 2018 at 17-e-shahrivar hospital (Mashhad, Iran). After completing the written consent and the information form, the levels of substance P, pH, O2 and CO2 pressure, bicarbonate, as well as vital capacity, forced vital capacity and FEV1 were evaluated.
As per the doctors, during acute asthma attacks, quick-relief drugs like oral corticosteroids and short-acting beta-agonists (like albuterol) are frequently used to decrease inflammation and alleviate symptoms. However, biomedical researchers such as Amarjit Mishra, a great scientist,
According to a new study carried out by Amarjit Mishra of Auburn University, air pollutants or allergens such as dust mites can produce oxidative stress in the airways, leading to increased inflammation and damage to airway cells.
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Similar to Mechanisms Mediating Pediatric Severe Asthma and Potential Novel Therapies- Dr Amarjit Mishra.
1. The document discusses various respiratory conditions including asthma, COPD, and allergic rhinitis. It describes the pathophysiology and symptoms of each condition.
2. Treatment options for the conditions are explored, including inhaled corticosteroids, bronchodilators, leukotriene antagonists, mast cell stabilizers, and monoclonal antibodies. The mechanisms of action, efficacy, and side effects are summarized for each class of drugs.
3. Additional topics covered include drug delivery methods, managing exacerbations, guidelines for long-term control, and smoking cessation advice for COPD patients.
management of Bronchial asthma microteachingjayaDadhich1
This document provides an overview of bronchial asthma, including its definition, types, pathophysiology, treatment approaches, and recent advances. Bronchial asthma is a chronic inflammatory disease of the airways characterized by reversible bronchial hyperresponsiveness and airflow limitation caused by bronchoconstriction and inflammation. It is classified based on etiology such as allergic or exercise-induced asthma, and symptoms from intermittent to severe. Treatment involves both controllers like corticosteroids and long-acting bronchodilators for long-term control, and relievers like short-acting bronchodilators for acute symptoms. Recent advances include monoclonal antibodies targeting IgE and IL-5, bronchial thermoplasty, and subcutaneous immunotherapy
Bronchial thermoplasty is a treatment for severe persistent asthma that involves delivering controlled radiofrequency energy to heat and reduce airway smooth muscle. It has been shown to improve quality of life and reduce exacerbations, ER visits, and hospitalizations according to clinical studies. However, it carries risks of worsening respiratory symptoms that may require hospitalization during the treatment period when the bronchoscopies are performed. Further research is still needed to identify which patients are most likely to benefit from this treatment.
This document provides information about bronchial asthma. It defines asthma as a chronic inflammatory airway disease characterized by variable airflow obstruction and bronchial hyperresponsiveness. Common symptoms include wheezing, coughing, chest tightness and shortness of breath. Triggers include allergens, infections, pollution, stress and certain drugs. The pathophysiology involves chronic inflammation and constriction of the airways. Diagnosis involves assessing symptoms and using tests like spirometry and imaging. Management consists of pharmacological treatments like bronchodilators and anti-inflammatories as well as nursing care focused on airway clearance, breathing exercises, nutrition, education and managing exacerbating factors.
This document discusses common respiratory diseases like asthma, COPD, and allergic rhinitis. It describes the pathophysiology and symptoms of these conditions. Various treatment approaches are covered, including inhaled bronchodilators, corticosteroids, leukotriene modifiers, cromolyn, and others. Optimal treatment aims to control inflammation and symptoms while minimizing side effects. Local drug delivery by inhalation is preferred over oral or systemic administration when possible.
Updates On Pharmacological Management Of Asthma In AdultsAshraf ElAdawy
The document provides information on pharmacological management of asthma in adults. It defines asthma as a chronic inflammatory airway disease characterized by airway inflammation, obstruction, and hyperresponsiveness. The diagnosis is clinical based on symptoms such as wheezing and tightness. Asthma is caused by airway inflammation and management aims to control inflammation and symptoms. Treatment involves anti-inflammatory controllers such as inhaled corticosteroids and relievers for symptoms. A stepwise treatment approach is used starting with relievers and adding preventers as needed to gain control.
This document provides information on bronchial asthma, including:
- Asthma is a chronic inflammatory airway disease characterized by wheezing, breathlessness, and coughing.
- It affects over 350 million people globally and causes nearly 400,000 deaths per year, most in developing countries.
- Long-term treatment involves inhaled corticosteroids to reduce inflammation. Other treatments include oral corticosteroids, leukotriene modifiers, and long-acting beta-2 agonists.
- Triggers include infections, allergens, exercise, air pollution, weather changes, drugs, stress, and smoking. Proper management is needed to prevent complications and control symptoms.
Management of severe asthma an update 2014avicena1
This document discusses the management of severe asthma. It begins by defining several phenotypes of severe asthma, including refractory asthma and steroid-dependent asthma. It then reviews the diagnostic criteria for severe asthma established by the American Thoracic Society and European Respiratory Society, which requires one or more major criteria and two or more minor criteria. The document further discusses approaches to diagnosing and treating severe asthma, including evaluating for alternative diagnoses, assessing treatment compliance and triggers, addressing comorbidities, and considering immunotherapy options. It emphasizes the importance of phenotyping and endotyping asthma to enable personalized treatment approaches.
This document discusses the pharmacotherapy of bronchial asthma. It begins by defining asthma as a chronic inflammatory airway disorder characterized by variable airflow obstruction and airway hyperresponsiveness. It then discusses the risk factors, pathophysiology, clinical presentation, diagnosis, and therapeutic objectives of asthma. The mainstay of treatment involves reliever medications like short-acting beta-agonists for acute symptoms and controller medications like inhaled corticosteroids to control inflammation and reduce exacerbations. The document outlines the specific drug classes used for treatment, including beta-agonists, anticholinergics, corticosteroids, leukotriene modifiers, mast cell stabilizers, anti-IgE, and anti-IL5 monoclonal antibodies
The Comprehensiveness of Homoeopathy in Bronchial Asthmaijtsrd
The Bronchial Asthma is one of the common chronic disorders of respiratory system. The Individual of all age group can be suffering by this respiratory system disorder. Most often the asthma is disease which is related with the symptoms like difficulty in breathing and cough. Wheezing sound heard while the auscultation of chest. Though the bronchial asthma is critical condition it can be treated with the perfect treatment. The knowledge of respiratory tract disorder like bronchial asthma is Important for community. The people should know what is Bronchial asthma, How it progresses, How to avoid critical attack. 11 On the basis of the concept of persistent airway inflammation, two important principles are there. First, the complaint is chronic, frequently life long second, its severity fluctuates and sometimes there may be prolonged remissions. According to WHO Asthma affected an estimated 262 million people in 2019 worldwide and it caused around 4, 55,000 deaths. The Global Asthma Report 2022, by Global Asthma Network, shows that about 35 million Indian people suffer from asthma in 2022. 11 The bronchial asthma need to be treated by Homoeopathic medicines. Homoeopathic medicines produce similar symptoms after administration of it in the healthy human beings. Some of Homoeopathic medicines can help to relive symptoms of acute attack of asthma. This can also help to prevent the recurrence of asthma. According to Dr. Hahnemann asthma is true chronic disease which is because of Miasm. Sometimes symptoms of asthma may alternate with skin symptoms. 12 Homoeopathic treatment is Important to avoid unnecessary adverse effects of modern medicine. Dr. Jayshree Rathva | Pandya Santosh Kumar Jashvantbhai | Parmar Ketulkumar Dilipbhai "The Comprehensiveness of Homoeopathy in Bronchial Asthma" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-6 , December 2023, URL: https://www.ijtsrd.com/papers/ijtsrd60153.pdf Paper Url: https://www.ijtsrd.com/medicine/other/60153/the-comprehensiveness-of-homoeopathy-in-bronchial-asthma/dr-jayshree-rathva
The Comprehensiveness of Homoeopathy in Bronchial Asthmaijtsrd
The Bronchial Asthma is one of the common chronic disorders of respiratory system. The Individual of all age group can be suffering by this respiratory system disorder. Most often the asthma is disease which is related with the symptoms like difficulty in breathing and cough. Wheezing sound heard while the auscultation of chest. Though the bronchial asthma is critical condition it can be treated with the perfect treatment. The knowledge of respiratory tract disorder like bronchial asthma is Important for community. The people should know what is Bronchial asthma, How it progresses, How to avoid critical attack. 11 On the basis of the concept of persistent airway inflammation, two important principles are there. First, the complaint is chronic, frequently life long second, its severity fluctuates and sometimes there may be prolonged remissions. According to WHO Asthma affected an estimated 262 million people in 2019 worldwide and it caused around 4, 55,000 deaths. The Global Asthma Report 2022, by Global Asthma Network, shows that about 35 million Indian people suffer from asthma in 2022. 11 The bronchial asthma need to be treated by Homoeopathic medicines. Homoeopathic medicines produce similar symptoms after administration of it in the healthy human beings. Some of Homoeopathic medicines can help to relive symptoms of acute attack of asthma. This can also help to prevent the recurrence of asthma. According to Dr. Hahnemann asthma is true chronic disease which is because of Miasm. Sometimes symptoms of asthma may alternate with skin symptoms. 12 Homoeopathic treatment is Important to avoid unnecessary adverse effects of modern medicine. Dr. Jayshree Rathva | Pandya Santosh Kumar Jashvantbhai | Parmar Ketulkumar Dilipbhai "The Comprehensiveness of Homoeopathy in Bronchial Asthma" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-6 , December 2023, URL: https://www.ijtsrd.com/papers/ijtsrd60153.pdf Paper Url: https://www.ijtsrd.com/medicine/other/60153/the-comprehensiveness-of-homoeopathy-in-bronchial-asthma/dr-jayshree-rathva
As the world faces from Covid pandemic it's high time we should take care of our patients suffering from respiratory issues.
On the occasion of World Asthma Day I humbly present you this educational video. I focussed on what realy asthma is,current research in India,use of Artificial Intelligence in the field of Asthma.Most importantly,
I addressed myths about Asthma and shown the true pictures.
Your queries are always welcome.
I hope this video will help lot of Asthma patients and their dear ones who are taking care of them.
This document discusses refractory asthma, defining it as asthma that remains difficult to control despite extensive evaluation and management over at least 6 months. It outlines the major and minor criteria used to define refractory asthma according to the American Thoracic Society. It also discusses the epidemiology, pathophysiology, clinical presentation, risk factors, diagnostic workup, and management approaches for refractory asthma. Management involves high-dose inhaled corticosteroids and additional controller medications, along with addressing comorbidities and adherence issues. Immunomodulators may be considered for patients with uncontrolled asthma despite optimal conventional treatment.
International Journal of Pharmaceutical Science Invention (IJPSI)inventionjournals
This document discusses a study on the safety and efficacy of tiotropium bromide in patients with bronchial asthma. Tiotropium is a long-acting anticholinergic drug that works by blocking muscarinic receptors in the lungs. The study found that in patients with COPD (n=48), tiotropium significantly improved lung function measures (FEV1, FVC, FEV1/FVC ratio) compared to baseline, with few side effects. The document concludes that tiotropium provides measurable bronchodilation in asthma and is well tolerated, suggesting it may be a treatment option for bronchial asthma.
A comparative clinical study to evaluate the efeect of Drakshaadi avleha and ...DrBakhtyar Asharafi
The document summarizes a clinical study comparing the effects of Drakshadi Avleha and Pippalyadi Avleha in treating Tamaka Swasa (childhood asthma) according to Ayurveda. The study aims to evaluate the Ayurvedic and modern literature on Tamaka Swasa, compare the effects of the two herbal formulations, establish a safe and cost-effective treatment, and study the associated effects of the trial drugs. The study will recruit patients from the outpatient department of a hospital and college of Ayurveda in India.
The document summarizes a clinical trial that compared the effectiveness of adding montelukast (Singulair) versus salmeterol/fluticasone (Advair) or increasing the dose of fluticasone for children with uncontrolled asthma on low-dose inhaled corticosteroids. The BADGER trial found that adding salmeterol to fluticasone or increasing the fluticasone dose resulted in better asthma control compared to adding montelukast. However, some children responded better to montelukast. The document concludes that while several options exist, the patient's current level of control indicates a need to step up therapy beyond low-dose inhaled corticosteroids alone
Asthma in pregnancy Dr Muhammad Akram Khan Qaim KhaniMuhammad Akram
This document discusses asthma in pregnancy. It begins by defining asthma according to the WHO. It then discusses the pathophysiology of asthma and how pregnancy affects the respiratory system. It describes how to assess and monitor asthma severity using peak flow meters and spirometry. The document outlines different medication options for treating asthma during pregnancy, including quick relief medications like beta-agonists and long term control medications like inhaled corticosteroids. It discusses factors that influence asthma control and complications that can arise if asthma is not well-controlled during pregnancy.
Smoking is strongly linked to worse asthma outcomes. Exposure to secondhand smoke can cause or exacerbate asthma in both children and adults. Smoking cigarettes leads to higher levels of nicotine and chemicals in the smoke, increasing health risks. The evidence that secondhand smoke causes cancer and other diseases in nonsmokers is conclusive according to leading health organizations.
Evaluation of the Relationship Between Substance P Serum Level with Gasometri...JohnJulie1
Asthma is a chronic inflammatory disease damaged the respiratory system, which has recently been relatively prevalent in developing countries. The presence of inflammatory and intramuscular factors in the smooth muscles of the airway walls may lead to narrowing of these channels.
Evaluation of the Relationship Between Substance P Serum Level with Gasometri...suppubs1pubs1
Asthma is a chronic inflammatory disease damaged the respiratory system, which has recently been relatively prevalent in developing countries. The presence of inflammatory and intramuscular factors in the smooth muscles of the airway walls may lead to narrowing of these channels. Substance P is a member of neurokinin family with 11 amino acids that causes pain relief and has various effects on the smooth muscles of the respiratory airways. In this study, the level of substance P, spirometric parameters and arterial blood gases were analyzed in 60 patients with asthma (30 males and 30 females) with mean age 63.67 ± 14.61 years in 2018 at 17-e-shahrivar hospital (Mashhad, Iran). After completing the written consent and the information form, the levels of substance P, pH, O2 and CO2 pressure, bicarbonate, as well as vital capacity, forced vital capacity and FEV1 were evaluated.
Similar to Mechanisms Mediating Pediatric Severe Asthma and Potential Novel Therapies- Dr Amarjit Mishra. (20)
As per the doctors, during acute asthma attacks, quick-relief drugs like oral corticosteroids and short-acting beta-agonists (like albuterol) are frequently used to decrease inflammation and alleviate symptoms. However, biomedical researchers such as Amarjit Mishra, a great scientist,
According to a new study carried out by Amarjit Mishra of Auburn University, air pollutants or allergens such as dust mites can produce oxidative stress in the airways, leading to increased inflammation and damage to airway cells.
Amarjit Mishra*
Assistant Professor (Former), Laboratory of Lung Inflammation, Department of Pathobiology, College of Veterinary Medicine, Auburn
University, Auburn, Alabama, United States
*Corresponding Author: Amarjit Mishra, Assistant Professor (Former), Laboratory of Lung Inflammation, Department of Pathobiology,
College of Veterinary Medicine, Auburn University, Auburn, Alabama, United States.
Dr. Amarjit Mishra has done many works, but his work on the significance of pharmacological targeting for the treatment of respiratory diseases based on the study of associated immunology is worth mentioning.
Many scientists, including Dr. Amarjit Mishra an Ex-professor, Auburn University in the United States, had worked to understand the pathogenesis of asthma, particularly allergy-induced asthma because it is crucial to understand the underlying mechanism that connects these environmental causes to the development of asthma.
Amarjit Mishra’s participation in various significant pulmonology initiatives has earned him the reputation of being an accomplished researcher. Throughout his distinguished career as a gifted educator and researcher, Amarjit Mishra has occupied a variety of positions of authority.
Amarjit Mishra was born in a small village in India, where he grew up in a low-income family with seven siblings. Despite their financial struggles, his parents instilled the importance of education in all of their children. Amarjit Mishra loved learning and was a dedicated student, but unfortunately, his family couldn’t afford to send him to school beyond the age of 10.
Dr.Amarjit Mishra has contributed to the review of the entire system of asthma pathogenesis by performing an extensive literature survey of the prior research as well as carrying out tests utilizing cutting-edge methods to further our understanding of the subject.
Amarjit Mishra also discusses the role of the mitochondrial Irg1/itaconate axis in controlling Th2 inflammation as a significant metabolic adaptation. Prior research has established a redox-dependent and related relationship between cross-presentation and allergen absorption by antigen-presenting dendritic cells.
Amarjit Mishra is a remarkable teaching professional who is heavily involved in research and teaching. He has been a member of the Auburn University team since many years, teaching a range of courses in the Department of Chemistry and Biochemistry.
One of the scientists who has done extensive research work in enhancing the understanding of this disease is the famous Veterinarian research scientist-turned-pulmonologist Amarjit Mishra.
As we know that respiratory diseases are few of the major causes of illness and death in contemporary times, the work by Amarjit Mishra Auburn University.
Amarjit Mishra of Auburn University has also researched on innovative pharmacological targeting of Th1/Th2/Th17 lung immune pathways in addition to this study on understanding lung immune pathways.
Amarjit Mishra is a seasoned researcher who has devoted the majority of his life to study for the benefit of society. He had been employed as an assistant professor at Auburn University.
Amarjit Mishra Assistant Professor at Auburn University, Yujie Guo, Li Zhang, Sunil More, Tingting Weng, and others, have recently conducted additional research on the function of neutrophils and their recruitment at a site.
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Mechanisms Mediating Pediatric Severe Asthma and Potential Novel Therapies- Dr Amarjit Mishra.
1. They may also require frequent
use of rescue medications, such
as short-acting bronchodilators,
and may have recurrent asthma
exacerbations or attacks. That
require emergency medical care.
2. THE MECHANISM BEHIND PEDIATRIC SEVERE
ASTHMA
According to Amarjit Mishra, in some
cases of severe asthma. There is chronic
inflammation and repeated episodes of
bronchoconstriction which leads to
structural changes in the airway
tissues, such as thickening of the
airway walls and hypertrophy of
smooth muscle cells.
3. As oral corticosteroids, biologic
agents, or other advanced
treatment options, to achieve
optimal asthma control. Due to the
sensitivity of the disease and
vulnerability of young children, the
management of pediatric severe
asthma typically requires close
monitoring
4. POTENTIAL NOVEL THERAPIES
As Janus kinase (JAK) or
phosphodiesterase-4 (PDE-4) are
being studied for their potential to
reduce inflammation and improve
asthma control. Amarjit Mishra
Auburn University, being an expert
in pulmonology holds a view. That
these inhibitors can also be used as
potential targets for the treatment
of severe asthma.
5. It is important to note that these
potential novel therapies are still
being investigated in clinical trials
and are not yet. Widely available for
routine clinical use in pediatric severe
asthma. Further research is
conducted by great scientists such. As
Amarjit Mishra to determine their
safety, efficacy, and long-term effects
of such therapy options.
Source:- https://www.cofimagazine.com/5155/education/mechanisms-mediating-pediatric-severe-asthma-and-potential-novel-therapies-dr-amarjit-mishra/