Inhaler mishandling remains common in real life and is associated with reduced disease control
Andrea S. Melani,Marco Bonavia,Vincenzo Cilenti,Cristina Cinti,Marco Lodi,Paola Martucci,Maria Serra,Nicola Scichilone,Piersante Sestini,Maria Aliani,Margherita Neri +10 more
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TLDR
In this paper, the authors investigated the prevalence of inhaler mishandling in a large population of experienced patients referring to chest clinics; to analyze the variables associated with misuse and the relationship between inhaler handling and health-care resources use and disease control.About:
This article is published in Respiratory Medicine.The article was published on 2011-06-01 and is currently open access. It has received 681 citations till now. The article focuses on the topics: Dry-powder inhaler & Inhaler.read more
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Recognition, diagnosis, and treatment of cognitive and psychiatric disorders in patients with COPD
Daniel R. Ouellette,Kim L Lavoie +1 more
TL;DR: The findings suggest that clinicians caring for patients with COPD must become familiar with diagnosing these comorbid conditions and that future treatment has the potential to impact these patients and thereby improve COPD outcomes.
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Enabling practical surface acoustic wave nebulizer drug delivery via amplitude modulation
TL;DR: This simple yet effective means to enable an integrated SAW microfluidics device for nebulization exploits the relatively slow hydrodynamics and is furthermore shown to deliver shear-sensitive biomolecules--plasmid DNA and antibodies as exemplars of future pulmonary gene and vaccination therapies--undamaged in the nebulized mist.
Journal ArticleDOI
e-Monitoring of Asthma Therapy to Improve Compliance in children (e-MATIC): a randomised controlled trial
Erwin C. Vasbinder,Lucas M A Goossens,Maureen P.M.H. Rutten-van Mölken,Brenda C. M. de Winter,Liset van Dijk,Arnold G. Vulto,Ellen I.M. Blankman,Nordin Dahhan,Monique Theodora Maria Veenstra-van Schie,Florens G. A. Versteegh,Bart Wolf,Hettie M. Janssens,Patricia M. L. A. van den Bemt +12 more
TL;DR: E-Monitoring with tailored SMS reminders improves adherence to ICS, but not clinical outcomes in children with asthma, and costs were higher in the intervention group, but this difference was not statistically significant.
Journal ArticleDOI
Current Control and Future Risk in Asthma Management
TL;DR: Improvements in understanding of the therapeutic benefit of asthma therapies suggest that, in general, while long-acting bronchodilator therapy improves asthma symptoms, the anti-inflammatory activity of inhaled corticosteroids reduces acute asthma exacerbations.
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Effectiveness of Same Versus Mixed Asthma Inhaler Devices: A Retrospective Observational Study in Primary Care
David Price,Henry Chrystyn,Alan Kaplan,John Haughney,Miguel Román-Rodríguez,Annie Burden,Alison Chisholm,Elizabeth V. Hillyer,Julie von Ziegenweidt,Muzammil Ali,Thys van der Molen +10 more
TL;DR: Findings suggest that, when possible, the same device should be prescribed for both ICS and reliever therapy when patients are initiating ICS.
References
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Lung volumes and forced ventilatory flows
TL;DR: Assessing the total lung capacity is indispensable in establishing a restrictive ventilatory defect or in diagnosing abnormal lung distensibility, as may occur in patients …
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Development of the asthma control test: A survey for assessing asthma control
Robert A. Nathan,Christine A. Sorkness,Mark Kosinski,Michael Schatz,James T.C. Li,Philip Marcus,John J. Murray,T.B. Pendergraft +7 more
TL;DR: Results reinforce the usefulness of a brief, easy to administer, patient-based index of asthma control.
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Evaluation of Clinical Methods for Rating Dyspnea
TL;DR: The results show that the BDI, MRC scale, and OCD provide significantly related measures of Dyspnea, and the clinical ratings of dyspnea correlate significantly with physiologic parameters of lung function; and breathlessness may be related to the pathophysiology of the specific respiratory disease.
Journal ArticleDOI
Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD
Federico Lavorini,Antoine Magnan,Antoine Magnan,Jean Christophe Dubus,Thomas Voshaar,Lorenzo Corbetta,Mariëlle E.A.C. Broeders,Richard Dekhuijzen,Joaquín Sanchis,José Luis Viejo,Peter J. Barnes,Christopher Corrigan,Mark L Levy,Graham K. Crompton +13 more
TL;DR: It is demonstrated that incorrect DPI technique with established DPIs is common among patients with asthma and COPD, and suggests that poor inhalation technique has detrimental consequences for clinical efficacy.
Journal ArticleDOI
Misuse of corticosteroid metered-dose inhaler is associated with decreased asthma stability
Violaine Giraud,Nicolas Roche +1 more
TL;DR: Misuse of pressurized metered-dose inhalers, which is mainly due to poor coordination, is frequent and associated with poorer asthma control in inhaled corticosteroid-treated asthmatics, highlighting the importance of evaluating inhalation technique and providing appropriate education in all patients.
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