Respiratory medication use in an Australian developmental disability clinic population: messages for health care professionals

2014 ◽  
Vol 20 (3) ◽  
pp. 278 ◽  
Author(s):  
Sharon R. Davis ◽  
Seeta Durvasula ◽  
Diana Merhi ◽  
Paul M. Young ◽  
Daniela Traini ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Management Practices ◽  
Management Strategies ◽  
Asthma Management ◽  
Medication Use ◽  
Evidence Base ◽  
Breathing Patterns ◽  
Asthma Patients ◽  
Inhaled Medication ◽  
Clinic Population

Australian data suggest up to 15% of people with intellectual disability (ID) have asthma. The inhaled route of administration is optimal for the management of obstructive airways diseases; however, correct inhaler use requires dexterity and particular breathing patterns and potentially represents a problem in this population due to physical and cognitive deficits. Understanding the nature and extent of inhaler use in persons with ID is important, as correct inhaler technique is imperative for optimal clinical outcomes; however, currently no evidence base exists to inform health professionals. This study describes respiratory medication use, reported prevalence of asthma, and asthma management practices undertaken in a clinic sample of Australian adults with ID. Results showed a prevalence of retrospectively reported asthma of 6%, with 86% of asthma patients prescribed inhaled medication. A review of patient records also indicated omission of some recommended asthma management strategies.

scholarly journals Inhaled medication for asthma management: evaluation of how asthma patients, medical students, and doctors use the different devices

2003 ◽  
Vol 29 (2) ◽  
pp. 75-81 ◽  
Author(s):  
Janaína Barbosa Muniz ◽  
Carlos Roberto Padovani ◽  
Irma Godoy
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Health Care Professionals ◽  
Airflow Obstruction ◽  
Asthma Management ◽  
Outpatient Service ◽  
Inhalation Therapy ◽  
Metered Dose ◽  
Asthma Patients ◽  
Inhaled Medication

Asthma results from a combination of three essential features: airflow obstruction, hyperresponsiveness of airways to endogenous or exogenous stimuli and inflammation. Inadequacy of the techniques to use different inhalation devices is one of the causes of therapeutic failure. The main purpose of this study was to evaluate how 20 medical students, 36 resident physicians of Internal Medicine/Pediatrics, and 40 asthma patients used three devices for inhalation therapy containing placebo. All patients were followed at the Pulmonary Outpatient Service of Botucatu Medical School and had been using inhaled medication for at least six months. The following devices were evaluated: metered dose inhalers (MDI), dry powder inhalers (DPI), and MDI attached to a spacer device. A single observer applied a protocol containing the main steps necessary to obtain a good inhaler technique to follow and grade the use of different devices. Health care professionals tested all three devices and patients tested only the device being used on their management. MDI was the device best known by doctors and patients. MDI use was associated with errors related to the coordination between inspiration and device activation. Failure to exhale completely before inhalation of the powder was the most frequent error observed with DPI use. In summary, patients did not receive precise instruction on how to use inhaled medication and health care professionals were not well prepared to adequately teach their patients.

scholarly journals A workshop on asthma management programs and centers in Brazil: reviewing and explaining concepts

2015 ◽  
Vol 41 (1) ◽  
pp. 03-15 ◽  
Author(s):  
Rafael Stelmach ◽  
Alcindo Cerci Neto ◽  
Ana Cristina de Carvalho Fernandez Fonseca ◽  
Eduardo Vieira Ponte ◽  
Gerardo Alves ◽  
...  
Keyword(s):  
Management Strategies ◽  
Asthma Management ◽  
Chronic Respiratory Disease ◽  
Group Discussions ◽  
Raising Awareness ◽  
Natural Progression ◽  
Multiplier Effect ◽  
Asthma Patients ◽  
Specialized Care ◽  
Working Groups

Objective: To report the results of a workshop regarding asthma management programs and centers (AMPCs) in Brazil, so that they can be used as a tool for the improvement and advancement of current and future AMPCs. Methods: The workshop consisted of five presentations and the corresponding group discussions. The working groups discussed the following themes: implementation of asthma management strategies; human resources needed for AMPCs; financial resources needed for AMPCs; and operational maintenance of AMPCs. Results: The workshop involved 39 participants, from all regions of the country, representing associations of asthma patients (n = 3), universities (n = 7), and AMPCs (n = 29). We found a direct relationship between a lack of planning and the failure of AMPCs. Based on the experiences reported during the workshop, the common assumptions about AMPCs in Brazil were the importance of raising awareness of managers; greater community participation; interdependence between primary care and specialized care; awareness of regionalization; and use of medications available in the public health system. Conclusions: Brazil already has a core of experience in the area of asthma management programs. The implementation of strategies for the management of chronic respiratory disease and their incorporation into health care system protocols would seem to be a natural progression. However, there is minimal experience in this area. Joint efforts by individuals with expertise in AMPCs could promote the implementation of asthma management strategies, thus speeding the creation of treatment networks, which might have a multiplier effect, precluding the need for isolated centers to start from zero.

scholarly journals The 1996 and 1997 National Survey of Physician Asthma Management Practices: Background and Study Methodology

1999 ◽  
Vol 6 (3) ◽  
pp. 269-272 ◽  
Author(s):  
Robert L Jin ◽  
Bernard CK Choi
Keyword(s):  
Management Practices ◽  
National Level ◽  
Asthma Management ◽  
Consensus Conference ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Initial Report ◽  
Management Actions ◽  
Asthma Patients ◽  
Baseline Information

OBJECTIVES: To collect national baseline information on asthma management practices by physicians, and to compare these practices with the recommendations of the Canadian Asthma Consensus Conference (‘the guidelines’).DESIGN: Cross-sectional survey of representative samples of physicians in Canada in late 1996 and early 1997.POPULATION STUDIED: Five specialty types of physicians who manage asthma patients: respirology, pediatrics, internal medicine, allergy and clinical immunology, and general practice and family medicine. Stratified sampling by province and specialty was used to select physicians for the study. Weighting was used in the analysis to generalize the results to the national level for the five specialty groups of physicians.METHOD: Mailed questionnaire, self-administered by the respondent; three mailings of the questionnaires were used to increase the response rate.MAIN RESULTS: The frequency with which each of the five specialty types chose specific asthma management choices was determined, using weighted percentages representative of the specialty groups on a national basis. ANOVA determined the statistically significant differences among the five specialties in choosing particular asthma management actions. Then, logistic regression was used to calculate the odds ratios showing an association between the characteristics of the physician respondents and specific asthma management choices that they made in the survey.CONCLUSIONS: The data analysis demonstrated significant variations among physicians in asthma management practices, according to specialty type and other characteristics. The initial report was released in April 1998, and manuscripts for journal submissions are being prepared.

BİLGİ YÖNETİMİ UYGULAMALARI KAPSAMINDA İNSAN KAYNAKLARI YÖNETİMİNDE MEYDANA GELEN DEĞİŞİMLER

2013 ◽  
Vol 1 (1) ◽  
pp. 83
Author(s):  
Ozan Büyükyılmaz
Keyword(s):  
Knowledge Management ◽  
Human Resources ◽  
Performance Management ◽  
Management Practices ◽  
Human Resources Management ◽  
Management Strategies ◽  
Resources Management ◽  
Management Philosophy ◽  
Management Processes

The development and expansion of knowledge management as an important management philosophy has a significant impact on human resources management as well as on organization as a whole. In this context, knowledge management processes have been used as a strategic tool within human resources management.Therefore, functions of human resources management must adapt itself to this change. The purpose of this study is to determine the role of human resources management in the management of knowledge and to reveal the effects of knowledge management practices on the functions of human resources byexamining the relationship between human resources and knowledge management. In this context, a theoretical investigation was conducted. It has been determined that significant changes occurred on the functions of human resources management such as selection and recruitment, performance management, remuneration and reward, training and development within the framework of the knowledge management strategies.

Concepts and Practices for Improving Nitrogen Management for Vegetables

1992 ◽  
Vol 2 (1) ◽  
pp. 121-125 ◽  
Author(s):  
George J. Hochmuth
Keyword(s):  
Water Management ◽  
Management Practices ◽  
Management Strategies ◽  
N Fertilization ◽  
Nitrogen Management ◽  
Land Grant ◽  
Land Grant Universities ◽  
Production Practices ◽  
Negative Impacts ◽  
N Management

Efficient N management practices usually involve many potential strategies, but always involve choosing the correct amount of N and the coupling of N management to efficient water management. Nitrogen management strategies are integral parts of improved production practices recommended by land-grant universities such as the Institute of Food and Agricultural Sciences, Univ. of Florida. This paper, which draws heavily on research and experience in Florida, outlines the concepts and technologies for managing vegetable N fertilization to minimize negative impacts on the environment.

Sarasota Bay: Protection of a Natural Resource

1993 ◽  
Vol 28 (3-5) ◽  
pp. 91-99
Author(s):  
R. A. Wagner ◽  
M. G. Heyl
Keyword(s):  
Wastewater Treatment ◽  
Best Management Practices ◽  
Management Practices ◽  
Treatment Plan ◽  
Management Strategies ◽  
Treatment Plant ◽  
Modeling Tools ◽  
Best Management ◽  
Sarasota Bay ◽  
Potential Benefits

As part of the Sarasota Bay National Estuary Program (NEP) evaluation of environmental problems, modeling tools were used to estimate pollution loadings from diverse sources, including surface runoff, baseflow, wastewater treatment plant discbarges, septic tanks, and direct deposition of rainfall on the bay surface. After assessing the relative impacts of the pollution sources, alternative management strategies were identified and analyzed. These strategies focused primarily on future development, and included structural and nonstructural best management practices (BMPs), as well as a regional wastewater treatment plan. Loading reductions, along with planning-level cost data and estimates of feasibility and other potential benefits, were used to identify the most promising alternatives.

scholarly journals Legumes increase grassland productivity with no effect on nitrous oxide emissions

2019 ◽  
Vol 446 (1-2) ◽  
pp. 163-177 ◽  
Author(s):  
Arlete S. Barneze ◽  
Jeanette Whitaker ◽  
Niall P. McNamara ◽  
Nicholas J. Ostle
Keyword(s):  
Management Practices ◽  
Production Systems ◽  
N Uptake ◽  
Relative Proportion ◽  
Management Strategies ◽  
Ghg Emissions ◽  
Chemical Properties ◽  
Nitrous Oxide Emissions ◽  
Mineral N ◽  
Grassland Productivity

Abstract Aims Grasslands are important agricultural production systems, where ecosystem functioning is affected by land management practices. Grass-legume mixtures are commonly cultivated to increase grassland productivity while reducing the need for nitrogen (N) fertiliser. However, little is known about the effect of this increase in productivity on greenhouse gas (GHG) emissions in grass-legume mixtures. The aim of this study was to investigate interactions between the proportion of legumes in grass-legume mixtures and N-fertiliser addition on productivity and GHG emissions. We tested the hypotheses that an increase in the relative proportion of legumes would increase plant productivity and decrease GHG emissions, and the magnitude of these effects would be reduced by N-fertiliser addition. Methods This was tested in a controlled environment mesocosm experiment with one grass and one legume species grown in mixtures in different proportions, with or without N-fertiliser. The effects on N cycling processes were assessed by measurement of above- and below-ground biomass, shoot N uptake, soil physico-chemical properties and GHG emissions. Results Above-ground productivity and shoot N uptake were greater in legume-grass mixtures compared to grass or legume monocultures, in fertilised and unfertilised soils. However, we found no effect of legume proportion on N2O emissions, total soil N or mineral-N in fertilised or unfertilised soils. Conclusions This study shows that the inclusion of legumes in grass-legume mixtures positively affected productivity, however N cycle were in the short-term unaffected and mainly affected by nitrogen fertilisation. Legumes can be used in grassland management strategies to mitigate climate change by reducing crop demand for N-fertilisers.

Family asthma management in urban children and its association with sleep outcomes

2021 ◽  
pp. 136749352110147
Author(s):  
Maria T Coutinho ◽  
Clara G Sears ◽  
Rebecca Noga ◽  
Elizabeth L McQuaid ◽  
Sheryl J Kopel ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Management Practices ◽  
Environmental Control ◽  
Asthma Management ◽  
Persistent Asthma ◽  
Structured Interview ◽  
Urban Children ◽  
Quality Data ◽  
Management Interventions

Asthma symptoms impact children’s sleep quality. However, it is unclear how families’ daily management of their child’s asthma is associated with sleep quality. We examine associations between family asthma management components and sleep duration and quality for urban children (ages 7–9 years). Additionally, we examine these associations by racial/ethnic group. Data were collected as part of a longitudinal study that examined the co-occurrence of asthma, allergic rhinitis, sleep quality, and academic functioning for urban children diagnosed with persistent asthma ( N = 196). A semi-structured interview assessed family asthma management practices. Sleep quality data were collected via actigraphy. Our visual depiction of sleep outcomes show that those with higher family asthma management ratings present with longer sleep duration and better sleep quality. Among specific family asthma management components, we found a significant association between children’s adherence to asthma medications and number of nighttime awakenings. For non-Latino Black (NLB) children, we found a significant association between environmental control and sleep duration. For urban children with asthma, clinical strategies to enhance overall family asthma management have the potential to support improved sleep quality. Additionally, for NLB children, asthma management interventions that provide environmental control practices may increase sleep duration.

scholarly journals Precision Agriculture for Resource Use Efficiency in Smallholder Farming Systems in Sub-Saharan Africa: A Systematic Review

2021 ◽  
Vol 13 (3) ◽  
pp. 1158
Author(s):  
Cecilia M. Onyango ◽  
Justine M. Nyaga ◽  
Johanna Wetterlind ◽  
Mats Söderström ◽  
Kristin Piikki
Keyword(s):  
Resource Use ◽  
Precision Agriculture ◽  
Large Scale ◽  
English Language ◽  
Management Practices ◽  
Smallholder Farmers ◽  
Management Strategies ◽  
Sub Saharan Africa ◽  
Smallholder Farming ◽  
Sub Saharan

Opportunities exist for adoption of precision agriculture technologies in all parts of the world. The form of precision agriculture may vary from region to region depending on technologies available, knowledge levels and mindsets. The current review examined research articles in the English language on precision agriculture practices for increased productivity among smallholder farmers in Sub-Saharan Africa. A total of 7715 articles were retrieved and after screening 128 were reviewed. The results indicate that a number of precision agriculture technologies have been tested under SSA conditions and show promising results. The most promising precision agriculture technologies identified were the use of soil and plant sensors for nutrient and water management, as well as use of satellite imagery, GIS and crop-soil simulation models for site-specific management. These technologies have been shown to be crucial in attainment of appropriate management strategies in terms of efficiency and effectiveness of resource use in SSA. These technologies are important in supporting sustainable agricultural development. Most of these technologies are, however, at the experimental stage, with only South Africa having applied them mainly in large-scale commercial farms. It is concluded that increased precision in input and management practices among SSA smallholder farmers can significantly improve productivity even without extra use of inputs.

scholarly journals Tracking Changes on Soil Structure and Organic Carbon Sequestration after 30 Years of Different Tillage and Management Practices

Agronomy ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 291
Author(s):  
Ramón Bienes ◽  
Maria Jose Marques ◽  
Blanca Sastre ◽  
Andrés García-Díaz ◽  
Iris Esparza ◽  
...  
Keyword(s):  
Triticum Aestivum ◽  
Organic Carbon ◽  
Management Practices ◽  
Management Strategies ◽  
Triticum Aestivum L ◽  
Field Trials ◽  
Conventional Tillage ◽  
Soil Parameters ◽  
Wilting Point

Long-term field trials are essential for monitoring the effects of sustainable land management strategies for adaptation and mitigation to climate change. The influence of more than thirty years of different management is analyzed on extensive crops under three tillage systems, conventional tillage (CT), minimum tillage (MT), and no-tillage (NT), and with two crop rotations, monoculture winter-wheat (Triticum aestivum L.) and wheat-vetch (Triticum aestivum L.-Vicia sativa L.), widely present in the center of Spain. The soil under NT experienced the largest change in organic carbon (SOC) sequestration, macroaggregate stability, and bulk density. In the MT and NT treatments, SOC content was still increasing after 32 years, being 26.5 and 32.2 Mg ha−1, respectively, compared to 20.8 Mg ha−1 in CT. The SOC stratification (ratio of SOC at the topsoil/SOC at the layer underneath), an indicator of soil conservation, increased with decreasing tillage intensity (2.32, 1.36, and 1.01 for NT, MT, and CT respectively). Tillage intensity affected the majority of soil parameters, except the water stable aggregates, infiltration, and porosity. The NT treatment increased available water, but only in monocropping. More water was retained at the permanent wilting point in NT treatments, which can be a disadvantage in dry periods of these edaphoclimatic conditions.

Sign in / Sign up

Export Citation Format

Share Document