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JACI: In Practice Editor Robert Zeiger describes the March issue, the theme of which is “Cough”. Theme topics covered include the clinical approach to chronic cough, cough reflex hypersensitivity as a key treatable trait, nonpharmacological approaches to chronic cough, and cough-variant asthma. Dr. Zeiger then presents the Highlights of the Original Articles in the issue, which are on the topics of Cough, Angioedema, Asthma, Drug Allergy, Food Allergy, Inborn Errors of Immunity, Mast Cell Diseases, and Rhinitis and Sinusits.
Join us as Paul and Watto reflect on the past year, discussing some favorite insights gained covering a range of topics, including dental pain management, cardiac amyloidosis, the impact of continuous glucose monitoring on diabetes care, the complexities of diagnosing primary hyperparathyroidism, hepatitis B screening and vaccination, GLP-1 agonists, travel medicine, endometriosis, rhinitis, and recurrent UTIs. Plus, we feature listener voicemails sharing their favorite episodes and why they love the Curbsiders! No CME for this episode, but claim CME for past shows at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction and Year-End Reflections 02:59 Picks of the Year 05:53 Dental Pain and Oral Care Insights 10:25 Cardiac Amyloidosis 14:33 Listener mail- diabetes 16:33 Neck Pain 19:08 Continuous Glucose Monitoring in Diabetes 23:57 Hyperparathyroidism 30:48 Hepatitis B 34:01 Listener mail- obesity 36:14 Travel Medicine: Malaria, Diarrhea, and Vaccination 40:38 Endometriosis 46:08 Rhinitis and Environmental Allergies 49.24 Recurrent UTIs 55:08 Reflections on Nine Years of Curbsiders Credits Written, Produced, and hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP Cover Art: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Molly Heublein MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Sponsor: AquaTru Today listeners receive 20% OFF any AquaTru purifier! Just go to AquaTru.com and enter code “CURB“ at checkout. Sponsor: Freed Visit Freed.ai. Use code CURB50 to get $50 off your first month. Sponsor: Quince Go to Quince.com/curb for 365-day returns, plus free shipping on your order!
JACI: In Practice Editor Michael Schatz describes the December issue, the theme of which is “Adherence Considerations in Allergy/Immunology.” The theme review articles comprehensively cover many aspects of adherence in patients with allergic and immunologic diseases, including factors affecting adherence, strategies for improvement, special considerations in specific groups, and the use of technology to improve adherence. Dr. Schatz then presents the Highlights of the Original Articles in the issue, which are on the topics of Allergic Bronchopulmonary Aspergillosis, Anaphylaxis, Angioedema, Asthma, Drug Allergy, Eosinophilic Disorders, Food Allergy, and Rhinitis and Sinusitis.
Today, Crystal & Grey discuss Supernatural 6.04 - Weekend at Bobby's. We talk about: Bobby absolutely killing it at the grill, the process of tricking a priest into blessing your weapons, and Sam and Dean meeting their rivals, another hunter duo that is like a kid to Bobby. Find Episode Transcripts Here Listen to Episode Outtakes and Give us a Tip in Ko-fi! Check out our merch on Redbubble! Follow us on Tumblr Email Address: bustyasianbeautiespod@gmail.com Podcast art is made by cyvvang! (Instagram, Redbubble)
JACI: In Practice Editor David Khan describes the November issue, the theme of which is Nonsteroidal Anti-inflammatory Drug-Exacerbated Respiratory Disease (NSAID-ERD). Theme topics covered include the burden, natural history, clinical characteristics, inflammatory heterogeneity, and biologic and non-biologic treatment of NSAID-ERD. Dr. Khan then presents the Highlights of the Original Articles in the issue, which are on the topics of Asthma, Dermatitis, Drug Allergy, Eosinophilic Disorders, Food Allergy, and Rhinitis and Sinusitis.
Dr. Bancroft reviews sinusitis, rhinitis, and the symptoms and causes of a sore throat.
JACI: In Practice Editor Robert Zeiger describes the August issue, the theme of which is “Occupational Respiratory Diseases”. Theme topics covered include performing an occupational history, respiratory diseases associated with organic dust exposure, airway diseases related to the use of cleaning agents, respiratory diseases associated with wildfire exposure, and occupation and COVID-19. Dr. Zeiger then presents the Highlights of the Original Articles in the issue, which are on the topics of Occupational Allergic Diseases, Anaphylaxis, Asthma, Food Allergy, Rhinitis, and Urticaria
Duchenne muscular dystrophy treatment now available; Noise therapy wearable for nasal congestion; Treatment for delaying diabetes gets Fast Tracked; Soliris biosimilar approved; And the first orally-disintegrating contraceptive.
In dieser Folge des LungeVital Podcasts beschäftigen wir uns mit Rhinitis Atrophica, einer chronischen Nasenerkrankung, die durch eine Verdünnung und Atrophie der Nasenschleimhaut gekennzeichnet ist. Wir besprechen die häufigsten Ursachen, wobei wir auch auf den wesentlichen Keim Klebsiella ozaenae eingehen, der oft mit dieser Erkrankung in Verbindung gebracht wird.Lungenfacharzt Jalal Gholami erläutert die typischen Symptome wie trockene Nase, Krustenbildung und unangenehmen Geruch, und gibt Einblicke in die diagnostischen Verfahren. Darüber hinaus erfahren Sie mehr über aktuelle Behandlungsmöglichkeiten und praktische Tipps zur Verbesserung der Lebensqualität für Betroffene.Diese Episode bietet hilfreiche Informationen sowohl für Fachleute im Gesundheitswesen als auch für Patienten und ihre Angehörigen. Hören Sie rein und erweitern Sie Ihr Wissen über Rhinitis Atrophica im LungeVital Podcast.Abonnieren Sie den LungeVital Podcast, um regelmäßig über neue Erkenntnisse in der Lungen- und Atemwegsgesundheit informiert zu werden.
Elevate your rhinitis management! Learn from expert allergist Dr. Olajumoke Fadugba about rhinitis and environmental allergies. You'll review how to distinguish between allergic and non-allergic rhinitis, and how to decode the drugstore allergy aisle for your patients! Claim free CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Rapid Fire Questions Case Part 1 Allergic vs Non-Allergic Rhinitis The Rhinitis History and Physical Allergy skin testing The Pathophysiology of Allergies Oral, intranasal and ocular treatments Case Part 2 Allergy immunotherapy Chronic sinusitis Sinus rinses Climate Change and Allergies Outro Credits Producer: Leah Witt, MD & Matthew Watto MD Writer, Show Notes, Infographic, and Cover Art: Leah Witt, MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Sai S Achi, MD MBA Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Olajumoke Fadugba MD Sponsor: Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. Sponsor: Litter Robot Whisker is currently offering $50 off Litter-Robot bundles. As a special offer to listeners of the show, go tostopscooping.com/CURB and use promo code CURB to save an additional $50 on any Litter-Robot bundle. Sponsor: Grammarly Get AI writing support that works where you work. Sign up and download for FREE at grammarly.com/PODCAST
JACI: In Practice Editor Scott Sicherer describes the July issue, the theme of which is “Prevention of Allergy and Asthma,”. Theme topics covered include prevention of food allergy, atopic dermatitis, and asthma. The issue also contains an American Academy of Allergy Asthma and Immunology Work Group Report on the subject of “The Impact of Prior Authorization on Clinical Practice and Patient Care Outcomes”. Dr. Sicherer then presents the Highlights of the Original Articles in the issue, which are on the topics of Asthma, Drug Allergy, Food Allergy, Immunodeficiency, Mast Cell Disorders, Rhinitis, and Urticaria.
JACI: In Practice Editor David Khan describes the June issue, the theme of which is “Allergic and Nonallergic Rhinitis.” Theme topics covered include allergic rhinitis, including immunotherapy and local allergic rhinitis; non-allergic rhinopathy; the impact of social determinants of health and climate change on chronic rhinitis; and evaluation of patients presenting with nasal congestion or post nasal drip. Dr. Khan then presents the Highlights of the Original Articles in the issue, which are on the topics of Rhinitis, Asthma, Dermatitis, Drug Allergy, Food Allergy, Hereditary Angioedema, and Immunodeficiency.
Is it really allergies causing patients' rhinitis symptoms this spring or is it something nonallergic? Sure, pollen is out and about, but that doesn't mean that those nonallergic triggers simply disappear when allergy season starts. Listen in as Gary and Luke discuss the different types of nonallergic rhinitis, potential triggers, and how healthcare providers can help provide clarity this allergy season when allergy medication isn't working, and symptoms aren't easing up. Episode resources and references available at https://www.thermofisher.com/phadia/us/en/resources/immunocast/s1e7.html?cid=0ct_3pc_05032024_9SGOV4
Deine Haut ist ein Donut – wusstest du das? Wie ein Donut geht deine Haut von äußerer Haut über in die innere Haut. Und die innere Haut nennt man Schleimhaut. Und es wird ja mal sowas von Zeit, dass wir uns bei Zauberhaut mal die innere Haut anschauen. Und wow, gibt es viele Schleimhäute in unserem Körper: Nasenschleimhaut, Mundschleimhaut, Magenschleimhaut, Harnblasenschleimhaut und viele mehr. Alle Schleimhäute zusammen haben eine Gesamtoberfläche von 600 Quadratmeter – das sind mehr als zwei Tennisfelder zusammen. Sie heißen Schleimhäute, weil sie Schleim produzieren, der dazu dient, die Oberflächen zu befeuchten und zu schützen. Vor Fremdkörpern, Krankheitserregern oder Reibung durch unsere Bewegung. Einige Schleimhäute nehmen aber auch Nährstoffe auf oder übertragen Sinnenreize. Jede Schleimhaut hat spezifische Funktionen – und auch Bedeutungen. Ich konzentriere mich in der Folge auf die Augenbindehaut und Konjunktivitis, die Mundschleimhaut und Entzündung dessen (Gingivitis) und die Nasenschleimhaut und Rhinitis. In dieser Folge spreche ich unter anderem darüber: – Wichtigste Schleimhäute und dessen Funktionen – Schleimhäute gesund halten – Spirituelle Bedeutung von Schleimhäuten generell – Emotionale Bedeutung von Augen,- Mund,- u. Nasenschleimhaut Empfehlungen: Blogartikel & Podcastfolge: Was Allergien und Unverträglichkeiten bedeuten https://www.zauberhaut.coach/blog/allergie-unvertraeglichkeit-bedeutung/ Podcastfolge: Heuschnupfen – Die Nase als Spiegel deiner Gefühle https://www.zauberhaut.coach/podcast/folge-81-heuschnupfen-die-nase-als-spiegel-deiner-gefuehle/ Podcastfolge: Asthma – Eine versteckte Angst https://www.zauberhaut.coach/podcast/folge-80-asthma-eine-versteckte-angst/ Das Zauberhaut Buch: Der Ratgeber für Menschen mit Neurodermitis, Schuppenflechte, Akne und unreiner Haut. Gebündeltes Wissen sowie persönliche Einblicke helfen dir, die Botschaften deiner Haut zu verstehen: https://www.zauberhaut.coach/buch Tägliche Inspiration für Körper, Geist und Seele gibt es auf Instagram: https://instagram.zauberhaut.coach (@lydia.zauberhaut) Entdecke deine innere Welt, löse dich von Ballast, reduziere Stress und erschaffe dir mehr Lebensqualität im Online Meditationsraum: https://www.meditationsraum.com Komm mit auf eine Online Transformationsreise und löse Blockaden und Ängste in deinem Unterbewusstsein: https://www.transformations-reise.de Aktiviere deine Selbstheilungskräfte, indem du deine 7 Energiezentren reinigst und aktivierst: https://www.chakren-meditationskurs.de Nutze die Anziehungsgesetze des Universums und lass Wünsche wahr werden: https://manifestationskurs.de Wie kann dir Zauberhaut individuell und ganzheitlich helfen? Lass dich von uns beraten: https://www.zauberhaut.coach/beratung
JACI: In Practice Editor Michael Schatz describes the December 2023 issue, the theme of which is “Women's Health in Allergy/Immunology”. Theme topics covered include an in-depth exploration of female physicians in allergy; a summary of asthma and rhinitis across the lifespan of women; the management of asthma during pregnancy; the interrelationships among COVID-19, pregnancy, and asthma and other allergic conditions; progestogen hypersensitivity; and the unique aspects of drug allergy in women. Dr. Schatz then presents the Highlights of the Original Articles in the issue, which are on the topics of Asthma, Cough, Drug Allergy, Food Allergy, Rhinitis and Sinusitis, and Urticaria and Angioedema.
In the finance and business world, women are sometimes perceived as weak entrepreneurs and not considered suitable for work in that field. In this episode, Shani Bocian, the founder and CEO of Allermi, shares how having chronic allergy rhinitis influenced the development of her company. She talks about the difficulties allergy sufferers have in locating suitable medications and emphasizes the uncertainty and trial-and-error process involved in symptom management. Shani adds that each patient receives a unique set of nasal sprays from Allermi that contain a certain combination of drugs. She also discusses the difficulties she encountered as a young female founder trying to secure financing but also emphasizes the support she received from financiers who shared her mission. Shani discusses several advantages of being a woman founder, such as having access to resources and a strong sense of support among other women business owners. Listen to Shani Bocian's inspiring journey and learn how she's changing the game in allergy management with Allermi. Discover the challenges she's overcome and the advantages of being a woman founder in the business world. Tune in now for valuable insights and empowerment! Episode Highlights: About Shani Bocian and her experience with allergic rhinitis How she partnered with her dad to create Allermi Her background in education and her desire to make a difference The challenges she faced in starting the business and the determination to push through Challenges of being a young female founder pitching to experienced investors Her advice to aspiring entrepreneurs and the importance of perseverance and seeking feedback The growth and educational efforts required for the future of Allermi About Our Shani Bocian: Shani Bocian is the Co-Founder & CEO of Allermi, a position she has held since 2021. Prior to this role, she was a Graduate Researcher at Brown University in 2016. Shani Bocian holds a Master of Arts from Brown University in Education, which she obtained in 2017. Shani also holds a Bachelor of Arts from Yeshiva University in Art History, Criticism, and Conservation, which she obtained in 2015. Connect with Shani Bocian: Website | www.allermi.com Facebook | www.facebook.com/getallermi Linked In | www.linkedin.com/in/shani-bocian-steinberg Instagram | @getallermi Twitter | @shanibocian
st die Nase zu, nervt das total. Abhilfe verschaffen verschiedene Nasalia aus der Apotheke. Aber welcher Wirkstoff ist wann sinnvoll? Das erklärt in der aktuellen Episode unseres Podcasts PTA FUNK PTA Wanda Scharf aus Neubrandenburg (Mecklenburg-Vorpommern). (17:39 Min) https://www.das-pta-magazin.de/news/podcast-pta-funk-nasalia-von-meersalz-bis-mometason-3436876.html
JACI: In Practice Editor Robert Zeiger describes the October issue, the theme of which is “Newer Diagnostic Methods in Allergy”. Theme topics covered include assessing indoor allergen exposures; laboratory tests in the diagnosis of food, venom, and drug allergies; epitope-based IgE assays and their role in the diagnosis of food allergies; chip-based assays in the diagnosis of allergic diseases; the basophil activation test; the normal range of baseline tryptase; and specific IgE cut-off levels. Dr. Zeiger then presents the Highlights of the Original Articles in the issue, which are on the topics of Anaphylaxis, Asthma, Dermatitis, Drug Allergy, Food Allergy, Rhinitis and Sinusitis, and Urticaria and Angioedema.
Physician Assistant and prior C&P examiner Leah Bucholz discusses the relationship between OSA and Rhinitis and VA disability compensation Leah explores the relationship between sleep apnea and allergic rhinitis, particularly in the context of VA disability claims. She discusses various aspects of sleep apnea, including its types (obstructive, central, mixed), and the nuances of its connection to military service, whether as a primary condition or secondary to other medical issues. Leah highlights the overlap between allergic rhinitis, chronic sinusitis, and deviated septum, and their potential role in precipitating obstructive sleep apnea in veterans. She references several studies from journals like the Journal of the American Medical Association and Scientific Reports to illustrate the correlation between nasal conditions and sleep apnea.If you would like more information on our services including Independent Medical Opinion Letters often referred to as nexus letters and records review, please check us out here: https://www.prestigeveteranmctx.com/#veterans #va #medical
Physician Assistant and prior C&P examiner Leah Bucholz discusses the relationship between OSA and Rhinitis and VA disability compensation Leah explores the relationship between sleep apnea and allergic rhinitis, particularly in the context of VA disability claims. She discusses various aspects of sleep apnea, including its types (obstructive, central, mixed), and the nuances of its connection to military service, whether as a primary condition or secondary to other medical issues. Leah highlights the overlap between allergic rhinitis, chronic sinusitis, and deviated septum, and their potential role in precipitating obstructive sleep apnea in veterans. She references several studies from journals like the Journal of the American Medical Association and Scientific Reports to illustrate the correlation between nasal conditions and sleep apnea.If you would like more information on our services including Independent Medical Opinion Letters often referred to as nexus letters and records review, please check us out here: https://www.prestigeveteranmctx.com/#veterans #va #medical
August 2023 Podcast DescriptionJACI: In Practice Editor Dave Khan describes the August issue, the theme of which is “Focus on Urticaria and Angioedema”. Theme topics covered include masqueraders and misdiagnoses, genetic variants and biomarkers, autoreactivity and autoimmunity, treatment beyond antihistamines and biologics, cold urticaria, angioedema with normal complement studies, and hereditary angioedema. Dr. Khan then presents the Highlights of the Original Articles in the issue, which are on the topics of Urticaria and Angioedema, Asthma, Dermatitis, Eosinophilic Disorders, Food Allergy, Immunodeficiency, Mast Cell Disorders, Rhinitis and Sinusitis, and Topics in Quality Improvement and Patient Safety.
Die andauernde Entzündung der Schleimhäute von Nasen und Nasennebenhöhlen ist eine der häufigsten chronischen Entzündungen überhaupt. Dennoch wird weiterhin eifrig nach den Ursachen und Auslösern gesucht und das Repertoire an Therapien weiterentwickelt. So geht es in diesem Expertenpodcast auch um die Frage, was von den neuen Biologika zu halten ist. Als Experten zu Gast sind die HNO-Ärzte Frau Prof. Dr. Julia Eckl-Dorna und Herr Priv--Doz. Dr. Sven Schneider (beide MedUni Wien). Die Fragen stellt Martin Burger
In this episode of BackTable ENT, Dr. Shah interviews rhinologist Dr. Jeffrey Suh (UCLA) about cryotherapy as a new treatment for chronic rhinitis. --- CHECK OUT OUR SPONSOR Stryker ENT https://ent.stryker.com --- SHOW NOTES First, the doctors discuss the typical presentation of a patient with rhinitis. Although all rhinitis patients present with a chief complaint of a runny nose, there are different subtypes of rhinitis, such as allergic rhinitis, gustatory rhinitis, and exercise-induced. Environmental exposures, duration of symptoms, and the presence of other symptoms should be elicited, as differentiating between allergic and non-allergic rhinitis changes treatment options. Next, Dr. Suh explains how he performs a physical exam in rhinitis patients. He uses a rigid endoscope to make sure there is not another cause of rhinitis. He is sure to premedicate patients with a lidocaine and Afrin nasal spray before using the endoscope. CT scans of the sinuses may be helpful if patients have drainage, polyps, or notable inflammation. In general, Dr. Suh will pursue medical treatment options before considering procedural options. For allergic rhinitis patients, he educates patients about understanding their triggers for allergies and prescribes nasal steroid sprays and antihistamines. In non-allergic rhinitis patients, he recommends ipratropium bromide, which can also be used as a trial to see if cryotherapy would resolve their symptoms. He notes that sprays need to be used for at least 1 month before they show effects and that they should be used 30 minutes before trigger exposure for allergic rhinitis patients. He does not think that saline rinses help much with rhinitis, as they contain no medications to reduce swelling and dampen nerve stimulation. Next, Dr. Suh explains two procedural options for chronic rhinitis: radioablation therapy and cryotherapy. Both procedures have similar success rates, but he prefers to use cryotherapy in patients with non-allergic rhinitis who have a positive response to ipratropium bromide. The procedure involves inserting balloon a into the middle meatus of the nasal cavity and in order to deliver liquid nitrogen to the nasal mucosa overlying the posterior nasal nerve. He explains different considerations for performing cryotherapy in the office versus in the OR. He also explains his anesthesia protocol and how to mitigate the common post-operative complaint of an “ice cream headache”, which he prophylactically treats with gabapentin. Radiofrequency ablation with the RhinAer procedure also targets the posterior nasal nerve, but it has other complications, like damaging other nerves that allow for the tearing of eyes. He chooses the cryotherapy option more often because it does not require as good visibility as the radiofrequency ablation therapy does. Finally, he explains his postoperative care regimen which includes starting the patient back on their usual nasal sprays. His patients take 2 weeks to see results, and cryotherapy is effective in 80% of his patients. He notes that patients with recurrent rhinitis may need recurrent treatments. --- RESOURCES Stryker ENT https://www.stryker.com/us/en/portfolios/medical-surgical-equipment/ent.html Stryker ClariFix Cryotherapy https://clarifix.com/ RhinAer Radiofrequency Ablation https://rhinaer.com/
JACI: In Practice Deputy Editor Scott Sicherer describes the April issue, the theme of which is “Difficult Decisions in Food Allergy”. Theme topics covered include precautionary allergen labeling, oral food challenges, immunotherapy, and epinephrine treatment. Dr. Sicherer then presents the Highlights of the Original Articles in the issue, which are on the topics of Food Allergy, Anaphylaxis, Asthma, Drug Allergy, Hereditary Angioedema, Immunodeficiency, Rhinitis, and Urticaria.
In this episode, William Maclean delves into the causes and symptoms of rhinitis, a condition characterized by nasal congestion, watery discharge, sneezing, and irritation of the throat, conjunctiva, and ala nasi. Through the TCM lens, he explores how Lung, Kidney, and Spleen deficiency can contribute to the development of rhinitis and provides an effective treatment approach using herbal formulas and acupuncture.You can access the written article here. Select your favorite podcast provider to subscribe and get notified of new recordings! See our Monthly Practitioner Discounts https://www.mayway.com/monthly-specialsSign up for the Mayway Newsletterhttps://www.mayway.com/newsletter-signupFollow ushttps://www.facebook.com/MaywayHerbs/https://www.instagram.com/maywayherbs/
JACI: In Practice Associate Editor David Khan describes the February 2023 issue, the theme of which is “Drug Allergy”. Theme topics covered include Practice Parameter updates; placebo, nocebo and patient reported outcome measures in drug allergy; perioperative hypersensitivity; and various aspects of penicillin allergy. Dr. Khan then presents the Highlights of the Original Articles in the issue, which are on the topics of Drug Allergy, Asthma, Food Allergy, Mast Cell Disorders, Rhinitis and Sinusitis, and Urticaria and Angioedema.
Do you struggle with chronic rhinitis? Would you like to increase your body's defense against all the bad actors that trigger your symptoms? Then let IAmOxygen's Defender spray be your shield against your nasal attackers!Visit https://iamoxygen.com/product/defender-nasal-hygiene-therapy for more information.
In this episode, Dr. Stan McClurg, a private practice rhinologist at Ascentist Healthcare in Kansas City, shares his approach to diagnosis and treatment of chronic rhinitis patients using the in-office RhinAer procedure. --- CHECK OUT OUR SPONSOR Aerin Medical https://aerinmedical.com/ --- SHOW NOTES First, Dr. McClurg talks us through his patient base. When he initially started as a rhinologist, he would get referrals for patients with persistent rhinitis after a procedure. Before in-office procedures for chronic rhinitis were developed, he recommended ipratropium bromide spray to patients and referred them for allergy testing. However, his recent patient referrals have been for isolated chronic rhinitis (defined by consistent rhinorrhea for more than 4 weeks) with no other ENT problems. With these patients, he performs allergy skin testing to make sure the diagnosis is not really allergic rhinitis that can be treated with desensitization therapy. He also uses a rigid nasal endoscope to check the patient's nose for colored purulence and polyps, two clues that can point to a diagnosis other than chronic rhinitis. When he scopes his patient, he does not use a decongestant spray and uses a small endoscope to avoid patient discomfort. If he believes that a patient has chronic rhinitis, he will perform a ipratropium bromide challenge; he asks patients to use the spray for 1 month. If their symptoms are mitigated by the spray, then he is more optimistic that an in-office procedure will mitigate the chronic rhinitis. If the patient fails the trial, the secretions are probably coming from a source other than the nose, and the diagnosis is unlikely to be chronic rhinitis. Next, Dr. McClurg speaks about different in-office treatments for chronic rhinitis. He first explains his experience with ClariFix, a procedure that uses cryoablation to freeze the posterior nasal nerve. He has found that 40% of his patients experience the known side effect of post-treatment headache. Additionally, some of them may have crusting in the sphenopalatine region that causes post-nasal drip. Since then, he has switched to using the RhinAer system, which delivers radioablation through a stylus to treat the posterior nasal nerve more aggressively. It also has the capability of treating the inferior turbinate. Dr. McClurg notes that patients with normal nasal anatomy and a good ipratropium bromide response are the best candidates for this procedure. 80% of his patients see a favorable result after surgery. He then describes his RhinAer in-office procedure. He does these procedures in exam rooms in order to help with flow of his day and make his patients more comfortable. He only uses lidocaine to anesthetize the patient, as he has found that epinephrine causes tachycardia and anxiety. The procedure, including anesthesia time, takes him about 10 minutes. However, he adds that he has performed this procedure in the OR as an adjunct procedure after a septoplasty or a rhinoplasty. Finally, he describes his recommendations for postoperative care. He encourages his patients to do daily saline rinses. He notes it takes about 6-8 weeks for the RhinAer procedure to show a good response. During this time, he recommends that patients use ipratropium bromide concurrently in order to obtain an optimal response.
Wissensreise für (angehende) Heilpraktikerinnen und Heilpraktiker
Mit **Folge 56** starten wir in ein neues Kapitel, das Kapitel Atmung. Wir beginnen mit der Nase und betrachten diese von allen Winkeln einschließlich Physiologie und Patholgie. Viel Spaß beim Zuhören und Lernen ;-) Den Youtube-Kanal findest du hier: https://www.youtube.com/channel/UCvJEv1PMae-i4ey_274tbwQ Das Preismodell für das Coaching findest du unter www.tanjas-naturheilkunde.com/lerncoaching. Hier findest du auch den Link, um ein kostenloses Erstgespräch online zu buchen. Falls du den Podcast unterstützen möchtest, geht es hier zu den Monats- und Jahrespaketen: https://steadyhq.com/wissensreise Schreib mir gerne Anregung, Kritik, eine Coaching-Anfrage oder einfach nur ein "Hallo", auch an die Adresse: tanjaloiblhp@gmail.com. Auf Instagram findest du mich unter: tanjas_naturheilkunde
In der Erkältungszeit ist die Nase oft „zu“. Aber was ist noch eine normale Erkältung und wann habe ich vielleicht schon eine Nasennebenhöhlenentzündung? Doc Esser und Anne sprechen in dieser Folge des Gesundheitspodcasts über verstopfte Nasen und was dagegen helfen kann. Von Anne Schneider ;Heinz-Wilhelm Esser.
Allergic reactions are about the body coming into contact with concentrated substances, sometimes made by man, and others made by nature. Our body's are either not healthy enough to respond in proportion to the allergen, or we have been compromised by being exposed to substances not related and reacting to the combination as if they were the one problematic substance - as seen in pesticides absorbed by such legumes as peanuts and then made into peanut butter which is then perceived as an allergen either due to its concentrated peanuts or the pesticide that was absorbed from the soil by the peanuts as they grew. Rhinitis is hayfever caused by seasonal allergens and can be cured using homeopathic remedies made by the same substances causing the allergy. There are also families of plants with poisons that they share in different varieties of the same family of plants - these will cause irritation in the individual and may point to their constitutional. It is important to remember that hives, rashes, eczema, vomiting, diarrhea, liquid coming out of any part of our body are all attempts to eliminate something that has caused us to react to it as an allergen. We should see these as elimination organs and not as diseases. The disease is when we are not able to eliminate the substance causing the allergic reaction in a way that keeps us healthier and alive. The side effect of a good constitutional homeopathic remedy is that allergies disappear as we become better players at life.
JACI: In Practice Deputy Editor Robert Zeiger describes the July 2022 issue, the theme of which is “Immunogenetics for the Allergy/Immunology Clinician.” Theme topics covered include office genetic testing, immunogenomics and drug hypersensitivity, genetics of complement deficiencies, inborn errors of immunity with cancer predisposition, and the genetics of allergic diseases. Dr. Zeiger then presents the Highlights of the Original Articles in the issue, which are on the topics of Immunodeficiency, Angioedema, Asthma, Drug Allergy, Eosinophilic Disorders, Food Allergy, and Rhinitis and Sinusitis. Read the issue: https://bit.ly/JAIPJuly2022Access JACI: In Practice's entire library: https://www.jaci-inpractice.org
JACI: In Practice Deputy Editor, Robert Zeiger, describes the March 2022 issue, the theme of which is “Respiratory Infections and the Lung.” Theme topics covered include COVID-19 Infections and Asthma, Long-Term Respiratory Consequences of Early-Life Respiratory Viral Infections, Rhinovirus Infections and Their Roles in Asthma, and Respiratory Infections in Patients with Primary Immunodeficiency. Dr. Zeiger then presents the Highlights of the Original Articles in the issue, which are on the topics of Respiratory Infections, Asthma, Drug Allergy, Insect Sting Allergy, and Rhinitis. Read the issue: https://bit.ly/JAIPMarch2022. Access JACI: In Practice's entire library: https://www.jaci-inpractice.org.
Hyoscyamine is also known by the brand name Levsin. It is most commonly used to treat GI or bladder spasms or as adjunct treatment for IBS, PUD, and colic. It is also used in the treatment of rhinitis. It comes in a wide variety of dosage forms with the most common strengths being 0.125 mg and 0.375 mg. A common dosing regimen is between 0.125 mg - 0.25 mg every 4 hours as needed. The 0.375 mg dose is most commonly used with extended release formulations and dosed every 8-12 hours. Common side effects are xerostomia, dry eyes, dizziness, fever, blurred vision, and insomnia. There is a risk for fever or heat stroke especially when exercising or if in high heat environments. Amazon Affiliate link: https://amzn.to/31OkKVe for NAPLEX Math Review: The Foundation of a Logical NAPLEX Prep Strategy. FREE Drug Card Sheet is available for this episode at DrugCardsDaily.com along with ALL past FREE drug card sheets! Please SUBSCRIBE, FOLLOW, and RATE on Spotify, Apple Podcasts, or wherever your favorite place to listen to podcasts are. I'd really appreciate hearing from you! Leave a voice message at anchor.fm/drugcardsdaily or find me on most all socials @drugcardsdaily or send an email to contact.drugcardsdaily@gmail.com to leave feedback, request a drug, or say hello! DISCLAIMER: This content may contain sponsored content or the use of affiliate links. Partnerships, sponsorships, and the use of affiliate links provide monetary commissions for Drug Cards Daily at no cost to you! This is done in order to keep providing as much free content to everyone that comes to Drug Cards Daily. Thanks for your support! Drug Cards Daily provides drug information for educational and entertainment use. The information provided is not intended to be a sole source of drug information that is to be acted upon for patient care. If there are drug-related patient care concerns please contact your primary care Physician or local Pharmacist. --- Send in a voice message: https://anchor.fm/drugcardsdaily/message
JACI: In Practice Editor-in-Chief Michael Schatz describes the February 2022 issue, the theme of which is “Difficult-to-Control Asthma.” Theme topics covered include difficult-to-control asthma management in children and adults; the impact of adherence, health literacy, and comorbidities on difficult-to-control asthma; and the use of biologics in patients with difficult-to-control asthma. Dr. Schatz then presents the Highlights of the Original Articles in the issue, which are on the topics of Severe Asthma, Anaphylaxis, Dermatitis, Drug Allergy, Food Allergy, Rhinitis, Urticaria, and Vocal Cord Dysfunction. Read the issue: https://bit.ly/JAIPFeb2022. Access JACI: In Practice's entire library: https://www.jaci-inpractice.org.
This episode covers nasal polyps.Written notes can be found at https://zerotofinals.com/surgery/ent/nasalpolyps/ or in the ear, nose and throat section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.
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Mixed bag of questions about allergy & asthma including skin, eye nose and chest allergies How to differentiate between allergies and infections? What are common presentations of allergy in children? When should we see an allergy specialist? Is snoring an indicator of allergy? Can constipation be related to any adverse food reaction? Nowadays children often complain of recurrent abdominal pains? How to deal with that? It's a common saying “allergy means Allah ki marzi “ . Is it true that we can't do anything about it ? Can we cure asthma in children? Our chemical exposure through the environment is increasing … may it be through food habits (preservatives), water, air …. What can we do to protect our children from getting affected by it ? Can vitamins help in our protection from allergies? Can probiotics help protect against allergies? What natural foods can help improve immunity? https://healthier.stanfordchildrens.org/en/how-parents-can-help-prevent-food-allergies-in-kids/ https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/prevention-of-allergies-and-asthma-in-children https://kidshealth.org/en/parents/allergy.html --- Send in a voice message: https://anchor.fm/gaurav-gupta6/message
Updated September 2021 1 Presumptive Disability Benefits Whatis “Presumptive”Service Connection? VA presumesthat certain disabilities were caused bymilitary service. Thisis because of the unique circumstances of a specific Veteran's military service. If a presumed condition is diagnosed in a Veteran within a certain group, they can be awarded disability compensation. What are “Presumptive” Conditions? If you are diagnosed with a chronic disease within one year of active duty release, you should apply for disability compensation. Examples of chronic disease include: arthritis, diabetes or hypertension. Or, if you served continuously for atleast 90 days and are diagnosedwith amyotrophic lateralsclerosis (ALS) after discharge, you can establish service connection for the disease. Veteransin the following groups may qualify for “presumptive” disability benefits: • Former prisoners of war who: • Have a condition thatis atleast 10 percent disabling • Depending on length of imprisonment, specific conditions are presumed Imprisoned for any length of time: • Psychosis • Any of the anxiety states • Dysthymic disorder(or depressive neurosis) • Organic residuals of frostbite • Post- traumatic osteoarthritis • Heart disease or hypertensive vascular disease • Stroke and the residual effects • Osteoporosis, when the Veteran has posttraumatic stress disorder Updated September 2021 2 Imprisoned for at least 30 days: • Beriberi (including beriberi heart disease) • Chronic dysentery • Helminthiasis • Malnutrition (including optic atrophy) • Pellagra • Other nutritional deficiencies • Irritable bowel syndrome • Peptic ulcer disease • Peripheral neuropathy • Cirrhosis of the liver • Avitaminosis • Osteoporosis • Vietnam Veterans who were: • Exposed to AgentOrange • Served in the Republic of Vietnamor on a vessel operating not more than 12 nauticalmiles seaward from the demarcation line of the waters of Vietnam and Cambodia between Jan. 9, 1962 andMay 7, 1975 • Specific presumed conditions are: • AL amyloidosis • B-cell leukemia • Chronic lymphocytic leukemia • Multiple myeloma • Type 2 diabetes • Hodgkin's disease • Ischemic heart disease (including but notlimited to, coronary artery disease and atherosclerotic cardiovascular disease) • Non-Hodgkin's lymphoma • Parkinson's disease • Parkinsonism • Prostate cancer • Respiratory cancers • Soft-tissue sarcoma (not including osteosarcoma, chondrosarcoma, Kaposi'ssarcoma or mesothelioma) • Bladder cancer • Hypothyroidism Updated September 2021 3 The following conditions, if they become greater than 10 percent debilitating within a year of exposure to an herbicide agent: • Acute and subacute peripheral neuropathy • Chloracne or other similar acneform disease • Porphyria cutanea tarda • Atomic Veterans exposed to ionizing radiationand who experienced one of the following: • Participated in atmospheric nuclear testing • Occupied or were prisoners of warinHiroshima orNagasaki • Served before Feb. 1, 1992, at a diffusion plantin Paducah, Kentucky, Portsmouth, Ohio orOak Ridge, Tennessee • Served before Jan. 1, 1974, at Amchitka Island, Alaska Specific presumed conditions are: All forms of leukemia, except chronic lymphocytic leukemia Cancer of the thyroid, breast, pharynx, esophagus, stomach, small intestine, pancreas, bile ducts, gall bladder, salivary gland, urinary tract, brain, bone, lung, colon or ovary Bronchioloalveolar carcinoma Multiple myeloma Lymphomas, other than Hodgkin's disease Primary liver cancer, except if there are indications of cirrhosis or hepatitis B • Gulf War Veterans who: • Served in the Southwest Asia Theater of Operations • Have a condition that is at least 10 percent disabling by Dec. 31, 2026 • Specific presumed conditions are: Medically unexplained chronic multi-symptom illnesses that exist for six months or more, such as: • Chronic fatigue syndrome • Fibromyalgia • Irritable bowel syndrome Any diagnosed or undiagnosed illness that warrants a presumption of service connection, as determined by the Secretary of Veterans Affairs Updated September 2021 4 • Signs or symptoms of an undiagnosed illness include: • Fatigue • Skin symptoms • Headaches • Muscle pain • Joint pain • Neurological or neuropsychologicalsymptoms • Symptoms involving the upper or lower respiratory system • Sleep disturbance • Gastrointestinalsymptoms • Cardiovascular symptoms • Weight loss • Menstrual disorders • Gulf WarVeterans who: • Served in the Southwest Asia Theater of Operations orinAfghanistan on or after September 19, 2001 Manifest one of the following infectious diseasesto a degree of 10 percent ormore within 1 year of separation: • Brucellosis • Campylobacterjejuni • Coxiella burnetii (Q fever) • Nontyphoid Salmonella • Shigella • West Nile virus • Malaria (or when accepted treatisesindicate the incubation period began during a qualifying period of service) Manifestto a degree of 10 percent ormore at any time after separation: • Mycobacteriumtuberculosis • Visceral leishmaniasis • Gulf War Deployed Veterans who: • Served any length of time in the Southwest Theater of Operations during the Persian Gulf War, or • Served any length of time in Afghanistan, Syria, Djibouti or Uzbekistan on or after September 19, 2001 and • Manifests one of the following to any degree within 10 years from the date of separation from military service: o Asthma o Rhinitis o Sinusitis, to include rhinosinusitis
Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions: Andrea: I had a question for you based on the health plan you provided me back on 4/7. after completing my metals test. Before I could follow-out this plan of detoxes/metals detox, I had lots of abnormal symptoms begin so I had to see my functional medicine doctor. She performed multiple additional tests and long story short, I was recently diagnosed with SIBO, colon bacteria overgrowth, +e-coli, low sIgA, chronic UTIs, and inflammation/elevated CRP. So in addition to the supplements I normally take, I am now also taking the supplements/herbs (attached) for 3 months. Then the plan would be to complete a general detox and metals detox. The problem is we are trying to get pregnant as soon as we are able to (after this 3 month SIBO treatment plan). So in order to also complete a detox and metals detox, I was curious if I'd be able to complete Dr Calbral's general and metals detox while I am taking the attached supplements? Or must I wait til I'm done with these before starting the detoxes? I noticed the metals detox is 6 weeks and wasn't sure if there is a shorter version of this too? Thanks! Katie: Hi Dr. Cabral! What can you share about vasomotor rhinitis? My allergy doctor believes I have it as my normal allergy symptoms have gotten so much better after many protocols, but I still suffer from one odd symptom - the feeling that my nostrils are inflamed and small, making it hard to get air in through my nose. I frequently end up taking sharp sniffs to get enough air through my nose. There are no other symptoms of this aside from occasional throat (and then chest) pain from being so tense trying to get air in. What can I do to overcome this naturally? Thanks for all you do! Jessi: Hi. Thank you for all that you do, Im new to the podcast, I had one issue (im not 100% sure you answered already i tried to look it up on past podcast, but wasn't able to find anything. My question is of 2 1.) I think every night or a lot of nights I wake up with a tight jaw, I once woke up at 3am and i noticed I had my jaw Clenched, not sure why or if its even a health issue, or mental. 2.) Ever since i can remember I've always only had one nostril working. some times it switches, mostly is my right nostril that gets stuffed or can't breath through it. If you can shed some light on this id appreciate it. Maggie: Hi Dr. Cabral. I am a huge fan of your podcasts and try to follow your advice as much as I can. I have struggled with chronic pelvic pain and inflammation in my lower abdomen for about 9 years. I have had ultrasounds, a CT scan, a cystoscopy, physical therapy, botox injections, antidepressants, was put back on birth control in case it was endometriosis, you name it, I have done it. The pain/inflammation started while I was on a course of metronidazole. Ever since then, I have had recurring yeast infections, white coating on the tongue, depression/anxiety worsened, brain fog and just overall feeling more fatigued and feeling like my immune system isn't as strong as it was pre-pain. After listening to your podcasts I thought it made sense that candida would be the culprit so I am currently on week 5 of the CBO protocol. I have noticed a change in my brain fog, yeast infections, and overall mood, but have had no changes to the constant dull ache and inflammation in my lower abdomen. Do you think that this could possibly be caused by something else? The pain is worse if I worked out recently or tends to be worse at night. I stopped smoking weed as that would make the pain worse, maybe from the change in blood pressure, not sure? Any advice is much appreciated. Thank you so much! James: Hi Doctor Cabral I been diocese diverticulitis and had acute attacked many times over the past 15 years. I have been told to get the operation. I take antibiotics when this happens and know that is also not good for me. However it now is two years since my last attack. I am 65 years old and concerned I may need the operation in later years. How can I prevent it from happening and can I cure it with diet ? I take your supplements especially probiotics. What would you recommend? Trying to avoid an operation and trying to cure it. Alex: Hi Dr. Cabral! I am so thankful for all of the content and energy that you have pushed out for everyone. My question is on shilajit. When you take shilajit, does it break a fast. Thanks again. Alex Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions! - - - Show Notes & Resources: http://StephenCabral.com/2115 - - - Get Your Question Answered: http://StephenCabral.com/askcabral - - - Dr. Cabral's New Book, The Rain Barrel Effect https://amzn.to/2H0W7Ge - - - Join the Community & Get Your Questions Answered: http://CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Stress, Sleep & Hormones Test (Run your adrenal & hormone levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - > View all Functional Medicine lab tests (View all Functional Medicine lab tests you can do right at home for you and your family)
Huberman Lab Podcast Notes Key Takeaways The immune system has three main systems of protection: physical barriers (e.g., skin, eyes), innate immune system (e.g., white blood cells, killer cells), adaptive immune system (e.g., creation of antibodies)Sickness-related behaviors look a lot like depressive symptoms leading to a theory that depression involves activation of inflammatory cytokinesStimulation of the dopamine pathway can accelerate healing and liberate systems in the body which allow inflammatory pathways to go down and anti-inflammatory pathways to go upWim Hof breathing is a zero-cost tool shown to enhance the immune system by releasing adrenaline and reducing the effects of illness symptomsWim Hof breathing steps:(1) 20-30 deep inhales and exhales through nose; (2) exhale of all air to empty lungs; (3) hold breath for up to 60 seconds; (4) repeat 2-4 roundsMaintaining a healthy microbiome (gut, eyes, mucus) supports good health: nasal breathe as often as possible, don't touch eyes after touching other things, ingest fermented foods to enhance gut microbiotaRead the full notes @ podcastnotes.orgThis episode teaches you a lot about the immune system, immune-brain interactions and offers 12 potential tools for enhancing immune system function. I discuss how our immune system works and science-supported tools we can use to enhance our immune system. I discuss the innate and adaptive immune systems and our various microbiomes-- not just in our gut but also in our nose, eyes and mouth and how to keep them healthy. And I review how specific patterns of breathing and foods maintain a healthy mucosal barrier that is crucial for fighting infections. I discuss how certain neurochemicals called catecholamines enhance our immune system function and how to use specific breathing protocols, types and timing of heat and cold exposure, and, if appropriate, supplementation to activate catecholamines. I also discuss the role and use of serotonin for the sake of accessing the specific types of sleep for recovering from illness, and I discuss how to increase glymphatic "washout" of brain debris during sleep. I also review fever, the vagus nerve and the use of atypical yet highly effective compounds for rhinitis (nasal inflammation). Thank you to our sponsors: ROKA - https://www.roka.com -- code: "huberman" Athletic Greens - https://www.athleticgreens.com/huberman InsideTracker - https://www.insidetracker.com/huberman Our Patreon page: https://www.patreon.com/andrewhuberman Supplements from Thorne: http://www.thorne.com/u/huberman Social: Instagram - https://www.instagram.com/hubermanlab Twitter - https://twitter.com/hubermanlab Facebook - https://www.facebook.com/hubermanlab Website - https://hubermanlab.com Newsletter - https://hubermanlab.com/neural-network Links: How and Why The Immune System Makes Us Sleep - https://www.nature.com/articles/nrn2576 Timestamps: 00:00:00 The Mind & Immune System, New Findings: Acupuncture & Fascia 00:03:00 Sponsors: ROKA, Athletic Greens, InsideTracker 00:07:41 Foundational Tools & Practices for a Healthy Immune System 00:11:20 Immune System Basics: Skin/Mucous, Innate & Adaptive Immune System 00:17:08 Killer Cells, Complement Proteins (“Eat Me!” Signals), Cytokines (“Help Me!” Signals) 00:21:06 The Adaptive Immune System: Antibodies 00:28:00 Tool 1: Nasal Microbiome and “Scrubbing” Bacteria & Viruses; Nasal Breathing 00:30:33 Tools 2 & 3: (Not) Touching Your Eyes; Gut Microbiome & Fermented Foods 00:34:20 Some Interleukins Are Anti-Inflammatory 00:34:56 Sickness Behavior 00:39:08 Some People Seek Care When Sick, Others Want to be Alone 00:42:00 Sickness Behavior & Depression: Cytokines 00:43:40 Reduced Appetites When Sick: Protein, Iron, Libido 00:46:45 Vagus-Nerve Stimulation: Fever, Photophobia, Sleepiness 00:53:03 Humoral (Blood-Borne) Factors, & Choroid Change Your Brain State 00:55:04 Tools 4, 5: Reducing Sickness: Glymphatic Clearance, Pre-Sleep Serotonin, 5HTP 01:07:03 Tool 6: Hot Showers, Saunas, Baths & Cortisol, Heath-Cold Contrast 01:10:53 Feed a Fever & Starve a Cold (?), Adrenaline 01:12:36 Tool 7: Activating Your Immune System w/Cyclic-Hyperventilation, Alkalinity 01:29:10 Brain Chemicals & Cyclic-Hyperventilation; Catecholamines, Dopamine 01:32:10 Mindsets & Immune Function; Yes, You Can Worry Yourself Sick 01:37:00 Tool 8: Healthy Mindsets, Hope, Dopamine; Tool 9: Tyrosine; Tool 10: Cold Exposure 01:42:05 Once You're Already Sick: Accelerating Recovery; Tool 11: Spirulina, Rhinitis 01:46:09 Histamines, Mast Cells 01:49:22 Tool 12: Acupuncture: Mechanism for How It Reduces Inflammation; Fascia, Rolfing 01:53:40 Mechanistic Science & Ancient Practices 01:58:00 Synthesis, Ways to Support Us (Zero-Cost), Sponsors, Supplements, Social Media Please note that The Huberman Lab Podcast is distinct from Dr. Huberman's teaching and research roles at Stanford University School of Medicine. The information provided in this show is not medical advice, nor should it be taken or applied as a replacement for medical advice. The Huberman Lab Podcast, its employees, guests and affiliates assume no liability for the application of the information discussed. Title Card Photo Credit: Mike Blabac - https://www.blabacphoto.com
JACI: In Practice Associate Editor, David Khan, describes the November 2021 issue, the theme of which is “Common Comorbidities Encountered by Allergists in Practice.” Theme topics covered include atopic comorbidities, pulmonary and non-respiratory comorbidities that accompany asthma, and comorbid conditions of antibody deficiency. Dr. Khan then presents the Highlights of the Original Articles in the issue, which are on the topics of Asthma, COVID-19, Cough, Drug Allergy, Eosinophilic Disorders, Food Allergy, Immunodeficiency, Immunotherapy, Rhinitis and Sinusitis, and Urticaria and Angioedema. Read the issue: https://bit.ly/JAIPNov2021. Access JACI: In Practice's entire library: https://www.jaci-inpractice.org
This episode teaches you a lot about the immune system, immune-brain interactions and offers 12 potential tools for enhancing immune system function. I discuss how our immune system works and science-supported tools we can use to enhance our immune system. I discuss the innate and adaptive immune systems and our various microbiomes-- not just in our gut but also in our nose, eyes and mouth and how to keep them healthy. And I review how specific patterns of breathing and foods maintain a healthy mucosal barrier that is crucial for fighting infections. I discuss how certain neurochemicals called catecholamines enhance our immune system function and how to use specific breathing protocols, types and timing of heat and cold exposure, and, if appropriate, supplementation to activate catecholamines. I also discuss the role and use of serotonin for the sake of accessing the specific types of sleep for recovering from illness, and I discuss how to increase glymphatic "washout" of brain debris during sleep. I also review fever, the vagus nerve and the use of atypical yet highly effective compounds for rhinitis (nasal inflammation). Thank you to our sponsors: ROKA - https://www.roka.com -- code: "huberman" Athletic Greens - https://www.athleticgreens.com/huberman InsideTracker - https://www.insidetracker.com/huberman Our Patreon page: https://www.patreon.com/andrewhuberman Supplements from Thorne: http://www.thorne.com/u/huberman Social: Instagram - https://www.instagram.com/hubermanlab Twitter - https://twitter.com/hubermanlab Facebook - https://www.facebook.com/hubermanlab Website - https://hubermanlab.com Newsletter - https://hubermanlab.com/neural-network Links: How and Why The Immune System Makes Us Sleep - https://www.nature.com/articles/nrn2576 Timestamps: 00:00:00 The Mind & Immune System, New Findings: Acupuncture & Fascia 00:03:00 Sponsors: ROKA, Athletic Greens, InsideTracker 00:07:41 Foundational Tools & Practices for a Healthy Immune System 00:11:20 Immune System Basics: Skin/Mucous, Innate & Adaptive Immune System 00:17:08 Killer Cells, Complement Proteins (“Eat Me!” Signals), Cytokines (“Help Me!” Signals) 00:21:06 The Adaptive Immune System: Antibodies 00:28:00 Tool 1: Nasal Microbiome and “Scrubbing” Bacteria & Viruses; Nasal Breathing 00:30:33 Tools 2 & 3: (Not) Touching Your Eyes; Gut Microbiome & Fermented Foods 00:34:20 Some Interleukins Are Anti-Inflammatory 00:34:56 Sickness Behavior 00:39:08 Some People Seek Care When Sick, Others Want to be Alone 00:42:00 Sickness Behavior & Depression: Cytokines 00:43:40 Reduced Appetites When Sick: Protein, Iron, Libido 00:46:45 Vagus-Nerve Stimulation: Fever, Photophobia, Sleepiness 00:53:03 Humoral (Blood-Borne) Factors, & Choroid Change Your Brain State 00:55:04 Tools 4, 5: Reducing Sickness: Glymphatic Clearance, Pre-Sleep Serotonin, 5HTP 01:07:03 Tool 6: Hot Showers, Saunas, Baths & Cortisol, Heath-Cold Contrast 01:10:53 Feed a Fever & Starve a Cold (?), Adrenaline 01:12:36 Tool 7: Activating Your Immune System w/Cyclic-Hyperventilation, Alkalinity 01:29:10 Brain Chemicals & Cyclic-Hyperventilation; Catecholamines, Dopamine 01:32:10 Mindsets & Immune Function; Yes, You Can Worry Yourself Sick 01:37:00 Tool 8: Healthy Mindsets, Hope, Dopamine; Tool 9: Tyrosine; Tool 10: Cold Exposure 01:42:05 Once You're Already Sick: Accelerating Recovery; Tool 11: Spirulina, Rhinitis 01:46:09 Histamines, Mast Cells 01:49:22 Tool 12: Acupuncture: Mechanism for How It Reduces Inflammation; Fascia, Rolfing 01:53:40 Mechanistic Science & Ancient Practices 01:58:00 Synthesis, Ways to Support Us (Zero-Cost), Sponsors, Supplements, Social Media Please note that The Huberman Lab Podcast is distinct from Dr. Huberman's teaching and research roles at Stanford University School of Medicine. The information provided in this show is not medical advice, nor should it be taken or applied as a replacement for medical advice. The Huberman Lab Podcast, its employees, guests and affiliates assume no liability for the application of the information discussed. Title Card Photo Credit: Mike Blabac - https://www.blabacphoto.com
Die spezifische Immuntherapie ist eine sichere und effektive Methode zur Behandlung von allergischer Rhinitis und allergischem Asthma. Um einen maximalen Therapieerfolg zu erzielen, wird eine Behandlungsdauer von drei Jahren empfohlen. Die Compliance der PatientInnen ist insbesondere aufgrund der Therapiedauer ein entscheidender Einflussfaktor. Non-Compliance ist nicht nur in Deutschland – auch weltweit - ein großes Problem. In den Industrieländern verhalten sich durchschnittlich nur 50% der PatientInnen mit chronischen Erkrankungen therapietreu. Bei der spezifischen Immuntherapie sind es sogar nur 30%, die die Therapie nach drei Jahren beenden. Ein Anlass also, um uns heute mit dem wichtigen Thema Compliance zu beschäftigen. Das sind unsere Themen: - Compliance in der Praxis - Gründe für Non-Compliance - Therapietreue in der subkutanen und sublingualen Therapie - Tools und Prozesse zur Compliance Unterstützung
Hi guys! We're back with a new episode for Teenage Diaires. (Connection sucks, and we're sorry if Kuya Omii's voice is muffled. Inaatake ng Rhinitis si kuya mo ng slight.) Welcome back to Teenage Diaries and we're back for our rant, update, and anniversary episode. We're sorry if it's been a long time since our last upload. Our anniversary episode was supposed to be last month, but our explanations and updates are in the episode so feel free to listen to it. We have our own stories to tell, our own journeys, and maybe you guys can relate to our experiences as well and learn from it. The links below are the plugs we mentioned in the episode so feel free to check it out! Follow us: Facebook - https://www.facebook.com/4teenagediaries Tiktok - @teenagediaries_ Check these out: Kuya Miggy's Wattpad stories - www.wattpad.com/user/TheNameIsMiguel Xiao's Facebook page - https://www.facebook.com/xiaogamingGG Baby Squid's Facebook page - https://www.facebook.com/lxeim/ --- Send in a voice message: https://anchor.fm/teenage-diaries/message
JACI: In Practice Editor-in-Chief, Michael Schatz, describes the October 2021 issue, the theme of which is “Vaccines.” Theme topics covered include SARS-CoV-2 vaccines in general, allergic reactions to SARS-CoV-2 vaccines, vaccine hesitancy, adverse reactions to vaccines, and influenza vaccines. Dr. Schatz then presents the Highlights of the Original Articles in the issue, which are on the topics of COVID-19, Asthma, Drug Allergy, Food Allergy, Hereditary Angioedema, Immunodeficiency, Insect Sting Allergy, and Rhinitis and Sinusitis. Read the issue: https://bit.ly/JAIPOct2021. Access JACI: In Practice's entire library: https://www.jaci-inpractice.org
In today's video, I'm going to reveal and explain the three (3) *NEW* Burn Pit Exposure Presumptive Conditions (Asthma, Sinusitis, Rhinitis or Rhinosinusitis) that were just announced this week by the VA. I'll also discuss the Burn Pit VA Disability Rating for 2021-2022. Effective August 5, 2021, Veterans who served in the Southwest Asia Theater of Operations and are Gulf War Veterans, or served in other regions and developed Asthma, Sinusitis, Rhinitis (or Rhinosinusitis, which is inflammation of the nasal cavity and paranasal sinuses) within 10 years from your separation from active duty service, these respiratory conditions will now be “presumed” to be service-connected. This new rule opens doors for many veterans who have been unable to service-connect these respiratory conditions until now! If you need some help with your VA Claim for Burn Pits, join VA Claims Insider Elite TODAY and get started on your VA disability claim for FREE: https://vaclaimsinsider.com/elite-mem... ***Video Timestamps & Resources*** ⏩ 00:12 Burn Pit Exposure Presumptive Conditions ⏩ 01:52 BACKGROUND on VA Burn Pits ⏩ 03:45 How to Get on the VA Burn Pit Registry ⏩ 06:05 Burn Pit Exposure Presumptive Conditions Revealed! ⏩ 11:07 How to Get a Burn Pit VA Disability Rating (NEW!) ⏩ 18:16 VA Burn Pit Eligibility Examples ⏩ 20:00 What if I've already filed a VA claim? ⏩ 24:26 Burn Pit Exposure Symptoms and Conditions List ⏩ 28:00 Download My #1 Rated VA Benefits Book FREE! ***VA Disability Ratings for Burn Pit Presumptive Conditions!*** How did we get here? The VA found sufficient evidence to conclude that particulate matter pollution is associated with chronic Asthma, Sinusitis, Rhinitis, and Rhinosinusitis for veterans who served in the Southwest Asia Theater of Operations from Aug. 2, 1990 to the present, or in Afghanistan, Uzbekistan, Syria or Djibouti from Sept. 19, 2001 to the present. “The Southwest Asia Theater of Operations” includes Iraq, Kuwait, Saudi Arabia, the neutral zone between Iraq and Saudi Arabia, Bahrain, Qatar, the United Arab Emirates, Oman, the Gulf of Aden, the Gulf of Oman, the Persian Gulf, the Arabian Sea, the Red Sea and the airspace above these locations. To establish presumptive service connection for Asthma, Sinusitis, and/or Rhinitis (to include Rhinosinusitis) under 38 CFR 3.320 for these Burn Pit Exposure Presumptive Conditions, your evidence of record must show qualifying service at one of the specified duty locations, and manifestation of the qualifying diagnosed chronic disability(ies) within the presumptive period (within 10 years of discharge from active duty service during the dates given above).
Today I'd like to help a special listener, Stephanie, with a topic she wrote to me about asking if I have ever explored any connection between Hashimoto's, hypothyroidism, and sinus issues? I will say, in today's current climate with Covid and upcoming flu season, any kind of sinus issues can be especially alarming. Today, I will talk about 5 links I found and what you can do to investigate.
Die allergische saisonale Rhinitis, welche auch als Heuschnupfen bezeichnet wird, ist eine allergisch bedingte Entzündung der Nasenschleimhaut. Hierbei handelt es sich um eine Allergie des Typ 1, die schlimmstenfalls zu einem allergischen Schock führen kann. Die Symptome umfassen juckende Augen, eine Verengung der Atemwege, geschwollene Nasenschleimhaut und Fließschnupfen. Die Erkrankung beginnt oftmals bereits im frühen Kindesalter und begleitet die Betroffenen jahrzehntelang. Laut Statistiken ist das männliche Geschlecht häufiger von einer allergischen Rhinitis betroffen als das weibliche Geschlecht.
Lead author Mark S. Dykewicz, MD, FAAAAI, walks us through all the details surrounding the recently updated rhinitis parameters. This CME episode is a master class in the diagnosis and treatment of this common condition. Helpful for all medical professionals and patients as well.
On today's episode, we are going to be talking about how to help seniors with allergies. We will start off with what allergies are and what causes them. Since seniors with allergies are also prone to hay fever, we will also cover what hay fever is, how to prevent it, and what to do if your loved one is experiencing it. We will also be talking about how to help your loved ones suffering from allergies, and we'll be discussing ways to spot when your loved one may be experiencing allergy symptoms, how to prevent their symptoms, and other ways to help them through allergy season. Now let's get started. Allergies affect more than 50 million Americans each year and are especially a nuisance for seniors. Seasonal allergies usually develop early, but they can develop later in life. According to Dr. Christopher Randolph of the American Academy of Allergy, Asthma and Immunology, allergies have a larger impact on the lives and health of the elderly. If you notice allergy symptoms in your loved one, let their doctor know. It can be hard for their doctor to diagnose allergies during a short visit, especially when they are monitoring other serious health issues or attempting to diagnose any new complications that you or your loved one presents them with. You should also talk to their doctor before giving them over-the-counter allergy medicine. First-generation antihistamines, like Benadryl or the now discontinued Chlor-Trimeton, can have some pretty serious and even dangerous side effects. The American Academy of Allergy, Asthma and Immunology lists anxiety, confusion, sedation, drowsiness, urine retention, dry mouth and eyes, and dizziness as some of the potential side-effects. Many of these side-effects can end up causing your loved one to fall and injure themselves or develop a painful urinary tract infection. Not only do these side effects have the potential to cause an injury to your loved one, but they make everyday life harder and more uncomfortable than it should be for older adults. If your loved one chooses to take over-the-counter allergy medicine, you should speak to their doctor or pharmacist about second or third-generation antihistamines, like Zyrtec, Claritin, or Allegra. These options are still antihistamines and can still cause your loved one to experience many of the side effects that first-generation antihistamines cause, but they are less likely to do so. It is also important to inform your loved one's doctor of any medications you give them, as they can potentially cause changes in mood or behavior in the elderly and may lead to dangerous interactions with other commonly prescribed medications. Keeping their doctor up to date on any medications your loved one is taking, including both prescription and over the counter, is an important task to remember. Your loved one may be suffering from a stuffy nose, and you might just assume that it is just allergies or a slight cold, but there are a number of medications that offer this side-effect in the right conditions and their doctor won't be able to tell if their prescribed medications are being interfered with if they are not up to date on what your loved one is currently taking. For seniors that have been dealing with seasonal allergies their whole lives, you most likely won't have to come up with a new treatment plan. They, like many Americans, probably have found a routine that works best for them, which might include a favorite antihistamine or nasal steroid. You may have to adjust their allergy treatment plan, though. What once worked for them may no longer be enough to combat their symptoms. If they take antihistamines daily, but their usual choice of medicine isn't working, try switching brands and see if that helps. There are several second and third-generation antihistamines that can be found at your local pharmacy or grocery store. You can ask a pharmacist for help if you are unsure of which medicine you should try. If your loved one has Alzheimer's or Dementia, they may not be able to let you know they are experiencing allergy symptoms or tell you what works best for them. You will have to be on the lookout for symptoms during peak allergy season. Do you already know they get seasonal allergies? You may be able to start giving them their allergy medicine if you notice the pollen count rising in your area. You can always talk to their doctor if you are unsure what to do in this situation. If you are interested in learning more about Alzheimer's or Dementia, check out some of the episodes we've done covering these topics or visit our website for more information. You can also view our playlist on Alzheimer's and Dementia on our YouTube channel. For those that have developed seasonal allergies later in life, those that are finding themselves needing a new way to manage their allergies, or those that want to manage their allergy symptoms without taking a daily antihistamine or other medication, there are a few ways to manage allergy symptoms without the use of medications. Now, none of these will completely make your allergies disappear, but they may help alleviate some of the symptoms. And, paired with a daily antihistamine or other medication, can help your loved one feel more like themselves during peak allergy season. First, you will want to make sure that your loved one has a high-efficiency particulate air, or HEPA, filter for their air conditioner and make sure it is routinely serviced. A HEPA filter removes allergens from the air and helps prevent them from circulating around the house. You should also refrain from leaving the windows or doors open when the pollen count is high. Check your local weather report to see what the pollen count is and try to limit outdoor exposure when it is too high. If you need to be outdoors, wear sunglasses to help prevent eye irritation and sun damage and wash your hands when you come back inside. If possible, change clothes and take a shower, as well so you can limit the number of allergens in the home. Keeping a normal cleaning schedule that includes dusting and vacuuming the home can also help remove allergens inside. Having a clean space can also help improve your loved one's overall mood and if their allergies are making it difficult to enjoy time outside, having a clean house is one less thing they will have to worry about. Eating foods that help lower inflammation, like apples, flaxseed, ginger, leafy greens, walnuts, and anything high in Vitamin C, may help decrease some of the symptoms your loved one might be experiencing, as well. Allergens cause irritation and inflammation in the body and foods that reduce inflammation, like those we just listed, may help your loved one manage their allergy symptoms. You should also dry their clothes, and your own, in a dryer and not hung up outside to prevent allergens attaching to the clothes before they are brought back inside. For most Americans, allergies are a nuisance, but for seniors, they can present a real danger. Seniors with other health issues, like COPD or high blood pressure, can be severely affected during allergy season. The most common allergy symptoms, runny nose, itchy, watery eyes, sneezing, chest congestion, and difficulty breathing, can cause other reactions in seniors with respiratory illnesses or diseases. If your loved one uses an inhaler to help manage their allergies, make sure to always have it on hand. Even if you are only leaving the house to run to the post office, make sure you bring their inhaler with you. You never know when your loved one may need it and it is better to always carry it with you. You can also talk to their doctor and ask them if they can prescribe your loved one backup inhalers, that way you can always have one at home and another to carry one with you. This is also a good practice to keep if you have asthma. And if your loved one does have asthma, allergies can definitely trigger an attack, so you will also want to make sure your loved one or you are always carrying an inhaler during allergy season in case they need it. Seasonal allergies and their symptoms are not life-threatening, but they can be if your loved one takes any medications that their doctor is unaware of. Unless you are a doctor or a pharmacist, you probably don't know how a certain medication will interact with another, so it really is important to tell your loved one's doctors any and all medications they are taking. If your loved one has allergies, they may have gotten hay fever at some point in their life or they may have it while you are providing care for them. You may be wondering, what exactly hay fever is. Hay fever, or allergic rhinitis, affects somewhere between forty and 60 million Americans a year. According to the American College of Allergy, Asthma and Immunology, allergic rhinitis develops when the body's immune system recognizes and overreacts to something in the environment that typically causes no problems in most people. The name hay fever is a bit of a misnomer. Hay can cause some people to develop hay fever, but not everyone that experiences it is ever around hay. And hay fever does not cause a fever. People experiencing hay fever may have a runny nose, itchy eyes, mouth or skin, sneezing, stuffy nose, and fatigue, which is usually due to getting poor quality sleep with a stuffy nose. There are two types of hay fever that people experience, seasonal and perennial. Seasonal hay fever usually happens from springtime through early autumn and is usually caused by outdoor mold or pollen. Perennial hay fever is usually experienced year-round and is caused by inside allergens, like dust, pet dander or pet hair, cockroaches, and mold. It is also possible for food allergies to present themselves as hay fever. If your loved one experiences perennial hay fever and almost constantly has nasal congestion, ask their doctor if there's a chance that they have any food allergies you are unaware of. Don't remove any food groups from your loved one's diet without consulting with their doctor first. Since hay fever usually presents itself as prolonged nasal congestion, your loved one might not know they are experiencing any allergy symptoms and think they have just come down with the common cold, which they might! It is possible to mistake a cold for allergies and vice versa, but if your loved one always has a stuffy nose in the spring, it is highly likely that they have seasonal allergies. Doctors usually suggest treating hay fever the same way you treat allergy symptoms. You will want to keep the windows closed during peak pollen periods and use a HEPA filter for your air conditioner. Wear glasses outside to minimize irritants getting in your eyes. They also suggest using mite-proof bed covers to limit exposure to dust mites and a dehumidifier to control mold. You should also wash your hands after petting an animal and have someone else groom your pet if you have hay fever. According to the American College of Allergy, Asthma and Immunology, intranasal corticosteroids are the single most effective drug class for treating allergic rhinitis and can significantly reduce nasal congestion as well as sneezing, itching, and a runny nose. Your doctor or an allergy specialist can determine if these are the best medication for your loved one to take to control their hay fever symptoms. Since these are nasal sprays and not an oral medication, they avoid many of the side effects that come with taking antihistamines. The usual side effects of nasal sprays include irritation in the area sprayed and nose bleeds. Antihistamines can also help your loved one manage hay fever, but they come with all the side effects we talked about earlier in the episode. Another option that can help with hay fever is a decongestant. If your loved one has high blood pressure or heart disease, check with their doctor first before using any decongestant. Decongestant nasal sprays work well. Most people that use them feel relief in minutes and it lasts for a few hours. If your loved one uses this option, make sure they only use it for a few days at a time, unless otherwise instructed by their doctor. Using a decongestant nasal spray for too long can end up causing more swelling in the nasal cavity. If your loved one is constantly suffering from allergies or hay fever and medications just are not working well or the side effects are too much, immunotherapy may be an option for them. Immunotherapy is usually long-lasting and has far fewer side effects than a daily antihistamine. Your loved one may be able to receive allergy shots or sublingual tablets, which dissolve under the tongue. Allergy shots inject a small amount of allergens directly into the arm, increasing the dose each week until a certain level has been achieved. At this point, the patient then gets a shot once a month until another level is achieved and then once every six months. The period of time between shots can vary from person to person, though. This process lasts anywhere from three to five years and the effects of the shots, either lessening the allergy symptoms or making them disappear completely, lasts several more years. Typically, you would need to start the cycle again in six years. Allergy shots can be time-consuming and take a while to actually see any improvement. If you do not want to deal with the shots, a sublingual tablet may be for you. Your loved one can take these year-round or they can start a few months before allergy season begins for them. However, there are more restrictions for this treatment. Currently, sublingual tablets are only available to treat certain grass and ragweed pollens and indoor dust mites. It is still a fairly new treatment, as it was approved by the FDA in 2014, and as the years go on, they will be able to treat more allergens. Sublingual tablets are taken daily and dissolve under the tongue. These can be taken up to three years. After that, you will need to devise a new treatment plan with your loved one's doctor. For both of these treatment types, your doctor may refer you to an allergist if you don't see one already. Allergies can be miserable and make you feel terrible constantly. We hope this episode has been helpful to you and given you new ways to help you manage your loved one's allergies. We want to say thank you for joining us here at All Home Care Matters and for being a part of our 100th episode. All Home Care Matters is here for you and to help families as they navigate long-term care issues. Please visit us at allhomecarematters.com there is a private secure fillable form there where you can give us feedback, show ideas, or if you have questions. Every form is read and responded to. If you know someone is who could benefit from this episode and please make sure to share it with them. Remember, you can listen to the show on any of your favorite podcast streaming platforms and watch the show on our YouTube channel and make sure to hit that subscribe button, so you'll never miss an episode. Join us next time on All Home Care Matters where we will be discussing How to Communicate with a Loved One who has dementia. Sources: https://www.agingcare.com/articles/help-elders-survive-allergy-season-150138.htm https://www.homecareassistancenaples.com/how-to-manage-allergies-in-seniors/#:~:text=Allergies%20pose%20a%20greater%20threat,COPD%20to%20high%20blood%20pressure. https://www.dispatchhealth.com/blog/how-to-care-for-a-senior-with-allergies/ https://www.lifecareservices-seniorliving.com/blog/survival-guide-allergies-aging/ https://www.medicalalertadvice.com/articles/seasonal-allergies-and-seniors/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5362176/ https://www.aafa.org/allergy-facts/#:~:text=How%20Common%20Are%20Allergies%3F,types%20of%20allergies%20each%20year. https://acaai.org/allergies/types/hay-fever-rhinitis
Here are the links for everything discussed in Episode 64. Times are also below so feel free to skip around and get to the drugs that interest you. (1:23) New pediatric indication for Ultomiris for PNH (5:18) Pradaxa now approved for VTE in pediatric patients (9:34) Rx to OTC switch of Astepro CDC updates on COVID-19 & influenza reporting Connect with The Rx Daily Dose:Twitter Instagram YouTube Linkedin WebsiteEmail: therxdailydose@gmail.comConnect with Ian Parnigoni PharmD. on social media:Twitter Instagram Linkedin ★ Support this podcast on Patreon ★
JACI: In Practice Associate Editor, David Khan, describes the June 2021 issue, the theme of which is “Urticaria and Angioedema.” Theme topics covered include pathogenesis, genetic aspects, measurement of disease activity and control, triggers of exacerbations, hormonal effects, and newer treatments. Dr. Khan then presents the Highlights of the Original Articles in the issue, which are on the topics of COVID-19, Urticaria and Angioedema, Allergic Bronchopulmonary Aspergillosis, Anaphylaxis, Asthma, Drug Allergy, Eosinophilic Disorders, Food Allergy, and Rhinitis and Sinusitis. Read the issue: https://bit.ly/JAIPJune2021. Access JACI: In Practice's entire library: https://www.jaci-inpractice.org
Asthma, Pneumonia, Rhinitis & the medications
In this episode: Rhinitis and sinusitis are difficult to differentiate but it is important that we do A very clear and practical guide on managing upper respiratory tract disorders How to use sublingual immunotherapy What is neurogenic rhinitis? Host: Dr David Lim | Total time: 52 mins Guest: Prof Richard Harvey, Nose, Sinus & Rhinoplasty Surgeon Register for our upcoming FREE WEBCAST Tuesday 2 February 2020 | 7:00pm-9:00pm AEDT Click here to register now! See omnystudio.com/listener for privacy information.
JACI: In Practice Editor-in-Chief, Michael Schatz, describes the March 2021 issue, the theme of which is “Biologic Therapy in Allergy Practice.” Theme topics covered include biologic therapy for asthma, atopic dermatitis, chronic spontaneous urticaria, and chronic rhinosinusitis with nasal polyps as well as cost-effectiveness considerations. Dr. Schatz then presents the Highlights of the Original Articles in the issue, which are on the topics of COVID-19, Biologics, Anaphylaxis, Asthma, Dermatitis, Drug Allergy, Food Allergy, Mast Cell Disorders, and Rhinitis. Read the issue: https://bit.ly/JAIPMarch2021. Access JACI: In Practice's entire library: https://www.jaci-inpractice.org
This episode covers allergic rhinitis.Written notes can be found at https://zerotofinals.com/paediatrics/immunology/allergicrhinitis/ or in the immunology section of the Zero to Finals paediatrics book.The audio in the episode was expertly edited by Harry Watchman.
Eine Allergie kann zu Beschwerden an unterschiedlichen Organsystemen führen. Bei einer Hausstaubmilbenallergie sind häufig die Nase, Augen, die Lunge und die Haut betroffen. Und da Symptome wie eine verstopfte Nase, tränende Augen oder leichtes Husten auch auf eine Erkältung hindeuten können, ist es nicht immer einfach eine Hausstaubmilbenallergie zu diagnostizieren. Wir sprechen heute mit Dr. Matthias Krüll über folgende Themen: - Warum gehen Patienten oftmals erst nach Jahren zum Arzt, um ihre Beschwerden abzuklären? - Welche Auswirkungen kann eine zu spät gestellte Diagnose bzw. unzureichende Behandlung in Bezug auf die Erkrankung haben? - Tritt die Hausstaubmilbenallergie allein auf oder ist sie assoziiert mit anderen Allergien? - Welche Behandlungsoptionen gibt es bei Patienten mit Hausstaubmilbenallergie? - Adhärenz und Patientenführung Viel Spaß beim Zuhören!
JACI: In Practice Deputy Editor, Scott Sicherer, describes the January 2021 issue, the theme of which is “Food Allergy.” Theme topics covered include prevention of food allergy, anaphylaxis in infants, improving diagnostic accuracy, food cross-reactivity, psychosocial concerns, as well as racial, ethnic, and socioeconomic disparities. Dr. Sicherer then presents the Highlights of the Original Articles in the issue, which are on the topics of COVID-19, Food Allergy, Allergic Bronchopulmonary Aspergillosis, Asthma, Cough, Drug Allergy, Eosinophilic Disorders, Rhinitis, and Urticaria. Read the issue: https://bit.ly/JAIPJan2021. Access JACI: In Practice's entire library: https://www.jaci-inpractice.org
SARMS are banned substances surrounded by plenty of confusion, so what do we actually know about them? Tune in for a deep dive into SARMS, DIY nutrition products that are cheap and accessible, and how to reduce inflammation but still prioritize recovery. Find mentioned studies and products from this episode: https://www.TrainerRoad.com/forum ------------------------------------------------------------------ ABOUT TRAINERROAD — CYCLING’S MOST EFFECTIVE TRAINING SYSTEM TrainerRoad makes cyclists faster. Athletes get structured indoor workouts, science-backed training plans, and easy-to-use performance analysis tools to reach their goals. Build Your Custom Plan: https://bit.ly/33cAtM1Train Together with Group Workouts: https://bit.ly/3i7niAdGet Started: https://bit.ly/3mZTetS ------------------------------------------------------------------ TOPICS COVERED IN THIS EPISODE What are SARMS, the side effects, and why are they illegal? 18:09 How much inflammation is too much and is it necessary to get faster? 39:49 Are antioxidants and NSAIDS bad for recovery? 50:01 Should you lick your heart rate strap? 1:10:55 How to use Plan Builder if you don’t have a race on your calendar? 1:12:47 Strength training without a gym 1:15:03 How to identify limiters 1:17:19 Ultra-distance training with short workouts 1:21:33 How to train for a Gran Fondo 1:23:37 DIY cheap nutrition options 1:27:25 Why we produce mucus when training 1:34:51 Does blackcurrant make you faster? 1:54:48 ------------------------------------------------------------------ SUCCESSFUL ATHLETES PODCAST iTunes: https://podcasts.apple.com/us/podcast/successful-athletes-podcast-presented-by-trainerroad/id1516326667 Google Podcasts: https://podcasts.google.com/feed/aHR0cHM6Ly9zdWNjZXNzZnVsYXRobGV0ZXMubGlic3luLmNvbS9yc3M?hl=en YouTube: https://www.youtube.com/playlist?list=PLrKJ0zeMQrI4ViIjWs8xnCiBCYoay5U0B ------------------------------------------------------------------ RESOURCES AND STUDIES REFERENCED IN THIS EPISODE - Selective Androgen Receptor Modulators (SARMs) – What Athletes Need to Know - Recreational Use of Selective Androgen Receptor Modulators - FDA In Brief: FDA warns against using SARMs in body-building products - Resolution of inflammation: an integrated view - Adipo-Myokines: Two Sides of the Same Coin - Aerobic but not Resistance Exercise Can Induce Inflammatory Pathways via Toll-Like 2 & 4 - Pro- and anti-inflammatory cytokine responses to a 164-km road cycle ride in a hot environment - Adaptations to endurance training depend on exercise-induced oxidative stress - Nutrient Timing: A Garage Door of Opportunity? - TrainerRoad’s Plan Builder Feature - Prevalence of Rhinitis in Athletes: Systematic Review - Exercise-induced rhinitis: a common disorder that adversely affects allergic and nonallergic athletes - The prevalence and current opinion of treatment of allergic rhinitis in elite athletes - Dietary Anthocyanins: A Review of the Exercise Performance Effects and Related Physiological Responses ------------------------------------------------------------------ STAY IN TOUCH Facebook: https://www.facebook.com/TrainerRd Instagram: https://www.instagram.com/trainerroad/ Twitter: https://twitter.com/TrainerRoad Strava Club: https://www.strava.com/clubs/trainerroad
This is frontal headache from nasal spray addiction.Please stay on Podbean and listen to my other podcasts to learn about migraine.This is a podcast by Britt Talley Daniel MD, member of the American Academy of Neurology, migraine textbook author, podcaster, and blogger.Check out my books on Migraine on Amazon.Follow my webpage at www.doctormigraine.com.Titles: Migraine-400 page textbook, and Volume 1 of the Mini Neurology Series, Migraine-40 page book. Both books are offered as print or eBooks.All the best.Follow me at: www.doctormigraine.com, Pinterest, Amazon books, Podcasts, and YouTube.Britt Talley Daniel MD
JACI: In Practice Editor-in-Chief, Michael Schatz, describes the November/December 2020 issue, the theme of which is “Occupational Allergic Disorders.” Theme topics covered include occupational asthma, contact dermatitis, hypersensitivity pneumonitis, and allergies to cannabis, as well as immunologic and biologic treatments of occupational allergic diseases. Dr. Schatz then presents the Highlights of the Original Articles in the issue, which are on the topics of COVID-19, Anaphylaxis, Asthma, Atopic Dermatitis, Food Allergy, Immunodeficiency, Mast Cell Disorders, Rhinitis and Sinusitis, and Urticaria. Read the issue: https://bit.ly/JAIPNovDec2020. Access JACI: In Practice's entire library: https://www.jaci-inpractice.org
A runny nose won’t have you running in circles this cold season with our fantastic overview of rhinosinusitis in all its forms! We discuss etiology and presentation of viral versus bacterial rhinosinusitis, practical counseling tips for guiding patients on nasal irrigation, and working up chronic rhinosinusitis! Our guest is the fabulous Dr. Dink Jardine, a general otolaryngologist, Commander in the US Navy, and Director for Professional Education (DPE) and Designated Institutional Official (DIO) at Naval Medical Center Camp Lejeune (NMCCL). Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). CME Survey! Help us improve our CME! This survey will serve the purpose of creating a better experience for VCU Health and Curbsider’s Podcast users. It is conducted by VCU Da Vinci Students in the Masters of Product Innovation Program. The results of this survey will teach us insights on how we can provide an opportunity to improve your podcasting experience. We will not spam you in anyway, and your information will remain anonymous, as this data will be used for research purposes only. Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Written and Produced by: Paul Williams MD, FACP, Beth Garbitelli Cover Art: Kate Grant MBChb, MRCGP Infographic by: Beth Garbitelli Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com (audio) Guest: Dink Jardine, MD Sponsors: National Internal Medicine Day Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential. VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit. Time Stamps Sponsor – National Internal Medicine Day, The American College of Physicians Sponsor - VCU Health Continuing Education 00:30 Intro, disclaimer, guest bio 03:00 Guest one-liner, Favorite failure, Pick of the Week*: Still Life by Louise Penny Sponsor – National Internal Medicine Day, The American College of Physicians 09:30 Case 1 - Acute Viral Rhinosinusitis 10:40 Rhinosinusitis vs. Sinusitis 14:20 Physical exam in rhinosinusitis 20:40 Counseling patients about viral vs. bacterial infection 22:56 Sinus regimen/nasal irrigation - “Is there a sinus toilet” 27:10 Intranasal fluticasone and other intranasal medications 29:40 Rhinitis medicamentosa 30:40 Nasal spray positioning 33:50 Case 1 - Double Sickening 37:40 Worst case scenarios from rhinosinusitis 40:40 Antibiotic treatment for bacterial rhinosinusitis 43:20 Failed improvement on antibiotics? Second-line options 49:30 Case 2 - Chronic rhinosinusitis 52:28 Etiology of chronic rhinosinusitis 53:33 Making a diagnosis of chronic rhinosinusitis 55:25 Treating chronic rhinosinusitis 58:40 Vasomotor rhinitis 60:40 Sinus irrigation counseling and tips (YouTube) 65:30 Case 3 - Allergic Rhinitis 70:13 Oral medications for allergic rhinitis; Chronic allergic/non-allergic rhinitis 73:51 Take-home points Links* Still Life: A Chief Inspector Gamache Novel by Louise Penny, Chief Inspector Gamache series “Dr. Adappa and Dr. Palmer teach you How to do Nasal Irrigation” https://www.youtube.com/watch?v=Br928VfiC1M *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goals Listeners will develop an approach to the diagnosis and management of rhinosinusitis. Learning objectives After listening to this episode listeners will... Classify rhinosinusitis, including acute, chronic, bacterial, and viral. Discuss the microbiology and pathophysiology underpinning rhinitis and sinusitis. Differentiate the presentation and management of acute bacterial and acute viral rhinosinusitis. Develop an approach to the diagnosis and management of allergic rhinosinusitis. Recognize and manage patients with non-allergic rhinitis. Discuss the role of antibiotic therapy and surgery in the management of rhinosinusitis. Disclosures Dr. Jardine reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Citation Williams PN, Garbitelli B, Jardine D, Heublein M, Watto MF.. “#239 Sinusitis: It’s not that tricky.” The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date October 26, 2020. Tags sinus, sinusitis, rhinitis, acute bacterial, rhinosinusitis, bacterial, viral, virus, nose, chronic sinusitis, ENT, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student
JACI: In Practice Editor-in-Chief, Michael Schatz, describes the October 2020 issue, the theme of which is “Delabeling Patients from Drug Allergy.” Theme topics covered include penicillin allergy, multiple drug intolerance syndrome, delayed drug hypersensitivity, as well as reactions to cancer immunotherapy and chemotherapy. Dr. Schatz then presents the Highlights of the Original Articles in the issue, which are on the topics of Drug Allergy, Anaphylaxis, Asthma, Food Allergy, Immunodeficiency, Mast Cell Disorders, Rhinitis, and Urticaria and Angioedema. Read the issue: https://bit.ly/JAIPOct2020. Access JACI: In Practice's entire library: https://www.jaci-inpractice.org
Slaughter checks performed at a packing plant are an underutilized tool for diagnosing subclinical disease, says Brad Schmitt, DVM, Four Star Veterinary Service, Rushville, Indiana. “We as swine veterinarians do a really good job of recognizing and treating clinical diseases that may be causing an obvious morbidity and mortality in the population,” Schmitt said. “I think we've got room to grow in recognizing subclinical issues that may not jump out at us, but they're still there and affecting finishing performance.”
In dieser Episode sprechen wir mit Prof. Dr. Kleine-Tebbe aus Berlin zum Thema allergisches Asthma. Es gibt vermehrt Hinweise, dass einer allergischen Rhinitis und allergischem Asthma dieselbe Erkrankung zugrunde liegt und dass die ursächliche Behandlung der Allergie bei beiden Erkrankungen Abhilfe schaffen kann. Prof. Kleine-Tebbe erklärt, welche Bedeutung die Allergie-Immuntherapie (AIT) bei der Behandlung allergischen Asthmas hat und zeigt auf, welcher Stellenwert der AIT heute auch in der Prävention asthmatischer Erkrankungen zukommt. ------- Die CME-Fortbildung zu diesem Thema und viele andere Online-Kurse auf Medcram finden Sie unter diesem Link: https://cme.medcram.de/cme-partner/alk-abello-arzneimittel-gmbh/
In this Healthed lecture, Prof Richard Harvey - Rhinologist at Dept. of Otolaryngology, St Vincent’s Hospital Sydney, University of New South Wales & Macquarie University, discusses the nature and treatment of sino-nasal complaints with a focus on rhinitis. There is still much confusion as to whether these symptoms are simply a condition of the nasal passage (rhinitis) or part of broader condition affecting the upper airway (sinusitis). Rhinitis can be allergy, but many patients suffer from neurogenic responses or chemical irritation of the airway which will rarely respond to traditional therapies. See omnystudio.com/policies/listener for privacy information.
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I’m looking forward to sharing with you some of our community’s questions that have come in over the past few weeks… Let’s get started! Patrick: Hi dr Cabral love all the work your doing . I’m felling the best in my life since finding your podcast about 3 years ago . I’ve listened to all your podcast and some multiple times so I hate to ask a question I know you’ve answered more than once but nothing seems to work .my done is 14 and has had warts on his elbow for as long as I can remember whenever they burn or freeze them off they come back and the doctors make it like it’s normal and no big deal but obviously something isn’t right he also had really bad athletes feet when he was younger but that seemed to go away. Thanks for everything. Your the best Joy:Hello Dr Cabral. My concern is a constant runny nose especially when outside. I have this year round no matter the weather but it is worse with exercise and in cold weather. It’s annoying and embarrassing to constantly have to carry a tissue with me. I avoid the foods that I am highly sensitive to (based on results from the food sensitivity test) and have done the CBO protocol (based on test results from the stool test and organic acids test). I take daily thyroid medication for Hashimotos. I had surgery for a deviated septum last year and the dr suggested a cryotherapy procedure hoping that would fix my problem. The runny nose was better for a couple of months then back to the way it’s been for as long as I can remember. Very disappointing to say the least. Any suggestions as to what my next step might be? Or just learn to live with it? Love listening to your podcasts. I am always learning. Thank you for all you do! Joy LAL: Hi, dr. Cabral :)I have a question regarding chlorella versus spirulina.. Medical Medium says chlorella is messy because it takes heavy metals and drops them elsewhere in the body, so spirulina is better because it takes them out the body all the way.. and you’re supposed to make a smoothie with it, having all these ingredients together for a Heavy metal detox smoothie: spirulina, cilantro, barley grass JUICE powder (it has to be juice powder apparently, can you explain the difference please?), wild blueberries and Atlantic dulse.. what do you think about this smoothie? Is it really helping with taking the heavy metals out because of the combination of these 5 ingredients?The second question will be another on the watermelon.. it’s supposed to be a great liver cleansing food.. I eat it every day for breakfast..But I also eat the seeds? Is that ok? Apparently they have protein (like all seeds do) but how is that when it comes to food combining?Thank you so much!Everyone, have a lovely day and happy healing! :) Katie: Hi Dr. Cabral! First off I want to say that I have healed so much from working with your health coaches (Julia specifically) and doing your protocols. I've healed my gut and worked on my hormones, but I just can't seem to kick my allergies. During quarantine I got a puppy and I appear to be allergic to his saliva - I get itchy & sometimes hives after touching/playing with him, especially if he licks me. I do feel like with all the work I've been doing my allergies in general have gotten better but I don't know why they're not relieved much more given all the work I've done (I still have to use anti- histamine & cingular daily). Main question is: do you see dog allergies as something a person can heal from? I took the big 5 in June & am now on a hormone protocol to get my cortisol levels & thyroid back to normal. Aside from that, where do I go from here to ease my allergies? LAL: Hi, dr. Cabral :)I’m interested in coconut water.. do you recommend drinking it? Why? Does it have a lot of benefits?We have different ones in our stores and all say they’re only coconut water from coconuts, no added sugar, not from concentrate.. but they taste so different, do you know why?All of them are pasteurised.. what does that mean? Is it bad, does it take away the nutrients?Thank you so much, have an amazing day! Cleo: Hi Dr Cabral,If I test positive for COVID-19 antibodies, what is the risk of me contracting the virus again and would it be contagious? I'm asking because I've tested positive for the antibodies and would like to visit my dad but he is considered extremely vulnerable. I don't live in the same country as him and would have to travel internationally so I'm afraid of contracting the virus on the trip and then passing it to him. Thank you so much. Jenna: I'm currently 2 weeks into the CBO protocol, by the time you read this I'll probably be on week 6-8. I did the OAT test through Equilibrium, but I did a stool test through another company. There were no parasite detected but after hearing you explain that a 3 day stool test is best for parasites, I realized the 1 day test I did may not have been sufficient and I'm feeling a bit paranoid that I don't know for sure if I have a parasite. My question is that if I want to test for parasites using the 3 day test Equilibrium offers, can I do this test in the middle of the CBO or will it skew the results? Is it better to wait until the CBO is completed to test? I want as much accuracy as possible. Thank you for tuning into this weekend’s Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes & Resources: http://StephenCabral.com/1647 - - - Dr. Cabral's New Book, The Rain Barrel Effect https://amzn.to/2H0W7Ge - - - Join the Community & Get Your Questions Answered: http://CabralSupportGroup.com - - - Dr. Cabral’s Most Popular Supplements: > “The Dr. Cabral Daily Protocol” (This is what Dr. Cabral does every day!) - - - > Dr. Cabral Detox (The fastest way to get well, lose weight, and feel great!) - - - > Daily Nutritional Support Shake (#1 “All-in-One recommendation in my practice) - - - > Daily Fruit & Vegetables Blend (22 organic fruit & vegetables “greens powder”) - - - > CBD Oil (Full-spectrum, 3rd part-tested & organically grown) - - - > Candida/Bacterial Overgrowth, Leaky Gut, Parasite & Speciality Supplement Packages - - - > See All Supplements: https://equilibriumnutrition.com/collections/supplements - - - Dr. Cabral’s Most Popular At-Home Lab Tests: > Hair Tissue Mineral Analysis (Test for mineral imbalances & heavy metal toxicity) - - - > Organic Acids Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Thyroid + Adrenal + Hormone Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Adrenal + Hormone Test (Run your adrenal & hormone levels) - - - > Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Omega-3 Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - > Stool Test (Use this test to uncover any bacterial, h. 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Join Yvonne Brandenburg, RVT, VTS SAIM and Jordan Porter RVT, LVT, VTS SAIM as we talk about: Different types of diseases that can involve the nasal tract; including rhinitis, fungal infections, and even foreign bodies. Question of the Week What is an interesting nasal case you have seen? What is the craziest thing you've found in a nose? Leave a comment at https://imfpp.org/episode29 Resources We Mentioned in the Show VIN https://www.vin.com/apputil/content/defaultadv1.aspx?pId=11223&catId=31456&id=3859288 Merck Veterinary Manual https://www.merckvetmanual.com/respiratory-system/respiratory-diseases-of-small-animals/rhinitis-and-sinusitis-in-small-animals Internal Medicine for Veterinary Technicians and Nurses https://imfpp.org/saimbook Thanks so much for tuning in. Join us again next week for another episode! Get Access to the Technician Treasure Trove Sign up at https://imfpp.org/treasuretrove Thanks for listening! – Yvonne and Jordan
#112 My awesome guest this week is Patrick Mckeown, an expert in Buteco breathing and author of the extremely popular book; The Oxygen Advantage. I'm a huge advocate of the breath and different breathwork modalities have been a part of my personal practices for many years, so to have someone with as much experience as Patrick on the show was fantastic. We dive into understanding more about our breathing 24/7, nasal breathing, slow breathing and the impact this can truly have on ou rhealth and wellbeing. These are just some of the conditions the Buteko Method can help with: - Snoring and Sleep Apnea - Stress, Anxiety, Panic Attacks & Depression - Parents: How Buteyko Can Help Your Child’s Development - Asthma, Rhinitis, COPD, Cystic Fibrosis About Patrick Mckeown: Patrick Mckeown is the President of Buteyko Professionals International. He is also a member of the Management Board and the Advisory Faculty of the International Academy of Breathing & Health. Patrick was educated at Trinity College, Dublin, and later studied in the Moscow clinic of the founder of the Buteyko Breathing Method; the late Professor Konstantin Buteyko. He was honoured to be awarded a Diploma in the Buteyko Method by Professor Buteyko. Patrick’s current professional affiliations include being a Fellow of the Royal Society of Biology (UK), a Member of the Physiological Society (UK), a Member of the Academy of Applied Myofunctional Sciences, a Fellow of Buteyko Professionals International, and a Fellow of the International Academy of Breathing & Health. Useful Links: NOTE: Patrick will be in Sydney teaching in March 2020: Buteyko Instructor Training Sydney March 2020 (Health) https://buteykoclinic.com/location-date/ OxygenAdvantage Instructor training Sydney march 2020 (Sports performance) https://oxygenadvantage.com/teach-it/ --------------------------------------------------- Free exercise (relaxation and functional breathing) https://buteykoclinic.com/reduced-breathing/ Free Childrens online course with all exercises (soon to be updated as current videos are 2010) https://buteykoclinic.com/buteykochildren/ For parents- how mouth breathing affects childhood development https://buteykoclinic.com/crookedteeth/ Masterclass in OxygenAdvantage https://oxygenadvantage.com/learn-it/ Learn more about Guy: www.guylawrence.com.au Let It In Academy: www.letitin.com.au
Show Notes Differentiating bronchiolitis from asthma and reactive airway disease in young children can be challenging, and a rapidly changing clinical presentation can confound accurate assessment of the severity of the illness. This episode reviews risk factors for apnea and severe bronchiolitis; discusses treatments/therapies and provides evidence-based recommendations for the management of pediatric patients with bronchiolitis. Show More v Pathophysiology Bronchiolar narrowing and obstruction is caused by: Increased mucus secretion Cell death and sloughing Peri-bronchiolar lymphocytic infiltrate Submucosal edema Smooth muscle constriction seems to have a limited role, perhaps explaining the lack of response to bronchodilators. Median duration of illness is 12 days in children 2 yo.3 Late fall epidemic peaking Nov-March, in the US.4 Human Metapneumovirus (HMPV) accounts for 3-19% 5,6 Similar seasonal variation to RSV. Parainfluenza, influenza, adenoviruses, coronaviruses, rhinoviruses, and enteroviruses are other causes.4-6 Rhinoviruses have been shown to play a larger role in Asthma.7 Presentation The American Academy of Pediatrics defines it as any of the following in infants: 1 Rhinitis Tachypnea Wheezing Cough Crackles Use of accessory muscles Nasal flaring Differential Diagnosis Emergent Causes Infection: pneumonia, chlamydia, pertussis Foreign body: aspirated or esophageal Cardiac anomaly: congestive heart failure, vascular ring Allergic reaction Bronchopulmonary dysplasia exacerbation Non-acute Causes Congenital anomaly: tracheoesophageal fistula, bronchogenic cyst, laryngotracheomalacia Gastroesophageal reflux disease Mediastinal mass Cystic fibrosis Clinical Pearls Vomiting, wheezing, and coughing associated with feeding; consider GERD. Wheezing associated with position changes; consider tracheomalacia or great vessel anomalies. Wheezing exacerbated by flexion of neck and relieved by neck hyperextension; consider vascular ring. Multiple respiratory tract infections and failure to thrive; consider cystic fibrosis or immunodeficiency. Wheezing with heart murmur, cardiomegaly, cyanosis, exertion or sweating with feeding; consider cardiac disease. Sudden onset of wheezing and choking; consider foreign body. Risk Factors for Severe Bronchiolitis Age < 6-12 weeks11-13 Prematurity < 35-37 weeks’ gestation11-13 Underlying respiratory illness such as bronchopulmonary dysplasia1 Significant congenital heart disease; immune deficiency including HIV, organ or bone marrow transplants, or congenital immune deficiencies14,15 Altered mental status (impending respiratory failure) Dehydration due to inability to tolerate oral fluids Ill appearance12 Oxygen saturation level ≤ 90%1 Respiratory rate: > 70 breaths/min or higher than normal rate for patient age1,12 Increased work of breathing: moderate to severe retractions and/or accessory muscle use1 Nasal flaring Grunting Risk Factors for Apnea Full-term birth and < 1 month of age16,17 Preterm birth (< 37 weeks’ gestation) and age < 2 months post birth11-13,17 History of apnea of prematurity Emergency department presentation with apnea17 Apnea witnessed by a caregiver17 Diagnostic Testing Xray Radiographs increase the likely hood of a physician giving antibiotics, even if the X-ray is negative.18-20 Routine radiography is discouraged, but may be helpful when severe disease requires further evaluation or exclusion of foreign body. Viral testing is not necessary for the diagnosis but may help when searching for the cause of fever in young infants. 2016 ACEP fever guidelines note that positive viral testing can impact further workup of fever for a serious bacterial infection (SBI).21 In infants 90% Clinicians may choose not to use continuous pulse oximetry (weak recommendation due to low-level evidence and reasoning)1 Fluids IV or NG administration of fluids to combat dehydration, until respiratory distress and tachypnea resolve. Suctioning Routine use of “deep” suctioning may not be beneficial and may be harmful.1 Nasal suction should be used to help infants with respiratory distress, poor feeding or sleeping. Bronchodilators1,25,26 Generally nor recommended for routine use. May trial in infants with: Severe bronchiolitis (these were excluded in the studies). History of prior wheezing. Family history of atopy/asthma in an older infant. Anticholinergic Agents (ipratropium bromide) No evidence for improvement in bronchiolitis.31-34 Corticosteroids AAP1, Cochrane Review27, and PECARN28 study all recommend against, finding no evidence for improvement. One small study (70 patients) found a benefit utilising 1 mg/kg oral dexamethasone followed by 0.6 mg/kg daily for 5 days. However, the study limited by size and increased prevalence of family history of atopy. Recommendations remain against use in first time wheezers with bronchiolitis. Racemic Epinephrine Not recommended1. Further study needed. Racemic Epinephrine + Oral Dexamethasone Pediatric Emergency Research Canada trial at 8 Canadian pediatric EDs involving 800 infants aged 6 weeks to 12 months with bronchiolitis found that the epinephrine-dexamethasone group had a lower admission rate over 7 days than the placebo group (17.1% vs 26.4%). This was not statistically significant. Further study needed. 30 Hypertonic Saline AAP guidelines do not recommend use in the ED but note clinicians may utilize it in the inpatient setting. 1 Cochrane reviews in 2013 and 2017 found some inpatient benefit, but a conflicting publication found it may worsen cough.35-37 High Flow Nasal Cannula (HFNC) Several small pediatric ICU studies show a benefit in severe cases. No large ED randomized trials exist, to date. Study protocols included weight based or age based flow rates. Nasal CPAP Shows benefit in pediatric ICU settings. Evidence vs HFNC is limited. Disposition Consider admission if any of the following are present: Risk for apnea Risk for severe bronchiolitis Respiratory distress, particularly if it interferes with feeding Hypoxia (oxygen saturation ≤ 90%) Decreased feeding and/or dehydration An unreliable caregiver (ie, unable to ensure patient care and appropriate 24-hour follow-up) All patients with severe bronchiolitis should be admitted.
“My mission is to empower people to take control of their own health, well-being and fitness using simple breathing exercises proven to improve body oxygenation”. Patrick McKeown World- renowned author and breathing practitioner Patrick McKeown was educated at Trinity College in Dublin, before completing his clinical training in the Buteyko Breathing Method at the Buteyko Clinic, Moscow, Russia. This training was accredited by Professor Konstantin Buteyko. In a career spanning 15 years, Patrick has since also become a bestselling author and expert on the topic of optimal breathing for improved health, well being and fitness. Learn more about Patrick on Instagram Start the 5 Day Movement Challenge
Manche Ärzte sprechen nur Fachchinesisch, das hat vermutlich jeder schon einmal erlebt – auch Kunden in der Apotheke. Aber wer traut sich schon, bei den Göttern in Weiß nachzufragen, wenn er eigentlich gar nichts versteht? Dann kommen sie in die Apotheke und wollen erst einmal wissen, was eigentlich los ist. Das Buch von der Ärztin Alexandra Stumpenhagen aus Hamburg hilft den Patienten den Durchblick zu bekommen. Wir haben mit der Autorin des Buchs gesprochen, was sie bewegt hat, sich dem Thema Deutsch-Arzt, Arzt-Deutsch anzunehmen.
PAVOL SURDA, MD (President European Rhinologic Society ERS Juniors - Guy's And St Thomas' Nhs Foundation Trust -London-Uk) discuss Novel, Alternative, And Controversial Therapies Of Rhinitis. "ADHER-ENT 1st-15th" is the new Scientific-Educational project by Associazione Naso Sano Non-Profit Organization & CME-Provider. A series of interactive live broadcast Grand Rounds, in English. Every 1st and 15th of the month an International Faculty will discuss the most updated researches & surgical techniques regarding Otorhinolaryngology, Neurosurgery and Allergology. Chairman: Dr. Puya Dehgani-Mobaraki (Italy) “Naso Sano” is Scientifically Supported by the: -European Rhinologic Society Juniors (ERS) -European Allergology and Clinical Immunology Juniors (EAACI) -World Skull Base Fellowship Foundation (WSBF) -Italian Academy of Rhinology (IAR) Visit www.nasosano.it for more information
On this episode, we give an overview of allergic rhinitis. We discuss some background information, pathophysiology, and non-pharmacological treatment options. Then we review all the different pharmacotherapy options currently available. If you have any questions, reach out to us on any of the following: Mike - mcorvino@corconsultrx.com Cole - cswanson@corconsultrx.com Instagram and other social media platforms - @corconsultrx This podcast reviews current evidence-based medicine and pharmacy treatment options. This podcast is intended to be used for educational purposes only and is intended for healthcare professionals and students. This podcast is not for patients and not intended as advice or treatment.
**Episode # 15 General Health Questions ** Hi, this is Michael Lingard, your Buteyko Educator, welcoming you to the final episode of Better Breathing Means Better Health and offering you my congratulations on completing this course. You now have the understanding and tools to continue improving your breathing and health in the future. Just to remind you of the powerful impact on your health that improved breathing will have, you can download leaflets on the subjects covered below: If you don’t have access while listening to this podcast, go to my website HERE where you will be able to download them there. Circulation & Heart Disease (Download a pdf leaflet HERE) Lowered CO2 because of hyperventilation constricts the arteries throughout the body, lowered CO2 impairs the release of oxygen from your blood and mouth breathing rather than nose breathing reduces the production of nitric oxide. The effect of the above is to put more physical stress on the heart that now needs to pump more blood around the body to deliver the same amount of oxygen, with narrowed arteries due to smooth muscle spasm and lower nitric oxide levels this means the blood pressure has to be higher leading to further stress on the heart. Chronic Fatigue Syndrome & ME (Download a pdf leaflet HERE) With chronic over-breathing the oxygenation of all the tissue in the body is depleted, this will impair the muscle functioning strength and also reduce the oxygen getting to the brain. The latter effect is made worse by the fact that the body protects the vital areas of the brain by shunting more blood to these centres leaving even less oxygen for higher centres of the brain. Resulting in mental as well as physical tiredness. COPD & Emphysema (Download a pdf leaflet HERE) Both these conditions are associated with loss of healthy functioning lung tissue that causes severe breathlessness and restricted physical activity. Invariably patients will be over-breathing in an attempt to combat the sensation of breathlessness but as we now understand this will worsen the oxygenation of the body. By improving their breathing, eliminating hyperventilation, what healthy lung tissue remaining will deliver more effective oxygenation of the body. Gut & Bladder Problems and IBS (Download a pdf leaflet HERE) We have all experienced how stress can upset our gut, hence when we improve our breathing and reduce the ill effects of stress it benefits our gut. As you know, over-breathing with loss of carbon dioxide, causes spasm of all smooth muscle in the body and that includes the muscle around your stomach, intestines and other hollow organs. Improve breathing is always beneficial to all gut and bladder problems. Watch this short video of a recent client's response to the breath training HERE Stress Anxiety & Panic Attacks (Download a pdf leaflet HERE) As you now realize, stress leads to over-breathing, repeated stressors lead to chronic hyperventilation, what every person suffering anxiety will have. As explained before this impairs oxygenation of the body and in particular the brain suffers from this lowered oxygen supply. If the control pause falls into the lower teens this can trigger a panic attack that is usually accompanied by increased panting or gasping that further worsens the situation. Improved breathing protects against this. Asthma, Sinusitis, Hay Fever & Rhinitis (Download a pdf leaflet HERE) If the Buteyko Method is renown for its dramatic health benefits and been proven with many clinical trials , it is with the support and management of asthma. If you are particularly interested in this condition I would strongly recommend you watch a YouTube video production by the BBC that covers a small trial conducted under the supervision of a leading respiratory specialist in Edinburgh HERE. and the first hand story of a recent asthma client HERE Sports Performance & Breath Training (Download a pdf leaflet HERE) It is not rocket science to suggest that any improved oxygenation to your body will improve your sports performance and general fitness. Many leading world athletes and sports people have used the Buteyko Method to give themselves that critical small percentage improvement that is the difference between winning or losing. Their general health has also improved as a side-effect! Insomnia, Snoring and Sleep Apnoea (Download a pdf leaflet HERE) Over-breathing usually is worse at night when asleep, largely because you are not using much muscle activity, hence lower carbon dioxide production but still over-breathing as during your waking hours, so carbon dioxide levels fall dangerously low. This can lead to sleep disturbances, nightmares with children or if more severe sleep apnoea. Sleep apnoea is a serious problem that can predispose to heart problems. However, the repeated cessation of breathing associated with sleep apnoea is the body’s protection against the severe loss of carbon dioxide. The solution is to improve your breathing 24/7. Eczema, Allergies and Itchy Skin (Download a pdf leaflet HERE) The skin is the largest organ in our body, it requires a good blood supply for normal health and is susceptible to allergens that come in contact or are taken in. Chronic hyperventilation hits the skin two ways, it receives poor blood supply and histamine levels rise as stress pushes our breathing up. The combination paves the way for eczema, allergies and skin disorders. Food sensitivities may well be an important component but you now have the means of checking this as explained in episode seven. Orthodontic, Dental Problems & Gum Disease (Download a pdf leaflet HERE) This is perhaps the most difficult relationship to understand. How can dysfunctional breathing lead to major structural problems in our development of teeth and all the structures of our skull? There is strong evidence that children that habitually mouth breathe will develop orthodontic problems such as crowded teeth as well as poor facial features. If you want a detailed professional explanation of this I suggest you watch a video by Dr. John Flutter HERE. If you have enjoyed this podcast why not check out my general health promoting podcast entitled “Your Health in Your Hands”? HERE Eat Less, Sleep less, Breathe Less and Exercise More!
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It's important to find out if you have asthma that way it can be properly treated or not. Sharing my journey with asthma to help others. More importantly there are actions that I took. The methacholine challenge identifies whether you have asthma - or not. If you have similar stories please comment and share I would love to hear from you. Vist whitenoiselevel3.wordpress.com
Up to 30% of adults and children suffer from seasonal allergies. Allergic Rhinitis accounts for nearly 2 million lost school days and 6 million lost work days per year. Are there any non-pharmacologic ways to treat or manage seasonal allergies? Today, Dr. Gerald Volcheck is joining us to talk about allergic Rhinitis. Dr. Volcheck is a Mayo Clinic physician and chair of the Division of Allergic Diseases.He is also course director for the Mayo Clinic Clinical Updates in Allergy and Immunology conference held July 2018 in Coronado, California. Visit ce.mayo.edu/allergy2018 and register today. Use coupon code ALLERGY to receive $100 off the registration fee. Offer is limited.
Allergies. Nose jobs. Smell nostalgia. Street drugs. Septum piercings. Snoring. Hang on to your faces because Dr. John Craig goes deep and shares why he's so passionate about rhinology. You'll have a whole new relationship with your whiffer, appreciating what happens behind your nas-holes and coming away with some strategies to combat hay fever, Afrin addiction plus: a very legal substitute for illegal party drugs. Also: why you may want to shove a crayon into your nose. Dr. John Craig's YouTube Channel Help send Aidan to camp via this t-shirt fundraiser Become a patron of Ologies for as little as a buck a month: www.Patreon.com/ologies OlogiesMerch.com has hats, shirts, pins, totes! Follow @Ologies on Twitter or Instagram Follow @AlieWard on Twitter or Instagram More links at www.alieward.com Support the show.
In this episode Dr. Smith speaks with Dr. Stella Lee. They will discuss the article: The association of air pollutants and allergic and nonallergic rhinitis in chronic rhinosinusitis. Read the article in International Forum of Allergy and Rhinology Listen and subscribe for free on Apple Podcasts, Google Play Music and Subscribe on Android
In this episode Dr. Smith speaks with Dr. Peter Hwang. They will discuss the article: Cryosurgical posterior nasal tissue ablation for the treatment of rhinitis. Read the article in International Forum of Allergy and Rhinology Listen and subscribe for free on Apple Podcasts, Google Play Music and Subscribe on Android
Hello and welcome to the Health Hits podcast. As Spring and Summer approach the dreaded Hay Fever that affects so many of us raises its head. First described by John Bostock in 1819 we now understand that pollen drives is and there are so many effective treatments out there. This episode explores how pollen affects the body and how antihistamine, eye drops, nasal steroid sprays and inhalers can minimise the symptoms. We also discuss allergy in general and touch on the future of Hay Fever treatments.
Jessie: Thanks for your podcast on castor oil packs. Other castor questions: - Do you recommend this topically for scarring on face? How much? - Do you recommend a tablespoon of castor oil at night, to keep bowl movements going during a cleanse, or in general day to day life. I have been hearing very beneficial daily. - Can you rub on your abdomen as lotion at night, if you don't have time for the pack? Still beneficial? Heather: Hi Dr Cabral, First want to thank you for your free podcasts, my husband and I have made some serious changes since starting your daily podcasts. I have been dealing with forehead acne for almost 6 years(post getting off-implanon birth control) , the acne that is tiny bumps all throughout the forehead, sometimes jawline and back of neck which never come to a head just stay under the skin. I have been to dermatologists and have been prescribed each time , topical clindomyicin and minocycline which caused irregular periods so I had to stop but continued the topical which seemed to work until a couple months later all returned. I regularly do a coconut oil cleanse for removing makeup/daily toxins and have gotten rid of all harsh soaps, limit makeup use and have cut gluten, dairy and eggs and nothing seems to help fully clear it up. I am currently not on any medications, workout regularly and just started your detox. Is there anything else I could do to finally rid this acne? Thank you in advance for your advice, Heather CC: Hi Dr Cabral, I have two quick questions; my nose is guaranteed to always run in hot or cold temperatures (i.e. outside cold weather or taking a hot shower, eating hot soup, spices etc) what would be the cause of this, as far as I'm aware I have no allergies, it's purely temperature related? Also I wonder what your view is on CBD oil and if there are any brands that you are in favour of? Thanks so much, excellent show! Joe: Hey Dr. Cabral, I was wondering what you thought of oil of oreganofor a daily "tonic". I hear one side say its selective and doesn't kill good bacteria and that you could even make kefir with it. And then you have the other side saying it will destroy your good gut bacteria. Also I have been working on fixing adrenal fatigue from a anti candida diet and tried taking adaptogens like ashwaganda and rhodiola and got severe insomnia and just felt like i couldn't shut my body down. I know these aren't for everyone and people react differently, wasn't sure if it was that or it was adapting to handle some underlying stressors in my body. Thanks. Really appreciate you answering everyones questions. Your the man! Misty: Hi Dr. Cabral, I have been listening to your podcast for several months now. I have even gone back and listened to the previous shows. My question is about detoxing. About 10 years ago I started taking a real interest in my health. I am a ethical vegan who tries to follow a planet based diet but does occasionally indulge in some vegan junk food. I have tried to do a several different detoxes. The first I was introduced to was the master cleanse. I tried it and failed miserably. Each detox I've tried I have thought was more sophisticated and healthier detox than the previous. The last one I tried was your seven day detox. With all of the detoxes I get to either the end of day two or the beginning of day three and I end up with a massive migraine that usually involves Extreme pain, light sensitivity, vomiting, and diarrhea. I am very good about drinking plenty of water during the detox. I stopped the seven day detox at the end of day three. I was about 6 weeks postop from a hysterectomy and was afraid that the vomiting would disrupt some of the stitches I still had on the inside. I would like to complete the seven day detox. What advice do you have for me? With love and admiration, Misty Ms. Taylor: Hi Dr. Cabral, Thank you so much for the valuable information you share!!! I have a question about the 7-day detox. I'm currently on day 3 and I have some interesting side effects and I'm hoping you can tell me if they're normal. I ate my vegetarian lunch (salad) and within two hours, I had an urgent, yellow, liquid, BM that had green bits (my salad!) in it. My stomach doesn't hurt. I feel great. In fact, I feel almost euphoric, very energetic. Is this normal??? I will mention I'm drinking more tea than I normally do but not excessive. Thanks again!! Anon: hello! thankyou for all your advice, I would love to hear a "What I Eat in a Day" Dr Cabral style! What you eat on a regular basis for breakfast, lunch and dinner. Do you have healthy desert? thank you I hope you enjoyed today's Q&A and all the tips added in along the way! - - - Show Notes: http://StephenCabral.com/450 - - - Get Your Question Answered: http://StephenCabral.com/askcabral
In almost every yoga class, the teacher will emphasize the importance of breath—but what does that really mean and why does it matter? If you ask, you'll likely hear that you're adding oxygen to your blood or improving your circulation. But is that true? It turns out that most yoga breathing actually reduces oxygen in the blood and increases CO2. To add to this paradox, more CO2 is actually a good thing and results in more oxygen to the cells. On this week's Yoga Talk Show, you'll learn how and why. ------------ Listen & Learn: Why C02 is actually your friend How C02 relaxes muscle tissue (great for stretching) Why nose breathing encourages diaphragmatic breathing, increases NO2, and arterial oxygen uptake How reduced breathing increased saliva in the mouth, a sign of parasympathetic nervous system dominance and higher CO2 Why 30% of population has Rhinitis and how reduced breathing can help How reduced breathing impacts your spleen (yes, your spleen!) ABOUT OUR GUEST Patrick completed his clinical training in the Buteyko Breathing Method at the Buteyko Clinic, Moscow, Russia, a training accredited by Professor Konstantin Buteyko himself. Patrick suffered from asthma as a kid and discovered the Buteyko Method at the age of 26 and has been asthma-free since then, a feat that over 20 years of medication had failed to accomplish. In a career spanning 15 years, Patrick has since also become a bestselling author and expert on the topic of optimal breathing for improved health, well-being and fitness. Among the eight books Patrick has written, two have consistently remained in the top ten best sellers on Amazon.com: He is the author of 3 books: Close Your Mouth, Asthma Free Naturally, and The Oxygen Advantage®. Nutritional Tip of the Week: Water filters Links & References from the Show: The Oxygen Advantage Website The Psychology and Physiology of Breathing (book) The Bohr Effect Who is Konstantin Buteyko? Got Questions? Send me a voicemail here: Ask Lucas a Question Or write to us: podcast@yogabody.com Like the Show? Leave us a Review on iTunes Thanks to our sponsor: The Yoga Trapeze Teacher Training course in San Diego -- The Yoga Trapeze Teacher Training course is conducted in beautiful Fallbrook, California. This quiet city is easily accessible from either Los Angeles or San Diego airports making it a convenient and affordable travel destination. Fallbrook is home base for Sage Yoga Studios, run by Yoga Trapeze certified teachers, Reyna and Lee Beckler. The weather is great, the cost travel is very reasonable, and the yoga studio is ideal for a training of this type. For passionate yoga students who love inversion yoga, this is an exciting opportunity to train with YOGABODY, the leading educator and manufacturer of inversion slings worldwide. The Yoga Trapeze is the most-popular yoga inversion sling ever with over 100,000 students in 81 countries. Despite the ever-growing demand, there are hardly any professional instructors—until now. Learn More
0403 Health Watch : Rhinitis in Springs
Rhinitis is irritation or inflammation of the mucous membrane inside the nose. When this happens during pregnancy it is termed pregnancy rhinitis. The main symptoms are sneezing, nasal congestion or running nose. This is a common ailment during pregnancy and affects between 9-40% of expecting moms. Pregnancy Rhinitis can start in almost any gestational week, but is most common in the third trimester, and disappears shortly after you have your baby. If you are pregnant and suffering from a stuffy nose, you are not alone. This episode discusses the causes of a stuffy nose and pregnancy rhinitis and what you can do to safely treat it during pregnancy.
1105 Science of Korean Medicine : Rhinitis(비염)
Acupuncture relieves sinus allergies (allergic rhinitis).
THIS WEEK’S TOPIC: Innovations in Treating Chronic Sinusitis Chronic sinusitis, a problem affecting as many as 50 million Americans, is an irritation of the sinus/nasal passages that lasts at least 12 weeks or longer. In the Southeast, the problem is very common due to our high average humidity and mild winters. These conditions lead […] The post Innovations in Treating Chronic Sinusitis – Top Docs Radio appeared first on Business RadioX ®.
Background: Asthma and allergies are world-wide common chronic diseases among children and young people. Little information is available about the prevalence of these diseases in rural areas of Latin America. This study assesses the prevalence of symptoms of asthma and allergies among children in urban and rural areas at Oropeza Province in Bolivia. Methods: The Spanish version of the ISAAC standardized questionnaire and the ISAAC video questionnaire were implemented to 2584 children attending the fifth elementary grade in 36 schools in Oropeza province (response 91%). Lifetime, 12 months and severity prevalence were determined for asthma, rhinitis and eczema symptoms. Odds ratios (OR) with 95% confidence intervals (95% CI) were calculated adjusting for age using generalized linear mixed-effects models. Results: Median age of children was 11 years, 74.8% attended public schools, and 52.1% were female. While children attending urban schools had lower prevalence of self-reported wheeze in the written questionnaire (adjusted OR 0.6; 95% CI 0.4-1.9), they were more likely than children attending rural schools to report wheeze in the video questionnaire (aOR 2.1; 95% CI 1.0-2.6). They also reported more frequently severe rhinoconjunctivitis (aOR 2.8; 95% CI 1.2-6.6) and severe eczema symptoms (aOR 3.3; 95% CI 1.0-11.0). Conclusion: Overall in accordance with the hygiene hypothesis, children living in urban areas of Bolivia seem to have a higher prevalence of symptoms of asthma and allergies compared to children living in the country side. In order to develop primary prevention strategies, environmental factors need to be identified in future studies.
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 15/19
Background: Asthma and allergies are world-wide common chronic diseases among children and young people. Little is known about prevalence and environmental and dietary risk factors of asthma and allergies among rural and urban school children in Bolivia. The aim of this study was to describe the prevalence, severity and risk factors associated with asthma, rhinoconjunctivitis, and eczema symptoms in children of school age in Oropeza Province – Bolivia. Methods: Overall, 2584 children (response 91%) attending fifth elementary grade in Oropeza province answered the written and the video questionnaire of the International Study on Asthma and Allergies in Childhood. Lifetime, 12 months and severity prevalence were determined for asthma, rhinoconjunctivitis and eczema symptoms. The associations between: environmental and dietary factors and symptoms of asthma, rhinoconjuctivitis and eczema symptoms were analysed using logistic regression analysis with adjustment for age, sex and place of living. Results: Median age of children was 11 years, 52% were female and 26% lived in rural areas. The prevalence of asthma symptoms was higher in the written (18%) than in the video questionnaire (6%). 22% of children reported symptoms of rhinoconjunctivitis and 9% eczema symptoms. Overall, rural children reported more frequently symptoms of asthma and allergies than urban children. Parental smoking (adjusted OR 1.3; 95%IC 1.0-1.6), presence of disease vectors at home (fourth quartile vs. first quartile: 1.5; 1.1-2.2) and farm animals (1.3; 1.0-1.6) were statistically significant predictors of asthma symptoms detected by the written questionnaire. The associations were similar for symptoms of rhinoconjunctivitis and eczema. A greater adherence to the Mediterranean Diet (MD) was inversely related with asthma symptoms in the video questionnaire (reference category: 1st quartile; second quartile 0.6; 0.3-0.9, third quartile 0.7; 0.4-1.2, fourth quartile 0.6; 0.3-1.0) Conclusion: Our results suggest that promoting a healthy diet and reducing exposure to modifiable risk factors like environmental tobacco smoke, precarious housing conditions and certain disease vectors would have a significant positive impact on asthma and allergies morbidity in children in this region.
Rhinitis and sinusitis (October 2011): Associate Editor Pedro Avila discusses recent JACI articles on rhinitis and sinusitis, with insights from the articles' authors.
Professor Richard Beasley discusses in a podcast results of the ISAAC-3 study, suggesting a strong association between paracetamol use in infancy and increased risk of asthma by age 6-7 years.
Objectives: Occupational exposures have been associated with an increased risk of new-onset rhinitis in apprentices. However, population-based prospective data are scarce and do not cover new onset of rhinitis later in life. The authors studied the association between occupational exposure and adult onset of rhinitis prospectively.Methods: The data of 4994 participants (age at follow-up 28--57 years) from 27 centres of the European Community Respiratory Health Survey II who were symptom-free at baseline were analysed. As outcome at follow-up self-reported (a) nasal allergies (``allergic rhinitis'') and (b) runny, blocked nose for 12 months a year (``perennial rhinitis'') were used. Occupational exposures at any time during follow-up were defined by job title.Results: The cumulative incidence of allergic rhinitis, perennial rhinitis and both conditions was 12%, 11% and 3%, respectively. Compared to office workers, male medical professionals were at increased risk of new onset of allergic rhinitis (OR 3.0; 95% CI 1.4 to 6.4). Odds ratios were reduced in metal workers not involved in metal making or treating (0.3; 95% CI 0.1 to 0.7). For perennial rhinitis ORs were significantly increased in cleaners (1.4; 95% CI 1.0 to 2.1).Conclusions: Cleaners and medical professionals may be at increased risk for adult-onset rhinitis.
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 07/19
In den letzten Jahrzehnten ist die Prävalenz von Asthma und atopischen Erkrankungen in der Allgemeinbevölkerung stetig gestiegen. Gleichzeitig haben auch beruflich bedingte Allergien und Asthma zugenommen und stehen nach wie vor an der Spitze der angezeigten Berufskrankheiten. Aktuelle Richtlinien raten Jugendlichen mit schwerem oder moderatem Asthma von Berufen mit hohem Asthmarisiko ab. Ziel der vorliegenden Arbeit war es, in einer prospektiven Kohortenstudie zu untersuchen, inwiefern Jugendliche mit atopischen Erkrankungen bereits eine Selbstselektion hin zu risikoarmen Tätigkeiten vornehmen. Es wurden hierfür die 1995/1996 erstmals im Rahmen der International Study of Asthma and Allergies in Childhood (ISAAC) befragten Teilnehmer aus Dresden und München nach sieben Jahren erneut kontaktiert. Die Probanden, die zum ersten Befragungszeitpunkt zwischen 9-11 Jahren alt waren, waren 2002/03 am Übergang zum Berufsleben. Mittels eines validierten Papierfragebogens wurden sie zu Atemwegssymptomen und atopischen Erkrankungen befragt. Zudem sollten sie ihre Berufswünsche nennen. Die Angaben zu den Wunschberufen wurden durch die Anwendung einer Job Exposure Matrix in Zusammenhang mit einer beruflichen Exposition sowie einem Asthmarisiko gebracht. Von den insgesamt 3782 Teilnehmern nannten 58% einen konkreten Berufswunsch. Dabei gaben 28% einen Beruf an, der mit einem hohem Asthmarisiko assoziiert war und 16% einen Beruf mit niedrigem Asthmarisiko. Für die restlichen Probanden war kein Asthmarisiko in den von ihnen angegeben Berufen zu vermuten. Es bestand kein Zusammenhang zwischen aktuellen Symptomen eines Asthmas, einer allergischer Rhinitis oder einer atopischen Dermatitis und der Wahl eines Berufes ohne Asthmarisiko. Vielmehr wählten Teilnehmer mit einer atopischen Dermatitis häufiger Berufe, in denen sie potentiell gegenüber Latex exponiert wären. Eine ausschließliche Betrachtung der Gruppe der Berufsfachschüler unter den Jugendlichen ergab ebenfalls keine statistisch signifikante Assoziation zwischen Asthma, allergischer Rhinitis oder atopischer Dermatitis und der Wahl eines Berufes mit Asthmarisiko. Die Ergebnisse der vorliegenden Studie lassen erkennen, dass Jugendliche bei ihrer Berufwahl atopische Erkrankungen bislang nicht berücksichtigen. Von einer wirksamen Berufsberatung kann somit nicht ausgegangen werden. Eine Ursache hierfür ist möglicherweise auch das Fehlen von evidenzbasierten Empfehlungen, die dem Berufsberater und Pädiater für die Berufswahl atopischer Jugendlicher zur Verfügung stehen.
Tierärztliche Fakultät - Digitale Hochschulschriften der LMU - Teil 03/07
Vorratsmilben sind in der Humanmedizin als Auslöser von allergischem Asthma und allergischer Rhinitis bekannt. Insbesondere Landwirte und Bäcker sind diesen Milben ausgesetzt, somit sind Personen dieser Berufsgruppen häufig gegen Vor-ratsmilben¬antigene sensibilisiert. Verschiedene Studien zeigen jedoch, dass Vor-ratsmilben auch unter sehr feuchten Wohnbedingungen in Haushalten auftreten und somit an der Hausstauballergie des Menschen beteiligt sein können. In der Tiermedizin werden Vorratsmilben und ihre Antigene neben Allergenen anderer Herkunft als Auslöser der atopischen Dermatitis des Hundes angesehen. Sowohl atopische als auch gesunde Hunde zeigen häufig erhöhte vorratsmilben¬spezifische IgE-Spiegel im Serum oder vorratsmilbenpositive Intrakutantests. Da Vorratsmilben in Trockenfutter vermutet werden, sind häufige Empfehlungen an Besitzer mit sensibilisierten Hunden ein kompletter Verzicht auf Trockenfutter oder Einfrieren desselbigen, um einen Allergenkontakt der Hunde zu minimieren und die Milbenkonzentration im Futter niedrig zu halten. Ziel dieser Studie war es herauszufinden, ob Hunde durch ihr Trockenfutter oder in ihrer direkten Umgebung Vorratsmilben ausgesetzt sind. Im ersten Teil dieser Studie wurden 23 Säcke mit Hundetrockenfutter von neun verschiedenen Herstellern auf eine Kontamination mit Vorratsmilben untersucht. Die Probennahme begann am Tag der ersten Öffnung des Sackes und wurde wö¬chentlich über einen Zeitraum von bis zu sechs Wochen fortgesetzt. Zusätzlich wurden acht Proben von alten Futterresten aus Futtertonnen und aus über ein Jahr lang gelagerten Futtersäcken in die Untersuchungen einbezogen. Die Proben wur¬den innerhalb der ersten 24 Stunden nach Entnahme zerkleinert und mikrosko¬pisch untersucht. Darauf folgte eine weitere Untersuchung in Form einer Flotation und anschließender mikroskopischer Untersuchung. Im zweiten Teil der Studie wurden Staubproben aus 20 unterschiedlichen Haus¬halten mit gesunden Hunden auf eine Kontamination mit Vorratsmilben unter¬sucht. Die Staubproben repräsentierten jeweils den Fressplatz und den Schlafplatz des Hundes in jedem Haushalt. Für die Probennahme wurde ein handelsüblicher Staubsauger mit einem Filteraufsatz eingesetzt. Die gewonnenen Staubproben wurden mittels Flotationsverfahren und anschließender mikroskopischer Untersu¬chung auf eine Kontamination mit Milben überprüft. Es wurden insgesamt 154 Futterproben untersucht. Sowohl die wöchentlich unter¬suchten Trockenfuttersäcke als auch die zusätzlich untersuchten Futterreste zeig¬ten keine Kontamination mit Vorratsmilben. In fünf der insgesamt 40 untersuchten Staubproben waren Milben verschiedener Spezies vorhanden. Jede positive Probe zeigte eine Kontamination mit mindestens einer Milbe. Sie wurden in vier Proben als Hausstaubmilben Dermatophagoides pteronyssinus, in einer Probe als Demodex sp. (kurzschwänzige Art) und in einer Probe als Vorratsmilbe identifiziert. Letztere Probe stammte von einem Fressplatz des Hundes eines Haushaltes. Diese Studie lässt vermuten, dass kommerzielles Hundtrockenfutter nicht mit Vorratsmilben kontaminiert ist. Ein geringer Gehalt an Vorratsmilben in Haus¬staub zeigt, dass Hunde Vorratsmilben eher durch Staub in der Umgebung ausge¬setzt sind. Da hohe vorratsmilbenspezifische IgE-Spiegel und positive Intrakutantests beim Hund keine Seltenheit darstellen, sind weitere Studien notwendig, um Vorratsmil-benanti¬gene in Trockenfutter und in der Umgebung zu bestimmen. Darüber hin-aus müssen zukünftige Untersuchungen Aufschluss darüber geben, ob bei positiv getesteten Hunden eine wirkliche Sensibilisierung gegen Vorratsmil¬ben vorliegt oder ob eine mögliche Kreuzreaktion zu Hausstaubmilben besteht.