The journal of allergy and clinical immunology. In practice
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J Allergy Clin Immunol Pract · Nov 2013
Randomized Controlled Trial Multicenter StudyAnti-inflammatory treatment of atopic asthma guided by exhaled nitric oxide: a randomized, controlled trial.
Atopic asthma is characterized by Th2 cytokine-driven inflammation of the airway mucosa, which is signaled by the fraction of exhaled nitric oxide (FENO). ⋯ Use of FENO to guide anti-inflammatory treatment within primary care significantly reduced the exacerbation rate and improved asthma symptom control without increasing overall inhaled corticosteroid use.
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J Allergy Clin Immunol Pract · Nov 2013
Food-induced anaphylaxis among commercially insured US adults: patient concordance with postdischarge care guidelines.
Food-induced anaphylaxis is a potentially life-threatening condition that frequently results in emergency department (ED) visits and/or hospitalization. Little information is available on patient compliance with recommended postdischarge anaphylaxis care. ⋯ Concordance with recommended postdischarge anaphylaxis care was low among adults with food-induced anaphylaxis. Within 1 year after discharge, 54% of patients filled an EAI prescription and 22% consulted an allergist/immunologist.
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J Allergy Clin Immunol Pract · Nov 2013
High-fidelity hybrid simulation of allergic emergencies demonstrates improved preparedness for office emergencies in pediatric allergy clinics.
Simulation models that used high-fidelity mannequins have shown promise in medical education, particularly for cases in which the event is uncommon. Allergy physicians encounter emergencies in their offices, and these can be the source of much trepidation. ⋯ Clinical Emergency Preparedness Team Performance Evaluation scores demonstrated improved team management skills with simulation training in office emergencies. Significant recall of team emergency management skills was demonstrated months after the initial training.