Nearly Two-Thirds: asthma patients not receiving basic care

Nearly two-thirds of people with asthma are still not receiving the basic level of care despite claims it could prevent two out of three asthma deaths a year, according to a survey by Asthma UK. The study revealed a "frustrating" lack of progress in asthma care, following similar findings last year. Donna Green's son Tiernan was one of the UK's 1,200 asthma deaths in 2017. "As a mum who has lost a child to an asthma attack, I don't want any other parent to go through what we have." Donna, of County Armagh, added: "I didn't realise how serious asthma was, and I found out in the most devastating way, when my boy died in my arms." According to the survey, Northern Ireland had the best performance for basic asthma care across the UK, with 48.2% receiving basic care - and Donna maintains that Tiernan had been receiving satisfactory support for his asthma. At his inquest, the coroner said Tiernan had an asthma review lined up with his nurse, but tragically died before he had the chance to go. Yet Asthma UK's annual report - which surveyed 7,611 people - found that only 35% of patients with asthma in the UK are receiving the most basic level of asthma care. Basic care involves three key elements, as set out in national guidelines. They are: a yearly asthma check-up a written asthma action plan a lesson in how to use an inhaler There are 5.4 million asthma sufferers in the UK, including 1.1 million children. Based on the proportion of people in the survey who responded - and applied to the UK's asthma population as a whole - the charity believes 3.5 million asthma sufferers are not receiving basic care. A lack of basic care can be fatal. NHS data from the past four years shows, on average, someone is admitted to hospital for an asthma attack in the UK every eight minutes. 'Postcode lottery' Tiernan, was 20 when he died. "Tiernan came to my bedroom door, having an asthma attack, gasping for breath. He was pale, his lips had turned blue and he was taking his inhaler but it wasn't helping," said Donna. "I called an ambulance and was on the phone when he turned to me and said, 'mum I'm going to die tonight'. It was the most frightening moment of my life. "Tiernan collapsed on the floor and stopped breathing and I gave him CPR while my daughter continued talking to the paramedics, but he died before he got to hospital. "Losing Tiernan has left a big hole in our lives." Donna has joined forces with Asthma UK to campaign for better care. "Mums often tell me that doctors are brushing aside their worries about their children's asthma and they aren't being given what they need." Statistics show that asthma patients are four times more likely to be admitted to hospital for asthma if they don't have an asthma action plan. The use of written action plans has increased year on year since the Asthma UK's first annual survey in 2013, with nearly half of those surveyed in 2017 (43.9%) saying they now have have a written plan for managing their or their child's asthma. However, the 2017 survey found annual asthma reviews and inhaler technique checks have dipped. My miracle daughter died from asthma Grieving father's plea after asthma death Girl dies of asthma after being turned away by GP One in six people (15%) with asthma - an estimated 800,000 - said they received poor care, with wide variations geographically. While Northern Ireland recorded good figures, only 27% of sufferers in London and 26% in Wales received basic care compared, to the UK figure of 35%. The survey also found marked generational differences. A quarter of people aged 18 to 29 (25.1%) received basic asthma care, compared to 41.7% of people aged 70 to 79. Dr Samantha Walker, from Asthma UK, said: "There's a postcode lottery with millions not getting basic asthma treatment, despite the fact it is proven to save lives. "It shouldn't matter where you live - people with asthma should get a written plan to help them manage their asthma, a yearly review to check their medicine is working and help to ensure they are taking it properly." Dr Imran Rafi of the Royal College of GPs said: "This report recognises that we need better information sharing between primary and secondary care to improve the outcomes of patients with asthma, and we agree that this process needs to be more seamless to ensure patients are receiving the best possible care throughout. "It is also vitally important that patients understand their treatment and how to properly use equipment, such as inhalers, and we support any measures that encourage patients to feel more confident to manage their condition effectively and appropriately." An NHS England spokeswoman said: "GPs are best placed to provide appropriate asthma treatment and we are rolling out support to help them improve the diagnosis and treatment of the condition, including the development of local hubs that will make testing more effective."

Source: http://www.bbc.com/news/health-42773538

Belo Horizonte: Brazil declares yellow fever emergency in Minas Gerais

At least 15 people have died there since December. Many areas, including the state capital Belo Horizonte, have been affected. Brazil's south-eastern state of Minas Gerais has declared a public health emergency following a deadly outbreak of yellow fever. A mass vaccination program is in place in three southern states. But queues have formed outside clinics in Rio and Sao Paulo amid concerns that vaccines could run out. In neighboring Argentina, there have also been long queues for the vaccine in Buenos Aires and other cities as thousands of prospective tourists prepare to travel to Brazil for carnival. On Tuesday the WHO recommended that travelers to Sao Paulo state get a yellow fever vaccine before visiting. Minas Gerais has been the hardest-hit Brazilian state. The health emergency will be in place for six months and will allow local authorities to commission special services and buy in emergency materials. What is yellow fever? A woman receives a yellow fever vaccine at a public health post in Caratinga, in the south-eastern state of Minas Gerais, Brazil, on January 13, 2017. WHO advises people to get a vaccine at least 10 days before traveling to a yellow-fever area Caused by a virus that is transmitted to humans by mosquitoes Difficult to diagnose and often confused with other diseases or fevers Most people recover after the first phase of infection that usually involves fever, muscle and back pain, headache, shivers, loss of appetite, and nausea or vomiting About 15% of people face a second, more serious phase involving high fever, jaundice, bleeding and deteriorating kidney function Half of those who enter the "toxic" phase usually die within 10 to 14 days Source: WHO The WHO's advice is for all travelers to Sao Paulo to get a vaccination at least 10 days before traveling and to take measures to avoid mosquito bites. Brazilian Health Minister Antonio Nardi responded by saying that most people attending Brazil's carnival celebrations in February should be safe as they are held in large cities and not the rural and forested areas which have seen the biggest increase in yellow fever cases. Mr Nardi said Sao Paulo state authorities would speed up their vaccination campaign with the aim of vaccinating half of the state's population by the end of February. More than 45 million people live in Sao Paulo state.
 Source: http://www.bbc.com/news/world-latin-america-42763471

هل يجب على بعض النساء الحصول على تصوير الثدي بالأشعة السينية؟

تشير دراسة جديدة إلى عمر 30 عامًا.

ووجدت الدراسة التي قدمت اليوم في الاجتماع السنوي لجمعية الطب الاشعاعي في أمريكا الشمالية أن التصوير الشعاعي للثدي سنويا ابتداء من الساعة 30 يمكن أن تستفيد النساء الذين لديهم كثافة الثدي أو الأسرة أو التاريخ الشخصي لسرطان الثدي.

تم إجراء أكثر من 5 ملايين صورة لماموغرام في الولايات المتحدة.

تصوير الثدي الشعاعي هو سرطان الثدي. جمعية السرطان الأمريكية في سن 45 ، ثم كل سنتين ابتداء من سن 55.

وتقترح المجتمع أيضا امرأة يمكن أن يختار أن يكون تصوير الثدي بالأشعة السينية في أقرب وقت 40.

أمريكا الشمالية ، بما في ذلك الجمعية الإشعاعية لأمريكا الشمالية ، توصي بتصوير الثدي بالأشعة السينية سن سنوية.

"أو" "" "" "" "" "" "

سرطان الثدي ، سرطان الثدي ، سرطان الثدي ، سرطان الثدي ، سرطان الثدي وقالت سيندي لي ، وهي كاتبة الدراسة والأستاذ المساعد في قسم الأشعة في المركز الطبي لجامعة نيويورك لانغون ، لـ Healthline.

ويشير لي في عام 2018 ، الكلية الأمريكية للأشعة.

"" "" "" "" قالت. تقيِّم المخاطر

على الرغم من أن الكثير قد أجريت بحوث على 40-49 الفئة العمرية، وتقول لي انها كانت صعبة لدراسة النساء في نطاق 30-39 العمر، حيث أن معظم في هذه الفئة العمرية لا تحصل على تصوير الثدي بالأشعة السينية. لكن هذا لا يعني أنهم معرضون لخطر الإصابة بسرطان الثدي.

أكثر من 1000 امرأة دون سن الأربعين في الولايات المتحدة.

40 سنة أو أكثر. ومع ذلك ، فإن أي من مرضى سرطان الثدي الأحدث عولجوا مع د. . وقال لورين ناي ، أخصائي الأورام في مركز السرطان بجامعة كانساس ، لصحيفة "هيلث لاين".

ما وجدت الدراسة
في هذه الدراسة الأخيرة ، قمنا بتطوير دراسة في لي وآخرون (2003).

يمكن أن يحجب ثديي Ers الكثيفة التشوهات الخاطئة للثدي ، بما في ذلك سرطان الثدي. الرضّية ، وسرطان الثدي ، وخطر الاصابة بسرطان الثدي ، قال ular Lee Healthline.

لكن الرضاعة الطبيعية.

كثرة الثدي شائعة في النساء الأصغر سنا. وتشير تقديرات البحوث إلى أن 74 في المائة من النساء يمتلكن 40 في المائة من النساء في السبعينات. معظم النساء الذين تقل أعمارهم عن 40 ديهم أنسجة الثدي كثيفة.

الثدي من الثدي. النسيج متني تبدو بيضاء على التصوير الشعاعي للثدي. السرطان يمكن bunun فمن الصعب كشف في تلك مع كثافة الثدي.

ديانا ميغليوريتي ، دكتوراه ، أستاذ الإحصاء الحيوي في كلية الطب في جامعة كاليفورنيا ديفيس.

فحص النساء ذوات الثدي الكثيفة " فحص النساء في الثلاثينات مع الثدي الكثيف.


يشير  الحالية لجميع النساء مع تاريخ شخصي أن

أن