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Engaging people at highest risk of an asthma attack 与哮喘发作风险最高的人群接触
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa3143
C. Broadbent, S. Christmas, S. Walker
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引用次数: 0
The effect of an asthma awareness campaign on social media users. 哮喘意识运动对社交媒体用户的影响。
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3137
Helmy Haja Mydin, S. Ampikaipakan, Shahid Shayaa, M. Partridge
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引用次数: 4
How to teach anesthesiologists and intensivists to perform bronchoscopy? Three years experience with practically directed workshops in the Czech Republic 如何教麻醉师和重症医师进行支气管镜检查?在捷克共和国有三年实际指导讲习班的经验
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3135
Hana Bartáková, M. Otáhal, V. Baca, J. Votruba
Introduction: An elementary knowledge of flexible bronchoscopy (FBSC) is required from anesthesiology and intensive care (AIC) physicians for the European Diploma of Intensive Care exam. Workshops for AIC physicians guided by pulmonologists are a reasonable form of education. Training on specially preserved cadaver is a good background for real bronchoscopy. Aim: Workshops "FBSC for AIC physicians" covered by the Czech Medical Council are organized by a team of pulmonologists and AIC specialists with experience of FBSC. It includes a hands-on videobronchoscopy on a cadaver preserved according to Prof. Thiel, keeping a native appearance of tissue suitable for the FBSC training. The participants complete a questionnaire maping their previous FBSC experience and impact of the workshop on their practise. Methods: Questionnaire e-mailed to alumni focused on impact of the workshop on their clinical practise and a need of their follow-up education Results: Nov. 2012 - Dec. 2015 we organized 12 FBSC workshops for 141 participants. From 98 questionnaires we obtained eg. following data: 77% of participants declare application of practical skills obtained in the workshop in their clinical practise,74% use the theoretical know-how, most of the participants appreciate balanced ratio of practical and theoretical syllabus, more than 90% expressed their wish to take a part in advanced training Conclusions: Education of AIC specialists is one of the possibility how to enlarge the pool of physicians performing FBSC on ICUs. Our workshops for AIC physicians are valuable particularly because of the hands-on training on specially preserved cadaver
简介:欧洲重症监护文凭考试要求麻醉学和重症监护(AIC)医生具备柔性支气管镜(FBSC)的基本知识。由肺科医生指导的AIC医生研讨会是一种合理的教育形式。专门保存的尸体训练为真正的支气管镜检查提供了良好的背景。目的:捷克医学委员会举办的"捷克共和共和共和医师FBSC "讲习班由具有FBSC经验的肺科专家和捷克共和共和共和共和国专家组成。根据Thiel教授的说法,它包括对保存的尸体进行手把手的视频支气管镜检查,以保持适合FBSC培训的组织的原始外观。参与者完成一份问卷,描述他们以前的FBSC经验和讲习班对他们实践的影响。方法:通过电子邮件向校友发送问卷,了解研讨会对其临床实践的影响以及对其后续教育的需求。结果:2012年11月- 2015年12月,我们组织了12次FBSC研讨会,共有141名参与者。从98份问卷中,我们获得了eg。数据显示:77%的学员表示将研修班学习到的实践技能运用到临床实践中,74%的学员运用到理论知识,大部分学员认为实践与理论教学大纲比例平衡,超过90%的学员表示希望参加进阶培训。结论:培训AIC专家是扩大在icu实施FBSC的医师队伍的可能之一。我们为AIC医生举办的讲习班很有价值,特别是因为对特殊保存的尸体进行了实际操作培训
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引用次数: 0
Assessment of Severe Asthma Management Practices among Pulmonologists and Allergists 肺科医生和过敏症医生严重哮喘管理实践的评估
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3142
E. Jackson, Keith J. Johnson, S. Dermer, R. Panettieri
Rationale: The objective of this study was to assess knowledge, competence and attitudes among pulmonologists and allergists regarding management of severe asthma. Methods: A continuing medical education (CME)-certified program consisting of 26 multiple-choice and Likert-scale questions derived from 2017 GINA recommendations (Global Strategy for Asthma Management and Prevention, 2017. Available from www.ginasthma.org) and literature, was hosted on the Medscape Education website. Participant responses were collected from June 29 to August 1, 2017. Confidentiality was maintained and responses were de-identified and aggregated prior to analyses. Results: 161 pulmonologists and 71 allergists participated. 58% of pulmonologists/75% of allergists self-reported high to very high levels of confidence in using guideline-based algorithms for treatment selection; yet only 35% of pulmonologists/51% of allergists are as confident in using asthma biomarkers. Assessing adherence to therapy is a first step for 83% of pulmonologists/75% of allergists in addressing poorly controlled symptoms; yet fewer than one-half of pulmonologists (44%) and allergists (45%) report assessing patient inhaler technique at each visit. 81% of pulmonologists/79% of allergists were unaware of detailed mechanisms of action regarding IL-5 targeted biologics. Fewer than one-half of clinicians assess asthma symptoms using a validated measurement scale at every visit; greater than one-quarter report using clinical impressions alone. Conclusion: Significant gaps regarding expert-recommended practices in severe asthma were identified among both groups. Educational interventions tailored to specific needs are warranted to address these gaps.
理由:本研究的目的是评估肺科医生和过敏症医生在严重哮喘管理方面的知识、能力和态度。方法:继续医学教育(CME)认证项目包括26个多项选择题和李克特量表问题,这些问题来自2017年GINA建议(全球哮喘管理和预防战略,2017)。可从www.ginasthma.org获得)和文献,由Medscape教育网站主办。参与者的回复于2017年6月29日至8月1日收集。保密并在分析前对回复进行去识别和汇总。结果:161名肺科医生和71名过敏症医生参与了调查。58%的肺科医生/75%的过敏科医生自我报告对使用基于指南的算法进行治疗选择有很高到非常高的信心;然而,只有35%的肺科医生/51%的过敏症医生对使用哮喘生物标志物有信心。评估治疗依从性是83%的肺科医生/75%的过敏症医生处理控制不良症状的第一步;然而,不到一半的肺科医生(44%)和过敏症专家(45%)报告在每次就诊时评估患者吸入器技术。81%的肺病科医生/79%的过敏科医生不知道IL-5靶向生物制剂的详细作用机制。不到一半的临床医生在每次就诊时使用有效的测量量表评估哮喘症状;超过四分之一的报告仅使用临床印象。结论:两组在重度哮喘的专家推荐做法方面存在显著差异。有必要针对具体需要采取教育干预措施,以解决这些差距。
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引用次数: 0
Patient-reported side effects of oral corticosteroids 患者报告的口服皮质类固醇的副作用
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa3144
C. Broadbent, P. Pfeffer, L. Steed, S. Walker
The toxic side effects of oral corticosteroids (OCS) have long been recognised. The need to show effectiveness of new, expensive, potentially steroid-sparing biological therapies for severe asthma requires objective measurement of steroid-induced complications. Existing questionnaires do not capture the myriad adverse effects on quality of life of corticosteroids such as agitation or poor sleep. To inform the development of a new OCS side effects questionnaire, we sought the views of people with asthma who had taken OCS. An online survey hosted on SurveyMonkey was shared with Asthma UK’s patient network through Facebook (>70k), Twitter (>39k) and the supporter mailing list (>80k). The survey asked people to report their experience of any of 29 symptoms collated from clinical and patient experience, and to report other side-effects not listed. 1,210 people with self-reported asthma responded, 92.5% of whom were on a daily dose of OCS or had had ≥2 asthma attacks requiring OCS in the previous year. The table below shows the 10 most frequently selected side effects and the percentage of respondents who selected each. These findings illustrate the impact of OCS on people with asthma. Results have been used to inform the development of a new side effects questionnaire for use in severe asthma services. It is important that patient-reported side effects are incorporated to fully evaluate clinical effectiveness.
口服皮质类固醇(OCS)的毒副作用早已被认识到。为了证明新的、昂贵的、可能不使用类固醇的严重哮喘生物疗法的有效性,需要对类固醇引起的并发症进行客观测量。现有的调查问卷并没有捕捉到皮质类固醇对生活质量的无数不良影响,如躁动或睡眠不佳。为了制定新的OCS副作用问卷,我们征求了服用OCS的哮喘患者的意见。在SurveyMonkey上进行的在线调查通过Facebook (>70k)、Twitter (>39k)和支持者邮件列表(>80k)与Asthma UK的患者网络共享。该调查要求人们报告他们从临床和患者经历中整理出来的29种症状中的任何一种的经历,并报告未列出的其他副作用。1210名自我报告的哮喘患者有反应,其中92.5%的人每日服用OCS或在前一年有≥2次需要OCS的哮喘发作。下表显示了10种最常被选择的副作用以及选择每种副作用的受访者的百分比。这些发现说明了OCS对哮喘患者的影响。研究结果已被用于制定用于严重哮喘服务的新副作用问卷。纳入患者报告的副作用以充分评估临床疗效是很重要的。
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引用次数: 2
The role of mobile apps in allergic respiratory diseases: an italian survey report 手机应用程序在过敏性呼吸道疾病中的作用:一份意大利调查报告
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.oa1642
C. Lombardi, M. Bonini, G. Passalacqua
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引用次数: 0
Comparison of COPD Management Practices with Expert Recommendations among Pulmonologists and Primary Care Providers 肺科医生和初级保健提供者COPD管理实践与专家建议的比较
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3141
E. Jackson, Keith J. Johnson, S. Dermer, F. Martinez
Rationale: Global Initiative for Chronic Obstructive Lung Disease (GOLD) COPD in 2017 recommended several important changes regarding assessment of exacerbation risk and selection of pharmacotherapy (Vogelmeier CF et al, Am J Respr Crit Care Med 2017;195(5):557-582). The objective of this study was to assess knowledge, competence and attitudes among pulmonologists and primary care providers (PCPs) regarding the interpretation of these recommendations using case-based scenarios. Methods: A continuing medical education (CME)-certified program consisting of 26 multiple-choice questions derived from GOLD 2017 recommendations, was hosted on the Medscape Education website. Participant responses were collected from July 25 to August 20, 2017. Confidentiality was maintained and responses were de-identified and aggregated prior to analyses. Findings: 209 pulmonologists and 220 PCPs participated. 51% of pulmonologists and 81% of PCPs were unaware that GOLD 2017 no longer considers lung function for staging and treatment selection. For a mild COPD case, 33% of pulmonologists and 33% of PCPs chose no pharmacotherapy. For moderate-severe COPD, 35% of pulmonologists and 39% of PCPs would consider ICS use outside of GOLD recommendations; 38% of pulmonologists and 46% of PCPs would maintain triple therapy in a symptomatic exacerbation-free patient versus a de-escalation strategy. Conclusion: Significant gaps regarding GOLD 2017 recommended practices were identified among both groups. Educational interventions tailored to specific needs are warranted to address these gaps.
理由:2017年全球慢性阻塞性肺疾病倡议(GOLD) COPD建议在评估恶化风险和药物治疗选择方面进行几项重要更改(Vogelmeier CF等,Am J Respr Crit Care Med 2017;195(5):557-582)。本研究的目的是评估肺科医生和初级保健提供者(pcp)在使用基于病例的情景解释这些建议方面的知识、能力和态度。方法:持续医学教育(CME)认证项目由26个多项选择题组成,这些选择题来源于GOLD 2017推荐,并在Medscape education网站上进行。参与者的回复于2017年7月25日至8月20日收集。保密并在分析前对回复进行去识别和汇总。结果:209名肺科医生和220名pcp参与。51%的肺科医生和81%的pcp不知道GOLD 2017在分期和治疗选择中不再考虑肺功能。对于轻度COPD病例,33%的肺科医生和33%的pcp不选择药物治疗。对于中重度COPD, 35%的肺科医生和39%的pcp会考虑在GOLD建议之外使用ICS;38%的肺科医生和46%的pcp会在无症状加重的患者中维持三联疗法,而不是降级策略。结论:两组在GOLD 2017推荐实践方面存在显著差异。有必要针对具体需要采取教育干预措施,以解决这些差距。
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引用次数: 0
Conceptualization of the clinical diagnosis components for digital coding in structured electronic data-bases of phthisiopulmonology. 细菌学电子结构化数据库中用于数字编码的临床诊断成分的概念化。
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3132
T. Lugovkina, T. Tulkova, S. Skornyakov, I. Medvinskiy, E. Egorov
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引用次数: 0
Comparative analysis of Respipedia, Nupedia and Wikipedia. Is it possible for Respipedia to avoid Nupedia's fate? Respipedia, Nupedia和Wikipedia的比较分析。Respipedia有可能避免Nupedia的命运吗?
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.oa1641
P. Napora, Sylwia Szromba, P. Napora
Introduction: Respipedia is a peer-reviewed medical wiki on respiratory medicine now open to the public having been on line from July 2015 with 66 articles in different stage of development, 129 contributors and average 3,3 edition monthly for lasy six months (Feb 2018). Aims and objectives: To compare two web based educational projects one succesful and one unsuccesful with Respipedia for determining its future and to propose possible improvements. Methods: Review of literature was preformed. Two widely analised projects were chosen one succesful (Wikipedia) and one unsuccesful (Nupedia). Both were compared to Respipedia. Results: Following problems were identified: (1) lack of clear target audience (common public, medical professionals, respiratory specialists) (2) low number of contributing authors (3) lack of clear authorship status (4) lack of clear revison status Conclusion: Opening for medical professionals willing to edit as a volunteers, preserving position of reviewers for ERS members seems to be essential. Introducing audit trail feature and visible reviewed status will allow to clear authorship and quality status of every article version. Publishing best articles considered as a "state of art" in indexed medical journal with impact factor should provide the pressure for quality.
简介:Respipedia是一个同行评议的呼吸医学医学wiki,现已向公众开放,从2015年7月开始上线,有66篇文章处于不同的发展阶段,129名贡献者,过去六个月(2018年2月)平均每月3,3版。目的和目标:比较两个基于网络的教育项目,一个成功,一个不成功,以确定其未来,并提出可能的改进。方法:进行文献复习。两个被广泛分析的项目被选择了一个成功的(维基百科)和一个不成功的(新百科)。两者都与Respipedia进行比较。结果:发现了以下问题:(1)缺乏明确的目标受众(普通公众、医学专业人员、呼吸内科专家);(2)投稿作者数量少;(3)缺乏明确的作者身份;(4)缺乏明确的修订身份。结论:开放医学专业人员自愿编辑,保留ERS成员审稿人的位置似乎是必要的。引入审计跟踪功能和可见的审查状态将允许明确每个文章版本的作者身份和质量状态。在具有影响因子的索引医学期刊上发表被认为是“最先进”的最佳文章应该为质量提供压力。
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引用次数: 0
Do medical and nursing students know correct use of Inhalers? Results of UPSIDE India study 医学和护理专业的学生知道吸入器的正确用法吗?上行印度研究的结果
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa3146
Ashwini Dhumal, M. Barne, S. Madas, S. Jadhav, J. Londhe, Madhuragauri Shevade, B. Ghosh, Noopur Hedawoo, Dilip D. Kadam, S. Meshram, A. Chandanwale, S. Khadse, S. Salvi
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引用次数: 1
期刊
Medical education, web and internet
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