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Training programme on Pediatric Asthma: What is the impact of a 1 day training programme in improving level of knowledge about Asthma amongst practicing pediatricians in India? 儿童哮喘培训计划:1天的培训计划对提高印度执业儿科医生的哮喘知识水平有何影响?
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3149
M. Barne, Noopur Hedawoo, N. Kale, S. Madas, S. Salvi, Madhuragauri Shevade
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引用次数: 0
Asthma care pathway 哮喘护理途径
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3139
C. Rolland, M. Sapéne
Introduction: Asthme & Allergies Helpline regularly receives asthma patients’ testimonies describing problems in their care pathway. Asthme & Allergies decided to carry out a survey to verify the information and to collect patients quotes. Method: A 10 question questionnaire self-administered via Survey Monkey was proposed to patients on Asthme & Allergies website between 29/05 & 7/07/2017 Results: 246 answers were collected. 79.7% of respondents are women. 32.9% are under 30, 45.9% between 31 and 50, and 21.2% over 50 years old. 65% report a follow-up by a GP, 34% by a pulmonologist in private practice, 29% by a hospital pulmonologist, 26% by an allergist. The frequency of visits is every 3 months for 32.5%, twice a year for 25.6%, once a year for 21.1%, every month for 10.1%. 79.3% got lung function tests and 78.9% allergy tests. 49.6% received an emergency action plan. 44.9% were hospitalized for their asthma, and only 51% of them left hospital with an appointment with a pulmonologist. Medical follow-up for asthma is considered as non-existent for 9.7%, insufficient for 29.54%, correct for 32.07%, satisfactory for 18.57%, very satisfactory for 10.13% Conclusion: The quotes show that respondents are mainly people with severe asthma, which explains the high rate of lung function & allergy tests and hospitalizations. Patients express their difficulty in getting a diagnosis, they specify that the appointment with a pulmonologist was often taken at their own initiative, and the delays for an appointment are too long. They also say that asthma is not taken seriously enough. This survey drew our attention on the need to develop adapted tools to optimize diagnosis, patient pathway and access to specialists.
简介:哮喘和过敏热线定期收到哮喘患者的证词,描述他们的护理途径的问题。Asthme & allergy决定进行一项调查,以核实信息并收集患者的报价。方法:于2017年5月29日至7月7日期间,通过Survey Monkey对哮喘与过敏网站的患者进行问卷调查,问卷共10个问题。79.7%的受访者是女性。30岁以下占32.9%,31 - 50岁占45.9%,50岁以上占21.2%。65%的人报告由全科医生随访,34%由私人执业的肺科医生随访,29%由医院肺科医生随访,26%由过敏症专科医生随访。就诊频率为每3个月一次(32.5%),一年两次(25.6%),一年一次(21.1%),每月一次(10.1%)。79.3%做了肺功能检查,78.9%做了过敏检查。49.6%收到了紧急行动计划。44.9%的人因哮喘住院,其中只有51%的人在出院时预约了肺科医生。9.7%的人认为不存在哮喘医学随访,29.54%的人认为不充分,32.07%的人认为正确,18.57%的人认为满意,10.13%的人认为非常满意。结论:从引文中可以看出,被调查者主要是重度哮喘患者,这也解释了肺功能和过敏检查和住院率高的原因。患者表达了获得诊断的困难,他们指出,与肺病专家的预约通常是他们自己主动提出的,而且预约延误的时间太长。他们还说,哮喘没有得到足够的重视。这项调查引起了我们的注意,需要开发适应的工具来优化诊断,患者路径和获得专家。
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引用次数: 0
The impact of a dedicated multidisciplinary social media team at a national critical care conference 一个专门的多学科社交媒体团队在全国重症监护会议上的影响
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3140
R. Moses, Aoife Abbey, N. Arora, Roberta C. Cronin, S. Mathieu, G. Suntharalingam, Jamie Strachan, Tanjinder S Sanghera, J. Downham
Introduction: Social media is a powerful product of this generation. In the last five years alone the number of ‘tweets’ sent per day has increased by a factor of 100,000. 500 million ‘tweets’ are now sent per day. Using a designated twitter ‘hashtag’ allows a conference to promote interaction before during and after the event Aim: To assess the impact and reach of the annual Intensive Care Society (ICS) conference by instituting a dedicated social media (SoMe) team Method: A dedicated SoMe team, modelled with aim of representing the critical care multidisciplinary team, was set-up approximately one year in advance. The approach included early adoption of a single official hashtag which was registered with ‘Symplur’, an online platform that collates and provides analytics for hashtags. We integrated ‘twitter moderators’ into every session, live-streamed delegates’ tweets on screens, created real-time infographics on the talks and also used our hashtag to encourage attendance at networking/social events. We had facilities for creating live stream and recorded interviews with speakers. We also created daily ‘summing up’ videos which were uploaded across facebook, youtube, periscope and twitter. Results: The impact of a dedicated SoMe team: *The number of paying delegates to the conference was 1061 Conclusions: A multi-professional SoMe team significantly increased the impact and reach of a national intensive care conference in the UK. This approach could be adopted for other international conferences to share education, learning and involvement in the future.
引言:社交媒体是这一代人的强大产品。仅在过去的五年里,每天发送的“推文”数量就增加了10万倍。现在每天有5亿条“推文”被发送。使用指定的twitter“话题标签”可以促进会议在活动前后的互动目的:通过建立一个专门的社交媒体(SoMe)团队来评估年度重症监护学会(ICS)会议的影响和范围。方法:一个专门的社交媒体团队,以代表重症监护多学科团队为目标,大约提前一年建立。该方法包括早期采用一个在“Symplur”上注册的官方标签,Symplur是一个整理和提供标签分析的在线平台。我们在每次会议中都集成了“推特主持人”,在屏幕上直播代表们的推文,在会谈中创建实时信息图表,并使用我们的标签来鼓励参加网络/社交活动。我们有设备来创建直播流和录制对演讲者的采访。我们还每天制作“总结”视频,上传到facebook、youtube、periscope和twitter上。结果:一个专门的SoMe团队的影响:*参加会议的付费代表人数为1061人。结论:一个多专业的SoMe团队显著提高了英国全国重症监护会议的影响和覆盖面。其他国际会议也可以采用这种办法,以便将来分享教育、学习和参与。
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引用次数: 0
Development of a shared decision-making tool to support patients and their healthcare provider in choosing the best inhaler device 开发共享决策工具,以支持患者及其医疗保健提供者选择最佳吸入器装置
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.OA1643
E. Metting, L. Dijk, Halima El Messlaki, J. Luers, Janwillem Kock
Background: Successful inhaled therapy is hardly achieved in daily practise due to frequent incorrect inhaler use and inadequate adherence. Shared decision making(SDM) by patient and healthcare provider might enhance adherence and self-efficacy in patients. Aim: To develop an online tool that can be used to support the choice of an inhaler that matches patients’ needs and preferences Method: 452 asthma/COPD patients completed a questionnaire (64% female, 74% between 50 and 75 years) with questions about “inhaler satisfaction” and “inhaler preferences” to detect relevant inhaler characteristics. These characteristics were used to develop the online SDM tool. According to the questionnaire we developed an balanced overview of (dis)advantages for each inhaler group. The tool was developed in Qualtrics. Results: Patients considered “dose counter,” “feedback mechanism,” “environmental friendly,” “ Conclusion: It was possible to create an easy to use, online SDM tool. Our tool can empower patients in choosing their inhaler. The efficacy of this tool needs to be evaluated in clinical practice.
背景:在日常实践中,由于吸入器使用频繁不正确和依从性不足,很难实现成功的吸入治疗。患者和医疗保健提供者共同决策(SDM)可能会提高患者的依从性和自我效能。方法:452例哮喘/慢性阻塞性肺病患者完成了一份问卷(64%为女性,74%在50 - 75岁之间),问卷中包含“吸入器满意度”和“吸入器偏好”的问题,以发现相关的吸入器特征。利用这些特点开发了在线SDM工具。根据调查问卷,我们对每个吸入器组的(dis)优势进行了平衡的概述。该工具是在Qualtrics中开发的。结果:患者认为“剂量计数器”、“反馈机制”、“环境友好”、“结论:创建一个易于使用的在线SDM工具是可能的。我们的工具可以帮助患者选择他们的吸入器。该工具的疗效需要在临床实践中进行评估。
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引用次数: 5
Assessment of senior medical students in the field of bronchial asthma. Final results of the study ASSA (2014-2016) 高年级医学生支气管哮喘领域的评估。研究ASSA的最终结果(2014-2016)
Pub Date : 2014-09-01 DOI: 10.1183/13993003.congress-2019.pa1475
R. Bontsevich, K. Vlasova, G. Ketova, V. Barysheva, E. Luchinina, M. Malkina, N. Goncharova, Yu. V. Feoktistova
The aim of study is to estimate the knowledge of medical students at the senior courses of higher schools in the key aspect of bronchial asthma (BA).Materials and methods . The multicentre study was conducted in the Russian Federation in 6 cities (Belgorod, Chelyabinsk, Saratov, Samara, Voronezh & Vladivostok), 139 of higher grade (4th-6th grade) medical students were tested. Knowledge of key aspects of bronchial asthma such as definition, pathogenesis, diagnostics and treatment was evaluated through the means of a questionnaire consisting of 12 questions. These questions were a mix of multi choice and anecdotal.Results . The average level of correct answers totaled 72.4% and varied from 58.6% to 88.2% in different centers. The most difficult questions were the following: BA definition (43.2% of correct answers), key factor of BA pathogenesis (63.3%), peak flowmetry as the main method of BA self-control (61.9%), fixed combinations of drugs (62.6%).The best results were shown when defining the following: trigger in the development of an asthmatic attack (89.2%), the main method of BA diagnosis (89.2%), variants of BA severity (87.1%), status asthmaticus (94.2%).Conclusion . Despite the availability of plenty training and scientific literature in bronchial asthma field the level of knowledge in this area cannot be admitted as satisfactory. The level of incorrect answers to basic questions reaches 41.4% in the certain centers. Thus bronchial asthma subject should be studied more thoroughly in the medical higher schools.
摘要本研究旨在了解高等学校高年级医学生对支气管哮喘(BA)关键知识的了解情况。材料和方法。这项多中心研究是在俄罗斯联邦6个城市(别尔哥罗德、车里雅宾斯克、萨拉托夫、萨马拉、沃罗涅日和符拉迪沃斯托克)进行的,对139名高年级(4 -6年级)医科学生进行了测试。通过一份包含12个问题的问卷,对支气管哮喘的定义、发病机制、诊断和治疗等关键方面的知识进行评估。这些问题是多种选择和轶事的混合体。结果。平均答对率为72.4%,不同中心答对率从58.6%到88.2%不等。最难回答的问题为:BA定义(43.2%)、BA发病的关键因素(63.3%)、峰流量法作为BA自我控制的主要方法(61.9%)、固定联合用药(62.6%)。当确定哮喘发作的触发因素(89.2%)、BA诊断的主要方法(89.2%)、BA严重程度的变异(87.1%)、哮喘状态(94.2%)时,结果最好。结论。尽管在支气管哮喘领域有大量的培训和科学文献,但这一领域的知识水平不能令人满意。在某些考点,基本问题的错误率达到41.4%。因此,高等医学院校应加强对支气管哮喘学科的深入研究。
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引用次数: 2
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Medical education, web and internet
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