Intervertebral disc disease (IVDD) is a common problem encountered in veterinary practice. The primary goal in treating animals with IVDD should be to relieve nerve root and spinal cord compression, thereby retaining or regaining normal neurologic function. Methods of nonsurgical management include corticosteroid medication, nonsteroidal anti-inflammatory drugs, acupuncture therapy, and ...

Patients with mediastinal emphysema and free air in the cervical region often present to an emergency medicine department, where an otolaryngologist-head and neck surgeon may be consulted for a surgical opinion. These occasions underscore the necessity that the disease be thoroughly understood and that conservative management be executed. Two patients ...

An EEC Working Party has investigated death certification of respiratory disease in eight EEC countries by sending ten standard case histories to a sample of certifying doctors in each country. Results of interest to clinicians with reference to certification of farmer's lung, and of obstructive airway diseases, are presented. For ...

One hundred and twenty-two asthmatic patients were identified with the help of a microcomputer in a Belfast practice of 3140. Thirteen different diagnostic labels were found to be used with up to five different labels used for a single patient. Inadequate treatment was found in a small number of patients, ...

In this paper we discuss how patients cope with asthma and suggest that individuals use medical advice selectively in a manner they consider appropriate to their personal and social circumstances. Use of medical services is influenced by patients' perception of the effectiveness of medical therapies, concern about the long-term use ...

The financial impact of childhood asthma has not been assessed since Vance and Taylor reported their data in Annals of Allergy 13 years ago. The present study updates the financial impact the direct costs (e.g., physician fees) have on families and assesses the indirect expenditures (e.g., income loss) associated with ...

Chronic rhinitis/sinusitis in the cat can be an annoying, persistent problem. Intermittent sneezing with mucopurulent discharge is the most common clinical sign. Response to medical management is variable, and some cats will spontaneously resolve. In the cat with unresponsive chronic rhinitis/sinusitis, surgical intervention may be attempted in order to relieve ...

Of all the controversial topics in the management of cerebrovascular diseases the subject of transient ischemic attacks is perhaps the most controversial. A preponderance of literature related to the subject, reflecting a remarkable degree of interest in the topic, is a result of this controversy. Each conclusion serves to stimulate ...

A clinical trial, with historical controls, as of way of conceptualizing labile asthma, which in my experience has proven useful in planning long term ambulatory management, in communicating with and enlisting the support of referring physicians, and in enlisting patient confidence and cooperation in home monitoring and medical management of ...

In a survey of 50 young asthmatic patients it was found that 35 (70 per cent) recognized a sensation of itching of the lower face, or anterior neck, in association with their asthmatic attacks. Sixteen (32 per cent) said that the itching closely preceded subjective wheezing, and 15 (30 per ...

The use of flexible fiberoptic bronchoscopy has given a chance to deeper visualization of the bronchial tree. For this reason, the classical bronchial nomenclature becomes much more annoying when denominating pathological processes located in the most peripheral bronchi. The authors suggest a new nomenclature for an easier and more practical ...

A detailed appraisal of the British seafarer and his way of life is described and the prevailing management of sexually transmitted disease in the seafarer is outlined. It is shown that the available statistics on the incidence of sexually transmitted disease among seafarers are inadequate. Management at sea and ashore ...

The present recommended dose of benorylate is not satisfactory for the management of children suffering from inflammatory polyarthritis. A starting dose of 200 mg/kg/day should be used, and the salicylate level checked at seven days and the dosage adjusted to give an anti-inflammatory effect-that is, a blood salicylate level of ...

Forty-three patients with chronic myeloid leukaemia have been treated with hydroxyurea in order to be subjected to leucopheresis for white cell transfusions. Hydroxyurea decreases leucocytosis when it is administered and the blood granulocyte number increases soon after the drug is stopped. The survival of the patients is not different from ...

A Chronic Illness Register (CIR) has been developed by modifying the E-Book. The CIR is the cornerstone of a system of monitoring 19 chronic health problems in our clinical practice. It has also become the vehicle for a prospective study on the longterm management of chronic illness. In nine months ...

Asthma, seen primarily as an inflammatory disease with secondary airway hyper-responsiveness, causes symptoms through contraction of the airway's smooth muscles. The management of chronic asthma relies on bronchodilators for symptomatic relief of bronchospasm, while primary therapy is used to either prevent or reverse the inflammatory component of the disease. Anti-inflammatory ...

Asthma is a common chronic disease that carries considerable costs both to the individual and to the NHS, despite the availability of effective treatments. All nurses will encounter patients with asthma during their professional careers; therefore, a basic understanding of asthma and its management is required. Asthma responds well to ...

PURPOSE: Social Cognition Theory and the cognitive construct of self-efficacy often form the theoretical basis for many chronic disease self-management programmes. Self-efficacy can be influenced through these programmes and has been shown to be predictive of greater levels of functioning and psychological well-being. Stroke is regarded as a complex chronic ...

Asthma is a disease with an increasingly high incidence in the UK, tragically accounting for almost 2000 UK deaths per year (Jones and Morris, 1997). Acute severe asthma is potentially life-threatening, necessitating immediate assessment and management. This article covers the main types of asthma, the pathophysiology of asthma, and the ...

Current literature supports the use of self-management plans in childhood asthma. The aim of this article is to describe the purpose of such plans. It gives step-by-step advice on how to prepare an individualized management plan and discusses important considerations on how they can best be implemented in clinical practice.

Empowering patients to manage their own asthma needs a time commitment from nurses but pays dividends in terms of symptom control and patients' quality of life. Asthma management plans need to be tailored to individual patients. Active management of the condition can reduce hospital admissions, visits to A&E, GP visits ...

BACKGROUND: Accurate record keeping can enhance patient care by promoting continuity and consistency of management, and aid evaluation of clinical practice. To improve paediatric asthma management, the paediatric respiratory team in a large district general hospital developed a pre-printed asthma review sheet (pro forma) for use at asthma follow-up clinics ...

Asthma and allergic rhinitis are two of the most common manifestations of allergy. The conditions have similar aetiologies, and genetic and environmental influences. There is increasing evidence that asthma and allergic rhinitis frequently co-exist, this article discusses the pharmacological management of these conditions, whether they exist independently or simultaneously. Correct ...

In 13 patients with allergic asthma disodium cromoglycate protected fully only two from an allergen-induced asthmatic attack.Inhalation of disodium cromoglycate did not improve lung function in five patients with long-standing chronic asthma.Previous clinical trials do not show convincing evidence that this drug improves bronchial asthma in a high percentage of ...

by Roberts Bartholow.