Guidance to 2018 good practice : ARIA digitally-enabled, integrated, person-centred care for rhinitis and asthma

AimsMobile Airways Sentinel NetworK (MASK) belongs to the Fondation Partenariale MACVIA-LR of Montpellier, France and aims to provide an active and healthy life to rhinitis sufferers and to those with asthma multimorbidity across the life cycle, whatever their gender or socio-economic status, in order to reduce health and social inequities incurred by the disease and to improve the digital transformation of health and care. The ultimate goal is to change the management strategy in chronic diseases.MethodsMASK implements ICT technologies for individualized and predictive medicine to develop novel care pathways by a multi-disciplinary group centred around the patients.StakeholdersInclude patients, health care professionals (pharmacists and physicians), authorities, patient's associations, private and public sectors.ResultsMASK is deployed in 23 countries and 17 languages. 26,000 users have registered.EU grants (2018)MASK is participating in EU projects (POLLAR: impact of air POLLution in Asthma and Rhinitis, EIT Health, DigitalHealthEurope, Euriphi and Vigour).Lessons learnt(i) Adherence to treatment is the major problem of allergic disease, (ii) Self-management strategies should be considerably expanded (behavioural), (iii) Change management is essential in allergic diseases, (iv) Education strategies should be reconsidered using a patient-centred approach and (v) Lessons learnt for allergic diseases can be expanded to chronic diseases.Peer reviewe

Guidance to 2018 good practice: ARIA digitally-enabled, integrated, person-centred care for rhinitis and asthma

Aims: Mobile Airways Sentinel NetworK (MASK) belongs to the Fondation Partenariale MACVIA-LR of Montpellier, France and aims to provide an active and healthy life to rhinitis sufferers and to those with asthma multimorbidity across the life cycle, whatever their gender or socio-economic status, in order to reduce health and social inequities incurred by the disease and to improve the digital transformation of health and care. The ultimate goal is to change the management strategy in chronic diseases. Methods: MASK implements ICT technologies for individualized and predictive medicine to develop novel care pathways by a multi-disciplinary group centred around the patients. Stakeholders: Include patients, health care professionals (pharmacists and physicians), authorities, patient's associations, private and public sectors. Results: MASK is deployed in 23 countries and 17 languages. 26,000 users have registered. EU grants (2018): MASK is participating in EU projects (POLLAR: impact of air POLLution in Asthma and Rhinitis, EIT Health, DigitalHealthEurope, Euriphi and Vigour). Lessons learnt: (i) Adherence to treatment is the major problem of allergic disease, (ii) Self-management strategies should be considerably expanded (behavioural), (iii) Change management is essential in allergic diseases, (iv) Education strategies should be reconsidered using a patient-centred approach and (v) Lessons learnt for allergic diseases can be expanded to chronic diseases

Recent Forest Fire Related Accidents in Europe

Forest fires can cause injuries and death to fire fighters and to population affected by them. The analysis of these accidents can provide a better insight about their causes and circumstances and develop guidelines to improve safety of all those at the fire line. These events are also a challenge for researchers as we try to better understand how fire and people behave and with this knowledge contribute to avoid these accidents. Some recent cases involving fatal accidents in five different countries are described and analyzed in this book. Common elements among them are the fact that both several fatalities and fire eruptions occurred in all of them. The number of victims ranges from two in Palasca (France) accident to 27 in Arthemida (Greece) case and they include professional and well experienced fire fighters and members of the population, in some cases even children. May these cases be a reminder that every person can be endangered by forest fires and a call to enforce the common goal of preventing them.JRC.H.7-Land management and natural hazard

Scope - Volume 07, Number 18

Inside this issue: - School of Dentistry team leaves for Central America- Affiliation developed between University and Athens hospital- LL students named to committees- Funeral services held for longtime art professor- Controversial film produced by LLU public relations staff- Swim memberships open to employees- Let\u27s help those \u27forgotten Americans\u27- Loma Linda incorporation: register!- Letters to the Editor- 1971 Spectrum features four volume set; orders accepted- Longtime professor Dr. Kellogg dies- ACT Now (pictorial)- New parking permits assigned to LLU employees, faculty- University scientists report findings on bacterial viruses- East German church officials visit Loma Linda University- Thinking about donating your body to science? Forget it!- New social workers join LLU Hospital social service staff- School of Dentistry professor wins international film award- Biology professor participating in month-long seminarhttps://scholarsrepository.llu.edu/scope/1194/thumbnail.jp

The state of hepatitis B and C in Europe: report from the hepatitis B and C summit conference *

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/87185/1/j.1365-2893.2011.01499.x.pd

Acute lung injury in paediatric intensive care: course and outcome

Introduction: Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) carry a high morbidity and mortality (10-90%). ALI is characterised by non-cardiogenic pulmonary oedema and refractory hypoxaemia of multifactorial aetiology [1]. There is limited data about outcome particularly in children. Methods This retrospective cohort study of 85 randomly selected patients with respiratory failure recruited from a prospectively collected database represents 7.1% of 1187 admissions. They include those treated with High Frequency Oscillation Ventilation (HFOV). The patients were admitted between 1 November 1998 and 31 October 2000. Results: Of the 85, 49 developed acute lung injury and 47 had ARDS. There were 26 males and 23 females with a median age and weight of 7.7 months (range 1 day-12.8 years) and 8 kg (range 0.8-40 kg). There were 7 deaths giving a crude mortality of 14.3%, all of which fulfilled the Consensus I [1] criteria for ARDS. Pulmonary occlusion pressures were not routinely measured. The A-a gradient and PaO2/FiO2 ratio (median + [95% CI]) were 37.46 [31.82-43.1] kPa and 19.12 [15.26-22.98] kPa respectively. The non-survivors had a significantly lower PaO2/FiO2 ratio (13 [6.07-19.93] kPa) compared to survivors (23.85 [19.57-28.13] kPa) (P = 0.03) and had a higher A-a gradient (51.05 [35.68-66.42] kPa) compared to survivors (36.07 [30.2-41.94]) kPa though not significant (P = 0.06). Twenty-nine patients (59.2%) were oscillated (Sensormedics 3100A) including all 7 non-survivors. There was no difference in ventilation requirements for CMV prior to oscillation. Seventeen of the 49 (34.7%) were treated with Nitric Oxide including 5 out of 7 non-survivors (71.4%). The median (95% CI) number of failed organs was 3 (1.96-4.04) for non-survivors compared to 1 (0.62-1.62) for survivors (P = 0.03). There were 27 patients with isolated respiratory failure all of whom survived. Six (85.7%) of the non-survivors also required cardiovascular support.Conclusion: A crude mortality of 14.3% compares favourably to published data. The A-a gradient and PaO2/FiO2 ratio may be of help in morbidity scoring in paediatric ARDS. Use of Nitric Oxide and HFOV is associated with increased mortality, which probably relates to the severity of disease. Multiple organ failure particularly respiratory and cardiac disease is associated with increased mortality. ARDS with isolated respiratory failure carries a good prognosis in children

Scope - Volume 07, Number 18

Inside this issue: - School of Dentistry team leaves for Central America- Affiliation developed between University and Athens hospital- LL students named to committees- Funeral services held for longtime art professor- Controversial film produced by LLU public relations staff- Swim memberships open to employees- Let\u27s help those \u27forgotten Americans\u27- Loma Linda incorporation: register!- Letters to the Editor- 1971 Spectrum features four volume set; orders accepted- Longtime professor Dr. Kellogg dies- ACT Now (pictorial)- New parking permits assigned to LLU employees, faculty- University scientists report findings on bacterial viruses- East German church officials visit Loma Linda University- Thinking about donating your body to science? Forget it!- New social workers join LLU Hospital social service staff- School of Dentistry professor wins international film award- Biology professor participating in month-long seminarhttps://scholarsrepository.llu.edu/scope/1194/thumbnail.jp

Barnes Hospital Bulletin

https://digitalcommons.wustl.edu/bjc_barnes_bulletin/1188/thumbnail.jp