ARIA 2016:Care pathways implementing emerging technologies for predictive medicine in rhinitis and asthma across the life cycle

The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative commenced during a World Health Organization workshop in 1999. The initial goals were (1) to propose a new allergic rhinitis classification, (2) to promote the concept of multi-morbidity in asthma and rhinitis and (3) to develop guidelines with all stakeholders that could be used globally for all countries and populations. ARIA-disseminated and implemented in over 70 countries globally-is now focusing on the implementation of emerging technologies for individualized and predictive medicine. MASK [MACVIA (Contre les Maladies Chroniques pour un Vieillissement Actif)-ARIA Sentinel NetworK] uses mobile technology to develop care pathways for the management of rhinitis and asthma by a multi-disciplinary group and by patients themselves. An app (Android and iOS) is available in 20 countries and 15 languages. It uses a visual analogue scale to assess symptom control and work productivity as well as a clinical decision support system. It is associated with an inter-operable tablet for physicians and other health care professionals. The scaling up strategy uses the recommendations of the European Innovation Partnership on Active and Healthy Ageing. The aim of the novel ARIA approach is to provide an active and healthy life to rhinitis sufferers, whatever their age, sex or socio-economic status, in order to reduce health and social inequalities incurred by the disease

ARIA 2016: Care pathways implementing emerging technologies for predictive medicine in rhinitis and asthma across the life cycle

The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative commenced during a World Health Organization workshop in 1999. The initial goals were (1) to propose a new allergic rhinitis classification, (2) to promote the concept of multi-morbidity in asthma a

Is diet partly responsible for differences in COVID-19 death rates between and within countries?

Correction: Volume: 10 Issue: 1 Article Number: 44 DOI: 10.1186/s13601-020-00351-w Published: OCT 26 2020Reported COVID-19 deaths in Germany are relatively low as compared to many European countries. Among the several explanations proposed, an early and large testing of the population was put forward. Most current debates on COVID-19 focus on the differences among countries, but little attention has been given to regional differences and diet. The low-death rate European countries (e.g. Austria, Baltic States, Czech Republic, Finland, Norway, Poland, Slovakia) have used different quarantine and/or confinement times and methods and none have performed as many early tests as Germany. Among other factors that may be significant are the dietary habits. It seems that some foods largely used in these countries may reduce angiotensin-converting enzyme activity or are anti-oxidants. Among the many possible areas of research, it might be important to understand diet and angiotensin-converting enzyme-2 (ACE2) levels in populations with different COVID-19 death rates since dietary interventions may be of great benefit.Peer reviewe

ARIA 2016 : Care pathways implementing emerging technologies for predictive medicine in rhinitis and asthma across the life cycle

The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative commenced during a World Health Organization workshop in 1999. The initial goals were (1) to propose a new allergic rhinitis classification, (2) to promote the concept of multi-morbidity in asthma and rhinitis and (3) to develop guidelines with all stakeholders that could be used globally for all countries and populations. ARIA-disseminated and implemented in over 70 countries globally-is now focusing on the implementation of emerging technologies for individualized and predictive medicine. MASK [MACVIA (Contre les Maladies Chroniques pour un Vieillissement Actif)-ARIA Sentinel NetworK] uses mobile technology to develop care pathways for the management of rhinitis and asthma by a multi-disciplinary group and by patients themselves. An app (Android and iOS) is available in 20 countries and 15 languages. It uses a visual analogue scale to assess symptom control and work productivity as well as a clinical decision support system. It is associated with an inter-operable tablet for physicians and other health care professionals. The scaling up strategy uses the recommendations of the European Innovation Partnership on Active and Healthy Ageing. The aim of the novel ARIA approach is to provide an active and healthy life to rhinitis sufferers, whatever their age, sex or socio-economic status, in order to reduce health and social inequalities incurred by the disease.Peer reviewe

Correlation between work impairment, scores of rhinitis severity and asthma using the MASK-air (R) App

Background In allergic rhinitis, a relevant outcome providing information on the effectiveness of interventions is needed. In MASK-air (Mobile Airways Sentinel Network), a visual analogue scale (VAS) for work is used as a relevant outcome. This study aimed to assess the performance of the work VAS work by comparing VAS work with other VAS measurements and symptom-medication scores obtained concurrently. Methods All consecutive MASK-air users in 23 countries from 1 June 2016 to 31 October 2018 were included (14 189 users; 205 904 days). Geolocalized users self-assessed daily symptom control using the touchscreen functionality on their smart phone to click on VAS scores (ranging from 0 to 100) for overall symptoms (global), nose, eyes, asthma and work. Two symptom-medication scores were used: the modified EAACI CSMS score and the MASK control score for rhinitis. To assess data quality, the intra-individual response variability (IRV) index was calculated. Results A strong correlation was observed between VAS work and other VAS. The highest levels for correlation with VAS work and variance explained in VAS work were found with VAS global, followed by VAS nose, eye and asthma. In comparison with VAS global, the mCSMS and MASK control score showed a lower correlation with VAS work. Results are unlikely to be explained by a low quality of data arising from repeated VAS measures. Conclusions VAS work correlates with other outcomes (VAS global, nose, eye and asthma) but less well with a symptom-medication score. VAS work should be considered as a potentially useful AR outcome in intervention studies.Peer reviewe

Next-generation ARIA care pathways for rhinitis and asthma : a model for multimorbid chronic diseases

Background In all societies, the burden and cost of allergic and chronic respiratory diseases are increasing rapidly. Most economies are struggling to deliver modern health care effectively. There is a need to support the transformation of the health care system into integrated care with organizational health literacy. Main body As an example for chronic disease care, MASK (Mobile Airways Sentinel NetworK), a new project of the ARIA (Allergic Rhinitis and its Impact on Asthma) initiative, and POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health), in collaboration with professional and patient organizations in the field of allergy and airway diseases, are proposing real-life ICPs centred around the patient with rhinitis, and using mHealth to monitor environmental exposure. Three aspects of care pathways are being developed: (i) Patient participation, health literacy and self-care through technology-assisted "patient activation", (ii) Implementation of care pathways by pharmacists and (iii) Next-generation guidelines assessing the recommendations of GRADE guidelines in rhinitis and asthma using real-world evidence (RWE) obtained through mobile technology. The EU and global political agendas are of great importance in supporting the digital transformation of health and care, and MASK has been recognized by DG Sante as a Good Practice in the field of digitally-enabled, integrated, person-centred care. Conclusion In 20 years, ARIA has considerably evolved from the first multimorbidity guideline in respiratory diseases to the digital transformation of health and care with a strong political involvement.Peer reviewe

ARIA 2016: Care pathways implementing emerging technologies for predictive medicine in rhinitis and asthma across the life cycle

The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative commenced during a World Health Organization workshop in 1999. The initial goals were (1) to propose a new allergic rhinitis classification, (2) to promote the concept of multi-morbidity in asthma and rhinitis and (3) to develop guidelines with all stakeholders that could be used globally for all countries and populations. ARIA-disseminated and implemented in over 70 countries globally-is now focusing on the implementation of emerging technologies for individualized and predictive medicine. MASK [MACVIA (Contre les Maladies Chroniques pour un Vieillissement Actif)-ARIA Sentinel NetworK] uses mobile technology to develop care pathways for the management of rhinitis and asthma by a multi-disciplinary group and by patients themselves. An app (Android and iOS) is available in 20 countries and 15 languages. It uses a visual analogue scale to assess symptom control and work productivity as well as a clinical decision support system. It is associated with an inter-operable tablet for physicians and other health care professionals. The scaling up strategy uses the recommendations of the European Innovation Partnership on Active and Healthy Ageing. The aim of the novel ARIA approach is to provide an active and healthy life to rhinitis sufferers, whatever their age, sex or socio-economic status, in order to reduce health and social inequalities incurred by the disease

Analiza planów zawodo wych i opiniistu dentów ostat niego roku studiów I stopnia reprezentujących wybrane kraje Europy na temat zatrudnienia w zawodzie fizjotera peuty

Background. Many factors, including legal regulations pertaining to the practice of physiotherapy and employment possibilities, can influence the vocational plans of physiotherapy graduates. The aim of the study was to analyse the vocational plans of students in selected European countries. Material and methods. 299 students: 20 from Bulgaria (BG), 100 from Spain (ES), 21 from Latvia (LV), 58 from Turkey (TUR), and 100 from Poland (PL), 225 females, with a mean age of 23.05 years (SD: 2.71; min/max: 21-39). An anonymous, voluntary questionnaire in national langua¬ges. Statistica 9.0, Kruskall-Wallis test, p<0.05. Results. Most PL students (58%) wanted to enrol in a second-cycle programme, ES (58%) wanted to take up work, TUR (48%) to continue education by attending training courses (p<0.01). TUR declared familiarity with employment opportunities more frequently (86%) than PL (31%) and ES (63%) (p<0.01). TUR declared more frequently (96%) than their PL (10%) and ES counterparts (22%) that it was easy to find work in their country (p<0.01). PL, ES and TUR were most likely to declare that it was easy to find work in EU countries. Conclusions. 1. Students believe that finding a job is easier in other EU countries than their own and so, when they enter university, they plan to look for a job abroad or they count on an improving situation on the domestic job market. 2. A professional information service on job opportunities in EU countries should be developed offering objective employment information for physiotherapists in EU. it should include predictions covering the next 3-4 years. © MEDSPORTPRESS, 2012

Aktywność fizyczna studentów kierunku fizjoterapia Warszawskiego Uniwersytetu Medycznego

Background. Regular physical activity allows maintenance of physical fitness at an optimal level and also contributes to greater care for other elements of a healthy lifestyle. The promotion of physical activity should be one of the tasks of health professionals, including physiotherapists. The aim of this study was to assess physical activity levels of physiotherapy students. Material and methods. This study involved 853 students (634 women and 219 men) of the Faculty of Physiotherapy of the Medical University of Warsaw (444 first-year students and 409 second-year students). The research tools were the International Physical Activity Questionnaire – short version (IPAQ-SF) and the author’s own survey to obtain information on the type of physical activity and reasons for taking it up or not. Results. Men had significantly higher levels of physical activity than women (p<0.001). The physical activity levels of second-year female students were higher than those of first-year female students (p=0.026). Among men, there was no significant difference between first and second-year students. Conclusions. More than half of those surveyed do not engage in any physical activity outside of curriculum activities. The results obtained in this study may form the basis for continuing research with the participation of various groups of subjects and using more advanced technologies and research tools.Wprowadzenie. Regularna aktywność fizyczna pozwala na utrzymanie wydolności fizycznej na optymalnym poziomie, a ponadto przyczynia się do większej dbałości o inne elementy zdrowego stylu życia. Propagowanie aktywności fizycznej powinno być jednym z zadań pracowników służby zdrowia, w tym fizjoterapeutów. Celem badania była ocena poziomu aktywności fizycznej studentów fizjoterapii. Materiał i metody. W badaniu wzięło udział 853 studentów (634 kobiet i 219 mężczyzn) kierunku fizjoterapia Warszawskiego Uniwersytetu Medycznego (444 studentów pierwszego roku oraz 409 studentów drugiego roku). Narzędziami badawczymi były Międzynarodowy Kwestionariusz Aktywności Fizycznej – wersja krótka (IPAQ-SF) oraz autorska ankieta służąca uzyskaniu informacji dotyczącej rodzaju aktywności fizycznej oraz motywów jej podejmowania lub niepodejmowania. Wyniki. Mężczyźni charakteryzowali się istotnie wyższym poziomem aktywności fizycznej niż kobiety (p<0,001). Poziom aktywności fizycznej studentek drugiego roku był wyższy niż u studentek pierwszego roku (p=0,026). Wśród mężczyzn nie stwierdzono istotnych różnic między studentami pierwszego i drugiego roku. Wnioski. Ponad połowa badanych nie podejmuje żadnej aktywności fizycznej poza zajęciami programowymi. Uzyskane w niniejszej pracy wyniki mogą stanowić podstawę kontynuowania badań z udziałem różnych grup badanych oraz z wykorzystaniem bardziej zaawansowanych technologii i narzędzi badawczych

Analysis of satisfaction in studying physiotherapy among students from selected European countries in their final year

The organisation of degree programmes in European countries differs with duration of the programme, number and content of hours of courses. The aim of this study was to assess the degree of satisfaction with studying in students. 299 final-year students from 5 countries: 20 from Bulgaria (BG), 100 - Spain (ES), 21 - Latvia (LV), 58 - Turkey (TUR), and 100 - Poland (PL). An anonymous and voluntary questionnaire designed by the authors in national languages. The response rate: 86%. Statistica 9.0, the Kruskall-Wallis test, p < 0.05. While most students would choose to study Physiotherapy again, fewer PL would choose the same university (p < 0.05). 42%PL, 50%ES, 22% TUR stated that the number of class hours of practical courses was too low (p < 0.05). 39%PL, 58%ES, 22%TUR believed that the time of direct work with patients was too short (p < 0.05). TUR (4.13) declared a higher level of satisfaction with studying than PL (3.73) and ES (3.95) (p < 0.05). ES rated their competence in basic clinical areas as lower (p < 0.001) than PL and TUR. More ES (44%) than PL (24%) and TUR (37%) felt well-prepared to look for work (p < 0.05). Conclusion: 1 .The organization of a degree programme may influence the level of satisfaction with studying. 2. Regardless of the organization of a degree programme, it is necessary to increase the number of class hours of practical courses and the number of hours devoted to supplying students with qualified information about the latest methods in physiotherapy