4 research outputs found

    Adherence issues related to sublingual immunotherapy as perceived by allergists

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    Objectives: Sublingual immunotherapy (SLIT) is a viable alternative to subcutaneous immunotherapy to treat allergic rhinitis and asthma, and is widely used in clinical practice in many European countries. The clinical efficacy of SLIT has been established in a number of clinical trials and meta-analyses. However, because SLIT is self-administered by patients without medical supervision, the degree of patient adherence with treatment is still a concern. The objective of this study was to evaluate the perception by allergists of issues related to SLIT adherence. Methods: We performed a questionnaire-based survey of 296 Italian allergists, based on the adherence issues known from previous studies. The perception of importance of each item was assessed by a VAS scale ranging from 0 to 10. Results: Patient perception of clinical efficacy was considered the most important factor (ranked 1 by 54% of allergists), followed by the possibility of reimbursement (ranked 1 by 34%), and by the absence of side effects (ranked 1 by 21%). Patient education, regular follow-up, and ease of use of SLIT were ranked first by less than 20% of allergists. Conclusion: These findings indicate that clinical efficacy, cost, and side effects are perceived as the major issues influencing patient adherence to SLIT, and that further improvement of adherence is likely to be achieved by improving the patient information provided by prescribers. © 2010 Scurati et al, publisher and licensee Dove Medical Press Ltd

    Scuola in piazza a levante

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    La Scuola e la Piazza a levante devono definire una nuova centralità: nel cuore della nuova città come motore per la valorizzazione della sua identità e per migliorare la qualità della vita dei suoi cittadini. Le attrezzature per lo sport e il parco pubblico devono essere un ecosistema integrato: devono ricreare, insieme alla dotazione sportiva, un microcosmo dell’ecosistema pugliese, con le sue tradizioni arboree ed agrarie, riletto e reinterpretato in base ai criteri di sostenibilità, di risparmio ed uso razionale delle risorse energetiche, della tutela dei valori ambientali, della permeabilità dei suoli, potenziando l’alberatura di specie, valorizzando il ruolo – non solo simbolico – e la presenza dell’acqua
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