Importance of education in bronchial asthma treatment — gender differences

Introduction: Despite significant progress in understanding mechanisms and effective treatment there are still therapeutic failures in patients treated for bronchial asthma. Education is vital in the therapeutic process. It improves the control of the disease at the individual level by influencing the adherence and compliance. Material and methods: The study included 100 patients suffering from bronchial asthma and treated according to GINA 2002 guidelines in Allergy Clinic. Asthma control test (ACT), analysis of patients’ medical documentation and a self-constructed questionnaire concerning health promotion and education were used in the study. Aim of this work was to assess differences in the influence of education on results of bronchial asthma control between sexes. Results: Average duration of asthma was similar in women and men (13.0 ± 11.16 vs.12.7 ± 9.74 years). Weaker asthma control was found in women (ACT 17.7 vs. 20.4), as well as lower FEV1 values (80−50% of predicted value in 60.3% of women vs. 43.25 of men). In women an analysis of correlation concerning patients’ knowledge and conducted health education with asthma control revealed a statistically significant positive correlation of knowledge acquired from the allergologist with asthma control, information about proceeding in acute attack, whereas negative correlation with asthma control with knowledge passed on by family doctor was found. Among the male respondents positive correlations of knowledge with asthma control within the scope of knowledge from allergologist and information concerning proceeding in asthmatic attack were found, while negative correlation with information coming from family doctor was revealed. Conclusions: Health education in patients with asthma should be conducted by a specialist in allergic diseases and well-prepared healthcare professionals

Effects of Aluminum Oxide Addition on Electrical and Mechanical Properties of 3 mol% Yttria-Stabilized Tetragonal Zirconia Electrolyte for IT-SOFCs

Composite tetragonal zirconia (3Y-TZP) sinters with Al2O3 contents of 0, 1, 5, 10 and 15 mol% were obtained from a 3-YSZ powder prepared using the gelatin method, and the influence of alumina addition on the mechanical and electrical properties of the obtained sinters was investigated. Al2O3 was added via two different methods, namely during the preparation of the 3-YSZ powder and via impregnation using an alcohol solution of aluminum nitrate. The obtained green bodies were sintered for 2 h in air at 1773 K. The structure and morphology of the two series of sinters were investigated using XRD and SEM-EDS, their electrical properties were determined using impedance spectroscopy, and their hardness and critical stress intensity factor were measured using the Vickers indentation test. We established that both the amount of alumina and the method used to introduce it into the 3Y-TZP matrix significantly affect the physicochemical properties of the obtained polycrystalline material. The 3-YSZ/10 mol% Al2O3 sinter that had Al2O3 introduced during the preparation of the 3-YSZ powder was found to exhibit the most advantageous mechanical and electrical properties while still having sufficiently low porosity