6 research outputs found

    WAO-ARIA consensus on chronic cough - Part III: Management strategies in primary and cough-specialty care. Updates inCOVID-19

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    Chronic cough management necessitates a clear integrated care pathway approach. Primary care physicians initially encounter the majority of chronic cough patients, yet their role in proper management can prove challenging due to limited access to advanced diagnostic testing. A multidisciplinary approach involving otolaryngologists and chest physicians, allergists, and gastroenterologists, among others, is central to the optimal diagnosis and treatment of conditions which underly or worsen cough. These include infectious and inflammatory, upper and lower airway pathologies, or gastro-esophageal reflux. Despite the wide armamentarium of ancillary testing conducted in cough multidisciplinary care, such management can improve cough but seldom resolves it completely. This can be due partly to the limited data on the role of tests (eg, spirometry, exhaled nitric oxide), as well as classical pharmacotherapy conducted in multidisciplinary specialties for chronic cough. Other important factors include presence of multiple concomitant cough trigger mechanisms and the central neuronal complexity of chronic cough. Subsequent management conducted by cough specialists aims at control of cough refractory to prior interventions and includes cough-specific behavioral counseling and pharmacotherapy with neuromodulators, among others. Preliminary data on the role of neuromodulators in a proof-of-concept manner are encouraging but lack strong evidence on efficacy and safety.The World Allergy Organization (WAO)/Allergic Rhinitis and its Impact on Asthma (ARIA) Joint Committee on Chronic Cough reviewed the recent literature on management of chronic cough in primary, multidisciplinary, and cough-specialty care. Knowledge gaps in diagnostic testing, classical and neuromodulator pharmacotherapy, in addition to behavioral therapy of chronic cough were also analyzed.This third part of the WAO/ARIA consensus on chronic cough suggests a management algorithm of chronic cough in an integrated care pathway approach. Insights into the inherent limitations of multidisciplinary cough diagnostic testing, efficacy and safety of currently available antitussive pharmacotherapy, or the recently recognized behavioral therapy, can significantly improve the standards of care in patients with chronic cough

    Additional file 4 of Mapping age- and sex-specific HIV prevalence in adults in sub-Saharan Africa, 2000–2018

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    Additional file 4: Supplemental results.1. README. 2. Prevalence range across districts. 3. Prevalence range between sexes. 4. Prevalence range between ages. 5. Age-specific district ranges

    Database: Tidal Marsh Soil Organic Carbon (MarSOC) Dataset

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    The repository is formatted in the following structure: - README.md: markdown file with repository description - MarSOC-Dataset.Rproj: R project file - useful when using RStudio - Maxwell_MarSOC_dataset.csv: .csv file containing the final dataset. The data structure is described in the metadata file. It contains 17,454 records distributed amongst 29 countries. - Maxwell_MarSOC_dataset_metadata.csv: .csv file containing the main data file metadata (equivalent to Table 1). - data_paper/: folder containing the list of studies included in the dataset, as well as figures for this data paper (generated from the following R script: ‘reports/04_data_process/scripts/04_data-paper_data_clean.R’). - reports/01_litsearchr/: folder containing .bib files with references from the original naive search, a .Rmd document describing the litsearchr analysis using nodes to go from the naive search to the final search string, and the .bib files from this final search, which were then imported into sysrev for abstract screening. - reports/02_sysrev/: folder with .csv files exported from sysrev after abstract screening. These files contain the included studies with their various labels. - reports/03_data_format/: folder containing all original data, associated scripts, and exported data. - reports/04_data_process/: folder containing data processing scripts to bind and clean the exported data, as well as a script testing the different models for predicting soil organic carbon from organic matter and finalising the equation using all available data. A script testing and removing outliers is also included
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