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    Maternal antibiotic use and child asthma: is the association causal?
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    Abstract:
    Maternal antibiotic use before, during and after pregnancy is associated with higher child asthma risk. Lack of specificity to the pregnancy period suggests the association is not causal or the window of susceptibility extends outside pregnancy.http://ow.ly/U29f30kFD2I
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    Association (psychology)
    Asthma is one of the most common potentially serious medical problems to complicate pregnancy. Issues commonly raised by the clinician caring for the pregnant asthmatic patient include: 1) effects of pregnancy on asthma; 2) effects of asthma on pregnancy, and 3) management of asthma in pregnancy. Recent asthma medication carries less risk to the fetus than a severe asthma attack. Inadequately treated asthma can cause maternal and fetal hypoxaemia, which leads to complications during pregnancy and poorer birth outcomes.
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    Objective To investigate the use of antibiotics in the surgical patients.Methods The use of antibiotics in 361 cases of the surgical patients was retrospectively analyzed.Results The rate of prophylactic and therapeutic use of antibiotic was 45.15 and 54.85,respectively.42.94 patients received postoperative antibiotic prophylaxis for 4 to 21 days.Percentage of patients receiving 1,2,or 3 types of antibiotics was 61.77,37.67 and 0.56,respectively.Conclusion Guidelines on the use of antibiotics in surgical patients were not sufficient.Improper use of antibiotics included the selection and prolonged use of antibiotics,inappropriate use of multiple antibiotics and the use of antibiotics during the perioperative period.Antibiotics should be used according to the guidelines and the results of microbiological analysis.
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    Asthma is a chronic inflammation disease in airways which is emit bronchus hyperactivity. Asthma is a worldwide trouble that influence at least 1-18% population in the entire world. Exercises is a non-pharmacological therapy which is can be applied for asthma case. Exercise that is applied on this research is asthma gymnastic and breathing exercise. The purpose from this research is to get the effect of asthma gymnastic and breathing exercise on asthma status for asthma survivor.The research method use eksperiment in madupahat community in Semarang city with involve 19 persons, sample was taken with purposive sampling. The result of this research shows there is improvement in control status and the spirometri was increase in asthma survivors. The conclution in his research is asthma gymnastic and breathing exercise effective to control asthma status in asthma survivor.
    Breathing exercises
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    Asthma is one of the most common potentially serious medical problems that can complicate pregnancy. Retrospective data suggest that asthma complicates 1% of pregnancies;8 although it is currently estimated that the prevalence of asthma during pregnancy is 4740.~ Moreover, experiencing and managing asthma during pregnancy is different for the patient and her physician because the effect of both the illness and the treatment on the developing fetus as well as the gravida must be considered. This article reviews the literature regarding asthma and pregnancy in terms of the effects of pregnancy on asthma, the effects of asthma on pregnancy, and the potential effects of asthma medications on pregnancy and the infant. Based on this information, recommendations for the nonpharmacologic and pharmacologic management of chronic and acute asthma during pregnancy are presented.
    Asthma management
    Citations (7)
    Objective . The aim was to investigate adherence to asthma medication treatment, medication beliefs, and asthma control in relation to asthma follow-up consultations in asthmatics in the general population. A further aim was to describe associations between adherence, medication beliefs, and asthma control. Method . In the population-based West Sweden Asthma Study, data allowing calculation of adherence for 4.5 years based on pharmacy records were obtained from 165 adult asthmatics. Additional data were collected through questionnaires and structured interviews. Results . The mean adherence value for filled prescriptions for regular asthma medication was 68% (median 55.3%) but varied over the year under study. Adherence to combination inhalers with corticosteroids and long-acting beta 2 agonists was higher than adherence to single inhalers with corticosteroids only. More than one-third of participants reported not having seen an asthma nurse or physician for several years. Regular asthma follow-up consultations were associated with both higher adherence and the belief that asthma medication was necessary but were not associated with asthma control. Conclusions . Adherence to asthma medication treatment was low and varied over the year under study. The current study suggests that quality improvements in asthma care are needed if adherence to asthma medication is to be improved.
    Asthma medication
    Medication Adherence
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    Introduction : Asthma’s symptoms are commonly persistent in each asthmatic client, but they could be controlled. This control directly refers to asthma level of control. It could be affected by asthma risk factors and preventive behavior to exposures, but the correlation between them is still unclear because the development of asthma is not fully understood and very complex. The objective of this study was to explain the correlation between asthma risk factors and preventive behavior to exposures to asthma level of control.Method : This study used cross-sectional design and involved 41 respondents which are taken by simple random sampling. Data were collected using questionnaires and then analyzed by using Spearman Rho correlation with level of significance ≤0.05.Result : Result showed that asthma risk factors had correlation with asthma level of control (p=0,032), but preventive behavior to exposures had no correlation with asthma level of control (p=0,095).Conclusion : It can be concluded that asthma level of control has correlation with asthma risk factors. Preventive behavior has no correlation with asthma level of control could be caused by the differences between the respondents preventive behavior and the recommended one. It indicates possible errors or unsuitability in preventive behavior to asthma risk factor exposures. However, preventive behavior to asthma risk factors exposures is still necessary in order to decrease asthma symptoms.
    Preventive action
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    Objective To offer reference for the proper use of antibiotics by exploring the features of use of antibiotics in the hospitalized patients staying in the department of nephrology. Methods The data on 1 000 discharged patients who had been hospitalized in our department were retrospectively investigated and the use of antibiotics was analyzed. Results Of 1 000 patients, 876 (87.6%) received antibiotic treatment. 639 of the 876 patients (72.9%) were received single-antibiotic therapy while 237 (27.1%) received two antibiotic agents. 69.2% of the antibiotics were used for treatment and 30.8% for prevention. 89.3% of the patients received prophylactic antibiotics for 3 days or less while 10.7% used antibiotics for more than 3 days. The rate of prophylactic use of antibiotics 0.5 to 1 hour before surgery was lower. The administration route of antibiotics was applied in 100% of the patients. Conclusions The use of antibiotic is basically appropriate in this study. The rate of prophylactic use of antibiotics is higher in the hospitalized patients staying in the department of nephrology. Further studies should be conducted on the exact timing of prophylactic use of antibiotics and whether oral antibiotics can replace intravenous antibiotics for the prevention of postoperative infection.
    Nephrology
    Intravenous antibiotics
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    The bronchial asthma disease is divided into 5 groups: 1. bronchial asthma caused by allergy, 2. bronchial asthma caused by infection, 3. bronchial asthma caused by physicochemical irritants, 4. bronchial asthma caused by exercise, 5. combination between the groups 1--4. Etiological factors, immunologic phenomena so far as known and pathogenic mechanisms are listed for each group and discussed.
    Etiology
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    Asthma occurs worldwide as a chronic disease of the lungs in children and in adult. Recently there were some reports on the increasing prevalence of asthma in children from western countries and from other areas of the world. There are numerous different triggers of asthma such as allergens, dust, gases, cold air, infections and malformations of the bronchial system. The release of preformed and new generated mediators is the cause of chronic inflammation in the lungs. The basic defect causing bronchial hyperreagibility of the lungs is still unknown. The therapy of asthma is a longtime treatment, the composition depends of the type and the severety of the asthma to be treated. In addition to the drug therapy, physiotherapy, asthmasports and appropriate climatic conditions are essential tools for the treatment of asthma. The aim of the therapy is a symptom free patient. The prognosis of children suffering from asthma is good.
    Pharmacotherapy
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