45311 - Dr. KANUPRIYA CHATURVEDI 1 02/26/12 Chronic disease...

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Unformatted text preview: Dr. KANUPRIYA CHATURVEDI 1 02/26/12 Chronic disease of the airways that may cause Wheezing Breathlessness Chest tightness Nighttime or early morning coughing Episodes are usually associated with widespread, but variable, airflow obstruction within the lung that is often reversible either spontaneously or with treatment. 2 02/26/12 Allergens Infections Exercise Abrupt changes in the weather Exposure to airway irritants, such as tobacco smoke 3 02/26/12 Recurrent asthma episodes, involving ◦ Shortness of breath ◦ Coughing ◦ Wheezing ◦ Chest pain or tightness Range in severity from ◦ Mild intermittent ◦ Severe persistent 4 02/26/12 Increases risk for early death Compromises child’s quality of life Affects family’s quality of life Increased costs associated with Increased utilization of health care 5 02/26/12 Most common cause of school absence ◦ An average of 9.7 days per year for asthma Most prevalent cause of childhood disability (long-term reduction in ability to do normal activities) In 1994-95, 1.4% of U.S. children experienced some disability due to asthma ◦ This is 21% of all children with asthma SES disadvantage doubles rate of disability Children with asthma have higher rates of social and emotional problems 6 02/26/12 Asthma is the most common chronic disease among children It has increased at epidemic rates since the early 1980s Most common cause of ED visits, hospitalization and missed school days In past 2 decades, African American children had 2- 4 times more ED visits than other races Studies show a rise in worldwide prevalence Seems to be more prevalent in affluent nations 7 02/26/12 Etiology of asthma is due to the interaction of environmental and genetic factors ◦ Atopy, the genetically inherited susceptibility to asthma, cannot account for epidemic. Probably NOT due to outdoor air quality Indoor air contaminants may be a factor ◦ Tighter construction trapping contaminants. ◦ Children spending more time indoors. 8 02/26/12 10.1% Overall 9 02/26/12 Low-income populations, minorities, and children living in inner cities experience more ED visits, hospitalizations, and deaths due to asthma than the general population....
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This note was uploaded on 02/26/2012 for the course PHARM 210 taught by Professor Staff during the Fall '10 term at Rutgers.

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45311 - Dr. KANUPRIYA CHATURVEDI 1 02/26/12 Chronic disease...

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