Drugs that may worsen an asthma attack
There are certain types of drugs that make asthma worse or that can trigger such an attack. Certain types of drugs should only be used in very specific situations. Some of these drugs are:
Managing comorbid asthma, depression and/or anxiety
Depression and anxiety have a negative impact on asthma. Comorbid anxiety with asthma is particularly confusing because of the similarity of symptoms and interference in perception and treatment of asthma. The National Asthma Council Australia recommends treatment for comorbid psychological symptoms. Cognitive Behaviour Therapy (CBT) is one recommended treatment for anxiety and depression. There is tentative research evidence suggesting that a program of CBT amended for asthma, delivered in conjunction with medical treatment and in close liaison with your medical team, can improve anxiety, asthma and quality of life. Clinicians intending to deliver CBT for comorbid asthma, anxiety or depression should refer to and the research reviewed by for guidance on safe and effective intervention.
The Global Initiative for Asthma
The global Initiative for Asthma (GINA), launched in 1993, is a collaborative effort between the World Health Organisation (WHO), the National Institutes of Health USA (NIH), and the National Heart, Lung and Blood Institute. Its aims include; to increase public awareness of asthma, encourage research into the causes for the increasing prevalence of asthma worldwide, encourage research into the links between asthma and environmental factors, improve the effectiveness of asthma management practices, reduce the mortality and morbidity rates associated with asthma, and make treatments for asthma more readily available.
One of the ways in which GINA fulfils these aims is by producing medical guidelines on the management of asthma, which based on a systematically conducted review of the most recent-worldwide literature. These guidelines are free and available to all patients and clinicians from the GINA website. The GINA main report is updated annually and aims to reflect evolving best practice as it highlights changes in asthma management strategies.
GINA established ‘World Asthma Day’ in 1998, with the first event organised in Barcelona, Spain. It is held annually on the first Tuesday of May, and includes the participation of more than 35 countries.
Often, having one medical problem makes it more likely a person will also have one or more other medical or psychiatric problems. These other disorders are the "comorbid problems" or "comorbidities". There are various comorbid medical and psychiatric conditions associated with asthma.
Respiratory disorders
Gastrointestinal disorders
Psychiatric disorders
Sleep disorders
Skin disorders
In medicine "epidemiology" is the study of what causes diseases and medical conditions, how often they happen, where they happen and who they happen to.
It is more common in developed countries than developing countries. The United States and Canada have some of the highest asthma rates in the world even though they are not poor countries. In Africa the country of South Africa has the highest asthma rate on the whole continent even though it is one of the richest countries.
More than 80% of the people who die from asthma are usually from low and middle income countries, but not always, as South Africa has the fourth highest death rate in the world even though it is one of the richer countries in the world. In the United States the death rates are higher for females, adults and people of African descent.
As of 2011, 235–300 million people worldwide are affected by asthma, and approximately 250,000 people die per year from the disease. Rates vary between countries with prevalences between 1 and 18%.
The amount of asthma cases reported each year has gotten much higher between the 1960s and 2008 Rates of asthma have plateaued in the developed world since the mid-1990s with recent increases primarily in the developing world. Asthma affects approximately 7% of the population of the United States and 5% of people in the United Kingdom. Canada, Australia and New Zealand have rates of about 14–15%.
Turkish
Turkish might mean:
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Bochum
Bochum ( , , ; Westphalian: "Baukem", Low Franconian: "Boochem", Old Saxon: "Bochem") is a city in the Ruhr area of the state of North Rhine-Westphalia in Germany. It is part of the Arnsberg Government Region.
Bochum has about 380,000 inhabitants.
The city is formed by the traditional industry of coal mining in the Ruhr area, but today there is no mining in Bochum anymore.
Today the most important institution in Bochum is the Ruhr-University Bochum, one of the biggest German universities.
It has an extremely wide spectrum of subjects, beginning with mathematics and science, social sciences, economy, engineering, laws, philosophy, historical subjects, theology, medicine, and languages even including Chinese and Polish.
Bochum has a rich cultural life and its theatre is one of the most prominent in Germany. Next to Bochum are the cities Essen and Hattingen.
Progressive rock
Progressive rock is a type of rock music with complicated musical technique and composition. This means that the tempo, time signature, and style can change many times in a single song.
Most normal rock songs follow a very simple pattern in the way they are arranged. This pattern is a verse followed by a chorus, then a different verse, and then the same chorus. Progressive rock is more complicated than this, and can require more skill to play.
Progressive rock was first made in the late 1960s, but became most popular in the 1970s. It continues to be popular today, too. Progressive rock began in England and spread throughout Europe. It remains most popular in Europe, but there are several notable American and Canadian progressive rock bands. This genre was influenced by classical music and jazz fusion. Over the years, different sub-genres of progressive rock have been created, such as symphonic rock, art rock, math rock, and progressive metal.
Progressive rock artists wished to create music that was not limited to the structures of common popular rock and pop music. They wanted to make rock music that "progressed" to the complexity of jazz and classical music by creating a more serious, complex and sophisticated type of rock music. Progressive rock bands may have influences from psychedelic rock, folk music, traditional music, world music, and jazz or jazz fusion. It is also referred to as "prog rock" as an abbreviation, or as "Hobbit rock" because of frequent medieval or fantasy themes in the lyrics.
Progressive rock bands write and play songs that have many changes during each song. Regular rock songs have verses and a chorus, but progressive songs can have many different sections. For example, instead of having verses and choruses, progressive rock songs may have many different musical themes, solos, and musical moods. A typical progressive song might have a form such as: Introduction-Verse-Chorus-instrumental section-New verse-New chorus-Instrumental section-Ending.
Because of their depth and complexity, progressive rock songs are not played on pop music radio very often.
Some of the important progressive rock bands from the late 1960s and early 1970s include The Moody Blues, Jethro Tull; Yes, Genesis; Pink Floyd; Emerson; Lake & Palmer; Rush; Gentle Giant; Happy The Man; Van der Graaf Generator, and King Crimson.
Progressive rock is difficult to define, because progressive rock bands often play different types of progressive rock music which sound different. There are some common elements that are in most progressive rock band music, such as long, complex songs, unusual time signatures, unusual instruments or ways of using them, and use of improvisation, which means making up or inventing music while playing on stage.