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Acetaminophen use linked
 to increased risk of
 asthma, COPD.



FAAN observes Food Allergy Awareness Week.

 
  
May 11, 2005
  
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Fifty-three percent of readers responding are experiencing managed care mandates in their states that put limits on the duration and reimbursement of and increase co-pays for immunotherapy.

  
Who should own and control interactive personal health records?

The ACAAI, in collaboration with the AMA and other medical societies, has made a significant investment in Medem, giving members access to free Web sites, fee-for-service online consultation, and the new iHealthRecord. What do you think of the investment?

Distance Learning
2004 ACAAI ANNUAL MEETING
Nov. 12-17, Boston
Link

From the 2003 ACAAI ANNUAL MEETING
Nov. 7-12, 2003, New Orleans

• Two Symposia Online
Link

• Plenary Sessions CD-ROM and DVD
Link
 
Calendar

JUNE
World Allergy Congress
June 26 – July 1
Munich, Germany
Link

JULY
Association of Asthma Educators (AAE) Annual Conference
July 22-24, Las Vegas
Tel: 888-988-7747
E-mail 
Link
 
AAE's National Asthma Educator Certification Review Course
July 24-25, Las Vegas
Tel: 888-988-7747
E-mail
Link

23rd Annual Aspen Allergy Conference

July 27-30
Aspen, Colo.
Contact: Kathleen Goldy
Tel: 303-282-0491
E-mail
Link


8th Annual Scientific Session of the Intermountain West
Allergy Association
July 28-30, Coeur d’Alene, Idaho
Link


AUGUST
Hong Kong Allergy Convention
Jointly sponsored by ACAAI
Aug. 6-7, Hong Kong Convention & Exhibition Centre
Tel: 852-2559-5888
Fax: 852-2559-6910
E-mail


OCTOBER
New Trends & Recent Applications in Allergy, Immunology and Infectious Diseases
Oct. 6-8, Taormina, Sicily
E-mail:jbella007@aol.com
 or IRConsult@aol.com
Link


ONGOING
World Allergy Organization Society Meetings

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Top Stories
 
Acetaminophen use linked to higher asthma, COPD risk
Acetaminophen use is associated with increased risk of asthma, chronic obstructive pulmonary disease (COPD), and decreased lung function, according to a cross-sectional analysis of Third National Health and Nutrition Examination Survey (NHANES III) data, in the American Journal of Respiratory and Critical Care Medicine. The study was limited by its cross-sectional design, uncontrolled confounding, lack of quantitative data on dose and duration of use, and possible reverse causality, if persons with disease take more analgesics.

FAAN kicks off 2005 Food Allergy Awareness Week
The Food Allergy & Anaphylaxis Network (FAAN) is observing its eighth annual Food Allergy Awareness Week nationwide, May 8-14, 2005. The theme this year, Be S.A.F.E., is geared toward educating and making people aware about the seriousness of food allergies. Be S.A.F.E. stands for the major points of the campaign: Symptoms matter, Act quickly, Food label reading is a must, and Educate others. 

Provider notification does not improve pediatric asthma care
Stressing the severity of children’s asthma to their primary care providers doesn’t improve care, says a study in Archives of Pediatric and Adolescent Medicine. Researchers from Golisano Children's Hospital at Strong, Rochester, N.Y., identified 151 children from 3 to 7 years old with mild to severe asthma, attempting to enhance preventative therapy via a school-based program. The children were randomly divided into two groups. The study group’s primary care physicians were sent facsimiles describing the patients' symptoms and recommending appropriate medication based on national guidelines. The control group’s physicians received nothing. After 3 to 6 months, researchers contacted parents to determine what preventative measures had been taken. Compared with controls, the study group was not significantly more likely receive preventative medication.
  

Guest column from Regent J. Allen Meadows, M.D.

The online future of health care communication

Greetings from the sunny South! Our president, Myron Zitt, M.D., has asked me to write about an exciting new opportunity for us as members of the ACAAI. As you may already know, the College was a founding member of Medem, a company dedicated to facilitating reliable online information to patients from the source they want it the most – you, their personal physicians. Medem has been providing College members and their patients with free services, such as user-friendly Web sites, electronic disease management programs for patients (including modules on asthma), and HIPAA compliant electronic communication with patients (including fee-for-service online consultation). My patients love being able to communicate with me electronically. I love being paid for my time in a HIPAA-compliant way.

The new service being launched this week is the Interactive Personal Health Record (“iHealthRecord”). It is a secure, online personal health record service for physicians to provide to their patients. The iHealthRecord is a free online health record that is owned and controlled by the patient, not the insurance company or other third party. The ACAAI is part of the coalition of health care leaders launching this important new service to physicians and their patients.

The iHealthRecord directly benefits physician practices and patients with the following features:
• A secure and standards-based personal health record, provided by the patient’s own doctor, available via the Internet and under the patient’s control
• Patient's ability to grant viewing privileges to their health record to new clinicians or to an emergency department, with an audit trail of who has viewed their record
• Automated patient education messages and reminders that are specific to the individual patient's medications and conditions. These patient education programs have been written with national experts, including the ACAAI, FDA, AHA and CDC
• FDA-related patient safety warnings and product recalls specific to the patient’s medications (“iHealthAlert”)
• Endorsement by physician liability carriers due to improved patient safety and reduced liability
• Privacy policies and data use overseen by the iHealth Alliance, a healthcare not-for-profit advisory board
• Patient-Clinician secure email and Online Consultation as an optional, physician-controlled service
• Integration with electronic medical records services
• Links from the provider directories of most major health plans to the practice’s iHealth service

The College is pleased to be a part of this initiative and to offer this important new service to our members and their patients. The iHealthRecord is a critical step forward and a foundation element in the nation’s quest to improve medicine, using information technology. We are also pleased that leading physician liability carriers support the iHealthRecord as a means to improve patient safety.

The iHealthRecord provides the following direct benefits to your practice:
Improved patient education, patient satisfaction and patient adherence to medications and treatments
Improved patient safety, with FDA product warnings and recall notices sent out to your patients on an automated basis
Improved patient care, with important health information about patients available and accessible in the event of an emergency
Decreased medical liability, endorsed and promoted by the nation’s leading professional liability carriers
Increased revenue from fulfillment of pay for performance requirements of some third-party payers
Increased revenue from new, insured patient access and improved practice marketing
• It is fast to set up (30 minutes for you or your office staff) and an easy step toward an Electronic Medical Record, with immediate patient benefit
A practice differentiator that patients, employers and health plans are looking for
Increased patient satisfaction—your patients will love it!

If you are not a member of the Medem network and don’t have a Medem Web site, it is easy to create one today by going to www.medem.com.

You do not need to abandon your current site; create a link on your current site to your Medem site to give you and your patients access to HIPAA-compliant services such as electronic communication, asthma management programs and the iHealthRecord, as well as an abundance of important clinical information in the Medem library, contributed by medical societies, including ACAAI. If you already use a Medem Web site, encourage your patients to register for these services; send a secure message to your patients announcing these new services (or borrow mine at http://www.eallergy.yourmd.com/).

Finally, if you have technical questions about the iHealthRecord or are having trouble creating a Web site, contact Medem at info@medem.com or call 877-926-3336. Don’t be the last in your community to provide your patients with an on-ramp to the medical information superhighway. As Dr. Zitt always says, “Nobody does it better than the allergist.”

J. Allen Meadows, M.D.
ACAAI Board of Regents and representative on
Medem & MedemE Boards of Directors
    
Drugs and Devices
 
FDA OKs generic fexofenadine plus pseudoephedrine extended-release
The FDA recently approved a first-time generic formulation of fexofenadine HCl plus pseudoephedrine HCl 60-mg/120-mg extended-release tablets manufactured by Barr Laboratories Inc. The corresponding brand name drug is Allegra-D 12 Hour, produced by Aventis Pharmaceuticals, Inc. 
 
Association News
 

ACAAI Annual Meeting a Vade Mecum for the allergist
The 63rd ACAAI Annual Meeting is Nov. 4-9, 2005, at the Anaheim Convention Center and the Hilton Anaheim Hotel, in Anaheim, Calif.

“The theme of the meeting is Vade Mecum,” said Program Chair William K. Dolen, M.D. “This Latin phrase has a dual meaning. Its literal translation means ‘Go with me,’ and is a reference to the College motto – ‘Follow the Leader into the Future.’ A Vade Mecum also is a book that functions as a concise source of practical information and guidance. It’s a manual, a handbook, a constant and invaluable companion.

“A Vade Mecum is something that you would take with you everywhere you go. What phrase better describes the College and its devotion to the interests of its members, most of whom are practicing allergists?” Dr. Dolen asked.

A state-of-the-art Rhinosinusitis Collegium will be held on Thursday, Nov. 3, jointly sponsored by the European Academy of Allergy, Asthma and Clinical Immunology (EAACI). This intensive, full-day program is designed especially for clinicians. Divided into four parts, it will cover: 1) Defining rhinosinusitis 2) Clinical nuances including its relationship with IgE mediated allergy, nasal polyposis and the asthma-aspirin connection 3) Allergic fungal sinusitis, and 4) Controversies in management, encompassing the role of endoscopic sinus surgery, antibiotic and anti-inflammatory therapies and a pragmatic approach to recalcitrant chronic rhinosinusitis.

“Included in our meeting are plenary sessions that address daily concerns of practicing allergists. These topics include evolving concepts in allergen immunotherapy, eosinophilic disorders, skin and mucosal diseases, immunodeficiency in the office and socioeconomic issues. Sharks will again be circling at the return of the Asthma Raft Debate – as the audience determines who makes the best case on how to follow a patient with asthma,” Dr. Dolen said.

A dynamic curriculum of symposia, developed by Daniel Ein, M.D., and his committee, will present the latest developments and state-of-the art methods of diagnosis and treatment. Topics of interest include findings on asthma in women and other subpopulations; allergic rhinitis with nonallergic triggers; and the emerging science of the 5-lipoxygenase pathway.

The meeting will conclude with an intense half-day collegium on the most clinically challenging aspects of fungal allergy and the toxic mold controversy.

Save the dates for the allergy-immunology Vade Mecum including the Rhinosinusitis Collegium on Nov. 3, and the ACAAI Annual Meeting, Nov. 4-9. Look for more details in ACAAI eNews and ACAAI News.

In Memoriam: Dr. Claude A. Frazier
Claude A. Frazier, M.D., Asheville, N.C., ACAAI Fellow since 1951, died March 4, 2005, after a brief illness.

Dr. Frazier practiced medicine in Asheville for 50 years, serving on the staff of both St. Joseph Hospital and Memorial Mission Hospital. He was past editor of the Allergy Section of the Southern Medical Association, and he served on several committees for both the College and the Academy.

His work in the field of allergy is well-known nationwide. His own personal crusade, waged through his writings and public appearances, led the American Medical Association to draft a model bill to allow trained laymen, such as teachers, forest rangers and emergency personnel, to administer epinephrine injections to anyone suffering from an allergic reaction to an insect sting. Over half of the states passed the legislation, saving the lives of many people.

Allergy Practice Tip: Refill Reflex
Advice from The Patient-Centered Allergy Practice

Phones ringing off the hook? Cut call traffic by proactively addressing prescription refills during patient appointments. Typically, up to 40 percent of the calls you get about refills are from patients you saw in the office in the past week. Take care of it during the visit to save them – and you – a call. For more advice on phone management in the allergy practice, visit www.PatientCenteredAllergyPractice.com.

These tips are drawn The Patient-Centered Allergy Practice, a CME Series in Practice Management, supported through an educational grant from sanofi-aventis Group and endorsed by the American College of Allergy, Asthma & Immunology.

Did you vote in the eNews poll? Your vote matters!
Opinion polls conducted on the ACAAI eNews provide insight into the thinking and practices of College members. Poll results give members an opportunity to influence ACAAI actions, and help leadership make decisions on important issues.

Your vote and your comments are important. Be candid. Tell us what you think.

Did you cast your vote?

 
Fellows-in-Training
 
Welcome to the Board Review Corner prepared by Thao Ngoc Tran, M.D., a representative of ACAAI’s fellows-in-training (FITs) to the Board of Regents. The Board Review Corner is your chance to test your Board preparedness.

To refer to a previous Board Review Corner, click the “Archive” link in the left column.

Immunology Review Corner: Chapter 47 of the 6th edition of Middleton’s Allergy Principles and Practice, edited by N. Franklin Adkinson, et al. Review questions were written by fellows-in-training Drs. Thao Tran and Karla Lowe.

Copyright © 2005 American College of Allergy, Asthma & Immunology. All rights reserved.

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Do you have news, responses or opinions to share with us? Please e-mail the association office at enews@acaai.org
  
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