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May 11, 2005 |
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Welcome to ACAAI eNews — a bi-weekly aggregated news service
from the American College of Allergy, Asthma & Immunology. To be
removed from this distribution list, please see instructions at
bottom. |
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Top
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Drugs and Devices |
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Distance Learning |
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Association
News |
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Fellows-in-Training |
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Calendar |
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Archive |
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FIT Archive |
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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. |
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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? |
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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
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Calendar |
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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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Sponsored
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Top
Stories |
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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.
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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 |
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Drugs and Devices |
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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.  |
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Association
News |
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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? |
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Fellows-in-Training |
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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.
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Copyright
© 2005 American College of Allergy, Asthma & Immunology. All
rights reserved.
E-newsletter services provided by the medical editors at Ascend
Media, LLC.
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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