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Study: Asthma tied to panic disorder.



Early salmonellosis may cut allergy, asthma risk at
school age.

 
  
June 8, 2005
  
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Are you concerned about the trivialization of allergic diseases evidenced in a segment of Monster in Law?

Does trivialization of allergic disease threaten the survival of the specialty?

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

Patient-Centered Allergy Practice
Endorsed by ACAAI, Sponsored by Physicians Practice
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


SEPTEMBER
American Society for Clinical Pharmacology and Therapeutics (ASCPT)
"Adverse Drug Events and Medication Errors: Impact on Medical Care in the 21st Century"
Sept. 29-30,
Philadelphia
E-mail

Link

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
 
Asthma, panic attacks may go hand-in-hand
Asthma and panic disorder may be related, says a 21-year study in American Journal of Respiratory and Critical Care Medicine. Swiss researchers studied 591 people from 19 to 40 years old, deriving information from six semistructured diagnostic interviews, finding that active asthma predicted subsequent panic disorder and the presence of active panic disorder predicted subsequent asthma. 

Asthma more common in women with irregular periods
Asthma may be more prevalent in women with irregular periods, suggesting that female hormones play a role in the development of asthma and allergies, according to a study in Thorax. Scientists from Haukeland Hospital, in Bergen, Norway, collected data on 8,588 women from five northern European countries, including information on their respiratory health and menstruation patterns. Researchers discovered younger women with irregular periods were 58 percent more likely to develop asthma than women with regular periods.


Early salmonellosis may cut risk of respiratory allergies
Salmonellosis in infancy is inversely associated with allergic rhinoconjunctivitis and asthma at school age, says a study in Allergy. Researchers from Ospedale Pediatrico Bambino Gesu in Rome studied 315 Sardinian children who were hospitalized before age 4 with either salmonellosis or nonbacterial enteritis. They surveyed the parents via telephone to assess the occurrence of allergic rhinoconjunctivitis or asthma later in life. Those with rhinoconjunctivitis in the salmonellosis group was 5.4 percent. Those with rhinoconjunctivitis in the nonbacterial enteritis group was 13.8 percent. After adjusting for potential confounders, early salmonellosis cut the risk of future rhinoconjunctivitis by 60 percent and asthma by 77 percent, relative to nonbacterial enteritis.  
  

A word from President Myron Zitt, M.D.

Of great concern to me is the trivialization of allergic disease and the trend to encourage patients, in particular those with allergies, to treat themselves instead of seeking the care of trained health professionals. This was particularly evident in a May 9 editorial in The New York Times, “With Every Breeze a Wheeze,” which recommended where and how patients with “hay fever” should “get help.”
 
“Beyond a visit to an allergist, there’s the option of staying indoors. Showering after spending time outdoors is a good idea, too,” the article said. It went on to suggest a “simple solution” for “nettlesome spring allergies” would be to ingest nettles. “The herb has been effective in fighting allergies and can be cooked and eaten like spinach or consumed in capsules or a tea.” Additional recommendations included vitamin supplements and cutting back on dairy products.

My brief reply, which was readily accepted with minor edits, ran in the May 14 Times:
 
  Re: “With Every Breeze a Wheeze” (editorial, May 9)

Allergic rhinitis, also known as hay fever, is a serious disease affecting as many as 30 percent of the population. Often associated with other ailments – including asthma, sinusitis, ear infections, nasal polyps, respiratory infections, sleep disorders and orthodontic problems – it should not be self-treated. Asthma, characterized by cough, wheeze, chest tightness and/or shortness of breath results in almost 5,000 deaths a year in the U.S. and can only be successfully controlled if hay fever symptoms are adequately treated.

Unproven herbal supplements and folklore remedies could cause potentially serious side effects.

Sneezing, runny nose, nasal congestion and itching can be controlled with a combination of therapies, including reducing exposure to trigger factors; taking medications, such as non-sedating antihistamines, decongestants, leukotriene modifiers, eye drops or inhaled corticosteroids; and possibly receiving allergy shots to decrease sensitivity and build immunity to the things that cause allergic symptoms.

Patients would be best served by trusting their health care to trained medical professionals.
  Myron J. Zitt, M.D.
President
American College of Allergy, Asthma and Immunology

Another example of the trivialization of allergic diseases is evidenced in a segment of a movie recently released by New Line Cinema, Monster in Law, in which Jane Fonda’s character mashes nuts into a gravy dish in an effort to rid herself of her nut-allergic future daughter-in-law, played by Jennifer Lopez.

Anne Munoz-Furlong, founder and CEO of the Food Allergy and Anaphylaxis Network (FAAN) issued a press release, indicating that the movie is insensitive to millions of Americans with food allergies and sends a message of carelessness regarding a potentially life-threatening condition. She fears that not only does the movie make light of food allergies, it also sets the stage for "copycat" incidents. Children may think food allergies are just “funny” and imitate Jane Fonda's character by exposing others with food allergies to unsafe allergic situations – just to get a laugh or be vindictive.

Munoz-Furlong says, “Better examples need to be set. I doubt New Line Cinema would permit a scene where a diabetic would be given an overdose of insulin.”

In real life, food allergies are no laughing matter. An estimated 11 million Americans suffer from this condition, and recognizing the symptoms and seeking immediate treatment is critical. Food allergy reactions result in 30,000 emergency department visits annually. Approximately 150-200 Americans die each year from ingestion of foods that, unbeknownst to them, contain the substances to which they are allergic.

Hopefully, our membership will take the lead from these articles to speak up against the trivialization of allergic diseases and to encourage treatment for patients with these conditions by trained specialists. After all, nobody provides better care for our patients with allergic diseases than the allergist!

Myron Zitt, M.D.
President, ACAAI

    
 
Association News
 

iHealthRecord offers value for practices, patients from ACAAI
The Interactive Personal Health Record (“iHealthRecord”) is a secure online personal health record service for physicians to provide to their patients. Already thousands of physicians offer the iHealthRecord service and thousands of patients are using this service — and they love it!
As a founding member of Medem, ACAAI is part of the coalition of health care leaders that launched 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 and available via the Internet 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 medical societies, FDA, AHA and CDC
• 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 governed by the iHealth Alliance, a health care not-for-profit
• Patient-Clinician secure e-mail 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

Through ACAAI’s relationship with Medem, you are able to use all of its services with no annual subscription fees! This is a $195-per-year value that is free as part of your College membership. These services include a customizable practice Web site, Secure Messaging and Online Consultation, links to many health plan online provider directories, secure payment, and much more. eRisk Compliance brings your practice in sync with guidelines set by medical malpractice liability carriers and state medical boards. All of Medem's services are HIPAA compliant.

Not taking advantage of this valuable, yet free, member benefit? Register your practice online or, for more information, please contact Medem’s Member Service Department at info@medem.com or 1-877-926-3336.

Hong Kong Allergy Convention to be held Aug. 6-7
The ACAAI is partnering with nine other organizations to present the Hong Kong Allergy Convention, Aug. 6-7, in Hong Kong. Co-supporters are the Hong Kong Institute of Allergy (HKIA), the Guangdong Medical Association, the Guangzhou Society of Respiratory Diseases, the Guangdong Society of Allergy, the Guangdong Society of Otorhinolaryngology, the Guangdong Society of Pediatrics, the Chinese Society of Respiratory Diseases, the Chinese Society of Allergy and the Chinese Sub-Society of Pediatric Pulmonology.

Come and hear what the world experts have to say about novel discoveries and treatments for allergic diseases, while experiencing vintage oriental culture. To register, e-mail Meeting.hk@asia.cmpmedica.com. For a copy of the final program, e-mail Dianne Kubis at diannekubis@acaai.org.

Post, search employment opportunities through Job Source
The ACAAI Job Source is a service for College members to post and search employment opportunities in the field of allergy, asthma and immunology.

The ACAAI Job Source works very much like classified ads in a newspaper, except they are interactive and immediately available:

Job candidates can access the ACAAI Job Source at no cost to search employment opportunities and to post their resumes for advertised positions.

Employers can purchase an ad for their available position. They do this by credit card, invoice or purchase order online through the purchase of blocks of "units" that can be flexibly used. One unit equals one job posting for one day.

The power of the ACAAI Job Source is amplified through HEALTHeCAREERS, an integrated network of online job banks operated by other national health professional associations. This enables employers such as hospitals, medical centers and health care companies to enter through any participating association's Web site and list positions that can be accessed by ACAAI members, and College members can access listings in other health fields through the ACAAI Job Source portal.

Allergy Practice Tip: Watch your words
Advice from The Patient-Centered Allergy Practice
Help-wanted ads often inadvertently violate the Civil Rights Act, which prohibits discriminatory hiring practices. Avoid phrases like “recent college grad” or “Mexican.” All qualifications must be job related and correlate to a legitimate business need. For example, request a Spanish-speaking candidate, not a Mexican. Do you really care where they are from or that they speak Spanish? For more advice on staffing in an 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.

 
Fellows-in-Training
 
Are you a graduating fellow-in-training? Do you wish to remain active and have a strong voice within the ACAAI? Would you like to share experiences and advice with your colleagues on the new phase of your career? Then continue your membership as a Young Physician at a reduced rate for two years. The ACAAI is committed to promoting the interests and needs of allergists-immunologists who are entering clinical and academic practices.

FITs who complete their fellowships in 2005 are still eligible to register for the ACAAI Annual Meeting at the FIT rate, and they are eligible to apply for FIT travel grants.

Look for the continuation of the Immunology Review Corner on the 6th edition of Middleton’s Allergy Principles and Practice, edited by N. Franklin Adkinson, et al, in the next issue of ACAAI eNews.

The popular Board Review Corner, prepared by Thao Ngoc Tran, M.D., a representative of ACAAI’s fellows-in-training (FITs) to the Board of Regents, is your chance to test your Board preparedness. To refer to a previous Board Review Corner, click the “Archive” link in the left column.

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

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