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Coalition forms
to support FDA.


Monitoring pulsus paradoxus
may help assess acute asthma.

 
  
October 11, 2006
  
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2005 ACAAI ANNUAL MEETING
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Nov. 4-9, Anaheim
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2004 ACAAI ANNUAL MEETING
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Nov. 12-17, Boston
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2003 ACAAI ANNUAL MEETING
Nov. 7-12, 2003, New Orleans
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Calendar

OCTOBER
Southeastern Allergy, Asthma and Immunology
Annual Program and Meeting
Jointly Sponsored by ACAAI
Oct. 13, White Sulfur Springs, W.Va.
Tel: 865-599-5853
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12th Biennial Allergy Abroad Program
Washington University School of Medicine in St. Louis
October 19-28
Switzerland & Germany
Tel: 314-362-6891
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NOVEMBER
ACAAI XII International Food Allergy Symposium
Nov. 9, Philadelphia
ACAAI Annual Meeting
Nov. 9-15, Philadelphia
Tel: 847-427-1200
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DECEMBER
International Congress on Exacerbations of Airway Disease
Dec. 8-10, San Juan, Puerto Rico
Tel: 212-988-7732
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Top Stories
 
Group calls for increased FDA funding
The Coalition for a Stronger FDA, whose membership includes biotech companies, medical device makers, food manufacturers and patient groups, recently called for more Food and Drug Administration funding. The group said the agency does not receive enough funding to handle its array of activities — regulating about one-quarter of the U.S. economy, including prescription and over-the-counter drugs, most foods and medical devices. The group wants to make sure the FDA has sufficient resources to protect consumers and to maintain public confidence in the FDA.

Pulsus paradoxus monitors may help assess acute asthma in EDs
Continuously monitoring pulsus paradoxus may improve acute asthma management in emergency departments, according to a report in Chest. Scientists at Brown Medical School, in Providence, R.I., used an arterial tonometric BP monitor, interfaced to an analog-digital converter, which executed a periodic amplitude analysis algorithm and computed pulsus paradoxus in real time. They compared these measurements to emergency physicians determining hospital admission vs. discharge, following the National Asthma Education and Prevention Program standardized treatment. Among the 79 subjects enrolled, the specificity and sensitivity of the automated pulsus paradoxus monitoring system (78 percent for both) were similar to the specificity and sensitivity of physicians (89 and 83 percent, respectively) for appropriately managing asthma. “Emergency department physicians equipped with a PP monitor would be able to objectify the work of breathing and would more closely adhere to NAEPP guidelines,” say the authors.

Six-shot series has promise for ragweed allergy sufferers
A new treatment of six weekly shots may offer relief from ragweed allergy symptoms for more than a year, according to a small randomized, double-blind, placebo-controlled study published in The New England Journal of Medicine. Researchers at Johns Hopkins Asthma and Allergy Center in Baltimore studied 25 subjects who reported ragweed allergic problems each fall season. The series of shots, called AIC, which stands for Amb a 1-immunostimulatory oligodeoxyribonucleotide conjugate, produced more than 1 year of relief for 14 subjects. In addition, subjects who received the treatment reported fewer hay fever symptoms and a better quality of life and used less allergy medication than volunteers who received six placebo shots. A larger study seeking to enroll 140 volunteers is under way.


Asthma may effect sickle cell pain in children
Painful episodes in children with sickle cell disease and asthma are temporally associated with respiratory symptoms, according to a study in the Journal of Pediatric Hematology and Oncology. Researchers at Washington University School of Medicine in St. Louis studied 124 painful episodes experienced by 74 children (36 who had asthma) with a mean age of 9.8 years over a 25-month period. The odds ratio of having a painful episode before or concurrent with mild respiratory symptoms was 4.9 in children with asthma compared to children without asthma.
 
Association News
 

Convention registration fees increase Oct. 16
Online registration closes at 11:59 pm, Oct. 15
Registration fees for the ACAAI Annual Meeting will increase by $50 at 12 a.m., Central time, Monday, Oct. 16 — and online registration closes at 11:59 p.m., Central time, Sunday, Oct. 15. After Oct. 15, you will need to register by fax, by mail or on site at the meeting.

Online registration is fast and easy. View the Preliminary Program online to schedule your plans for a successful event. Scan the scientific program for up-to-date sessions and speakers. Jot down the social events in your calendar and make those last-minute tour reservations.

Don’t miss the College’s unique programs tailored to the needs of your practice, including:
• XII International Food Symposium on Thursday
• “Everything You Should Have Read Last Year, But Didn’t!” popular Literature Review on Friday
• “Great Asthma Raft Debate” on Saturday
• “Update on the Use of Vaccines: From Biodefence and Bioterrorism” on Sunday
• “Allergy and Asthma in Women” and “Primer on Building Science for the Allergist” on Monday
• “Clinical Controversies: Point-Counterpoint” and “Scientific Advances in CAM” on Tuesday
• DERM FEST beginning with a “Walk Through the Parameter on Contact Dermatitis” Tuesday evening, and Wednesday sessions on pediatric urticaria and “The Immune Response in Dermatologic Allergy”

Order your tickets today for the Annual Fundraising Dinner with Peter Nero and the Philly Pops on Sunday evening, Nov. 12.
Please visit the ACAAI Web site: http://www.acaai.org/Member or contact the ACAAI by e-mail: meetings@acaai.org, by telephone: (847) 427-1200 or fax: (847) 427-1294.

CHASM update: Physician liability white paper online
The Consumer Health Alliance for Safe Medication (CHASM), a national working group of patient advocates and medical professional associations including the College, continues to make progress in stopping the illegal pharmacy manufacturing of nebulizer medications.

“Convened by Nancy Sander, president and founder of Allergy & Asthma Network Mothers of Asthmatics, CHASM has taken a number of steps for patient advocacy including petitioning the FDA to enforce and strengthen existing laws that protect the safety of inhaled medications for patients with respiratory diseases,” said ACAAI President-Elect Dr. Daniel Ein, the College’s representative for CHASM.

“After several meetings and petitions, recent involvement by Sen. Charles Grassley (R-Iowa), Chairman of the Committee on Finance, resulted in an acknowledgment by the Centers for Medicare and Medicaid Services of its intent to make changes in how it pays for compounded inhalation drugs, which are often unlawfully substituted in place of FDA-approved brand and generic medications we prescribe,” said Dr. Ein.

Physician liability concerns led to the development of the white paper, “Unlawful Pharmacy-Manufactured Nebulizer Medications: Physician Liability and Patient Safety Issues,” available on the AANMA Web site at http://www.breatherville.org/pdf/physicianLiabilityWhitePaper.pdf.

“The white paper gives us another opportunity to remind our memberships about the health and legal risks associated with using unlawfully manufactured nebulizer medications,” said Sander.

Be S.A.F.E. campaign focuses on ED treatment of anaphylaxis
The Be S.A.F.E. educational campaign on anaphylaxis launched by the College and the American College of Emergency Physicians (ACEP) focuses on public education and provides health care professionals with new resources to foster physician collaboration and improve the ongoing management of severe allergic reactions.

The program, supported by an educational grant from Dey, L.P., addresses the challenges of diagnosing and treating anaphylaxis in the emergency department.

An 8.5- by 10-inch laminated poster, “Anaphylaxis in the ED,” was mailed to 4,400 physician directors of emergency departments for posting in their emergency departments, and a pocket-size Quick Reference Guide was mailed to 4,000 emergency physicians. Some 1,500 of each reference card also will be distributed at the ACEP Scientific Assembly, Oct. 15-18, 2006.

The ED poster and emergency physician reference cards include information about clinical criteria, observation times and the S.A.F.E. system mnemonic device with four action steps:
Seek Support
Allergen identification and Avoidance
Follow up for specialty care
Epinephrine for emergencies

Other components of the campaign include: a patient education brochure that was mailed to all College members; physician and patient Web sites with downloadable reference cards and brochure and a national media relations campaign directed to both trade and consumer press to raise awareness of anaphylaxis and to promote the availability of the materials.

Alliance invites international spouses, guests to tea
The Alliance of the ACAAI will be hosting an International Tea and Reception for spouses and guests of international physicians attending the 2006 ACAAI Annual Meeting in Philadelphia.

Join us Sunday, Nov. 12, from 3 to 5 p.m., at the Philadelphia Marriott Hotel’s Independence Ballroom, for refreshments and camaraderie. Sign up before Nov. 1 and a complimentary ticket will be included in your registration packet. Tickets reserved after Nov. 1 can be picked up in the Hospitality Suite. Please RSVP to laurinovak@acaai.org.

In Memoriam: Dr. W. Ronald Tipton
The College is sad to report the death of Col. William Ronald Tipton, M.D., Atlanta, Georgia, at age 71.

College President Dr. William K. Dolen notes, “Ron was a major guiding influence in my career. When I was a general pediatrician with the Army in Alaska, he invited me to Fitzsimons for a couple of weeks so that I could learn a little bit about management of asthma and the other allergic diseases. He was always available for phone call help, and when I later did my fellowship training at Fitzsimons, he was my pediatric allergy mentor. We will all miss him.”

“Dr. Tipton will be remembered by all who knew him as a warm and congenial individual who was completely dedicated to the well being of his patients,” said Dr. Harold S. Nelson, Denver.

Dr. Tipton practiced pediatrics in north Georgia for several years, said Dr. Nelson. He then joined the U.S. Army, where he completed an Allergy/Immunology fellowship in 1979 at Fitzsimons Army Medical Center. He remained at Fitzsimons as assistant chief of the Allergy/Immunology training program and served with the Army in Honduras, before returning to civilian life in Georgia. Dr. Tipton was director of Allergy/Immunology at Southeastern Health Services in Atlanta, and a clinical assistant professor of pediatrics at Emory University School of Medicine.

He became an ACAAI member in 1981 and was a contributing editor of Annals of Allergy, Asthma & Immunology.

“Dr. Tipton is remembered as a true gentleman by his peers and the physicians whom he trained. He always was a compassionate and caring person to patients and to colleagues,” said Dr. Lyndon E. Mansfield, El Paso, Texas.

 
Fellows-in-Training
 

Immunology Review Corner
Welcome to the Board Review Corner prepared by Karla R. Davis, M.D., Senior 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 79 of the 6th edition of Middleton’s Allergy Principles and Practice, edited by N. Franklin Adkinson, et al. Review questions were written by Drs. Karla R. Davis, Regional Medical Center in Germany, and Soo Kim-Delio, Walter Reed Army Medical Center.


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