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Asthma-IV: Diagnostic and Management

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:

Asthma I: Introduction

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...

Asthma III: Clinical Manifestations

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...

Asthma-I: Introduction

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...

Asthma-IV: Nursing Management

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...

Asthma: Pathogenesis and Management

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.

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Updated: Jun 13, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

[Asthma control status in Tunisia].

Imen Aissa¹, Houda Gharsalli, Amal Khattab

¹Service de Pneumo-Allergologie I, hôpital Abderrahman Mami, Ariana.

La Tunisie Medicale

|April 27, 2010

Summary

Most asthmatics in Tunisia experience symptoms and overestimate disease control despite treatment advances. This study highlights the gap between subjective and objective asthma control, impacting daily life and work.

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Last Updated: Jun 13, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

Area of Science:

Allergy and Clinical Immunology
Respiratory Medicine
Public Health

Context:

Asthma prevalence and control remain significant global health challenges.
The Global Initiative for Asthma (GINA) provides guidelines for asthma management.
Understanding asthma control in specific geographic regions like Tunisia is crucial for targeted interventions.

Purpose:

To evaluate asthma control levels among patients visiting an allergology clinic in Tunisia.
To assess the adherence to and effectiveness of GINA guidelines in a Tunisian cohort.
To identify factors influencing asthma control in the studied population.

Summary:

A transversal study included 400 asthmatics (70% female, mean age 32) in Tunisia.
Results indicated significant symptom burden (daytime, nocturnal, exacerbations) and activity limitations in 56% of patients.
Objective asthma control was achieved in only 10% of patients, with 55% reporting uncontrolled asthma, despite 63% using controller medications and 83% reporting subjective improvement.

Impact:

The findings reveal a substantial gap between perceived and actual asthma control, with 90% of patients experiencing symptoms.
High rates of college and professional absenteeism (60%) underscore the disease's impact on productivity.
Identified control factors include young age, non-smoker status, and mild persistent asthma, suggesting potential areas for improved patient management and education.