'I was born with inflammation of the lungs, and of everything else, I believe, that was capable of inflammation,' returned Mr Bounderby. 'For years, ma'am, I was one of the most miserable little wretches ever seen. ' Charles Dickens, Hard Times, Book 1, ch. 4 Asthma is a common condition. It affects at least 12% of school children and 5 % of adults in the UK. This amounts to around 140 patients in a General Practitioner's average list of 2000, not all of whom can be managed by specialist chest clinics and over half of whom will require prophylactic therapy. There are therefore at least 3 million sufferers in Britain today. Yet, despite the improvement in treatment available in the past decade there has been a rise in numbers of attacks of acute asthma, notably in children, and a consequent rise in hospital admissions. The same pattern is also seen in adults, albeit less marked. Despite a number of possible incriminating causes, the real reasons for the rise are not clear. Whatever the cause may be, the inevitable effect is clear - the workload of doctors and nurses is expanding with only now, in the mid-1990s, the suggestion that this increase has begun to level off. Each year around 2000 people die from asthma in England and Wales and two-thirds of these deaths are preventable. The economic costs of asthma are huge.Vom Verlag:
This text provides a practical introduction to peak flow measurement, its indications, uses and benefits, and associated problems. Asthma is a very common condition affecting at least 12 per cent of schoolchildren and 5 per cent of adults. Recent guidelines proposed by the British Thoracic Society for the management of chronic and acute asthma recommend the domiciliary use of the peak flow meter to assist doctors in the management of the condition, as well as helping the patient manage his or her own asthma flow. This illustrated guide gives the doctor instructions on the correct use of the meter as well as providing information on the benefits and limitations of the test. Worked case histories and "real" examples of classical peak flow histories can be found throughout the text. It should be of use to respiratory physicians, general practitioners, practice nurses, physiotherapists and other health professionals involved in the day-to-day care of asthma patients.
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