Asthma exacerbations after the East Japan Disaster
Autor: | Yoshihisa Ishiura, Yasutaka Shiba, Youichi Ishida, Hiroki Yamamoto, Masaki Fujimura, Noriyuki Ohkura, Kazuo Kasahara |
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Jazyk: | angličtina |
Rok vydání: | 2013 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Exacerbation General Biochemistry Genetics and Molecular Biology Disasters exacerbation Japan Acute care Asthma control Earthquakes Humans Medicine Asthma control test Lung function Aged Asthma Asthma exacerbations business.industry Asthma symptoms General Medicine Middle Aged medicine.disease respiratory tract diseases Tsunamis disaster earthquake Female Medical emergency bronchial asthma business Asthma Control Test |
Zdroj: | The journal of medical investigation : JMI. 60(1-2):61-65 |
ISSN: | 1343-1420 |
Popis: | On March 11, 2011, a 9.0-magnitude earthquake struck east Japan, following tsunami. Many people are forced to live in evacuation shelters without enough life-saving drugs. Asthma control for management of health crisis is required, because asthma ex- acerbation is a major cause of morbidity, can need acute care and results in death. How- ever, it remains obscure what parameter should be used in primary clinic of evacuation shelters. The objective of this study is to elucidate the practical efficacy of asthma as- sessment tool in primary clinic for victims of this disaster. Asthma control test (ACT), a brief and patient-based tool to evaluate asthma control, was conducted for 17 patients with asthma in evacuation shelters at Tohoku district. Total sum of ACT scores were sig- nificantly decreased after this disaster. Significant decreases were observed for the items ; "Asthma keeps you from getting much done at work", "Shortness of breath", "Asthma symptoms wake you up" and "Patient rating of control". ACT, an easy and practicable tool, clearly demonstrated the asthma exacerbation in evacuation shelters without the use of lung function testing. ACT may contribute to the management of health crisis not only for this East Japan disaster but also for the other forthcoming unavoidable disas- ters. J. Med. Invest. 60 : 61-65, February, 2013 |
Databáze: | OpenAIRE |
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