Digital anamorphosis is used to define a distorted image of health and care that may be viewed correctly using digital tools and strategies. MASK digital anamorphosis represents the process used by MASK to develop the digital transformation of health and care in rhinitis. It strengthens the ARIA change management strategy in the prevention and management of airway disease. The MASK strategy is based on validated digital tools. Using the MASK digital tool and the CARAT online enhanced clinical framework, solutions for practical steps of digital enhancement of care are proposed.
- MeSH
- alergická rýma * MeSH
- bronchiální astma * MeSH
- lidé MeSH
- poruchy dýchání * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
Background: The Nature Step to Respiratory Health was the overarching theme of the 12th General Meeting of the Global Alliance against Chronic Respiratory Diseases (GARD) in Helsinki, August 2018. New approaches are needed to improve respiratory health and reduce premature mortality of chronic diseases by 30% till 2030 (UN Sustainable Development Goals, SDGs). Planetary health is defined as the health of human civilization and the state of the natural systems on which it depends. Planetary health and human health are interconnected, and both need to be considered by individuals and governments while addressing several SDGs. Results: The concept of the Nature Step has evolved from innovative research indicating, how changed lifestyle in urban surroundings reduces contact with biodiverse environments, impoverishes microbiota, affects immune regulation and increases risk of NCDs. The Nature Step calls for strengthening connections to nature. Physical activity in natural environments should be promoted, use of fresh vegetables, fruits and water increased, and consumption of sugary drinks, tobacco and alcohol restricted. Nature relatedness should be part of everyday life and especially emphasized in the care of children and the elderly. Taking "nature" to modern cities in a controlled way is possible but a challenge for urban planning, nature conservation, housing, traffic arrangements, energy production, and importantly for supplying and distributing food. Actions against the well-known respiratory risk factors, air pollution and smoking, should be taken simultaneously. Conclusions: In Finland and elsewhere in Europe, successful programmes have been implemented to reduce the burden of respiratory disorders and other NCDs. Unhealthy behaviour can be changed by well-coordinated actions involving all stakeholders. The growing public health concern caused by NCDs in urban surroundings cannot be solved by health care alone; a multidisciplinary approach is mandatory.
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Background: In all societies, the burden and cost of allergic and chronic respiratory diseases are increasing rapidly. Most economies are struggling to deliver modern health care effectively. There is a need to support the transformation of the health care system into integrated care with organizational health literacy. Main body: As an example for chronic disease care, MASK (Mobile Airways Sentinel NetworK), a new project of the ARIA (Allergic Rhinitis and its Impact on Asthma) initiative, and POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health), in collaboration with professional and patient organizations in the field of allergy and airway diseases, are proposing real-life ICPs centred around the patient with rhinitis, and using mHealth to monitor environmental exposure. Three aspects of care pathways are being developed: (i) Patient participation, health literacy and self-care through technology-assisted "patient activation", (ii) Implementation of care pathways by pharmacists and (iii) Next-generation guidelines assessing the recommendations of GRADE guidelines in rhinitis and asthma using real-world evidence (RWE) obtained through mobile technology. The EU and global political agendas are of great importance in supporting the digital transformation of health and care, and MASK has been recognized by DG Santé as a Good Practice in the field of digitally-enabled, integrated, person-centred care. Conclusion: In 20 years, ARIA has considerably evolved from the first multimorbidity guideline in respiratory diseases to the digital transformation of health and care with a strong political involvement.
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Pharmacists are trusted health care professionals. Many patients use over-the-counter (OTC) medications and are seen by pharmacists who are the initial point of contact for allergic rhinitis management in most countries. The role of pharmacists in integrated care pathways (ICPs) for allergic diseases is important. This paper builds on existing studies and provides tools intended to help pharmacists provide optimal advice/interventions/strategies to patients with rhinitis. The Allergic Rhinitis and its Impact on Asthma (ARIA)-pharmacy ICP includes a diagnostic questionnaire specifically focusing attention on key symptoms and markers of the disease, a systematic Diagnosis Guide (including differential diagnoses), and a simple flowchart with proposed treatment for rhinitis and asthma multimorbidity. Key prompts for referral within the ICP are included. The use of technology is critical to enhance the management of allergic rhinitis. However, the ARIA-pharmacy ICP should be adapted to local healthcare environments/situations as regional (national) differences exist in pharmacy care.
- MeSH
- adherence k farmakoterapii MeSH
- alergická rýma diagnóza farmakoterapie epidemiologie imunologie MeSH
- farmaceuti MeSH
- kritické cesty * MeSH
- lékárny * MeSH
- lidé MeSH
- management nemoci MeSH
- ochrana veřejného zdraví MeSH
- role odborníka MeSH
- systémy pro podporu klinického rozhodování MeSH
- telemedicína MeSH
- určení symptomu MeSH
- veřejné zdravotnické služby * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
Přehled vývoje ARIA do inovace 2008. V České republice zaznamenán vy šší podíl perzistujících forem alergické rýmy. Rizikovým fa ktorem je narůstající polysenzibilizace u pacientů s pylovou alergickou rýmou.
Development ARIA from 2001 to the innovation 2008. Higher number of the persistent allergic rhinitis in the Czech republic. The increasing polysenzitisation in the patients with pollen allergy is a risk factor for the persistent allergic rhinitis.
- MeSH
- algoritmy MeSH
- antagonisté leukotrienů terapeutické užití MeSH
- antihistaminika terapeutické užití MeSH
- aplikace intranazální MeSH
- bronchiální astma diagnóza etiologie prevence a kontrola MeSH
- celoroční alergická rýma MeSH
- farmakoterapie metody využití MeSH
- hormony kůry nadledvin terapeutické užití MeSH
- imunizace metody využití MeSH
- komorbidita MeSH
- lidé MeSH
- management nemoci MeSH
- sezónní alergická rýma MeSH
- směrnice pro lékařskou praxi jako téma normy MeSH
- Světová zdravotnická organizace MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
- Geografické názvy
- Česká republika MeSH
Prevalence astmatu pøekroèila všechny hranice. V XXI. století nastává pøesun od pøenosných k nepøenosným chorobám. Astma se pøesouvá z bohatých do chudých zemí a velkých mìstských aglomerací. Program WHO chce zvýšit informovanost, znalosti, pøipravit standardy a realizovat dohled nad rizikovými faktory. WHO vyzývá ke Globální alianci proti chronickým respiraèním chorobám (GARD).
Asthma prevalence has broken all the frontiers on a global scale. Non-communicable diseases are significantly increasing. Asthma has spread from rich to poor countries and to poor urban areas. WHO aims are: information, education, surveillance of risk factors, standards. WHO calls for a global coordinated efforts to fight chronic respiratory diseases and to create GARD.
Journal of allergy and clinical immunology, ISSN 0091-6749 vol. 108, no. 5, suppl., November 2001
14A, S334 s. : tab. ; 30 cm
