|P-48||Effects of Onset Time Swallowing therapy..||jalal bakhtiyari ..||Ali TahoonehSaba Shahabi..||Dysphagia..||- -|
|P-49||Lingual and Perihyoid Strength and its R..||James Curtis ..||Joey Laus, MS, CCC-SLP, BCS-SS..||Dysphagia..||- -|
|P-50||Detection of Aspiration, Penetration, an..||James Curtis ..||Zeina Seikaly, MS, CCC-SLPAver..||Dysphagia..||- -|
|P-51||Fatiguability of Lingual Musculature in ..||Jan Vanderwegen ..||Isabelle Raskin, Gwen Van Nuff..||Dysphagia..||- -|
|P-52||IDDSI Flow Test Characterization of Comm..||Jan Vanderwegen ..||..||Dysphagia..||- -|
|P-54||Identifying Post Extubation Dysphagia: D..||Jennifer Barker ..||Trish WilliamsRosemary Martino..||Dysphagia..||- -|
|P-55||Nutrition at end of life: Pneumonia, dep..||Jennifer Robin Hanners Gutierrez ..||Cathy Lazarus, PhD, CCC-SLP, B..||Dysphagia..||- -|
|P-56||Understanding Dysphagia in Patients Livi..||Jodi Elizabeth Allen ..||Gita Ramdharry, Ronan Astin, C..||Dysphagia..||- -|
|P-57||Predictors of Dysphagia and Aspiration i..||Jodi Elizabeth Allen ..||Gita Ramdharry, Ronan Astin,Ch..||Dysphagia..||- -|
|P-59||Characterizing Dysphagia Severity: A Lat..||Jonathan Beall ..||Elizabeth G. Hill,PhD; Kent Ar..||Dysphagia..||- -|
|P-60||Functional Diet Outcomes After TORS Rese..||Joshua Teitcher ..||Kevin Grudzinksi, MS; Mary Jo ..||Dysphagia..||- -|
|P-61||The impact of gastrostomy feeding on swa..||Julia Maclean ..||Atkinson, C., Bonner, N., Bro..||Dysphagia..||- -|
|P-62||Incidence of Postoperative Dysphagia and..||Justine J Allen ..||E. Plowman, L. DiBiase, J. Col..||Dysphagia..||- -|
|P-63||Nursing Dysphagia Screening Practice Pat..||Justine J Allen ..||Justine Allen, Amber Anderson,..||Dysphagia..||- -|
|P-64||Utility of the 3-Ounce Water Swallow Tes..||Justine J Allen ..||Justine Allen, Kelly Leonard, ..||Dysphagia..||- -|
|P-65||The Multidisciplinary Evaluation of Dysp..||Karuna Dewan ..||John Clarke, MD;Heather Starme..||Dysphagia..||- -|
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|P-68||Refining measurement of mild safety impa..||Katherine Hutcheson ..||Carly Barbon, PhDClare Alvarez..||Dysphagia..||- -|
|P-70||Relationship Between Tongue Hardness, Th..||KEINA MIURA ..||Mai OhkuboTetsuya SugiyamaMari..||Dysphagia..||- -|
|P-71||Twelve month study of lingual strength a..||Kiera Berggren ..||Becky CrockettLiz DiazNicholas..||Dysphagia..||- -|
Thunderstorm-related asthma in patients sensitised to olea europaea pollen: twenty emergency department visits for asthmatic symptoms in one single day Losappio, Laura1; Heffler, Enrico2; Falco, Antonio1; Contento, Francesco1; Cannito, Cosimo1; Rolla, Giovanni2 1"Dimiccoli" Hospital, Emergency Department, Barletta, Italy; 2University of Torino - AO Mauriziano "Umberto I", Allergy and Clinical Immunology, Torino, Italy
Background: Associations between thunderstorm and asthma morbidity have been reported in several countries. Common to all epidemics of thunderstorm-related asthma is a significant increase in atmospheric allergen load during and immediately after a thunderstorm. Sensitization to Alternaria species or to grass and parietaria pollens has been suggested to play a key role in thunderstorm-related asthma. The only reported event of thunderstorm-related asthma in Mediterranean area was attributed to sensitization to parietaria pollen.
Method: here we describe a series of 20 patients who presented to Emergency Department in Barletta (94,000 inhabitants), Puglia (Italy) for sudden and severe asthmatic symptoms between May 27th and 28th 2010 (from15:36 to 5:02), immediately after a violent thunderstorm which occurred following a very hot morning (mean temperature: 29°C). All the patients have been subsequently visited by an allergist and underwent allergological work-up which included skin prick tests and a careful clinical history. Local pollen counts were available.
Result: Between May 10th and June 10th 2010, 86 Emergency Department asthma visits were recorded, 20 of them during the study day. Patients' mean age was 44.25 +/- 18.5 years (range: 9-81), 8/20 females, 2 smokers, 16 with a previous history of known respiratory allergy. Only two patients regularly took anti-asthma drugs. All 20 patients were sensitized to Olea europaea pollen, 7 of whom were monosensitized. Ten patients were sensitized to grass, 7 to parietaria, 5 to compositae, 5 to cypress, 5 to house dust mites, 3 to dog and 1 to cat danders. No patient was sensitized to Alternaria. Mean pollen count was 17 granules/m3 for Olea europaea, 6 granules/m3 for grass pollen.
Conclusion: This is, in our knowledge, the second epidemic of thunderstorm related asthma described in Mediterranean area and the first one in which sensitization to Olea europaea played a key-role. In conclusion, our report indicates that thunderstorm asthma may involve different allergens (not only fungal spores and grass or parietaria pollen) in different geographic areas, depending on the seasonality of thunderstorms and allergenic pollen.