|P-26||Assessment of Motor-Oral Abilities and D..||Deborah Salle Levy ..||Karine da Rosa PereiraRenato S..||Dysphagia..||- -|
|P-27||Impact of a pediatric dysphagia outpatie..||Deborah Salle Levy ..||Leiticia KurtzCaroline Aguirre..||Dysphagia..||- -|
|P-28||Natural History of Cricopharyngeus Muscl..||Derrick Raymond Randall ..||Dayani GomesKim Walker..||Dysphagia..||- -|
|P-29||Association between objective ratings of..||Elizabeth C. Ward ..||Laurelie WishartRebecca NundGR..||Dysphagia..||- -|
|P-30||Exploring the Impact of Head Angle on Vo..||Erica G. Herzberg ..||Danielle Brates, Sonja M. Molf..||Dysphagia..||- -|
|P-32||An examination of the relationship betwe..||Erin Wilson ..||Alaina MartensMorgan HinesEmil..||Dysphagia..||- -|
|P-33||Laryngeal Sensation in individuals with ..||Fernanda Borowsky da Rosa ..||Luiz H. Schuch, Adriane S. Pas..||Dysphagia..||- -|
|P-34||Association of tongue strength and swall..||Flávia Pereira da Costa Christianini..||Ponsoni A; Oliveira ALP; Orteg..||Dysphagia..||- -|
|P-36||Functional outcomes following open salva..||Grainne Brady ..||Dr Justin Roe, Mr John Hardman..||Dysphagia..||- -|
|P-37||Clinician- and patient-evaluated swallow..||Grainne Brady ..||Dr Justin Roe, Mr John Hardman..||Dysphagia..||- -|
|P-38||Non-Compliance of Thickened Infant Formu..||Hans Bogaardt ..||Vivian KaPuiNg, Gloria Tzannes..||Dysphagia..||- -|
|P-39||Modifying the Shaker Head Tilt exercise:..||Hans Bogaardt ..||Sophia Chan, Mark Halaki, Fere..||Dysphagia..||- -|
|P-40||Effectiveness of the IOPI for swallow re..||Hans Bogaardt ..||Debbie Ng, Christina Petherick..||Dysphagia..||- -|
|P-41||Is Expiratory Muscle Strength Training (..||Hans Bogaardt ..||Debbie Ng, Christina Petherick..||Dysphagia..||- -|
|P-42||Longitudinal Study of Oropharyngeal Dysp..||Heather M Clark ..||Julie A. G. Stierwalt Ph. D, ...||Dysphagia..||- -|
|P-43||Adaptation and validation of the revised..||Heather Starmer ..||..||Dysphagia..||- -|
|P-44||Swallowing Effect and Suspected Neuromus..||Hope E Baylow ..||..||Dysphagia..||- -|
|P-45||Identifying Eating/ Drinking Skills of Y..||Isuru Dharmarathna ..||Dilushi Jayawardane..||Dysphagia..||- -|
|P-46||Twenty years of quantitative instrumenta..||Isuru Dharmarathna ..||Anna Miles, Jacqueline Allen..||Dysphagia..||- -|
|P-47||Adaptation of the Behavioral Pediatric F..||Isuru Dharmarathna ..||Sajini Perera..||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.