Royal College of Psychiatrists International Congress 2022


20-23 June 2022 Edinburgh
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Royal College of Psychiatrists International Congress 2022


20-23 June 2022 Edinburgh
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PO-739 Face-to-Face Psychiatry Placements and t.. Abigail Swerdlow .. Sonya Rudra.. Education and Training.. - -
PO-740 Understanding the Psychological Impact o.. Tom Scurr .. .. Quality Improvement.. - -
PO-741 IMPACT OF COVID-19 RELATED WORK MODEL CH.. Oluwaseun Olaluwoye .. .. Service Evaluation.. - -
PO-742 Driving risk assessment and advice provi.. Oghenefejiro Ofovwe .. Dr Nduka Nzekwue.. Audit.. - -
PO-743 The stress of the situation: How do comp.. Rachel Kerrigan .. Rochelle BurgessLaura Fonseca.. Research.. - -
PO-744 A PILOT PROJECT TO INTRODUCE THE COMPASS.. Ayomipo Amiola .. P. TEMPLE, H. DICKERSON, P. LA.. Quality Improvement.. - -
PO-745 The provision of mental health care for .. Pooja Saini .. P. SAINI, H. ROKS, L. SAMBROOK.. Research.. - -
PO-746 Findings from three Neurodevelopmental P.. Niraj Singh .. .. Education and Training.. - -
PO-747 Patient experience of electroconvulsive .. Jonathon Whyler .. Kirsty Bradley, Hazel Chapman,.. Research.. - -
PO-748 Reducing the pressure on mental health t.. Nafiz Imtiaz .. Dr John McLaughlin, Oakleaf Me.. Quality Improvement.. - -
PO-749 What is the future of primary mental hea.. Anjali Patel .. A Zarif (1), A Mahmod (1 ) ,I .. Service Evaluation.. - -
PO-750 Improving Standards Of Physical Health C.. Harikrishna Patel .. K ROBINSON and A. KENNARD.. Quality Improvement.. - -
PO-751 Redeveloping Leadership Training for Hig.. Shay-Anne Pantall .. Devika PatelHumaira Aziz.. Education and Training.. - -
PO-752 Metabolic effects of antidepressants; is.. Anjali Patel .. Reshma Rasheed, Imad Nazir.. Research.. - -
PO-753 Clinical Re-audit of assessment and reco.. Bhavana Piparsania .. DR KMS KUMARDR R KAUR.. Quality Improvement.. - -
PO-754 Incidence of Smoking Rates and Relapse D.. Pratyaksha Sinha .. Mais Hammoud.. Research.. - -
PO-756 A quality improvement of the identificat.. Anjali Patel .. Reshma Rasheed.. Quality Improvement.. - -
PO-757 Psychiatric Induction Programme in Fife.. Cassie Philp .. Fiona AlexanderBarbara Geller.. Audit.. - -
PO-758 A systematic approach for the interview .. Jiann Lin Loo .. .. Education and Training.. - -
PO-760 Improving continuity of care of patients.. Paula Beaumont .. .. Quality Improvement.. - -

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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.

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