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-761 Junior doctor mentors: enhancing medical.. Kenneth Ruddock .. Dr Catriona Neil.. Education and Training.. - -
PO-762 Life, interrupted: a patient experience .. Jonathon Whyler .. Jen McPherson, Amrith Shetty, .. Case Study.. - -
PO-763 How contemporary Disney film can be used.. Charlotte Caves .. .. Education and Training.. - -
PO-764 Introduction of ECT discharge summary- A.. Ayesha Ahmad .. Dr. Adnan KhanYetunde Abiodun.. Quality Improvement.. - -
PO-768 Audit on the quality of outpatient lette.. Armaan Akhtar .. .. Audit.. - -
PO-769 Mental health status of high school stud.. Randa Altamih .. Osman Kamal Osman Elmahi.. Research.. - -
PO-772 The impact of COVID-19 on physical healt.. Rachel Ball .. Dr Joanna Bredski.. Audit.. - -
PO-773 Service-user led recommendations on impr.. Hardeep Kandola .. Erin VignaliXuezi Bai.. Quality Improvement.. - -
PO-774 Antipsychotic optimisation on an adult a.. Soracha Healy .. Dr Radhika LakhaniDr Katerina .. Audit.. - -
PO-775 Clozapine-induced periorbital edema: a r.. Tomas Teodoro .. Violeta Nogueira Marina Teles .. Case Study.. - -
PO-776 Trauma-informed care on CAMHS ID Unit. C.. Evelina Eggleston .. Omaima Daoud.. Case Study.. - -
PO-777 An audit of adherence to the pre-referra.. Radhika Lakhani .. Dr Selvaraj Vincent, Dr Isaac .. Audit.. - -
PO-778 Physical Health and Mental Health Comorb.. Verity Williams .. O Olaluwoye, A Dunlop, R Faru.. Service Evaluation.. - -
PO-780 Digital phenotyping methods to measure o.. Samyak Pandey .. .. Research.. - -
PO-781 Evaluating completeness of admissions cl.. Neha Karthikeyan .. Charlotte LittleAnjali NairAnd.. Quality Improvement.. - -
PO-782 Service evaluation: Patient engagement w.. Christos Vatalis .. .. Service Evaluation.. - -
PO-783 Clinicians Experience of Remote Assessme.. Simona Constantinescu .. Jaya Gupta, Iti Arora Fedyushk.. Service Evaluation.. - -
PO-784 Differences in remote mental healthcare:.. Nita Agarwal .. Lamiya Samad (Corresponding & .. Research.. - -
PO-785 Prevalences and Correlates of Benzodiaze.. Nada Zahreddine .. Rahna Theruvath-ChalilSohail A.. Quality Improvement.. - -
PO-786 Changes in Crisis Resolution Home Treatm.. Awon Raza .. Dr Sujith Pillai.. Audit.. - -

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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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