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-291 Improving access and confidence in learn.. Cornelia Beyers .. Eleanor Parkinson, Rajendra Ha.. Quality Improvement.. - -
PO-292 The SHIELD Project: Designing an interve.. Gloria Cheung .. Dr Clare FentonDr Ioana Varvar.. Research.. - -
PO-293 How are we Prescribing? A Re-audit of Pr.. Maham Khan .. Neelima Reddi.. Audit.. - -
PO-295 The tip of the iceberg; Depression and c.. Art Malone .. .. Research.. - -
PO-296 Evaluating the dissemination of mental h.. Chloe Challen .. .. Quality Improvement.. - -
PO-298 THEORY OF MIND DEFICITS IN BIPOLAR DISOR.. Shravani Chauhan .. .. Research.. - -
PO-300 Pardon My Sobbing: A Qualitative Study o.. Alisha Pradhan .. .. Research.. - -
PO-303 Comparative Study of Care Home Referrals.. Vellingiri Raja Badrakalimuthu .. .. Research.. - -
PO-304 The Royal College Of Psychiatrists Physi.. Pranav Mahajan .. .. Education and Training.. - -
PO-306 Restructuring Patient Review and Allocat.. Theo Boardman-Pretty .. Dr John Tweed, Dr Camilla Day,.. Quality Improvement.. - -
PO-308 Physician Associates in the Frame: Devel.. Pranav Mahajan .. .. Education and Training.. - -
PO-309 Curriculum Development: A National Curri.. Pranav Mahajan .. .. Education and Training.. - -
PO-310 A snapshot of prescribing in Intellectua.. Struan Simpson .. .. Audit.. - -
PO-311 Identifying transition to First Episode .. Emma Davies .. .. Service Evaluation.. - -
PO-312 Improving efficiency and quality of hand.. Bharat Velani .. Bharat Velani, Sagar Jobanputr.. Quality Improvement.. - -
PO-313 Diverse Motherhood- support for diverse .. Nazish Hashmi .. .. Quality Improvement.. - -
RF-314 The prevalence of OCD like symptoms amon.. Hamid Alhaj .. .. Research.. - -
PO-316 AN AUDIT CYCLE HIGHLIGHTING THE RATE OF .. Theresa Ugalahi .. Dr Hamid Hassan,Dr John OBrien.. Audit.. - -
PO-317 The Duty to Protect: Legal parameters of.. Christina Barmpagianni .. Patrick CREMIN, Antonio FIALHO.. Case Study.. - -
PO-318 Service User Involvement in Recovery-ori.. Thomas John .. Jenny BillingsPatricia Wilson.. Research.. - -

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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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