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Asia Pacific survey of physicians on asthma and allergic rhinitis (ASPAIR): data from China

Chinese Medical Journal 2019年第11期132卷 1264-1271页

作者： David Hinds Bhumika Aggarwal Xin Du Aruni Mulgirigama sumitra shantakumar Real World Evidence & Epidemiology GSK Collegeville PA 19426-0989 USA Respiratory Global Classic & Established Products GSK 139234 Singapore Respiratory Therapeutic area GSK Shanghai 201203 China Respiratory Franchise GSK Brentford Middlesex TW8 9GS UK Real World Evidence and Epidemiology GSK 139234 Singapore

Background:In China, the prevalence of allergic rhinitis (AR) and asthma has increased in the past decade. As these two diseases frequently coexist, the Asia-Pacific Survey of Physicians on Asthma and Allergic Rhinitis (ASPAIR) study aimed to assess physicians5 beliefs and treatment patterns of coexistent asthma-AR across six Asian countries. This analysis presents the results from China. Methods: The 200 hospital-based general physicians and pediatricians were interviewed from five cities in China. Physicians were questioned in-person about their knowledge, beliefs and management practices for patients with coexistent asthma-AR. Results: Approximately 70% of the physicians interviewed routinely evaluated their patients with asthma or AR for signs of coexistent disease. While the majority of physicians (>90% of physicians) recognized the increased burden of coexistent asthma-AR vs. one condition alone and that coexistent disease requires additional treatment, most physicians (96%) also believed that patients with coexistent asthma-AR were well managed if either condition alone improved. Similarly, although 71% of physicians selected a combination of intranasal and inhaled corticosteroids as their preferred treatment for coexistent asthma-AR, in line with treatment guidelines, two fifths of physicians indicated that treatment for coexistent disease requires too much medication and that their patients prefer oral medications and a third of physicians believed that corticosteroids should be delayed in children. Conclusions: This survey demonstrates that physicians interviewed in China have a broad understanding of coexistent asthma-AR and its impact on patients. A holistic approach to patient management with informed decisions regarding patients' overall treatment will benefit patients who suffer from coexistent disease.

关键词： Asthma Allergic rhinitis Coexistent asthma-allergic rhinitis China Asia-Pacific Survey of Physicians on Asthma and Allergic Rhinitis ASPAIR

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Multiple tendons of the additional belly of flexor pollicis longus in the carpal tunnel: Embryological perspective and their clinical significance

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Forensic Medicine and Anatomy Research 2013年第4期1卷 70-73页

作者： Ravindra Swamy shantakumar Srinivasa Rao Sirasanagandla Satheesha Badagabettu Nayak Mohandas Rao Kappettu Gadahad Shiroor Nagabhushan Somayaji Naveen Kumar Melaka Manipal Medical College (Manipal Campus) Manipal University Manipal India

Although the flexor pollicis longus is known to show the additional head of the origin, the occurrence of its additional tendons in the carpal tunnel are seldom reported. The presence of such additional tendons in the carpal tunnel cannot be overlooked during the radiological and surgical procedures in this region. Herein, we report a rare case of additional muscle belly of flexor pollicis longus. The additional muscle belly after a short course divided into three tendons. All three tendons entered the carpal tunnel along with flexor pollicis longus, passing deep to the flexor retinaculum. Within the carpal tunnel, two of these tendons fused and terminated by merging with the undersurface of the flexor retinaculum. The third tendon terminated by joining the flexor digitorum superficialis tendon for the index finger, in the palm. An additional slip of the first lumbrical muscle took origin from the third tendon of the additional muscle belly of flexor pollicis longus. Further, the embryological basis and clinical significance of current case is discussed.

关键词： Flexor Pollicis Longus Additional Muscle Belly Flexor Retinaculum Carpal Tunnel First Lumbrical

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