![]() ![]() The asthma action plan (AAP) status is significantly associated with nocturnal symptoms after adjusting for race, age and smoking status at baseline (odds ratio (OR)=0.49 (updated asthma action plan versus none), OR=0.37 (been-on plan versus none)). Having nocturnal asthma symptoms was significantly associated with the number of days with breathlessness, off usual activities and off work, and asthma severity at baseline (all P values <0.05). The generalised linear mixed-effects model (GLIMM) was used to model the primary and secondary outcomes. Association between nocturnal symptoms (defined as night-time cough, wheeze and breathlessness at least twice monthly) and each categorical predictor was tested. Patient clinical and therapeutic data were retrieved retrospectively from the programme’s database established in 2004. Methods:Ī longitudinal study was conducted on 939 multi-racial Asian patients with persistent asthma. It also studies the association between nocturnal symptoms and medication changes as the secondary outcome. This study primarily examines key factors predicting and mitigating nocturnal symptom risks among asthma patients, who were enrolled into a Singapore publicly funded asthma care programme. Periodically.Nocturnal asthma symptoms result in poor quality of life and morbidity. Eczema: tubercular over entire body itching intense, worse at night when undressing, from bathing immense quantities of white bran-like scales oozing behind the ears, in the hair, in folds of skin with rawness and soreness fiery red skin.Tubercular deposit begins in apex of lungs, usually the left.Menses: too early too profuse too long-lasting tardy in starting with frightful dysmenorrhoea in patients with a tubercular history.Diarrhoea: early morning, sudden, imperative emaciating though eating well stool dark, brown, watery, offensive discharged with great force great weakness and profuse night sweats.Plica polonica several bad cases permanently cured after Bor.Crops of small boils, intensely painful, successively appear in the nose green, fetid pus.Acute cerebral or basilar meningitis, with threatened effusion nocturnal hallucinations wakes from sleep frightened, screaming though well selected, fail to improve.School-girl's headache: worse by study or even slight mental exertion when using eyes in close work and glasses fail to better with a tubercular history.Headache: chronic, tubercular pain intense, sharp, cutting, from above right eye to occiput as of an iron hoop round the head when the best selected remedy only palliates.Everything in the room seemed strange, as though in a strange place.Melancholy, despondent morose, irritable, fretful, peevish taciturn, sulky naturally of a sweet disposition, now on the borderland of insanity.Emaciation rapid and pronounced losing flesh while eating well.Takes cold easily without knowing how or where seems to take cold "every time he takes a breath of fresh air".Symptoms ever changing ailments affecting one organ, then another - the lungs, brain, kidneys, liver, stomach, nervous system - beginning suddenly, ceasing suddenly.When the family history of tubercular affections the best selected remedy fails to relieve or permanently improve, without reference to name of disease.Adapted to persons of light complexion blue eyes, blonde in preference to brunette tall slim, flat, narrow chest active and precocious mentally, weak physically the tubercular diathesis.This remedy should not be given when the heart is weak. When Tub, fails Syph, often follows favourably, producing a reaction. Adapted to light complexioned, narrow chested subjects. Increasing exhaustion and lowered vitality. Always tired motion causes intense fatigue. Patient takes cold easily on slightest exposure which ends in diarrhoea. The symptoms are constantly changing_begin suddenly, ceasing suddenly or of obscure nature and well selected remedy fails to improve. Very valuable in the treatment of incipient tuberculosis. It affects the mind LUNGS head, occiput glands and larynx.
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