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Contents
Big Tobacco still up to its "health effects are controversial" tricks
Some of the comments above are difficult to understand other than as an attempt to extend tobacco sellers' decades-old "tobacco might be healthy" controversy-tricks to Wikipedia's asthma page, and to minimize or obfusticate the causative role of tobacco smoke as a cause of asthma.
Big Tobacco's attempt to create the appearance of health "controversy" wherever it can seems to me to have extended to editing Wikipedia's "Tobacco" and "Smoking" pages, and to deleting mention of Big Tobacco's circumvention of its advertising agreements by product placement in movies from the Product Placement article.
Just as product placement in media such as movies is devastatingly effective advertising because it appears not to be advertising, misinformation planted in Wikipedia is devastatingly effective because those expecting to rely on it expect straight information, and do not expect it to be skewed for the profits of the tobacco sellers.
To the extent that the tobacco sellers succeed in extending the appearance of "controversy" to Wikipedia and depriving a new generation of the information needed to make a fully-informed decision about becoming a tobacco buyer, the tobacco sellers' direct and indirect profits will be huge and worldwide. It's censoring and throwing half-baked, off-topic studies to generate the appearance of "controversy" amount to subtle vandalism, and to the extent these tricky context tamperings are effective, are designed to suggest to impressionable preteens considering smoking -- tobacco seller's favorite marketing group -- that the health effects of tobacco use are, after all, in doubt.
Tampering with Wikipedia to dilute the fact that tobacco costs are far higher than the price per pack should be viewed as a call to Wikipedians familiar with the science on the issue to ensure that
(1) the science and facts needed to evaluate tobacco's risks and costs in context, and the insidious marketing strategies of tobacco sellers, are not allowed to be quietly deleted from the relevant pages,
(2) that tobacco sellers' smoke screen of off-topic implications that tobacco use might be healthy is addressed by full factual context, and
(3) that health professionals realize that there is a continuing need for vigilance in guarding the pages where potentially profitable young customers for Big Tobacco will come looking for presumably-accurate information -- that making sure that information is reliable -- not jimmied to increase sales -- is an ongoing public health issue. —Preceding unsigned comment added by 68.165.11.209 (talk • contribs) 17:49, 22 March 2008
Controllers vs Relievers and Preventers
This article should differentiate between these and probably mention the best for each. --Waqqashanafi (talk) 16:41, 24 January 2016 (UTC)
- It upsets me to see Spiriva Handihaler being described as an asthma "reliever". I am not convinced that the distinction between "controllers" and "preventers" is valid. As to which is "best", it depends which pharmaceutical company you ask. Axl ¤ [Talk] 01:23, 25 January 2016 (UTC)
Semi-protected edit request on 30 April 2016
1
Please change "Low air quality from factors such as traffic pollution or high ozone levels,[36] has been associated with both asthma development and increased asthma severity." to “Low quality air from factors such as traffic pollution, and high ozone levels,[36] hazardous air pollutants, and particulate matter has been associated with both asthma development and increased asthma severity." At the end of this portion, please add "Exposure to such low quality air has been shown to be more prevalent in urban environments." [37] Source: [37] Corburn, J., Osleeb, J., & Porter, M. (2006). Urban asthma and the neighbourhood environment in New York City. Health and Place, 12, 167-179. Graceundis (talk) 20:32, 30 April 2016 (UTC)
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- This is based on http://www.ncbi.nlm.nih.gov/pubmed/16338632 which is a primary source from 2005. Per WP:MEDRS we tend to stick with just secondary sources. Doc James (talk · contribs · email) 13:03, 1 May 2016 (UTC)
References
2
Please add: “More than half of pediatric asthma cases occur in areas that don’t meet EPA air quality standards. [38]” to the "Environmental" section of this page.[1] Graceundis (talk) 20:35, 30 April 2016 (UTC) Grace Undis 4.30.16
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- This source http://www.ncbi.nlm.nih.gov/pubmed/?term=11427385 is from 2001. A little old and appears to apply to just the USA I image. We could add "Over half of cases in children in the United States occur in areas with air quality below EPA standards". Only really makes sense though when we know what percentage of children live in such areas. Doc James (talk · contribs · email) 13:03, 1 May 2016 (UTC)
References
- ^ [38] American Lung Association (ALA) (2001). Urban air pollution and health inequities: a workshop report [Congresses] Environmental Health Perspectives, 109 (Suppl 3), 357-374
3
Add to "Epidemiology" section: "Asthma in children has negative effects on quality of life for the children and their parents. Children with asthma have higher risk of lower physical, psychological and social function and their parents have higher risk of lower physical function."[1] Graceundis (talk) 20:40, 30 April 2016 (UTC)
References
- ^ Silva, N., Carona, C., Crespo, C., & Canavarro, M. (2015, Jun). Quality of life in pediatric asthma patients and their parents: a meta-analysis on 20 years of research. Expert Review of Pharmacoeconomics & Outcmoes Research , 499-519.
4
Please add to Paragraph 2: "Onset before age 12 is more likely due to genetic influence, onset after 12 is more likely due to environmental influence."[1] Graceundis (talk) 20:43, 30 April 2016 (UTC) Done Doc James (talk · contribs · email) 12:08, 10 May 2016 (UTC)
References
- ^ Tan, D., Walters, E., Perret, J., Lodge, C., Lowe, A., Matheson, M., et al. (2015, Feb). Age-of-asthma onset as a determinant of different asthma phenotypes in adults: a systematic review and meta-analysis of the literature. Expert Review of Respiratory Medicine , 109-123.
5
Please add to the "Management" section: "Teaching methods proven to be effective for adolescents are direct monitoring and feedback on medication taking habits as well as self management skills in an interactive group setting in schools."[1] Graceundis (talk) 20:46, 30 April 2016 (UTC)
References
- ^ Mosnaim, G., Pappalardo, A., Resnick, S., Codispoti, C., Bandi, S., Nackers, L., et al. (2016, Feb). Behavioral Interventions to Improve Asthma Outcomes for Adolescents: A Systematic Review. Journal of Allergy and Clinical Immunology: In Practice , 130-141.
6
Please add to "environmental" section: "Children born to mothers who experience stress during pregnancy are at a higher risk of asthma onset."[1] Graceundis (talk) 20:51, 30 April 2016 (UTC)
References
- ^ van de Loo, K., van Gelder, M., Roukema, J., Roeleveld, N., Merjus, P., & Verhaak, C. (2016, JAn). Prenatal maternal psychological stress and childhood asthma and wheezing: a meta-analysis. European Respiratory Journal , 133-146.
7
Please create a new subsection under "Lifestyle Modification" entitled "Community Managements". Beneath the new subsection, please add the following content: "While modifying lifestyle can improve and control asthma attacks, asthma management at a community level can be beneficial. The intensity of persistent asthma severity in children varies by state so providing asthma management workshops for parents may help families with asthmatic children be better prepared in case of asthma attacks. Schools can hold peer education workshops in which older students can deliver training to younger students on how to avoid triggers and better manage their asthma. Communities with high prevalence of members with asthma can also hold community-based interventions that will teach about asthma management and can work with residents to improve living and air qualities in the neighborhood."[1] Graceundis (talk) 20:52, 30 April 2016 (UTC)
References
- ^ Asthma Severity among Children with Current Asthma (2015, March). Centers for Disease Control and Prevention. Retrieved from: http://www.cdc.gov/asthma/asthma_stats/severity_child.htm
8
Please add to the end of the 1st paragraph in the "environmental" section: "Climate change that causes rising temperatures that worsen smog pollution may also be linked to increased asthma development."[1] Graceundis (talk) 20:54, 30 April 2016 (UTC) Grace Undis 4.30.16
References
- ^ Air Pollution: Smog, Smoke and Pollen. Natural Resources Defense Council. Retrieved from: http://www.nrdc.org/health/climate/airpollution.asp
9
Please add this new paragraph to the end of the "History" section: "Due to the increase in asthma development, statewide air monitoring programs to monitor air quality were proposed and are currently in use. In 2010, a standard guideline for asthma pollutants sulfur dioxide and nitrogen dioxide was set. States were mandated to meet this guideline. Those that did not were required to adopt plan revision measures that was set by the EPA. Beginning in 2017, Tier 3 standards will be issued for new vehicles. The use of technology to control emissions will be a new imposed standard that can help reduce asthma inducing pollutants."[1] Graceundis (talk) 20:56, 30 April 2016 (UTC) Grace Undis 4/30/16
References
- ^ Ozone Basics. (2016, March). United States Environmental Protection Agency. Retrieved from: https://www.epa.gov/ozone-pollution/ozone-basics#regulations Air Pollution: Current and Future Challenges. (2016, January). United States Environmental Protection Agency. Retrieved from: https://www.epa.gov/clean-air-act-overview/air-pollution-current-and-future-challenges
10
Request 1: In the 2nd paragraph under "epidemology" section please change "While asthma is twice as common in boys as girls,[21] severe asthma occurs at equal rates.[179]" to "Children aged 0-17 years had higher prevalence (9.5%) than adults aged 18 and over (7.7%) for the period 2008-2010. Females had higher asthma prevalence than males (9.2% compared to 7.0%)"
Request 2: Please add a "demographic prevalence" subsection under "epidemiology with the following content: "Demographic prevalence Multiple race: 14.1% Asian : 5.2% Black: 11.2% American Indian/Alaskan native: 9.4% White: 7.7% Puerto Rican: 16.1% Mexican: 5.4%"
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- The specific country level data belongs here Epidemiology_of_asthma. Feel free to add it if not already covered. Doc James (talk · contribs · email) 12:46, 10 May 2016 (UTC)
Request 3: Please add a "death rates" subsection under "prognosis" with the following content: "Death rates Asthma death rate per 1,000 persons with asthma was 0.15 for 2007-2009. Asthma death rate per 1,000 persons with asthma were more than 30% higher for females than males, 75% higher for black persons, and almost 7x higher for adults than children. Highest rate for adults was 65 and older (0.58/1000 person with asthma)"
Sources: [1][2][3][4] Graceundis (talk) 21:02, 30 April 2016 (UTC)
References
- ^ Akinbami LJ, Moorman JE, Bailey C, et al. 2012. Trends in Asthma Prevalence, Health Care Use and mortality in the United States, 2001-2010. NCHS Data Brief: 94. http://stacks.cdc.gov/view/cdc/12331/cdc_12331_DS1.pdf
- ^ Buckland, G. L. (2011). Harnessing opportunities in non-animal asthma research for a 21st-century science. Drug discovery today, 16(21), 914-927.
- ^ Holmes, A. M., Solari, R., & Holgate, S. T. (2011). Animal models of asthma: value, limitations and opportunities for alternative approaches. Drug Discovery Today , 659-711.
- ^ National Institute of Environmental Health Sciences. (2016, March 1). Asthma. Retrieved March 18, 2016, from National Institute of Environmental Health Sciences: http://www.niehs.nih.gov/health/topics/conditions/asthma/
Discussion
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- Will take a look. Will need to clarify that most of these suggestions only apply to the United States. Doc James (talk · contribs · email) 12:47, 1 May 2016 (UTC)
Question: @Doc James: Are you still working on this? Can the request be changed to answered or does it still need to be reviewed? --Cameron11598 (Converse) 03:45, 10 May 2016 (UTC)
- Thanks for the reminder. Still traveling. Will take care of some of it. But yes still working on it. Doc James (talk · contribs · email) 11:51, 10 May 2016 (UTC)
- Thanks! Safe Travels to you! --Cameron11598 (Converse) 00:42, 11 May 2016 (UTC)
- Thanks for the reminder. Still traveling. Will take care of some of it. But yes still working on it. Doc James (talk · contribs · email) 11:51, 10 May 2016 (UTC)
- Will take a look. Will need to clarify that most of these suggestions only apply to the United States. Doc James (talk · contribs · email) 12:47, 1 May 2016 (UTC)
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Sulphites
Can someone with detailed knowledge include a mention of the environmental agents such as SO2 (sulphur dioxide), which used to be sprayed on fruit, and E223 (sodium metabisuphite), which is still a very common sterilizing agent and preservative (at least in the UK/Ireland). Both of these are well-known agents, and I have been interviewed by medical researchers after personally identifying the latter as affecting myself. One of the issues that came up during that interview was that certain inhalers made the lungs more sensitive to the agents -- hence once started they were hard to dispense with -- but I cannot find a source reference. TonyP (talk) 12:46, 8 June 2016 (UTC)
Bad asthma: antibodies and thermoplasty
Review doi:10.1016/S2213-2600(16)30018-2 JFW | T@lk 13:56, 1 July 2016 (UTC)
- JCI review as well: doi:10.1172/JCI84144 JFW | T@lk 13:41, 4 July 2016 (UTC)
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Recent NY times article re Barnyard Dust
This is very relevant to the issue. I thought I would FYI the editors here. Barnyard Dust Offers a Clue to Stopping Asthma in Children Rybkovich (talk)
Interesting
how half of Wikipedia on almost any medically relevant topic emits 'alternative treatments showed no significant effect'. Interesting x 2 why billion + Chinese still use traditional medicine as much as modern. They must all be crazy, right. The cause-effect way of thinking must have appeared in 19th century with modern medicine, scientific method and Carl Popper, and before then people would just randomly pick plants from the forest and give to ill. I laugh at modern 'skeptic' scientist disparaging anything older than his grandma. 212.200.65.111 (talk) 21:05, 10 October 2016 (UTC)