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Routine chest radiographs in patients with asthma usually show only hyperinflation Other findings may include bronchial wall thickening and diminished peripheral lung vascular shadows Chest radiographs are indicated when pneumonia, another disorder mimicking asthma, or a complication of asthma such as pneumothorax is suspected The diagnostic usefulness of measurements of biologic markers of inflammation such as cell counts and mediator titers in blood and

The second comparison uses an overloaded version of Compare( ), which takes a third Boolean parameter, the value of which determines whether case should be ignored in the comparison. If the value of this ignore case parameter is true, the comparison is made without regard to case. This time the result is 0, indicating that the two strings are identical:

The goals of asthma therapy are to minimize chronic symptoms that impair normal activity (including exercise), to prevent recurrent exacerbations, to minimize the need for emergency department visits or hospitalizations, and to maintain near-normal pulmonary function These goals should be met while providing optimal pharmacotherapy with the fewest adverse effects and while meeting patients and families expectations of satisfaction with asthma care

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Current approaches to persistent asthma focus on daily anti-inflammatory therapy with inhaled corticosteroids Treatment algorithms are based on both the severity of a patient s baseline asthma and the severity of asthma exacerbations Expert Panel Report 2 from the NAEPP recommends a stepwise approach to therapy (Table 9 3) The amount of medication and frequency of dosing are dictated by asthma severity and directed toward suppression of increasing airway inflammation To establish prompt control, therapy should be initiated early at a higher intensity level than anticipated for long-term therapy Pharmacotherapy can then be cautiously stepped down once asthma control is achieved and sustained; this allows for identification of the minimum medication necessary to maintain long-term control

For this use, CVS is clearly the right choice To illustrate the second question (a geographically distributed development team), envision the following: you and some friends want to develop a new editor for Mac OS X Each person lives in a different part of the country A fundamental requirement of the project is that members need to be able to access and update each other s work at any time CVS is designed to work over the network, so one developer sets up the CVS server on their machine and sets up a repository The other developers configure their environment to access the repository remotely over the network Now all developers have access to CVS as though the repository were accessible within their file system Further, suppose you are working in one location and relocate for a few months to another part of the country.

Asthma medications can be divided into two categories: agents that offer quick relief of symptoms and agents taken to promote long-term asthma control Quick-relief medications are taken to promote prompt reversal of acute airflow obstruction and relieve accompanying symptoms by direct relaxation of bronchial smooth muscle Longterm control medications are taken daily independent of symptoms to achieve and maintain control of persistent asthma These agents also known as maintenance, controller, or preventive medications act primarily to attenuate airway inflammation Many asthma medications are administered orally or by inhalation Inhalation of an appropriate agent results in a more rapid onset of pulmonary effects as well as fewer systemic effects compared with oral administration of the same dose Metered-dose inhalers (MDIs) propelled by chlorofluorocarbons (CFCs) have been the most widely used delivery system, but non-CFC propellant systems and dry powder inhalers (DPIs) are available These alternatives are effective and well tolerated Proper MDI technique and the use of an inhalation chamber improve drug delivery to the lung and decrease oropharyngeal deposition Nebulizer therapy is reserved for acutely ill patients and those who cannot use MDIs because of difficulties with coordination or cooperation

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