Browsing by Author "Cruz, A"

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    International European Respiratory Society/American Thoracic Society guidelines on severe asthma
    Bousquet, J; Khaltaev, N; Cruz, A; Yorgancioglu, A; Chuchalin, A
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    Helsinki by nature: The Nature Step to Respiratory Health
    Haahtela, T; von Hertzen, L; Anto, JM; Bai, CX; Baigenzhin, A; Bateman, ED; Behera, D; Bennoor, K; Camargos, P; Chavannes, N; de Sousa, JC; Cruz, A; Teixeira, MD; Erhola, M; Furman, E; Gemicioglu, B; Diaz, SG; Hellings, PW; Jousilahti, P; Khaltaev, N; Kolek, V; Kuna, P; La Grutta, S; Lan, LTT; Maglakelidze, T; Masjedi, MR; Mihaltan, F; Mohammad, Y; Nunes, E; Nyberg, A; Quel, J; Rosado-Pinto, J; Sagara, H; Samolinski, B; Schraufnagel, D; Sooronbaev, T; Eldin, MT; To, T; Valiulis, A; Varghese, C; Vasankari, T; Viegi, G; Winders, T; Yañez, A; Yorgancioglu, A; Yusuf, O; Bousquet, J; Billo, NE
    Background: The Nature Step to Respiratory Health was the overarching theme of the 12th General Meeting of the Global Alliance against Chronic Respiratory Diseases (GARD) in Helsinki, August 2018. New approaches are needed to improve respiratory health and reduce premature mortality of chronic diseases by 30% till 2030 (UN Sustainable Development Goals, SDGs). Planetary health is defined as the health of human civilization and the state of the natural systems on which it depends. Planetary health and human health are interconnected, and both need to be considered by individuals and governments while addressing several SDGs. Results: The concept of the Nature Step has evolved from innovative research indicating, how changed lifestyle in urban surroundings reduces contact with biodiverse environments, impoverishes microbiota, affects immune regulation and increases risk of NCDs. The Nature Step calls for strengthening connections to nature. Physical activity in natural environments should be promoted, use of fresh vegetables, fruits and water increased, and consumption of sugary drinks, tobacco and alcohol restricted. Nature relatedness should be part of everyday life and especially emphasized in the care of children and the elderly. Taking nature to modern cities in a controlled way is possible but a challenge for urban planning, nature conservation, housing, traffic arrangements, energy production, and importantly for supplying and distributing food. Actions against the well-known respiratory risk factors, air pollution and smoking, should be taken simultaneously. Conclusions: In Finland and elsewhere in Europe, successful programmes have been implemented to reduce the burden of respiratory disorders and other NCDs. Unhealthy behaviour can be changed by well-coordinated actions involving all stakeholders. The growing public health concern caused by NCDs in urban surroundings cannot be solved by health care alone; a multidisciplinary approach is mandatory.
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    ARIA 2016 executive summary: integrated care pathways for predictive medicine across the life cycle
    Yorgancioglu, AA; Kalayci, Ö; Cingi, C; Gemicioglu, B; Kalyoncu, AF; Agache, I; Bachert, C; Bedbrook, A; Canonica, GW; Casale, T; Cruz, A; Fokkens, WEJ; Hellings, P; Samolinski, B; Bousquet, J
    The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative commenced during a World Health Organization (WHO) workshop in 1999. The initial goals were (i) to propose a new allergic rhinitis classification, (ii) to promote the concept of multi-morbidity in asthma and rhinitis and (iii) to develop guidelines with all stakeholders for global use in all countries and populations. ARIA-disseminated and implemented in over 70 countries globally-is now focusing on the implementation of emerging technologies for individualized and predictive medicine. MASK (MACVIA (Contre les MAladies Chroniques pour un VIeillissement Actif)-ARIA Sentinel NetworK) uses mobile technology to develop care pathways in order to enable the management of rhinitis and asthma by a multi-disciplinary group or by patients themselves. An App (Android and iOS) is available in 20 countries and 15 languages. It uses a visual analogue scale to assess symptom control and work productivity as well as a clinical decision support system. It is associated with an inter-operable tablet for physicians and other health care professionals. The scaling up strategy uses the recommendations of the European Innovation Partnership on Active and Healthy Ageing. The aim of the novel ARIA approach is to provide an active and healthy life to rhinitis sufferers, whatever their age, sex or socio-economic status, in order to reduce health and social inequalities incurred by the disease.
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    Integration of GARD Turkey national program with other non-communicable diseases plans in Turkey
    Yorgancioglu, A; Yardim, N; Ergün, P; Karlikaya, C; Kocabas, A; Mungan, D; Yildiz, F; Akdag, R; Keskinkiliç, B; Karakoç, GB; Köktürk, N; Özacar, R; Saçkesen, C; Yüksel, H; Akçay, S; Altan, P; Altunsu, T; Arpaci, N; Aytaç, B; Çakir, B; Çoban, ÇS; Göktas, E; Gündogan, A; Kakillioglu, T; Kosdak, M; Tugay, D; Khaltaev, N; Cruz, A; Bateman, E; Cagnani, CB; Dahl, R; Bousquet, J
    For the prevention and control of non-communicable diseases (NCD), an action plan on NCDs is intended to support coordinated, comprehensive and integrated implementation of strategies and evidence-based interventions across individual diseases and risk factors, especially at the national and regional levels by World Health Organization (WHO). The Global Alliance against Chronic Respiratory Diseases (GARD) is making every attempt to align with WHO's non-communicable diseases action plan. GARD activities have been commenced in over 40 countries and in 11 countries an integrated NCD action plan is being prepared or has already been initiated. This integrated approach of GARD has also targeted to GARD Turkey project. The Turkish Ministry of Health has decided to apply this national control program in conformity with other NCD action plans. This article is intended to summarize these integration efforts of GARD Turkey (the National Control Program on Chronic Airway Diseases) with other NCD national programs.
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    A global respiratory perspective on the COVID-19 pandemic: commentary and action proposals
    To, T; Viegi, G; Cruz, A; Taborda-Barata, L; Asher, I; Behera, D; Bennoor, K; Boulet, LP; Bousquet, J; Camargos, P; Conceiçao, C; Diaz, SG; El-Sony, A; Erhola, M; Gaga, M; Halpin, D; Harding, L; Maghlakelidze, T; Masjedi, MR; Mohammad, Y; Nunes, E; Pigearias, B; Sooronbaev, T; Stelmach, R; Tsiligianni, I; Lan, LTT; Valiulis, A; Wang, C; Williams, S; Yorgancioglu, A