Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

Thesis (M Med (Family Medicine))--University of Limpopo (Medunsa Campus), 2011. / AIM AND OBJECTIVE: To determine metered dose inhaler usage technique among asthmatic patients attending outpatient clinic and assess relationship between proficiency and specific factors for efficient or non-efficient usage. DESIGN: A cross-sectional study was conducted in outpatient clinic; the inhalation technique was assessed in six steps. SETTING: outpatient clinic of Witpoort hospital, Limpopo province, South Africa. RESULT: Total of 102 patients (32 male and 70 female) was assessed with age ranging from 10 to 77(mean 44) between September to November 2008. Only three (2.9%) of patients could perform all six steps correctly. Percentage of patients performing each step correctly were: 20.6% , 65.7%, 4.9%, 4.9% and 1% got none of the step, one step, two steps, three steps, and four steps correctly respectively. None got up to five steps correctly. The 2.9% that got all six steps correctly were taught by a doctor and had asthma duration of greater than five year. CONCLUSION: This study shows a high level of incorrect usage of metered dose inhaler among asthmatic patient attending witpoort hospital. Sex (gender), age and educational level did not play a role in proficiency of inhaler use.

Thesis M.Med.(Family Medicine))--University of Limpopo (Medunsa Campus), 2010. / Background Asthma mortality in many countries is reported to be falling but the morbidity remains unacceptably high. One of the reasons for the latter is the reluctance to, and the inappropriate use of MDIs by patients resulting in inadequate dosing of medication and therefore poor asthma control. For family physicians to appropriately manage their asthmatic patients, they need to understand the patients’ knowledge and practice on the use of MDIs. Aim The aim of the study was to determine the knowledge and practice of asthmatic patients seen in a private general practice on the use of MDIs. Methodology A descriptive cross-sectional study was undertaken with fifty randomly selected participants. A structured questionnaire was used for data collection and data analysis was done using Microsoft Excel spreadsheet and SPSS version 17 software. Results Sixty percent (60%, n=30) of the participants were females and forty percent (40%, n=20) were males. The majority of the participants eighty two percent (82%, n=41) had asthma for more than five years. All the participants used MDIs. Ninety four percent (94%, n=47) used Asthavent® and 88% Budeflam®. Ninety four percent knew that Asthavent® was a reliever and only 20% knew that Budeflam® was a preventer. Conversely, forty percent (40%, n=20) thought that Budeflam® was a reliever. The majority of the participants were unable to correctly demonstrate the main steps in the practical use of the MDI. Conclusion The correct use of MDI was found to be poor for most participants. The majority of the participants lacked knowledge and skill for effective use of the MDI. The findings from this study provide reasons for family physicians to continuously educate their patients on the correct use of the MDI.

Thesis (M.S.)--University of Wisconsin--Madison, 1981. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 97-99).

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Chronic obstructive pulmonary disease (COPD) is expected to become the third most common cause of mortality in the world (GOLD Committee, 2009). COPD management continues to play a large role in everyday medical practice and inhalation therapy will continue to be a mainstay of COPD treatment. Very little is known about how prescribers choose drug-delivery devices for their clients with COPD. This study examined the current practice related to COPD inhalation devices among physicians working in a small rural community hospital. . Results showed that the most frequently prescribed device for patients was a DPI in the community setting and that nebulizers are most commonly prescribed in the emergency department. Physicians reported various factors that they consider when prescribing an inhalation device; ease of use for the patient, disease severity, cost to the patient, and therapeutic response. Physicians expressed that disease severity as the most important factor.

Diss. (sammanfattning) Stockholm : Karol. inst., 2001. / Härtill 5 uppsatser.

Ph.D.