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MEDICAL TREATMENTS FOR ASTHMA The 1997 expert panel recommendations (National Heart Lung and Blood Institute, 1997) are considered the gold standard of current practice guidelines These recommendations de ne four levels of asthma severity (mild-intermittent, mild-persistent, moderate-persistent, and severe-persistent) de ned by a combination of factors of lung function, nocturnal symptom frequency, and daytime symptom frequency Treatment recommendations are matched to the level of severity, resulting in a stepped-care model wherein treatment guidelines are yoked to severity step Medications to treat asthma typically fall into two categories: controller and reliever medications Consistent with the emphasis on the in ammatory processes involved in asthma, controller medications exert anti-in ammatory effects, and include long-term inhaled (eg, unisolide) or oral (eg, prednisone) forms Reliever medications reverse acute bronchoconstriction through relaxing the smooth muscles; examples include short-acting beta-2 agonists (eg, albuterol).



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All of the formalisms considered so far have focused on just one aspect of agency. However, it is to be expected that a realistic agent theory will be represented in a logical framework that combines these various components. Additionally, we expect an agent logic to be capable of representing the dynamic aspects of agency. A complete agent theory, expressed in a logic with these properties, must define how the attributes of agency are related. For example, it will need to show how an agent's information and pro-attitudes are related; how an agent's cognitive state changes over time; how the environment affects an agent's cognitive state; and how an agent's information and pro-attitudes lead it to perform actions. Giving a good account of these relationships is the most significant problem faced by agent theorists. An all-embracing agent theory is some time off, and yet significant steps have been taken towards it. In the following subsection, I survey the work of Cohen and Levesque on intention logics - one of the most influential agent theories developed to date.





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Mild-intermittent asthma may be controlled through the asneeded use of reliever medications Severe-persistent asthma requires the consistent use of reliever medications and both oral and inhaled controller medications Common side effects of reliever medications include nervousness, rapid heartbeat, trembling, and headaches More common side effects of inhaled controller medications include hoarseness and sore or dry mouth and throat, whereas oral controller medications (corticosteroids) are most commonly associated with increased appetite, and nervousness or restlessness Patients may confuse corticosteroids prescribed for their asthma with anabolic steroids (often used illegally to enhance muscle mass with signi cant iatrogenic effects) Although the chronic use of oral corticosteroids for asthma control can be associated with signi cant side effects, patients may need to be reassured that their asthma medications are of a different class of medications that anabolic steroids.

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Erroneous and dysfunctional beliefs about asthma and asthma medications may impede adherence with asthma self-care recommendations Adherence with recommended medication regimens for asthma is a knotty issue, as we discuss in the next section The Expert Panel Report emphasizes the role of patient self-management in optimal asthma care We review components of asthma self-management next..

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6. In the blank line within the ready() function, enter this code:

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The examples in Figure 8.1 demonstrate the standard justifications. The default is left justification at the baseline of the text string. Height can be chosen by picking a point to indicate the height, or by typing in a number. The double-initialed justification options illustrated in Figure 8.2 are as follows:

TABLE 17.12 Neighbor List Beginning Address begAddr1 begAddr2 Ending Address endAddr1 endAddr2 Tree Level tree_level1 tree_level2 Link Quality LQ1 LQ2 Relationship Parent/child/ sibling Parent/child/ sibling Parent/child/ sibling Number of Hops hops1 hops2

= P(Tj<nAk),

which we also write as (see Fig. 4.4):

We now expand the nal term from its value at T ( ) in temperature differences, Td T ( ) and Td T (R), use (3.38) for the derivative of pve , eliminate pv between Equations (3.39) and (3.41) and substitute for the temperature differences from (3.31) and (3.40). The result is expressed in terms of the asymptotic vapour saturation, S = pv ( )/ pve (T ( )) and the droplet growth rate, d dR/dt = J /(4 R 2 ) where d is the droplet density. dR/dt = [S pve (R, T ( ))/ pve (T ( )) + [RAD]]/( d RT ) (3.44) (3.43) (3.42)

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