Benefits Of Liberal Arts Requirements - 1719 Words

Like many young people, I had very little idea about what I wanted to pursue for a career when I enrolled at Minnesota State University Moorhead (MSUM). One of the benefits of liberal arts requirements is that you have the opportunity to take classes that you might otherwise overlook. For me it was a course in human biology. Taught by a charismatic and enthusiastic professor, the course I took only to fulfill my liberal arts requirements became the course that started me down a career path in science. To figure out where I wanted to take my new biology major, I became involved in undergraduate research with Dr. Ellen Brisch. Dr. Brisch’s research focused on the sexual development of fish embryos in estrogenic waters downstream of a wastewater treatment plant. Estrogenic activity from chemical pollutants can negatively effect the sexual development of many aquatic species, leading to male infertility and population decline1, 2. To study the extent of this phenomenon in Moorhead , MN, we collected water from multiple sites along the Red River of the North and reared medaka (Oryzias latipes) embryos in these samples. Embryonic development as well as hatching time were examined and compared to estrogenic and non-estrogenic control waters. We found that embryos hatched in estrogenic water and water sampled downstream of the wastewater treatment plant hatched significantly earlier than those in non-estrogenic control water, as well as water samples from other areas of the river.Show MoreRelatedA Liberal Arts Education: Preparing You for Any Career Essay962 Words   |  4 PagesA liberal arts education should no longer be considered the â€Å"easy way out† when compared to a career-oriented education. A liberal arts education provides students with many benefits, as well as a well-rounded education. Although this is true, many people still have doubts about liberal arts educations. One of the many benefits of a liberal arts education is that you will receive training in a variety of subjects. You will have the opportunity to take many different types of classes. Within theRead MoreThe Benefit of Liberal Arts Education Essay example904 Words   |  4 Pagesspecialized it raises the question, should undergraduate institutions change their curriculum requirements to better equip students? The goal of a liberal arts education is to enlighten individuals and prepare them for the complex and diverse world by requiring the study of literature, philosophy, mathematics, and sciences. As professional careers evolve into more specialized fields the argument that a liberal education is no longer needed rises. Some educators feel that future professionals would beRead MoreEducation And Liberal Arts Education1253 Words   |  6 PagesA study in general education (liberal arts) affects different aspects of my development both physically and mentally. A liberal arts educati on has shaped the form I conceive and return over individual circumstances. After attending class and reading all the benefits of a liberal arts education it has shaped the direction I held regarding a Liberal Arts education. A liberal arts education has shifted the way I study and the process I go about completing my school work. Furthermore, from the mannerRead MoreLiberal Arts Education : Becoming A Successful Consultant At Boston Consulting Group969 Words   |  4 PagesThe perception of Liberal Arts education has started to evolve over the years. Initially, Liberal Arts education was considered as a form of elitist education where nobles tried to expand on their knowledge on different topics rather than developing certain skills. However, as time is passing Liberal Arts education is becoming synonymous with personal development and critical thinking. While some people still believe that for a secure financial standing practical education such as going to a businessRead MoreLib eral Art Schools Worthiness Essay1366 Words   |  6 Pagescapital societies. Today, collage standards expand and people discovered that some institutes are better than the others due to the options that each system provides. Of course liberal art school is one of them due to its philosophical base of the way that people should follow to learn. Nonetheless, nowadays, liberal art school is not economically worth the money to students because it is not providing students with what they actually need. Anything that is not providing students with what theyRead MoreBecoming A Physician s Assistant One Day1474 Words   |  6 Pagesbegin this essay, all of the sudden the light bulb in my head turned on. I am just a nineteen year old woman, fresh out of highschool compared to other students in this college, but knee deep in my first semester. I am a biology major, attending a liberal arts college, with the intent of becoming a Physician’s Assistant one day. The question of, â€Å"how on Earth am I supposed to sway the minds of people who are far more knowledgeable and intellectual than I am?† crossed my mind more times than I am proudRead MoreLiberal Arts Breadth and My Education1210 Words   |  5 PagesLIBERAL ARTS BREADTH AND MY EDUCATION 3 Liberal Arts Breadth and My Education There are many benefits to getting a Liberal Arts degree in today’s economic market. It is a message to your employer that you are willing to take on new information, and learn more then what is necessary to succeed. It shows initiative and the ability to expand your horizons beyond yourself. In a Liberal Arts education there is more purpose then just learning the career field of choice. It is a program that teaches criticalRead MoreLiberal Education806 Words   |  4 PagesShould education be a liberal education or should it be more focused on vocational issues? A liberal education is a system in which education is acceptable for a free human being. It’s based on the medieval concept of liberalism of the Age of Enlightenment. It was once described as a philosophy of education that empowers individuals with more knowledge and transferable skills, and a stronger sense of values, ethics and civic unity. A vocational education is an education that refers to a system orRea d MoreEducation Vs Liberal Education1328 Words   |  6 Pagesit raises the question, should undergraduate institutions and schools alter their educational program requirements to better prepare students for their future academic or career goals. Students go into college to better equip themselves for a better future. However, depending on their learning style, the ways colleges teach their students to develop their futures differ in many ways. A liberal arts college aims to communicate a vast general knowledge and create general intellectual limits, in comparisonRead MoreGraduation Speech : Starting School980 Words   |  4 Pagesshe taught our class, we enjoyed her approach and how relevant she made learning to our understanding. I wanted to have the same impact on students that she had for me. However, my pursuits in this field were short lived. I quickly found that the requirements for the degree (such as taking a second language) made it more challenging than I anticipated. Two failed attempts in pursuing an education degree prompted me to look into other degree options that my school offered. Networking with students in

People have become overly dependent on technology Free Essays

The World Wide Web is a huge world that should be controlled. The Internet has many advantages and disadvantages. It is either to be a useful tool or to be a harmful weapon. We will write a custom essay sample on People have become overly dependent on technology or any similar topic only for you Order Now The Internet had many effects and side effects in the social life, Safety and also purchasing or shopping. If it was controlled all those will be much better and life will be easier. However, if it was uncontrolled that will lead to huge problems. The peaceful tool will convert to be a harmful weapon. It won’t kill humans but I will kill nations and cultures. First, the Internet had developed the teaching methods and made the education uch easier and better. The student can look up for any subject that he need in the internet and It will Just pop up to him. It is better than referring to books. Internet will take you seconds to find specific information, while books may take hours and day to look up on them. The student homework’s, assignments and projects also require him to use Internet. The students and kids are totally able to look up for anything in the Internet, so that can lead to one of two things. First, Either the kids will use that to improve their skills, knowledge and they will catch up with the technology. Second, they will start to look up for pornographic media and it will be easy to obtain. It will destroy a lot of their parents work. They may addict online games as most of the kids in this time. This will cause them their social life. They wont be able to make friends or to contribute with anyone. They will not feel that they are wrong until they grew up and become adults. In that time they will notice that they have no friends or anyone around him. It will be very hard in that time to recover what he did. Not to mention that the kids who stay a lot in the Internet they got some issues. They will have pain in their packs and in their hands. This pain will be noticed after they grew up. But they will feel that their eyes are becoming weaker with time. It is the main reason for why too many people are wearing glasses in these days. They should be censored in what they see, how long they set in front of their computers or laptops and how they set. Second, The Internet can be used by governments to ensure the safety. It is a tool that the governments can use to detect the strange cases and stop them right away. There were some cases those terrorist used emails to contact each other. If their emails were controlled and under the government eyes they would probably save human lives. Governments should also watch the text massaging and instant massaging such â€Å"WhatsApp† or â€Å"skype† because it may used to plan for something. If governments work harder in the telecommunication security side, they would achieve many things that they are trying to do by other methods. They may detect a terrorist or also a murder evident, these things should not be ignored. Other wise we will watch a new type of terrorist that is more crazy than the previous ones. Third, There are types ot thieves and terrorist. In these days the worse type ot it is the hacker. There are a lot of hackers in this time. Those hackers may do small things such hacking an email. They also may do huge things like trying to hack a financial websites and steal the money from it. There are a lot of people who shops in the Internet and they are all afraid from the hackers or the fake website. Since they Just fill in their credit card information. They will find out that they were stolen. There are many fake websites and hackers that use Internet to gain money. The huge what hackers can do is trying to steal a bank. If government do not secure banks, people money will Just disappear. All the financial websites should be secured and controlled by the government so no body get stolen. Finally, The Internet can be a very useful tool to develop and to live a better life. However, this can never be unless that the Internet was secured and under the government eyes. I hope that people understand the meaning of the Internet and how harmful can it be. I also hope that people understand how a useful it is if it was used properly. How to cite People have become overly dependent on technology, Essays People Have Become Overly Dependent on Technology Free Essays Humans have been called the animals which make things, and at no time in history has this been so obvious as the present. Today, every human activity is dependent upon various tools, machines, and systems, from growing food to providing shelter to communication, healthcare, and entertainment. Some machines, like the tractor, speed up and make more efficient activities that humans have done for hundreds of thousands of years. We will write a custom essay sample on People Have Become Overly Dependent on Technology or any similar topic only for you Order Now Others such as the airplane or the Internet, make possible things that humans have never been able to do before. This collection of devices, capabilities, and the knowledge that accompanies them is called technology. We can say that â€Å"living without technology is like living without air† in this technical world of today. Therefore, we are much dependent on technology. Broadly speaking, technology is how people modify the world to suit their own purposes. From the Greek word techne, meaning art or artifice or craft, technology literally means the act of making or crafting, but more generally it refers to the diverse collection of processes and knowledge that people use to extend human abilities and to satisfy human needs and wants. Technology has been going on since humans first formed a blade from a piece of flint, harnessed fire, or dragged a sharp stick across the ground to create a furrow for planting seeds, but today it exists to a degree unprecedented in history. Planes, trains, and automobiles carry people and cargo from place to place at high speeds. Telephones, television, and computer networks help people communicate with others across the street or around the world. Medical technologies, from vaccines to Stem Cell therapy, allow people to live longer, healthier lives. 00 years ago people’s average age of death was from 40 to 45. But now it’s 75. Furthermore, technology is evolving even as we speak, with new technologies being created and existing technologies being improved and extended. The benefits of technology are usually obvious, if they were not, it would probably never be developed, but the disadvantages and dangers are often hidden. A perfect example is chlorofluorocarbons, or C FCs. When CFCs were invented, no one realized that these chemicals used as refrigerants would eventually damage the ozone layer. Today, the Internet is having profound effects on society, how people interact and communicate with one another, how they do their business, and how they get their entertainment and recreation, but no one knows exactly what to expect from it in future. Computers make our lives easier and give us new ways to learn about the things we’re interested in. They make it possible to do many things from the comfort of our own home — we can shop online, keep in touch with our friends online, even go to school online. They make it easier to record and organize information and entertain us with a nearly endless variety of games. However, it’s still important to maintain a life outside of the cyber world; a life spent attached to a computer screen isn’t a real life. When a computer becomes the central point of a person’s life, they undergo a change in behavior; they become lazy and develop anti-social tendencies, and, in some severe cases, simply cannot function without a computer. Some people say that we are not really dependent on technology. We can live without the technology. Our ancestors did it, so why can’t we? I would ask these questions: When was the last time you solve math problems without using calculator? When was the last time you went to library to find information instead of searching from internet? Also time has changed since our ancestors era. Has technology really taken over our lives this much? Where we can’t go 2 minutes without checking our phone to see if we have a text? Where we can’t go a day or two without checking our e-mail, and facebook? We can’t even walk across a campus without seeing a student on the phone, laptop or listening to their iPods. All this makes it particularly important that people understand and are comfortable with the concepts and workings of modern technology. Today’s people, including me, have become socially inept and too dependent on technology. Now this isn’t meant to be a hate technology thread, because technology really can be awesome at times. From a personal standpoint, people benefit both at work and at home by being able to choose the best products for their purposes, to operate the products properly, and to troubleshoot them when something goes wrong. And from a societal standpoint, an informed citizenry improved the chances that decisions about the use of technology will be made rationally and responsibly. But sometimes we take technology too seriously, and depend on it too much. If your computer breaks, don’t get pissed about it. If the Internet goes down, it’s not the end of the world. If your phone is broken, don’t kill yourself. And ask this question from yourself: How long can you â€Å"survive† without technology? How to cite People Have Become Overly Dependent on Technology, Essays

Asthma is a Chronic Lung Disease Case Study

Question: Describe about the Case Study for "Asthma is a chronic lung disease"? Answer: Pathophysiology Asthma is a chronic lung disease that causes obstruction and inflammation of airways. It is recognised to affect the breathing patterns followed by excess coughing and wheeziness. Patients suffer from airway obstruction. People with family history of asthma are sure to be affected in their life. Both environmental and genetic factors are responsible for it cause. In this study, a patient is diagnosed with asthma in the childhood. Medical reports of the patient give a brief detail of patients history, treatment plan and medication prescribed. This study shows the physical and social impact of the disease on the patient. In this case study Patient aged 44, married with no children is diagnosed as a child with asthma. Asthma can be of two types allergic that is caused by exposure to allergen and non-allergic that caused by cold and other irritants. Asthma in this patient is identified to be because of environmental factors that mostly include airborne allergens and respiratory tract infections (Meln and Pershagen 2012). Other factors include tobacco smoke, cooking gases, air conditioners, nitrogen dioxide, humidifiers, improper ventilation in a house, infection due to other asthma members in the house, use of electric heaters, etc. Several cases identified the increased asthma on air pollution (Theoharides et l. 2012). These factors together with viral respiratory infections are mainly responsible for the severe persistence of childhood asthma. Most children are affected with parainfluenza virus and rhinovirus during their early life (Bouzigon et al. 2015). Asthma is also manifested by an interaction of respiratory viruses with atopy. Family asthma experiences showed to be the major risk factor in several cases. In this case study patients family history shows atopy. Thus, genetic factors also help in the development of asthma. Therefore, an onset of early asthma is mainly due to history asthma, early exposure to risk factors for atopy and wheezing. Asthma patients commonly experience discomfort from multiple triggers (dust, cold weather) coughing, tightness in chest, shortness of breath and wheezing. Lung function test shows the thick layer of mucous in airways causing obstruction, edema and inflammation of lungs in these patients. Blood examination shows elevation in inflammatory cells such as eosinophils, mast cells, neutrophils, immunoglobulin E and basophils. Several studies revealed that allergens elevate immune response. Therefore, the high level of TH2, cytokines, chemokines and Ig E are observed (Theoharides et l. 2012). Mast cells cause an IgE-mediated release of hista mine and leukotrienes the key players in causing inflammation and bronchoconstriction. Inflammatory mediators disrupt airway epithelium. Dendritic cells interact with allergens and infiltrate the lymph nodes which results in elevated T cell response. Neutrophils are elevated during excessive smoking. Airway remodelling also occurs due to infiltrations of structural cells that leads to hyperplasia and hypersecretion of mucous. It is further accompanied by angiogenesis and subepithelial fibrosis. Bronchial inflammation is the manifestation of interaction between immune cells and other mediators that are mainly responsible for narrowed airways (Meln and Pershagen 2012). Although genetic factors are known to play the crucial role in asthma exact mechanism behind inflammation and airway obstruction through them is not yet understood. Asthma also has psychosocial effects. Patients suffer from anxiety, depression, slouching, unusual restlessness, lack of desire to work, etc. Low oxygen als o affects neurological functions. An uncontrolled cough sometimes increases fear of death. These makes life too stressful that apart anger, frustration, embarrassment becomes part of their everyday lives (Bouzigon et al. 2015). History taking and diagnosis History taking in medicine is corner stone which gives doctors clear evidence of the present patient condition. It includes past experiences of disease along with physical and psychosocial effects. The history taking starts with series of the questionnaire for a patient to obtain complete details. The history in the case of childhood asthma should involve information about exposure to passive smoking during early infancy, maternal use of corticosteroids and any other environmental factors discussed earlier. Deteriorated lung function causes prolonged persistence asthma symptoms. Several studies show that development of asthma in children before three years of age is mainly due to maternal smoking during pregnancy and have more frequent wheezing (Bickley et al. 2012). According to some studies, these children show decreased lung function by the age of 7 years. Therefore, intervention in asthma development in childhood prevents persistence of airflow obstruction in later years. In this case, patient study reports identified asthma only and no evidence of chronic obstructive pulmonary disease found. She also has a personal and family history of atopy. A detailed physical examination is required to check distressing symptoms, a presence of viral infection in upper respiratory tract and assessment of factors that cause inflammation (Schleich et al. 2014). Asthma in this patient is identified to be because of environmental factors that mostly include tobacco smoke, cooking gases, air conditioners, nitrogen dioxide, humidifiers, improper ventilation in a house, infection due to asthma members in the house, electric heaters, etc. Family asthma experiences showed to be the major risk factor in this case. Therefore, although suffering from a persistent cough since January 2015, could not go for the regular checkup. The patient kept on using sister's inhalers up to the month of September. It worsened the situation with multiple triggers (dust, cold weather) coughing, tightness in chest, shortness of breath and wheezing. Upon checkup lung function test and other clinical reports showed the low level of PEF-200 instead of normal range 400. She was recommended with PO Prednisolone 40 mg for five days, one per day. Clenil 100mcg was prescribed to take two puffs in the morning and evening. Salbutamol 100 mg one or two puffs were told to use for emergency. Several studies show that administering prednisolone even after obstructing airflow is the cause of disease severity. Asthma in this patient is recognised to be of a severe persistent category. More of salbutamol and antibiotics was prescribed to relieve symptoms. But other problems developed such as severe abdominal pain and excess menstrual bleeding, dark periorbital patches and faced turned paler. Pelvic and blood examination results showed reduced ferritin and haemoglobin level. Medication was changed, and new asthma plan was given. Ferrous fumarate and Norethisterone 5mg was prescribed along with Symbicort 100 two puffs daily morning and evening. The patient was asked to revisit in 6 weeks for review. Asthma care plan would not relieve the symptoms of anemia (Lommatzsch and Virchow 2014). So, the combination of ICS and LABA was given. Patient has improved and did not require further Salbutamol 100 but experiences a cough usually in the morning. Inhaler technique A correct inhaler technique is a major factor determining the asthma control. Inhalation is the major route of drug delivery in asthma. According to several studies efficacy of inhaled medication and its outcome depends on the patient behaviour on an intake of medicines as instructed (Price et al. 2013). Inhaler therapy aims to deliver a drug directly to lungs. Patient compliance correlates with benefits of inhaler therapy. Different inhalers are deposited to the different extent in lungs. Salbutamol deposits at a lower rate. When maximum drug reaches lungs, it prevents the adverse effects associated with deposition of a drug to some other region. Patients who do not comply with the instructed dosage or proper inhalation technique result in delayed drug delivery to target organ. Lack of education is found to be one of the main reason for noncompliance and inappropriate inhaler use. Adversity of incorrect inhaler use is not properly assessed thus; pharmacists teach inhaler technique t o patients at pharmacies. It led to positively influence asthma control (Giraud et al. 2012). A variety of inhalers is used out of which metered dose inhalers are mostly used in delivering bronchodilators such as salbutamol, corticosteroids. Initial use of meter dose inhalers needs to be properly primed and well shaken before use. Canisters must be well cleaned, and mouthpiece should be dry (Hamdan, et al. 2013). Spacer devices more efficiently deliver drugs to lungs. Patient must read package instruction properly. Dry powder asthma inhalers contain medicine as the dry powder. Unlike the former inhalers, this one needs to be forcefully inhaled. Therefore, they are not prescribed for an aged patient. In this case study, the patient was prescribed to take Symbicort. To use this inhaler firstly capsule is loaded after removing the cap and then breathed deeply keeping mouthpiece between the teeth. Before exhaling, breath is to be held for few seconds (Giraud et al. 2012). Assessment and management of acute asthma Assessment includes identification of symptom intensity and chances of exacerbations and management is the steps taken to forestall the adversity. According to guidelines of NAEPP EPR-3 severity of the patient, a condition is to be determined. Management should be goal directed to achieve positive results. The goal is to prevent symptoms and future risk of exacerbations. These guidelines include the set of instructions that is followed by physicians as per the patients disease scenario. It helps in decision making about asthma care. It instructs patients about dos and donts, assist in determining triggers, next appointment for review, how to communicate with physician and family about asthma attacks. It includes the plan for managing symptoms and asthma attack and emphasize on patient education. Comprehensive treatment is planned so as to resolve and reverse the inflammation (Simons et al. 2012). These guidelines are updated from time to time. If these guidelines are correctly implem ented, it can save both personal and financial loss of the patient. Patients need to give detailed information about the persistence of a cough, whether at night or in a morning, trouble in breathing and performing normal activities. Practioner should plan and ameliorate the symptoms within 2-3 weeks. The analysis should be done to comprehend the reason behind symptomatic frequencies. In this case, study patient was suffering from asthma since childhood. After using medicines for a prolonged period, she was found to be asymptomatic. But recently symptoms recurred. Asthma control plan involves continuous monitoring. She was given steroids, bronchodilators and antibiotics and alleviate medications Prednisolone, Clenil and Salbutamol. It helped relieve the intensity of symptoms and discomfort. She worsened the situation by discontinuing the visit as symptoms were not profound. Distress started to occur despite inhaling steroids. Patients should avoid negligence even if symptoms are resolved. However, later she continued the treatment, and Asthma Management Plan was changed as exacerbations triggered. Childhood asthma management includes administration of mainly nedocromil and theophylline as per NAEPP guidelines but rarely used (Kaya et al. 2014). Patients with allergic asthma require the different set of guidelines according to NAEPP. Mostly omalizumab is prescribed that decreases the release of mast cells and histamine. These patients need to avoid dust allergens, mites, handling pets, etc. Non-pharmacological asthma management involves identification and restoring of the normal situation. Complete avoidance of environmental factors triggering asthma is the base rule. Avoiding food that irritates gastroesophageal reflux is necessary (Parshall et al. 2012). A comprehensive treatment plan is needed that helps control asthma along with educating a patient about details of the case and asthma management. In the given case study initial treatment decreased wheezing and coughing in the patient. But later other problems were noted such as abdominal discomfort and dark circles. Clinical tests identified low ferritin and haemoglobin level. So, asthma control plan was changed, and new medicines were prescribed that brought situation under control. Asthma care plan is changed from time to time with the change in severity and symptoms manifested. Patient and practitioner should efficiently collaborate and decide on to a correct action plan. Patients should also be helped to deal with psychological effects such as anger, confusion, anxiety and depression which are common in people with a prolonged disease. It is advisable to consult professional psychologists to learn to manage stressful experiences of chronic illnesses. Patients need to be in a positive state of mind. Apart from medication patients should engage in physical activities for both mental and physical well-being (Theoharides et al. 2012). Despite several efforts to manage asthma prevention of exacerbations, triggers remain an important problem in the world. Identification and mechanism of genetic factors in asthma is still under intense research. Continuous research is going on to understand the reason behind mismanagement and intervene asthma in early life so as to prevent its persistence in later life. References Bickley, L. and Szilagyi, P.G., 2012. Bates' guide to physical examination and history-taking. Lippincott Williams Wilkins. Bouzigon, E., Nadif, R., Le Moual, N., Dizier, M.H., Aschard, H., Boudier, A., Bousquet, J., Chanoine, S., Donnay, C., Dumas, O. and Gormand, F., 2015. [Genetic and environmental factors of asthma and allergy: Results of the EGEA study].Revue des maladies respiratoires,32(8), pp.822-840. Giraud, V., Allaert, F.A. and Roche, N., 2012. Inhaler technique and asthma: feasability and acceptability of training by pharmacists.Respiratory medicine,105(12), pp.1815-1822. Hamdan, A.L., Ahmed, A., Abdullah, A.L., Khan, M., Baharoon, S., Salih, S.B., Halwani, R. and Al-Muhsen, S., 2013. Improper inhaler technique is associated with poor asthma control and frequent emergency department visits. Allergy Asthma Clin. Immunol, 9(1), p.8. Kaya, A., Erkocoglu, M., Akan, A., Vezir, E., Azkur, D., Ozcan, C., Civelek, E., Toyran, M., GiniÃ…Å ¸, T., Misirlioglu, E.D. and Kocabas, C.N., 2014. TRACK as a complementary tool to GINA and NAEPP guidelines for assessing asthma control in pre-school children. Journal of Asthma, 51(5), pp.530-535. Lommatzsch, M. and Virchow, C.J., 2014. Severe asthma: definition, diagnosis and treatment.Deutsches rzteblatt International,111(50), p.847. Meln, E. and Pershagen, G., 2012. Pathophysiology of asthma: lessons from genetic research with particular focus on severe asthma.Journal of internal medicine,272(2), pp.108-120. Parshall, M.B., Schwartzstein, R.M., Adams, L., Banzett, R.B., Manning, H.L., Bourbeau, J., Calverley, P.M., Gift, A.G., Harver, A., Lareau, S.C. and Mahler, D.A., 2012. An official American Thoracic Society statement: update on the mechanisms, assessment, and management of dyspnea. American journal of respiratory and critical care medicine. Price, D., Bosnic-Anticevich, S., Briggs, A., Chrystyn, H., Rand, C., Scheuch, G., Bousquet, J. and Inhaler Error Steering Committee, 2013. Inhaler competence in asthma: common errors, barriers to use and recommended solutions. Respiratory medicine, 107(1), pp.37-46. Schleich, F.N., Chevremont, A., Paulus, V., Henket, M., Manise, M., Seidel, L. and Louis, R., 2014. Importance of concomitant local and systemic eosinophilia in uncontrolled asthma. European Respiratory Journal, 44(1), pp.97-108. Simons, F.E.R., Ardusso, L.R., Bilo, M.B., Dimov, V., Ebisawa, M., El-Gamal, Y.M., Ledford, D.K., Lockey, R.F., Ring, J., Sanchez-Borges, M. and Senna, G.E., 2012. 2012 Update: World Allergy Organization Guidelines for the assessment and management of anaphylaxis. Current opinion in allergy and clinical immunology, 12(4), pp.389-399. Theoharides, T.C., Enakuaa, S., Sismanopoulos, N., Asadi, S., Papadimas, E.C., Angelidou, A. and Alysandratos, K.D., 2012. Contribution of stress to asthma worsening through mast cell activation.Annals of Allergy, Asthma Immunology,109(1), pp.14-19.