• Intermittent Level: This is the most serious level of asthma. A person is considered to be at this level when they show symptoms of asthma are not more than 2 times a week and did not wake up at night with asthma symptoms more than twice a month. At this level, asthma attacks can last from several hours to several days, but no symptoms of an asthma attack. Between asthma attacks peak expiratory flow or “PEF” is normal and varies less than 20%. The PEF is a measure of the flow of air into the lungs. A peak flow meter is used to obtain PEF reading.

• mild persistent: Someone at this level have asthma symptoms more than 2 times a week but not every day, and will have a night asthma symptoms more than twice each month. At this level, asthma attacks can slow down their daily activities. The PEF reading will vary by 20% to 30%.

• Medium persistent: Someone at this level have asthma symptoms every day and have asthma symptoms at night about once a week. An asthma attack can occur at least 2 times a week and lasted for several days. At this stage, someone will use short-acting inhaled asthma medication every day. An asthma attack is not only slow down the daily activities but may actually prevent some of them. PEF reading may vary by more than 30%.

• Severe persistent: This is the most serious level of asthma. Someone at this level show the symptoms of asthma at all times both day and night. Asthma symptoms severely limit one’s physical activity, and the Common asthma attack

The Complications asthma attack

Mediastinal emphysema and subcutaneous due to rupture of alveoli and air flow along the vessels is sometimes observed during the crisis.
The atelectasis of a lobe is common.
The bronchiectasis is possible.

1500 people die of asthma each year in France.

The chronic pulmonary heart disease due to asthma is rare outside of asthma entangled or continuous asthma in the elderly who then enters the context of chronic obstructive pulmonary disease.

The frequency and degree of symptoms

The asthma attack often begins acutely with paroxysms of wheezing, coughing hard and dry, and shortness of breath, or more gradually with symptoms of respiratory distress is slow. The patient experiences shortness of breath with rapid breathing, coughing, chest tightness, wheezing audibly. The crisis may fade rapidly or persist for several hours or days. Sputum expectorated mucus is viscous end crises.

Functional respiratory disorders may persist long after an acute attack even when the patient believes to be cured.  The doctor finds during the crisis a rapid, shallow breathing, tachycardia (rapid heartbeat) and bronchial (sibilant). The episodes are accompanied by prolonged dehydration. The patient anxiety, stands in the same sitting or leaning forward, giving the impression of running out of air. The respiratory movements are quick and effective. The accessory respiratory muscles are recruited, the chest is distended. Expiration is prolonged and painful. Breathing is wheezing.

In severe cases, the patient is unable to speak without stopping to catch his breath. Fatigue and distress the patient are obvious. Cyanosis appears if the crisis is serious. A state of mental confusion and obtundation may herald the onset of progressive respiratory failure.
In severe forms, the sibilant decreases because the airways are blocked by mucus plugs. These signs of auscultation too discreet likely to underestimate the importance of the crisis.
The severity of a crisis is distinguished by:

• the degree of difficulty breathing at rest
• speech difficulties
• cyanosis
• the use of breathing accessory respiratory muscles
• analysis of blood gases.

Status asthmaticus carries a state of acute asphyxia triggered by infection, therapeutic error, emotion, aggression allergic powerful.
It is manifested by an asthma attack that lasts more than 24 hours and do not yield to conventional therapy. An array of respiratory distress soon to occur: rapid breathing, chest distention, cyanosis, right heart failure.

Sweating, impaired consciousness reflected hypercapnia (increased carbon dioxide in the blood). The abolition of breath sounds on auscultation frequently. The risk of cardiovascular collapse is imminent and hospitalization in intensive care is urgently needed.
Between attacks, breath sounds may be normal during quiet breathing. Other times, rales or wheezing may be audible in patients who believe not to be embarrassed.

When an aggressor agent is inhaled by a subject hyperreactive, it is in contact with the cells of the respiratory tree.

Cells regulate two ways:

* Immediate reactions: cells secrete substances that will cause the closure of the bronchi as if they wanted to protect the arrival of other stressors. This is asthma that is a translation of the immediate cellular responses, breathing becomes difficult, and wheezing patient feels discomfort or tightness in the chest.

* Delayed reactions: the cells will secrete substances that attract other blood cells that play a role in inflammation, in an attempt to destroy on-site agent aggressor. These are phenomena which constitute and maintain the airway inflammation that exist even outside of crisis and the need to treat to prevent occurrence of new crises

Causes of disease Bronchial asthma

Bronchial asthma can be triggered by different stimuli.
- The extrinsic or allergic asthma is triggered by specific allergens (house dust, pollen and mold from the air, animal dander), symptoms are associated with immunoglobulin class IgE.
It occurs mainly in children and young subjects.
Occupational asthma is allergic asthma.
- Intrinsic asthma is not inflammatory or allergic. It is the inhalation of irritants (exhaust smells of fresh paint or other substances, cigarette smoke) and infections, sometimes even violent emotions, variations in atmospheric pressure or temperature, the Inhalation of cold air, triggering the crisis.
- Some medications can cause asthma (aspirin, anti-inflammatory drugs, beta blockers, etc..)
- Some angitis (vessel disease) may be proved by asthma.

In practice, these data are very theoretical factors for allergic and nonallergic are often linked.

Expectations  Of Ovarian cancer is rarely diagnosed in its early stages and is generally well advanced at the time of diagnosis, which often provides a poor prognosis. Approximately 76% of women with ovarian cancer survive one year after diagnosis.

About 45% live more than 5 years after diagnosis. If the diagnosis is made in the early stages of the disease and treatment is received before the cancer spreads outside the ovary, the survival rate at 5 years is about 94%. Complications:

• Cancer spreading to other organs
• Loss of organ function
• Fluid in the abdomen (ascites)
• Intestinal obstruction

Calling your health care provider:

Make an appointment with your doctor if you are a woman over 40 years old who has not had a pelvic exam recently. Pap smears or Pap tests and pelvic examinations are routinely recommended for all women over age 20. Call your doctor if you have symptoms of ovarian cancer.

Ovarian cancer Treatment:

Surgery is the preferred treatment is often needed to diagnose ovarian cancer.

• Studies have shown that surgery performed by a specialist in gynecologic oncology resulted in a higher cure rate.
• Chemotherapy is used after surgery to treat any remaining disease can also be used if the cancer recurs.
• Radiation therapy is rarely used to treat ovarian cancer in the United States.
• After treatment, women are commonly monitored with CA-125 and CT scans.

Pain or discomfort in the back is a very common health problem that usually experienced by older people and can appear and disappear over a period of several years. In most cases, the cause of back pain is not serious and the pain will disappear with a simple home treatment and over time. People with back pain often describe it as a slow and continuous feeling sharp, stinging or causing stiffness and difficulty standing still or moving, or pain or tingling in the buttocks and legs below the knee.

An acute attack of back pain is an attack that lasts less than six weeks, while chronic attacks generally last more than three months. Most back pain is related to stress or strain a muscle or ligament. Back pain affecting the nerves in the spine, causing pain in the buttocks and legs through the knee, are less frequent. The pain may begin immediately after exertion or injury or can start within a few hours. A very small percentage of back pain is related to age.

If you suffer from back pain for over two weeks, consult a doctor for review and to ensure that the pain is not caused by a health exception. The vast majority of cases of back pain heal on their own with the help of some home care. Try the following household measures to reduce pain and promote healing:

Relax for twenty-four hours after the pain has started to avoid any other injury.

Sleep on a firm mattress with a table below. Lie on one side with a pillow between your legs to keep the hips with a rotary motion and increase the pressure on the back or lie on your back, with a rolled towel under the neck and pillow under your knees. Avoid lying on your stomach.
Get out of bed slowly and carefully, first sitting and then standing up. Apply ice or cold compresses for twenty minutes every two hours for the first twenty-four to forty-eight hours to reduce pain and muscle spasms.
After forty-eight hours apply heat to improve circulation and healing. The use of ice or heat is an individual choice that depends on what you prefer and what reduces the pain. Take pain medication and prescription anti-inflammatory such as aspirin or ibuprofen. It is best to take these medicines with milk, food or antacids to protect the stomach. However, children and teenagers should not take aspirin because aspirin use in this age has been associated with an uncommon condition, although serious, brain and liver of Reye’s syndrome. Pregnant women should consult their doctor before taking any medication. Without prescription. It is advisable that parents with children and people with medical problems read carefully the prospectus of the products and consult with the pharmacist if you have questions about their use. It must also avoid vigorous activity for six weeks after the pain is gone to get a complete cure and prevent the injury occurring again.

The main symptoms

The disease primarily affects animals living in community (cattery, shelter, “large family” semi-wild cats), kittens and unvaccinated adults. After a short incubation (2 to 5 days), respiratory signs (coughing, sneezing), the runny eyes and nose, loss of appetite and sometimes red spots appear in the mouth, more or less significant depending animals.

If several cats have the same symptoms at the same time, it is likely that this is the coryza is a highly contagious disease. Contagion occurs (like flu in humans), without direct contact, sneezing or when cats are blown over. The transmission can also be done by the person caring for several cats, including one patient. Hence the importance, if we have several cats, putting on a blouse to care for sick, well disinfect their hands afterward, and isolate the sick cat other throughout the treatment period, however, do not panic, this disease is not communicable to humans.

The untreated disease may progress to natural healing in some resistant animals. But beware it can sometimes be complicated by necrosis of the nasal bones with generalized infection, and eventually death of the animal if it is weakened and refuses to eat.