[Analysis on the management of type 2 inflammatory asthma from the guideline of Global Strategy for Asthma Management and Prevention].

Bronchial asthma is a common chronic respiratory disease, which is involved in a variety of cells and cellular components. In 2019, the guidelines for the diagnosis and treatment of asthma issued by the Global Initiative for Asthma (GINA) Committee put forward the concept of type 2 inflammatory asthma for the first time. The updated evolution of GINA guidelines has promoted the development of biological agents and disease treatment, providing effective prevention and treatment for patients with severe asthma and improving disease outcome. This paper expounds the disease mechanism and management suggestions of type 2 inflammatory asthma in GINA guidelines, and analyzes the relevant clinical studies on targeted treatment of type 2 inflammatory asthma in recent years, in order to provide reference for in-depth understanding of level 3 prevention and management of patients with type 2 inflammatory asthma.

[Trends study of diet consulting for discharged patients with acute myocardial infarction in China from 2001 to 2011].

Objective: To describe trends in diet consulting at discharge for patients with acute myocardial infarction (AMI) in China from 2001-2011. Methods: A representative sample of patients in China admitted to hospital for AMI was created from a two-stage sampling approach; profiles for patients with AMI were retrospectively abstracted through their medical records.The study described the overall trends in diet consulting for patients with AMI in China, the rates of diet consulting among patients with hypertension, diabetes, and hyperlipidemia, and the variation in diet consulting across different regions. Results: We sampled 162 hospitals and included 16 100 patients with AMI in total.The weighted rates of diet consulting at AMI discharge in China was 16.5%, 28.8%, and 40.8% in 2001, 2006 and 2011, respectively (P for trend <0.001). The rates and trends among patients with hypertension, diabetes, and hyperlipidemia were similar to those among all patients with AMI (hypertension: 16.4%, 31.4%, and 41.1% in 2001, 2006 and 2011, respectively; diabetes: 18.2%, 32.2%, and 42.8%; hyperlipidemia: 18.6%, 31.4%, and 41.5%; all P for trend <0.001). The rates has not changed much for those in central rural region over the decade (19.2%, 19.4%, and 22.8% in 2001, 2006 and 2011, respectively; P for trend=0.09); meanwhile, the rates of diet consulting in other four regions increased over years (all P for trend<0.001). Conclusions: From 2001 to 2011, the rates of diet consulting at discharge for patients with AMI has increased in China; however, there are still substantial rooms for improvement, especially for central rural region.Dietitian could work with clinician and be involved in diet consulting for AMI at discharge in order to improve prognosis for patients with AMI.