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Pharmacy help for stuff, Schemes and Mind Maps of Pharmacy

For pharmacy help for stuff for stuff

Typology: Schemes and Mind Maps

2023/2024

Uploaded on 05/31/2025

fatima-nxy
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bg1
SCIT
:
Weekly
at
first
then
monthly
Bager
et
al
-
SLIT
:
usually
once
daily
LIMITATIONS
:
Large
national
cohort
study
cohort
study
lacked
conducted
in
Denmark
,
long-term
Is
randomisation
yes
study
to
assess
the
long-term
impact
confounding
(for
eg
.
diff
in
adherence
,
selection
baseline
severity
,
of
SCIT
+
SLIT
.
Studies
showed
reduced
bias
or
lifestyle
choices
el
need
for
anti-allergic
medication
during
45
%
uS35
%
between
groups
treatment
,
but
benefits
were
not
sustained
passed
SCIT
SLIT
5
years
.
I
included
this
to
showcase
real
world
and
long
term
data
,
and
other
articles
didn't
do
long-term
Wahn
et
al
.
Limitation
:
real-world
Observational
study
.
So
there's
no
random
allocation
=
selection
bias
possible
Real-world
Cohort
study
Also
outcomes
were
self
reported
-
potential
recall
bias
-
-
65
.
4
%
of
patients
Focused
on
birch
pollen
immunotherapy
using
AIT
were
no
using
SCIT
,
it
showed
reduced
symptoms
,
medication
longer
Using
SAR
reliance
,
and
even
a
reduced
risk
of
developing
asthma
symptomatic
meds
.
over
six
years
·
ind
to
show
SCIT's
long-term
clinical
benefits
49
.
1
%
were
not
using
asthma
meds
up
to
6
yrs
scadding
et
al
.
(2017)
after
stopping
treatment
Randomised
Controlled
trial
(RCT)
was
a
GRAsstrial
,
examined
whether
two
years
of
limitation
:
SLIT
for
grass
pollen
led
to
lasting
symptom
control
.
variable
study
designs
Y
Followed
up
at
three
years
,
study
found
continued
cohort
or
improvement
in
nasal
response
.
Showed
SCIT's
long-term
RCT
Observational
potential
and
was
methodologically
strong
Designs
were
so
studies
different
-
hard
to
draw
one
conclusion
pf3
pf4
pf5

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SCIT

: Weekly

at firstthen

monthly

Bager

etal

SLIT

:

usually

once

daily

LIMITATIONS

:

Large

national

cohort

study

cohort

study

lacked

conducted

in

Denmark
, long-term

Is

randomisation

yes

study

to assess the

long-term

impact

confounding

(for

eg

. diff

in adherence

,

selection

baseline

severity

,

of SCIT

  • SLIT

. Studies showed

reduced

bias

or lifestyle

choices

el

need

for

anti-allergic

medication

during

45

% uS35%

between

groups

treatment

, but

benefits

were not

sustained

passed

SCIT

SLIT

5

years

. I

included

this to

showcase

real

world

and

long

term
data,

and

other articles didn't

do

long-term

Wahn

et

al.

Limitation

: real-world

Observational

study

.

So

there's no

random

allocation

= selection

bias possible

Real-world

Cohort

study

Also outcomes

were self

reported

  • potential recall

bias

65

. 4

% of

patients

Focused

on

birch pollen

immunotherapy

using

AIT

were

no

using

SCIT ,

it showed

reduced

symptoms

,

medication

longer

Using

SAR

reliance,

and even

areduced

risk of developing

asthma

symptomatic

meds.

over

six years

· ind to

show

SCIT's

long-term

clinical

benefits

49

. 1 %

were not

using

asthma meds up

to 6

yrs

scadding

etal.

(2017)

after

stopping

treatment

Randomised Controlled

trial

(RCT)

was a

GRAsstrial

,

examined

whether

two years of

limitation

:

SLIT

for

grass

pollen

led

to

lasting

symptom

control

. variable

study

designs

Y

Followed up

at three

years ,

study

found

continued

cohort

or

improvement

in nasal

response

.

Showed SCIT's

long-term

RCT

Observational

potential

and was

methodologically

strong

Designs

were so

studies

different

hard todraw one

conclusion

Yonekura

et

al

.

(2022)

Randomised

Study

Based

in

Japan

,

assessed

effectiveness of

SLIT

on

Japanese

cedar
and

cypress

pollen

.

It
showed

that

SLIT
reduced

symptoms

during

the pollen

season ,

and was

well

tolerated

by

patients.

It

was

included

to
show

how

SLIT

performs

in

real-time

,

season-specific

treatment

and

to

reflect

a

more

international

scope of evidence.

Chaker

et

al

.

(2016)

RCT

Compared

SCIT
alone

vs

. SCIT

combined

w/
anti-IL-

la

biologic

to assess

wether the

combination

improved safety

or

efficacy

.

While

SCIT

alone

was effective,

study

found no added

benefit
from

the

biologic

,

it

also

highlighted

a

higher

risk of Systemic

reactions

,

including

anaphylaxis

.

I

included
this

study

because

it

showcased

SCIT's

risk

profile, for

safety

comparison

Immune

system

is Immunotherapy

TH2-Dominant encourages

development

of

The

Cells

Regulatory

T cells

Stimulate (Tregs(

production

produce

anti-inflammatory

IgE

antibodies

IL-

and

cytokines

trigger

goal

is

to TGF-beta

shift

away

histamine release

from

The

dominant

from
mast

cells

calm the immune response

and reduce

allergy

symptoms

also

B

cells

Y ↓

binastern

IgG

blocking

antibody

it binds

the

allergen

but dosen't trigger

a

response

also

Mast

cells

and
eosinophills

release

tr

Histamine
Reduced
activity

and

numbers

of

these

cells

Allergen

injected directly

into

a

lymph

node

=

inthe

groin

Linguinal

Lymph

node)

. The

idea

is

that

by placing

the

allergen

directly

where immune

cells are

concentrated

,

trigger

a

stronger

and

faster immune

response

with

fewer

closes

only

injections

total

Omalizumab

,

anti-IgE

monoclonal

antibody

binds to

IgE

preventing

it

from

triggering

allergic

responses