Publications by authors named "D A Bukstein"
Article Synopsis
- - The article discusses how individuals with food allergies have limited "food freedom," leading to various challenges including cognitive, emotional, social, nutritional, and financial impacts.
- - It suggests that avoiding certain foods can affect gut health and potentially contribute to neuroinflammatory issues, impacting mental health.
- - The use of psychological counseling is highlighted as a helpful approach, while also noting that strict dietary restrictions might hinder overall dietary health benefits.
Primatene MIST, an epinephrine metered-dose inhaler (MDI), has long been questioned by some medical professionals for asthma treatment despite having been approved by the Food and Drug Administration. One of the primary reasons for their concerns stemmed from potential cardiovascular complications following epinephrine administration. However, the majority of documented cardiovascular complications seemed to occur following the injection route of the epinephrine.
View Article and Find Full Text PDFDecisions With Patients, Not for Patients: Shared Decision-Making in Allergy and Immunology.
J Allergy Clin Immunol Pract
October 2024
Shared decision-making (SDM) is an increasingly implemented patient-centered approach to navigating patient preferences regarding diagnostic and treatment options and supported decision-making. This therapeutic approach prioritizes the patient's perspectives, considering current medical evidence to provide a balanced approach to clinical scenarios. In light of numerous recent guideline recommendations that are conditional in nature and are clinical scenarios defined by preference-sensitive care options, there is a tremendous opportunity for SDM and validated decision aids.
View Article and Find Full Text PDFAllergic Diseases and Mental Health.
J Allergy Clin Immunol Pract
September 2024
Article Synopsis
- - Neuropsychiatric symptoms are frequently seen in individuals with allergic diseases, with factors like neuroinflammation and social implications potentially explaining this connection.
- - The review explores how mental health relates to various allergic conditions, including allergic rhinitis, atopic dermatitis, asthma, and food allergies, but highlights that more research is needed, especially regarding how medications affect these interconnections.
- - Clinicians are encouraged to proactively screen for mental health issues using tools like the Patient Health Questionnaire, as these can help identify patients needing psychiatric support, though they should be cautious of the limitations of these screening tools.