This document discusses asthma diagnosis, control, and risk factors. It notes that asthma is diagnosed as intermittent or persistent and followed up as controlled, partially controlled, or uncontrolled. It identifies patients at high risk of asthma-related death, including those with a history of near-fatal asthma or recent hospitalization. It also lists signs that should prompt immediate medical care during an asthma attack, such as severe breathlessness, rapid heart rate, low peak expiratory flow, or no improvement after initial treatment.