International Forum of Allergy &Rhinology, Volume 8, Issue 4, Page 453-455, April 2018.
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- Distinct and complementary roles of CD4 T cells in...
- Transcriptional programming of tissue-resident mem...
- Cutis laxa in a patient with 1p36 deletion syndrome
- Herpes vegetans accompanied by Good's syndrome
- Pigmented dermatofibrosarcoma protuberans associat...
- Relationship between environmental factors, age of...
- Improving detection of patient deterioration in th...
- Free pre-operative clear fluids before day-surgery...
- Reply to: what is more important, cost or effectiv...
- Postoperative nausea and vomiting after unrestrict...
- Comparison of double intravenous vasopressor autom...
- Intra-operative lidocaine in the prevention of vom...
- The trapezius plane block: a technique for regiona...
- Oesophageal or transgastric views for estimating m...
- Ultrasound examination of the antrum to predict ga...
- Microvascular reactivity, assessed by near-infrare...
- What is more important, cost or effectiveness?
- Prediction of bilateral cerebral oxygen desaturati...
- Intubation with cervical spine immobilisation: a c...
- Dexmedetomidine as a part of general anaesthesia f...
- Economic evaluation of bilateral sternal local ana...
- Does biologic treatment of psoriasis lower the ris...
- Modernizing Regulation of Cosmetic Products: Reint...
- Financial outcomes of transoral robotic surgery: A...
- The Cochleural Alternating Acoustic Beam Therapy (...
- The Cochleural Alternating Acoustic Beam Therapy (...
- Financial outcomes of transoral robotic surgery: A...
- Correction for Froidure et al., AtsPLA2-{alpha} nu...
- Correction for Place et al., MicroRNA-373 induces ...
- Correction for Gay-Antaki and Liverman, Climate fo...
- Correction for Lu et al., High-order above-thresho...
- Schema learning for the cocktail party problem [Ps...
- Flexible egocentric and allocentric representation...
- mTOR signaling in VIP neurons regulates circadian ...
- Sensorineural hearing loss degrades behavioral and...
- Multiplicative mixing of object identity and image...
- Endogenous superoxide is a key effector of the oxy...
- Haemophilus influenzae genome evolution during per...
- Ultrastructure of Shewanella oneidensis MR-1 nanow...
- Data-driven model for the assessment of Mycobacter...
- Innate responses to gene knockouts impact overlapp...
- Duplicated TLR5 of zebrafish functions as a hetero...
- Expansions, diversification, and interindividual c...
- Diversification of AID/APOBEC-like deaminases in m...
- Population trends in Vermivora warblers are linked...
- Protonation state of inhibitors determines interac...
- A pex1 missense mutation improves peroxisome funct...
- Effect of vowel context on test–retest nasalance s...
- Factors predicting health practitioners' awareness...
- Treatment of an obstructive, recurrent, syncytial ...
- Selective IgM deficiency associated with adult-ons...
- Table of Contents
- Information for Authors
- Is there a link between nasal polyposis and increa...
- Editorial Board
- Do we need to keep playing this tune?
- Choosing wisely in the era of biologics for asthma
- Information for Readers
- Anaphylaxis and severe immune hemolytic anemia dur...
- Biologics
- Challenges in the treatment of asthma in children ...
- Skin testing and desensitization outcomes among pl...
- Outpatient penicillin skin testing has greater val...
- Common variable immunodeficiency associated with s...
- Food allergy management and anaphylaxis preparedne...
- Measurement of fractional exhaled nitric oxide in ...
- Changes in emergency department concordance with g...
- Subcutaneous venom immunotherapy in children
- Late presentation of subtotal C6 deficiency in a p...
- Antigen 5–spiked Vespula and Polistes venom extrac...
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- The role of extracellular vesicles when innate mee...
- A historical perspective on the role of sensory ne...
- Shoulder Pain in Swimmers | How to Stay Healthy in...
- 16p11.2 microdeletion syndrome: a case report
- Immediate type hypersensitivity and late phase rea...
- Urodynamics and Clinical Factors That Are Associat...
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- Subcutaneous venom immunotherapy in children
- Do we need to keep playing this tune?
- Antigen 5–spiked Vespula and Polistes venom extrac...
- Editorial Board
- Table of Contents
- Changes in emergency department concordance with g...
- Information for Readers
- Biologics
- Information for Authors
- Anaphylaxis and severe immune hemolytic anemia dur...
- Choosing wisely in the era of biologics for asthma
- Selective IgM deficiency associated with adult-ons...
- Outpatient penicillin skin testing has greater val...
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Ετικέτες
Τρίτη 3 Απριλίου 2018
Issue Information
International Forum of Allergy &Rhinology, Volume 8, Issue 4, Page 553-553, April 2018.
https://ift.tt/2GzBkg0
Distinct and complementary roles of CD4 T cells in protective immunity to influenza virus
Andrea J Sant | Katherine A Richards | Jennifer Nayak
https://ift.tt/2q2LHyv
Transcriptional programming of tissue-resident memory CD8+ T cells
J Justin Milner | Ananda W Goldrath
https://ift.tt/2q2UhNI
Cutis laxa in a patient with 1p36 deletion syndrome
The Journal of Dermatology, EarlyView.
https://ift.tt/2q385bc
Herpes vegetans accompanied by Good's syndrome
The Journal of Dermatology, EarlyView.
https://ift.tt/2uNg7ts
Pigmented dermatofibrosarcoma protuberans associated with dermal melanocytosis
The Journal of Dermatology, EarlyView.
https://ift.tt/2q1EYoA
Relationship between environmental factors, age of onset and familial history in Japanese patients with psoriasis
The Journal of Dermatology, EarlyView.
https://ift.tt/2q05RIG
Improving detection of patient deterioration in the general hospital ward environment
https://ift.tt/2H5XkvO
Postoperative nausea and vomiting after unrestricted clear fluids before day surgery: A retrospective analysis
https://ift.tt/2EgM2lu
Comparison of double intravenous vasopressor automated system using nexfin versus manual vasopressor bolus administration for maintenance of haemodynamic stability during spinal anaesthesia for caesarean delivery: A randomised double-blind controlled trial
https://ift.tt/2GOCV0N
Intra-operative lidocaine in the prevention of vomiting after elective tonsillectomy in children: A randomised controlled trial
https://ift.tt/2EguUMP
Oesophageal or transgastric views for estimating mean pulmonary artery pressure with transoesophageal echocardiography: A prospective observational study
https://ift.tt/2EijVSS
Ultrasound examination of the antrum to predict gastric content volume in the third trimester of pregnancy as assessed by MRI: A prospective cohort study
https://ift.tt/2GVigIB
Microvascular reactivity, assessed by near-infrared spectroscopy and a vascular occlusion test, is associated with patient outcomes following cardiac surgery: A prospective observational study
https://ift.tt/2EhOGr7
Prediction of bilateral cerebral oxygen desaturations from a single sensor in adult cardiac surgery: A prospective observational study
https://ift.tt/2EgusOD
Intubation with cervical spine immobilisation: a comparison between the KingVision videolaryngoscope and the Macintosh laryngoscopeA randomised controlled trial
Dexmedetomidine as a part of general anaesthesia for caesarean delivery in patients with pre-eclampsia: A randomised double-blinded trial
https://ift.tt/2Egumqf
Economic evaluation of bilateral sternal local anaesthetic infusions via multi-hole catheters after cardiac surgery
Does biologic treatment of psoriasis lower the risk of cardiovascular events and mortality? A critical question that we are only just beginning to answer
https://ift.tt/2Je9yDg
Modernizing Regulation of Cosmetic Products: Reintroduction of the Personal Care Products Safety Act
https://ift.tt/2Gys0J9
Financial outcomes of transoral robotic surgery: A narrative review
To determine the current cost impact and financial outcomes of transoral robotic surgery in Otolaryngology.
https://ift.tt/2EhShp1
The Cochleural Alternating Acoustic Beam Therapy (CAABT): A pre-clinical trial
We intend to assess the effectiveness of a novel tinnitus treatment therapy, the Cochleural Alternating Acoustic Beam Therapy (CAABT) using the psychoacoustic measures, the questionnaires and rs-fMRI.
https://ift.tt/2H5LtOp
The Cochleural Alternating Acoustic Beam Therapy (CAABT): A pre-clinical trial
Publication date: Available online 3 April 2018
Source:American Journal of Otolaryngology
Author(s): Chunli Liu, Han Lv, Tao Jiang, Jing Xie, Lu He, Guopeng Wang, Jiao Liu, Zhenchang Wang, Shusheng Gong
PurposeWe intend to assess the effectiveness of a novel tinnitus treatment therapy, the Cochleural Alternating Acoustic Beam Therapy (CAABT) using the psychoacoustic measures, the questionnaires and rs-fMRI.Materials and methodsIn this study, we enrolled 11 older than 18 years old Chinese patients with normal hearing who had unilateral, chronic (longer than 6 months), sensorineural tinnitus, of frequencies between 125–8000 Hz, and an average loudness of 31 dB. The patients underwent the treatment with the CAABT method for 12 weeks and the outcomes were evaluated with tinnitus questionnaire scores, a set of psychoacoustic measures, and rs-fMRI testing before treatment and at 3 months. This was an earlier study of the controlled randomized clinical trial which was registered with ClinicalTrials.gov, number NCT02774122.ResultsAlmost all the patients reported reduced tinnitus annoyance after the three-month treatment. The THI and VAS scores showed decreased tinnitus severity. The rs-fMRI results indicated that the right middle frontal gyrus and the right superior temporal gyrus displayed noticeable decreases of the ReHo values for the subjects between the before and after treatment, supporting the clinical evidence of significant tinnitus reduction.ConclusionThe therapy seemed effective in patients of varying severities, and no side effects were observed in this trial. The CAABT can be an alternative for those who are suitable for sound therapy once a large scale of and better controlled clinical studies have validated the findings of this experiment.
https://ift.tt/2GuRlDL
Financial outcomes of transoral robotic surgery: A narrative review
Publication date: Available online 3 April 2018
Source:American Journal of Otolaryngology
Author(s): Sammy Othman, Brian J. McKinnon
ObjectiveTo determine the current cost impact and financial outcomes of transoral robotic surgery in Otolaryngology.Data sourcesA narrative review of the literature with a defined search strategy using Pubmed, MEDLINE, CINAHL, and Web of Science.Review methodsUsing keywords ENT or otolaryngology, cost or economic, transoral robotic surgery or TORs, searches were performed in Pubmed, MEDLINE, CINAHL, and Web of Science and reviewed by the authors for inclusion and analysis.ResultsSix total papers were deemed appropriate for analysis. All addressed cost impact of transoral robotic surgery (TORs) as compared to open surgical methods in treating oropharyngeal cancer and/or the identification of the primary tumor within unknown primary squamous cell carcinoma. Results showed TORs to be cost-effective.ConclusionTransoral robotic surgery is currently largely cost effective for both treatment and diagnostic procedures. However, further studies are needed to qualify long-term data.
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Correction for Froidure et al., AtsPLA2-{alpha} nuclear relocalization by the Arabidopsis transcription factor AtMYB30 leads to repression of the plant defense response [Correction]
PLANT BIOLOGY Correction for "AtsPLA2-α nuclear relocalization by the Arabidopsis transcription factor AtMYB30 leads to repression of the plant defense response," by Solène Froidure, Joanne Canonne, Xavier Daniel, Alain Jauneau, Christian Brière, Dominique Roby, and Susana Rivas, which was first published August 9, 2010; 10.1073/pnas.1009056107 (Proc Natl Acad Sci USA...
https://ift.tt/2Gw5v3u
Correction for Place et al., MicroRNA-373 induces expression of genes with complementary promoter sequences [Correction]
GENETICS Correction for "MicroRNA-373 induces expression of genes with complementary promoter sequences," by Robert F. Place, Long-Cheng Li, Deepa Pookot, Emily J. Noonan, and Rajvir Dahiya, which was first published January 28, 2008; 10.1073/pnas.0707594105 (Proc Natl Acad Sci USA 105:1608–1613). The authors wish to note the following: "The corresponding authors...
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Correction for Gay-Antaki and Liverman, Climate for women in climate science: Women scientists and the Intergovernmental Panel on Climate Change [Correction]
ENVIRONMENTAL SCIENCES Correction for "Climate for women in climate science: Women scientists and the Intergovernmental Panel on Climate Change" by Miriam Gay-Antaki and Diana Liverman, which was first published February 12, 2018; 10.1073/pnas.1710271115 (Proc Natl Acad Sci USA 115:2060–2065). The authors note that the following statement should be added to...
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Correction for Lu et al., High-order above-threshold dissociation of molecules [Correction]
PHYSICS Correction for "High-order above-threshold dissociation of molecules," by Peifen Lu, Junping Wang, Hui Li, Kang Lin, Xiaochun Gong, Qiying Song, Qinying Ji, Wenbin Zhang, Junyang Ma, Hanxiao Li, Heping Zeng, Feng He, and Jian Wu, which was first published February 13, 2018; 10.1073/pnas.1719481115 (Proc Natl Acad Sci USA 115:2049–2053)....
https://ift.tt/2JizXQE
Schema learning for the cocktail party problem [Psychological and Cognitive Sciences]
The cocktail party problem requires listeners to infer individual sound sources from mixtures of sound. The problem can be solved only by leveraging regularities in natural sound sources, but little is known about how such regularities are internalized. We explored whether listeners learn source "schemas"—the abstract structure shared by different...
https://ift.tt/2Irhgsq
Flexible egocentric and allocentric representations of heading signals in parietal cortex [Neuroscience]
By systematically manipulating head position relative to the body and eye position relative to the head, previous studies have shown that vestibular tuning curves of neurons in the ventral intraparietal (VIP) area remain invariant when expressed in body-/world-centered coordinates. However, body orientation relative to the world was not manipulated; thus,...
https://ift.tt/2GR3thP
mTOR signaling in VIP neurons regulates circadian clock synchrony and olfaction [Neuroscience]
Mammalian/mechanistic target of rapamycin (mTOR) signaling controls cell growth, proliferation, and metabolism in dividing cells. Less is known regarding its function in postmitotic neurons in the adult brain. Here we created a conditional mTOR knockout mouse model to address this question. Using the Cre-LoxP system, the mTOR gene was specifically...
https://ift.tt/2GvNH8H
Sensorineural hearing loss degrades behavioral and physiological measures of human spatial selective auditory attention [Neuroscience]
Listeners with sensorineural hearing loss often have trouble understanding speech amid other voices. While poor spatial hearing is often implicated, direct evidence is weak; moreover, studies suggest that reduced audibility and degraded spectrotemporal coding may explain such problems. We hypothesized that poor spatial acuity leads to difficulty deploying selective attention,...
https://ift.tt/2GT63Us
Multiplicative mixing of object identity and image attributes in single inferior temporal neurons [Neuroscience]
Object recognition is challenging because the same object can produce vastly different images, mixing signals related to its identity with signals due to its image attributes, such as size, position, rotation, etc. Previous studies have shown that both signals are present in high-level visual areas, but precisely how they are...
https://ift.tt/2GywDyX
Endogenous superoxide is a key effector of the oxygen sensitivity of a model obligate anaerobe [Microbiology]
It has been unclear whether superoxide and/or hydrogen peroxide play important roles in the phenomenon of obligate anaerobiosis. This question was explored using Bacteroides thetaiotaomicron, a major fermentative bacterium in the human gastrointestinal tract. Aeration inactivated two enzyme families—[4Fe-4S] dehydratases and nonredox mononuclear iron enzymes—whose homologs, in contrast, remain active...
https://ift.tt/2GtTRKA
Haemophilus influenzae genome evolution during persistence in the human airways in chronic obstructive pulmonary disease [Microbiology]
Nontypeable Haemophilus influenzae (NTHi) exclusively colonize and infect humans and are critical to the pathogenesis of chronic obstructive pulmonary disease (COPD). In vitro and animal models do not accurately capture the complex environments encountered by NTHi during human infection. We conducted whole-genome sequencing of 269 longitudinally collected cleared and persistent...
https://ift.tt/2GR1ASh
Ultrastructure of Shewanella oneidensis MR-1 nanowires revealed by electron cryotomography [Microbiology]
Bacterial nanowires have garnered recent interest as a proposed extracellular electron transfer (EET) pathway that links the bacterial electron transport chain to solid-phase electron acceptors away from the cell. Recent studies showed that Shewanella oneidensis MR-1 produces outer membrane (OM) and periplasmic extensions that contain EET components and hinted at...
https://ift.tt/2Ehn7OJ
Data-driven model for the assessment of Mycobacterium tuberculosis transmission in evolving demographic structures [Medical Sciences]
In the case of tuberculosis (TB), the capabilities of epidemic models to produce quantitatively robust forecasts are limited by multiple hindrances. Among these, understanding the complex relationship between disease epidemiology and populations' age structure has been highlighted as one of the most relevant. TB dynamics depends on age in multiple...
https://ift.tt/2GS9Ste
Innate responses to gene knockouts impact overlapping gene networks and vary with respect to resistance to viral infection [Immunology and Inflammation]
Analyses of the levels of mRNAs encoding IFIT1, IFI16, RIG-1, MDA5, CXCL10, LGP2, PUM1, LSD1, STING, and IFNβ in cell lines from which the gene encoding LGP2, LSD1, PML, HDAC4, IFI16, PUM1, STING, MDA5, IRF3, or HDAC 1 had been knocked out, as well as the ability of these cell...
https://ift.tt/2IqomNW
Duplicated TLR5 of zebrafish functions as a heterodimeric receptor [Immunology and Inflammation]
Toll-like receptor 5 (TLR5) of mammals, birds, and reptiles detects bacterial flagellin and signals as a homodimeric complex. Structural studies using truncated TLR5b of zebrafish confirm the homodimeric TLR5–flagellin interaction. Here we provide evidence that zebrafish (Danio rerio) TLR5 unexpectedly signals as a heterodimer composed of the duplicated gene products...
https://ift.tt/2GQ4tD4
Expansions, diversification, and interindividual copy number variations of AID/APOBEC family cytidine deaminase genes in lampreys [Immunology and Inflammation]
Cytidine deaminases of the AID/APOBEC family catalyze C-to-U nucleotide transitions in mRNA or DNA. Members of the APOBEC3 branch are involved in antiviral defense, whereas AID contributes to diversification of antibody repertoires in jawed vertebrates via somatic hypermutation, gene conversion, and class switch recombination. In the extant jawless vertebrate, the...
https://ift.tt/2EeE1O0
Diversification of AID/APOBEC-like deaminases in metazoa: multiplicity of clades and widespread roles in immunity [Immunology and Inflammation]
AID/APOBEC deaminases (AADs) convert cytidine to uridine in single-stranded nucleic acids. They are involved in numerous mutagenic processes, including those underpinning vertebrate innate and adaptive immunity. Using a multipronged sequence analysis strategy, we uncover several AADs across metazoa, dictyosteliida, and algae, including multiple previously unreported vertebrate clades, and versions from...
https://ift.tt/2JgCyuj
Population trends in Vermivora warblers are linked to strong migratory connectivity [Ecology]
Migratory species can experience limiting factors at different locations and during different periods of their annual cycle. In migratory birds, these factors may even occur in different hemispheres. Therefore, identifying the distribution of populations throughout their annual cycle (i.e., migratory connectivity) can reveal the complex ecological and evolutionary relationships that...
https://ift.tt/2EeE7VS
Protonation state of inhibitors determines interaction sites within voltage-gated sodium channels [Biophysics and Computational Biology]
Voltage-gated sodium channels are essential for carrying electrical signals throughout the body, and mutations in these proteins are responsible for a variety of disorders, including epilepsy and pain syndromes. As such, they are the target of a number of drugs used for reducing pain or combatting arrhythmias and seizures. However,...
https://ift.tt/2Eh2odQ
A pex1 missense mutation improves peroxisome function in a subset of Arabidopsis pex6 mutants without restoring PEX5 recycling [Cell Biology]
Peroxisomes are eukaryotic organelles critical for plant and human development because they house essential metabolic functions, such as fatty acid β-oxidation. The interacting ATPases PEX1 and PEX6 contribute to peroxisome function by recycling PEX5, a cytosolic receptor needed to import proteins targeted to the peroxisomal matrix. Arabidopsis pex6 mutants exhibit...
https://ift.tt/2JgbtHr
Effect of vowel context on test–retest nasalance score variability in children with and without cleft palate
Publication date: June 2018
Source:International Journal of Pediatric Otorhinolaryngology, Volume 109
Author(s): Seunghee Ha, Seungeun Jung, Kyung S. Koh
ObjectiveThe purpose of this study was to determine whether test–retest nasalance score variability differs between Korean children with and without cleft palate (CP) and vowel context influences variability in nasalance score.ParticipantsThirty-four 3-to-5-year-old children with and without CP participated in the study.MethodsThree 8-syllable speech stimuli devoid of nasal consonants were used for data collection. Each stimulus was loaded with high, low, or mixed vowels, respectively. All participants were asked to repeat the speech stimuli twice after the examiner, and an immediate test–retest nasalance score was assessed with no headgear change.ResultsChildren with CP exhibited significantly greater absolute difference in nasalance scores than children without CP. Variability in nasalance scores was significantly different for the vowel context, and the high vowel sentence showed a significantly larger difference in nasalance scores than the low vowel sentence. The cumulative frequencies indicated that, for children with CP in the high vowel sentence, only 8 of 17 (47%) repeated nasalance scores were within 5 points.ConclusionsTest–retest nasalance score variability was greater for children with CP than children without CP, and there was greater variability for the high vowel sentence(s) for both groups.
https://ift.tt/2IseK5d
Factors predicting health practitioners' awareness of UNHS program in Malaysian non-public hospitals
Publication date: June 2018
Source:International Journal of Pediatric Otorhinolaryngology, Volume 109
Author(s): Abdussalaam Iyanda Ismail, Abdul Halim Abdul Majid, Mohd Normani Zakaria, Nor Azimah Chew Abdullah, Sulaiman Hamzah, Siti Zamratol-Mai Sarah Mukari
ObjectiveThe current study aims to examine the effects of human resource (measured with the perception of health workers' perception towards UNHS), screening equipment, program layout and screening techniques on healthcare practitioners' awareness (measured with knowledge) of universal newborn hearing screening (UNHS) in Malaysian non-public hospitals.MethodsVia cross sectional approach, the current study collected data using a validated questionnaire to obtain information on the awareness of UNHS program among the health practitioners and to test the formulated hypotheses. 51, representing 81% response rate, out of 63 questionnaires distributed to the health professionals were returned and usable for statistical analysis. The survey instruments involving healthcare practitioners' awareness, human resource, program layout, screening instrument, and screening techniques instruments were adapted and scaled with 7-point Likert scale ranging from 1 (little) to 7 (many). Partial Least Squares (PLS) algorithm and bootstrapping techniques were employed to test the hypotheses of the study.ResultsWith the result involving beta values, t-values and p-values (i.e. β=0.478, t=1.904, p<0.10; β=0.809, t=3.921, p<0.01; β= -0.436, t=1.870, p<0.10), human resource, measured with training, functional equipment and program layout, are held to be significant predictors of enhanced knowledge of health practitioners. Likewise, program layout, human resource, screening technique and screening instrument explain 71% variance in health practitioners' awareness. Health practitioners' awareness is explained by program layout, human resource, and screening instrument with effect size (f2) of 0.065, 0.621, and 0.211 respectively, indicating that program layout, human resource, and screening instrument have small, large and medium effect size on health practitioners' awareness respectively. However, screening technique has zero effect on health practitioners' awareness, indicating the reason why T-statistics is not significant.ConclusionHaving started the UNHS program in 2003, non-public hospitals have more experienced and well-trained employees dealing with the screening tools and instrument, and the program layout is well structured in the hospitals. Yet, the issue of homogeneity exists. Non-public hospitals charge for the service they render, and, in turn, they would ensure quality service, given that they are profit-driven and/or profit-making establishments, and that they would have no option other than provision of value-added and innovative services. The employees in the non-public hospitals have less screening to carry out, given the low number of babies delivered in the private hospitals. In addition, non-significant relationship between screening techniques and healthcare practitioners' awareness of UNHS program is connected with the fact that the techniques that are practiced among public and non-public hospital are similar and standardized. Limitations and suggestions were discussed.
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Treatment of an obstructive, recurrent, syncytial myoepithelioma of the trachea with tracheal resection and reconstruction
Publication date: June 2018
Source:International Journal of Pediatric Otorhinolaryngology, Volume 109
Author(s): Michael Pfeiffer, Jason E. Cohn, Judy Mae Pascasio, Sri K. Chennupati
Myoepithelioma is a rare occurrence in the trachea and respiratory tract with only 11 cases reported in the literature. We present a case report of a 10-year-old female who was found to have an anterior tracheal mass causing near total obstruction of the airway on bronchoscopy. Characteristics of the mass were consistent with syncytial myoepithelioma. The patient experienced multiple recurrences requiring tracheal resection with end-to-end reanastomosis. To date there have not been any reported cases of myoepithelioma of the trachea in a child and no reports of syncytial myoepithelioma in the trachea or respiratory tract.
https://ift.tt/2Ehu0zs
Selective IgM deficiency associated with adult-onset Still disease
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Jessica Oh, David McGarry, Brian Peppers, Robert Hostoffer
https://ift.tt/2JhtANm
Table of Contents
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
https://ift.tt/2q1chaD
Information for Authors
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
https://ift.tt/2Jhtt4o
Is there a link between nasal polyposis and increased risk for sinonasal malignancy?
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Deena Pourang, Michael Batech, Kian Karimi, Javed Sheikh, Shefali Samant
https://ift.tt/2q1c731
Editorial Board
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
https://ift.tt/2GtyQzy
Do we need to keep playing this tune?
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Miles Weinberger
https://ift.tt/2uEvF2s
Choosing wisely in the era of biologics for asthma
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): M. Diane Lougheed
https://ift.tt/2JhtiWM
Information for Readers
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
https://ift.tt/2Gyxd3y
Anaphylaxis and severe immune hemolytic anemia during the course of desensitization with carboplatin
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Diana Pérez-Alzate, Natalia Blanca-López, María Luisa Somoza, Francisco Javier Ruano, Gloria Serrano Montero, María José Penalva, Carmen Gimeno, Miguel Blanca, Gabriela Canto
https://ift.tt/2q3hD5c
Biologics
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Chitra Dinakar, David A. Khan, Stanley M. Fineman, David Michael Lang, Stephen A. Tilles
https://ift.tt/2Jht95G
Challenges in the treatment of asthma in children and adolescents
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Stanley J. Szefler, Bradley Chipps
ObjectiveDespite the availability of effective treatments, asthma control in children and adolescents remains inadequate and rates of health care use are high. This follow-up to a recent review (O'Byrne et al, Eur Respir J. 2017;50[3]) examines a number of challenges in current pediatric asthma management compared with that of an adult perspective and discusses possible alternative strategies that might improve pediatric asthma management and control.Data SourcesThe evidence base for this review is limited because, historically, much of the research has been performed in adults.Study SelectionsNot applicable.ResultsPediatric asthma management is complicated by variability in asthma severity and control and difficulty in measuring pulmonary function and airway inflammation. Current challenges in pediatric asthma management include the recommended initial therapy treating only the symptoms rather than the underlying inflammation and switching to controller therapy only when asthma subsequently worsens.ConclusionAlternative strategies that might improve pediatric asthma management and control include replacement of short-acting β2-agonist relievers by an inhaled corticosteroid plus a fast-acting β2-agonist (short-acting β2-agonist or fast- and long-acting β2-agonist) combination at Global Initiative for Asthma step 1 or 2 to ensure that patients receive an inhaled corticosteroid whenever they feel the need for symptomatic relief. Such an approach could eliminate the problem of learned overuse or over-reliance on short-acting β2-agonist reliever medication and address the other challenges in current pediatric asthma management. Clinical studies in pediatric patients or large studies involving a proportion of pediatric patients are required to provide the supporting evidence needed to help advance such new approaches and improve asthma control from a pediatric perspective.
https://ift.tt/2pZ6jXE
Skin testing and desensitization outcomes among platinum-sensitive oncology patients
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Stephanie L. Mawhirt, Luz S. Fonacier, Rose Calixte, Mark Davis-Lorton, Marcella R. Aquino
https://ift.tt/2JbMl4R
Outpatient penicillin skin testing has greater value in targeted patient populations
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Viviana M. Temiño, Timothy P. Gauthier, Paola Lichtenberger
https://ift.tt/2pZ64vI
Common variable immunodeficiency associated with stiff-person syndrome
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Jason Schend, Dave McGarry, John Johnson, Robert Hostoffer
https://ift.tt/2Jh1YYS
Food allergy management and anaphylaxis preparedness in a suburban school district varies by school level
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): S. Shahzad Mustafa, Jonathan Bress
https://ift.tt/2q27eXg
Measurement of fractional exhaled nitric oxide in real-world clinical practice alters asthma treatment decisions
Publication date: April 2018
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Nicola A. Hanania, Marc Massanari, Neal Jain
BackgroundAssessment of asthma using clinical measures alone often fails to detect underlying airway inflammation. Fractional exhaled nitric oxide (FeNO) is a recognized biomarker of type 2 airway inflammation in asthma. Measurement of FeNO is instrumental in the assessment and management of patients with corticosteroid-sensitive asthma.ObjectiveTo determine the impact of measuring FeNO on asthma management in real-world clinical practices.MethodsClinicians from 337 US practices performed a clinical assessment and recorded treatment plans before and after measuring FeNO in 7,901 patients with asthma. Airway inflammation was classified as low, intermediate, or high according to the clinician's usual procedures, including clinical examination, spirometry, and symptoms. Clinicians recorded asthma medication plans, indicating medications to be initiated, continued, or stopped. FeNO measurement was performed, followed by documentation of any change(s) in the treatment plans based on the FeNO value (eg, initiating new medications or changing the dose of or discontinuing existing medications).ResultsClinical assessment was concordant with FeNO measurement in only 56% of cases, matching FeNO more frequently in patients with low inflammation (64%) vs high inflammation (34%). After FeNO measurement, clinicians modified their treatment plan in 31% and altered prescriptions for inhaled corticosteroids in 90% of cases. Inhaled corticosteroids were initiated or their dose increased in 66% of patients with high inflammation but discontinued or their dose decreased in only 9% of patients with low inflammation.ConclusionMeasurement of FeNO enabled clinicians to assess underlying airway inflammation, leading to a significant revision of their treatment plans compared with real-world clinical assessment of asthma alone.
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Changes in emergency department concordance with guidelines for the management of stinging insect-induced anaphylaxis
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Sunday Clark, Krislyn M. Boggs, Diana S. Balekian, Kohei Hasegawa, Phuong Vo, Brian H. Rowe, Carlos A. Camargo
BackgroundChanges in emergency department (ED) concordance with guidelines for the management of stinging insect-induced anaphylaxis (SIIA) are not known.ObjectiveTo describe temporal changes in ED concordance with guidelines for the management of SIIAs.MethodsWe analyzed data from 2 multicenter retrospective studies of patients with stinging insect-related acute allergic reactions seen in 1 of 14 North American EDs during 2 periods: 1999 through 2001 and 2013 through 2015. Visits were identified similarly across studies (eg, using International Classification of Diseases, Ninth Revision, Clinical Modification codes 989.5, 995.0, and 995.3). Anaphylaxis was defined as an acute allergic reaction with involvement of at least 2 organ systems or hypotension. We compared concordance between periods with 4 guideline recommendations: (1) treatment with epinephrine, (2) discharge prescription for epinephrine auto-injector, (3) referral to an allergist/immunologist, and (4) instructions to avoid the offending allergen.ResultsWe compared 182 patients with SIIA during 1999 to 2001 with 204 during 2013 to 2015. Any treatment with epinephrine (before arrival to the ED or in the ED) increased over time (30% vs 49%; P < .001). Prescriptions for epinephrine auto-injector at discharge increased significantly (34% vs 57%; P < .001), whereas documentation of referral to an allergist/immunologist decreased (28% vs 12%; P = .002), and instructions to avoid the offending allergen did not change (23% vs 24%; P = .94). Receipt of at least 3 guideline recommendations increased over time; however, the comparison was not statistically significant (10% vs 16%; P = .15).ConclusionDuring the nearly 15-year study interval, we observed increased ED concordance with epinephrine-related guideline recommendations for the management of SIIA. Reasons for the decrease in allergy/immunology referrals merit further study.
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Subcutaneous venom immunotherapy in children
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Pınar Gür Çetinkaya, Saliha Esenboğa, Özge Uysal Soyer, Ayfer Tuncer, Bülent Enis Şekerel, Ümit Murat Şahiner
BackgroundVenom immunotherapy (VIT) is safe in children, although adverse effects can occur.ObjectiveTo document adverse effects and to determine re-sting reactions and the efficacy of VIT in childhood.MethodsWe retrospectively analyzed data from children who had taken VIT from 2002 through 2015. These patients were queried by telephone to determine reactions after re-stings during or after VIT.ResultsIn total 107 children with a systemic reaction after Hymenoptera sting and with proved immunoglobulin E-mediated sensitization were enrolled. Participants had a median age of 10.0 years (7.2–12.4 years) at the beginning of immunotherapy. Fifty-two participants had allergic reactions during VIT; 40 of these reactions were local (37.4%), 5 were large local (4.7%), and 7 were systemic (6.5%). Of the 52 patients with adverse reactions, most reactions were local (n = 40, 89%) and were observed mainly in dose-increase periods (n = 25, 60%; P < .001). Although local reactions were more frequently seen with Vespula treatment (P = .047), systemic reactions were common with Apis treatment (P = .031). Sixty-eight patients (63.5%) were queried for re-sting, 33 (48.5%) had a re-sting and 24 (72.7%) of these 33 patients developed allergic reactions. The reactions were local (n = 19), large local (n = 1), and systemic (n = 4). Risk analysis for local and systemic reactions during VIT showed pre-existing asthma as an independent risk factor (odds ratio 4.1, 95% confidence interval 1.3–12.7, P = .016).ConclusionIn children, VIT appears to be safe and protective against severe reactions after re-sting. However, pre-existing asthma was identified as a risk factor for systemic and large local reactions during VIT in children.
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Late presentation of subtotal C6 deficiency in a patient with recurrent Neisseria meningitides infections
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Lana Rosenfield, Anna Cvetkovic, Kevin Woodward, Jaclyn Quirt
https://ift.tt/2q3prUB
Antigen 5–spiked Vespula and Polistes venom extracts for Vespid allergy diagnostics: A French multicenter study
Source:Annals of Allergy, Asthma & Immunology, Volume 120, Issue 4
Author(s): Claude Lambert, Joëlle Birnbaum, Charles Dzviga, Nicolas Hutt, Pol-André Apoil, Françoise Bienvenu, Martine Drouet, Céline Beauvillain, Séverine Brabant, Laurence Guilloux, Delphine Mariotte, François Lavaud, Pascale Nicaise-Roland, Thierry Tabary, Anne Sarrat, Joana Vitte
https://ift.tt/2JdVOsg
Extracellular vesicles and their immunomodulatory functions in pregnancy
Abstract
Extracellular vesicles (EVs) are membrane-bound vesicles released into the extracellular space by almost all types of cells. EVs can cross the physiological barriers, and a variety of biological fluids are enriched in them. EVs are a heterogeneous population of vesicles, including exosomes, microvesicles, and apoptotic bodies. The different subpopulations of vesicles can be differentiated by size and origin, in which exosomes (~100 nm and from endocytic origin) are the most studied so far. EVs have essential roles in cell-to-cell communication and are critical modulators of immune response under normal and pathological conditions. Pregnancy is a unique situation of immune-modulation in which the maternal immune system protects the fetus from allogenic rejection and maintains the immunosurveillance. The placenta is a vital organ that performs a multitude of functions to support the pregnancy. The EVs derived from the human placenta have crucial roles in regulating the maternal immune response for successful pregnancy outcome. Placenta-derived vesicles perform a myriad of functions like suppression of immune reaction to the developing fetus and establishment and maintenance of a systemic inflammatory response to combat infectious intruders. A fine-tuning of these mechanisms is quintessential for successful completion of pregnancy and healthy outcome for mother and fetus. Dysregulation in the mechanisms mentioned above can lead to several pregnancy disorders. In this review, we summarize the current literature regarding the critical roles played by the EVs in immunomodulation during pregnancy with particular attention to the placenta-derived exosomes.
https://ift.tt/2GNc3OJ
The role of extracellular vesicles when innate meets adaptive
Abstract
Innate immune cells are recognized for their rapid and critical contribution to the body's first line of defense against invading pathogens and harmful agents. These actions can be further amplified by specific adaptive immune responses adapted to the activating stimulus. Recently, the awareness has grown that virtually all innate immune cells, i.e., mast cells, neutrophils, macrophages, eosinophils, basophils, and NK cells, are able to communicate with dendritic cells (DCs) and/or T and B cells, and thereby significantly contribute to the orchestration of adaptive immune responses. The means of communication that are thus far primarily associated with this function are cell-cell contacts and the release of a broad range of soluble mediators. Moreover, the possible contribution of innate immune cell-derived extracellular vesicles (EVs) to the modulation of adaptive immunity will be outlined in this review. EVs are submicron particles composed of a lipid bilayer, proteins, and nucleic acids released by cells in a regulated fashion. EVs are involved in intercellular communication between multiple cell types, including those of the immune system. A good understanding of the mechanisms by which innate immune cell-derived EVs influence adaptive immune responses, or vice versa, may reveal novel insights in the regulation of the immune system and can open up new possibilities for EVs (or their components) in controlling immune responses, either as a therapy, target, or as an adjuvant in future immune modulating treatments.
https://ift.tt/2Iq9mjk
A historical perspective on the role of sensory nerves in neurogenic inflammation
Abstract
The term 'neurogenic inflammation' is commonly used, especially with respect to the role of sensory nerves within inflammatory disease. However, despite over a century of research, we remain unclear about the role of these nerves in the vascular biology of inflammation, as compared with their interacting role in pain processing and of their potential for therapeutic manipulation. This chapter attempts to discuss the progress in understanding, from the initial discovery of sensory nerves until the present day. This covers pioneering findings that these nerves exist, are involved in vascular events and act as important sensors of environmental changes, including injury and infection. This is followed by discovery of the contents they release such as the established vasoactive neuropeptides substance P and CGRP as well as anti-inflammatory peptides such as the opioids and somatostatin. The more recent emergence of the importance of the transient receptor potential (TRP) channels has revealed some of the mechanisms by which these nerves sense environmental stimuli. This knowledge enables a platform from which to learn of the potential role of neurogenic inflammation in disease and in turn of novel therapeutic targets.
https://ift.tt/2H7NUjA
Shoulder Pain in Swimmers | How to Stay Healthy in the Pool
Swimming is an excellent activity for people of all ages. It can be a lifelong sport and a great way to stay fit. Kids can swim at a recreational level or as part of a competitive team. The most common complication for swimmers is shoulder pain. About 65% of competitive swimmers will experience a problem with their shoulders at some point. The shoulder is a very mobile joint—which makes it great for overhead sports like swimming but can also lead to pain and problems.
If your young swimmer starts to complain of shoulder pain, it's important to pay close attention to the complaints to determine if it's simple muscle soreness or something more serious. Pain that starts late into practice and resolves quickly may simply be fatigue and soreness. Pain that is persistent throughout practice and is starting to cause pain in daily activities (reaching overhead, brushing hair etc.) is never normal. If your son or daughter has issues with decreased motion of the shoulder or weakness, this is also a sign of something more serious. If this becomes a concern, please have your child stop swimming and be evaluated by a doctor before returning. Your physician may prescribe physical therapy, rest from swimming, or alteration in swim practice including focusing on different strokes or simply kicking with a kickboard.
As a parent, and an athlete, the biggest question is, can this be prevented? To some extent, it can.
Here are some tips to help keep your swimmer healthy and in the pool:
- Participate in a well-supervised strengthening program—Doing some extra strengthening of the small rotator cuff muscles and the shoulder blade can be beneficial. Often termed "dry land" workout by swimmers, these exercises targeting the small shoulder muscles can help maintain shoulder stability. There is no need to use big heavy weights! Stretch bands and small 1-3 lb weights are all that you need to strengthen.
- Ensure proper technique—Be sure that all stroke techniques are correct. Incorrect arm positioning during strokes or improper body roll can place pressure on vulnerable areas of the shoulder leading to pain and injury. Coaches should always be monitoring form during practice.
- Monitor yardage—Some swimmers can average 10,000 yards per practice! Imagine the number of rotations the shoulder is going through during that time. Even with the best form, overuse shoulder pain can occur as a result of too much swimming. Swimmers should build up yardage slowly leading into the season and if pain or fatigue is setting in, alterations and decreases will need to be made.
The most important point is don't ignore the pain! Pushing through excessive shoulder pain will make recovery that much more difficult. If pain is persistent, be evaluated so that changes can be made to strokes and training regimen to keep your swimmer healthy and in the water.
The post Shoulder Pain in Swimmers | How to Stay Healthy in the Pool appeared first on ChildrensMD.
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16p11.2 microdeletion syndrome: a case report
The recurrent ∼ 600 kb 16p11.2 microdeletion is among the most commonly known genetic etiologies of autism spectrum disorder, overweightness, and related neurodevelopmental disorders.
https://ift.tt/2Ip8rQ2
Immediate type hypersensitivity and late phase reaction occurred consecutively in a patient receiving ethambutol and levofloxacin
We experienced a rare case of immediate type hypersensitivity and late phase reaction to anti-tubercular therapy consisting of ethambutol and levofloxacin, which occurred in close succession, giving the appear...
https://ift.tt/2GzqVN5
Urodynamics and Clinical Factors That Are Associated With Bladder Over-sensitivity
Intervention: Other: IPSS questionnaire
Sponsor: Assaf-Harofeh Medical Center
Recruiting
https://ift.tt/2q1E0YM
Novel Pharmacological Nonopioid Therapies in Chronic Pain
Abstract
Purpose of Review
Opioid use and abuse has led to a worldwide opioid epidemic. And while opioids are clinically useful when appropriately indicated, they are associated with a wide range of dangerous side effects and whether they are effective at treating or eliminating chronic pain is controversial. There has long been a need for the development of nonopioid alternative treatments for patients that live in pain, and until recently, only a few effective treatments were available. Today, there are a wide range of nonopioid treatments available including NSAIDs, acetaminophen, corticosteroids, nerve blocks, SSRIs, neurostimulators, and anticonvulsants. However, these treatments are still not entirely effective at treating pain, which has sparked a new exploration of novel nonopioid pharmacotherapies.
Recent Findings
This manuscript will outline the most recent trends in novel nonopioid pharmacotherapy development including tramadol/dexketoprofen, TrkA inhibitors, tapentadol, opioid agonists, Nektar 181, TRV 130, ßarrestin2, bisphosphonates, antibodies, sodium channel blockers, NMDA antagonists, TRP receptors, transdermal vitamin D, AAK1 kinase inhibition, calcitonin gene-related peptide (CGRP), TRPV4 antagonists, cholecystokinin, delta opioid receptor, neurokinin, and gene therapy.
Summary
The pharmacotherapies discussed in this manuscript outline promising opioid alternatives which can change the future of chronic pain treatment.
https://ift.tt/2GUcXc2
Tyrosine kinase inhibitor induced rapidly progressive vasculopathy after intracranial stent placement
Tyrosine kinase inhibitor (TKI) therapy for chronic myeloid leukemia (CML) has been associated with progressive peripheral arterial disease and, more recently, rare cases of intracranial vascular stenosis have been reported. We report the fourth case of TKI treatment associated intracranial vasculopathy and rapid progression of intracranial vascular stenosis following intracranial stent placement. This was a 49-year-old woman who developed right-sided weakness, paresthesias, numbness, and speech difficulties 7 years following TKI treatment for CML. Cerebral catheter angiography demonstrated 90% stenosis of the left supraclinoid internal carotid artery, for which the patient underwent intracranial stent placement with no residual stenosis and improved distal blood flow. Approximately 1 month following the procedure, the patient returned with similar symptoms. Catheter angiography demonstrated 70% and 50% stenosis just distal and proximal to the stent construct, respectively. Rapid disease progression and non-atherosclerotic vasculopathy may argue against endovascular therapy.
https://ift.tt/2uI2rQv
Dilemmas in Current Management of Complicated Chronic Otitis Media
Abstract
To evaluate the distribution of complications of chronic otitis media, dilemma of how soon to operate a seriously ill patient with CSOM and treatment outcomes. A retrospective study was done in a tertiary care centre. Clinical data from 2013 to 2015 was compiled, surgical management with outcome was analysed. A total of 425 patients with chronic otitis media were evaluated. Single/multiple complications were seen in 147 (34.5%) patients. Majority of the complications were seen in active squamosal type of chronic otitis media i.e. 137 (59.5%) cases out of the 147. Meningitis (3.3%) was the most common intracranial complication. Patients with intracranial complications were referred from other departments and did not primarily present to ENT, indicating a major fact that treatment was sort for the complication and not for chronic otitis media. Headache with or without ear discharge was the most common presenting complaint. Fever and pain were not prominent indicators of complications, posing a diagnostic dilemma as patients were already receiving antibiotics and analgesics before reaching tertiary care centre. The patients with severe intracranial complications were promptly taken up (within 3–5 days) for canal wall down mastoidectomy with intravenous broad spectrum antibiotic (vancomycin) and mannitol with high risk consent. However ill the patients were, especially children with very poor general conditions, there was dramatic recovery as soon as the mastoidectomy was done. There were no deaths due to the complications of chronic otitis media in our 3 years study period. Delay in resorting to surgical management of chronic otitis media was the main reason for patients going into complications. Timely mastoidectomy in patients with poor general condition with high risk of mortality, the surgery actually had a major role in reducing the morbidity and mortality. Lack of awareness that chronic otitis media is a condition that can lead to life threatening complications resulted in procrastination of surgery. Chronic otitis media requires speedy surgical management i.e. as soon as patient is fit to tolerate anaesthesia: Tympanoplasty and Canal wall up or down Mastoidectomy to prevent complications from arising or to resolve the present complication.
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Appendiceal intussusception in the setting of ulcerative colitis
https://ift.tt/2Ip1632
Calcific tendonitis of the quadriceps tendon
https://ift.tt/2H32I2N
Pulmonary paraganglioma in a 10-year-old: a case report and review of the literature
https://ift.tt/2EftKRM
Optimizing the use of topical retinoids in Asian acne patients
The Journal of Dermatology, EarlyView.
https://ift.tt/2JgxvK7
Subcutaneous venom immunotherapy in children
Venom immunotherapy (VIT) is safe in children, although adverse effects can occur.
https://ift.tt/2GurQTg
Do we need to keep playing this tune?
Seghezzo and colleagues1 add to the many other studies that report that 2 doses of dexamethasone and 5 to 7 days of prednisone or prednisolone therapy are associated with no detected difference in relapse or readmission. The implication of that study is that 2 doses of 0.6 mg/kg of dexamethasone (equivalent to 3 mg/kg of prednisolone from standard corticosteroid equivalency tables) matches the efficacy of 5 to 7 days of 1 or 2 mg/kg of prednisone or prednisolone. However, the absence of a placebo in this and other studies cannot distinguish equal efficacy from equal inefficacy.
https://ift.tt/2pZkgEQ
Antigen 5–spiked Vespula and Polistes venom extracts for Vespid allergy diagnostics: A French multicenter study
Vespula and Polistes spp venom extracts (VEs) for ImmunoCAP (Thermo Fisher Scientific, Uppsala, Sweden) platforms have been spiked, that is, enriched, with group 5 allergens since 2012. Limited information was available from the manufacturer, but small cohorts have reported altered performance for in vitro diagnostics.1,2 Herein we present the results of a French multicenter study on antigen 5–spiked Vespula and Polistes VEs compared with nonspiked VEs.
https://ift.tt/2GurLyW
Editorial Board
https://ift.tt/2q1aClf
Table of Contents
https://ift.tt/2GsuhWk
Changes in emergency department concordance with guidelines for the management of stinging insect-induced anaphylaxis
Changes in emergency department (ED) concordance with guidelines for the management of stinging insect-induced anaphylaxis (SIIA) are not known.
https://ift.tt/2q2n7gx
Biologics
A new Annals feature in 2018, "From the pages of AllergyWatch" is devoted to publishing synopses of Allergy and Asthma literature relevant to a topic of emphasis. These unbiased synopses and comments by our Editors have been previously printed in the AllergyWatch bimonthly newsletter, and it is our hope that presenting carefully selected article summaries and comments in the Annals will serve as a valuable educational resource for practicing allergists.
https://ift.tt/2q2iy5E
Anaphylaxis and severe immune hemolytic anemia during the course of desensitization with carboplatin
Platinum salts are one of the most frequent cytostatic agents involved in drug hypersensitivity.1 Drug desensitization may enable continuation of therapy for disease control.2 The approach consists of giving incremental doses of the drug by the intravenous route until the therapeutic dose is reached. A transitory desensitization is induced, although release of mast-cell mediators may still occur and require the administration of antihistamines and other drugs.3
https://ift.tt/2q2mQdv
Choosing wisely in the era of biologics for asthma
In the era of biologics for asthma, clinicians, researchers, and guideline developers face an increasingly important challenge. In addition to critically appraising the evidence for efficacy of novel therapies for specific asthma phenotypes, we must consider the real-life cost and effectiveness of increasingly personalized medicine. Put simply, we must consider health economics and prescribe wisely.
https://ift.tt/2Gvbfi0
Selective IgM deficiency associated with adult-onset Still disease
Selective immunoglobulin M (IgM) deficiency is a rare immunodeficiency disorder characterized by decreased serum levels of IgM. Those with IgM deficiency may present with recurrent infections and have an increased predisposition to allergic and autoimmune diseases.1 Adult-onset Still disease (AOSD) is a rare autoinflammatory disease characterized by high-spiking fevers, evanescent salmon-colored rash, and multiorgan involvement. It is a diagnosis based on clinical criteria and age of onset.2 A case of selective IgM deficiency associated with AOSD has not been reported previously.
https://ift.tt/2q2mH9X
Outpatient penicillin skin testing has greater value in targeted patient populations
β-Lactam allergy is a major component of antimicrobial stewardship today due to its reported associations with increased healthcare costs, drug toxicity, infections with drug-resistant bacteria, and use of less-preferred antibiotic therapies.1,2 It remains the most common reported medication allergy in the United States, with an estimated prevalence of 10%.1 The US Centers for Disease Control and Prevention and the Infectious Disease Society of America, among other institutions, recommend the performance of penicillin skin testing (PST) as part of antimicrobial stewardship.
https://ift.tt/2JcDKyV
Food allergy management and anaphylaxis preparedness in a suburban school district varies by school level
Food allergy (FA) affects up to 8% of school-age children,1 and management of FA in schools has become a major public health issue. Although there are few proven strategies for improving FA safety in schools, consensus guidelines recommend that all students at risk for anaphylaxis due to FA have an individualized emergency action plan (EAP), as well as an epinephrine auto-injector (EAI) available at all times.2,3 Few studies have evaluated the percentage of children with FA with an EAP and an EAI available at school and, to our knowledge, none have evaluated for differences between school levels.
https://ift.tt/2q1tAYR
Common variable immunodeficiency associated with stiff-person syndrome
Common variable immunodeficiency (CVID) is a primary immunodeficiency.1,2 The autoimmune diseases associated with CVID commonly affect the hematologic, dermatologic, and gastrointestinal systems.3–6 Neurologic autoimmune disorders associated with CVID are seen infrequently.7 We describe the first case of CVID associated with stiff-person syndrome (SPS), a neurologic autoimmune disorder. SPS is an extremely rare autoimmune neuromuscular disorder with a prevalence of 1–2 per million and an incidence of 1 case per million per year.
https://ift.tt/2GsAv8O
Challenges in the treatment of asthma in children and adolescents
Despite the availability of effective treatments, asthma control in children and adolescents remains inadequate and rates of health care use are high. This follow-up to a recent review (O'Byrne et al, Eur Respir J. 2017;50[3]) examines a number of challenges in current pediatric asthma management compared with that of an adult perspective and discusses possible alternative strategies that might improve pediatric asthma management and control.
https://ift.tt/2q1tqRf
Skin testing and desensitization outcomes among platinum-sensitive oncology patients
Platinum-based, immediate hypersensitivity reactions (HSRs) are relatively common, with incidences ranging from 6.5% to 44% for carboplatin and from 10% to 19% for oxaliplatin.1 Platinum hypersensitivity potentially leads to patient anxiety, delayed chemotherapy administration, or switches to less-preferred regimens. Platinum skin tests (STs) confirm immediate-type reactions in upward of 66%–98% of patients.2–5 False-negative results may occur if ST is performed shortly after a platinum-based HSR.
https://ift.tt/2JfJW9p
Is there a link between nasal polyposis and increased risk for sinonasal malignancy?
Sinonasal polyposis is a condition that can be present in both allergic and nonallergic clinical settings. The specific relationship between sinonasal polyps and sinonasal malignancies has not been well described. With regard to allergic etiologies, there is some suggestion that those individuals with atopy in general may be at higher risk of lymphoma.1,2 One population-based study demonstrated an association with allergic rhinitis and nasopharyngeal carcinoma.3 Another study evaluated 22 patients with newly diagnosed nasopharyngeal carcinoma, 4.5% of whom had allergic rhinitis.
https://ift.tt/2q1l9gl
Late presentation of subtotal C6 deficiency in a patient with recurrent Neisseria meningitides infections
The complement system is important in fighting meningococcal disease. Recurrent meningococcal infections are a significant feature of terminal complement deficiency.1 The terminal complement system produces a membrane attack complex (MAC), which creates pores in bacteria, leading to lysis of microorganisms. Most invasive meningococcal infections are caused by Neisseria serotypes A, B, C, W-135, and Y, all of which are targeted with commercially available vaccines. Infections with less common serotypes are seen in patients with terminal complement deficiencies.
https://ift.tt/2JfJLef
Recognition of early melanoma: a monocentric dermoscopy follow‐up study comparing de novo melanoma with nevus‐associated melanoma
International Journal of Dermatology, EarlyView.
https://ift.tt/2uKQglU