المؤلفون: Tomé, Miguel Alexandre da Silva, Lourenço, Olga

مصطلحات موضوعية: Allergic rhinitis, Quality of life, Hay fever, Allergen avoidance, Management

الوصف: Environmental allergen control is recommended as an essential part of allergic rhinitis (AR) management guidelines. In this scoping review, our objective is to identify measures of allergen avoidance and to evaluate their effectiveness in the management of AR. We conducted systematic searches for randomized controlled trials and observational studies in PubMed, the Cochrane Central Register of Controlled Trials, and the Web of Science databases. We included all types of control measures based on allergen eviction or reduction in exposure. Overall, 18 studies satisfied our criteria and were thus included for further analysis. The majority of the studies (15 out of 18) reported decreases in overall AR symptom scores, improvements in quality of life, or reductions in medication usage. However, due to the low number of participants and the limitations in study designs, it is not possible to make a definitive recommendation on the use of these interventions in the management of AR. A multifaceted approach, including treatment, prevention, and eradication of allergens from the environment, may be necessary to effectively reduce symptoms. ; info:eu-repo/semantics/publishedVersion

العلاقة: http://hdl.handle.net/10400.6/13303Test

الإتاحة: https://doi.org/10.3390/children10020300Test
http://hdl.handle.net/10400.6/13303Test

المؤلفون: Miguel Tomé, Olga Lourenço

المصدر: Children; Volume 10; Issue 2; Pages: 300

مصطلحات موضوعية: allergic rhinitis, hay fever, allergen avoidance, management, quality of life

الوصف: Environmental allergen control is recommended as an essential part of allergic rhinitis (AR) management guidelines. In this scoping review, our objective is to identify measures of allergen avoidance and to evaluate their effectiveness in the management of AR. We conducted systematic searches for randomized controlled trials and observational studies in PubMed, the Cochrane Central Register of Controlled Trials, and the Web of Science databases. We included all types of control measures based on allergen eviction or reduction in exposure. Overall, 18 studies satisfied our criteria and were thus included for further analysis. The majority of the studies (15 out of 18) reported decreases in overall AR symptom scores, improvements in quality of life, or reductions in medication usage. However, due to the low number of participants and the limitations in study designs, it is not possible to make a definitive recommendation on the use of these interventions in the management of AR. A multifaceted approach, including treatment, prevention, and eradication of allergens from the environment, may be necessary to effectively reduce symptoms.

وصف الملف: application/pdf

العلاقة: https://dx.doi.org/10.3390/children10020300Test

الإتاحة: https://doi.org/10.3390/children10020300Test

المؤلفون: Huang CX, Yiannias JA, Killian JM, Shen JF

المصدر: Clinical Ophthalmology, Vol Volume 15, Pp 1477-1490 (2021)

مصطلحات موضوعية: allergic contact dermatitis, periorbital skin, patch test, contact allergens, allergen avoidance program, Ophthalmology, RE1-994

الوصف: Crystal X Huang,1 James A Yiannias,2 Jill M Killian,3 Joanne F Shen4 1Mayo Clinic Alix School of Medicine, Scottsdale, AZ, USA; 2Department of Dermatology, Mayo Clinic, Scottsdale, AZ, USA; 3Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA; 4Department of Ophthalmology, Mayo Clinic, Scottsdale, AZ, USACorrespondence: Joanne F Shen Tel +1 480-301-8085Fax +1 480-301-7326Email Shen.Joanne@mayo.eduObjective: Eyelid dermatitis is most commonly attributed to allergic response. This retrospective clinical study identifies common allergens with eyelid involvement and addresses a literary gap by providing a clear approach for effective management of periorbital allergic contact dermatitis (ACD) recurrence.Methods: Charts of 215 patients diagnosed with periorbital dermatitis who were patch tested with Mayo Clinic Standard Series, Extended Standard Series, and personal products from 2013 to 2017 were examined. Positive reaction rates for patients with eyelid involvement were compared to those without. Findings were also compared to North American Contact Dermatitis Group (NACDG) 2013– 2014 and Mayo Clinic Contact Dermatitis Group (MCCDG) 2011– 2015 general patch test populations.Results: The 215 patients showed more common allergy to shellac, benzalkonium chloride, acrylates, and surfactants than the NACDG and MCCDG study populations. Periorbital ACD allergen groups eliciting the highest positive reaction rates were, in descending order: metals, shellac, preservatives, topical antibiotics, fragrances, acrylates, and surfactants. Of the corticosteroids, only tixocortol pivalate (the screening agent for prednisolone and fluorometholone) and budesonide elicited positive reactions.Conclusion: The top seven eyelid ACD allergen groups were identified. Avoidance of these allergens can be straightforward, with initial empiric counseling and free, online allergen avoidance programs. Patients who are unresponsive to avoidance should undergo patch testing.Keywords: allergic contact dermatitis, periorbital skin, patch test, contact allergens, allergen avoidance program

وصف الملف: electronic resource

العلاقة: https://www.dovepress.com/seven-commonTest-allergen-groups-causing-eyelid-dermatitis-education-and-a-peer-reviewed-article-OPTH; https://doaj.org/toc/1177-5483Test

الوصول الحر: https://doaj.org/article/2334f0d99c54483bba375f5f02e026bbTest

المؤلفون: Fieten, Karin B., Drijver-Messelink, Marieke T., Cogo, Annalisa, Charpin, Denis, Sokolowska, Milena, Agache, Ioana, Taborda-Barata, Luis Manuel, Eguiluz-Gracia, Ibon, Braunstahl, Gerrit J., Seys, Sven F., van den Berge, Maarten, Bloch, Konrad E., Ulrich, Silvia, Cardoso-Vigueros, Carlos, Kappen, Jasper H., Ten Brinke, Anneke, Koch, Markus, Traidl-Hoffmann, Claudia, da Mata, Pedro, Prins, David J., Pasmans, Suzanne G. M. A., Bendien, Sarah, Rukhadze, Maia, Shamji, Mohamed H., Couto, Mariana, Elberink, Hanneke Oude, Peroni, Diego G., Piacentini, Giorgio, Weersink, Els J. M., Bonini, Matteo, Rijssenbeek-Nouwens, Lucia H. M., Akdis, Cezmi A.

المصدر: Fieten , K B , Drijver-Messelink , M T , Cogo , A , Charpin , D , Sokolowska , M , Agache , I , Taborda-Barata , L M , Eguiluz-Gracia , I , Braunstahl , G J , Seys , S F , van den Berge , M , Bloch , K E , Ulrich , S , Cardoso-Vigueros , C , Kappen , J H , Ten Brinke , A , Koch , M , Traidl-Hoffmann , C , da Mata , P , Prins , D J , Pasmans , S G M A , ....

مصطلحات موضوعية: altitude, asthma, climate, environment, pulmonary rehabilitation, QUALITY-OF-LIFE, HOUSE-DUST MITES, EFFECTIVE ALLERGEN AVOIDANCE, OUTDOOR AIR-POLLUTION, EXHALED NITRIC-OXIDE, PEAK EXPIRATORY FLOW, BRONCHIAL HYPERRESPONSIVENESS, DERMATOPHAGOIDES-PTERONYSSINUS, AIRBORNE ALTERNARIA

الوصف: Currently available European Alpine Altitude Climate Treatment (AACT) programs combine the physical characteristics of altitude with the avoidance of environmental triggers in the alpine climate and a personalized multidisciplinary pulmonary rehabilitation approach. The reduced barometric pressure, oxygen pressure, and air density, the relatively low temperature and humidity, and the increased UV radiation at moderate altitude induce several physiological and immunological adaptation responses. The environmental characteristics of the alpine climate include reduced aeroallergens such as house dust mites (HDM), pollen, fungi, and less air pollution. These combined factors seem to have immunomodulatory effects controlling pathogenic inflammatory responses and favoring less neuro-immune stress in patients with different asthma phenotypes. The extensive multidisciplinary treatment program may further contribute to the observed clinical improvement by AACT in asthma control and quality of life, fewer exacerbations and hospitalizations, reduced need for oral corticosteroids (OCS), improved lung function, decreased airway hyperresponsiveness (AHR), improved exercise tolerance, and improved sinonasal outcomes. Based on observational studies and expert opinion, AACT represents a valuable therapy for those patients irrespective of their asthma phenotype, who cannot achieve optimal control of their complex condition despite all the advances in medical science and treatment according to guidelines, and therefore run the risk of falling into a downward spiral of loss of physical and mental health. In the light of the observed rapid decrease in inflammation and immunomodulatory effects, AACT can be considered as a natural treatment that targets biological pathways.

وصف الملف: application/pdf

العلاقة: https://research.rug.nl/en/publications/166af051-deb7-467d-8734-d39b16dc16a1Test

الإتاحة: https://doi.org/10.1111/all.15242Test
https://hdl.handle.net/11370/166af051-deb7-467d-8734-d39b16dc16a1Test
https://research.rug.nl/en/publications/166af051-deb7-467d-8734-d39b16dc16a1Test
https://pure.rug.nl/ws/files/216423281/Allergy_2022_Fieten_Alpine_altitude_climate_treatment_for_severe_and_uncontrolled_asthma_An_EAACI_position_paper.pdfTest

المؤلفون: Julie Barnett, Fiona M. Begen, M. Hazel Gowland, Jane S. Lucas

المصدر: BMC Public Health, Vol 18, Iss 1, Pp 1-12 (2018)

مصطلحات موضوعية: Food allergy, Food intolerance, Allergen avoidance, Eating out, Information provision, Gluten, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Eating outside the home is challenging for consumers with food allergy (FA) and intolerance (FI) and lack of allergen information provision in eating out venues can lead to unnecessary restrictions. Following European legislation (2014) designed to improve allergen information provision, little is known about differences in information provision experienced by consumers seeking to avoid particular allergens, or how this impacts on their eating out experiences. This study compared the information provision that consumers with FA/FI to different allergens experience when eating out. Methods Using mixed methods, participants were recruited from across the UK and took part in self-report surveys or in-depth interviews. Surveys were completed by 232 participants avoiding either gluten (n = 66), nuts (peanuts/tree nuts) (n = 94), or milk (n = 74), and responses were subject to quantitative analyses. Interviews were carried out with 49 participants avoiding either gluten (n = 13), nuts (n = 14), milk (n = 13) or a combination of these allergens (n = 9), and analysed using the framework approach. Results Although general improvements in information provision following the legislation were reported, variations in provision between allergen groups led participants seeking to avoid milk to conclude that their dietary needs were less well-understood and seen as less important. These perceptions were reflected in a reluctance to involve eating out venue staff in deliberations about the potential for milk-free meal options. Conclusions The provision of visual indicators of the presence of milk and of staff trained in allergen-awareness would improve the eating out experiences of consumers seeking to avoid milk. Medical professions can play a key role in encouraging these patients to pursue their right to make enquiries about allergens in order to avoid accidental milk ingestion when eating out.

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s12889-018-6117-yTest; https://doaj.org/toc/1471-2458Test

الوصول الحر: https://doaj.org/article/817e333746b64af5971c6dd45f3773c0Test

المؤلفون: Hamelmann, Eckard

المصدر: Allergologie. 45:797-802

مصطلحات موضوعية: allergen avoidance, tertiary prevention, atopic march, allergen-Immunotherapy, Immunology and Allergy, primary prevention, secondary prevention

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::02d50976387e4408a5521f8cd9e381c8Test
https://doi.org/10.5414/alx02387Test

المؤلفون: Reese, Imke, Ahrens, Birgit, Ballmer-Weber, Barbara, Beyer, Kirsten, Blümchen, Katharina, Doelle-Birke, Sabine, Heratizadeh, Annice, Kleine-Tebbe, Jörg, Lange, Lars, Lau, Susanne, Lepp, Ute, Mahler, Vera, Schäfer, Christiane, Schnadt, Sabine, Szepfalusi, Zsolt, Wassmann-Otto, Anja, Werfel, Thomas, Worm, Margitta

مصطلحات موضوعية: Peanut allergy, Food allergy, Coping strategies, Allergen avoidance, Emergency treatment, ddc:610

الوصف: Background: Parents of school-age children with food allergies and potential anaphylactic reactions want their children to have an unburdened and risk-free everyday school life. Thus, particularly in the case of peanut allergy, demands for peanut-free schools are put forward. Results and discussion: The position paper of the food allergy working group of the German Society for Allergology and Clinical Immunology (Deutsche Gesellschaft für Allergologie und klinische Immunologie) highlights why the concept of peanut-free schools does not protect peanut allergic children, but rather bears potential disadvantages and risks for all those involved. The focus on peanut as a potential trigger of anaphylactic reactions ignores other relevant triggers. Conclusion: In order to address the fears and concerns of patients, parents, and school staff, it is mandatory to develop various coping strategies. These should enable and ensure the safety and participation of food-allergic pupils in classes and other school activities. Therefore, it is important to implement adequate measures for allergen avoidance and emergency treatment for students with confirmed food allergies.

وصف الملف: application/pdf

العلاقة: https://refubium.fu-berlin.de/handle/fub188/35446Test; http://dx.doi.org/10.17169/refubium-35161Test

الإتاحة: https://doi.org/10.17169/refubium-35161Test
https://doi.org/10.1007/s40629-020-00138-2Test
https://refubium.fu-berlin.de/handle/fub188/35446Test

المؤلفون: Vojta, Patrick J., Randels, Sandra P., Stout, James, Muilenberg, Michael, Burge, Harriet A., Lynn, Henry, Mitchell, Herman, O'Connor, George T., Zeldin, Darryl C.

المصدر: Environmental Health Perspectives, 2001 Aug 01. 109(8), 815-819.

الوصول الحر: https://www.jstor.org/stable/3454824Test

المؤلفون: Annalisa, Cogo, Michele, Piazza, Silvia, Costella, Massimiliano, Appodia, Raffaele, Aralla, Stefania, Zanconato, Silvia, Carraro, Giorgio, Piacentini

المصدر: Pediatric Pulmonology. 57:2116-2121

مصطلحات موضوعية: Pulmonary and Respiratory Medicine, Adolescent, Asthma, Respiratory Function Tests, children, Spirometry, Forced Expiratory Volume, Oscillometry, Pediatrics, Perinatology and Child Health, allergen avoidance, asthma, mountain climate, Child, Humans, Lung

الوصف: Lung function is a central issue in diagnosis and determination of asthma severity and asthma control has been previously reported to improve after a stay in mountain environment for at least 2 weeks. No data are available for shorter periods of stay, in particular for small airways during a stay at altitude. The aim of this study is to focus on changes in respiratory function, regarding both the central airways and the peripheral airways in the first 2 weeks of stay in a mountain environment in asthmatic children. In this study, 66 asthmatic children (age: 14 ± 2.8 years) were evaluated through spirometric and oscillometric tests at the time of arrival at the Istituto Pio XII, Misurina (BL), Italy, 1756 m above sea level (T0), after 24 h (T1), and 168 h (T2) of stay. FEV1%, FEF25%-75%, and FEV1/FVC increased significantly from T0 value both at T1 and T2 (respectively, p = 0.0002, p 0.0001, p = 0.0002). Oscillometry showed a significant improvement in R5, R20, and R5-20 at both T1 and T2 as compared to T0 (respectively, p = 0.0001, p = 0.0002, and p = 0.049). Reactance at 5 Hz (X5) improved significantly at T2 versus T0, p = 0.0022. The area under reactance curve between Fres and 5 Hz (AX) was significantly reduced (p = 0.0001) both at T1 and T2 as compared to T0. This study shows an improvement in respiratory indices as soon as after 24 h of stay at altitude, persisting in the following week.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d9da4317efbf6c7fb44f2d29461ef3c5Test
https://doi.org/10.1002/ppul.25987Test

المؤلفون: Fiona M. Begen, Julie Barnett, Miriam Barber, Ros Payne, M. Hazel Gowland, Jane S. Lucas

المصدر: BMC Public Health, Vol 18, Iss 1, Pp 1-10 (2017)

مصطلحات موضوعية: Food allergy, Food intolerance, Food hypersensitivity, Allergen avoidance, Eating out, Children, Public aspects of medicine, RA1-1270

الوصف: Abstract Background For parents and caregivers of food hypersensitive (FH) children, accommodating their child’s dietary needs when eating out can be a challenging experience. This study explored caregivers’ experiences and behaviours when eating out with their FH child in order to gain insights into how they support and prepare their child in negotiating safe eating out experiences. Methods A cross-sectional, qualitative design was used. In depth, semi-structured interviews were carried out with 15 caregivers of children with FH. Interviews were analysed using framework analysis. Results Caregivers reported a number of issues relating to eating out with their FH child, or allowing their child to eat out without their supervision. Through themes of ‘family context’, ‘child-focused concerns’, and ‘venue issues’, caregivers described how they managed these and explained the limitations and sacrifices that FH imposed on their child, themselves, and family members. Conclusions Through deeper understanding of the anxieties, negotiations and compromises experienced by caregivers of children with FH when they are eating out, clinicians and support charities can tailor their support to meet the needs of caregivers and children. Support and education provision should focus on providing caregivers of children with FH the tools and strategies to help enable safe eating out experiences.

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s12889-017-4594-zTest; https://doaj.org/toc/1471-2458Test

الوصول الحر: https://doaj.org/article/3a51a4f040f64b21ade6893f5e31969cTest