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2.
Pediatric Gastroenterology, Hepatology & Nutrition ; : 61-73, 2014.
Article Dans Anglais | WPRIM | ID: wpr-157610

Résumé

Presented are guidelines for the prevention, diagnosis, and treatment of cow's milk protein allergy (CMPA) which is the most common food allergy in infants. It manifests through a variety of symptoms that place a burden on both the infant and their caregivers. The guidelines were formulated by evaluation of existing evidence-based guidelines, literature evidence and expert clinical experience. The guidelines set out practical recommendations and include algorithms for the prevention and treatment of CMPA. For infants at risk of allergy, appropriate prevention diets are suggested. Breastfeeding is the best method for prevention; however, a partially hydrolyzed formula should be used in infants unable to be breastfed. In infants with suspected CMPA, guidelines are presented for the appropriate diagnostic workup and subsequent appropriate elimination diet for treatment. Exclusive breastfeeding and maternal dietary allergen avoidance are the best treatment. In infants not exclusively breastfed, an extensively hydrolyzed formula should be used with amino acid formula recommended if the symptoms are life-threatening or do not resolve after extensively hydrolyzed formula. Adherence to these guidelines should assist healthcare practitioners in optimizing their approach to the management of CMPA and decrease the burden on infants and their caregivers.


Sujets)
Humains , Nourrisson , Allergie et immunologie , Allaitement naturel , Aidants , Consensus , Prestations des soins de santé , Diagnostic , Régime alimentaire , Hypersensibilité alimentaire , Hypersensibilité , Préparation pour nourrissons , Moyen Orient , Hypersensibilité au lait , Protéines de lait
3.
Jordan Medical Journal. 2010; 44 (2): 152-158
Dans Anglais | IMEMR | ID: emr-105375

Résumé

To identify the quantitative and qualitative characteristics of research published by Jordanian institutions in the medical and paramedical fields in the twentieth century. PubMed database was searched to identify relevant articles. Abstracts, full text, and or the 2003 Journal Citation Report were used to retrieve investigated characteristics. Jordanian medical institutions published 833 Pubmed-indexed articles in the twentieth century. Most of these articles [81%] were published in the last decade of the twentieth century. Articles published in Pharmacology Journals represented the largest proportion among other disciplines [12%], followed by dental, general medicine, infectious diseases, and obstetric journals, respectively. 72% of the articles were published in journals with assigned impact factors. However, the bulk of these articles [60%] were published in journals with impact factors of only 2 or less. It is worth nothing that only 16% of the published articles reflected experimental trials and only 3% were randomized and controlled, while 55% of the articles reflected observational studies. Jordan University of Science and Technology [JUST] researchers produced 44% of the total while Jordan University researchers produced 34%. Inter-institutional collaborative research was minimal and was dominated by JUST and the Ministry of Health. It is very clear that the Jordanian medical sciences research production has increased significantly in the last decade of the twentieth century. However, the quality of this research continues to be of low value. Efforts and resources are better directed toward multi-center, interventional, and more controlled research


Sujets)
MEDLARS , Facteur d'impact , Informatique médicale , Bibliométrie
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