Displaying publications 1 - 20 of 269 in total

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  1. Chua AS, Keeling PW
    World J Gastroenterol, 2006 May 07;12(17):2688-93.
    PMID: 16718754 DOI: 10.3748/wjg.v12.i17.2688
    Functional dyspepsia (FD) is a common disorder of yet uncertain etiology. Dyspeptic symptoms are usually meal related and suggest an association to gastrointestinal (GI) sensorimotor dysfunction. Cholecystokinin (CCK) is an established brain-gut peptide that plays an important regulatory role in gastrointestinal function. It inhibits gastric motility and emptying via a capsaicin sensitive vagal pathway. The effects on emptying are via its action on the proximal stomach and pylorus. CCK is also involved in the regulation of food intake. It is released in the gut in response to a meal and acts via vagal afferents to induce satiety. Furthermore CCK has also been shown to be involved in the pathogenesis of panic disorder, anxiety and pain. Other neurotransmitters such as serotonin and noradrenaline may be implicated with CCK in the coordination of GI activity. In addition, intravenous administration of CCK has been observed to reproduce the symptoms in FD and this effect can be blocked both by atropine and loxiglumide (CCK-A antagonist). It is possible that an altered response to CCK may be responsible for the commonly observed gastric sensorimotor dysfunction, which may then be associated with the genesis of dyspeptic symptoms.
    Matched MeSH terms: Food Hypersensitivity/physiopathology
  2. Talha NS, Sulaiman S
    Waste Manag, 2018 Aug;78:929-937.
    PMID: 32559988 DOI: 10.1016/j.wasman.2018.07.015
    In this study, solid coconut waste and CaO/PVA was used as raw material and catalyst respectively to produce biodiesel through in situ transesterification. Both, raw material and catalyst were packed in a packed bed reactor. The reaction was fixed for 3 h and the mixing was kept constant at 350 rpm. The highest biodiesel yield of 95% was obtained at reaction temperature of 61 °C with catalyst loading (CaO/PVA) of 2.29 wt% and methanol to solid ratio of 12:1. CaO-waste derived catalyst has been successfully proven to be utilized as heterogeneous base catalyst for the production of biodiesel from solid coconut waste.
    Matched MeSH terms: Food Hypersensitivity
  3. Chandrasekaran S, Kennett L, Yeap PC, Muniandy N, Rani B, Mukkur TK
    Vet Microbiol, 1994 Aug 01;41(3):213-9.
    PMID: 7975147
    Two of the three buffaloes immunized with a non-adjuvanted broth bacterin were found to be protected against experimental challenge at 6 weeks but not at 3 months post-challenge. Similarly all buffaloes (4/4) immunized with alum-precipitated vaccine were protected at 6 months but only 1 of the 2 vaccinated animals were protected at 12 months post-immunization. On the other hand, buffaloes immunized with an oil adjuvant and a double emulsion vaccine were completely protected at 12 months post-immunization. Statistically significant differences between immunized versus non-immune animals became evident at 3 months post-immunization, although analysis of cumulative antibody titres of pre-challenge sera of vaccinated buffaloes surviving versus those succumbing to experimental challenge revealed significant by higher antibody titres in the former as compared to the latter group. These results suggested that there was a relationship between ELISA antibody titres and active protection in buffaloes. There also appeared to be a relationship between cutaneous delayed-type hypersensitivity and active protection in buffaloes. Preliminary analysis of the antibody isotype distribution in the pre-challenge sera of 2 buffaloes vaccinated with the oil adjuvant vaccine revealed predominance of IgG1 and IgG2 subclasses whose role in protection against haemorrhagic septicaemia was not eludicated.
    Matched MeSH terms: Hypersensitivity, Delayed/veterinary
  4. Nurul Syafiqah Senafi, Nor Zalipah Mohamed
    MyJurnal
    Red Palm Weevil (RPW), Rhynchophorus ferrugineus is a lethal pest which has been described as a serious pest that reduces the production of coconut tree and other major cultivated palms. RPW infestation was initially detected by Department of Agriculture (DOA) in 2007 in all eight Terengganu districts. Rhu Tapai plantation area is one of the highly infested areas in Terengganu. Until now, limited reports on population abundance of this lethal pest have been discussed particularly in Rhu Tapai. Therefore, a study on population abundance is a must in order to understand the population dynamic of RPW which will be the first step of its control strategy. A total of 12 traps were installed and synthetic pheromones (P028 Ferrolure+) were used in attracting the RPW adults. Overall, 81 individuals of RPW were successfully collected after 16 weeks of pheromone trapping (3rd September until 28th November 2018). The trend of weekly RPW captured was eventually decreasing from Week 1 to Week 16 but showed a sudden increment in Week 10. Pandan cultivar plot captured the highest number of adult RPW compared with Mawa cultivar plots. Result showed no significant difference between RPW sexes percentage of sexes which was 53% of male and 47% of female (1:1 ratio) (U= 0.143, p > 0.05). Daily rainfall and temperature significantly reduced the trapping efficiency (R²rainfall = 0.142, p = 0.145; R²temperature = 0.0858; p = 0.258). These results will be the baseline information for future study regarding control management strategy using pheromone-based mass trapping system.
    Matched MeSH terms: Food Hypersensitivity
  5. ASSUNTA MALAR PATRICK VINCENT, HASSILAH SALLEH
    MyJurnal
    A wide range of studies have been conducted on deep learning to forecast time series data. However, very few researches have discussed the optimal number of hidden layers and nodes in each hidden layer of the architecture. It is crucial to study the number of hidden layers and nodes in each hidden layer as it controls the performance of the architecture. Apart from that, in the presence of the activation function, diverse computation between the hidden layers and output layer can take place. Therefore, in this study, the multilayer perceptron (MLP) architecture is developed using the Python software to forecast time series data. Then, the developed architecture is applied on the Apple Inc. stock price due to its volatile characteristic. Using historical prices, the accuracy of the forecast is measured by the different activation functions, number of hidden layers and size of data. The Keras deep learning library, which can be found in the Python software, is used to develop the MLP architecture to forecast the Apple Inc. stock price. The developed model is then applied on different cases, namely different sizes of data, different activation functions, different numbers of hidden layers of up to nine layers, and different numbers of nodes in each hidden layer. Then, the metrics mean squared error (MSE), mean absolute error (MAE) and root-mean-square error (RMSE) are employed to test the accuracy of the forecast. It is found that the architecture with rectified linear unit (ReLU) outperformed in every hidden layer and each case with the highest accuracy. To conclude, the optimal number of hidden layers differs in every case as there are other influencing factors.
    Matched MeSH terms: Food Hypersensitivity
  6. Muhammad Faris bin Md Yusoff, Suhaizan binti Lob, Nurul Faziha Ibrahim
    MyJurnal
    Vermicomposting is a process that involves biological, chemical and physical transformations of solid organic materials such as agricultural residues of plant and animal through the use of microorganisms and earthworms. There are three main classes of earthworms, and only those from one class are usually used for vermicomposting. However, mostly foreign earthworms are used in the setup. Foreign earthworms are more expensive and harder to obtain than local earthworms. This makes the local farmers reluctant to try since they are expensive. The difference in vermicompost using two species of epigeic earthworms, a local earthworm and a foreign earthworm (Eisenia fetida), and normal compost without any earthworms was measured in this study. Both species of earthworms were placed in identical vermibeds consisting of partially composted goat manure and partially composted spent coconut flakes (SCF) with the ratio of 5:1 respectively in terms of weight. The vermibed moisture content was maintained at 60 – 70% throughout the whole process. The end products showed a difference from one another. The E. fetida showed a better result compared to the local earthworms in terms of the nutrient content presence and the adaptability of the earthworms during the whole process. However, the end product from the local earthworms was still better compared to the normal compost without any earthworms.
    Matched MeSH terms: Food Hypersensitivity
  7. AGNES LEE CHIU NEE, MOHD NIZAM LANI, ROZILA ALIAS, ZAITON HASSAN
    MyJurnal
    Vinegars are most widely used as preservatives in food industry. Vinegars are known for their health benefits; however, the roles of vinegar-associated microflora in locally produced vinegars are not well established. The objectives of this study are to isolate and identify the lactic acid bacteria (LAB) from black rice vinegar and coconut vinegar, measure their pH and titratable acidity, and determine their antibacterial activity. LAB was isolated using cultural method. Phenotypic characterization of LAB was carried out using Gram-staining, oxidase test, catalase test and API 50 CHL Kit. Results from API 50 CHL Kit confirmed that BRV03M strain from black rice vinegar and CV03M strain from coconut vinegar were Lactobacillus paracaseissp. paracasei. The identified bacteria in both samples were consistent as L. paracaseiusing 16S rDNAgene sequences with 93% and 99% similarity, respectively. The pH and titratable acidity percentage of both vinegars were also determined. The stability of Cell Free Supernatant-Lactic Acid Bacteria (CFS-LAB) strains within 14 days on their inhibition against selected pathogenic bacteria was determined using agar well diffusion method. The CFS-LAB strain isolated from black rice vinegar (BRV03M) was more stable within 14 days than coconut vinegar in inhibiting tested bacteria, suggesting this strain has great potential as natural antibacterial agents.
    Matched MeSH terms: Food Hypersensitivity
  8. Sufian Maryam, Nik Fadzly, Wan Fatma Zuharah
    Trop Life Sci Res, 2016;27(11):95-101.
    MyJurnal
    Paederus fuscipes Curtis is a nocturnal insect. The attractiveness of artificial
    light sources from residential premises eventually causes the risk of severe dermatitis
    effect, once Paederus is in contact with human skin. The objective of this study is to
    investigate whether the light and height factors of residential buildings and its’ association
    to rice cultivation phases are primary reasons for P. fuscipes’s mass dispersal into human
    residential areas. The study site was located in residential premises that were built
    adjacent to rice field areas (≈ 32–60 m and 164 m) north of the rice field located in Teluk
    Air Tawar, mainland of Pulau Pinang. Overall, both light sources and rice cultivation
    phases caused a significant effect for P. fuscipes beetles dispersal flight to invade human
    settlements. More P. fuscipes were captured near the bright light source with the highest
    number of beetles found during harvesting stage. Whereas, significantly higher number of
    P. fuscipes were captured at level 2 and 3 compared to ground and level 1 of the
    apartment building and P. fuscipes was also found significantly affected by the rice
    cultivation phases at different elevation levels. This indicates that bright light sources and
    higher elevation levels are the main factors in attracting P. fuscipes beetles to disperse
    and causes infestations in residential areas. This finding could create awareness among
    the public on P. fuscipes dispersal pattern.
    Matched MeSH terms: Food Hypersensitivity
  9. Siti Norsuha Misman, Latiffah Zakaria
    Trop Life Sci Res, 2019;30(2):181-190.
    MyJurnal
    Seven pathotypes of Pyricularia oryzae were differentiated from blast disease samples collected from 2014–2016, using eight Malaysian differential rice varieties. Pathotype P7.0 is the dominant pathotype identified (33.9%) followed by P0.0, P1.0 and P9.0 which are currently become more abundant in the field with frequency of 20.0% for P0.0, and 15.4% for both P1.0 and P9. Pathotype P7.0 was mostly isolated from MR220CL2, MR263 and MR219 rice varieties which are popular variety planted by farmers in Peninsular Malaysia. Interestingly, new emergence of pathotype P0.2 has been identified, which was isolated from a new released variety, MR284 as well as blast isogenic line IRBL 20 carrying Pi5(t) blast resistance gene. Prolong planting of more than 20 planting seasons and large scale planting of MR219 and MR220 with current varietal coverage areas of more than 90% in Peninsular Malaysia are suspected as possible reason for P7.0 become dominant. Varietal coverage of MR220CL2 and MR263 has reached about 50% might be the cause of changes in blast pathogen pathotype dominancy to P0.0, P1.0 and P9.0.
    Matched MeSH terms: Food Hypersensitivity
  10. Zailatul HM, Rosmilah M, Faizal B, Noormalin A, Shahnaz M
    Trop Biomed, 2015 Jun;32(2):323-34.
    PMID: 26691261 MyJurnal
    The purpose of this study was to evaluate the effect of different cooking methods on the allergenicity of cockle and to identify proteins most frequently bound by IgE antibodies using a proteomics approach. Raw, boiled, fried and roasted extracts of the cockle were prepared. The protein profiles of the extracts were obtained by separation using sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) and 2-dimensional gel electrophoresis (2-DE). IgE-immunoblotting was then performed with the use of individual sera from patients with cockle allergy and the major IgE-binding proteins were analyzed by mass-spectrometry. SDS-PAGE of raw extract showed 13 protein bands. Smaller numbers of protein bands were detected in the boiled, fried and roasted extracts. The 2-DE gel profile of the raw extract further separated the protein bands to ~50 protein spots with molecular masses between 13 to 180 kDa and isoelectric point (pI) values ranging from 3 to 10. Immunoblotting of raw extract exhibited 11 IgE-binding proteins with two proteins of 36 and 40 kDa as the major IgE-binding proteins, while the boiled extract revealed 3 IgE-binding proteins. Fried and roasted extracts only showed a single IgE-binding protein at 36 kDa. 2-DE immunoblotting of raw extract demonstrated 5 to 20 IgE reactive spots. Mass spectrometry analysis led to identification of 2 important allergens, tropomyosin (36 kDa) and arginine kinase (40 kDa). Heated extracts showed a reduction in the number of IgE-reactive bands compared with raw extract, which suggest that thermal treatment can be used as a tool in attempting to reduce cockle allergenicity. The degree of allergenicity of cockle was demonstrated in the order raw > boiled > fried ≈ roasted. Two important allergens reacting with more than 50% of patients' sera identified using mass spectrometric approaches were tropomyosin and arginine kinase. Thus, allergens found in this study would help in component based diagnosis, management of cockle allergic patients and to the standardisation of allergenic test products as tools in molecular allergology.
    Matched MeSH terms: Food Hypersensitivity*
  11. Rosmilah M, Shahnaz M, Zailatul HM, Noormalin A, Normilah I
    Trop Biomed, 2012 Sep;29(3):467-78.
    PMID: 23018510
    Crab is an important source of food allergen. Tropomyosin represents the main crab allergen and is responsible for IgE cross-reactivity between various species of crustaceans. Recently, other new crab allergens including arginine kinase have been identified. However, information on allergens of the local Portunidcrab is not available. Thus, the aim of this study was to identify the major allergens of Portunus pelagicus (blue swimming crab) using the allergenomics approach. Raw and cooked extracts of the crab were prepared from the crab meat. Protein profile and IgE binding pattern were demonstrated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and immunoblotting using sera from 30 patients with crab allergy. The major allergens of the crab were then identified by two-dimensional electrophoresis (2-DE), followed by mass spectrometry analysis of the peptide digests. The SDS-PAGE of raw extract revealed approximately 20 protein fractions over a wide molecular weight range, while cooked extract demonstrated fewer protein bands. The raw extract also demonstrated a higher number of IgE reactive bands than the cooked extract. A heat-resistant protein of 36 kDa has been identified as the major allergen in both raw and cooked extracts. In addition, a heat-sensitive protein of 41 kDa was also recognized as a major allergen in raw crab. The 2-DE gel profile of the raw extract demonstrated about >100 distinct proteins spots and immunoblotting of the 2-DE profile demonstrated at least 12 different major IgE reactive spots with molecular masses between 13 to 250 kDa and isoelectric point (pI) values ranging from 4.0 to 7.0. The 36 and 41 kDa proteins were identified as the crab tropomyosin and arginine kinase, respectively by mass spectrometry. Therefore, this study confirmed that tropomyosin and arginine kinase are the major allergens of the local Portunid crab, P. pelagicus.
    Matched MeSH terms: Food Hypersensitivity/immunology*
  12. Goh JC, Juliana J, Malina O, Ngah ZU, Norhafizalena O
    Trop Biomed, 2007 Jun;24(1):37-46.
    PMID: 17568376 MyJurnal
    Indoor fungal reservoirs, particularly airborne Penicillium species, were identified throughout the ventilation system of the building and dissemination of fungi from those reservoirs was found to be occurring all the time. The objectives of this study were to determine the association between air concentration of indoor mould (Penicillium) and allergy symptoms among office workers. The study design used in this research was a cross-sectional study. Risk factors were identified through the questionnaire survey. Office workers were selected based on the proximity of their workstations to the microbiological air sampler used for the mould sampling. Results from the current study suggests that individual susceptibility of exposed subjects might be influenced by several factors associated with mould exposure; for example, inhaled mycotoxins or volatile organic compounds, which may, in some complex way, affect the immune response. This study provides the much needed preliminary baseline data for developing guidelines with validated findings that will be of use for policy decisions in Malaysia regarding indoor air quality. Results from this study are recommended for use in planning and implementing control measures in order to reduce the exposure to indoor mould and promote healthy working environment among the workers.
    Matched MeSH terms: Hypersensitivity/diagnosis*
  13. Rosmilah M, Shahnaz M, Masita A, Noormalin A, Jamaludin M
    Trop Biomed, 2005 Dec;22(2):171-7.
    PMID: 16883284 MyJurnal
    Fish has been recognized as a source of potent allergens both in food and occupational allergy. Lutjanus argentimaculatus (red snapper) and Lutjanus johnii (golden snapper) locally known as merah and jenahak, respectively, are among the most commonly consumed fish in Malaysia. The objective of this study is to identify the IgE-binding proteins and major allergens of these species of fishes. Extracts of both fish species were prepared and fractionated by sodium dodecyl polyacrylamide gel electrophoresis (SDS-PAGE). IgE binding patterns were then demonstrated by immunoblotting using sera from patients allergic to the fishes. The raw extracts of both fish produced 26 protein bands. Both species of fishes had similar protein profiles. In cooked extracts, several protein bands in the range of about 40 to 90 kD which were present in the uncooked extracts appeared to be denatured and formed high molecular weight complexes. The immunoblotting of golden snapper and red snapper revealed 16 and 15 various IgE-binding bands, in the range of 151 to 12-11 kD, respectively. A 51 kD protein was identified as a major allergen for both fishes. A 46 kD protein was also demonstrated as a major allergen in golden snapper and a 42 kD protein was also seen as a major allergen in red snapper. A heat-resistant protein of ~12 kD which is equivalent in size with fish parvalbumin was demonstrated only as minor allergen for both fishes.
    Matched MeSH terms: Food Hypersensitivity/etiology*; Food Hypersensitivity/immunology
  14. CHAI SIAW YEW, CHAI SZE FAN, LESLEY MAURICE BILUNG, AHMAD SYATIR TAHAR, ROSDI KIRA
    MyJurnal
    Listeria spp. and Salmonella spp. are capable of causing food-borne outbreaks and diseases in humans. This study aimed to quantify and detect the occurrence of Listeria monocytogenes and Salmonella Typhimurium in fruit juices by utilizing Most Probable Number (MPN) in combination with Polymerase Chain Reaction (PCR). In this study, a total of 50 fruit juice samples, consisting of orange, papaya, watermelon, honeydew and apple were collected from Kota Samarahan and Kuching. Specific Polymerase Chain Reaction (PCR) assay targeting the virulence gene, hlyA gene in L. monocytogenes and fliC gene in S. Typhimurium was performed, with the expected size of 730 bp and 559 bp, respectively. MPN analysis showed that the estimated microbial loads of Listeria spp. and Salmonella spp. in all samples were more than 1100 MPN/g. However, based on the PCR analysis, none of the samples (0%) were positive for L. monocytogenes or S. Typhimurium. This study presented as a preliminary food safety screening for the occurrence of Listeria spp. and Salmonella spp. from retailed fruit juices. Hygienic practices and food safety measures should be adhered by all food vendors and restaurants in order to avoid foodborne disease outbreaks in the future.
    Matched MeSH terms: Food Hypersensitivity
  15. Kwa BH, Mak JW
    Trans R Soc Trop Med Hyg, 1980;74(4):522-7.
    PMID: 7445050
    The possible depression of cell-mediated immunity by long-term Brugia malayi infection in jirds (Meriones unguiculatus) was investigated. Different groups of infected jirds were sensitized with dinitrofluorobenzene, sheep red blood cells, Dirofilaria immitis adult antigens and B. malayi adult antigens. The 24-hour delayed type hypersensitivity skin response to testing with antigen was measured as an in vivo correlate of cell-mediated immunity. The delayed-type hypersensitivity responses to dinitrofluorobenzene, sheep red blood cells and D. immitis antigens were normal but the response to B. malayi antigens was significantly depressed, confirming that long-term B. malayi infection depresses cell-mediated immunity and that this depression is specific to B. malayi antigens.
    Matched MeSH terms: Hypersensitivity, Delayed/immunology; Hypersensitivity, Delayed/pathology
  16. Wilson DB, Wilson ME
    Trans R Soc Trop Med Hyg, 1937;30:431-448.
    DOI: 10.1016/S0035-9203(37)90131-7
    1. 1. The results of various studies by other workers on the spleen and parasite rates in Indians, Malays and Bantu are summarized. 2. 2. The results of our own observations on Khonds in India, and on Masai and Bantu in East Africa are also summarized and compared with the foregoing and with one another. 3. 3. It is pointed out that wide differences may be found in the malarial status of communities in the same country and, in the case of the Bantu, of the same race; while close similarities occur in different countries. 4. 4. The results of experimental infections in birds and monkeys are cited and interpreted in terms of the two states of allergy and immunity. The probable significance of these is illustrated by reference to the role of the two states in tuberculosis. 5. 5. It is suggested that the observed contrasts in the spleen and parasite rates in diverse communities may also be explained in terms of immunity and hypersensitivity. 6. 6. It is concluded that the immune status is dependent not on race but on the frequency of infection; and that the most accurate index of endemicity is the frequency of infections in the non-immune, that is the rate in early infancy. 7. 7. While a consideration of the Spleen Rate and Endemic Index may be of value in forming an estimate of endemicity and immunity when similar communities are being compared, these indices may be misleading when the epidemiological surroundings are dissimilar. 8. 8. A consideration of the variation with age in the spleen and parasite rates throws more light on endemicity and immunity and on such variation a rough classification may be made into immune and sub-immune communities. 9. 9. But it is suggested that by far the most sensitive index at present available for field studies is the average parasite count, and its variation with age. c 1937.
    Matched MeSH terms: Hypersensitivity
  17. Tan KK, Choo KE, Ariffin WA
    Toxicon, 1990;28(2):225-30.
    PMID: 2339437
    The records associated with 83 children from 16 months to 12 years of age who were admitted with snake bite to Kota Bharu General Hospital and University Hospital, Universiti Sains Malaysia over a 5 year period were reviewed. Elapid bites were more common than viper bites while sea-snake bites were not recorded. Symptoms were relatively mild, the common clinical features being pain and local swelling. Antivenom therapy was required in 11 children. Only three of the 11 children developed minor adverse reactions to antivenom. Four of the 83 required ventilatory support for respiratory failure and two children died.
    Matched MeSH terms: Hypersensitivity/therapy
  18. Leung R, Ho P
    Thorax, 1994 Dec;49(12):1205-10.
    PMID: 7878553
    Whilst many recent reports have suggested a rise in the prevalence of asthma and allergic disease in Western countries, little is known about the epidemiology of these common conditions in south-east Asia. This study compared the prevalence of asthma and allergic disease amongst secondary school students in three south-east Asian populations--Hong Kong, Kota Kinabalu in Malaysia, and San Bu in China--and investigated the associations with atopy and family history.
    Matched MeSH terms: Hypersensitivity/epidemiology*; Hypersensitivity, Immediate/epidemiology
  19. Chang CC, Ng CC, Too CL, Choon SE, Lee CK, Chung WH, et al.
    Pharmacogenomics J, 2017 03;17(2):170-173.
    PMID: 26927288 DOI: 10.1038/tpj.2016.10
    Phenytoin (PHT) is a common cause of severe cutaneous adverse reactions (SCARs), including Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN) and drug reaction with eosinophilia and systemic symptoms (DRESS). Although HLA-B*15:02 is associated with PHT-induced SJS/TEN (PHT-SJS/TEN) in Han Chinese and Thais, the genetic basis for susceptibility to PHT-induced SCARs (PHT-SCAR) in other populations remains unclear. We performed a case-control association study by genotyping the human leukocyte antigen (HLA)-B alleles of 16 Malay PHT-SCAR patients (13 SJS/TEN and 3 DRESS), 32 PHT-tolerant controls and 300 healthy ethnicity-matched controls. A novel genetic biomarker, HLA-B*15:13, showed significant association with PHT-SJS/TEN (53.8%, 7/13 cases) (odds ratio (OR) 11.28, P=0.003) and PHT-DRESS (100%, 3/3 cases) (OR 59.00, P=0.003) when compared with PHT-tolerant controls (9.4%, 3/32 controls). We also confirmed HLA-B*15:02 association with PHT-SJS/TEN (61.5%, 8/13 cases vs 21.9%, 7/32 controls; OR 5.71, P=0.016) when compared with PHT-tolerant controls. These alleles may serve as markers to predict PHT-SCAR in Malays.
    Matched MeSH terms: Drug Hypersensitivity Syndrome/diagnosis; Drug Hypersensitivity Syndrome/genetics*; Drug Hypersensitivity Syndrome/immunology
  20. Yusoff NA, Hampton SM, Dickerson JW, Morgan JB
    J R Soc Promot Health, 2004 Mar;124(2):74-80.
    PMID: 15067979 DOI: 10.1177/146642400412400211
    Current understanding of the use of exclusion diets in the management of asthma in children is limited and controversial. The aim of this study was to examine the effects of excluding eggs and milk on the occurrence of symptoms in children with asthma and involved 22 children aged between three and 14 years clinically diagnosed as having mild to moderate disease. The investigation was single blind and prospective, and parents were given the option of volunteering to join the 'experiment' group, avoiding eggs, milk and their products for eight weeks, or the 'control' group, who consumed their customary food. Thirteen children were recruited to the experimental group and nine to the control group. A trained paediatrician at the beginning and end of the study period assessed the children. A seven-day assessment of food intake was made before, during and immediately after the period of dietary intervention in both groups. A blood sample was taken from each child for determination of food specific antibodies and in those children who could do so, the peak expiratory flow rate (PEFR) was measured. Based on the recommended nutrient intake (RNI), the mean percentage energy intake of the children in the experimental group was significantly lower (p < 0.05) in the experimental group. After the eight-week study period and compared with baseline values, the mean serum anti-ovalbumin IgG and anti-beta lactoglobulin IgG concentrations were statistically significantly reduced (p < 0.05) for both in the experimental group. In contrast, the values for anti-ovalbumin IgG in the control group were significantly increased and those for anti-beta lactoglobulin IgG were practically unchanged. The total IgE values were unchanged in both groups. Over the study period, the PEFR in those children in the experimental group able to perform the test was significantly increased, but no such change was noted in the children in the control group who could do the test. These results suggest that even over the short time period of eight weeks, an egg- and milk-free diet can reduce atopic symptoms and improve lung function in asthmatic children.
    Study site: Outpatient Department, Royal County Hospital and the Frimley Children’s Centre, United Kingdom
    Matched MeSH terms: Milk Hypersensitivity/prevention & control
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