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O'Holohan DR

Med J Malaysia, 1973 Jun;27(4):235-9.
PMID: 4270777
Matched MeSH terms: Drug Hypersensitivity*
Structural analysis of geothermal decline rate

Darwis S, Isnani, Ashat A

Sains Malaysiana, 2007;36:207-211.

The aim of semivariogram modeling is to infer the structure of spatial continuity of the measurements. Practical experiences show that semivariogram modeling is an important step in spatial interpolation. The usual empirical semivariogram is sensitive to extreme data and shows a noised pattern. Some robust empirical semivariogram was proposed. This paper reports the application of pairwise relative empirical semivariogram to Kamojang geothermal decline rate. Using the same data, the usual empirical semivariogram and pairwise semivariogram are compared. Comparative study shows that the empirical pairwise relative semivariogram is able to infer the structure of spatial continuity of the process.

Matched MeSH terms: Hypersensitivity
Fulltext DeepNC: a framework for drug-target interaction prediction with graph neural networks

Tran HNT, Thomas JJ, Ahamed Hassain Malim NH

PeerJ, 2022;10:e13163.
PMID: 35578674 DOI: 10.7717/peerj.13163

The exploration of drug-target interactions (DTI) is an essential stage in the drug development pipeline. Thanks to the assistance of computational models, notably in the deep learning approach, scientists have been able to shorten the time spent on this stage. Widely practiced deep learning algorithms such as convolutional neural networks and recurrent neural networks are commonly employed in DTI prediction projects. However, they can hardly utilize the natural graph structure of molecular inputs. For that reason, a graph neural network (GNN) is an applicable choice for learning the chemical and structural characteristics of molecules when it represents molecular compounds as graphs and learns the compound features from those graphs. In an effort to construct an advanced deep learning-based model for DTI prediction, we propose Deep Neural Computation (DeepNC), which is a framework utilizing three GNN algorithms: Generalized Aggregation Networks (GENConv), Graph Convolutional Networks (GCNConv), and Hypergraph Convolution-Hypergraph Attention (HypergraphConv). In short, our framework learns the features of drugs and targets by the layers of GNN and 1-D convolution network, respectively. Then, representations of the drugs and targets are fed into fully-connected layers to predict the binding affinity values. The models of DeepNC were evaluated on two benchmarked datasets (Davis, Kiba) and one independently proposed dataset (Allergy) to confirm that they are suitable for predicting the binding affinity of drugs and targets. Moreover, compared to the results of baseline methods that worked on the same problem, DeepNC proves to improve the performance in terms of mean square error and concordance index.

Matched MeSH terms: Hypersensitivity*
Combating chlorhexidine allergy in perioperative setting

Shamsher S, Suhaimi NHI, Noor Ali R, Zulkifli K

Med J Malaysia, 2023 Jan;78(1):126-127.
PMID: 36715203

Chlorhexidine is labelled as hidden allergen as the health care professionals (HCPs) are unaware of the wide range of products containing chlorhexidine. Adverse events from chlorhexidine allergy can be reduced by appropriate perioperative management especially heeding on positive history during preoperative assessment, awareness regarding this hidden allergen, and educating HCPs on possible chlorhexidine-containing products. The regulatory agencies all over the world have issued recommendations regarding safety and risk of hypersensitivity reactions with chlorhexidine-containing products. The onus lies on HCPs to disseminate this knowledge to the stakeholders. We present a brief update to combat chlorhexidine allergy in perioperative setting.

Matched MeSH terms: Hypersensitivity*
Fulltext COVID-19 pandemic: Practical considerations on the organization of an allergy clinic-An EAACI/ARIA Position Paper

Pfaar O, Klimek L, Jutel M, Akdis CA, Bousquet J, Breiteneder H, et al.

Allergy, 2021 03;76(3):648-676.
PMID: 32531110 DOI: 10.1111/all.14453

BACKGROUND: The coronavirus disease 2019 (COVID-19) has evolved into a pandemic infectious disease transmitted by the severe acute respiratory syndrome coronavirus (SARS-CoV-2). Allergists and other healthcare providers (HCPs) in the field of allergies and associated airway diseases are on the front line, taking care of patients potentially infected with SARS-CoV-2. Hence, strategies and practices to minimize risks of infection for both HCPs and treated patients have to be developed and followed by allergy clinics.
METHOD: The scientific information on COVID-19 was analysed by a literature search in MEDLINE, PubMed, the National and International Guidelines from the European Academy of Allergy and Clinical Immunology (EAACI), the Cochrane Library, and the internet.
RESULTS: Based on the diagnostic and treatment standards developed by EAACI, on international information regarding COVID-19, on guidelines of the World Health Organization (WHO) and other international organizations, and on previous experience, a panel of experts including clinicians, psychologists, IT experts, and basic scientists along with EAACI and the "Allergic Rhinitis and its Impact on Asthma (ARIA)" initiative have developed recommendations for the optimal management of allergy clinics during the current COVID-19 pandemic. These recommendations are grouped into nine sections on different relevant aspects for the care of patients with allergies.
CONCLUSIONS: This international Position Paper provides recommendations on operational plans and procedures to maintain high standards in the daily clinical care of allergic patients while ensuring the necessary safety measures in the current COVID-19 pandemic.

Matched MeSH terms: Hypersensitivity/diagnosis; Hypersensitivity/therapy*
Dietary patterns in childhood and their effect on gut microbiota-an Asian perspective on atopy risk

Ismail IH, Lay C, H A Majid N, Lee WS, Lee BW, Abdul Latiff AH, et al.

J Allergy Clin Immunol, 2020 11;146(5):1005-1007.
PMID: 32860819 DOI: 10.1016/j.jaci.2020.05.057
Matched MeSH terms: Food Hypersensitivity/epidemiology*; Hypersensitivity, Immediate/epidemiology*
Fulltext AN INVESTIGATION INTO THE PERFORMANCE OF THE MULTILAYER PERCEPTRON ARCHITECTURE OF DEEP LEARNING IN FORECASTING STOCK PRICES

ASSUNTA MALAR PATRICK VINCENT, HASSILAH SALLEH

UMT Journal of Undergraduate Research, 2021;3(2):61-68.
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
Fulltext Allergic reaction to stainless steel sternotomy wires requiring removal: A case report and literature review

Lopez JM, Sachithanandan A, Leow MP

Med J Malaysia, 2016 Jun;71(3):142-3.
PMID: 27495890 MyJurnal

Hypersensitivity to stainless steel sternal sutures are an uncommon occurrence. We present a case of such a patient who developed chronic tissue overgranulation over a sternotomy wound eight weeks post-operatively. Primary suspicion was infection, a more common complication however radiological and laboratory investigation showed otherwise. Conservative management provided limited ephemeral success. After ensuring adequate sternal bone healing, the sutures and granulation tissue were eventually surgically removed without complication and the reoperated wound healed well.

Matched MeSH terms: Hypersensitivity*
Natural rubber latex allergens: new developments

Yeang HY

Curr Opin Allergy Clin Immunol, 2004 Apr;4(2):99-104.
PMID: 15021061

PURPOSE OF REVIEW:
New allergenic latex proteins have been identified, whereas further information on known latex allergens has emerged in recent years. Although prevalence figures for sensitization to the various latex allergens have been published in several studies in the past, the data have not been collated to facilitate cross-comparison.

RECENT FINDINGS:
Salient characteristics of the three most recently identified latex allergens, Hev b 11, 12 and 13 are described, whereas new findings on some of the previously recognized allergens are examined. Hev b 2 is viewed from the standpoint of allergenicity and protein glycosylation, Hev b 4 in relation to its biochemical identity and molecular cloning, Hev b 5 with respect to its recombinant form, and Hev b 6 in connection with conformational IgE epitopes. Reports on sensitization or allergic reaction to purified latex allergens from recent and past work are summarized. The use of latex allergens in latex allergy diagnostics is reviewed and discussed.

SUMMARY:
Thirteen latex allergens have been recognized by the International Union of Immunological Societies. Based on the results of published studies, native Hev b 2, recombinant Hev b 5, native or recombinant Hev b 6, native Hev b 13, and possibly native Hev b 4 are the major allergens relevant to latex-sensitized adults. Although there is an increasing tendency to identify and characterize latex allergens largely on the basis of their recombinant forms, not all such recombinant proteins have been fully validated against their native counterparts with respect to clinical significance.

Matched MeSH terms: Hypersensitivity, Immediate/diagnosis; Hypersensitivity, Immediate/etiology*; Latex Hypersensitivity/diagnosis; Latex Hypersensitivity/etiology*
Prevalence of latex allergy may be vastly overestimated when determined by in vitro assays

Yeang HY

Ann. Allergy Asthma Immunol., 2000 Jun;84(6):628-32.
PMID: 10875493 DOI: 10.1016/S1081-1206(10)62415-5

BACKGROUND:
The prevalence of latex-specific IgE computed from the results of serologic assays is commonly thought to reflect, to a greater or lesser extent, the prevalence of latex allergy and its implied risk.

OBJECTIVE:
The study examines how imperfect test specificity of in vitro assays influences the precision of latex allergy prevalence that it estimates.

METHODS:
Various models encompassing a range of hypothetical test sensitivity and specificity values are investigated to gauge their influence on the estimate of latex allergy prevalence. The models examine these interactions in situations of high or low allergy prevalence.

RESULTS:
Serologic latex diagnostic assays with test specificity within the range of those of commercially available assays can greatly overestimate prevalence where the true prevalence is low (eg, of the order of one in 100 or one in 1,000). A formula to correct for errors in prevalence estimates arising from imperfect test sensitivity and specificity of an in vitro assay is presented.

CONCLUSION:
While serologic assays for latex IgE pose few hazards to the patient and are useful for confirming the diagnosis of latex allergy, the test results may vastly overestimate the true prevalence of latex allergy and its associated risks in situations where latex allergy is actually rare.

Matched MeSH terms: Latex Hypersensitivity/diagnosis; Latex Hypersensitivity/epidemiology*
Seasonal prevalence of air-borne pollen and spores in Kuala Lumpur, Malaysia

Ho TM, Tan BH, Ismail S, Bujang MK

Asian Pac J Allergy Immunol, 1995 Jun;13(1):17-22.
PMID: 7488339

Aerosampling using Rotorod samplers was conducted in the Institute for Medical Research, Kuala Lumpur, Malaysia, from December 1991 to November 1993. Samples were collected twice a week between 10.00 hours to 12.00 hours. Rods were stained and examined microscopically. A total of 8 and 20 types of pollens and mold spores were collected, respectively. More mold spores were collected than pollens. Grass pollen constituted more than 40 percent of total pollen counts. Gramineae pollen counts peaked in March and September. The most abundant mold spore was Cladosporium followed by Rust, Nigrospora, Curvularia and Smut. Cladosporium counts peaked in February and August. Rust counts peaked in June and December whereas counts for Nigrospora peaked in February and October. Highest counts of Smut were recorded in March and October. Curvularia counts peaked in January, June and September.

Matched MeSH terms: Hypersensitivity/immunology*; Hypersensitivity/epidemiology
Fulltext 'A recurrent cutaneous eruption'

Devaraj NK

BMJ Case Rep, 2019 Feb 01;12(2).
PMID: 30709894 DOI: 10.1136/bcr-2018-228355
Matched MeSH terms: Shellfish Hypersensitivity/complications; Shellfish Hypersensitivity/diagnosis*
Specific depression of cell-mediated immunity in Malayan filariasis

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
Novel Biologicals for the Treatment of Allergic Diseases and Asthma

Tan HT, Sugita K, Akdis CA

Curr Allergy Asthma Rep, 2016 10;16(10):70.
PMID: 27613653 DOI: 10.1007/s11882-016-0650-5

PURPOSE OF REVIEW: The development of biological therapies has rapidly progressed during the last few years, and major advances were reported for the treatment of allergic diseases, such as atopic dermatitis, allergic rhinitis, urticaria, food allergy, and asthma. Here, we review biologicals targeting the type 2 immune response involving Th2 cells, type 2 innate lymphoid cells, natural killer T cells, mast cells, basophils, and epithelial cells, such as IL-4, IL-5, IL-13, IL-31, tumor necrosis factor alpha (TNF-α), and thymic stromal lymphopoietin (TSLP).
RECENT FINDINGS: The biologicals that have been currently approved for asthma are omalizumab targeting IgE and reslizumab and mepolizumab targeting interleukin (IL)-5. Many other monoclonal antibodies are currently in various phases of clinical development. The new biological therapies for allergic diseases will eventually be tailored to the endotypes of these diseases and the identification of novel biomarkers. Further development of novel biologicals for the treatment of allergic diseases and asthma will be possible upon improved understanding of mechanisms of allergic diseases. Accordingly, further refinement of endotypes of allergen-specific and non-specific type 2 immune response and related inflammatory mediators is needed for optimal treatment of allergic diseases.

Matched MeSH terms: Hypersensitivity/physiopathology; Hypersensitivity/therapy*
Probiotic effects in allergic disease

Ismail IH, Licciardi PV, Tang ML

J Paediatr Child Health, 2013 Sep;49(9):709-15.
PMID: 23574636 DOI: 10.1111/jpc.12175

The increasing prevalence of allergic disease has been linked to reduced microbial exposure in early life. Probiotics have recently been advocated for the prevention and treatment of allergic disease. This article summarises recent publications on probiotics in allergic disease, focusing on clinical studies of prevention or treatment of allergic disease. Studies employing the combined administration of pre-natal and post-natal probiotics suggest a role for certain probiotics (alone or with prebiotics) in the prevention of eczema in early childhood, with the pre-natal component of treatment appearing to be important for beneficial effects. On the other hand, current data are insufficient to support the use of probiotics for the treatment of established allergic disease, although recent studies have highlighted new hope in this area. Probiotic bacteria continue to represent the most promising intervention for primary prevention of allergic disease, and well-designed definitive intervention studies should now be a research priority.

Matched MeSH terms: Food Hypersensitivity/prevention & control; Food Hypersensitivity/therapy; Hypersensitivity, Immediate/prevention & control; Hypersensitivity, Immediate/therapy*
Causative effect of cow's milk protein and soy protein on progressive small bowel mucosal damage

Iyngkaran N, Yadav M, Boey CG, Kamath KR, Lam KL

J Gastroenterol Hepatol, 1989 3 1;4(2):127-36.
PMID: 2490907

Some infants intolerant to cow's milk protein (CMP) are often also intolerant to other food proteins including soy protein (SP). The effect of CMP and SP in infants recovering from diarrhoeal disease was studied in 22 infants who were maintained on an hypo-allergenic formula for 4-6 weeks. The infants were then challenged successively, initially with SP, followed 24 h later with CMP and then rechallenged with SP 24 h after CMP provocation. Three groups were recognized on the basis of clinical symptoms and mucosal changes following SP challenge. Group 1 comprised four infants who developed clinical and histological reactions on SP challenge. The subsequent CMP challenge, 24 h after the initial SP challenge, resulted in clinical symptoms in three of the four infants, and they developed increased mucosal injury. Rechallenge with SP in the three infants caused development of severe clinical symptoms. Group 2 comprised 12 infants who developed histological reaction but had no clinical symptoms to initial SP challenge. The subsequent CMP challenge caused further progression in mucosal pathology in 11 of the 12 infants and six also had associated clinical symptoms. Rechallenge with SP in the latter six infants resulted in development of clinical symptoms in three and tolerance to SP in three infants. Group 3 comprised six infants who tolerated SP and CMP but one of these infants developed mild histological changes to CMP. The progression of mucosal injury following SP and CMP challenge was associated with a significant decrease in mucosal disaccharidases, alkaline phosphatase levels and presence of reducing sugar in the stools. The 1 h blood xylose level continued to decrease significantly following the pre-SP, post-SP, and post-CMP challenge. It appears that the small bowel mucosa of young infants recovering from diarrhoeal disease remains sensitive not only to CMP but also to SP. The feeding of these proteins in rapid successive sequence to infants with mucosal damage might result in further progression of the mucosal injury. Thus, the exclusion for a variable period of time of antigenic food proteins like CMP and SP from the diet of young infants recovering from diarrhoea might reduce the risk of inducing mucosal sensitivity to these proteins in susceptible infants.

Matched MeSH terms: Food Hypersensitivity/complications; Food Hypersensitivity/pathology*; Milk Hypersensitivity/complications; Milk Hypersensitivity/pathology*
First report on sensitization to allergens of a house dust mite, Suidasia pontifica (Acari: Saproglyphidae)

Mariana A, Ho TM, Gendeh BS, Iskandar H, Zainuldin-Taib M

Southeast Asian J. Trop. Med. Public Health, 2000 Dec;31(4):722-3.
PMID: 11414419

A species of house dust mite, Suidasia pontifica, was recently shown to produce allergens affecting man. The species may be as important as other allergen producing mite in sensitization and causing allergic symptoms in Malaysians. Surveys conducted demonstrated that 80% of the houses surveyed were positive for this mite with densities ranged from 2 to 50 mites per gram of dust. Colonies of the species has been successfully established and materials from those colonies have been used to produce extracts for studies on sensitization to the mites. A total of 85 suspected allergic rhinitis patients were tested and 74.1% demonstrated positive reactions. Extract of this mite should be considered for routine diagnostic testing and possible immunotherapy.

Matched MeSH terms: Hypersensitivity/immunology*
Hypersensitivity reactions due to tetracyclines

Diong KI

Med J Malaya, 1972 Dec;27(2):134-5.
PMID: 4268039
Matched MeSH terms: Drug Hypersensitivity/etiology*
A dietary pattern of frequent plant-based foods intake reduced the associated risks for atopic dermatitis exacerbation: Insights from the Singapore/Malaysia cross-sectional genetics epidemiology cohort

Lim JJ, Reginald K, Say YH, Liu MH, Chew FT

BMC Public Health, 2023 Sep 19;23(1):1818.
PMID: 37726698 DOI: 10.1186/s12889-023-16736-y

BACKGROUND: The prevalence of atopic dermatitis (AD) has been increasing in recent years, especially in Asia. There is growing evidence to suggest the importance of dietary patterns in the development and management of AD. Here, we seek to understand how certain dietary patterns in a Singapore/Malaysia population are associated with various risks of AD development and exacerbation.
METHODS: A standardized questionnaire following the International Study of Asthma and Allergies in Childhood (ISAAC) guidelines was investigator-administered to a clinically and epidemiology well-defined allergic cohort of 13,561 young Chinese adults aged 19-22. Information on their sociodemographic, lifestyle, dietary habits, and personal and family medical atopic histories were obtained. Allergic sensitization was assessed by a skin prick test to mite allergens. Spearman's rank-order correlation was used to assess the correlation between the intake frequencies of 16 food types. Dietary patterns were identified using principal component analysis. Four corresponding dietary scores were derived to examine the association of identified dietary patterns with allergic sensitization and AD exacerbations through a multivariable logistic regression that controlled for age, gender, parental eczema, BMI, and lifestyle factors.
RESULTS: The correlation is the strongest between the intake of butter and margarine (R = 0.65). We identified four dietary patterns, "high-calorie foods", "plant-based foods", "meat and rice", and "probiotics, milk and eggs", and these accounted for 47.4% of the variance in the dietary habits among the subjects. Among these patterns, moderate-to-high intake of "plant-based foods" conferred a negative association for chronic (Adjusted odds ratio (AOR): 0.706; 95% confidence interval (CI): 0.589-0.847; p

Matched MeSH terms: Hypersensitivity*
Cord IgE and ECP levels of Malay neonates

Yadav A, Naidu R

Allergol Immunopathol (Madr), 2013 Nov-Dec;41(6):364-8.
PMID: 23276420 DOI: 10.1016/j.aller.2012.08.007

Cord IgE and ECP levels are major atopic markers implicated in early childhood allergy development. Most epidemiological studies to date have not utilised current technology to establish baseline cord IgE levels, further aggravated by lack of data in this region. This study also attempts to identify a relationship between cord IgE and ECP levels as a mean to improve sensitivity for early prediction of atopy.

Matched MeSH terms: Hypersensitivity/diagnosis*; Hypersensitivity/immunology; Hypersensitivity/epidemiology

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