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1.
Sensors (Basel) ; 24(17)2024 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-39275371

RESUMO

Various data types generated in the semiconductor manufacturing process can be used to increase product yield and reduce manufacturing costs. On the other hand, the data generated during the process are collected from various sensors, resulting in diverse units and an imbalanced dataset with a bias towards the majority class. This study evaluated analysis and preprocessing methods for predicting good and defective products using machine learning to increase yield and reduce costs in semiconductor manufacturing processes. The SECOM dataset is used to achieve this, and preprocessing steps are performed, such as missing value handling, dimensionality reduction, resampling to address class imbalances, and scaling. Finally, six machine learning models were evaluated and compared using the geometric mean (GM) and other metrics to assess the combinations of preprocessing methods on imbalanced data. Unlike previous studies, this research proposes methods to reduce the number of features used in machine learning to shorten the training and prediction times. Furthermore, this study prevents data leakage during preprocessing by separating the training and test datasets before analysis and preprocessing. The results showed that applying oversampling methods, excluding KM SMOTE, achieves a more balanced class classification. The combination of SVM, ADASYN, and MaxAbs scaling showed the best performance with an accuracy and GM of 85.14% and 72.95%, respectively, outperforming all other combinations.

2.
Pediatr Allergy Immunol ; 30(2): 179-187, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30428138

RESUMO

BACKGROUND: Exposure to air pollution aggravates symptoms of atopic dermatitis (AD) in children in the population studies. Variability in individual patient's response from individual susceptibility is needed to be explored. OBJECTIVE: This study aimed to investigate spectrum of individual variability in the associations between AD symptoms and air quality. METHODS: We enrolled 89 children aged 0-6 years with AD (22 890 person-days). Daily manifestation of symptoms was recorded for an average of 257 days (range 100-499). Both an individual analysis using logistic regression models and an overall analysis using a generalized estimating equation were performed. RESULTS: The odds ratios of an individual ranged 0.24-8.11 for particulate matter <10 µm in diameter (PM10 ), 0.09-101.92 for nitrogen oxide (NO2 ), 0.03-44.00 for ozone (O3 ), 0.11-58.30 for sulfur dioxide (SO2 ), 0.00-15.83 for carbon monoxide (CO), 0.00-39 446.94 for temperature, and 0.03-5.18 for relative humidity, demonstrating a wide individual variability. In the overall analysis, PM10 , NO2 , SO2 , and CO had a significantly positive association, whereas temperature and relative humidity were negatively associated with AD symptoms. Air pollution was responsible for aggravation of symptoms from 24.7% (O3 ) to 39.3% (SO2 ) of AD children. Overall, 71.9% of the AD children responded to at least one or more air pollution and weather variable. CONCLUSION: Responses of AD children to air pollution and weather variable were considerably variable among individuals. An individualized model would be useful to forecast and manage AD symptoms in patients.


Assuntos
Poluentes Atmosféricos/imunologia , Poluição do Ar/efeitos adversos , Variação Biológica da População/imunologia , Dermatite Atópica/etiologia , Exposição Ambiental/efeitos adversos , Poluentes Atmosféricos/análise , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , República da Coreia , Tempo (Meteorologia)
3.
Environ Health ; 16(1): 24, 2017 03 09.
Artigo em Inglês | MEDLINE | ID: mdl-28274229

RESUMO

BACKGROUND: Despite increasing evidence on the relationship between exposure to phthalates and bisphenol A with allergies and asthma, reports on atopic dermatitis (AD) with these chemicals are few. We assessed the association between AD symptoms and the exposure to phthalates and bisphenol A and in children. METHODS: We surveyed 18 boys with AD (age 3-7 years) in a day care center in Seoul between May 2009 and April 2010. AD symptoms were recorded by using a daily symptom diary. We collected 460 series of pooled urine twice a day, in the morning and afternoon, over 230 working days and measured the concentrations of mono-2-ethyl-5-oxohexyl phthalate (5-oxo-MEHP), mono-2-ethyl-5-hydroxyhexyl phthalate (5-OH-MEHP), mono-isobutyl phthalate (MnBP) and bisphenol A glucuronide (BPAG) in the pooled urine. Logistic regression was used for statistical analysis. RESULTS: Most phthalate metabolite levels were higher in the morning than in the afternoon (p < 0.0001). There was seasonal variation in the levels of phthalates and bisphenol A metabolites. Levels of 5-OH-MEHP, MnBP, and BPAG were highest in summer (p < 0.0001). Manifestation of AD symptoms was associated with an increase in urinary levels of MnBP (adjusted odds ratio, aOR = 2.85, 95% CI: 1.12-7.26 per 1 µg/L of MnBP) and BPAG (aOR = 1.79, 95% CI: 0.91-3.52 per 1 µg/L BPAG) on the same day. The levels of MnBP and BPAG in the previous day increased AD symptoms (aOR = 2.74, 95% CI: 1.21-6.20, for 1 µg/L of MnBP and aOR = 2.01, 95% CI: 1.08-3.74 for 1 µg/L BPAG). CONCLUSION: Our results suggest that exposure to phthalates and bisphenol A is associated with aggravation of AD symptoms in children.


Assuntos
Compostos Benzidrílicos/efeitos adversos , Dermatite Atópica/epidemiologia , Exposição Ambiental/efeitos adversos , Poluentes Ambientais/efeitos adversos , Fenóis/efeitos adversos , Ácidos Ftálicos/efeitos adversos , Compostos Benzidrílicos/urina , Criança , Pré-Escolar , Dermatite Atópica/urina , Exposição Ambiental/análise , Poluentes Ambientais/urina , Humanos , Masculino , Fenóis/urina , Ácidos Ftálicos/urina , República da Coreia/epidemiologia
4.
J Sci Food Agric ; 97(7): 2116-2121, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-27571929

RESUMO

BACKGROUND: Many food experts have studied various treatments or processing techniques in order to develop hypoallergenic foods. In a previous study, acid treatment dramatically mitigated the allergenicity of peanut, especially Ara h 2. RESULTS: Gel electrophoresis showed that most protein bands of acid-treated peanut were not detected, but protein bands of egg white became weaker and broader by acid treatment. In immunoblotting using a rabbit antibody, the antigenicity against ovalbumin or ovomucoid in acid-treated egg white was decreased but the antigenicity against Ara h 1 or Ara h 2 in peanut treated with pH 2 acetic acid was completely undetected. The allergenicity of ovalbumin and peanut fell significantly to 1/1022 and 1/5380, respectively, when measured as IC50 in the sample treated with pH 2.0 acetic acid. CONCLUSION: This study showed that acid treatment was more effective in peanut and barely effective in ovomucoid. This may contribute to the development of hypoallergenic food and clinical management of food allergy. © 2016 Society of Chemical Industry.


Assuntos
Ácido Acético/química , Alérgenos/química , Arachis/química , Clara de Ovo/química , Alérgenos/imunologia , Animais , Arachis/imunologia , Galinhas , Hipersensibilidade a Ovo/imunologia , Humanos , Ovalbumina/química , Ovalbumina/imunologia , Hipersensibilidade a Amendoim/imunologia
5.
Asian Pac J Allergy Immunol ; 35(1): 46-53, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27362407

RESUMO

BACKGROUND AND OBJECTIVE: TThe environment of a pregnant woman can affect not only fetal growth and development, but also diseases in childhood. Neonatal cord blood cytokines are commonly used to evaluate the immune development of neonates. The purpose of this study was to evaluate the effects of the environment and diet during pregnancy on IL-4 and IFN-γ in neonatal cord blood. METHOD: A total of 111 pregnant women participated in this study from April to November 2010. Allergy history, sensitization assessed by the skin prick test, dietary intake and indoor environment were evaluated. IL-4 and IFN-γ levels were measured in the complete cord blood of neonates using real-time PCR. RESULTS: There were 54 pregnant women with allergic disease. Both IL-4 and IFN-γ levels in neonatal cord blood were higher in samples from allergic mothers than in non-allergic mothers (p<0.05). The indoor environment and nutrient intake were not different between allergic and non-allergic mothers, except regarding carpet use. When the cytokine levels were divided into quartiles, lower folate and vitamin B6 intake was associated with the highest levels of IL-4 in neonatal cord blood (p<0.05), and higher folate and vitamin B6 intake was associated with highest levels of IFN-γ in neonatal cord blood. CONCLUSIONS: In this study, a strong association between IL-4 and IFN-γ levels in cord blood and the intake of folate and vitamin B6 was found, which indicates that food intake during pregnancy might have a strong influence on IL-4 and IFN-γ levels in cord blood, to a greater extent than environmental factors.


Assuntos
Dieta , Sangue Fetal/imunologia , Interferon gama/sangue , Interleucina-4/sangue , Efeitos Tardios da Exposição Pré-Natal/sangue , Adulto , Poluentes Ambientais , Feminino , Sangue Fetal/química , Humanos , Projetos Piloto , Gravidez , Efeitos Tardios da Exposição Pré-Natal/imunologia , Reação em Cadeia da Polimerase em Tempo Real
6.
Allergy Asthma Proc ; 37(1): e1-7, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26831837

RESUMO

BACKGROUND: Air pollution is regarded as a potential reason for the development or aggravation of allergic diseases. OBJECTIVE: To investigate the relationship between exposure to outdoor air pollution during the first year of life and the development of allergic diseases, and to determine the association between outdoor air pollution near the residence and recent symptoms of allergic diseases in children. METHODS: A nationwide cross-sectional survey was conducted in 6- to 7-year-old children. Among them, subjects who had been born (n = 1828) or lived (n = 1894) within 2 km of the nearest air quality monitoring sites were selected. The prevalence of allergic diseases was assessed by using questionnaires. Each subject was examined by pediatricians to determine the presence of eczema. Publicly available data were used regarding the daily ambient concentrations of sulfur dioxide, nitrogen dioxide, ozone, carbon monoxide (CO), and particulate matter. RESULTS: For a 100 ppb increase in the mean daily CO level during the first year of life, the adjusted odds ratio for lifetime allergic rhinitis was 1.10 (95% confidence interval, 1.03-1.19). For a 1 ppm increase in the annual average CO level during the past 12 months, the adjusted odds ratio for the presence of atopic dermatitis on the day of the survey was 8.11 (95% confidence interval, 1.06-62.12). However, the other air pollutants showed no statistical significance. CONCLUSIONS: Higher exposure to CO during infancy increased the risk of development of allergic rhinitis. The risk of current atopic dermatitis symptoms increased in children who were exposed to higher CO levels during the past 12 months.


Assuntos
Monóxido de Carbono , Exposição Ambiental , Hipersensibilidade/epidemiologia , Hipersensibilidade/etiologia , Fatores Etários , Poluentes Atmosféricos , Poluição do Ar , Criança , Estudos Transversais , Feminino , Geografia , Humanos , Hipersensibilidade/diagnóstico , Masculino , Prevalência , Fatores de Risco
7.
Molecules ; 21(5)2016 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-27187334

RESUMO

Ara h 2, a peanut 2S albumin, is associated with severe allergic reactions, but a homologous protein, soybean 2S albumin, is not recognized as an important allergen. Structural difference between these proteins might explain this clinical discrepancy. Therefore, we mapped sequential epitopes and compared the structure of Ara h 2, Soy Al 1, and Soy Al 3 (Gly m 8) to confirm whether structural differences account for the discrepancy in clinical responses to these two proteins. Commercially synthesized peptides covering the full length of Ara h 2 and two soybean 2S albumins were analyzed by peptide microarray. Sera from 10 patients with peanut and soybean allergies and seven non-atopic controls were examined. The majority of epitopes in Ara h 2 identified by microarray are consistent with those identified previously. Several regions in the 2S albumins are weakly recognized by individual sera from different patients. A comparison of allergenic epitopes on peanut and soybean proteins suggests that loop-helix type secondary structures and some amino acids with a large side chain including lone electron pair, such as arginine, glutamine, and tyrosine, makes the peptides highly recognizable by the immune system. By utilizing the peptide microarray assay, we mapped IgE epitopes of Ara h 2 and two soybean 2S albumins. The use of peptide microarray mapping and analysis of the epitope characteristics may provide critical information to access the allergenicity of food proteins.


Assuntos
Albuminas 2S de Plantas/imunologia , Epitopos/imunologia , Hipersensibilidade/imunologia , Imunoglobulina E/imunologia , Alérgenos/imunologia , Mapeamento de Epitopos , Humanos , Proteínas de Soja/imunologia , Glycine max/química , Glycine max/imunologia
8.
J Sci Food Agric ; 96(6): 2073-9, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26108559

RESUMO

BACKGROUND: Buckwheat is a popular food material in eastern Asian countries that can cause allergenic response. This study was conducted to evaluate the effects of hydrolysis with papain and high-pressure (HP) treatment of buckwheat protein (BWP) on reactivity of immunoglobulin E (IgE) and its secondary structure. RESULTS: Reactivity of IgE was examined by enzyme-linked immunosorbent assay (ELISA) with serum samples from 16 patients allergic to buckwheat. Reactivity of IgE to hydrolysate of BWP with papain showed a maximum decrease of 79.8%. After HP treatment at 600 MPa for 1 min, reactivity of IgE to BWP decreased by up to 55.1%. When extracted, BWP was hydrolyzed with papain overnight following HP treatment at 600 MPa which the reactivity of IgE decreased significantly by up to 87.1%. Significant changes in secondary structure of BWP were observed by circular dichroism (CD) analysis after hydrolysis with papain following HP treatment. CONCLUSION: Reduction of reactivity of IgE showed a correlation with changes in secondary structure of BWP, which may cause changes in conformational epitopes. This suggests the possibility of decreasing the reactivity of IgE to BWP using combined physical and enzymatic treatments.


Assuntos
Fagopyrum/química , Hipersensibilidade Alimentar/imunologia , Imunoglobulina E/imunologia , Papaína/metabolismo , Proteínas de Plantas/química , Afinidade de Anticorpos , Manipulação de Alimentos , Humanos , Hidrólise , Papaína/química , Pressão
9.
Ann Allergy Asthma Immunol ; 112(1): 53-7, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24331394

RESUMO

BACKGROUND: There are few reports regarding differences in reactivity to the major egg allergens according to children's age, although component-resolved diagnosis is gradually being used. OBJECTIVE: To investigate differences in reactivity to major egg allergens among various age groups of children with egg allergy. METHODS: Twenty-seven patients diagnosed with egg allergy were included. Egg allergy was defined as a convincing history of reproducible symptoms within 2 hours of egg consumption and an egg white-specific IgE level of at least 0.35 kUA/L. Patients were divided into 3 age groups: younger than 12 months (group A, 7 subjects), 12 to 23 months (group B, 8 subjects), and at least 24 months (group C, 12 subjects). Immunoblotting and enzyme-linked immunosorbent assay investigated IgE reactivity toward ovalbumin, ovomucoid, and ovotransferrin in eggs. RESULTS: Immunoblotting analysis showed that all patients in group A reacted to ovalbumin, whereas reactions to other proteins were not detected. All patients in group B displayed a reaction to ovalbumin and ovomucoid. IgE binding to ovotransferrin was shown in 3 patients in group B. All patients in group C displayed reactivity to ovalbumin, 5 patients showed a reaction to ovomucoid, and 8 patients displayed a reaction to ovotransferrin. As a patient's age increased, specific IgE binding to ovalbumin and ovotransferrin increased (P = .011 and .004). CONCLUSION: IgE reactivity to egg allergens differs according to children's ages.


Assuntos
Conalbumina/imunologia , Hipersensibilidade a Ovo/diagnóstico , Imunoglobulina E/sangue , Ovalbumina/imunologia , Ovomucina/imunologia , Alérgenos/imunologia , Criança , Pré-Escolar , Ovos/efeitos adversos , Feminino , Humanos , Imunoglobulina E/imunologia , Lactente , Masculino
10.
Ann Allergy Asthma Immunol ; 113(5): 549-55, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25216974

RESUMO

BACKGROUND: Moisture problems in dwellings have been linked to respiratory symptoms, but little is known about their association with symptoms of atopic dermatitis (AD). Moreover, the questionnaire-based survey or visual inspection for water damage does not use a standardized approach for assessing dampness. OBJECTIVE: To determine water damage in the houses of children with AD by assessing variations in surface temperature with an infrared camera, an interview-led questionnaire, and evaluation of the relation between the presence of water damage and the severity of AD. METHODS: Fifty-two homes of patients with AD were visited, and air samples were obtained from the living room and a child's bedroom. Water damage was determined by thermal assessments using an infrared camera and by the presence of visible mold or water stains. The effect of water damage on the severity of AD was analyzed by comparing the presence or absence of water damage and other aggravating factors between water-damaged and undamaged homes. RESULTS: Water damage was observed in 31 of 52 homes (59.6%), and the concentrations of airborne mold were significantly higher in water-damaged homes than in undamaged homes (P = .0013). However, there was no difference in airborne mold levels between homes with and those without visible mold or water stains. Logistic regression analyses showed that water-damaged homes were significantly related to moderate to severe AD (adjusted odds ratio 14.52, 95% confidence interval 1.75-121.13, P = .0025). CONCLUSION: Water-damaged homes affect the severity of AD in children. Infrared camera-driven assessment is a promising tool for determining moisture problems in buildings.


Assuntos
Poluição do Ar em Ambientes Fechados/efeitos adversos , Dermatite Atópica/etiologia , Adolescente , Criança , Pré-Escolar , Feminino , Fungos , Humanos , Umidade/efeitos adversos , Lactente , Modelos Logísticos , Masculino , Inquéritos e Questionários
11.
Ann Allergy Asthma Immunol ; 110(1): 34-8, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23244656

RESUMO

BACKGROUND: The prevalence and clinical severity of peanut allergy vary between Western countries and Asia. It has been suggested that cooking methods are responsible for this discrepancy. OBJECTIVES: To evaluate the specific IgE responses to major peanut allergens in peanut allergic Korean children and to examine the influence of different cooking methods on peanut proteins. METHODS: Raw peanut protein extracts were immunolabeled with serum samples from 42 children with a level of peanut specific IgE of 15 kUA/L or higher to detect specific binding to Ara h 1, Ara h 2, and Ara h 3. Clinical severity scores were assessed on a scale of 0 to 5. Protein extracts from boiled, roasted, fried, and pickled peanuts were analyzed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and immunoblotting with pooled serum samples from 7 patients. RESULTS: Most patients' serum samples reacted with Ara h 1 (76.2%) and Ara h 3 (78.6%) from raw peanuts, whereas only 53.0% of patients had specific IgE against Ara h 2. IgE binding to Ara h 2 was more prevalent in patients with more severe reaction than in those with mild reactions. IgE binding to Ara h 2 was increased by roasting, but there was significantly less IgE binding after vinegar treatment. CONCLUSION: Our results suggest that Ara h 2 is an important allergen to predict clinical symptoms but less prevalent in Korean children than in Western children. This finding may be attributed in part to different cooking methods and dietary habits among regions.


Assuntos
Albuminas 2S de Plantas/imunologia , Antígenos de Plantas/imunologia , Culinária/métodos , Glicoproteínas/imunologia , Hipersensibilidade a Amendoim/etiologia , Hipersensibilidade a Amendoim/imunologia , Pré-Escolar , Comportamento Alimentar , Feminino , Humanos , Immunoblotting , Imunoglobulina E/sangue , Imunoglobulina E/imunologia , Lactente , Masculino
12.
J Korean Med Sci ; 28(1): 74-9, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23341715

RESUMO

We attempted to investigate the correlation between the severity of atopic dermatitis (AD) in children and the indoor level of house dust mite (HDM) allergens. Ninety-five patients (31.1 ± 19.5 months of age) with AD were enrolled in this study, and serum specific IgE against Dermatophagoides pteronyssinus and D. farinae was measured. The severity of AD was assessed using the visual analogue scale on the same day of house dust collection. Living rooms and mattresses where the child usually slept were vacuumed for 2 minutes and concentrations of Der f 1 were measured by enzyme-linked immunosorbent assay. The skin symptoms were more severe in patients with Der f 1 concentrations in living room > 2 µg/g dust than ≤ 2 µg/g dust (P = 0.018). This difference was noted in AD patients without sensitization to HDM (P = 0.004), but not in patients with sensitization. There was no difference in symptom severity according to Der f 1 concentrations in mattresses (P = 0.062). The severity of skin symptoms is associated with indoor concentrations of HDM in children with AD, and it is likely to act as nonspecific irritants as well as allergens in AD skin lesions.


Assuntos
Antígenos de Dermatophagoides/análise , Dermatite Atópica/diagnóstico , Ensaio de Imunoadsorção Enzimática , Adolescente , Animais , Leitos/parasitologia , Criança , Pré-Escolar , Dermatite Atópica/patologia , Dermatophagoides farinae/imunologia , Dermatophagoides pteronyssinus/imunologia , Feminino , Humanos , Imunoglobulina E/sangue , Lactente , Masculino , Índice de Gravidade de Doença
13.
Pediatr Allergy Immunol ; 23(7): 667-73, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23050557

RESUMO

BACKGROUND: There have been considerable disagreements regarding the therapeutic effects of probiotics in atopic dermatitis (AD). We performed this study to examine whether the oral administration of Lactobacillus plantarum CJLP133 improves pediatric AD. METHODS: In a randomized, double-blind, placebo-controlled study, either L. plantarum CJLP133 at a dosage of 0.5 × 10(10) colony-forming units or placebo in children aged 12 months to 13 yr was given twice a day for 12 wk. SCOring of Atopic Dermatitis (SCORAD) scores, eosinophil counts, serum total IgE, and cytokines were evaluated. RESULTS: Forty-four of 58 patients in the probiotic group and 39 of 60 patients in the placebo group completed the study. The SCORAD score at week 14 was lower in the probiotic group than in the placebo group (p = 0.044). The mean change in the SCORAD score from weeks 2 to 14 was 9.1 in the probiotic group, which was greater than the mean change of 1.8 in the placebo group (p = 0.004). No statistical differences in the total use of topical corticosteroids were found between two groups (p = 0.815). In the probiotic group, the total eosinophil count was significantly lower at the end of the intervention compared to the baseline measurements (p = 0.023). Logarithmic IFN-γ and IL-4 were significantly decreased by the end of the intervention compared to baseline measurements in the probiotic group (p < 0.001 and 0.049). CONCLUSIONS: Our results suggest that supplementation with probiotic L. plantarum CJLP133 is beneficial in the treatment of pediatric AD.


Assuntos
Dermatite Atópica/dietoterapia , Dermatite Atópica/microbiologia , Suplementos Nutricionais , Lactobacillus plantarum , Probióticos/uso terapêutico , Adolescente , Criança , Pré-Escolar , Dermatite Atópica/imunologia , Progressão da Doença , Eosinófilos/imunologia , Eosinófilos/microbiologia , Feminino , Humanos , Imunoglobulina E/sangue , Lactente , Interferon gama/imunologia , Interleucina-4/imunologia , Masculino , Resultado do Tratamento
14.
J Korean Med Sci ; 27(7): 723-8, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22787365

RESUMO

The aim of this study was to analyze the natural history of atopic dermatitis (AD) and the risk factors associated with the remission of AD in Korean children. We enrolled 597 children with AD that occurred in the first year of life. A variety of factors influencing the prognosis were assessed by medical records and telephone interviews. Their outcome was classified into complete remission, intermittent, and persistent AD. AD had completely disappeared in 422 cases (70.6%), while 149 (25%) and 26 cases (4.4%) showed intermittent and persistent skin symptoms, respectively. The average healing time was 29.6 months in complete remission group and expected healing time of the AD was 60 months. None of risk factors were significant by multivariate analysis. But, in moderate-to-severe AD group, maternal diet restriction during lactation (P = 0.046) and no sensitization to cow's milk (P = 0.017) were significantly associated with remission of AD in the multivariate analysis. In conclusion, AD occurring in the first year of life disappears in a significant proportion of patients. In addition, in Korean children with moderate-to-severe AD, maternal diet restriction of allergenic food during lactation and sensitization to cow's milk seem to predict the prognosis of AD.


Assuntos
Dermatite Atópica/diagnóstico , Adulto , Pré-Escolar , Dermatite Atópica/etiologia , Feminino , Hipersensibilidade Alimentar/complicações , Humanos , Lactente , Entrevistas como Assunto , Lactação , Masculino , Hipersensibilidade a Leite/complicações , Valor Preditivo dos Testes , Prognóstico , Indução de Remissão , República da Coreia , Estudos Retrospectivos , Fatores de Risco
15.
J Korean Med Sci ; 27(6): 681-5, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22690101

RESUMO

We attempted to investigate the prevalence of atopic dermatitis (AD) in Korea by using national statistics. Data on AD patients who received medical service at least once a year from 2003 through 2008 were collected from health insurance research team of National Health Insurance Corporation. Data of estimated populations during the same period were obtained from the Statistics Korea. In 2008, the prevalence of AD was 26.5% in aged 12-23 months and decreased substantially to 7.6% at age 6 yr, 3.4% at age 12 yr and to 2.4% at age 18 yr. In males, the prevalence was higher than females until 2 yr of age, while the opposite was shown in children aged 2 yr or older. In children aged less than 24 months, the prevalence of AD has increased from 19.8% to 23.8% between the years 2003 and 2008, while the prevalence showed no increase in the older age group. In conclusion, the prevalence of AD in 2008 peaked during infancy up to 26.5% and decreased thereafter. Our findings also suggest that increasing prevalence of AD in children less than 24 months might be responsible for the recent increase in the prevalence of AD in Korean children.


Assuntos
Dermatite Atópica/epidemiologia , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Bases de Dados Factuais , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Programas Nacionais de Saúde , Prevalência , República da Coreia/epidemiologia , Adulto Jovem
17.
Pediatr Allergy Immunol ; 22(7): 715-9, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21539613

RESUMO

OBJECTIVES: We conducted this study to determine the incidence of food allergy (FA) in Korean infants and identify the risk factors of FAs during the first year of life in a birth cohort study. METHODS: Pregnant women ≥34 weeks of gestation were enrolled in this study. Participants were asked to complete questionnaires describing basic demographic information including family history of allergic diseases. Since birth, all the babies were regularly followed up for FA symptoms through telephone interviews at 4, 8, and 12 months of age. FA was defined as a repetitive convincing history of immediate allergic reactions following the ingestion of offending food. RESULTS & CONCLUSIONS: A total of 1177 infants and their parents completed this study. The prevalence of FA was 5.3% in infants. The three leading food allergens were hen's eggs (33/62), cow's milk (20/62) and peanut/nuts (8/62). Children with a history of maternal AD showed a significantly higher prevalence of FA (P = 0.012) [aRR = 3.17]. In addition, children who were born during autumn had a higher prevalence than those born during spring (p = 0.005) [aRR = 3.48]. In conclusion, we identified several characteristics that may influence the development of FA in the next generation, including maternal AD and autumn birth.


Assuntos
Hipersensibilidade Alimentar/epidemiologia , Hipersensibilidade Alimentar/etiologia , Hipersensibilidade Imediata/epidemiologia , Hipersensibilidade Imediata/etiologia , Adulto , Animais , Arachis/efeitos adversos , Arachis/imunologia , Bovinos , Estudos de Coortes , Ovos/efeitos adversos , Feminino , Hipersensibilidade Alimentar/imunologia , Humanos , Hipersensibilidade Imediata/imunologia , Incidência , Lactente , Entrevistas como Assunto , Masculino , Leite/efeitos adversos , Hipersensibilidade a Leite/epidemiologia , Hipersensibilidade a Leite/etiologia , Hipersensibilidade a Leite/imunologia , Hipersensibilidade a Amendoim/epidemiologia , Hipersensibilidade a Amendoim/etiologia , Hipersensibilidade a Amendoim/imunologia , Gravidez , Prevalência , República da Coreia/epidemiologia , Fatores de Risco , Telefone
18.
J Korean Med Sci ; 26(9): 1152-8, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21935269

RESUMO

Cow's milk is one of the most common food allergens in children with atopic dermatitis (AD). This study was conducted to describe the natural course of cow's milk allergy in children with AD, and to identify factors predictive of outcome. To accomplish this, we reviewed the medical records of 115 children who were diagnosed with AD and cow's milk allergy before 24 months of age to evaluate their clinical characteristics and prognostic factors. During a follow-up period of 24 to 114 months, the median age for tolerance to cow's milk was found to be 67 months. Multivariate analysis using the Cox proportional hazard model revealed that the peak cow's milk-specific IgE level within 24 months after birth was the most important factor for prediction of the outcome of cow's milk allergy. In conclusion, half of the children younger than 24 months of age with AD and cow's milk allergy could tolerate cow's milk at 67 months of age. The peak cow's milk-specific IgE level within the first 24 months of birth is useful to predict the prognosis of cow's milk allergy in children with AD.


Assuntos
Dermatite Atópica/diagnóstico , Hipersensibilidade a Leite/diagnóstico , Animais , Bovinos , Criança , Pré-Escolar , Dermatite Atópica/complicações , Feminino , Seguimentos , Humanos , Tolerância Imunológica , Imunoglobulina E/sangue , Lactente , Masculino , Leite/imunologia , Hipersensibilidade a Leite/complicações , Razão de Chances , Prognóstico , Fatores de Tempo
19.
J Allergy Clin Immunol ; 124(2): 315-22, 322.e1-3, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19577281

RESUMO

BACKGROUND: The peptide microarray is a novel assay that facilitates high-throughput screening of peptides with a small quantity of sample. OBJECTIVE: We sought to use overlapping peptides of milk allergenic proteins as a model system to establish a reliable and sensitive peptide microarray-based immunoassay for large-scale epitope mapping of food allergens. METHODS: A milk peptide microarray was developed by using commercially synthesized peptides (20-mers, 3 offset) covering the primary sequences of alpha(s1)-casein, alpha(s2)-casein, beta-casein, kappa-casein, and beta-lactoglobulin. Conditions for printing and immunolabeling were optimized using a serum pool of 5 patients with milk allergy. Reproducibility of the milk peptide microarray was evaluated using replicate arrays immunolabeled with the serum pool, whereas specificity and sensitivity were assessed by using serial dilution of the serum pool and a peptide inhibition assay. RESULTS: Our results show that epitopes identified by the peptide microarray were mostly consistent with those identified previously by SPOT membrane technology, but with specific binding to a few newly identified epitopes of milk allergens. Data from replicate arrays were reproducible (r > or = 0.92) regardless of printing lots, immunolabeling, and serum pool batches. Using the serially diluted serum pool, we confirmed that IgE antibody binding detected in the array was specific. Peptide inhibition of IgE binding to the same peptide and overlapping peptides further confirmed the specificity of the array. CONCLUSION: A reliable peptide microarray was established for large-scale IgE epitope mapping of milk allergens, and this robust technology could be applied for epitope mapping of other food allergens.


Assuntos
Alérgenos/imunologia , Mapeamento de Epitopos/métodos , Epitopos/imunologia , Hipersensibilidade a Leite/imunologia , Proteínas do Leite/imunologia , Análise Serial de Proteínas , Sequência de Aminoácidos , Animais , Hipersensibilidade Alimentar/diagnóstico , Hipersensibilidade Alimentar/imunologia , Humanos , Imunoglobulina E/sangue , Imunoglobulina E/imunologia , Leite/imunologia , Hipersensibilidade a Leite/diagnóstico , Dados de Sequência Molecular , Peptídeos/imunologia , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
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