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1. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guideline update – XI – Milk supplement/replacement formulas for infants and toddlers with CMA – Systematic review

Author

Bognanni, Antonio, Firmino, Ramon T., Arasi, Stefania, Chu, Derek K., Chu, Alexandro W.L., Waffenschmidt, Siw, Agarwal, Arnav, Dziechciarz, Piotr, Horvath, Andrea, Mihara, Hanako, Roldan, Yetiani, Terracciano, Luigi, Martelli, Alberto, Starok, Anna, Said, Maria, Shamir, Raanan, Ansotegui, Ignacio J., Dahdah, Lamia, Ebisawa, Motohiro, Galli, Elena, Kamenwa, Rose, Lack, Gideon, Li, Haiqi, Pawankar, Ruby, Warner, Amena, Wong, Gary Wing Kin, Bozzola, Martin, Assa'Ad, Amal, Dupont, Christophe, Bahna, Sami, Spergel, Jonathan, Venter, Carina, Szajewska, Hania, Nowak-Wegrzyn, Anna H., Vandenplas, Yvan, Papadopoulos, Nikolaos G., Waserman, Susan, Fiocchi, Alessandro, Schünemann, Holger J., and Brożek, Jan L.

Published
2024
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2. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guidelines update – XVI - Nutritional management of cow's milk allergy

Author

Ansotegui, Ignacio, Arasi, Stefania, Bahna, Sami L., Canani, Roberto Berni, Bozzola, Martin, Brozek, Jan, Chu, Derek, Dahdah, Lamia, Dupont, Christophe, Ebisawa, Motohiro, Firmino, Ramon T., Galli, Elena, Lack, Gideon, Li, Haiqi, Martelli, Alberto, Papadopoulos, Nikolas G., Said, Maria, Sánchez-Borges, Mario, Schunemann, Holger, Shamir, Raanan, Spergel, Jonathan, Szajewska, Hania, Terracciano, Luigi, Vandenplas, Yvan, Waserman, Susan, Warner, Amena, Wong, Gary W.K., Venter, Carina, Meyer, Rosan, Groetch, Marion, Nowak-Wegrzyn, Anna, Mennini, Maurizio, Pawankar, Ruby, Kamenwa, Rose, Assa'ad, Amal, Amara, Shriya, Fiocchi, Alessandro, and Bognanni, Antonio

Published
2024
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3. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guideline update – XII – Recommendations on milk formula supplements with and without probiotics for infants and toddlers with CMA

Author

Bognanni, Antonio, Fiocchi, Alessandro, Arasi, Stefania, Chu, Derek K., Ansotegui, Ignacio, Assa'ad, Amal H., Bahna, Sami L., Berni Canani, Roberto, Bozzola, Martin, Dahdah, Lamia, Dupont, Christophe, Dziechciarz, Piotr, Ebisawa, Motohiro, Firmino, Ramon T., Chu, Alexandro, Galli, Elena, Horvath, Andrea, Kamenwa, Rose, Lack, Gideon, Li, Haiqi, Martelli, Alberto, Nowak-Węgrzyn, Anna, Papadopoulos, Nikolaos G., Pawankar, Ruby, Roldan, Yetiani, Said, Maria, Sánchez-Borges, Mario, Shamir, Raanan, Spergel, Jonathan M., Szajewska, Hania, Terracciano, Luigi, Vandenplas, Yvan, Venter, Carina, Waffenschmidt, Siw, Waserman, Susan, Warner, Amena, Wong, Gary W.K., Schünemann, Holger J., and Brozek, Jan L.

Published
2024
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4. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guidelines update – X – Breastfeeding a baby with cow's milk allergy

Author

Ansotegui, Ignacio, Arasi, Stefania, Assa'ad, Amal H., Bahna, Sami L., Canani, Roberto Berni, Bognanni, Antonio, Bozzola, Martin, Brozek, Jan, Chu, Derek, Dahdah, Lamia, Dupont, Christophe, Dziechciarz, Piotr, Ebisawa, Motohiro, Firmino, Ramon T., Fiocchi, Alessandro, Galli, Elena, Kamenwa, Rose, Lack, Gideon, Li, Haiqi, Martelli, Alberto, Nowak-Węgrzyn, Anna, Papadopoulos, Nikolas G., Pawankar, Ruby, Said, Maria, Sánchez-Borges, Mario, Schunemann, Holger, Shamir, Raanan, Spergel, Jonathan, Szajewska, Hania, Terracciano, Luigi, Vandenplas, Yvan, Waserman, Susan, Venter, Carina, Warner, Amena, Wong, Gary W.K., McWilliam, Vicki, Netting, Merryn J., Volders, Evelyn, and Palmer, Debra J.

Published
2023
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5. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guideline update – XIII – Oral immunotherapy for CMA – Systematic review

Author

Ansotegui, Ignacio J., Arasi, Stefania, Assa'ad, Amal H., Bahna, Sami L., Canani, Roberto Berni, Bognanni, Antonio, Bozzola, Martin, Brozek, Jan, Chu, Derek K., Dahdah, Lamia, Dupont, Christophe, Ebisawa, Motohiro, Fiocchi, Alessandro, Firmino, Ramon Targino, Galli, Elena, Kamenwa, Rose, Lack, Gideon, Li, Haiqi, Martelli, Alberto, Nowak-Wegrzyn, Anna H., Papadopoulos, Nikolaos G., Pawankar, Ruby, Said, Maria, Sánchez-Borges, Mario, Schünemann, Holger J., Shamir, Raanan, Spergel, Jonathan M., Szajewska, Hania, Terracciano, Luigi, Vandenplas, Yvan, Venter, Carina, Warner, Amena, Waserman, Susan, Wong, GaryW.K., Firmino, Ramon T., Waffenschmidt, Siw, Agarwal, Arnav, Dziechciarz, Piotr, Horvath, Andrea, Jebai, Rime, Mihara, Hanako, Roldan, Yetiani, Bahna, Sami, and Brożek, Jan L.

Published
2022
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6. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow’s Milk Allergy (DRACMA) Guideline update – XIV – Recommendations on CMA immunotherapy

Author

Brozek, Jan L., Firmino, Ramon T., Bognanni, Antonio, Arasi, Stefania, Ansotegui, Ignacio, Assa'ad, Amal H., Bahna, Sami L., Canani, Roberto Berni, Bozzola, Martin, Chu, Derek K., Dahdah, Lamia, Dupont, Christophe, Dziechciarz, Piotr, Ebisawa, Motohiro, Galli, Elena, Horvath, Andrea, Kamenwa, Rose, Lack, Gideon, Li, Haiqi, Martelli, Alberto, Nowak-Węgrzyn, Anna, Papadopoulos, Nikolaos G., Pawankar, Ruby, Roldan, Yetiani, Said, Maria, Sánchez-Borges, Mario, Shamir, Raanan, Spergel, Jonathan M., Szajewska, Hania, Terracciano, Luigi, Vandenplas, Yvan, Venter, Carina, Waffenschmidt, Siw, Waserman, Susan, Warner, Amena, Wong, Gary W.K., Fiocchi, Alessandro, and Schünemann, Holger J.

Published
2022
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7. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guidelines update – X – Breastfeeding a baby with cow's milk allergy

Author

McWilliam, Vicki, primary, Netting, Merryn J., additional, Volders, Evelyn, additional, Palmer, Debra J., additional, Ansotegui, Ignacio, additional, Arasi, Stefania, additional, Assa'ad, Amal H., additional, Bahna, Sami L., additional, Canani, Roberto Berni, additional, Bognanni, Antonio, additional, Bozzola, Martin, additional, Brozek, Jan, additional, Chu, Derek, additional, Dahdah, Lamia, additional, Dupont, Christophe, additional, Dziechciarz, Piotr, additional, Ebisawa, Motohiro, additional, Firmino, Ramon T., additional, Fiocchi, Alessandro, additional, Galli, Elena, additional, Kamenwa, Rose, additional, Lack, Gideon, additional, Li, Haiqi, additional, Martelli, Alberto, additional, Nowak-Węgrzyn, Anna, additional, Papadopoulos, Nikolas G., additional, Pawankar, Ruby, additional, Said, Maria, additional, Sánchez-Borges, Mario, additional, Schunemann, Holger, additional, Shamir, Raanan, additional, Spergel, Jonathan, additional, Szajewska, Hania, additional, Terracciano, Luigi, additional, Vandenplas, Yvan, additional, Waserman, Susan, additional, Venter, Carina, additional, Warner, Amena, additional, and Wong, Gary W.K., additional

Published
2023
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8. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guideline update – XIII – Oral immunotherapy for CMA – Systematic review

Author

Bognanni, Antonio, primary, Chu, Derek K., additional, Firmino, Ramon T., additional, Arasi, Stefania, additional, Waffenschmidt, Siw, additional, Agarwal, Arnav, additional, Dziechciarz, Piotr, additional, Horvath, Andrea, additional, Jebai, Rime, additional, Mihara, Hanako, additional, Roldan, Yetiani, additional, Said, Maria, additional, Shamir, Raanan, additional, Bozzola, Martin, additional, Bahna, Sami, additional, Fiocchi, Alessandro, additional, Waserman, Susan, additional, Schünemann, Holger J., additional, Brożek, Jan L., additional, Ansotegui, Ignacio J., additional, Assa'ad, Amal H., additional, Bahna, Sami L., additional, Canani, Roberto Berni, additional, Bognanni, Antonio, additional, Brozek, Jan, additional, Dahdah, Lamia, additional, Dupont, Christophe, additional, Ebisawa, Motohiro, additional, Firmino, Ramon Targino, additional, Galli, Elena, additional, Kamenwa, Rose, additional, Lack, Gideon, additional, Li, Haiqi, additional, Martelli, Alberto, additional, Nowak-Wegrzyn, Anna H., additional, Papadopoulos, Nikolaos G., additional, Pawankar, Ruby, additional, Sánchez-Borges, Mario, additional, Spergel, Jonathan M., additional, Szajewska, Hania, additional, Terracciano, Luigi, additional, Vandenplas, Yvan, additional, Venter, Carina, additional, Warner, Amena, additional, and Wong, GaryW.K., additional

Published
2022
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9. Smoking, behavioral factors and familial environment: a population based study with Brazilian adolescents

Author

Arrais-Ribeiro, Gabriella L., Clementino, Marayza A., Cesarino-Gomes, Monalisa da N., Firmino, Ramon T., Lins Dantas-Siqueira, Maria B., and Granville-Garcia, Ana F.

Subjects
students, alcoholism, Smoking, Hábito de fumar, risk factors, factores de riesgo, epidemiology, estudiantes, alcoholismo, epidemiología
Abstract

Objective The aim of the present study was to assess the association between smoking and both behavioral and environmental factors among adolescents in the public school system in the city of Campina Grande (northeastern Brazil). Methods An analytical cross-sectional study was carried out involving 574 schoolchildren between 10 and 19 years, with the use of a structured questionnaire addressing behavioral factors, environmental factors and smoking. The chi-squared test and Fisher's exact test were used for the statistical analysis (5 % level of significance). Results The prevalence of smoking was de 3.3 %. The lowest age regarding the use of tobacco for the first time was eight years and the age group with the greatest frequency of initiation into this habit was 11 to 14 years (44.3 %). A total of 84.3 % of tobacco users smoked between one and 10 cigarettes per day. Smoking was associated with delays in schooling (p=0.047), gender (p=0.016), alcohol use and frequency of alcohol use (p

Published
2013

10. Dental caries experience among indigenous children and adolescents.

Author

Gonçalves, Érica M., Cavalcanti, Laysa C., Firmino, Ramon T., Ribeiro, Gustavo L., Granville-Garcia, Ana F., and Menezes, Valdenice A.

Subjects
DENTAL caries in children, INDIGENOUS children, SOCIODEMOGRAPHIC factors, DENTAL surveys
Abstract

Investigations into the oral health status of indigenous populations are scarce. The aim of this study was to evaluate caries experience and associated factors among 342 indigenous children and adolescents aged 5-15 years of the Xukuru community in the municipality of Pesqueira, Brazil. A cross-sectional census study was carried out using the criteria of the World Health Organization to determine caries experience. Examinations were performed by two calibrated dentists and a questionnaire was administered to parents/caregivers addressing socio-demographic data, diet and oral hygiene habits. Logistic regression analysis were performed, with dmft and DMFT as the dependent variables (P < 0.05). Caries experience (dmft/DMFT) was high in both the primary and permanent dentition (75.6% and 62.9%, respectively). Mean dmft and DMFT indices were 3.11 and 2.21, respectively. Caries experience in the primary dentition was associated with children residing in villages far from urban areas (P = 0.016), while caries in the permanent dentition was associated with older children (P < 0.001) and with children from villages at an intermediate distance and far from urban areas (P < 0.001). The indigenous subjects exhibited a high degree of caries experience, which was associated with age and group of villages. Public policies are needed to improve the oral health status of this population. [ABSTRACT FROM AUTHOR]

Published
2015
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12. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guideline update - XIV - Recommendations on CMA immunotherapy

Author

Jan L. Brozek, Ramon T. Firmino, Antonio Bognanni, Stefania Arasi, Ignacio Ansotegui, Amal H. Assa'ad, Sami L. Bahna, Roberto Berni Canani, Martin Bozzola, Derek K. Chu, Lamia Dahdah, Christophe Dupont, Piotr Dziechciarz, Motohiro Ebisawa, Elena Galli, Andrea Horvath, Rose Kamenwa, Gideon Lack, Haiqi Li, Alberto Martelli, Anna Nowak-Węgrzyn, Nikolaos G. Papadopoulos, Ruby Pawankar, Yetiani Roldan, Maria Said, Mario Sánchez-Borges, Raanan Shamir, Jonathan M. Spergel, Hania Szajewska, Luigi Terracciano, Yvan Vandenplas, Carina Venter, Siw Waffenschmidt, Susan Waserman, Amena Warner, Gary W.K. Wong, Alessandro Fiocchi, Holger J. Schünemann, Clinical sciences, Growth and Development, Pediatrics, Brozek, Jan L, Firmino, Ramon T, Bognanni, Antonio, Arasi, Stefania, Ansotegui, Ignacio, Assa'Ad, Amal H, Bahna, Sami L, Canani, Roberto Berni, Bozzola, Martin, Chu, Derek K, Dahdah, Lamia, Dupont, Christophe, Dziechciarz, Piotr, Ebisawa, Motohiro, Galli, Elena, Horvath, Andrea, Kamenwa, Rose, Lack, Gideon, Li, Haiqi, Martelli, Alberto, Nowak-Węgrzyn, Anna, Papadopoulos, Nikolaos G, Pawankar, Ruby, Roldan, Yetiani, Said, Maria, Sánchez-Borges, Mario, Shamir, Raanan, Spergel, Jonathan M, Szajewska, Hania, Terracciano, Luigi, Vandenplas, Yvan, Venter, Carina, Waffenschmidt, Siw, Waserman, Susan, Warner, Amena, Wong, Gary W K, Fiocchi, Alessandro, and Schünemann, Holger J

Subjects
Pulmonary and Respiratory Medicine, GRADE, Nutrition and Dietetics, Immunology, food and beverages, gastroenterology, Immunology and Allergy, immunotherapy, Pediatrics, Perinatology, and Child Health, milk allergy, Practice Guidelines
Abstract

Background: The prevalence of cow's milk allergy (CMA) is approximately 2-4.5% in infants and less than 0.5% in adults. Most children outgrow cow's milk allergy in early childhood, particularly that to the baked milk products. Immunotherapy with unheated cow's milk has been used as a treatment option for those who have not yet outgrown CMA, but the benefits must be balanced with the adverse effects. Objective: These evidence-based guidelines from the World Allergy Organization (WAO) intend to support patients, clinicians, and others in decisions about the use of oral and epicutaneous immunotherapy for the treatment of IgE-mediated CMA. Methods: WAO formed a multidisciplinary guideline panel balanced to include the views of all stakeholders and to minimize potential biases from competing interests. The McMaster University GRADE Centre supported the guideline-development process, including updating or performing systematic evidence reviews. The panel prioritized clinical questions and outcomes according to their importance for clinicians and patients. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used, including GRADE Evidence-to-Decision frameworks, which were subject to public comment. Results: After a careful review of the summarized evidence and thorough discussions the WAO guideline panel suggests: a) using oral immunotherapy with unheated cow's milk in those individuals with confirmed IgE-mediated CMA who value the ability to consume controlled quantities of milk more than avoiding the large adverse effects of therapy, b) not using oral immunotherapy with unheated cow's milk in those who value avoiding large adverse effects of therapy more than the ability to consume controlled quantities of milk, c) using omalizumab in those starting oral immunotherapy with unheated cow's milk, d) not using oral immunotherapy with baked cow's milk in those who do not tolerate both unheated and baked milk, and e) not using epicutaneous immunotherapy outside of a research setting. The recommendations are labeled "conditional" due to the low certainty about the health effects based on the available evidence. Conclusions: Clinicians, patients, and their family members might want to discuss all the potential desirable and undesirable effects of oral immunotherapy for IgE-mediated CMA and integrate them with the patients' values and preferences before deciding on a treatment option. More robust research is needed to determine with greater certainty which interventions are likely to be the most beneficial with the least harms, and to develop safer, low-cost, and equitable treatments.

Published
2022

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