简介：AbstractObjective:Our objective was to review skin prick allergy testing (SPAT) results in patients with symptomatic rhinitis in an Irish population.Methods:A fifteen-year retrospective review of our database of symptomatic patients with rhinitis was performed. All patients who had SPAT performed during this interval were included. Data was analysed in terms of demographics and dominant allergens.Results:1158 patients were included. 617 Females vs 541 Males. Age range five to eighty-five years old. Mean age thirty-four years. 49% of our patients tested positive to at least one aeroallergen. The most common allergens were dust mites (23%) and timothy grass (22%). Patients born during the Irish pollen season (April-July) were between 5 and 7 times more likely to be sensitive to timothy and ryegrass pollens compared to others tested. 241 patients had both SPAT and serum allergen specific IgE testing (SASIgET) performed; positive results were consistent between both groups.Conclusion:Results demonstrated that half of our patients with symptomatic rhinitis had allergen sensitisation. Dust mites and grass were the main allergens in our area. Our nurse led clinic has allowed efficient patient education and the development of a unique Irish SPAT database. Retesting a patient with a known allergy test result it is not indicated.

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简介：查理在一本诗集里发现了一些用铅笔记下的读诗笔记，美妙的文字使他迫切地想见到笔记的主人。他费尽周折，终于得以和文字的主人通信，从而建立了深厚的友谊。经历了战争的硝烟，他们终于有了见面的机会。可是当他们见面时，查理却发现文字的主人不像她的文字那样美妙。查理会如何面对这个人呢？

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简介：AbstractThe diagnosis of food allergy in clinical practice has not been standardized, and food allergy is overdiagnosed in patients with atopic dermatitis (AD). This overdiagnosis of food allergy leads to unnecessary elimination diets that may exert potential adverse effects on the health of children with AD. Unlike classic IgE-mediated food allergy, food allergy in patients with AD may manifest as non-eczematous reactions, isolated eczematous reactions, or a combination of these reactions. The diagnosis of food allergy in children with AD should be made based on a thorough clinical history (detailed allergic history and feeding history), clinical manifestations, and laboratory workup including skin prick testing, serum specific IgE measurement, atopy patch testing, and oral food challenges. Once an underlying food allergy is confirmed in a patient with AD, comprehensive management is generally recommended. Avoidance of the food allergen is the main treatment approach, but there is a need for regular clinical follow-up, including evaluation of the nutritional status and supervision of growth and development. Multidisciplinary cooperation between dermatologists, nutritionists, and pediatricians is required.

简介：当员工失去工作热情与动力，高层主管们发觉经营理念不合，如果不及时阻止，企业可能就会陷入绩效滑落、组织猜忌、内耗的状况，身为经营者该如何扭转不利情势，重新创造一个公司赢、客户赢、主管赢、员工赢的多赢局面?

简介：在激光，微波和类似的技术的进展导致了包含皮组织的热治疗的最近的开发。这些处理的有效性被管理由联合了影响织物的热、机械、生物、神经的回答：一个有利相互作用相对小的疼痛和没有持续副作用地导致一个过程。当前，尽管每个行为的方面到建立并且理解的某个程度，任何一个都不在学科交差的区域存在到日期。一条高度学科交差的途径为学习皮肤的biothermomechanical行为被要求，包含简历热转移，简历力学和生理学。对这个题目恰当的全面文学评论在这篇论文被介绍，盖住四个题目区域：(a)皮肤结构，(b)皮肤简历热转移和热损坏，(c)皮肤简历力学，和(d)皮肤biothermomechanics。为进一步的研究的主要问题，问题，和话题也被构画出。这评论发现在每这些方面的重要进展在最近的年里被完成了。尽管焦点被放在皮肤织物的biothermomechanical行为之上，在这篇论文考察的基本概念和方法论可能也为学习另外的软纸巾是适用的。

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简介：<正>PartOne:QuickResponsesPleasemakeaquickresponsetothesentenceyouwillhear.1.Youlookpaletoday.What’swrongwithyou?2.Whatalovelycaryou’vebought!

简介：1.Theagesoffatherandhissonaddupto66.Ifthefather'sageisreversed,itisjusthisson'sage.Howoldarethey(thefatherandhisson)?Therearethreepossibleanswers.

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