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| 1 | Consensus statement on the epidemiology,diagnosis,prevention,and management of cow's milk protein allergy in the Middle East:a modified Delphi-based study显示文摘Background This study aimed to develop an expert consensus regarding the epidemiology,diagnosis,and management of cow’s milk protein allergy(CMPA)in the Middle East.Methods A three-step modified Delphi method was utilized to develop the consensus.Fifteen specialized pediatricians participated in the development of this consensus.Each statement was considered a consensus if it achieved an agreement level of>80%.Results The experts agreed that the double-blind placebo-controlled oral challenge test(OCT)should be performed for 2-A weeks using an amino acid formula(AAF)in formula-fed infants or children with suspected CMPA.Formula-fed infants with confirmed CMPA should be offered a therapeutic formula.The panel stated that an extensively hydrolyzed formula(eHF)is indicated in the absence of red flag signs.At the same time,the AAF is offered for infants with red flag signs,such as severe anaphylactic reactions.The panel agreed that infants on an eHF with resolved symptoms within 2-4 weeks should continue the eHF with particular attention to the growth and nutritional status.On the other hand,an AAF should be considered for infants with persistent symptoms;the AAF should be continued if the symptoms resolve within 2-4 weeks,with particular attention to the growth and nutritional status.In cases with no symptomatic improvements after the introduction of an AAF.other measures should be followed.The panel developed a management algorithm,which achieved an agreement level of 90.9%.Conclusion This consensus document combined the best available evidence and clinical experience to optimize the management of CMPA in the Middle East. | Moustafa A.El-Hodhod Mortada H.F.El-Shabrawi Ahmed AIBadi Ahmed Hussein AM Almehaidib Basil Nasrallah Ebtsam Mohammed AIBassam Hala El Feghali Hasan M.Isa Khaled Al Saraf Maroun Sokhn Mehdi Adeli Najwa Mohammed Mousa Al-Sawi Pierre Hage Suleiman Al-Hammadi | 2021 | World Journal of Pediatrics2021，17，6： | 3 |
| 2 | Frequency of abnor real thyroid function tests in Kuwaiti Arabs with autoimmune diseases显示文摘 | AL-Awadhi AM Olusi S Hasan EA | 2008 | Med Pfinc Pract2008，17，： | 1 |
| 3 | Frequency of abnormal thyroid function tests in Kuwaiti Arabs with autoimmune diseases显示文摘 | AL-Awadhi AM Olusi S Hasan EA | 2008 | Med Princ Pract2008，17，： | 1 |
| 4 | Influence of fMRI on operative planning of brain tumors: Initial experience in a histopathologically variable subset of tumors 显示文摘 | Hossam MS Mona AM Hasan Jalalodtlin | 2011 | Egypt J Rad Nuc Med2011，42，2： | 1 |
| 5 | Nucleic acid immunization:concepts and techniques associated with third generation vaccines显示文摘 | Hasan UA Abai AM Harper DR | 1999 | Journal of Immunological Methods1999，229，： | 1 |
| 6 | Nucleic acid immunization:concepts and techniques associated with third generation vaccines显示文摘 | Hasan UA Abai AM Harper DR | 1999 | J Immunol Methods1999，229，12： | 1 |
| 7 | High Fractional Anisotropy in Brain Abscesses versus Other Cystic Intracranial Lesions 显示文摘 | Gupta RK Hasan KM Mishra AM | 2005 | AJNR2005，26，： | 1 |
| 8 | Frequencyof abnormal thyroid function tests in Kuwaiti Arabs withautoimmune diseases 显示文摘 | AL-Awadhi AM Olusi S Hasan EA | | Med Pfinc P0，，： | 1 |
| 9 | Ferulic acid ester from Plumeria bicolor显示文摘 | Dobhl MP Hasan AM Sharma MC Joshi BC | 1999 | Food Chem1999，51，： | 1 |
| 10 | Relationship between vertical ground reaction force and speed during walking,slow jogging,and running显示文摘 | Keller TS Weisberger AM Ray JL Hasan SS Shiavi RG Spengler DM | | 0，，： | 1 |
| 11 | High fractional anisotropy in brain abscesses versus other cystic intracranial lesions显示文摘 | Gupta RK Hasan KM Mishra AM | 2005 | AJNR2005，26，5： | 1 |
| 12 | Nucleic acid immunization: concepts and techniques associated with third generation vaccines 显示文摘 | Hasan UA Abai AM Harper DR | 1999 | J Immunol Methods1999，229，12： | 1 |
| 13 | Nucleic acid immunization: concepts and techniques associated with third generation vaccines显示文摘 | Hasan UA Abai AM Harper DR | 1999 | J Immunol Methods1999，229，12： | 1 |
| 14 | Frequency of abnormal thyroid function tests in Kuwaiti Arabs with autoimmune diseases 显示文摘 | AL-Awadhi AM Olusi S Hasan EA | 2008 | Med Princ Pract2008，17，： | 1 |
| 15 | Nucleic acid immunization: concepts and techniques associated with third generation vaccines 显示文摘 | Hasan UA Abai AM Harper DR | 1999 | J Immunol Methods1999，229，12： | 1 |
| 16 | Nucleic acid immunization:concepts and techniques associated with third generation vaeeines显示文摘 | Hasan UA Abai AM Harper DR | 1999 | Immunol Methods1999，229，12： | 1 |
| 17 | Comparative evaluation of epidural bupivacaine - dexmedetomidine and bupivacaine -fentanyl on Doppler velocimetry of uterine and umbilical arteries during labor 显示文摘 | Selim MF Elnabtity AM Hasan AM | 2012 | J Prenat Med2012，6，： | 1 |
| 18 | Inhibition of human T-cell proliferation by mammalian target of rapamycin(mTOR)antagonists requires noncoding RNA growth-arrest-specific transcript 5(GAS5)显示文摘 | Mourtada-Maarabouni M Hasan AM Farzaneh F | 2010 | Mol Pharmacol2010，78，1： | 1 |
| 19 | Psychological health and the risk of diabetes mellitus in Australian women: a 21-year prospective study显示文摘 | Hasan SS Clavarino AM Dingle K | 2014 | J Womens Health (Larchmt)2014，23，11： | 1 |
| 20 | Comparative evaluation of epidural bupivacaine-dexmedetomidine and bupivacaine-fentanyl on Doppler velocimetry of uterine and umbilical arteries during labor显示文摘 | Selim MF Elnabtity AM Hasan AM | 2012 | J Prenat Med2012，6，3： | 1 |
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