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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 | Human papillomaviruses and genital disease显示文摘 | Ahmed AM Madkan V Tyring SK | 2006 | Dermatol Clin2006，24，2： | 1 |
| 3 | Human papillomavirus- es and genitai disease 显示文摘 | Ahmed AM Madkan V Tyyng SK | 2006 | Dermatol Clin2006，24，2： | 1 |
| 4 | Caesarean or vaginal delivery for preterm very-low'birth weight显示文摘 | Hapue KN Hayes AM Ahmed Z eta| | 2012 | Fetal Diagn Ther2012，31，1： | 1 |
| 5 | Is the 10th and 11th intercostals space a safe approach for percutaneous nephrostomy and nephrolithotomy显示文摘 | AHMED AM W SZMIGIELSKI AHMED JSO | 2004 | Cardiovasc Intervent Radiol2004，27，8： | 1 |
| 6 | In vitro measurement of the tracking pattern of the human patella显示文摘 | Ahmed AM Duncan NA Tanzer M | 1999 | Biomech Eng1999，121，： | 1 |
| 7 | A finite element study of a lumbar motion segment subjected to pure sagittal plane moments 显示文摘 | Shirazi AA Ahmed AM Shrivastava SC | 1986 | J Biomech1986，19，4： | 1 |
| 8 | A finite ele-ment study of a lumbar motion segment subjected to pure sagittal plane moments显示文摘 | Shirazi-Adl A Ahmed AM Shrivastava SC | | 0，，4： | 1 |
| 9 | Mechanical response of a lumbar motion segment in axial torque alone and combine with compression显示文摘 | Shirazi-Adl A Ahmed AM Shrivastava SC | 1986 | Spine1986，11，9： | 1 |
| 10 | In - vitro measurement of static pressure distribution in synovial joints - Part ⅡI: Retropatellar surface显示文摘 | Ahmed AM Burke DL Yu A | 1983 | J Biomech Eng1983，105，： | 1 |
| 11 | Molecular characterization of integrons in non-typhoid Salmonella serovars isolated in Japan:description of an unusual class 2 integron 显示文摘 | Ahmed AM Nakano H Shimamoto T | 2005 | J Antimicrob Chemother2005，55，3： | 1 |
| 12 | Human papillomaviruses and genital disease显示文摘 | Ahmed AM Madkan V Tyring SK | 2006 | Dermatol Clin2006，24，2： | 1 |
| 13 | Nuclear factor - KB and the Hepatic Inflammation Fibrosisi Cancer Axis显示文摘 | Ahmed ME Derek AM | 2007 | Hepatology2007，46，2： | 1 |
| 14 | Zoo animals as reservoirs of gram-negative bacteria harboring integrons and antimicrobial resistance genes显示文摘 | Ahmed AM Motoi Y Sato M | 2007 | Appl Environ Microbiol2007，73，20： | 1 |
| 15 | A finite element study of a lumbar motion segment subjected to pure sagittal plane moments 显示文摘 | Shirazi-Adl A Ahmed AM Shrivastava SC | 1986 | Journal of Biomecharlics (S0021-9290)1986，19，4： | 1 |
| 16 | Human papillomaviruses and genital disease显示文摘 | Ahmed AM Madkan V Tyring SK | 2006 | Dermatol Clin2006，24，： | 1 |
| 17 | Gender, socio-eco- nomic development and health-seeking behavior in Bangladesh 显示文摘 | Ahmed SM Adams AM Chowdhury | 2000 | Social Science and Medicine2000，51，3： | 1 |
| 18 | Effect of gender on pain perception and analgesic consumption in laparoscopic cholecystectomy: An observational study 显示文摘 | Hussain AM Khan FA Ahmed A | 2013 | J Anaesthesiol Clin Pharmacol2013，29，3： | 1 |
| 19 | Paraoxonase 1and cytochrome P450polymorphisms in susceptibility to acute organophosphorus poisoning in Egyptians显示文摘 | Zayed AA Ahmed AI Khattab AM | 2015 | Neurotoxicology2015，，51： | 1 |
| 20 | Human papillomaviruses and genital disease显示文摘 | Ahmed AM Madkan V Tyring SK | 2006 | Dermatol Clin2006，24，2： | 1 |
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