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Allergic rhinitis
may be related
to misaligned bite


Visible mold in home
ups risk for infant wheeze

 
  
Nov. 8, 2006
  
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2005 ACAAI ANNUAL MEETING
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Nov. 4-9, Anaheim
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Nov. 12-17, Boston
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2003 ACAAI ANNUAL MEETING
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NOVEMBER
ACAAI XII International Food Allergy Symposium
Nov. 9, Philadelphia
ACAAI Annual Meeting
Nov. 9-15, Philadelphia
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Top Stories
 
Study: Misaligned teeth related to allergic rhinitis
Allergic rhinitis alone or combined with non-nutritive sucking habits may be related to an anterior open bite, according to a study in the journal Archives of Disease in Childhood. Researchers at Autonomous University of Tamaulipas, Mexico, studied 1,160 children from 4 to 5 years old who had been longitudinally followed since 4 months old. The children with allergic rhinitis were more likely to develop an anterior open bite, in which the top and bottom teeth in the front of the mouth don’t meet when the jaw closes. Non-nutritive sucking habits combined with allergic rhinitis seemed to be the most important factor in developing a posterior open bite among children under 5 years old, according to the authors.

Visible mold at home tied to higher infant wheezing risk
Visible mold in homes may be a significant risk factor for recurrent wheezing in infants at high risk of atopic disorders, according to a study in Annals of Allergy, Asthma, and Immunology. Conversely, house dust-mite exposure does not significantly increase the risk. Scientists studied 640 infants as part of a prospective birth cohort study of infants of atopic parents, performing home visits when the infants were 8 months old to assess visible mold or water damage and levels of house dust-mite allergen. At the infant’s first clinic visit, on average at 13 months old, researchers took medical histories, collected information from parents about wheezing episodes, and performed skin prick tests for food allergens and 15 common aeroallergens. The infants’ recurrent wheezing risk was increased nearly two-fold in infants who lived in homes with visible mold or water damage. The risk was increased five-fold in food or aeroallergen-sensitized infants and six-fold in aeroallergen-sensitized infants.

Prebiotics reduce atopic dermatitis risk in infants
Infants at risk for atopy who receive a combination of prebiotic oligosaccharides have a lower risk for atopic dermatitis during their first 6 months, according to a study in the Archives of Disease in Childhood. Researchers at Numico Research Germany, Friedrichsdorf, studied 206 infants — 104 who received placebo (maltodextrin) and 102 who were given a prebiotic mixture of galacto- and long chain fructo-oligosaccharides (0.8g/100 mL prebiotics) in formula. Ten infants in the prebiotics group and 24 in the placebo group developed atopic dermatitis. Researchers also analyzed fecal flor in a subgroup of 98 infants. Compared to the placebo group, the prebiotics group had a significant increase in the number of fecal bifidobacteria. They observed no significant difference in lactobacilli counts.
 
A message from President Dr. William Dolen

In less than a week, I'll turn over the presidency of the College to Dr. Dan Ein. A number of you have asked me whether I'm counting down the hours until
that moment in the Tuesday business meeting. No. With support like I've had in the past year, this has been a great and unforgettable experience. Time has flown by.

My colleagues at the Medical College of Georgia have faithfully covered for me when I was gone. Thanks to Drs. Dennis Ownby, Jason Perry, Philip Smith, and Betty Wray. Thanks to our fellows, Drs. Christina Abraham, Matt Clark, Jeff Langford, Todd Levin, Cristina Mazzoni, Megan Partridge, and Jason Perry.

Also thanks to a superb Board of Regents and Executive Committee. I leave the College in the safe hands of a thoughtful group of fine physicians who are every bit as concerned about safeguarding the future of our subspecialty as I am. You, the membership, have been invaluable resources as you have sent in various ideas and concerns over the year and responded to various polls and questions that have come up. You have given the College's committees a tremendous amount of work to do, and their labors have shown fruit.

Special thanks go to the College's staff, headed up by Jim and Rick Slawny. We depend on their expertise daily, and when things go well it is because of them, not the officers. Alan Leahigh can spot a flaw in logic from a mile away. Jo Ann Faber keeps us in contact with the world and its news media. Jim Kmak keeps the finances in order. Dianne Kubis and Mike Slawny make things run smoothly, Gina Seegers ensures that the annual meeting is letter-perfect, and Robert Krawisz worked tirelessly with the GME committee on the White Paper. Last but not least is Mary Lou Callaghan, the Board of Regents' den mother. ML gets a certain "look" on her face when we're about to do something utterly stupid, allowing the President to intervene, and look smart. She also has the knack of doing the very same thing by e-mail without being offensive about it. She has saved MY bacon more than once.

With a group like this, and the talents of our upcoming leadership, I know that next year, and the years after, will be great. Remember, the College is about working together to promote excellence in the practice of the subspecialty of allergy-immunology. I look forward to seeing you in Philadelphia.

—Bill
 
Association News
 

ACAAI Annual Meeting update
ACAAI Program Chair Dr. Daniel Ein was notified that the updated NAEPP Guidelines for the Diagnosis and Management of Asthma is not yet available for public viewing. Therefore, due to the proprietary nature of the material that was to have been presented during the Symposium scheduled for Sunday, Nov. 12, 3:30 to 5:30 p.m. this session had to be revised.

The new session appears as follows:

“Controversial Issues Involving Asthma Disease Management: Implications for Asthma Guidelines” — Supported by an educational grant from Genentech, Inc./Novartis Pharmaceutical Corp.

Moderator: Dr. Michael B. Foggs
 
3:35 p.m. What the Guidelines Didn’t Say
Dr. Thomas A. E. Platts-Mills
4:05 p.m. Controversies in Beta-agonist Therapy: Implications for Evidence-BasedAsthma Guidelines
Dr. John J. Oppenheimer
4:35 p.m. Implementing Asthma Guidelines Emphasizing Evidence-Based
Parameters
Dr. Sheldon L. Spector

We hope to see you at this interesting and timely session.

Guest presenter: We're proud to announce that a special guest presenter has been added to the Tuesday morning Annual Business Meeting. Football legend and asthma patient, Jerome Bettis, will attend to share his personal story about his struggle with asthma and how he worked with his doctor to control his disease.

When Bettis, who retired from the Pittsburgh Steelers after last season, took the field, he carried a reputation for letting nothing get in his way. But the All Pro running back known as ”The Bus,” is the first to admit that asthma — a lifelong opponent — once had him sidelined, and nearly out of the game.

Plan to join us at 8 a.m. on Tuesday, Nov. 14, for this inspirational presentation.

Registration information: Registration for the International Food Allergy Symposium will be conducted at the Grand Ballroom A-F Foyer (5th Floor), Philadelphia Marriott Hotel between 7 a.m. and 3 p.m., Thursday, Nov. 9.

Registration for the ACAAI Annual Meeting, Allied Health Professionals, Advanced Practice Health Care Providers, Asthma Educators and Office Administrators will be conducted in the Hall D Foyer (Level 1) of the Pennsylvania Convention Center:
 
  11 a.m. - 6 p.m., Thursday, Nov. 9
7 a.m. - 6 p.m., Friday, Nov. 10
7 a.m. - 4 p.m., Saturday, Nov. 11
7 a.m. - 4 p.m., Sunday, Nov. 12
7 a.m. - 4 p.m., Monday, Nov. 13
7 a.m. - 2 p.m., Tuesday, Nov. 14

New resources available to help improve influenza
vaccination rates in children with asthma

The National Foundation for Infectious Diseases (NFID) has published a comprehensive report providing practical strategies and tools to help health care providers increase influenza immunization rates in children with asthma.

These tools, which can be tailored for use within a variety of clinical settings, are part of an ongoing NFID initiative reinforcing a comprehensive approach toward improving influenza vaccination among this high-risk population. The College supports the goals of this NFID program, and we encourage you to utilize these materials.

The following resources are available now via the ACAAI Web site to help support immunization efforts targeting young patients with asthma.
• ICD-9 codes list to help identify pediatric asthma patients
• Vaccine clinic checklist
• Parental educational fact sheet
• Additional reminder-recall resources (in English and Spanish)

Despite long-standing recommendations by the Centers for Disease Control and Prevention that call for annual influenza vaccination among children with asthma, estimates reveal only one-third are immunized. Influenza vaccination has been shown to reduce morbidity and mortality in this high-risk group.

NFID’s Influenza and Children with Asthma initiative is made possible by an unrestricted educational grant to NFID from sanofi pasteur.

Alliance receives warm reception from conference delegates in Sochi, Russia
Barbara Finegold, past president of the Alliance of ACAAI, was invited by Chairman Dr. Roman Khanferian to give the organization’s first international presentation to delegates attending the Annual Allergy and Immunology Meeting in Sochi, Russia. Mrs. Finegold discussed how they might establish an organization like the Alliance, as well as its goals and highlights of the 50th anniversary meeting.

“In short, as part of a comprehensive exchange between physicians, we should not forget that they are interested in some of the aspects of our society such as the Alliance and all that it does as part of the overall functions of the College,” said Dr. Ira Finegold, past ACAAI liaison with the Alliance.
Alliance Past President Barbara Finegold with a medical student from Russia.

 

 
Fellows-in-Training
 

Immunology Review Corner
Welcome to the Board Review Corner prepared by Karla R. Davis, M.D., Senior Representative of ACAAI’s fellows-in-training (FITs) to the Board of Regents. The Board Review Corner is your chance to test your Board preparedness.

To refer to a previous Board Review Corner, click the “Archive” link in the left column.

Immunology Review Corner: Chapter 81 of the 6th edition of Middleton’s Allergy Principles and Practice, edited by N. Franklin Adkinson, et al. Review questions were written by Drs. Karla R. Davis, Landstuhl Regional Medical Center, Germany, and Soo Kim-Delio, Walter Reed Army Medical Center.


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