Pi is 0091674907015898

Embed Size (px)

DESCRIPTION

kjhg

Citation preview

{\rtf\ansi\deff0{\fonttbl{\f0 Segoe UI;}}{\colortbl\red0\green0\blue0;\red0\green0\blue102;\red255\green255\blue255;}\paperw11699\paperh15659\margl0\margr0\margt0\margb0\sectd\sbknone\sected\cols1\colno1\colw11680\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-227\par\pard\plain\li2351\sl-292\f0\fs30\cf0\b0\i0\ul0\strike0 The\f0\fs30\cf0\b0\i0\ul0\strike0 natural\f0\fs30\cf0\b0\i0\ul0\strike0 history\f0\fs30\cf0\b0\i0\ul0\strike0 of\f0\fs30\cf0\b0\i0\ul0\strike0 IgE-mediated\f0\fs30\cf0\b0\i0\ul0\strike0 cow\u8217?s\par\pard\plain\li2351\sl-378\f0\fs30\cf0\b0\i0\ul0\strike0 milk\f0\fs30\cf0\b0\i0\ul0\strike0 allergy\par\pard\plain\sl-385\par\pard\plain\li2351\sl-164\f0\fs16\cf0\b0\i0\ul0\strike0 Justin\f0\fs16\cf0\b0\i0\ul0\strike0 M.\f0\fs16\cf0\b0\i0\ul0\strike0 Skripak,\f0\fs16\cf0\b0\i0\ul0\strike0 MD,\f0\fs16\cf0\b0\i0\ul0\strike0 Elizabeth\f0\fs16\cf0\b0\i0\ul0\strike0 C.\f0\fs16\cf0\b0\i0\ul0\strike0 Matsui,\f0\fs16\cf0\b0\i0\ul0\strike0 MD,\f0\fs16\cf0\b0\i0\ul0\strike0 MHS,\f0\fs16\cf0\b0\i0\ul0\strike0 Kim\f0\fs16\cf0\b0\i0\ul0\strike0 Mudd,\f0\fs16\cf0\b0\i0\ul0\strike0 RN,\par\pard\plain\li2351\sl-262\f0\fs16\cf0\b0\i0\ul0\strike0 and\f0\fs16\cf0\b0\i0\ul0\strike0 Robert\f0\fs16\cf0\b0\i0\ul0\strike0 A.\f0\fs16\cf0\b0\i0\ul0\strike0 Wood,\f0\fs16\cf0\b0\i0\ul0\strike0 MD\f0\fs16\cf0\b0\i0\ul0\strike0 Baltimore,\f0\fs16\cf0\b0\i0\ul0\strike0 Md\par\pard\plain\sl-200\par\pard\plain\sl-250\par\pard\plain\li1394\sl-140\f0\fs14\cf0\b0\i0\ul0\strike0 Background:\f0\fs14\cf0\b0\i0\ul0\strike0 Cow\u8217?s\f0\fs14\cf0\b0\i0\ul0\strike0 milk\f0\fs14\cf0\b0\i0\ul0\strike0 allergy\f0\fs14\cf0\b0\i0\ul0\strike0 (CMA)\f0\fs14\cf0\b0\i0\ul0\strike0 is\f0\fs14\cf0\b0\i0\ul0\strike0 the\f0\fs14\cf0\b0\i0\ul0\strike0 most\f0\fs14\cf0\b0\i0\ul0\strike0 common\par\sect\sected\sbknone\cols2\colno1\colw6030\colsr10\colno2\colw5640\pard\plain\li1394\sl-199\f0\fs14\cf0\b0\i0\ul0\strike0 food\f0\fs14\cf0\b0\i0\ul0\strike0 allergy\f0\fs14\cf0\b0\i0\ul0\strike0 in\f0\fs14\cf0\b0\i0\ul0\strike0 infants\f0\fs14\cf0\b0\i0\ul0\strike0 and\f0\fs14\cf0\b0\i0\ul0\strike0 young\f0\fs14\cf0\b0\i0\ul0\strike0 children,\f0\fs14\cf0\b0\i0\ul0\strike0 affecting\f0\fs14\cf0\b0\i0\ul0\strike0 2%\f0\fs14\cf0\b0\i0\ul0\strike0 to\f0\fs14\cf0\b0\i0\ul0\strike0 3%\par\pard\plain\li1394\sl-199\f0\fs14\cf0\b0\i0\ul0\strike0 of\f0\fs14\cf0\b0\i0\ul0\strike0 the\f0\fs14\cf0\b0\i0\ul0\strike0 general\f0\fs14\cf0\b0\i0\ul0\strike0 population.\f0\fs14\cf0\b0\i0\ul0\strike0 Most\f0\fs14\cf0\b0\i0\ul0\strike0 studies\f0\fs14\cf0\b0\i0\ul0\strike0 have\f0\fs14\cf0\b0\i0\ul0\strike0 shown\f0\fs14\cf0\b0\i0\ul0\strike0 the\par\pard\plain\li1394\sl-198\f0\fs14\cf0\b0\i0\ul0\strike0 prognosis\f0\fs14\cf0\b0\i0\ul0\strike0 of\f0\fs14\cf0\b0\i0\ul0\strike0 developing\f0\fs14\cf0\b0\i0\ul0\strike0 tolerance\f0\fs14\cf0\b0\i0\ul0\strike0 to\f0\fs14\cf0\b0\i0\ul0\strike0 cow\u8217?s\f0\fs14\cf0\b0\i0\ul0\strike0 milk\f0\fs14\cf0\b0\i0\ul0\strike0 to\f0\fs14\cf0\b0\i0\ul0\strike0 be\f0\fs14\cf0\b0\i0\ul0\strike0 good,\f0\fs14\cf0\b0\i0\ul0\strike0 with\par\pard\plain\li1394\sl-199\f0\fs14\cf0\b0\i0\ul0\strike0 most\f0\fs14\cf0\b0\i0\ul0\strike0 outgrowing\f0\fs14\cf0\b0\i0\ul0\strike0 their\f0\fs14\cf0\b0\i0\ul0\strike0 allergy\f0\fs14\cf0\b0\i0\ul0\strike0 by\f0\fs14\cf0\b0\i0\ul0\strike0 age\f0\fs14\cf0\b0\i0\ul0\strike0 3\f0\fs14\cf0\b0\i0\ul0\strike0 years.\par\pard\plain\li1394\sl-199\f0\fs14\cf0\b0\i0\ul0\strike0 Objective:\f0\fs14\cf0\b0\i0\ul0\strike0 To\f0\fs14\cf0\b0\i0\ul0\strike0 de\u64257?ne\f0\fs14\cf0\b0\i0\ul0\strike0 the\f0\fs14\cf0\b0\i0\ul0\strike0 natural\f0\fs14\cf0\b0\i0\ul0\strike0 course\f0\fs14\cf0\b0\i0\ul0\strike0 of\f0\fs14\cf0\b0\i0\ul0\strike0 CMA\f0\fs14\cf0\b0\i0\ul0\strike0 and\f0\fs14\cf0\b0\i0\ul0\strike0 identify\par\pard\plain\li1394\sl-199\f0\fs14\cf0\b0\i0\ul0\strike0 the\f0\fs14\cf0\b0\i0\ul0\strike0 factors\f0\fs14\cf0\b0\i0\ul0\strike0 that\f0\fs14\cf0\b0\i0\ul0\strike0 best\f0\fs14\cf0\b0\i0\ul0\strike0 predict\f0\fs14\cf0\b0\i0\ul0\strike0 outcome\f0\fs14\cf0\b0\i0\ul0\strike0 in\f0\fs14\cf0\b0\i0\ul0\strike0 a\f0\fs14\cf0\b0\i0\ul0\strike0 large\f0\fs14\cf0\b0\i0\ul0\strike0 referral\par\pard\plain\li1394\sl-198\f0\fs14\cf0\b0\i0\ul0\strike0 population\f0\fs14\cf0\b0\i0\ul0\strike0 of\f0\fs14\cf0\b0\i0\ul0\strike0 children\f0\fs14\cf0\b0\i0\ul0\strike0 with\f0\fs14\cf0\b0\i0\ul0\strike0 CMA.\par\pard\plain\li1394\sl-199\f0\fs14\cf0\b0\i0\ul0\strike0 Methods:\f0\fs14\cf0\b0\i0\ul0\strike0 Clinical\f0\fs14\cf0\b0\i0\ul0\strike0 history,\f0\fs14\cf0\b0\i0\ul0\strike0 test\f0\fs14\cf0\b0\i0\ul0\strike0 results,\f0\fs14\cf0\b0\i0\ul0\strike0 and\f0\fs14\cf0\b0\i0\ul0\strike0 \u64257?nal\f0\fs14\cf0\b0\i0\ul0\strike0 outcome\f0\fs14\cf0\b0\i0\ul0\strike0 were\par\pard\plain\li1394\sl-199\f0\fs14\cf0\b0\i0\ul0\strike0 collected\f0\fs14\cf0\b0\i0\ul0\strike0 on\f0\fs14\cf0\b0\i0\ul0\strike0 807\f0\fs14\cf0\b0\i0\ul0\strike0 patients\f0\fs14\cf0\b0\i0\ul0\strike0 with\f0\fs14\cf0\b0\i0\ul0\strike0 IgE-mediated\f0\fs14\cf0\b0\i0\ul0\strike0 CMA.\f0\fs14\cf0\b0\i0\ul0\strike0 Patients\par\pard\plain\li1394\sl-199\f0\fs14\cf0\b0\i0\ul0\strike0 were\f0\fs14\cf0\b0\i0\ul0\strike0 considered\f0\fs14\cf0\b0\i0\ul0\strike0 tolerant\f0\fs14\cf0\b0\i0\ul0\strike0 after\f0\fs14\cf0\b0\i0\ul0\strike0 they\f0\fs14\cf0\b0\i0\ul0\strike0 passed\f0\fs14\cf0\b0\i0\ul0\strike0 a\f0\fs14\cf0\b0\i0\ul0\strike0 challenge\f0\fs14\cf0\b0\i0\ul0\strike0 or\par\pard\plain\li1394\sl-198\f0\fs14\cf0\b0\i0\ul0\strike0 experienced\f0\fs14\cf0\b0\i0\ul0\strike0 no\f0\fs14\cf0\b0\i0\ul0\strike0 reactions\f0\fs14\cf0\b0\i0\ul0\strike0 in\f0\fs14\cf0\b0\i0\ul0\strike0 the\f0\fs14\cf0\b0\i0\ul0\strike0 past\f0\fs14\cf0\b0\i0\ul0\strike0 12\f0\fs14\cf0\b0\i0\ul0\strike0 months\f0\fs14\cf0\b0\i0\ul0\strike0 and\f0\fs14\cf0\b0\i0\ul0\strike0 had\f0\fs14\cf0\b0\i0\ul0\strike0 a\f0\fs14\cf0\b0\i0\ul0\strike0 cow\u8217?s\par\pard\plain\li1394\sl-199\f0\fs14\cf0\b0\i0\ul0\strike0 milk\f0\fs14\cf0\b0\i0\ul0\strike0 IgE\f0\fs14\cf0\b0\i0\ul0\strike0 (cm-IgE)\f0\fs14\cf0\b0\i0\ul0\strike0 level\f0\fs14\cf0\b0\i0\ul0\strike0