January 18, 2015

Quality of life in relation to the traffic pollution indicators NO2 and NOx: results from the Swedish GA2LEN survey

  1. Bertil Forsberg1
+Author Affiliations
  1. 1Occupational and Environmental Medicine, Department of Public Health and Clinical MedicineUmeå UniversityUmeå, Sweden
  2. 2Experimental Asthma and Allergy Research UnitInstitute of Environmental Medicine, Karolinska InstitutetStockholm, Sweden
  3. 3The Centre for Allergy Research, Karolinska InstitutetStockholm, Sweden
  4. 4The Institute of Environmental Medicine, Karolinska InstitutetStockholm, Sweden
  5. 5Department of Internal Medicine and Clinical Nutrition, Sahlgrenska AcademyKrefting Research Centre, University of GothenburgGöteborg, Sweden
  6. 6Department of Medical Sciences: Respiratory Medicine and AllergologyUppsala UniversityUppsala, Sweden
  1. Correspondence toDr Johan Nilsson Sommar; johan.n.sommar@envmed.umu.se

January 16, 2015

Fifty years of allergy: 1965–2015

Journal of Paediatrics and Child Health


Keywords:

  • advances;
  • allergy;
  • future;
  • history

Abstract

The last 50 years in allergy could almost be considered the first 50 years. Over this time period, we have witnessed the emergence of allergy as a subspecialty, have seen and continue to observe a tremendous change in prevalence of allergic disease and have gained insight into the mechanisms that underlie allergic predisposition and disease manifestation. We have improved the care of children with many forms of allergic disease and now sit poised to be able to alter the natural history of allergic disease with the use of specific immunotherapy. There is much left to do in the next 50 years including understanding what underlies both the predisposition to atopic disease and its natural resolution and identifying the environmental cofactors involved in the ‘allergic epidemic’ and therefore targets for effective primary prevention.

Evidence-based medicine: What has happened in the past 50 years?


  • Craig Mellis*
    1. Article first published online: 24 DEC 2014


      Keywords:

      • clinical epidemiology;
      • evidence based medicine;
      • general paediatrics;
      • history

      Abstract

      Although the phrase ‘evidence-based medicine’ (EBM) was used for the first time in the medical literature less than 25 years ago, the history of EBM goes back for centuries. What is remarkable is how popular and how globally accepted the EBM movement has become in such a short time. Many famous, past clinicians have played major roles in the disciplines that preceded EBM, particularly ‘clinical epidemiology’. It soon became clear to the early EBM champions that ‘evidence’ was only part of the clinical decision-making process. Consequently, both clinical expertise and the patient's values and preferences were rapidly incorporated into the concept we now know as ‘EBM’. The current need for high-quality, easily accessible ‘evidence-based summaries’ for busy clinicians is now apparent, as traditional EBM requires both considerable time and skill. Consequently, there is a progressive move away from the primary literature (such as randomised controlled trials) to systematic reviews and other ‘evidence-based summaries’. The future of EBM will almost certainly involve widespread utilisation of ‘clinical (computer)-based decision support systems’.

      January 15, 2015

      High body mass index and allergies in schoolchildren: the French six cities study

      • Respiratory epidemiology
      1. Chantal Raherison7,8
      +Author Affiliations
      1. 1Clinical and Epidemiological Research Laboratory, Faculty of PharmacyLebanese UniversityHadath, Lebanon
      2. 2Hôpital Gabriel MontpiedClermont-Ferrand, France
      3. 3Hôpital NordMarseille, France
      4. 4Hôpital CivilStrasbourg, France
      5. 5Hôpital Maison BlancheReims, France
      6. 6EPAR, UMR-S 1136, Institute Pierre Louis of Epidemiology and Public Health, INSERM and UPMC Sorbonne UniversitesParis, France
      7. 7INSERM U897, Institut de Santé Publique d'Epidémiologie et de Développement, Université de BordeauxBordeaux, France
      8. 8Service des maladies respiratoiresHôpital du Haut-Lévèque, Avenue de MagellanPessac, France
      1. Correspondence toDanielle Saadeh; daniellesaadeh@hotmail.com
      • Received 23 July 2014
      • Accepted 3 October 2014
      • Published 24 December 2014

      Abstract

      Background The prevalence of allergic diseases such as asthma, allergic rhinitis and atopic dermatitis is increasing rapidly worldwide, especially among children and in western countries. This coincides with an increase in body mass index (BMI), which might be a major risk factor for atopic diseases.