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Use of sIgE/T-IgE in Predicting systemic reactions: Retrospective Analysis of 54 Honeybee Venom Allergy Cases in North China

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中华医学杂志(英文版) 2016年第17期129卷 2091-2095页

作者： Kai Guan LiSha Li Jia Yin Department of Allergy Peking Union Medical College Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100730 China

Background: Venom allergy is significantly underestimated in China. Venom-specific IgE may not provide accurate clinical reactions. Our conducted retrospective analysis observes alternative diagnostic considerations in assessing confirmation and severity of honeybee venom allergy.Methods: Retrospective review of honeybee venom allergy versus nonallergy patients presented with positive honeybee venom (i1) sIgE results. According to clinically observed reactions caused by a honeybee sting, patients were divided into three groups. Patient residence and exposure types were analyzed. The sIgE/T-IgE among allergy and control groups was compared.Results: Gender ratio male:female was 32:22; median age was 39 years (31, 50). 48% (26/54) of patients live in urban areas, 52% (28/54) in rural areas. Based on bee sting reactions, patients were divided into common localized reactions (32/54), large localized reactions (7/54), and systemic reactions (15/54). In the systemic reaction group, patients presented as Type II (6/15), Type III (6/15). There is significant difference (P systemic reaction group, 8.7% (13/15) of patients are beekeepers. A significant difference (P systemic reaction group to the other two reaction groups in regards to sIgE/T-IgE results. Six systemic reaction patients presented with large localized reactions before onset of system symptoms 1 month to 1 year of being stung.Conclusions: Occupational exposure is the most common cause in honeybee venom allergy induced systemic reactions. The use of sIgE/T-IgE results is a useful diagnostic parameter in determining honeybee venom allergy.

关键词： Honeybee Venom Allergy Localized reaction systemic reaction

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RESILIENCE 2.0： COMPUTER-AIDED DISASTER MANAGEMENT

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Journal of Systems Science and Systems Engineering 2017年第3期26卷 321-335页

作者： Gerhard Chroust Georg Aumayr Institute for Telecooperation Johannes Kepler University Linz Austria Johanniter Osterreich Ausbildung und Forschung Vienna Austria

Many factors （larger population, more dependency on technology, more human-caused interference in the natural systems and equilibria, climate changes,... ） contribute to the seemingly growing number and severity of disasters. Additional exaggeration is generated by public media. As a consequence Disaster Prevention and Disaster Management must be given increased attention. The ultimate goal of Disaster Management is resilience of the affected system and thus the adequate and acceptable survival of the affected population. We discuss system behavior in the case of an assault or disturbance： from being fragile （loss of their functionality due to the assault） to being resilient （having the capacity ... of bouncing back to dynamic stability after a disturbance）, or even antifragile （being able to ＂learn＂ so as to improve disaster resilience）. Resilience 2. 0 identifies a new paradigm： modem Information and Communication Technologies （ICT） are employed as a basis for enabling and improving resilience of a system. ICT provide the basis for sufficient preparation before an assault, for quick recognition of, and for effective, efficient reactions to disasters. Only the coordinated intra- and interphase deployment of ICT promises sufficient success and can bring resilience to currently as yet fragile systems. We discuss stressors （time and performance pressure, physical and psychological stress on personnel） and problems due to damaged ICT-platforms and communication infrastructure. The basic message is that computer-aided Disaster Management is able to offers a new level of reactivity： Resilience 2.0.

关键词： Disaster vulnerability resilience human reaction hazard threat systemic reaction

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