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Query: UMLS:C0016382 (flushing)
6,387 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The Restaurant syndromes can be caused by five major factors: food allergens, sulfites, monosodium glutamate (MSG), tartrazine, and scombroidosis (and other seafood poisoning). A history of atopy and ingestion of known food allergens such as peanuts, egg, fish, and walnuts, together with positive results of skin tests or RAST to these foods, will favor a diagnosis of food allergy. Allergic reactions to peanuts have produced fatalities in minutes through an IgE mediated reaction. An extremely rapid onset (minutes) of symptoms consisting of flushing, bronchospasm and hypotension is consistent with a sulfite reaction. Burning, pressure, and tightness or numbness in the face, neck, and upper chest following ingestion of Chinese food favors a diagnosis of adverse reaction to MSG. Also, development of late onset bronchospasm (up to 14 hours) may be related to MSG reactions. Bronchospasm and urticaria in a patient with a history of aspirin intolerance suggests tartrazine sensitivity. If everyone ingesting a fish meal develops flushing, urticaria, pruritus, gastrointestinal complaints, or bronchospasm, this implies scombroidosis, ciguatera, or other seafood poisoning. Finally, severe headache or hypertension can result from ingestion of naturally occurring amines, such as tyramine (cheese, red wine) and phenylethylamine (chocolate). A double-blind oral challenge test may be the only way of confirming the diagnosis for most of the etiological factors of the Restaurant syndromes. The treatment of choice for acute reaction is epinephrine followed by antihistamine. Proper labeling and avoidance of these ingredients in sensitive individuals are the best preventive measures.
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PMID:The restaurant syndromes. 330 66

Three oil spill situations which cause long-term impact were simulated in 1 m(2) salt marsh plots to evaluate the effectiveness of alternative cleanup techniques at removing oil and reducing damage to Spartina alterniflora. Cleanup techniques, implemented 18-24 h after oiling, were not effective at removing oil after sediment penetration. When oil remained on the sediment surface, flushing techniques were most effective at removal, reducing levels of added oil by 73% to 83%. The addition of dispersant to the flushing stream only slightly enhanced oil removal. Clipping of vegetation followed by sorbent pad application to sediment was moderately effective, reducing added oil by 36% to 44%. In contrast to flushing and clipping, burning increased the amount of oil in sediment by 27% to 72%. Although flushing and clipping were effective at oil removal, neither technique reduced initial damage to plants or enhanced long-term recovery. While flushed plots sustained no additional plant damage due to cleanup, clipped and burned plots sustained additional initial plant damage. Based on these results, first considerations should be given to natural tidal flushing as the means to remove oil, especially in salt marshes subject to ample tidal inundation. Although our results do not support cleanup in salt marshes with ample tidal inundation, low pressure flushing may be warranted when fuel oils or large quantities of crude oil impact salt marshes subject to reduced tidal flushing. Flushing, when warranted, should be initiated prior to oil penetration into the substrate. Clipping may be considered as a cleanup response only when heavy oil cannot be effectively removed from vegetation by flushing. Burning is not recommended because it enhances oil penetration into sediment and causes substantial initial plant damage.
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PMID:Evaluation of alternative oil spill cleanup techniques in a Spartina alterniflora salt marsh. 1509 3