Allergic conjunctivitis has been reported to be increasing in prevalence in the United States. It significantly impacts patient quality of life and reduces their productivity. It has been noted that nasal and ocular symptoms are equally bothersome in the majority of patients. Despite the development of new therapeutic interventions, ocular allergy is often underdiagnosed and undertreated. This article outlines current best practices regarding diagnosis and treatment of allergic conjunctivitis; suggests criteria for referral to a colleague with different expertise; and provides an algorithm for step recommendations including treatment with antihistamines, mast cell stabilizers, corticosteroids, nonsteroidal anti-inflammatory drugs, and immunotherapy.

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Electric distribution systems around the world are seeing an increasing number of utility-owned and non-utility-owned (customer-owned) intelligent devices and systems being deployed. New deployments of utility-owned assets include self-healing systems, microgrids, and distribution automation. Non-utilityowned assets include solar photovoltaic generation, behind-the-meter energy storage systems, and electric vehicles. While these deployments provide potential data and control points, the existing centralized control architectures do not have the flexibility or the scalability to integrate the increasing number or variety of devices. The communication bandwidth, latency, and the scalability of a centralized control architecture limit the ability of these new devices and systems from being engaged as active resources. This paper presents a standards-based architecture for the distributed power system controls, which increases operational flexibility by coordinating centralized and distributed control systems. The system actively engages utility and non-utility assets using a distributed architecture to increase reliability during normal operations and resiliency during extreme events. Results from laboratory testing and preliminary field implementations, as well as the details of an ongoing full-scale implementation at Duke Energy, are presented. INDEX TERMS Distributed control, microgrids, power distribution, power system protection, smart grids.

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