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Journal articles on the topic 'Immediate risk'

Author: Grafiati

Published: 19 February 2023

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1

Bharad, Dr Rahul V. "Risk Factors and Immediate Outcome of Early Onset Neonatal Sepsis." Journal of Medical Science And clinical Research 05, no. 04 (April 30, 2017): 21050–56. http://dx.doi.org/10.18535/jmscr/v5i4.207.

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2

Large, Matthew M., and Olav B. Nielssen. "Suicide ideas and immediate suicide risk." Psychiatry Research 209, no. 3 (October 2013): 746. http://dx.doi.org/10.1016/j.psychres.2013.06.008.

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Mostofsky, Elizabeth, Harpreet S. Chahal, Kenneth J. Mukamal, Eric B. Rimm, and Murray A. Mittleman. "Alcohol and Immediate Risk of Cardiovascular Events." Circulation 133, no. 10 (March 8, 2016): 979–87. http://dx.doi.org/10.1161/circulationaha.115.019743.

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Nelson, Jonas A., John P. Fischer, Cyndi Chung, Liza C. Wu, Joseph M. Serletti, and Stephen J. Kovach. "Risk of Readmission following Immediate Breast Reconstruction." Plastic and Reconstructive Surgery 134, no. 2 (August 2014): 193e—201e. http://dx.doi.org/10.1097/prs.0000000000000319.

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Jalovaara, Marika, and Hill Kulu. "Separation Risk over Union Duration: An Immediate Itch?" European Sociological Review 34, no. 5 (July 5, 2018): 486–500. http://dx.doi.org/10.1093/esr/jcy017.

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Sapundzhiev, D., M. Kocar, A. Kansky, and M. Gorjanc. "P.391 Risk factors for immediate implants failure." Journal of Cranio-Maxillofacial Surgery 36 (September 2008): S265. http://dx.doi.org/10.1016/s1010-5182(08)72179-6.

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7

STEINBECK, G. "Immediate Risk-Stratification Improves Survival (IRIS): study protocol." Europace 6, no. 5 (September 2004): 392–99. http://dx.doi.org/10.1016/j.eupc.2004.04.008.

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8

Khalifeh, Ali, Tamara Khashab, Michael Huffner, Zahra N. Rezvani, Justin Kwan, and Shahab Toursavadkohi. "Radial neuropathy following arterial line removal: A rare complication from a routine ICU procedure." SAGE Open Medical Case Reports 6 (January 1, 2018): 2050313X1876074. http://dx.doi.org/10.1177/2050313x18760740.

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Radial artery thrombosis is a rare complication of cannulation. There are no reported cases of acute thrombosis and severe acute neuropathy in the setting of cannula discontinuation. We report a case of acute radial nerve mono-neuropathy following thrombosis after radial arterial line removal. The thrombus was immediately evident on exam and diagnostic imaging after cannula discontinuation. The patient was consented and promptly taken to OR for immediate repair. Mild radial neuropathy persisted despite immediate repair. Immediate recognition of signs and symptoms is essential for diagnosis and management, especially in the high-risk population.

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Giliyaru, Sahana, Sahaya Nirmala S., and Adarsh E. "Maternal risk factors and immediate outcome of late preterms." International Journal of Contemporary Pediatrics 6, no. 5 (August 23, 2019): 1845. http://dx.doi.org/10.18203/2349-3291.ijcp20193598.

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Background: This study was conducted to analyse the immediate outcome of late preterm babies and also to evaluate the various maternal risk factors in these babies so that close monitoring of these babies for the complications is done and immediate problems can be addressed.Methods: Prospective observational study done in level 3 NICU setting for 6 months. All babies born between 34-36/7 weeks are included in the study and they constitute the cases. Term (above 36 weeks 6 days gestation) newborns babies born during the study period are controls. Maternal history is taken in detail. Risk factors during pregnancy including maternal age, gravida, mode of delivery, medical conditions and birth details. Baby details like gestational age, sex, birth weight, and neonatal morbidities are recorded. The babies are either shifted to NICU or to mother’s side based depending on the baby’s condition. All of them are followed up till discharge.Results: 89 late preterm babies born in the hospital during the study period are included in the study. Out of 89 babies 45are females constituting 50.6% and 44are male babies constituting 49.4%. 20 (22.5%) babies had gestational age between 34-35 weeks.29 babies (32.5 %) had gestational age between 35-36 weeks and 40 babies (45%) are between 36-37 weeks of gestation. 47 babies (52.9%) have birth weight between 1.5-2.49 kg.42 babies (47.1%) have birth weight between 2.5-3.5 kg. The number of babies born by LSCS were 48 (54%) and 41 babies 46% are born through vaginal route.42 babies constituting 48.3% are appropriate for gestational age and 43 babies (49.4%) are small for gestationalage.34 (39.1%) babies required NICU admission and 55 (60.9%) babies did not require NICU admission. Among the maternal risk factors PIH was the commonest risk factor in 22babies (24.7 %), followed by PROM13 (14.6 %), oligohydramnios 6 (6.7 %) ,twin gestation 6 (6.7 %), MSAF 3 (3.4%), IDM 3 (3.4%), Antepartum hemorrhage 3 (3.4%), eclampsia 1 (1.1%) and maternal cardiac disease 1.1%. Neonatal morbidities are 25 late preterm babies had jaundice (28.7%) followed by RDS in 15 (17.2%), sepsis in 9 (10.3%), NEC 2 (2.3%), Hypoglycemia 5 (5.6%) late preterm babies required ventilation/ CPAP constituting 5.7%. Surfactant was used in 2 late preterm babies 2.3%. 87 babies (97.8%) got discharged and mortality is 2.2%.Conclusions: Late prematurity is associated with significant neonatal morbidity.

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10

Zhukova, D. G., E. S. Fedenko, A. A. Yudin, and O. Y. Rakhimova. "PERIOPERATIVE IMMEDIATE DRUG HYPERSENSITIVITY: CLINICAL FEATURES, DIAGNOSTICS, RISK ASSESSMENT." Russian Journal of Allergy 11, no. 6 (December 15, 2014): 9–19. http://dx.doi.org/10.36691/rja486.

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Background. To evaluate clinical features and to develop the diagnostic algorithm of perioperative drug’s hypersensitivity reactions. Methods. 40 patients who presented perioperative immediate drug’s hypersensitivity reactions were studied in the Central Clinical hospital of the Russian Academy of sciences during 2010-2012. The diagnostic protocol consisted of 2 steps: at the 1 step (during the acute clinical manifestation period) a case history, grade of severity of immediate hypersensitivity reactions, serum tryptase levels have been studied; at the 2 step (6-12 weeks after symptoms were over) inhibition test of natural emigration of leukocytes by Ado, sublingual, skin tests and drug provocation tests have been performed. Results. Clinical manifestations of drugs hypersensitivity were as follows: hypersensitivity reactions grade I (isolated cutaneous manifestations) - in 20 patients (50%), anaphylactic-type reactions - in 20 patients (50%): grade II (moderate anaphylaxis) - in 13 patients (32,5%), grade III (severe life-threatening anaphylaxis) - in 6 (15%), and grade IV (cardiac and respiratory arrest) - in 1 patient (2,5%). Positive tests at least with 1 drug had 28 patients (70%): neuromusculars blockers (22,5%); antibiotics (22,5%); lidocaine (10%); amidotrizoate (7,5%); NSAID (7,5%). Other 12 patients had negative tests (30%) with all suspected agents and moderate clinical symptoms if to compare with others 28 patients (p

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11

Mackenzie, K. A., and B. J. Nye. "PR42P RISK FACTORS AND SAFETY OF IMMEDIATE BREAST RECONSTRUCTION." ANZ Journal of Surgery 77, s1 (May 2007): A70. http://dx.doi.org/10.1111/j.1445-2197.2007.04127_40.x.

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12

Harary, Eran, Jonathan S. Rubin, David Baker, Yaron Daniely, and Natasha K. Oyedele. "6.42 Understanding Abuse Risk Related to Immediate-Release Amphetamine." Journal of the American Academy of Child & Adolescent Psychiatry 56, no. 10 (October 2017): S290—S291. http://dx.doi.org/10.1016/j.jaac.2017.09.387.

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13

Wey, Philip D., Jonathan B. Highstein, and Gregory L. Borah. "Immediate Breast Reconstruction in the High-risk Adjuvant Setting." Annals of Plastic Surgery 38, no. 4 (April 1997): 342–44. http://dx.doi.org/10.1097/00000637-199704000-00006.

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14

Fischer, John P., Ari M. Wes, Charles T. Tuggle, and Liza C. Wu. "Venous Thromboembolism Risk in Mastectomy and Immediate Breast Reconstruction." Plastic and Reconstructive Surgery 133, no. 3 (March 2014): 263e—273e. http://dx.doi.org/10.1097/01.prs.0000438062.53914.22.

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15

Mendyka, BE, JM Clochesy, and ML Workman. "Latex hypersensitivity: an iatrogenic and occupational risk." American Journal of Critical Care 3, no. 3 (May 1, 1994): 198–201. http://dx.doi.org/10.4037/ajcc1994.3.3.198.

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BACKGROUND Immediate hypersensitivity reactions to natural rubber and latex products were first reported in 1979 by Nutter, who identified contact urticaria to latex gloves. Since that time, numerous cases of immediate and delayed reactions to latex have been reported. Because latex products are ubiquitous, especially in the critical care environment, there is increasing risk of hypersensitivity among patients and healthcare workers. METHOD Literature review. OBJECTIVES To review the types of allergic reaction to latex and to inform healthcare providers of the risks to patients and themselves of acquiring latex hypersensitivity. CONCLUSION Immediate hypersensitivity reactions to natural rubber and latex products pose a significant threat to patients, healthcare workers, and the general population. Medical history alone is inadequate to identify all persons at risk. Numerous proteins doubtless exist in latex that may be the link to allergenicity. Further research is needed to address demographic, behavioral, environmental, and biogenetic factors including gender differences, ethnicity and race.

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16

Yang, Feng, and Andrew J. Butler. "Efficacy of Controlled Whole-Body Vibration Training on Improving Fall Risk Factors in Stroke Survivors: A Meta-analysis." Neurorehabilitation and Neural Repair 34, no. 4 (February 28, 2020): 275–88. http://dx.doi.org/10.1177/1545968320907073.

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Background. Controlled whole-body vibration (CWBV) training has been applied to people with stroke. However, it remains inconclusive if CWBV reduces fall risk in this population. Objective. To (1) assess the immediate and retention effects of CWBV training on fall risk factors in people at postacute and chronic stages of stroke and (2) examine if CWBV dosage is correlated with the effect size (ES) for 3 fall risk factors: body balance, functional mobility, and knee strength. Methods. Twelve randomized controlled trials were included. ES was calculated as the standardized mean difference, and meta-analyses were completed using a random-effects model. Results. CWBV training may lead to improved balance and mobility immediately after training (ES = 0.27, P = .03 for balance; ES = 0.34, P = .02 for mobility) but not at the 3-month follow-up test (ES = 0.02, P = .89 for balance; ES = 0.70, P = .11 for mobility). CWBV affects knee strength capacity with mild ES (ES = 0.08 and 0.11, respectively, for immediate and retention effect; P ≥ .68 for both). Metaregression indicated that the immediate ES is strongly correlated with training dosage for balance ( r = 0.649; P = .029) and mobility ( r = 0.785; P = .036). Conclusions. CWBV training may benefit balance and mobility immediately, but the training effect may not persist among people with stroke. Additionally, the CWBV dosage correlates with the ES for body balance and mobility. More high-quality studies are needed to determine the retention effects of CWBV training.

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17

Loeb, Stacy, and William J. Catalona. "Counterpoint: The Case for Immediate Active Treatment." Journal of the National Comprehensive Cancer Network 5, no. 7 (August 2007): 699–702. http://dx.doi.org/10.6004/jnccn.2007.0061.

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Active monitoring strategies recently have received attention as possible treatment options for men with low-risk prostate cancer who have a life expectancy of more than 10 years. However, no current criteria sufficiently predict outcomes for individuals with clinically localized disease and an otherwise long life expectancy who undergo either immediate or delayed treatment, or no treatment. This article describes the available evidence regarding treatment outcomes in men with low-risk prostate cancer and presents the case for immediate active treatment.

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18

Yamane, Fumihiro, Hideaki Ohgaki, and Kota Asano. "The Immediate Impact of the Fukushima Daiichi Accident on Local Property Values." Risk Analysis 33, no. 11 (April 4, 2013): 2023–40. http://dx.doi.org/10.1111/risa.12045.

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19

Chappe, Maria Kristina. "Hypoglycemia in High-Risk Infants Within the Immediate Postnatal Period." Neonatal Network 39, no. 5 (August 1, 2020): 263–67. http://dx.doi.org/10.1891/0730-0832.39.5.263.

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The incidence of hypoglycemia in the immediate postnatal period is rising because of the increasing rate of preterm births, maternal diabetes, and maternal obesity. Severe hypoglycemia has been considered a risk factor for neuronal cell death and adverse neurodevelopmental outcomes. The American Academy of Pediatrics (AAP) suggests a goal of ≥45 mg/dL (≥2.5 mmol/L) for infants who are asymptomatic within the first 48 hours. The Pediatric Endocrine Society (PES) suggests that infants who are unable to maintain their blood glucose >50 mg/dL (>2.77 mmol/L) within the first 48 hours or >60 mg/dL (>3.33 mmol/L) after the first 48 hours are at risk for persistent hypoglycemia. While there is disagreement for target glucose levels within the first 48 hours, both the AAP and the PES suggest further investigation for persistent hypoglycemia beyond 48–72 hours, which is beyond the scope of this article. However, in the immediate postnatal period, much can be gained with familiarization of the two guidelines, as well as current management techniques. This article presents current definitions and treatment modalities for management of hypoglycemia in infants considered at high risk in the immediate postnatal period.

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20

&NA;. "DTP and MMR vaccines increase immediate risk of febrile seizures." Reactions Weekly &NA;, no. 868 (September 2001): 4. http://dx.doi.org/10.2165/00128415-200108680-00008.

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&NA;. "DTP and MMR vaccines increase immediate risk of febrile seizures." Inpharma Weekly &NA;, no. 1304 (September 2001): 20. http://dx.doi.org/10.2165/00128413-200113040-00058.

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22

Menshikh, N. V., B. A. Akselrod, A. V. Goncharova, and D. I. Vachnadze. "Risk factors of intraoperative immediate hypersensitivity reactions in cardiac surgery." Anesteziologiya i Reanimatologiya, no. 6 (2019): 39. http://dx.doi.org/10.17116/anaesthesiology201906139.

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23

Peterson-Cooney, Lorrie. "Time-Concentrated Instruction as an Immediate Risk to Self-Actualization." Psychological Reports 61, no. 1 (August 1987): 183–90. http://dx.doi.org/10.2466/pr0.1987.61.1.183.

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Time-concentrated group instruction in self-actualization may increase the immediate risk of diminished self-actualization by introducing an environment which encourages cohesion to the group rather than loyalty to self. This is the conclusion reached in a study of a course in Gestalt Therapy which emphasized self-actualization through self-awareness. Comparison of students enrolled in a time-concentrated summer course ( n = 42) or a time-distributed regular-term course with the same instructor ( n = 78) showed summer students had significantly less desirable scores than regular term students on five subscales of the Personal Orientation Inventory while also significantly decreasing the total number of subscales falling in the actualized ranges.

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24

Johnston, Robert C., Lauryn Gabby, Tevy Tith, Kristina Eaton, Melissa Westermann, and Deborah A. Wing. "Immediate postpartum glycemic control and risk of surgical site infection." Journal of Maternal-Fetal & Neonatal Medicine 30, no. 3 (May 5, 2016): 267–71. http://dx.doi.org/10.3109/14767058.2016.1173672.

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25

Erakat, Mohammed S., S. Chuang, R. Yoo, M. Weed, and T. Dodson. "Immediate-load implants: Survival estimates and risk factors for failure." Journal of Oral and Maxillofacial Surgery 62 (August 2004): 38–39. http://dx.doi.org/10.1016/j.joms.2004.05.170.

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26

Kan, Chui-Kwan, Ting-Pong Ho, Jimmy Y. S. Dong, and Eva L. W. Dunn. "Risk factors for suicide in the immediate post-discharge period." Social Psychiatry and Psychiatric Epidemiology 42, no. 3 (January 31, 2007): 208–14. http://dx.doi.org/10.1007/s00127-006-0153-0.

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27

Kodel, John, and Peerasit Kamnuansilpa. "Contraception after Childbirth in Thailand." Journal of Biosocial Science 20, no. 3 (July 1988): 321–32. http://dx.doi.org/10.1017/s0021932000006659.

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SummaryResults from a 1984 national survey indicate that the large majority of Thai women initiate contraception soon after giving birth. Among sterilized women, the vast majority undergo the operation during the immediate post-partum period and thus avoid the risks of subsequent unwanted pregnancy. Rates of initiation of other methods are unusually high at and immediately following the time at which menses return, and hence only modest proportions of Thai women remain at risk of unwanted pregnancy for very long after the birth of a child.

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28

de Freitas Borges, Tânia, Francielle Alves Mendes, Terezinha Rezende Carvalho de Oliveira, Célio Jesus do Prado, and Flávio Domingues das Neves. "Overdenture with immediate load: mastication and nutrition." British Journal of Nutrition 105, no. 7 (December 6, 2010): 990–94. http://dx.doi.org/10.1017/s000711451000471x.

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Lower conventional complete dentures were converted to overdentures retained by two implants with an immediately loaded bar-clip system (n 16). The masticatory performance test was carried out using ‘Optocal’ after forty chewing strokes. Nutritional condition was evaluated by means of a Mini-Nutritional-Assessment questionnaire. No individual was classified as malnourished. The masticatory performance test demonstrated a statistically significant difference before conversion (baseline) and 3 and 6 months after conversion of the lower conventional complete denture to an implant-retained overdenture (paired-samples t test; P < 0·05). A statistically significant difference before and after 6 months of conversion for nutritional condition (Wilcoxon test; P < 0·05) was also observed. The association between masticatory performance and nutritional assessment demonstrated that a statistically significant difference between masticatory performance of the subgroups classified at baseline as nourished (22·43 %) and those at risk of malnutrition (3·9 %) was only evidenced before conversion (P = 0·006). After the conversion from a lower conventional complete denture to an implant-retained overdenture, at 3 months, the risk of malnutrition and nourished at baseline did not present significant differences in masticatory performance. Nonetheless, the mean masticatory performance potential was 19·86 and 31·98 % for subgroups classified at baseline as at risk of malnutrition and nourished, respectively (P = 0·187). The results before conversion were less favourable for masticatory performance and nutritional condition. The increased retention of the mandibular prosthesis allowed improvement in masticatory performance and nutritional condition.

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Furukawa, Caio Nassuo, Leonardo André Hage Fabri, and Flávio Carneiro Hojaij. "Low-risk papillary thyroid carcinoma." Revista de Medicina 98, no. 6 (November 27, 2019): 403–7. http://dx.doi.org/10.11606/issn.1679-9836.v98i6p403-407.

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Introduction: A epidemic increase in the incidence of papillary thyroid carcinoma (PTC) has been happening within the last 25 years. The majority of those tumors are low-risk, and some studies reported low progression rates of low-risk PTC. It suggests that immediate surgery may not be the best option, specially when considering the intrinsic risk to a thyroidectomy and inconvenience of lifelong hormone replacement. In this systematic review we compare the outcomes of active surveillance for the primary management of low-risk PTC. Methods: The review was conducted based on three studies selected from specific databases. These studies followed up low-risk patients nonoperatively and surgery was performed if needed. Results: All studies reported low percentages of tumor growth and metastatic disease during active surveillance. Furthermore, no significant differences between immediate surgery and late rescue surgery were reported, and active surveillance appears to be cheaper than the tradicional conduct. Conclusions: Active surveillance seems to be a good alternative for low-risk PTC management, yet, more long-term and bigger research is still needed, specially outside of a japanese population.

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Goddard, Charlotte. "Taking teachable moments to cut risk of violence." Children and Young People Now 2021, no. 7 (July 2, 2021): 44–45. http://dx.doi.org/10.12968/cypn.2021.7.44.

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31

Keck, Frieder, Peter Staritz, Stephanie Lehrke, Hugo A. Katus, Evangelos Giannitsis, Boris T. Ivandic, and Kerstin Kurz. "Tirofiban optimizes platelet inhibition for immediate percutaneous coronary intervention in high-risk acute coronary syndromes." Thrombosis and Haemostasis 100, no. 10 (2008): 648–54. http://dx.doi.org/10.1160/th08-03-0190.

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SummaryIt was the aim of this study to compare the efficacy of early platelet inhibition by 600 mg clopidogrel and acetylsalicylic acid (ASA) to a triple therapy including a glycoprotein IIb-IIIa receptor blocker. Immediate percutaneous coronary intervention (PCI) is recommended for high-risk acute coronary syndromes. In this setting the efficacy of platelet inhibition is unknown. One hundred patients were randomized to receive ASA and 600 mg clopidogrel, or additional open-label tirofiban (bolus of 10 µg/kg body weight followed by continued infusion of 0.15 µg/kg body weight per minute) as soon as non-ST - segment elevation myocardial infarction was diagnosed. The primary endpoint was the reduction of infarct size determined by post-interventional increases of cardiac troponin T (cTnT). Secondary endpoints included platelet function measured by optical and impedance aggregometry using ADP (5 and 20 µM) and collagen (1 µg/ml) as platelet agonists. Tirofiban maximized platelet inhibition (p<0.0001) immediately and was associated with significantly lower post-interventional cTnT concentrations (p=0.0352). In the dual platelet inhibition arm, clopidogrel was not effective in 69% of patients at the time of coronary intervention, and still in 47%, if pre-treatment time was >120 minutes. The frequency of cardiovascular (death, myocardial infarction, revascularization) and bleeding events was comparable. Platelet aggregation is not adequately inhibited in cTnT - positive patients in the setting of immediate PCI with very short pre-treatment times. Only tirofiban provided consistent and effective inhibition of platelet aggregation at the time of immediate or very early invasive therapy.

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32

Beuzen, Tomas, Kristen D. Splinter, Ian L. Turner, Mitchell D. Harley, Lucy A. Marshall, Margaret L. Palmsten, Hilary F. Stockdon, and Nathaniel G. Plant. "A PROBABILISTIC MODEL OF REGIONAL-SCALE RESPONSE TO EXTREME STORM EVENTS." Coastal Engineering Proceedings, no. 36 (December 30, 2018): 46. http://dx.doi.org/10.9753/icce.v36.risk.46.

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Predicting beach erosion caused by extreme storms remains a key focus of the coastal engineering community, having important implications for both emergency and long-term coastal management and planning. In June 2016, an extra-tropical cyclone impacted the east coast of Australia, resulting in the largest erosion event recorded in this region for several decades. High-resolution data collected during this event included immediate pre and post-storm airborne LIDAR measurements of the subaerial beach along 400 km of coastline, as well as detailed modeling of inshore wave conditions. This unprecedented data set presents a unique opportunity to explore key drivers of the observed local and regional variability in the response of beaches to extreme storm events.

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Orr, Jonah Parker, Ronnie Labib Shammas, Analise B. Thomas, Tracy Truong, Eugenia H. Cho, Maragatha Kuchibhatla, and Scott Thomas Hollenbeck. "Bleeding After Free Flap-Based Breast Reconstruction: A NSQIP Analysis." Journal of Reconstructive Microsurgery 35, no. 06 (January 7, 2019): 417–24. http://dx.doi.org/10.1055/s-0038-1677037.

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Background Despite limited oncologic benefit for women without an increased risk for breast cancer, the rates of contralateral prophylactic mastectomy (CPM) have increased. Patients undergoing CPM are more likely to undergo bilateral and immediate breast reconstruction. This study assessed the relationship between the timing and laterality of free flap-based breast reconstruction and the risk of postoperative bleeding complications. Methods Women undergoing postmastectomy free-flap based breast reconstruction from 2010 to 2015 were identified using the National Surgical Quality Improvement Program (NSQIP) dataset. Patients were categorized according to reconstructive laterality and timing. Modified Poisson regression was used to assess the risk of postoperative bleeding and complications across reconstructive procedures. Results Of the 4,133 patients undergoing free flap-based breast reconstruction, 12% (n = 494) experienced postoperative bleeding complications. Bilateral immediate reconstruction was associated with the highest incidence of bleeding (16.6%, n = 188), followed by bilateral delayed (12.8%, n = 58), unilateral immediate (10%, n = 142), and unilateral delayed reconstruction (9.4%, n = 106). Among patients undergoing immediate reconstruction, bilateral, rather than unilateral, reconstruction was associated with a significantly elevated risk of bleeding complications (RR [rate ratio] = 1.58; 95% CI [confidence interval] =1.19, 2.10; p = 0.0002). Furthermore, immediate bilateral reconstruction was associated with a significantly higher rate of return to the operating room (RR =1.39; 95% CI =1.06, 1.82; adjusted p = 0.009) when compared with a unilateral procedure. Conclusion Patients undergoing immediate bilateral free flap-based breast reconstruction may be at an increased risk for experiencing acute postoperative bleeding complications and a return to the operating room. Patients undergoing CPM and considering immediate reconstruction should be counseled regarding the increased morbidity of a bilateral reconstructive procedure.

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Suleyman, Ayse, Sadık Toprak, and Nermin Guler. "Risk Stratification as a Predictive Factor for Cephalosporin Allergy: A Case-Controlled Study." International Archives of Allergy and Immunology 183, no. 3 (October 19, 2021): 298–305. http://dx.doi.org/10.1159/000519619.

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<b><i>Background:</i></b> Compared to penicillin, cephalosporin allergies are less common in children, and their diagnostic approach is less standardized. A recent European Academy of Allergy and Clinical Immunology position paper provided a risk stratification system for patients with suspected β-lactam hypersensitivity reactions. <b><i>Objective:</i></b> This study aimed to evaluate risk stratification and predicting factors for confirmed cephalosporin hypersensitivity. <b><i>Methods:</i></b> The case-controlled study included patients with confirmed cephalosporin hypersensitivity (skin tests, <i>n</i> = 53; drug provocation, <i>n</i> = 19). For each patient, 2 age- and gender-matched control subjects were included in the study. Data were retrieved from patients’ records and analyzed retrospectively. Risk stratification was performed according to the severity of index reactions, which was initially divided as high and low risk and then further divided as immediate and nonimmediate. <b><i>Results:</i></b> According to risk stratification, the patient and control groups were divided as follows: high-risk immediate (66.7% vs. 13%, respectively), high-risk delayed (1.4% vs. 8.3%, respectively), low-risk immediate (16.7% vs. 16%, respectively), and low-risk delayed (15.3% vs. 62.9%, respectively). Immediate reactions (odds ratio [OR]: 12.1, 95% confidence interval [CI]: 9–24.8, <i>p</i> < 0.001) and high-risk reactions (OR: 7.8, 95% CI: 4.1–14.6, <i>p</i> < 0.001) were associated with confirmed cephalosporin hypersensitivity in univariate analysis. Multivariate regression analysis indicated that immediate reactions (OR: 7.5, 95% CI: 3.3–16.8, <i>p</i> < 0.001) and high-risk reactions (OR: 5.2, 95% CI: 2.1–12.9, <i>p</i> < 0.001) were significant risk factors for the prediction of cephalosporin hypersensitivity. <b><i>Conclusion:</i></b> This model can be applied in children with suspected cephalosporin allergy. Skin testing provides diagnostic information in high-risk patients with immediate reactions and reduces the need for drug provocation testing in these patients. It is highly likely to confirm the diagnosis of low-risk patients directly with provocation tests without skin tests. High-risk and immediate reactions were found to be predictive factors for confirmed cephalosporin allergy.

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35

Baskett, Peter J. F. "Immediate Care for the Private Pilot." Journal of the World Association for Emergency and Disaster Medicine 1, no. 2 (1985): 148. http://dx.doi.org/10.1017/s1049023x00065353.

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Private aviation being popular, there are many light planes in regular use. Several of these are operated by pilots in training through local flying clubs. There is naturally a risk every time a plane takes to the air, but the statistics show that the risk is actually quite small. Most insurance companies do not increase their premiums for private pilots flying for pleasure. The most common emergencies which arise in light aircraft are caused by deteriorating weather conditions, fuel shortage, engine failure or pilot error.Accidents caused by the inept pilot usually occur during take-off or landing. Gusting wind conditions can produce an unexpectd stall position when there is inadequate height to recover. The strong vortices generated in the wake of high powered jet engines can turn over a light plane which is following too closely at take-off or landing in the circuit. Accidents may also occur during flight because of the pilot's failure to fly at the correct height on the correct course and communicate properly to the local air traffic control. Fear of being made to look incompetent often results in the inexperienced pilot failing to ask for help when he is in doubt or in trouble.If problems such as engine failure or fuel starvation occur, however, all is not lost since, unlike their enormous commercial counterparts, light planes have excellent gliding characteristics and can usually make an emergency landing. Requiring only a relatively short landing run if full flaps are used, they can often find a suitable site free from buildings and people.

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Jensen, Dane, Alexandra Jacowitz Kind, Amanda S. Morrison, and Richard G. Heimberg. "Intolerance of Uncertainty and Immediate Decision-Making in High-Risk Situations." Journal of Experimental Psychopathology 5, no. 2 (June 2014): 178–90. http://dx.doi.org/10.5127/jep.035113.

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&NA;. "One stage simple mastectomy with immediate reconstruction for high risk patients." Plastic and Reconstructive Surgery 79, no. 1 (January 1987): 152. http://dx.doi.org/10.1097/00006534-198701000-00052.

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Ihara, Katsuhito, Atsuki Ohashi, and Seiji Inoshita. "Risk of Heparin-induced Immediate-type Hypersensitivity during Arteriovenous Fistula Placement." Internal Medicine 57, no. 16 (August 15, 2018): 2365–69. http://dx.doi.org/10.2169/internalmedicine.9705-17.

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Ferrara, Michael J., Christine Lohse, Yogish C. Kudva, Michael B. Farnell, Florencia G. Que, Kaye M. Reid‐Lombardo, John H. Donohue, et al. "Immediate post‐resection diabetes mellitus after pancreaticoduodenectomy: incidence and risk factors." HPB 15, no. 3 (March 2013): 170–74. http://dx.doi.org/10.1111/j.1477-2574.2012.00520.x.

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Cohen, Oriana, Gretl Lam, Mihye Choi, Daniel Ceradini, and Nolan Karp. "Risk Factors for Delays in Adjuvant Chemotherapy following Immediate Breast Reconstruction." Plastic and Reconstructive Surgery 142, no. 2 (August 2018): 299–305. http://dx.doi.org/10.1097/prs.0000000000004547.

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Hod-Feins, Roei, Ibrahim Abu-Kishk, Gideon Eshel, Yosi Barr, Yoram Anekstein, and Yigal Mirovsky. "Risk Factors Affecting the Immediate Postoperative Course in Pediatric Scoliosis Surgery." Spine 32, no. 21 (October 2007): 2355–60. http://dx.doi.org/10.1097/brs.0b013e3181558393.

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Gask, Linda, and Richard Morriss. "Assessment and immediate management of people at risk of harming themselves." Foundation Years 2, no. 4 (August 2006): 164–68. http://dx.doi.org/10.1053/j.mpfou.2006.05.008.

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Gask, Linda, and Richard Morriss. "Assessment and immediate management of people at risk of harming themselves." Psychiatry 5, no. 8 (August 2006): 266–70. http://dx.doi.org/10.1053/j.mppsy.2006.05.002.

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Metman, Etienne-Henry, Jean-Paul Lagasse, Louis dʼAlteroche, Laurence Picon, Béatrice Scotto, and Jean-Pierre Barbieux. "Risk Factors for Immediate Complications After Progressive Pneumatic Dilation for Achalasia." American Journal of Gastroenterology 94, no. 5 (May 1999): 1179–85. http://dx.doi.org/10.1111/j.1572-0241.1999.01062.x.

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Gask, Linda, and Richard Morriss. "Assessment and immediate management of people at risk of harming themselves." Foundation Years 4, no. 2 (April 2008): 64–68. http://dx.doi.org/10.1016/j.mpfou.2008.02.007.

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Scrutton, Mark, and S. Michael Kinsella. "The immediate caesarean section: rapid-sequence spinal and risk of infection." International Journal of Obstetric Anesthesia 12, no. 2 (April 2003): 144. http://dx.doi.org/10.1016/s0959-289x(03)00015-3.

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Gask, Linda, and Richard Morriss. "Assessment and immediate management of people at risk of harming themselves." Psychiatry 8, no. 7 (July 2009): 241–45. http://dx.doi.org/10.1016/j.mppsy.2009.04.007.

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Britton, Peter C., Mark A. Ilgen, M. David Rudd, and Kenneth R. Conner. "Authors' response to commentary on suicidal ideas and immediate suicide risk." Psychiatry Research 209, no. 3 (October 2013): 747. http://dx.doi.org/10.1016/j.psychres.2013.07.014.

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Kreydin, Evgeniy I., and Dicken S. C. Ko. "Immediate renal transplantation after radical prostatectomy for low-risk prostate cancer." Clinical Transplantation 27, no. 1 (September 24, 2012): 162–67. http://dx.doi.org/10.1111/ctr.12023.

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Costello, James R., Bobby Kalb, and Diego R. Martin. "Incidence and Risk Factors for Gadolinium-Based Contrast Agent Immediate Reactions." Topics in Magnetic Resonance Imaging 25, no. 6 (December 2016): 257–63. http://dx.doi.org/10.1097/rmr.0000000000000109.

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