Assessing delayed penicillin hypersensitivity using the PENFAST+ score.

Introduction: Approximately 10% of individuals report a suspected allergy to penicillin, but according to allergy work-ups, only 10%-15% of them are truly allergic. A clinical decision score, the PEN-FAST, was developed and validated to identify adults with low-risk penicillin allergy.

Objectives: The objective of this study was to improve the performance of the PEN-FAST score, particularly for those with delayed hypersensitivity (HS), by improving the negative predictive value.

Empirical determination of the effective solid modulus in organic-rich shales.

Calculating the change in the saturated bulk modulus of a saturated rock with new fluid properties requires a priori selection of an effective bulk modulus of the solid constituents. When the rock constituents have similar mineral moduli, the theoretical bounds on the solid modulus are close to each other. However, when solid properties vary greatly, as in organic-rich shales, the actual effective solid modulus of a physical rock may vary significantly between the bounds which results in uncertainty in the predicted change in the saturated bulk modulus of the rock.