Venous thromboembolism (VTE) is a common postsurgical complication, the incidence of which can be reduced with the use of various prophylactic measures. Proper use of these measures requires an understanding of each individual patient's risk of VTE. Risk assessment models have been developed to aid clinicians in quantifying the likelihood of an individual VTE formation. In this review, we discuss several models of risk assessment for general and vascular surgery patients with a focus on both sensitivity and prospective validation by external sources. In addition, strategies to improve proper implementation of prophylactic measures are highlighted.
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http://dx.doi.org/10.1016/j.jvsv.2013.12.005 | DOI Listing |
Background: Coronary heart disease (CHD) and depression frequently co-occur, significantly impacting patient outcomes. However, comprehensive health status assessment tools for this complex population are lacking. This study aimed to develop and validate an explainable machine learning model to evaluate overall health status in patients with comorbid CHD and depression.
View Article and Find Full Text PDFUrol Pract
December 2024
Urology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Purpose: This retrospective study furthers our understanding of risk factors associated with hemorrhage and intervention in renal angiomyolipomas (R-AMLs), particularly in larger tumors (≥ 4 cm) and in childbearing-age (CBA; younger than 50 years) women. The objective was to refine risk stratification and optimize patient management.
Methods: Review of our institutional database identified patients with radiographic R-AML from 1997 to 2023.
Integr Environ Assess Manag
January 2025
Syngenta Proteção de Cultivos Ltda, São Paulo, São Paulo, Brazil.
Estimating pesticide concentrations in paddy rice systems is challenging due to unique cultivation methods and water management practices. Various models, ranging from simple exposure calculators to complex scenario-dependent tools, have been developed globally to address this issue (PADDY, MED-Rice, RICEWQ, PFAM). In Brazil, pesticides are used in paddy rice production, and there is a potential risk of these compounds reaching waterbodies.
View Article and Find Full Text PDFIntegr Environ Assess Manag
January 2025
Institute of Environmental Toxicology, Western Washington University, Bellingham, Washington, USA.
Traditional ecological and human health risk assessment often relies on deterministic frameworks that preclude the presence of variability or uncertainty among input parameters characterizing exposure, effects, and risk. To promote increased realism and generate more robust risk management decisions, probabilistic risk assessment (PRA) has been introduced as a foundational grouping of techniques that seeks to broadly characterize variability among its components. While multiple methods exist (e.
View Article and Find Full Text PDFIntegr Environ Assess Manag
January 2025
NiPERA, Durham, North Carolina, USA.
Environmental Quality Standards (EQS) derived under the European Water Framework Directive are legally binding and enshrined in individual European Member State Country national legislation. These EQS are derived following well-established guidance documents. In 2013, EQS for nickel were derived for freshwaters to be protective against long and short-term exposures, at 4 and 34 µg L-1, respectively.
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