• Disease
  • Biphasic
  • Biphasic Reactions
  • Kirk H Waibel

    Prominent publications by Kirk H Waibel

    KOL Index score: 10801

    BACKGROUND: The reported incidence of biphasic anaphylactic reactions varies from 1% to 20%. Reported risk factors for biphasic reactions include a delay in epinephrine administration and a longer interval to initial improvement. To date, only 4 cases of biphasic reactions after allergen immunotherapy have been reported.

    OBJECTIVE: We sought to determine the incidence, clinical characteristics, and risk factors for biphasic reactions after allergen-specific immunotherapy.

    METHODS: ...

    Also Ranks for: Biphasic Reactions |  allergen immunotherapy |  patients epinephrine |  reported incidence |  clinical characteristics
    KOL Index score: 7472

    The present treatment for poisoning by organophosphates consists of multiple drugs such as carbamates, antimuscarinics, and reactivators in pre- and post-exposure modalities. Recently an anticonvulsant, diazapam, has been included as a post-exposure drug to reduce convulsions and increase survival. Most regimens are effective in preventing lethality from organophosphate exposure but do not prevent toxic effects and incapacitation observed in animals and likely to occur in humans. Use of ...

    Also Ranks for: Organophosphorus Compounds |  organophosphate exposure |  primate performance |  toxic effects |  lethal dose
    KOL Index score: 6618

    BACKGROUND: Concern about accidental contact transmission after smallpox vaccination has prompted various recommendations regarding vaccination site coverage.

    METHODS: On days 6-8 after their first-ever smallpox vaccination, 63 adult subjects were randomized to apply a self-adhesive bandage (n=20), gauze with adhesive tape (n=21), or gauze with a semipermeable dressing (n=22) over the vaccination site for a mean of 8+/-2 h. Swabs from the external bandage surfaces and the vaccination ...

    Also Ranks for: Smallpox Vaccination |  external surface |  primary vaccinees |  semipermeable dressing |  vaccinia virus
    KOL Index score: 6390

    BACKGROUND: Skin puncture and intradermal tests are commonly used to evaluate allergic rhinitis. Ethyl chloride, a topical vapocoolant spray, provides skin analgesia before venipuncture, but it has not been studied with allergy skin testing.

    OBJECTIVE: To determine the effects of ethyl chloride vs placebo on skin puncture testing (SPT) and intradermal allergy testing.

    METHODS: We enrolled 20 healthy adults with a history of positive aeroallergen skin test results in a randomized, ...

    Also Ranks for: Ethyl Chloride |  topical vapocoolant spray |  skin test |  pain scores |  wheal flare
    KOL Index score: 5669

    INTRODUCTION: Penicillin allergy is the most common drug allergy reported. About 8-10% of individuals in the USA have a documented penicillin allergy, yet 90% are not truly allergic to penicillin. A penicillin allergy "label" results in increased antibiotic-related adverse reactions and increased health care costs, thus impacting the overall "readiness" of the military.

    MATERIALS AND METHODS: A review of the current literature and approaches to penicillin allergy and "de-labeling" a ...

    Also Ranks for: Penicillin Allergy |  antibiotic resistance |  health costs |  drug hypersensitivity |  military allergists
    KOL Index score: 5459

    Pretreatment of rhesus monkeys with fetal bovine serum acetylcholinesterase (FBS AChE) provides complete protection against 5 LD50 of organophosphate (OP) without any signs of toxicity or performance decrements as measured by serial probe recognition tests or primate equilibrium platform performance (Maxwell et al., Toxicol Appl Pharmacol 115: 44-49, 1992; Wolfe et al., Toxicol Appl Pharmacol 117: 189-193, 1992). Although such use of enzyme as a single pretreatment drug for OP toxicity ...

    Also Ranks for: Organophosphorus Compounds |  vivo stoichiometry mice |  sarin soman |  rhesus monkeys |  molar concentration
    KOL Index score: 3751

    Immunoglobulin (Ig) E antibodies to galactose-α-1,3-galactose (α-Gal) are associated with delayed anaphylaxis to mammalian food products and gelatin-based foods (Commins et al., J Allergy Clin Immunol 2009;123:426; Caponetto et al., J Allergy Clin Immunol Pract 2013;1:302). We describe a patient with α-Gal allergy who successfully tolerated the live zoster vaccine and we review anaphylactic reactions reported to this vaccine. Our patient, who tolerated a vaccine containing the highest ...

    Also Ranks for: Anaphylactic Reactions |  hypersensitivity gelatin |  zoster vaccine |  mammalian food products |  α gal
    KOL Index score: 3524

    BACKGROUND: Gustatory rhinitis is a type of nonallergic rhinitis that is usually associated with ingestion of hot or spicy foods. Characteristics of this condition and its impact on food choices have not been studied.

    OBJECTIVE: To survey individuals regarding causative foods, association with atopic conditions, and food avoidance behaviors for gustatory rhinitis.

    METHODS: An original, self-administered questionnaire was distributed to children and adults who were seen in a busy ...

    Also Ranks for: Gustatory Rhinitis
    KOL Index score: 3065
    Also Ranks for: Solar Urticaria |  monoclonal antibodies |  photosensitivity disorders |  anti allergic |  humanized humans
    KOL Index score: 3038

    BACKGROUND: Although the framework and potential benefits for using telemedicine have been described, allergy-specific outcomes are often limited or have a narrow focus.

    OBJECTIVE: To determine the percentage of new and follow-up visits conducted via synchronous telemedicine requiring an in-person visit.

    METHODS: A retrospective review evaluating synchronous tele-allergy appointments in a hospital-based allergy clinic was performed.

    RESULTS: A total of 360 unique patients participated in ...

    Also Ranks for: Synchronous Telemedicine |  new patients |  allergic rhinitis |  food allergy |  humans hypersensitivity
    KOL Index score: 2896

    BACKGROUND: Telehealth continues to advance as a health care modality; however, reported experience for synchronous TeleAllergy is limited.

    OBJECTIVE: To determine the percentage of new and follow-up visits conducted via TeleAllergy in a hospital-based clinic.

    METHODS: A retrospective study evaluating the first 2 years of a synchronous patient-to-allergist TeleAllergy platform.

    RESULTS: A total of 112 synchronous TeleAllergy encounters were conducted from January 2014 through December ...

    Also Ranks for: New Followup Visits |  allergy consultations |  allergic rhinitis |  patient location |  humans hypersensitivity
    KOL Index score: 2698

    Introduction: U.S. military forces have engaged in combat in mature areas of operations (AOs) in Iraq and Afghanistan that allow for casualty evacuation to definitive surgical care within "The Golden Hour." Future combat casualty care will be complex and challenging. Facing the medical demand of the Multi-Domain Battlefield remains an uncertain problem set. What can be anticipated is that a near peer adversary will not allow freedom of movement, air superiority, or uninterrupted ...

    Also Ranks for: Military Medicine |  austere operational |  procedural telementoring |  remote expert |  resource limited


    Kirk H Waibel: Influence Statistics

    Sample of concepts for which Kirk H Waibel is among the top experts in the world.
    Concept World rank
    tele allergy #1
    command europe #1
    aspiration immunotherapy injection #1
    vh ranged #2
    371 readiness exams #2
    142 providers #2
    telemedicine analyses #2
    allergy community specialty #2
    vh electronic #2
    275 650 #2
    423 synchronous #2
    smooth scar sequela #2
    teleallergy outcomes #2
    basis 423 visits #2
    sequela prevaccination counseling #2
    recommendation tele #2
    specialtyspecific vh #2
    1827 new consultations #2
    718 outcomes #2
    dha mtfs #2
    intangible savings #2
    lesion scar site #2
    2962 unique patients #2
    prevaccination counseling addition #2
    ability allergy specialty #2
    telehealth allergy services #2
    followup teleallergy visits #2
    patient cohorts efforts #2
    levels allergy community #2
    allergyspecific outcomes #2
    1187 followup visits #2
    synchronous vh #2
    incorporate synchronous #2
    hospitalbased allergy clinic #2
    basis 423 #2
    360 unique patients #2
    potential scar complications #2
    periodic scar surveillance #2
    telehealth allergy #2
    synchronous virtual health #2
    423 visits #2
    smooth scar #2
    718 telemedicine #2
    virtual health outcomes #2
    solar urticaria omalizumab #3
    initial ongoing efforts #3
    telehealth specialty #3
    vh visits #3
    increased concentration patients #3
    scar surveillance #3

    Key People For Biphasic Reactions

    Top KOLs in the world
    Hugh A> Sampson
    food allergy atopic dermatitis specific ige
    Simon G A Brown
    australian snakebite project jack jumper ant venom
    Carlos Arturo Camargo,
    emergency department acute asthma united states
    F Estelle R Simons
    allergic rhinitis mosquito allergy atopic dermatitis
    Ronna L Campbell
    emergency department united states biphasic reactions
    Dean Darrel Metcalfe
    mast cells bone marrow stem cell factor

    Kirk H Waibel:Expert Impact

    Concepts for whichKirk H Waibelhas direct influence:Biphasic reactions,  Penicillin allergy,  Allergic rhinitis,  Smallpox vaccination,  Gustatory rhinitis,  Vaccination site,  Smallpox vaccine,  Organophosphorus compounds.

    Kirk H Waibel:KOL impact

    Concepts related to the work of other authors for whichfor which Kirk H Waibel has influence:Biphasic reactions,  Allergic rhinitis,  Chronic urticaria,  Nerve agents,  Intranasal corticosteroids,  Guinea pigs,  Egg allergy.



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    Aspire Allergy & Sinus, San Antonio, Tex; Department of Pediatrics, Long Medical School, San Antonio, Tex. Electronic address: dr.waibel@aspireallergy.com. | Regional Telehealth Department, Ward 4D, Building 3766, Landstuhl Regional Medical Center, L