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At least 613 records · Page 34Linked to original sources
PubMed2005

Feasibility of early emergency room notification to improve door-to-balloon times for patients with acute ST segment elevation myocardial infarction.

An algorithm to lower time from first contact in the field by EMS personnel to in-hospital mechanical reperfusion is described. ECG tracings were telemetered via cellular phone to an emergency room physician, who then activated the cardiac catheterization call team to bypass usual delays seen during ER triage. Seventy-one ECGs were sent to the ER in the time interval from October 2003 to October 2004. Five ECGs (7.0%) failed to transmit due to failure of the cellular phone to receive an adequate signal. Sixty-six patients (93.0%) had an adequate ECG transmitted to the ER and six patients with ST elevation myocardial infarction were identified. Door-to-balloon times were lowered to 44 +/- 17.4 min, a substantial decrease over historical norms that range from 120 min (25th percentile) to 289 min (75th percentile).

Angioplasty, Balloon, Coronary↗
PubMed1991

Cumulative incidence of pertussis in an unvaccinated preschool cohort based on notifications, interview and serology.

The cumulative incidence of pertussis at six years of age in the first unvaccinated cohort after cessation of immunisation in Sweden was investigated by serological methods and by a validation of the national epidemiological surveillance system by reports from the Child Health Centres (CHCs). In 312/385 (81%) eligible children, both an interview with the parents and a blood sample from the child could be obtained. The CHC reports yielded a cumulative incidence of 31%, whereas the serological assays found 54%. Of the cases reported by the parents to the CHCs, 89% were seropositives. In the additional cases of pertussis reported at the study interview, only 61% could be confirmed (p less than 0.001). Among children with reported severe cough not suspected to be pertussis, 46% were seropositive, distributed as 33% seropositives in cases with cough duration of less than 4 weeks and 69% for longer coughs (p less than 0.01). In the CHC reports, the parental diagnosis was found to have been confirmed in three-quarters of cases by medical personnel. The CHC reporting system was thus found to be reliable with an observed specificity of 93%, but sensitivity of only 52%. Thus, even this surveillance system, which yields the highest incidence rates, underestimates the incidence of the disease.

Bordetella pertussis↗
PubMed1996

Notification of adverse health effects due to chemicals: two different ways in Germany.

The reporting of adverse health effects caused by chemical substances is regulated in Germany by the Ordinance on Industrial Diseases and the Chemical Substances Act. This retrospective analysis is based on the latest available annual reports for the year 1993, published by the Federal Ministry of Labor and Social Order, the Employers' Liability Insurance Associations and the Federal Institute of Consumer Health Protection and Veterinary Medicine. The list of occupational diseases (first published in 1925) currently includes diseases caused by a group of 27 chemicals. In 1993 there were 3,835 (3.5%) reported cases of suspected intoxication. Chemical substances caused 1.5% of all occupational accidents. In addition to this traditional procedure, it has even been necessary for physicians to report intoxications and diseases due to household chemicals and diseases attributed to environmental causes since 1990. Nation-wide 805 cases were registered in 1993. These figures reflect different legal conditions and show various outcomes. A result of this synopsis is, that the chemical industry in this country copes with the specific dangers of its trade, as accidents by fall and diseases due to physical effects are predominant. The applied preventive measures prove their value and are effective. Special attention should be paid to the correct use of chemicals by consumers and the risks for children.

Accidents↗
PubMed1991

[Comprehension and evaluation of drug risks through spontaneous notification].

Risk/benefit analysis of drugs requires not only the reporting and documentation of adverse drug reactions in clinical trials but also a spontaneous reporting system for the detection of rare adverse reactions to drugs. A central aspect of any spontaneous reporting system is assessment of causality on the basis of detailed case histories. However, besides the qualitative description of adverse drug reactions, information about the incidence of such reactions has to be obtained as well so that their frequency, and thus the risk involved, can be established.

Drug-Related Side Effects and Adverse Reactions↗
PubMed2006

Predictors of partner notification for C. trachomatis and N. gonorrhoeae: an examination of social cognitive and psychological factors.

Efforts to control chlamydial and gonococcal infections include notifying eligible sexual partners of possible infection, primarily by asking the diagnosed patient to notify their partners. This approach, known as patient referral, is widely used but poorly understood. The current study examined psychosocial and cognitive factors associated with patient referral among an urban, minority sample of 168 participants recently diagnosed with Chlamydia trachomatis or Neisseria gonorrhoeae. At a follow-up interview 1-month from diagnosis, participants were more likely to have notified all eligible partners if they had greater intention to notify at baseline (OR = 3.72; 95% CI = 1.34, 10.30) and if they had only one partner at baseline (OR = 4.08; 95% CI = 1.61, 10.31). There were also gender differences as well as differences based on type of partner (i.e., regular, casual, one-time). The implications of these findings for the design of programs to promote patient referral for sexually transmitted infections are discussed.

Adolescent↗