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Frequent caller

Todd Chassee, Diann Reischmann, Michael Mancera, John D Hoyle
BACKGROUND: Prehospital pediatric drug dosing errors affect 56,000 U.S. children annually. An accurate weight is the first step in accurate dosing. To date, the accuracy of Emergency Medical Dispatcher (EMD) obtained weights has not been evaluated. We hypothesized that EMD could obtain accurate pediatric weights. METHODS: We used a convenience sample of patients 12 years and younger that were transported by EMS to one children's hospital. EMD obtained patient weight (DW) from the 9-1-1 caller...
September 30, 2016: Prehospital Emergency Care
Clara Crunkhorn, Mieke van Driel, Van Nguyen, Treasure McGuire
AIM: This study explored consumer knowledge gaps and concerns regarding medication use in children. METHODS: Calls concerning or made by people under 18 to the pharmacist-operated, national consumer medicines call centre National Prescribing Service Medicines Line (2002 to June 2010) were analysed. Calls were classified and narratively explored by age group: <1, 1-4, 5-14 and 15-17 years. Consumer Medication Information (CMI) and evidence-based resources were examined to determine information concordance for common questions...
September 23, 2016: Journal of Paediatrics and Child Health
Inger K Holmström, Anna Krantz, Lena Karacagil, Annelie J Sundler
AIM: To: (a) describe how telephone nurses define a frequent caller; and (b) describe their experiences with calls from frequent callers to primary healthcare centres. BACKGROUND: Telephone nursing has been noted to be a cost-effective method to enhance access to and use of health care. Some patients use these services extensively and are called 'frequent callers'. Little is known about this group of callers, the reasons behind these calls and telephone nurses' experiences and strategies to manage the calls...
September 21, 2016: Journal of Advanced Nursing
K K Lehm, M S Andersen, I S Riddervold
OBJECTIVE: In Denmark, calls to the Danish emergency number 1-1-2 concerning medical emergencies are received by an emergency medical communication center (EMCC). At the EMCC, health care professionals (nurses, paramedics, and physicians) decide the necessary response, depending on the level of emergency as indicated by the Danish Index for Emergency Care. The index states 37 main criteria (symptoms) and five levels of emergency, descending from A (life threatening) to E (not serious)...
September 14, 2016: Prehospital Emergency Care
Janetta R Hakovirta, Samantha Prezioso, David Hodge, Segaran P Pillai, Linda M Weigel
Analysis of 16S ribosomal RNA (rRNA) genes is important in phylogenetic classification of known and novel bacterial genera and species and for detection of uncultivable bacteria. PCR amplification of 16S rRNA genes with universal primers produces a mixture of amplicons from all rRNA operons in the genome, and the sequence data is generally a consensus sequence. We describe here valuable data that is missing from consensus sequences, variable effects on sequence data generated from non-identical 16S rRNA amplicons, and the appearance of data displayed by different sequence software...
August 31, 2016: Journal of Clinical Microbiology
Erika F Augustine, E Ray Dorsey, Robert A Hauser, Jordan J Elm, Barbara C Tilley, Karl K Kieburtz
BACKGROUND: Communicating with trial participants is an important aspect of study conduct, relevant for informed consent and respect for participants. Group teleconferences are one means to convey information to trial participants. We used group teleconferences during an ongoing large-scale clinical trial to communicate important trial updates. METHODS: The National Institute of Neurological Disorders and Stroke Exploratory Trials in Parkinson's Disease Longitudinal Study-1 trial studied creatine for treatment of early-stage Parkinson's disease...
August 29, 2016: Clinical Trials: Journal of the Society for Clinical Trials
Tetsuo Maeda, Akira Yamashita, Yasuhiro Myojo, Yukihiro Wato, Hideo Inaba
PURPOSE: To investigate the impacts of emergency calls made using mobile phones on the quality of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) and survival from out-of-hospital cardiac arrests (OHCAs) that were not witnessed by emergency medical service (EMS). METHODS: In this prospective study, we collected data for 2530 DA-CPR-attempted medical emergency cases (517 using mobile phones and 2013 using landline phones) and 2980 non-EMS-witnessed OHCAs (600 using mobile phones and 2380 using landline phones)...
October 2016: Resuscitation
Hsiu-Huei Peng, Nai-Chung Chang, Kuo-Ting Chen, Jang-Jih Lu, Pi-Yueh Chang, Shih-Cheng Chang, Yah-Huei Wu-Chou, Yi-Ting Chou, Wanni Phang, Po-Jen Cheng
BACKGROUND: Nonsyndromic orofacial cleft is a common birth defect with a complex etiology, including multiple genetic and environmental risk factors. Recent whole genome analyses suggested associations between nonsyndromic orofacial cleft and up to 18 genetic risk loci (ABCA4, BMP4, CRISPLD2, GSTT1, FGF8, FGFR2, FOXE1, IRF6, MAFB, MSX1, MTHFR, MYH9, PDGFC, PVRL1, SUMO1, TGFA, TGFB3, and VAX1), each of which confers a different relative risk in different populations. We evaluate the nonsynonymous variants in these 18 genetic risk loci in nonsyndromic orofacial clefts and normal controls to clarify the specific variants in Taiwanese population...
2016: BMC Medical Genetics
Hidetada Fukushima, Micah Panczyk, Daniel W Spaite, Vatsal Chikani, Christian Dameff, Chengcheng Hu, Tonje S Birkenes, Helge Myklebust, John Sutter, Blake Langlais, Wu Zhixin, Bentley J Bobrow
AIM: Emergency medical telecommunicators can play a key role in improving outcomes from out-of-hospital cardiac arrest (OHCA) by providing instructions for cardiopulmonary resuscitation (CPR) to callers. Telecommunicators, however, frequently encounter barriers that obstruct the Telephone CPR (TCPR) process. The nature and frequency of these barriers in public and residential locations have not been well investigated. The aim of this study is to identify the barriers to TCPR in public and residential locations...
August 10, 2016: Resuscitation
Aves Middleton, Jane Gunn, Bridget Bassilios, Jane Pirkis
OBJECTIVE: To understand why some users call crisis helplines frequently. METHODS: Nineteen semi-structured telephone interviews were conducted with callers to Lifeline Australia who reported calling 20 times or more in the past month and provided informed consent. Interviews were audio-recorded and transcribed verbatim. Inductive thematic analysis was used to generate common themes. Approval was granted by The University of Melbourne Human Research Ethics Committee...
June 27, 2016: Patient Education and Counseling
Ewa A Bergmann, Bo-Juen Chen, Kanika Arora, Vladimir Vacic, Michael C Zody
MOTIVATION: Sequencing of matched tumor and normal samples is the standard study design for reliable detection of somatic alterations. However, even very low levels of cross-sample contamination significantly impact calling of somatic mutations, because contaminant germline variants can be incorrectly interpreted as somatic. There are currently no sequence-only based methods that reliably estimate contamination levels in tumor samples, which frequently display copy number changes. As a solution, we developed Conpair, a tool for detection of sample swaps and cross-individual contamination in whole-genome and whole-exome tumor-normal sequencing experiments...
June 26, 2016: Bioinformatics
Christopher J Walker, Mario A Miranda, Matthew J O'Hern, James S Blachly, Cassandra L Moyer, Jennifer Ivanovich, Karl W Kroll, Ann-Kathrin Eisfeld, Caroline E Sapp, David G Mutch, David E Cohn, Ralf Bundschuh, Paul J Goodfellow
Next-generation sequencing has revolutionized cancer genetics, but accurately detecting mutations in repetitive DNA sequences, especially mononucleotide runs, remains a challenge. This is a particular concern for tumors with defective mismatch repair (MMR) that accumulate strand-slippage mutations. We developed MonoSeq to improve indel mutation detection in mononucleotide runs, and used MonoSeq to investigate strand-slippage mutations in endometrial cancers, a tumor type that has frequent loss of MMR. We performed extensive Sanger sequencing to validate both clonal and subclonal MonoSeq mutation calls...
October 2016: Human Mutation
Stephanie M Lau, Treasure M McGuire, Mieke L van Driel
OBJECTIVES: To identify consumer information needs about paracetamol, the most commonly used analgesic and antipyretic worldwide. DESIGN: Retrospective analysis of medicines questions from the public. SETTING: Australian consumer medicines call centre. PARTICIPANTS: Callers to National Prescribing Service Medicines Line between September 2002 and June 2010 (n=123 217). MAIN OUTCOME MEASURES: Enquiry profile: demographics, enquiry type and concurrent medicines included in paracetamol calls; question themes derived from subset of call narratives...
2016: BMJ Open
Sophie Willis, Ann Slattery, William King, Kimberley Benner
OBJECTIVES: Although Americans aged 65 years and older account for only 13.0% of the population, they consume one-third of all prescription medications each year. Increased life expectancy, age-related deterioration in health, and polypharmacy lead to a significant risk of potential medication errors. National Poison Data System studies have evaluated the older adult population and their interaction with poison centers; however, descriptive studies using regional poison center data to evaluate older adult-related medication errors, specifically in Alabama, have not been conducted...
June 2016: Southern Medical Journal
Jane Pirkis, Aves Middleton, Bridget Bassilios, Meredith Harris, Matthew J Spittal, Izabela Fedszyn, Patty Chondros, Jane Gunn
BACKGROUND: This paper describes a program of work designed to inform a service model to address a challenge for telephone helplines, namely frequent callers. METHODS: We conducted a systematic literature review and four empirical studies that drew on different data sources-(a) routinely collected calls data from Lifeline, Australia's largest telephone helpline; (b) data from surveys/interviews with Lifeline frequent callers; (c) data from the Diagnosis, Management and Outcomes of Depression in Primary Care (diamond) study; and (d) data from Australia's National Survey of Mental Health and Wellbeing...
2016: International Journal of Mental Health Systems
Pamela K Strohfus, Sharon R Brown, Paige Potratz
AIM: The SHOT LINE Telephone Assistance Resource provides consistent and timely education to healthcare providers ensuring safe delivery of immunizations. BACKGROUND: A local health district created and implemented an advice line to assist healthcare personnel with immunization storage or administration questions. Healthcare workers with varying levels of education call with requests for information including vaccine administration, storage and handling, scheduling, contraindications, and timing...
September 2016: International Journal of Evidence-based Healthcare
Sanne Maartje Kloosterboer, Treasure McGuire, Laura Deckx, Geraldine Moses, Theo Verheij, Mieke L van Driel
BACKGROUND: Despite the high use of over-the-counter (OTC) cough and cold medicines, little is known about Australia's cough and cold medicines information needs. The aim of this study was to identify gaps in consumers' perceived knowledge and concerns, to better target consumer medicines information and improve quality use of medicines. METHODS: We analysed cough-and-cold related enquiries from consumers who contacted an Australian national medicine call centre between September 2002 and June 2010...
July 2015: Australian Family Physician
Hidetada Fukushima, Masami Imanishi, Taku Iwami, Hironori Kitaoka, Hideki Asai, Tadahiko Seki, Yasuyuki Kawai, Kazunobu Norimoto, Yasuyuki Urisono, Kenji Nishio, Kazuo Okuchi
BACKGROUND: We modified the dispatch protocol for cardiopulmonary resuscitation (CPR) using results of a retrospective analysis that identified descriptions by laypersons of possible patterns of agonal respiration. The purpose of this study was to assess the effectiveness of this modified protocol by comparing the frequency of dispatch instructions for CPR and bystander CPR before and after protocol implementation. We also identified descriptions of abnormal breathing patterns among 'Not in cardiac arrest (CA)' unresponsive cases...
2015: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Oren Musicant, Tsippy Lotan, Gila Albert
Smartphone usage while driving, a prominent type of driver distraction, has become a major concern in the area of road safety. Answers to an internet survey by 757 Israeli drivers who own smartphones were analyzed with focus on two main purposes: (1) to gain insights regarding patterns of smartphone usage while driving and its motivation, (2) to probe drivers' views on the perceived risk and the need to use smartphones while driving, as well as their willingness to use blocking apps that limit such usages. Phone calls and texting were found to be the most common usages while driving, hence, both were chosen to be further analyzed...
December 2015: Accident; Analysis and Prevention
Juan E Corral, Andres J Yarur, Liege Diaz, Okeefe L Simmons, Daniel A Sussman
BACKGROUND: Patients with inflammatory bowel disease (IBD) require close follow up and frequently utilize healthcare services. We aimed to identify the main reasons that prompted patient calls to gastroenterology providers and further characterize the "frequent callers". METHODS: This retrospective cross-sectional study included all phone calls registered in medical records of IBD patients during 2012. Predictive variables included demographics, psychiatric history, IBD phenotype, disease complications and medical therapies...
July 2015: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
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