The Experts below are selected from a list of 14892 Experts worldwide ranked by ideXlab platform
Declan Butler - One of the best experts on this subject based on the ideXlab platform.
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CNRS reform will boost strategic Advice
Nature, 1998Co-Authors: Declan ButlerAbstract:paris France's national research agency wants to reinforce the input of Independent Advice on scientific strategy at every level of its management.
Patrick J E Bindels - One of the best experts on this subject based on the ideXlab platform.
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Nurse telephone triage in out-of-hours GP practice: determinants of Independent Advice and return consultation
BMC family practice, 2006Co-Authors: Eric P. Moll Van Charante, Gerben Ter Riet, Sara Drost, Loes Van Der Linden, Niek S. Klazinga, Patrick J E BindelsAbstract:Nowadays, nurses play a central role in telephone triage in Dutch out-of-hours primary care. The percentage of calls that is handled through nurse telephone Advice alone (NTAA) appears to vary substantially between GP cooperatives. This study aims to explore which determinants are associated with NTAA and with subsequent return consultations to the GP. For the ten most frequently presented problems, a two-week follow-up cohort study took place in one cooperative run by 25 GPs and 8 nurses, serving a population of 62,291 people. Random effects logistic regression analysis was used to study the determinants of NTAA and return consultation rates. The effect of NTAA on hospital referral rates was also studied as a proxy for severity of illness. The mean NTAA rate was 27.5% – ranging from 15.5% to 39.4% for the eight nurses. It was higher during the night (RR 1.63, CI 1.48–1.76) and lower with increasing age (RR 0.96, CI 0.93–0.99, per ten years) or when the patient presented >2 problems (RR 0.65; CI 0.51–0.83). Using cough as reference category, NTAA was highest for earache (RR 1.49; CI 1.18–1.78) and lowest for chest pain (RR 0.18; CI 0.06–0.47). After correction for differences in case mix, significant variation in NTAA between nurses remained (p < 0.001). Return consultations after NTAA were higher after nightly calls (RR 1.23; CI 1.04–1.40). During first return consultations, the hospital referral rate after NTAA was 1.5% versus 3.8% for non-NTAA (difference -2.2%; CI -4.0 to -0.5). Important inter-nurse variability may indicate differences in perception on tasks and/or differences in skill to handle telephone calls alone. Future research should focus more on modifiable determinants of NTAA rates.
Mitsuo Tagaya - One of the best experts on this subject based on the ideXlab platform.
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BSE fostered by cosinesss and lack of Independent Advice.
Nature, 2001Co-Authors: Mitsuo TagayaAbstract:Japan needs experienced scientists in positions of power to make reliable assessments of government Advice
Eric P. Moll Van Charante - One of the best experts on this subject based on the ideXlab platform.
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Nurse telephone triage in out-of-hours GP practice: determinants of Independent Advice and return consultation
BMC family practice, 2006Co-Authors: Eric P. Moll Van Charante, Gerben Ter Riet, Sara Drost, Loes Van Der Linden, Niek S. Klazinga, Patrick J E BindelsAbstract:Nowadays, nurses play a central role in telephone triage in Dutch out-of-hours primary care. The percentage of calls that is handled through nurse telephone Advice alone (NTAA) appears to vary substantially between GP cooperatives. This study aims to explore which determinants are associated with NTAA and with subsequent return consultations to the GP. For the ten most frequently presented problems, a two-week follow-up cohort study took place in one cooperative run by 25 GPs and 8 nurses, serving a population of 62,291 people. Random effects logistic regression analysis was used to study the determinants of NTAA and return consultation rates. The effect of NTAA on hospital referral rates was also studied as a proxy for severity of illness. The mean NTAA rate was 27.5% – ranging from 15.5% to 39.4% for the eight nurses. It was higher during the night (RR 1.63, CI 1.48–1.76) and lower with increasing age (RR 0.96, CI 0.93–0.99, per ten years) or when the patient presented >2 problems (RR 0.65; CI 0.51–0.83). Using cough as reference category, NTAA was highest for earache (RR 1.49; CI 1.18–1.78) and lowest for chest pain (RR 0.18; CI 0.06–0.47). After correction for differences in case mix, significant variation in NTAA between nurses remained (p < 0.001). Return consultations after NTAA were higher after nightly calls (RR 1.23; CI 1.04–1.40). During first return consultations, the hospital referral rate after NTAA was 1.5% versus 3.8% for non-NTAA (difference -2.2%; CI -4.0 to -0.5). Important inter-nurse variability may indicate differences in perception on tasks and/or differences in skill to handle telephone calls alone. Future research should focus more on modifiable determinants of NTAA rates.
Marta Hugas - One of the best experts on this subject based on the ideXlab platform.
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Challenges and prospects of the European Food Safety Authority biological hazards risk assessments for food safety
Current Opinion in Food Science, 2017Co-Authors: Francesca Latronico, Sandra Correia, Teresa Da Silva Felicio, Michaela Hempen, Winy Messens, Angel Ortiz-pelaez, Pietro Stella, Ernesto Liebana, Marta HugasAbstract:The Panel on Biological Hazards (BIOHAZ) is a scientific panel of the European Food Safety Authority that provides Independent Advice and performs risk assessment (RA) on biological hazards in the food and feed chain. The scientific outputs carried out during 2012–2016, covering a wide range of biological hazards for food safety, are presented in this review. The RA methodology applied by BIOHAZ Panel has evolved overtime, and varies from structured qualitative RA to the application of quantitative microbiological RA whenever possible and appropriate. Some of the future challenges envisaged include the new risks due to changes in food consumption and habits, the use of molecular typing methods for RA and the improvement in methodology via enhanced data collection for RA and integration of new methodologies.
