Mathias B Forrester

..This study describes the pattern of adolescent synthetic cathinone exposures reported to a large, statewide poison center system...

..43, 95% CI 1.03-2.05). Compared to marijuana, synthetic cannabinoid exposures were more likely to be used through inhalation, to involve adults, to be used at a residence, and to result in serious outcomes...

..Work-related accidents involving hydrofluoric acid can result in serious injury and death. The intent of this investigation was to describe work-related hydrofluoric acid exposures in Texas...

..Surveillance of any laundry detergent exposures would have identified these calls almost immediately...

..This study describes the pattern of adolescent synthetic cannabinoid exposures reported to a large statewide poison center system...

..However, the use of synthetic cannabinoids may result in a variety of adverse effects...

..Among the novel classes of synthetic "designer" drugs that have become increasingly popular among recreational drug users are synthetic cathinones. There is limited information on exposures to these substances...

....

..4% in 2000 to 17.8% in 2010. The opioid analgesic rate per 100,000 was highest (90.15) in northeastern Texas and lowest (27.91) in the southern part of the state...

..This was the case for all of the poison control centers and all of the specific SSRI...

..Little data exist on potentially adverse valsartan ingestions reported to poison control centers...

..With proper treatment, the outcomes of such exposures are generally favorable...

..Potentially adverse isolated GEM ingestions reported to poison control centers generally do not involve serious medical outcomes and are successfully managed at home with a favorable outcome...

..6% versus 91.2%). Using 6 mg as a threshold dose for referral to a healthcare facility, 78% of cases not already at/en route to a healthcare facility were managed according drafted triage guidelines...

..Pediatric montelukast ingestions of doses up to 536 mg or 33.71 mg/kg do not appear likely to result in serious adverse effects and usually can be managed at home...

..Information on the management of potentially adverse exposures to clopidogrel is limited...

..The management of patients with severe outcomes was more likely to involve health care facilities. Such information is useful for creating triage guidelines for the management of adult glyburide ingestions...

..76, CI 10.62-55.67). The management of patients with severe outcomes was more likely to involve health care facilities. Such information is useful for creating of triage guidelines for the management of adult lisinopril ingestions...

..The management of patients with serious outcomes were more likely to involve health care facilities. Such information is useful for creating triage guidelines for the management of escitalopram ingestions...

..The majority of potentially adverse statin exposures reported to poison control centers may be successfully managed at home with favorable outcomes. The pattern of exposures differs with age...

..Dipyrone is an analgesic and antipyretic agent. The purpose of this study was to describe the pattern of dipyrone exposures reported to poison centers...

..49; CI: 9.04-194.94). The management of patients with severe outcomes was more likely to involve health care facilities. This information is useful for drafting triage guidelines for the management of pediatric lisinopril ingestions...

..Proton pump inhibitor exposures differed with patient age. In the majority of instances, potentially adverse proton pump inhibitor exposures reported to poison control centers may be successfully managed at home with favorable outcome...

..On 24 September 2005, Hurricane Rita made landfall in eastern Texas, resulting in the mandatory evacuation of 16 counties and declaration of disaster areas in 22 counties afterward...

..The purpose of this study was to examine time trends in SSRI exposures reported to poison control centres in Texas with respect to the timing of the various advisories...

..Using 5000 mg as a threshold dose for referral to a health care facility, 91% of cases not already at or en route to a health care facility were managed according drafted triage guidelines...

..9% of the exposures. The most frequently reported clinical effects were tachycardia (37.3%), agitation (18.5%), drowsiness (18.5%), vomiting (15.7%), hallucinations (10.8%), and nausea (9.9%)...

..The majority of patients were male (60.4%) and between 13 and 19 years of age (69.0%). A potentially serious outcome was assigned in 46.2% of the cases and 83.1% were managed at a health care facility...

..On 28 April 2009, the Texas Poison Center Network (TPCN) added a H1N1 message in English and Spanish to its IVR system. This study tested whether IVR technology could be used to assist Texas poison centers during the H1N1 outbreak...

..The objective of this study was to describe the pattern of pediatric carvedilol ingestions reported to poison centers...

..Most iguana bites reported to Texas poison centers did not result in serious effects and were managed on-site...

..The utilization of poison center data for research and surveillance depends on the complete and accurate coding of the data...

..8% for quetiapine, 65.5% for risperidone, and 59.0% for ziprasidone. The majority of acute atypical antipsychotic ingestions reported to Texas poison centers were managed according to a simplified version of recommended triage algorithm...

..8%, not followed but minimal clinical effects possible in 47.1%, and unable to follow but judged to be potentially toxic in 11.8%. Most Redotex calls to the Texas poison center system originated from counties bordering Mexico...

..The purpose of this study was to describe the pattern of metaxalone ingestions by young children reported to poison control centers...

..8%). Oseltamivir ingestions were reported to Texas poison centers primarily during periods of influenza outbreak. Most involved children, resulted from therapeutic error, and were managed on-site without serious outcome...

..This study also proposes triage guidelines for when ingestions can be safely managed at home...

..The distribution of zolpidem IR and CR ingestions reported to Texas poison control centers were similar. However, zolpidem CR ingestions appeared less likely to result in drowsiness and hallucinations but more likely to result in ataxia...

..All of the pediatric celecoxib ingestions reported to Texas poison control centers resulted in no or minor effect...

..The purpose of this study was to describe the pattern of zolpidem ingestions by young children reported to poison control centers...

..During an evacuation, certain calls such as those involving gasoline exposures may increase. After a hurricane, calls such as those involving carbon monoxide and gasoline exposures may increase...

..9% of the cases. Of the patients, 57.3% were women and 94.6% were age 20 or older. Suspected attempted suicide accounted for 59.3% of the cases and intentional misuse or abuse for 27.3%...

..This information can be used to focus education and prevention efforts at those populations with lower utilization of the Texas Poison Center Network...

..Adverse effects for isolated valdecoxib exposure involved only a small portion of patients that reported to the Texas poison control centers...

..Counties along the Gulf Coast accounted for 72.3% of the calls. This information can be used to identify those portions of the population most at need of education regarding the prevention and treatment of jellyfish stings...

..Most sildenafil calls were for human exposures or drug identification. The characteristics of human exposures such as the exposure reason and medical outcome were dependent on the presence of other substances...

..Poison centers and health care providers might want to consider these differences when targeting populations for education and prevention efforts...

..In 60% of the cases, the calls originated from counties along the coast. This information can be used to identify those portions of the population most in need of education regarding the prevention and treatment of stingray injuries...

..This information may allow school administrators and health care providers to implement prevention strategies...

..6 versus 16.7%). The majority of both abuse and non-abuse calls were managed outside of health care facilities (54.5 and 66.7%, respectively). None of the ingestions resulted in more than moderate clinical effects or death...

..Alprazolam abuse as compared to other exposures is more likely to occur outside of the person's home. Alprazolam abuse is more likely to involve some sort of adverse medical outcome...

..1% of the cases. Of those cases with a known medical outcome, 94.8% had no clinical effects. This study found folic acid exposures reported to poison centers were unlikely to have more than minor adverse affects...

..Although the majority of cases were managed with the assistance of health care facilities, the medical outcomes were usually not serious. Outcome depended on the route of exposure...

..Methylphenidate abusers are more likely to be adolescents. Methylphenidate abuse as compared to other exposures is more likely to occur outside of the person's home and to involve more serious medical outcomes...

..Oxycodone abuse calls in Texas are increasing. The proportion of calls varies by geographic region. Oxycodone abuse calls differ from other types of exposures with respect to both demographic factors and clinical management and outcome...

....

..Limited information exists on outcomes from adult ingestions of atomoxetine reported to poison control centers...

..The pattern of reported jimsonweed exposures in Texas was consistent with previously published literature...

..In conclusion, isolated and nonisolated aripiprazole exposures varied with respect to patient age, exposure reason, management site, and clinical outcome...

..When a similar analysis was performed for the entire state, call numbers were elevated only for chlorine gas calls and calls involving bronchospasm...

..The most frequently listed treatment was decontamination by dilution (43%) or food (32%). The majority of isolated celecoxib exposures could be managed outside of health care facilities, and the outcome was generally favorable...

..48%). Adderall abusers are more likely to be adolescents. Adderall abuse as compared to other exposures is more likely to occur outside of the person's home and involve more serious medical outcomes...

..The most frequently involved drugs were analgesics (particularly acetaminophen and hydrocodone), sedatives and related drugs (particularly alprazolam), and muscle relaxants (particularly carisoprodol)...

..Texas poison centers identified carisoprodol as a skeletal muscle relaxant that is subject to abuse, and this investigation explores the abuse reported by Texas poison centers...

....

..Given the level of detectable clinical effects of this intervention and the widespread availability of these agents, there is a need for better education of the public regarding the proper use of pepper spray and the effects of its use...

....

..The management of patients with serious outcomes was more likely to involve health care facilities. This information is useful for creating triage guidelines for the management of pediatric atomoxetine ingestions...

..These findings were consistent with the limited reports from on poison center regarding animal poisonings...

..The observed clinical effects and treatment methods were consistent with the literature...

..Lindane (gamma-benzene hexachloride), commonly used as a treatment for pediculosis, has been associated with adverse reactions and has recently undergone increased regulation...

..Poison centers need to be prepared with appropriate information prior to such attacks to provide to the public upon request...

..Poison centers need to be aware of this when providing information to patients and recommending treatment...

..The clinical effects and treatments codes matched their text field for 72.6% and 82.4% of occurrences respectively. This under-reporting of clinical effects and treatments has surveillance and public health implications...

..This information is useful for identifying those populations at greatest risk for the respective spider bites...

..The death rate from poisoning was slightly lower in Texas. Knowledge of the human exposure calls to particular poison centers allows the poison centers to use their resources most efficiently...

..The exposure site was the patient's own residence for 93.9% of the cases. The management site was not a health care facility for 95.8% of cases, and there were minor effects in 88.4% of cases with a known clinical outcome...

..Anotia and microtia rates varied significantly according to maternal race/ethnicity, infant sex, plurality, birth weight, and gestational age...

....

..07, 95% CI 2.22-6.83). In spite of under detection of cases, many aspects of the epidemiology of triploidy identified in a population-based birth defects registry were consistent with that reported in the literature...

..However, for several categories, precurrence risk of birth defects of the same organ system or the same specific birth defect was substantially elevated...

..For at least several structural birth defects, exclusion of cases with chromosomal abnormalities significantly underestimated the birth prevalence. This underestimation may be important, depending on the purpose of the analysis...

..CONCLUSIONS: Cystic hygroma rates were not found to be associated with delivery year or plurality, but were associated with maternal age, race and ethnicity, residence at delivery, and sex...

....

..70% and for native Hawaiians was 4.75%. After adjusting for maternalage, the rates were lower among native Hawaiians for 40 (74.1%) of 54 selected birth defects...

..However, the findings suggest possible patterns of occurrence. Additional studies involving larger numbers of cases are recommended...

..The presence of a chromosomal abnormality or other structural birth defect increases the mortality rate, and mortality rates for the majority of birth defects have declined in Hawaii during the study period...

..To determine whether this fortification reduced rates for birth defects in Hawaii, rates were calculated before and after fortification. Of the 19 birth defects categories studied, the rates for 16 were lower after fortification...