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This article assesses the validity of ambulatory administrative and encounter data and patient self-reported information compared with information contained in the ambulatory medical record for 17 chronic diseases. Using a sample of 213 adults (18 to 64 years old) and seniors (65 years and older) enrolled in a health maintenance organization and receiving(More)
The objective of this study was to assess and compare the relative accuracy of claims data and patient self-reported information with medical records for Pap smear rates. A retrospective analysis of information obtained from administrative claims files, patient medical records, and a telephone survey was performed of 400 women age 19 through 75 years who(More)
Two patients with longstanding Crohn's disease, who developed colonic carcinoma and showed associated "precancer" identical to that seen with ulcerative colitis, are reported. The first patient developed rectal adenocarcinoma at age 42 yr, 27 yr after the onset of symptoms while the second patient had a clinically silent small colonic carcinoma at the time(More)
OBJECTIVE First, to test the validity of self-reported quality of care and treatment measures compared with medical records and administrative data for: eye examinations, hemoglobin A1C tests, and use of insulin and oral agents for adult patients with diabetes; and secondly to assess the consistency between medical record information and administrative data(More)
Histopathologic features, blood chemistry, and hematologic features were studied in cynomolgus monkeys following intravascular or intrauterine administration of a 30-mg solution of quinacrine hydrochloride. Intrauterine quinacrine administration resulted in extensive necrosis of the endometrial surface, and lesions were observed at 24 hours after treatment(More)
Two juvenile robins (Turdus migratorius) died shortly after being captured in Baltimore, Maryland. Both had high erythrocytic parasitemias of mixed Plasmodium infections. Postmortem examination revealed large numbers of exo-erythrocytic malarial schizonts in the liver, spleen, lungs and brain of both cases. Avian malaria was considered the primary cause of(More)
BACKGROUND The spleen defends against infection from encapsulated organisms. Patients who have had splenectomies are at risk for the development of overwhelming pneumococcal infections. Guidelines recommend that pneumococcal vaccine be given to all patients who have splenectomies. METHODS This retrospective study was performed to evaluate compliance with(More)
Seventeen cases of abortions and stillbirths from a harem breeding colony of rhesus monkeys (Macaca mulatta) were studied to determine the role of aerobic bacteria in their etiology. Using histopathologic criteria correlated with bacterial cultures, the cause in 11 of 17 cases was found to be ascending infection with normal vaginal flora, most commonly(More)
In August 1991, three rural Alaska Public Health dentists made a professionally significant return visit to the Soviet Far East. The city of Magadan was the site for the first actual demonstration of portable American dental equipment and treatment techniques in this remote region of Russia. This exchange was held at several clinical locations and took(More)