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OBJECTIVE The purpose of this study was to compare the impact of trauma patient outcomes before and after Level II American College of Surgeons (ACS) verification was received in a not-for-profit community hospital. METHODS This was a retrospective analysis of hospital discharge data for timeframes before and after Level II ACS verification was conducted.(More)
Objective: The purpose of this study was to determine whether there is an increase in expression of bcl-2 and related bcl-2 gene family members bcl-X and bax in liver biopsy samples obtained from patients with either hepatitis C infection or cirrhosis. Bcl-2, bcl-X, and bax, as well as other bcl-2–related proteins, function coordinately through homo- and(More)
Although benefits of performance measurement (PM) systems have been well documented, there is little research on negative unintended consequences of performance measurement systems in primary care. To optimize PM systems, a better understanding is needed of the types of negative unintended consequences that occur and of their causal antecedents. (1)(More)
Gastroesophageal reflux is a common condition caused mainly by motility disorders of the upper gastrointestinal tract. The most effective therapy combines acid suppression with a promotility agent. Nizatidine is a well-tolerated and effective histamine-2 (H2)-receptor antagonist used to suppress gastric acid secretion. Animal and human studies have(More)
PURPOSE Extending the scheduled return visit interval has been suggested as one means to improve clinic access to the provider. However, prolonging the return visit interval may affect quality of care if prevention measures and chronic disease management receive less attention as clinic visits become less frequent. The purpose of this study was to determine(More)
A system to predict which patients will suffer medical complications or poor financial outcomes during a hospitalization would be very useful to providers of medical care. To develop such a system, we applied two previously developed indices that predict in-hospital complications to all 321,558 adult patients discharged from our hospital network. The(More)
Inflammatory pseudotumor of the liver is a rare benign lesion that usually has been discovered at laparotomy and treated by hepatic resection. We report a case of hepatic pseudotumor that was treated without surgery and that subsequently spontaneously resolved. Hepatic pseudotumor occur in all age groups, but most commonly in middle-aged adults, with a(More)
A retrospective study of 100 consecutive cases of autopsy-proved acute myocardial infarction has disclosed a surprisingly low frequency (53%) of correct antemortem diagnoses. Incorrect diagnoses seemed to be caused by (1) unjustified dependence on misleading laboratory studies, (2) inattention to suggestive or diagnostic laboratory studies, (3) atypical or(More)
Inflammatory pseudotumor of the liver is a rare entity; fewer than 50 cases have been reported in the world literature. Its appearance on both computerized tomography (CT) and ultrasound have been previously described. To our knowledge, this is the first report of its appearance on magnetic resonance imaging (MRI). The lesion demonstrated increased signal(More)