Hugo D. Torres

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BACKGROUND Although efforts have been made to address disparities in access to trauma care in the past decade, there is little evidence to show if utilization has changed. We use patient-level data to describe the changes in utilization of trauma centers (TCs) in an 8-year period in California. METHODS We analyzed all statewide trauma admissions (n =(More)
Background Half of Americans have at least 1 chronic disease. Many in this group, particularly racial/ethnic minorities, lacked insurance coverage and access to care before the Patient Protection and Affordable Care Act (ACA) was enacted. Objective To determine whether the ACA has had an effect on insurance coverage, access to care, and racial/ethnic(More)
The system comprises geographic information of Topographic, Geologic, Soils distribution, Present land use, Potential land use and Climatic charts produced by CETENAL and a set of programs written in FORTRAN IV, including a flexible access language easy to master. It is therefore a Geographic Data Bank, whose information may be consulted and manipulated by(More)
BACKGROUND Pneumonia antibiotic timing performance measures can result in unnecessary antibiotic administration to patients in whom a diagnosis of pneumonia remains possible but has not been confirmed. OBJECTIVE Our objective was to determine if unnecessary antibiotic administration to admissions with Emergency Department (ED) congestive heart failure(More)
The literature on sustainable development published in advance of the 1992 United Nations Conference on the Environment and Development, in Rio de Janeiro, focuses on the social politics of the environment and the problems of the correlation of population and the environment. There is an intense preoccupation with the Brazilian environmental agenda and(More)
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