J Timothy Harrington

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OBJECTIVE To develop new processes that assure more reliable, population-based care of fragility fracture patients. METHODS A 4-year clinical improvement project was performed in a multispecialty, community practice health system using evidence-based guidelines and rapid cycle process improvement methods (plan-do-study-act cycles). RESULTS Prior to this(More)
OBJECTIVE To review the 3-year performance of an established osteoporosis care service and consider further improvements in an effort to reduce fragility fractures. METHODS Osteoporosis care has been coordinated for all willing and able patients with orthopedic fragility fractures in our health system by a nurse and medical director since 2003, using a(More)
Fragility fractures are common, affecting almost one in two older women and one in three older men. Every fragility fracture signals increased risk of future fractures as well as risk of premature mortality. Despite the major health care impact worldwide, currently there are few systems in place to identify and "capture" individuals after a fragility(More)
OBJECTIVE To determine whether hip fracture patients, a group at very high risk for additional fragility fractures, are being evaluated and treated effectively for osteoporosis. METHODS Clinical and bone densitometry (dual x-ray absorptiometry [DXA]) records were reviewed in hip fracture patients at 4 Midwestern US health systems to determine the(More)
Arid and semi-arid lands are becoming increasingly important for food and fiber production worldwide. Windbreak and shelterbelts can improve the productivity of such lands, but their establishment can be difficult and/or expensive. This study examined the survival and growth of Arizona cypress (Cupressus arizonica) propagated in four different container(More)
Patient assessment in rheumatology is characterized by an important paradox: many extensively-characterized quantitative measures and indices have been developed for rheumatoid arthritis (RA), psoriatic arthritis, systemic lupus erythematosus (SLE), ankylosing spondylitis, vasculitis, osteoarthritis, fibromyalgia, and other rheumatic diseases. However, most(More)
Musculo-skeletal pain caused by neck and back injury, cumulative trauma to the upper extremities, fibromyalgia, and reflex dystrophy is an important cause of worker disability. Physicians are involved not only in the care of injured workers, but in providing independent medical opinions regarding such injuries. Advances in medical knowledge permit better(More)
Polymerase chain reaction-based direct amplification tests have been developed for many species of mycobacteria and fungi. Their applications in clinical medicine are evolving rapidly but are still not fully defined. Uncritical use of direct amplification tests for individual patients without a clear understanding of their limitations and how to integrate(More)
The selection of a bank is the key to personal and professional finance. In this world of specialization, it is advisable to seek a banker who can assist one with not only the routine banking functions but also with credit accommodations and financial planning which will result in both the successful operation of a profession and the achieving of a sound(More)