James S. Larson

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The SF-36 is a practical and widely-tested instrument for measuring health status and medical outcomes. This article is not a critique of the SF-36, rather, it underscores its viability as an instrument for measuring physical and mental health and well-being. The article is a conceptual analysis of the SF-36, from the viewpoint of four models of health:(More)
This article reviews quality of health care initiatives beginning with the quality assessment/quality assurance movement of the 1970s. Conceptually, modern quality of care management is rooted in the intellectual work of Avedis Donabedian who defined quality of care as a combination of structure, process, and outcome. Donabedian's model is presented and(More)
Previous studies have suggested that breast cancer patients with a delay of three months or more in initiating radiotherapy after breast conservative surgery, have increased recurrence and lower survival than those without treatment delay. In this study, the inequalities in receiving radiation on time after surgery were identified in five areas--patient's(More)
The purpose of the study is to assess the outcome of the Expanded Program on Immunization (EPI) in Nigeria, as well as to examine systemic factors influencing its high under-five mortality rate (UFMR). The principal objective of the EPI program when it was implemented in 1978 was to reduce mortality, morbidity and disability associated with six vaccine(More)
Providers of geriatric care in Arkansas were surveyed to determine the desire for more information on their specialty as well as opportunities for further training. Those in the nursing profession were most interested in further training, and the major area of interest for all providers was in cognitive decline and mental health information. Specifically,(More)
\Super Monaco" is the successor to Monaco, a shared-memory multiprocessor implementation of a at concurrent logic programming language. While the system retains, by-and-large, the older Monaco compiler and intermediate abstract machine, the intermediate code translator and the runtime system have been completely replaced, incorporating a number of new(More)
The sequencing of the human genome represents the most important scientific discovery of out age. What can the medical community expect from government in applying the new technology? The major government initiative, the Human Genome Project, is due to be completed in 2005 but a number of important issues remain. Genetic therapy promises to be the most(More)
This article is written from personal experiences with the recent death of the authors' mother. It highlights the problems the authors encountered, while acknowledging the positive aspects of treatment during a difficult time. The overall purpose is to improve end-of-life care by advancing policy through research, legislation, and education. The impetus for(More)