Nancy Muller

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In the year 2000, an estimated 17 million community-dwelling adults in the United States had daily urinary incontinence (UI), and an additional 33 million suffered from the overlapping condition, overactive bladder. Estimates of the total annual cost of these conditions range up to 32 billion US dollar; the largest components are management costs and the(More)
Over the last 5 years, the National Association For Continence has sponsored epidemiologic surveys of adults across the United States in order to quantify the prevalence of bladder control problems in the community, to understand how quality of life of those people experiencing these medical disorders is affected, and what beliefs people in general hold(More)
This article presents a global overview of hepatitis B infant and adolescent immunization programmes. The 108 reported universal infant or adolescent immunization programmes and 87 reported national infant coverage rates fit a pattern, explained by hepatitis B endemicity, prosperity, policy emphasis, and immunization programme strength. Most East and(More)
Change related to increased public awareness and health-seeking behavior for continence care is fueling the demand for innovation in technology and products. The National Association for Continence (NAFC) has been working to demystify the subject of continence by supporting credible consumer research, networking with other organizations to construct and(More)
Multiple-use nozzle jet injectors (MUNJIs), a type of needle-free injector, use a high-pressure stream to penetrate skin and deliver medicament. Concerns for their potential to transmit blood borne pathogens led to development of a hybrid MUNJI for use in mass immunizations. The HSI-500, referred to here as a protector cap needle-free injector (PCNFI),(More)
The socioeconomic problems of urinary and fecal incontinence di€er from culture to culture. Therefore, it is impossible to make a general statement that is valid for the whole world. Incontinence is not a life-threatening condition. Indeed, in many countries, in particular in developing countries, incontinence is not regarded as a problem by the general(More)
Since the 1990s, rapid consolidation in the hospital sector has resulted in the vast majority of hospitals joining systems that already had a considerable presence within their markets. We refer to these important local and regional systems as "clusters." To determine whether hospital clusters have taken measurable steps aimed at improving the quality of(More)