Nicolas Lecea

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OBJECTIVES Successful colonoscopy preparation requires a method which is easy to administer. Simplifying this technique would be useful for adult and pediatric gastroenterologists. Most cleanout agents are not well tolerated by children. Polyethylene glycol without electrolytes (PEG3350 without electrolytes) has been used for constipation and bowel(More)
OBJECTIVES Extended care facility (ECF) patients who transfer to emergency departments (EDs) can pose problems when complicated health problems require extra resources. Higher numbers of older patients are projected to use EDs, so we aimed to identify problems now to implement solutions before they worsen in the future. DESIGN This was a prospective(More)
Environmental health crises can appear anywhere and without warning. After research revealed a significant incidence of elevated pediatric blood lead levels following a water source change, Genesee County declared a public health emergency in Flint, Michigan. Hospital patients and family members began approaching Hurley Medical Center's physicians with(More)
Fig. 1. Three month follow-ep showing improvement in psoriasis. Received February 7, 2011, Revised June 27, 2011, Accepted for publication August 8, 2011 Corresponding author: Nicolas Lecea, B.S., Hurley Medical Center, Flint, MI, USA 48503. Tel: 01-810262-6800, Fax: 01-810-262-4768, E-mail: This is an Open Access article distributed(More)
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