P H Shiono

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32,019 women completed a questionnaire on alcohol use at their first antenatal visit; thereafter they were followed to assess the incidence of spontaneous abortions. 51.7% reported drinking no alcohol in early pregnancy; 44.7% had less than 1 drink daily; and 2.4, 0.4, and 0.1% had an average of 1-2, 3-5, or more than 6 drinks respectively. Life-table(More)
A revolution in health care has taken place during the past decade in the United States. The revolution was ignited by skyrocketing health care costs 1 and fueled by the widespread public sentiment that the high cost of health care was the most important problem in the health care industry. 2 The health insurance industry and providers responded to the(More)
In recent years, states have increasingly turned to managed care arrangements for financing and delivering health services to Medicaid beneficiaries. In 1996, approximately 40% of all Medicaid recipients were enrolled in some form of managed care. The rapid escalation of managed care in this population has been fueled by states' desire to slow the growth of(More)
I n the Spring 1991 issue of The Future of Children on Drug-Exposed Infants, based on the best available evidence, it was estimated that between 2% and 3% of newborns may be cocaine-exposed and between 3% and 12% may be marijuana-exposed while in the womb. 1 Three new statewide surveys and two large surveys have since been completed. 2–6 These new studies(More)
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