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OBJECTIVES To establish the prevalence of HIV infection in rural South Africa and to investigate demographic factors that influence this prevalence. DESIGN An anonymous HIV seroprevalence survey was performed in conjunction with a population-based malaria surveillance programme. SETTING The rural area of northern Natal/KwaZulu, South Africa. (More)
OBJECTIVE To assess the impact of a health maintenance organization (HMO) hospitalist program on inpatient utilization. PATIENTS The study sample consisted of patients admitted to the hospital for a routine, uncomplicated acute surgical or medical diagnosis included under Milliman and Robertson's Optimal Recovery Guidelines (ORGs). Evaluation involved(More)
STUDY OBJECTIVES The purpose of this study was to describe the prevalence of polysomnographically diagnosed OSAS and to describe the severity of sleep associated gas exchange abnormalities (SAGEA) in habitually snoring children. We hypothesized that there would be a high prevalence of OSAS in obese children with habitual snoring and that the most overweight(More)
OBJECTIVE The goal of this study was to examine the relationship between quality of life (QOL) and symptoms of obstructive sleep apnea (OSA) as well as objectively measured severity of OSA using polysomnography (PSG) in a cohort of overweight and at risk for overweight children and adolescents. METHODS One hundred and fifty-one overweight subjects [90(More)
The study purpose was to determine if use of the Outcome-Based Quality Improvement (OBQI) model, including a subset of the outcome Assessment and Information Set (OASIS), enhanced outcomes for health maintenance organization (HMO) patients referred for care to six contracted home health agencies (HHAs). After four quarters of data-driven quality improvement(More)
As home health administrators select performance evaluation systems to meet the benchmark requirements of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), a frequently asked question is: Does rural versus urban locale influence patient outcomes? To answer the question, patient outcome data were collected from rural and urban home(More)
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