Rosemarie Brager

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PURPOSE The purpose of this study was to test the feasibility of a new model of health care designed to improve the quality of life and the efficiency of resource use for older adults with multimorbidity. DESIGN AND METHODS Guided Care enhances primary care by infusing the operative principles of seven chronic care innovations: disease management,(More)
In a previous prospective study of 80 patients with squamous cell carcinoma of the upper aerodigestive tract, a progressive increase in expression of the integrin cell adhesion molecule alpha 6 beta 4 in suprabasilar cell layers of the tumor parenchyma was associated with an increase in early recurrence after therapy. In this study, we determined the(More)
The importance of cultural competency in all areas of American society is well accepted. Indeed, the evolving demographics of the country make it imperative. A wide range of educational and work settings has addressed the concept, from business and government to education and health. Cultural competency is particularly critical in the realm of healthcare,(More)
Difficulty in tracheostomy tube replacement can be life-threatening in a patient who is dependent on the tracheostomy for ventilation. The use of jet styles for tracheostomy tube replacement in these patients facilitates the tube exchange and allows for jet ventilation if any difficulty is encountered during the tube replacement. We describe two cases in(More)
Children who suffer from primary immunodeficiencies have long been thought to be subject to infections of the ears, nose, and throat due to unusual or resistant organisms. A retrospective chart review was undertaken at Children's Hospital of Pittsburgh from 1979 to 1989 to determine the types and frequency of infections of the ears, nose, and throat, and(More)
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