PURPOSE OF STUDY Chronic kidney disease (CKD) is a costly and burdensome public health concern. The goal of this study was to evaluate the impact on outcomes and utilization of a pilot program to identify and engage beneficiaries with CKD at risk for progression from Stage 4 to Stage 5. PRIMARY PRACTICE SETTINGS A quality improvement initiative was conducted to assess the impact of case manag...

BACKGROUND We created the orphan drug Human Botulism Immune Globulin Intravenous (Human) (BIG-IV), which neutralizes botulinum toxin, and evaluated its safety and efficacy in treating infant botulism, the intestinal-toxemia form of human botulism. METHODS We performed a five-year, randomized, double-blind, placebo-controlled trial statewide, in California, of BIG-IV in 122 infants with suspec...

Pleural empyema is a serious complication of pneumonia, its morbidity and mortality is important in developing country where hospital resources are limited. Different treatment strategies continue to generate controversy. We reported our experience in diagnosis and management of pleural empyema in children in a pediatric department in a development country.The early adequate surgical treatment ...

Indonesia is one of the countries with highest mortality rate for COVID-19 cases. The elderly group contributed death outcome, which was 48.9% total cases in Indonesia. This study aims to determine factors related outcome and length stay patients at Mataram University Hospital 2020-2021. a cross-sectional using consecutive sampling method obtained from medical records confirmed that had met inc...

the treatment of carbuncles is early administration of antibiotics and surgery. the commonest surgical approaches are saucerization, and incision and drainage (i&d;). although these two techniques are vastly different, there is a lack of evidence to determine which one produces a better outcome. three cases of carbuncles are presented to illustrate the contrasting surgical techniques and their ...

INTRODUCTION Outcome assessment is the standard for evaluating the quality of health services worldwide. In this study, outcome has been divided into immediate and final outcome. Aim was to compare an intervention hospital with a Continuous Quality Improvement approach to a control group using benchmark assessments of immediate outcome indicators in surgical care. Results were compared to final...

OBJECTIVE We investigated the association between lactate clearance or serum lactate levels and neurologic outcomes or in-hospital mortality in cardiac arrest survivors who were treated with targeted temperature management (TTM). METHODS A retrospective analysis of data from cardiac arrest survivors treated with TTM between 2012 and 2015 was conducted. Serum lactate levels were measured on ad...