Arch Neurol Chicago
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In striving to improve the quality of patient care, today's academic neurology department faces special problems. Factors that are inherent in the department's broader academic mission and in the organization of a major teaching hospital can compromise practice efficiency, reduce ease of access, and undermine cost competitiveness. ⋯ A major challenge for the academic department is to validate the quality and efficiency of its current services while assuming a leadership role in the development of new approaches to quality improvement. This challenge must be met without losing sight of the department's equally important parallel commitments to research and education.
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Arch Neurol Chicago · Sep 1997
Apolipoprotein E phenotype and cognitive decline in a prospective study of elderly community women.
To determine whether apolipoprotein E (Apo E) phenotype is associated with cognitive decline in community-dwelling nondemented elderly women. ⋯ Apolipoprotein E epsilon 4 is associated with cognitive decline in community-dwelling nondemented women.
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Arch Neurol Chicago · Sep 1997
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of divalproex with propranolol and placebo for the prophylaxis of migraine without aura.
To compare the efficacy of divalproex sodium (Depakote) with that of propranolol hydrochloride (and placebo) for the prophylaxis of migraine without aura. ⋯ No significant difference was identified between divalproex and propranolol for the prophylaxis of migraine without aura.
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Arch Neurol Chicago · Jul 1997
Patent foramen ovale in patients with cerebral infarction. A transesophageal echocardiographic study.
To determine the frequency of patent foramen ovale (PFO) among various subtypes of cerebral infarction. To determine whether any historical or clinical characteristics predict the presence or absence of PFO in these patients. ⋯ Although PFO was overrepresented in patients with infarcts of uncertain in our and other studies, it has a high frequency among patients with cerebral infarction of all types. The relation between PFO and stroke requires further study.
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Arch Neurol Chicago · Jul 1997
The impact of neurologic disease on hospitalizations related to human immunodeficiency virus infection in Maryland, 1991-1992.
To determine the impact of neurologic disease on length of stay and total hospital charges for hospitalizations related to human immunodeficiency virus (HIV) infection. ⋯ Neurologic disease increases the length of stay and total hospital charges of HIV-infected patients.