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VISTA's Architecture is an "Onion" with concentric layers of functions. At its core is a single shared database that all applications use. The Veterans Health Information Systems and Technology Architecture (VISTA) is the system of record for the clinical, administrative and financial operations of the Veterans Health Administration [1] VISTA consists of over 180 clinical, financial, and ...
In gastroenterology, esophageal pH monitoring is the current gold standard for diagnosis of gastroesophageal reflux disease (GERD). It provides direct physiologic measurement of acid in the esophagus and is the most objective method to document reflux disease, assess the severity of the disease and monitor the response of the disease to medical or surgical treatment.
In 1999, a review of existing studies found that, on average, 40% of GERD patients also had H. pylori infection. [39] The eradication of H. pylori can lead to an increase in acid secretion, [ 40 ] leading to the question of whether H. pylori -infected GERD patients are any different from non-infected GERD patients.
A more recent study published in 2020 [9] evaluated 25 patients post Stretta Procedure and the results concluded significant improvement in reflux symptoms and quality of life, lowering Heartburn Score (DeMeester score) [10] from 3.7 in women and 4.0 in men to 1.6±1 (p = 0.05) in women and 1.68±1.19 (p = 0.05) in men.
Laryngopharyngeal reflux (LPR) or laryngopharyngeal reflux disease (LPRD) is the retrograde flow of gastric contents into the larynx, oropharynx and/or the nasopharynx. [4] [5] LPR causes respiratory symptoms such as cough and wheezing [6] and is often associated with head and neck complaints such as dysphonia, globus pharyngis, and dysphagia. [7]
A VA inspector's September 2013 report noted that due to mismanagement, thousands of patients at the VA Medical center in Columbia had their appointments for colon cancer screenings delayed. This resulted in over 50 patients having a delayed diagnosis for colon cancer and some later died from the disease. [ 45 ]
The coalition’s main focuses are to protect patients’ access to appropriate treatments , oppose discrimination, advocate for patients’ rights and encourage the allocation of federal resources toward research and cures for chronic health conditions.
Harvard Business School (HBS) is the graduate business school of Harvard University, a private Ivy League research university.Located in Allston, Massachusetts, HBS owns Harvard Business Publishing, which publishes business books, leadership articles, case studies, and Harvard Business Review, a monthly academic business magazine.