Introduction: Primary gastric lymphoma (PGL) is a rare tumor, whose differential diagnosis may become complicated without precise immunohistochemistry (IHC) and genetic analysis. Case Presentation: A 33-year-old woman presented with gastric cancer and had undergone gastrectomy without precise IHC and staging in another center. Inappropriate IHC after surgery showed diffuse large B-cell lymphom...

This dissertation studies three topics in modern Chinese economic development. The problems tackled include the determinants of city size distribution and economy growth, the impact of privatization of the state-owned enterprises (SOEs), and the relationship between executive compensation and …rm-level risk. Chapter 1 documents the emergence of Zipf’s law in China, using a new database containi...

BACKGROUND Characterizing patient complexity using granular electronic health record (EHR) data regularly available to health systems is necessary to optimize primary care processes at scale. OBJECTIVE To characterize the utilization patterns of primary care patients and create weighted panel sizes for providers based on work required to care for patients with different patterns. METHODS We...

BACKGROUND At present, there are no guidelines on prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands. The first step towards implementing guidelines is the development of a set of quality indicators for prevention and management of postpartum haemorrhage for primary midwifery supervised (home) birth in the Netherlands. METHODS A RAND modified Delp...

This report is the outgrowth of the Atmospheres Panel meeting held in September 1991. The Panel was asked to either endorse or reject the CEES and IPCC research priorities for global change and to indicate which EOS candidate instruments, in the Panel's opinion, made the most significant contributions to answering the scientific questions associated with the CEES and IPCC priorities. After some...

BACKGROUND Patient involvement has only recently received attention as a potentially useful approach to patient safety in primary care. OBJECTIVE To summarize work conducted on a scoping review of interventions focussing on patient involvement for patient safety; to develop consensus-based recommendations in this area. METHODS Scoping review of the literature 2006-2011 about methods and eff...

BACKGROUND While mental health is a core part of primary care, there are few validated quality measures and little relevant internationally published research. Consensus panel methods are a useful means of developing quality measures where evidence is sparse and/or opinions are diverse. However, little is known about the dynamics of consensus techniques and the factors that influence the judgem...

OBJECTIVE Opioids are being prescribed at increasing rates in primary care practices, and among individual providers there is significant variability in opioid prescribing. Primary care practices also vary significantly in complexity of their patients, ranging from healthy patients to those with multiple comorbidities. Our objective was to examine individual primary care providers for an associ...