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Newberg, OR, United States

Kendall B.A.,Providence Newberg Medical Center | Kendall B.A.,University of Utah | Varley C.D.,Oregon Health And Science University | Hedberg K.,Oregon Public Health Division | And 2 more authors.
International Journal of Tuberculosis and Lung Disease | Year: 2010

We looked for non-tuberculous mycobacteria (NTM) in the sputum of patients diagnosed with pulmonary tuberculosis (TB) in Oregon in 2005-2006 (n = 141). Twenty (14%) patients had NTM isolated from sputum during TB treatment. Compared to those without NTM, TB patients with NTM were more likely to have cavitary disease (RR 2.7, 95%CI 1.2-6.0) and were more likely to be born in the United States (RR 2.4, 95%CI 1.1-5.3). Further study is needed to determine the clinical signifi cance of simultaneous isolation of NTM and TB. © 2010 The Union.

Jurecska D.E.,George Fox University | Jurecska D.E.,Childrens Hospital Oakland Research Institute | Peterson M.A.,George Fox University | Turgensen J.N.,George Fox University | Florea J.,Providence Newberg Medical Center
Journal of Pain Management | Year: 2012

In this study we evaluate the implementation of a narcotic policy in the treatment of chronic pain. Design: The data was analyzed from the 36 months of medical records for 91 chronic pain patients who presented at the emergency department (ED) of a general medical center in a rural area. Measures: ED recidivism as a result of the implementation of a non-narcotic policyand adherence rates to narcotics policy. Results: A repeated measures ANOVA was calculated to examine the effects of recidivism for those who interacted with the implementation of an EDnon-narcotic policy. As expected, the implementation of the non-narcotic policy significantly reduced ED recidivism (F(1.833, 74) = 72.333, P< 0.0005). Odds ratio showed unexpected variability between providers in adherence to policy (Odds ratio 5.7). Conclusion: These results suggest that having a narcotic policy that limits opioid administration, includes a referral to a primary care provider, and an alternative and complementary treatment optionmay reduce ED recidivism for patients with chronic pain. Furthermore, the data may be useful in setting standards of care for chronic pain services. © Nova Science Publishers, Inc.

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