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  1. Book: Fundamentals of U.S. foreign trade policy

    Cohen, Stephen D / Blecker, Robert A / Cohen-Blecker-Whitney / Whitney, Peter D

    economics, politics, laws, and issues

    2003  

    Author's details Stephen D. Cohen; Robert A. Blecker; Peter D. Whitney
    Keywords Foreign trade regulation ; Free trade ; United States
    Language English
    Size XIV, 360 S, Ill
    Edition 2. ed
    Publisher Westview Press
    Publishing place Boulder, Colo. u.a.
    Document type Book
    Note Includes bibliographical references and index
    ISBN 0813340276 ; 0813398452 ; 9780813340272 ; 9780813398457
    Database Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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  2. Book ; Thesis: Die Arthroskopie des oberen Sprunggelenks

    Blecker, Ulf

    (Indikation, Technik und Ergebnisse)

    1991  

    Author's details vorgelegt von Ulf Blecker
    Size 91 S. : Ill.
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Bochum, Univ., Diss., 1992
    HBZ-ID HT003998350
    Database Catalogue ZB MED Medicine, Health

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    92 D 2714 order for loan Magazin

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  3. Book: Fundamentals of U.S. foreign trade policy

    Cohen, Stephen D / Blecker, Robert A / Paul, Joel R

    economics, politics, laws, and issues

    1996  

    Author's details Stephen D. Cohen; Joel R. Paul; Robert A. Blecker
    Keywords Außenhandelsrecht ; Außenhandelspolitik ; USA
    Language English
    Size XVI, 311 S, ill
    Publisher Westview Press
    Publishing place Boulder, Colo. u.a.
    Document type Book
    Note Includes bibliographical references and index
    ISBN 0813317460 ; 0813317479 ; 9780813317465 ; 9780813317472
    Database Former special subject collection: coastal and deep sea fishing

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  4. Article ; Online: Practice facilitation for scale up of clinical decision support for hypertension management: study protocol for a cluster randomized control trial.

    Blecker, Saul / Gannon, Matthew / De Leon, Samantha / Shelley, Donna / Wu, Winfred Y / Tabaei, Bahman / Magno, Janice / Pham-Singer, Hang

    Contemporary clinical trials

    2023  Volume 129, Page(s) 107177

    Abstract: ... into small primary care practices, where much of care delivery occurs in the U.S. Additionally ...

    Abstract Background: Only half of patients with hypertension have adequately controlled blood pressure. Clinical decision support (CDS) has the potential to overcome barriers to delivering guideline-recommended care and improve hypertension management. However, optimal strategies for scaling CDS have not been well established, particularly in small, independent primary care practices which often lack the resources to effectively change practice routines. Practice facilitation is an implementation strategy that has been shown to support process changes. Our objective is to evaluate whether practice facilitation provided with hypertension-focused CDS can lead to improvements in blood pressure control for patients seen in small primary care practices.
    Methods/design: We will conduct a cluster randomized control trial to compare the effect of hypertension-focused CDS plus practice facilitation on BP control, as compared to CDS alone. The practice facilitation intervention will include an initial training in the CDS and a review of current guidelines along with follow-up for coaching and integration support. We will randomize 46 small primary care practices in New York City who use the same electronic health record vendor to intervention or control. All patients with hypertension seen at these practices will be included in the evaluation. We will also assess implementation of CDS in all practices and practice facilitation in the intervention group.
    Discussion: The results of this study will inform optimal implementation of CDS into small primary care practices, where much of care delivery occurs in the U.S. Additionally, our assessment of barriers and facilitators to implementation will support future scaling of the intervention.
    Clinicaltrials: gov Identifier: NCT05588466.
    MeSH term(s) Humans ; Primary Health Care/methods ; Decision Support Systems, Clinical ; Delivery of Health Care ; Research Design ; Hypertension/therapy ; Randomized Controlled Trials as Topic ; Review Literature as Topic
    Language English
    Publishing date 2023-04-08
    Publishing country United States
    Document type Clinical Trial Protocol ; Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2182176-8
    ISSN 1559-2030 ; 1551-7144
    ISSN (online) 1559-2030
    ISSN 1551-7144
    DOI 10.1016/j.cct.2023.107177
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Movement Disorder Associated With Foreign Body Ingestion.

    Akingbola, Olugbenga / Singh, Dinesh / Blecker, Uwe

    Pediatrics

    2017  Volume 139, Issue 4

    Abstract: We present a case of recurrent bouts of irritability with arching, head extension, and lethargy in a previously healthy 10-month-old girl admitted to the PICU for acute onset of a movement disorder. The patient's vital signs and physical examination were ...

    Abstract We present a case of recurrent bouts of irritability with arching, head extension, and lethargy in a previously healthy 10-month-old girl admitted to the PICU for acute onset of a movement disorder. The patient's vital signs and physical examination were unremarkable but recurrent bouts of abnormal movements persisted for the first 10 hours of admission in the PICU. Possible diagnoses, such as meningitis, status epilepticus, space occupying lesions, and toxic ingestions, were ruled out because of negative cerebrospinal fluid analysis, normal EEG, and negative results of other ancillary tests. On the second day of admission, an abdominal radiograph was obtained because intussusception was considered a probable diagnosis due to recurrent episodes of arching and lethargy. The abdominal radiograph revealed the presence of a 15-mm radiopaque foreign body in the right lower quadrant corresponding to the anatomic location of the ileocecal valve. The patient made an uneventful recovery after she spontaneously passed a 1.5 cm by 1 cm rock (15 mm) in her stool on the third day of admission. This case highlights the need for a high index of suspicion for unwitnessed ingestion of a foreign body in a previously healthy preschool child with sudden onset of a movement disorder.
    MeSH term(s) Diagnosis, Differential ; Female ; Foreign Bodies/complications ; Gastrointestinal Diseases/diagnosis ; Gastrointestinal Diseases/etiology ; Humans ; Infant ; Movement Disorders/etiology
    Language English
    Publishing date 2017-04
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2016-1967
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.MO 357: Show issues

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  6. Article: Helicobacter pylori-associated gastroduodenal disease in childhood.

    Blecker, U

    Southern medical journal

    1997  Volume 90, Issue 6, Page(s) 570–6; quiz 577

    Abstract: Helicobacter pylori is responsible for one of the most frequently encountered infectious diseases worldwide. Infection due to H pylori can lead to the development of gastritis and peptic ulcer disease. The presence of H pylori in the human stomach also ... ...

    Abstract Helicobacter pylori is responsible for one of the most frequently encountered infectious diseases worldwide. Infection due to H pylori can lead to the development of gastritis and peptic ulcer disease. The presence of H pylori in the human stomach also represents an increased risk for gastric cancer and gastric lymphoma. Recent epidemiologic data obtained in adults suggest that the actual colonization with H pylori is in fact determined by childhood factors. Therefore, the pediatric age group represents the ideal target population for studies concerning the pathogenesis and epidemiology of H pylori infection. This review addresses the spectrum of H pylori-associated gastroduodenal disease in childhood.
    MeSH term(s) Adult ; Age Factors ; Autoimmune Diseases/microbiology ; Child ; Duodenal Diseases/diagnosis ; Duodenal Diseases/microbiology ; Duodenal Ulcer/diagnosis ; Duodenal Ulcer/microbiology ; Female ; Gastritis/diagnosis ; Gastritis/immunology ; Gastritis/microbiology ; Helicobacter Infections/diagnosis ; Helicobacter pylori ; Humans ; Lymphoma/etiology ; Lymphoma/microbiology ; Lymphoma, B-Cell, Marginal Zone/etiology ; Lymphoma, B-Cell, Marginal Zone/microbiology ; Lymphoma, Non-Hodgkin/etiology ; Lymphoma, Non-Hodgkin/microbiology ; Male ; Peptic Ulcer/diagnosis ; Peptic Ulcer/microbiology ; Risk Factors ; Stomach Diseases/diagnosis ; Stomach Diseases/microbiology ; Stomach Neoplasms/etiology ; Stomach Neoplasms/microbiology ; Stomach Ulcer/diagnosis ; Stomach Ulcer/microbiology
    Language English
    Publishing date 1997-06
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 185329-6
    ISSN 1541-8243 ; 0038-4348
    ISSN (online) 1541-8243
    ISSN 0038-4348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ua VI Zs.117: Show issues Location:
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    Zs.MO 336: Show issues

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  7. Article: Helicobacter pylori disease in childhood.

    Blecker, U

    European journal of pediatrics

    1996  Volume 155, Issue 9, Page(s) 753–755

    MeSH term(s) Child ; Child, Preschool ; Duodenal Ulcer/epidemiology ; Duodenal Ulcer/microbiology ; Gastritis/epidemiology ; Gastritis/microbiology ; Helicobacter Infections/complications ; Helicobacter Infections/epidemiology ; Helicobacter pylori ; Humans ; Infant ; Prevalence ; Risk Factors ; Socioeconomic Factors
    Language English
    Publishing date 1996-09
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 194196-3
    ISSN 1432-1076 ; 0340-6199 ; 0943-9676
    ISSN (online) 1432-1076
    ISSN 0340-6199 ; 0943-9676
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Helicobacter pylori disease in childhood.

    Blecker, U

    Clinical pediatrics

    1996  Volume 35, Issue 4, Page(s) 175–183

    Abstract: Helicobacter pylori (H. pylori) is responsible for one of the most frequently encountered infectious diseases worldwide. H. pylori infection can lead to the development of gastritis and peptic ulcer disease. The presence of H. pylori in the human stomach ...

    Abstract Helicobacter pylori (H. pylori) is responsible for one of the most frequently encountered infectious diseases worldwide. H. pylori infection can lead to the development of gastritis and peptic ulcer disease. The presence of H. pylori in the human stomach also represents an increased risk for gastric cancer and gastric lymphoma. Epidemiologic data obtained in adults suggest that the actual colonization with H. pylori is in fact determined by childhood factors. Therefore, the pediatric age group represents the ideal target population for studies concerning the pathogenesis and epidemiology of H. pylori infection.
    MeSH term(s) Age Factors ; Carrier State ; Child ; Cohort Studies ; Female ; Helicobacter Infections/epidemiology ; Helicobacter Infections/genetics ; Helicobacter Infections/microbiology ; Helicobacter Infections/therapy ; Helicobacter pylori/drug effects ; Helicobacter pylori/isolation & purification ; Humans ; Male
    Language English
    Publishing date 1996-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 207678-0
    ISSN 1938-2707 ; 0009-9228
    ISSN (online) 1938-2707
    ISSN 0009-9228
    DOI 10.1177/000992289603500401
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 454: Show issues Location:
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  9. Article: Role of Vasoactive Intestinal Peptide in Promoting the Pathogenesis of Eosinophilic Esophagitis (EoE).

    Verma, Alok K / Manohar, Murli / Venkateshaiah, Sathisha Upparahalli / Blecker, Uwe / Collins, Margaret H / Mishra, Anil

    Cellular and molecular gastroenterology and hepatology

    2017  Volume 5, Issue 1, Page(s) 99–100.e7

    Language English
    Publishing date 2017-09-22
    Publishing country United States
    Document type Journal Article
    ISSN 2352-345X
    ISSN 2352-345X
    DOI 10.1016/j.jcmgh.2017.09.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Physician decision making and trends in the use of cardiac stress testing in the United States: an analysis of repeated cross-sectional data.

    Ladapo, Joseph A / Blecker, Saul / Douglas, Pamela S

    Annals of internal medicine

    2014  Volume 161, Issue 7, Page(s) 482–490

    Abstract: ... Objective: To determine whether U.S. trends in cardiac stress test use may be attributable to population ... number of U.S. ambulatory visits in which a cardiac stress test was ordered or performed increased ...

    Abstract Background: Cardiac stress testing, particularly with imaging, has been the focus of debates about rising health care costs, inappropriate use, and patient safety in the context of radiation exposure.
    Objective: To determine whether U.S. trends in cardiac stress test use may be attributable to population shifts in demographics, risk factors, and provider characteristics and evaluate whether racial/ethnic disparities exist in physician decision making.
    Design: Analyses of repeated cross-sectional data.
    Setting: National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey (1993 to 2010).
    Patients: Adults without coronary heart disease.
    Measurements: Cardiac stress test referrals and inappropriate use.
    Results: Between 1993 to 1995 and 2008 to 2010, the annual number of U.S. ambulatory visits in which a cardiac stress test was ordered or performed increased from 28 per 10,000 visits to 45 per 10,000 visits. No trend was found toward more frequent testing after adjustment for patient characteristics, risk factors, and provider characteristics (P = 0.134). Cardiac stress tests with imaging comprised a growing portion of all tests, increasing from 59% in 1993 to 1995 to 87% in 2008 to 2010. At least 34.6% were probably inappropriate, with associated annual costs and harms of $501 million and 491 future cases of cancer. Authors found no evidence of a lower likelihood of black patients receiving a cardiac stress test (odds ratio, 0.91 [95% CI, 0.69 to 1.21]) than white patients, although some evidence of disparity in Hispanic patients was found (odds ratio, 0.75 [CI, 0.55 to 1.02]).
    Limitation: Cross-sectional design with limited clinical data.
    Conclusion: National growth in cardiac stress test use can largely be explained by population and provider characteristics, but use of imaging cannot. Physician decision making about cardiac stress test use does not seem to contribute to racial/ethnic disparities in cardiovascular disease.
    Primary funding source: National Heart, Lung, and Blood Institute and the National Center for Advancing Translational Sciences.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cardiac Imaging Techniques/statistics & numerical data ; Cardiac Imaging Techniques/trends ; Coronary Disease/diagnosis ; Cross-Sectional Studies ; Decision Making ; Demography ; Ethnic Groups ; Exercise Test/statistics & numerical data ; Exercise Test/trends ; Health Care Surveys ; Humans ; Middle Aged ; Practice Patterns, Physicians'/trends ; Risk Factors ; United States ; Young Adult
    Language English
    Publishing date 2014-10-03
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/M14-0296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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