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The Aging of the American Stomach: Entering the Post-Helicobacter Era?

Physiologic decline occurs in the stomach of every aging human, but pathologic conditions are affected by genetic and environmental factors. Worldwide, the most important of these is believed to be H. pylori-gastritis and its sequelae. However, in the past several decades most industrialized countries, including the United States, have experienced a steady decline in the prevalence of H. pylori. Thus, we hypothesized that the stomach of the American elderly would no longer be dominated by H. pylori-induced pathology.

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We’re pleased with the excellent MU resources that Steve Sharp has provided, and the advocacy he has taken on our behalf. Howard Gervasoni is a true MU SME, helping us to understand the rules and their applicability to us on a pragmatic basis, assisting [with] implementing the compliance mechanics within our practice’s clinical operations, guiding our scorekeeping analytics as we monitored our performance through the measurement periods, testing our IT systems and security as appropriate, and supporting our input submission and validation processes. In addition to technical competence, he has great interpersonal skills—important in helping irritated lay people deal with a perceived “nuisance” endeavor. The “bottom line” is that with Miraca’s help we achieved our MU goals which were of significant consequence to us!
— Morgan Hunnewell, Practice Manager; Ron Drabik, Project Administrator; Dr. Vinod Thakkar, President,
Thakkar, Patel & Avalos, Sebring, Fla.


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