Publications

emil gruening.	emil gruening was the first chief of ophthalmology at the mount sinai hospital, in new york city. the hospital started in a couple of brownstone tenement buildings in lower manhattan. some eye patients were cared for there and many more after moving to much larger buildings at 66th street and lexington avenue. gruening came to the united states from posen in prussia and soon afterwards joined the union army. from appomattox he returned to new york for completion of his medical studies. he went t ...	1999	10941596
west nile virus activity--new york and new jersey, 2000.	in late august 1999, an outbreak of encephalitis caused by west nile virus (wnv) was detected in new york city and subsequently identified in neighboring counties (1). in response, an extensive mosquito-control and risk-reduction campaign was initiated, including aerial and ground applications of mosquito adulticides throughout the affected areas. no human wnv infections were found in new york city with an onset date after the campaign was completed. cases continued to occur among humans in surr ...	2000	10926307
gender differences in hiv risk behaviors in an adult emergency department in new york city.	the human immunodeficiency virus (hiv) epidemic in the us increasingly involves urban heterosexual adults, particularly women, belonging to ethnic minority groups. an understanding of gender-based differences in hiv risk behaviors within these groups would be of value in the ongoing struggle to limit hiv transmission in metropolitan centers.	1999	10924033
respiratory effects of seasonal exposures to ozone and particles.	whereas human respiratory effects of brief ozone exposures are well documented, much less is known about the human health effects of mid- to long-term exposures. the authors' objective in this study was to determine whether lung function or respiratory symptom changes would occur over the course of a summer season among healthy young adults working outdoors in the presence of ozone. the authors studied 72 sophomore cadets from the u.s. military academy at west point, new york, 21 of whom attende ...	2000	10908105
the role of pathology in an investigation of an outbreak of west nile encephalitis in new york, 1999.	an outbreak of encephalitis occurred in new york city in late august 1999, the first caused by west nile virus in north america. histopathologic and immunopathologic examinations performed on human autopsy materials helped guide subsequent laboratory and epidemiologic investigations that led to identification of the etiologic agent.	2000	10905969
introduction to human health and illness: a series of patient-centered conferences based on the biopsychosocial model.	in 1985, to increase the curricular presence of the biopsychosocial model of medical education, the university of rochester school of medicine and dentistry introduced a series of whole-class, patient-centered conferences for all first- and second-year medical students. from 1985 through the spring of 1999, these sessions, called introduction to human health and illness (ihhi), were offered as a stand-alone course every friday in the first two years of medical school; beginning in the fall of 19 ...	2000	10893125
hiv prevalence and associated risks in young men who have sex with men. young men's survey study group.	studies conducted in the late 1980s on human immunodeficiency virus (hiv) infection among older men who have sex with men (msm) suggested the epidemic had peaked; however, more recent studies in younger msm have suggested continued high hiv incidence.	2000	10889593
newborn screening for human immunodeficiency virus infection in the bronx, ny, and evolving public health policy.	new advances in the diagnosis and treatment of hiv infection continue to propel changes in public understanding of hiv infection and the administration of public health law. over the past decade, new york state has moved from a policy of blind newborn screening for seroprevalence data to mandatory hiv testing as part of the statewide newborn screening (nbs) program. a new statewide program of expedited hiv testing (48-hr turnaround results) of pregnant women and newborns (whose hiv status is unk ...	1999	10874985
the contribution of recently acquired mycobacterium tuberculosis infection to the new york city tuberculosis epidemic, 1989-1993.	current theory in the molecular epidemiology of tuberculosis holds that tuberculosis cases harboring mycobacterium tuberculosis strains with a common deoxyribonucleic acid (dna) fingerprint are the result of recent m. tuberculosis transmission. here we propose a mathematical approach independent of dna fingerprinting to estimating the percentage of recent transmissions responsible for current tuberculosis incidence. the "short-term reproductive number" of tuberculosis is defined as the average n ...	2000	10874545
hiv-related tuberculosis in a transgender network--baltimore, maryland, and new york city area, 1998-2000.	during june-august 1998, the tuberculosis (tb) control program of the baltimore city health department (bchd) identified four cases of tb among young black men. three of these men also had human immunodeficiency virus (hiv) infection. the four reported belonging to a social network of transgender persons (i.e., persons who identify with or express a gender and/or sex different from their biologic sex) (1). by october 1998, test results on mycobacterium tuberculosis isolates from the four men dem ...	2000	10858008
hiv/aids and long-term care: a state perspective.	long-term care services for people with human immunodeficiency virus/ acquired immunodeficiency syndrome (hiv/aids) were fostered in new york state by passage of hiv-specific regulations that set program standards and authorized reimbursement rates sufficient to support these standards. a rapid expansion of hiv-specific capacity has occurred. demographic and selected clinical characteristics of the populations in aids residential health care facilities and aids adult day health care programs in ...	2000	10856004
impact of haart on causes of death of persons with late-stage aids.	the increasing use of highly active antiretroviral therapies (haarts) has changed the course of aids-related illnesses and enhanced the quality of life of patients infected with human immunodeficiency virus (hiv) and may have changed the causes of deaths in patients with acquired immunodeficiency syndrome (aids).	2000	10855998
the impact of t-acasi interviewing on reported drug use among men who have sex with men.	measurements of drug use and other illicit or stigmatized behaviors are subject to nontrivial underreporting biases. during in-person surveys, respondents are more likely to report such behaviors when interviewed using techniques that maximize interviewee privacy, e.g., use of paper saqs and audio-casi rather than questioning by human interviewers. until recently, respondents in telephone surveys could not be offered similar privacy. a new technology, telephone audio computer-assisted self-inter ...	2000	10847215
activation of c-k-ras mutations in human gastrointestinal tumors.	ras genes are the most frequently detected oncogenes in human malignancies. data regarding the frequency of c-k-ras mutations in esophageal, gastric, and small bowel tumors are limited and controversial.	2000	10833479
variation in blood lead and hematocrit levels during pregnancy in a socioeconomically disadvantaged population.	lead is a long-recognized human toxicant that crosses the placenta. fetal sensitivity to environmental agents can vary with stage of development; therefore, how maternal blood lead levels change during pregnancy and how fetal exposure is influenced provide useful knowledge. in this study, the authors describe longitudinal changes in blood lead levels during the course of pregnancy in a sample of socioeconomically disadvantaged pregnant women. the women were recruited early in pregnancy when they ...	2000	10821515
pathology of fatal west nile virus infections in native and exotic birds during the 1999 outbreak in new york city, new york.	west nile fever caused fatal disease in humans, horses, and birds in the northeastern united states during 1999. we studied birds from two wildlife facilities in new york city, new york, that died or were euthanatized and were suspected to have west nile virus infections. using standard histologic and ultrastructural methods, virus isolation, immunohistochemistry, in situ hybridization and reverse-transcriptase polymerase chain reaction, we identified west nile virus as the cause of clinical dis ...	2000	10810985
the differentiation of classic kawasaki disease, atypical kawasaki disease, and acute adenoviral infection: use of clinical features and a rapid direct fluorescent antigen test.	to compare the clinical and laboratory features of children with kawasaki disease with those with acute adenoviral infection, which may mimic kawasaki disease.	2000	10807294
patent prompts rochester to sue for slice of drug profits.		2000	10798965
hhs awards $527 million for hiv/aids care in high-incidence areas.		2000	10750870
[west nile-like virus is the cause of encephalitis in humans and horses and the death of hundreds of birds in new york].		1999	10744548
the west nile virus outbreak of 1999 in new york: the flushing hospital experience.	west nile virus (wnv) is a mosquito-borne flavivirus, which has been known to cause human infection in africa, the middle east, and southwestern asia. it has also been isolated in australia and sporadically in europe but never in the americas. clinical features include acute fever, severe myalgias, headache, conjunctivitis, lymphadenopathy, and a roseolar rash. rarely is encephalitis or meningitis seen. during the month of august 1999, a cluster of 5 patients with fever, confusion, and weakness ...	2000	10722421
airborne concentrations of pm(2.5) and diesel exhaust particles on harlem sidewalks: a community-based pilot study.	residents of the dense urban core neighborhoods of new york city (nyc) have expressed increasing concern about the potential human health impacts of diesel vehicle emissions. we measured concentrations of particulate matter [less than/equal to] 2.5 micro in aerodynamic diameter (pm(2.5)) and diesel exhaust particles (dep) on sidewalks in harlem, nyc, and tested whether spatial variations in concentrations were related to local diesel traffic density. eight-hour (1000-1800 hr) air samples for pm( ...	2000	10706526
rates and risk factors for discontinuation of rifampicin.	all patients with culture-confirmed, rifampin-susceptible mycobacterium tuberculosis diagnosed during a 20-month period in new york city, who were started on a rifampin-containing regimen and received > or =60 days of treatment.	2000	10694089
neck pain and head restraint position relative to the driver's head in rear-end collisions.	this two-year investigation was designed to estimate the incidence of driver neck pain in rear-struck vehicles involved in two-vehicle collisions and to determine the relationship between neck pain and specific vehicle, human, and environmental factors. neck pain percentages were significantly higher for female (45%) than for male (28%) drivers. for female and male drivers, neck pain likelihood increased as head restraint height decreased below the head's center of gravity, although this effect ...	2000	10688485
alcohol and the liver: metabolism of alcohol and its role in hepatic and extrahepatic diseases.	dr. charles s. lieber conducted clinical and experimental studies for more than four decades (three at mount sinai and the bronx va medical centers) with emphasis on liver, nutrition and gi pathophysiology. his major contributions include elucidation of the pathogenesis of alcoholic liver disease, by demonstrating the toxic role of alcohol and describing associated metabolic disorders. this was achieved through judicious clinical studies and newly-developed rodent and primate models with the adm ...	2000	10677787
adherence to antiretroviral therapy by pregnant women infected with human immunodeficiency virus: a pharmacy claims-based analysis.	to assess adherence to antiretroviral therapy with the use of medicaid pharmacy claims data for human immunodeficiency virus (hiv)-infected pregnant women and to identify associated maternal and health care factors.	2000	10674574
presence of human immunodeficiency virus (hiv) type 1, group m, non-b subtypes, bronx, new york: a sentinel site for monitoring hiv genetic diversity in the united states.	in the united states, human immunodeficiency virus (hiv) type 1, group m, subtype b is the predominant subtype. a cross-sectional study of hiv-infected patients at the bronx-lebanon hospital center, bronx, ny, between september 1997 and february 1998 identified 3 (1. 2%) of 252 persons infected with non-b subtypes: subtypes a and f, 1 each, and 1 potential recombinant subtype b(env)/f(prt). all 3 persons were born in the united states and tested positive for hiv antibodies between 1988 and 1997 ...	2000	10669328
a time-series analysis of acidic particulate matter and daily mortality and morbidity in the buffalo, new york, region.	a component of particulate matter (pm) air pollution that may provide one biologically plausible pathway for the observed pm air pollution-health effect associations is aerosol acidity (h(+)). an increasing number of observational studies have demonstrated associations between h(+) and increased adverse health effects in the united states and abroad. although studies have shown significant h(+) associations with increased morbidity in the united states, similar associations have yet to be shown ...	2000	10656852
hepatitis c in an urban population infected with the human immunodeficiency virus.		1999	10630531
genetic analysis of west nile new york 1999 encephalitis virus.	analysis of the genome of the flavivirus responsible for the 1999 new york city encephalitis epidemic cloned from human brain by reverse-transcription polymerase chain reaction indicates its identity as a lineage i west nile virus (wnv; wnv-ny1999) closely related to wnvs previously isolated in the middle east.	1999	10622305
a question of character.	for the most part, glamor-a-go-go's board has been thrilled with ceo joe ryan's performance. ryan, after all, had transformed the private-label cosmetics company into a retail powerhouse with flashy outlets from new york to los angeles. in addition to saving the company from bankruptcy shortly after his arrival in 1992, ryan had made glamor-a-go-go a fun and exciting place to work, increasing workers' wages and creating boundless opportunities for anyone willing to work hard and think out of the ...	1999	10621266
a polymorphic multigene family encoding an immunodominant protein from babesia microti.	human babesiosis in the united states is caused predominantly by babesia microti, a tick-transmitted blood parasite. improved testing methods for the detection of infection with this parasite are needed, since asymptomatic b. microti infection represents a potential threat to the blood supply in areas where b. microti is endemic. we performed immunoscreening of an expression library of genomic dna from a human isolate of b. microti (strain mn1). among 17 unique immunoreactive clones, we identifi ...	2000	10618117
identification of a w variant outbreak of mycobacterium tuberculosis via population-based molecular epidemiology.	typing of mycobacterium tuberculosis could provide a more sensitive means of identifying outbreaks than use of conventional surveillance techniques alone. variants of the new york city w strain of m tuberculosis were identified in new jersey.	1999	10612319
evaluating supervised haart in late-stage hiv among drug users: a preliminary report.	to examine response to highly active antiretroviral therapy (haart) among a sample of treatment-experienced patients in the late stage of human immunodeficiency virus (hiv) infection in residential health care facilities (rhcfs) in new york city facilities designated for hiv/aids (acquired immunodeficiency syndrome) when access and adherence are maximized.	1999	10609596
self-reported legal needs of women with or at risk for hiv infection. the her study group.	women at risk for human immunodeficiency virus (hiv) infection are often poor and members of racial or ethnic minorities. in addition to legal concerns that might be common among persons with similar sociodemographic characteristics, hiv infection adds the potential of possible stigma and discrimination, as well as the prospect of illness and increased mortality. to determine women's perceptions of need for and access to legal services and whether such perceptions are affected by hiv infection, ...	1999	10609593
origin of the west nile virus responsible for an outbreak of encephalitis in the northeastern united states.	in late summer 1999, an outbreak of human encephalitis occurred in the northeastern united states that was concurrent with extensive mortality in crows (corvus species) as well as the deaths of several exotic birds at a zoological park in the same area. complete genome sequencing of a flavivirus isolated from the brain of a dead chilean flamingo (phoenicopterus chilensis), together with partial sequence analysis of envelope glycoprotein (e-glycoprotein) genes amplified from several other species ...	1999	10600742
effect of enhanced prenatal and hiv-focused services for pregnant women who are infected by human immunodeficiency virus on emergency department use.	this study examines whether the receipt of enhanced prenatal or human immunodeficiency virus (hiv) medical services is associated with in-pregnancy emergency department (ed) utilization by hiv-infected women.	1999	10599611
long-term survival after infection with human immunodeficiency virus type 1 (hiv-1) among homosexual men in hepatitis b vaccine trial cohorts in amsterdam, new york city, and san francisco, 1978-1995.	information on long-term survival after infection with human immunodeficiency virus type 1 (hiv-1) is limited. in hepatitis b vaccine trials in amsterdam, new york city, and san francisco, 362 gay men were followed up to 18 years (1978-1995). the median survival time from seroconversion was 12.1 years (95% confidence interval: 11.4, 12.9). the annual risk of dying increased at a constant rate until 8 years after seroconversion and then leveled off, suggesting a group that is relatively resistant ...	1999	10568617
use of health and human services by community-residing people with dementia.	this article reports on the use of and need for health and human services by community-residing people with dementia. telephone interviews were conducted with a sample of 608 caregivers of such individuals who were randomly selected from a dementia registry. caregivers reported using an average of 3.2 health services and 3.7 human services to assist them in the care of the person with dementia. despite the high level of services use, 73 percent of the caregivers indicated a high need for at leas ...	1999	10568026
outbreak of west nile-like viral encephalitis--new york, 1999.	an outbreak of arboviral encephalitis was first recognized in new york city in late august and has since been identified in neighboring counties in new york state. although initially attributed to st. louis encephalitis (sle) virus based on positive serologic findings in cerebrospinal fluid (csf) and serum samples using a virus-specific igm-capture enzyme-linked immunosorbent assay (elisa), the cause of the outbreak has been confirmed as a west nile-like virus based on the identification of viru ...	1999	10563521
magnetic field exposure assessment: a comparison of various methods.	the accurate and valid measurement of personal exposure to magnetic fields poses a major challenge for epidemiologic studies. when considering the various methods to assess exposure, it is unclear which measures are most relevant for studies of human disease, if any. given these uncertainties, the electromagnetic fields and breast cancer on long island study (ebclis) undertook a pilot study to develop the data collection protocol for a case-control study of breast cancer and magnetic fields. the ...	1999	10559770
update: west nile-like viral encephalitis--new york, 1999.	the outbreak of human arboviral encephalitis attributable to a mosquito-transmitted west nile-like virus (wnlv) continues to wane in the northeast. as of october 5, the number of laboratory-positive cases had increased to 50 (27 confirmed and 23 probable), including five deaths. the increase in cases is mainly a result of completed retesting with west nile virus antigen of specimens previously tested with the related st. louis encephalitis virus antigen and to intensive retrospective case findin ...	1999	10550041
state-mandated voluntary newborn human immunodeficiency virus screening in a new york city hospital.	to report the experience with state-mandated voluntary newborn human immunodeficiency virus (hiv) screening in a large university hospital.	1999	10546704
principles underlying a model policy on relationships between staff and service recipients in a mental health system.	the authors participated in a work group to produce a model policy addressing the boundaries of relationships between staff and recipients of service in a public mental health system that provides and regulates services in a variety of treatment settings.	1999	10543854
risk of transmission of creutzfeldt-jakob disease by transfusion of blood, plasma, and plasma derivatives.	studies in experimental animals and case-reports of transmission of creutzfeldt-jakob disease (cjd) by blood transfusion or by albumin products have raised the possibility that cjd may be transmitted by transfusion. the risk of transmission of cjd by transfusion remains theoretical, since no confirmed case of cjd has ever been causally attributed to the receipt of a blood transfusion, no confirmed case of cjd has developed in recipients of clotting factor concentrates, and no cluster of cjd case ...	1999	10540369
protecting the future of indigenous children and nations: an examination of the indian child welfare act.	the indian child welfare act is a landmark piece of legislation, passed in response to a long history of native american children being alienated from their families and communities. the act has far reaching implications for social workers and human service professionals who have any involvement with native american children or families. still, many professionals are either unaware of the act all together or do not know how to effectively implement its provisions in their practice. this lack of ...	1999	10538185
multiple human exposures to a rabid bear cub at a petting zoo and barnwarming--iowa, august 1999.	on august 27, 1999, a black bear cub, approximately 5-6 months old, died after several hours of acute central nervous system symptoms; preliminary test results available on august 28 indicated the bear had rabies. the bear was part of the swenson's wild midwest exotic petting zoo in clermont, iowa (northeastern iowa). at the petting zoo, visitors fed, wrestled, and may have been nipped by the bear. the bear also was taken to an august 14 barnwarming at the tharp barn in holy cross, iowa (eastern ...	1999	10499789
evidence for concurrent epidemics of human herpesvirus 8 and human immunodeficiency virus type 1 in us homosexual men: rates, risk factors, and relationship to kaposi's sarcoma.	we examined human herpesvirus 8 (hhv-8) seroprevalence and seroincidence among 245 homosexual men from new york city (nyc) and washington, dc (dc) who have been followed since 1982. an immunofluorescence assay measured antibodies to a latent hhv-8 nuclear antigen. seroprevalence was 20.4% in 1982; seroincidence was approximately 15%/year during 1982-1983 but fell sharply thereafter. nyc men had a higher seroprevalence (odds ratio, 3.43; p<.001) and seroincidence (rate ratio, 2.13; p=.01) than dc ...	1999	10479125
modified therapeutic community for homeless mentally ill chemical abusers: emerging subtypes.	this paper is one of a series reporting on a clinical field trial evaluating the efficacy of the modified therapeutic community (tc) approach for the treatment of homeless mentally ill chemical abusers (micas). the social and psychological characteristics of the treatment sample were described in an earlier paper; the purpose of the present report was to categorize subtypes of homeless mica clients to predict with greater accuracy their treatability in modified tcs. an index that consistently co ...	1999	10473011
quantification of the human granulocytic ehrlichiosis agent based on analysis of rrna isolated from control and infected hl-60 cells.	human granulocytic ehrlichiosis (hge) is an emerging vector-borne disease caused by an ehrlichia species similar or identical to e. equi and e. phagocytophila. previous studies have shown that the pathogen can be cultivated in vitro in permissive cells such as human promyelocytic hl-60 leukemia cells. the mechanism(s) of its infection and propagation in target cells, however, is not well understood, due in part to lack of a method capable of quantitatively determining the amount of the infectiou ...	1999	10448059
lipid intolerance in neonates receiving dexamethasone for bronchopulmonary dysplasia.	we hypothesized that dexamethasone induces hypertriglyceridemia (triglyceride levels >2.82 mmol/l [250 mg/dl]) and increases free fatty acid (ffa) levels and that steroid-induced hypertriglyceridemia is associated with hyperinsulinemia and elevated ffa levels.	1999	10437750
human gongylonema infection in a resident of new york city.	a case of infection with gongylonema is described in a 41-year-old woman living in new york city. the patient sought medical attention with the complaint of a sensation of 1-year duration of something moving in her mouth. on two occasions she removed worms from her mouth, once from her lip, once from the gum. one of the specimens submitted for examination was an adult female gongylonema. it is not possible to say whether the infection was acquired in new york city, or elsewhere, since the patien ...	1999	10432055
the placental/umbilical cord blood program of the new york blood center. a progress report.	the transplantation of placental/umbilical cord blood (p/cb) has been used successfully to reconstitute bone marrow function in both related and unrelated recipients. we report here the experience of the new york blood center p/cb program. since its inception in 1992, over 400 unrelated transplants were supported between july 1993 and september 1997. overall, event-free survival for all diagnoses and ages approached 0.45. success and rapidity of engraftment correlated most strongly with the degr ...	1999	10372135
cluster of hiv-positive young women--new york, 1997-1998.	as of july 1997, six human immunodeficiency virus (hiv) infections in young women who reported sexual contact with the same hiv-infected man (putative index case-patient) were detected at health-service clinics in a rural county in upstate new york. during the next several months, other sexual contacts of the man were discovered by public health officials through routine voluntary partner notification interviews, interviews with exposed women, and after a public announcement resulted in counseli ...	1999	10365630
human rabies postexposure prophylaxis during a raccoon rabies epizootic in new york, 1993 and 1994.	we describe the epidemiology of human rabies postexposure prophylaxis (pep) in four upstate new york counties during the 1st and 2nd year of a raccoon rabies epizootic. we obtained data from records of 1,173 persons whose rabies pep was reported to local health departments in 1993 and 1994. mean annual pep incidence rates were highest in rural counties, in summer, and in patients 10 to 14 and 35 to 44 years of age. pep given after bites was primarily associated with unvaccinated dogs and cats, b ...	1999	10341178
corporate compliance: critical to organizational success.	operation restore trust (ort) has focused increased governmental attention on health care fraud and abuse activities, making it more costly to be noncompliant, and thus has led to significant behavioral changes within the health care industry. initially five states (california, florida, illinois, new york, & texas) were included in the 1997 ort pilot program. this has been expanded to include arizona, colorado, georgia, louisiana, massachusetts, missouri, new jersey, ohio, pennsylvania, tennesse ...	1999	10335217
the experience of relapse to unsafe sexual behavior among hiv-positive, heterosexual, minority men.	the purpose of this qualitative study was to examine the phenomenon of relapse to unsafe sexual behavior in human immunodeficiency virus (hiv)-positive, heterosexual, minority men. in-depth interviews were conducted by using a purposive sample of 18 hiv-positive, heterosexual, minority men who were recruited from an outpatient acquired immunodeficiency syndrome (aids) clinic in upstate new york and a community-based hiv/aids service organization in new york city. all participants expressed conce ...	1999	10319524
a declaration of rights of deaf-blind persons.		1978	10318429
final judgment issued in case challenging baby doe regulations.		1984	10317462
baby jane doe case: does section 504 of rehab law apply to hospitals?		1984	10317455
guide to decision-making in institutional review of proposals for human experimentation: commentary.		1978	10316737
research with a human touch.		1978	10315822
aids counseling on the front lines.	skill at patient education is crucial to the battle against the spread of human immunodeficiency virus (hiv). the fight is not confined to one segment of society or to a few geographic areas. counseling patients at risk about hiv-antibody (hiv-ab) testing requires a full understanding of the available tests; a psychosocial profile of the patient; candid, nonjudgmental exchanges between patient and clinician; and an ability to deal with significant emotional stress. all pas should use their talen ...	1988	10314665
home care in new york city: providers, payers, and clients.	estimates based on 1980 data indicate that almost two-thirds of the disabled elderly in new york city receive care only from informal sources. another one-fifth use a combination of informal and formal sources of care. thus, only about 15 percent are exclusively dependent on various agencies and programs that constitute the formal home care system. over 200 organizations in 1986 offered some form of home care service in new york city. among these were at least 100 proprietary businesses, 61 nonp ...	1987	10313816
a one-man shop "howdunit.".		1981	10309493
women: sterilization guidelines.	the department of health, education and welfare (hew) proposed a set of guidelines in december in an effort to stem the abuse of those being sterilized under hew-funded programs. hew explains that the guidelines are appropriate in light of the department's experience with the present rules governing sterilizations and in light of the recent decision of the united states court of appeals for the district of columbia circuit in relf versus weinberger. the guidelines for federal reimbursement are ...	1978	10306863
a sociological study of informed consent in a university hospital: problems with the institutional review board.		1978	10304720
hhs declines to appeal neonatal unit classification decision.		1985	10300479
hospital payment coalition formed.		1984	10299721
mental health resources library: a consumer guide to the literature.	the influx of consumer literature about schizophrenia and other mental disorders has inspired the establishment of a mental health resources library at a psychiatric hospital. used by patients, their families and friends, and hospital staff, it is an educative resource to understand and cope better with mental illness and its treatment, human development issues, and concerns of daily living. in describing the mental health resources library, this paper provides a background of its funding and or ...	1984	10299687
implementing a human services program: how hard will it be?	a framework is presented for examining obstacles to the implementation of human services delivery programs. these obstacles appear to arise from three basic sources: (1) from the operational demands implied by a particular program concept, (2) from the nature and availability of the resources required to run the program, and (3) from the need to share authority with, or retain support of, other bureaucratic and political actors in the implementation process. within these three broad categories, ...	1979	10297622
would this program change your mind about medicaid?		1979	10297312
when rights collide.	roe v. wade has been fated to be overruled. its demise has been guaranteed because of the evident political nature of the opinion, and because the supreme court will not long favor one intensely held "right" over its opposite intensely held "right." past history shows the court will step back from such a position. finally, roe v. wade will be disposed of because it stands for certain values this country has long ago rejected.	1989	10294678
team approach enables frail elderly to stay home.	st. vincent's hospital and medical center of new york has been caring for homebound frail elderly persons since 1973 through a comprehensive network of professional, paraprofessional, and community services that allows many older persons to remain in their homes and communities and avoid institutionalization. the staff consists of physician-nurse-social worker teams that bring to each patient their individual skills as professional practitioners. in addition, working together, they create and at ...	1988	10290834
performance standards: how to assess and address human resource needs.		1988	10288306
aids in the developing countries.	without a medical miracle, it seems inevitable that the acquired immune deficiency syndrome (aids) pandemic will become not only the most serious public health problem of this generation but a dominating issue in 3rd world development. as a present-day killer, aids in developing countries is insignificant compared to malaria, tuberculosis, or infant diarrhea, but this number is misleading in 3 ways. first, it fails to reflect the per capita rate of aids cases. on this basis, bermuda, french g ...	1988	10287933
recent medical malpractice reform measures in eight key states.	over the course of the past quarter century, technological developments in medical science have made it possible for physicians to save the lives and preserve the health of countless patients. unfortunately, it must be remembered that medicine is still as much an art as it is a science. as such, due to this human element, there is always the risk of occasional errors or failures in treatment. when these problems occur in bunches, the stage is set for a medical malpractice crisis. in an attempt t ...	1988	10287858
the rochester regional forensic unit: an innovative management approach to improving the continuum of care for forensic patients.	the rochester regional forensic unit is a good example of how a highly specialized, high-risk, complex, and expensive service can be provided in an acceptable, safe manner to a specific geographic region so as to reduce the dollar costs of such a service to all involved. the success of the program during its first 27 months is attributed to an effective planning and management process designed and implemented by staff from the office of mental health bureau of forensic services and hospital and ...	1987	10287216
computerization helps reduce human error in patient dosing.		1987	10284112
dogs and the elderly: the perfect prescription for companionship.		1985	10283979
state, federal statutes guide organ donation procedures.	to assist in improving the network of organ donors and recipients and in raising public awareness, congress enacted the national organ transplant act of 1984. the act established an organ procurement and transplantation network, created a task force on organ transplantation, and made in unlawful to sell or buy human organs for transplantation for "valuable consideration." at the state level, legislation has closely followed the procedures outlined in the uniform anatomical gift act. but despite ...	1987	10282294
hospital employee-patient relations: a program for enhancing patient well-being.	hospital service employees are often untrained for the human relations aspects of their jobs. yet, workers who clean patient rooms, deliver meals, provide escort services, make room repairs, and the like can make a critical difference in the quality of patients' hospital experiences. the patient service ethic program helps such employees identify typical patient concerns during the course of hospitalization and guides them in ways to respond appropriately to those concerns. at a large teaching h ...	1987	10281363
federal court hears "baby doe" motions; admonishes hhs against enforcement of regulations.		1984	10278230
new york hospitals not meeting hill-burton charity requirements, report charges.		1979	10277982
measuring the extent of gerontological home care staff participation in agency policy making and planning.	a survey study of the work experience and views of administrative and direct service program staff (n = 91) in both small scale and large scale older americans act-funded home care programs in new york city sheds light on the extent to which various categories of personnel in the field of community home care have opportunities to participate in a range of agency policy making and planning functions. findings reveal that home care staff in small scale programs were more directly involved in both ...	1985	10275885
when it's cutback time at nih...	it's no secret that federal funds for any kind of social program are evaporating. but it's still hard to truly grasp the impact of it all until your own program has the rug pulled out from under it. here's the story of a team of five research scientists that was close to developing treatments for alzheimer's disease and other conditions when the national institutes of health (nih), responding to reagan administration cutbacks, denied the project funds that had already been informally approved. n ...	1985	10274558
pet therapy with terminal cancer patients.		1984	10268446
district court judge invalidates baby doe regulations.		1984	10266524
court of appeals denies government petition for rehearing in case of handicapped infant.		1984	10266523
cancer center doubles net income after appeal overhaul.	memorial sloan-kettering cancer center wanted a herd of higher quality donors. following concentrated efforts with list segmentation, data processing, mailing packages with a human interest slant, and a change in renewal strategy, the center reached its goal. when it was over, the development department had turned a simple annual giving campaign into a refreshing multiple gift appeal.	1982	10262239
amalgamation of the supply, process and distribution function.		1980	10246265
association of human papillomavirus infection and disease with magnitude of human immunodeficiency virus type 1 (hiv-1) rna plasma level among women with hiv-1 infection.	ninety-three women with human immunodeficiency virus type 1 (hiv-1) infection were enrolled in a cross-sectional study to evaluate the relationship between plasma hiv-1 rna levels and coincident cervical infection and disease caused by human papillomaviruses (hpvs). hiv-1 rna plasma levels of >10,000 copies/ml were highly associated with the presence in cervical specimens of hpv dna of oncogenic (high risk) virus genotypes (p=.006; relative risk, 2.57). in addition, similar hiv-1 rna plasma leve ...	1999	10228061
seroprevalence of varicella antibodies among new house officers.	varicella, an illness common to children, can occur in nonimmune adults, often causing serious morbidity and mortality. house officers without protective titers to varicella are at risk of contracting the disease and may spread it to the patients they serve. they are also subject to significant losses in work time and wages. accordingly, in august 1996, the centers for disease control and prevention recommended vaccinating nonimmune health care providers with the varicella vaccine. we also sough ...	1999	10216327
heterosexual men's attitudes toward the female condom.	this article addresses heterosexual men's familiarity with the female condom and their attitudes toward this barrier method. qualitative interviews were conducted with 71 ethnically diverse and heterosexually active men who were recruited in sexually transmitted disease (std) clinics or through word of mouth in communities with high hiv/std seroprevalence in new york city during fall 1994 to fall 1995. only one man reported previous experience with the female condom. the large majority of men ha ...	1999	10214494
prevalence and incidence of gynecologic disorders among women infected with human immunodeficiency virus.	our purpose was to ascertain the prevalence, incidence, and predictors of gynecologic disorders among women infected with human immunodeficiency virus.	1999	10203650
"mcflu". the monroe county, new york, medicare vaccine demonstration.	monroe county (mc) ny was one of 9 original sites for the 1988-1992 medicare influenza vaccine demonstration, which led to medicare coverage of annual influenza vaccination. the "mcflu" project involved collaboration among university, health department, and practice community.	1999	10198688
changes in expression of the 44-kilodalton outer surface membrane antigen (p44 kd) for monitoring progression of infection and antimicrobial susceptibility of the human granulocytic ehrlichiosis (hge) agent in hl-60 cells.	changes in human granulocytic ehrlichiosis (hge)-specific major outer membrane protein (p44 kd) were assayed by western blot analysis in hl-60 cells in vitro infected by the hge agent. time course study demonstrated that the expression of p44 preceded the rise in cell infection as determined by the presence of intracellular morulae. to test whether the expression of p44 may be suitable for evaluating the effects of antibiotics in vitro, three recent isolates of the hge agent were exposed to doxy ...	1999	10198216
the facilitated pediatric resuscitation room.	pediatric resuscitation is challenging for the emergency physician because the diverse range in the age and size of the patients encountered complicates the appropriate selection of medications, equipment, and supplies. the following enhancements in the pediatric resuscitation room were made to facilitate effective management of critically ill neonates and children: 1) expanding the concept of the broselow tape as the central color theme of organization of all medication doses and equipment; 2) ...	1999	10195506
an organization-based intervention to improve support for employee heart health.	the purpose of this study was to evaluate the effectiveness of a management training seminar, developed through a partnership among a college, a managed care company, and a state public health department, to increase the level of organizational support for employee heart health in selected companies.	1998	10186932
evaluating hiv prevention community planning.	to improve human immunodeficiency virus (hiv) prevention efforts nationwide, the centers for disease control and prevention (cdc) has funded hiv prevention community planning, an initiative that promotes parity, representativeness, and inclusion of community and the application of scientific principles for decision making. this initiative was welcomed enthusiastically in new york city, an aids epicenter with limited prevention resources. in the first year of implementation, the new york city dep ...	1996	10186927