Publications

canines as sentinels for lyme disease in san diego county, california.	prevalence of lyme borreliosis in canine sentinels has been shown to correlate with infection in humans. one thousand canine sera (917 dogs, 83 coyotes) obtained from animal control authorities and area veterinarians were screened by elisa for antibodies to borrelia burgdorferi. results were validated by western blot and indirect fluorescent antibody (ifa) tests at referee laboratories. criterion for a positive western blot was presence of 5 of 10 of the most common antigen igg bands; for ifa, > ...	2000	10730940
knowledge of treatment to reduce perinatal human immunodeficiency virus (hiv) transmission and likelihood of testing for hiv: results from two surveys of women of childbearing age.	to determine whether knowledge of zidovudine treatment to reduce the risk of mother-to-child transmission of hiv increases the likelihood of hiv testing among women of childbearing age at increased risk for hiv infection.	1998	10728267
intellectual property. hhs probes genesis of gene sequencer.		2000	10722374
holoprosencephaly: molecular study of a california population.	holoprosencephaly (hpe) is a common developmental anomaly of the forebrain and midface in which the cerebral hemispheres fail to separate into distinct left and right halves. hpe is extremely heterogeneous. in addition to teratogenic agents, several genes are implicated in the cause of hpe. using samples from a population-based birth defects registry in california, we performed a mutational analysis of the known hpe genes sonic hedgehog (shh), zic2, and six3, in addition to two hpe candidate gen ...	2000	10710230
outbreaks of salmonella serotype enteritidis infection associated with eating raw or undercooked shell eggs--united states, 1996-1998.	during the 1980s and 1990s, salmonella serotype enteritidis (se) emerged as an important cause of human illness in the united states. the rate of se isolates reported to cdc increased from 0.6 per 100,000 population in 1976 to 3.6 per 100,000 in 1996 (figure 1). case-control studies of sporadic infections and outbreak investigations found that this increase was associated with eating raw or undercooked shell eggs (1). from 1996 to 1998, the rate of culture-confirmed se cases reported to cdc decl ...	2000	10706440
selective referral to high-volume hospitals: estimating potentially avoidable deaths.	evidence exists that high-volume hospitals (hvhs) have lower mortality rates than low-volume hospitals (lvhs) for certain conditions. however, few employers, health plans, or government programs have attempted to increase the number of patients referred to hvhs.	2000	10703778
quantitative and cost comparison of ultrasensitive human immunodeficiency virus type 1 rna viral load assays: bayer bdna quantiplex versions 3.0 and 2.0 and roche pcr amplicor monitor version 1.5.	quantification of human immunodeficiency virus type 1 (hiv-1) rna as a measure of viral load has greatly improved the monitoring of therapies for infected individuals. with the significant reductions in viral load now observed in individuals treated with highly active anti-retroviral therapy (haart), viral load assays have been adapted to achieve greater sensitivity. two commercially available ultrasensitive assays, the bayer quantiplex hiv-1 bdna version 3.0 (bdna 3.0) assay and the roche ampli ...	2000	10699005
hla class ii haplotype associations with inflammatory bowel disease in jewish (ashkenazi) and non-jewish caucasian populations.	ulcerative colitis (uc) and crohn's disease (cd) are the clinical entities comprising idiopathic inflammatory bowel disease (ibd). previous studies on the association of ibd and human leukocyte antigen (hla) class ii genes suggested a role for hla in this disease. here we present hla class ii (drb1, dqb1, dqa1, dpb1) allele and haplotype distributions determined using the polymerase chain reaction and sequence-specific oligonucleotide probe methods. a total of 578 uc and cd caucasian patients an ...	2000	10689124
stigmatization, hiv/aids, and communities of color: exploring response to human service facilities.	hiv and aids are rapidly becoming leading causes of death for men and women in large cities across the us. epidemiological data indicate that persons of color in particular have been disproportionately affected by hiv/aids. the continuing growth in the incidence of hiv/aids among persons of color implies that human service facilities will be needed in close proximity. however, there has been little research exploring response to human service facilities associated with hiv/aids in communities of ...	1997	10670970
psychological well-being and job satisfaction as predictors of job performance.	the happy-productive worker hypothesis has most often been examined in organizational research by correlating job satisfaction to performance. recent research has expanded this to include measures of psychological well-being. however, to date, no field research has provided a comparative test of the relative contribution of job satisfaction and psychological well-being as predictors of employee performance. the authors report 2 field studies that, taken together, provide an opportunity to simult ...	2000	10658888
assessment of early childhood caries and dietary habits in a population of migrant hispanic children in stockton, california.	this study estimated the prevalence of early childhood caries (ecc) and related behavioral risk factors in a population of low-income, mexican-american children in stockton, california.	1999	10656122
influenza and the rates of hospitalization for respiratory disease among infants and young children.	young children may be at increased risk for serious complications from influenzavirus infection. however, in population-based studies it has been difficult to separate the effects of influenzavirus from those of respiratory syncytial virus. respiratory syncytial virus often circulates with influenzaviruses and is the most frequent cause of hospitalization for lower respiratory tract infections in infants and young children. we studied the rates of hospitalization for acute respiratory-disease am ...	2000	10648764
investigations of the proximity effect for pollutants in the indoor environment.	more than a dozen indoor air quality studies have reported a large discrepancy between concentrations measured by stationary indoor monitors (sims) and personal exposure monitors (pems). one possible cause of this discrepancy is a source proximity effect, in which pollutant sources close to the respondent cause elevated and highly variable exposures. this paper describes three sets of experiments in a home using real-time measurements to characterize and quantify the proximity effect relative to ...	1999	10638846
mortality of sea lions along the central california coast linked to a toxic diatom bloom.	over 400 california sea lions (zalophus californianus) died and many others displayed signs of neurological dysfunction along the central california coast during may and june 1998. a bloom of pseudo-nitzschia australis (diatom) was observed in the monterey bay region during the same period. this bloom was associated with production of domoic acid (da), a neurotoxin that was also detected in planktivorous fish, including the northern anchovy (engraulis mordax), and in sea lion body fluids. these ...	2000	10638756
scientific misconduct. researcher rebuked for 20-year-old misdeed.		1999	10636777
hepatic decompensation in patients with cirrhosis during infection with influenza a.	patients with chronic liver disease can develop hepatic decompensation during systemic infections. although gram-negative and gram-positive bacteria are well recognized as causes of decompensation, the effect of influenza virus infection on patients with chronic liver disease is poorly documented.	2000	10632312
neurotoxicity associated with suspected southern pacific rattlesnake (crotalus viridis helleri) envenomation.	an 18-year-old man was bitten on the hand by a snake he believed to be a southern pacific rattlesnake (crotalus viridis helleri). within minutes he developed generalized weakness, difficulty breathing, diplopia, dysphagia, and dysphonia. neurological examination revealed ptosis and decreased motor strength. these symptoms partially improved after administration of antivenin (crotalidae) polyvalent, but the patient continued to have difficulty walking for several days due to weakness. in addition ...	1999	10628285
changing paternity and the risk of preeclampsia/eclampsia in the subsequent pregnancy.	to determine whether changing paternity affects the risk of preeclampsia or eclampsia in the subsequent pregnancy and whether the effect depends on a woman's history of preeclampsia/eclampsia with her previous partner, a cohort study was conducted based on 140,147 women with two consecutive births during 1989-1991 identified through linking of annual california birth certificate data. among women without preeclampsia/eclampsia in the first birth, changing partners resulted in a 30% increase in t ...	2000	10625174
molecular epidemiology of enzootic rabies in california.	molecular characterization of rabies virus has been used to trace spillover transmission from reservoir species to non-reservoir animals and humans (molecular epidemiology), and to monitor emergence of specific strains of the virus into new species and geographic areas (molecular surveillance).	1999	10614858
animal and human health risks associated with africanized honeybees.		1999	10613211
biotech patents. genentech, uc settle suit for $200 million.		1999	10610555
an approach to community consultation prior to initiating an emergency research study incorporating a waiver of informed consent.	in november 1996, the food and drug administration (fda) and the department of health and human services (dhhs) enacted rules allowing a narrow exception to the requirement for prospective informed consent when enrolling critically ill patients in clinical research studies of emergency treatments. these rules require that, prior to initiation of the study, the applicable institutional review board (irb) assess the acceptability of the proposed research study to members of the community in which ...	1999	10609922
experimental and field evaluations of two acaracides for control of i. pacificus (acari: ixodidae) in northern california.	use of acaricides for the control of ixodes pacificus (cooley & kohls), the vector of lyme borreliosis in the western united states, can be a beneficial component in a program to reduce the morbidity of lyme borreliosis in california. three commercially available acaricides, carbaryl, chlorpyrifos, and diazinon, were evaluated in laboratory bioassays for their effectiveness against i. pacificus adults. based on bioassay results, chlorpyrifos and carbaryl were selected for field evaluations. chlo ...	1999	10593063
anti-arthropod saliva antibodies among residents of a community at high risk for lyme disease in california.	the role of the western black-legged tick (ixodes pacificus) versus that of other potential arthropod vectors in the epidemiology of lyme disease was evaluated by determining the prevalence of anti-arthropod saliva antibodies (aasa) among residents (n = 104) of a community at high-risk (chr). salivary gland extracts prepared from i. pacificus, the pacific coast tick (dermacentor occidentalis), the western cone-nose bug (triatoma protracta), and the western tree-hole mosquito (aedes sierrensis) w ...	1999	10586924
genentech pays $200m over growth hormone 'theft'.		1999	10586857
is experience with human immunodeficiency virus disease related to clinical practice? a survey of rural primary care physicians.	human immunodeficiency virus (hiv) disease is spreading to the rural united states, and medical care is increasingly provided by local primary care physicians. a volume-outcome relationship might exist in hiv care. however, little is known about the hiv experience and practices of rural primary care physicians.	1999	10575389
granulocytic ehrlichiosis and tick infestation in mountain lions in california.	forty-seven mountain lions (puma concolor) collected year-round in 1996 to 1998 from the sierra nevada foothills, the northern coast ranges, and in monterey county (california, usa) were examined for infestation with ixodes pacificus and dermacentor variabilis ticks. ticks were found predominantly in winter and spring. the seroprevalence of granulocytic ehrlichiae (ge) antibodies (ehrlichia equi or the agent of human granulocytic ehrlichiosis) was 17% and the pcr-prevalence of dna characteristic ...	1999	10574529
molecular epidemiology and evolution of enterovirus 71 strains isolated from 1970 to 1998.	enterovirus 71 (ev71) (genus enterovirus, family picornaviridae), a common cause of hand, foot, and mouth disease (hfmd), may also cause severe neurological diseases, such as encephalitis and poliomyelitis-like paralysis. to examine the genetic diversity and rate of evolution of ev71, we have determined and analyzed complete vp1 sequences (891 nucleotides) for 113 ev71 strains isolated in the united states and five other countries from 1970 to 1998. nucleotide sequence comparisons demonstrated t ...	1999	10559310
non-immunized nurses spark deadly flu outbreak: importance of hcw vaccination emphasized.		1999	10558150
no evidence of linkage or linkage disequilibrium between dat1 and attention deficit hyperactivity disorder in a large sample.		1999	10551548
association between a cyp3a4 genetic variant and clinical presentation in african-american prostate cancer patients.	prostate cancer incidence, clinical presentation, and mortality rates vary among different ethnic groups. a genetic variant of cyp3a4, a gene involved in the oxidative deactivation of testosterone, has been associated recently with prostate cancer development in caucasians. to further investigate this variant, we evaluated its genotype frequencies in different ethnic groups and its association with clinical presentation of prostate cancer in african americans. cyp3a4 genotypes were assayed in he ...	1999	10548319
a limited-service rural hospital model: the freestanding emergency department.	a rural hospital that has been downsized to a freestanding emergency department is an important model in that it offers a possible solution to a community's need to have emergency-care services locally available. this model could include other important local services, such as skilled-nursing and outpatient services. this study looks at the financial feasibility of a rural hospital shutting down acute-care services and maintaining emergency services. expenses were determined, and changes to reve ...	1999	10511753
seroepidemiology of bartonella vinsonii subsp. berkhoffii infection in california coyotes, 1994-1998.	the prevalence of antibodies to bartonella vinsonii subsp. berkhoffii in coyotes (canis latrans) in california ranged from 51% in central to 34% in southern and 7% in northern california. seropositive coyotes were more likely to be from coastal than inland counties (p clustered distribution of bartonella seropositivity in coyotes suggests that b. vinsonii subsp. berkhoffii infection is vectorborne. further investigation is warranted to evaluate which arthropods are vectors and what the mode of t ...	1999	10511529
memory as power: who is to decide?	the transactional aspects of human memory remain enigmatic: memory disputes carry intense affective charge; memory's effects vary with how content is framed or slanted by one's perspective; memory is vulnerable to suggestive influence; and these processes are seen at all levels of social scale from simple dyads to whole societies. these observations suggest that memory serves important functions in mediating interpersonal relationships. as hypotheses for further study, i propose that (1) memory ...	1999	10509945
acid extraction of lead and cadmium from newly-purchased ceramic and melamine dinnerware.	imported dishes can present human health hazards in two ways: (1) dinnerware that contains toxic metals in excessive amounts may gain entry to the us; and (2) imported decorative ceramic plates may be improperly labeled regarding permissible use with food. in the present study, non-random samples of dishes were purchased in new condition in us retail outlets and subjected to 24-h acid leaching tests. two of 28 patterns of imported ceramic dinnerware were found to release lead in levels that exce ...	1999	10507162
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
an assessment of fertility in male workers exposed to molinate.	molinate is a thiocarbamate herbicide used for weed control in rice fields. since the late 1970s, findings from reproductive toxicology studies of rats have led to concern that molinate might affect human male fertility. semen samples were collected from 272 formulation and production workers at three us plants. the samples were collected at the end of four alternate monitoring periods of either high or low exposure to molinate. in addition, 222 married workers provided reproductive-history info ...	1999	10491793
chronic infection with hepatitis g virus in relation to hepatocellular carcinoma among non-asians in los angeles county, california.	the recently identified hepatitis g virus (hgv) is a hepatotropic rna virus belonging to the flaviviridae family. the virus causes chronic viremia, and exposure to blood products is a recognized route of transmission in humans. to the authors' knowledge there is scant information regarding the hepatocarcinogenic potential of hgv. the current study examined the association between hgv infection and the risk of hepatocellular carcinoma.	1999	10491518
research risks. california probes prison teens study.		1999	10490403
dusky-footed wood rats (neotoma fuscipes) as reservoirs of granulocytic ehrlichiae (rickettsiales: ehrlichieae) in northern california.	dusky-footed wood rats (neotoma fuscipes) and peromyscus sp. mice (p. maniculatus and p. truei) were collected from one site in placer county, one site in santa cruz county, and two sites in sonoma county in northern california. serum or plasma samples from 260 rodents were tested for antibodies to the agent of human granulocytic ehrlichiosis. of these, samples from 25 wood rats (34% of those tested) and 10 (8%) peromyscus sp. mice were found to be seropositive, but only those from one site. pcr ...	1999	10488199
media watch.		1999	10483348
viral meningitis in child care center staff and parents: an outbreak of echovirus 30 infections.	a report of five cases of viral meningitis among adults with children enrolled in a child care center prompted an investigation of risk factors for viral transmission from children to adult household members.	1999	10476994
human granulocytic ehrlichiosis in northern california: two case descriptions with genetic analysis of the ehrlichiae.	we report two cases of human granulocytic ehrlichiosis (hge) that occurred in northern california in summer 1998. patients had fever, malaise, and myalgia, reported tick bites, had moderate thrombocytopenia, and had normal or slightly elevated liver enzyme activities. ehrlichial inclusions were observed in the blood of one patient, and hge-agent dna was amplified by pcr from both patients. genetically, the strains resembled horse isolates from northern california. the close spatial and temporal ...	1999	10476747
serological evidence of human infection with the protozoan neospora caninum.	neospora caninum is a protozoan parasite that is closely related to toxoplasma gondii. dogs are a definitive host. prior to its discovery in 1988, n. caninum infection in animals was often mistakenly diagnosed as toxoplasmosis. neosporosis in animals is characterized by encephalitis, abortion, and other conditions that clinically and pathologically resemble toxoplasmosis. the potential of n. caninum to infect humans is unknown. therefore, evidence of human exposure to this parasite was sought by ...	1999	10473533
methamphetamine use and sexual and injection risk behaviors among out-of-treatment injection drug users.	our primary objective was to examine the relationship between methamphetamine use and sexual risk-taking behaviors--number of sexual partners, frequency of sexual behaviors with regular and casual partners, trading money or drugs for sex, and condom use--among male and female out-of-treatment injection drug users (otidus). as a risk group for human immunodeficiency virus (hiv) transmission, we also investigated injection behaviors by methamphetamine use. data were collected from 1392 otidus with ...	1999	10473010
the effect of hospital experience on mortality among patients hospitalized with acquired immunodeficiency syndrome in california.	several studies in the 1980s suggested that mortality rates for patients hospitalized with the acquired immunodeficiency syndrome (aids) were lower in hospitals that cared for greater numbers of aids patients. we sought to determine whether this observation persisted in the mid-1990s in california.	1999	10460044
sublingual capnometry: a new noninvasive measurement for diagnosis and quantitation of severity of circulatory shock.	to investigate the feasibility and predictive value of sublingual pco2 (p(sl)co2) measurements as a noninvasive and early indicator of systemic perfusion failure.	1999	10446813
ixodid ticks (acari, ixodidae) found in san diego county, california.	in san diego county, california, 11 species of ixodid ticks were collected from vegetation and/or from small and large mammals, and/or found parasitizing humans. adults of the pacific coast tick, dermacentor occidentalis, were the most abundant tick collected from vegetation, with peak numbers occurring during march and april. adults of the western black-legged tick, ixodes pacificus, were the second most abundant, with peaks occurring during february and march. eight species of ticks were found ...	1999	10436879
per-contact risk of human immunodeficiency virus transmission between male sexual partners.	the risk of human immunodeficiency virus (hiv) transmission from various types of homosexual contact, including oral sex, is of biologic, epidemiologic, and public health importance. the per-contact risk of acquiring hiv infection from specific acts was estimated in a prospective cohort study of 2,189 high-risk homosexual and bisexual men, conducted in san francisco, california; denver, colorado; and chicago, illinois, in 1992-1994. during 2,633 person-years of follow-up, 60 seroconversions were ...	1999	10430236
selenium elimination in pigs after an outbreak of selenium toxicosis.	in may 1996, 150 grower pigs in 5 california counties were exposed to selenium-contaminated feed distributed by a single feed company. feed samples from 20 herds had a mean selenium concentration of 121.7 ppm dry weight (range, 22.1-531 ppm). in san luis obispo county, 52 pigs in 24 herds were exposed to the feed, and 8 pigs died with signs of paralysis. bilateral symmetrical poliomyelomalacia involving the ventral horns of the cervical and lumbar intumescence was evident on histologic examinati ...	1999	10424652
aedes albopictus in the united states: current status and prospects for further spread.	since its initial discovery in the continental usa in 1985, the asian tiger mosquito, aedes albopictus, has spread rapidly throughout the eastern part of the country. infestations of ae. albopictus now have been reported to the centers for disease control and prevention from 919 counties in 26 states in the continental usa. this species is believed to be established in 911 counties in 25 states. single individuals or small numbers of ae. albopictus have been intercepted and destroyed in 3 additi ...	1999	10412117
no winners in patent shootout.		1999	10391787
uc-genentech trial.		1999	10383323
uc-genentech trial.		1999	10383322
chromosome aberrations of clonal origin in irradiated and unexposed individuals: assessment and implications.	chromosome painting has proven useful for the detection of chromosomal rearrangements, although the presence of cells containing clonal aberrations can have an effect on the outcome of cytogenetic analyses (e.g. aberration frequency and chromosomal distribution studies). cells with clonal chromosomal changes have been found in studies of both radiation-exposed chernobyl cleanup workers ("liquidators") and healthy unexposed human subjects. we have used a simple statistical method to aid in the id ...	1999	10381835
as seeburg faces misconduct inquiry.		1999	10376587
us jury split over hormone patent case...		1999	10376586
trends in hiv-related sexual risk behaviors among high school students--selected u.s. cities, 1991-1997.	despite recent decreases in sexual risk behaviors among high school students nationwide, human immunodeficiency virus (hiv) infection was the seventh leading cause of death among persons aged 15-24 years in the united states during 1997. to determine whether the prevalence of hiv-related sexual risk behaviors among high school students also has decreased in certain urban areas heavily affected by the epidemic, cdc analyzed data from youth risk behavior surveys (yrbs) conducted in 1991, 1993, 199 ...	1999	10372501
charges fly in $1bn hormone patent battle.		1999	10360558
startling revelations in uc-genentech battle.		1999	10357665
the epidemiology of neonatal herpes simplex virus infections in california from 1985 to 1995.	comprehensive hospital discharge data completed by the california office of statewide health planning and development was used to determine whether the proportion of infants </=6 weeks of age who were hospitalized with a diagnosis of herpes simplex virus (hsv) infection changed between 1985 and 1995. during 1985, 1990, and 1995, respectively, 11.7, 11.3, and 11.4 infants per 100,000 live births had a diagnosis of hsv (p=.98). the proportion of infants 1-42 days of age who were discharged from th ...	1999	10353880
urinary excretion of 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine (phip) in white, african-american, and asian-american men in los angeles county.	meats, such as beef, pork, poultry, and fish, cooked at high temperatures produce heterocyclic aromatic amines, which have been implicated indirectly as etiological agents involved in colorectal and other cancers in humans. this study examined the urinary excretion of a mutagenic/carcinogenic heterocyclic aromatic amine, 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine (phip), among 45 african-american, 42 asian-american (chinese or japanese), and 42 non-hispanic white male residents of los angel ...	1999	10350440
seroepidemiology of california and bunyamwera serogroup (bunyaviridae) virus infections in native populations of alaska.	this study investigated the geographic distribution and prevalence of antibodies to california and bunyamwera serogroup viruses in native populations of alaska, and demographic and ecologic risk factors associated with exposure. sera (n = 1,635) from 18 communities were screened using an elisa. all age groups were tested for antibodies to jamestown canyon (jc), inkoo (ink), snowshoe hare (ssh), and northway (nor) viruses; persons > or = 45 years old (n = 90) from six communities were additionall ...	1999	10344657
oig to review medical necessity of therapies provided by snfs; industry worried about how results will be used.		1998	10338894
has perchlorate in drinking water increased the rate of congenital hypothyroidism?	perchlorate, known to inhibit the human thyroid at doses above 200 mg/day, was detected in the drinking-water supplies of seven counties in california and nevada at levels of 4 to 16 micrograms/l in 1997. the data from the neonatal screening programs of the state health departments in these two states were analyzed for any increased incidence of congenital hypothyroidism in those counties. county-specific, ethnicity-specific data for nevada and california were obtained for 1996 and 1997. within ...	1999	10337612
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
analysis of select folate pathway genes, pax3, and human t in a midwestern neural tube defect population.	neural tube defects (ntds) are a common birth defect, seen in approximately 1/1,000 births in the united states. ntds are considered a complex trait where several genes, interacting with environmental factors, create the phenotype. using a midwestern ntd population consisting of probands, parents, and siblings from iowa, minnesota, and nebraska, we analyzed a range of candidate genes, including 5,10-methylenetetrahydrofolate reductase (mthfr), folate receptors-alpha (folr1; hereafter abbreviated ...	1999	10332959
hospitalization for mental illness in adolescents: risk groups and impact on the health care system.	to determine the extent and cost of hospitalizations for mental illness among adolescents and to identify differences in acute care hospital use by gender and between racial/ethnic groups.	1999	10331841
do blacks believe that hiv/aids is a government conspiracy against them?	we present the first study to explore the possibility that blacks believe that the human immunodeficiency virus was developed by the federal government in order to exterminate the black population.	1999	10329334
a new man at the helm.		1986	10316115
administration of ribavirin to neonatal and pediatric patients during mechanical ventilation.	we have modified the circuits of pressure-preset and volume-preset ventilators to permit the administration of ribavirin to mechanically ventilated infants suffering from respiratory syncytial virus. the modifications isolate the ventilator itself and permit continuous aerosolization for as long as seven days without ventilator malfunction from the effects of crystallized medication. excessive spilling of ribavirin into the environment is also avoided. each institution must devise its own experi ...	1986	10315718
tuberculin skin test conversion from exposure to contaminated pulmonary function testing apparatus.	tuberculosis is a prevalent infectious disease that is transmitted primarily from man to man by droplet nuclei. this report describes an outbreak of tuberculosis infection in a hospital in which 8 persons--7 hospital employees and 1 patient--had documented conversion of intermediate strength tuberculin tests from negative to positive in a period of about 10 weeks. the 7 employees constituted 18% of those selected for skin testing because of close contact with a patient who had newly discovered s ...	1981	10315114
innovations in health manpower licensure.		1979	10314491
innovations in family and community health practice and the law.		1978	10314421
building departmental or unit power within human service organizations: empirical findings and theory building.		1984	10310794
comparative staff values on the community mental health ideology scale.	the community mental health ideologies of groups composed of profession and nonprofessional mental health service providers were measured by use of the baker-schulberg community mental health ideology (cmhi) scale. the study was designed to: (1) compare current cmhi scores with the original criterion scores of mental health workers, (2) compare cmhi scores of mental health workers from different disciplines who work in the same community mental health setting, and (3) measure cmhi scores for pr ...	1978	10308322
institutional racism in mental health and criminal justice.		1978	10307802
rumblings of dissent hit hmo movement.		1978	10307613
death with dignity in california: the story of the nation's first natural death act.		1978	10307295
blood is bought and sold but courts say it is "service.".		1978	10307258
medicare sanctions--do providers have a right to a pre-termination hearing?		1986	10301235
courts diverge on medicare labor/delivery room matter.		1984	10299658
federal district court remands medicaid suit in which hhs a party to state court for lack of federal question jurisdiction.		1984	10299429
evaluating a management and organization development effort in mental health agencies.	although the use of management and organization development techniques in health and human service settings is increasing, there are few systematic studies of their effects. those which do exist are problematic in many respects. an 18-month program incorporating both management and organization development is described along with the results of its evaluation, which were positive and well-utilized. a discussion of the methods employed, the problems encountered, and the outcomes obtained illustra ...	1982	10298991
animal companion programs offer benefits to residents.		1989	10296604
designation of medically underserved populations including areas recommended by the chief executive officer and local officials of a state--hhs. notice.	under the provisions of section 330(b)(6) of the public health service (phs) act, 42 u.s.c. 254c(b)(6), as amended by public law 99-280, the governor of the state of oklahoma has asked the secretary of health and human services (hhs) to designate a specific population within the state as a medically underserved population (mup). also, under section 330(b)(3) of the phs act, areas in the states of michigan, california and ohio have been proposed for mup designation. this notice provides an opport ...	1989	10294284
a laundry still needs the human touch.		1988	10290285
experimenting with humans. part 2: innovation or exploitation?		1988	10289843
have peer reviewers put a price on your head?		1988	10288973
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
la/hsa: operation successful, patient dies.		1979	10278036
focus on: watsonville community hospital biomedical engineering department.	the journal of clinical engineering is pleased to present this focus on the biomedical engineering department of watsonville community hospital (watsonville, ca). since the department's inception in 1983, the growth of the hospital and the surrounding area has resulted in the expansion of the department and its duties. this paper describes the responsibilities of the two-man biomedical engineering department, which serves this 130-bed hospital and oversees the preventive maintenance and repair o ...	1986	10275912
a model animal therapy program for mental health settings.	this paper describes the structure and function of a program of animal therapy used with hospitalized psychiatric patients as part of a comprehensive therapy milieu. it begins with identification of some common psychological needs of psychiatric patients and continues with a discussion of ways in which therapeutic recreation programs such as this can address these common needs and facilitate their development in psychotherapy. in addition, potential modifications are explored as a means of adapt ...	1985	10272082
one project and twenty-two reviews.		1984	10271845
application in continuing education for the health professions: chapter five of "andragogy in action".	although the threat of human obsolescence confronts all of humanity, given the accelerating pace of change in our society, it has a particularly strong impact on the professions--especially the health professions. the half-life of the knowledge, skills, attitudes, and values required by physicians, nurses, allied health professionals, and pharmacists is shrinking with increasing speed. citizens worry about being treated by health practitioners who have not kept up to date and have reacted by pas ...	1985	10271191
blue cross of california: human resources in a changing world.	blue cross of california--a nonprofit corporation--is refocusing itself strategically to become competitive in the rapidly changing health field. it must improve its ability to manage the transition for several years to come. sustained effort's to ensure continuity will involve generating commitment to the vision of the "new" blue cross of california beyond a small, core group of executives at the top, down into middle management and lower level workers. a premium will be placed on developing pe ...	1985	10271080
transport of a ventilator-dependent patient from los angeles to athens by commercial airline.	when a young man with terminal cancer requested return to his native country to spend the remainder of his life with family and friends, the medical team assigned to take him home learned firsthand the challenges of caring for a ventilator-dependent patient during a long international flight on a commercial aircraft.	1984	10268824
the evaluation ranking scale: a new methodology for assessing satisfaction.	most patient satisfaction scales produce high, undifferentiated levels of reported satisfaction that fail to detect program areas that consumers do not like. methodological problems apparently contribute to these results. an alternative procedure, the evaluation ranking scale (ers), was formulated and tested. a 2 x 3 design was employed with 246 public health center patients randomly assigned to one of two measurement techniques (ers vs. a global measure) and one of three informational sets. a s ...	1983	10267261
the exit interview: effective tool or meaningless gesture?	as a management tool, the exit interviews has generated both acclaim and criticism. some managers have maintained that it can play a major role in reducing an organization's turnover rate while others contend that it is a worthless gesture. research conducted by pamela garretson, systems and procedures analyst at hughes aircraft company's ground systems group, and kenneth s. teel, professor of human resources management at california state university at long beach, suggests that (1) such intervi ...	1982	10258855
clinical engineering's involvement with a computerized hospital information system.	this paper describes a computerized hospital information system (his) installed in mount zion hospital and medical center along with the clinical engineering department's involvement in the minor and major maintenance of the 48 data stations consisting of terminals and printers. this paper also includes a summary of maintenance man-hour distribution, data station repair problems and the type of repair equipment and personnel needed to maintain hospital computer systems.	1981	10254554