Publications

circulation patterns of genetically distinct group a and b strains of human respiratory syncytial virus in a community.	human respiratory syncytial virus (hrsv) is classified into two major groups, a and b, each of which contains multiple variants. to characterize the molecular epidemiology of hrsv strains over time, sequencing studies of a variable region of the attachment protein gene from a single community in the united states during 5 successive years were performed. phylogenetic analysis revealed distinct clades (genotypes) that were further classified in subtypes based on > or = 96% nucleotide similarity. ...	1998	9747732
mortality in hartford, connecticut: a comparison with the south bronx, new york.	very high mortality rates have been reported in large inner-city areas such as the south bronx and harlem in new york city, but also may occur in smaller us urban areas. using published death rates for the south bronx as the standard, the standardized mortality ratio was slightly lower than 1.00 for hartford, connecticut (population 139,739 in 1990), but more than 1.00 for three impoverished hartford census tracts that contained public housing projects. compared with the south bronx, death rates ...	1998	9762649
epidemiologic features of equine leptospira interrogans of human significance.	leptospirosis is a zoonotic bacterial disease caused by leptospira interrogans. there is a serologic evidence that horses are exposed to l. interrogans and, as a shedder of these organisms, can be a threat to humans. we examined risk factors associated with the risk of testing seropositive to three l. interrogans serovars (l. icterohaemorrhagiae, l. grippotyphosa, and l. canicola) in the horses of new york state, in order to understand the epidemiology of the disease and suggest strategies to co ...	1998	9762736
hpv 16 and cigarette smoking as risk factors for high-grade cervical intra-epithelial neoplasia.	although genital human papillomavirus (hpv) infection is well established as the etiologic agent for cervical intraepithelial neoplasia (cin), little is known about the cofactors involved in the development of high-grade lesions or the progression of low-grade to high-grade lesions. in our study of hpv-infected women with cin (163 cin i, 51 cin ii and 44 cin iii), women with cin ii or iii were compared with those with cin i for risk factors associated with high-grade lesions. after controlling f ...	1998	9766558
supporting autonomy to motivate patients with diabetes for glucose control.	we applied the self-determination theory of human motivation to examine whether patient perceptions of autonomy supportiveness (i.e., patient centeredness) from their diabetes care providers related to improved glucose control over a 12-month period.	1998	9773724
coinfection of blacklegged ticks (acari: ixodidae) in dutchess county, new york, with the agents of lyme disease and human granulocytic ehrlichiosis.	adult blacklegged ticks, ixodes scapularis say, collected from forested sites in dutchess county, ny, were tested for infection with the etiologic agents of lyme disease, borrelia burgdorferi johnson, schmid, hyde, steigerwalt & brenner, and human granulocytic ehrlichiosis (hge). rates of infection with the 2 pathogens were high and independent of one another, confirming prior findings and suggesting that a variety of hosts may be competent reservoirs of the hge agent.	1998	9775627
reliability of serum measurements of lignans and isoflavonoid phytoestrogens over a two-year period.	we examined the distribution and long-term reliability of serum measurements of the two main human lignans, enterolactone and enterodiol, and the isoflavonoid phytoestrogens daidzein, genistein, equol, and o-desmethylangolensin in the new york university women's health study, a prospective cohort study of sex hormones and breast cancer. serum samples collected at three yearly visits in 30 premenopausal and 30 postmenopausal women who had not been diagnosed with cancer or cardiovascular disease w ...	1998	9796633
human babesiosis in new york state: review of 139 hospitalized cases and analysis of prognostic factors.	babesiosis infections are infrequent, occur in limited geographic locations, and range from asymptomatic infection to severe illness and death.	1998	9801183
increased transmission of vertical hepatitis c virus (hcv) infection to human immunodeficiency virus (hiv)-infected infants of hiv- and hcv-coinfected women.	the transmission of perinatal hepatitis c virus (hcv) infection was studied retrospectively in 62 infants born to 54 hcv- and human immunodeficiency virus (hiv)-coinfected women enrolled in a prospective natural history study of hiv transmission. infant hcv infection was assessed by nested rna polymerase chain reaction. the overall rate of vertical hcv transmission was 16.4% (9/62). most hcv-infected children did not develop antibodies to hcv. the rate of hcv infection was higher among hiv-infec ...	1998	9806033
abbreviated regimens of zidovudine prophylaxis and perinatal transmission of the human immunodeficiency virus.	the pediatric aids clinical trials group protocol 076 reported a reduction in the rate of perinatal transmission of the human immunodeficiency virus (hiv) from 25.5 percent to 8.3 percent with a three-part regimen of zidovudine given ante partum, intra partum, and to the newborn. we examined the effects of abbreviated zidovudine regimens on perinatal hiv transmission using data from the hiv polymerase-chain-reaction (pcr) testing service of the new york state department of health. pregnant women ...	1998	9811915
clinical and laboratory spectrum of culture-proven human granulocytic ehrlichiosis: comparison with culture-negative cases.	we describe the clinical and laboratory manifestations of human granulocytic ehrlichiosis (hge) in eight patients for whom cultures were positive for the hge agent and compare them with 15 patients for whom cultures were negative but who fulfilled a modified new york state surveillance definition for hge. polymerase chain reaction analysis was positive in 8 (100%) of 8 culture-positive cases vs. 3 (20%) of 15 culture-negative cases (p < .001), morulae were detected in 7 (100%) of 7 culture-posit ...	1998	9827289
human contact with bait containing vaccine for control of rabies in wildlife.	to document the number of human contacts with bait containing liquid vaccinia-rabies glycoprotein (v-rg) vaccine, to evaluate factors that might affect human contact with bait-vaccine units, and to summarize adverse reactions in people after contact with vaccine.	1998	9828931
rates of tuberculosis infection in healthcare workers providing services to hiv-infected populations. terry beirn community programs for clinical research on aids.	to assess the prevalence of tuberculosis (tb) or a positive skin test in healthcare workers (hcws) providing services to human immunodeficiency virus (hiv)-infected individuals and to determine prospectively the incidence of new infections in this population.	1998	9831938
geographic risk for lyme disease and human granulocytic ehrlichiosis in southern new york state.	ixodes scapularis, the tick vector of lyme disease and human granulocytic ehrlichiosis (hge), is prevalent in much of southern new york state. the distribution of this species has increased, as have reported cases of both lyme disease and hge. the unreliability of case reports, however, demonstrates the need for tick and pathogen surveillance in order to accurately define areas of high risk. in this study, a total of 89,550 m2 at 34 study sites was drag sampled in 1995 and a total of 51,540 m2 a ...	1998	9835546
female injecting drug users: human immunodeficiency virus risk behavior and intervention needs.	injecting drug use and heterosexual contact are the major exposure categories for women acquiring human immunodeficiency virus (hiv). the purpose of this study was to explore the relationship of acquired immunodeficiency syndrome (aids) risk perception, perceived seriousness of hiv, drug use self-efficacy, sexual self-efficacy, and social support for hiv/aids risk behavior among female injecting drug users (idus). a random sample of 140 female idus was interviewed using a structured questionnair ...	1998	9838760
update: influenza activity--united states, 1998-99 season.	in collaboration with the world health organization (who), its collaborating laboratories, and state and local health departments, cdc conducts surveillance to monitor influenza activity and to detect antigenic changes in the circulating strains of influenza viruses. this report summarizes influenza activity from october 4 through november 7, 1998; during this period, overall influenza activity in the united states was low. however, outbreaks of influenza a occurred in new york during october-no ...	1998	9843358
james ewing: cancer man.	to a large extent, the progress in understanding, diagnosing and treating cancer is the story of individuals: james ewing was one of the giants. in spite of personal tragedy and infirmities he rose to become the leading tumor pathologist of his time and to head the nation's first cancer center in new york.	1998	9845732
arthur purdy stout (1885-1967), a pioneer of surgical pathology: a survey of his notes on the education of an "oncological" surgical pathologist.	arthur purdy stout (1885-1967) started his medical career as a surgical intern and house surgeon at institutions that were to join the columbia-presbyterian medical center. with virtualy no formal training in pathology and little supervision, he was given the opportunity to work in a laboratory of surgical pathology. he focused his attention on neoplasms and tumor-like conditions, and authored human cancer in 1932. this book was organized according to topography of lesions and set a model for th ...	1998	9845748
human immunodeficiency virus-associated nephropathy in the bronx: low prevalence in a predominantly hispanic population.	reports of human immunodeficiency virus-associated nephropathy (hivan) occurring in hispanics, females and heterosexuals are scarce. we reviewed 858 charts from our total hiv population to determine the prevalence and epidemiology of hivan at our center, and to evaluate the renal and patient survival among individual groups, according to race, sex and hiv risk factor. the prevalence of hivan was low (1.9%), relative to other centers (4-13%). although hispanics accounted for 56% of the hiv popula ...	1998	9845826
comparative epidemiology of cancers of the testis, lung, bladder and stomach with special reference to the possible implication of environmental hormones in the recent risk changes of the 4 neoplasia types.	the purpose of this study is to extract common features of an environmental hormone-oriented neoplasia by comparatively investigating the epidemiological characteristics of testicular cancer in denmark with those of other cancers, of which the age-adjusted incidence rates (aairs) underwent remarkable increase or decrease in the time range of early 1960's to mid 1980's. practically, the log-transformed (log) aairs and the corresponding log asirs (age-specific incidence rates) were used in paralle ...	1998	9850740
rabies surveillance in the united states during 1997.	in 1997, 49 states, the district of columbia, and puerto rico reported 8,509 cases of rabies in nonhuman animals and 4 cases in human beings to the centers for disease control and prevention. nearly 93% (7,899) were wild animals, whereas 7% (610) were domestic species. the total number of reported cases increased 19.4% from that of 1996 (7,128 cases). increases were apparent in each of the major species groups, with the exception of cattle. the relative contributions of these groups to the total ...	1998	9861958
multistate outbreak of listeriosis--united states, 1998.	since early august 1998, 40 illnesses caused by a single strain of listeria monocytogenes (lm) have been identified in 10 states: ohio (13 cases); new york; tennessee, massachusetts, and west virginia (three each); michigan (two); and connecticut, oregon, vermont, and georgia (one each). dates of illness onset or lm isolation ranged from august 2 through december 2. all lm isolates from these cases are serotype 4b and share an unusual pattern when subtyped either by pulsed-field gel electrophore ...	1998	9883769
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
a slant on cloning.	human cloning may be the most difficult moral dilemma posed by science since splitting of the atom. but recent stories in the new york times suggest the ethical debate is all but over. now, along comes dr. seed.	1998	10176715
the emotionally competent leader.	aristotle once challenged man "to be angry with the right person, to the right degree, at the right time, for the right purpose, and in the right way" (the nicomachean ethics). daniel goleman, ph.d., a journalist for the new york times, expands on this statement in his new book, "emotional intelligence." he defines emotional intelligence as the ability to rein in emotional impulses, to read another's innermost feelings and to handle relationships and conflict smoothly. this new model of intellig ...	1998	10177113
gnyha to sue hhs over fraud probe.		1998	10178317
caring for survivors of torture in an urban, municipal hospital.	survivors of torture can present with multiple health consequences, both physical and psychological, which can persist even years after the abuse. the authors developed a multidisciplinary program in the primary care medical clinic of an urban municipal hospital in new york city serving an ethnically diverse population to provide multidisciplinary care to survivors of torture and their families.	1998	10181462
supplemental security income for the aged, blind and disabled (ssi) program demonstration project; treatment of cash received and conserved to pay for medical or social services--ssa. notice.	the commissioner of social security will conduct a demonstration project to test how certain altered resources counting rules might apply in the ssi program. the ssi program is authorized by title xvi of the social security act (the act). the rules which will be tested are those that apply to the treatment of cash received and conserved to pay for medical or social services. cash which is received for the purposes of payment for medical or social services is not counted as income to the benefici ...	1998	10185853
evaluation of "hope for a million kids immunization event: "process, outcome, and costs.	this study evaluates the hope for a million kids immunization event in east harlem, new york, in 1996. the methodology: (1) documented planning and implementation processes. (2) analyzed numbers of children reached through the outreach initiative and those actually immunized due to the event. (3) assessed associated costs. the event reached and educated 120,000 children through door-to-door canvassing. substantially fewer children, 562, registered at the health and human services fair, and 211 c ...	1998	10186766
seroprevalence of human immunodeficiency virus type 1 and sexual behaviors in bisexual african-american and hispanic men visiting a sexually transmitted disease clinic in new york city.	a cross-sectional human immunodeficiency virus type 1 (hiv-1) serosurvey was conducted between january 1988 and january 1993 at a new york city sexually transmitted disease clinic serving predominantly african-american and hispanic patients. overall, 14% (415/3,069) of participating men reported having sex with men; among these, only 52 (13%) were classified as "homosexual" (having had sex with men exclusively since 1978). most men (87%) who reported having sex with other men also reported havin ...	1998	9482501
primary gastrointestinal non-hodgkin's lymphoma: increasingly aids-related.	a retrospective study was conducted to determine the influence of the acquired immunodeficiency syndrome (aids) epidemic on the incidence, clinical presentation, and outcome of primary gastrointestinal lymphoma (stages i and ii) over a 20-year period at a single institution. between 1971 and 1981, there were seven cases. fifty-eight patients were diagnosed between 1983 and 1993, and 81 per cent were aids-related. the mean age overall was 50 years; 81 per cent were male, and 35 per cent presented ...	1998	9486885
the 718-aids coalition.	the 718-aids coalition represents more than 40 agencies providing aids services in the four outer boroughs of new york, where 70 percent of the city's aids cases are now diagnosed. the coalition is dissatisfied with the distribution of funding, and has written an open letter to health and human services secretary donna shalala. other groups are encouraged to endorse this letter and lobby the secretary to launch an investigation into the funding distribution.	1998	11367441
aids law: settlement reached in knox v. turner.	a settlement has been reached in knox v. turner, a case brought against the human resources administration (hra) by five individuals with hiv-related diseases and by city aids actions. the group filed suit to force hra to notify hiv rent enhancement recipients of their eligibility for division of aids services and income support (dasis). as part of the agreement, dasis will give written notification to eligible individuals about the benefits, which include intensive case management, medically ap ...	1998	11367491
irbs under the microscope.		1998	11656936
security guard at smithsonian not protected by rehab act.	amador rivera, an hiv-positive security guard at the smithsonian institution, sued the institution and two supervisors, alleging they violated the rehabilitation act, title vii of the civil rights act, state and city human rights laws, and the federal tort claims act. rivera claims he was harassed by supervisors because of his hiv status and ethnicity, was refused time off for medical care, retaliated against due to prior complaints, and denied training opportunities because he is hiv-positive. ...	1998	11364956
metabolic complications, growth hormone treatment: new studies planned.	new york's community research initiative on aids (cria) is beginning two studies of metabolic disorders associated with aids. the first, involving 30 patients, is a 3-month study on how protease inhibitors affect the ability to process sugar. the second study examines the safety and effectiveness of human growth hormone in treating abnormal fat redistribution. volunteers in the second study are not required to be on protease inhibitor treatment. enrollment information is included.	1998	11365594
coburn presses hhs to enforce spousal notification law. department of health and human services.	representative tom coburn of oklahoma is demanding that the department of health and human services (hhs) investigate whether states are making good-faith efforts to comply with the spousal notification programs mandated by the ryan white care act amendments. coburn is threatening legal action to compel enforcement of the provision. when congress reauthorized the notification program in 1996, they added language that barred hhs from awarding grants to a state unless it attempted to notify spouse ...	1998	11365953
where is your rage?	a new round of activism is needed to address both new and old problems related to hiv/aids, problems such as access to treatment, confidential reporting, testing, funding, drug pricing, and government aid. despite the media message that a cure is on the horizon, a cure is actually a long way off, and not accessible to all. questions are raised about the future direction of the centers for disease control's (cdc) effort to require names reporting and about the lack of hiv educational material and ...	1998	11367100
health panel seeks sweeping changes in fertility therapy.		1998	11648069
study or human experiment? face-lift project stirs ethical concerns.		1998	11648090
u.s. says 2 chinese offered organs from the executed.		1998	11647604
arrests put focus on human organs from china.		1998	11647606
"the man who made peekskill famous": dr. c.r. johnston--first blind chiropractor.	can a blind person be taught the art and science of chiropractic? if so, can a blind chiropractor be successful in practice? in 1918, charles robinson "c.r." johnston, at the age of thirty-nine, was graduated from the palmer school of chiropractic--becoming not only the first blind d.c., but also one of the best known and most successful of his era. he practiced for twenty-five years in the small hudson valley community of peekskill, new york, where his reputation as a "miracle healer" attracte ...	1998	11623685
experiments on children are reviewed: research involved now-banned drug.		1998	11647299
the impact of the beat generation and popular culture on the development of martha rogers's theory of the science of unitary beings.	in the 1940s and 1950s, greenwich village, and new york city in general, were places that were participating in great change. beat generation writers, pop artists and contemporary musicians were redefining their crafts. in the midst of all this lived martha rogers, who was redefining her craft, nursing. in this paper the author argues, in what could be defined as a beginning and informal hermeneutic analysis, that in order to fully understand the science of unitary human beings it is necessary t ...	1999	11624214
[the rockefeller foundation, the carlsberg foundation and danish medical biology in the interwar years. effects on research and education throughout the 20th century].	three large scientific institutes were built in copenhagen, denmark, between 1928 and 1938 supported by the rockefeller foundation in new york. the three institutes were: the rockefeller institute of copenhagen, juliane mariesvej, the biological institute of the carlsberg foundation, and the institute of human genetics, both on tagensvej (the carlsberg foundation in copenhagen participated in the financing of the two first ones.) in the same period the rockefeller foundation supported the constr ...	1999	11639166
inquiry clears ethics of child aggression study.		1999	11645153
man accused of assisting wife's suicide.		1999	11647669
lawyer must pay ex-client for filing misdiagnosis suit late.	a new york attorney must pay $400,000 for a legal malpractice claim in an hiv misdiagnosis lawsuit. the attorney failed to file either a misdiagnosis claim, or a late notice of claim, in the case of a man mistakenly told he was hiv-positive in a hospital error. the plaintiff was unable to sue the hospital because the suit was brought too late. the judge granted the plaintiff summary judgement for malpractice liability, and allowed a jury to decide the fraud claim. the attorney had embellished hi ...	1999	11367148
three states ready to approve bills on criminal exposure.	ohio, pennsylvania, and wisconsin are moving to pass bills to mandate felony punishments for deliberately exposing people to hiv. the bills are a direct response to the nushawn williams case; williams is a new york man who infected at least 13 girls and women in 1997. at least 30 states have imposed criminal penalties for knowingly exposing others to hiv through any means; 20 target sexual exposure and 12 address shared-needle exposures. legislative activity related to the bills in these states ...	1999	11367118
hiv transmission.	a presentation at the 39th interscience conference on antimicrobial agents and chemotherapy (icaac) noted that people with genital warts have significantly higher levels of semen viral load than those without warts. genital warts are caused by the human papillomavirus (hpv) and are very common among the general population. higher levels of hiv in semen may expose partners of hiv-positive men with genital warts to a greater risk of becoming infected. another session presented statistics showing t ...	1999	11367261
wife was not infected, so husband's aids fear was unreasonable.	the new york supreme court's appellate division upheld a lower court's dismissal of claims by a new york man seeking damages in a fear-of-aids claim. louis o'neill and almudena o'neill were married only fifteen months when mr. o'neill filed for divorce. he claimed his wife, whose first husband died of aids-related causes, was a potential carrier and sought damages for the intentional and negligent infliction of emotional distress and fraud. his wife failed to tell him why her first husband died ...	1999	11367277
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
stray comment about aids leads to job bias trial.	a supervisor's comment that an employee's poor work attitude could be attributed to his aids diagnosis or medications led to a lawsuit for discrimination. the suit was filed by henry wallengren, who claims he was fired from his job at new york publisher, samuel french inc., because he has aids. wallengren disclosed his diagnosis when his supervisor, charles van nostrand, inquired about his frequent absences. van nostrand reportedly responded that the medical condition "could cost the company a l ...	1999	11366393
court slashes damage award in dental discrimination case.	the new york state supreme court's appellate division reduced a damage award in an hiv discrimination suit against dentist daniel r. cerio. dr. cerio was accused of overcharging a patient for a routine cleaning, scheduling his appointments at the end of the day, and improperly draping surfaces in the room where the patient was treated. the dentist claimed the draping was necessary as a protective barrier. he said appointments were scheduled at the end of the day because they took longer. the new ...	1999	11366441
downward departure made despite lack of aids diagnosis.	a senior u.s. district judge in new york provided early release to a man convicted of conspiring to traffic in cocaine because, the judge said, the prisoner's advanced hiv disease warranted a shortening of the sentence. while courts are allowed to make such judgments, they differ on what level of disease severity qualifies for leniency, occasionally creating conflicting decisions. the judge in this case cited scientific literature and court opinions on unjustified fears some prisoners have about ...	1999	11366634
girl scouts face complaints over reluctance to admit girl.	a claim filed by the legal action center alleges that the girl scouts usa and the adirondack girl scout council discriminated against 8-year-old quashawn donovan by refusing to admit her because she has hiv. one complaint, filed in the new york state's division of human rights, alleged that the adirondack council denied the girl equal access based on new york's human rights law. a second complaint alleged that the girl scouts usa aided and abetted in the discrimination by not requiring the adiro ...	1999	11366636
girl scouts settle complaints over reluctance to admit girl.	the girl scouts have settled a claim of discrimination made against new york's adirondack girl scout council and the national girl scouts organization for refusing admittance of a third-grader into the brownies because of her hiv infection. the settlement occurred without adjudication on the key point of whether volunteer-based organizations such as the girl scouts are places of public accommodation under the new york human rights act. the parties agreed that the adirondack council will revise i ...	1999	11366649
new federal aids funding announced.	health and human services awarded $710 million in new grant money to increase primary care access for people with hiv/aids. the title ii ryan white comprehensive aids resource emergency act grants went to individual states, the district of columbia, and u.s. territories. the grants are calculated based on the number of people with aids in a given area, new york city receiving the largest grant, over $127 million. state aids drug assistance programs will also receive $461 million of the new fundi ...	1999	11366690
parent to parent: preventing adolescent exposure to hiv.	a 2-year pilot program implemented by public health nurses (phns) in partnership with the leaders of parent associations of 10 urban high schools encouraged communication about health-promoting sexual behavior between adults and adolescents. the purpose was to assess the feasibility of involving parents in health promotion efforts in schools. during the first year, phns prepared a cohort of 17 parent trainers to make presentations to parent groups about the reality of teens' risk for human immun ...	1999	12119981
state regulations on protecting mentally disabled research subjects are ruled invalid.		1999	11658062
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
allelic variants of human beta-chemokine receptor 5 (ccr5) promoter: evolutionary relationships and predictable associations with hiv-1 disease progression.	variability in the natural history of hiv-1 infection has been repeatedly associated with genetic variants in the beta-chemokine receptor 5 (ccr5) locus. while ccr5 coding sequences have demonstrated relatively limited variation, sequences of its promoter appear polymorphic in all major populations. our studies revealed five major ccr5 promoter alleles with distributions that differed widely among the four distinct ethnic groups from kigali, rwanda and bronx, new york. in particular, promoter al ...	1999	11197301
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
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
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
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
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
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
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
hepatitis c in an urban population infected with the human immunodeficiency virus.		1999	10630531
[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
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
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
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
"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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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