Publications

exposure to and precautions for blood and body fluids among workers in the funeral home franchises of fort worth, texas.	in 1982 the centers for disease control published a set of recommendations and measures to protect persons working in health care settings or performing mortician services from possible exposure to the human immunodeficiency virus. this study of a number of funeral homes in the fort worth area was designed to determine the level of exposure of funeral home workers to blood and other body fluids and also to assess existing protective measures and practices in the industry. workers in 22 funeral h ...	1989	2549820
evidence for spread of the human immunodeficiency virus epidemic into low prevalence areas of the united states.	reports of an increased proportion of aids cases occurring in small and medium-sized cities suggest that the hiv epidemic may be spreading into locations that were previously characterized by their low hiv antibody prevalences. studying the question of the geographic spread of the hiv infection epidemic (rather than the aids epidemic) has been difficult largely because most serial seroprevalence data have been gathered from cohorts of high risk individuals (e.g., homosexual/bisexual cohorts) in ...	1989	2585245
introduction of hiv infection among intravenous drug abusers in low prevalence areas.	to explore the introduction of human immunodeficiency virus (hiv) infection into intravenous drug abusing populations, risk behaviors of 1,154 intravenous drug abusers (ivdas) in four u.s. cities with low prevalence of ivda/hiv infection (0.9-13.0%) were examined. seropositive subjects (n = 54) were compared with demographically matched seronegative controls regarding drug use practices, homosexual contact, blood transfusions, risk behaviors while traveling or living in high prevalence areas, an ...	1989	2585246
focus of human parasitism by the brown dog tick, rhipicephalus sanguineus (acari: ixodidae).	throughout most of its range, the brown dog tick, rhipicephalus sanguineus (latreille), prefers dogs as a host, but human bites occasionally occur in the mediterranean region and central america; historically, this species has rarely bitten humans in the united states. a focus of 15 human bite cases by this tick is reported from four air force bases located within 200 miles of each other in north central texas and southwestern oklahoma. the sudden appearance of numerous documented bite cases ind ...	1989	2585458
1989 aids update.	the leadership of the 70th texas legislature (1987) created the legislative task force on aids to study the impact of aids in texas and to recommend to the 71st legislature (1989) public policies needed to reduce the impact of aids in texas. the task force held numerous public hearings and received testimony from witnesses involved with all areas touched by aids. the task force also surveyed state agencies, health care entities, and met with statewide associations, including the texas medical as ...	1989	2595605
monitoring patient outcome following discharge: a computerized geriatric case-management system.	many political, economic, and social factors are influencing health care providers to consider case-management programs. the authors describe a computer-supported, hospital-based case management program for elderly patients and report on the benefits and drawbacks of the program. primary benefits include access to better client data, improved discharge planning capabilities, and greater program efficiency. drawbacks chiefly are related to the difficulties inherent in introducing computerization ...	1989	2599485
teacher perspectives after implementing a human sexuality education program.	to help teachers enhance the effectiveness of their classroom instruction in human sexuality education, it is necessary to understand their attitudes and concerns about their teaching experiences. forty-seven sixth grade teachers were surveyed one year after curriculum implementation to examine perceptions of themselves, their students, colleagues, and community. teachers answered 70% of the knowledge items correctly and indicated slightly liberal orientations. overall levels of teachers' views ...	1989	2615329
are texas dentists burned out?	burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do "people work" of some kind. health care providers, including dentists, are at high risk for burnout because their occupation often requires intense interaction with fearful, demanding patients on a daily basis. the purpose of this study was to assess the prevalence of burnout among texas dentists using a standardized measurement device, the maslach burnout ...	1989	2638047
civil monetary penalties law: mistakes could be (very) costly.	the civil money penalties law (cmpl) authorizes the secretary of health and human services to impose civil money penalties, an assessment, and program exclusion for various forms of fraud and abuse involving the medicare and medicaid programs. penalties range from $2,000 to $100,000 for each violation, depending on the specific misconduct involved. the monetary sanctions imposed generally far exceed the damages actually sustained by the government. the inspector general must only prove liability ...	1989	2660314
medicare recoupment: a legal and legislative update.	in 1987, the texas medical association and 20 other plaintiffs filed suit against the us department of health and human services (hhs) over the federal government's effort to recoup $14 million from physicians and patients for alleged overpayments during july 1985 through march 31, 1986. a federal district court judge granted a preliminary injunction that halted the recoupment pending a full hearing on the merits of the case and a decision. in june 1989 the court of appeals overturned the distri ...	1989	2686079
genetic studies of ro (ss-a) and la (ss-b) autoantibodies in families with systemic lupus erythematosus and primary sjögren's syndrome.	using enzyme-linked immunosorbent assays, autoantibodies to ro (ss-a) were detected in the sera of 21% of the first-degree relatives and 11% of the second-degree relatives of anti-ro-positive probands with systemic lupus erythematosus (sle) or primary sjögren's syndrome, as compared with 3% of normal control subjects (p = 0.003 and p = 0.09, respectively). in a parallel study, anti-ro occurred in 28% of the first-degree relatives of unselected members of families of sle patients, regardless of t ...	1989	2706027
viscerotropic rocky mountain spotted fever in southeastern texas: report of a survivor with atypical manifestations and multiple organ failure.	a 32-year-old black man from rural southeastern texas had headache, fever, chills, bronchopneumonia, and an atypical rash, complicated by hypotension, lethargy, confusion, liver dysfunction, thrombocytopenia, and acute renal failure. the diagnosis of rocky mountain spotted fever (rmsf) was not suspected until eight days after the onset of symptoms. he was subsequently treated with chloramphenicol, followed by hemodialysis and aggressive supportive therapy. he recovered uneventfully with complete ...	1989	2717989
effects of a 7-cent tobacco tax hike.	texas health and human services programs could receive nearly half a billion dollars in additional funding over the state's 1990-1991 budget period under proposals being advocated by comptroller of public accounts bob bullock. the proposals center on a 7-cent rise in the state's cigarette tax, with equivalent increases in other tobacco taxes. revenue from the additional tax--estimated at $166 million in 1990-1991--would be directed into state health and human services programs eligible for feder ...	1989	2727944
oig v. burditt, md (it could happen to you).	following a five-month evaluation by texas medical association's physician patient advocacy committee, the association has loaned its support to victoria obstetrician/gynecologist michael l. burditt, md, whom the government has charged with violating federal guidelines for hospital transfers. the office of the inspector general is challenging dr burditt's treatment and hospital transfer decision made for rosa rivera and her fetus on dec 5, 1986. advocacy committee chairman nancy dickey, md, and ...	1989	2734706
cryptosporidiosis in a day-care center.	cryptosporidiosis has typically been considered a disease of animals, and the occasional human case has been considered a rare zoonosis or evidence of immunoincompetence. in this report, person-to-person transmission is postulated for illness documented in two of five rooms of a day-care center. of 46 persons (34 children and 12 staff members), 29 (63%) became ill, and 27 (58.7%) had cryptosporidium in their stools. symptoms in children included diarrhea (55%), weight loss (25%), flatulence (15% ...	1989	2734710
a baseline study of aids in texas: knowledge, attitudes, and behaviors.	the texas department of health reports that as of march 31, 1989, texas ranked fifth in the nation for aids cases, with a total of 6,312 cases and 3,829 deaths. cited in a report from the texas legislative task force on aids, tdh estimates that 100,000 texans are infected with human immunodeficiency virus (hiv), with houston and dallas ranking 4th and 10th respectively in the nation for aids cases. since 1986, aids has been the leading cause of death for men 25-44 years of age in houston, with h ...	1989	2734711
aflatoxins in domestic and imported foods and feeds.	aflatoxins, metabolic products of the molds aspergillus flavus and a. parasiticus, may occur in foods and feeds. these toxins cannot be entirely avoided or eliminated from foods or feeds by current agronomic and manufacturing processes and are considered unavoidable contaminants. to limit aflatoxin exposure, the u.s. food and drug administration (fda) has set action levels for these toxins in foods and feeds involved in interstate commerce. fda continually monitors food and feed industries throu ...	1989	2759983
leptospirosis. epidemiological features of a sporadic case.	leptospirosis occurred in a 45-year-old man with presumed infection from an exposure to contaminated water at his source of employment. an intensive epidemiological investigation, including serological examination of all family members and pets and cultures on the patient and his family pets (cats and dogs), proved that the leptospiral organism was acquired by the patient's exposure to his dogs. the risk of acquiring infection from dogs that are asymptomatic and vaccinated is emphasized by this ...	1989	2764659
the changing epidemiology of human brucellosis in texas, 1977-1986.	from 1977-1986, a total of 331 laboratory confirmed cases of human brucellosis were reported in texas. the annual number of cases ranged from 13 in 1977 to 84 in 1983. males accounted for 66% of the cases. cases ranged in age from one to 92 years, with 57% between the ages of 20 and 49 years. brucella melitensis infections accounted for 66% of the bacteriologically confirmed cases. infection with brucella canis was identified in four patients. annual incidence rates were higher in hispanics in e ...	1989	2787107
patterns and economic effects of drug overdose mortality in texas: 1980-1986.	drug overdose mortality and its economic consequences are explored for ten different drug categories in this article. data on drug overdose mortality in texas for the years 1980-1986 are examined and a cost of mortality analysis is presented using the human capital methodology. in addition, mortality rates per 100,000 population are presented for each drug category. the results indicate that the cost of drug overdose mortality has more than doubled over the six-year period. the greatest growth i ...	1989	2788730
genetic studies of type 2 (non-insulin-dependent) diabetes mellitus: lack of association with seven genetic markers.	type 2 (non-insulin-dependent) diabetes mellitus, a disease of complex aetiology, has been reported to be nonrandomly associated with several polymorphic markers in human populations. these data, plus evidence of a high prevalence of type 2 diabetes mellitus in american indians and mixed populations, such as mexican-americans, which is only partially attributable to the prevalence of obesity in these populations, makes it imperative that the nature of such associations be clarified in relation t ...	1989	2792588
how big business can help the human services--and vice versa. other agencies can do what's being done in texas.		1989	10293916
automated medication dispensing: the atc 212 system.	innovative technology is currently being designed and produced that will change the way hospital pharmacy is practiced in the future. automated technology is becoming a powerful component of health care as human resources become scarce. the report describes a technology currently in use at a large general acute care hospital. this new automated system assists the pharmacy department by packaging and dispensing medications to be used in the centralized, computer supported cart-filling process. th ...	1989	10294358
md loses patient dumping case.		1989	10294731
did this doctor dump his patient, or exercise prudent care?		1989	10296182
sullivan offers little at border confab.		1990	10104133
the birthing of a vision.		1990	10120637
[american policy (1986-1989): results and limits].	although the american program to legalize illegal immigrants succeeded in giving legal status to over 3 million foreigners between 1987-88, the experience contributes to understanding of the limitations in a state's ability to control illegal immigration. some part of the illegal population entitled to legalization failed to apply to 1 of the 110 offices opened for the purpose, but the proportion is debatable because in the us as elsewhere the exact numbers and characteristics of the illegal po ...	1990	12283120
abortion, personhood, and privacy in texas.		1990	11656019
serologic survey of selected zoonotic disease agents in black-tailed jack rabbits from western texas.	a serologic survey for the agents of rocky mountain spotted fever (rmsf) (rickettsia rickettsii), borrelia spp. including the causative agent for lyme disease (borrelia burgdorferi), and plague (yersinia pestis) was conducted on blood samples collected from 30 and 46 black-tailed jack rabbits (lepus californicus) from an urban environment in lubbock, texas (usa) during winter 1987 and the following spring 1988, respectively. antibody titers to the agents of rmsf and borreliosis were detected in ...	1990	2106044
evaluation of a hospital admission hiv antibody voluntary screening program.	voluntary screening for the presence of human immunodeficiency virus (hiv) is recommended by the healthcare profession. the optimal settings to accomplish screening have not been established. we evaluated an admission hiv screening program in a large private hospital to assess advantages and disadvantages in this setting. in a three-month study period, 4,535 of 8,868 patients (51%) admitted to the hospital agreed to hiv testing. serum specimens from 500 patients who refused testing were blindly, ...	1990	2125612
varicella outbreaks in army recruits from puerto rico. varicella susceptibility in a population from the tropics.	two outbreaks of varicella consisting of a total of 105 cases occurred in a highly varicella-susceptible population of young adult army recruits from puerto rico enrolled in the defense language institute in san antonio, tex, between october 1986 and november 1987. epidemiologic investigation found a significantly higher risk for enlisted recruits housed in open barracks than for officers housed in private rooms. the attack rate in the first outbreak was 30%, with an estimated attack rate of 71% ...	1990	2158774
asymptomatic human calicivirus infection in a day care center.	human caliciviruses (hcvs) are little known, recently recognized viruses associated with gastroenteritis. we identified hcv infection in an outbreak of gastroenteritis which occurred in one room of a day care center (dcc) participating in a longitudinal study of diarrhea. utilizing an enzyme-linked immunoassay and immunosorbent electron microscopy to detect hcv, we tested specimens from all children in attendance during the period of the illness outbreak and during prior and subsequent weeks. hc ...	1990	2159612
serotype variation of human group a rotaviruses in two regions of the usa.	the first longitudinal study of group a rotavirus serotype distribution in the usa is reported. elisas incorporating neutralizing monoclonal antibodies specific for the vp7 protein of serotypes 1, 2, 3, and 4 were used to determine the antigenic variation of group a rotaviruses in two collections of stool specimens. stool samples were collected from children hospitalized during 1979-1989 at texas children's hospital, houston, and from children from a more rural population hospitalized during 198 ...	1990	2167332
morbidity associated with the major respiratory viruses.		1990	2172898
circannual variation of human mortality in texas.		1990	2217299
transfer law puts rural internist between a rock and a hard place.		1990	2218949
legal issues, aids, and the practicing physician.	this article highlights for the practicing physician some of the more important laws and regulations related to and arising from the aids epidemic. medical-legal issues regarding the availability of health care as defined by federal and state law regarding employment and level of medical care given based on hiv status is discussed. texas law regarding testing, disclosure of test results, and possible claims that could arise due to issues such as the invasion of privacy are examined along with cr ...	1990	2218960
progressive disseminated histoplasmosis in the acquired immunodeficiency syndrome: a model for disseminated disease.	progressive disseminated histoplasmosis (pdh) is a relatively common infectious illness in human immunodeficiency virus (hiv)-infected patients. in houston, texas, (which is moderately endemic for histoplasmosis) the frequency of pdh is 5% among patients with acquired immunodeficiency syndrome (aids), almost as high as that of those with cryptoccal disease. in highly endemic areas, the frequency of pdh in aids is even greater, up to 75% in some areas. it is likely that as the hiv epidemic contin ...	1990	2247709
additional instances of human parasitism by the brown dog tick (acari: ixodidae).	nine cases of humans parasitized by the brown dog tick, rhipicephalus sanguineus (latreille), are reported. eight cases occurred during 1989. seven of the individuals were from an apparent focus of human biting in northern texas and southwestern oklahoma, one case was from san antonio, bexar county, tex., and one case was from homestead air force base, dade county, fla. these cases suggest that the role of r. sanguineus in the transmission of the etiologic agent of canine ehrlichiosis and other ...	1990	2280392
a systematic effort to reduce smoking at the worksite.	smoking control is a key element of worksite health promotion. this three-stage study in a large state human services agency included a baseline survey, an assessment of the effects of competition on recruitment to a self-help cessation program, and examination of the outcome of the cessation program. in stage 1, scales for measuring smoking-related attitudes and the social environment were developed and used to study norms for smoking. regression analysis was used to ascertain correlates of smo ...	1990	2318654
human immunodeficiency virus infections in teenagers. seroprevalence among applicants for us military service. the walter reed retrovirus research group.	between october 15, 1985, and march 31, 1989, serum specimens from 1 141 164 teenaged youths (aged less than 20 years) who applied for entry into the us military were tested for antibodies to the human immunodeficiency virus. overall, 393 teenaged applicants were found to be seropositive (prevalence, 0.34 per 1000). prevalences varied markedly in different geographic locales: less than 0.1 per 1000 throughout the north-central states, compared with greater than 2 per 1000 in urban counties in ma ...	1990	2319667
rickettsia in texas.	since the first reported case in 1941, rocky mountain spotted fever in humans has been reported from many areas of texas, with two major foci, one located in the north-central region and the other in the eastern region of the state. during the period 1979-1988, 421 cases of rmsf were reported, reaching 108 cases in 1983 and declining in subsequent years. statewide surveillance programs to detect spotted fever group rickettsiae in tick populations were initiated in 1976. in recent years, the sfg ...	1990	2378448
pediatric aids: prevention of hiv infection in infants and children.	the centers for disease control reported that 109,167 cases of aids had been diagnosed since 1981 and that approximately 40,000 persons were living with aids at the time of this writing. these numbers, however, are the tip of an iceberg that consists of approximately 1.5 million americans who are infected by the human immunodeficiency virus (hiv). as we described in earlier articles of this series, the hiv infection/aids epidemic has invaded the domain of the american family through heterosexual ...	1990	2408177
organochlorine compounds in human adipose tissue from north texas.	this paper reports a preliminary study that was conducted to determine the concentrations of organochlorine compounds in the adipose tissue of residents of north texas. thirty-five human adipose tissue samples were obtained during autopsy between 1987 and 1988 from persons who had no known occupational exposure to organochlorine pesticides. these samples were analyzed by electron-capture gas chromatographic methods for the presence of beta-benzene hexachloride, o,p'-dde, p,p'-dde, o,p'-ddt, p,p' ...	1990	1688952
intensive chemotherapy for metastatic nonseminomatous germ cell tumors.		1990	1696741
lithium in drinking water and the incidences of crimes, suicides, and arrests related to drug addictions.	using data for 27 texas counties from 1978-1987, it is shown that the incidence rates of suicide, homicide, and rape are significantly higher in counties whose drinking water supplies contain little or no lithium than in counties with water lithium levels ranging from 70-170 micrograms/l; the differences remain statistically significant (p less than 0.01) after corrections for population density. the corresponding associations with the incidence rates of robbery, burglary, and theft were statist ...	1990	1699579
donohue lecture series: "roe v. wade: past and future".		1990	16047442
ocular-systemic interrelationships in acquired immunodeficiency syndrome.	we analysed the correlation between ophthalmic and systemic findings in 125 subjects with aids and 50 subjects with aids-related complex (arc). positive eye findings were defined as the presence of cotton-wool spots (cws) or cytomegalovirus (cmv) retinitis. the presence of positive eye findings was significantly more frequent in aids than in arc (p = 0.0001). both lowest haematocrit and lowest t-helper cell count were significantly lower in aids than in arc, and also lower in subjects with posit ...	1991	1645204
incentives for organ donation? the united network for organ sharing ad hoc donations committee.		1991	1683431
lung cancer and hydrogen chloride exposure: results from a nested case-control study of chemical workers.	there are few epidemiologic data available to address the question of potential carcinogenic effects of hydrogen chloride (hcl) exposure on humans. an opportunity arose to augment a nominal hcl exposure classification that had been done earlier for a nested case-control study of lung cancer among a cohort of chemical manufacturing employees. working from first-hand knowledge of the relevant chemical processes and limited hcl monitoring data, a certified industrial hygienist estimated average exp ...	1991	1744744
the neuropathology of human immunodeficiency virus infection. the dallas, texas, experience.	postmortem neuropathologic changes were evaluated in 141 consecutive patients dying with human immunodeficiency virus infection at publicly supported hospitals affiliated with the university of texas southwestern medical center in dallas, between august 1984 and september 1990. morphologic abnormalities were identified in 112 cases (79%). cytomegalovirus was the most common opportunistic infection encountered, with characteristic viral inclusions identified in 23 patients, and presumptive eviden ...	1991	1747029
characterization of a leishmania isolate from the rodent host neotoma micropus collected in texas and comparison with human isolates.	we report the biological and biochemical parameters of leishmania parasites (mneo/us/90/wr972) isolated from a rodent host, neotoma micropus, collected in texas. footpad inoculations of wr972 promastigotes into balb/c mice and syrian hamsters resulted in ulcerating lesions six and eight weeks post-inoculation, respectively. using monoclonal antibody-stained touch preparations, amastigotes were found in the liver of both laboratory hosts. infection of j774 macrophages with wr972 promastigotes sup ...	1991	1763798
results of a prenatal screening program for the human immunodeficiency virus in a cross-sectional population.	a prenatal screening program for antibody to the human immunodeficiency virus (hiv) was examined prospectively in a cross-sectional population. routine screening was performed on 3,241 women during the first trimester. serum samples yielding repeatedly positive results on an enzyme-linked immunosorbent assay (elisa) (n = 6) were subjected to confirmatory western blot testing. all the specimens were determined to be false positive with atypical banding regions not consistent with hiv-1 infection. ...	1991	1765954
milk secretory iga related to shigella virulence antigens.	20 mexico city and 23 houston, texas colostrum samples, and 21 mexican and 25 houston mature milk samples were analyzed by elisa and western blot, respectively, for antibodies against the virulence plasmid of shigella flexneri serotype 5 strain m9ot. the method involved comparing water extracts of milk in elisa and western blot determinations of antigens against shigella flexneri strain m9ot which is fully virulent, to those against m9ot a2 which lacks the virulence plasmid. while there are at ...	1991	1809012
from the centers for disease control. human rabies--texas, arkansas, georgia, 1991.		1991	1820460
nosocomial influenza in a general hospital for indigent patients.	surveillance of influenza virus infections was maintained on the medical and pediatric wards of a general hospital serving indigent patients of harris county, texas during the winter of 1987-88. influenza a/sichuan/2/87(h3n2) was the predominant virus during the community epidemic. influenza a(h3n2) virus was isolated from six of 17 adult patients (35%) suspected to have nosocomial infections; two of these patients died of fulminating pneumonia. another patient, admitted with alcoholism and hema ...	1991	1824284
from the centers for disease control. human rabies--texas, 1990.		1991	1847978
sexual abuse of children.	sexual abuse of children is a pervasive and growing problem, which has demanded the attention of several professional groups. because most children never reveal the abuse, understanding the psychodynamics involved is fundamental to the detection of these victims. physicians should be aware of the masked clinical and behavioral indicators of sexually abused children that signal the need for further questioning. through appropriate inspection of genitalia and anus in routine examination of the chi ...	1991	1877030
comprehensive care for patients with hemophilia: an expanded role in reducing risk for human immunodeficiency virus.	hemophilia is an inherited coagulation disease that affects approximately 1 in 5,000 to 10,000 males worldwide. chronic joint disease and other long-term complications of recurrent bleeding persist in patients with hemophilia despite improved and more available clotting protein concentrates. the best care can be provided to patients who are followed regularly in specialized treatment centers. services of every "comprehensive" hemophilia treatment center (htc) have expanded since previous treatme ...	1991	1877032
update: self-induced malaria associated with malariotherapy for lyme disease--texas.	in december 1990, the texas department of health (tdh) was contacted by a man who had recently moved from the northeastern united states and who was considering malariotherapy for lyme disease (ld). he described a 2-year history of unsuccessful treatment with multiple antibiotics for arthralgias and palpitations, which had been diagnosed as ld.	1991	1896006
pilot study of a household survey to determine hiv seroprevalence.	a survey based on a probability sample of u.s. households was suggested as a method to determine the number of persons infected with human immunodeficiency virus (hiv). to test the feasibility of such a survey, cdc's national center for health statistics (nchs) recently conducted a pilot study in two sites through a contract with the research triangle institute. the first field test, conducted in january 1989, used a random sample of adults from households in allegheny county (pittsburgh), penns ...	1991	1898620
human rabies--texas, 1990.	on june 5, 1990, a 22-year-old man died of rabies encephalitis in hidalgo county, texas, along the mexican border. this was the fourth case of human rabies known to be acquired in the united states since 1980 and the first case in texas since 1985. this report summarizes the case investigation.	1991	1900099
ambient air arsenic levels along the texas-mexico border.	the texas-mexico border region is one of the most rapidly developing areas in the state. unprecedented economic and demographic growth is placing stress on a system already overburdened with air, water, waste, and public health problems. this paper reports the results of an initial survey of the past and present ambient air levels of arsenic along the texas side of the border. ambient air arsenic levels have increased over time, exhibit seasonal variations, and are higher in specific areas when ...	1991	1910749
concerns about hospital-based routine human immunodeficiency testing programs.		1991	1918884
dr. refuses to treat pt. in active labor. case in point: burditt v. u. s. dept. of health & human serv. (932 f. 2d 1362--tx (1991)).		1991	1924823
cutaneous larva migrans due to pelodera strongyloides.	a twenty-year-old landscape worker was evaluated for a widespread cutaneous eruption consisting of papules, pustules, and burrows. cutaneous scrapings revealed live and dead larvae of a free-living soil nematode, pelodera strongyloides. this is the third instance of human dermatitis due to this organism, and the first reported in an adult host.	1991	1935236
familial patterns of prostate cancer: a case-control analysis.	epidemiological data have not yet enabled physicians to look beyond age and race to identify men at increased risk for prostate cancer. we conducted a hospital-based case-control study of familial patterns of prostate cancer with self-reported data from a risk-factor questionnaire. there were 385 patients with histologically confirmed prostate cancer, and 385 race and age-matched (+/- 5 years) controls with other cancers. family history, available for 378 patients and 383 controls, was positive ...	1991	1942282
human rabies--texas, arkansas, and georgia, 1991.	from august through october 1991, three persons, one each in texas, arkansas, and georgia, died from rabies. including these three cases, 16 cases of human rabies have been reported to cdc from 1980 through 1991; seven of these are believed to have been acquired in the united states. this report summarizes epidemiologic and clinical information regarding the three recent cases.	1991	1944123
update: influenza activity--united states, 1991-92.	from late october through november 20, 1991, state health departments reported outbreaks of culture-confirmed influenza a(h3n2) in public schools in texas and a university in tennessee. in addition, alabama, georgia, minnesota, north carolina, ohio, and tennessee reported outbreaks of culture-confirmed influenza a (not subtyped) in schools. in these outbreaks, school absentee rates ranged from 11% to 40%; school closures were reported in ohio and tennessee.	1991	1944132
surveillance for hiv antibody and antigen in trauma patients.	studies in a baltimore emergency room identified the patient with penetrating trauma as having the highest incidence of human immunodeficiency virus type i (hiv-1) infection. anonymous testing over a 15-month period of 165 victims of penetrating trauma presenting to the medical center hospital emergency center (san antonio, texas) revealed a 0% incidence of hiv-1. this data suggests that hiv-1 trauma patient incidence can be expected to vary between specific geographic areas and patient populati ...	1991	1955674
update: influenza activity and vaccine availability--united states, 1991-92.	during the 1991-92 influenza season, widespread influenza-like illness (ili) activity* was first reported in louisiana for the week ending november 9, 1991, and in mississippi the week ending november 16. through november 30, six additional states (alaska, missouri, new york, north carolina, tennessee, and texas) reported widespread activity; 13 (alabama, arkansas, california, florida, georgia, indiana, kansas, kentucky, minnesota, nebraska, new jersey, ohio, and pennsylvania) reported regional ...	1991	1961177
health, human services reorganization falls short of real consolidation.		1991	1962298
age distribution of patients with medically-attended illnesses caused by sequential variants of influenza a/h1n1: comparison to age-specific infection rates, 1978-1989.	since influenza a/h1n1 viruses reappeared during the 1977-1978 season, this subtype has contributed 27% of 6,609 documented influenza infections of persons with acute respiratory disease presenting to clinics serving as surveillance sites of the influenza research center in houston for the 12-year period ending june 1989. wide differences in the distribution of h1n1 viruses occurred by age group: more than 50% of h1n1 infections were detected among persons aged 10-34 years, compared with 28% for ...	1991	2000847
acquired immunodeficiency syndrome and adolescents. knowledge, attitudes, and behaviors of runaway and homeless youths.	to describe the knowledge, attitudes, and behaviors of runaway and homeless youths regarding infection with the human immunodeficiency virus (hiv).	1991	2012028
nih awards genome project grant to baylor college of medicine.		1991	2031224
hiv prevalence in pregnant intravenous drug users in dallas, texas.	information available regarding the prevalence of human immunodeficiency virus (hiv) in pregnant women indicates that the primary risk factor for infection is intravenous drug use. at parkland memorial hospital in dallas, texas, approximately 4.7% of pregnant women reported using intravenous drugs. the estimated prevalence of hiv infection among pregnant intravenous drug users at this hospital was 3.3%. this is similar to the hiv infection rates reported for nonpregnant parenteral drug-using pop ...	1991	2035151
the burditt case: 1,000 briefs, but who's counting?		1991	2035153
epidemiologic characteristics of human tularemia in the southwest-central states, 1981-1987.	from 1981 through 1987, a total of 1,041 cases of tularemia in humans were reported in arkansas, kansas, louisiana, missouri, oklahoma, and texas; this represents 60% of the cases reported in the united states during this same time period. the state of arkansas reported the highest total (420 cases). annual incidence rates per one million population ranged from 36.3 in arkansas to less than 5.0 in kansas, louisiana, and texas. epidemiologic data were available for 1,026 cases. the majority of ca ...	1991	2035503
htlv-i-associated myelopathy endemic in texas-born residents and isolation of virus from csf cells.	we report three texas-born patients with spastic paraparesis and well-documented infection with htlv-i. csf examination showed moderate pleocytosis, protein elevation, and elevated igg index. oligoclonal bands were present in two patients. on mri, one patient had frontal lobe lesions that were low intensity on t1- and high intensity on t2-weighted images. htlv-i immunoblot studies of serum and csf revealed reactivity to p19, p24, p53, gp46, or gp68 from all three patients. titration studies of s ...	1991	2046926
epidemiology of acquired immunodeficiency syndrome and human immunodeficiency virus infection in adolescents.	the epidemiology of acquired immunodeficiency syndrome (aids) and human immunodeficiency virus infection (hiv) in adolescents is important for purposes of prevention and car, since sexual and drug behavior is formed during this period. for 1990 the centers for disease control reports .4% of aids cases are among adolescents 13-19 years old; this figure has steadily risen since 1982. 53% of the reported aids cases were from new york, florida, california, texas, puerto rico, and new jersey, and has ...	1991	2062630
a decision-theoretic reconstruction of roe v. wade.		1991	11656064
difficult decisions: ethics and aids.		1991	11652311
perspectives. dumping doctor decision raises anxiety.		1991	10111926
the boundaries of business: commentaries from the experts.	the world leadership survey, which began a worldwide dialogue on a set of important issues facing managers in the 1990s, continues with commentaries from four recognized experts, each of whom addresses the survey results from a different perspective. kenichi ohmae, chairman of mckinsey and company in tokyo, addresses "the perils of protectionism." ohmae argues that the old definitions of national boundaries and corporate interests reflect obsolete economic theories. the real test of national wel ...	1991	10112918
decision making style and leadership patterns in nonprofit human service organizations.	the authors report on the adaptation of twelve nonprofit human service organizations. this analysis is part of a research project that entailed a comprehensive study of both the fiscal patterns and policy patterns of nonprofit organizations. through the use of interviews in an exploratory descriptive design, several major patterns were identified concerning organizational adaptation. three categories of events effected the adaptation of these organizations: executive staff turnover, program/serv ...	1991	10114290
future perfect.	shrunken and frail as winter birds, a tiny man and woman negotiate the short walkway and stairs to the geriatric day hospital at utmb, galveston. the man has one hand on his cane, the other his wife's arm--whether for gallantry or his own support is not clear. nor is it immediately clear, once inside, that they've entered a hospital rather than a senior citizens center. created to fill the multiple needs of a specific population, the day hospital is a modest experiment that may harbinger the fut ...	1992	10117385
the napph (national association of private psychiatric hospitals) today--under new management. interview by john herrmann.	when robert l. trachtenberg took over the executive directorship of the national association of private psychiatric hospitals some five months ago, he walked into a situation wherein several psychiatric specialty hospitals in texas were under fire. "there were a lot of questions," trachtenberg says, "and challenges to the credibility of psychiatric hospitals." he was referring to the texas state investigation into abuses by personnel within psychiatric hospitals. last year, the texas senate inte ...	1992	10122848
country life, human values.	with small-town roots and statewide vision, larry krupala takes on the tha chairmanship. meet the man who'll be leading tha through the 1992-93 year.	1992	10160861
logic, law and abortion.		1992	11652613
quality of life in persons with human immunodeficiency virus infection: measurement by the medical outcomes study instrument.	to assess the reliability and validity of the medical outcomes study (mos) short form health survey as an indicator for quality of life in patients infected with the human immunodeficiency virus (hiv).	1992	1727616
achieving compliance with influenza immunization of medical house staff and students. a randomized controlled trial.	to determine the optimal method to increase influenza immunization rates of medical house staff and students.	1992	1740861
outbreaks of human enteric adenovirus types 40 and 41 in houston day care centers.	human enteric adenovirus (ead) types 40 and 41 cause diarrhea in young children, but little is known about their association with outbreaks of diarrhea in the child care setting. this study evaluated ead as a cause of outbreaks of diarrhea among infants and toddlers in day care centers.	1992	1313095
arboviral disease--united states, 1991.	during 1991, state and local health departments reported 122 cases of human arboviral encephalitis to cdc. more than half (69) of the cases resulted from outbreaks of st. louis encephalitis (sle) in arkansas and texas. in addition, an epizootic of eastern equine encephalitis (eee) extending from the atlantic and gulf coasts into the upper midwest caused sporadic human cases and a substantial loss of livestock. this report summarizes the reported cases of arboviral encephalitis in the united stat ...	1992	1321947
serological evidence for congenital transmission of human herpesvirus 6.		1992	1351995
assignment of a locus for familial melanoma, mlm, to chromosome 9p13-p22.	linkage analysis of ten utah kindreds and one texas kindred with multiple cases of cutaneous malignant melanoma (cmm) provided evidence that a locus for familial melanoma susceptibility is in the chromosomal region 9p13-p22. the genetic markers analyzed reside in a candidate region on chromosome 9p21, previously implicated by the presence of homozygous deletions in melanoma tumors and by the presence of a germline deletion in an individual with eight independent melanomas. multipoint linkage ana ...	1992	1439824
men's disclosure of hiv test results to male primary sex partners.	we evaluated disclosure of human immunodeficiency virus (hiv) antibody status to a main sex partner and the impact on the relationship in men who have sex with men and who are enrolled in the acquired immunodeficiency syndrome (aids) community demonstration projects cohorts. eighty-nine percent of both seronegative and seropositive men disclosed the results to their main sex partner. seventy percent of the seronegative men and 82% of the seropositive men who did so reported that the relationship ...	1992	1456347
prevalence of human immunodeficiency virus infection in hospitalized adults at a teaching hospital in west texas.	the prevalence of infection with human immunodeficiency virus (hiv) among hospitalized adults at a teaching hospital in west texas was estimated by conducting a serological survey. of the 2,458 patients tested, 12 (0.5%) were seropositive. all 12 were men of ages 28 through 50 years; 11 were white and 1 was hispanic. eleven were previously known to be hiv positive and were hospitalized for illnesses related to acquired immunodeficiency syndrome (aids). all seropositive patients were hospitalized ...	1992	1462260
risk factors for infection with human immunodeficiency virus among low-income women undergoing voluntary sterilization.	data regarding risk for infection with human immunodeficiency virus (hiv) were collected from 486 women who presented in 1989 for tubal sterilization through a clinic operated by a medical school. this clinic was participating in a blind surveillance project administered by the local health department. the project was designed to estimate the prevalence of seropositivity for hiv among women seeking family planning services within the department's catchment area. the expectation was that the popu ...	1992	1462262
rabies surveillance in the united states during 1991.	in 1991, 49 states, the district of columbia, and puerto rico reported 6,972 cases of rabies in nonhuman animals and 3 cases in human beings to the centers for disease control. ninety-one percent (6,354 cases) were wild animals, whereas 8.9% (618 cases) were domestic species. the total number of reported cases of rabies increased 42.9% over that of 1990 (4,881 cases), with most of the increase resulting from continued spread of the epizootic of rabies in raccoons in the mid-atlantic and northeas ...	1992	1483899