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perspective on the development of vaccines against lyme disease.lyme disease, the multisystem illness caused by the tick-borne spirochaete, borrelia burgdorferi, has emerged as a threat to public health worldwide. it is a particularly vexing problem in the united states where it is growing in range and intensity. in fact, in some hyperendemic regions of new york and new england, lyme disease is now such a threat that it interferes with all sorts of outdoor activities, and has even led to depreciation of real estate values. family dogs in these areas seem to ...19911771965
booth memorial awarded funds to cover dental costs for aids patients. 19911783716
hiv seroprevalence and risk behaviors in psychiatric inpatients.the seroprevalence of the human immunodeficiency virus (hiv) in 515 patients consecutively admitted to a state psychiatric hospital in new york city was 8.9%. there were 365 patients whose results were individually traceable; the remaining 150 patients were tested anonymously. risk factors including parenteral drug abuse, male homosexual behaviors, and other sexual behaviors were studied in the traceable patients. logistic regressions indicated that parenteral drug abuse was the main risk factor ...19911798815
patients with aids pose legal challenge. 19911835526
human immunodeficiency virus/acquired immunodeficiency syndrome nephropathy in the inner city. 19911857574
eastern equine encephalitis--florida, eastern united states, 1991.the florida department of health and rehabilitative services (hrs) has confirmed five human cases of eastern equine encephalitis (eee) in elderly residents of bradford, duval, and washington counties in northern florida. dates of illness onset were in mid-june and early july. one patient partially recovered and has residual neurologic deficits, two patients remain comatose, and two patients died.(abstract truncated at 250 words)19911861668
population characteristics of tuberculosis in an hiv/aids registry from an east harlem hospital.the recent increase of tuberculosis nationally and in new york city has been attributed in part to the progression of the acquired immunodeficiency syndrome (aids)/human immunodeficiency syndrome (hiv) epidemic. the east harlem/south bronx/bushwick sections of new york city have an especially high incidence of tuberculosis. an hiv/aids registry (1986-1990) consisting of 1,312 patients from a community hospital serving east harlem was examined for population characteristics associated with docume ...19911861805
tuberculosis in children 10 years of age and younger: three decades of experience during the chemotherapeutic era.the 863 patients, aged 10 years and younger, treated at the children's chest clinic of bellevue hospital during three decades (1953 through 1981) clearly indicated the success of antituberculosis therapy. there were no deaths from tuberculosis. early treatment is associated with a reduction in the serious forms of disease, eg, meningitis, miliary disease, and bone infections, and with preventing death. medication was well tolerated: only 1.1% of the patients had adverse reactions, all of which w ...19911861920
the geographic spread and temporal increase of the lyme disease epidemic.to describe the temporal and geographic progression of the lyme disease epidemic in new york state from 1977 through 1989.19911870248
reducing hiv sexual risk behaviors among runaway adolescents.reductions in runaways' sexual risk behaviors were evaluated in response to an intensive program to prevent human immunodeficiency virus (hiv) infection and the acquired immunodeficiency syndrome (aids).19911870249
psychosocial influences on acquired immunodeficiency syndrome-risk behaviors among high school students.a survey measuring acquired immunodeficiency syndrome (aids)-related behaviors and selected psychosocial factors was administered to 1091 tenth grade students residing in or near an aids epicenter. the purpose of the survey was to identify salient risk factors that could be targeted in aids prevention programs. by 15 years of age, one quarter of students reported engaging in behaviors that placed them at higher risk for acquiring infection with human immunodeficiency virus, and 3% of students re ...19911896297
demographic characteristics, drug use, and sexual behavior of i.v. drug user with aids in bronx, new york.intravenous (i.v.) drug users are a key factor in the transmission of human immunodeficiency virus (hiv) infection, yet epidemiologic information about this population, especially those with acquired immunodeficiency syndrome, is scarce. the demographic characteristics, drug use behavior, and sexual practices of i.v. drug users who developed aids were prospectively studied at the montefiore medical center from october 1984 to february 1988. the early wave of i.v. drug users with aids was charact ...19911899944
incidence of numerical chromosome anomalies in human pregnancy estimation from induced and spontaneous abortion data.induced abortion data provided an estimate of 4.7% numerical chromosome anomalies for women with a clinically recognized pregnancy at the end of the 7th week after the last menstrual period (lmp). this frequency requires that 51.9% of spontaneous abortions occurring after the 7th week should be chromosomally abnormal if the frequency of numerical chromosome anomalies at term (live and stillbirths combined) is 0.53%. cytogenetic data from surveys of spontaneous abortion suggested a lower incidenc ...19911918307
clinical significance of neutropenia in patients with human immunodeficiency virus infection.to determine the incidence of infection in human immunodeficiency virus (hiv)-infected patients during periods of neutropenia and non-neutropenia. to compare the infection rates in patients with hiv disease to those in a group hospitalized with neutropenia and hematologic malignancy.19911918889
the animal preference test and its relationship to behavioral problems in young children.we compared performance on the animal preference test; (apt; van krevelen, 1955) with parental assessment of children's behavioral problems as measured by the achenbach child behavior checklist (cbcl; achenbach & edelbrock, 1986). forty black and hispanic 6- to 12-year-old boys were asked to name the three animals they would most like to be and the three animals they would least like to be if they could not be a human being. reasons for animal choice were categorized into one of four theme categ ...19911920027
from quality assurance to quality management in long term care.this article describes the continuing evolution of the quality assurance program at crown nursing home, a privately owned, skilled long-term care facility in brooklyn, new york, into quality management. activities are intended to improve the systems and processes of resident care, develop and implement practice guidelines, integrate suppliers and vendors into the facility processes, use information systems for indicator monitoring, encourage residents and family participation, provide care throu ...19911923453
incidence of intestinal parasitic disease in an acquired immunodeficiency syndrome day-care center.in june, 1986, the bronx municipal hospital center opened an acquired immunodeficiency syndrome day-care center to provide a quality educational experience for children infected with the human immunodeficiency virus. a major concern was the possibility of increasing secondary infections among these immunocompromised children by placing them in a group environment. one particular worry was intestinal parasitic disease, a serious public health problem in day-care centers throughout the united stat ...19911923677
human papillomavirus, gonorrhea, syphilis, and cervical dysplasia in jailed women.we assessed the prevalence of human papillomavirus (hpv) by cervicovaginal lavage and southern blot and inquired about behavioral risk factors for cervical disease and sexually transmitted diseases by interview in 114 female detainees at a large new york city jail. of the women screened, 8% had abnormal pap smears, 35% had hpv, 7% had gonorrhea, and 22% had serologic syphilis. given the high rates of hpv infection and cervical cytology, pap smears should be a routine intake procedure for incarce ...19911928533
resurgent tuberculosis in new york city. human immunodeficiency virus, homelessness, and the decline of tuberculosis control programs.the resurgence of tuberculosis in new york city has been largely attributed to the acquired immune deficiency syndrome (aids) epidemic. however, historical events predating the advent of aids and worsening economic and social conditions, including a rise in homelessness, have contributed significantly to the increase. we prospectively studied 224 consecutive patients with tuberculosis admitted to a large public hospital in new york over the first 9 months of 1988. initial assessment included med ...19911928942
effect of psychological factors on risk behavior of human immunodeficiency virus (hiv) infection among intravenous drug users (ivdus).the effect of psychological factors on drug and sexual behaviors in relation to hiv infection was investigated among 262 ivdus in methadone clinics in new york city. among female ivdus, the hiv positive subjects reported larger numbers of sex partners than those subjects who were hiv negative, and those who had larger numbers of sex partners were more likely to be depressed. the ivdus who had larger numbers of needle-sharing partners at shooting galleries were more likely to be hiv positive. int ...19911938003
the geographic and ethnic diversity of aids incidence trends in homosexual/bisexual men in the united states.we examined geographic and racial/ethnic variation in acquired immune deficiency syndrome (aids) incidence in homosexual and bisexual men (i.e., men who report sex with men: mswm) not using i.v. drugs in the united states. the aids incidence in these men has continued to increase in the united states. incidence increased much less rapidly after 1986 in the three metropolitan statistical areas (msas) with the most cases, new york city, los angeles, and san francisco, and may have reached a platea ...19911941525
physicians' attitudes toward the autopsy of patients with aids.in spite of the value of autopsy in modern medicine, autopsy rates continue to decline. this decline has been especially pronounced for patients who die of acquired immunodeficiency syndrome (aids). in this paper, we assess the attitudes of house officers toward the autopsy in aids patients. the survey encompassed 112 internal medicine housestaff (imhs) and 37 pathology housestaff (phs) at two new york city university hospitals that care for large numbers of aids patients. a self-administered qu ...19911945149
characteristics of hiv-infected adults in acute care hospitals in new york state, 1984-1986.the new york state acute care, hospital discharge database was used to create a longitudinal case history file for all adult inpatients infected with the human immunodeficiency virus (hiv). from 1984 through 1986, 12,958 individuals with hiv-related diseases were treated in acute care hospitals throughout the state. approximately 80% of those people resided in new york city, and nearly half of them were between ages 30 and 39 years. over the three-year period, the proportion of females increased ...19911945150
sampling strategies for toxic air contaminants.annual concentrations of toxic air contaminants are of primary concern from the perspective of chronic human exposure assessment and risk analysis. despite recent advances in air quality monitoring technology, resource and technical constraints often impose limitations on the availability of a sufficient number of ambient concentration measurements for performing environmental risk analysis. therefore, sample size limitations, representativeness of data, and uncertainties in the estimated annual ...19911947350
history, ethics, and politics in aids prevention research. 19911951792
the new york needle trial: the politics of public health in the age of aids.during the past 5 years, the exchange of sterile needles and syringes for dirty injecting equipment has gained increasing acceptance outside the united states as a potential means of reducing the transmission of the human immunodeficiency virus (hiv) among intravenous drug users. this article describes the controversy over attempts to establish a needle and syringe exchange scheme in new york city between 1985 and 1991. the response to a health crisis is used as an indicator of patterns of socia ...19911951815
disseminated tuberculosis in the acquired immunodeficiency syndrome era.to assess the influence of human immunodeficiency virus type 1 (hiv)-induced immunodeficiency on the clinical, radiographic, and pathologic features of disseminated tuberculosis (tb), we studied 79 patients presenting in 1984 through 1987 with miliary or focal disseminated disease due to mycobacterium tuberculosis, as well as 4 additional non-hiv patients diagnosed after 1987. clinically defined acquired immunodeficiency syndrome (aids) or aids-related complex (arc) was present in 51 (group 1). ...19911952449
medical school, psychosocial attitudes, and gender.a scale measuring empathy and a scale measuring attitudes toward social issues and human relations in health care were administered to medical students when they were applicants to medical school and again midway through their third year. students in their third year exhibited less positive and/or more negative attitudes compared to their scores as applicants. the changes were largest in areas relating to social issues, such as government involvement in health care, and least in areas relating t ...19911955644
aids update. condom availability in new york city schools.despite strong protests from a minority group of critics, the new york city board of education adopted a measure february 27, 1991, approving universal availability of condoms in city high schools to students without the need for parental consent. this expanded hiv education program allows the system's 261,000 students in 120 public high schools to procure condoms from any of 17 clinics and any teacher or staff member volunteering for the program. while a few, small u.s. school districts have im ...19911956177
a prospective study of infants of human immunodeficiency virus seropositive and seronegative women with a history of intravenous drug use or of intravenous drug-using sex partners, in the bronx, new york city.a prospective study was conducted in the bronx, new york, of 70 infants of human immunodeficiency virus (hiv)-infected (n = 33) and uninfected (n = 37) mothers who had a history of intravenous drug use or of intravenous drug-using sex partners. infants were observed from birth to a median age of 23 months (range 3 to 54 months). hiv infection was confirmed in seven infants (21%) of seropositive mothers; six developed hiv disease, with symptoms observed in the first year. of these, three died (3, ...19911956745
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 ...19911961177
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).19921727616
update: influenza activity--united states, 1991-92 season.from october 23, 1991, through january 18, 1992, 46 state health departments reported regional or widespread influenza activity for 1 or more weeks. for the week ending january 4, 34 states reported regional or widespread activity, the most during any single week this season. from late october through mid-december, influenza outbreaks reported from 11 states involved primarily school children. reports of outbreaks among adults began in mid-november and continued through january and involved pers ...19921731184
hiv-1 seroprevalence in pregnant women testing positive on serologic screening for syphilis.epidemic increases in active syphilis have been reported in the geographic areas hit hard by acquired immunodeficiency syndrome. although both epidemics have been associated with illicit substance abuse, the extent to which recent increases in syphilis are linked to the human immunodeficiency virus (hiv-1) epidemic is uncertain. in order to define the frequency of syphilis and hiv-1 coinfection in the pregnant patients seen at city hospital center at elmhurst, we saved syphilis-positive serologi ...19921734241
estimating infant mortality from human immunodeficiency virus and other causes in breast-feeding and bottle-feeding populations.this paper discusses the literature dealing with breast-feeding in women with human immunodeficiency virus (hiv) infection. this review is used to develop a background for a quantitative assessment of factors determining whether breast-feeding or bottle-feeding will result in a lower overall mortality in areas of different hiv prevalence. an algebraic formula is presented that enables calculation of the mortality that would result in any population if the following variables are known or capable ...19921734398
medical care costs of intravenous drug users with aids in brooklyn.this article reports on a study of medical costs of intravenous drug users (ivdus) with acquired immune deficiency syndrome (aids) in brooklyn, ny, u.s.a. sociodemographic and clinical data as well as information on medical resource use was gathered for 38 ivdus with aids, all of whom belonged to minority racial/ethnic groups and were covered by medicaid insurance. data obtained through patient interviews and review of medical records indicated that the sample had mean annual medical charges of ...19921738078
outbreak of influenza a in a nursing home--new york, december 1991-january 1992.during december 1991 and january 1992, an outbreak of influenza a occurred among residents of a nursing home in new york. from mid-october through mid-november 1991, influenza vaccine was administered to 295 (88%) of the 337 residents of the nursing home. the residents shared common dining and recreational areas; the mean age of residents was 83 years (range: 51-103 years); 256 (76%) were female. the prevalence of underlying illness in vaccinated and unvaccinated patients was not determined.19921738358
childbearing and contraceptive-use plans among women at high risk for hiv infection--selected u.s. sites, 1989-1991.from september 1990 through august 1991, 2655 (49%) of the 5457 women reported with acquired immunodeficiency syndrome (aids) in the united states had been injecting-drug users (idus), and 1136 (21%) had had sexual intercourse with men who were idus (1). during the same period, 413 (56%) of the 735 children (aged less than 13 years) reported with aids were born to mothers who were either idus (38%) or sex partners of idus (18%) (1). even though messages and services regarding prevention of human ...19921738361
a process for translating and testing a quantitative measure for cross-cultural nursing research.a study was done to translate an english language, original measure of human behavior into mandarin chinese. a process used to translate from one language to the other is explained. internal consistency of both versions of the measures is tested and equivalence across the two versions of the measure was supported.19921287156
maternal adaptation during pregnancy among adult early, middle, and late childbearers: similarities and differences.women 20-24 (n = 10), 25-29 (n = 13), and 30 and over (n = 18) were interviewed and their responses compared on six variables: maternal-fetal relationship, quality of the marital relationship, preparation for motherhood, attitude towards the pregnancy, maternal role conceptualization, and motivation for motherhood. later childbearing was significantly related to three variables: motivation for motherhood, maternal-fetal relationship, and maternal role conceptualization. women 25-29 years old wer ...19921287372
the radiographic incidence of multiple roots and canals in human mandibular premolars.the aim of this study was to investigate the incidence in mandibular premolars of multiple roots and root canals that could be demonstrated radiographically. the images of mandibular premolar teeth as seen on intraoral full-mouth radiographic surveys (547) taken with the paralleling technique were examined. in 99 patients (18.1%) there was at least one premolar tooth with either divided canals or roots. first premolars were involved in 15.7% of patients, and second premolars in 7%.19921291519
outbreak of influenza a in a nursing home--new york, december 1991-january 1992. 19921299424
otosyphilis: a diagnostic and therapeutic dilemma.traditional treatment of otosyphilis with penicillin and corticosteroids has achieved hearing improvement; however, selecting which patients with a positive fluorescent treponemal antibody absorption (fta-abs) test will benefit from treatment remains a problem. in order to study this problem, 18 patients with cochleovestibular dysfunction of unknown etiology and positive syphilis serology were treated with intravenous penicillin and corticosteroids. in addition, lumbar puncture and human immunod ...19921307698
screening indices for cytomegalovirus retinitis in patients with human immunodeficiency virus.cytomegalovirus retinitis, the major cause of blindness in patients with the acquired immunodeficiency syndrome, can be arrested by early detection and treatment. we identified 9 screening indices for early cmv retinitis: t-4/t-8 ratio less than 0.11, t-4 count less than 30, t-8 count less than 500, leukocytes less than 4,200, platelets less than 240,000, hemoglobin less than 11.6, hematocrit less than 35, less than 6 for a diagnostic profile which incorporates these 7 indices, and less than 2 f ...19921310346
follow-up evaluation of cervicovaginal human papillomavirus infection in adolescents.we performed a second examination for human papillomavirus (hpv) dna on 51 sexually experienced 13- to 21-year-old (mean = 17.8 years) female patients seen at an urban teaching hospital. cervicovaginal lavages were performed 6 to 36 months apart (median = 13.3 months) to collect cells for hpv dna detection and typing by southern blot hybridization. at the first and second visits, 39.2% (20/51) and 25.5% (13/51) of patients, respectively, were infected with hpv. collectively, 56.9% (29/51) of pat ...19921322456
clinical and laboratory correlates of human immunodeficiency virus infection in a cohort of intravenous drug users from new york, ny.the human immunodeficiency virus (hiv) epidemic has increasingly involved intravenous drug users. few studies have attempted to define its clinical and laboratory characteristics in this population.19921353953
forecasts of the costs of medical care for persons with hiv: 1992-1995.this study concludes that the cumulative (national) cost of treating all persons with the human immunodeficiency virus (hiv) rose considerably over the past year and will continue to rise over the next several years. it is forecast that the cumulative cost of treating all persons with hiv will increase 48% from 1992 to 1995 (from $10.3 billion to $15.2 billion). it is estimated that the average yearly cost of treating a person with aids is $38,300 and of treating an infected person without aids ...19921356925
survival in a cohort of human immunodeficiency virus-infected tuberculosis patients in new york city. implications for the expansion of the aids case definition.the occurrence of pulmonary tuberculosis in human immunodeficiency virus (hiv)-infected persons is believed to represent a less severe stage of hiv-related disease with a more favorable prognosis than other acquired immunodeficiency syndrome (aids)-defining conditions; therefore, it has been excluded from the aids definition established by the centers for disease control (atlanta, ga) criteria.19921358042
clinical manifestations and predictors of disease progression in drug users with human immunodeficiency virus infection.to examine the clinical course of human immunodeficiency virus (hiv) infection in injection-drug users, we conducted a prospective study of a cohort of patients in a methadone-treatment program in new york city from july 1985 through december 1990. the patients underwent standardized evaluations at base line and semiannually thereafter and received on-site primary medical care. rates of progression to the acquired immunodeficiency syndrome (aids) and major outcomes before the development of aids ...19921359411
rotavirus-specific breast milk antibody in two populations and possible correlates of interference with rhesus rotavirus vaccine seroconversion.milk was collected from 56 new york and 70 venezuelan mothers participating in rhesus rotavirus (rrv) pediatric vaccine trials. plaque reduction neutralization antibody (prna) to rrv (vp7:3, vp4:rrv) and human p rotavirus (vp7:3, vp4:p) and epitope-blocking antibody to one rrv vp4 and vp7 epitope were determined. controlling for postpartum age, more venezuelan milk samples had detectable rrv and p prna, rrv vp4 epitope-blocking antibody (p less than or equal to .001), and higher rrv and p prna g ...19921373753
feasibility of interactive videodisc technology to teach minority youth about preventing hiv infection.hispanic and african american adolescents are more likely than white anglo youth to harbor misconceptions about acquired immunodeficiency syndrome (aids) and are also more likely to engage in intravenous drug use and sexual intercourse. this paper describes the development of an aids prevention curriculum that uses an interactive videodisc program to teach skills for interventions. focus group and expert panel studies yielded suggests for intervention vignettes and scenes relevant to hispanic an ...19921375760
home visitation for pregnant women and parents of young children.many of the most pervasive, intractable, and costly problems faced by high-risk women and young children in our society today are a consequence of adverse maternal health-related behaviors (such as cigarette smoking, drinking, and drug use during pregnancy), dysfunctional infant care giving, and stressful environmental conditions that interfere with individual and family functioning. these problems include low birth weight, child abuse and neglect, childhood injuries, unintended and closely spac ...19921375807
immunologic markers of progression to acquired immunodeficiency syndrome are time-dependent and illness-specific.since prevalent cohorts may be biased by the duration of human immunodeficiency virus (hiv) infection (onset bias), it is useful to assess the potential predictive value of markers in incident cohorts of hiv-positive subjects for whom the date of seroconversion is known or can reliably be estimated. of 131 homosexual men with hiv-1 seroconversion from new york city and washington, dc, who were evaluated annually beginning in 1982, 60 developed acquired immunodeficiency syndrome (aids) by the end ...19921384311
lead poisoning: i. some clinical and toxicological observations on the effects of occupational lead exposure among firearms instructors.lead poisoning continues to be a common occupational disease in many countries. during the past two decades, poisoning presenting with overt clinical symptoms has become less frequent because of improvement in control of exposure, and attention has been focused on subtle biochemical and "subclinical" manifestations of lead toxicity. firearms instructors constitute an occupational group at risk for excessive exposure to lead from the firing of arms in shooting galleries. this paper summarizes cli ...19921428811
mortality trends in a cohort of homosexual men in new york city, 1978-1988.trends in mortality related to infection by human immunodeficiency virus type 1 (hiv-1) and to other causes were examined from 1978 to 1988 in a cohort of 8,906 homosexual men who participated in studies of hepatitis b virus infection in the late 1970s in new york city. hiv-related mortality rates increased from 1 per 10,000 person-years in 1980 to 181 per 10,000 person-years in 1986, followed by a plateau from 1986 to 1988. the standardized mortality ratio among white men in the cohort was 3.7 ...19921442731
heavy metal and selenium levels in young cattle egrets from nesting colonies in the northeastern united states, puerto rico, and egypt.colonially-nesting species of herons and egrets breed mainly in coastal areas, along rivers or near other large bodies of water. such areas are also preferred for human development, exposing nesting birds to various pollutants. from 1989-1991, the concentrations of heavy metals and selenium were studied in the feathers of fledgling cattle egrets bubulcus ibis, a terrestrially-feeding insectivore, from new york and delaware in the northeastern united states, from puerto rico, and from egypt. ther ...19921444587
influenza a outbreaks in nursing homes. 19921447451
human babesiosis in new york state: an epidemiological description of 136 cases.epidemiological data on 136 cases of human babesiosis reported from laboratories and clinicians in the state of new york from 1982 to 1991 were reviewed. all but two patients, who had traveled to nantucket island in massachusetts, acquired disease in suffolk county, long island. the highest average age-group-specific annual incidence rates occurred among men > or = 80 years of age (7.72 per 100,000) and among women 70-79 years of age (3.61 per 100,000). seven patients (5%) had previously undergo ...19921457632
women's perceptions about the way social roles promote or constrain personal nutrition care.research suggests that roles may affect women's health promoting behavior. this study was designed to discover, understand and develop hypotheses about the ways in which women's social roles influence their attitudes and beliefs about personal nutrition care. in-depth interviews were conducted with 36 married mothers, both employed and homemakers, at three different life stages. interviews were analyzed using the constant comparative method of qualitative analysis. these data suggest that social ...19921475997
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 ...19921483899
drug-resistant tuberculosis in an urban population including patients at risk for human immunodeficiency virus infection.in the past 5 yr, an increased incidence of tuberculosis has been noted in the united states. simultaneously, the population infected with human immunodeficiency virus-type i (hiv-i) and the number of cases of acquired immunodeficiency syndrome (aids) have increased. selected areas of the united states have also reported increases in the frequency of drug-resistant isolates of mycobacterium tuberculosis. because our institution serves a population in which tuberculosis, aids, and drug resistant ...19921489113
condom use among male injecting-drug users--new york city, 1987-1990.heterosexual transmission of human immunodeficiency virus (hiv) continues to increase, especially among injecting-drug users (idus) and their sex partners. during 1991, 22% of women with acquired immunodeficiency syndrome (aids) in the united states reported having had sex with a male idu; this risk behavior was second to injecting-drug use (48%) as a transmission category for women. to better understand how to reduce heterosexual transmission of hiv, a study on condom use among male idus on the ...19921501604
relation between hospital experience and in-hospital mortality for patients with aids-related pneumocystis carinii pneumonia: experience from 3,126 cases in new york city in 1987.there is marked debate about whether outcomes of care, particularly mortality, vary as a function of hospital and physician experience with a disease. this issue is especially important with respect to aids because greater than 200,000 individuals have now been diagnosed with this disease. we analyzed discharge data for 3,126 persons with aids who had pneumocystis carinii pneumonia and who were treated at one of 73 new york city hospitals in 1987. in-hospital mortality was 25%. factors associate ...19921512684
[the influence of some ophthalmologists of german origin on the development of american ophthalmology].german-speaking immigrants came to america at the end of the seventeenth century from central europe, in the 19th century predominantly from germany, in the 20th century from the austro-hungarian monarchy. herrmann knapp (1839-1911), 1859 member of eye department in heidelberg, 1867 immigration, 1879 foundation of american archives of ophthalmology, continued to be editor together with his son arnold until 1948. julius homberger (1839-1872), born in frankfurt, 1861 immigration, foundation of ame ...19921513123
health care workers, tuberculosis, and the human immunodeficiency virus epidemic. 19921514102
independent studies program in the basic sciences. a curricular innovation.the independent studies program was initiated at the new york college of podiatric medicine during the early months of 1987, and it has achieved continued success and acceptance from the administration, faculty, and students. the program emphasizes competence as the constant within a relatively time-independent framework. this paper presents, in a longitudinal fashion, the independent studies program as a program model that combines criterion-referencing concepts, mastery-based learning combinat ...19921517985
discrimination charges require quick response. 19921531253
prevalence of human t-lymphotropic virus in civilian applicants for the united states armed forces.the wide range in human t-lymphotropic virus (htlv) seroprevalences reported worldwide has made estimates of seroprevalence difficult in unique populations. in this study, the seropositivity of young adult civilian applicants for the us armed forces was determined.19921536338
from the centers for disease control. outbreak of influenza a in a nursing home--new york, december 1991-january 1992. 19921538527
trends in survival for children reported with maternally transmitted acquired immunodeficiency syndrome in new york city, 1982 to 1989.to better understand the natural history of severe pediatric human immunodeficiency virus infection, reported cases of perinatally acquired pediatric acquired immunodeficiency syndrome (aids) in new york city were examined for differences in survival and age at diagnosis before and after implementation of an expanded case definition in 1987. one hundred ninety-six children reported through august, 1987, and 333 children reported between september, 1987, and february, 1990, and diagnosed through ...19921549406
human immunodeficiency virus seropositivity in critically ill neonates in the south bronx.cord blood was anonymously screened to determine the prevalence of human immunodeficiency virus (hiv) seropositivity in neonates admitted to the neonatal intensive care unit (nicu) at the bronx lebanon hospital center, located in the south bronx. we speculated that factors leading to admission to the nicu such as low birth weight, prematurity and being small for gestational age would also be associated with an increased prevalence of hiv seropositivity. during the study period the prevalence of ...19921549407
dna analysis of borrelia burgdorferi nch-1, the first northcentral u.s. human lyme disease isolate.the dna of the first northcentral united states human lyme disease isolate, borrellia burgdorferi nch-1, was characterized and compared with the dnas of nine other b. burgdorferi isolates. strain nch-1 was isolated in august 1989 from a human skin biopsy specimen. dna was analyzed by pulsed-field gel electrophoresis and restriction endonuclease analysis. contour-clamped homogeneous electric field pulsed-field gel electrophoresis of in situ-lysed cells was performed to compare the plasmid profile ...19921551988
human immunodeficiency virus and hepatitis b virus infections in a new york city alcoholic population.alcoholics have previously been reported to have an increased susceptibility to hepatitis b virus (hbv) infection. since human immunodeficiency virus (hiv) is transmitted in a similar fashion, we studied 143 consecutive in- and outpatient alcoholics residing in new york city for hiv and hbv prevalence and associated risk factors. of these alcoholics, 19 (13%) individuals were hiv positive, 57 (40%) were hepatitis b seropositive. intravenous drug use and sexual contact with an iv drug user were t ...19921556861
successful implementation of a long-term care unit for patients with acquired immunodeficiency syndrome in an underserved suburban area with a high incidence of human immunodeficiency virus.long island (ny) has the highest incidence of human immunodeficiency virus infection of any suburban area in the united states. until 1988, however, no patient with the acquired immunodeficiency virus had been admitted to any one of the 61 long island nursing home facilities.19921558441
george draper and american constitutional medicine, 1916-1946: reinventing the sick man. 19921559029
thrombocytopenia in children infected with human immunodeficiency virus: long-term follow-up and therapeutic considerations.among 180 children infected with human immunodeficiency virus (hiv-1), 14 (8%) developed thrombocytopenia during the course of the disease and have been followed for an average period of 18.8 months. eight of 14 patients had clinical signs of bleeding. increased levels of anti-platelet igg antibodies were detected in 86% of patients tested and did not correlate with severity of disease. eight patients were treated initially with intravenous immunoglobulins (ivig) and responded with a transient i ...19921560341
human immunodeficiency virus-1 seroprevalence among parturients in los angeles county public hospitals.to estimate the prevalence of human immunodeficiency virus type 1 (hiv-1) among parturients in an area with a high cumulative incidence of aids, an hiv seroprevalence study was conducted in 1988 in los angeles county. test results were available from 8485 (86.1%) of the 9860 women delivering at four public hospitals. the test results were linked to demographic and medical information available from routinely collected delivery records. three specimens were hiv-positive, for a seroprevalence of 3 ...19921565344
evaluation of the rigor and appropriateness of clia '88 toxicology proficiency testing standards.the proposed rule for the clinical laboratory improvement amendments of 1988 (clia '88) describes uniform standards for the design of proficiency testing (pt) challenges and for the evaluation of laboratory performance. successful performance on pt is a condition for laboratory certification by the federal department of health and human services. we conducted a retrospective evaluation of pt data collected from laboratories participating in the new york state therapeutic substance monitoring/qua ...19921568313
monitoring human exposure to lead: an assessment of current laboratory performance for the determination of blood lead.the performance of a small group (9-13) of experienced reference laboratories performing the determination of lead in blood is assessed by means of repeated analyses of lyophilized animal blood. both interlaboratory precision and intralaboratory precision are reported for the reference laboratory group. results indicate that at the new blood lead action level of 10 micrograms/100 ml, this group can achieve results that are accurate to within +/- 2 micrograms/100 ml. the capability of routine cli ...19921568437
rabies surveillance in the united states during 1990.in 1990, the united states and its territories reported 4,881 cases of rabies in animals to the centers for disease control, a 1.5% increase from 1989. of these, 553 were domestic animals, 4,327 were wild animals, and one was a human being. pennsylvania reported the highest number (611) of rabies cases in animals in 1990. for the first time since surveillance of rabies in wild animals was begun in the 1950s, the number of cases of rabies in raccoons exceeded that in skunks. particularly large in ...19921577642
changes in aids incidence trends in the united states.estimating the current prevalence of human immunodeficiency virus (hiv) and projecting the future incidence of aids require that trends in incidence be analyzed and interpreted. we analyzed aids incidence trends in the united states by exposure category and selected demographic factors. in 1987, the trend in united states aids incidence changed as growth in the number of cases diagnosed per quarter began to decline. the slowing in growth is due in large part to a plateau in quarterly incidence i ...19921588489
epidemiologic evidence for the role of indoor tobacco smoke as an initiator of human breast carcinogenesis.earlier research suggested an appreciable latent period between the time of exposure to indoor tobacco smoke and the detection of breast cancer. a close relationship was found in the u.s. between state breast cancer mortality from 1978 through 1981 and state cigarette sales from 1950 through 1954 (r = 0.64, p less than 0.001). the correlation declined for sales in subsequent years but remained highly significant until 1970, but not thereafter. thus, it appears that the role of indoor tobacco smo ...19921600521
haemophilus influenzae type b bacteremia in adults with aids and at risk for aids.our objective was to determine the number of cases of haemophilus influenzae type b bacteremia in patients with and at risk for acquired immunodeficiency syndrome (aids) from january 1983 to june 1991 at a municipal hospital in bronx, new york.19921605138
high risk of active tuberculosis in hiv-infected drug users with cutaneous anergy.to determine the incidence of active tuberculosis in human immunodeficiency virus (hiv)-seropositive and hiv-seronegative drug injectors with cutaneous anergy and to examine the effectiveness of isoniazid chemoprophylaxis in preventing tuberculosis among drug injectors with positive tuberculin test results.19921619742
an hiv-infected pharmacist. 19921626592
medically indigent women seeking abortion prior to legalization: new york city, 1969-1970.if the efforts now underway to limit access to abortion services in the united states are successful, their greatest impact will be on women who lack the funds to obtain abortions elsewhere. there is little published information, however, about the experience of medically indigent women who sought abortions under the old, restrictive state laws. this article details the psychiatric evaluation of 199 women requesting a therapeutic abortion at a large municipal hospital in new york city under a re ...19921628716
tuberculosis in patients infected with human immunodeficiency virus: a problem-solving approach. 19921636937
factors associated with urban gay men's treatment initiation decisions for hiv infection.while a public health emphasis on primary prevention of human immunodeficiency virus (hiv) infection continues, it is recognized that large numbers of individuals are already infected. efforts at secondary prevention focus on early medical intervention and may be effective in slowing progression to a diagnosis of aids. understanding the factors that promote or impede seropositive individuals from receiving prompt medical treatment and complying with treatment regimens is essential to prolonging ...19921642958
multiple listing for organ transplantation: autonomy unbounded.recently, debate about the distribution of scarce organs for transplantation has focused on whether patients should have the right to place themselves on waiting lists at several transplant centers, thereby gaining an advantage over other potential recipients. this article explores the social and ethical issues raised by multiple listing, contrasting policies adopted at the national level with those implemented in new york state. it concludes by examining the implications of the debate for broad ...199210117351
hhs judge lowers boom on hospital that curbed hiv-positive pharmacist. 199210117584
the home care industry: strategies for survival in an era of dwindling resources.the home care component of our long-term care system is increasingly being recognized as the preferred alternative to institutional care for the frail elderly and disabled. dwindling resources, both human and financial, are likely to have a deleterious effect on home care. findings from a 1987-88 survey of paraprofessional home care workers of the frail elderly in new york city are used to draw implications for the home care industry. the scope of problems inherent in the industry imply that cha ...199210186811
tb carriers see clash of liberty and health: tuberculosis -- a killer returns. 199211646941
susan philliber, ph.d.: investigating the decision for sterilization among poor women.a study conducted by dr. susan philliber with support from the national institute of child health and human development, "sterilization decision making and consequences among poor women," offers important information for family planning counselors. this study, which was carried out in 1985-89, involved interviews with 1800 women at public hospitals clinics in atlanta, new york city, and pittsburgh. unique was the longitudinal design of the study, which enabled multiple interviews with subjects o ...199212285570
the new york times ad.feminization of patriarchal institutions is necessary in order to eliminate the exclusivity and mutuality of hierarchical, gender, class, and race stratification. the aim of this paper is to explain the history and activities surrounding the new york times ad on sunday, october 7, 1984 (the catholic statement on pluralism and abortion signed by barbara ferraro and patricia hussey of the sisters of note dame de namur, rose dominic trapasso of the maryknoll sisters, and 67 other signers). the si ...199312178920
researchers admit study with drugs had no o.k. 199311646994
jailing of man with aids spurs legal debate. 199311647933
informed choice: physicians' duty to disclose nonreadily available alternatives. 199311659829
full-text document storage and retrieval in a clinical information system.the overall design of the cis at cpmc is heavily influenced by the decision support component. the type of automated decision support being implemented dictates the need for highly structured or coded data. the value of decision support systems has been well documented. the current reliance on free-text documents is natural and a rewarding first step to a more valuable mix of coded and free text. while the health care provider might find the textual comments of the various reports extremely usef ...199310139111
at-home options. enhancing care for aids patients.mark is a 45-year-old man with advanced aids. his care partner, gary, has a full-time job in the design industry. a home care aide visits mark five days a week for 10 hours at a time to provide personal care while gary is at work. a visiting nurse sees mark weekly and has taught gary how to prepare mark's ganciclovir infusion. every six weeks mark meets with a nutritionist, who evaluates his dietary status and advises gary on purchasing high-calorie foods for mark. in may gary must attend a conf ...199310125243
'to make a difference'. the lincoln collective.the lincoln collective was born in 1970 as a grassroots effort of health and community workers to start the kind of nonhierarchical community-oriented program described in this article. the idea of two residents who were already at lincoln hospital, the notion was given official approval because of the influx of young, american-trained physicians and nurses it would bring. but, as the experiment was advertised by word of mouth to members of the student health organization, the medical committee ...199310129104
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