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symptomatic early neurosyphilis among hiv-positive men who have sex with men--four cities, united states, january 2002-june 2004.symptomatic early neurosyphilis is a rare manifestation of syphilis that usually occurs within the first 12 months of infection. most neurologic symptoms of early neurosyphilis result from acute or subacute meningitis, abnormalities in cranial nerve function, and inflammatory vasculitis leading to a cerebrovascular accident. symptomatic early neurosyphilis essentially disappeared in the united states after the introduction of penicillin treatment for syphilis in the late 1940s but reappeared in ...200717597693
incidence and persistence of staphylococcus aureus nasal colonization in a community sample of hiv-infected and -uninfected drug users.a longitudinal study of 282 community-based drug users was conducted from february 1999 through september 2000. both the incidence (15.0 cases per 100 person-years at risk; 95% confidence interval, 10.2-20.7 cases per 100 person-years at risk) and persistence of staphylococcus aureus carriage were increased among human immunodeficiency virus (hiv)-seropositive individuals.200717599312
the $5 man: the underground economic response to a large cigarette tax increase in new york city.we examined the mechanisms by which living in a disadvantaged minority community influences smoking and illegal cigarette sale and purchasing behaviors after a large cigarette tax increase.200717600270
tracking human travel using stable oxygen and hydrogen isotope analyses of hair and urine.the stable oxygen and hydrogen isotope compositions of organic samples are increasingly being used to investigate patterns of animal migration. relatively few studies have applied these techniques to modern humans, despite a variety of potential forensic applications. we analyzed drinking water and food at two geographic locations, east greenbush, new york (usa) and fairbanks, alaska (usa), with different delta(18)o and deltad values for precipitation and tap water. foods varied widely in measur ...200717610246
incident sexually transmitted infections among persons living with diagnosed hiv/aids in new york city, 2001-2002: a population-based assessment.objective/goal: to describe the incidence of 3 bacterial sexually transmitted infections (stis) among persons living with human immunodeficiency virus (hiv) infection and acquired immunodeficiency syndrome (aids) (plwha) in new york city (nyc) and to identify predictors for sti acquisition.200717621243
multistate outbreak of norovirus gastroenteritis among attendees at a family reunion--grant county, west virginia, october 2006.on october 17, 2006, the west virginia department of health and human resources (wvdhhr) was notified of an outbreak of acute gastroenteritis, characterized by vomiting and diarrhea, among attendees at a family reunion. the outbreak initially was reported by a group of attendees to their local health department in garrett county, maryland. the same day, the information was relayed to the grant county health department in west virginia and subsequently to wvdhhr. the reunion was held on october 1 ...200717625494
the role of lizards in the ecology of lyme disease in two endemic zones of the northeastern united states.we examined the role of lizards in the ecology of lyme disease in new york and maryland. we collected data on vector tick infestations, measured lizard "realized" reservoir competence for the lyme disease spirochete borrelia burgdorferi, and estimated lizard population density. these data were incorporated into a model that predicts a host's ability to influence the prevalence of b. burgdorferi in the tick population, a primary risk factor in the epidemiology of lyme disease. published data on o ...200717626342
raymond v. damadian, m.d.: magnetic resonance imaging and the controversy of the 2003 nobel prize in physiology or medicine.on october 6, 2003 the nobel committee announced that paul c. lauterbur, phd and sir peter mansfield, phd were awarded the nobel prize in physiology or medicine for their work on the development of magnetic resonance imaging. dr. raymond damadian was excluded and a controversy ensued.200717631325
written consent for human immunodeficiency virus testing. 200717639644
human granulocytic anaplasmosis during pregnancy: case series and literature review.we describe the clinical and laboratory manifestations and pregnancy outcomes of 6 women who received a diagnosis of human granulocytic ehrlichiosis during pregnancy. human granulocytic ehrlichiosis did not seem to present in a fulminant fashion, and all treated patients had excellent responses to rifampin or doxycycline therapy. perinatal transmission was documented in 1 neonate, who responded well to treatment. there do not appear to be any long-term adverse sequelae in children born from thes ...200717682993
monitoring the impact of influenza by age: emergency department fever and respiratory complaint surveillance in new york city.the importance of understanding age when estimating the impact of influenza on hospitalizations and deaths has been well described, yet existing surveillance systems have not made adequate use of age-specific data. monitoring influenza-related morbidity using electronic health data may provide timely and detailed insight into the age-specific course, impact and epidemiology of seasonal drift and reassortment epidemic viruses. the purpose of this study was to evaluate the use of emergency departm ...200717683196
hair analysis in sled dogs (canis lupus familiaris) illustrates a linkage of mercury exposure along the yukon river with human subsistence food systems.the dog has been an important biomedical research model and hair samples from sled dogs could be used as a biomarker of exposure to metals. hair samples were used as a non-invasive indicator of mercury exposure in sled dogs fed commercial food and traditional village diets. sled dog populations living in rural new york and alaska were sampled in 2005 and 2006. total mercury (thg) content was determined on the entire hair sample in sled dogs from reference sites in north creek, new york and salch ...200717707466
prevalence of hepatitis b and c virus infections in children infected with hiv.we evaluated the prevalence and transmission mode of hepatitis b and c in an inner-city, pediatric cohort of human immunodeficiency virus (hiv)-infected persons, as well as the demographic characteristics of the cohort. hepatitis b or c was found in 13 (5.8%) of 228 children. this analysis suggests that chronic hepatitis is prevalent and should be routinely screened for in the pediatric hiv-infected population.200717712766
revitalizing the humanistic imperative in nursing education.this article describes a teaching strategy that focuses students' attention on the humanistic imperative in nursing practice. the humanistic teaching method provides a framework for adapting nursing courses to accommodate person-to-person, human-centered nursing care alongside scientific and technological competencies. through this approach, students integrate concepts such as humanism, existentialism, and phenomenology into patient interactions. in addition to producing a favorable effect on pa ...200717715806
violations of human rights: health practitioners as witnesses.for humanitarian health-care practitioners bearing witness to violations of human dignity has become synonymous with denunciations, human rights advocacy, or lobbying for political change. a strict reliance on legal interpretations of humanitarianism and human rights is inadequate for fully understanding the problems inherent in political change. with examples from the hiv/aids epidemic in the usa, the rwandan genocide, and physician-led political activism in nepal, we describe three cases in wh ...200717720021
[the establishment of psychiatric genetics in germany, great britain and the usa, ca. 1910-1960. to the inseparable history of eugenics and human genetics].the article reconstructs the emergence of institutionalized research programs in the field of psychiatric genetics. it focuses on the first institutions in this field in germany, the united kingdom, and the united states: the genealogisch-demographische abteilung (gda) at the deutsche forschungsanstalt für psychiatrie in munich founded in 1917/18; the program (later: department) of medical genetics at the new york state psychiatric institute, associated with columbia university, and founded in 1 ...200718447192
nonpharmaceutical interventions implemented during the 1918-1919 influenza pandemic. 200718029825
polymorphisms in nucleotide excision repair genes, polycyclic aromatic hydrocarbon-dna adducts, and breast cancer risk.genes involved in the nucleotide excision repair (ner) pathway, which removes bulky dna adducts, are potential low-penetrance cancer susceptibility genes. we recently reported an association between detectable polycyclic aromatic hydrocarbon (pah)-dna adducts and breast cancer risk. using a population-based breast cancer case-control study on long island, new york, we examined whether polymorphisms in ner genes modified the association between pah-dna adducts and breast cancer risk. we examined ...200717932351
phylogenetic analysis reveals the global migration of seasonal influenza a viruses.the winter seasonality of influenza a virus in temperate climates is one of the most widely recognized, yet least understood, epidemiological patterns in infectious disease. central to understanding what drives the seasonal emergence of this important human pathogen is determining what becomes of the virus during the non-epidemic summer months. herein, we take a step towards elucidating the seasonal emergence of influenza virus by determining the evolutionary relationship between populations of ...200717941707
genetic polymorphisms in the apoptosis-associated genes fas and fasl and breast cancer risk.fas and fas ligand (fasl) play key roles in apoptotic signaling and down-regulation of this pathway may facilitate tumorigenesis. alterations in apoptosis genes may affect cancer risk by influencing individual susceptibility to environmental carcinogens. using a population-based breast cancer case-control study on long island, new york, we examined whether polymorphisms in fas and fasl modified the association between breast cancer risk and a marker of environmental exposures, polycyclic aromati ...200717962219
traumatic arteriovenous fistula due to an old gunshot injury: a victim from the afghanistan war.a 75-year-old man referred to the outpatient vascular surgery clinic of taleghani hospital (shaheed beheshti university of medicine, tehran, iran) due to a local nontender mass in his groin. in his history, it was discovered that the mass had appeared a few months after a gunshot injury. he had a history of shortness of breath with a new york heart association functional class fluctuating between ii and iii, but no history of smoking or addiction. in the physical examination, a 5-cm by 5-cm nonp ...200717985781
acute respiratory disease associated with adenovirus serotype 14--four states, 2006-2007.adenovirus serotype 14 (ad14) is a rarely reported but emerging serotype of adenovirus that can cause severe and sometimes fatal respiratory illness in patients of all ages, including healthy young adults. in may 2006, an infant in new york aged 12 days died from respiratory illness caused by ad14. during march-june 2007, a total of 140 additional cases of confirmed ad14 respiratory illness were identified in clusters of patients in oregon, washington, and texas. fifty-three (38%) of these patie ...200718004235
predictors of homelessness among older adults in new york city: disability, economic, human and social capital and stressful events.we interviewed 61 housed and 79 homeless adults aged 55 and over about disability; economic, human and social capital; and stressful life events prior to becoming homeless. over half of the homeless group had previously led conventional lives. human capital, social capital and life events were more important than disability or economic capital in predicting homelessness. the homeless adults were younger, more likely to be male and better educated than housed adults, but had shorter job tenure an ...200717855456
distributions of pharmaceuticals in an urban estuary during both dry- and wet-weather conditions.pharmaceuticals and selected major human metabolites are ubiquitous in jamaica bay, a wastewater-impacted estuary at concentrations in the low ng/l to low/microg/l range. concentrations throughout the bay are often consistent with conservative behavior during dry-weather conditions, as evidenced by nearly linear concentration-salinity relationships. deviation from conservative behavior is noted for some pharmaceuticals and attributed to microbial degradation. caffeine, cotinine, nicotine, and pa ...200717874789
prevalence and risk factors for clinically significant drug interactions with antiretroviral therapy.to identify the prevalence and types of clinically significant drug interactions (csdis) in the drug regimens of patients with human immunodeficiency virus (hiv) infection who were receiving antiretroviral therapy, and to explore risk factors for these csdis.200717896893
enterocytozoon bieneusi in mature dairy cattle on farms in the eastern united states.fecal specimens were obtained from mature milking cows on farms in vermont, new york, pennsylvania, maryland, virginia, north carolina, and florida. polymerase chain reaction (pcr)-positive specimens for enterocytozoon bieneusi were found in 24 of 541 cows examined (4.4%) and on 12 of 14 farms. the prevalence of e. bieneusi varied considerably from farm to farm, with the lowest prevalence (2.3%) on fl-2 and the highest prevalence (12.5%) on vt-2. none of the cows exhibited signs of diarrhea. all ...200717899197
viewpoint: developing a research ethics consultation service to foster responsive and responsible clinical research.although clinical ethics has become a central, and welcome, component of the health care landscape, research ethics consultation services are still uncommon. indeed, the usual approach to ethical concerns in research with human subjects has been primarily a regulatory one. nonetheless, ethical problems also arise in the context of research and thus collaborations between investigators and research ethicists are as essential as those between physicians and clinical ethicists. the authors argue th ...200717726404
dietary flavonoid intake and breast cancer risk among women on long island.flavonoids are found in a variety of foods and have anticarcinogenic properties in experimental models. few epidemiologic studies have examined whether flavonoid intake is associated with breast cancer in humans. in this study, the authors investigated whether dietary flavonoid intake was associated with reduced risk of breast cancer in a population-based sample of us women. they conducted a case-control study among women who resided in nassau and suffolk counties on long island, new york. cases ...200717158855
efficacy of an ospa vaccine preparation for prevention of lyme disease in new york state.a multicenter, double-blinded, placebo-controlled study was done comparing a 30-microgram dose of a single protein recombinant ospa vaccine preparation with a saline placebo for efficacy in prevention of lyme disease in humans. the ospa vaccine (30-microgram dose) or saline placebo was given intramuscularly at day 0, 1 month later, and 12 months later. cases of possible lyme disease were evaluated clinically and using culture, polymerase chain reaction and immunoblot assays. safety data are bein ...20079717677
[a day in the world of aids].world aids day, celebrated on december 1, was designed to create global consciousness about the magnitude of the epidemic, and the issues and problems those affected face every day. in new york city, various community agencies united to send a message to mayor guliani. the message was that, for those living with aids, a cut in funding is not a question of quality of life, but of life or death. aids sufferers are humans who are loved and respected. the names of thousands of victims of aids were r ...200611362476
evaluating asylum seekers/torture survivors in urban primary care: a collaborative approach at the bronx human rights clinic.primary care providers who evaluate torture survivors often lack formal training to identify and address their specific needs. we assessed 89 asylum seekers from 30 countries to evaluate the pattern, spectrum, and presentation of abuses and the outcomes of the medico-legal process of seeking asylum. commonly reported reasons for abuse were political opinion/activity (59%), ethnicity (42%), and religion (32%). the most common means of abuse were punching/kicking (79%), sharp objects (28%), genita ...200617265759
international studies of prenatal exposure to polycyclic aromatic hydrocarbons and fetal growth.polycyclic aromatic hydrocarbons (pahs) are ubiquitously distributed human mutagens and carcinogens. however, lack of adequate air monitoring data has limited understanding of the effects of airborne pahs on fetal growth. to address this gap in knowledge, we examined the association between prenatal exposure to airborne pahs and birth weight, birth length, and birth head circumference, respectively, in krakow, poland, and new york city (nyc).200617107862
isolation of cryptococcus laurentii from canada goose guano in rural upstate new york.cryptococcus neoformans and cryptococcus gattii are etiologic agents of cryptococcal pneumonia and meningitis, potentially lethal syndromes associated with aids. a related species, cryptococcus laurentii, has recently been implicated in several cases of human disease. guano from canada goose (branta canadensis), an organism that lives closely beside man and inhabits recreational space in rural and suburban areas, might be a significant environmental reservoir of cryptococcus organisms in non-urb ...200617123035
substance use and psychosocial outcomes following participation in residential laboratory studies of marijuana, methamphetamine and zolpidem.non-therapeutic research with drugs of abuse in humans is important for a more comprehensive understanding of substance abuse and for the development of more effective treatments. however, the administration of substances from drug classes with abuse potential to human volunteers raises ethical questions regarding potential risk to study volunteers.200617127547
stochastic processes are key determinants of short-term evolution in influenza a virus.understanding the evolutionary dynamics of influenza a virus is central to its surveillance and control. while immune-driven antigenic drift is a key determinant of viral evolution across epidemic seasons, the evolutionary processes shaping influenza virus diversity within seasons are less clear. here we show with a phylogenetic analysis of 413 complete genomes of human h3n2 influenza a viruses collected between 1997 and 2005 from new york state, united states, that genetic diversity is both abu ...200617140286
discrimination. fees upheld for hiv-positive man fired due to his disabilities. 200617165192
benjamin franklin and the dentist: the story of r. c. skinner.among benjamin franklin's papers was a letter from a young british immigrant, r. c. skinner, asking for a loan of only twenty dollars to help this young man begin the practice of dentistry in this country. although we don't know what the great man's response was to this appeal, skinner went on to achieve fame in his profession. he was the first dentist ever, in this country, to be appointed to a hospital staff; he established the first free dental clinic for the poor; and he authored the first b ...200617039862
vicarious perception of postural discomfort and exertion.perceived exertion and discomfort have been used extensively in ergonomics practice. job incumbents typically rate their exertion on scales such as borg's rated perceived effort (rpe) and their discomfort on scales such as corlett and bishop's body part discomfort scales (bpd). this study asks whether exertion and discomfort can be perceived by an external observer, i.e. is vicarious perception possible? four participants (targets) performed 20 postural holding tasks selected from ovako working ...200617050388
discovering spatio-temporal models of the spread of west nile virus.emerging infectious diseases are characterized by complex interactions among disease agents, vectors, wildlife, humans, and the environment. since the appearance of west nile virus (wnv) in new york city in 1999, it has infected over 8,000 people in the united states, resulting in several hundred deaths in 46 contiguous states. the virus is transmitted by mosquitoes and maintained in various bird reservoir hosts. its unexpected introduction, high morbidity, and rapid spread have left public heal ...200616573630
catechol-o-methyltransferase haplotypes and breast cancer among women on long island, new york.the gene encoding catechol-o-methyltransferase (comt), critical to the inactivation of reactive catechol estrogens, has several single nucleotide polymorphisms (snps) that influence enzyme activity. a 3-snp haplotype (ivs1+255 c>t; ex4-12 g>a; 3'utr-521 a>g), which has been shown to reduce comt expression in the human brain, has been identified. to evaluate the influence of genetic variation of comt on breast cancer risk, these 3-snps were genotyped in 1052 cases and 1098 controls. we estimated ...200616596327
west nile virus in the united states (1999-2005).the accidental introduction of west nile virus into new york city from the old world in 1999 resulted in an epidemic in humans, horses, and birds that swept to the west coast in just 3 years. the virus is transmitted by infective mosquitoes among susceptible native birds, which serve as amplifying hosts. clinical disease occurs in humans and horses, but not enough virus is produced in their blood to infect other mosquitoes; therefore, humans and horses are considered dead-end hosts. humans can b ...200616611928
molecular analysis of microbial communities identified in different developmental stages of ixodes scapularis ticks from westchester and dutchess counties, new york.ixodes scapularis ticks play an important role in the transmission of a wide variety of pathogens between various mammalian species, including humans. pathogens transmitted by ticks include borrelia, anaplasma and babesia. although ticks may harbour both pathogenic and non-pathogenic microflora, little is known about how the diversity of the microflora within ticks may influence the transmission of pathogens. to begin addressing this question, we examined the composition of bacterial communities ...200616623735
fungal keratitis at the new york eye and ear infirmary.this study was designed to review the clinical experience at our institution with fungal keratitis during a 16-year period.200616633023
multistate outbreak of salmonella typhimurium infections associated with eating ground beef--united states, 2004.salmonella infections cause an estimated 1.4 million human illnesses and 400 deaths annually in the united states. although the incidence of several other foodborne bacterial infections decreased substantially during 1996-2004, the incidence of salmonella infections declined modestly. in september 2004, the new mexico department of health received reports from the new mexico scientific laboratory division of eight salmonella enterica serotype typhimurium isolates that had indistinguishable pulse ...200616498383
survival of cryptosporidium parvum oocysts in calf housing facilities in the new york city watersheds.pathogen contamination of the public drinking water supply in the new york city watersheds is a serious concern. new york city's watershed agriculture program is working with dairy farms in the watersheds to implement management practices that will reduce the risk of pathogens contaminating the water supply. solar calf housing (sch) was suggested as a best management practice (bmp) to control cryptosporidium parvum, a common protozoan parasite that causes disease in humans. this bmp targets youn ...200616510713
a dietary risk assessment of the pyrethroid insecticide resmethrin associated with its use for west nile virus mosquito vector control in california.an outbreak of human illnesses associated with west nile virus (wnv) occurred in new york city in 1999. since then, it has gradually spread westwards, reaching northern california for the first time in 2005. wnv is transmitted by several mosquito species and birds serve as the main reservoir. several control measures have been used, targeting both the aquatic larvae and the adult mosquitoes. in the latter case, roosting birds in trees are sprayed with pyrethroid insecticides because these are hi ...200616518516
urie bronfenbrenner (1917-2005).presents an obituary for urie bronfenbrenner (1917-2005). before urie bronfenbrenner, child psychologists studied the child, sociologists the family, anthropologists the society, economists the economic framework, and political scientists the structure. as the result of urie's extension of the concept of the ecology of human development, these environments--from the family to economic and political structures--are viewed as part of the life course, embracing both childhood and adulthood. bronfen ...200616478360
assessing capacity for surveillance, prevention, and control of west nile virus infection--united states, 1999 and 2004.indigenous human disease caused by west nile virus (wnv) was first identified in the united states in august 1999 in the greater new york city area. by the end of 2004, human wnv disease had been reported in all states except washington, hawaii, and alaska, and wnv transmission to humans had been documented by five routes: mosquito bites (principally from culex spp.), blood transfusions, organ transplantation, transplacental transfer, and breastfeeding. during 1999-2005, a total of 19,525 cases ...200616484978
increased antiviral medication sales before the 2005-06 influenza season--new york city.oseltamivir, zanamivir, rimantadine, and amantadine are antiviral medications approved for the treatment and/or prophylaxis of influenza a and/or b, although high levels of resistance among circulating strains of influenza a led cdc to issue interim recommendations in january 2005, advising that amantadine and rimantadine not be used for the treatment or prevention of influenza a during the 2005-06 influenza season. as part of syndromic surveillance, the new york state department of health (nysd ...200616543882
inhalation anthrax associated with dried animal hides--pennsylvania and new york city, 2006.on february 21, 2006, the pennsylvania department of health (pdoh) reported to cdc and the new york city (nyc) department of health and mental hygiene (dohmh) a case of inhalation anthrax in a man who resided in new york city. this report summarizes the joint epidemiologic and environmental investigation conducted by local, state, and federal public health, animal health, and law enforcement authorities in pennsylvania and nyc to determine the source of exposure and identify other persons who we ...200616543883
prevalence and genotypes of giardia duodenalis in 1-2 year old dairy cattle.to determine the prevalence of giardia genotypes in 12-24 month old dairy heifers, fecal specimens were collected from two farms each in vermont, new york, pennsylvania, maryland, virginia, north carolina, and florida. specimens, cleaned of fecal debris and concentrated using cscl density gradient centrifugation, were subjected to pcr and dna sequence analysis. prevalence of giardia infection, ranged from 11% to 75% on 14 farms with an average prevalence of 36% (204 positive cattle out of 571 ex ...200616647818
frank h. netter, m.d. (1906-1991): the artist and his legacy.the renowned medical illustrator frank h. netter, m.d., was born on 25 april 1906 in brooklyn, ny, and died on 17 september 1991 in new york, ny, at the age of 85. in his professional career, dr. netter painted over 4,000 medical illustrations, many of which became the center pieces of over 250 issues of clinical symposia and were compiled in the 13 volume set of the ciba collection of medical illustrations. two years prior to his death, the atlas of human anatomy was published, considered by ma ...200616683243
determinants of influenza vaccination in hard-to-reach urban populations.influenza vaccination rates among disadvantaged minority and hard-to-reach populations are lower than in other groups. we assessed the barriers to influenza vaccination in disadvantaged urban areas.200616684559
health insurance coverage of direct support workers in the developmental disabilities field.there is mounting evidence that employer-provided health insurance is an important factor in recruiting and retaining a competent and motivated direct support workforce within health and human services occupations. a review of the literature in this area, including new information related to the developmental disabilities field, is presented to assist nonprofit employers and government officials in designing initiatives to address increasing health care costs. approaches to financing health cove ...200616689613
canine visceral leishmaniasis, united states and canada, 2000-2003.visceral leishmaniasis, caused by protozoa of the genus leishmania donovani complex, is a vectorborne zoonotic infection that infects humans, dogs, and other mammals. in 2000, this infection was implicated as causing high rates of illness and death among foxhounds in a kennel in new york. a serosurvey of >12,000 foxhounds and other canids and 185 persons in 35 states and 4 canadian provinces was performed to determine geographic extent, prevalence, host range, and modes of transmission within fo ...200616704782
trends in drug-resistant mycobacterium tuberculosis in new york city, 1991-2003.two drug-resistance surveys showed a very high prevalence of drug resistance among isolates obtained from patients with tuberculosis in 1991 and 1994 in new york, new york.200616705575
going the extra mile for patients with special needs. 200616711583
rail commuting duration and passenger stress.over 100 million americans commute to work every weekday. little is known, however, about how this aspect of work, which may indeed be the most stressful aspect of the job for some, affects human health and well-being. the authors studied a sample of 208 male and female suburban rail commuters who took the train to manhattan, new york. the greater the duration of the commute, the larger the magnitude of salivary cortisol elevations in reference to resting baseline levels, the less the commuter's ...200616719613
lymphogranuloma venereum in human immunodeficiency virus-infected individuals in new york city.lymphogranuloma venereum (lgv), or chlamydial proctitis, is a classic sexually transmitted disease with prominent gastrointestinal manifestations. the disease has received little attention in recent years, especially in relation to human immunodeficiency virus (hiv) infection. however, outbreaks of lgv have been reported in several large cities in europe and the united states over the past few years, occurring in both hiv-infected and -uninfected individuals, and the reports have been largely li ...200616721218
pandemic influenza planning in new york city. 200616739036
survey on use of and attitudes toward influenza vaccination among emergency department staff in a new york metropolitan hospital.recognizing that the potential transmission of influenza virus would be concentrated at a hospital's primary point of entry, we determined rates of staff compliance with the influenza vaccination recommendations of the advisory committee on immunization practices (acip) in the emergency department (ed). we describe the basic knowledge concerning influenza transmission and factors influencing vaccination decisions among ed staff.200616755483
denial of ssi benefits overturned for hiv-positive man. 200616789286
bioaccumulation and trophic transfer of methylmercury in long island sound.humans are exposed to methylmercury (mehg) principally by consumption of marine fish. the coastal zone supports the majority of marine fish production, and may therefore be an important source of mehg to humans; however, little is known about the bioaccumulation of mehg in near-shore marine ecosystems. we examined mehg in microseston, zooplankton, a decapod crustacean, and four representative species of finfish that differ in trophic status and/or prey selection in long island sound (lis), a lar ...200616823518
irene e. loewenfeld, phd physiologist of the pupil.irene e. loewenfeld, phd has devoted a long and vigorous professional life to understanding the workings of the pupil of the human eye. her interest in the pupil began in 1940 when she went to work as a technician in the pupillography laboratory of professor otto lowenstein at new york university. it culminated in her widely admired textbook the pupil, published in 1993. among her many contributions, loewenfeld provided rigorous observations about adie tonic pupil, anisocoria in optic tract lesi ...200616845317
prevalence of human papillomavirus genotypes and related abnormalities of cervical cytological results among hiv-1-infected women in rochester, new york.women with human immunodeficiency virus (hiv) infection have higher rates of concurrent human papillomavirus (hpv) infection and cervical dysplasia than do hiv-uninfected women. they are also more commonly infected with multiple hpv types simultaneously. to determine the prevalence of different hpv genotypes in a group of hiv-infected women and to correlate these findings with cervical cytological results, we studied a group of 229 women attending a university-based hiv clinic during a 7-year pe ...200616845625
improving the human readability of arden syntax medical logic modules using a concept-oriented terminology and object-oriented programming expressions.medical logic modules are a procedural representation for sharing task-specific knowledge for decision support systems. based on the premise that clinicians may perceive object-oriented expressions as easier to read than procedural rules in arden syntax-based medical logic modules, we developed a method for improving the readability of medical logic modules. two approaches were applied: exploiting the concept-oriented features of the medical entities dictionary and building an executable java pr ...200616849918
molecular epidemiology and cluster analysis of human listeriosis cases in three u.s. states.to better understand the transmission and epidemiology of human listeriosis, 647 listeria monocytogenes isolates obtained from human listeriosis cases in four u.s. locations (michigan, ohio, new york state, and new york city) over 61 months (1998 to 2003) were characterized by automated ecori ribotyping. a total of 65 ribotypes were differentiated among the characterized isolates; 393, 227, and 24 isolates were classified into lineages i, ii, and iii, respectively, and 3 isolates were not classi ...200616865904
exposure. hiv-positive man to stand trial for internet enticement. 200616869029
investigation of a new diagnosis of multidrug-resistant, dual-tropic hiv-1 infection--new york city, 2005.in december 2004, infection with a strain of multidrug-resistant (mdr), dual-tropic human immunodeficiency virus (hiv)-1 was newly diagnosed in a man aged 46 years in new york city (nyc). the man (i.e., the index patient) had no history of antiretroviral treatment and reported having sex with multiple named and anonymous male partners, using crystal methamphetamine, and engaging in unprotected insertive and receptive anal intercourse. he had rapid progression to acquired immunodeficiency syndrom ...200616874293
integrating disaster preparedness into a community health nursing course: one school's experience.it is not practical to wait for a disaster, whether natural or human-made, to learn how to respond and provide specialized care. the long island university school of nursing in brooklyn, new york, has developed a specific educational experience for undergraduate nursing students enrolled in community health. the course is offered in the senior semester and includes didactic material based on the international nursing coalition for mass casualty education-recommended competencies. students are gi ...200616904616
circulating enterolactone and risk of endometrial cancer.it has been suggested that phytoestrogens protect against hormone-dependent cancers. lignans are the main class of phytoestrogens in western diets. we conducted a prospective study of endometrial cancer and circulating levels of the main human lignan, enterolactone. the design was a case-control study nested within 3 prospective cohort studies, in new york, sweden and italy. serum or plasma samples had been collected at enrollment and stored at -80 degrees c. a total of 153 cases, diagnosed a me ...200616929490
exogenous shocks to the human sex ratio: the case of september 11, 2001 in new york city.the human secondary sex ratio reportedly falls in populations subjected to exogenous stressors such as earthquakes or political and social upheavals. explanations of the association include reduced conception of males and increased fetal deaths among males. the latter explanation has been supported by research reporting that the sex ratio in california fell 3 months, but not 8, 9 or 10 months, after the terrorist attacks of september 11, 2001. california's distance from the attacks raises the qu ...200616936298
monitoring county-level vaccination coverage during the 2004-2005 influenza season.during the 2004-2005 influenza season, the united states faced a sudden shortage of influenza vaccine. in response, the centers for disease control and prevention (cdc) and the advisory committee on immunization practices (acip) recommended prioritizing vaccination for persons aged 65 and older and others at high risk. to monitor subsequent vaccination coverage, several questions about influenza vaccination were added to the ongoing behavioral risk factor surveillance system (brfss). this study ...200616979450
from rats to monkeys to man-the neurophysiology of alcoholism: a tribute to henri begleiter. 200617010129
west nile virus surveillance in mosquitoes in new york state, 2000-2004.a west nile virus (wnv) surveillance system was created and implemented in new york state (nys) in 2000 and described previously (white et al. 2001). we examine and evaluate the results of mosquito and virus surveillance for 2000 through 2004 exclusive of new york city. forty-nine counties submitted 1,095,426 mosquitoes in 35,280 pools for wnv assay. specimens of 47 species were tested, with culex species accounting for 47.6% of all pools tested. wnv was detected in 814 pools from 10 species, wi ...200617019772
monitoring progress toward achieving maternal and infant healthy people 2010 objectives--19 states, pregnancy risk assessment monitoring system (prams), 2000-2003.certain modifiable maternal behaviors and experiences before, during, and after pregnancy are associated with adverse health outcomes for the mother and her infant (e.g., physical abuse, insufficient folic acid consumption, smoking during pregnancy, and improper infant sleep position). information about these behaviors and experiences is needed to monitor trends in maternal and infant health, enhance understanding of the relation between maternal behaviors and infant health outcomes, plan and ev ...200617021594
parkinson's disease and lrrk2: frequency of a common mutation in u.s. movement disorder clinics.the g2019s mutation in the lrrk2 gene is reportedly a common cause of familial parkinson's disease (pd) and may also have a significant role in nonfamilial pd. the objective of this study was to assess mutation carrier frequency in pd patients from movement disorder clinics in the united states, stratified by family history, age at onset, and geography; to determine carrier frequency in a large and well-characterized control population; to examine segregation of mutation in families of patients; ...200616250030
geographic prediction of human onset of west nile virus using dead crow clusters: an evaluation of year 2002 data in new york state.the risk of becoming a west nile virus case in new york state, excluding new york city, was evaluated for persons whose town of residence was proximal to spatial clusters of dead american crows (corvus brachyrhynchos). weekly clusters were delineated for june-october 2002 by using both the binomial spatial scan statistic and kernel density smoothing. the relative risk of a human case was estimated for different spatial-temporal exposure definitions after adjusting for population density and age ...200616306307
body burdens of mercury in lower hudson river area anglers.the hudson river has been a federally designated superfund site for over 20 years. discharges of industrial waste and of treated and untreated sewage and atmospheric deposition have introduced mercury and other persistent pollutants to the hudson river ecosystem. despite new york and new jersey health advisories, many local anglers and their family members continue to consume fish caught from the river. to evaluate associations between body burden of mercury and local fish consumption, we conduc ...200616226244
igf1 ca repeat polymorphisms, lifestyle factors and breast cancer risk in the long island breast cancer study project.insulin-like growth factor i (igf-i) is an important regulator of growth and differentiation and is a potent mitogen for human breast cancer cells. recent investigations suggest an association between cytosine-adenine dinucleotide (ca)n repeat polymorphisms of the igf1 gene and igf-i levels and further evidence indicates that genotype may influence breast cancer risk. we assessed the relation between igf1 (ca)n repeats and breast cancer, and evaluated modification of genotype effects according t ...200616332723
population structure of y chromosome snp haplogroups in the united states and forensic implications for constructing y chromosome str databases.a set of 61 y chromosome single-nucleotide-polymorphisms (y-snps) is typed in a sample of 2517 individuals from 38 populations to infer the geographic origins of y chromosomes in the united states and to test for paternal admixture among african-, european-, hispanic-, asian-, and native-americans. all of the samples were previously typed with the 11 core u.s. y chromosome short tandem repeats (y-strs) recommended by swgdam, which revealed high levels of among ethnic group variation and low leve ...200616337103
menstrual cycle characteristics: associations with fertility and spontaneous abortion.epidemiologists often use menstrual cycle patterns as indicators of endocrine function in environmental and occupational studies, yet few studies have considered whether menstrual cycle characteristics are associated with fertility or pregnancy outcome.200616357595
laboratory evaluation of belt usage with apple buckets.migrant and seasonal orchard harvest workers experience musculoskeletal strain caused by carrying heavy loads and holding awkward postures. an ergonomic hip belt designed to redistribute weight from the upper back, neck, and shoulders to the hips was evaluated.200616362945
the fort totten mercury pollution risk assessment: a case history.operational activities have resulted in mercury in the sediments surrounding little bay in queens, ny. this is adjacent to fort totten, a formerly used defense site. some of the mercury levels in these sediments exceeded new york state screening values. a human health risk assessment was accomplished, based on conservative assumptions. the risk assessment examined the potential for adverse health effects from direct contact with and ingestion of contaminated sediments/surface water and ingestion ...200616386833
measurement of the mechanical response of intra-abdominal organs of fresh human cadavers for use in surgical simulation.determination of soft tissue properties is essential for the realism of the virtual scenarios. the major challenge is that soft tissues exhibit complicated mechanical properties including viscoelastic, nonlinear, inhomogeneous, and rate dependent behaviors. measurements on live human patients present significant risks, thus making the use of cadavers a logical alternative. cadavers are widely used in present day surgical training, are relatively easy to procure through excellent donor programs a ...200616404070
sexual communication skills in residency training: the robert wood johnson model.few medical schools or residency programs offer adequate training in sexual medicine. using the experience gained in our long-standing program in human sexuality for medical students, we have pilot tested a half-day intensive workshop curriculum for residents that focuses on sexual communication skills and management of sexual problems. unlike our medical school program, this residency course was offered on an elective, one-day basis. the current report describes the successful implementation of ...200616409216
lrrk2 g2019s as a cause of parkinson's disease in ashkenazi jews. 200616436782
orf virus infection in humans--new york, illinois, california, and tennessee, 2004-2005.orf virus is a zoonotic parapoxvirus endemic to most countries in the world and is principally associated with small ruminants (e.g., sheep and goats). human orf infections appear as ulcerative skin lesions after contact with an infected animal or contaminated fomite. this report summarizes the epidemiologic and laboratory investigations of four sporadic cases of human orf infection, emphasizing the temporal association between human lesions and skin trauma or recent flock vaccination with live ...200616437055
the impact of new york city's 1975 fiscal crisis on the tuberculosis, hiv, and homicide syndemic.in 1975, new york city experienced a fiscal crisis rooted in long-term political and economic changes in the city. budget and policy decisions designed to alleviate this fiscal crisis contributed to the subsequent epidemics of tuberculosis, human immunodeficiency virus (hiv) infection, and homicide in new york city. because these conditions share underlying social determinants, we consider them a syndemic, i.e., all 3 combined to create an excess disease burden on the population. cuts in service ...200616449588
factors associated with vaccination of medicare beneficiaries in five u.s. communities: results from the racial and ethnic adult disparities in immunization initiative survey, 2003.to examine vaccination in seniors in the five u.s. communities of the racial and ethnic adult disparities in immunization initiative.200616460383
sentinel pigeon surveillance for west nile virus by using lard-can traps at differing elevations and canopy cover classes.sentinel pigeons, columba livia, were installed in lard-can traps at heights of 1.5 m and 7.6-9.1 m within differing canopy cover classes in new york city. adult mosquitoes were collected weekly from july to october 2002, as were serum samples from each pigeon. culex pipiens l. and culex restuans theobald comprised 97% of mosquitoes collected and were most numerous in canopy-level, forested traps. the west nile virus (family flaviviridae, genus flavivirus, wnv) seroconversion rate was significan ...200516465746
clinical trial recruitment and retention of a vulnerable population: hiv patients with chronic diarrhea.this article describes the recruitment and retention strategies implemented for a prospective, randomized, clinical trial conducted at a single study facility. the purpose of the study was to examine the effects of a nutritional intervention to reduce the episodes of diarrhea in patients with the human immunodeficiency virus/acquired immune deficiency syndrome. this article reviews the challenges faced by the research team during the conduct of the study and discusses the approaches implemented ...200516418582
ssi benefits denied hiv-positive man for lack of disability. 200516435407
bulls, bears, and birds: preparing the financial industry for an avian influenza pandemic.bulls, bears, and birds: preparing the financial industry for an avian influenza pandemic was a half day symposium on avian influenza for senior leaders and decision makers from the financial sector with responsibility for business continuity, health, and security. the event brought together experts and leaders from the medical, public health, business continuity, and financial communities to appraise financial industry leaders on the threat of avian influenza and to offer suggestions regarding ...200516366846
west nile virus activity--united states, january 1-december 1, 2005.west nile virus (wnv) is the leading cause of arboviral encephalitis in the united states. originally discovered in africa in 1937, wnv was first detected in the western hemisphere in 1999 in new york city. since then it has caused seasonal epidemics of febrile illness and severe neurologic disease. during january 1-december 1, 2005, a total of 2,744 cases of wnv disease in humans were reported in the united states, an increase from 2,359 during the same period in 2004. a total of 1,165 cases we ...200516357821
turnover turnaround.the foundation for long term care (fltc) created a program called growing strong roots to help long-term care providers retain certified nurse aides (cnas) and to enhance the quality of care that new cnas provide. to adapt elements of existing peer-mentoring programs from around the country, growing strong roots revised them and added new components, including administrator training, supervisor training, "booster sessions," newsletters, and a multisite evaluation. the program focuses on helping ...200516350898
dead crow density and west nile virus monitoring, new york.new york state used the health commerce system to monitor the number of west nile virus (wnv) human disease cases and the density of dead crows. in each year from 2001 to 2003 and for the 3 years combined, persons living in new york counties (excluding new york city) with elevated weekly dead crow densities (above a threshold value of 0.1 dead crows per square mile) had higher risk (2.0-8.6 times) for disease caused by wnv within the next 2 weeks than residents of counties reporting fewer dead c ...200516229764
quantitative risk assessment of cryptosporidium species infection in dairy calves.cryptosporidium parvum is a zoonotic protozoan that infects many different mammals including cattle and humans. cryptosporidiosis has become a concern for dairy producers because of the direct losses due to calves not performing well and the potential for environmental contamination with c. parvum. identifying modifiable control points in the dynamics of infection in dairy herds will help identify management strategies that mitigate its risk. the quantitative risk assessment approach provides es ...200516230699
using exterior building surface films to assess human exposure and health risks from pcdd/fs in new york city, usa, after the world trade center attacks.concentrations of tetra- through octa-chlorinated dibenzo-p-dioxins and dibenzofurans (pcdd/fs) were determined in exterior window films from manhattan and brooklyn in new york city (nyc), usa, 6 weeks after the world trade center (wtc) attacks of 11 september 2001. high concentrations of the 2,3,7,8-substituted congeners (p(2378)cdd/fs) were observed, at levels up to 6600 pg-teq g(-1) nearest the wtc site. an equilibrium partitioning model was developed to reconstruct total gas + particle-phase ...200516314211
genital herpes simplex virus infection and perinatal transmission of human immunodeficiency virus.to assess the risk of perinatal human immunodeficiency virus (hiv) transmission in hiv-infected women clinically diagnosed with genital herpes simplex virus (hsv) infection during pregnancy.200516319261
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