Publications

antibodies to st. louis encephalitis virus in armadillos from southern florida.	from january 1990 through march 1991, 189 armadillos (dasypus novemcinctus) were collected from brevard and glades counties in southern florida (usa). the sera were analyzed for hemagglutination-inhibition (hai) antibodies against st. louis encephalitis (sle) and eastern equine encephalomyelitis (eee) viruses. none of the armadillos had detectable hai antibody to eee virus, but 59 (31%) had antibodies against sle virus. sera from 31 of the hai-positive armadillos contained significant levels of ...	1995	7563416
drosophila in vision research. the friedenwald lecture.	a genetic approach involving the use of erg-defective drosophila mutants, described in this article, was developed with the explicit goal of elucidating phototransduction and related photoreceptor events at the molecular level. advances in the past 30 years have made this goal a reality. although the phototransduction process in drosophila is not yet fully understood, enormous strides are being made by many investigators now working in this field. in addition to elucidating phototransduction ven ...	1995	7591624
prevalence, incidence, and risks for hiv-1 infection in female sex workers in miami, florida.	annual cross-sectional prevalence, incidence of new infection, and risks for human immunodeficiency virus type 1 (hiv-1) infection were studied in 607 women convicted of prostitution between october 1987 and december 1990 and tested for hiv under court order. cross-sectional prevalence was stable for 4 years (23-24% positivity in 1987-1991, p = 0.6). however, the incidence of new infections (rate of seroconversion) in 264 women tested more than once increased significantly each year from 12 per ...	1995	7600107
genetic and serologic analysis of black creek canal virus and its association with human disease and sigmodon hispidus infection.	black creek canal (bcc) virus is a newly identified virus associated with hantavirus pulmonary syndrome (hps) in the southeastern united states. nucleotide sequences were determined for the complete s and m and partial l genomic segments of a bcc virus isolate. phylogenetic analysis indicates that each of the virus segments is unique, and there is no evidence of genetic reassortment having occurred between this and other previously characterized hantaviruses. all hantavirus-seropositive, wild-ca ...	1995	7618284
racial differences in care among hospitalized patients with pneumocystis carinii pneumonia in chicago, new york, los angeles, miami, and raleigh-durham.	while strategies for medical care for human immunodeficiency virus-related pneumocystis carinii pneumonia (pcp) are well established, racial variations in care have not been evaluated.	1995	7618980
epidemiology of nontyphoidal salmonellae at a tertiary care center in northeast florida.	nontyphoidal salmonellae (nts) are often isolated from stool specimens of individuals having evaluation of gastroenteritis. the significance of isolation of nts in a stool specimen from previously healthy individuals with gastroenteritis is not clear. the purpose of this study was to determine which serotypes were being isolated most frequently and whether some serotypes were responsible for the majority of infections. a 6-year review yielded 433 stool isolates of nts. only 12 isolates were from ...	1995	7631210
influenza vaccination in the elderly.	this study analyzed influenza vaccination in a group of elderly veterans living in a florida va nursing home care unit (nhcu). a survey questionnaire, developed to assess veterans' vaccination status, attitude and perception, was presented orally by a technician in the form of an interview and the responses were annotated in appropriate areas of the questionnaire. only 34% of the 202 veterans had been vaccinated within the last 12 months (compliant group), although the study subjects were in a h ...	1995	7655703
clinical spectrum of htlv-i in south florida.	a total of 113 patients with infection due to human t-cell leukemia virus type 1 (htlv-i) were evaluated at the university of miami from january 1988 to march 1993. forty patients were identified with adult t-cell leukemia/lymphoma (atll) and 63 with htlv-i-associated myelopathy (ham). three had concomitant atll and ham. two ham patients co-infected with human immunodeficiency virus type 1 (hiv-i) developed clonal lymphoproliferative disease during the study period. patients with atll have a poo ...	1995	7697443
a rapid and sensitive method of identification of htlv-ii subtypes.	there are 2 subtypes of human t-cell lymphoma/leukemia virus type ii (htlv-ii), a and b. htlv-ii is increasingly associated with rare forms of lymphocytic neoplasia and a neurodegenerative disorder, characterized by hyperspasticity and ataxia. we have used pcr to amplify, clone and sequence 140 bp of the pol gene from many isolates of htlv-iia and htlv-iib from around the world. analysis of these and other published sequence established that all htlv-iia sequences contained a unique hinf i site ...	1995	7714483
empirically treated pneumocystis carinii pneumonia in los angeles, chicago, and miami: 1987-1990.	many patients infected with the human immunodeficiency virus (hiv) with symptoms suggestive of pneumonia are treated empirically for pneumocystis carinii pneumonia (pcp), although other bacterial infections (e.g., tuberculosis) and pulmonary kaposi's sarcoma may cause identical symptoms. empiric treatment for pcp may result in misdiagnosis and mistreatment. when the outcomes of cytologically confirmed versus empirically treated pcp cases were evaluated, the most important predictors of in-hospit ...	1995	7797940
lung cancer in patients with human immunodeficiency virus infection.	this retrospective study determined the clinical course of lung cancer in patients with human immunodeficiency virus (hiv) infection. a total of 23 patients with hiv infection archived as lung cancer were studied: 16 were identified from about 1,000 lung cancer patients entered in the tumor registry and medical records of jackson memorial hospital, 7 were identified from about 1,000 hiv-positive patients entered in the special immunology registry of veterans administration medical center, 4 pati ...	1995	7847261
urban rape survivors: characteristics and prevalence of human immunodeficiency virus and other sexually transmitted infections. multicenter crack cocaine and hiv infection study team.	to determine the prevalence of recent rape, the characteristics or recent rape survivors, and the seroprevalence of human immunodeficiency virus (hiv), syphilis, and genital herpes (hsv-2) among recent rape survivors.	1995	7862367
intraspecific phylogenetics: support for dental transmission of human immunodeficiency virus.	a new method to estimate within-species gene genealogies was used to establish linkages among individuals associated with the florida dental human immunodeficiency virus transmission case. phylogenetic relationships were estimated from 103 nucleotide sequences from the v3 region of the env gene representing the florida dentist, eight of his seropositive patients, and many local controls. the cladogram estimation procedure supports linkages among individuals within the previously described dental ...	1995	7884881
murder and cover-up could explain the florida dental aids mystery.	this article reconsiders the murder theory regarding the transmission of the human immunodeficiency virus (hiv) from dr david j. acer to at least six dental patients which was initially dismissed by american investigators from the centers for disease control and prevention (cdc) and florida health and rehabilitative service department (hrs). in the light of withheld behavioural evidence from medical records, legal testimonies, and personal interviews obtained during the investigation, the inform ...	1994	7803152
blood hosts of aedes albopictus in the united states.	bloodfed aedes albopictus were collected during 1989-91 by vacuum aspirator from rural and urban study sites in missouri, florida, indiana, illinois, and louisiana. blood hosts identified by elisa and precipitin tests were rabbit (n = 91), rattus sp. (n = 69), dog (n = 14), unidentified mammal (n = 14), cow (n = 13), human (n = 10), deer (n = 10), sciurid (n = 7), turtle (n = 5), murid other than rattus sp. (n = 4), raccoon (n = 3), passeriform bird (n = 3), and cat (n = 2). as an opportunistic ...	1994	7807094
mercury accumulation in largemouth bass (micropterus salmoides) in a florida lake.	rates of mercury accumulation were examined in male and female largemouth bass (micropterus salmoides) from lake tohopekaliga, florida, to establish methods for fish consumption advisories for the protection of human health. in addition, concentrations were determined in five lower trophic level fish species. total mercury concentrations in adult largemouth bass muscle tissue ranged from 0.16 to 1.10 micrograms/g (fresh weight) and increased as fish increased in size and age. whole-body mercury ...	1994	7811106
hiv prevention: factors that predict compliance with testing and counseling procedures.	human immunodeficiency virus (hiv) testing and pretest/posttest counseling are central components in prevention efforts in the united states. yet, not all persons return for their test results and posttest counseling. based on an exploratory study at four community health centers in south florida, the authors determined the percentage of patients who returned to these clinics. they also examined those sociodemographic and hiv antibody test-related factors that predicted patient return. less than ...	1994	7814276
a role for molecular genetics in biological conservation.	the recognition of recent accelerated depletion of species as a consequence of human industrial development has spawned a wide interest in identifying threats to endangered species. in addition to ecological and demographic perils, it has become clear that small populations that narrowly survive demographic contraction may undergo close inbreeding, genetic drift, and loss of overall genomic variation due to allelic loss or reduction to homozygosity. i review here the consequences of such genetic ...	1994	7912434
human rabies--miami, 1994.	a high proportion of recent human rabies cases diagnosed in the united states have been acquired outside the country and have lacked a history of animal bite exposure. on june 21, 1994, a 40-year-old man died in a hospital in miami following a subacute and progressive neurologic syndrome; rabies had not been clinically suspected but was diagnosed postmortem on july 13. this report summarizes the case investigation, which indicated that the case was acquired outside the united states.	1994	7935313
from the centers for disease control and prevention. human rabies--miami, 1994.		1994	7966840
sexual behaviors and drug use among youth in dropout-prevention programs--miami, 1994.	youth who have dropped out of school have higher frequencies than youth who remain in school of behaviors that increase risk for sexually transmitted diseases (stds) and human immunodeficiency virus (hiv) infection (1). youth identified as potential dropouts may be likely to take increased risks, but their std/hiv risk status has not been adequately evaluated. to estimate the prevalence of risk behaviors among potential dropouts, investigators from the university of miami school of medicine surv ...	1994	7969007
lack of hiv transmission in the practice of a dentist with aids.	to determine whether dentist-to-patient or patient-to-patient transmission of human immunodeficiency virus (hiv) occurred in the practice of a dentist who had the acquired immunodeficiency syndrome (aids).	1994	7978698
the 1990 florida dental investigation. the press and the science.	since human immunodeficiency virus (hiv) transmission from a dentist to six of his patients was first reported in 1990 by the florida department of health and rehabilitative services and the centers for disease control and prevention, controversy and speculation have surrounded the investigation of that case. this controversy has been fueled by the inability to determine exactly how the transmissions occurred. many theories have appeared in the media and have led to confusion and uncertainty abo ...	1994	7978703
the types of drugs used by hiv-infected injection drug users in a multistate surveillance project: implications for intervention.	this study sought to describe the drugs used by drug injectors infected with human immunodeficiency virus (hiv) and to determine factors associated with the primary injection drug used.	1994	7998639
coping and communication among parents and children with human immunodeficiency virus and cancer.	coping strategies and communication of three groups of 20 preschool children and their parents were compared. one group was composed of children infected with the human immunodeficiency virus (hiv) who displayed clinical symptoms of the disease; the second group was composed of children diagnosed with cancer; and the third group was composed of healthy children. results indicated that the parents of children with life-threatening illnesses reported greater degrees of wishful thinking than did co ...	1994	8063919
hepatitis c virus infection in a sexually active inner city population. the potential for heterosexual transmission.	the prevalence of hepatitis c virus (hcv) infection and associated risk factors in an inner city sexually active heterosexual population participating in a prospective study for the evaluation of heterosexual transmission of human immunodeficiency virus type-1 (hiv-1) were examined. individuals with prior history of injection drug use or receipt of blood products were excluded from the study. of 571 participants, 25 (4.4%) were seropositive for hcv, 39 (7%) for hiv, and 125 (22%) for hepatitis b ...	1994	8070933
evidence of intraprison spread of hiv infection.	individuals entering prison are known to have high rates of human immunodeficiency virus (hiv) infection, and inmates are known to engage in high-risk behavior. this suggests the potential for intraprison spread of hiv infection, but this has not been documented.	1994	8147684
fitness to practice medicine. a question of conduct, not mental illness.	the florida board of medicine questions applicants about history of and psychotherapy for mental illness and substance abuse. these questions are examined in light of knowledge of psychiatric disorders and restrictions on inquiries by the americans with disabilities act. they are probably illegal under the act and should be deleted from the application. responses do not reveal enough about behavior likely to impair ability to practice medicine with skill and safety to justify invasion of privacy ...	1994	8169583
sex discrimination targets men in some hospitals.		1994	8172430
compliance to bleach disinfection protocols among injecting drug users in miami.	bleach cleansing of injection equipment has been recommended to reduce the risk of human immunodeficiency virus (hiv) transmission associated with the reuse of injection equipment by injecting drug users (idus). we evaluated the recall and performance of the most commonly recommended bleach cleansing procedure of two complete fillings of the syringe with bleach, followed by two complete fillings with rinse water, and not putting used bleach and water back into source containers. idus were taught ...	1994	8207662
failure of the "mosquito plant", pelargonium x citrosum 'van leenii', to repel adult aedes albopictus and culex quinquefasciatus in florida.	the efficacy of the "mosquito plant", pelargonium x citrosum 'van leenii', as an area-wide repellent against adult host-seeking aedes albopictus and culex quinquefasciatus females was evaluated. no significant differences (p > 0.05) were observed in the number of mosquitoes landing on the forearms of human subjects in locations where plants were present compared with areas without plants. in laboratory cage trials, more cx. quinquefasciatus adults rested on excised leaves of this cultivar compar ...	1994	7707049
zoonotic filaria of possible american origin in italy.	from a 31 year old man, resident in monfalcone (venezia giulia) a nodule in the right temporal region was surgically removed in january 1992 containing a filiform living nematode. on the basis of the morphological characters, the nematode proved to be dirofilaria sp. subgenus nochtiella but the exact species was not possible to define. the medical history indicated that the patient had spent the last summer in florida.	1994	7638004
non-occupational exposures to pesticides for residents of two u.s. cities.	the non-occupational pesticide exposure study, funded by the u.s. environmental protection agency, was designed to assess total human exposures to 32 pesticides and pesticide degradation products in the non-occupational environment; however, the study focused primarily on inhalation exposures. two sites--jacksonville, florida (usa) and springfield/chicopee, massachusetts (usa)--were studied during three seasons: summer 1986 (jacksonville only), spring 1987, and winter 1988. probability samples o ...	1994	8110023
sharing the earth: case studies on population, wildlife, and the environment.	in 1988 the national audubon society's population program began to develop a joint project on the issues of human population growth and wildlife management by comparing sites in the united states and overseas to identify actions necessary for a sustainable ecosystem. eight us sites were matched with eight sites in other countries. the audubon wildlife managers visited their partners' international settings and then hosted their counterparts at their own sanctuaries in the us. all sites involv ...	1994	12290864
supreme court unanimously okays use of rico to combat antiabortion violence.	the recent us supreme court decision that abortion clinics can use a federal antiracketeering law to sue anti-abortion picketers and blockaders provides the abortion rights movement with an important tool for combating escalating violence. the january 24, 1994, decision was issued only 6 weeks after the national organization for women vs. scheidler case was argued. the case stated that groups such as operation rescue had conspired to conduct a "nationwide campaign of terror" aimed at depriving ...	1994	12287617
abortion foes get turn to ask supreme court for constitutional protection.	the us supreme court began hearing arguments on the constitutionality of a florida judge's order which placed limits on anti-abortion protesting. this case will be the last abortion--related decision for justice harry a. blackmun, who was the author of the original decision granting the right to abortion in roe vs. wade, before retiring from the court in september 1994. anti-abortion activists claim 1st amendment protection, much the same as dr. martin luther king's marches in advancing blacks' ...	1994	12287661
personhood and death -- the proper treatment of anencephalic organ donors under the law: in re t.a.c.p., 609 so. 2d 588 (fla. 1992)		1994	11653119
"from the world beyond washington".	in the us, various anti-abortion groups have committed violent attacks against abortion providers and seekers, harassed them, destroyed property, and disrupted abortion services, leading to an unsurpassed amount of state and local legislation and litigation to make these acts illegal or to broaden the reach of existing laws to protect abortion seekers and providers. in october 1993, a federal appeals court panel repealed a lower court judge's april injunction setting up a 36-foot buffer zone ar ...	1993	12318482
clamping down on clinic violence.	the editorial remarked that anti abortion groups using violence must be stopped through legislation currently under consideration by the house and senate of the us congress. an important distinction is made between expressing freedom of speech on a deeply held belief and intimidation and violence that directly impacts on the rights of others. women's health clinics where abortions are performed have repeatedly been the setting for intimidation and violence. there have been over 1000 reports o ...	1993	12345222
the impact of dnr orders on cpr research: educational and ethical implications.		1993	8112025
patient focused care team design. critical aspects of a cost-effective design strategy.	it is the critical, yet largely unknown aspects of patient focused care team design--the "how" of a design process--which make lrmc's "care pairs" a ground-breaking innovation rather than just a distinctive-sounding name. unfortunately, many hospital leaders of patient focused care programs know the "what" of lrmc's "care pairs" but very little, if anything, about this "how." to create patient focused care teams which are "right" for your own institution, you must quantify the costs of continuit ...	1993	10133389
armadillos (dasypus novemcinctus) as a model to test antileprosy vaccines; a preliminary report.	the efficacy of two candidate leprosy vaccines, bcg and a mixture of bcg and killed mycobacterium leprae, was tested in 62 armadillos caught in the wild. the abilities of the vaccines to convert lepromin-negative armadillos to a positive reaction were compared with a group of control animals. both vaccines upgraded subsequent lepromin skin-test histopathology. the conversion results parallel the protection values obtained in some bcg vaccine trials against leprosy in humans. before conducting ex ...	1993	8228437
quality, access, and clinical issues in a nurse practitioner colposcopy outreach program.	from 8/89 to 7/92 a np-colposcopist performed 593 colposcopy examinations including cervical biopsies, endocervical curettages, and pap smears. procedures were performed in selected health departments in north-central florida. this portable outreach program expanded services to a primarily rural, medically indigent population. specimen results were 21.1% negative, 5.6% human papilloma virus (hpv) only, 37.3% cin i, 17.4% cin ii, 11.9% cin iii, 2.4% cis, 0.3% carcinoma, and 4% other. many cin les ...	1993	8233143
"the human spirit is a marvelous thing.".		1993	8244856
efficacy of two formulations of the insect growth regulator, pyriproxyfen (nylar or sumilarv), against nuisance chironomidae (diptera) in man-made ponds.	a juvenoid insect growth regulator, pyriproxyfen (nylar or sumilarv), in a 10% emulsifiable concentrate (10 ec) and a granular (3% sand granules) formulation was evaluated for efficacy against natural populations of chironomid midges in man-made ponds in central florida. both formulations at 0.05 kg ai/ha induced complete suppression of adult midge emergence for 1 wk. at 0.2 kg ai/ha, emergence of adult midges completely ceased for 2 and 5 wk with the ec and the granules, respectively. the ec fo ...	1993	8245939
accidental skin punctures during ophthalmic surgery.	accidental skin puncture carries the risk of both hepatitis b and human immunodeficiency virus transmission. there have been studies of the incidence of these skin punctures in general surgery, but no study has focused on ophthalmic surgery.	1993	8259285
life on the front lines.	a physician who owns and operates an abortion clinic in boulder, colorado, in the us relates how he came to offer this procedure to women and how this choice has affected his life. the physician had worked as a medical student at a schweitzer-inspired hospital in the peruvian amazon in 1964 and later as a peace corps physician in brazil. he performed his first abortion in 1970, in washington, d. c., for a 17-year-old high school student whose future plans would have been derailed by her pregn ...	1993	8274868
human immunodeficiency virus infection in the healthcare worker.	the 1990 report of transmission of human immunodeficiency virus in a florida dental office sparked a massive public fear reaction. in response, the centers for disease control and prevention produced six recommendations that provide few benefits, at what may prove to be an exorbitant cost. the author reviews those recommendations in light of the legal and ethical considerations of informed consent, significant risk, fear, confidentiality, privacy, and right to work. an alternative approach is re ...	1993	8386950
nutrition attitudes and practices of individuals who are infected with human immunodeficiency virus and who live in south florida.		1993	8417096
prognostic significance of oral lesions in children with perinatally acquired human immunodeficiency virus infection.	to assess the prevalence and prognostic significance of oral lesions in children with human immunodeficiency virus infection.	1993	8418598
thiopurine methyltransferase activity in a sample population of black subjects in florida.	thiopurine methyltransferase (tpmt), is an enzyme detected in the human red blood cell that catalyzes the s-methylation of thiopurine drugs and is known to exist as a genetic polymorphism in white subjects. investigations in this laboratory of red blood cell tpmt showed interethnic differences also existed in north american black subjects. a sample group of black subjects in florida had a mean activity of 8.64 +/- 3.47 u/ml red blood cells and an antimode of 6.5 units, which represented values s ...	1993	8453854
htlv-ii infection in florida indians.	a significantly increased prevalence of antibodies to human t-cell leukemia virus (htlv) has been described in several native american populations in the united states and latin america. initial virologic studies indicate that htlv-ii is the predominant virus responsible for this antibody pattern. we obtained blood samples from 106 seminole indians living on four reservations in southern florida. seropositivity to htlv-i/ii was found in 14 (13.2%) of these individuals. polymerase chain reaction ...	1993	8457379
absence of hiv transmission from an infected dentist to his patients. an epidemiologic and dna sequence analysis.	to determine if a general dentist with human immunodeficiency virus (hiv) infection transmitted hiv to any of his patients.	1993	8459511
changes in sexually transmitted disease rates after hiv testing and posttest counseling, miami, 1988 to 1989.	the effects of posttest counseling on acquisition of sexually transmitted diseases in patients at a large urban sexually transmitted disease clinic were studied.	1993	8460729
update: investigations of persons treated by hiv-infected health-care workers--united states.	previous reports have described transmission of human immunodeficiency virus (hiv) to five persons (patients a, b, c, e, and g) during receipt of care from an hiv-infected dentist in florida and other investigations of patients who were treated by hiv-infected health-care workers (hcws). this report updates these investigations and presents evidence that a sixth patient (patient i) became infected with hiv while receiving care at the florida dental practice, the only practice in which hiv transm ...	1993	8479417
the epizootiology of eustrongylidosis in wading birds (ciconiiformes) in florida.	a total of 2,167 individuals representing 15 species of wading birds was examined for infection with the nematode eustrongylides ignotus in florida (usa). ten of the species were infected with the greatest prevalences occurring in great blue herons (ardea herodius) (33%), great egrets (casmerodius albus) (22%), and snowy egrets (egretta thula) (19%). among nestlings, prevalences increased with age. this parasite was estimated to cause at least 80% mortality among nestling ciconiiforms at one col ...	1993	8487373
hiv infection as leading cause of death among young adults in us cities and states.	to describe the extent to which human immunodeficiency virus (hiv) infection has become the leading cause of death among young adults (25 to 44 years of age) in us states and cities of at least 100,000 population.	1993	8501840
hiv prevention through case management for hiv-infected persons--selected sites, united states, 1989-1992.	transmission of human immunodeficiency virus (hiv) infection can be prevented through hiv-prevention case management--a one-on-one client service specifically designed to assist hiv-infected persons in receiving services that will prevent or reduce behaviors that result in further spread of the virus, delay the onset of symptomatic hiv disease, and improve the client's health status. this approach enables hiv-infected persons to enter a stable, ongoing medical-care system and supports prevention ...	1993	8502220
aids epidemic among florida women.	impact of the human immunodeficiency virus among women in florida is increasingly recognized in the second decade of the aids epidemic. illicit drug use, sexual activity with multiple partners, lack of access to health care, and socioeconomic disadvantages are greatly contributing to the increase of female aids cases. current salient features of the epidemic are summarized as well as prevention strategies to reduce transmission of the virus.	1993	8505615
corticosteroids improve survival of children with aids and pneumocystis carinii pneumonia.	to determine if corticosteroids administered in addition to antimicrobials improve survival in children with acquired immunodeficiency syndrome and severe pneumocystis carinii pneumonia (pcp).	1993	8093422
complex role of gamma-herpesviruses in multiple sclerosis and infectious mononucleosis.	various researchers over the past few years have demonstrated higher titers and higher incidence rates of epstein-barr virus (ebv) antibodies in multiple sclerosis (ms) patients compared to controls. these findings were tentatively attributed to immunoregulation abnormalities of ms or perhaps to some other relationship with the ms syndrome yet to be determined. meanwhile, an intensive environmental investigation of the key west cluster just before it ended and for two years afterwards produced t ...	1993	7907407
patient care redesign. world class healthcare--revolutionizing the way hospitals do business.		1992	10119910
heterosexually transmitted human immunodeficiency virus infection among pregnant women in a rural florida community.	in the united states, an increasing proportion of women infected with the human immunodeficiency virus (hiv) live in nonmetropolitan areas. little is known, however, about the risk factors for hiv transmission in women outside large cities.	1992	1308669
hepatitis c infection in a pediatric dialysis population.	a variable prevalence of hepatitis c (hcv) infection has been reported in adult patients on hemodialysis. we have studied hcv infection and associated risk factors in a pediatric dialysis unit. sera from all 27 patients undergoing either hemodialysis or peritoneal dialysis in our unit were tested for antibody to hcv by enzyme-linked immunosorbent assay, and seropositives were confirmed by recombinant immunoblot assay. records were reviewed for demographic, biochemical, and risk factor data. from ...	1992	1313556
challenges of space medical operations and life sciences management.	the kennedy space center (ksc) has been the premier launch and landing site for america's space program since the early 1960s. visitors are cognizant of space vehicles, processing facilities and launch pads which are treasured national resources. however, most are unaware of the unique organization which supports launch and landing activities and manages the center's occupational medicine, environmental health, ecological and environmental monitoring functions, as well as human and plant researc ...	1992	1357075
sentinel surveillance of human immunodeficiency virus infection in sexually transmitted disease clinics in the united states.	from april 1988 through december 1989, sera obtained for syphilis testing from consecutive patients attending 98 sexually transmitted disease (std) clinics in 37 metropolitan areas were tested for antibodies to human immunodeficiency virus (hiv) in an unlinked (blinded) survey. hiv seroprevalence in std clinics ranged from 0 to 38.5% (median, 2.3%), with the highest rates found in the mid-atlantic states, florida, and puerto rico. the highest median rates were found in men who have sex with men ...	1992	1411839
pediatric tuberculosis and human immunodeficiency virus infection in palm beach county, florida.	to describe the factors underlying an increasing incidence of tuberculosis in children.	1992	1415043
hcmr interview: pat n. groner. interview by montague brown.	pat n. groner, president emeritus, baptist health care, pensacola, florida, is a man of ideas and action. pat has ably led his hospital, was founder of the hospital research and development institute and voluntary hospitals of america, and is now a leader in higher education. whenever and wherever pat sees an opportunity to improve things, he jumps in with a hundred ideas, most of them real winners. he engages others and fights for constructive change. for all who seek models for the full life w ...	1992	1428865
human t lymphotropic virus type i-associated myelopathy. a report of 10 patients born in the united states.	human t lymphotropic virus type i (htlv-i)-associated myelopathy (ham) (tropical spastic paraparesis/ham) has rarely been reported in the united states. we present 10 well-documented cases with positive western immunoblot test results and polymerase chain reactions for htlv-i. the clinical and laboratory features of these american-born patients resemble those previously reported series of tropical spastic paraparesis and ham from the caribbean and japan, but important differences were observed. ...	1992	1444875
hospital outbreak of multidrug-resistant mycobacterium tuberculosis infections. factors in transmission to staff and hiv-infected patients.	to describe transmission of multidrug-resistant (mdr) mycobacterium tuberculosis infection among patients and health care workers (hcws) in a ward and clinic for human immunodeficiency virus (hiv)-infected patients in a hospital, four studies were conducted.	1992	1507374
health care workers, tuberculosis, and the human immunodeficiency virus epidemic.		1992	1514102
hiv infection, syphilis, and tuberculosis screening among migrant farm workers--florida, 1992.	an estimated 2.7-4.0 million persons in the united states are classified as migrant and seasonal farm workers (1). despite a high prevalence of tuberculosis (tb) and other conditions among migrant workers (2-4), approximately 13% have access to or receive care at federally funded migrant health clinics (5). during february-march 1992, to assess the prevalence of selected health conditions among migrant farm workers, the florida department of health and rehabilitative services (fdhrs) conducted a ...	1992	1528182
transmission of human immunodeficiency virus in a dental practice.	to determine if patients of a dentist with the acquired immunodeficiency syndrome (aids) became infected with human immunodeficiency virus (hiv) during their dental care and, if so, to identify possible mechanisms of transmission.	1992	1567094
update: investigations of patients who have been treated by hiv-infected health-care workers.	investigation of the patients of a florida dentist with acquired immunodeficiency syndrome (aids) concluded that human immunodeficiency virus (hiv) was transmitted to five (0.5%) of approximately 1100 patients who were evaluated (1-3). although the precise events resulting in transmission of hiv to these patients are not known, the findings of the investigation support direct dentist-to-patient transmission, rather than a patient-to-patient route. this report summarizes information from other pu ...	1992	1579129
molecular epidemiology of hiv transmission in a dental practice.	human immunodeficiency virus type 1 (hiv-1) transmission from infected patients to health-care workers has been well documented, but transmission from an infected health-care worker to a patient has not been reported. after identification of an acquired immunodeficiency syndrome (aids) patient who had no known risk factors for hiv infection but who had undergone an invasive procedure performed by a dentist with aids, six other patients of this dentist were found to be hiv-infected. molecular bio ...	1992	1589796
antibodies to borrelia burgdorferi in rodents in the eastern and southern united states.	serologic studies were conducted to determine whether white-footed mice (peromyscus leucopus) and cotton mice (peromyscus gossypinus) contained serum antibodies to borrelia burgdorferi, the causative agent of lyme borreliosis. enzyme-linked immunosorbent assays detected antibodies to this spirochete in 35.7 and 27.3% of 56 p. leucopus and 535 p. gossypinus serum samples, respectively, collected in connecticut, north carolina, south carolina, georgia, florida, alabama, and mississippi. antibody t ...	1992	1624561
glenn a. fry award lecture 1991: perceptual manifestations of imperfect optics in the human eye: attempts to correct for ocular chromatic aberration.	the profession of optometry has been very successful in providing optical corrections for spherocylindrical refractive errors. in this paper, i examine one attempt to improve retinal image quality beyond that afforded by a standard refractive correction. ocular chromatic aberration is one of the factors that prevent retinal image quality from reaching the upper limit set by the wave nature of light. it can be subdivided into three primary aberrations (wavelength-dependent differences in imaging ...	1992	1635754
quality of life in persons with human immunodeficiency virus infection: measurement by the medical outcomes study instrument.	to assess the reliability and validity of the medical outcomes study (mos) short form health survey as an indicator for quality of life in patients infected with the human immunodeficiency virus (hiv).	1992	1727616
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 ...	1992	1738361
the use of anencephalic organ donors: lesson of baby theresa ann.		1992	11651399
the anencephalic baby theresa: a prognosticator of future bioethics.		1992	11659588
mclaughlin v. williams.	the u.s. district court, southern district of florida, ordered the florida department of health and rehabilitative services (hrs) to fund a university hospital's organ search for an infant suffering from terminal liver disease. the hrs had refused to provide medicaid funding for the liver-small bowel transplant, claiming that the procedure was "experimental." the infant had sued the hrs on this matter, but the urgency of the transplant necessitated initiating the procedure before the litigation ...	1992	11648278
patients paying to be subjects in brain study.		1992	11646930
thallium poisoning: an outbreak in florida, 1988.	in october 1988, five of seven members of a florida family were poisoned with thallium, constituting the largest outbreak of acute thallium poisoning in the united states since thallium was banned as a rodenticide in 1972. three patients had an acute severe neuropathy with respiratory depression; one died. the other two had no symptoms. no cases were identified among nonhousehold relatives or friends, or in the community. of the more than 100 environmental specimens collected at the family house ...	1992	1470964
self-selection factors in the participation of mental health professionals in competency for execution evaluations.		1991	11654262
legal considerations. current florida law.	legislation enacted in 1991 requires physicians licensed under chapters 458 or 459, florida statutes, to earn continuing medical education in the area of hiv and aids and specifies what should be covered in the program. the law no longer requires that certain information be imparted to the patient prior to testing for the human immunodeficiency virus. information is presented on who can consent to testing, when consent is not required, pre- and post-testing requirements, confidentiality of patie ...	1991	1753229
pediatric hiv infection. an update.	human immunodeficiency virus infection is a leading cause of immunodeficiency in children. the epidemic in children parallels that in women since most infected women are in the child-bearing age groups. the risk of vertical transmission of hiv from an infected mother to her infant ranges from 13% to 39%. diagnosis of infection in the infant is complicated by the passive transfer of antibody across the placenta, making the use of standard serologic tests to confirm infection difficult. in childre ...	1991	1753232
mycobacterium tuberculosis transmission in a health clinic.	between january 1 and june 30, 1988, 30 (39.5%) of 76 staff members tested at a health clinic in florida had positive tuberculin skin test reactions. this case-control study showed that people whose skin test converted were more likely than those whose skin test did not convert to have been present while patients were being treated with aerosolized pentamidine (odds ratio = 15.0; 95% confidence interval = 1.4 - 730.0) and to have worked on the first floor of the clinic (odds ratio = 9.3; 95% con ...	1991	1756290
validation of methods used in the florida department of agricultural and consumer services' chemical residue laboratory.	very few methods for detecting residues of pesticides in food or agricultural samples have undergone rigorous colloborative study and possess official aoac status. the chemical residue laboratory has formalized a method validation scheme to use when incorporating or developing new, unofficial methods. these methods are validated by assessing certain performance parameters: scope, specificity, linear range, accuracy, precision, limit of detection (lod), and limit of quantitation (loq). for accura ...	1991	1783594
detection of nucleic acids homologous to human immunodeficiency virus in wastewater.	raw wastewaters were obtained from the cities of belle glade, ocala and gainesville in the state of florida and were concentrated using several established methods for the recovery of human enteroviruses. the nucleic acids were then extracted from the wastewater concentrates, suspended in 2 x ssc with and without 2 n naoh (for the detection of dna and both dna and rna, respectively), and dot blotted onto hybridization membranes. these membranes were then hybridized with three 32p-end-labeled 18- ...	1991	1783678
biodegradation of creosote and pentachlorophenol in contaminated groundwater: chemical and biological assessment.	shake flask studies examined the rate and extent of biodegradation of pentachlorophenol (pcp) and 42 components of coal-tar creosote present in contaminated groundwater recovered from the american creosote works superfund site, pensacola, fla. the ability of indigenous soil microorganisms to remove these contaminants from aqueous solutions was determined by gas chromatographic analysis of organic extracts of biotreated groundwater. changes in potential environmental and human health hazards asso ...	1991	1854192
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)	1991	1861668
human ehrlichiosis diagnosed in wisconsin.	a man developed a febrile illness shortly after he returned to wisconsin from florida, where he had received tick bites. this illness was associated with a rash, thrombocytopenia, leukopenia, and elevated hepatic enzymes, and it resolved on doxycycline. serologic studies confirmed ehrlichiosis, a tick-borne rickettsial intraleukocytic infection endemic to the southeastern united states. this case expands the spectrum of tick-borne illnesses that must be considered by wisconsin clinicians.	1991	1897237
update--transmission of hiv infection during an invasive dental procedure--florida.	possible transmission of human immunodeficiency virus (hiv) infection during an invasive dental procedure was previously reported in a young woman (patient a) with acquired immunodeficiency syndrome (aids). patient a had no identified risk factor for hiv infection and was infected with a strain of hiv closely related to that of her dentist as determined by viral dna sequencing. a follow-up investigation has identified four additional patients of the dentist who are infected with hiv. laboratory ...	1991	1898668
a look-back investigation of patients of an hiv-infected physician. public health implications.	transmission of the human immunodeficiency virus (hiv) to five patients receiving care from an hiv-infected dentist in florida has recently been reported. current data indicate that the risk of hiv transmission from health care workers to patients is low. despite this low risk, programs to notify patients of past exposure to an hiv-infected health care worker are being conducted with increasing frequency.	1991	1922251
sleep and breathing in patients with the prader-willi syndrome.	the prader-willi syndrome is characterized by infantile hypotonia, early childhood obesity, mental deficiency, short stature, small hands and feet, and hypogonadism. many patients also have hypersomnolence, experience daytime hypoventilation, and subsequently die prematurely of cardiorespiratory failure. hypersomnolence and daytime hypoventilation are also common occurrences in the sleep apnea syndrome. for a better understanding of the relationship of sleep to the features of the prader-willi s ...	1991	1943244
nursing and human immunodeficiency.		1991	1955045
update: influenza activity and vaccine availability--united states, 1991-92.	during the 1991-92 influenza season, widespread influenza-like illness (ili) activity* was first reported in louisiana for the week ending november 9, 1991, and in mississippi the week ending november 16. through november 30, six additional states (alaska, missouri, new york, north carolina, tennessee, and texas) reported widespread activity; 13 (alabama, arkansas, california, florida, georgia, indiana, kansas, kentucky, minnesota, nebraska, new jersey, ohio, and pennsylvania) reported regional ...	1991	1961177
htlv-i-associated leukemia/lymphoma in south florida.	we report here 10 cases of adult t-cell leukemia/lymphoma (atl) seen in south florida between february 1988 and july 1989. all were seropositive for human t-lymphotropic virus type i (htlv-i) and seronegative for human immunodeficiency virus type 1 (hiv-1). dna extracted from tumor biopsies/peripheral blood lymphocytes of nine patients was shown by the polymerase chain reaction (pcr) to contain htlv-i proviral dna. blot hybridization of dna extracted from seven patients with an htlv-i cdna probe ...	1991	1992105
htlv-i-associated myelopathy associated with blood transfusion in the united states: epidemiologic and molecular evidence linking donor and recipient.	six months after receiving 58 units of blood components, a 65-year-old white man from new york city, with no other risk factors for human t-lymphotropic virus type i (htlv-i) infection, developed htlv-i-associated myelopathy/tropical spastic paraparesis (ham/tsp). investigation of blood donors identified a 25-year-old white hispanic woman from florida whose platelets had been given to the patient and who was seropositive for the virus on a serum specimen obtained 2 years after the donation. she ...	1991	1992361