Publications

prevalence of hiv infection in childbearing women in the united states. surveillance using newborn blood samples.	a national, population-based survey was initiated in 1988 to measure the prevalence of human immunodeficiency virus (hiv) infection in women giving birth to infants in the united states. following standardized procedures, residual dried-blood specimens collected on filter paper for newborn metabolic screening were tested anonymously in state public health laboratories for maternal antibody to hiv. as of september 1990, annual survey data were available from 38 states and the district of columbia ...	1991	2002571
update: transmission of hiv infection during invasive dental procedures--florida.	previous reports from an epidemiologic investigation in florida strongly suggested that three patients (patients a, b, and c) became infected with human immunodeficiency virus (hiv) while receiving dental care from a dentist with acquired immunodeficiency syndrome (aids) (1,2). this report describes findings that suggest hiv was transmitted to two additional patients (patients e and g). these two patients had no other confirmed exposures to hiv, had invasive procedures performed by the dentist, ...	1991	2041538
hcmr interview: richard stull. interview by montague brown.	the career of richard j. stull, ii, president and chief executive officer of north broward hospital in fort lauderdale, fl, reflects the solid grounding he received, literally starting on his father's knee. dick's career is unusual from another perspective; he moved through the ranks to a distinguished career in one location. a young man still, he speaks of looking back after the next 15 years and saying, "i laid out the vision, plotted the course and stayed to make it happen." we need more lead ...	1991	2055759
epidemiology of acquired immunodeficiency syndrome and human immunodeficiency virus infection in adolescents.	the epidemiology of acquired immunodeficiency syndrome (aids) and human immunodeficiency virus infection (hiv) in adolescents is important for purposes of prevention and car, since sexual and drug behavior is formed during this period. for 1990 the centers for disease control reports .4% of aids cases are among adolescents 13-19 years old; this figure has steadily risen since 1982. 53% of the reported aids cases were from new york, florida, california, texas, puerto rico, and new jersey, and has ...	1991	2062630
human t-cell lymphotropic virus infection among blood donors in south florida. the transfusion safety study group.	knowledge of the epidemiologic pattern of human t-lymphotropic virus (htlv) in the united states is being enlarged by blood donor screening. we tested stored sera from 29,937 donations made in south florida in 1984-1985. twenty-three donors were confirmed as seropositive, a prevalence of 0.8 per 1,000 donations. specificity was supported by serologic retesting and virus culture of 11 donors located for follow-up. sex- and age-specific prevalences did not differ significantly; blacks, however, ac ...	1991	1670589
antibody to human retroviruses among drug users in three east coast american cities, 1972-1976.	between 1972 and 1976, 585 persons attending methadone maintenance clinics at east coast veterans hospitals were enrolled in a survey of hepatitis antibody prevalence. sera were tested for human immunodeficiency virus (hiv) and human t lymphotropic virus (htlv) using both htlv-i and htlv-ii immunoblots. clinical and death records were also reviewed. none of the sera had hiv antibodies (upper 95% confidence limit, 0.5%); however, 103 (18%) had reactivity to htlv. the profile of reactivity suggest ...	1991	1670608
a hospital-based prospective study of perinatal infection with human immunodeficiency virus type 1.	most infants with pediatric acquired immunodeficiency syndrome and infections with human immunodeficiency virus type 1 (hiv-1) are infected perinatally by their mothers. to determine the proportion of exposed infants who are infected, we conducted a hospital-based prospective study in hiv-1-infected women whose infants were delivered at a single metropolitan hospital in miami, fla. a population of uninfected women and their infants was also enrolled and followed longitudinally for 2 years to ass ...	1991	1671878
the hospital of the year 2000: three scenarios.	the topic for the 1991 duke forum, the 27th annual duke forum on health and hospital affairs, is "the hospital of the year 2000: three scenarios." the organizers, b. jon jaeger and myself, selected it because we believed in the fall of 1990 that no one could predict the direction that national health policy might take over the next decade. there are many forces with a stake in national health policy, and the major providers of health care--hospitals and doctors--are only two of them. moreover, m ...	1991	10120209
the right to know. ethical issues related to mandatory testing of healthcare workers for hiv.	to prevent transmission of human immunodeficiency virus (hiv) from patient to healthcare professional, in 1987 the centers for disease control (cdc) put forth guidelines requiring the use of gloves and sometimes masks when treating all patients in exposure-prone situations. recently, however, the spotlight has shifted as a result of tragic events in florida when patients of a dentist who died of aids were found to be infected with the virus. the question now is whether patients have a need and r ...	1991	10128676
nurses and florida hospital hear patients and respond with ways to meet their needs.		1991	10109413
hepatitis c infection in two urban hemodialysis units.	we determined the prevalence of antibodies to the hepatitis c virus (anti-hcv) in 90 patients and 37 staff members of two hemodialysis units utilizing a recently developed anti-hcv recombinant based assay. eleven patients (12%) were anti-hcv(+). of these, eight (73%) had antibodies to the hepatitis b core antigen (anti-hbc) indicating prior hepatitis b infection; one patient was hepatitis b surface antigen (hbsag)(+). all staff members were anti-hcv(-), although seven (19%) of them were anti-hbc ...	1990	2119469
b virus (herpesvirus simiae) infection in humans: epidemiologic investigation of a cluster.	a cluster of four cases of symptomatic b virus infection in humans occurred in pensacola, florida, in march 1987. three cases occurred in persons who worked with monkeys at a research facility, and the fourth resulted from apparent autoinoculation through use of a nonprescription skin cream. contact tracing identified 159 persons who may have been exposed to b virus (21 had been exposed to monkeys at the facility and 138 had been exposed to one or more of the case-patients), but no further cases ...	1990	2160783
hepatitis c-associated hepatocellular carcinoma.	in the united states, a large percentage of patients with hepatocellular carcinoma are serologically negative for hepatitis b. we conducted a retrospective study to determine the prevalence of hepatitis c antibody in the sera of 59 patients with hepatocellular carcinoma who were hbsag-negative and had no evidence of alcoholic liver disease, primary biliary cirrhosis, autoimmune hepatitis, hemochromatosis or alpha 1-antitrypsin deficiency. twenty patients (34%) were hepatitis c antibody-positive ...	1990	2169456
antibodies to the phenolic glycolipid-1 antigen for epidemiologic investigations of enzootic leprosy in armadillos (dasypus novemcinctus).	other than man, nine-banded armadillos (dasypus novemcinctus) are the only known natural hosts of leprosy with high rates of disease. the origin, range and risk of their infection is not yet clear and a better description of the rate of leprosy over the armadillo's range is needed. both histopathological examination of armadillo ear tissues and serologic screening for igm antibodies to the phenolic glycolipid-1 (pgl-1) antigen of mycobacterium leprae are good relative indices of enzootic prevale ...	1990	2181221
meet kimberly bergalis--the patient in the 'dental aids case'.	breo paresents the human interest aspects of a florida case involving the possible transmission of aids from a dentist to a patient. the case of kimberly bergalis, a young woman with advanced aids and no known risk factors except her treatment by a dentist who later died from aids, has been investigated by the federal centers for disease control (cdc). the cdc's report on the case, reprinted in jama (1990 sep 5; 264(9): 1092-1093), has generated controversy between those who say that health ca ...	1990	2214065
childhood psychiatric disorders. focus on conduct disorders.	the high prevalence of child and adolescent psychiatric disorders in general and of aggressive behaviors in particular presents a serious problem. recent social, economic and demographic trends suggest that the problem is likely to grow in degree of seriousness. it is recommended that the broad social and economic policies that impact on risk factors be evaluated and that greater emphasis be placed upon prevention efforts. these efforts need to particularly strengthen the social, emotional, and ...	1990	2254742
additional instances of human parasitism by the brown dog tick (acari: ixodidae).	nine cases of humans parasitized by the brown dog tick, rhipicephalus sanguineus (latreille), are reported. eight cases occurred during 1989. seven of the individuals were from an apparent focus of human biting in northern texas and southwestern oklahoma, one case was from san antonio, bexar county, tex., and one case was from homestead air force base, dade county, fla. these cases suggest that the role of r. sanguineus in the transmission of the etiologic agent of canine ehrlichiosis and other ...	1990	2280392
heterosexual transmission of hepatitis b virus in belle glade, florida. belle glade study group.	a population-based serosurvey of human immunodeficiency virus in belle glade, fl, enabled evaluation of risk factors for hepatitis b virus (hbv) infection in this racially mixed community. serum samples from 725 adults and 130 children were tested for markers of hbv infection, and histories of exposure to hbv were obtained by interview. the overall prevalence of past or present hbv infection was 26%; prevalence was 9% among whites, 5% among hispanics, 30% among blacks, and 57% among haitians. pr ...	1990	2313121
influenza and pneumococcal pneumonia immunization. protecting our high risk population.	pneumonia and influenza (p & i) constitute florida's sixth leading cause of death. the p & i death rate in 1987, 10.5 per 100,000, was the highest since 1978. major target groups for one or both vaccines used in prevention, as recommended by the immunization practices advisory committee (acip), include persons with chronic diseases of the heart or lungs, residents of nursing homes and other chronic care facilities, and persons aged 65 and older. despite well-defined recommendations, vaccine cove ...	1990	2370516
hiv-1 and htlv-i infection in renal transplant recipients.	the prevalence of retroviral infection in renal transplantation remains poorly defined. we tested retrospectively sera from 224 of 331 patients undergoing renal transplantation between 1979 and 1985. viral antigen based eia was used for screening igg antibodies to human immunodeficiency virus (hiv-i) and human t-cell leukemia virus type i (htlv-i). positive eias were confirmed by western blot. six patients (2.7%) were found to have retroviral infection, four with hiv-1 and two with htlv-i. the f ...	1990	2403436
the constitutionality of pregnancy clauses in living will statutes.		1990	11656069
abortion: questions and answers guidelines for pastors and parishes on lobbying and electioneering.		1990	11659853
florida women's medical clinic v. smith.	the defendants moved for relief from a 1982 decision by the u.s. district court, s.d. florida, n.d., which held that certain florida statutes that regulated first trimester abortions violated a pregnant woman's constitutional right of privacy in the abortion decision. the defendants asked for relief following the u.s. supreme court's decision in webster v. reproductive health services which held that the state has an interest in protecting potential human life throughout the pregnancy. the u.s ...	1990	11648397
[american policy (1986-1989): results and limits].	although the american program to legalize illegal immigrants succeeded in giving legal status to over 3 million foreigners between 1987-88, the experience contributes to understanding of the limitations in a state's ability to control illegal immigration. some part of the illegal population entitled to legalization failed to apply to 1 of the 110 offices opened for the purpose, but the proportion is debatable because in the us as elsewhere the exact numbers and characteristics of the illegal po ...	1990	12283120
doe v. ball.	after a long career in the navy, most recently in its canvasser recruiter program, plaintiff doe tested positive for the human immunodeficiency virus antibody. despite excellent performance records and recommendations that he be continued on active reserve, the navy released doe from active duty on 30 september 1986. the district court held that because doe was a uniformed member of the armed services, he had no cause of action under title vii of the rehabilitation act. further, doe stated no ...	1989	11648248
anti-dumping laws: the practical realities of federal and state enforcement.		1989	10296557
trustee james hogue discusses executive search. interview by karen gardner.	as vice-president of human resources for tampa-based florida steel corp., james hogue was particularly well suited to chair the search committee of the university community hospital board of directors when the previous administrator resigned. university community hospital, a 375-bed not-for-profit community hospital in tampa, completed its search recently, and trustee managing editor karen gardner talked with hogue about the experience.	1989	10296616
a reappraisal of the epidemiology of phenotypes of neisseria gonorrhoeae.	we analyzed published data from studies of the epidemiology of gonococcal auxotype/serovar phenotypes in seattle and king county, washington; denver, colorado; and miami and dade county, florida, to determine whether the numbers of new phenotypes were within the ranges of numbers predicted from previous observations in the same populations. for this analysis, we used the model of fisher and good and turing. in all the analyses, the observed number of new species was within the 95% confidence reg ...	1989	2500719
rabies surveillance, united states, 1988.	the primary purpose of the annual report on rabies surveillance is to assist local and state public health officials in the planning of rabies control programs and to guide health professionals in evaluating the need for rabies postexposure prophylaxis in patients who are exposed to animals that may be rabid. in 1988, a total of 4,724 cases of animal rabies were reported by 47 states, the district of columbia, and puerto rico, similar to the total (4,729) for 1987. no human cases of rabies were ...	1989	2505046
aids: the hiv epidemic. a time of transition.	the surveillance of clinical cases of acquired immune deficiency syndrome (aids) in the united states began in june 1981 when the first case was reported. since then, state and federal public health officials have continuously monitored progression of the epidemic by the number of persons reported with diagnosed clinical aids. the human immunodeficiency virus (hiv) that causes aids was identified in 1983 and an antibody test was licensed by the food and drug administration in 1985. recent studie ...	1989	2557376
epidemiologic background of blood donors with antibody to human t-cell lymphotropic virus. transfusion safety study group.	we interviewed 51 blood donors in four major us metropolitan areas subsequently found to have had antibodies to human t-cell lymphotropic virus (anti-htlv) in late 1984-early 1985. sixteen donors (31%) reported that they or a sexual contact had a history of blood transfusion. twelve donors (24%) reported that they or a sexual contact used intravenous drugs. ten donors (20%) were blacks born in the southeastern us. four of the male donors (15%) reported homosexual contact. the most common charact ...	1989	2572078
evidence for spread of the human immunodeficiency virus epidemic into low prevalence areas of the united states.	reports of an increased proportion of aids cases occurring in small and medium-sized cities suggest that the hiv epidemic may be spreading into locations that were previously characterized by their low hiv antibody prevalences. studying the question of the geographic spread of the hiv infection epidemic (rather than the aids epidemic) has been difficult largely because most serial seroprevalence data have been gathered from cohorts of high risk individuals (e.g., homosexual/bisexual cohorts) in ...	1989	2585245
suicide by jumping from buildings.	a study of 82 suicides during 1982-1986 that were committed by jumping from buildings was performed using the case files of the office of the medical examiner of metropolitan dade county in miami, florida, u.s.a. the analysis involved the age, race, and sex of the victim along with the results of toxicologic studies and the cause of death. additionally, the decedent's place of residence, location of the suicide, height of the building, and the reason for the suicide were investigated. whether or ...	1989	2589289
survival in children with perinatally acquired human immunodeficiency virus type 1 infection.	we describe our experience at jackson memorial hospital in miami, florida, with 172 children who were given diagnoses of perinatally acquired infection with human immunodeficiency virus type 1 (hiv-1). the 146 mothers of the children acquired hiv-1 through heterosexual contact (69 percent), intravenous drug use (30 percent), or blood transfusion (1 percent). the children presented with symptomatic disease at a median age of eight months; only 21 percent presented after the age of two years. the ...	1989	2594038
promoting safety belt use with traffic signs and prompters.	two studies were conducted examining the stimulus-control effects of conventional traffic signs as prompts for motor vehicle driver safety belt use. following pilot research which suggested that a traffic sign reading "fasten safety belt" posted at a parking lot exit was effective in producing small increases in safety belt use, study i demonstrated the superiority of having human prompters display such signs compared to simply posting the signs. study ii replicated the findings of study i and f ...	1989	2708173
aedes bahamensis: its invasion of south florida and association with aedes aegypti.	the exotic mosquito, aedes bahamensis, is now well-established in south florida, where it is widely distributed throughout dade and southern broward counties in both urban and rural areas east of the everglades. when discarded automobile tires were sampled in areas near human habitation, larvae and pupae of ae. bahamensis were frequently found in association with immature ae. aegypti. elsewhere, however, ae. bahamensis generally occurred in the absence of ae. aegypti. the persistence of ae. baha ...	1989	2708981
human immunodeficiency virus and human t-cell leukemia virus type i in patients undergoing maintenance hemodialysis in miami.	the high prevalence of human immunodeficiency virus (hiv-1) infection in populations at risk in miami prompted a seroepidemiologic study of both hiv-1 and the human t-cell leukemia virus type i (htlv-i), a closely related virus, in our patients receiving chronic hemodialysis. one hundred twenty-nine patients undergoing hemodialysis in 1986 and 1987 were tested for antibody against both viral antigens by eia (abbott laboratories, abbott park, il). seroreactive samples for hiv-1 and/or htlv-i were ...	1989	2787117
an outbreak of influenza a/taiwan/1/86 (h1n1) infections at a naval base and its association with airplane travel.	in late october 1986, an outbreak of influenza-like illness was detected at the naval air station in key west, florida. between october 10 and november 7, 1986, 60 active duty personnel reported experiencing a respiratory illness characterized by fever, cough, sore throat, and myalgia. influenza a/taiwan/1/86 (h1n1) virus was recovered from three symptomatic patients. forty-one (68%) of 60 case-patients belonged to a 114-person squadron that had traveled to puerto rico for a temporary assignment ...	1989	2912044
geographic distribution of htlv-i and identification of a new high-risk population.	epidemiologic studies indicate that human t-cell lymphotropic virus type i (htlv-i), the causative agent of most cases of adult t-cell leukemia/lymphoma (atll) in southeast japan and the caribbean islands and the probable cause of a progressive neurological disorder often referred to as tropical spastic paraparesis, occurs with unusual geographic clustering. the current large-scale serosurvey was undertaken to improve our understanding of htlv-i prevalence in different parts of the world. we ana ...	1988	2899060
human infections with tensaw virus in south florida: evidence that tensaw virus subtypes stimulate the production of antibodies reactive with closely related bunyamwera serogroup viruses.	maguari virus, a member of the bunyamwera serogroup (family bunyaviridae, genus bunyavirus) has not been isolated north of trinidad. anecdotal information from other investigators has indicated the presence of antibody to maguari virus in human residents of south florida. we attributed such antibody to either cross-reactivity with tensaw virus, the only bunyamwera serogroup virus known in south florida, or to cross-reactivity to an antigenic subtype or variant of tensaw virus. five strains, iden ...	1988	2899978
geographic distribution of human immunodeficiency virus markers in parenteral drug abusers.	drug abuse treatment programs in six regions of the united states collaborated in a study aimed at monitoring trends in the seroprevalence of human immunodeficiency virus (hiv) antibodies. the wide disparities in hiv seroprevalence in the face of similarities in drug using behavior have important implications for prevention. in the new york city area (harlem, brooklyn), 61 per cent of samples (n = 280) obtained in late 1986 were positive, up from 50 per cent of samples (n = 585) in early 1985. i ...	1988	3348473
concentrations of contaminants in muscle of the american alligator in florida.	samples of tail muscle from 32 american alligators (alligator mississippiensis) in florida were analyzed for contaminant concentrations to provide preliminary information on the potential public health hazard of meat consumption. detectable levels were found for eight metals; copper, zinc, iron, chromium, mercury, lead, cadmium and arsenic. mean residue was highest for mercury (geometric mean = 0.61 ppm). dde, ddd, ddt, dieldrin, heptachlor epoxide, lindane, and pcb's were found. mean residue co ...	1988	3352097
a one-hour burn prevention program for grade school children: its approach and success.	a brief, one-hour program aimed at grade school children combines human moderators, a robot, and cartoons to deliver the burn prevention message. program efficacy was demonstrated by a pretest and posttest. performance on the posttest improved with the age of the child.	1988	3356743
possible association between dirofilaria tenuis infections in humans and its prevalence in raccoons in florida.	a study was undertaken to determine the prevalence of dirofilaria tenuis in raccoons from subtropical southern florida as compared to the northern part of the state. the results indicate that d. tenuis is more prevalent in southern florida and suggest that this might be why humans suffer from more d. tenuis infections in southern florida than in other parts of the state.	1988	3357101
human immunodeficiency virus infection in a rural community.		1988	3385399
selenium: geochemical distribution and associations with human heart and cancer death rates and longevity in china and the united states.	the geochemistry of available soil se varies enormously in different localities, and the corresponding amounts moving up through crops to food vary accordingly. in a belt extending from northeastern to south central china, the available soil se was measured by human blood se levels. severe deficiency occurred at 8-26 ng/ml; subadequate amounts occurred in large areas with 32-83 ng/ml; adequate amounts of 200-300 ng/ml occurred in large cities; and toxic amounts of 3000-7800 ng/ml occurred in ter ...	1988	2484511
how a south florida hospital targeted hispanic consumers.	last month's "case in point" presented ami parkway regional medical center, a 412-bed acute care hospital in north miami beach, fla. the hospital's administration has recognized the ethnic make-up of the south florida market (white, black and hispanic) and wants to increase its penetration into the large and potentially lucrative latin market. the hospital is one of six in south florida that are owned by american medical international inc., los angeles. parkway recently completed a modernization ...	1988	10302242
hospitals to fight hcfa effort.		1988	10302437
11th circuit: cost limit rules must be applied presumptively.		1988	10302519
dialysis firm sues hhs to block reimbursement cut.		1988	10302911
forum allows ltc facilities to face ethical issues together.	to respond to other facilities' requests for support in dealing with ethical issues in long-term care, bon secours hospital-villa maria nursing center, north miami, fl, established and sponsors the interfacility ethics study group for long term care. the group grew out of the facility's human values committee, which serves as the facility's ethics committee. a general mailing to administrators of area long-term care facilities produced the majority of active group participants, which primarily i ...	1988	10286249
hug-a-pug.		1988	10286300
recent medical malpractice reform measures in eight key states.	over the course of the past quarter century, technological developments in medical science have made it possible for physicians to save the lives and preserve the health of countless patients. unfortunately, it must be remembered that medicine is still as much an art as it is a science. as such, due to this human element, there is always the risk of occasional errors or failures in treatment. when these problems occur in bunches, the stage is set for a medical malpractice crisis. in an attempt t ...	1988	10287858
theoretical questions and ethical issues in a family caregiving relationship.		1988	11660135
akron center for reproductive health v. slaby, 12 august 1988.	in a challenge to the constitutionality of parental notification provisions of ohio's abortion statute, the appeals court held certain provisions of the statute unconstitutional. this ruling was reversed by the us supreme court in 1990. in minnesota in 1988, the appeals court held constitutional parental notification provisions requiring that a minor give both parents 48 hours' notice before undergoing an abortion unless a judicial waiver is obtained. this ruling was upheld by the us supreme ...	1988	12289574
milton v. cary medical center, 22 february 1988.	in maine, the parents of a viable fetus brought a wrongful death action charging a hospital and physician with negligence resulting in the death of the fetus. the court held that, for the purposes of the state's wrongful death statute, a fetus is not a person and that the action could not be maintained. in 1988, other us courts reached the following decisions: 1) a viable fetus is not a human being as defined by the aggravated vehicular homicide statute of kansas (state vs. trudell); 2) there ...	1988	12289582
mariel refugees: six years after.	in 1983, the economic situation of mariel cubans could be summarized as abysmal. those without a job represented close to 1/2 of the sample; the unemployment rate amounted to 27%. a study conducted by johns hopkins university in collaboration with miami-dade community college and florida international university has investigated whether mariels remain a group apart within the broader cuban community or whether they have melted into the rest of the community. the study followed a large sample ...	1987	12341948
ray v. school district of desoto county.	the parents of three hemophiliac school children who tested seropositive for human immunodeficiency virus (hiv) established "irreparable injury" arising from the continued denial of access to a classroom for the children and were granted an injunction by the u.s. district court in tampa, florida, admitting the children to a regular classroom setting unless and until it could be established that the children posed a real and valid threat to the school population. the potential harm to the school ...	1987	11648180
the right to be human: how one facility cares.		1987	10284712
neurologic disease as the presenting manifestation of acquired immunodeficiency syndrome.	neurologic disease was the harbinger of the acquired immunodeficiency syndrome (aids) in 26 (20%) of 132 patients and ultimately developed in 83 (63%). the most common neurologic disorder heralding aids was toxoplasmic encephalitis (17 cases) followed by cryptococcal meningitis (six), retinitis (three), progressive multifocal leukoencephalopathy (two), neuropathy (one), myopathy (one), and subacute "viral" encephalitis (one). in four patients, more than one neurologic disorder coexisted at prese ...	1987	3473692
b-virus infection in humans--pensacola, florida.		1987	3033462
leads from the mmwr. b-virus infection in humans--pensacola, florida.		1987	3035247
acquired immunodeficiency syndrome in children: report of the centers for disease control national surveillance, 1982 to 1985.	since national surveillance for acquired immunodeficiency syndrome (aids) began in 1981, the centers for disease control (cdc) has received reports of more than 20,000 cases of aids in the united states. as of december 31, 1985, 307 of these cases had been diagnosed in children younger than 13 years of age. the number of cases is increasing rapidly. the number of cases reported in 1985 more than doubled those reported in 1984. the major risk factors in children for acquiring infection with the c ...	1987	3035476
prospective pricing system by diagnosis-related groups: comparison of federal diagnosis-related groups with high-risk obstetric care groups.	of 468 diagnosis-related groups identified by the federal government for medicaid reimbursement, 15 are related to obstetric hospital care. each diagnosis-related group is considered a distinct group in which cases are homogeneous with respect to resource consumption. because the diagnosis-related group system is based primarily on data from community and secondary care hospitals, it does not differentiate sufficiently among high-risk obstetric patients seen at tertiary care institutions, such a ...	1987	3103450
aids in minority populations in the united states.	among ethnic minorities in the united states, blacks and hispanics, who compose 12 percent and 7 percent of the u.s. population, respectively, constitute 24 percent and 14 percent of the cases of aids. seventy-eight percent of all children with aids are black or hispanic, as are 71 percent of all women with aids. in the black and hispanic communities, intravenous (iv) drug abuse is associated with much of the aids transmission, and parenterally acquired infections are spread secondarily by sexua ...	1987	3120232
intercontinental spread of neisseria meningitidis clones of the et-5 complex.	the genetic structure of populations of neisseria meningitidis was examined by an analysis of electrophoretically demonstrable allelic variation at 15 structural genes encoding enzymes in 688 isolates. variation among strains in serogroup and serotype has little relationship to the complex structure of populations revealed by enzyme electrophoresis, which involves 14 major lineages of clones diverging from one another at more than half their genetic loci. clones of one of these lineages, the et- ...	1987	3130777
migration patterns among the elderly: a developmental perspective.	the elderly tend to make 3 kinds of moves when they migrate: 1) when they retire, 2) when they experience moderate forms of disability, and 3) when they have major forms of chronic disability. in the 1st type of move, the migrant's support needs do not require nearness of kin. these migrants tend to be younger, healthier, wealthier, and more often have intact marriages than migrants in the counter streams. the 2nd type of move is typically compounded when deficits from widowhood and disabili ...	1987	3609792
human t-cell lymphotropic virus-iii (htlv-iii) seropositivity and related disease among 71 consecutive patients in whom tuberculosis was diagnosed. a prospective study.	the incidence of tuberculosis has recently risen in southeast florida. in order to determine the number and proportion of tuberculosis cases and the characteristics of tuberculosis that might be related to human t-cell lymphotrophic virus-iii (htlv-iii) infection, all patients seen by the dade county florida public health department-tuberculosis clinic during a 6-month period were medically evaluated and screened for htlv-iii antibody by an enzyme-linked immunosorbent assay. of 71 consecutive pa ...	1987	3645999
high prevalence of human immunodeficiency virus infection in children with thalassemia exposed to blood imported from the united states.	38.5% or 10 of 26 children with thalassemia who had received blood transfusion have tested positive for hiv at the hamad general hospital, doha, qatar. blood for transfusion was obtained from commercial suppliers in miami, florida, since late 1970. since december 1985 all blood for transfusion has been tested for hiv for elisa kits from abbott laboratories, chicago, ill, and confirmed by western blot. these children ranged from 3-13 years old, mean 7.7, and had received an average of 63.5 tra ...	1987	3670941
human immunodeficiency virus testing: the palm beach county alternative test site experience.		1987	3681232
leads from the mmwr. influenza activity in civilian and military populations and key points for use of influenza vaccines.		1987	3795398
intensive care units, scarce resources, and conflicting principles of justice.	the authors approach the societal problem of the just distribution of health care resources by exploring one example-- the allocation of intensive care unit (icu) beds between present patients and those awaiting admission--within the context of not expending a disproportionate share of resources for marginal benefit. they propose the metaphor of the societal "insurance policy" under which decisions regarding the investment of resources to meet various possible contingencies are made in advance. ...	1986	3945036
epidemic campylobacteriosis associated with a community water supply.	in may 1983, an estimated 865 cases of epidemic gastrointestinal disease occurred in greenville, florida. surveillance of pharmacy sales of antidiarrheal medicines suggested that the outbreak was confined to greenville and its immediate vicinity. surveys demonstrated that the gastrointestinal illness attack rates inside and outside the city limits were 56 per cent (72/128) and 9 per cent (7/77), respectively (relative risk (rr) = 6.2); consumption of city water was associated with illness (rr = ...	1986	3953920
accidental non-commercial aircraft fatalities: the 7-year metro-dade county experience from 1977-1983.	a study of accidental non-commercial aircraft fatalities was performed on the case files of the office of the medical examiner of metropolitan dade county in miami, fl, u.s.a., between the years 1977 through 1983. a total of 57 cases were collected and analyzed as to the age of the victim, the race and sex of the victim, the cause of death, the blood alcohol content at autopsy, the drugs detected at autopsy, the type of aircraft, the occupant role, the risk factor responsible for the crash, the ...	1986	3721369
three adenovirus type 8 genome types defined by restriction enzyme analysis: prototype stability in geographically separated populations.	adenovirus type 8 strains were collected over a 19-year period from eye specimens from patients with keratoconjunctivitis. these strains were divided by restriction enzyme analysis with the endonucleases sali, hindiii, saci, kpni, and smai into three genotypic subgroups. the prototype strain (trim) was found throughout the united states from 1966 through 1985 and also in taiwan and greece in the early 1980s. genotype 8c was identified in an arc from maryland to missouri to alabama from 1971 thro ...	1986	3007566
quantitative estimation by a standardized enzyme-linked immunosorbent assay of human t-cell lymphotropic virus type i antibodies in adult t-cell leukemia and acquired immune deficiency syndrome.	sera from patients with adult t-cell leukemia and asymptomatic carriers of human t-cell lymphotropic virus type i (htlv-i) from widely separated areas of the world reacted strongly in a standardized quantitative enzyme-linked immunosorbent assay procedure with htlv-i viral antigen prepared from a strain isolated in the united states. there was a sharp differentiation of the values seen in the patients as compared with a normal population. of the 35 acquired immune deficiency syndrome patients wi ...	1986	3009530
tuberculosis--united states, 1985--and the possible impact of human t-lymphotropic virus type iii/lymphadenopathy-associated virus infection.	data on the number of reported cases of tuberculosis in the us in 1985 support the hypothesis that human t-lymphotropic virus type iii/lymphadenopathy-associated virus (htlv-iii/lav) infection of persons infected with the tubercle bacillus has caused an increase in tuberculosis in some areas. the 21,801 tuberculosis cases reported in 1985 represented a 2% decline from the 1984 total of 22,255 cases. however, the average decline in the 1982-84 period was 6.7%, indicating a slowing of the downwa ...	1986	3080659
influenza activity in civilian and military populations and key points for use of influenza vaccines.		1986	3097489
acquired immunodeficiency syndrome associated with acanthamoeba infection and other opportunistic organisms.	a 29-year-old haitian man with acquired immunodeficiency syndrome presented with nasal obstruction and epistaxis. a computed tomogram of the head showed thickened nasal and paranasal sinus mucosa. a biopsy specimen of the turbinate disclosed inflammatory tissue containing amoebic trophozoites. the patient was empirically treated with rifampin and ketoconazole. he died four months after biopsy of other complications of acquired immunodeficiency syndrome. at autopsy, the amoebic infection was foun ...	1986	3488048
hcfa links medicare's future with capitation. interview by janet firshein.		1986	3525377
experimentation on prisoners' remains.		1986	11649811
north american brugian filariasis: report of nine infections of humans.	nine people living in rhode island, new york, pennsylvania, florida, or california acquired autochthonous brugian filariasis. each patient had an enlarged lymph node containing a single worm or, in one patient, a pair of worms. most worms were in lymphatic vessels within the node, but two worms were in the substance of the node. ten worms were studied, seven female and three male. female worms contained paired uteri that occupied most of the body cavity of the worm, and male worms contained a si ...	1986	3789271
man convicted of killing wife who begged to die.		1985	11646473
migration, remittances and development: a study of caribbean cane cutters in florida.	the results of a 1981 survey of 302 caribbean sugarcane cutters who were temporary immigrants in florida are presented. the focus is on remittances to the islands of origin. the results provide "no evidence that seasonal stateside employment expands agricultural output, or enhances the productive capacity of small farmers in the caribbean."	1985	12280257
give medical policing boards freedom, not rules.		1985	10273875
florida law creates artificial sustenance dilemma.	although a model statute for its inclusiveness, florida's 1984 life-prolonging procedure act excludes "sustenance" from its definition of life-prolonging procedures that may be forgone. the majority legal opinion has held that the law prohibits withdrawing or withholding nutrition and hydration by whatever means they must be provided. also, a florida circuit court decision has disavowed the applicability of the argument that extraordinary life-prolonging procedures violate a patient's constituti ...	1985	10311349
the influence of reagan's new federalism on human services in florida.		1985	10289634
association of leukemia with radium groundwater contamination.	radiation exposure, including the ingestion of radium, has been causally associated with leukemia in man. groundwater samples from 27 counties on or near florida phosphate lands were found to exceed 5 pci/l total radium in 12.4% of measurements. the incidence of leukemia was greater in those counties with high levels of radium contamination (greater than 10% of the samples contaminated) than in those with low levels of contamination. rank correlation coefficients of .56 and .45 were observed bet ...	1985	4009896
phage typing of the mycobacterium avium-intracellulare-scrofulaceum complex. a study of strains of diverse geographic and host origin.	a total of 339 strains of the mycobacterium avium-intracellulare-scrofulaceum complex were phage typed using our previously described technique and 11 typing phages. these included 235 strains of human origin obtained from state health laboratories in virginia, georgia, florida, and arkansas, 26 strains isolated from persons with aids, 38 strains isolated from animals, and 40 environmental isolates. a phage-typing scheme was developed that denotes sensitivity to 8 primary typing phages: the jf g ...	1985	4026062
non-vehicular accidents among teenagers--the 5-year metro dade county experience from 1979 to 1983.	a study of non-vehicular accidents among the teenage population of metropolitan dade county, miami, florida, u.s.a., was performed. the case files of the office of the medical examiner were reviewed and all teenage non-vehicular accidents during the 5-year period from 1979 to 1983 were collected. these 102 cases were then analyzed as to the age, race, sex, cause of death, blood alcohol content at autopsy, and drugs detected of the victim. the geographic location, scene circumstances, and presenc ...	1985	3874132
virus transport and survival after land application of sewage sludge.	the survival and transport patterns of poliovirus 1 and echovirus 1 were studied in undisturbed soil cores which were treated with digested sludge and exposed to natural weather conditions prevailing in north central florida. it was shown that, under those experimental conditions, enteroviruses are relatively rapidly inactivated in the soil. a more rapid virus decline was observed during the warm and dry fall season than during the warm and wet summer season. the monitoring of soil core leachate ...	1984	6331308
a survey of filariasis among refugees in south florida.	between january 1981 and march 1982, a filariasis survey was conducted among 668 haitian immigrants and 155 southeast asian refugees residing in florida, u.s.a. microfilariae were detected only in haitians, with 6.7% positive for wuchereria bancrofti and 1.3% positive for mansonella ozzardi. the majority of individuals with bancroftian filariasis came from five coastal urban areas including port-au-prince, duvalierville, gonaïves, leógane and cap-haitien. no unequivocal signs of bancroftian fila ...	1984	6370004
imported penicilliosis marneffei in the united states: report of a second human infection.	the first natural infection due to penicillium marneffei in a human was reported in the united states in 1973. we describe a second case of penicilliosis marneffei that was diagnosed in florida. in both instances, the patients had a history of travel in southeast asia where p. marneffei is endemic. the florida patient had recurrent episodes of hemoptysis attributed to bronchitis and bronchiectasis. in spite of therapy with various antibacterial antibiotics for tuberculosis, the granulomatous les ...	1984	6505916
pathologic findings in manatees in florida.	necropsy and microscopic examinations of 16 west indian manatees (trichechus manatus) revealed that the mortality of many of the animals was associated with environmental factors such as human-inflicted trauma and cold winters. natural disease processes accounted for the death of only 1 manatee. in 3 manatees, the cause of death could not be determined.	1984	6511576
isolation of nontoxigenic vibrio cholerae o group 1 from a patient with severe gastrointestinal disease.	a nontoxigenic strain of vibrio cholerae o group 1 was isolated in florida from the stool of a patient with severe diarrhea. the strain had the same hemolytic and unique phage-sensitivity pattern as all toxigenic isolates from recent cases of cholera in texas and louisiana. identical strains were transiently isolated from sewerage systems in two other florida communities, suggesting that multiple human infections had occurred. this is the first indication that v. cholerae o1 strains which do not ...	1984	6199370
infection of the respiratory tract with mammomanogamus (syngamus) laryngeus: a new case in largo, florida, and a summary of previously reported cases.	we present an unusual cause for chronic cough. infection in a man by the nematode mammomanogamus laryngeus is described along with a review of other reported human cases. high index of suspicion is urged, especially in world travelers.	1983	6225359
epidemic viral keratoconjunctivitis diagnosis and management.	the author reports an epidemic of adeno- and enteroviral eye infections at an overseas military complex in the third quarter of 1981. a similar epidemic was reported by the center for disease control, atlanta, ga to also have occurred in florida, latin america, and north carolina at approximately the same time. the differential diagnosis between epidemic keratoconjunctivitis, pharyngoconjunctival fever, acute hemorrhage conjunctivitis and chlamydial infections is described. epidemiology and mana ...	1983	6302154
the human t-cell leukemia-lymphoma virus in the southeastern united states.	the human t-cell leukemia-lymphoma virus (htlv) is a recently described rna tumor virus associated with human t-cell malignant neoplasms. in two geographic areas, japan and the caribbean basin, clusters of adult t-cell leukemia-lymphoma are "sentinel diseases" and have suggested an underlying prevalence of htlv infection in both family members of the index cases and in the population. four cases of lymphoma from the united states are described as illustrative of the sentinel disease. serological ...	1983	6308290
protothecosis in the southeastern united states.	a case of olecranon bursitis due to the achlorophyllic algae prototheca species in an otherwise healthy 74-year-old man prompted our review of reported cases occurring in the southeastern united states. most cases have involved the olecranon bursa, have occurred in otherwise healthy individuals, and were cured by simple excision. intensive therapy with amphotericin b has been used successfully in a few cases that required systemic antibiotic therapy. the histologic features of this infection are ...	1983	6867813
lung cancer and other causes of death among licensed pesticide applicators.	the mortality experience of a cohort of 3,827 white men licensed to apply pesticides in florida was evaluated to investigate health effects associated with chronic exposure to pesticides. although the overall standardized mortality ratio (smr) for these structural pest control workers was not significantly elevated (smr = 103), excess deaths were observed for leukemia, particularly acute myeloid leukemia (3 observed vs. 0.9 expected), and cancers of the brain (smr = 200) and lung (smr = 135). th ...	1983	6575207