| the vasectomy decision-making process. | vasectomy is greatly underutilized in most countries, in part because it is the least promoted of all modern contraceptive techniques. if providers have favorable attitudes toward vasectomy, a good understanding of the decision making process that leads to vasectomy enhances their ability to encourage the use of this method. furthermore, thorough counseling of vasectomy seekers will significantly increase acceptance. the purpose of this article is to define the decision making process and to ... | 1983 | 6845392 |
| secular trends in ischemic heart disease and stroke mortality from 1970 to 1976 in spanish-surnamed and other white individuals in bexar county, texas. | | 1978 | 679445 |
| [influence of influenza epidemics on the urban population]. | the results of studies carried out in 1974-1979 according to the programme of epidemiological survey of influenza among the population of houston (usa) developed by the research center for influenza at the baylor medical college are reviewed. the data of selective virological and epidemiological surveys of the population were used for comparative analysis of several epidemic outbreaks caused by different antigenic variants of influenza virus. the analysis has been aimed at the detection of "high ... | 1983 | 6868555 |
| raw hamburger: an interstate common source of human salmonellosis. | an interstate common-source outbreak of salmonellosis was first detected in the united states in september and october, 1975, when a tenfold increase in salmonella newport isolates was noted through routine salmonella surveillance by the colorado department of health. eighteen primary cases with a distinctive antibiotic resistance pattern (tetracycline, streptomycin, and sulfonamides) were evaluated in a case-control study, and illness was found to be associated with eating raw hamburger (p less ... | 1978 | 623088 |
| acute respiratory disease associated with influenza epidemics in houston, 1981-1983. | virological surveillance at "sentinel" clinics in houston has demonstrated that the annual peak in the number of visits for acute respiratory disease (ard) always coincides with the peak of influenza virus activity. a survey of visits to a health maintenance organization between 1981 and 1983 allowed us to calculate the age-specific rates of visits for ard during two moderately severe influenza epidemics (1981-1982 and 1982-1983). during the most intense period of influenza virus activity the ra ... | 1987 | 3572033 |
| considerations of the risk of influenza in children and indications for prophylaxis. | the development of effective prophylaxis against influenza virus infections presents a special challenge. stimulation of a protective response apparently requires more than one exposure to the virus. the virus may then change its surface antigens to render ineffective previously acquired immunity. ideally, artificial prophylaxis should stimulate better protection than does natural infection and should anticipate antigenic change. children experience the highest morbidity, accompanied by consider ... | 1980 | 6997968 |
| strategic planning for clinical services: the university of texas m.d. anderson hospital and tumor institute. | a formal, hospitalwide strategic-planning process provides structure for the pharmacy's plans for implementing clinical services. the state-supported clinical cancer and research center began a formal strategic-planning process in 1981. the institution's planning report, prepared every two years and covering three two-year periods, drives the institution's budget through the state's biennial budget process. the report focuses on each department's responsibilities, areas of service, and relations ... | 1986 | 3532778 |
| genetic epidemiology: four strategies. | human genetics has long been preoccupied with the study of simple, single locus traits and, indeed, it is still asserted that "the primary goal of human genetic analysis should be the detection and estimation of single gene effects" (102). but there is increased recognition that the greater portion of the human burden of disease and disability stems not from such conditions but rather those in which the appearance of the disorder is only the last stage in a lifelong train of prodromal states. th ... | 1980 | 7000532 |
| infection with influenza a/victoria virus in houston families, 1976. | in 1976, an epidemic caused by infections with an influenza virus antigenically similar to a/victoria/75 (h3n2) occurred in houston, texas. during this outbreak, 37 families (155 members) enrolled in the houston family study were under observation. the families lived throughout the metropolitan area (houston, texas), and were representative of low income groups. the overall frequency of infection in family members was 27.7%. the frequency of infection was the highest for infants under one year o ... | 1981 | 7016989 |
| prevalence of hemagglutination inhibition antibody to current strains of the h3n2 and h1n1 subtypes of influenza a virus in sera collected from the elderly in 1976. | sera were collected in 1976 from 182 individuals born between 1876-1935, who included patients in a large local nursing home in orange county, california, and patients and staff at the university of california, irvine medical center. sera were treated with receptor-destroying enzyme and assayed for hemagglutination inhibition (hi) antibody to recent strains of influenza a virus. the antigens tested were: a/victoria/3/76 and a/texas/1/77 for subtype h3n2; a/new jersey/8/76, a/x53 and a/swine/1976 ... | 1982 | 7072705 |
| mortality and influenza. | systematic virologic surveillance in houston over the past seven years has revealed that influenza virus infections have been epidemic during each respiratory disease season. the peak of the occurrence of acute respiratory illnesses that caused patients to seek medical care always coincided with the peak of influenza virus activity. the peak number of deaths attributed to pneumonia or influenza followed the peak of influenza virus activity by about two weeks. this relationship was constant even ... | 1982 | 7108280 |
| the influenza herald wave. | for three successive years (1976-1979), the community surveillance system of the influenza research center identified a wave of influenza virus infections which occurred during the latter half of one epidemic period and which heralded the epidemic virus for the following year. recognition of the herald waves required consistent and continuous sampling of respiratory illnesses occurring among persons who constituted a substantial proportion of the population of over two million people in harris c ... | 1982 | 7137146 |
| iodine-131 levels in sludge and treated municipal wastewaters near a large medical complex. | iodine-131 was found to dominate the gamma spectra of dried sludge and concentration liquid effluent samples from a sewage treatment plant serving the area containing the texas medical center in 1975. the concentration of iodine-131 varied considerably on a time scale of weeks but was fairly stable in the course of a single day. the partition of iodine-131 between the dried sludge and the liquid effluent was found to be reasonably constant during the sampling period. knowledge of the concentrati ... | 1981 | 7258430 |
| [surveillance for influenza virus infections in houston, texas (author's transl)]. | | 1981 | 7268257 |
| chronoepidemiological search for circannual changes in the sexual activity of human males. | indirect evidence of circannual (about 1-year) rhythms in the sexual activity of human males was examined utilizing the data of reported rapes in paris, france, for 1972-78, and houston, texas, for 1974-75. in addition, data were available for nearly a 10-year span from houston, texas, as the monthly detections of the sexually transmitted diseases (std) of syphilis and gonorrhea. the results of conventional and cosinor techniques revealed circannual rhythms in the occurrence of rape in both pari ... | 1981 | 7307715 |
| the philosophy of an institutional review board for the protection of human subjects. | | 1980 | 7351667 |
| acute myopathy associated with influenza a/texas/1/77 infection. isolation of virus from a muscle biopsy specimen. | influenza a/texas/1/77 was isolated from a muscle biopsy specimen from a patient with muscle weakness and increased serum creatine phosphokinase level. the patient was seen during an outbreak of influenza a/texas/1/77 that was associated with myopathy. isolation of this virus from this patient's muscle specimen suggests that the myopathy associated with influenza may be due to direct infection of skeletal muscle. | 1980 | 7351766 |
| epidemiologic observations of influenza b virus infections in houston, texas, 1976-1977. | influenza b virus infections were documented in houston, texas, in 726 patients with febrile respiratory illnesses who presented to representative primary care facilities during the 1976-1977 respiratory disease season. this epidemic followed a "herald wave" of illness associated with influenza b during the preceding spring. over one-half the virus isolates were from children aged 5-19 years, and school absenteeism rates indicated that about 40 per cent of the students in the houston area were i ... | 1980 | 7352453 |
| observations in the rehabilitation hospital: twenty years of research. | for the past 20 years two research groups, one in texas and one in california, have been making systematic observations of rehabilitation hospital activities. in both programs interest in recording behavior originated with an environmental psychology orientation. the texas investigations focused primarily on individuals with spinal cord injury, both during rehabilitation and after discharge. in california, the study populations have been primarily those with strokes. early work revealed that pat ... | 1988 | 3408334 |
| psychiatric illness at all stages of human immunodeficiency virus infection. | | 1988 | 3358476 |
| prothrombin houston: a dysprothrombin identifiable by crossed immunoelectrofocusing and abnormal echis carinatus venom activation. | a 72-yr-old male with a lifelong history of easy bruisability and posttraumatic bleeding had a prolonged prothrombin time and activated partial thromboplastin time. his plasma stypven, taipan, and echis carinatus venom clotting times were prolonged. the presence of a dysprothrombin was confirmed by the discrepancy between plasma prothrombin coagulant activity and prothrombin antigen levels. his plasma prothrombin was capable of being completely absorbed onto and then eluted from barium sulfate. ... | 1980 | 7362870 |
| concurrent respiratory syncytial virus and influenza a infections in the institutionalized elderly and chronically ill. | during a community outbreak of respiratory syncytial virus and influenza a/texas/77 infections, we investigated 71 cases of upper respiratory illness at a chronic disease hospital using a surveillance system plus viral and serologic studies. of the 32 patients with an etiologic diagnosis, seven had respiratory syncytial virus, 24 had influenza, and one had dual infections with respiratory syncytial virus and influenza. no definite etiologic diagnosis was made in the remaining 39 patients. a comp ... | 1980 | 7396314 |
| differing virulence of h1n1 and h3n2 influenza strains. | sequential influenza a/texas/77 (h3n2) and a/ussr/77 (h1n1) epidemics occurred during the winter of 1977-1978 in two populations under viral surveillance for influenza. in college students who reported to the vanderbilt student health service, roughly equivalent amounts of typical influenzal disease were documented by virus isolation and total health service visits with both strains. however, considering that the college population was fully susceptible to the first introduction of h1n1 virus in ... | 1980 | 7457472 |
| rabies surveillance in the united states during 1994. | in 1994, 48 states, the district of columbia, and puerto rico reported 8,224 cases of rabies in nonhuman animals and 6 cases in human beings to the centers for disease control and prevention. nearly 93% (7,632 cases) were wild animals, whereas 7% (592 cases) were domestic species. the total number of reported cases decreased 13.4% from that of 1993 (9,498 cases), with most of the decline resulting from 19.2% fewer cases of rabies in raccoons. two previously described epizootics of rabies involvi ... | 1995 | 7493894 |
| lack of correlation between diarrhea and weight loss in hiv-positive outpatients in houston, texas. | to determine the prevalence of diarrhea and weight loss among human immunodeficiency virus (hiv)-positive patients, we reviewed the records of all patients attending the harris county hiv clinic during a 4-month time period. diarrhea was considered persistent if it had been present for > 14 days or on two or more consecutive clinic visits. weight loss was defined as moderate (5-10% reduction in weight) or severe (> 10% reduction) when the present weight was compared with the weight found at the ... | 1995 | 7560836 |
| capillary gas chromatography of cotton dusts associated with human pulmonary function studies. | the effects of geographical area of growth and cotton variety on pulmonary activity have been evaluated through human volunteer exposure studies conducted by niosh and usda at the cotton quality research station, clemson, s.c. these studies demonstrate that carding california cottons releases dust with less human pulmonary activity than dust released from the corresponding mississippi cottons. dust released from texas cottons grown in 1982 was considerably less active than the dust from texas co ... | 1987 | 3105302 |
| hiv risk practices of male injecting-drug users who have sex with men--dallas, denver, and long beach, 1991-1994. | as of june 1995, a total of 31,024 cases of acquired immunodeficiency syndrome (aids) had been reported in the united states among male injecting-drug users (idus) who also reported sexual contact with other men (1). although male idus who report male sex partners have accounted for 7% of all aids cases and for 21% of cases reported among idus, the characteristics and risk practices of male idus who have sex with men (msm) have not been clearly determined (2-4). to better characterize this group ... | 1995 | 7565560 |
| restriction fragment length polymorphism of the human insulin gene region among type ii diabetic mexican-americans and tunisians. | the human insulin gene is flanked by a polymorphic locus that is located approximately 500 base pairs (bp) from the 5' end of the point where transcription begins (bell et al. 1981; bell et al, 1982). its occurrence is due to an insertion-deletion region which gives rise to two major classes of alleles: those containing small insertions of 0-600 bp and those containing larger insertions of 1,600-2,200 bp (owerbach and nerup, 1982). insertions of 600-1,600 bp are rare (rotwein et al., 1983). the ... | 1986 | 3016846 |
| validity of pap smear and mammogram self-reports in a low-income hispanic population. | this study measures the validity of self-reported mammography and pap smear usage in mexican-american women. we compared pap smear and mammography reports in medical records to self-reports obtained in a household survey of 450 women in el paso, texas. the women were generally low-income, older, and spanish-speaking. forty-six percent of self-reported pap smears in the previous year were verified (60.8% within previous two years, 67.1% within previous three years). forty-nine percent of self-rep ... | 1995 | 7632456 |
| epidemiology of influenza a virus infection in patients with acute or chronic leukemia. | influenza infection is a significant cause of morbidity and mortality in immunocompromised hosts, but its importance in adult cancer patients is largely undescribed. we therefore conducted a prospective study of the incidence and clinical features of influenza infection in patients with acute or chronic leukemia. the cohort, which consisted of all adult leukemia patients undergoing remission-induction chemotherapy during the 1991-1992 influenza epidemic, was followed prospectively for developmen ... | 1995 | 7655781 |
| genetic studies of type 2 (non-insulin-dependent) diabetes mellitus: lack of association with seven genetic markers. | type 2 (non-insulin-dependent) diabetes mellitus, a disease of complex aetiology, has been reported to be nonrandomly associated with several polymorphic markers in human populations. these data, plus evidence of a high prevalence of type 2 diabetes mellitus in american indians and mixed populations, such as mexican-americans, which is only partially attributable to the prevalence of obesity in these populations, makes it imperative that the nature of such associations be clarified in relation t ... | 1989 | 2792588 |
| prevalence of wasting in men infected with human immunodeficiency virus seeking routine medical care in an outpatient clinic. | | 1995 | 7657904 |
| oral treatment of transmissible gastroenteritis with natural human interferon alpha: a field study. | during a natural outbreak of transmissible gastroenteritis (tge), groups of piglets were treated orally for 4 consecutive days with placebo or 1.0, 10.0 or 20.0 international units (iu) natural human interferon alpha (nhuifn alpha). piglets that were 1-12 days of age and given 1.0, 10.0 or 20.0 iu nhuifn alpha had significantly (p < 0.01) greater survival rates than placebo-treated piglets; survival rates were the greater for the highest level of nhuifn alpha treatment. in contrast, beneficial e ... | 1995 | 7676616 |
| effects of a 7-cent tobacco tax hike. | texas health and human services programs could receive nearly half a billion dollars in additional funding over the state's 1990-1991 budget period under proposals being advocated by comptroller of public accounts bob bullock. the proposals center on a 7-cent rise in the state's cigarette tax, with equivalent increases in other tobacco taxes. revenue from the additional tax--estimated at $166 million in 1990-1991--would be directed into state health and human services programs eligible for feder ... | 1989 | 2727944 |
| from the centers for disease control and prevention. human rabies--alabama, tennessee, and texas, 1994. | | 1995 | 7715050 |
| rabies surveillance in the united states during 1993. | in 1993, 49 states, the district of columbia, and puerto rico reported 9,495 cases of rabies in nonhuman animals and 3 cases in human beings to the centers for disease control and prevention. greater than 93% (8,889 cases) were wild animals, whereas 6.4% (606 cases) were domestic species. the total number of reported cases increased 9.9% over that of 1992 (8,645 cases), with most of the increase resulting from continued spread of rabies in raccoons (37.1% increase in reported cases over 1992). t ... | 1994 | 7744643 |
| perception of learning needs and preferred learning methods about aids/hiv among registered nurses working in the community in texas. | it is important for nurses and other healthcare workers to recognize that patients who present themselves for health care could already be infected with human immunodeficiency virus (hiv). therefore, appropriate and sensible infection control precautions should be taken at all times. an assessment of nurses' knowledge of acquired immunodeficiency syndrome (aids)/hiv provides information to guide further continuing education efforts. this study describes the learning needs and preferred learning ... | 1995 | 7759625 |
| molecular characterization of a human calicivirus with sequence relationships closer to animal caliciviruses than other known human caliciviruses. | cdna clones were produced from a morphologically typical human calicivirus (hucv) in stool specimens collected in 1982 during an outbreak of gastroenteritis in sapporo, japan. the cdna clones were generated separately in two laboratories by reverse transcriptase-polymerase chain reaction (rt-pcr) using primers 35 and 36 derived from norwalk virus. the rt-pcr product from six specimens was of the predicted size, had a continuous protein encoding frame on the positive strand, and contained glps an ... | 1995 | 7775942 |
| an overview of tick-borne relapsing fever with emphasis on outbreaks in texas. | tick-borne relapsing fever (tbrf), a disease of humans and other animals, has been recognized in north america since early in this century. caused by borrelia spirochetes, tbrf is transmitted by softshelled ornithodoros ticks, which may also act as reservoirs for the etiologic agents. initial symptoms include sudden onset of fever, chills, headache, arthralgias, and myalgias. persons with tbrf may suffer several febrile episodes or relapses unless they are diagnosed and treated promptly because ... | 1995 | 7778052 |
| civil monetary penalties law: mistakes could be (very) costly. | the civil money penalties law (cmpl) authorizes the secretary of health and human services to impose civil money penalties, an assessment, and program exclusion for various forms of fraud and abuse involving the medicare and medicaid programs. penalties range from $2,000 to $100,000 for each violation, depending on the specific misconduct involved. the monetary sanctions imposed generally far exceed the damages actually sustained by the government. the inspector general must only prove liability ... | 1989 | 2660314 |
| monitoring patient outcome following discharge: a computerized geriatric case-management system. | many political, economic, and social factors are influencing health care providers to consider case-management programs. the authors describe a computer-supported, hospital-based case management program for elderly patients and report on the benefits and drawbacks of the program. primary benefits include access to better client data, improved discharge planning capabilities, and greater program efficiency. drawbacks chiefly are related to the difficulties inherent in introducing computerization ... | 1989 | 2599485 |
| seroprevalence of human t cell lymphotropic virus type ii infection, with or without human immunodeficiency virus type 1 coinfection, among us intravenous drug users. | seroprevalence of human t lymphotropic virus (htlv) and human immunodeficiency virus type 1 (hiv-1) was determined among 7841 intravenous drug users (ivdus) from drug treatment centers in baltimore, chicago, los angeles, new jersey (asbury park and trenton), new york city (brooklyn and harlem), philadelphia, and san antonio, texas; 20.9% had evidence of htlv infection, as determined using a p21e eia for screening and p21e blot for confirmation. with a type-specific eia and blot used in combinati ... | 1995 | 7797946 |
| prevalence of hiv seropositivity among inner-city adolescents in 1988 and 1992. | the purpose of this study was to document the change in prevalence of human immunodeficiency virus (hiv) infection among sexually active minority teens at a primary and reproductive teen health clinic. both new and current patients were sampled in a seroprevalence study in 1988 and again in 1992. none of the 1200 adolescents sampled were seropositive for hiv in 1988. nine of the 1085 adolescents sampled were seropositive in 1992. five of these 9 teens reported heterosexual contact only as a pote ... | 1994 | 7817328 |
| 1989 aids update. | the leadership of the 70th texas legislature (1987) created the legislative task force on aids to study the impact of aids in texas and to recommend to the 71st legislature (1989) public policies needed to reduce the impact of aids in texas. the task force held numerous public hearings and received testimony from witnesses involved with all areas touched by aids. the task force also surveyed state agencies, health care entities, and met with statewide associations, including the texas medical as ... | 1989 | 2595605 |
| a survey of aspirin use and reye's syndrome awareness among parents. | a national telephone survey of 1,155 parents of children 19 years of age and younger solicited patterns of medication use during episodes of childhood flu and chicken pox. during the previous two years, 6 per cent of the parents whose children had chicken pox and 16 per cent of parents whose children had flu administered aspirin. approximately 12 per cent of the total sample said they would give their child aspirin if their child were to get the flu or chicken pox today. about half (53 per cent) ... | 1986 | 3777289 |
| acquired immunodeficiency syndrome and adolescents. knowledge, attitudes, and behaviors of runaway and homeless youths. | to describe the knowledge, attitudes, and behaviors of runaway and homeless youths regarding infection with the human immunodeficiency virus (hiv). | 1991 | 2012028 |
| health, human services reorganization falls short of real consolidation. | | 1991 | 1962298 |
| hiv infection and associated sexually transmitted diseases in women. | we determined the prevalence of other sexually transmitted diseases (stds) in 56 women infected with the human immunodeficiency virus (hiv) and compared the usefulness of this prevalence to that of standard risk assessment alone in identifying hiv-infected women. of the 56 women studied, 54 were infected with hiv. these women received instruction as to the modes of transmission and were then placed in standard risk groups based on their own assessments. a history of previous or current std was o ... | 1995 | 7900067 |
| go east, young man. interview by jim montague. | after being cut off from his patients by the arrival of managed care in a texas suburb, ob/gyn don shuwarger, m.d., moved to a small town in virginia. he shared his story with staff editor jim montague. | 1994 | 7951449 |
| murine typhus: updated roles of multiple urban components and a second typhuslike rickettsia. | studies using serologic and polymerase chain reaction-(pcr) facilitated analysis of field samples from southern texas indicate the presence of rickettsia typhi and elb agent infected cat fleas, ctenocephalides felis (bouché), and the first observation of elb infected vertebrates (opossums). the elb agent is a recently described typhus-like rickettsia that is not distinguished from r. typhi or r. prowazekii by currently available serologic reagents. restriction digests of pcr products from 399 fl ... | 1994 | 7966170 |
| the epidemiology of bat rabies in new york state, 1988-92. | in 1993 new york and texas each reported a human rabies case traced to a rare variant of rabies virus found in an uncommon species of bat. this study examined the epidemiology of bat rabies in new york state. demographic, species, and animal-contact information for bats submitted for rabies testing from 1988-92 was analysed. the prevalence of rabies in 6810 bats was 4.6%. nearly 90% of the 308 rabid bats identified to species were the common big brown bat (eptesicus fuscus), which comprised 62% ... | 1994 | 7995360 |
| videotaped interviews in child sexual abuse cases: the texas example. | suchrara writes [1977: 296] that "a child's right to humane treatment must be considered not an option on the part of adults, but an obligation." the use of videotaped interviews as admissible judicial evidence is an important step toward suchrara's goal; videotaped testimony attempts to balance the emotional, psychological, and developmental needs of the child with the civil liberties afforded to alleged perpetrators. the texas state legislature, with the passage of senate bill 836, broadened t ... | 1987 | 3816338 |
| antigenic diversity of respiratory syncytial virus subgroup b strains circulating during a community outbreak of infection. | the epidemiological characteristics and relationship between respiratory syncytial virus (rsv) subgroup and virulence during an outbreak of rsv infection occurring in southeast texas in the winter season 1991/92 are described. fifty-two infants and children were diagnosed with rsv infection by rapid viral antigen detection and/or viral isolation. subgrouping of the isolates was carried out using 11-monoclonal anti-bodies. ten isolates were found to be subgroup b, and 8 isolates were subgroup a. ... | 1994 | 8046428 |
| acute respiratory disease hospitalizations as a measure of impact of epidemic influenza. | current measures of the health impact of epidemic influenza focus on analyses of death certificate data which may underestimate the true health effect. previous investigations of influenza-related morbidity either have lacked virologic confirmation of influenza virus activity in the community or were not population-based. community virologic surveillance in houston, texas has demonstrated that influenza viruses have produced epidemics each year since 1974. this study examined the relationship of ... | 1985 | 4025296 |
| hiv exposure in the city of houston. | demographic characteristics and risk factor data for 76,672 clients were studied to characterize the distribution of infection with human immunodeficiency virus (hiv) and the use of counseling and testing facilities in houston, tex. the number of clients who received free, voluntary hiv counseling and testing services between january 1990 and december 1992 doubled, while the seroprevalence rate declined from 6.1% to 2.9%. rates were highest for white males, clients attending freestanding hiv tes ... | 1994 | 8085228 |
| leads from the mmwr. human rabies diagnosed two months postmortem--texas. | | 1985 | 4068160 |
| logarithmic relationship of the cd4 count to survival in patients with human immunodeficiency virus infection. | survival, and the incidence of events that define the acquired immunodeficiency syndrome (aids), are known to be inversely related to the cd4 count in patients with human immunodeficiency virus infection. we wished to quantify this relationship more precisely, particularly for patients with cd4 counts of less than 50/mm3. | 1993 | 8099477 |
| possible heterogeneity in the phosphoglycolate phosphatase (pgp)-haptoglobin alpha (hpa) linkage. | previous investigators have reported loose linkage in both sexes for phosphoglycolate phosphatase (pgp) and haptoglobin alpha (hpa). we present results of linkage studies between pgp and hpa in two data sets, one from houston and the other an update of an earlier report from los angeles. using quadratic interpolation to estimate the male (theta m) and female (theta f) recombination values from bivariate lod tables, we found for the houston data that theta m = 0.43 and theta f = 0.03 at the maxim ... | 1984 | 6089552 |
| human plague--united states, 1993-1994. | from 1944 through 1993, 362 cases of human plague were reported in the united states; approximately 90% of these occurred in four western states with endemic disease (arizona, california, colorado, and new mexico). during each successive decade of this period, the number of states reporting cases increased from three during 1944-1953 to 13 during 1984-1993 (figure 1), indicating the spread of human plague infection eastward to areas where cases previously had not been reported. in 1993, health d ... | 1994 | 8145715 |
| outbreaks of syphilis in rural texas towns, 1991-1992. | between 1986 and 1990, rates of primary and secondary syphilis increased 134% in rural counties in the south. reasons for the increases are speculative. during the 14 months ending in october 1992, outbreaks in four eastern texas counties provided an opportunity to characterize syphilis in rural texas. we reviewed records for 118 patients and 339 sex partners. three outbreaks were concentrated in neighborhoods where crack cocaine dealers conducted business and exchange of sex for drugs or money ... | 1994 | 8153778 |
| from the centers for disease control and prevention. human plague--united states, 1993-1994. | | 1994 | 8158808 |
| risk behavior and correlates of risk for hiv infection in the dallas county household hiv survey. | the dallas county study of a proposed national household seroprevalence survey was designed to assess the feasibility of conducting a national survey and to estimate the prevalence of human immunodeficiency virus (hiv) and hepatitis b virus infection for dallas county. risk behavior data were collected and correlated with hiv infection. | 1994 | 8179043 |
| the determinants of hospital ceo compensation. | this study finds a significant difference in the compensation levels of public and private hospital ceos. the difference, however, is not found to be associated with ownership structure. rather, it is attributable to hospital characteristics such as size, location, and affiliation with a multihospital chain, and human characteristics such as gender, education, and experience. | 1993 | 8225963 |
| human rabies--texas and california, 1993. | during november 1993, two persons, a resident of texas and a visitor to california, died from rabies. this report summarizes epidemiologic and clinical information about these cases. | 1994 | 8302264 |
| findings from the horizontes acquired immune deficiency syndrome education project: the impact of indigenous outreach workers as change agents for injection drug users. | a human immunodeficiency virus (hiv)/acquired immune deficiency syndrome (aids) intervention using indigenous outreach workers was implemented with hispanic injection drug users (idus) and their sexual partners in three locations: laredo, texas; san diego, california; and san juan, puerto rico. a total of 2,169 subjects were contacted, given health education, hiv antibody testing, and follow-up counseling. this article reports on the 1,616 idus (75%) who completed the initial and follow-up inter ... | 1993 | 8307770 |
| rabies surveillance in the united states during 1992. | in 1992, 49 states, the district of columbia, and puerto rico reported 8,644 cases of rabies in nonhuman animals and 1 case in a human being to the centers for disease control and prevention. almost 92% (7,912 cases) were wild animals, the largest number of wild animals ever reported, whereas 8.5% (732 cases) were domestic species. the total number of reported cases increased 23.9% over that of 1991 (6,975 cases), with most of the increase resulting from continued spread of rabies in raccoons. t ... | 1993 | 8307825 |
| hiv infection and aids in texas. a special report. | human immunodeficiency virus (hiv) infection and the acquired immune deficiency syndrome (aids) are significant public health problems in texas. this paper summarizes the most recent information on hiv infection and aids from global, national, and state perspectives. current information on the manifestations of hiv infection and aids which are important to dentistry, ramifications for dental health care workers, and initiatives for hiv/aids education for dental health care workers in texas are p ... | 1993 | 8332954 |
| abuse of adolescents: what can we learn from pregnant teen-agers? | one of the most perplexing issues for nurses working with abused women is the extent of violence experienced by teen-agers. this article presents research findings from a study of pregnant women and teen-agers in baltimore and houston that found 32% of pregnant teen-agers reported having been physically or sexually abused in the prior year. the rate of abuse during pregnancy was 22% for teen-agers. teen-age violence is discussed in terms of possible reasons for teen-agers to be reluctant to repo ... | 1993 | 8369764 |
| condom use and sexual identity among men who have sex with men--dallas, 1991. | safer sex practices intended to reduce the risk for human immunodeficiency virus (hiv) infection have been vigorously promoted among men who are homosexual or bisexual (i.e., men who have sex with men). such efforts have emphasized personal responsibility and protection of partners, and many of these men appear to have adopted risk-reducing behaviors (1). however, it is unknown whether these safer sex practices and norms have been adopted by men who have sex with men but conceal their sexual ori ... | 1993 | 8418400 |
| indigenous human cutaneous anthrax in texas. | in december 1988 an indigenous case of cutaneous anthrax was identified in texas. the patient, a 63-year-old male hispanic from southwest texas, was a sheep shearer and had a recent history of dissecting sheep that had died suddenly. he experienced an illness characterized by left arm pain and edema. a necrotic lesion developed on his left forearm, with cellulitis and lymphadenopathy. after treatment with oral and intravenous penicillins, the patient fully recovered. western blot testing reveale ... | 1993 | 8420007 |
| isolation of leishmania mexicana (kinetoplastida: trypanosomatidae) from lutzomyia anthophora (diptera: psychodidae) collected in texas. | three of 27 female lutzomyia anthophora (addis) collected in texas from the nest of a southern plains woodrat, neotoma micropus baird, during october 1991 were infected with flagellate protozoans. isolates were grown in schneider's drosophila medium supplemented with 20% fetal bovine serum, and isozyme analysis of two of the isolates determined the parasites to be leishmania mexicana (biagi). these are the first isolations of leishmania from field-collected sand flies in north america north of m ... | 1993 | 8510126 |
| neurologic manifestations of aids: a comparative study of two populations from mexico and the united states. | neurologic complications associated with human immunodeficiency virus type 1 (hiv-1) infection vary geographically. to understand the pattern of hiv-associated neurologic complications in mexico, 120 aids patients from mexico city, mexico, and 500 aids patients from houston, texas, were studied cross-sectionally and retrospectively. neurologic, laboratory, imaging, and pathologic examinations identified 40 mexican patients and 130 u.s. patients with neurologic complications. whereas aids dementi ... | 1995 | 8548343 |
| performance of a rapid, on-site human immunodeficiency virus antibody assay in a public health setting. | rapid, on-site human immunodeficiency virus (hiv) testing has the potential to improve the delivery of prevention services in publicly funded counseling and testing sites. the single use diagnostic system (suds) hiv-1 is the only rapid enzyme immunoassay (eia) approved for diagnostic use in the united states. to evaluate the feasibility of using suds in public clinics and to validate the test's performance in a public health laboratory, we conducted blinded suds testing on plasma sent for hiv te ... | 1995 | 8576342 |
| further validation of a quadruplex str dna typing system: a collaborative effort to identify victims of a mass disaster. | the relatively new, pcr-based technique of short tandem repeat (str) profiling has been used in the identification of the victims of a mass disaster. the analysis relied upon a recently developed multiplex reaction and the use of automated fluorescence technology to simulataneously analyse four tetrameric str loci. the performance of the 'quadruplex' test was assessed by use of a collaborative study incorporating a blind trial and was demonstrated to be accurate, reliable and robust. furthermore ... | 1995 | 8591832 |
| result of interferon-alpha therapy in patients with chronic myelogenous leukemia 60 years of age and older. | to determine the response rate to interferon-alpha (ifn-alpha) in patients with chronic myelogenous leukemia (cml) aged 60 years and older. | 1996 | 8610733 |
| unanticipated diagnoses found at autopsy in an urban public teaching hospital. | the authors set out to evaluate the use of the autopsy in an urban public teaching hospital setting during the aids era. demographic and length of hospital stay data were obtained from weekly mortality review reports on all patients dying on the medicine service between 1/1/92 and 12/31/93. clinical and autopsy diagnoses were compared for those patients who had autopsies. the autopsy rate was 16% (152/974). significant, unsuspected diagnoses were found in 35% (53/152) of the cases, with infectio ... | 1996 | 8615396 |
| evidence for a major gene for type ii diabetes and linkage analyses with selected candidate genes in mexican-americans. | we have carried out two independent family studies in low-income mexican-americans from san antonio, texas. in the first study, probands were ascertained at random without regard to any medical condition (658 examined individuals from 50 families), and in the second study, probands were subjects with type ii diabetes identified in a prior epidemiological survey (523 examined individuals from 29 families). pedigrees ranging in size from 2 to 45 family members (median 11) in the first study and fr ... | 1996 | 8621004 |
| factors affecting treatment decisions and satisfaction of owners of cats with cancer. | cancer in cats is being diagnosed with increasing frequency. euthanasia or an active intervention such as chemotherapy, radiation therapy, or surgery are treatment choices for the owner at diagnosis of the cat's disease. in this study, 2 interviews with cat owners, one soon after diagnosis of cancer in the cat and one 6 months later, were used to identify owner characteristics associated with a decision of euthanasia or intervention, to identify factors associated with an owner's satisfaction wi ... | 1996 | 8635966 |
| mosquito-transmitted malaria acquired in texas. | malaria was endemic in the united states before world war ii. however, locally acquired malaria was thought to have been eradicated. since the mid-1980s, cases of locally acquired malaria have been described. we report the case of a 62-year-old man who came to the houston veterans affairs medical center with fever, malaise, and weakness and was found to have plasmodium vivax infection on peripheral blood smear. he had not left the country for 37 years and had no previous history of malaria. on s ... | 1996 | 8638203 |
| glut1 expression in human breast carcinoma: correlation with known prognostic markers. | breast cancers have been shown to have increased glucose uptake and utilization, and to express the facilitative glucose transporter glut1. the aim of this study was to determine the biological significance of glut1 expression in breast cancer. | 1995 | 8669885 |
| genetic control of apolipoprotein a-i distribution among hdl subclasses. | we conducted genetic analyses to determine the components of variation for size distributions of apolipoprotein (apo) a-i among human plasma lipoproteins resolved on the basis of size. analyses used data for 717 individuals in 26 pedigrees. apo a-i distributions among lipoprotein size classes were measured by nondenaturing gradient gel electrophoresis (gge) and immunoblotting procedures. curves were fitted to apo a-i absorbance profiles to estimate fractional absorbance in each of five high-dens ... | 1995 | 8770324 |
| patients improve with pet therapy. | | 1996 | 8772370 |
| prevalence of hiv in a largely indigent obstetric population of tarrant county, texas. | to establish the seroprevalence of the human immunodeficiency virus (hiv) in our county hospital obstetric patients, and to assess the predictive value of screening questionnaires for high-risk behaviors attributing to hiv infection, we conducted written surveys and blinded hiv testing over a 4-month period ending february 1993. blinded hiv antibody testing was performed on 1348 patients upon admission to labor and delivery. the coded blood samples were matched to similarly coded surveys of pati ... | 1996 | 8820262 |
| impact of pharmacist-operated general medicine chronic care refill clinics on practitioner time and quality of care. | to assess the impact of pharmacist-operated refill clinics on practitioner (physician/physician assistant) time. secondary objectives included assessment of disease state control, drug acquisition costs, and human resource allocation. | 1996 | 8826553 |
| pancreatitis associated with human immunodeficiency virus infection: a matched case-control study. | to determine the frequency of pancreatitis and to define risk factors for pancreatitis in patients with aids, we compared patients with pancreatitis to patients without pancreatitis in an urban infectious disease practice. pancreatitis was defined as at least one clinical sign or symptom (nausea, vomiting, abdominal pain, or tenderness) accompanied by elevation of serum amylase or lipase. twenty-four (22%) of 105 patients with aids, 2 (4%) of 46 patients with aids-related complex, 1 (3%) of 39 a ... | 1996 | 8826775 |
| changing patterns of infections in patients with aids: a study of 279 autopsies of prison inmates and nonincarcerated patients at a university hospital in eastern texas, 1984-1993. | reports on autopsies of 279 persons infected with human immunodeficiency virus (hiv) were reviewed retrospectively to determine changes in survival rates and infections and to identify differences between prison inmates and nonincarcerated patients. the 78 cases from 1984 through 1988 were compared with 201 from 1989 through 1993, on the basis of use of antiretroviral therapy and (after 1988) prophylaxis against pneumocystis carinii pneumonia (pcp). risk factors for hiv infection were homosexual ... | 1996 | 8842257 |
| ob gene not linked to human obesity in mexican american affected sib pairs from starr county, texas. | obesity is a highly prevalent disease, which is associated with a number of chronic conditions and, as such, represents a major public health burden. numerous studies indicate that there is a genetic component contributing to interindividual variability in obesity. the discovery of the ob gene in mice, mutations in which produce extreme obesity and non-insulin-dependent diabetes mellitus (niddm), provides a prime candidate gene for human obesity. we investigated linkage between the human ob gene ... | 1996 | 8882881 |
| the students for peace project: a comprehensive violence-prevention program for middle school students. | students for peace is a three-year project (october 1993- september 1996) designed to evaluate a comprehensive, school-based intervention that seeks to prevent violence among sixth-, seventh-, and eighth-grade students in a large urban school district in texas. this study examines the hypothesis that students exposed to a two-year multiple-component intervention will reduce aggressive behavior compared to students who receive the district's "usual care" of violence prevention activities. student ... | 1996 | 8909621 |
| leishmaniasis in texas: epidemiology and clinical aspects of human cases. | twenty-seven autochthonous cases of cutaneous leishmaniasis in texas were identified by contact with dermatologists and state health department officials, and by a review of medical records, pathology reports, and previously published case reports. fifteen cases were previously unreported. although the date of onset of the first recognized case was 1903, in 20 of the cases the date of onset of the lesion(s) was in 1980-1989. twelve cases were female; 15 were male. age at diagnosis ranged from tw ... | 1996 | 8940988 |
| influenza immunization rates among pediatric health care providers. | | 1996 | 8954008 |
| human in vitro fertilization and embryo transfer at the university of texas, houston. | the current clinical and laboratory protocols of the in vitro fertilization program at the university of texas at houston are described and detailed. most patients treated have tubal disease, with a limited number of couples having male factors. clomiphene citrate (50 mg/day, cycle days 5-9) with or without added menopausal gonadotropins is the principle agent for enhanced follicular recruitment. follicular development is monitored primarily with daily ultrasonography, and human chorionic gonado ... | 1984 | 6242158 |
| leads from the mmwr. human rabies--texas. | | 1984 | 6471237 |
| improving productivity in child welfare programs. | the project met its objective of finding ways to improve the efficiency of a child welfare program. the agency will continue an intensive evaluation of the program to reassess the procedures' impact on productivity. the project found that, with adaptation, work-methods techniques developed in industry can be useful to child welfare programs. critical elements in the success of a productivity improvement project include full, visible support by the agency's policy makers and top management; early ... | 1983 | 6628031 |
| individuals infected with two subtypes of influenza a virus in the same season. | participants in the houston family study were observed during a period of two mixed outbreaks due to two subtypes of influenza a virus: h3n2 and h1n1 (1977-1981). virus specimens, serum samples, and clinical records were obtained to identify and characterize infections. in 1977-1978, 40% of 238 persons in 59 families were infected by influenza a virus (h3n2), 11% by influenza a virus (h1n1), and 4% by both. in 1980-1981, for 319 persons in 79 families, the corresponding rates were 27%, 20%, and ... | 1983 | 6822747 |
| mortality experience of 161 employees exposed to ethylene dibromide in two production units. | animal studies have indicated the carcinogenic potential of ethylene dibromide (edb). examination of the mortality experience of employees exposed to edb in two production units operated from 1942 to 1969 and from the mid-1920s to 1976, respectively, showed that in the first unit two deaths from malignant neoplasms were observed against 3.6 expected (based on us white male mortality), and in the second unit, where there was potential exposure to various organic bromide products, five deaths from ... | 1980 | 7000159 |
| severe illness with influenza b. | fifteen patients with recent influenza b infection were admitted to three dallas hospitals in the first 11 weeks of 1977. the patients' ages ranged from five to 73 years, with a median of 18 years. most had no significant underlying disease. the spectrum of clinical illness included postinfluenzal bacterial pneumonia (three cases), other severe chest disease (two cases), hyperpyrexia and possible rhabdomyolysis in the elderly (two cases), onset of toxemia of pregnancy, thyroid dysfunction, steve ... | 1980 | 7355890 |
| cancer in children of parents exposed to hydrocarbon-related industries and occupations. | recent animal and human studies suggest that prenatal exposure to carcinogens may increase the risk of childhood malignancy. the texas childhood cancer study (1976-1977) was designed to test the hypothesis that parental exposure to hydrocarbon-related occupations or industries increases this risk. the study subjects, parents of children with and without cancer, were questioned about their job histories. parents of 296 children with cancer were not exposed to hydrocarbon-related occupations or in ... | 1980 | 7361757 |
| bridging the "med-ed gap" for students with special health care needs: a model school liaison program. | a successful school experience is critical to the development of all children, particularly in the areas of academic achievement, regular school attendance, and social competency. vulnerabilities in achieving each of these three goals have been documented among students with special health care needs (sshcn), and ascribed to the influence of their health-related disabilities. despite recognition of these vulnerabilities, barriers still exist to successful integration of sshcn into educational se ... | 1995 | 7564282 |
| effects of medicaid drug utilization review intervention letters. | the state of texas drug utilization review (dur) board, composed of six physicians and six pharmacists, meets quarterly to determine criteria for implementing retrospective dur. the board agreed to send intervention letters to physicians concurrently prescribing: (1) two histamine2 (h2)-antagonists (h2as) or (2) either any h2a or omeprazole with sucralfate. to measure the effect of these intervention letters, approximately half of these physicians were randomly chosen to receive a letter while t ... | 1995 | 7585856 |
| evidence for linkage of postchallenge insulin levels with intestinal fatty acid-binding protein (fabp2) in mexican-americans. | single genes with large effects may contribute to insulin resistance or influence susceptibility to non-insulin-dependent diabetes mellitus (niddm). in the pima indians, results from sib-pair analysis have suggested that a gene on chromosome 4q influences both fasting insulin levels and maximal insulin action. we conducted sib-pair and logarithm of odds (lod)-score linkage analysis to seek evidence for linkage between genes influencing insulin levels and chromosome 4q loci. analyses were conduct ... | 1995 | 7657027 |