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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 ...19836845392
histopathological changes in selenium-exposed fish.redear sunfish (lepomis microlophus) were collected from martin lake in east texas. for at least 8 months, 1 year earlier, aqueous selenium-laden effluent from man-made sources was released into this 5,000-acre reservoir (unpublished data). redear sunfish from a reference lake, 8 km upstream, were collected for comparison to martin lake fish. the hepatopancreas (i.e., liver and associated, disseminated exocrine pancrease), mesonephros (i.e., kidney), gonads, heart, spleen, stomach, and gill arch ...19836858996
[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 ...19836868555
teacher training for sex education.the population program at baylor college of medicine in houston conducted a 3-year sex education teacher training program in cooperation with the houston independent school district. existing sex education curricula and teacher training programs were reviewed during the project's last year, and working relationships with school personnel and community representatives were established. during the 2nd year contacts with school district personnel were increased. the project director trained 14 t ...19816908935
usual interstitial pneumonia following texas a2 influenza infection.in two patients a documented texas a2 influenza infection was associated with the development of interstitial pulmonary disease. one patient had an acute fulminating process resulting in respiratory failure and necessitating ventilatory assistance. open lung biopsy revealed a histologic picture consistent with usual interstitial pneumonia (uip). the other patient had a subacute course, and the pulmonary histology showed uip with features of desquamative interstitial pneumonia. the influenza viru ...19816941880
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 ...19806997968
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 ...19807000159
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 ...19807000532
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 ...19817016989
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 ...19827072705
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 ...19827108280
transplantation of the heart in a man from puerto rico: a case report. 19863530274
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 ...19863532778
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 ...19873105302
the prevalence of positive test results for chlamydia trachomatis by direct smear for fluorescent antibodies in a south texas family planning population.chlamydia trachomatis is a major human genital pathogen implicated as a leading cause of involuntary infertility in women. to assess the prevalence of results positive for c trachomatis by a direct immunofluorescent test in a family planning population, mass screening of all patients attending five urban family planning clinics was conducted for a two-month period. the objectives of this study were to assess the prevalence of positive c trachomatis test results in this population and to evaluate ...19883290477
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 ...19883348473
psychiatric illness at all stages of human immunodeficiency virus infection. 19883358476
a baseline study of aids in texas: knowledge, attitudes, and behaviors.the texas department of health reports that as of march 31, 1989, texas ranked fifth in the nation for aids cases, with a total of 6,312 cases and 3,829 deaths. cited in a report from the texas legislative task force on aids, tdh estimates that 100,000 texans are infected with human immunodeficiency virus (hiv), with houston and dallas ranking 4th and 10th respectively in the nation for aids cases. since 1986, aids has been the leading cause of death for men 25-44 years of age in houston, with h ...19892734711
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 ...19883408334
human immunodeficiency virus infections among civilian applicants for united states military service, october 1985 to march 1986. demographic factors associated with seropositivity.during the six months from october 1985 through march 1986, blood samples from 306,061 civilian applicants for military service from the united states were tested for antibody to the human immunodeficiency virus (hiv). four hundred sixty subjects were positive for the antibody as determined by western (immune) blot reactivity. the mean prevalence of hiv infection in this population of teenagers and young adults was thus 1.50 per 1000. according to multivariate analysis, the following demographic ...19873474519
outbreak of aseptic meningitis due to echo-9 virus. 19676047550
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 ...19846199370
rna electropherotypes of human rotaviruses from north and south america.between april 1979 and december 1982, viral agents were found in 231 of 695 children admitted to the texas children's hospital with gastroenteritis. electron microscopic analysis showed that rotaviruses were the most common viral agents, and a seasonal pattern of rotavirus disease was observed. the migration patterns of the rna segments of these rotaviruses on electrophoresis in polyacrylamide gels were compared with those of rotaviruses collected from other areas of the united states of america ...19846329538
fragile-x mental retardation syndrome transmitted through intellectually normal males: implications for genetic counseling.the fragile-x mental retardation syndrome is the second most common identifiable cause of mental retardation in man. this condition violates many of the expectations for x-linked disorders, including the transmission of the syndrome through men who carry the gene but, for unknown reasons, do not express it. two new cases of male transmission are presented along with four other cases heretofore unidentified in the literature, bringing the total number of confirmed or probable cases of transmissio ...19863704696
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) ...19863777289
dermal leishmaniasis in a texas cat.leishmaniasis was diagnosed by demonstrating amastigotes of leishmania from dermal lesions on the ear of a male long-haired domestic cat from uvalde, texas. leishmania from the cat were propagated in syrian hamsters, bovine macrophages, and in nnn medium. the organism, in the l. mexicana complex, is apparently the same as that reported from recent human cases in the same area.19863789264
urban outbreak of goat cheese brucellosis.in 1983 an outbreak of human brucellosis caused by brucella melitensis occurred among residents of a predominantly hispanic neighborhood in houston, tx. the source of the infections was traced to unpasteurized goats' milk cheese imported from mexico. nineteen of the 31 patients who contracted the disease were members of 5 families, which included 11 children ranging in age from 2 to 17 years. infection was generally associated with protein complaints and a paucity of physical findings. both immu ...19863797296
association of the human lewis blood group le(a-b-c-d-) with the failure of expression of alpha-3-l fucosyltransferase.two unrelated individuals are reported who lack alpha-3-l-fucosyltransferase activity in their serum and saliva. both were blacks, one from the united states and the other from south africa. no other of the tested members of their families lacked this enzyme. a survey of more than 2000 serum samples from both black and white south african blood donors, black united states donors and white united kingdom donors failed to disclose another example of a serum deficient in alpha-3-l-fucosyltransferas ...19863809884
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 ...19873816338
occupational stress in special education: a challenge for school health professionals.results of this study support the hypothesis that the majority of special educators, their support personnel, and general education administrators do not experience more job dissatisfaction than comparable occupational groups. however, they do report lower levels of subjective well-being when compared with normal populations. furthermore, 18% of the educators in the study perceived themselves as failing to cope with their job, experienced more frequent symptoms of poor physical health, and repor ...19853851097
human rabies diagnosed 2 months postmortem--texas. 19853932835
influenza: its control in persons and populations. 19863950437
environmental factors influencing isolation of enteroviruses from polluted surface waters.the influence of water quality upon the concentration of virus on location was assessed in field studies conducted in the houston ship channel, galveston bay, and houston waste treatment plants. clarification of polluted surface waters was accomplished with minimal loss of virus. virus from clarified sewage effluents and saline waters was then adsorbed and concentrated on textile and membrane filter surfaces. direct measurements of virus from large volumes of polluted surface waters under existi ...19744364463
health hazards from wastewater treatment practices. 19734568795
man against insect. 4. theobald smith v texas fever. 19744604722
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 ...19827137146
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 ...19817258430
[surveillance for influenza virus infections in houston, texas (author's transl)]. 19817268257
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 ...19817307715
the philosophy of an institutional review board for the protection of human subjects. 19807351667
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.19807351766
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 ...19807352453
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 ...19807355890
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 ...19807361757
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. ...19807362870
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 ...19807396314
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 ...19807457472
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 ...19957493894
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 ...19957560836
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 ...19957564282
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 ...19957565560
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 ...19957585856
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 ...19957632456
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 ...19957655781
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 ...19957657027
prevalence of wasting in men infected with human immunodeficiency virus seeking routine medical care in an outpatient clinic. 19957657904
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 ...19957676616
human rabies--alabama, tennessee, and texas, 1994.in october and november 1994, three persons (one each in alabama, tennessee, and texas) died from rabies. this report summarizes the investigations of these cases by state and local health departments and cdc.19957708035
from the centers for disease control and prevention. human rabies--alabama, tennessee, and texas, 1994. 19957715050
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 ...19947744643
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 ...19957759625
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 ...19957775942
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 ...19957778052
the role of forensic anthropology in the recovery and analysis of branch davidian compound victims: recovery procedures and characteristics of the victims.anthropological contributions to the investigation of the events at the branch davidian compound near waco, texas in early 1993, were of two major types: the recovery of human remains from the site and the analysis of most of those individuals at the medical examiner's office in fort worth, texas. this paper describes the role of forensic anthropology in the recovery and analysis of branch davidian compound victims and the recovery procedures and characteristics of the victims.19957782737
the role of forensic anthropology in the recovery and analysis of branch davidian compound victims: techniques of analysis.the recovery and analysis of human remains from the branch davidian compound, mount carmel, texas, was a multidisciplinary team effort. this presentation deals with one aspect of the forensic anthropological contribution to this collaborative endeavor--the examination and inventory of human skeletal remains and the interpretation of these osteological data. briefly described first are the content and format of the skeletal inventory and the examination procedures used for data collection. two su ...19957782738
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 ...19957797946
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 ...19947817328
allelic ladder characterization of the short tandem repeat polymorphism located in the 5' flanking region to the human coagulation factor xiii a subunit gene.the short tandem repeat (str) polymorphism present within the 5' untranslated region of the human coagulation factor xiii a subunit gene, humf13a01[aaag]n, was evaluated using an allelic ladder, i.e., a standard size marker consisting of amplified alleles from the locus. the allelic ladder was constructed by pooling 12 polymerase chain reaction (pcr)-amplified alleles identified by their differential migration in denaturing polyacrylamide gel electrophoresis. this standard marker was used to dis ...19947829085
localization of the 9p melanoma susceptibility locus (mlm) to a 2-cm region between d9s736 and d9s171.a familial melanoma susceptibility locus (mlm) was identified on the short arm of chromosome 9 in a set of utah and texas kindreds. subsequent confirmation was reported for a set of 26 australian kindreds, a set of 7 dutch kindreds, and a set of 13 nih melanoma kindreds. the original localization report placed the locus near the ifna-d9s126 interval on chromosome 9p. we report further localization using d9s171 and a newly developed marker, d9s736, both of which lie in the ifna-d9s126 interval. a ...19947829086
hazardous chemicals: psychological dimensions of the health sequelae of a community exposure in texas.a chemical spill from an oil refinery exposed the local community to more than 40,000 lb of highly toxic and corrosive hydrofluoric acid. a community based symptom prevalence study found an association between exposure and physical symptoms: the psychological impact of the disaster and its potential effect on the reporting of physical symptoms is examined here.19947830010
cariogenicity tests.an american dental association scientific consensus conference on methods for the assessment of the cariogenic potential (cp) of foods was held in san antonio, texas, in 1985. the aim was to establish a scientific consensus regarding methods to assess the cp of foods. as a result, a sequential food-testing program was proposed involving animal caries, human plaque acidity, and demineralization/remineralization models. two categories of cp--namely, no cp and low cp--were included. the test protoc ...19947865080
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 ...19957900067
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.19947951449
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 ...19947966170
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% ...19947995360
influenza a virus infections among hospitalized adult bone marrow transplant recipients.although influenza virus continues to cause annual epidemics of respiratory diseases, surprisingly little is known about the frequency and clinical course of influenza among adult patients with cancer. during the 1991-92 influenza epidemic in houston, texas, we followed all adult bmt recipients hospitalized at m.d. anderson cancer center. none of these 68 patients had received prophylaxis for influenza. influenza virus type a was isolated from 8 (29%) of 28 bmt recipients with an acute respirato ...19948019468
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. ...19948046428
rifampin-resistant mycobacterium kansasii.we identified 36 rifampin-resistant mycobacterium kansasii isolates, including 17 (4%) of 464 isolates recovered in texas between 1989 and 1992. of 29 patients infected with rifampin-resistant m. kansasii whose history of medication was known, 90% had previously received rifampin, and 58% of these patients had been treated with one or two effective drugs. thirty-two percent of rifampin-resistant isolates recovered since 1989 were from patients who were seropositive for human immunodeficiency vir ...19948075262
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 ...19948085228
on the leading edge. texas researchers are developing the next generation of medical technology. 19948091307
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/mm3.19938099477
from the centers for disease control and prevention. human rabies--texas and california, 1993. 19948120949
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 ...19948145715
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 ...19948153778
from the centers for disease control and prevention. human plague--united states, 1993-1994. 19948158808
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.19948179043
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.19938225963
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.19948302264
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 ...19938307770
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 ...19938307825
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 ...19938332954
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 ...19938369764
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 ...19938418400
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 ...19938420007
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 ...19938510126
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 ...19958548343
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 ...19958576342
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 ...19958591832
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.19968610733
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 ...19968615396
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