| 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 |
| rabies surveillance in the united states during 1995. | in 1995, 49 states, the district of columbia, and puerto rico reported 7,877 cases of rabies in nonhuman animals and 4 cases in human beings to the centers for disease control and prevention. nearly 92% (7,247 cases) were wild animals, whereas 8% (630 cases) were domestic species. the total number of reported cases decreased 4.2% from that of 1994 (8,230 cases). most of the decline was the result of 17.1% fewer reported cases of rabies in raccoons in areas of the northeast, where rabies is now e ... | 1996 | 8960176 |
| lyme borreliosis in the southern united states: a review. | lyme borreliosis (lyme disease) is the most often reported arthropod transmitted disease in humans in the u.s.a. although it has been reported from 43 states, cases are especially abundant in the mid-atlantic and northeastern regions. borrelia burgdorferi, the etiologic agent, is transmitted primarily by the western blacklegged tick (ixodes pacificus) in far western north america, and by the blacklegged tick (ixodes scapularis) in eastern north america. although lyme disease cases have been repo ... | 1996 | 8973401 |
| worldwide variations in sperm counts. | based on the premise that various human disease processes manifest differently depending on geography, we set out to determine whether sperm counts vary from different nations and different regions within the united states. | 1996 | 8973676 |
| syphilis and aids. | evidence is shown that syphilis has become a major public health problem again. from 1988 to 1995 the permanently growing number of new cases of syphilis in the world was observed. the majority of the syphilitic cases in the patients are difficult for curing. the central nervous system is often involved in early syphilis. previously the neurosyphilis was very rare. the reason for development of this stage of syphilis, may be an inadequate treatment as well as a weakening of the immunological res ... | 1996 | 9017148 |
| cocirculation of multiple hantaviruses in texas, with characterization of the small (s) genome of a previously undescribed virus of cotton rats (sigmodon hispidus). | an environmental and laboratory investigation was conducted after a fatal childhood case of hantavirus pulmonary syndrome occurred in deaf smith county, texas in may 1995. a trapping campaign was conducted to identify possible rodent carriers. six species of murid and heteromyid rodents were collected, and at least one hantavirus-seropositive specimen was found in each of the five murid species. tissues from a selection of 11 seropositive specimens were examined by the polymerase chain reaction ... | 1996 | 9025697 |
| hiv-positive males' satisfaction with pharmacy services. | the objective of this study was to describe the pharmacy needs of a group of males infected with human immunodeficiency virus (hiv) and to determine whether those needs were being met. an anonymous survey was used to determine the perceptions of a group of hiv-positive males. of 62 usable responses, 53.2% of respondents tested positive for hiv more than five years ago and 58.1% reported a cd4 count below 200/mm3, the mean age was 41 years (sd = 8.6). respondents indicated a need for a pharmacist ... | 1997 | 9040172 |
| occurrence and concentrations of polycyclic aromatic hydrocarbons in semipermeable membrane devices and clams in three urban streams of the dallas-fort worth metropolitan area, texas. | semipermeable membrane devices (spmds) and asiatic clams, corbicula fluminea (müller), were deployed at stream sites in the dallas-fort worth metropolitan area to assess the presence of bioavailable, dissolved polycyclic aromatic hydrocarbons (pahs). twenty-four pahs were detected in spmds, 20 of which occurred at all sites. only three pahs were detected in the co-deployed clams. throughout all sites, non-alkylated pahs were found at greater levels in spmds than alkylated forms. nine of 16 prior ... | 1997 | 9051903 |
| sex differences in mortality of japanese macaques: twenty-one years of data from the arashiyama west population. | theorists argue that mortality in male mammals should be higher than that of females, and many studies of primates followed across the life course have found this to be the case. this study examines mortality patterns in the rapidly expanding arashiyama west (texas) population of japanese macaques (macaca fuscata) and finds that males have a significantly lower median survival age (12.2 years) in comparison to females (20.5 years). males and females are born in equal proportions, but by adulthoo ... | 1997 | 9066898 |
| consistency of condom use among users of injectable contraceptives. | use of condoms for protection against sexually transmitted diseases (stds) was examined over a nine-month period among 536 women from 17 clinics in southeastern texas who had selected the injectable depot-medroxyprogesterone acetate (dmpa) as a contraceptive. among women who were using condoms prior to receiving dmpa, nearly half said they never or rarely did so after initiating dmpa use; only 18% of all women in the study used condoms consistently while relying on dmpa. factors associated with ... | 1997 | 9099569 |
| cryptosporidiosis in houston, texas. a report of 95 cases. | cryptosporidiosis is an important cause of diarrhea. we identified 95 patients with cryptosporidiosis over a 6-year period in our county hospital system, including 9 children and 86 adults infected with the human immunodeficiency virus (hiv). risk factors included male-to-male sexual practices and hispanic race. diarrhea, weight loss, and gastrointestinal complaints were the most common symptoms at presentation. among the hiv-infected adults, 20 (23%) developed biliary tract disease. biliary inv ... | 1997 | 9100739 |
| influence of interpersonal and mass-mediated interventions on injection drug and crack users: diffusion of innovations and hiv risk behaviors. | evaluation research of public health media campaigns to influence behavior change often bemoans the lack of relevance to target audience and an absence of integrated interpersonal and mass-mediated communication channels. the assumption that illegal drug users are disconnected from mass-mediated communication may account for this absence of media interventions. the authors used cross-tabulation, chi-square, and regression analyses to demonstrate that many out-of-treatment drug users in an hiv-pr ... | 1997 | 9141182 |
| outbreaks of cyclosporiasis--united states, 1997. | in april and may 1997, cdc received reports of seven event-associated clusters of cases of cyclosporiasis from five states (california, florida, nevada, new york, and texas). approximately 80 cases of infection with human-associated cyclospora, a recently characterized coccidian parasite have been laboratory-confirmed. state and local health departments, cdc, and the food and drug administration are conducting investigations to identify the vehicles of infection. | 1997 | 9182207 |
| evolution of aids and aids related malignancies in pediatric patients in the united states. | the pediatric aids epidemic began in the u.s.a. between 1983 and 1985. hemophilia patients were among the first victims of this disease with the majority of these patients infected prior to 1984. at the south texas hemophilia center 69 of 108 patients less than 21 years of age demonstrated serologic evidence of infection. of these patients, 6 subsequently developed malignancies between 1987 and 1994. between 1992 and 1996 data was subsequently accumulated on the development of malignancy in hiv ... | 1997 | 9198329 |
| ability of the lyme disease spirochete borrelia burgdorferi to infect rodents and three species of human-biting ticks (blacklegged tick, american dog tick, lone star tick) (acari:ixodidae). | the infectivity of a diverse collection of borrelia burgdorferi strains from north america for mice was determined as a prelude to vector competence experiments with the 3 primary human-biting tick species in the eastern united states (ixodes scapularis say, dermacentor variabilis (say), amblyomma americanum (l.)]. of the 34 b. burgdorferi strains inoculated into mice, 29 were infectious; the exceptions were 5 isolates from texas. vector competence experiments were conducted with 2 strains from ... | 1997 | 9220680 |
| vaginal bleeding and abuse: assessing pregnant women in the emergency department. | this study was done to determine the prevalence of physical abuse among an ethnically stratified group of pregnant women experiencing vaginal bleeding. | 1997 | 9234605 |
| polymorphisms in the glutathione s-transferase class mu and theta genes interact and increase susceptibility to lung cancer in minority populations (texas, united states). | the genes coding for separate isoforms of both the human glutathione s-transferase class mu and class theta enzymes (gstm1 and gstt1) are polymorphic with a variable ethnic distribution. these enzymes detoxify reactive epoxides, including carcinogens produced by tobacco smoke. because of this, the null polymorphism in the gstm1 gene (coding for the glutathione s-transferase class mu enzyme) has been studied widely as a possible source of inherited susceptibility to smoking-related lung cancer. t ... | 1997 | 9242470 |
| flea-borne rickettsioses: ecologic considerations. | ecologic and economic factors, as well as changes in human behavior, have resulted in the emergence of new and the reemergence of existing but forgotten infectious diseases during the past 20 years. flea-borne disease organisms (e.g., yersinia pestis, rickettsia typhi, r. felis, and bartonella henselae) are widely distributed throughout the world in endemic-disease foci, where components of the enzootic cycle are present. however, flea-borne diseases could reemerge in epidemic form because of ch ... | 1997 | 9284376 |
| aedes albopictus in the united states: ten-year presence and public health implications. | since its discovery in houston, texas, in 1987, the asian "tiger mosquito" aedes albopictus has spread to 678 counties in 25 states. this species, which readily colonizes container habitats in the peridomestic environment, was probably introduced into the continental united states in shipments of scrap tires from northern asia. the early pattern of dispersal followed the interstate highway system, which suggests further dispersal by human activities. the public health service act of 1988 require ... | 1997 | 9284377 |
| human lead absorption -- texas. | in december 1971, the city-county health department in el paso, texas, discovered that an ore smelter in el paso was discharging large quantities of lead and other metallic wastes into the air. between 1969 and 1971, this smelter had released 1,116 tons of lead, 560 tons of zinc, 12 tons of cadmium, and 1.2 tons of arsenic into the atmosphere through its stacks. | 1997 | 9310211 |
| leptin concentrations in women in the san antonio heart study: effect of menopausal status and postmenopausal hormone replacement therapy. | leptin, the product of the human ob gene, is increased in obese individuals, suggesting resistance to its effect. however, there is variability in leptin levels at each level of body mass index, suggesting that genetic and environmental factors other than overall adiposity may regulate leptin concentrations. leptin concentrations are higher in women relative to men, a difference that is only partially explained by the increased fat depots in women. the authors hypothesized that higher estrogen l ... | 1997 | 9326436 |
| intermittent fever and pancytopenia in a young mexican man. | we report a case of brucellosis in a young mexican man who had weight loss, fever, and nausea. physical examination revealed hepatosplenomegaly, and examination of the blood showed pancytopenia. this case illustrates the need for a high index of suspicion when patients living in the southern united states have these symptoms. | 1997 | 9347817 |
| teaching ethics using small-group, problem-based learning. | ethics is the emphasis of our first-year introduction to clinical medicine-1 course. introduction to clinical medicine-1 uses problem-based learning to involve groups of seven to nine students and two facilitators in realistic clinical cases. the cases emphasize ethics, but also include human behaviour, basic science, clinical medicine, and prevention learning issues. three cases use written vignettes, while the other three cases feature standardized patients. groups meet twice for each case. in ... | 1997 | 9358353 |
| rabies surveillance in the united states during 1996. | in 1996, 49 states, the district of columbia, and puerto rico reported 7,124 cases of rabies in non-human animals and 4 cases in human beings to the centers for disease control and prevention. nearly 92% (6,550 cases) were wild animals, whereas 8% (574 cases) were domestic species. the total number of reported cases decreased 9.6% from that of 1995 (7,881 cases). although much of the decline was the result of fewer reported cases of rabies in raccoons, fewer cases were also reported among most g ... | 1997 | 9412679 |
| epidemiology of human immunodeficiency virus infection in central americans treated in harris county, texas hospital district facilities. | the prevalence of human immunodeficiency virus (hiv) infection among central americans is increasing. the purpose of this study was to describe the epidemiology of hiv infection among local central american immigrants in the united states. medical records of hiv-infected central americans treated at harris county hospital district (hchd) facilities, the major source of indigent care in houston, texas, were retrospectively reviewed. between january 1, 1990 and february 28, 1995, 18,156 central am ... | 1997 | 9430526 |
| evaluation of hiv case surveillance through the use of non-name unique identifiers--maryland and texas, 1994-1996. | notifiable disease reporting laws or regulations in states and territories require reporting of acquired immunodeficiency syndrome (aids) cases, including patient and physician names, to state or local health authorities. as of january 1, 1998, a total of 31 states were conducting name-based human immunodeficiency virus (hiv) case surveillance by using the same methods as surveillance for aids. however, because of concerns about name-based hiv surveillance, maryland and texas implemented hiv sur ... | 1998 | 9436716 |
| where are we now? | | 1998 | 9448452 |
| impact of the 1993 cdc surveillance definition of aids in texas, 1991-1994. | in 1993, the centers for disease control and prevention (cdc) expanded the surveillance case definition of aids to include all individuals showing immune suppression, measured by absolute cd4 lymphocyte count or cd4/cd8 ratio, as well as those presenting with the 23 clinical conditions from previous case definitions or with three new indicator conditions (pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer). the greatest impact of the expanded definition is the dramatic inc ... | 1998 | 9448454 |
| human rabies--texas and new jersey, 1997. | on october 19 and october 23, 1997, a man in texas and a man in new jersey, respectively, died from rabies. this report summarizes the clinical features of these cases and the epidemiologic investigations by the texas department of health and the new jersey state department of health and senior services, which indicated that a bat-associated variant of the rabies virus was responsible for infection in both cases. | 1998 | 9450721 |
| evolution and current status of the total artificial heart: the search continues. | artificial hearts have been used for temporary and permanent replacement of failing human hearts. attempts at permanent implantation during the 1980s were complicated by a high incidence of infection and thromboembolism, combined with a low quality of life for recipients. given the success of cardiac transplantation, the artificial heart was relegated to temporary use in critically ill patients who were waiting for a donor heart. continued difficulties with complications, combined with the succe ... | 1998 | 9466494 |
| from the centers for disease control and prevention. human rabies--texas and new jersey, 1997. | | 1998 | 9466619 |
| dibromochloropropane: epidemiological findings and current questions. | dibromochloropropane, dbcp, has had a seminal role in our current understanding of how to prevent chemical risks to health. early toxicological studies showed its special impact on the testes, and detection of its mutagenic potency was soon followed by demonstration of its carcinogenicity to animals. its commercial use as a useful nematocide ignored, at first, these warnings from the laboratory. when production workers, first in california and then in israel, found they were sterile as a result ... | 1997 | 9472348 |
| deletion in poly(adp-ribose)polymerase pseudogene and lung cancer risk. | the poly(adp-ribose)polymerase (padprp) gene has been implicated in carcinogenesis through its role in dna repair, replication and recombination. a two-allele polymorphism in the chromosome 13 padprp pseudogene has been studied in several racial groups. it has been suggested that the b allele, which results from a 193-bp deletion in the gene, predisposes to myeloma in blacks. we assessed the association between chromosome 13 padprp pseudogene genotype, mutagen sensitivity (a marker reflecting ho ... | 1998 | 9472699 |
| invasive pneumococcal disease in dallas county, texas: results from population-based surveillance in 1995. | we studied the epidemiology of invasive disease caused by streptococcus pneumoniae in 1995 among 1.9 million residents of dallas county, texas. the sociodemographic characteristics and chronic medical conditions of 432 patients were identified through active, population-based surveillance and review of medical records. the incidence of disease was 22 cases per 100,000 person-years and was highest for children < 2 years of age (136 cases per 100,000 person-years) and for adults > or = 65 years of ... | 1998 | 9524828 |
| train accidents involving pedestrians, motor vehicles, and motorcycles. | in the united states, train-related accidents account for more than 18,000 injuries and 1,200 fatalities annually, yet there is a paucity of literature pertaining to this unique injury. we reviewed the medical records of 98 of 135 cases of train-related trauma treated at ben taub general hospital, baylor college of medicine, houston, texas, from 1990 to 1995. there were 50 train-pedestrian accidents, 47 train-automobile accidents, and 1 train-motorcycle accident, with a mean patient age of 30.1 ... | 1998 | 9586732 |
| prevalence of the diffuse infiltrative lymphocytosis syndrome among human immunodeficiency virus type 1-positive outpatients. | to ascertain the prevalence of the diffuse infiltrative lymphocytosis syndrome (dils) in human immunodeficiency virus type 1 (hiv-1)-positive outpatients. | 1998 | 9588738 |
| the ecology of outcomes: system accountability in children's mental health. | this article provides a conceptual and practical framework called the ecology of outcomes. based on this framework, agencies that serve children and families build and use outcome-oriented information systems to respond to their clients in a more flexible manner. the goal is to improve promising programs by involving stakeholders in outcome identification and in utilization of results. problems addressed include the emphasis human services place on rules compliance, lack of feedback to program s ... | 1998 | 9595878 |
| principles for developing interdisciplinary school-based primary care centers. | a 50% increase has occurred in the number of school-based primary care centers (sbpccs) in the united states since 1993-94. public schools offer a well-established and respected community-based infrastructure within which health centers may feasibly be developed. sbpccs have documented improved access to care for underserved children and some initial success in addressing the complex morbidities and associated behavioral risk factors of children and adolescents. this paper presents five working ... | 1998 | 9608450 |
| clarifying the relationship of medical education and moral development. | to assess the development of the moral reasoning skills of medical students through the course of their education, and to determine whether their scores would reflect the increases usually found at this age range and education level. | 1998 | 9609863 |
| the reawakening of national concern about silicosis. | from west texas to west virginia, from california to new york, in industries from oil refining to coal mining and work settings from foundries to shipyards, the united states is experiencing an epidemic of silicosis, a preventable disease. silica sand has been linked to cancer, and the international agency for research on cancer has named silica as a probable human carcinogen. this article analyzes the reawakening of national concern about silicosis and the social, economic, and epidemiologic fa ... | 1998 | 9672567 |
| violence and threats of violence experienced by public health field-workers. | public health workers may work with clients whose behaviors are risks for both infectious disease and violence. | 1998 | 9701079 |
| the travels of a lone star tick. | a lone-star tick, amblyomma americanum, was found as a pedunculated lesion on the back of the arm of an 84 year old man in northern ireland. this was acquired on a visit to the usa. the tick is found mainly in texas and the ozark mountains of missouri, with scattered foci in other parts of southern usa. it is the vector of rocky mountain spotted fever. as worldwide travel becomes increasingly common, exotic parasites make occasional appearances in northern europe. | 1998 | 9708212 |
| older adults and the news media: utilization, opinions, and preferred reference terms. | we surveyed 868 community-dwelling older adults about their (a) utilization of media news, (b) opinion of news media coverage of older people, and (c) preferences among terms used by news media to refer to senior citizens. those with more than high school education read more newspaper news than those with less education. all groups watched tv news more frequently than they read the newspaper. respondents had reservations about the news media's accuracy in, attitude toward, and interest in storie ... | 1998 | 9726135 |
| the gene finders. | | 1997 | 9754395 |
| leptin concentrations are associated with higher proinsulin and insulin concentrations but a lower proinsulin/insulin ratio in non-diabetic subjects. | leptin (the product of the human ob gene) is increased in obese individuals, suggesting resistance to its effect. however, there is considerable variability in leptin levels at each level of body mass index (bmi), suggesting that genetic and environmental factors may regulate leptin concentrations. previous data have suggested that leptin levels are associated with insulin resistance and in a few reports with impaired insulin secretion. we examined whether non-diabetic subjects, with elevated sp ... | 1998 | 9756249 |
| close associations between prevalences of dominantly inherited spinocerebellar ataxias with cag-repeat expansions and frequencies of large normal cag alleles in japanese and caucasian populations. | to test the hypothesis that the frequencies of normal alleles (ans) with a relatively large number of cag repeats (large ans) are related to the prevalences of the dominant spinocerebellar ataxias (scas)-sca types 1, 2, 3 (machado-joseph disease), 6, and dentatorubral-pallidoluysian atrophy (drpla)-we investigated the relative prevalences of these diseases in 202 japanese and 177 caucasian families and distributions of the number of cag repeats of ans at these disease loci in normal individuals ... | 1998 | 9758625 |
| growth and development of a hospital-based lactation program and mother's own milk bank. | this article describes the development and characteristics of a hospital-based lactation program and mother's own milk bank in a large pediatric hospital in the southwestern united states. professional and technical staffing, physical space of the milk bank area, and the program's services and special features are outlined. quality control issues about human milk preparation, fortification, storage, and transport are discussed. | 1998 | 9773362 |
| multistate evaluation of anonymous hiv testing and access to medical care. multistate evaluation of surveillance of hiv (mesh) study group. | infection with the human immunodeficiency virus (hiv) is the only infectious disease for which anonymous testing is publicly funded, an exception that has been controversial. | 1998 | 9801001 |
| north carolina macular dystrophy (mcdr1) in texas. | to map the gene responsible for causing a macular degeneration in a texan family that appears clinically similar to the north carolina macular dystrophy (mcdr1) phenotype. | 1998 | 9801042 |
| a case-control study of human papillomavirus and cervical squamous intraepithelial lesions (sil) in harris county, texas: differences among racial/ethnic groups. | we conducted a case-control study of the association between sil and hpv among whites (w), african americans (aa), and hispanics (h) in harris county, texas. cases were identified at m.d. anderson cancer center colposcopy clinic. controls were identified among women obtaining routine pap screening at two harris county health department clinics. hpv was detected by a pcr-based fluorescent assay. dichotomous and polytomous logistic regression models were used to estimate adjusted odd ratios (aor) ... | 1998 | 9819473 |
| human dental microwear caused by calcium oxalate phytoliths in prehistoric diet of the lower pecos region, texas. | recent research demonstrates that silica phytoliths of dietary origin are associated with microwear of human teeth. previous research has shown that severe enamel microwear and dental wear characterizes archaic hunter-gatherers in the lower pecos region of west texas. calcium oxalate crystals are especially common in archaic coprolites. the vast majority are derived from prickly pear and agave, which were the dietary staples in west texas for 6,000 years. the calcium oxalate phytoliths are harde ... | 1998 | 9821494 |
| human contact with bait containing vaccine for control of rabies in wildlife. | to document the number of human contacts with bait containing liquid vaccinia-rabies glycoprotein (v-rg) vaccine, to evaluate factors that might affect human contact with bait-vaccine units, and to summarize adverse reactions in people after contact with vaccine. | 1998 | 9828931 |
| tick-borne diseases in texas: a 10-year retrospective examination of cases. | the occurrence of rocky mountain spotted fever, human monocytotropic ehrlichiosis, tularemia, tick-borne relapsing fever, and a southern erythema migrans-like illness (lyme/lyme-like disease) is determined by the geographic distribution and seasonal activity of the particular vector tick(s). the flulike signs and symptoms early in the course of spotted fever rickettsiosis, ehrlichiosis, tularemia, and relapsing fever are nonspecific and do not readily suggest a particular diagnosis. laboratory d ... | 1998 | 9854421 |
| rabies surveillance in the united states during 1997. | in 1997, 49 states, the district of columbia, and puerto rico reported 8,509 cases of rabies in nonhuman animals and 4 cases in human beings to the centers for disease control and prevention. nearly 93% (7,899) were wild animals, whereas 7% (610) were domestic species. the total number of reported cases increased 19.4% from that of 1996 (7,128 cases). increases were apparent in each of the major species groups, with the exception of cattle. the relative contributions of these groups to the total ... | 1998 | 9861958 |
| cryptococcosis: population-based multistate active surveillance and risk factors in human immunodeficiency virus-infected persons. cryptococcal active surveillance group. | to determine the incidence of cryptococcosis and its risk factors among human immunodeficiency virus (hiv)-infected persons, population-based active surveillance was conducted in four us areas (population, 12.5 million) during 1992-1994, and a case-control study was done. of 1083 cases, 931 (86%) occurred in hiv-infected persons. the annual incidence of cryptococcosis per 1000 among persons living with aids ranged from 17 (san francisco, 1994) to 66 (atlanta, 1992) and decreased significantly in ... | 1999 | 9878030 |
| is there really a heterosexual aids epidemic in the united states? findings from a multisite validation study, 1992-1995. mode of transmission validation study group. | the objective of this study was to verify the mode of exposure to the human immunodeficiency virus (hiv) among cases who obtained acquired immunodeficiency syndrome (aids) through heterosexual contact and to determine the proportion of cases initially reported with no risk but whose exposure may have been heterosexual. adults aged > or = 13 years with aids, diagnosed from 1992 through 1995 with heterosexual risk or no risk at six us study sites (alabama, california, florida, new jersey, new york ... | 1999 | 9883796 |
| efficacy of treatment for syphilis in pregnancy. | to evaluate prospectively the centers for disease control and prevention (cdc) recommended regimens for the treatment of antepartum syphilis and prevention of congenital syphilis. | 1999 | 9916946 |
| detection and molecular characterization of ebola viruses causing disease in human and nonhuman primates. | ebola (ebo) viruses were detected in specimens obtained during the hemorrhagic fever outbreak among humans in kikwit, democratic republic of the congo (drc), in 1995 (subtype zaire) and during an outbreak of disease in cynomolgus macaques in alice, texas, and the philippines in 1996 (subtype reston). reverse transcriptase-polymerase chain reaction assays were developed and proven effective for detecting viral rna in body fluids and tissues of infected individuals. little change was seen in the n ... | 1999 | 9988180 |
| loci on chromosomes 2 (niddm1) and 15 interact to increase susceptibility to diabetes in mexican americans. | complex disorders such as diabetes, cardiovascular disease, asthma, hypertension and psychiatric illnesses account for a large and disproportionate share of health care costs, but remain poorly characterized with respect to aetiology. the transmission of such disorders is complex, reflecting the actions and interactions of multiple genetic and environmental factors. genetic analyses that allow for the simultaneous consideration of susceptibility from multiple regions may improve the ability to m ... | 1999 | 9988276 |
| epidemiology of drug-resistant tuberculosis in texas. | during 1987-1996, over 22,000 tuberculosis cases were reported in texas, at an average annual incidence rate of 12.5 cases per 100,000 population. counties with the highest rates were located along the mexico-texas border and in northwestern texas. nine percent of cases were resistant to at least one of the five first-line antituberculosis drugs used for treatment. almost 5 percent (4.6%) were resistant to isoniazid, either alone or in combination with other antibiotics; 2.3% were resistant to r ... | 1999 | 10025479 |
| hantavirus pulmonary syndrome. | we present the first case of hantavirus pulmonary syndrome in the dallas/fort worth area. the patient was a 50-year-old previously healthy white man, who had adult respiratory distress syndrome (ards) and hypotensive shock after 1 week of nonspecific "viral" symptoms. despite supportive care, the patient died within several hours of presentation. this case illustrates several of the classic hallmarks of hantavirus infection such as hemoconcentration, thrombocytopenia, ards, and shock. | 1999 | 10071675 |
| scientific misconduct. investigations on trial in a texas court. | | 1999 | 10075554 |
| an ethnographic comparison of hiv risk behaviors among heroin and methamphetamine injectors. | drug injection and other practices affecting the risk of human immunodeficiency virus (hiv) infection were studied among 154 heroin users and 45 methamphetamine users in san antonio, texas. amphetamine users were younger, mostly white, and had less-severe drug dependence. heroin users had significantly higher levels of needle risk, as indicated by frequency of injection, number of persons sharing equipment, and place of injection. methamphetamine users tended to buy syringes in lots of 10 or mor ... | 1999 | 10078975 |
| the epidemiology of syphilis in the waning years of an epidemic: houston, texas, 1991-1997. | national and local syphilis rates have fallen since 1990. accurate epidemiologic information about the distribution of syphilis during the waning years of an epidemic are important to health care organizations so that they can specifically target screening and intervention programs. | 1999 | 10100768 |
| sullivan offers little at border confab. | | 1990 | 10104133 |
| perspectives. dumping doctor decision raises anxiety. | | 1991 | 10111926 |
| the boundaries of business: commentaries from the experts. | the world leadership survey, which began a worldwide dialogue on a set of important issues facing managers in the 1990s, continues with commentaries from four recognized experts, each of whom addresses the survey results from a different perspective. kenichi ohmae, chairman of mckinsey and company in tokyo, addresses "the perils of protectionism." ohmae argues that the old definitions of national boundaries and corporate interests reflect obsolete economic theories. the real test of national wel ... | 1991 | 10112918 |
| decision making style and leadership patterns in nonprofit human service organizations. | the authors report on the adaptation of twelve nonprofit human service organizations. this analysis is part of a research project that entailed a comprehensive study of both the fiscal patterns and policy patterns of nonprofit organizations. through the use of interviews in an exploratory descriptive design, several major patterns were identified concerning organizational adaptation. three categories of events effected the adaptation of these organizations: executive staff turnover, program/serv ... | 1991 | 10114290 |
| future perfect. | shrunken and frail as winter birds, a tiny man and woman negotiate the short walkway and stairs to the geriatric day hospital at utmb, galveston. the man has one hand on his cane, the other his wife's arm--whether for gallantry or his own support is not clear. nor is it immediately clear, once inside, that they've entered a hospital rather than a senior citizens center. created to fill the multiple needs of a specific population, the day hospital is a modest experiment that may harbinger the fut ... | 1992 | 10117385 |
| the birthing of a vision. | | 1990 | 10120637 |
| the napph (national association of private psychiatric hospitals) today--under new management. interview by john herrmann. | when robert l. trachtenberg took over the executive directorship of the national association of private psychiatric hospitals some five months ago, he walked into a situation wherein several psychiatric specialty hospitals in texas were under fire. "there were a lot of questions," trachtenberg says, "and challenges to the credibility of psychiatric hospitals." he was referring to the texas state investigation into abuses by personnel within psychiatric hospitals. last year, the texas senate inte ... | 1992 | 10122848 |
| make sure physician contracts meet irs and hhs guidelines. | | 1993 | 10123545 |
| methodist makes its peace with the tax man in texas. | | 1993 | 10126296 |
| marketing an investigational drug service. | the customer survey was a useful tool for marketing the ids. it provided guidelines for making decisions about the best use of limited human and material resources. analyzing the results of the survey provided new priorities and directions for the ids. these results were then used in conjunction with pharmacy financial and operational data to focus on areas of greatest importance to the customers and the pharmacy. physicians should not be reluctant to pursue compassionate use treatments because ... | 1993 | 10128789 |
| in these hallowed halls. health care and the 73rd texas legislature. | the sunset review of 20 health agencies and a package of legislation addressing psychiatric, chemical dependency and rehabilitation hospitals were high profile issues during the 73rd texas legislature. however, funding for health and human services presented the greatest challenge to hospital advocates. | 1993 | 10129098 |
| community clinic offers access to care. a system and a city collaborate to care for an immigrant population. | the southwest community health clinic (schc) has been providing free preventive healthcare to the poor residents of its houston neighborhood since june 1991. sponsored by the sisters of charity of the incarnate word health care system and the city of houston, the clinic invites healing through hospitality, unlike many free clinics. the family-focused clinic takes a multidisciplinary team approach to preventive healthcare. the staff of approximately 30 healthcare professionals provides prenatal a ... | 1993 | 10129202 |
| special report. recent natural and man-made disasters: testing hospital disaster plans and security departments in real-life situations. | in 1995, hurricanes, windstroms, hailstroms, and record flooding challenged the disaster-coping capabilities of hospitals in the florida panhandle, new orleans, and texas. and, in carrollton, ga, a severe test of a hospital's disaster plan literally dropped out of the sky. in this report, we'll present some firsthand accounts of what happened; how hospital security and emergency personnel responded; and what lessons all hospitals can learn from these unusual, but not unforeseen, occurrences. | 1995 | 10153637 |
| false accusations: the human side of an fbi investigation. | | 1996 | 10156986 |
| health impact of influenza in the united states. | influenza infection is associated with significant morbidity and mortality. the purpose of this investigation was to describe the health effects of influenza in the us. although a number of different data sources have been used to provide estimates of the health impact of influenza in the us, estimates provided in this article are primarily based upon the experiences reported in community-based studies performed in houston, texas, and tecumseh, michigan. estimates of the annual average are provi ... | 1996 | 10160483 |
| country life, human values. | with small-town roots and statewide vision, larry krupala takes on the tha chairmanship. meet the man who'll be leading tha through the 1992-93 year. | 1992 | 10160861 |
| the value of job analysis, job description and performance. | all companies, regardless of size, are faced with the same employment concerns. efficient personnel management requires the use of three human resource techniques--job analysis, job description and performance appraisal. these techniques and tools are not for large practices only. small groups can obtain the same benefits by employing these performance control measures. job analysis allows for the development of a compensation system. job descriptions summarize the most important duties. perform ... | 1997 | 10167628 |
| backs to the drawing board. | | 1995 | 10172296 |
| infectious diseases and anemia in a sample of out-of-treatment drug users. | to understand how the prevalence of anemia, human immunodeficiency virus (hiv), and syphilis in a sample of out-of-treatment drug users affected delivery of care in a managed care model. | 1998 | 10185976 |
| linkage analysis of candidate obesity genes among the mexican-american population of starr county, texas. | recent advances in the molecular basis of body fat regulation have identified several genes in which genetic variation may influence obesity and related measures in human populations. genes that have been shown to have a regulatory function in the control of body fat utilization, eating behavior, and/or metabolic rate in rodent models of obesity include leptin (lep), leptin receptor (lepr), neuropeptide y (npy), npy y1 receptor (npyy1), glucagon-like peptide-1 (glp-1), glp-1 receptor (glp1r), an ... | 1999 | 10207720 |
| statement of the texas hospital association: a response to the dhew expenditure guidelines for hospitals. | | 1979 | 10240304 |
| all-out voluntary effort. texas hospital program becomes model for the nation. | | 1979 | 10243835 |
| community leaders' attitudes toward family planning. | four separate samples of lawyers, businessmen, ministers, and physicians were requested to complete four separate non-overlapping attitude questionnaires in an effort to assess their attitudes toward sterilization, individual responsibility for contraception, family size, social responsibility, overpopulation, and contraception in the lower class. the data indicated that the four professional groups differed in their attitudes and those differences provided the impetus for suggestions focused on ... | 1976 | 10243945 |