| use of complementary and alternative therapies by patients with human immunodeficiency virus disease in the era of highly active antiretroviral therapy. | complementary and alternative medical therapies (cam) are popular with patients who are human immunodeficiency virus (hiv) seropositive, despite effective drug treatments, potential drug interactions, and overlapping toxicities. | 2003 | 12676036 |
| rabies surveillance in the united states during 2002. | during 2002, 49 states and puerto rico reported 7,967 cases of rabies in nonhuman animals and 3 cases in human beings to the centers for disease control and prevention, an increase of 7.2% from the 7,436 cases in non-human animals and 1 case in a human being reported in 2001. more than 92% (7,375 cases) were in wild animals, whereas 7.4% (592) were in domestic species (compared with 93.3% in wild animals and 6.7% in domestic species in 2001). compared with cases reported in 2001, the numbers of ... | 2003 | 14690203 |
| polymorphisms in the dna repair genes xrcc1 and ercc2, smoking, and lung cancer risk. | xrcc1 (x-ray cross-complementing group 1) and ercc2 (excision repair cross-complementing group 2) are two major dna repair proteins. polymorphisms of these two genes have been associated with altered dna repair capacity and cancer risk. we have described statistically significant interactions between the ercc2 polymorphisms (asp312asn and lys751gln) and smoking in lung cancer risk. in this case-control study of 1091 caucasian lung cancer patients and 1240 controls, we explored the gene-environme ... | 2003 | 12692111 |
| enzootic transmission of babesia divergens among cottontail rabbits on nantucket island, massachusetts. | specific ticks seem to locally serve as vector for characteristic microbial assemblages (guilds) comprising spirochetes, piroplasms, ehrlichiae, and arboviruses. borrelia andersoni and anaplasma phagocytophilum are intensely transmitted between cottontail rabbits. to test the hypothesis that a piroplasm may also be maintained in rabbits, we sampled these hosts from nantucket island, massachusetts and tested their blood and tissues by a polymerase chain reaction for evidence of infection. surpris ... | 2003 | 14695079 |
| the young man from canada. | | 2003 | 14703586 |
| boston happens program: hiv-positive, homeless, and at-risk youth can access care through youth-oriented hiv services. | the boston happens program is a collaborative network of care consisting of multiservice outreach agencies; community health centers; and hospitals for hiv-positive, homeless, and hard-to-reach youth. in four years of data collection, the program served more than 2,000 youth, including 54 hiv-positive youth. the youth were 19.9 +/- 2.9 years old; 64 percent female; 45 percent youth of color; 11 percent gay/lesbian, bisexual, or undecided; and 13 percent homeless or runaway. homeless youth were m ... | 2003 | 12748922 |
| human pulmonary valve endothelial cells express functional adhesion molecules for leukocytes. | histopathological studies of rejected orthotopic heart transplants suggest that cardiac valve endothelium is spared the inflammatory cell infiltration and tissue damage that occurs in the myocardium. to test whether this apparent protection from leukocyte invasion might be an inherent feature of the valve endothelium, leukocyte adhesion molecule expression and function were analyzed in human pulmonary valve endothelial cells (hpvec). use of cultured hpvec allowed delineation of the potential con ... | 2003 | 14565715 |
| microsystems in health care: part 8. developing people and improving work life: what front-line staff told us. | the articles in the microsystems in health care series have focused on the success characteristics of high-performing clinical microsystems. realization is growing about the importance of attracting, selecting, developing, and engaging staff. by optimizing the work of all staff members and by promoting a culture where everyone matters, the microsystem can attain levels of performance not previously experienced. | 2003 | 14567260 |
| bernard brouwer's lecture tours in the united states (1926 and 1933). | bernard brouwer (1881-1949), the first ordinary professor of neurology in the netherlands and a man of prominent stature among continental neurologists, was invited to read lectures at several university clinics in the united states in 1926 and 1933. in this article, we describe brouwer's impressions from these tours to obtain a view of us neurology in the 1920s and 1930s compared with the state of dutch neurology. we studied brouwer's reports of the lecture tours and pertinent materials obtaine ... | 2003 | 14568822 |
| incidence of outpatient visits and hospitalizations related to influenza in infants and young children. | the advisory committee on immunization practices currently encourages influenza vaccination for all children aged 6 to 23 months when feasible, based on studies that have demonstrated that young children have high hospitalization rates attributable to influenza. the advisory committee on immunization practices recently voted to recommend influenza vaccination for all children beginning during the 2004-2005 influenza season; information on the rate of outpatient visits due to influenza is needed ... | 2004 | 14993554 |
| information architect. jeff blair's passion for the industry promotes healthcare standards and the electronic health record. | | 2002 | 12827789 |
| do something--he's about to snap. | lynne tabor, an it manager at manufacturing giant mmi, has a great team. everyone works hard and gets along. everyone, that is, except max dyer. max is a talented programmer, but he's terrible in the interpersonal skills department. so terrible, in fact, that three years ago lynne reworked his job after employees complained that he was unengaged and even belligerent. since then, he's been a solid worker, putting in extra hours and meriting good performance evaluations. but recently, max's cowork ... | 2003 | 12858708 |
| antiretroviral drug resistance in human immunodeficiency virus-infected source patients for occupational exposures to healthcare workers. | to assess the prevalence of hiv antiretroviral resistance among source patients for occupational hiv exposures. | 2003 | 14587931 |
| how fleet bank fought employee flight. | in the late 1990s, fleet bank was facing high and rising employee turnover, particularly in its retail operations. overall turnover had reached 25% annually, and among some groups, such as tellers and customer service reps, turnover was as high as 40%. using a new methodology developed by mercer human resource consulting, fleet set out to determine why so many employees were leaving and what could be done to retain them. it began examining data from hr, finance, operations, and sales about emplo ... | 2004 | 15077372 |
| mortality of common loons in new england, 1987 to 2000. | diagnostic findings are presented on 522 common loons (gavia immer) found dead or moribund in new england (connecticut, maine, massachusetts, new hampshire, rhode island, and vermont, usa) between 1987 and 2000. common loon numbers and range in new england have decreased from historic levels over the last century due to a number of proposed factors. goals of this study were to identify and categorize causes of mortality and quantify natural versus anthropogenic causes. the majority of identifiab ... | 2003 | 12910757 |
| environmental stress and recovery: the geochemical record of human disturbance in new bedford harbor and apponagansett bay, massachusetts (usa). | sediments record the history of contamination to estuaries. analysis of the concentrations of toxic organic compounds, contaminant and crustal metals, organic carbon content and isotopic composition in sediment cores from two estuarine systems in buzzards bay allowed reconstruction of human impacts over 350 years. vertical distributions of the contaminants correlate with changes in the nature of watershed/estuarine activities. all contaminants were highly enriched (tens to hundreds times backgro ... | 2003 | 12922068 |
| neighborhood differences in patterns of syringe access, use, and discard among injection drug users: implications for hiv outreach and prevention education. | the article presents results from the syringe access, use, and discard: context in aids risk research project comparing two neighborhoods by (1) socioeconomic and demographic characteristics; (2) patterns of syringe access, use, and discard; and (3) encounters with a local human immunodeficiency virus/acquired immunodeficiency syndrome (hiv/aids) outreach project targeted to injection drug users (idus). the results show that idus in more economically advantaged neighborhoods were more likely to ... | 2003 | 12930882 |
| case records of the massachusetts general hospital. weekly clinicopathological exercises. case 26-2003. a 50-year-old colombian man with fever and seizures. | | 2003 | 12930932 |
| cost-effectiveness of serotesting compared with universal immunization for varicella in refugee children from six geographic regions. | it is unknown whether it is more cost-effective to test for varicella antibody or to immunize without testing in immigrant populations. the reliability of history of varicella disease is also unclear. | 2003 | 12946297 |
| konrad bloch, 12 january 1912 - 15 october 2000. | konrad bloch was a man of strong ethical principles. in personality, he was soft-spoken, kind, and generous. his home in lexington, massachusetts, with lore, his wife of more than sixty years, his daughter, susan, and son, peter, was at the center of a joyous family life. | 2003 | 12962131 |
| from directly observed therapy to accompagnateurs: enhancing aids treatment outcomes in haiti and in boston. | like tuberculosis, human immunodeficiency virus (hiv) disease is associated with poverty and social inequalities, conditions that hamper the delivery of care. like tuberculosis, treatment of hiv infection requires multidrug regimens, and the causative agent acquires drug resistance, which can be transmitted to others. a pilot project in rural haiti introduced dot-haart (directly observed therapy with highly active antiretroviral therapy) for the care of patients with advanced acquired immune def ... | 2004 | 15156434 |
| governing population genomics: law, bioethics, and biopolitics in three case studies. | existing scholarship on population genomics has only superficially addressed issues of power and political process. accordingly, questions of politics and governance pervade the analysis of three population genomics case studies that follow: the human genome diversity project, iceland's health sector database, and "clinical genomics" as defined by the beth israel-ardais collaboration. an examination of these case studies reveals that the common law, u.s. regulatory law, and international law hav ... | 2003 | 15156881 |
| the medicalization of female fertility--points of significance for the study of menopause. | this paper illustrates the need for human biologists to take into account the far-reaching influences of biomedicine in the study of reproductive aging. data were drawn from western massachusetts and puebla, mexico, to illustrate the effects of hysterectomy rates, tubal ligations and hormone replacement therapy (hrt) on studies of age and symptom experience at menopause. first, in examining age at natural menopause in relation to level of education, a country-specific, non-random pattern of part ... | 2003 | 12974134 |
| human metapneumovirus in children tested at a tertiary-care hospital. | respiratory infections are the leading cause of outpatient visits in the united states, but the etiology of many of these infections is unknown. human metapneumovirus (hmpv) is a recently discovered virus that causes respiratory infections. | 2004 | 15195239 |
| voluntary hiv testing as part of routine medical care--massachusetts, 2002. | in 2003, cdc released advancing hiv prevention: new strategies for a changing epidemic. one of the four strategies of this initiative is to expand routine, voluntary human immunodeficiency virus (hiv) testing. this report describes the results of a state-funded program in massachusetts that offered hiv counseling, testing, and referral (hiv ctr) to patients entering one of four hospital-associated urgent care centers. among the 3,068 patients tested, the program identified an hiv seroprevalence ... | 2004 | 15215739 |
| contributions of a clinical genetics laboratory to the diagnosis and treatment of disease in childhood. | | 1963 | 14045779 |
| five new viral exanthems. | | 1964 | 14180572 |
| ergonomics: the impact of an intervention for lifting hazards during installation of overhead electrical conduit. | | 2004 | 15238321 |
| effects on breastfeeding of changes in maternity length-of-stay policy in a large health maintenance organization. | the purpose of this study was to evaluate the effects on breastfeeding rates of a private-sector early discharge program and a subsequent government mandate guaranteeing 48 hours of hospital coverage. | 2003 | 12612230 |
| msjama. uses of jacobson v massachusetts in the age of bioterror. | | 2003 | 14600197 |
| implementation of a point-of-care satellite laboratory in the emergency department of an academic medical center. impact on test turnaround time and patient emergency department length of stay. | emergency department (ed) overcrowding has reached crisis proportions in the united states. many hospitals are seeking to identify process reengineering efforts to reduce crowding and ed patient length of stay (los). | 2003 | 12683874 |
| drug-selected resistance mutations and non-b subtypes in antiretroviral-naive adults with established human immunodeficiency virus infection. | the prevalence of human immunodeficiency virus (hiv) type 1 antiretroviral resistance is expected to be higher in recently infected antiretroviral-naive individuals than in those who have been infected longer. antiretroviral-naive hiv-1-infected adults who presented to an outpatient clinic in an urban hospital in boston for initial evaluation in 1999 were screened for drug-selected resistance mutations and phylogenetic subtype. drug-selected mutations were identified in 16 (18%) of 88 subjects. ... | 2003 | 14513418 |
| the kenneth b. schwartz center at massachusetts general hospital hematology-oncology department: hope for the homeless. | shortly before his death in 1995, kenneth b. schwartz, a cancer patient at massachusetts general hospital (mgh), founded the kenneth b. schwartz center at mgh. the schwartz center is a nonprofit organization dedicated to supporting and advancing compassionate health care delivery, which provides hope to the patient and support to caregivers and encourages the healing process. the center sponsors the schwartz center rounds, a monthly multidisciplinary forum during which caregivers discuss a speci ... | 2003 | 14530502 |
| association of nat2 and smoking in relation to breast cancer incidence in a population-based case-control study (united states). | to evaluate the potential interaction between n-acetyltransferase 2 (nat2) and smoking in breast cancer incidence. | 2003 | 12708724 |
| mica, hla-b haplotypic variation in five population groups of sub-saharan african ancestry. | the human major histocompatibility complex (mhc) class i chain-related gene a (mica), located 46 kb centromeric to hla-b, encodes a stress-inducible protein, which is a ligand for the nkg2d receptor. in addition to its primary role in immune surveillance, data suggest that mica is involved in the immune response to transplants and in susceptibility to some diseases. in this study, 152 subjects from the yoruba (n=74), efik (n=32), and igbo (n=46) tribes of southern nigeria, 39 nationwide african- ... | 2003 | 14551603 |
| evidence for a gene on chromosome 13 influencing postural systolic blood pressure change and body mass index. | previous analysis in the hypertension genetic epidemiology network (hypergen) of the national heart lung and blood institute (nhlbi) family blood pressure program, a multicenter study of genetic and environmental factors related to hypertension, indicated regions of linkage for blood pressure traits together with several coincident regions for phenotypically correlated traits, including systolic blood pressure (sbp) response to a postural challenge and body mass index (bmi). motivated by these f ... | 2004 | 14967843 |
| human-cell mutagens in respirable airborne particles in the northeastern united states. 1. mutagenicity of fractionated samples. | few studies have characterized the regional scale (300-500 km) variability of the mutagenicity of respirable airborne particles (pm2.5). we previously collected 24-h pm2.5 samples for 1 year from background, suburban, and urban sites in massachusetts (ma) and rural and urban sites in upstate new york (ny) (n = 53-60 samples per site). bimonthly composites of these samples were mutagenic to human cells. the present report describes our effort to identify chemical classes responsible for the mutag ... | 2004 | 14968851 |
| case records of the massachusetts general hospital. weekly clinicopathological exercises. case 8-2004. a 28-year-old man with abdominal pain, fever, and a mass in the region of the pancreas. | | 2004 | 15014187 |
| america's gulag archipelago. | | 2004 | 15575051 |
| heme oxygenase-1 genotype and restenosis after balloon angioplasty: a novel vascular protective factor. | we investigated the association of the heme oxygenase-1 (ho-1) promoter genotype with the inflammatory response and restenosis after balloon angioplasty. | 2004 | 15028349 |
| the power of the human heart: a story of trauma and recovery and its implications for rehabilitation and healing. | ms trisha meili revealed her identity as the central park jogger in a presentation at spaulding rehabilitation hospital in boston in may 2003. her co-presenter was dr jon kabat-zinn, whose teachings on mindfulness and meditation had been important in ms meili's rehabilitation process. this transcript of that conversation describes the various phases she underwent in her recovery, and documents the role of her self-discovered practice of mindfulness in restoring her emotional and physical functio ... | 2004 | 15068105 |
| metropolis redux: the unique importance of library skills in informatics. | the objective is to highlight the important role that librarians have in teaching within a successful medical informatics program. librarians regularly utilize skills that, although not technology dependent, are essential to conducting computer-based research. the metropolis analogy is used to introduce the part librarians play as informatics partners. science fiction is a modern mythology that, beyond a technical exterior, has lasting value in its ability to reflect the human condition. the tea ... | 2004 | 15098050 |
| a young man from nantucket. | | 2004 | 15101387 |
| massachusetts university to begin human hiv vaccine trials. | | 2004 | 15124606 |
| the prognostic significance of phosphatidylinositol 3-kinase pathway activation in human gliomas. | the objectives of this study were to examine activation patterns of the phosphatidylinositol 3-kinase (pi3k) pathway in gliomas and to examine the prognostic significance of pi3k pathway activation using snap-frozen clinical specimens. | 2004 | 15143086 |
| conducting interdisciplinary research to promote healthy and safe employment in health care: promises and pitfalls. | due to the complexity of human health, emphasis is increasingly being placed on the need for and conduct of multidisciplinary and/or interdisciplinary health research. yet many academic and research organizations--and the discipline-specific associations and journals--may not yet be prepared to adopt changes necessary to optimally support interdisciplinary work. this article presents an ongoing interdisciplinary research project's efforts to investigate mechanisms and pathways that lead to occup ... | 2004 | 15147650 |
| [new study on the history of anesthesiology--(11) three japanese doctors who observed william tg morton's ether anesthesia at the gross clinic in 1860]. | in january of 1860 the tokugawa shogunate dispatched a group of japanese mission headed by masaoki niimi, the first ambassador, to washington d.c. to exchange ratification of japan-united states treaty of commerce and amity. on may 22nd the ratification was approved. they left washington d.c. to move to baltimore and philadelphia to visit various sites and institutions. the niagara sailed from new york with the japanese mission on board on june 30th. in philadelphia three japanese medical doctor ... | 2005 | 15747522 |
| buying biosafety--is the price right? | | 2004 | 15152056 |
| genetic evaluation of a proposed introduction: the case of the greater prairie chicken and the extinct heath hen. | population introduction is an important tool for ecosystem restoration. however, before introductions should be conducted, it is important to evaluate the genetic, phenotypic and ecological suitability of possible replacement populations. careful genetic analysis is particularly important if it is suspected that the extirpated population was unique or genetically divergent. on the island of martha's vineyard, massachusetts, the introduction of greater prairie chickens (tympanuchus cupido pinnatu ... | 2004 | 15189201 |
| human experimentation at the brink of life. | | 2001 | 15233133 |
| mitochondrial genome mutations in hypertensive individuals. | human essential hypertension (htn), a polygenic, multifactorial, and highly heterogeneous disorder of unknown etiology, has been shown to have excess maternal transmission in several studies, suggesting a possible mitochondrial involvement. in an effort to assess the contribution of the mitochondrial genome to htn we initiated a systematic, extended screening of hypertensive individuals to identify potentially pathogenic mtdna mutations. we applied our newly developed novel class of tests for th ... | 2004 | 15233983 |
| child custody determinations in cases involving intimate partner violence: a human rights analysis. | intimate partner violence and child abuse are recognized both as public health concerns and as violations of human rights, but related government actions and inactions are rarely documented as human rights violations in the united states. men who abuse female partners are also highly likely to abuse the children of these women. however, family courts are reported to often ignore risks posed by abusive men in awarding child custody and visitation. battered women involved in child custody litigati ... | 2004 | 15249297 |
| lucian leape and healthcare errors. interview by pamela k. scarrow and susan v. white. | lucian l. leape, md, is a health policy analyst whose research has focused on error prevention and appropriateness of care. he is currently adjunct professor of health policy at the harvard school of public health. prior to joining the faculty at harvard, he was professor of surgery at tufts university school of medicine and chief of pediatric surgery at the new england medical center. he has been a leading advocate of the nonpunitive systems approach to the prevention of medical error and has l ... | 2002 | 14692183 |
| shifts in winter distribution in birds: effects of global warming and local habitat change. | as global warming intensified toward the end of the 20th century, there was a northward shift in winter ranges of bird species in cape cod, massachusetts, usa. these poleward shifts were correlated to local increases in minimum winter temperatures and global temperature anomalies. this evidence, plus other recent results, suggests that during the last two decades global warming has led to massive and widespread biogeographic shifts with potentially major ecological and human consequences. local ... | 2003 | 14703907 |
| gene mutations in advanced colonic polyps: potential marker selection for stool-based mutated human dna assays for colon cancer screening. | the detection and removal of advanced colonic polyps (acps) can help prevent the development of colorectal cancer. a set of dna mutations known to be associated with colorectal carcinoma was tested against resected acps to determine the set s potential utility as a marker panel for acps. a sensitive mutation marker panel could be used by stool-based assays that look for mutated human dna to detect the presence of acps. dna from 32 acps = 1.0 cm in diameter was amplified and tested for 19 colorec ... | 2003 | 14706178 |
| the first successful renal graft in man. | | 2004 | 15524345 |
| occurrence and correlations between coliphages and anthropogenic viruses in the massachusetts bay using enrichment and icc-npcr. | we evaluated a two-step enrichment procedure to detect coliphages and an integrated cell culture-nested polymerase chain reaction (icc-npcr) to detect human astrovirus, enteroviruses, rotavirus and adenovirus type 40 and 41 in marine water samples collected by the massachusetts water resource authority (mwra). mwra has been monitoring its receiving waters for coliphages, anthropogenic viruses and indicator bacteria in order to evaluate the impact of boston's deer island sewage treatment plant di ... | 2005 | 15952453 |
| genotypic diversity of francisella tularensis infecting dermacentor variabilis ticks on martha's vineyard, massachusetts. | martha's vineyard, mass., has been the site of two outbreaks of tularemia (1978 and 2000). although most patients from both outbreaks presented with pneumonic disease and although aerosol transmission has been suggested, the bite of a dog tick and exposure to rabbits remain the only proven modes of transmission. the factors that precipitated the tularemia outbreaks or the proximal determinants of human risk remain undescribed. we sought to test the hypothesis that the ongoing outbreak is due to ... | 2004 | 15528681 |
| genome-wide linkage analysis to urinary microalbuminuria in a community-based sample: the framingham heart study. | microalbuminuria is a powerful risk factor for cardiovascular disease. it is not known whether genetic factors play a role in the expression of microalbuminuria in population-based samples. | 2005 | 15610229 |
| evidence for a gene influencing haematocrit on chromosome 6q23-24: genomewide scan in the framingham heart study. | | 2005 | 15635079 |
| population-based surveillance for childhood invasive pneumococcal disease in the era of conjugate vaccine. | heptavalent pneumococcal conjugate vaccine was licensed in the united states in february 2000 and, following national guidelines, universally distributed in massachusetts starting in july 2000 to children younger than 2 years of age and selected children 2-5 years of age. we performed statewide surveillance for all cases of invasive pneumococcal disease (ipd) in children younger than 18 years of age to determine risk features and contribution of vaccine failure to ongoing pneumococcal invasive d ... | 2005 | 15665705 |
| urologic complications of sexual trauma among male survivors of torture. | to describe the urologic and sexual complications of male survivors of sexual torture, including prevalence, sequelae, diagnosis, and treatment. | 2005 | 15667857 |
| professor joseph warren horton (1889-1967): biological engineer. | joseph warren horton graduated with a degree in electrical engineering from the massachusetts institute of technology (mit) in 1914. he became involved in the early development of electrical measurement devices, televised image transmission, and the detection of underwater sound transmission. in the mid-1930s he was appointed the first leader of the newly created department of biological engineering at mit and in this position he made major contributions to the application of physics to human ph ... | 2005 | 15682231 |
| therapies for viral hepatitis workshop. 2-3 november 2004, boston, ma, usa. | | 2005 | 15696414 |
| benefits for employees with children with adhd: findings from the collaborative employee benefit study. | parents of most children with attention-deficit hyperactivity disorder (adhd) are employed. employers have interest in decreasing employee absenteeism and improving workplace productivity, partly through employee benefits. the authors interviewed employers to (1) determine how they view the needs of employees with children with adhd and (2) identify benefits that might help employees with children with adhd. the authors carried out a systematic interview study of mainly family-friendly, large em ... | 2005 | 15718875 |
| heinrich v. sweet. | court decision: 308 federal reporter, 3d series 48; 2002 aug 27 (date of decision). the united states court of appeals for the first circuit affirmed a massachusett's district court's jury verdict for the defendant doctors and hospital on an informed consent claim by the plaintiffs, surviving families of two cancer patients who had been subjects of an experimental combination of chemotherapy and radiation. in 1960-1961, george heinrich and eileen sienkewicz both suffered from the deadliest form ... | 2002 | 15751148 |
| challenges in the treatment of patients coinfected with hiv and hepatitis c virus: need for team care. | we estimate that only one-third of patients coinfected with hepatitis c virus (hcv) and human immunodeficiency virus (hiv) are eligible for therapy for hcv with interferon (ifn) and ribavirin, and, of those who are eligible, two-thirds decline treatment. to date we have initiated treatment with ifn and ribavirin for 8% of coinfected patients evaluated, and <1% of patients have had a sustained virological response. during this process, we have identified many problems that significantly limit our ... | 2005 | 15768347 |
| jacobson v massachusetts: it's not your great-great-grandfather's public health law. | jacobson v massachusetts, a 1905 us supreme court decision, raised questions about the power of state government to protect the public's health and the constitution's protection of personal liberty. we examined conceptions about state power and personal liberty in jacobson and later cases that expanded, superseded, or even ignored those ideas. public health and constitutional law have evolved to better protect both health and human rights. states' sovereign power to make laws of all kinds has no ... | 2005 | 15798113 |
| hartford hospital surgeons share publicity with robot 'assistants.'. | hartford hospital, hartford, conn. finds some patients gravitate to boston or new york city for high-tech procedures. being the first connecticut hospital with the davinci robotic surgery system, it developed an advertising campaign emphasizing high-tech surgery with the human touch. hartford also broadcast a robotic prostatectomy on its popular live webcast series. | 2004 | 15291437 |
| proper positioning of clients: a risk for caregivers. | the primary objective of this study was to learn more about the occupational risk of client repositioning by caregivers. this study also included information on frequency demands and factors contributing to the need to reposition clients and future risk-reduction solutions and interventions. a questionnaire was administered to caregivers at 12 hospitals. targeted groups were client care units with caregivers who are required to reposition clients in bed. the task of client repositioning presents ... | 2005 | 16255526 |
| ethnic differences of polymorphisms in cytokine and innate immune system genes in pregnant women. | investigations of the possible role of polymorphic genes in pregnancy outcome may be influenced by ethnic variations in genotype or allele frequencies. differences in allelic carriage of immune system-related genes among white, black, and hispanic pregnant women living in new york city and boston were evaluated. | 2004 | 15292002 |
| comparative infectivity of babesia divergens and a zoonotic babesia divergens-like parasite in cattle. | babesia divergens-like parasites identified in human babesiosis cases in missouri and kentucky and in eastern cottontail rabbits (sylvilagus floridanus) on nantucket island, massachusetts, share identical small subunit ribosomal rna gene sequences. this sequence is 99.8% identical to that of babesia divergens, suggesting that the u.s. parasite may be b. divergens, a causative agent of human and bovine babesiosis in europe. holstein-friesian calves were inoculated with cultured nantucket island b ... | 2005 | 16282295 |
| validation of the late-life function and disability instrument. | to assess the concurrent and predictive validity of the late-life function and disability instrument (llfdi). | 2004 | 15341561 |
| community-based, acute posttraumatic stress management: a description and evaluation of a psychosocial-intervention continuum. | much of today's psychological trauma can be identified as resulting from sudden and seemingly random events, and particularly from events that involve the loss of human life. this article presents a perspective on how behavioral health providers may approach the design, development, and implementation of community-based psychological trauma interventions. these interventions allow those community members most affected by the trauma to play a central role in the resolution of, and community adapt ... | 2004 | 15371064 |
| aids vaccines: balancing human rights with public health. | | 2003 | 15378822 |
| mutant, wild type, or overall p53 expression: freedom from clinical progression in tumours of astrocytic lineage. | abnormalities of the p53 tumor-suppressor gene are found in a significant proportion of astrocytic brain tumours. we studied tumour specimens from 74 patients evaluated over 20 years at the massachusetts general hospital, where clinical outcome could be determined and sufficient pathologic material was available for immunostaining. p53 expression studies employed an affinity-purified p53 monoclonal antibody, whose specificity was verified in absorption studies and, in a minority of cases, a seco ... | 2004 | 15494720 |
| rabies surveillance in the united states during 2004. | during 2004, 49 states and puerto rico reported 6,836 cases of rabies in nonhuman animals and 8 cases in human beings to the cdc, representing a 4.6% decrease from the 7,170 cases in nonhuman animals and 3 cases in human beings reported in 2003. approximately 92% of the cases were in wildlife, and 8% were in domestic animals (compared with 91% and 9%, respectively, in 2003). relative contributions by the major animal groups were as follows: 2,564 raccoons (37.5%), 1,856 skunks (27.1%), 1,361 bat ... | 2005 | 16379626 |
| using ecological risk assessment to identify the major anthropogenic stressor in the waquoit bay watershed, cape cod, massachusetts. | the waquoit bay watershed ecological risk assessment was performed by an interdisciplinary and interagency workgroup. this paper focuses on the steps taken to formulate the analysis plan for this watershed assessment. the workgroup initially conducted a series of meetings with the general public and local and state managers to determine environmental management objectives for the watershed. the workgroup then decided that more information was needed on the impacts of six stressors: nutrient enri ... | 2004 | 15503390 |
| the predictable swarm: staying on top of radiology's cyclical staffing "bug". | partners healthcare system in boston, ma, took some progressive and bold steps to address the recent staffing shortages in radiology. by addressing the shortage at the system level versus the individual hospital level, partners was able to successfully recruit and support more than 80 new radiologic technologists from initial interest through graduation in 2 years. the recruitment effort helped reduce the utilization of temporary/agency personnel that cost the system more than dollar 6 million i ... | 2005 | 15988868 |
| identifying pediatric age groups for influenza vaccination using a real-time regional surveillance system. | evidence is accumulating that universal vaccination of schoolchildren would reduce the transmission of influenza. the authors sought to identify target age groups within the pediatric population that develop influenza the earliest and are most strongly linked with mortality in the population. patient visits for respiratory illness were monitored, using real-time syndromic surveillance systems, in six massachusetts health-care settings, including ambulatory care sites and emergency departments at ... | 2005 | 16107568 |
| ccl2 polymorphisms are associated with serum monocyte chemoattractant protein-1 levels and myocardial infarction in the framingham heart study. | monocyte chemoattractant protein-1 (mcp-1) is a chemokine strongly implicated in promoting atherosclerosis in animal models, but human genetic evidence is contradictory. | 2005 | 16116069 |
| common genetic variation at the endothelial nitric oxide synthase locus and relations to brachial artery vasodilator function in the community. | sequence variants at the endothelial nitric oxide synthase (nos3) locus have been associated with endothelial function measures, but replication has been limited. | 2005 | 16129794 |
| support for the use of thermoplastic bite impressions to aid in the identification of missing and unknown children. | this paper presents a response to the editorial opinion expressed in the position paper "promotion of the use of a thermoplastic material to aid in the identification of unidentified human remains," published on page 14 of this issue of the journal of the massachusetts dental society. no references were cited in that paper: because the mission of the american board of forensic odontology (abfo) is to "promote and enhance the science of forensic odontology" and realizing that the abfo guidelines ... | 2005 | 16149396 |
| the rage gly82ser polymorphism is not associated with cardiovascular disease in the framingham offspring study. | the receptor for advanced glycation end-products (rage) is expressed to enhance degrees in human atherosclerotic plaques and co-localizes with inflammatory and pro-oxidant mediators in the vulnerable regions of the plaque. previous studies highlighted a number of variants in the gene encoding the receptor, including a gly to ser substitution at amino acid 82 within the ligand-binding domain of rage. the ser82 allele enhanced ligand-binding affinity and increased ligand-stimulated generation of i ... | 2005 | 16159602 |
| detection of babesia and anaplasma species in rabbits from texas and georgia, usa. | rabbits have been shown to harbor a suite of zoonotic organisms, including a babesia species, borrelia burgdorferi, and anaplasma phagocytophilum. in this study, we conducted a molecular survey for various tick-borne pathogens in three species of rabbits from texas and georgia. of 18 black-tailed jackrabbits (lepus californicus) tested from texas, six (28%) were polymerase chain reaction (pcr) positive for babesia, and nucleotide sequencing revealed two distinct species or strains. two jackrabbi ... | 2006 | 16584322 |
| genome scan of systemic biomarkers of vascular inflammation in the framingham heart study: evidence for susceptibility loci on 1q. | vascular inflammation plays a central role in atherosclerosis and inflammatory biomarkers predict risk of cardiovascular disease (cvd). thus, finding genes that influence systemic levels of inflammatory biomarkers may provide insights into genetic determinants of vascular inflammation and cvd. we conducted variance-component linkage analyses of blood levels of four biomarkers of vascular inflammation [c-reactive protein (crp), interleukin-6 (il-6), monocyte chemoattractant protein-1 (mcp-1), sol ... | 2005 | 16159603 |
| diagnostic dilemmas resulting from the immunoreactive trypsinogen/dna cystic fibrosis newborn screening algorithm. | to quantitate the proportion of infants identified through cystic fibrosis (cf) newborn screening (nbs) by an immunoreactive trypsinogen (irt)/dna screening algorithm who have an unclear diagnosis as defined by the findings of an elevated irt level and either 1) 2 cf gene (cftr) mutations detected and sweat chloride level <60 meq/l; or 2) 0 or 1 cftr mutations and a "borderline" sweat chloride level >or=30 and <60 meq/l. | 2005 | 16202789 |
| battered mothers speak out: participatory human rights documentation as a model for research and activism in the united states. | this article describes the work of the battered mothers' testimony project, a multiyear effort that documented human rights violations against battered women and their children in the massachusetts family court system. this article (a) presents the battered mothers' testimony project's participatory human rights methodology as an alternative model for research and activism on violence against women and children in the united states, (b) summarizes the authors' findings and human rights analysis ... | 2005 | 16204730 |
| the fatty acid-binding protein-2 a54t polymorphism is associated with renal disease in patients with type 2 diabetes. | the intestinal fatty-acid binding protein-2 (fabp2) gene codes a protein responsible for the absorption of long-chain fatty acids. to test whether fabp2 is a candidate gene for renal disease in patients with type 2 diabetes, a functional a54t polymorphism was genotyped in 1,042 brazilians with type 2 diabetes. patients were classified as having normoalbuminuria (urinary albumin excretion [uae] <20 microg/min; n = 529), microalbuminuria (uae 20-199 microg/min; n = 217), or proteinuria (uae >199 m ... | 2005 | 16249461 |
| reliable exposure assessment strategies for physical ergonomics stressors in construction and other non-routinized work. | the objective of this research was to provide guidelines for the reliable assessment of ergonomics exposures in non-routinized work. using a discrete-interval observational sampling approach, two or three observers collected a total of 5852 observations on tasks performed by three construction trades (iron workers, carpenters and labourers) for periods of several weeks. for each observation, nine exposure variables associated with awkward body postures, tool use and load handling were recorded. ... | 2005 | 16251156 |
| genome-wide linkage analyses and candidate gene fine mapping for hdl3 cholesterol: the framingham study. | high density lipoprotein cholesterol (hdl-c) is inversely associated with coronary heart disease and has a genetic component; however, linkage to hdl-c is not conclusive. subfractions of hdl, such as hdl(3)-c, may be better phenotypes for linkage studies. using hdl(3)-c levels measured on 907 framingham heart study subjects from 330 families around 1987, we conducted a genome-wide variance components linkage analysis with 401 microsatellite markers spaced approximately 10 centimorgan (cm) apart. ... | 2005 | 15805549 |
| blood cultures do not change management in hospitalized patients with community-acquired pneumonia. | to determine if blood cultures identify organisms that are not appropriately treated with initial empiric antibiotics in hospitalized patients with community-acquired pneumonia, and to calculate the costs of blood cultures and cost savings realized by changing to narrower-spectrum antibiotics based on the results. | 2006 | 16766742 |
| integrating the criminal justice system into mental health service delivery: the worcester diversion experience. | the substantial number of persons with mental illness encountered in many sectors of the criminal justice system has spurred actors from various agencies within that system to take actions aimed at reducing the growth of this population. these actions have included the development of specialty police units, jail diversion programs, and other mechanisms for channeling persons with mental illness out of the criminal justice system and into mental health treatment. the courts, too, have become invo ... | 2005 | 15818600 |
| seeds of change: using peacemaking circles to build a village for every child. | roca, inc., a grassroots human development and community organization, has adopted the peacemaking circle as a tool in its relationship building with youth, communities, and formal systems. circles are a method of communication derived from aboriginal and native traditions. in massachusetts, the department of social services and the department of youth services are exploring the application of the circle in programming with youth and families. by providing a consistent structure for open, democr ... | 2005 | 15828408 |
| a model to provide comprehensive testing for hiv, viral hepatitis, and sexually transmitted infections at a short-term drug treatment center. | substance users are at high risk for blood-borne infections as well as those that are transmitted sexually. substance abuse treatment centers present an opportunity to offer comprehensive counseling and testing (cct) for hiv, viral hepatitis, and sexually transmitted infections (stis) to this high-risk population. we examined the feasibility and acceptability of one model of cct among substance users. cct was offered to 145 consecutive inpatients; study participants completed a risk factor quest ... | 2005 | 15916492 |
| decision making for hiv prevention planning: organizational considerations and influencing factors. | the purpose of this cdc-funded project was to better understand how behavioral data were used in hiv prevention community planning, and use this knowledge to develop and evaluate tools for increasing the use of data in hiv prevention planning. hiv prevention community planning represents one of many efforts, in a variety of health and human service areas, to formulate plans and policies that are evidence-based and reflective of community input. the attention to evidence-based planning and the in ... | 2005 | 15933825 |
| influenza and other respiratory virus-related emergency department visits among young children. | influenza and other winter respiratory viruses cause substantial morbidity among children. previous estimates of the burden of illness of these viruses have neglected to include the emergency department, where a large number of patients seek acute care for respiratory illnesses. this study provides city- and statewide population estimates of the burden of illness attributable to respiratory viruses for children receiving emergency department-based care for respiratory infections during the winte ... | 2006 | 16818524 |
| gb virus c (gbv-c) infection in hepatitis c virus (hcv)/hiv-coinfected patients receiving hcv treatment: importance of the gbv-c genotype. | persistent gb virus c (gbv-c) coinfection leads to slower human immunodeficiency virus (hiv) progression. despite the existence of multiple gbv-c genotypes, their relevance to the progression of hiv disease is unknown. we therefore investigated (1) the prevalence and genotype of gbv-c in hepatitis c virus (hcv)/hiv-coinfected patients and (2) the impact of hcv treatment on gbv-c rna clearance. | 2006 | 16845623 |
| immigration policies increase south asian immigrant women's vulnerability to intimate partner violence. | to explore forms of immigration-related partner abuse and examine the association of such abuse and immigration status with physical and sexual intimate partner violence (ipv) among south asian women residing in greater boston. | 2005 | 16845767 |
| carbohydrate intake and glycemic index in relation to the odds of early cortical and nuclear lens opacities. | animal studies suggest a role for dietary carbohydrate in cataractogenesis. however, few published human studies have evaluated associations between carbohydrate nutrition and lens opacification. | 2005 | 15941895 |