Publications

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epiglottitis: incidence of extraepiglottic infection: report of 72 cases and review of the literature.a review of 72 cases of epiglottitis seen at the children's hospital of denver was undertaken to determine the incidence of extraepiglottic and septic foci in this disease. a parallel review of the literature was also undertaken. the clinical, bacteriologic, laboratory, and radiologic findings of this patient population are described. a 25% incidence of both pneumonia and cervical lymphadenitis was found to be associated with this illness. exudative tonsillitis and otitis media were the only oth ...19761085924
children who have received no vaccines: who are they and where do they live?each year 2.1 million children 19 to 35 months of age are undervaccinated. among these are children who have received no vaccinations. unvaccinated children are at increased risk of acquiring and transmitting vaccine-preventable diseases.200415231927
impact of a decline in colorado medicaid managed care enrollment on access and quality of preventive primary care services.beginning in 1997 the colorado medicaid program de-emphasized managed care and shifted children from enrollment in a health maintenance organization (hmo), which required an enrollee to have an assigned primary care physician, to either the unassigned fee-for-service (uffs) program in which the enrollee was not required to have a primary care physician (pcp) or to the primary care physician program (pcpp) in which the enrollee was required to select a participating pcp if one was available. the ...200516322173
use of hospital discharge data to evaluate notifiable disease reporting to colorado's electronic disease reporting system.notifiable disease surveillance systems are critical for communicable disease control, and accurate and timely reporting of hospitalized patients who represent the most severe cases is important. a local health department in metropolitan denver used inpatient hospital discharge (ihd) data to evaluate the sensitivity, timeliness, and data quality of reporting eight notifiable diseases to the colorado electronic disease reporting system (cedrs).201121337935
immunization coverage levels among 19- to 35-month-old children in 4 diverse, medically underserved areas of the united states.the national immunization survey demonstrates that national immunization coverage in 2002 remained near the all-time highs achieved in 2000. however, that survey cannot detect whether coverage is uniformly high within relatively small areas or populations. the measles resurgence in the early 1990s revealed that coverage was low in some areas, particularly among inner-city children from racial and ethnic minority groups. today, identifying areas with low childhood-vaccination coverage remains imp ...200415060256
increasing ampicillin-resistance rates in hemophilus influenzae meningitis.we studied the epidemiology of reported hemophilus influenzae meningitis in colorado for the years 1977 through 1981. of 340 culture-confirmed cases, 94% occurred in children less than 5 years old. a marked seasonal variation was present, with peaks in late fall-early winter and late spring. the percentage of h influenzae isolates resistant to ampicillin increased from 4.2% in 1977 to 31.3% in 1981. the incidence of reported disease in children younger than 5 years of age increased from 26 per 1 ...19846608267
risk factors for primary invasive haemophilus influenzae disease: increased risk from day care attendance and school-aged household members.from november 1, 1981, through april 30, 1982, we performed a case-control study of primary invasive haemophilus influenzae infections in children in colorado. information was collected for 121 (83%) of 146 children with positive cultures and for 196 (67%) of 292 age-matched controls selected at random from birth certificates. infected children were more likely to have attended a day care center or nursery (dcc/n) and to have an elementary school-aged household member. for attendance at dcc/n, t ...19853871478
bacterial meningitis in navojo indians.an analysis of 219 confirmed cases of bacterial meningitis among navajo indians during a 5-year period, july 1, 1968, through june 30, 1973, revealed that 56 percent were caused by haemophilus influenzae, 26 percent by neisseria meningitidis, 6 percent by mycobacterium tuberculosis, and 6 percent by other organisms. the annual incidence of h. influenzae meningitis (17.7 per 100,000 persons) and that of pneumococcal meningitis (8.0 per 100,000) were much higher than the rates for these diseases r ...1976824672
factors associated with underimmunization at 3 months of age in four medically underserved areas.risk factors for underimmunization at 3 months of age are not well described. this study examines coverage rates and factors associated with under-immunization at 3 months of age in four medically underserved areas.200415313111
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