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statement of the texas hospital association: a response to the dhew expenditure guidelines for hospitals. 197910240304
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 ...197610243945
human serum albumin usage in a comprehensive cancer center.during 1977, m.d. anderson hospital and tumor institute used 270,575 g of human serum albumin (hsa) at a patient cost of $1.1 million. for a 1-month period in early 1978, a survey of hsa usage was conducted in the 440-bed hospital. patients who were started on albumin during the study period were included and monitored for the duration of their therapy. the largest groups of patients receiving albumin were those with gynecological tumors (30%) and gastrointestinal tumors (16%). two-thirds of all ...198010247869
"human touch" the smaller hospital's best medicine. 198210257694
and they call it puppy love. 198210261376
organizational communication. the role of the administrator in human relations training. 198210262560
goal directed informal sessions: their impact on an adolescent unit.goal directed informal sessions ( gdis ) were utilized on an inpatient adolescent unit in an attempt to facilitate communication between adolescents and their parents, to neutralize partially the almost universal fantasy that adolescents know more than their respective parents on any given topic, and to maximize the impact of the therapeutic milieu in other ways. the vehicle for the gdis was discussions of various aspects of human sexuality. thirty-four adolescents (average age 14.8), their pare ...198410266297
james farnsworth: a man of integrity. interview by wendy francik. 198410267109
health maintenance organizations; metrocare inc.; revocation of federal qualification--public health service. notice, continued regulation of health maintenance organizations: determination of noncompliance and revocation of federal qualification.on september 19, 1980, the office of health maintenance organizations (ohmo) determined that metrocare, inc., (metrocare), 1701 west euless boulevard, euless, texas 76039, a federally qualified health maintenance organization (hmo), was not in compliance with the assurances it has provided to the secretary that it would (1) maintain a fiscally sound operation and (2) maintain satisfactory administrative and managerial arrangements. on april 26, 1982, the director of ohmo notified metrocare that ...198210278125
recent medical malpractice reform measures in eight key states.over the course of the past quarter century, technological developments in medical science have made it possible for physicians to save the lives and preserve the health of countless patients. unfortunately, it must be remembered that medicine is still as much an art as it is a science. as such, due to this human element, there is always the risk of occasional errors or failures in treatment. when these problems occur in bunches, the stage is set for a medical malpractice crisis. in an attempt t ...198810287858
supreme court races: critical for health care. 198810291053
automated medication dispensing: the atc 212 system.innovative technology is currently being designed and produced that will change the way hospital pharmacy is practiced in the future. automated technology is becoming a powerful component of health care as human resources become scarce. the report describes a technology currently in use at a large general acute care hospital. this new automated system assists the pharmacy department by packaging and dispensing medications to be used in the centralized, computer supported cart-filling process. th ...198910294358
md loses patient dumping case. 198910294731
did this doctor dump his patient, or exercise prudent care? 198910296182
texas department of human resources. 198210298743
u.s. district court reinstates 1966 rule paying nonprofit hospitals 2% allowance for return on equity and other costs. 198310299293
sen. lloyd bentsen discussed health issues. 198710301757
hospitals to fight hcfa effort. 198810302437
human research guidelines at texas u. picked as model. 197910324000
a program of acquired immune deficiency syndrome education for nurses in romania.after the fall of the communist government in romania, many children were found to be human immunodeficiency virus (hiv) infected. the majority of these children were abandoned and currently live in orphanages. the children have been cared for on a day-to-day basis by nurses with little general nursing education and even less hiv education. the romanian-american pediatric aids education and clinical research program was established at texas children's hospital and baylor college of medicine in m ...199910331326
education and certification influence the nutrition and management knowledge of long-term-care foodservice managers.to describe nutrition knowledge, attitude toward nutrition, and management knowledge of long-term-care foodservice managers and to determine the relationship between these variables and the foodservice managers' personal and facility characteristics.199910333776
corporate compliance: critical to organizational success.operation restore trust (ort) has focused increased governmental attention on health care fraud and abuse activities, making it more costly to be noncompliant, and thus has led to significant behavioral changes within the health care industry. initially five states (california, florida, illinois, new york, & texas) were included in the 1997 ort pilot program. this has been expanded to include arizona, colorado, georgia, louisiana, massachusetts, missouri, new jersey, ohio, pennsylvania, tennesse ...199910335217
inspector general uses midlevel penalties. 199910345695
trends in hiv-related sexual risk behaviors among high school students--selected u.s. cities, 1991-1997.despite recent decreases in sexual risk behaviors among high school students nationwide, human immunodeficiency virus (hiv) infection was the seventh leading cause of death among persons aged 15-24 years in the united states during 1997. to determine whether the prevalence of hiv-related sexual risk behaviors among high school students also has decreased in certain urban areas heavily affected by the epidemic, cdc analyzed data from youth risk behavior surveys (yrbs) conducted in 1991, 1993, 199 ...199910372501
prevalence of sinonasal symptoms in patients with hiv infection.infection with the human immunodeficiency virus (hiv) is increasing in prevalence, and disease patterns are changing as patient survival lengthens. the purpose of this cross-sectional epidemiological study was to assess the prevalence and severity of self-reported symptoms of otolaryngologic disease in a group of patients attending a general hiv outpatient clinic (n = 203), and to compare the prevalence of self-reported symptoms with a sample of patients without hiv infection (n = 100). of the h ...199910392239
hcfa mandates medicaid reimbursement for aids wasting drug. 199910394566
congenital anomalies and anthropometry of 42 individuals with deletions of chromosome 18q.deletions of chromosome 18q are among the most common segmental aneusomies compatible with life. the estimated frequency is approximately 1/40,000 live births [cody jd, pierce jf, brkanac z, plaetke r, ghidoni pd, kaye ci, leach rj. 1997. am. j. med. genet. 69:280-286]. most deletions are terminal encompassing as much as 36 mb, but interstitial deletions have also been reported. we have evaluated 42 subjects with deletions of 18q at our institution. this is the largest number of individuals with ...199910405442
stable isotopes in ecosystem science: structure, function and dynamics of a subtropical savanna.stable isotopes are often utilized as intrinsic tracers to study the effects of human land uses on the structural and functional characteristics of ecosystems. here, we illustrate how stable isotopes of h, c, and o have been utilized to document changes in ecosystem structure and function using a case study from a subtropical savanna ecosystem. specifically, we demonstrate that: (1) delta 13c values of soil organic carbon record a vegetation change in this ecosystem from c4 grassland to c3 woodl ...199910407309
a retrospective analysis of 96 "asp" (megalopyge opercularis) envenomations in central texas during 1996.the most frequently reported caterpillar envenomation in central texas is by the puss caterpillar or "asp," megalopyge opercularis. this caterpillar is described by patients and physicians as inflicting intense radiating pain. the intensity of symptoms may be underestimated leading to undertreatment. adequate treatment protocols have been lacking and those in use are not very successful. we present a retrospective study of patients who were stung and contacted the central texas poison center.199910465242
complex transmission dynamics of clonally related virulent mycobacterium tuberculosis associated with barhopping by predominantly human immunodeficiency virus-positive gay men.limited data suggest that measures to reduce tuberculosis transmission should be based on locations rather than on personal contacts. molecular epidemiologic methods (analysis of is6110 patterns, spoligotypes, variable numbers of tandem dna repeats, and automated dna sequence data) identified a cohort of 48 persons who were infected with progeny of the same mycobacterium tuberculosis strain. epidemiologic investigation documented that a large proportion of the patients were gay white human immun ...199910479154
climate change and its potential impacts on the gulf coast region of the united states.the gulf coast region of the united states abuts five states, including alabama, florida, louisiana, mississippi, and texas. in general, the gulf of mexico has a surface area of 1.63 million square kilometers (630,000 square miles) and a watershed area of 4.69 million square kilometers (1.81 million square miles) in the united states. this region is one of the nation's largest ecological systems and is closely linked to a significant portion of the nation's economy. in the gulf coast region, ene ...199910485132
sale of sex for drugs and drugs for sex: an economic context of sexual risk behavior for stds.persons who participate in behaviors such as drug use and buying or selling sex are at elevated risk for sexually transmitted diseases (std)/human immunodeficiency virus (hiv) infection.199910494935
ethnic differences in hiv testing.testing plays an important role in the early detection of human immunodeficiency virus (hiv) infection and in the formulation of an appropriate management plan for patients who are infected with the virus. statistical data from the city of houston health department were reviewed for persons who were screened for hiv during 1996 to determine their demographic characteristics, counseling status after testing positive, and availability of medical insurance. records of 29,085 persons were reviewed i ...199910518441
public health workforce information: a state-level study.a two-stage sample survey was used to estimate the size of texas' professional public health workforce and to describe its composition in terms of employment settings, job characteristics, and individual characteristics. the estimated 17,700 public health professionals employed in 1995 represented approximately three percent of the state's total health workforce. about 55 percent of all these professionals worked in agencies that provide population-based public health services. an estimated seve ...199910537601
rabies surveillance in the united states during 1998.during 1998, 49 states, the district of columbia, and puerto rico reported 7,961 cases of rabies in nonhuman animals and 1 case in a human being to the centers for disease control and prevention, a decrease of 6.5% from 8,509 cases in nonhuman animals and 4 cases in human beings reported in 1997. more than 92% (7,358 cases) were in wild animals, whereas > 7.5% (603 cases) were in domestic species (compared with 93% in wild animals and 7% in domestic species in 1997). decreases were evident in al ...199910613210
st louis encephalitis: a review of 11 cases in a 1995 dallas, tex, epidemic.to update some of the clinical features of st louis encephalitis (sle), a common arboviral infection that occurs in epidemic patterns in the south-central and midwestern united states.200010634457
hiv-related malignancies: community-based study using linkage of cancer registry and hiv registry data.for people immunosuppressed by human immunodeficiency virus (hiv), we expect an increase in cancer incidence similar to that documented in transplant patients. we examined the cancer spectrum in an hiv-infected cohort, specifically malignancies not currently associated with acquired immunodeficiency syndrome (aids), in relation to the general population. cancer incidence data for residents of harris county, texas, diagnosed between 1975 and 1994, were linked to hiv/aids registry data by soundex ...199910639060
immunization status of children born to human immunodeficiency virus (hiv)-infected mothers in two texas cities.because hiv-infected and hiv-exposed children are at risk of acquiring infectious diseases, they should be immunized.200010653065
a preliminary survey of antibiotic resistance of salmonella in market-age swine.we conducted an epidemiological survey of antibiotic resistance in salmonella recovered from market-age swine at five different texas farms. these farms, which were visited between october 1997 and june 1998, were completely integrated, farrow-to-finish operations. samples were taken from the lymph nodes and cecal contents at the time of slaughter. the salmonella samples that were recovered were sent to the national veterinary services laboratory for serotyping. antibiotic resistance was determi ...199910659370
failure to identify non-bovine reservoirs of mycobacterium bovis in a region with a history of infected dairy-cattle herds.the state of texas had the most (cumulative) tuberculous cattle herds of any state in the united states during the decade ending in 1997. of the cumulative 18 infected herds in texas, 12 herds were concentrated in el paso county (designated the 'el paso milkshed'). to identify whether non-bovine reservoirs were a source of mycobacterium bovis infection of cattle in this region, an investigation was conducted on the premises of 14 dairy herds (12 tuberculous and 2 non-affected herds) between may ...200010665951
"to err is human.". 200010723249
computer-assisted instruction: an effective instructional method for hiv prevention education?to compare the effectiveness of a computer-assisted instruction (cai)-based intervention to a more traditional lecture-based intervention for influencing psychosocial correlates of human immunodeficiency virus (hiv) preventive behaviors.200010734271
oral manifestations of pediatric vertical hiv infection.to assess the prevalence and prognostic significance of the history of oral manifestations in children with human immunodeficiency virus infection (hiv), a cohort study of 73 children with vertical hiv infection was conducted. the study subjects were examined every 6 months for oral manifestations. the period prevalence of oral manifestations ranged from a low of 1% for submandibular enlargement and 3% for hairy leukoplakia to a high of 36% for xerostomia and 51% for cervical lymphadenopathy. th ...200010743521
sequence variation within the neuropeptide y gene and obesity in mexican americans.recently, we reported evidence for linkage between neuropeptide y (npy) and both obesity and several obesity-related quantitative measures in a sample of mexican americans from starr county, texas. the purpose of this study was to investigate putative variation within the coding and promoter regions of npy.200010832764
genomic searches for genes that influence atherosclerosis and its risk factors.we are performing genomic searches in randomly ascertained families to identify new quantitative trait loci (qtls) that influence atherosclerosis and its risk factors. the genetic markers used for genomic searches are random microsatellite markers distributed throughout the human chromosomes. these markers are used for linkage analysis with variance component methods to identify qtls for measured phenotypes related to lipid metabolism and atherosclerosis. we conducted such a genomic search in 47 ...200010865820
infection control of nosocomial respiratory viral disease in the immunocompromised host.among immunocompromised adults, such as bone marrow transplant recipients, more than half of respiratory viral infections are complicated by pneumonia, with an associated mortality rate > 50%. nosocomial transmission of respiratory viral pathogens, such as respiratory syncytial virus (rsv) and influenza, in the immunocompromised patient has been reported frequently and usually occurs during a community outbreak. in view of the poor outcome in this subset of patients, intensive efforts should be ...199710868143
a pilot study comparing the level of sickle cell disease knowledge in a university in southeastern texas and a university in enugu, enugu state, nigeria, west africa.sickle cell disease is the most commonly inheritable blood disorder in man. sickle cell anemia affects approximately one in 375 blacks in the united states. there is yet no known cure for this disease. families of sickle cell patients continue to be financially and emotionally devastated by sickle cell disease complications. a high level of sickle cell disease knowledge will encourage non-directional sickle cell disease counseling that would reduce the incidence of this disease. a pilot study to ...200010892830
armadillo exposure and hansen's disease: an epidemiologic survey in southern texas.naturally occurring leprosy has been demonstrated in wild nine-banded armadillos (dasypus novemcinctus ). this suggests a possible mode of transmission of human leprosy in regions where armadillo contact is prevalent.200010906642
perception of reliability of human immunodeficiency virus/aids information sources.the sources of human immunodeficiency virus (hiv)/aids information as well as the perception of reliability of information from these sources may have a significant impact on the effectiveness of hiv risk reduction messages in reaching high risk populations. we examined the sources of hiv information and the perception of reliability of information from these sources among african americans (n = 441), hispanic americans (n = 456), and whites (n = 297), in houston, texas. the data revealed that a ...200010918761
5th international ancient dna conference. divining diet and disease from dna.some 110 scientists from a range of disciplines gathered in the overcast british midlands for the 5th international ancient dna conference, held here from 12 to 14 july. among the attractions were new insights into the diets of early americans gleaned from ancient human coprolites and intriguing reports of nuclear dna and ancient viral sequences extracted from mammoth bones.200010939960
linkage exclusion analysis of the chromosome 11 region containing ucp2 and ucp3 with obesity-related phenotypes in mexican americans.to investigate whether the region of chromosome 11 (11q13) containing the genes ucp2 and ucp3 could be excluded for linkage with a variety of obesity-related phenotypes in humans.200010951548
primary colonic lymphoma.the colon is a rare location for gastrointestinal non-hodgkin's lymphoma (nhl). this study was undertaken to identify risk factors, presentation, treatment, and prognosis for primary colonic lymphoma (pcl) through review of a large tertiary care hospital system experience.200010962456
a study to determine the incidence and prevalence of newly discovered human immunodeficiency virus infection during the prenatal care period.this study asked the following questions: 1) does hiv testing in pregnancy identify women who previously were not known to be hiv positive? 2) when in pregnancy are women identified as hiv infected? 3) does hiv seroconversion occur during the prenatal care period?200010968601
the gene machine. 200011004901
a physician's guide to the human genome. 200011004902
use of a repetitive dna probe to type clinical and environmental isolates of aspergillus flavus from a cluster of cutaneous infections in a neonatal intensive care unit.aspergillus flavus is second to a. fumigatus as a cause of invasive aspergillosis, but no standard method exists for molecular typing of strains from human sources. a repetitive dna sequence cloned from a. flavus and subcloned into a puc19 vector, paf28, was used to type 18 isolates from diverse clinical, environmental, and geographic sources. the restriction fragment length polymorphisms generated with ecori- or psti-digested genomic dna and probed with digoxigenin-labeled paf28 revealed comple ...200011015372
molecular scanning for mutations in the insulin receptor substrate-1 (irs-1) gene in mexican americans with type 2 diabetes mellitus.insulin receptor substrate-1 (irs-1) is an endogenous substrate for the insulin receptor tyrosine kinase, which plays an important role in insulin signaling. mutations in the irs-1 gene are associated in some populations with obesity and type 2 diabetes.200011025561
economic evaluation of safer choices: a school-based human immunodeficiency virus, other sexually transmitted diseases, and pregnancy prevention program.to evaluate the cost-effectiveness and cost benefit of safer choices, a school-based human immunodeficiency virus, other sexually transmitted diseases, and unintended pregnancy prevention intervention for high school students.200011030854
proxy measures and human immunodeficiency virus care. 200011031378
prevalence of sexually transmitted infections and associated risk factors among populations of drug abusers.a cross-sectional survey was conducted of sexually transmitted diseases (stds) and risky behaviors among 407 drug abusers in treatment facilities in 1998. infections with human immunodeficiency virus (hiv), hepatitis b virus (hbv), hepatitis c virus (hcv), herpes simplex virus type 2 (hsv-2), and syphilis were detected by testing serum antibody levels; chlamydia and gonorrhea were detected by testing nucleic acid levels in urine. logistic regression analysis was performed to measure associations ...200011049771
the use of digital photography to support a medical mission to honduras.the south texas physicians outreach (stpo) organization makes at least one annual mission to santa rosa de copan, honduras to provide much needed medical and surgical care to the residents of western honduras. the author was named the team photographer for both a trip in 1998 and a subsequent visit in 1999. in preparing for the 1999 trip, a plan to reduce the expenditure by stpo for photography support was put into motion. it was decided that digital photography would eliminate most of the cost ...200011050711
patient safety in america: comparison and analysis of national and texas patient safety research.the institute of medicine (iom) report on patient safety in late 1999, to err is human, attracted great national attention when it announced that 44,000 to 98,000 patients die each year in american hospitals because of patient safety problems and that a patient safety crisis exists in american health care and american hospitals. the report relied heavily on a harvard group's study of hospital care in new york in 1984 and another harvard group's study of hospital care in utah and colorado in 1992 ...200011070738
an internet database of crotaline venom found in the united states.many snake venoms have been shown to be complex mixtures of pharmacologically important molecules, some of which have potential therapeutic value in the treatment of clot-induced ischemia, cancer and other human disorders. the literature contains many references on how venom and/or venom components are being used in medicine. within the united states, there are 44 subspecies of poisonous snakes. despite this rather vast diversity, 90% of the venom-related biomedical research conducted on native ...200111072040
antiretroviral prescribing patterns in the texas prison system.although the prevalence of human immunodeficiency virus (hiv) infection among prison inmates is reported to be high, little is known about anti-hiv treatment patterns in correctional institutions. the present study assessed antiretroviral prescribing patterns for 2360 texas department of criminal justice (tdcj) inmates infected with hiv. in 1998, 66.8% of all tdcj inmates infected with hiv who had cd4 lymphocyte counts < 500 cells/mm(3) were treated with highly active antiretroviral therapy (haa ...200011096015
distinct distribution of rare us genotypes of kaposi's sarcoma-associated herpesvirus (kshv) in south texas: implications for kshv epidemiology.genotypes of kaposi's sarcoma (ks)-associated herpesvirus (kshv) from patients with ks in south texas were examined. open-reading frame (orf)-k1 and orf-k15 dna segments from 16 kshv isolates were amplified by polymerase chain reaction, and kshv subtypes were assigned on the basis of sequence variations. k1 genotyping showed that 75% exhibited c subtype and 25% exhibited a subtype. k15 genotyping showed that 56% exhibited m form, of which 89% exhibited c3 k1 subtype and 44% exhibited p form. a u ...200111106539
visceral leishmaniasis in a dog from maryland.visceral leishmaniasis is a zoonotic disease that can be transmitted from dogs to humans by a sand-fly vector. endemic cases of visceral leishmaniasis among dogs in oklahoma, texas, and ohio have been reported. recent reports of visceral leishmaniasis in foxhounds in the eastern coastal states has raised new concerns about the importance of this disease in the united states.200011110461
friends and pets as companions: strategies for coping with loneliness among homeless youth.loneliness and negative health outcomes associated with being homeless and living on the streets.200011111505
rabies surveillance in the united states during 1999.during 1999, 49 states, the district of columbia, and puerto rico reported 7,067 cases of rabies in nonhuman animals to the centers for disease control and prevention, a decrease of 11.2% from 7,961 cases in nonhuman animals and 1 case in a human being reported in 1998. more than 91% (6,466 cases) were in wild animals, whereas 8.5% (601 cases) were in domestic species (compared with 92.4% in wild animals and 7.6% in domestic species in 1998). no cases of rabies were reported in human beings in 1 ...200011132881
it wasn't about race. or was it?hope barrows, a partner at the national accounting firm fuller fenton, drove to the office on sunday and swiped her access card to enter the parking garage. she noticed that another car followed her in--without using an access card. hope could see that the driver was a man, but she didn't recognize him. concerned for her safety, she got out and asked to see his id. dillon johnson, an associate at the same firm, was rushing to meet a colleague to review a client's file. seeing the garage door was ...200011143153
influenza a in a basic training population: implications for directly observed therapy.to describe our evaluation of basic trainees exposed to influenza a and our experience with mass prophylaxis.200011149067
prevention of acute otitis media by prophylaxis and treatment of influenza virus infections.human experimental challenge studies with influenza virus infection and controlled intervention trials have demonstrated beyond doubt the role of influenza virus infection in the pathogenesis of acute otitis media. influenza virus infections not only disrupt eustachian tube function, but also impair recovery from infection and facilitate attachment of bacterial pathogens to respiratory epithelial cells. immunization of young children with either inactivated or live, attenuated influenza vaccine ...200011163464
hla-restricted cd8+ cytotoxic t lymphocyte, interferon-gamma, and interleukin-4 responses to respiratory syncytial virus infection in infants and children.cd8+ cytotoxic t lymphocyte (ctl) activity, interferon (ifn)-gamma, and interleukin (il)-4 production were evaluated in a blinded manner among respiratory syncytial virus (rsv)-infected newborns and their mothers for 3 epidemic seasons. most mothers (80%) exhibited rsv-specific cd8+ ctl activity. twenty (80%) of the 26 infants exhibited significant rsv-specific ctl activity during or after their first rsv season. ctl frequency increased with rsv infection rate, reaching 75% by the end of the thi ...200111181144
implementation of a screening program for chlamydial infection in incarcerated adolescents.in collaboration with the houston department of health and human services, the authors implemented and evaluated a urine-based chlamydia screening program in incarcerated youth in harris county, texas, and assessed predictor variables for infection.200111196046
concerns of pregnant women about bing tested for hiv: a study in a predominately mexican-american population.more than 90% of pediatric acquired immune deficiency syndrome (aids) cases are due to mother-to-child (vertical) transmission. medical intervention can reduce the risk of vertical transmission human immunodeficiency virus (hiv) from 25% to less than 8%. however, studies have suggested that approximately one-fourth of women may refuse hiv testing as part of routine prenatal care. the purpose of this study was to identify concerns that pregnant women might have that would impact their decision to ...200111224934
prevalence of antibodies to sin nombre virus in humans living in rural areas of southern new mexico and western texas. 200111226584
characterization of a novel autosomal dominant bleeding disorder in a large kindred from east texas.a large east texas family with autosomal dominant inheritance of a novel bleeding disorder has been identified. the disorder is characterized clinically by easy bruising, life-threatening bleeding with trauma or surgery, and menorrhagia in affected women. laboratory studies demonstrated prolongation of the prothrombin time and activated partial thromboplastin time in affected individuals. paradoxically, assays of known coagulation factors are all within normal limits. to determine the molecular ...200111238089
gross anatomy course content and teaching methodology in allied health: clinicians' experiences and recommendations.the purpose of this study was to sample the experiences and recommendations of clinicians in allied health fields about gross anatomy courses. the objective was to determine if practicing clinicians recommended a course in gross anatomy, and, if so, their recommendations for course content and teaching methodology. questionnaires were mailed to a random selection of occupational therapists (ots), physician assistants (pas), and physical therapists (pts) licensed in the state of texas. in additio ...200111241751
health professional students' occupational exposures to blood-borne pathogens: primary and secondary prevention strategies.health science students, along with the health professionals they hope to become, are at increased risk for certain occupational injuries and illnesses. one of these risks is occupational exposure to blood-borne pathogens, such as human immunodeficiency virus (hiv) and hepatitis, which may result in severe illnesses or even death. two case studies demonstrate postexposure care of exposed individuals at the university of texas medical branch student health services before and after policy changes ...200111272627
the phylogenetics of mycotoxin and sclerotium production in aspergillus flavus and aspergillus oryzae.aspergillus flavus is a common filamentous fungus that produces aflatoxins and presents a major threat to agriculture and human health. previous phylogenetic studies of a. flavus have shown that it consists of two subgroups, called groups i and ii, and morphological studies indicated that it consists of two morphological groups based on sclerotium size, called "s" and "l." the industrially important non-aflatoxin-producing fungus a. oryzae is nested within group i. three different gene regions, ...200011273679
a major locus for fasting insulin concentrations and insulin resistance on chromosome 6q with strong pleiotropic effects on obesity-related phenotypes in nondiabetic mexican americans.insulin resistance and hyperinsulinemia are strong correlates of obesity and type 2 diabetes, but little is known about their genetic determinants. using data on nondiabetics from mexican american families and a multipoint linkage approach, we scanned the genome and identified a major locus near marker d6s403 for fasting "true" insulin levels (lod score 4.1, empirical p<.0001), which do not crossreact with insulin precursors. insulin resistance, as assessed by the homeostasis model using fasting ...200111283790
encephalopathy associated with respiratory syncytial virus bronchiolitis.respiratory syncytial virus is an extremely common cause of childhood respiratory infections resulting in significant morbidity and mortality. although apnea is a well-known complication in young infants with respiratory syncytial virus bronchiolitis, the encephalopathy associated with this infection is not well recognized. our study reveals an incidence of encephalopathy of 1.8% in a total of 487 patients with respiratory syncytial virus bronchiolitis studied over a period of almost 4 years. se ...200111292214
a molecular analysis of dietary diversity for three archaic native americans.dna was extracted from three fecal samples, more than 2,000 years old, from hinds cave, texas. amplification of human mtdna sequences showed their affiliation with contemporary native americans, while sequences from pronghorn antelope, bighorn sheep, and cottontail rabbit allowed these animals to be identified as part of the diet of these individuals. furthermore, amplification of chloroplast dna sequences identified eight different plants as dietary elements. these archaic humans consumed 2-4 d ...200111296282
systemic sclerosis in 3 us ethnic groups: a comparison of clinical, sociodemographic, serologic, and immunogenetic determinants.to determine whether ethnic factors influence the presentation, serologic expression and immunogenetics of systemic sclerosis (ssc), patients from 3 ethnic groups were compared for clinical features, ssc-associated autoantibodies, and human leukocyte antigen (hla) class ii alleles.200111303306
development and assignment of bovine-specific pcr systems for the texas nomenclature marker genes and isolation of homologous bac probes.in 1996, popescu et al. published the texas standard nomenclature of the bovine karyotype in which 31 marker genes, already mapped in man, were chosen to permit unambiguous identification and numbering of each bovine chromosome. however, specific pcr systems were not available for each marker gene thus preventing the assignment of part of these markers by somatic cell hybrid analysis. in addition, some difficulties remained with the nomenclature of bta25, bta27 and bta29. in this work, specific ...200111333834
passive ozone network of dallas: a modeling opportunity with community involvement. 1.despite tremendous efforts toward regulating and controlling tropospheric ozone (o3) formation, a large portion of the u.s. population presently lives in environments where air quality exceeds both 1- and 8-h national ambient air quality standards (naaqs) set for o3. high o3 concentrations annually cost the united states billions of dollars in excessive human health costs, reduced crop yields, and ecological damage. this paper describes a regional networking of o3 monitoring sites, operated by t ...200111351526
factors contributing to delayed diagnosis of hiv-infected women and their children in south texas.preliminary results from a previous study at a family human immunodeficiency virus (hiv) clinic in south texas indicated that hiv-positive (hiv+) children from small communities were usually infected and often symptomatic at the time of referral. the current study evaluated rates of vertical transmission and factors that contributed to delayed diagnosis of hiv for 82 children born to hiv-infected women in south texas. children from smaller metropolitan statistical areas (msas) were infected more ...199511361386
houston man with aids loses job after co-workers vote to expel him.an employee sued a houston machine shop that held a companywide vote culminating in the firing of the employee because he had aids. the lawsuit contended that the employee was able to perform his duties at the shop and that the shop had violated the texas health and safety code by disclosing his aids illness to his co-workers without his consent. the equal employment opportunity commission (eeoc) found that all the evidence indicated that the sole reason for the employee's firing was due to his ...199511362240
court rejects claim that hiv evidence was inadmissable.the texas court of appeals, rejecting the contention that hiv infection evidence was inappropriate in this case, upheld a 25-year sentence imposed on an hiv-positive man who engaged in oral sex with an 8-year-old boy. stephen joe sellers' wife baby-sat the boy several times in 1989. on one of those occasions, sellers forced oral sex on the boy and demanded the boy reciprocate. sellers argued that the trial judge should have withheld information about his hiv status from the jury. the court rejec ...199611363503
court affirms $234,000 verdict against free-spending caregiver.lawrence white, a man with aids, transferred his inherited money to his live-in caregiver, clortis roberts. white executed a power of attorney in roberts' favor, and made her executrix of his will. one month after roberts spent white's inheritance, she ordered him out of her home. white sued roberts for breach of fiduciary duty, conversion, and fraud in a harris county, tx, court. white was awarded actual and exemplary damages. on appeal, roberts argued that there was insufficient evidence to su ...199611363683
houston authorizes presentation of hiv videos in city jails.the houston city council voted to begin showing hiv prevention videos in city jails. the city's health and human services department determined that inmates need the information but the plan was challenged by critics within the city council and some citizens of the houston area. a study found six percent of inmates in the county jail tested positive for hiv, compared to less than one percent of the population as a whole.199711364231
court says hiv-infected penis, semen are deadly weapons.the texas court of appeals, 3rd district, upheld the conviction of an hiv-positive man charged with using his penis and semen as deadly weapons. jose fonesca najera was convicted by a jury for aggravated sexual assault and indecency with a child and is currently serving life in prison. najera had sex with the 16-year-old victim, known as maria e, and forced a young boy living at his house, oscar p., to have sex with her as well. during the appeal, attorney carlos garcia claimed that the state fa ...199711364899
thurman cool to names reporting, backs needle swaps.at the national aids update conference, white house aids policy director sandra thurman stated that she is unconvinced that names reporting is essential to track the spread of the aids epidemic. health and human services secretary donna shalala shares the view. thurman feels that people will be discouraged from providing names due to fears of exposure, discrimination, and stigmatization. the centers for disease control and prevention (cdc), whose guidelines are now three months late, was critici ...199811365309
prison scam.an inmate, steven jay russell, fooled the texas board of pardons and paroles into granting him an early special needs parole last october. russell supplied documents indicating that he was dying of aids, and the board granted the parole after finding that he was physically incapacitated. the parole was revoked after he was seen walking. however, further records indicated that russell's condition had worsened, and after serving two years of a 45-year sentence for theft, he was given a 14-day pass ...199811365318
no error found in exclusion of rape victim's hiv infection.an appeals court upheld a texas judge's decision to exclude the hiv status of a woman during the trial of a man convicted of raping her. carlious edward shoate was convicted of aggravated sexual assault, sentenced to 10 years in prison, and fined $5,000. on appeal, shoate claimed that evidence showing the woman was hiv-positive should have been allowed because it indicated that she may have engaged in the sexual acts for money. a lower court barred the introduction of the woman's illness prior t ...199811365448
vaccine to prevent aids.the university of texas medical branch (utmb) is the first texas site to test an hiv vaccine. the effectiveness of the vaccine in preventing hiv is being studied, but it cannot give a person aids; it is genetically engineered and therefore contains copies of proteins normally found on the surface of the virus. the vaccine has already been tested for safety in animals. this vaccine and a similar formulation have been given to more than 1,200 human volunteers, with no serious side effects reported ...199911366234
napwa applauds ruling.the health care finance administration (hcfa) has reversed a previous statement concerning medicaid reimbursement for serostim, the first biotechnology drug to be approved for treatment of aids wasting. the original ruling said serostim could be a drug used for cosmetic weight gain. this gave states the right to refuse medicaid reimbursement when the drug was used in treating aids wasting. however, after efforts by the national association for people with aids, in concert with serono laboratorie ...199911366312
hcfa reverses ruling on aids wasting treatment. health care financing administration.the texas health care financing administration (hcfa) had denied medicaid coverage of serostim as a cosmetic treatment, but reversed that decision following a food and drug administration (fda) letter that said the drug was approved for aids wasting. the drug, produced by serono laboratories, is used as a treatment for aids wasting, which is a contributing factor in the death rate of patients with aids. serostim is a human growth hormone which causes a significant increase in lean body mass and ...199911366412
after protests, hcfa requires coverage of anti-wasting drug. health care financing administration.the u.s. health care financing administration (hcfa) reversed an earlier decision and ruled that texas cannot deny medicaid coverage for serostim, the first biotechnology drug approved for aids wasting. hcfa previously ruled that serostim was used for cosmetic weight gain, but now agrees that the drug has many clinical benefits against wasting. the national association of people with aids pressed for the policy reversal. texas had argued that section 1927 of the social security act denied medica ...199911366530
failed bias-by-association lawsuit costs plaintiff $29,000.u.s. district judge joe kendall ruled that the plaintiff's discrimination lawsuit was filed frivolously, and that he had to pay his former employer more than $29,000 for attorney's fees incurred in its defense against the lawsuit. the plaintiff was unable to show that charter furniture rental inc. was aware of his sexual orientation or his partner's aids-related illness. the plaintiff made every effort to conceal his homosexuality. he claimed his live-in partner was just a roommate. the plaintif ...199911366535
insurance scam.twenty-eight people with hiv or aids were indicted in dallas for lying about their medical status to obtain life insurance and then selling those policies through a viatical settlement arrangement conducted by an insurance company. forgery and fraud indictments were obtained against three insurance brokers and agents and michael lee davis, the vice president of southwest viatical inc. people working with davis arranged for the purchase of $12 million in insurance policies for applicants even tho ...199911366600
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