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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
prevalence of neuroendocrine dysfunction in patients recovering from traumatic brain injury.although hypopituitarism is a known complication of head injury, it may be underrecognized due to its subtle clinical manifestations. the nonspecific symptoms may be masked by and may contribute to the physical and psychological sequelae of brain trauma. this study examines the prevalence of neuroendocrine abnormalities in patients rehabilitating from traumatic brain injury. seventy adults (mean age, 31.5 +/- 1.1 yr; range, 18--58; 46 men and 24 women) with traumatic brain injury an average of 4 ...200111397882
water hardness and sodium trends in texas aquifers.median hardness and sodium levels in groundwater were calculated for 244 texas counties from measurements at 7728 water wells. the data were mapped and analyzed with a geographic information system (gis). county median hardness levels varied widely, from 4-2304 mg l-1. more than 60% of the counties had hardness medians above 180 mg l-1. county medium sodium concentrations ranged from 6-1170 mg l-1, with more than 90% of those values exceeding 20 mg l-1. there was a significant positive correlati ...200111411143
relationships and diseases among drug users and nonusers.human immunodeficiency virus (hiv) and syphilis are relationship-based diseases that are typically transmitted by the cooperative activities (sex or drug injection) of two persons. a sample of 215 drug users and 52 sociodemographically matched nonusers was collected to examine the behaviors and relationships related to hiv and syphilis transmission. results showed that, although drug users had more risk opportunities (more sex partners and, of course, more injection partners) than nonusers, actu ...200111421249
the contribution of ethnicity to mycobacterium tuberculosis strain clustering.descriptive study of molecular epidemiologic patterns of tuberculosis cases among ethnic minorities in houston, texas.200111469256
hepatitis c virus infection-related morbidity and mortality among patients with human immunodeficiency virus infection.hepatitis c virus (hcv) has emerged as a major pathogen among patients with human immunodeficiency virus (hiv). morbidity and mortality were compared among 263 patients with hiv alone, 166 patients with hiv and hcv, and 60 patients with hcv alone (mean duration of follow-up, 2 years and 10 months). no differences in hiv loads and cd4 cells counts were observed between the hiv and hiv/hcv groups. alanine aminotransferase levels were higher (52 u/l versus 35 u/l; p<.05) and albumin levels were low ...200111418885
mother-to-child transmission of the human immunodeficiency virus in texas.the pediatric spectrum of hiv diseases (psd) project has been collecting data on hiv-exposed children in texas since 1989. these data have now been analyzed to describe mother-to-child transmission in texas and to provide much needed information on the magnitude of the pediatric hiv epidemic in the state.200111419503
hiv incidence among young men who have sex with men--seven u.s. cities, 1994-2000.twenty years after the first report on human immunodeficiency virus (hiv) infection in the united states, studies of sexually transmitted diseases (stds) and sexual behaviors suggest a resurgent hiv epidemic among men who have sex with men (msm). however, few recent studies have measured hiv incidence in this population. to determine hiv incidence among young msm, cdc analyzed data from the young men's survey (yms), a study that found a high prevalence of hiv and associated risks among msm aged ...200111475380
the price of progress. getting insurers to cover new procedures is often difficult. 200111430199
initial results of environmental monitoring in the texas rio grande valley.previous studies have suggested that a segment of human disease may be attributable to environmental exposures. these may include exposure to chemicals released from a broad range of natural and man-made sources. the purpose of this study was to develop the sampling methodology and prepare a preliminary database on the presence of various organic chemicals in environmental media in two south texas counties bordered by the rio grande river. a third county, located approximately 150 miles north of ...200111485214
human cytomegalovirus a sequence and ul144 variability in strains from infected children.human cytomegalovirus (hcmv) displays genetic polymorphisms. this variability may contribute to strain-specific tissue tropism and disease expression in hcmv-infected humans. to determine strain variability in a sequence and ul144 gene regions, 51 low-passage isolates from 44 hcmv-infected children were studied. isolates were obtained from 28 healthy children attending child care centers in iowa and from 16 congenitally infected infants born in texas. isolates demonstrated substantial nucleotide ...200111505449
tuberculosis in the foreign-born population of tarrant county, texas by immigration status.the epidemiology of tuberculosis is changing in the united states as a result of immigration, yet the extent to which different classes of immigrants contribute to overall morbidity is unknown. tuberculosis in nonimmigrant visitors is of particular interest as they are currently exempt from screening requirements. we conducted a prospective survey of all culture-positive tuberculosis patients in tarrant county, texas from 1/98 to 12/00. immigration status of foreign-born patients was classified ...200111587977
seroprevalence of kaposi's sarcoma-associated herpesvirus infection among blood donors from texas.kaposi's sarcoma-associated herpesvirus (kshv), a gammaherpesvirus recently discovered among aids patients with kaposi's sarcoma, is a potential candidate for screening in blood and plasma donors. while a number of studies have assessed kshv infection among u.s. blood donors, larger-scale population-based studies would be necessary to develop more refined estimates of the magnitude and variation of kshv infection across different geographic regions of the u.s. blood supply. the goal of the prese ...200111557184
usefulness of cardiorespiratory fitness as a predictor of all-cause and cardiovascular disease mortality in men with systemic hypertension.there is an inverse gradient of mortality across levels of cardiorespiratory fitness in healthy adults; however, the association of fitness to mortality in persons with comorbidities such as hypertension is not fully understood. this study quantifies the relation of cardiorespiratory fitness to all-cause mortality and cardiovascular disease (cvd) mortality in hypertensive men. in this observational cohort study, we calculated death rates for low, moderate, and high fitness categories in normoten ...200111564389
sample exchange to compare insulin measurements between the san antonio heart study and the framingham offspring study.lack of assay standardization has precluded cross-study comparison of insulin levels. we exchanged blood samples between the san antonio heart and framingham offspring studies to compare insulin measurements. two randomly selected specimens were chosen for each non-diabetic man and woman in each of the bottom four quintiles and top two deciles of the originally assayed fasting and 2-hour post-challenge insulin distributions: 48 plasma samples from framingham, and after further stratification by ...200111576815
man sentenced in case hinging on fetal rights. 199611647508
an organ donation offer on death row is refused. 199811647655
empowerment, span of control, and safety performance in work teams after workforce reduction.relationships of empowerment and span of control with 2 safety measures (unsafe behaviors and accidents) were investigated among 24 workgroups comprising 531 employees of a large chemical company in 3 u.s. states. the company recently implemented a reengineering process. data were from an anonymous survey (unsafe behaviors), company records (accidents, span of control), and trained expert raters (empowerment). span of control (positively) and level of empowerment (negatively) correlated with bot ...200111605822
mother v. her unborn child: where should texas draw the line? 198711649225
chaney v. heckler.eight prison inmates under death sentence in texas and oklahoma brought suit claiming that the use of certain drugs for execution by lethal injection without approval by the food and drug administration violated the federal food, drug, and cosmetic act. in overturning a lower court ruling, the u.s. court of appeals held that the fda had improperly refused to exercise its enforcement discretion to determine the safety and effectiveness of the drugs for lethal injection. as a result, the prisone ...198311648203
difficult decisions: ethics and aids. 199111652311
logic, law and abortion. 199211652613
abortion, personhood, and privacy in texas. 199011656019
texas man pleads guilty to using hiv as a deadly weapon. 200111668829
a decision-theoretic reconstruction of roe v. wade. 199111656064
passive ozone network of dallas: a modeling opportunity with community involvement. 2.attaining the current lower tropospheric u.s. ozone standards continues to be a difficult task for many areas in the u.s. concentrations of ozone above the standards negatively affects human health, agricultural crops, forests, and other ecosystem elements. this paper describes year two (1999) of a regional networking of passive and continuous ozone monitoring sites in the dallas-fort worth (dfw) metroplex region. the objectives of the second year of study were to (1) validate conclusions of the ...200111757597
linkage of high-density lipoprotein-cholesterol concentrations to a locus on chromosome 9p in mexican americans.high-density lipoproteins (hdls) are anti-atherogenic lipoproteins that have a major role in transporting cholesterol from peripheral tissues to the liver, where it is removed. epidemiologic studies have shown that low levels of high-density lipoprotein-cholesterol (hdl-c) are associated with an increased incidence of coronary heart disease and an increased mortality rate, indicating a protective role of high concentrations of hdl-c against atherogenesis and the development of coronary heart dis ...200211743583
no more on-time delivery. 200111762089
suicide and assisting suicide: a critique of legal sanctions. 198211658640
the woman's right of privacy. 197311660987
genotype by smoking interaction for leptin levels in the san antonio family heart study.recent studies reported a marked inverse effect of smoking on serum levels of leptin (an adipocyte derived protein), offering a possible explanation for variation in body weight between smokers and non-smokers. the goal of this study was to examine the genetic architecture of the response to smoking in leptin levels using data from the san antonio family heart study. we employed a variance decomposition analysis using maximum likelihood methods to model genotype by smoking interactions for lepti ...200211788957
molecular characterization of a novel recombinant strain of human astrovirus associated with gastroenteritis in children.we report a naturally occurring human astrovirus (hastv) strain detected in two different geographic locations. we identified two isolates of this strain in a diarrhea outbreak at a child care center in houston, texas; and two isolates in diarrhea stool samples from two children in mexico city. all four isolates were detected in stool samples by enzyme immunoassay (eia). one of the mexican isolates was typed by eia and all four isolates were hastv-5 by typing rt-pcr. the four isolates were >97% ...200111811685
texas medicine. rounds. hhs to fund ut-san antonio research on u.s.-mexico border health care. 200111767460
man convicted of viatical fraud wins reduction in restitution. 200211905173
rabies surveillance in the united states during 2000.during 2000, 49 states, the district of columbia, and puerto rico reported 7,364 cases of rabies in nonhuman animals and 5 cases in human beings to the centers for disease control and prevention, an increase of 4.3% from 7,067 cases in nonhuman animals reported in 1999. ninety-three percent (6,855 cases) were in wild animals, whereas 6.9% (509 cases) were in domestic species (compared wth 91.5% in wild animals and 8.5% in domestic species in 1999). compared with cases reported in 1999, the numbe ...200111767918
complying with the health insurance portability and accountability act. privacy standards.the privacy rule: limits the use and disclosure of phi to purposes of treatment, payment, or routine health care operations. requires covered entities to provide advance notice to the public of its policy governing disclosure of phi. requires entities covered by the standard to secure general client consent to use and to disclose phi for treatment, payment, or routine health care operations and to obtain specific client authorization to use or to disclose phi for all other purposes unless the di ...200111760704
common deletion of smad4 in juvenile polyposis is a mutational hotspot.juvenile polyposis (jp) is an autosomal dominant syndrome in which affected patients develop upper- and/or lower-gastrointestinal (gi) polyps. a subset of families with jp have germline mutations in the smad4 (madh4) gene and are at increased risk of gi cancers. to date, six families with jp have been described as having the same smad4 deletion (1244-1247delagac). the objective of the present study is to determine whether this deletion is a common ancestral mutation or a mutational hotspot. dna ...200211920286
vitamin k deficiency. the waterbirth and hospitalization of amanda. 200011984900
exploring large employers' and small employers' knowledge, attitudes, and practices on breastfeeding support in the workplace.human resource professionals from different industries participated in focus groups in austin, texas. from a social marketing perspective, employers' knowledge, attitudes, and practices in providing breastfeeding support for lactating employees were explored. employers knew about the benefits of breastfeeding for mothers and children. however, they did not place a high priority on providing breastfeeding support. employers identified the barriers to and motivators for providing breastfeeding sup ...200111847850
to err is human: iom report implications. 200011949092
ethnic divergence and linkage disequilibrium of novel snps in the human nli-if gene: evidence of human origin and lack of association with tuberculosis susceptibility.sequence variation in the human genome has been used as a tool in studying human diseases and the evolutionary history of man. a human inherited predisposition to tuberculosis has been suggested and studied; however. genetic mechanisms are still ambiguous. in the present study, we scanned the regulatory and coding region of nuclear lim interactor-interacting factor gene (nli-if), which is physically close to the tuberculosis-associated gene nramp1. thirteen biallelic single-nucleotide polymorphi ...200211950066
tropical storm allison rapid needs assessment--houston, texas, june 2001.on june 5, 2001, tropical storm allison made landfall on galveston island, texas. during the next 2 days, the system soaked much of southeast texas and south-central louisiana with more than 10 inches of rain as it moved slowly northward. on june 7, the storm made a clockwise loop back to the southwest, bringing even more rain to already drenched areas. the record rainfall caused billions of dollars in flood-related damage and approximately 25 deaths and led to a presidential disaster, declarati ...200212018382
a possible trend suggesting increased abuse from coricidin exposures reported to the texas poison network: comparing 1998 to 1999.coricidin products seemed to be one of the over-the-counter medications being reportedly abused by adolescents, as observed from the texas poison center network data. this retrospective chart review investigated the occurrence of abuse, developed a patient profile, and defined the clinical effects resulting from the abuse of coricidin products. data collected from the texas poison center network toxic exposure surveillance system database included human exposures between 1998 and 1999, patients ...200212046973
geographic association of rickettsia felis-infected opossums with human murine typhus, texas.application of molecular diagnostic technology in the past 10 years has resulted in the discovery of several new species of pathogenic rickettsiae, including rickettsia felis. as more sequence information for rickettsial genes has become available, the data have been used to reclassify rickettsial species and to develop new diagnostic tools for analysis of mixed rickettsial pathogens. r. felis has been associated with opossums and their fleas in texas and california. because r. felis can cause h ...200212023908
roe v. wade. 22 jan 1973. 197312038376
presence of the human leukocyte antigen class ii gene drb1*1101 predicts interferon gamma levels and disease recurrence in melanoma patients.increased interferon gamma (ifn-gamma) levels are an independent predictor of melanoma recurrence. human leukocyte antigen (hla) class ii genes can regulate cytokine production; we investigated whether these genes would predict ifn-gamma levels and recurrence in melanoma patients.200212095976
prenatal hiv testing in private ob-gyn practices in texas.this study evaluates the prenatal human immunodeficiency virus (hiv) testing behaviors of private obstetrics and gynecology practitioners in texas. a statewide telephone survey of 614 providers of prenatal care determined the level of hiv testing, how testing is offered, and patient acceptance of the test. ninety-nine percent of the practices offered hiv testing to all their pregnant patients, and 96% of the practices included hiv testing in the routine panel of tests for pregnant patients. more ...200212043395
"managing the unmanageable" the u.s. department of health and human services, 1989-1993.the author served as the 17th u.s. secretary of health and human services, from march 1, 1989 until january 20, 1993. the department had 250 programs and 38 percent of the expenditures of the federal government ($600.0 billion), the fourth largest budget in the world. the history of the department included the fact that the tenure of previous secretaries had ranged from only eight months up to 37 months, and had averaged 27.5 months, resulting in the view that the department was unmanageable. th ...200212053720
prevalence of visual symptoms among patients with newly diagnosed cytomegalovirus retinitis.to determine the prevalence and type of visual symptoms among human immunodeficiency virus (hiv)-positive patients with newly diagnosed cytomegalovirus (cmv) retinitis.200212055459
transmission of drug-resistant tuberculosis in texas and mexico.to examine the transmission of drug-resistant (dr) tuberculosis between texas and mexico, mycobacterium tuberculosis isolates resistant to one or more of the first-line antimycobacterial drugs were obtained from 606 patients who resided in texas and 313 patients who resided in mexico, primarily within the state of tamaulipas. the isolates were genotyped by is6110-based restriction fragment length polymorphism (rflp) analysis and spoligotyping. of the 919 isolates genotyped, 413 (45%) grouped int ...200212149319
epstein-barr virus in gastric adenocarcinomas: association with ethnicity and cdkn2a promoter methylation.it has been shown previously (by immunohistochemistry) that gastric adenocarcinomas harbouring epstein-barr virus (ebv) frequently lose p16 protein. this study aimed to examine the mechanisms of inactivation of the cdkn2a gene and correlate the results with clinicopathological features.200212194996
downregulation of metabolic gene expression in failing human heart before and after mechanical unloading.we have previously shown that several metabolic genes are downregulated in the failing human heart. we now tested the hypothesis that mechanical unloading might reverse this process.200212145475
high prevalence of human herpesvirus 8 (hhv-8) infection in south texas children.human herpesvirus 8 (hhv-8), also known as kaposi's sarcoma-associated herpesvirus, is etiologically associated with kaposi's sarcoma and other rare malignancies. hhv-8 infection is common in certain areas of africa and italy, but occurs in only 0-15% of populations in north america and europe. the epidemiology and prevalence of hhv-8 infection among children in the united states has not been determined, but is assumed to be low based on limited studies. the objective of this study was to determ ...200212116002
the impact of influenza in children.the highest infection rates with influenza virus occur in young children because of their lack of prior immunity and prior exposure to the virus. most children with influenza virus infection are healthy otherwise. previously healthy children who have influenza in their first year of life have a substantial risk for developing serious disease. an underlying chronic medical condition further increases this risk. infants, young children, and children with underlying conditions have the highest rate ...200212122955
low-income minority women at risk for cervical cancer: a process to improve adherence to follow-up recommendations.the houston department of health and human services (hdhhs) has a centralized process for notifying and setting up follow-up appointments for women with abnormal pap smears who are clients of hdhhs health centers. faculty and a student from the university of texas school of public health and hdhhs personnel jointly conducted a study to evaluate the process and performance of the system.200112196621
a collaborative program between a school of public health and a local health department to increase hiv testing of pregnant women.this study evaluates the effectiveness of a continuing medical education (cme) program that sought to increase hiv testing of women attending maternity clinics of the city of houston department of health and human services (hdhhs). the cme program consisted of 14 training sessions given in 1995, 1996, 1997, 1999, and 2000. educational objectives included increasing patient knowledge of hiv perinatal testing, increasing patient appreciation of the importance of hiv testing, and developing staff s ...200112196618
the sam and ann barshop center for longevity and aging studies: the university of texas health science center at san antonio.the sam and ann barshop center for longevity and aging studies is a focal point for advanced research designed exclusively to study the genes involved in aging and the diseases of aging. the research performed at the barshop center is based on a solid foundation of nearly twenty-five years of aging research at the university of texas health science center at san antonio. internationally recognized scientists in aging are now leading innovative research programs using state-of-the-art technologie ...200212213546
mycobacterium simiae pseudo-outbreak resulting from a contaminated hospital water supply in houston, texas.various species of nontuberculous mycobacteria are known to cause nosocomial pseudo-outbreaks, but there have been no detailed reports of nosocomial mycobacterium simiae pseudo-outbreaks. from april 1997 through february 2001, we recovered 65 m. simiae isolates from 62 patients at a community teaching hospital in houston, texas. the organism was grown in various water samples obtained in the hospital building and in professional building 1 but not in professional building 2, which has a separate ...200212228816
5' dinucleotide repeat polymorphism of nramp1 and susceptibility to tuberculosis among caucasian patients in houston, texas.houston tuberculosis initiative (hti) and baylor college of medicine, houston, texas.200212234138
ergonomics & retention.the visiting nurse association of texas found that the impact of repetitive motion injuries on their office staff was costing them almost $200,000 a year. they formed a committee to design a cumulative trauma disorder prevention program. since that time repetitive motion injuries have decreased dramatically and the program has assisted in staff retention.200212244808
fimbrial prosthesis trials continue.simultaneous experiments with laboratory animals in leuven, belgium, and san antonio, texas, are being conducted to test an experimental fimbrial prosthesis for temporary or reversible female sterilization. results so far indicate that the prosthesis succeeds in preventing pregnancy. 1 experimenter hopes to apply the prosthesis to and remove it from human fallopian tubes via minilaparotomy. such a device would be highly acceptable in family planning programs if an 80% reversibility could be d ...197912261371
long-term variation in mercury concentrations in estuarine organisms with changes in releases into lavaca bay, texas.mercury releases into lavaca bay resulted in public health notices and a fishing closure for crabs and finfish. mercury containing wastewater discharges were halted in 1970, but sediments were contaminated with mercury. the sediments are a source of mercury to the benthic food web via methylation. mercury in water column feeding organisms has decreased markedly. concentrations in benthic food web organisms remain elevated. human consumption concerns for oysters have ended, but a closure for fish ...200212269483
potential labor force supply and replacement in mexico and the states of the mexican cession and texas: 1980-2000."the purpose of this article is to carry forward the examination of potential labor force supply and replacement of men in mexico into the 1980-1990 and 1990-2000 decades so that the possible future course of international migration between that country and the united states may be better anticipated. in addition, to provide a degree of developmental perspective, trends in potential labor force supply and replacement in mexico since 1930-40 are presented." as a contrast, "ratios of potential l ...198312279723
[american policy (1986-1989): results and limits].although the american program to legalize illegal immigrants succeeded in giving legal status to over 3 million foreigners between 1987-88, the experience contributes to understanding of the limitations in a state's ability to control illegal immigration. some part of the illegal population entitled to legalization failed to apply to 1 of the 110 offices opened for the purpose, but the proportion is debatable because in the us as elsewhere the exact numbers and characteristics of the illegal po ...199012283120
sharing the earth: case studies on population, wildlife, and the environment.in 1988 the national audubon society's population program began to develop a joint project on the issues of human population growth and wildlife management by comparing sites in the united states and overseas to identify actions necessary for a sustainable ecosystem. eight us sites were matched with eight sites in other countries. the audubon wildlife managers visited their partners' international settings and then hosted their counterparts at their own sanctuaries in the us. all sites involv ...199412290864
clinton repeals antiabortion policies as activists map out new strategies.on the 20th anniversary of the roe v. wade decision and 2 days after being sworn in (january 20, 1993), president clinton signed memoranda which reversed years of antiabortion policies. these actions began workings to repeal the gag rule, reversed the mexico city policy, allowed privately paid abortions in military hospitals, permitted fetal tissue transplantation research, and directed the us food and drug administration to review the scientific basis for the import ban on ru-486 and us depart ...199312286087
milton v. cary medical center, 22 february 1988.in maine, the parents of a viable fetus brought a wrongful death action charging a hospital and physician with negligence resulting in the death of the fetus. the court held that, for the purposes of the state's wrongful death statute, a fetus is not a person and that the action could not be maintained. in 1988, other us courts reached the following decisions: 1) a viable fetus is not a human being as defined by the aggravated vehicular homicide statute of kansas (state vs. trudell); 2) there ...198812289582
family timing in late adolescence and early adulthood: the case of southern males.a model of processes underlying marriage and family timing were applied to longitudinal data on 288 young adult males from the southern youth study. the purpose was to assess the implications which adolescent status and familial orientations may hold for patterns of family formation and expansion. the subjects were selected from nonmetropolitan high schools in alabama, georgia, texas, and south carolina. initial contact was made in the sophomore year (1966-1967) when family background and sig ...198112310209
syringe type and drug injector risk for hiv infection: a case study in texas.studies of accidental needlestick exposure to blood containing human immunodeficiency virus (hiv) have shown that the volume of blood in an exposure is a strong predictor of subsequent infection. illicit drug injectors, a group at elevated risk for hiv transmission, use syringes manufactured in two styles, one of which (the integral cannula type) retains substantially less blood after intravenous use than the other (the detachable needle type). in this report, we examine some of the factors asso ...200212365524
combination of antibodies shown to block transmission of hiv-like virus across mucous membranes. vertical transmission.researchers at the dana-farber cancer institute suggest the use of combined antibodies to block transmission of hiv-like virus across the mucous membranes. this passive immunization, wherein a combination of 3 potent human antibodies is administered shortly before delivery and after birth, aims to reduce the transmission of the virus. this method was first tested on monkeys who were exposed to a virus containing parts of the human and monkey aids viruses. it was observed that throughout the 6 ...200012295706
patterns of household immigration into south texas.this article examines mexican migration into south texas in recent decades and focuses on changes in the characteristics of the migrants' households. an ethnographic approach is used in examining 56 permanent, immigrant households. "this article introduces a hypothesis for explaining the increase and permanency of household immigration." it is found that "immigration often leads to downward social mobility with respect to legal status of household members, type of employment, and property own ...198712314666
sink or swim: population pressures threaten the nation's water.since 1974, water in the us has been regulated through federal statutes such as the clean water act and the safe drinking water act, which set standards for water quality. usage regulations vary by state. the states of texas, arizona, kansas, and iowa use the "right to capture" as the basis of usage. this means any one can draw as much water as desired without cost or consideration for others' needs. this unrestricted use of water has resulted in the siphoning off of water from the colorado rive ...199512346511
laparoscopic versus open retroperitoneal lymph node dissection: a cost analysis.laparoscopic retroperitoneal lymph node dissection is significantly less morbid than open retroperitoneal lymph node dissection but it is generally more costly due to longer operative time and disposable equipment. in response to budgetary pressure at our large county hospital we identified the cost components of laparoscopic retroperitoneal lymph node dissection that could be targeted to decrease procedure costs before expanding our laparoscopic retroperitoneal lymph node dissection program.200212394682
comparison of active and passive surveillance for cerebrovascular disease: the brain attack surveillance in corpus christi (basic) project.to provide a scientific rationale for choosing an optimal stroke surveillance method, the authors compared active surveillance with passive surveillance. the methods involved ascertaining cerebrovascular events that occurred in nueces county, texas, during calendar year 2000. active methods utilized screening of hospital and emergency department logs and routine visiting of hospital wards and out-of-hospital sources. passive means relied on international classification of diseases, ninth revisio ...200212446264
rabies surveillance in the united states during 2001.during 2001, 49 states and puerto rico reported 7,437 cases of rabies in nonhuman animals and 1 case in a human being to the centers for disease control and prevention, an increase of < 1% from 7,364 cases in nonhuman animals and 5 human cases reported in 2000. more than 93% (6,939 cases) were in wild animals, whereas 6.7% (497 cases) were in domestic species (compared with 93.0% in wild animals and 6.9% in domestic species in 2000). the number of cases reported in 2001 increased among bats, cat ...200212494966
determination of the occurrence of arcobacter butzleri in beef and dairy cattle from texas by various isolation methods.arcobacter butzleri is a pathogenic bacterium that has been found in dairy cattle, pigs, poultry, and humans. as of this writing, there are no data on the incidence of a. butzleri in beef cattle. given the differences in rearing practices used for feedlot cattle and those used for dairy cattle, differences in the incidences of this organism in various types of cattle may also exist. numerous culture methods have been used to isolate a. butzleri, but there are few data on the comparative efficaci ...200212495000
building the legal foundation for an effective public health system.work has been underway nationally since the mid-1990s to equip state and community public health systems with the infrastructure needed to perform essential public health services. key components of that infrastructure are a competent workforce, information and communication systems, health department and laboratory capacity, and legal authorities. as part of this transformative work, standards and assessment tools have been developed to measure the capacity and actual performance of public heal ...200212508502
lack of p21(cip1) dna methylation in acute lymphocytic leukemia. 200212412576
texas lifestyle limits transmission of dengue virus.urban dengue is common in most countries of the americas, but has been rare in the united states for more than half a century. in 1999 we investigated an outbreak of the disease that affected nuevo laredo, tamaulipas, mexico, and laredo, texas, united states, contiguous cities that straddle the international border. the incidence of recent cases, indicated by immunoglobulin m antibody serosurvey, was higher in nuevo laredo, although the vector, aedes aegypti, was more abundant in laredo. environ ...200312533286
the u.s.-mexico border infectious disease surveillance project: establishing bi-national border surveillance.in 1997, the centers for disease control and prevention, the mexican secretariat of health, and border health officials began the development of the border infectious disease surveillance (bids) project, a surveillance system for infectious diseases along the u.s.-mexico border. during a 3-year period, a binational team implemented an active, sentinel surveillance system for hepatitis and febrile exanthems at 13 clinical sites. the network developed surveillance protocols, trained nine surveilla ...200312533288
adult blood lead epidemiology and surveillance--united states, 1998-2001.elevated blood lead levels (blls) in adults can damage the cardiovascular, central nervous, reproductive, hematologic, and renal systems. the majority of cases are workplace-related. u.s. department of health and human services recommends that blls among all adults be reduced to < 25 microg/dl. the highest bll acceptable by standards of the u.s. occupational safety and health administration is 40 microg/dl. the mean bll of adults in the united states is < 3 microg/dl.200212528812
a quantitative trait locus on chromosome 16q influences variation in plasma hdl-c levels in mexican americans.we conducted a whole-genome, multipoint linkage screen to localize a previously reported major locus accounting for 56% to 67% of the additive genetic effects on covariate-adjusted plasma hdl cholesterol (hdl-c) levels in mexican americans from the san antonio family heart study (safhs).200312588781
theobald smith--the discoverer of ticks as vectors of disease.the cause of texas fever in cattle, which is characterised by lysis of erythrocytes leading to anaemia, icterus, haemoglobinuria, and death, remained unsolved for many decades and assorted theories were proposed as an explanation for a disease being transmitted by apparently healthy animals. from 1889 to 1893, theobald smith and frederick l. kilbourne could demonstrate in elegantly conducted experiments how the disease was spread from cattle to cattle by ticks serving as the vector of transmissi ...200212422586
mismatch of school desks and chairs by ethnicity and grade level in middle school.the purpose of this study was to compare anthropometric measurements of children/adolescent (6th grade - 8th grade) and use these measurements to determine fit by ethnicity and grade level across three common classroom desks and chairs.200212441567
the clinical epidemiology of hodgkin lymphoma in hiv-infected patients in the highly active antiretroviral therapy (haart) era.studies conducted before the introduction of highly active antiretroviral therapy (haart) suggested that the risk of hodgkin lymphoma in persons with human immunodeficiency virus (hiv) infection was increased. however, little is known about the features of this malignancy in patients receiving haart. from january 1996 through december 2001, 23 cases of hodgkin lymphoma were diagnosed among 3,945 hiv infected patients attending the harris county hospital district in houston, texas. twenty (87%) o ...200312640183
cyclooxygenase-2 expression does not correlate with outcome in osteosarcoma or rhabdomyosarcoma.to determine if expression of cyclooxygenase (cox)-2, an inducible enzyme with known tumor-promoting activity, correlates with outcome in pediatric sarcomas. cox-2 overexpression correlates with more aggressive disease in a variety of adult solid tumors.200312679640
case series of thrombotic thrombocytopenic purpura in children and adolescents.thrombotic thrombocytopenic purpura (ttp) is a well-described entity in adults but is rarely observed in children. the authors describe a series of seven children with suspected acquired ttp. clinical findings included petechiae, purpura, or jaundice ( 6), central nervous system events ( 5), fever ( 3), diarrhea ( 3), renal insufficiency ( 2), and hematuria ( 2). significant central nervous system events included cerebral vascular accidents ( 2), altered mental status ( 2), seizures ( 1), and he ...200312679653
an association between nqo1 genetic polymorphism and risk of bladder cancer.nad(p)h:quinone oxidoreductase (nqo1) is a detoxification enzyme that plays a critical role in protecting cells against chemically induced oxidative stress, cytotoxicity, mutagenicity, and carcinogenicity. nqo1 protects cells from oxidative damage by preventing the generation of reactive oxygen species and reducing certain environmental carcinogens, such as nitroaromatic compounds, heterocyclic amines, and possible cigarette smoke condensate. a c-->t single nucleotide polymorphism in exon 6 was ...200312694753
therapeutic assessment of a man with "add".in this article i present the first published complete case study of a psychological assessment done by the methods of therapeutic assessment. a client-therapist pair had been working together for several years but felt "stuck" in the treatment. the man had been previously diagnosed with attention deficit disorder (add) and sought help for disorganization and difficulties in romantic relationships. the therapist asked for diagnostic clarification but gradually revealed a deeper confusion about h ...200312700015
'lyme disease': ancient engine of an unrecognized borreliosis pandemic?unexpectedly we have found large numbers of chronically ill borrelia burgdorferi pcr- and seropositive patients in houston, texas, a zoonotically 'non-endemic' area. in order to understand this finding prior to sufficient data availability, we chose to examine critically currently accepted but troublesome 'lyme disease' concepts. our method was to analyze each foundation 'lyme disease' premise within the context of available medical and veterinary literature, then to reconstruct the disease mode ...200312710914
evaluating the context-dependent effect of family history of stroke in a genome scan for hypertension.hypertension is an important risk factor for stroke, and the 2 diseases may share susceptibility genes in common. we sought to identify genomic regions influencing susceptibility to both hypertension and stroke.200312714704
ten years of sirolimus therapy for human renal transplantation: the university of texas at houston experience. 200312742465
cross-sectional survey of the extent and indicators of hepatitis c virus infection in houston department of health and human services' sexually transmitted disease clinics.to evaluate the prevalence and indicators of hepatitis c virus (hcv) infection in houston and determine the effectiveness of targeted hcv screening in sexually transmitted disease (std) clinics. we performed a cross-sectional survey in low-risk and high-risk groups in houston. this included a blinded survey of hcv conducted in 1010 std clinic clients having serological syphilis tests, and 1885 multi-speciality group practice patients having metabolic blood work. this was followed with a targeted ...200312614470
overexpression of hmth in peripheral lymphocytes and risk of prostate cancer: a case-control analysis.oxidative damage is an important factor in prostate carcinogenesis, and overexpression of human mutt homolog (hmth), a repair gene that removes oxidative damage, is a molecular marker of cellular oxidative stress. therefore, we tested the hypothesis that overexpression of hmth in unaffected (normal) surrogate tissue is associated with risk of prostate cancer in a pilot study of 51 patients with diagnosed prostate cancer and 50 age- and ethnicity-matched controls. total rna was extracted from phy ...200312619034
epidemiology and molecular characterization of co-circulating influenza a/h3n2 virus variants in children: houston, texas, 1997-8.co-circulating variants of influenza a/h3n2 viruses in children were studied in houston, texas between october 1997 and march 1998 to assess the effects of a new variant strain on the severity of clinical illness. influenza a virus was isolated from the nasal wash or nasal aspirate specimens collected from children at two tertiary care hospitals, and 271 isolates were available for variant-specific subtyping using rt-pcr and restriction fragment length polymorphism (rflp) analysis. we classified ...200312825738
molecular, serological, and virulence characteristics of vibrio parahaemolyticus isolated from environmental, food, and clinical sources in north america and asia.potential virulence attributes, serotypes, and ribotypes were determined for 178 pathogenic vibrio parahaemolyticus isolates from clinical, environmental, and food sources on the pacific, atlantic, and gulf coasts of the united states and from clinical sources in asia. the food and environmental isolates were generally from oysters, and they were defined as being pathogenic by using dna probes to detect the presence of the thermostable direct hemolysin (tdh) gene. the clinical isolates from the ...200312839774
rickettsia honei: a spotted fever group rickettsia on three continents.rickettsia honei (also known as strain tt-118) has been detected on three continents. originally isolated in thailand in 1962 (and confirmed in 2001), it has also been detected on flinders island (australia) in 1993 and in texas (usa) in 1998. on each continent it has been associated with a different species of tick. the original isolate (thai tick typhus strain tt-118) was from a pool of larval ixodes and rhipicephalus ticks. later it was detected in i. granulatus from rattus rattus. its pathog ...200312860601
ethical issues in migrant farmworker studies. 200012542044
prevalence of gastric lesions in racing alaskan sled dogs.human and equine athletes are reported to have a high prevalence of gastric disease, and anecdotal evidence suggests a similar phenomenon applies to racing sled dogs. to investigate the prevalence of gastric disease in racing sled dogs, we conducted 2 gastroscopy studies on dogs competing in the annual iditarod sled dog race. a pilot study of dogs that were either dropped from the 2000 iditarod sled dog race because of illness or that finished the race indicated that, approximately 5 days after ...200312774971
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