| circulation patterns of genetically distinct group a and b strains of human respiratory syncytial virus in a community. | human respiratory syncytial virus (hrsv) is classified into two major groups, a and b, each of which contains multiple variants. to characterize the molecular epidemiology of hrsv strains over time, sequencing studies of a variable region of the attachment protein gene from a single community in the united states during 5 successive years were performed. phylogenetic analysis revealed distinct clades (genotypes) that were further classified in subtypes based on > or = 96% nucleotide similarity. ... | 1998 | 9747732 |
| mortality in hartford, connecticut: a comparison with the south bronx, new york. | very high mortality rates have been reported in large inner-city areas such as the south bronx and harlem in new york city, but also may occur in smaller us urban areas. using published death rates for the south bronx as the standard, the standardized mortality ratio was slightly lower than 1.00 for hartford, connecticut (population 139,739 in 1990), but more than 1.00 for three impoverished hartford census tracts that contained public housing projects. compared with the south bronx, death rates ... | 1998 | 9762649 |
| epidemiologic features of equine leptospira interrogans of human significance. | leptospirosis is a zoonotic bacterial disease caused by leptospira interrogans. there is a serologic evidence that horses are exposed to l. interrogans and, as a shedder of these organisms, can be a threat to humans. we examined risk factors associated with the risk of testing seropositive to three l. interrogans serovars (l. icterohaemorrhagiae, l. grippotyphosa, and l. canicola) in the horses of new york state, in order to understand the epidemiology of the disease and suggest strategies to co ... | 1998 | 9762736 |
| performance-based physician reimbursement and influenza immunization rates in the elderly. the primary-care physicians of monroe county. | to investigate the effect of performance-based financial incentives on the influenza immunization rate in primary care physicians' offices. | 1998 | 9631159 |
| supporting autonomy to motivate patients with diabetes for glucose control. | we applied the self-determination theory of human motivation to examine whether patient perceptions of autonomy supportiveness (i.e., patient centeredness) from their diabetes care providers related to improved glucose control over a 12-month period. | 1998 | 9773724 |
| coinfection of blacklegged ticks (acari: ixodidae) in dutchess county, new york, with the agents of lyme disease and human granulocytic ehrlichiosis. | adult blacklegged ticks, ixodes scapularis say, collected from forested sites in dutchess county, ny, were tested for infection with the etiologic agents of lyme disease, borrelia burgdorferi johnson, schmid, hyde, steigerwalt & brenner, and human granulocytic ehrlichiosis (hge). rates of infection with the 2 pathogens were high and independent of one another, confirming prior findings and suggesting that a variety of hosts may be competent reservoirs of the hge agent. | 1998 | 9775627 |
| reliability of serum measurements of lignans and isoflavonoid phytoestrogens over a two-year period. | we examined the distribution and long-term reliability of serum measurements of the two main human lignans, enterolactone and enterodiol, and the isoflavonoid phytoestrogens daidzein, genistein, equol, and o-desmethylangolensin in the new york university women's health study, a prospective cohort study of sex hormones and breast cancer. serum samples collected at three yearly visits in 30 premenopausal and 30 postmenopausal women who had not been diagnosed with cancer or cardiovascular disease w ... | 1998 | 9796633 |
| human babesiosis in new york state: review of 139 hospitalized cases and analysis of prognostic factors. | babesiosis infections are infrequent, occur in limited geographic locations, and range from asymptomatic infection to severe illness and death. | 1998 | 9801183 |
| increased transmission of vertical hepatitis c virus (hcv) infection to human immunodeficiency virus (hiv)-infected infants of hiv- and hcv-coinfected women. | the transmission of perinatal hepatitis c virus (hcv) infection was studied retrospectively in 62 infants born to 54 hcv- and human immunodeficiency virus (hiv)-coinfected women enrolled in a prospective natural history study of hiv transmission. infant hcv infection was assessed by nested rna polymerase chain reaction. the overall rate of vertical hcv transmission was 16.4% (9/62). most hcv-infected children did not develop antibodies to hcv. the rate of hcv infection was higher among hiv-infec ... | 1998 | 9806033 |
| abbreviated regimens of zidovudine prophylaxis and perinatal transmission of the human immunodeficiency virus. | the pediatric aids clinical trials group protocol 076 reported a reduction in the rate of perinatal transmission of the human immunodeficiency virus (hiv) from 25.5 percent to 8.3 percent with a three-part regimen of zidovudine given ante partum, intra partum, and to the newborn. we examined the effects of abbreviated zidovudine regimens on perinatal hiv transmission using data from the hiv polymerase-chain-reaction (pcr) testing service of the new york state department of health. pregnant women ... | 1998 | 9811915 |
| clinical and laboratory spectrum of culture-proven human granulocytic ehrlichiosis: comparison with culture-negative cases. | we describe the clinical and laboratory manifestations of human granulocytic ehrlichiosis (hge) in eight patients for whom cultures were positive for the hge agent and compare them with 15 patients for whom cultures were negative but who fulfilled a modified new york state surveillance definition for hge. polymerase chain reaction analysis was positive in 8 (100%) of 8 culture-positive cases vs. 3 (20%) of 15 culture-negative cases (p < .001), morulae were detected in 7 (100%) of 7 culture-posit ... | 1998 | 9827289 |
| human granulocytic ehrlichiosis in new york. | human granulocytic ehrlichiosis (hge), a potentially fatal tick-borne disease, was first described in the upper midwest in 1994. following reports of suspected cases of ehrlichiosis from new york physicians, descriptive and case-control studies were conducted to characterize the epidemiology and risk factors for hge in new york residents. | 1998 | 9554683 |
| rates of tuberculosis infection in healthcare workers providing services to hiv-infected populations. terry beirn community programs for clinical research on aids. | to assess the prevalence of tuberculosis (tb) or a positive skin test in healthcare workers (hcws) providing services to human immunodeficiency virus (hiv)-infected individuals and to determine prospectively the incidence of new infections in this population. | 1998 | 9831938 |
| geographic risk for lyme disease and human granulocytic ehrlichiosis in southern new york state. | ixodes scapularis, the tick vector of lyme disease and human granulocytic ehrlichiosis (hge), is prevalent in much of southern new york state. the distribution of this species has increased, as have reported cases of both lyme disease and hge. the unreliability of case reports, however, demonstrates the need for tick and pathogen surveillance in order to accurately define areas of high risk. in this study, a total of 89,550 m2 at 34 study sites was drag sampled in 1995 and a total of 51,540 m2 a ... | 1998 | 9835546 |
| female injecting drug users: human immunodeficiency virus risk behavior and intervention needs. | injecting drug use and heterosexual contact are the major exposure categories for women acquiring human immunodeficiency virus (hiv). the purpose of this study was to explore the relationship of acquired immunodeficiency syndrome (aids) risk perception, perceived seriousness of hiv, drug use self-efficacy, sexual self-efficacy, and social support for hiv/aids risk behavior among female injecting drug users (idus). a random sample of 140 female idus was interviewed using a structured questionnair ... | 1998 | 9838760 |
| update: influenza activity--united states, 1998-99 season. | in collaboration with the world health organization (who), its collaborating laboratories, and state and local health departments, cdc conducts surveillance to monitor influenza activity and to detect antigenic changes in the circulating strains of influenza viruses. this report summarizes influenza activity from october 4 through november 7, 1998; during this period, overall influenza activity in the united states was low. however, outbreaks of influenza a occurred in new york during october-no ... | 1998 | 9843358 |
| james ewing: cancer man. | to a large extent, the progress in understanding, diagnosing and treating cancer is the story of individuals: james ewing was one of the giants. in spite of personal tragedy and infirmities he rose to become the leading tumor pathologist of his time and to head the nation's first cancer center in new york. | 1998 | 9845732 |
| arthur purdy stout (1885-1967), a pioneer of surgical pathology: a survey of his notes on the education of an "oncological" surgical pathologist. | arthur purdy stout (1885-1967) started his medical career as a surgical intern and house surgeon at institutions that were to join the columbia-presbyterian medical center. with virtualy no formal training in pathology and little supervision, he was given the opportunity to work in a laboratory of surgical pathology. he focused his attention on neoplasms and tumor-like conditions, and authored human cancer in 1932. this book was organized according to topography of lesions and set a model for th ... | 1998 | 9845748 |
| human immunodeficiency virus-associated nephropathy in the bronx: low prevalence in a predominantly hispanic population. | reports of human immunodeficiency virus-associated nephropathy (hivan) occurring in hispanics, females and heterosexuals are scarce. we reviewed 858 charts from our total hiv population to determine the prevalence and epidemiology of hivan at our center, and to evaluate the renal and patient survival among individual groups, according to race, sex and hiv risk factor. the prevalence of hivan was low (1.9%), relative to other centers (4-13%). although hispanics accounted for 56% of the hiv popula ... | 1998 | 9845826 |
| comparative epidemiology of cancers of the testis, lung, bladder and stomach with special reference to the possible implication of environmental hormones in the recent risk changes of the 4 neoplasia types. | the purpose of this study is to extract common features of an environmental hormone-oriented neoplasia by comparatively investigating the epidemiological characteristics of testicular cancer in denmark with those of other cancers, of which the age-adjusted incidence rates (aairs) underwent remarkable increase or decrease in the time range of early 1960's to mid 1980's. practically, the log-transformed (log) aairs and the corresponding log asirs (age-specific incidence rates) were used in paralle ... | 1998 | 9850740 |
| rabies surveillance in the united states during 1997. | in 1997, 49 states, the district of columbia, and puerto rico reported 8,509 cases of rabies in nonhuman animals and 4 cases in human beings to the centers for disease control and prevention. nearly 93% (7,899) were wild animals, whereas 7% (610) were domestic species. the total number of reported cases increased 19.4% from that of 1996 (7,128 cases). increases were apparent in each of the major species groups, with the exception of cattle. the relative contributions of these groups to the total ... | 1998 | 9861958 |
| congener-specific levels of dioxins and dibenzofurans in u.s. food and estimated daily dioxin toxic equivalent intake. | food, especially meat, milk, and fish, is the immediate source of almost all polychlorinated dibenzo-p-dioxins (pcdds), dibenzofurans (pcdfs), and dioxinlike compounds in the general population. to estimate intake of these highly toxic compounds, we performed congener-specific dioxin analyses for the first time on u.s. food for 18 dairy meat, and fish samples from a supermarket in upstate new york. 2,3,7,8 tetrachlorodibenzo-p-dioxin (tcdd, "dioxin") toxic equivalents (teqs) on a wet weight basi ... | 1994 | 9738211 |
| hpv 16 and cigarette smoking as risk factors for high-grade cervical intra-epithelial neoplasia. | although genital human papillomavirus (hpv) infection is well established as the etiologic agent for cervical intraepithelial neoplasia (cin), little is known about the cofactors involved in the development of high-grade lesions or the progression of low-grade to high-grade lesions. in our study of hpv-infected women with cin (163 cin i, 51 cin ii and 44 cin iii), women with cin ii or iii were compared with those with cin i for risk factors associated with high-grade lesions. after controlling f ... | 1998 | 9766558 |
| decrease in aids-related mortality in a state correctional system--new york, 1995-1998. | the new york state department of correctional services (nysdocs) administers one of the largest prison systems in the united states, with a population of approximately 70,000 inmates; in 1995, blinded seroprevalence studies indicated that an estimated 9500 inmates were infected with human immunodeficiency virus (hiv). this report summarizes an analysis of death records of inmates, which indicate a substantial reduction in the acquired immunodeficiency syndrome (aids)-related deaths from 1995 thr ... | 1999 | 9921729 |
| recurrent major depressive disorder among human immunodeficiency virus (hiv)-positive and hiv-negative intravenous drug users: findings of a 3-year longitudinal study. | a longitudinal study was conducted to investigate the association between human immunodeficiency virus (hiv) infection, history of major depressive disorder (mdd), and persistent or recurrent mdd among intravenous drug users. psychiatric disorders were assessed in a sample of hiv-positive (hiv+) and hiv-negative (hiv-) intravenous drug users every 6 months for 3 years. results indicated that hiv status and baseline mdd independently predicted persistent or recurrent episodes of mdd after gender, ... | 1999 | 9924874 |
| economic losses from repetitive strain injuries. | lost employment income and inability to perform household activities can have a devastating impact on the individual suffering from repetitive strain injury. | 1999 | 9950017 |
| serologic testing for human granulocytic ehrlichiosis at a national referral center. | an indirect immunofluorescence assay (ifa) was used to identify patients with antibodies reactive to the human granulocytic ehrlichiosis (hge) agent. serum samples collected from clinically ill individuals were submitted to the centers for disease control and prevention by physicians via state health departments from throughout the united states and tested against a panel of ehrlichial and rickettsial pathogens. antibodies reactive to the hge agent were detected in 142 (8.9%) of 1,602 individual ... | 1999 | 9986812 |
| human contact with bait containing vaccine for control of rabies in wildlife. | to document the number of human contacts with bait containing liquid vaccinia-rabies glycoprotein (v-rg) vaccine, to evaluate factors that might affect human contact with bait-vaccine units, and to summarize adverse reactions in people after contact with vaccine. | 1998 | 9828931 |
| is there really a heterosexual aids epidemic in the united states? findings from a multisite validation study, 1992-1995. mode of transmission validation study group. | the objective of this study was to verify the mode of exposure to the human immunodeficiency virus (hiv) among cases who obtained acquired immunodeficiency syndrome (aids) through heterosexual contact and to determine the proportion of cases initially reported with no risk but whose exposure may have been heterosexual. adults aged > or = 13 years with aids, diagnosed from 1992 through 1995 with heterosexual risk or no risk at six us study sites (alabama, california, florida, new jersey, new york ... | 1999 | 9883796 |
| a study of adult t-cell leukemia/lymphoma incidence in central brooklyn. | adult t-cell leukemia/lymphoma (atl), a rare outcome of infection with human t-lymphotropic virus (htlv-i), is endemic in central brooklyn, which has a large caribbean migrant population. previous studies have suggested that htlv-i prevalence in central brooklyn may be similar to that recorded in the caribbean islands. we established a pilot 1-year surveillance program to identify cases of atl in 7 of 10 hospitals serving the residents of 18 zip codes of central brooklyn with a combined populati ... | 1999 | 10048963 |
| multistate outbreak of listeriosis--united states, 1998. | since early august 1998, 40 illnesses caused by a single strain of listeria monocytogenes (lm) have been identified in 10 states: ohio (13 cases); new york; tennessee, massachusetts, and west virginia (three each); michigan (two); and connecticut, oregon, vermont, and georgia (one each). dates of illness onset or lm isolation ranged from august 2 through december 2. all lm isolates from these cases are serotype 4b and share an unusual pattern when subtyped either by pulsed-field gel electrophore ... | 1998 | 9883769 |
| cyclospora: an enigma worth unraveling. | in part, cyclospora cayetanensis owes its recognition as an emerging pathogen to the increased use of staining methods for detecting enteric parasites such as cryptosporidium. first reported in patients in new guinea in 1977 but thought to be a coccidian parasite of the genus isospora, c. cayetanensis received little attention until it was again described in 1985 in new york and peru. in the early 1990s, human infection associated with waterborne transmission of c. cayetanensis was suspected; fo ... | 1999 | 10081671 |
| chronic liver disease in central harlem: the role of alcohol and viral hepatitis. | for reasons not yet determined, chronic liver disease (cld) has been a leading cause of excess morbidity and mortality in central harlem. we conducted a case series and case-control analysis of demographic, clinical, epidemiological, and alcohol-intake-related information from patients with cld and age- and sex-matched hospitalized control patients. patients' sera were tested for markers of viral hepatitis. the presumed etiology of cld among case-patients was as follows: both alcohol abuse and h ... | 1999 | 10051493 |
| mortality in male and female capacitor workers exposed to polychlorinated biphenyls. | a mortality study was conducted in workers with at least 90 days' exposure to polychlorinated biphenyls (pcbs) between 1946 and 1977. vital status was established for 98.7% of the 7075 workers studied. in hourly male workers, the mortality from all cancers was significantly below expected (standardized mortality ratio [smr] = 81; 95% confidence interval [ci], = 68 to 97) and comparable to expected (smr = 110; 95% ci, 93 to 129) in hourly female workers. no significant elevations in mortality for ... | 1999 | 10091139 |
| assessing environmental exposure to pcbs among mohawks at akwesasne through the use of geostatistical methods. | the mohawk nation at akwesasne is a native american community located along the st. lawrence river in new york state, ontario, and quebec. one component of a multiphase human health study was to assess the impact of different pathways of human exposure resulting from the off-site migration of polychlorinated biphenyl (pcb) contamination in this area. this paper illustrates how mapped residential information and environmental sampling data can be united to assist in exposure assessment for epidem ... | 1999 | 10092433 |
| association between exercise and hiv disease progression in a cohort of homosexual men. | to study the relationship between exercise and human immunodeficiency virus (hiv) disease progression. | 1999 | 10037557 |
| human immunodeficiency virus-associated pericardial effusion: report of 40 cases and review of the literature. | human immunodeficiency virus (hiv)-associated pericardial effusion is common. we present its clinical features, cause, and prognosis on the basis of a review of 40 cases at a single public hospital. | 1999 | 10047635 |
| statistical analysis of the age-adjusted incidence rates of human neoplasias: changes in time and space from early 1960's to mid 1980's with special reference to the steroid criminal hypothesis of carcinogenesis. | our earlier reports indicated that the changes of age-adjusted incidence rates (aairs) of any 2 tumors in time and space, as investigated by the sequential regression analysis, showed a good fitness to the equilibrium model under the control of the law of mass action. the purpose of this study is to investigate the problem of whether or not the changes of aairs of individual tumors in time and space show a similar fitness to the equilibrium model of the law of mass action. the cancer risk data s ... | 1999 | 10085420 |
| the boundaries of business: commentaries from the experts. | the world leadership survey, which began a worldwide dialogue on a set of important issues facing managers in the 1990s, continues with commentaries from four recognized experts, each of whom addresses the survey results from a different perspective. kenichi ohmae, chairman of mckinsey and company in tokyo, addresses "the perils of protectionism." ohmae argues that the old definitions of national boundaries and corporate interests reflect obsolete economic theories. the real test of national wel ... | 1991 | 10112918 |
| at-home options. enhancing care for aids patients. | mark is a 45-year-old man with advanced aids. his care partner, gary, has a full-time job in the design industry. a home care aide visits mark five days a week for 10 hours at a time to provide personal care while gary is at work. a visiting nurse sees mark weekly and has taught gary how to prepare mark's ganciclovir infusion. every six weeks mark meets with a nutritionist, who evaluates his dietary status and advises gary on purchasing high-calorie foods for mark. in may gary must attend a conf ... | 1993 | 10125243 |
| the economic returns from investments in physical and mental health: a case study of migrant farmworkers in rural new york. | spiraling costs of medical care services and limited federal and state resources necessitate discriminating and cost-effective strategies for financing health care to indigent populations. thus, while the selection among intervention strategies is aided by information on both the cost and benefits of program alternatives, data on the latter aspect is more difficult to obtain. human capital research provides a mechanism for assessing one of the multifarious aspects of the benefits of medical serv ... | 1991 | 10116393 |
| multiple listing for organ transplantation: autonomy unbounded. | recently, debate about the distribution of scarce organs for transplantation has focused on whether patients should have the right to place themselves on waiting lists at several transplant centers, thereby gaining an advantage over other potential recipients. this article explores the social and ethical issues raised by multiple listing, contrasting policies adopted at the national level with those implemented in new york state. it concludes by examining the implications of the debate for broad ... | 1992 | 10117351 |
| hhs judge lowers boom on hospital that curbed hiv-positive pharmacist. | | 1992 | 10117584 |
| 'to make a difference'. the lincoln collective. | the lincoln collective was born in 1970 as a grassroots effort of health and community workers to start the kind of nonhierarchical community-oriented program described in this article. the idea of two residents who were already at lincoln hospital, the notion was given official approval because of the influx of young, american-trained physicians and nurses it would bring. but, as the experiment was advertised by word of mouth to members of the student health organization, the medical committee ... | 1993 | 10129104 |
| hospitals adopt intensive programs for diabetic patients to avoid high inpatient costs. | just over a year ago, a 24-year-old man walked into a free health screening at palmyra medical centers in albany, ga., complaining of weight loss, unending thirst and frequent urination. a quick blood test revealed the man was diabetic, with an alarming hemoglobin a1c level of 20.1. after six months of intervention, the man's hemoglobin dropped to an excellent rating of 7.1 and his physician is now ready to take him off insulin, said layne cox, program manager of the diabetes treatment center at ... | 1994 | 10134694 |
| measuring the monday blues: validation of a job satisfaction scale for the human services. | | 1994 | 10134784 |
| notes of a slow learner. homelessness in the past decade. | | 1993 | 10129107 |
| a study of provider perceptions of individuals with dual disorders. | human service workers devote a great deal of time in preparing to serve clients. the majority of this preparation is focused in one direction, with exposure to a limited type of client. the growing population of individuals with dual disorders of mental illness and substance abuse challenges this tradition in training, in that these clients pose unique, multiple, and overlapping characteristics, symptomatology, and behaviors requiring a synthesis of training approaches. based on survey data coll ... | 1994 | 10131893 |
| ruling could mean millions for hospitals. | | 1994 | 10132726 |
| communities that are making a difference. heart, body and soul, east baltimore, md; orleans county human services council, medina, ny. | | 1994 | 10134899 |
| n.y. hospital stops clinical trials. | | 1995 | 10139830 |
| the effect of characteristics of human service workers on subsequent morale and turnover. | the authors examine the relationship of sociopsychological characteristics of human services workers to their subsequent morale and continuance on the job. eighty-two intensive case managers (half of them social workers) who had caseloads of clients with severe mental disorders were invited to participate in a four-wave panel study. explored are the relationships between 16 predictors (general background, prior work experience and training, and social psychological variables) and worker outcomes ... | 1995 | 10143141 |
| interdisciplinary, functional approach to quality review. | dramatic changes in the standards of the joint commission on accreditation of healthcare organizations, as part of its "agenda for change," pose new challenges for health care managers. the goal of the "agenda for change" is to focus accreditation on the actual performance of important functions while continuously stimulating improvement in the organization's performance and outcomes of care. in 1994, seven important functions--improvement of performance, leadership, management of information, a ... | 1995 | 10143968 |
| madness in fine print. | | 1994 | 10137484 |
| inpatient treatment patterns of human immunodeficiency virus-associated pneumocystis carinii pneumonia in new york state medicare patients. | hospital charts were reviewed to ascertain the frequency with which patients with human immunodeficiency virus (hiv)-associated pneumocystis carinii pneumonia (pcp) were being managed in accordance with current guidelines or recommendations in new york state for the calendar year 1993. comparisons were made between hospitals that are designated by the new york state department of health as comprehensive treatment centers--designated acquired immunodeficiency syndrome (aids) centers--and all othe ... | 1996 | 10156543 |
| the role of human resources in supporting reengineering. | to ensure the successful reengineering of a large, complex, unionized, urban teaching hospital, communication, education, and employee participation are key aspects. human resources-designed training supports the transition in concert with reengineering management, organizational development, labor relations, and external consultants. education improves patient care and raises employee self-esteem as new teams focus together on excellence. | 1996 | 10162817 |
| parents with severe mental illness and their children: the need for human services integration. | this article presents the findings and recommendations of a statewide interagency task force on parents with mental illness who have young children. based on testimony from consumers, providers, and advocates, the task force concluded that this is a substantial and neglected public policy issue requiring an intergovernmental, services integration approach. recommendations were made in the areas of services, policies and procedures, and service coordination. | 1994 | 10138012 |
| full-text document storage and retrieval in a clinical information system. | the overall design of the cis at cpmc is heavily influenced by the decision support component. the type of automated decision support being implemented dictates the need for highly structured or coded data. the value of decision support systems has been well documented. the current reliance on free-text documents is natural and a rewarding first step to a more valuable mix of coded and free text. while the health care provider might find the textual comments of the various reports extremely usef ... | 1993 | 10139111 |
| the small group consensus process for changing physician practices: influenza vaccination. | to evaluate the effectiveness of a small group consensus process in enhancing compliance with guidelines for influenza vaccination among older hmo members. | 1995 | 10151093 |
| gnyha to sue hhs over fraud probe. | | 1998 | 10178317 |
| caring for survivors of torture in an urban, municipal hospital. | survivors of torture can present with multiple health consequences, both physical and psychological, which can persist even years after the abuse. the authors developed a multidisciplinary program in the primary care medical clinic of an urban municipal hospital in new york city serving an ethnically diverse population to provide multidisciplinary care to survivors of torture and their families. | 1998 | 10181462 |
| application and feasibility of video telecommunications in home healthcare. | the capital area consortium on aging and disability (cacad) of albany, ny, partnered with nynex and the james a. eddy memorial geriatric center ("the eddy"), a non-profit provider of services to the aged and disabled, to conduct a trial to investigate the use of video conferencing as a platform for providing health care services to the home. the trial, which took place from june to september of 1994 at the eddy in troy, new york had three goals: determine what quality of video is needed to provi ... | 1997 | 10176387 |
| a slant on cloning. | human cloning may be the most difficult moral dilemma posed by science since splitting of the atom. but recent stories in the new york times suggest the ethical debate is all but over. now, along comes dr. seed. | 1998 | 10176715 |
| the emotionally competent leader. | aristotle once challenged man "to be angry with the right person, to the right degree, at the right time, for the right purpose, and in the right way" (the nicomachean ethics). daniel goleman, ph.d., a journalist for the new york times, expands on this statement in his new book, "emotional intelligence." he defines emotional intelligence as the ability to rein in emotional impulses, to read another's innermost feelings and to handle relationships and conflict smoothly. this new model of intellig ... | 1998 | 10177113 |
| court denies motion to compel discovery where documents are "predecisional" or "deliberative.". | | 1991 | 10183549 |
| evaluating hiv prevention community planning. | to improve human immunodeficiency virus (hiv) prevention efforts nationwide, the centers for disease control and prevention (cdc) has funded hiv prevention community planning, an initiative that promotes parity, representativeness, and inclusion of community and the application of scientific principles for decision making. this initiative was welcomed enthusiastically in new york city, an aids epicenter with limited prevention resources. in the first year of implementation, the new york city dep ... | 1996 | 10186927 |
| an organization-based intervention to improve support for employee heart health. | the purpose of this study was to evaluate the effectiveness of a management training seminar, developed through a partnership among a college, a managed care company, and a state public health department, to increase the level of organizational support for employee heart health in selected companies. | 1998 | 10186932 |
| the facilitated pediatric resuscitation room. | pediatric resuscitation is challenging for the emergency physician because the diverse range in the age and size of the patients encountered complicates the appropriate selection of medications, equipment, and supplies. the following enhancements in the pediatric resuscitation room were made to facilitate effective management of critically ill neonates and children: 1) expanding the concept of the broselow tape as the central color theme of organization of all medication doses and equipment; 2) ... | 1999 | 10195506 |
| supplemental security income for the aged, blind and disabled (ssi) program demonstration project; treatment of cash received and conserved to pay for medical or social services--ssa. notice. | the commissioner of social security will conduct a demonstration project to test how certain altered resources counting rules might apply in the ssi program. the ssi program is authorized by title xvi of the social security act (the act). the rules which will be tested are those that apply to the treatment of cash received and conserved to pay for medical or social services. cash which is received for the purposes of payment for medical or social services is not counted as income to the benefici ... | 1998 | 10185853 |
| "mcflu". the monroe county, new york, medicare vaccine demonstration. | monroe county (mc) ny was one of 9 original sites for the 1988-1992 medicare influenza vaccine demonstration, which led to medicare coverage of annual influenza vaccination. the "mcflu" project involved collaboration among university, health department, and practice community. | 1999 | 10198688 |
| prevalence and incidence of gynecologic disorders among women infected with human immunodeficiency virus. | our purpose was to ascertain the prevalence, incidence, and predictors of gynecologic disorders among women infected with human immunodeficiency virus. | 1999 | 10203650 |
| heterosexual men's attitudes toward the female condom. | this article addresses heterosexual men's familiarity with the female condom and their attitudes toward this barrier method. qualitative interviews were conducted with 71 ethnically diverse and heterosexually active men who were recruited in sexually transmitted disease (std) clinics or through word of mouth in communities with high hiv/std seroprevalence in new york city during fall 1994 to fall 1995. only one man reported previous experience with the female condom. the large majority of men ha ... | 1999 | 10214494 |
| seroprevalence of varicella antibodies among new house officers. | varicella, an illness common to children, can occur in nonimmune adults, often causing serious morbidity and mortality. house officers without protective titers to varicella are at risk of contracting the disease and may spread it to the patients they serve. they are also subject to significant losses in work time and wages. accordingly, in august 1996, the centers for disease control and prevention recommended vaccinating nonimmune health care providers with the varicella vaccine. we also sough ... | 1999 | 10216327 |
| evaluation of "hope for a million kids immunization event: "process, outcome, and costs. | this study evaluates the hope for a million kids immunization event in east harlem, new york, in 1996. the methodology: (1) documented planning and implementation processes. (2) analyzed numbers of children reached through the outreach initiative and those actually immunized due to the event. (3) assessed associated costs. the event reached and educated 120,000 children through door-to-door canvassing. substantially fewer children, 562, registered at the health and human services fair, and 211 c ... | 1998 | 10186766 |
| the home care industry: strategies for survival in an era of dwindling resources. | the home care component of our long-term care system is increasingly being recognized as the preferred alternative to institutional care for the frail elderly and disabled. dwindling resources, both human and financial, are likely to have a deleterious effect on home care. findings from a 1987-88 survey of paraprofessional home care workers of the frail elderly in new york city are used to draw implications for the home care industry. the scope of problems inherent in the industry imply that cha ... | 1992 | 10186811 |
| cancer center doubles net income after appeal overhaul. | memorial sloan-kettering cancer center wanted a herd of higher quality donors. following concentrated efforts with list segmentation, data processing, mailing packages with a human interest slant, and a change in renewal strategy, the center reached its goal. when it was over, the development department had turned a simple annual giving campaign into a refreshing multiple gift appeal. | 1982 | 10262239 |
| changes in expression of the 44-kilodalton outer surface membrane antigen (p44 kd) for monitoring progression of infection and antimicrobial susceptibility of the human granulocytic ehrlichiosis (hge) agent in hl-60 cells. | changes in human granulocytic ehrlichiosis (hge)-specific major outer membrane protein (p44 kd) were assayed by western blot analysis in hl-60 cells in vitro infected by the hge agent. time course study demonstrated that the expression of p44 preceded the rise in cell infection as determined by the presence of intracellular morulae. to test whether the expression of p44 may be suitable for evaluating the effects of antibiotics in vitro, three recent isolates of the hge agent were exposed to doxy ... | 1999 | 10198216 |
| district court judge invalidates baby doe regulations. | | 1984 | 10266524 |
| pet therapy with terminal cancer patients. | | 1984 | 10268446 |
| when it's cutback time at nih... | it's no secret that federal funds for any kind of social program are evaporating. but it's still hard to truly grasp the impact of it all until your own program has the rug pulled out from under it. here's the story of a team of five research scientists that was close to developing treatments for alzheimer's disease and other conditions when the national institutes of health (nih), responding to reagan administration cutbacks, denied the project funds that had already been informally approved. n ... | 1985 | 10274558 |
| measuring the extent of gerontological home care staff participation in agency policy making and planning. | a survey study of the work experience and views of administrative and direct service program staff (n = 91) in both small scale and large scale older americans act-funded home care programs in new york city sheds light on the extent to which various categories of personnel in the field of community home care have opportunities to participate in a range of agency policy making and planning functions. findings reveal that home care staff in small scale programs were more directly involved in both ... | 1985 | 10275885 |
| association of human papillomavirus infection and disease with magnitude of human immunodeficiency virus type 1 (hiv-1) rna plasma level among women with hiv-1 infection. | ninety-three women with human immunodeficiency virus type 1 (hiv-1) infection were enrolled in a cross-sectional study to evaluate the relationship between plasma hiv-1 rna levels and coincident cervical infection and disease caused by human papillomaviruses (hpvs). hiv-1 rna plasma levels of >10,000 copies/ml were highly associated with the presence in cervical specimens of hpv dna of oncogenic (high risk) virus genotypes (p=.006; relative risk, 2.57). in addition, similar hiv-1 rna plasma leve ... | 1999 | 10228061 |
| amalgamation of the supply, process and distribution function. | | 1980 | 10246265 |
| court of appeals denies government petition for rehearing in case of handicapped infant. | | 1984 | 10266523 |
| new york hospitals not meeting hill-burton charity requirements, report charges. | | 1979 | 10277982 |
| dogs and the elderly: the perfect prescription for companionship. | | 1985 | 10283979 |
| computerization helps reduce human error in patient dosing. | | 1987 | 10284112 |
| the rochester regional forensic unit: an innovative management approach to improving the continuum of care for forensic patients. | the rochester regional forensic unit is a good example of how a highly specialized, high-risk, complex, and expensive service can be provided in an acceptable, safe manner to a specific geographic region so as to reduce the dollar costs of such a service to all involved. the success of the program during its first 27 months is attributed to an effective planning and management process designed and implemented by staff from the office of mental health bureau of forensic services and hospital and ... | 1987 | 10287216 |
| 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 ... | 1988 | 10287858 |
| aids in the developing countries. | without a medical miracle, it seems inevitable that the acquired immune deficiency syndrome (aids) pandemic will become not only the most serious public health problem of this generation but a dominating issue in 3rd world development. as a present-day killer, aids in developing countries is insignificant compared to malaria, tuberculosis, or infant diarrhea, but this number is misleading in 3 ways. first, it fails to reflect the per capita rate of aids cases. on this basis, bermuda, french g ... | 1988 | 10287933 |
| performance standards: how to assess and address human resource needs. | | 1988 | 10288306 |
| federal court hears "baby doe" motions; admonishes hhs against enforcement of regulations. | | 1984 | 10278230 |
| hospital employee-patient relations: a program for enhancing patient well-being. | hospital service employees are often untrained for the human relations aspects of their jobs. yet, workers who clean patient rooms, deliver meals, provide escort services, make room repairs, and the like can make a critical difference in the quality of patients' hospital experiences. the patient service ethic program helps such employees identify typical patient concerns during the course of hospitalization and guides them in ways to respond appropriately to those concerns. at a large teaching h ... | 1987 | 10281363 |
| state, federal statutes guide organ donation procedures. | to assist in improving the network of organ donors and recipients and in raising public awareness, congress enacted the national organ transplant act of 1984. the act established an organ procurement and transplantation network, created a task force on organ transplantation, and made in unlawful to sell or buy human organs for transplantation for "valuable consideration." at the state level, legislation has closely followed the procedures outlined in the uniform anatomical gift act. but despite ... | 1987 | 10282294 |
| team approach enables frail elderly to stay home. | st. vincent's hospital and medical center of new york has been caring for homebound frail elderly persons since 1973 through a comprehensive network of professional, paraprofessional, and community services that allows many older persons to remain in their homes and communities and avoid institutionalization. the staff consists of physician-nurse-social worker teams that bring to each patient their individual skills as professional practitioners. in addition, working together, they create and at ... | 1988 | 10290834 |
| when rights collide. | roe v. wade has been fated to be overruled. its demise has been guaranteed because of the evident political nature of the opinion, and because the supreme court will not long favor one intensely held "right" over its opposite intensely held "right." past history shows the court will step back from such a position. finally, roe v. wade will be disposed of because it stands for certain values this country has long ago rejected. | 1989 | 10294678 |
| would this program change your mind about medicaid? | | 1979 | 10297312 |
| implementing a human services program: how hard will it be? | a framework is presented for examining obstacles to the implementation of human services delivery programs. these obstacles appear to arise from three basic sources: (1) from the operational demands implied by a particular program concept, (2) from the nature and availability of the resources required to run the program, and (3) from the need to share authority with, or retain support of, other bureaucratic and political actors in the implementation process. within these three broad categories, ... | 1979 | 10297622 |
| mental health resources library: a consumer guide to the literature. | the influx of consumer literature about schizophrenia and other mental disorders has inspired the establishment of a mental health resources library at a psychiatric hospital. used by patients, their families and friends, and hospital staff, it is an educative resource to understand and cope better with mental illness and its treatment, human development issues, and concerns of daily living. in describing the mental health resources library, this paper provides a background of its funding and or ... | 1984 | 10299687 |
| hospital payment coalition formed. | | 1984 | 10299721 |