Publications

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hhs declines to appeal neonatal unit classification decision. 198510300479
home care in new york city: providers, payers, and clients.estimates based on 1980 data indicate that almost two-thirds of the disabled elderly in new york city receive care only from informal sources. another one-fifth use a combination of informal and formal sources of care. thus, only about 15 percent are exclusively dependent on various agencies and programs that constitute the formal home care system. over 200 organizations in 1986 offered some form of home care service in new york city. among these were at least 100 proprietary businesses, 61 nonp ...198710313816
aids counseling on the front lines.skill at patient education is crucial to the battle against the spread of human immunodeficiency virus (hiv). the fight is not confined to one segment of society or to a few geographic areas. counseling patients at risk about hiv-antibody (hiv-ab) testing requires a full understanding of the available tests; a psychosocial profile of the patient; candid, nonjudgmental exchanges between patient and clinician; and an ability to deal with significant emotional stress. all pas should use their talen ...198810314665
research with a human touch. 197810315822
guide to decision-making in institutional review of proposals for human experimentation: commentary. 197810316737
baby jane doe case: does section 504 of rehab law apply to hospitals? 198410317455
final judgment issued in case challenging baby doe regulations. 198410317462
a declaration of rights of deaf-blind persons. 197810318429
the experience of relapse to unsafe sexual behavior among hiv-positive, heterosexual, minority men.the purpose of this qualitative study was to examine the phenomenon of relapse to unsafe sexual behavior in human immunodeficiency virus (hiv)-positive, heterosexual, minority men. in-depth interviews were conducted by using a purposive sample of 18 hiv-positive, heterosexual, minority men who were recruited from an outpatient acquired immunodeficiency syndrome (aids) clinic in upstate new york and a community-based hiv/aids service organization in new york city. all participants expressed conce ...199910319524
a sociological study of informed consent in a university hospital: problems with the institutional review board. 197810304720
human rabies postexposure prophylaxis during a raccoon rabies epizootic in new york, 1993 and 1994.we describe the epidemiology of human rabies postexposure prophylaxis (pep) in four upstate new york counties during the 1st and 2nd year of a raccoon rabies epizootic. we obtained data from records of 1,173 persons whose rabies pep was reported to local health departments in 1993 and 1994. mean annual pep incidence rates were highest in rural counties, in summer, and in patients 10 to 14 and 35 to 44 years of age. pep given after bites was primarily associated with unvaccinated dogs and cats, b ...199910341178
cluster of hiv-positive young women--new york, 1997-1998.as of july 1997, six human immunodeficiency virus (hiv) infections in young women who reported sexual contact with the same hiv-infected man (putative index case-patient) were detected at health-service clinics in a rural county in upstate new york. during the next several months, other sexual contacts of the man were discovered by public health officials through routine voluntary partner notification interviews, interviews with exposed women, and after a public announcement resulted in counseli ...199910365630
the placental/umbilical cord blood program of the new york blood center. a progress report.the transplantation of placental/umbilical cord blood (p/cb) has been used successfully to reconstitute bone marrow function in both related and unrelated recipients. we report here the experience of the new york blood center p/cb program. since its inception in 1992, over 400 unrelated transplants were supported between july 1993 and september 1997. overall, event-free survival for all diagnoses and ages approached 0.45. success and rapidity of engraftment correlated most strongly with the degr ...199910372135
human gongylonema infection in a resident of new york city.a case of infection with gongylonema is described in a 41-year-old woman living in new york city. the patient sought medical attention with the complaint of a sensation of 1-year duration of something moving in her mouth. on two occasions she removed worms from her mouth, once from her lip, once from the gum. one of the specimens submitted for examination was an adult female gongylonema. it is not possible to say whether the infection was acquired in new york city, or elsewhere, since the patien ...199910432055
lipid intolerance in neonates receiving dexamethasone for bronchopulmonary dysplasia.we hypothesized that dexamethasone induces hypertriglyceridemia (triglyceride levels >2.82 mmol/l [250 mg/dl]) and increases free fatty acid (ffa) levels and that steroid-induced hypertriglyceridemia is associated with hyperinsulinemia and elevated ffa levels.199910437750
quantification of the human granulocytic ehrlichiosis agent based on analysis of rrna isolated from control and infected hl-60 cells.human granulocytic ehrlichiosis (hge) is an emerging vector-borne disease caused by an ehrlichia species similar or identical to e. equi and e. phagocytophila. previous studies have shown that the pathogen can be cultivated in vitro in permissive cells such as human promyelocytic hl-60 leukemia cells. the mechanism(s) of its infection and propagation in target cells, however, is not well understood, due in part to lack of a method capable of quantitatively determining the amount of the infectiou ...199910448059
modified therapeutic community for homeless mentally ill chemical abusers: emerging subtypes.this paper is one of a series reporting on a clinical field trial evaluating the efficacy of the modified therapeutic community (tc) approach for the treatment of homeless mentally ill chemical abusers (micas). the social and psychological characteristics of the treatment sample were described in an earlier paper; the purpose of the present report was to categorize subtypes of homeless mica clients to predict with greater accuracy their treatability in modified tcs. an index that consistently co ...199910473011
evidence for concurrent epidemics of human herpesvirus 8 and human immunodeficiency virus type 1 in us homosexual men: rates, risk factors, and relationship to kaposi's sarcoma.we examined human herpesvirus 8 (hhv-8) seroprevalence and seroincidence among 245 homosexual men from new york city (nyc) and washington, dc (dc) who have been followed since 1982. an immunofluorescence assay measured antibodies to a latent hhv-8 nuclear antigen. seroprevalence was 20.4% in 1982; seroincidence was approximately 15%/year during 1982-1983 but fell sharply thereafter. nyc men had a higher seroprevalence (odds ratio, 3.43; p<.001) and seroincidence (rate ratio, 2.13; p=.01) than dc ...199910479125
multiple human exposures to a rabid bear cub at a petting zoo and barnwarming--iowa, august 1999.on august 27, 1999, a black bear cub, approximately 5-6 months old, died after several hours of acute central nervous system symptoms; preliminary test results available on august 28 indicated the bear had rabies. the bear was part of the swenson's wild midwest exotic petting zoo in clermont, iowa (northeastern iowa). at the petting zoo, visitors fed, wrestled, and may have been nipped by the bear. the bear also was taken to an august 14 barnwarming at the tharp barn in holy cross, iowa (eastern ...199910499789
protecting the future of indigenous children and nations: an examination of the indian child welfare act.the indian child welfare act is a landmark piece of legislation, passed in response to a long history of native american children being alienated from their families and communities. the act has far reaching implications for social workers and human service professionals who have any involvement with native american children or families. still, many professionals are either unaware of the act all together or do not know how to effectively implement its provisions in their practice. this lack of ...199910538185
risk of transmission of creutzfeldt-jakob disease by transfusion of blood, plasma, and plasma derivatives.studies in experimental animals and case-reports of transmission of creutzfeldt-jakob disease (cjd) by blood transfusion or by albumin products have raised the possibility that cjd may be transmitted by transfusion. the risk of transmission of cjd by transfusion remains theoretical, since no confirmed case of cjd has ever been causally attributed to the receipt of a blood transfusion, no confirmed case of cjd has developed in recipients of clotting factor concentrates, and no cluster of cjd case ...199910540369
principles underlying a model policy on relationships between staff and service recipients in a mental health system.the authors participated in a work group to produce a model policy addressing the boundaries of relationships between staff and recipients of service in a public mental health system that provides and regulates services in a variety of treatment settings.199910543854
state-mandated voluntary newborn human immunodeficiency virus screening in a new york city hospital.to report the experience with state-mandated voluntary newborn human immunodeficiency virus (hiv) screening in a large university hospital.199910546704
update: west nile-like viral encephalitis--new york, 1999.the outbreak of human arboviral encephalitis attributable to a mosquito-transmitted west nile-like virus (wnlv) continues to wane in the northeast. as of october 5, the number of laboratory-positive cases had increased to 50 (27 confirmed and 23 probable), including five deaths. the increase in cases is mainly a result of completed retesting with west nile virus antigen of specimens previously tested with the related st. louis encephalitis virus antigen and to intensive retrospective case findin ...199910550041
magnetic field exposure assessment: a comparison of various methods.the accurate and valid measurement of personal exposure to magnetic fields poses a major challenge for epidemiologic studies. when considering the various methods to assess exposure, it is unclear which measures are most relevant for studies of human disease, if any. given these uncertainties, the electromagnetic fields and breast cancer on long island study (ebclis) undertook a pilot study to develop the data collection protocol for a case-control study of breast cancer and magnetic fields. the ...199910559770
outbreak of west nile-like viral encephalitis--new york, 1999.an outbreak of arboviral encephalitis was first recognized in new york city in late august and has since been identified in neighboring counties in new york state. although initially attributed to st. louis encephalitis (sle) virus based on positive serologic findings in cerebrospinal fluid (csf) and serum samples using a virus-specific igm-capture enzyme-linked immunosorbent assay (elisa), the cause of the outbreak has been confirmed as a west nile-like virus based on the identification of viru ...199910563521
women: sterilization guidelines.the department of health, education and welfare (hew) proposed a set of guidelines in december in an effort to stem the abuse of those being sterilized under hew-funded programs. hew explains that the guidelines are appropriate in light of the department's experience with the present rules governing sterilizations and in light of the recent decision of the united states court of appeals for the district of columbia circuit in relf versus weinberger. the guidelines for federal reimbursement are ...197810306863
long-term survival after infection with human immunodeficiency virus type 1 (hiv-1) among homosexual men in hepatitis b vaccine trial cohorts in amsterdam, new york city, and san francisco, 1978-1995.information on long-term survival after infection with human immunodeficiency virus type 1 (hiv-1) is limited. in hepatitis b vaccine trials in amsterdam, new york city, and san francisco, 362 gay men were followed up to 18 years (1978-1995). the median survival time from seroconversion was 12.1 years (95% confidence interval: 11.4, 12.9). the annual risk of dying increased at a constant rate until 8 years after seroconversion and then leveled off, suggesting a group that is relatively resistant ...199910568617
effect of enhanced prenatal and hiv-focused services for pregnant women who are infected by human immunodeficiency virus on emergency department use.this study examines whether the receipt of enhanced prenatal or human immunodeficiency virus (hiv) medical services is associated with in-pregnancy emergency department (ed) utilization by hiv-infected women.199910599611
origin of the west nile virus responsible for an outbreak of encephalitis in the northeastern united states.in late summer 1999, an outbreak of human encephalitis occurred in the northeastern united states that was concurrent with extensive mortality in crows (corvus species) as well as the deaths of several exotic birds at a zoological park in the same area. complete genome sequencing of a flavivirus isolated from the brain of a dead chilean flamingo (phoenicopterus chilensis), together with partial sequence analysis of envelope glycoprotein (e-glycoprotein) genes amplified from several other species ...199910600742
self-reported legal needs of women with or at risk for hiv infection. the her study group.women at risk for human immunodeficiency virus (hiv) infection are often poor and members of racial or ethnic minorities. in addition to legal concerns that might be common among persons with similar sociodemographic characteristics, hiv infection adds the potential of possible stigma and discrimination, as well as the prospect of illness and increased mortality. to determine women's perceptions of need for and access to legal services and whether such perceptions are affected by hiv infection, ...199910609593
evaluating supervised haart in late-stage hiv among drug users: a preliminary report.to examine response to highly active antiretroviral therapy (haart) among a sample of treatment-experienced patients in the late stage of human immunodeficiency virus (hiv) infection in residential health care facilities (rhcfs) in new york city facilities designated for hiv/aids (acquired immunodeficiency syndrome) when access and adherence are maximized.199910609596
identification of a w variant outbreak of mycobacterium tuberculosis via population-based molecular epidemiology.typing of mycobacterium tuberculosis could provide a more sensitive means of identifying outbreaks than use of conventional surveillance techniques alone. variants of the new york city w strain of m tuberculosis were identified in new jersey.199910612319
a polymorphic multigene family encoding an immunodominant protein from babesia microti.human babesiosis in the united states is caused predominantly by babesia microti, a tick-transmitted blood parasite. improved testing methods for the detection of infection with this parasite are needed, since asymptomatic b. microti infection represents a potential threat to the blood supply in areas where b. microti is endemic. we performed immunoscreening of an expression library of genomic dna from a human isolate of b. microti (strain mn1). among 17 unique immunoreactive clones, we identifi ...200010618117
a question of character.for the most part, glamor-a-go-go's board has been thrilled with ceo joe ryan's performance. ryan, after all, had transformed the private-label cosmetics company into a retail powerhouse with flashy outlets from new york to los angeles. in addition to saving the company from bankruptcy shortly after his arrival in 1992, ryan had made glamor-a-go-go a fun and exciting place to work, increasing workers' wages and creating boundless opportunities for anyone willing to work hard and think out of the ...199910621266
genetic analysis of west nile new york 1999 encephalitis virus.analysis of the genome of the flavivirus responsible for the 1999 new york city encephalitis epidemic cloned from human brain by reverse-transcription polymerase chain reaction indicates its identity as a lineage i west nile virus (wnv; wnv-ny1999) closely related to wnvs previously isolated in the middle east.199910622305
hepatitis c in an urban population infected with the human immunodeficiency virus. 199910630531
a time-series analysis of acidic particulate matter and daily mortality and morbidity in the buffalo, new york, region.a component of particulate matter (pm) air pollution that may provide one biologically plausible pathway for the observed pm air pollution-health effect associations is aerosol acidity (h(+)). an increasing number of observational studies have demonstrated associations between h(+) and increased adverse health effects in the united states and abroad. although studies have shown significant h(+) associations with increased morbidity in the united states, similar associations have yet to be shown ...200010656852
presence of human immunodeficiency virus (hiv) type 1, group m, non-b subtypes, bronx, new york: a sentinel site for monitoring hiv genetic diversity in the united states.in the united states, human immunodeficiency virus (hiv) type 1, group m, subtype b is the predominant subtype. a cross-sectional study of hiv-infected patients at the bronx-lebanon hospital center, bronx, ny, between september 1997 and february 1998 identified 3 (1. 2%) of 252 persons infected with non-b subtypes: subtypes a and f, 1 each, and 1 potential recombinant subtype b(env)/f(prt). all 3 persons were born in the united states and tested positive for hiv antibodies between 1988 and 1997 ...200010669328
adherence to antiretroviral therapy by pregnant women infected with human immunodeficiency virus: a pharmacy claims-based analysis.to assess adherence to antiretroviral therapy with the use of medicaid pharmacy claims data for human immunodeficiency virus (hiv)-infected pregnant women and to identify associated maternal and health care factors.200010674574
alcohol and the liver: metabolism of alcohol and its role in hepatic and extrahepatic diseases.dr. charles s. lieber conducted clinical and experimental studies for more than four decades (three at mount sinai and the bronx va medical centers) with emphasis on liver, nutrition and gi pathophysiology. his major contributions include elucidation of the pathogenesis of alcoholic liver disease, by demonstrating the toxic role of alcohol and describing associated metabolic disorders. this was achieved through judicious clinical studies and newly-developed rodent and primate models with the adm ...200010677787
neck pain and head restraint position relative to the driver's head in rear-end collisions.this two-year investigation was designed to estimate the incidence of driver neck pain in rear-struck vehicles involved in two-vehicle collisions and to determine the relationship between neck pain and specific vehicle, human, and environmental factors. neck pain percentages were significantly higher for female (45%) than for male (28%) drivers. for female and male drivers, neck pain likelihood increased as head restraint height decreased below the head's center of gravity, although this effect ...200010688485
rates and risk factors for discontinuation of rifampicin.all patients with culture-confirmed, rifampin-susceptible mycobacterium tuberculosis diagnosed during a 20-month period in new york city, who were started on a rifampin-containing regimen and received > or =60 days of treatment.200010694089
airborne concentrations of pm(2.5) and diesel exhaust particles on harlem sidewalks: a community-based pilot study.residents of the dense urban core neighborhoods of new york city (nyc) have expressed increasing concern about the potential human health impacts of diesel vehicle emissions. we measured concentrations of particulate matter [less than/equal to] 2.5 micro in aerodynamic diameter (pm(2.5)) and diesel exhaust particles (dep) on sidewalks in harlem, nyc, and tested whether spatial variations in concentrations were related to local diesel traffic density. eight-hour (1000-1800 hr) air samples for pm( ...200010706526
the west nile virus outbreak of 1999 in new york: the flushing hospital experience.west nile virus (wnv) is a mosquito-borne flavivirus, which has been known to cause human infection in africa, the middle east, and southwestern asia. it has also been isolated in australia and sporadically in europe but never in the americas. clinical features include acute fever, severe myalgias, headache, conjunctivitis, lymphadenopathy, and a roseolar rash. rarely is encephalitis or meningitis seen. during the month of august 1999, a cluster of 5 patients with fever, confusion, and weakness ...200010722421
[west nile-like virus is the cause of encephalitis in humans and horses and the death of hundreds of birds in new york]. 199910744548
hhs awards $527 million for hiv/aids care in high-incidence areas. 200010750870
a one-man shop "howdunit.". 198110309493
the differentiation of classic kawasaki disease, atypical kawasaki disease, and acute adenoviral infection: use of clinical features and a rapid direct fluorescent antigen test.to compare the clinical and laboratory features of children with kawasaki disease with those with acute adenoviral infection, which may mimic kawasaki disease.200010807294
pathology of fatal west nile virus infections in native and exotic birds during the 1999 outbreak in new york city, new york.west nile fever caused fatal disease in humans, horses, and birds in the northeastern united states during 1999. we studied birds from two wildlife facilities in new york city, new york, that died or were euthanatized and were suspected to have west nile virus infections. using standard histologic and ultrastructural methods, virus isolation, immunohistochemistry, in situ hybridization and reverse-transcriptase polymerase chain reaction, we identified west nile virus as the cause of clinical dis ...200010810985
variation in blood lead and hematocrit levels during pregnancy in a socioeconomically disadvantaged population.lead is a long-recognized human toxicant that crosses the placenta. fetal sensitivity to environmental agents can vary with stage of development; therefore, how maternal blood lead levels change during pregnancy and how fetal exposure is influenced provide useful knowledge. in this study, the authors describe longitudinal changes in blood lead levels during the course of pregnancy in a sample of socioeconomically disadvantaged pregnant women. the women were recruited early in pregnancy when they ...200010821515
activation of c-k-ras mutations in human gastrointestinal tumors.ras genes are the most frequently detected oncogenes in human malignancies. data regarding the frequency of c-k-ras mutations in esophageal, gastric, and small bowel tumors are limited and controversial.200010833479
the impact of t-acasi interviewing on reported drug use among men who have sex with men.measurements of drug use and other illicit or stigmatized behaviors are subject to nontrivial underreporting biases. during in-person surveys, respondents are more likely to report such behaviors when interviewed using techniques that maximize interviewee privacy, e.g., use of paper saqs and audio-casi rather than questioning by human interviewers. until recently, respondents in telephone surveys could not be offered similar privacy. a new technology, telephone audio computer-assisted self-inter ...200010847215
impact of haart on causes of death of persons with late-stage aids.the increasing use of highly active antiretroviral therapies (haarts) has changed the course of aids-related illnesses and enhanced the quality of life of patients infected with human immunodeficiency virus (hiv) and may have changed the causes of deaths in patients with acquired immunodeficiency syndrome (aids).200010855998
hiv/aids and long-term care: a state perspective.long-term care services for people with human immunodeficiency virus/ acquired immunodeficiency syndrome (hiv/aids) were fostered in new york state by passage of hiv-specific regulations that set program standards and authorized reimbursement rates sufficient to support these standards. a rapid expansion of hiv-specific capacity has occurred. demographic and selected clinical characteristics of the populations in aids residential health care facilities and aids adult day health care programs in ...200010856004
hiv-related tuberculosis in a transgender network--baltimore, maryland, and new york city area, 1998-2000.during june-august 1998, the tuberculosis (tb) control program of the baltimore city health department (bchd) identified four cases of tb among young black men. three of these men also had human immunodeficiency virus (hiv) infection. the four reported belonging to a social network of transgender persons (i.e., persons who identify with or express a gender and/or sex different from their biologic sex) (1). by october 1998, test results on mycobacterium tuberculosis isolates from the four men dem ...200010858008
the contribution of recently acquired mycobacterium tuberculosis infection to the new york city tuberculosis epidemic, 1989-1993.current theory in the molecular epidemiology of tuberculosis holds that tuberculosis cases harboring mycobacterium tuberculosis strains with a common deoxyribonucleic acid (dna) fingerprint are the result of recent m. tuberculosis transmission. here we propose a mathematical approach independent of dna fingerprinting to estimating the percentage of recent transmissions responsible for current tuberculosis incidence. the "short-term reproductive number" of tuberculosis is defined as the average n ...200010874545
newborn screening for human immunodeficiency virus infection in the bronx, ny, and evolving public health policy.new advances in the diagnosis and treatment of hiv infection continue to propel changes in public understanding of hiv infection and the administration of public health law. over the past decade, new york state has moved from a policy of blind newborn screening for seroprevalence data to mandatory hiv testing as part of the statewide newborn screening (nbs) program. a new statewide program of expedited hiv testing (48-hr turnaround results) of pregnant women and newborns (whose hiv status is unk ...199910874985
hiv prevalence and associated risks in young men who have sex with men. young men's survey study group.studies conducted in the late 1980s on human immunodeficiency virus (hiv) infection among older men who have sex with men (msm) suggested the epidemic had peaked; however, more recent studies in younger msm have suggested continued high hiv incidence.200010889593
introduction to human health and illness: a series of patient-centered conferences based on the biopsychosocial model.in 1985, to increase the curricular presence of the biopsychosocial model of medical education, the university of rochester school of medicine and dentistry introduced a series of whole-class, patient-centered conferences for all first- and second-year medical students. from 1985 through the spring of 1999, these sessions, called introduction to human health and illness (ihhi), were offered as a stand-alone course every friday in the first two years of medical school; beginning in the fall of 19 ...200010893125
the role of pathology in an investigation of an outbreak of west nile encephalitis in new york, 1999.an outbreak of encephalitis occurred in new york city in late august 1999, the first caused by west nile virus in north america. histopathologic and immunopathologic examinations performed on human autopsy materials helped guide subsequent laboratory and epidemiologic investigations that led to identification of the etiologic agent.200010905969
respiratory effects of seasonal exposures to ozone and particles.whereas human respiratory effects of brief ozone exposures are well documented, much less is known about the human health effects of mid- to long-term exposures. the authors' objective in this study was to determine whether lung function or respiratory symptom changes would occur over the course of a summer season among healthy young adults working outdoors in the presence of ozone. the authors studied 72 sophomore cadets from the u.s. military academy at west point, new york, 21 of whom attende ...200010908105
gender differences in hiv risk behaviors in an adult emergency department in new york city.the human immunodeficiency virus (hiv) epidemic in the us increasingly involves urban heterosexual adults, particularly women, belonging to ethnic minority groups. an understanding of gender-based differences in hiv risk behaviors within these groups would be of value in the ongoing struggle to limit hiv transmission in metropolitan centers.199910924033
west nile virus activity--new york and new jersey, 2000.in late august 1999, an outbreak of encephalitis caused by west nile virus (wnv) was detected in new york city and subsequently identified in neighboring counties (1). in response, an extensive mosquito-control and risk-reduction campaign was initiated, including aerial and ground applications of mosquito adulticides throughout the affected areas. no human wnv infections were found in new york city with an onset date after the campaign was completed. cases continued to occur among humans in surr ...200010926307
emil gruening.emil gruening was the first chief of ophthalmology at the mount sinai hospital, in new york city. the hospital started in a couple of brownstone tenement buildings in lower manhattan. some eye patients were cared for there and many more after moving to much larger buildings at 66th street and lexington avenue. gruening came to the united states from posen in prussia and soon afterwards joined the union army. from appomattox he returned to new york for completion of his medical studies. he went t ...199910941596
[imported viral infections in international travel; from the virtual to real epidemiology of pandemics].viruses have become more mobile alongside with increasing human mobility and speed of travel. at the same time we get access to information on viral outbreaks and epidemics from large parts of the world faster than ever before. two recent epidemics will be presented to explore the value and the consequences of communicating epidemiological information through the internet. the epidemiology, clinical features, diagnostic procedures and prophylaxis of imported viral infections are presented. risk ...200010943100
corporate compliance: critical to organizational success.operation restore trust (ort) has focused increased governmental attention on health care fraud and abuse activities, making it more costly to be noncompliant, and thus has led to significant behavioral changes within the health care industry. initially five states (california, florida, illinois, new york, & texas) were included in the 1997 ort pilot program. this has been expanded to include arizona, colorado, georgia, louisiana, massachusetts, missouri, new jersey, ohio, pennsylvania, tennesse ...199910335217
update: west nile virus activity--northeastern united states, january-august 7, 2000.surveillance programs initiated in response to the 1999 west nile virus (wnv) outbreak have detected increased transmission in the northeastern united states (1). seventeen states along the atlantic and gulf coasts, new york city (nyc), and washington, d.c., have conducted wnv surveillance and are reporting to cdc (1). surveillance for wnv infection includes monitoring of mosquitoes, sentinel chicken flocks, wild birds, and potentially susceptible mammals (e.g., horses and humans) (2). this repo ...200010958587
tuberculosis in human immunodeficiency virus-infected and human immunodeficiency virus-exposed children in new york city. the new york city pediatric spectrum of hiv disease consortium.tuberculosis disease incidence increased sharply in new york city (nyc) in the late 1980s in children and adults. the relationship of tuberculosis disease in adults with the coincident epidemic of immunosuppression caused by hiv disease has been well-documented. this paper examines the relationship of tuberculosis and hiv in children in nyc.200010959736
drug injection rates and needle-exchange use in new york city, 1991-1996.objectives included (1) to develop methods for identifying injection drug users with accelerating injection habits so they might be referred to counseling and treatment and (2) to investigate behavioral correlates of accelerating injection habits, including syringe-exchange program utilization. data on drug use, enrollment in methadone maintenance, and demographic variables were obtained from 328 subjects who were seronegative for human immunodeficiency virus (hiv) who attended anywhere from 4 t ...200010976610
pretest assessment as a component of safer sex intervention: a pilot study of brief one-session interventions for women partners of male injection drug users in new york city.this pilot study evaluated whether brief safer sex interventions for women partners of male injection drug users significantly influenced perceptions of partner risk, human immunodeficiency virus (hiv) knowledge, correct condom usage, and self-reported consistent safer sex (abstinence or 100% of vaginal-penile intercourse acts protected by male or female condoms). the study also examined the impact of pretest assessment on those variables since pretest assessment may challenge participants' curr ...200010976612
involving women in hiv vaccine efficacy trials: lessons learned from a vaccine preparedness study in new york city.this paper identifies the recruitment strategies and human immunodeficiency virus (hiv) risk behaviors of at-risk women in an hiv vaccine preparedness study in new york city, assesses how these behaviors changed over time, and draws implications for women's involvement in hiv vaccine efficacy trials. noninjecting hiv-1 negative women (n = 89) were recruited into an hiv vaccine preparedness study. an observational cohort study design was used. women were recruited from clinics and community-based ...200010976615
ribavirin inhibits west nile virus replication and cytopathic effect in neural cells.west nile virus (wnv) is an emerging mosquito-borne pathogen that was reported for the first time in the western hemisphere in august 1999, when an encephalitis outbreak in new york city resulted in 62 clinical cases and 7 deaths. wnv, for which no antiviral therapy has been described, was recently recovered from a pool of mosquitoes collected in new york city. in anticipation of the recurrence of wnv during the summer of 2000, an analysis was made of the efficacy of the nucleoside analogue riba ...200010979920
the effects of increasing incentives on adherence to tuberculosis directly observed therapy.six new york state department of health tuberculosis (tb) directly observed therapy (dot) programs in public, private and community facilities in new york city.200010985655
apolipoprotein e variation at the sequence haplotype level: implications for the origin and maintenance of a major human polymorphism.three common protein isoforms of apolipoprotein e (apoe), encoded by the epsilon2, epsilon3, and epsilon4 alleles of the apoe gene, differ in their association with cardiovascular and alzheimer's disease risk. to gain a better understanding of the genetic variation underlying this important polymorphism, we identified sequence haplotype variation in 5.5 kb of genomic dna encompassing the whole of the apoe locus and adjoining flanking regions in 96 individuals from four populations: blacks from j ...200010986041
routine analysis of 101 polychlorinated biphenyl congeners in human serum by parallel dual-column gas chromatography with electron capture detection.polychlorinated biphenyl (pcb) exposure has been linked to a variety of toxic effects in animal experiments and in certain human case reports and epidemiologic studies. a total of 209 individual pcb congeners are possible, based on chlorination level and ring substitution pattern. commercial pcbs are a complex mixture of congeners, and over 75 of these have been reported to be present in human tissues at widely varying levels. because the biologic activity of individual pcbs is a function of ext ...200010999346
self-esteem and optimism in men and women infected with hiv.self-esteem and optimism have been associated with appraisal and outcomes in a variety of situations. the degree to which the contribution of self-esteem and optimism to outcomes over time is accounted for by the differences in threat (primary) or resource (secondary) appraisal has not been established in persons with human immunodeficiency virus (hiv).200011009121
from the centers for disease control and prevention. update: newborn screening for sickle cell disease--california, illinois, and new york, 1998. 200011023385
patent prompts rochester to sue for slice of drug profits. 200010798965
human error in hospitals and industrial accidents: current concepts.most data concerning errors and accidents are from industrial accidents and airline injuries. general electric, alcoa, and motorola, among others, all have reported complex programs that resulted in a marked reduction in frequency of worker injuries. in the field of medicine, however, with the outstanding exception of anesthesiology, there is a paucity of information, most reports referring to the 1984 harvard-new york state study, more than 16 years ago. this scarcity of information indicates t ...200011030247
influenza outbreak detection and control measures in nursing homes in the united states.to evaluate the use of influenza vaccine, rapid influenza testing, and influenza antiviral medication in nursing homes in the us to prevent and control outbreaks.200011037020
late middle-aged and older men living with hiv/aids: race differences in coping, social support, and psychological distress.although aids mental health research has recently devoted more attention to the psychosocial needs of older adults living with human immunodeficiency virus (hiv) disease, studies of this population have typically combined older african-american and white participants into one large sample, thereby neglecting potential race differences. the current study examined race differences in stressor burden, ways of coping, social support, and psychological distress among late middle-aged and older men li ...200011052457
sex trading and psychological distress in a street-based sample of low-income urban men.this article examines the relationship between sex trading and psychological distress and assesses sexual human immunodeficiency virus (hiv) risk behaviors and hiv seroprevalence in a sample of young men recruited from the streets of harlem. the authors interviewed 477 men, aged 18 to 29 years, of whom 43 (9.0%) had received money or drugs in exchange for sex in the preceding 30 days and were categorized as sex traders. psychological distress was measured by using the brief symptom inventory (bs ...200011061676
after the drinking stops: completed suicide in individuals with remitted alcohol use disorders.a substantial minority of suicide victims have remitted alcohol use disorders. the authors hypothesized that psychiatric disorders are likely to be present in this group to create the necessary conditions for suicide. they compared suicide victims with active alcohol use disorders and those with remitted alcohol use disorders. using data on a community sample of suicide victims (n=141), it was determined that 39% (n=55) had a history of alcohol misuse. these subjects were categorized by alcohol ...200011061685
transfusion errors in new york state: an analysis of 10 years' experience.while public focus is on the risk of infectious disease from the blood supply, transfusion errors also contribute significantly to adverse outcomes. this study characterizes such errors.200011061857
patient safety in america: comparison and analysis of national and texas patient safety research.the institute of medicine (iom) report on patient safety in late 1999, to err is human, attracted great national attention when it announced that 44,000 to 98,000 patients die each year in american hospitals because of patient safety problems and that a patient safety crisis exists in american health care and american hospitals. the report relied heavily on a harvard group's study of hospital care in new york in 1984 and another harvard group's study of hospital care in utah and colorado in 1992 ...200011070738
control of influenza a on a bone marrow transplant unit.in january 1998, an outbreak of influenza a occurred on our adult bone marrow transplant unit. aggressive infection control measures were instituted to halt further nosocomial spread. a new, more rigorous approach was implemented for the 1998/99 influenza season and was extremely effective in preventing nosocomial influenza at our institution.200011089659
network-related mechanisms may help explain long-term hiv-1 seroprevalence levels that remain high but do not approach population-group saturation.in many cities, human immunodeficiency virus (hiv)-1 seroprevalence among drug injectors stabilizes at 30-70% for many years without secondary outbreaks that increase seroprevalence by 15% or more. the authors considered how hiv-1 incidence can remain moderate at seroprevalence levels that would give maximum incidence. previously suggested answers include behavioral risk reduction and network saturation within high-risk subgroups. among 767 drug injectors studied in 1991-1993, during a period of ...200011092433
a multi-state outbreak of tuberculosis among members of a highly mobile social network: implications for tuberculosis elimination.baltimore, maryland.200011092720
breast cancer risk in relation to adipose concentrations of organochlorine pesticides and polychlorinated biphenyls in long island, new york.to assess a possible etiological role of organochlorine compounds in breast cancer development on long island, a high-risk region of new york state, concentrations of organochlorine pesticides and polychlorinated biphenyls (pcbs) were measured in the adipose tissue of 232 women with breast cancer and 323 hospital controls admitted to surgery for benign breast disease or non-breast-related conditions. seven pesticide residues and 14 pcb congeners were assayed via a supercritical fluid extraction ...200011097233
update: west nile virus activity--eastern united states, 2000.data reported to cdc through the west nile virus (wnv) surveillance system have shown an increase in the geographic range of wnv activity in 2000 compared with 1999, the first year that wnv was reported in the western hemisphere. in response to this occurrence of wnv, 17 states along the atlantic and gulf coasts, new york city, and the district of columbia conducted wnv surveillance, which included monitoring mosquitoes, sentinel chicken flocks, wild birds, and potentially susceptible mammals (e ...200011105767
serving street-dwelling individuals with psychiatric disabilities: outcomes of a psychiatric rehabilitation clinical trial.this study tested a psychiatric rehabilitation approach for organizing and delivering services to street-dwelling persons with severe mental illness.200011111259
differential risk perceptions for unintended pregnancy, stds, and hiv/aids among urban adolescents: some preliminary findings.two pilot studies tested the hypothesis that adolescents perceive differential risks for unintended pregnancy (up), sexually transmitted diseases (stds), and human immunodeficiency virus/acquired immune deficiency syndrome (hiv/aids). the 1st study used a college sample consisting of 14 adolescents (21 years or younger) and 64 adults (over 21) who rated the likelihood that they and others would experience 15 health problems. the 2nd study used a community sample of 48 adolescents between 16 and ...200011117100
field evaluation of deet and a piperidine repellent against aedes communis (diptera: culicidae) and simulium venustum (diptera: simuliidae) in the adirondack mountains of new york.repellent efficacy of n,n-diethyl-3-methyl-benzamide (deet), the piperidine, 1-[3-cyclohexen-1-ylcarbonyl]-2-methylpiperidine (ai3-37220), and a 1:1 ratio of deet + ai3-37220 were evaluated topically (0.25 mg/cm2 applied in ethanol solution) on human volunteers against the mosquito aedes communis (degeer) and the black fly simulium venustum say. the average repellency of all three formulations was > 95% at 4 h. for both mosquitoes and black flies, deet alone provided < 90% protection at 6 h, whe ...200011126550
emergence of domestically acquired ceftriaxone-resistant salmonella infections associated with ampc beta-lactamase.ceftriaxone, an expanded-spectrum cephalosporin, is an antimicrobial agent commonly used to treat severe salmonella infections, especially in children. ceftriaxone-resistant salmonella infections have recently been reported in the united states, but the extent of the problem is unknown.200011135779
health care is a right. 200011143718
expedited human immunodeficiency virus testing of mothers and newborns with unknown hiv status at time of labor and delivery.new york state introduced the first statewide program in the u.s. of expedited hiv testing (48-hour turn-around results) of mothers with unknown hiv status at the time of labor or delivery and their newborns on august 1, 1999. we evaluated the results of this program during its first 5 months at lincoln medical and mental health center (lincoln hospital) in the bronx, new york. there were 1,274 total live birth deliveries between august 1 and december 31, 1999. the hiv infection status of 539 mo ...200011155432
[west nile virus (wnv) encephalitis].a disease on the come back: west nile encephalitis has been known since the thirties. it generally occurs in africa and western asia, rarely in europe. the disease has disappeared from france since 1960, but has reappeared in the united states and in israel. a severe viral infection: west nile encephalitis is caused by a flavivirus. after 2 to 15 days incubation, the patient experiences fever, headache, diffuse pain, and sometimes skin rash. disorientation, stiff neck, convulsions and paralysis ...200011155732
correlates of partner violence among female street-based sex workers: substance abuse, history of childhood abuse, and hiv risks.this study examines the prevalence of physical and sexual abuse by intimate and commercial sexual partners among street-based sex workers and explores correlates of partner abuse by commercial partners using the following factors: sociodemographics, substance abuse, sexual behavior, and physical and sexual childhood abuse. one hundred thirteen street sex workers were recruited from december 1996 through may 1997 while receiving services from the foundations for research on sexually transmitted d ...200111177587
lessons from the original 'eden'. 200011182956
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