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lack of housing and its impact on human health: a service perspective. 19902124158
microgeographic distribution of immature ixodes dammini ticks correlated with that of deer.in order to determine whether the small-scale distribution of immature ixodes dammini spielman et al. corresponds closely to the activity patterns of white-tailed deer, odocoileus virginianus (zimmerman), these relationships were examined in a site on long island, new york, u.s.a. we first determined the extent and temporal pattern of adult ticks feeding on deer by examining twenty-three resident deer tranquilized during september-december 1985. i. dammini adults infested deer throughout this fa ...19902132979
serosurveillance of human immunodeficiency virus infection. 19912014853
comparison of newborn screening records and birth certificates to estimate bias in newborn hiv serosurveys.implicit in the new york state newborn hiv seroprevalence study is the assumption that newborns of all new york state residents are tested for human immunodeficiency virus (hiv) antibodies. we examined this assumption by describing that part of the 1988 new york newborn population not tested in the hiv seroprevalence study and assessing any bias contributed by this group. of the expected total hiv specimens 1.5 percent were never received by the newborn screening program, 0.5 percent were invali ...19912014879
geographic distribution of newborn hiv seroprevalence in relation to four sociodemographic variables.the geographic distribution of newborn human immunodeficiency virus seroprevalence at zip code level was compared with the distribution of four sociodemographic variables. for new york city significant univariate correlations were found between hiv and low birthweight, drug use (as measured by hospital discharges), maternal education less than 12 years, and race/ethnicity. less significant correlations were found for new york state exclusive of new york city. for new york city a model comprising ...19912014880
projection of aids incidence in women in new york state.the results of the newborn hiv seroprevalence study in new york state for 1988 were used to estimate the number of human immunodeficiency virus (hiv)-infected women of childbearing age in 1988. the estimate was accomplished for each of 80 age, racial/ethnic, and geographic strata by dividing the number of seropositive newborns by the 1988 estimated fertility rate. summing across strata yielded a total of 23,430 infected women age 15 to 44 years in 1988. from this estimate a tree model was used t ...19912014881
w.w. williams--a pioneer in fertility and infertility in animals and man. 19902276950
hiv infection among women entering the new york state correctional system.human immunodeficiency virus infection is the leading medical problem among prison inmates in several states. in 1988 a blinded seroprevalence study was conducted on 480 new york female prison entrants to determine the prevalence of and risk factors for hiv infection in this population. ninety (18.8 percent) women were hiv-seropositive. seroprevalence was highest among women ages 30-39 (25.0 percent) and varied by ethnicity (hispanics, 29.4 percent; blacks, 14.4 percent; whites, 7.1 percent) and ...19912014882
hiv seroprevalence surveys: impetus for preventive activities.seroprevalence determinations of human immunodeficiency virus are essential for design and implementation of preventive strategies. by demonstrating the severity of hiv infections within communities, new york state surveys have spurred preventive interventions, including information to the public and health care providers and increased counseling and testing of women of reproductive age. in high-prevalence areas the community health workers have been employed in preventive activities. specific i ...19912014887
treatment choice for infants in the neonatal intensive care unit at risk for aids.many infants admitted to neonatal intensive care units are the children of women infected with the human immunodeficiency virus (hiv); they have approximately a 30% risk of infection. to investigate attitudes surrounding treatment for such newborns, we conducted a survey of professionals at six neonatal intensive care units in new york city. a significant proportion of the 247 respondents recommended less aggressive treatment for non-hiv-related conditions for infants at risk for hiv compared wi ...19912033769
amantadine attack on influenza a. 19902172115
impact of the human immunodeficiency virus epidemic on mortality in children, united states.to assess the effect of the human immunodeficiency virus (hiv) epidemic on mortality in us children younger than 15 years of age and to identify associated causes of death, the authors examined final national mortality statistics for 1988, the most recent year for which such data are available. in 1988, there were 249 deaths attributed to hiv/acquired immunodeficiency syndrome (aids) in children younger than 15 years of age. associated causes of death listed most frequently on 270 death certific ...19912034483
comparison of epidemic and endemic group g streptococci by restriction enzyme analysis.restriction enzyme profiles of group g beta-hemolytic streptococci associated with a point source outbreak and an outbreak of sporadic pharyngitis in two different communities were compared. to asses the epidemiologic utility of this approach for studying group g streptococci, dna fingerprints of strains responsible for a point source outbreak of pharyngitis associated with the consumption of contaminated food were compared with dna fingerprints of pharyngeal isolates from children with pharyngi ...19902172291
the reappearance of abdominal tuberculosis.seventeen patients with abdominal tuberculosis were recently treated at our institution. two distinct patient populations were identified--immigrants and individuals infected with the human immunodeficiency virus. abdominal pain, weight loss and fever were the most common complaints, with abdominal tenderness and pyrexia the most frequent physical findings. only five of 17 patients had concomitant pulmonary tuberculosis. a typical computed tomographic scan was helpful in the diagnosis. diagnosis ...19912035131
detection and characterization of human t-cell lymphotropic virus type i (htlv-i) associated t-cell neoplasms in an htlv-i nonendemic region by polymerase chain reaction.human t-cell lymphotropic virus type i (htlv-i) associated adult t-cell leukemia/lymphoma (atll) occurs endemically in southwestern japan, the caribbean, and west africa, but occurs sporadically in most of the rest of the world. however, because atll and non-htlv-i associated t-cell neoplasms share overlapping clinicopathologic features, the prevalence of atll in nonendemic regions is unknown. in this study, 75 t-cell neoplasms randomly procured from the metropolitan new york city area were exam ...19912039822
acquired immunodeficiency syndrome prevention. knowledge, attitudes, and practices of primary care physicians.we conducted a telephone survey of a probability sample of 473 internists, family practitioners, general practitioners, and obstetrician-gynecologists in new york city (ny) in 1988 to assess their knowledge, attitudes, and practices with respect to the prevention of the acquired immunodeficiency syndrome (aids). although 71% of the physicians had cared for a patient with aids and 90% had been involved in ordering the human immunodeficiency virus antibody test, only about a third of them took app ...19912043012
echinococcal cyst of the liver: diagnosis and surgical management.the encysted larval form of echinococcus granulosus may infest man as an incidental host. the liver is the organ most commonly involved, but the lung and brain may be affected. the disease is endemic where sheep are raised with dogs in a pastoral environment. areas of high endemicity exist in rural north america. human echinococcal disease is now seen in urban medical centers because of the changing patterns of migration and immigration. an echinococcal cyst of the liver is reported in a residen ...19902073088
man/boy love and the american gay movement.the issue of man/boy love has intersected the gay movement since the late nineteenth century, with the rise of the first gay rights movement in germany. in the united states, as the gay movement has retreated from its vision of sexual freedom for all in favor of integration into existing social and political structures, it has sought to marginalize cross-generational love as a "non-gay" issue. the two movements continue to overlap, amid signs of mutual support as well as tension--a state of affa ...19902086634
[dimensions of the challenge introduced by hiv and aids].the mode of transmission of aids is via sexual intercourse, injection of drugs, and from infected mother to child. incubation time averages 11 years according to the latest studies. survival after the development of the disease amounts to 14.4 months in the u.s., only 11% live longer than 3 years. treatment with azt can prolong survival by months. an effective drug or a vaccine is not in sight, and the reliability of the human immunodeficiency virus (hiv) antibody test has been questioned. ...19902092475
epidemiology of hepatitis c virus. a preliminary study in volunteer blood donors.in a survey carried out from 1985 through 1986, volunteer blood donors to the greater new york blood program were tested for two surrogate markers for non-a, non-b hepatitis--elevation of alanine aminotransferase level and presence of antibody to hepatitis b core antigen. stored serum samples from selected donors were also recently tested for antibody to hepatitis c virus (anti-hcv). anti-hcv was detected in 0.9% to 1.4% of donors and was higher in black and hispanic donors than in white donors. ...19902104548
a case-control study of milk-drinking and ovarian cancer risk.it has been hypothesized that milk consumption increases the risk of ovarian cancer because of a possible association of lactose with human ovarian failure. milk is also a source of animal fats in the diet, and animal fat intake is associated with ovarian cancer risk. to explore further the possible confounding of the milk-ovarian cancer association by the animal fat content of milk, the authors performed a case-control study of 303 ovarian cancer cases and 606 age-matched nonmalignant-disease c ...19902239901
the impact of an aids symposium on attitudes of providers of pediatric health care.following reports of concern among health-care workers regarding the occupational risk of infection with the human immunodeficiency virus (hiv), a symposium was designed in 1987 to demonstrate to health-care providers at three hospitals in the bronx, new york, the low risk of occupational hiv infection and techniques for avoiding infection. after the symposium, 103 of the health-care providers who had attended it completed a questionnaire assessing the impact of the symposium on their attitudes; ...19902242202
persistence of antibodies to borrelia burgdorferi in dogs of new york and connecticut.multiple blood samples were obtained from privately owned dogs living in tick-infested areas of new york (westchester county) and connecticut, where lyme disease in human beings has been reported. of the 175 dogs examined, 127 (72.6%) had limb/joint disorder, whereas the remaining 48 dogs were considered healthy. results of analysis of 419 serum samples revealed igm antibody to borrelia burgdorferi in healthy and lame dogs during all seasons. prevalence of seropositivity was significantly (p les ...19902329074
setting human-health-based groundwater protection standards when toxicological data are inadequate.toxicological data are not adequate to assess fully the health effects of many of the pesticides that currently contaminate or have the potential to contaminate groundwater. the national academy of sciences estimated in 1984 that data to conduct a complete health hazard assessment exist for only 10% of the pesticides currently on the market. many pesticides have not been tested for their ability to cause cancer, genetic mutation, or birth defects. there are significant gaps in the toxicological ...19902248256
death, aids morbidity, and hiv seroprevalence in new york city intravenous drug abusers.drug treatment programs represent a point of access to intravenous drug abusers and, as such, may also be useful in monitoring health status indicators among this population. such a surveillance project was established in 1985 among drug treatment clinics in new york city to monitor the human immunodeficiency virus (hiv) epidemic. hiv seroprevalence was 54% (255/469) in 1985, 61% (159/262) in 1986, and 60% (133/222) in 1987. of the 2500 cumulative enrollees in these clinics each year, 4 patients ...19902258951
recent developments in sexually transmitted diseases: is kaposi's sarcoma a sexually transmitted disease?kaposi's sarcoma (ks), a major complication of aids, is found more frequently in the western hemisphere among homosexual and bisexual male aids patients than among other patients with aids. theory and arguments for the possibility of infectious cofactors playing a role in the cause and transmission of the sarcoma are reviewed. while cytomegalovirus, epstein-barr, and human herpesvirus have been explored as potential cofactors in aids-related ks, the focus here is on the suggestion that kaposi' ...19902261787
hiv antibody in persons screened for syphilis: prevalence in a new york city emergency room and primary care clinics.an anonymous human immunodeficiency virus (hiv) seroprevalence survey was performed on bloods sent for syphilis serologic testing from the general medical or pediatric clinics or emergency room of a municipal hospital in the bronx, new york city. from july-december 1987, 549 sera from persons aged 15-54 were collected. hiv antibody was detected in 29/549 (5.3%) sera, increased with age from 0% in the group under 20 to 16.7% in those aged 35-39, and was significantly higher in men (27/230, 11.7%) ...19902264007
aids prevention program for puerto rican women.historically women are considered the family's primary care provider and biologically, they are the link in the transmission of the human immunodeficiency virus. because of this dual role, they need programs that are culturally sensitive and effective. many latinas do not perceive themselves to be at risk despite the educational resources available to them. this article examines cultural factors that influence risk perception and behavioral changes in response to educational intervention. interv ...19902270255
pott's disease in urban populations. a report of five cases and a review of the literature.five patients were treated at the queens hospital center between 1987 and 1989 for tuberculosis of the spine. all were members of low socioeconomic status minority groups: four were black and one was asian. three were intravenous drug abusers and were positive for human immunodeficiency virus (hiv), one was homeless and suffering from alcoholism, and one had just arrived in the united states from a region in asia endemic for tuberculosis. all three hiv positive patients had negative tuberculin s ...19902277675
effect of knowledge of human immunodeficiency virus infection status on sexual activity among homosexual men.one hundred thirty-four homosexual men from a prospective cohort study of aids risk from new york city and washington d.c. and 139 homosexual men from a similar cohort in copenhagen and aarhus, denmark were questioned regarding their sexual practices and knowledge of their human immunodeficiency virus (hiv) status over the previous 12 months. seventy percent of danish men and 63% of u.s. men participated in anal intercourse during the previous 12 months. knowledge of one's own hiv status by itse ...19902293644
human immunodeficiency virus transmission through artificial insemination.six human immunodeficiency virus type 1 (hiv-1) seropositive semen donors were identified during an antibody screening program initiated at an artificial insemination clinic in new york city in 1985. a total of 176 women underwent artificial insemination with fresh semen from these six donors between 1978 and mid-1985. of these 176 women, 134 women were hiv-1 antibody tested and 1 was found to be seropositive; she denied all other aids-associated risk behavior and her husband was seronegative. t ...19902293645
medicine court, ii: rivers in practice.the authors conducted a retrospective study of the initial impact (1986-1987) of the rivers v. katz decision involving patients' right to refuse treatment at new york state's largest forensic psychiatric hospital. of 18 petitions submitted, 15 cases were adjudicated. all 15 patients were found incompetent, and all treatment plans submitted were approved by the court. most patients selected for rivers hearings were diagnosed as having chronic schizophrenia and/or were older than the hospital popu ...19902293787
variables influencing condom use among intravenous drug users.correlates of condom use were identified using cross-sectional data from a convenience sample of 211 sexually active intravenous drug users enrolled in methadone maintenance in new york city. sixty-eight percent did not use condoms at all in the previous month and only 11 percent used condoms every time. nineteen percent were planning on conception, only 20 percent of whom had been tested for human immunodeficiency virus (hiv) antibody (all seronegative). multiple logistic regression analysis in ...19902293811
providers link health with human service.this issue's cover story looks at a handful of hospital leaders who appear to be radically redefining their hospital's role, but who are really just returning to the basics of hospital management and the basic hospital mission of community service. these ceos of innercity hospitals are taking a leadership role in community development programs, ranging from literacy to housing. they bring together community groups to solve problems, work to find funding for projects, and attract new business to ...19902294028
risk factors for human immunodeficiency virus type 1 (hiv-1) infection in patients at a sexually transmitted disease clinic in new york city.patients who attended a sexually transmitted disease clinic in new york city in 1987 were offered enrollment in a nonblinded study to estimate human immunodeficiency virus type 1 (hiv-1) seroprevalence in adults with multiple sexual partners and to determine risk factors associated with hiv-1 infection. in addition, a blinded serosurvey of a representative sample of patients was performed to obtain an unbiased estimate of seroprevalence in clinic attendees. the seroprevalence in the blinded sero ...19902296975
hiv infection in state hospitals: case reports and long-term management strategies.issues facing state psychiatric hospitals as a result of the epidemic of human immunodeficiency virus (hiv) are illustrated by five cases. these issues include use of universal precautions to prevent transmission of hiv, medical diagnosis and management of hiv-infected patients, management of threatening behavior by infected patients, management of patients' sexual behavior, and discharge planning. the authors suggest that institutions will be required to ensure that sexual behavior between pati ...19902303216
the aids litigation project. a national review of court and human rights commission decisions, part i: the social impact of aids.the aids litigation project, which monitors the legal repercussions of the aids epidemic in the united states, is operated by the american society of law and medicine and the department of health policy and management, harvard school of public health, and supported by the national aids program office of the u.s. public health service. gostin's article is the first in a two-part series reviewing case law and human rights commission rulings tracked by the project since 1981. the series covers 46 ...19902179597
therapy may explain recent deficits in aids incidence.since the middle of 1987, fewer consistently defined aids cases have been reported than expected among homosexual and bisexual men in the united states. this "aids deficit" was greater among homosexual and bisexual men in new york city, san francisco, and los angeles, but was also striking among all homosexual and bisexual men in the united states. deficits were virtually absent among intravenous drug users (ivdus) in the united states. three independent sources of data--placebo-controlled trial ...19902313558
recent developments in sexually transmitted diseases: is heterosexual transmission of human immunodeficiency virus a major epidemiologic factor in the spread of acquired immunodeficiency syndrome? ii: the united states and western europe. 19902209074
immune function in heroin addicts and former heroin addicts in treatment: pre- and post-aids epidemic.these studies suggest that specific opiate receptors are not involved significantly in modulating nk-cell activity by any direct effect. the role normally played by the endogenous opioids in directly modulating nk-cell cytotoxic activity may be minimal and certainly is not a clinically relevant controlling factor. these findings also suggest that the repeatedly observed lowering of nk-cell activity in untreated heroin addicts is not due to a direct drug effect. it may be due, however, to an indi ...19902233996
sex, drugs, and hiv infection in a new york city hospital outpatient population.persons attending outpatient clinics at bellevue hospital center in manhattan, new york city were invited to be tested for antibodies to human immunodeficiency virus (hiv). in pretest counseling, males were asked if they had injected nonprescription drugs or engaged in sex with other men since january 1, 1977; if so, they were asked not to participate and were referred elsewhere for testing. face-to-face interviews and hiv testing were completed for 1,119 subjects with no prior indication of hiv ...19902313559
expanding the focus of human immunodeficiency virus prevention in the 1990s. 19902314713
assessment of aids knowledge in selected new york state sexually transmitted disease clinics.a 1988 survey regarding the level of knowledge about acquired immunodeficiency syndrome (aids) among 505 clients of sexually transmitted disease (std) clinics demonstrated 80% correct responses. however, 13% thought aids could be transmitted via sharing utensils, and 51% were unaware that acquiring another std could increase one's risk of human immunodeficiency virus (hiv) infection. in addition, only 10% always used condoms. an average 69% of patients obtained their aids information from newspa ...19902314717
racial/ethnic differences in hiv-1 seroprevalence and risky behaviors among intravenous drug users in a multisite study.differences in human immunodeficiency virus type 1 (hiv-1) seroprevalence and patterns of drug-use and sexual behaviors were examined among hispanic, black, and white intravenous drug users recruited at multiple sites in worcester, massachusetts. a total of 1,092 (786 males, 306 females) intravenous drug users were interviewed, and hiv-1 antibody test results were available for 874 (80.0%). after adjustment for demographic differences, black males were significantly less likely to report risky d ...19902239898
human immunodeficiency virus infections in teenagers. seroprevalence among applicants for us military service. the walter reed retrovirus research group.between october 15, 1985, and march 31, 1989, serum specimens from 1 141 164 teenaged youths (aged less than 20 years) who applied for entry into the us military were tested for antibodies to the human immunodeficiency virus. overall, 393 teenaged applicants were found to be seropositive (prevalence, 0.34 per 1000). prevalences varied markedly in different geographic locales: less than 0.1 per 1000 throughout the north-central states, compared with greater than 2 per 1000 in urban counties in ma ...19902319667
the genesis of teaching human genetics at medical schools. 19902339713
cocaine injection and ethnicity in parenteral drug users during the early years of the human immunodeficiency virus (hiv) epidemic in new york city.parenteral drug users have a high prevalence of infection with human immunodeficiency virus (hiv), the etiologic agent of acquired immune deficiency syndrome (aids). new york city has had a prolonged and extensive epidemic of hiv infection and aids. in this study, we analyze, in relation to antibody to hiv (anti-hiv), available data from sera from parenteral drug users collected in new york city during 1978 through 1983 in the course of studies of liver disease. among parenteral users of both he ...19892614398
prevalence of nonclassical steroid 21-hydroxylase deficiency based on a morning salivary 17-hydroxyprogesterone screening test: a small sample study.early morning salivary 17 alpha-hydroxyprogesterone (17-ohp) determination differentiates patients with non-classical 21-hydroxylase deficiency (nc21ohd) from those who are not affected. using this test, we have conducted a trial screening study for nc21ohd and have compared the study results with previously reported figures for the frequency of this disorder. testing was performed on 258 subjects recruited from among the medical students and employees of the new york hospital-cornell medical ce ...19902347899
serologic investigations in a new york city cohort of parenteral drug users.human immunodeficiency virus (hiv) infection continues to be a major health problem for society. intravenous drug users are the second largest risk group for hiv infection. the disease primarily affects immunologic functioning. this study examined the inherent immunologic dysfunction by measuring the seroprevalence of infection against pathogens often associated with hiv infection. additionally, chi square analysis was used to compare intravenous drug users with a non-drug-using control group to ...19902362296
the incidence and epidemiology of human immunodeficiency virus infection in 320 patients treated in an inner-city hemodialysis center.from january 1, 1986 through june 30, 1989, 320 maintenance hemodialysis patients treated at the brookdale hospital medical center were tested for the presence of antibody to the human immunodeficiency virus (hiv) using the enzyme-linked immunosorbent assay (elisa) and western blot assays. thirty-nine patients (12%) tested positive for hiv antibody (hiv+) with both the elisa and western blot, 24 (62%) of whom were known intravenous drug abusers (ivda). of the remaining non-ivda patients, unantic ...19902368703
patterns of hiv-1 and htlv-i/ii in intravenous drug abusers from the middle atlantic and central regions of the usa.seroprevalence of human immunodeficiency virus type 1 (hiv-1) and human t lymphotropic virus types i and ii (htlv-i/ii) was determined among 1160 intravenous (iv) drug abusers from five drug treatment or medical centers (manhattan, brooklyn, new jersey, detroit, and new orleans). hiv-1 infection ranged from 5% in new orleans to 48% in new york city. hispanics and blacks had a significantly higher rate of hiv-1 infection than whites (p less than .01), but within each group rates were similar betw ...19902373871
a survey of exposures, practices and recommendations of surgeons in the care of patients with human immunodeficiency virus.policy makers face a conflict between satisfying concerns of health care workers (hcw) about the occupational risk of human immunodeficiency virus (hiv) infection and ensuring adequate care for patients. this conflict is particularly severe in the field of surgery. we mailed a questionnaire on the surgical care of patients infected with hiv to 1,461 surgeons in new york city and philadelphia, and 551 (37.7 per cent) responded. although 1.9 per cent currently were testing all patients for hiv, 42 ...19902382201
zidovudine therapy in an inner city population.to determine the compliance and tolerance with zidovudine (azidothymidine or azt) therapy among poor, minority, and intravenous drug-using patients, data were collected on all aids and arc patients followed for at least 4 weeks in a new york city human immunodeficiency virus clinic. ninety-nine patients received zidovudine, of whom 75% were males, 92% were minorities, and 59% had a history of intravenous drug use. of the 99 patients, 72 had aids and 27 had arc with t-helper (cd4) lymphocytes les ...19902384864
the relationship of cocaine use to syphilis and human immunodeficiency virus infections among inner city parturient women.to study the relationship of cocaine use to syphilis and human immunodeficiency virus infections a blinded urine and serum survey was performed among parturient women at an inner city hospital. discarded urine samples of 1206 parturient women were saved and given code numbers that were also assigned to data sheets containing nonidentifying information, including prenatal care status and syphilis serologic results. in the latter part of the study blood remaining after syphilis serologic tests wer ...19902386137
behavioral risk factors of human immunodeficiency virus infection among intravenous drug users and implications for preventive interventions.risk behaviors for hiv infection in relation to drug and sexual activities among 262 intravenous drug users (ivdus) from methadone clinics in new york city were investigated using a structured questionnaire in 1986. the overall seroprevalence rate was 60.1 per cent. intravenous heroin and cocaine users were found to be significantly more likely to be hiv positive than those who used heroin and cocaine intranasally. among female ivdus, excluding prostitutes (defined by self-report of sex for mone ...19902393617
kaposi's sarcoma in three hiv-1-infected cohorts.we describe the kaposi's sarcoma (ks) experience in three cohorts of homosexual men, subjects with hemophilia, and human immunodeficiency virus type 1 (hiv-1) seroconverters. the risk of ks was higher in hiv-1-infected homosexual men from new york city as compared with washington, d.c. and was very low in the hemophilia subjects. while ks accounted for a decreasing proportion of aids cases in homosexual men, the absolute risk per year did not diminish. survival was similar after diagnosis of ks ...19902395084
the pattern of organ donation in a large urban center.despite increasing referrals for organ donation in metropolitan new york, procurement has remained essentially unchanged from 1983 through 1988 at 9 to 13 per million population, falling far short of increasing demand. this is not due to delay in the diagnosis of brain death, higher discard rates, or increased medical unsuitability, although exclusion because of human immunodeficiency virus (hiv) disease, or risk thereof, has increased and now accounts for 38% of exclusions. consent for organ do ...19902402354
prevalence of use of cocaine and other substances in an obstetric population.increasing use of cocaine among pregnant women has been reported. this study was conducted to determine the prevalence of positive urine toxicologic screens for cocaine and other substances of patients admitted to the sloane hospital for women. urine samples were obtained from 509 women admitted to the delivery suite. the overall prevalence of cocaine was 10% (n = 51). cocaine use was 10 times more prevalent in the clinic population (14%) than in the private population, (1.4%). in addition, wome ...19902403158
diagnosis related group 'all payor' hospital payment and medical diseases. financial risk and hospital cost in medical noncomplicating condition-stratified diagnosis related groups.there are many health policy issues related to diagnosis-related group (drg) hospital payment. previous work by our group had suggested that some drgs did not adequately comorbidities. despite recommendations by federal advisory committees, the secretary of health and human services has proposed no major changes to drgs along these lines. we analyze resource consumption in any of the 88 non-complicating condition (cc)-stratified medical drgs using the drg prospective "all payor system" in effect ...19892492795
frequency of mycobacterium tuberculosis bacteremia in patients with tuberculosis in an area endemic for aids.mycobacterium tuberculosis bacteremia has recently been reported in patients infected with the human immunodeficiency virus (hiv). at our institution, tuberculosis occurs commonly among patients with and without hiv infection. we sought to determine the frequency of m. tuberculosis bacteremia among patients with newly diagnosed tuberculosis. during a 4-month period, mycobacterial blood cultures were obtained on all identifiable patients with newly diagnosed tuberculosis. fifteen percent (9/59) o ...19892513763
protecting the blood supply.prevention of the transmission of the acquired immunodeficiency syndrome (aids) by transfusion has been the most successful area of epidemiologic control of the disease. only 2% of the more than 50,000 cases reported to the centers for disease control (cdc) have been attributed to transfusion, and the vast majority of these patients were infected before the introduction of screening tests in april 1985. the overall prevention program involves donor education, adequate medical history, physical e ...19892520547
an appeal to members. 19892521872
defense against hrc ruling. 19892523028
epidemiologic background of blood donors with antibody to human t-cell lymphotropic virus. transfusion safety study group.we interviewed 51 blood donors in four major us metropolitan areas subsequently found to have had antibodies to human t-cell lymphotropic virus (anti-htlv) in late 1984-early 1985. sixteen donors (31%) reported that they or a sexual contact had a history of blood transfusion. twelve donors (24%) reported that they or a sexual contact used intravenous drugs. ten donors (20%) were blacks born in the southeastern us. four of the male donors (15%) reported homosexual contact. the most common charact ...19892572078
issues in medical ethics. 2. aids: challenge for medical ethics. conference proceedings. march 4, 1988, new york. 19892747686
aids: the state of the new york state approach. 19892747689
evidence for spread of the human immunodeficiency virus epidemic into low prevalence areas of the united states.reports of an increased proportion of aids cases occurring in small and medium-sized cities suggest that the hiv epidemic may be spreading into locations that were previously characterized by their low hiv antibody prevalences. studying the question of the geographic spread of the hiv infection epidemic (rather than the aids epidemic) has been difficult largely because most serial seroprevalence data have been gathered from cohorts of high risk individuals (e.g., homosexual/bisexual cohorts) in ...19892585245
human immunodeficiency virus and mental health: meeting the needs of health professionals.psychiatric-mental health nurses are taking a leadership role in the human immunodeficiency virus epidemic. this article details activities, developed through federally-supported acquired immune deficiency syndrome (aids) projects, which are designed to meet the mental health needs of health professionals who work intensively with people with aids.19892596874
a seroprevalence survey for human immunodeficiency virus antibody in mentally retarded adults.the prevalence of human immunodeficiency virus (hiv) infection among adults who are mentally retarded is not known. policies for those in residential settings are being established despite incomplete information. knowledge regarding hiv seroprevalence would enable administrators to make more effective policy decisions concerning testing and hiv prevention. discarded sera from mentally retarded adults were anonymously tested for hiv antibody. sera were collected from a health facility in westches ...19902314720
social workers' comfort in providing services to aids patients.with the steadily increasing number of people infected with the human immunodeficiency virus, social workers are being called on to play a key role in meeting the complex psychosocial needs of infected individuals and their significant others. to understand more about social workers' levels of comfort in providing services to individuals with acquired immune deficiency syndrome (aids) and their family and friends, a survey of social workers in 12 hospital centers was carried out. the majority of ...19902315759
health costs of occupational disease in new york state.occupational diseases and deaths are costly events. they are responsible for: 1) direct medical costs; 2) indirect costs, resulting from lost production, foregone opportunities, and diminished investment; and 3) non-economic costs, including pain and suffering, disrupted careers, and devastated families. to develop a partial estimate of the total costs of occupational disease in new york state, we have examined four categories of illness: occupational cancer, chronic respiratory disease and the ...19892610214
aids and homosexuality: a longitudinal study of knowledge and attitude change among rural nurses.with no effective medical treatment or vaccine for acquired immunodeficiency syndrome (aids) available now or in the near future, nursing can make the most difference by providing emotional support and physical care for people with aids and their families. one of the least understood areas in providing such care is the feelings nurses have toward persons with aids, especially in rural areas. this study measured changes in knowledge and attitude toward aids and homosexuality before, immediately a ...19892616450
increasing rate of pneumonia hospitalizations in the bronx: a sentinel indicator for human immunodeficiency virus.to describe secular trends in pneumonia hospitalizations in the bronx, new york city from 1982-1986, we analysed all cases with a discharge diagnosis of pneumonia, excluding pneumocystis carinii pneumonia (pcp), for bronx residents by age, sex, neighbourhood, and length of stay (n = 21,822). hospital deaths from pcp and immune disorders were analysed separately as a non-recurrent indicator of human immunodeficiency virus (hiv) related disease prevalence by age, sex and geographical areas. from 1 ...19892621030
sexual decision-making and aids: why condom promotion among vulnerable women is likely to fail.this article examines the reasons for resistance to condom use among high-risk women (primarily intravenous drug users and/or the sexual partners of intravenous drug users) in two new york city aids prevention programs. the data collected indicate that a lack of economic, social, cultural, sexual, and technological options combine to lead vulnerable women to concentrate on addressing the more immediate risks in their lives: poverty, homelessness, and the frequent disruption of socioeconomic supp ...19892623725
the rural health care challenge in new york state. 19892626223
human immunodeficiency virus and viral hepatitis seroepidemiology in new york city intravenous drug abusers (ivdas). 19892641023
a bridge to treatment: the needle exchange pilot program in new york city.the needle exchange pilot program in new york city is one element in a spectrum of drug prevention and treatment modalities under way to slow the spread of the human immunodeficiency virus. the program's aim is to help us learn about the addict behaviors that spread the aids virus, including whether needle exchange can help reduce the frequency or eliminate those behaviors. thus far, its primary value for clients lies in drug counseling and referral to treatment. where an active iv drug user has ...19892641253
the papanicolaou test for cervical cancer detection. a triumph and a tragedy.the complex detection system leading to the discovery and treatment of precancerous lesions and early cancer of the uterine cervix is described in detail and discussed. by far the most difficult and underestimated component of this system is the screening and interpretation of cervical (papanicolaou) smears. cytologic case finding may fail because of inadequate samples, insufficient time devoted to screening, or human fatigue. other weak points of the system, such as an inadequate clinical compo ...19892642983
zoonotic brugia infections in north and south america.nine new zoonotic brugia infections, 8 acquired in the united states and 1 in brazil, are described. in each, a single worm was found in histological sections of lymph nodes or lymphoid tissues. in those from north america, 5 of the 8 worms were females, all were infertile, and only 3 were alive at the time the tissues were excised; all of the patients were male. a dead female worm was collected from a brazilian male patient. in addition, 3 cases of filarial infections in the u.s., previously id ...19892662786
potential for exposure to tick bites in recreational parks in a lyme disease endemic area.eight recreational parks located in a lyme disease endemic area of southern new york state were surveyed for the presence of ticks during the summer of 1985 by drag sampling. ixodes dammini, the primary vector of lyme disease in the northeast, was found in all but one park and accounted for 580 (91.8 per cent) of the 632 ticks collected. of these, 18 per cent were larvae, 80 per cent were nymphs, and 2 per cent were adults. an i. dammini encounter distance, defined as the mean number of meters t ...19892909174
review of human immunodeficiency virus infection in women in the united states.in this review, available human immunodeficiency virus (hiv) seroprevalence data are presented for united states women attending clinics related to reproductive health and for women in other settings. at family planning clinics, prenatal clinics, and in delivery room settings (cord blood testing), studies that have not targeted women at high risk for hiv infection have shown prevalence rates ranging from 0-4.3%. higher rates (greater than 1%) have been observed in more urban areas--newark, new y ...19892682415
history of the renal section, new york university school of medicine 1926-1986, new york university medical center.this history of the renal section at new york university school of medicine ascribes its birth to a policy introduced by john henry wyckoff in 1924 that divided the department of medicine into sections devoted to the various subspecialties. physicians selected to head each section sought further training. william goldring, asked to organize the kidney section, spent a sabbatical year working with homer william smith, chairman and professor of the department of physiology at new york university s ...19892686789
a century of caring: the visiting nurse association of brooklyn.reading the minutes of the annual meetings of the brooklyn visiting nurses over the years, one is reminded of the old french proverb plus ça change, plus c'est la même chose (the more things change, the more things stay the same). the questions of 1988 are often the same questions the board members struggled with 50, 80, and 100 years ago. human nature changes very little. science, it is true, gives us new instruments with which to work, and additional education is at our disposal. but the well- ...19892687208
antigenically variable borrelia burgdorferi isolated from cottontail rabbits and ixodes dentatus in rural and urban areas.spirochetes were isolated from 71 subadult ixodes dentatus removed from cottontail rabbits captured in millbrook, n.y., and in new york, n.y. spirochetes were also cultured from kidney tissues of six rabbits. while all isolates reacted with monoclonal antibody h9724, which identifies the spirochetes as borreliae, more than half did not bind with antibody h5332 and even fewer reacted with h3ts, both of which were produced to outer surface protein a of borrelia burgdorferi. sodium dodecyl sulfate- ...19892913024
[a historical perspective of human-animal interaction as a field of study].a chronological review is given of the most important people, publications, scientific gatherings and societies which have contributed to the development and recognition of human-animal interactions as a field of study. lorenz is recognised as the founder of this new field of study. his contribution was to emphasise the role of humans who have to have a thorough knowledge of animal behaviour and he also pointed out the fact that modern man needs to keep contact with nature. other pioneers were l ...19892699501
social workers respond to the aids epidemic in an acute care hospital.acquired immune deficiency syndrome (aids) has had dramatic effects on hospital staff, particularly social workers. however, little documentation exists of how hospitals and their social work departments have responded to the myriad needs of people with human immunodeficiency virus-related conditions. patterns of social work service delivery to 152 persons with aids at st. luke's-roosevelt hospital center in new york city were reviewed. gaps were identified; in particular, social workers provide ...19892707682
mandatory reporting of human immunodeficiency virus testing would deter blacks and hispanics from being tested. 19892739029
acquired immunodeficiency syndrome and adolescents: knowledge, attitudes, beliefs, and behaviors in a new york city adolescent minority population.in this survey, the knowledge, attitudes, beliefs, and behaviors concerning acquired immunodeficiency syndrome (aids) in a group (n = 196) of innercity adolescents in new york city were assessed. sexual activity was the major risk factor for aids in this population; 58% of the adolescents had engaged in sexual intercourse; 12% of these had never used contraception. there were small reported rates of homosexuality, anal intercourse, and prostitution. of respondents, 22% reported alcohol use and 2 ...19892740176
human immunodeficiency virus infection in transfused patients with acute leukemia.the human immunodeficiency virus (hiv) is transmitted by sexual contact and by blood products. patients with acute leukemia are extensively transfused as part of their supportive care. we conducted a retrospective study of the incidence of hiv antibody positivity in patients treated for acute leukemia at the mount sinai medical center between 1970 and 1986. serum samples from 106 patients were studied, including 71 (67%) with at least one posttransfusion specimen. six were found to have hiv anti ...19892747672
issues in medical ethics. 1. justice and medical care. conference proceedings. march 6, 1987, new york. 19892747677
needle injuries among pediatric housestaff physicians in new york city.concerns regarding accidental needle puncture wounds, needle injuries among house officers have increased following reports of human immunodeficiency virus (hiv) transmission via this route. pediatric house officers training in areas with large numbers of children infected with hiv may face a significant risk of occupational hiv infection via needle injury. the cumulative incidence of needle injury among pediatric house officers in new york who completed at least 1 year of training was ascertain ...19892748246
geographic differences in digoxin inactivation, a metabolic activity of the human anaerobic gut flora.the inactivation of digoxin by conversion to reduced metabolites (digoxin reduction products, or drp), a function of the anaerobic gut flora, was studied in normal volunteers from southern india and the united states. digoxin was metabolised to drp by 28 (13.7%) of 204 healthy south indians in contrast to 67 (36.0%) of 186 new yorkers (p less than 1 x 10(-6)). only 1.0% of indians compared with 14.0% of americans excreted large amounts of metabolites (greater than 40% drp) in the urine (p less t ...19892759492
acquired immunodeficiency syndrome.a report entitled "kaposi's sarcoma and pneumocytosis carinii pneumonia among homosexual men in new york city and california" in the mmwr in july 1981 alerted the world to the appearance of a completely new disease. the opportunistic infections and cancers occurring in these patients had previously only been seen in patients who were immunosuppressed. homosexual men were the first as a major risk group to be identified. others quickly followed. the pattern of occurrence clearly indicated an infe ...19892599843
normal t cell subsets in homosexual men living in a community without endemic aids.the cause of the abnormal t lymphocyte subsets reported in healthy homosexual men is not known. frequent sexually transmitted infections including human t cell lymphotropic virus type iii/lymphadenopathy-associated virus (htlv-iii/lav) are possible causes. to determine if the t lymphocyte subsets were abnormal in this population in an area without endemic acquired immune deficiency syndrome (aids), t lymphocyte subsets of 52 homosexual men in rochester, new york, were enumerated, and evidence of ...19862945432
aids in the workplace.in a survey of 67 corporations done in 1987 and 1988, 66 were found to have had employees with human immunodeficiency virus infections. the numbers and backgrounds of the infected employees tend to reflect the experience of the surrounding community. these employees were accommodated in keeping with published public health and social guidelines, without significant event. responsible intervention should include defined medically and socially appropriate policy statements, effective education, an ...19892607381
race/ethnicity as a risk factor for hiv-1 infection among connecticut intravenous drug users.this cross-sectional study of 341 entrants to drug abuse treatment in four connecticut cities in 1986-1987 evaluated whether demographic, behavioral, viral serologic, or economic differences explained the disproportionate risk of human immunodeficiency virus type 1 (hiv-1) infection among black and hispanic intravenous drug users (ivdus), relative to non-hispanic white ivdus. blacks [odds ratio (or) = 9.0, 95% confidence interval (ci) = 5.1-15.9] and hispanics (or = 4.1, 95% ci = 1.9-8.8) were a ...19892795451
human t-lymphotropic retrovirus type iii/lymphadenopathy-associated virus antibody. association with hemophiliacs' immune status and blood component usage.we studied the human t-lymphotropic retrovirus type iii/lymphadenopathy-associated virus (htlv-iii/lav) antibody status of 234 factor viii concentrate recipients, 36 factor ix concentrate recipients, 69 long-term recipients of frozen packed red blood cells, and 47 persons not receiving routine transfusion therapy. factor viii concentrate recipients had a significantly higher rate of seropositivity (74%) than any other group. factor ix concentrate recipients had a significantly higher rate (39%) ...19852987559
human immunodeficiency virus infection in a cohort of intravenous drug users in new york city. demographic, behavioral, and clinical features.in 1985, 454 intravenous drug users were recruited from among patients scheduled for physical examination in methadone treatment clinics in new york city. a questionnaire was administered, and serum was collected for human immunodeficiency virus (hiv) serology. the hiv seroinfection rate was 60.6%, with antibody and antigen detected in 58.4% and 4.3%, respectively, of the population. nineteen percent of 307 subjects were in group iii or group iv of the centers for disease control (cdc) classific ...19892797531
acquired immunodeficiency syndrome among adolescents. case surveillance profiles in new york city and the rest of the united states.adolescents engaging in certain sexual or drug-related behavior are at risk of contracting the human immunodeficiency virus infection in endemic locales. local and national surveillance data were analyzed to determine the characteristics of the acquired immunodeficiency syndrome (aids) epidemic on adolescents. of the 605 cases of aids in people aged 13 to 21 years reported through 1987, 518 were males (83 from new york city [nyc], ny), and 87 were females (28 from nyc). over half of all adolesce ...19892801666
nysna reaches out to minority programs alumni. 19892802361
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