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frequency of puncture injuries in surgeons and estimated risk of hiv infection.to evaluate the occupational risk of human immunodeficiency virus (hiv) infection, we surveyed 202 surgeons working in the new york city metropolitan area. one hundred seventy-three (86%) surgeons reported at least one puncture injury in the preceding year (median number, 2 per year; interquartile range, 1 to 4 per year). seventy-six percent of the injuries occurred during surgery, and the median injury rate was 4.2 per 1000 operating room hours. twenty-five percent of the surgeons sustained yea ...19892818181
judicial electrocution and the prison doctor. 19901969071
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
polychlorobiphenyl (pcb) congeners in striped bass (morone saxatilis) from marine and estuarine waters of new york state determined by capillary gas chromatography.edible filets of striped-bass samples (60) from the hudson river estuary, the atlantic shore of long island, and long island sound were analyzed by high-resolution glass-capillary gas chromatography for 74 polychlorobiphenyl (pcb) compounds. the fish, a non-random subset of a larger sample, contained the following concentrations of total pcb residue (mean +/- the standard error of the mean). the corresponding mean values for the entire survey (n = 717) are given in parentheses: eastern long isla ...19902109967
drug users' aids-related knowledge, attitudes, and behaviors before and after aids education sessions.the investigators interviewed 100 drug users in a detoxification facility before and after they received information about acquired immunodeficiency syndrome (aids) and human immunodeficiency virus (hiv). the drug users already had a considerable amount of information about aids and hiv transmission modes before they received the information. however, 79 percent of them reported never having used condoms. fifty percent of intravenous drug users acknowledged having shared needles during the previ ...19902120728
human immunodeficiency virus infection among homeless men in a new york city shelter. association with mycobacterium tuberculosis infection.the human immunodeficiency virus (hiv) seroprevalence among a selected sample of 169 high-risk homeless men residing in a congregate shelter in new york city, ny, was 62%. seropositivity for hiv correlated significantly with intravenous drug use (odds ratio, 3.3; 95% confidence interval, 1.4 to 4.4) and active tuberculosis (odds ratio, 7.0; 95% confidence interval, 3.4 to 13.5). most cases of active tuberculosis were among homeless men with acquired immunodeficiency syndrome (aids) or aids-relat ...19902121112
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
interaction of human immunodeficiency and papilloma viruses: association with anal epithelial abnormality in homosexual men.during the 7th annual follow-up of our cohort of homosexual men in 1989, we tested the hypotheses that infection with human immunodeficiency virus (hiv) may enhance the expression of human papilloma virus (hpv) and that the development of anal epithelial abnormality is related to a biologic interaction between these two viruses. overall, 41 (39%) of the 105 men had anal swabs positive for one or more genotypes of hpv 6/11, 16/18 or 31/33/35. twenty-three (53%) of the 43 hiv-positive subjects har ...19902166710
amantadine attack on influenza a. 19902172115
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 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
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
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
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
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
w.w. williams--a pioneer in fertility and infertility in animals and man. 19902276950
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
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
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
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
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
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
the genesis of teaching human genetics at medical schools. 19902339713
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
management of hiv infection in new york state prisons. 199011652177
community-based aids research. 199011656281
souter questions a curb on doctors: justices skeptical of federal bar to advice on abortion. 199011647430
court orders blue cross to pay for transplant in an aids case. 199011646773
africa and the aids myth.the recently released television documentary, "monkey business, aids: the african story," has created controversy in europe with its premise that aids did not originate in africa. although aids 1st appeared in new york in 1981 and was not recorded in africa until 1983, researchers and the media have promoted the theory that aids came from africa through human contact with the green monkey. subsequent research forced the original champions of this "green monkey connection" theory to acknowledge ...199012282947
[american policy (1986-1989): results and limits].although the american program to legalize illegal immigrants succeeded in giving legal status to over 3 million foreigners between 1987-88, the experience contributes to understanding of the limitations in a state's ability to control illegal immigration. some part of the illegal population entitled to legalization failed to apply to 1 of the 110 offices opened for the purpose, but the proportion is debatable because in the us as elsewhere the exact numbers and characteristics of the illegal po ...199012283120
economic woes mean cuts to family planning services.due to budget cuts at the federal, state, and local levels, family planning clinics that rely in public funding are facing financial hardship. in 1980, the federal government provided $162 million for family planning under title 10. but for 1991, the allocation was down to $140 million. compared to 1980, there are 100 fewer government-funded clinics providing family planning. many health clinics have simply ceased providing such services. the community family planning council in new yor ...199112284064
rust v. sullivan.the federal public health service act specifies that no title x funds used for family planning services "shall be used in programs where abortion is a method of family planning." in 1988, the secretary of health and human services promulgated regulations that prohibited title x projects from abortion counseling, referral, or advocacy. various title x doctors sued, alleging violations of their first and fifth amendment rights. the supreme court found the regulations to be a permissible constru ...199112041295
community consultation and aids clinical trials, part i. 199111651047
community consultation and aids clinical trials; part ii. 199111651480
court denies motion to compel discovery where documents are "predecisional" or "deliberative.". 199110183549
the boundaries of business: commentaries from the experts.the world leadership survey, which began a worldwide dialogue on a set of important issues facing managers in the 1990s, continues with commentaries from four recognized experts, each of whom addresses the survey results from a different perspective. kenichi ohmae, chairman of mckinsey and company in tokyo, addresses "the perils of protectionism." ohmae argues that the old definitions of national boundaries and corporate interests reflect obsolete economic theories. the real test of national wel ...199110112918
the economic returns from investments in physical and mental health: a case study of migrant farmworkers in rural new york.spiraling costs of medical care services and limited federal and state resources necessitate discriminating and cost-effective strategies for financing health care to indigent populations. thus, while the selection among intervention strategies is aided by information on both the cost and benefits of program alternatives, data on the latter aspect is more difficult to obtain. human capital research provides a mechanism for assessing one of the multifarious aspects of the benefits of medical serv ...199110116393
human t lymphotropic virus type ii (htlv-ii) infection in a cohort of new york intravenous drug users: an old infection?to identify risk factors for human t lymphotropic virus type ii (htlv-ii) infection in intravenous drug users (ivdus), participants in a longitudinal study of human immunodeficiency virus (hiv) infection in a new york methadone maintenance program were studied. of 270 participants tested for htlv-i/ii, 21 (8%) were seropositive. of those, 15 (71%) had htlv-ii-specific sequences by polymerase chain reaction (pcr) and 1 (5%) had both htlv-i- and -ii-specific sequences; 3 persons with indeterminate ...19911988509
an evaluation of the use of the statewide planning and research cooperative system of new york state as a resource planning tool for hiv infection.hospital discharge records of patients with pneumocystis carinii pneumonia (pcp) in new york state were studied to determine whether cases of human immunodeficiency virus (hiv) infection were identified. we estimate that as many as 13 percent of hospitalizations of patients with pcp in 1987 and 10 percent of those in 1988 were not appropriately identified as hiv related. identification of pcp as hiv related was a function of a hospital's volume of pcp admissions.19911990864
origins of the human genome project.the human genome project has become a reality. building on a debate that dates back to 1985, several genome projects are now in full stride around the world, and more are likely to form in the next several years. italy began its genome program in 1987, and the united kingdom and u.s.s.r. in 1988. the european communities mounted several genome projects on yeast, bacteria, drosophila, and arabidospis thaliana (a rapidly growing plant with a small genome) in 1988, and in 1990 commenced a new 2-yea ...19911991595
htlv-i-associated myelopathy associated with blood transfusion in the united states: epidemiologic and molecular evidence linking donor and recipient.six months after receiving 58 units of blood components, a 65-year-old white man from new york city, with no other risk factors for human t-lymphotropic virus type i (htlv-i) infection, developed htlv-i-associated myelopathy/tropical spastic paraparesis (ham/tsp). investigation of blood donors identified a 25-year-old white hispanic woman from florida whose platelets had been given to the patient and who was seropositive for the virus on a serum specimen obtained 2 years after the donation. she ...19911992361
what constitutes a medical malpractice claim. 19911997918
prevalence of hiv infection in childbearing women in the united states. surveillance using newborn blood samples.a national, population-based survey was initiated in 1988 to measure the prevalence of human immunodeficiency virus (hiv) infection in women giving birth to infants in the united states. following standardized procedures, residual dried-blood specimens collected on filter paper for newborn metabolic screening were tested anonymously in state public health laboratories for maternal antibody to hiv. as of september 1990, annual survey data were available from 38 states and the district of columbia ...19912002571
a method for estimating hiv transmission rates among female sex partners of male intravenous drug users.there are few data available on the dynamics of heterosexual human immunodeficiency virus (hiv) transmission among women whose only risk factor is sexual contact with intravenous drug-using males. unlike models which rely on unconfirmed estimates regarding sexual partner selectivity and contact rates between infected and uninfected populations, data from a survey conducted between november 1988 and february 1989 of 1,842 women in new york city provide empirical values for these variables which t ...19912006646
national aids incidence trends and the extent of zidovudine therapy in selected demographic and transmission groups.after mid-1987 fewer than the expected number of cases of aids were reported in the united states in some demographic and transmission groups but not in others. gay men (regardless of intravenous drug use), adults with hemophilia, and transfusion recipients exhibited fewer cases than expected based on previously reliable models. these favorable trends could not be explained by assuming earlier cessation of human immunodeficiency virus (hiv) infection. favorable aids incidence trends were not fou ...19912007974
cumulative aids incidence and altered mortality from mycobacterial disease: new jersey.changes in mycobacterial disease mortality between 1980 and 1986 were examined among new jersey residents aged 25 to 44 using single cause of death data. the demographic group with the highest cumulative incidence of acquired immune deficiency syndrome (aids) (non-white residents of the four urban counties adjacent to new york city) sustained an increase of 10.1 deaths/100,000 men/yr and 3.1 deaths/100,000 women/yr. groups with lower cumulative incidence of aids sustained smaller increases in my ...19912008983
seroprevalence of human immunodeficiency virus in women admitted to the hospital with pelvic inflammatory disease.to assess the association of the human immunodeficiency virus (hiv) with other sexually transmitted diseases we undertook an anonymous hiv antibody serosurvey of all women admitted to the hospital with pelvic inflammatory disease. all the patients were given hiv risk reduction information and offered voluntary antibody testing. thirty-one consecutive patients were evaluated; 30 specimens were suitable for anonymous testing. five of the 30 (16.7%) were seropositive on both an enzyme-linked immuno ...19912010894
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
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
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
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
seroepidemiology and clinical aspects of human t-cell lymphotropic virus type i/ii infection in a cohort of intravenous drug users in new york city.to define further the magnitude, epidemiology, and clinical features of human t-cell lymphotropic/leukemia virus type i/ii (htlv-i/ii) infection in 454 intravenous drug users in new york city, we evaluated previously frozen aliquots of sera for htlv-i/ii antibodies using enzyme-linked immunoassay, western blot, and radioimmunoprecipitation techniques. we found htlv-i/ii infection in 18.9% of the subjects. age (p = 0.001), race (p = 0.001), having a same gender sexual relationship (p = 0.01), and ...19912047026
epidemiology of acquired immunodeficiency syndrome and human immunodeficiency virus infection in adolescents.the epidemiology of acquired immunodeficiency syndrome (aids) and human immunodeficiency virus infection (hiv) in adolescents is important for purposes of prevention and car, since sexual and drug behavior is formed during this period. for 1990 the centers for disease control reports .4% of aids cases are among adolescents 13-19 years old; this figure has steadily risen since 1982. 53% of the reported aids cases were from new york, florida, california, texas, puerto rico, and new jersey, and has ...19912062630
cervicovaginal human papillomavirus infection in suburban adolescents and young adults.to investigate the prevalence rates of and risk factors for genital human papillomavirus (hpv) infection in white, middle-class adolescents, we obtained specimens for hpv from 107 patients undergoing pelvic examination at a suburban adolescent health service. specimens were obtained by means of cervicovaginal lavage and were analyzed for hpv dna by southern blot analysis. the subjects' mean age was 18.5 (+/- 2.0 sd) years; 47% of the subjects were seen for contraception, 36% for possible pregnan ...19911658285
noninfluenza respiratory virus infection in long-term care facilities. 19911664843
rotavirus specific breast milk antibody in two populations and possible correlates of protection.since rotavirus infection is common in caracas, venezuela and seasonal in rochester, new york usa, researchers analyzed at least 65 and 58 breast milk samples form women in caracas and rochester respectively to identify rotavirus specific antibodies. the mothers had earlier participated in rhesus rotavirus serotype 3 (rrv) vaccine trials. the plaque reduction neutralization assay revealed that 84.6% of breast milk samples from venezuela had detectable antibody to rrv compared to only 50% in th ...19911667067
recommendations for influenza vaccination: from clinical piety to clinical practice. 19911745447
achievable influenza immunization rates in the elderly.we sought to determine achievable rates of influenza immunization in a large internal medicine practice in which free vaccination was vigorously promoted. a list of 1,230 patients over 65 years of age constituted the target population. seven hundred ninety patients (64%) were immunized in the office from september to december 1989. in early 1990, questionnaires were sent to 67 patients who had refused vaccination and to an equal number of age- and sex-matched controls who had either accepted the ...19911745449
c. r. henderson: farm boy, athlete, and scientist.charles r. henderson was proud to be a product of a farm in page county, iowa. he was a one man track team in coin, iowa, and a brilliant student. he became a world class competitor in track at iowa state college and, at the same time, compiled a top academic record. his early experiences set the stage for the exceptional contributions of his animal breeding career, which did not begin until he was nearly 40 yr of age, but which spanned 40 yr when he was the acknowledged leader in development of ...19911757645
[family planning in new york].the nurse margaret sanger started the 1st american contraception consultation in 1916 in bronxville, n.y. today the planned parenthood federation of america has 800 clinics in all states. a clinic in white plains, n.y., had 31,297 visits a year mostly from low-income people. services consist of contraceptive and abortion counseling, abortion and infertility procedures, cancer tests with colposcopy and breast examination, and tests concerning sexually transmitted disease and human immunodeficie ...19911765559
hiv infection among members of the army reserve components residing in new york city.a total of 10,722 members of the us army reserve and army national guard residing within the five boroughs of new york city (nyc) were tested for antibody to human immunodeficiency virus (hiv). the crude prevalence in nyc was found to be 10.6 per 1,000, compared with a national prevalence of 1.6 per 1,000. the highest prevalences were found among blacks and hispanics, males, and among those aged 30-39 years. patterns of infection were found to be similar to those found among heterosexual and dru ...19911771042
booth memorial awarded funds to cover dental costs for aids patients. 19911783716
hiv seroprevalence and risk behaviors in psychiatric inpatients.the seroprevalence of the human immunodeficiency virus (hiv) in 515 patients consecutively admitted to a state psychiatric hospital in new york city was 8.9%. there were 365 patients whose results were individually traceable; the remaining 150 patients were tested anonymously. risk factors including parenteral drug abuse, male homosexual behaviors, and other sexual behaviors were studied in the traceable patients. logistic regressions indicated that parenteral drug abuse was the main risk factor ...19911798815
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