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Biomedical subjects

Theodore J Cieslak

Publications and source records attributed to Theodore J Cieslak.

10 recordsLinked to original sources
PubMed2005

Fetal breech presentation predisposes to subsequent development of septic arthritis of the hip.

We postulated a link between breech presentation and septic arthritis of the hip. To examine the potential association between these 2 relatively uncommon entities, we used the Patient Administration Systems and Biostatistics Activity (PASBA) database, which contains coded information derived from hospitalizations and ambulatory encounters at U.S. military hospitals worldwide. Among a cohort of nearly 1 million infants born in a 14-year period, 3.37% were found to be in the breech presentation. The rate of septic arthritis of the hip or pelvis during the first year of life among these breech infants was approximately 1/8000, providing a relative risk of 4.1 (95% confidence interval, <1.4-11.7) compared with the rate among nonbreech infants. Fetal breech presentation predisposes to the development of septic hip during the first year of life.

Arthritis, Infectious↗
PubMed2005

History of U.S. military contributions to the study of bacterial zoonoses.

Bacterial zoonoses have afflicted campaigns throughout military history, at times playing an important role in determining their outcomes. In addition, zoonotic bacteria are among the leading biological warfare threats. The U.S. military medical services have been at the forefront of research to define the basic microbiology, ecology, epidemiology, and clinical aspects of these diseases. This historical review discusses the military significance of plague, Q fever, anthrax, leptospirosis, bartonellosis, tularemia, and brucellosis and the U.S. military medical research counteroffensive. These contributions have ranged from basic molecular biology to elegant epidemiological surveys, from defining pathogenesis to developing new vaccine candidates. In an era of emerging diseases and biological weapons, the U.S. military will continue to lead a dynamic research effort to counter these disease threats.

Animals↗
PubMed2003

Bioterrorism.

Explore the source record for details and available documents.

Bioterrorism↗
PubMed2002

Medical management of the suspected victim of bioterrorism: an algorithmic approach to the undifferentiated patient.

We have purposely expanded on the well-known ATLS paradigm to aid EHCPs in their approach to a potential bioterrorism event. By building on a process that is already familiar, we hope this will aid the EHCP to remember a systematic approach to such an incident. By following this ten-step process, we believe that all EHCPs, and especially those practicing at the first echelons of care in urgent care clinics and EDs, can approach the daunting problem of biological defense with a good deal more confidence. This same model advocated for bioterrorism also may apply to natural infectious disease epidemics, particularly of emerging or re-emerging diseases, that might not be optimally managed by reliance on the conventional public health strategy that requires physician-dependent definitive diagnosis and active reporting mechanisms. The authors hope the acquired knowledge and skills one might gain will rarely be needed, but if the events surrounding the dispersal of anthrax-contaminated mail in the fall of 2001 are any indication of the future, such competencies will be invaluable.

Algorithms↗
PubMedDate not supplied

Joint Regional Exercise ("JREX") 2000.

Joint Regional Exercise, 2000 (J-REX 2000) was an ambitious, multi-functional, multi-agency exercise conducted October 12-14, 2000. While the main focus of the exercise was centered in Minneapolis MN, and adjacent Fort Snelling, the exercise also involved National Disaster Medical System (NDMS) participating hospitals in Cleveland, Detroit, Duluth, Indianapolis, Omaha, and Tulsa. As such, the exercise presented a unique opportunity to simultaneously and somewhat realistically examine the response capabilities of multiple agencies and institutions within the NDMS and to 'game' several aspects of the Federal Response Plan's Emergency Support Function 8.

Disaster Planning↗