Bacterial meningitis in Bernalillo County, New Mexico: a comparison with three other American populations.
Explore the source record for details and available documents.
SEARCH · Search PubMed
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Criteria for a utilization review of total parenteral nutrition administered by a central venous catheter are presented. Areas covered include: indications and contraindications for use, appropriate monitoring criteria, complications related to parenteral nutrition, dosing, and outcome of therapy.
Widely regarded as the best collection of single-page AIDS fact sheets, these cover over 100 treatment-related topics; each is available in both English and Spanish, and is changed as necessary to remain current.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Enhancing the effectiveness of intervention in addressing barriers to development and learning requires collaboration among agencies, schools, families, and communities. Inadequate policy support related to any of these matters decreases the likelihood of enhancing intervention effectiveness on a large scale.
Plague is a deadly disease of obvious concern to individuals, communities, and public health officials. The rapid recognition of plague victims is of paramount importance in saving the lives of the victims and in the protection of contacts. Three autopsied plague cases have been presented and the pathological features have been discussed.
Naturally acquired plague was diagnosed in 5 domestic cats. The cats apparently contracted the disease through contact with sylvatic rodents or their fleas in plague-enzootic areas. The diagnosis was confirmed by direct immunofluorescence and isolation of Yersinia pestis on culture of abscess material. Abscess formation, lymphadenitis, lethargy, and fever were consistent clinical findings.
Analysis of responses of 289 rural white, Hispanic, and Navajo adolescents to 10 items of the Problem-oriented Screening Instrument showed the 40 Navajo girls scored highest in over-all pathology followed by 40 Navajo, 55 white, and 51 Hispanic boys. Both the Hispanic and white girls (ns = 49 and 54, respectively) scored below the minimum mean score of 38 for pathology.
Gila Regional Medical Center, Silver City, N.M., is home to a unique kind of art gallery. Though the small town boasts 30 art galleries, one more was added when the newly expanded and renovated hospital opened its doors to the public in February. More than 100 pieces of loaned art estimated to be worth more than $12,000 are on exhibit, in an effort to create a more healing atmosphere for the hospital.
On March 12, 2001, the California Department of Health Services (CDHS) identified a cluster of Salmonella Kottbus isolates with indistinguishable pulsed-field gel electrophoresis (PFGE) patterns. During February 1-May 1, CDHS identified 23 patients with S. Kottbus infections in several California counties and an additional patient from Arizona. This report summarizes the results of the investigation of this outbreak, which identified cases in four states and implicated alfalfa sprouts produced at a single facility.
The radiographic findings in 42 proved cases of plague are examined. There was a high association between bilateral alveolar infiltrates and secondary pneumonic plague; however, these findings were not completely specific, as they were also seen in some patients who had disseminated intravascular coagulation or shock lung, In an endemic area and in the proper clinical setting, any patient with bilateral alveolar infiltrates should be considered to have secondary pneumonic plague until proved otherwise.
In 1997, PHS enhanced its presence in the managed care market by adding a large HMO to its health plan and snagging the largest part of state Medicaid managed care contracts. The health plan, once the source of only 15% of the system's revenue, is fast becoming the dominate component of the healthcare delivery system--a source of discontent for those who liked the old system. Find out the strategy behind these changes and plans for the future.
Four cases of self-injected insulin overdose in nondiabetic individuals are presented. Included are two cases of presumed insulin overdose (no autopsy), one case with elevated vitreous insulin (autopsy), and one case with elevated postmortem blood insulin and low blood C peptide (autopsy). These cases demonstrate the need for a thorough scene investigation, complete autopsy, and proper collection and storage of specimens to certify a death caused by insulin intoxication as well as to determine the manner of death. Appropriate collection and preservation of postmortem blood samples are discussed.
Our DMAT pulled together with the energy, flexibility, and adaptability necessary to make things work. Sally Coan expressed it best, saying, "I was with a group of people who would do anything [that was] needed." Dedication and trust within the DMAT helped create lasting friendships. The islanders were appreciative and we formed attachments to them that made them too dear to leave without sadness. The DMAT did leave, but we left in place an established medical system that the island would not otherwise have had a standard of care of which we felt proud.
A survey of the Middle School in Los Alamos, N.M., USA, identified 57 children with symptoms of asthma and 54 controls. Among these children, sensitization to cat and dog allergens was very strongly associated with bronchial reactivity and symptoms. In contrast, sensitization to mites, cockroach, or grass pollen allergens was not significantly associated with symptoms or bronchial reactivity. In keeping with these results, dust from houses in Los Alamos only contained high levels of cat or dog allergens.
Public health authorities need a surveillance system that is sensitive enough to detect a disease outbreak early to enable a proper response. In order to meet this challenge we have deployed a pilot component-based system in Albuquerque, NM as part of the National Biodefense Initiative (BDI). B-SAFER gathers routinely collected data from healthcare institutions to monitor disease events in the community. We describe initial results from the deployment of the system for the past 6 months