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At least 1,153 records · Page 64Linked to original sources
PubMed2006

Factors associated with high-severity disciplinary action by a state medical board: a Texas study of medical license revocation.

CONTEXT: There has been an increase in research evaluating factors associated with disciplinary action of physicians by state medical boards. However, factors related to the severity of disciplinary action are lacking. By investigating these factors while controlling for the type of violation, the authors sought to determine whether physician characteristics influenced the process of disciplinary action by state medical boards. METHODS: Physicians disciplined by the Texas Medical Board between January 1, 1989, and December 31, 1998, were included in this case-controlled study (N=1129). Multivariate logistic regression analysis was used to compute odds ratios (ORs) and 95% confidence intervals (CIs) for factors associated with license revocation, the most severe disciplinary action, compared with all other forms of disciplinary action combined. RESULTS: Anesthesiologists (OR, 2.45; 95% CI, 1.05-5.74), general practitioners (OR, 1.80; 95% CI, 1.01-3.19), and psychiatrists (OR, 2.68; 95% CI, 1.41-5.13), as well as those with multiple disciplinary actions (OR, 1.91; 95% CI, 1.29-2.83) were most susceptible to license revocation. The more years a disciplined physician was in practice, the greater risk he or she had of license revocation (OR, 1.05; 95% CI, 1.04-1.07). CONCLUSIONS: Factors associated with a greater likelihood of license revocation for physicians are: primary medical specialty, number of years in practice, and a history of multiple disciplinary actions.

Adult↗
PubMed2005

Seasonal dynamics of four potential West Nile vector species in north-central Texas.

A population survey was conducted from April through September 2002 on mosquito species occurring on the Ray Roberts Greenbelt, a riparian corridor used for public recreation on the Elm Fork of the Trinity River, in Denton County, TX. Geographic information system software was used to set up a stratified random sampling design based on habitat parameters. Mosquitoes were collected using light traps, gravid traps, and resting boxes. A total of 29 species was collected during this study belonging to the following genera: Aedes, Anopheles, Coquillettidia, Culex, Mansonia, Ochlerotatus, Orthopodomyia, Psorophora, and Uranotaenia. The four most common species collected during this study were Aedes vexans, Culex erraticus, Culex salinarius, and Psorophora columbiae. West Nile virus (WNV) has been detected in these species in the United States, and they may serve as important vector species in Denton County. Collections were analyzed by the Texas Department of Health for arboviruses. One pool consisting of both Cx. erraticus and Cx. salinarius, collected in August 2002, tested positive for WNV, making it the first mosquito pool to test positive for WNV in Denton County. Canonical correspondence analysis was performed using abundance data of dominant species with selected weather variables and habitat parameters. Important factors for determining dominant species abundance were temperature, precipitation, dew point, and canopy coverage. Spatial and temporal patterns of these species are discussed.

Aedes↗
PubMed2006

Morbidity surveillance after Hurricane Katrina--Arkansas, Louisiana, Mississippi, and Texas, September 2005.

Hurricane Katrina made landfall on the U.S. Gulf Coast on August 29, 2005. Thousands of Gulf Coast residents evacuated and dispersed across the country, moving into hotels, private homes, and evacuation centers (ECs) in 30 states and the District of Columbia (DC). One goal of public health responders was to identify and prevent hurricane-related morbidity and mortality among affected populations, especially among those with limited access to health care and those who were living in crowded conditions. This report summarizes the challenges of conducting national surveillance after Hurricane Katrina, focusing on the role of CDC in coordinating surveillance and consolidating and interpreting morbidity data from jurisdictions that used diverse surveillance approaches. Aggregate morbidity data that were reported through Arkansas, Louisiana, Mississippi, and Texas to CDC during September 1-22, 2005 (before the Gulf Coast landfall of Hurricane Rita on September 24) are presented from ECs and health-care facilities (HCFs) that served affected populations in these states. Chronic diseases and injuries were the most common conditions reported by ECs and HCFs, respectively. To better prepare for future large-scale disasters with widespread impact, public health agencies and other partners are actively working to establish standardized guidelines and tools for morbidity surveillance. These guidelines will facilitate the interpretation and exchange of health information among multiple jurisdictions and public and private agencies during a disaster response to identify outbreaks and monitor health concerns.

Arkansas↗
PubMed2006

Osteopathic medicine in transition: postmortem of the Osteopathic Medical Center of Texas.

The stand-alone osteopathic hospital was a necessity to the osteopathic medical profession in an era when it was isolated from allopathic medicine. As osteopathic medicine has become increasingly integrated with allopathic medicine, however, an independent osteopathic hospital is no longer a necessity. Moreover, a stand-alone institution seems to be economically out of place in today's market. The Osteopathic Medical Center of Texas in Fort Worth is an example of a stand-alone hospital that was unable to capitalize on the benefits realized by integrated hospital systems. The author believes that this failure contributed to the institution's demise. The market power of a hospital system can be used for more favorable contracting with vendors and providers, as well as facilitating negotiations with payers. System affiliation provides economic efficiency, security, and protection in the highly uncertain, complex, and competitive healthcare market.

Economic Competition↗
PubMed2006

Teaching medical students dermatology research skills: six years of experience with the University of Texas Medical Branch dermatology non-degree research honors program, 2001-2006.

Since 2001, the Department of Dermatology at The University of Texas Medical Branch in Galveston has participated in a campus wide non-degree honors research program developed to enhance the research skills of non-dual degree (MD/PhD) medical students. From 2001 through 2006, thirteen students completed the dermatology research program, and earned research honors at graduation. Seven student manuscripts have been published or are in press at peer-review journals and ten of twelve program participants who have applied for dermatology residency positions have been successful at the time of writing.

Animal Experimentation↗
PubMed2006

Guide for herbal product use by Mexican Americans in the largest Texas-Mexico border community.

Use of herbal products is a very common practice among Mexican Americans living in the El Paso, Texas, region. Although medicinal plants are generally assumed to be a safe and natural alternative to conventional medications, some herbal products could pose a potential health risk to the consumer. Currently, only a few studies focus on herbal product use by Mexican Americans, and no studies have focused on its use by patients with human immunodeficiency virus (HN) living on the US-Mexico border. A prospective observational study was conducted in 439 non-HIV patients, as well as in 35 patients suffering from HIV Findings showed that 347 out of 439 (79%) of non-HIV patients and 25 out of 35 (71%) of HIV patients reported using herbal products.

Drug Interactions↗
PubMed1991

The neuropathology of human immunodeficiency virus infection. The Dallas, Texas, experience.

Postmortem neuropathologic changes were evaluated in 141 consecutive patients dying with human immunodeficiency virus infection at publicly supported hospitals affiliated with the University of Texas Southwestern Medical Center in Dallas, between August 1984 and September 1990. Morphologic abnormalities were identified in 112 cases (79%). Cytomegalovirus was the most common opportunistic infection encountered, with characteristic viral inclusions identified in 23 patients, and presumptive evidence of infection in six additional patients. Progressive multifocal leukoencephalopathy was present in four patients. Gram-positive bacterial infections were identified in six patients, and mycobacterial infections in three patients. Opportunistic fungal infections included cryptococcosis (13 cases), histoplasmosis (two cases), and coccidioidomycosis (one case). Toxoplasmosis was uncommon, with active or quiescent lesions identified in five patients. Lymphoma was present in nine patients and was primary in the central nervous system in five patients. Multinucleate giant cell (human immunodeficiency virus) encephalitis was identified in 28 patients. In an additional 26 patients, microglial nodules and/or more generalized white-matter abnormalities were encountered in the absence of multinucleate giant cells, cytomegalovirus inclusions, or systemic cytomegalovirus infection. Vacuolar change was present in 21% of spinal cords, and was highly correlated with cytomegalovirus infection in the nervous system. Mixed infections and/or neoplasms were identified in 24 patients. This survey documents a high frequency of neuropathologic abnormalities in human immunodeficiency virus-infected individuals in a geographical region of the United States not represented in previous series. Variations noted in the frequencies of specific central nervous system disorders between this and other study populations reinforce the need for continuing documentation of geographical trends in human immunodeficiency virus-associated disorders.

Adult↗
PubMedDate not supplied

Infant mortality in a Mexican-American community: Laredo, Texas, 1950-1977.

Published infant mortality rates (IMR's) for Mexican-American populations frequently are lower than expected given the socioeconomic status (SES) of these populations. It has been speculated that this is due to bias or incompleteness in Mexican-American vital statistics. In this paper an extensive genealogical data base constructed from Catholic church records and civil records for the border city of Laredo, Texas is used to study this problem. The infant mortality probabilities (IMP's) since 1950 are compared to conventional IMR's, both based strictly on the population at risk defined by baptisms, in which the deaths are a proper subset of the denominator, and these are compared with IMR's calculated in the usual way from aggregate civil records of births and infant deaths for Laredo. We find that when these data are used, the IMR's for the most recent years are about twice the conventional rates computed from registered vital statistics.

Bias↗
PubMed1991

Cardiac transplantation in Puerto Rican patients at the Texas Heart Institute.

Cardiac transplantation is the treatment of choice for patients suffering from end-stage cardiac disease unamenable to conventional medical or surgical treatment. More than 390 patients have undergone heart transplantation at the Texas Heart Institute in Houston, and nine were Puerto Rican. Overall survival of these patients is 88%. Our experience with patients from Puerto Rico is described.

Age Factors↗
PubMed1991

Update: self-induced malaria associated with malariotherapy for Lyme disease--Texas.

In December 1990, the Texas Department of Health (TDH) was contacted by a man who had recently moved from the northeastern United States and who was considering malariotherapy for Lyme disease (LD). He described a 2-year history of unsuccessful treatment with multiple antibiotics for arthralgias and palpitations, which had been diagnosed as LD.

Animals↗
PubMed1991

Helminth parasites of the western sandpiper, Calidris mauri (Aves), from El Paso and Hudspeth counties, Texas.

Fifty western sandpipers, Calidris mauri, from El Paso and Hudspeth counties, Texas, were collected and examined for helminth parasites. Fifty-three helminths (means abundance = 1.06, SD = 2.31) consisting of 4 cestode and 1 nematode species were collected. The helminth community showed low species richness (5), low diversity and evenness (0.05, 0.14), low concentration for dominance (0.19), and all species were contagiously distributed. There were no clearly identifiable core species.

Animals↗
PubMed1991

Data-based interventions for cancer control in Texas.

The percentage of excess mortality based on the ratio of the race-ethnic-sex-specific regional rate to the state rate was used to identify regions with differing risks of lung, breast, and cervical cancer. Mortality maps show wide variation in mortality risks for these cancers not only by race and ethnicity but also by geographic region. Cancer-staging information from the State Cancer Registry indicated that excess mortality for breast and cervical cancers in black and Mexican-American women results largely from the later detection of these cancers. Together with geographic mapping of data on cancer mortality, data on the prevalence of tobacco use and on the use of Papanicolaou's tests and mammograms can be used to select and direct interventions to specific regions and to the highest risk populations. Evaluation of routinely collected cancer data, particularly in state health departments, is a primary step in implementing programs to control and prevent cancer in Texas.

Black or African American↗
PubMed1991

Human rabies--Texas, Arkansas, and Georgia, 1991.

From August through October 1991, three persons, one each in Texas, Arkansas, and Georgia, died from rabies. Including these three cases, 16 cases of human rabies have been reported to CDC from 1980 through 1991; seven of these are believed to have been acquired in the United States. This report summarizes epidemiologic and clinical information regarding the three recent cases.

Arkansas↗
PubMed1991

Changing immunization referral patterns among pediatricians and family practice physicians, Dallas County, Texas, 1988.

Family practice physicians and pediatricians in Dallas County, Texas, were surveyed to determine how recent vaccine price increases have changed immunization referral patterns. A total of 73% of responding physicians referred some pediatric patients for immunization in 1988. Public health clinics were the largest referral source with more responding pediatricians (84.4%) referring patients than did responding family practitioners (66.5%). Referrals to the clinics were most often made when patients were unable to afford immunizations in a private practice setting. Between 1979 and 1988, the number of responding pediatricians and family practitioners making immunization referrals increased by 193% and 391%, respectively. The percentages of children referred for immunization increased by 693% during the same decade. It was suggested by our survey of Dallas County physicians that a new influx of patients are using public sector immunizations, potentially creating additional financial stress for public health programs. In addition, this shift to the public sector may undermine the health departments' ability to provide new vaccines or protect greater numbers of children with immunization.

Costs and Cost Analysis↗
PubMed1991

HIV prevalence in pregnant intravenous drug users in Dallas, Texas.

Information available regarding the prevalence of human immunodeficiency virus (HIV) in pregnant women indicates that the primary risk factor for infection is intravenous drug use. At Parkland Memorial Hospital in Dallas, Texas, approximately 4.7% of pregnant women reported using intravenous drugs. The estimated prevalence of HIV infection among pregnant intravenous drug users at this hospital was 3.3%. This is similar to the HIV infection rates reported for nonpregnant parenteral drug-using populations in other areas of the southwestern United States, suggesting that there may be a lower rate of endemic infection in this region of the country.

Female↗
PubMed1991

A perception of the rural health situation in central Texas: we need regionalization.

Central Texas, considered representative of the state, has experienced closure of many of its rural hospitals and the loss of many practicing physicians in rural areas. The reasons for these losses are complex. One important reason is that rural hospitals and physicians do not compete successfully against urban hospitals and their specialty staffs. We suggest that rural practice areas can be made attractive to physicians and that rural communities can be provided access to health care through a system of regionalization. Rural and urban physicians can collaborate in providing health care by using rural health clinics and small hospitals centered on urban referral hospitals that serve as the hub for each system.

Hospital Planning↗
PubMed1991

Coccidian parasites (Apicomplexa: Eimeriidae) of Graptemys caglei and Graptemys versa (Testudines: Emydidae) from Texas.

Nineteen map turtles, Graptemys caglei and Graptemys versa were collected from the Guadalupe and Colorado River watersheds of south-central Texas and examined for coccidial parasites. Thirteen of the 19 turtles (68%), including 11 of 16 (69%) G. caglei and 2 of 3 (67%) G. versa, were infected with at least 1 coccidian. Five Eimeria spp. (E. chrysemydis, E. graptemydos, E. lutotestudinis, E. pseudogeographica, and E. trachemydis) were harbored by G. caglei, and 2 eimerians (E. graptemydos and E. mitraria) infected G. versa. This represents new host records for these previously described coccidians and is the first time parasites have been documented in turtles of both species.

Animals↗
PubMed1990

Needs assessment for genetic services in Texas.

In summary, we found that the availability of genetic services for the Medicaid patients with the 11 selected disorders follow the general population distribution for Texas. In general, there is no major geographic factor limiting availability of services. We also found that the calculation of Medicaid dollars paid according to the size of the metropolitan area in which the patient resides indicates that there are fewer Medicaid dollars spent on these 11 genetic disorders per person in the population in the larger metropolitan areas. We conclude that preliminary review of these data indicate that the urban poor may have a greater need for medical services that deal with genetic disease.

Databases, Factual↗