FN Thomson Reuters Web of Science™ VR 1.0 PT J AU Maier, A Savage, RE Haber, LT AF Maier, A Savage, RE Haber, LT TI Assessing biomarker use in risk assessment - A survey of practitioners SO JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH-PART A-CURRENT ISSUES LA English DT Article; Proceedings Paper CT Annual Conference on Toxicology and Risk Assessment CY APR 28-MAY 01, 2003 CL Fairborn, OH ID MOLECULAR EPIDEMIOLOGY AB Advances in molecular epidemiology and mechanistic toxicology have provided increased opportunities for incorporating biomarkers in the human health risk assessment process. For years, the published literature has lauded the concept of incorporating biomarkers into risk assessments as a means to reduce uncertainty in estimating health risk. For all the potential benefits, one would think that markers of effective dose, markers of early biological effects, and markers of human susceptibility are frequently selected as the basis for quantitative human health risk assessments. For this article, we sought to determine the degree to which this evolution in risk assessment has come to pass. The extent to which biomarkers are being used in current human health risk assessment was determined through an informal survey of leading risk assessment practitioners. Case studies highlighting the evolution of risk assessment methods to include biomarkers are also described. The goal of this review was to enhance the implementation of biomarker technology in risk assessment by (7) highlighting successes in biomarker implementation, (2) identifying key barriers to overcome, and (3) describing evolutions in risk assessment methods. C1 Toxicol Excellence Risk Assessment, Cincinnati, OH 45223 USA. NIOSH, Cincinnati, OH 45226 USA. RP Maier, A (reprint author), Toxicol Excellence Risk Assessment, 1757 Chase Ave, Cincinnati, OH 45223 USA. EM maier@tera.org NR 14 TC 5 Z9 5 U1 0 U2 0 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 325 CHESTNUT ST, SUITE 800, PHILADELPHIA, PA 19106 USA SN 1528-7394 J9 J TOXICOL ENV HEAL A JI J. Toxicol. Env. Health Part A PD APR 23 PY 2004 VL 67 IS 8-10 BP 687 EP 695 DI 10.1080/15287390490428161 PG 9 WC Environmental Sciences; Public, Environmental & Occupational Health; Toxicology SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health; Toxicology GA 814CI UT WOS:000220952400007 PM 15192862 ER PT J AU Metcalf, SW Orloff, KG AF Metcalf, SW Orloff, KG TI Biomarkers of exposure in community settings SO JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH-PART A-CURRENT ISSUES LA English DT Article; Proceedings Paper CT Annual Conference on Toxicology and Risk Assessment CY APR 28-MAY 01, 2003 CL Fairborn, OH ID HAIR ANALYSIS; DNA ADDUCTS; TOXICOGENOMICS; TOXICOLOGY; TECHNOLOGIES; TOXICITY; MERCURY; HEALTH AB Biomonitoring is a valuable tool for assessing human exposures to chemical contaminants in the environment. Biomonitoring tests can be divided into biomarkers of exposure, effect, and susceptibility. In studies of community exposure to an environmental contaminant, biomarkers of exposure are most often used. The ideal biomarker should be sensitive, specific, biologically relevant, practical, inexpensive, and available. Seldom does a biomarker meet all of these criteria-most biomarkers represent a compromise of these criteria. In designing a community exposure study, consideration should also be given to the selection of the test population, the practicality of collecting biological samples, temporal or seasonal variations in exposure, the availability of background comparison ranges, and interpretation of the test results. Biomonitoring tests provide unequivocal evidence of exposure, but they do not typically identify the source of exposure. Furthermore, rarely do the test results predict a health outcome. For many chemicals, testing must be conducted soon after exposure has occurred. In spite of these limitations, the use of biomonitoring is finding wider application in many scientific disciplines. Recent advances in analytical techniques are expanding the utility of biomarker testing in public health investigations. C1 Agcy Tox Subst & Dis Registry, Div Hlth Assessment & Consultat, Atlanta, GA 30333 USA. RP Metcalf, SW (reprint author), Agcy Tox Subst & Dis Registry, Div Hlth Assessment & Consultat, Mail Stop E-29,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM smetcalf@cdc.gov NR 29 TC 26 Z9 27 U1 0 U2 4 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 325 CHESTNUT ST, SUITE 800, PHILADELPHIA, PA 19106 USA SN 1528-7394 J9 J TOXICOL ENV HEAL A JI J. Toxicol. Env. Health Part A PD APR 23 PY 2004 VL 67 IS 8-10 BP 715 EP 726 DI 10.1080/15287390490428198 PG 12 WC Environmental Sciences; Public, Environmental & Occupational Health; Toxicology SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health; Toxicology GA 814CI UT WOS:000220952400009 PM 15192864 ER PT J AU Huhn, GD Chase, RA Dworkin, MS AF Huhn, GD Chase, RA Dworkin, MS TI Monkeypox in the Western hemisphere SO NEW ENGLAND JOURNAL OF MEDICINE LA English DT Letter C1 Ctr Dis Control & Prevent, Chicago, IL 60601 USA. Cent DuPage Hosp, Winfield, IL 60190 USA. Illinois Dept Publ Hlth, Chicago, IL 60601 USA. RP Huhn, GD (reprint author), Ctr Dis Control & Prevent, Chicago, IL 60601 USA. EM ghuhn@idph.state.il.us NR 5 TC 3 Z9 3 U1 0 U2 0 PU MASSACHUSETTS MEDICAL SOC/NEJM PI WALTHAM PA WALTHAM WOODS CENTER, 860 WINTER ST,, WALTHAM, MA 02451-1413 USA SN 0028-4793 J9 NEW ENGL J MED JI N. Engl. J. Med. PD APR 22 PY 2004 VL 350 IS 17 BP 1790 EP 1790 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA 814AJ UT WOS:000220947300019 PM 15103008 ER PT J AU Reed, KD Davis, JP Damon, IK AF Reed, KD Davis, JP Damon, IK TI Monkeypox in the Western hemisphere - Reply SO NEW ENGLAND JOURNAL OF MEDICINE LA English DT Letter ID CONGO C1 Marshfield Clin Res Fdn, Marshfield, WI 54449 USA. Wisconsin Div Publ Hlth, Madison, WI 53701 USA. Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Reed, KD (reprint author), Marshfield Clin Res Fdn, Marshfield, WI 54449 USA. EM reed.kurt@mcrf.mfldclin.edu NR 4 TC 0 Z9 0 U1 0 U2 0 PU MASSACHUSETTS MEDICAL SOC/NEJM PI WALTHAM PA WALTHAM WOODS CENTER, 860 WINTER ST,, WALTHAM, MA 02451-1413 USA SN 0028-4793 J9 NEW ENGL J MED JI N. Engl. J. Med. PD APR 22 PY 2004 VL 350 IS 17 BP 1791 EP 1791 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA 814AJ UT WOS:000220947300021 ER PT J AU Werler, M McCloskey, C Edmonds, LD Olney, R Honein, MA Reefhuis, J AF Werler, M McCloskey, C Edmonds, LD Olney, R Honein, MA Reefhuis, J CA CDCP TI Evaluation of an association between loratadine and hypospadias - United States, 1997-2001 (Reprinted from MMWR, vol 53, pg 219-221, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint ID BIRTH-DEFECTS PREVENTION; PREGNANCY C1 Boston Univ, Sch Publ Hlth, Slone Epidemiol Ctr, Boston, MA 02215 USA. US FDA, Ctr Drug Evaluat & Res, Rockville, MD 20857 USA. NCBDDD, Div Birth Defects & Dev Disabil, Atlanta, GA USA. CDC, Atlanta, GA USA. RP Werler, M (reprint author), Boston Univ, Sch Publ Hlth, Slone Epidemiol Ctr, Boston, MA 02215 USA. RI Reefhuis, Jennita/E-1793-2011 OI Reefhuis, Jennita/0000-0002-4747-4831 NR 10 TC 2 Z9 2 U1 3 U2 3 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD APR 21 PY 2004 VL 291 IS 15 BP 1828 EP 1830 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA 812XC UT WOS:000220871200010 ER PT J AU Drew, J Otto, W Nehls-Lowe, H Kaye, WE AF Drew, J Otto, W Nehls-Lowe, H Kaye, WE TI Brief report: Exposure to tear gas from a theft-deterrent device on a safe - Wisconsin, December 2003 (Reprinted from MMWR, vol 53, pg 175-177, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 Wisconsin Dept Hlth & Family Serv, Madison, WI 53707 USA. Agcy Tox Subst & Dis Registry, Div Hlth Studies, Atlanta, GA USA. RP Drew, J (reprint author), Wisconsin Dept Hlth & Family Serv, Madison, WI 53707 USA. NR 5 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD APR 21 PY 2004 VL 291 IS 15 BP 1830 EP 1830 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA 812XC UT WOS:000220871200011 ER PT J AU Yang, QH Friedman, JM Botto, LD AF Yang, QH Friedman, JM Botto, LD TI Improvement in cardiovascular and stroke mortality after flour fortification with folic acid in the United States SO CIRCULATION LA English DT Meeting Abstract C1 Ctr Dis Control & Prevent, Atlanta, GA USA. Univ British Columbia, Vancouver, BC V5Z 1M9, Canada. NR 0 TC 0 Z9 0 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD APR 20 PY 2004 VL 109 IS 15 MA LB27 BP E190 EP E190 PG 1 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 813KO UT WOS:000220906200034 ER PT J AU Liao, DP Duan, YK Whitsel, EA Zheng, ZJ Heiss, G Chinchilli, VM Lin, HM AF Liao, DP Duan, YK Whitsel, EA Zheng, ZJ Heiss, G Chinchilli, VM Lin, HM TI Association of higher levels of ambient criteria pollutants with impaired cardiac autonomic control: A population-based study SO AMERICAN JOURNAL OF EPIDEMIOLOGY LA English DT Article DE air pollution; cardiovascular diseases; heart rate ID HEART-RATE-VARIABILITY; PARTICULATE AIR-POLLUTION; HOSPITAL ADMISSIONS; MORTALITY; DISEASE; RISK; PARTICLES; EXPOSURE AB An association between air pollution and increased cardiovascular disease (CVD) mortality has been reported, but underlying mechanisms are unknown. The authors examined short-term associations between ambient pollutants (particulate matter less than 10 mum in aerodynamic diameter (PM10), ozone, carbon monoxide, nitrogen dioxide, and sulfur dioxide) and cardiac autonomic control using data from the fourth cohort examination (1996-1998) of the population-based Atherosclerosis Risk in Communities Study. For each participant, the authors calculated PM10 and gaseous pollutant exposures as 24-hour averages and ozone exposure as an 8-hour average 1 day prior to the randomly allocated examination date. They calculated 5-minute heart rate variability indices and used logarithmically transformed data on high-frequency (0.15-0.40 Hz) and low-frequency (0.04-0.15 Hz) power, standard deviation of normal R-R intervals, and mean heart rate. Linear regression was used to adjust for CVD risk factors and demographic, socioeconomic, and meteorologic variables. Regression coefficients for a one-standard-deviation increase in PM10 (11.5 mug/m(3)) were -0.06 ms(2) (standard error (SE), 0.018), -1.03 ms (SE, 0.31), and 0.32 beats/minute (SE, 0.158) for log-transformed high-frequency power, standard deviation of normal R-R intervals, and heart rate, respectively. Similar results were found for gaseous pollutants. These cross-sectional findings suggest that higher ambient pollutant concentrations are associated with lower cardiac autonomic control, especially among persons with existing CVD, and highlight a putative mechanism through which air pollution is associated with CVD. C1 Penn State Univ, Coll Med, Dept Hlth Evaluat Sci, Hershey, PA 17033 USA. Univ N Carolina, Sch Publ Hlth, Dept Epidemiol, Chapel Hill, NC USA. Ctr Dis Control & Prevent, Div Adult & Community Hlth, Cardiovasc Hlth Branch, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA. RP Liao, DP (reprint author), Penn State Univ, Coll Med, Dept Hlth Evaluat Sci, A210,600 Centerview Dr, Hershey, PA 17033 USA. EM dliao@psu.edu FU NIEHS NIH HHS [1-R01-ES10189-03] NR 26 TC 127 Z9 132 U1 1 U2 6 PU OXFORD UNIV PRESS INC PI CARY PA JOURNALS DEPT, 2001 EVANS RD, CARY, NC 27513 USA SN 0002-9262 J9 AM J EPIDEMIOL JI Am. J. Epidemiol. PD APR 15 PY 2004 VL 159 IS 8 BP 768 EP 777 DI 10.1093/aje/kwh109 PG 10 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 809CA UT WOS:000220613600006 PM 15051586 ER PT J AU Stevenson, KB Samore, M Barbera, J Hannah, E Moore, JW Gerberding, JL Houck, P AF Stevenson, KB Samore, M Barbera, J Hannah, E Moore, JW Gerberding, JL Houck, P TI Pharmacist involvement in antimicrobial use at rural community hospitals in four Western states SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY LA English DT Article; Proceedings Paper CT 11th Annual Meeting of the Society-for-Healthcare-Epidemiology-of-America CY APR 01-03, 2001 CL TORONTO, CANADA SP Soc Healthcare Epidemiol Amer DE administration; antiinfective agents; carbapenems; cephalosporins; compliance; data collection; dosage; drug use; drugs; hospitals; hours; interventions; pharmacists; hospitals; physicians; prescribing; protocols ID INFECTION-CONTROL; ANTIBIOTIC-RESISTANCE; NOSOCOMIAL INFECTIONS; MANAGEMENT PROGRAM; CARE; SURVEILLANCE; PREVALENCE; OUTCOMES; PREVENTION; STRATEGIES AB Purpose. Pharmacist involvement in antimicrobial use at small rural hospitals in four Western states was studied. Methods. Surveys were mailed in July 2000 to hospitals with a daily patient census of <150 in Idaho, Nevada, Utah, and eastern Washington. Results. Seventy-seven (77%) of 100 hospitals returned completed surveys. Only 5% of the hospitals had onsite pharmacists 24 hours per day. An onsite pharmacist was present for a median of 26 hours per week in hospitals without 24-hour pharmacist coverage (range, 0-116 hr/wk). Many hospitals (71%) had policies for monitoring or controlling antimicrobial use, but only 28% had a system capable of monitoring compliance with such policies. Few hospitals had systems for recommending changes in antimicrobial selection on the basis of susceptibility, test results (27%) or for monitoring physician compliance-with dosage recommendations by pharmacists (21%). Onsite pharmacist hours were significantly associated with pharmacists being involved in the initial ordering of antibiotics and providing active oversight of antimicrobial use. There was a negative correlation between onsite pharmacist hours and use of third-generation cephalosporins and carbapenems. Conclusion. A survey showed that rural hospital pharmacists in four Western states spent relatively little time monitoring,and influencing antimicrobial prescribing. C1 Qualis Hlth, Boise, ID 83712 USA. Univ Utah, Sch Med, Dept Med, Div Clin Epidemiol, Salt Lake City, UT USA. Univ Utah, Sch Med, Dept Med, Div Clin Epidemiol, Salt Lake City, UT 84112 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Ctr Medicare & Medicaid Serv, Seattle Reg Off, Seattle, WA USA. RP Stevenson, KB (reprint author), Qualis Hlth, 720 Pk Blvd,Suite 120, Boise, ID 83712 USA. EM kurts@qualishealth.org NR 38 TC 9 Z9 10 U1 0 U2 0 PU AMER SOC HEALTH-SYSTEM PHARMACISTS PI BETHESDA PA 7272 WISCONSIN AVE, BETHESDA, MD 20814 USA SN 1079-2082 J9 AM J HEALTH-SYST PH JI Am. J. Health-Syst. Pharm. PD APR 15 PY 2004 VL 61 IS 8 BP 787 EP 792 PG 6 WC Pharmacology & Pharmacy SC Pharmacology & Pharmacy GA 814VR UT WOS:000221002700010 PM 15127962 ER PT J AU Ford, ES Williams, SG Mannino, DM Redd, SC AF Ford, ES Williams, SG Mannino, DM Redd, SC TI Influenza vaccination coverage among adults with asthma: Findings from the 2000 Behavioral Risk Factor Surveillance System SO AMERICAN JOURNAL OF MEDICINE LA English DT Article ID MEDICAL CONDITIONS; VIRAL-INFECTIONS; CHILDREN; QUESTIONNAIRE; VALIDATION; RATES; EXACERBATIONS; ORGANIZATIONS; VALIDITY; RECORDS C1 CDCP, Natl Ctr Environm Hlth, Div Adult & Community Hlth, Atlanta, GA 30341 USA. CDCP, Natl Ctr Environm Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. CDCP, Natl Ctr Environm Hlth, Div Environm Hazards & Hlth Effects, Atlanta, GA 30341 USA. RP Ford, ES (reprint author), CDCP, Natl Ctr Environm Hlth, Div Adult & Community Hlth, 4770 Buford Highway NE,Mailstop K66, Atlanta, GA 30341 USA. EM eford@cdc.gov OI Mannino, David/0000-0003-3646-7828 NR 36 TC 13 Z9 13 U1 1 U2 2 PU EXCERPTA MEDICA INC PI NEW YORK PA 650 AVENUE OF THE AMERICAS, NEW YORK, NY 10011 USA SN 0002-9343 J9 AM J MED JI Am. J. Med. PD APR 15 PY 2004 VL 116 IS 8 BP 555 EP 558 DI 10.1016/j.amjmed.2003.11.018 PG 4 WC Medicine, General & Internal SC General & Internal Medicine GA 812CI UT WOS:000220817200008 PM 15063818 ER PT J AU Trout, DB Page, EH AF Trout, DB Page, EH TI Fungal exposure and lower respiratory illness in children SO AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE LA English DT Letter C1 NIOSH, Ctr Dis Control & Prevent, Cincinnati, OH 45226 USA. RP Trout, DB (reprint author), NIOSH, Ctr Dis Control & Prevent, Cincinnati, OH 45226 USA. NR 4 TC 0 Z9 1 U1 0 U2 0 PU AMER THORACIC SOC PI NEW YORK PA 1740 BROADWAY, NEW YORK, NY 10019-4374 USA SN 1073-449X J9 AM J RESP CRIT CARE JI Am. J. Respir. Crit. Care Med. PD APR 15 PY 2004 VL 169 IS 8 BP 969 EP 970 PG 2 WC Critical Care Medicine; Respiratory System SC General & Internal Medicine; Respiratory System GA 812GI UT WOS:000220827600016 PM 15072987 ER PT J AU Rao, JK Weinberger, M Anderson, LA Kroenke, K AF Rao, JK Weinberger, M Anderson, LA Kroenke, K TI Predicting reports of unmet expectations among rheumatology patients SO ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH LA English DT Article DE unmet expectations; arthritis; longitudinal study; health status ID ARTHRITIS HELPLESSNESS INDEX; PRIMARY-CARE PHYSICIANS; 5 MINUTE CONSULTATION; MEDICAL-CARE; REQUEST FULFILLMENT; MALPRACTICE CLAIMS; GENERAL-PRACTICE; CONTROLLED-TRIAL; TIME CONSTRAINT; OFFICE VISITS AB Objective. Approximately 25% of patients report unmet expectations after their doctor visits. In a longitudinal study of rheumatology patients, we examined whether changes in health status could predict unmet expectations. Methods. Arthritis patients (n = 177) responded to 2 surveys (baseline and 6-month followup). Both surveys contained questions on health status (functional status, pain, helplessness, psychological status) and visit duration. The followup survey contained questions on postvisit unmet expectations. Factors associated with unmet expectations were determined. Results. Fifty-eight patients (33%) reported unmet expectations, most often for information (47%) and new medications (31%). Unmet expectations were more common among patients with greater baseline helplessness (odds ratio [OR] 1.9, 95% confidence interval [95% CI] 1.0-3.6) and short doctor visits at followup (OR 5.6, 95% CI 2.4-13.1). Unmet expectations were less common among those experiencing a decline in pain (OR 0.3, 95% CI 0.1-0.9). Conclusion. Attention to the patient's level of pain and helplessness and duration of the visit may limit reports of unmet expectations. C1 Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA. Univ N Carolina, Chapel Hill, NC 27515 USA. Indiana Univ, Sch Med, Indianapolis, IN USA. RP Rao, JK (reprint author), CDC, 4770 Buford Hwy NE,MS K-45, Atlanta, GA 30341 USA. EM jrao@cdc.gov NR 62 TC 12 Z9 12 U1 2 U2 6 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 0004-3591 J9 ARTHRIT RHEUM-ARTHR JI Arthritis Rheum-Arthritis Care Res. PD APR 15 PY 2004 VL 51 IS 2 BP 215 EP 221 DI 10.1002/art.20246 PG 7 WC Rheumatology SC Rheumatology GA 811IC UT WOS:000220764600010 PM 15077262 ER PT J AU Gwyn, K Bondy, ML Cohen, DS Lund, MJ Liff, JM Flagg, EW Brinton, LA Eley, JW Coates, RJ AF Gwyn, K Bondy, ML Cohen, DS Lund, MJ Liff, JM Flagg, EW Brinton, LA Eley, JW Coates, RJ TI Racial differences in diagnosis, treatment, and clinical delays in a population-based study of patients with newly diagnosed breast carcinoma SO CANCER LA English DT Article DE breast carcinoma; race; delay; diagnosis; treatment ID ESTROGEN-RECEPTOR STATUS; SOCIOECONOMIC-STATUS; CANCER DIAGNOSIS; WHITE WOMEN; HEALTH-INSURANCE; UNITED-STATES; BLACK-WOMEN; FOLLOW-UP; SURVIVAL; RACE AB BACKGROUND. Few studies have addressed the issue of whether delays in the interval between medical consultation and the diagnosis and treatment of breast carcinoma are greater for African American women than for white women. The authors examined differences with respect to these delays and analyzed the factors that may have contributed to such differences among women ages 20-54 years who had invasive breast carcinoma diagnosed between 1990 and 1992 and who lived in Atlanta, Georgia. METHODS. A total of 251 African American women and 580 white women were interviewed and had their medical records reviewed. The authors estimated racial differences in delay times and used polytomous logistic regression to determine the contributions of various factors (socioeconomic and other) to these differences. RESULTS. Although most women in both groups were treated within 3 months of initial consultation, 22.4% of African American women and 14.3% of white women had clinical delays of > 3 months. Compared with white women, African American women were more likely to experience delays in diagnosis and treatment. Access to care (as represented by method of detection and insurance status) and poverty index partially accounted for these differences in delay time; however, racial differences in terms of delayed treatment and diagnosis remained even after adjustment for contributing factors. CONCLUSIONS. The findings of the current study suggest that among women ages 20-54 years who have breast carcinoma, potentially clinically significant differences in terms of delayed diagnosis and treatment exist between African American women and white women. Improvements in access to care and in socioeconomic circumstances may address these differences to some degree, but additional research is needed to identify other contributing factors. Published 2004 by the American Cancer Society. C1 Univ Texas, MD Anderson Canc Ctr, Dept Breast Med Oncol, Unit 424, Houston, TX 77030 USA. Univ Texas, MD Anderson Canc Ctr, Dept Epidemiol, Houston, TX 77030 USA. Univ Texas, MD Anderson Canc Ctr, Dept Biostat, Houston, TX 77030 USA. Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA 30322 USA. CDCP, Natl Ctr Infect Dis, Div Global Migrat & Quarantine, Surveillance & Epidemiol Branch, Atlanta, GA USA. NCI, Hormonal & Reprod Epidemiol Branch, Bethesda, MD 20892 USA. Emory Univ, Winship Canc Inst, Atlanta, GA 30322 USA. CDCP, Div Canc Prevent & Control, Atlanta, GA USA. RP Gwyn, K (reprint author), Univ Texas, MD Anderson Canc Ctr, Dept Breast Med Oncol, Unit 424, 1515 Holcombe Blvd, Houston, TX 77030 USA. EM kgwyn@mdanderson.org RI Brinton, Louise/G-7486-2015 OI Brinton, Louise/0000-0003-3853-8562 FU NCI NIH HHS [N01-CP-95604, N01-PC-35135, R01-CA64292-01A2]; ODCDC CDC HHS [U48 CCU0619515] NR 54 TC 117 Z9 117 U1 4 U2 6 PU JOHN WILEY & SONS INC PI HOBOKEN PA 111 RIVER ST, HOBOKEN, NJ 07030 USA SN 0008-543X J9 CANCER JI Cancer PD APR 15 PY 2004 VL 100 IS 8 BP 1595 EP 1604 DI 10.1002/cncr.20169 PG 10 WC Oncology SC Oncology GA 810TA UT WOS:000220725400006 PM 15073845 ER PT J AU Whitener, CJ Park, SY Browne, FA Parent, LJ Julian, K Bozdogan, B Appelbaum, PC Chaitram, J Weigel, LM Jernigan, J McDougal, LK Tenover, FC Fridkin, SK AF Whitener, CJ Park, SY Browne, FA Parent, LJ Julian, K Bozdogan, B Appelbaum, PC Chaitram, J Weigel, LM Jernigan, J McDougal, LK Tenover, FC Fridkin, SK TI Vancomycin-resistant Staphylococcus aureus in the absence of vancomycin exposure SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID FIELD GEL-ELECTROPHORESIS; UNITED-STATES HOSPITALS; REDUCED SUSCEPTIBILITY; ENTEROCOCCUS-FAECIUM; INTERMEDIATE; EPIDEMIOLOGY; PREVALENCE; INFECTION; EMERGENCE; PATIENT AB We report findings from our investigation of the world's second clinical isolate of vancomycin-resistant Staphylococcus aureus (VRSA). An elderly man was hospitalized with an infected chronic heel ulcer and osteomyelitis. Before hospital admission, he received multiple courses of antibiotic therapy but, notably, no vancomycin. Numerous cultures of ulcer specimens ( performed on an outpatient basis) grew methicillin-resistant, vancomycin-susceptible S. aureus and vancomycin-resistant Enterococcus species. At admission, an additional culture of a specimen from the heel ulcer grew S. aureus that was identified as VRSA ( minimal inhibitory concentration for vancomycin [by broth-microdilution], 32 mug/mL). Further evaluation confirmed the presence of the vanA gene mediating vancomycin resistance. To assess VRSA transmission, we performed a carriage study of 283 identified contacts and an environmental survey of the patient's home; no VRSA isolates were recovered. This case illustrates that recent exposure by patients to vancomycin is not necessary for development of vanA-containing VRSA. For clinical and public health reasons, it is essential that microbiology laboratories adequately test for vancomycin-resistance in S. aureus. C1 Penn State Milton S Hershey Med Ctr, Hershey, PA 17033 USA. Ctr Dis Control & Prevent, Epidem Intelligence Serv, Epidemiol Program Off, Atlanta, GA USA. Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Natl Ctr Infect Dis, Atlanta, GA USA. RP Whitener, CJ (reprint author), Penn State Milton S Hershey Med Ctr, C6833,H036,500 Univ Dr, Hershey, PA 17033 USA. EM cwhitener@psu.edu NR 43 TC 93 Z9 104 U1 0 U2 4 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 IS 8 BP 1049 EP 1055 DI 10.1086/382357 PG 7 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WU UT WOS:000220735200001 PM 15095205 ER PT J AU Woods, CW Cheng, AC Fowler, VG Moorefield, M Frederick, J Sakoulas, G Meka, VG Tenover, FC Zwadyk, P Wilson, KH AF Woods, CW Cheng, AC Fowler, VG Moorefield, M Frederick, J Sakoulas, G Meka, VG Tenover, FC Zwadyk, P Wilson, KH TI Endocarditis caused by Staphylococcus aureus with reduced susceptibility to vancomycin SO CLINICAL INFECTIOUS DISEASES LA English DT Editorial Material ID GLYCOPEPTIDE RESISTANCE; LINEZOLID RESISTANCE; INTERMEDIATE; MINOCYCLINE; INFECTIONS; EFFICACY; FAILURE; STRAIN AB Clinical management of infective endocarditis (IE) is expected to become more difficult with the emergence of Staphylococcus aureus with reduced susceptibility to vancomycin (SARV) in the United States and worldwide. We report the strain characterization and treatment of a patient with SARV IE. C1 Vet Adm Med Ctr, Durham, NC 27705 USA. Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USA. Crystal Run Healthcare, Middletown, NY USA. Harvard Univ, Sch Med, Boston, MA USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Flinders Univ S Australia, No Terr Clin Sch, Menzies Sch Hlth Res, Adelaide, SA 5001, Australia. RP Woods, CW (reprint author), Vet Adm Med Ctr, Box 113, Durham, NC 27705 USA. EM woods004@mc.duke.edu RI Cheng, Allen/A-1403-2008; OI Cheng, Allen/0000-0003-3152-116X FU NIAID NIH HHS [AI-01647] NR 26 TC 33 Z9 33 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 IS 8 BP 1188 EP 1191 DI 10.1086/383027 PG 4 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WU UT WOS:000220735200024 PM 15095227 ER PT J AU Allos, BM Moore, MR Griffin, PM Tauxe, RV AF Allos, BM Moore, MR Griffin, PM Tauxe, RV TI Surveillance for sporadic foodborne disease in the 21st century: The FoodNet perspective SO CLINICAL INFECTIOUS DISEASES LA English DT Editorial Material ID UNITED-STATES; ILLNESS C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA. RP Moore, MR (reprint author), Ctr Dis Control & Prevent, 1600 Clifton Rd NE,MS D-63, Atlanta, GA 30333 USA. EM mmoore4@cdc.gov NR 32 TC 73 Z9 77 U1 3 U2 3 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S115 EP S120 DI 10.1086/381577 PG 6 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900001 PM 15095179 ER PT J AU Bender, JB Smith, KE McNees, AA Rabatsky-Ehr, TR Segler, SD Hawkins, MA Spina, NL Keene, WE Kennedy, MH Van Gilder, TJ Hedberg, CW AF Bender, JB Smith, KE McNees, AA Rabatsky-Ehr, TR Segler, SD Hawkins, MA Spina, NL Keene, WE Kennedy, MH Van Gilder, TJ Hedberg, CW CA Emerging Infections Program FoodNe TI Factors affecting surveillance data on Escherichia coli O157 infections collected from FoodNet sites, 1996-1999 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID HEMOLYTIC-UREMIC-SYNDROME; UNITED-STATES; BLOODY DIARRHEA; OUTBREAK; CONSUMPTION; PREVALENCE; ILLNESS; DEATH; BEEF AB To determine the burden of illness caused by Escherichia coli O157 infections in populations in Foodborne Diseases Active Surveillance Network (FoodNet) surveillance areas, we initiated active, laboratory-based surveillance and surveyed laboratories, physicians, and the general public regarding the factors associated with the diagnosis and surveillance of infection with E. coli O157. We evaluated survey responses and site-specific incidence, outbreak, and demographic data during 1996-1999. A total of 1425 laboratory-confirmed cases of E. coli O157 infection and 32 outbreaks were reported from the 5 original FoodNet sites. The average annual incidence ranged from 0.5 cases/100,000 population in Georgia to 4.4 cases/100,000 population in Minnesota. After excluding outbreak-associated cases, the annual incidence of sporadic, laboratory-confirmed E. coli O157 infections remained relatively stable during 1996-1999, with a range of 1.9-2.3 cases/100,000 population. Regional differences in incidence partly resulted from differing physician and laboratory practices and from site-specific exposure factors (e.g., living on or visiting farms). C1 Univ Minnesota, Coll Vet Med, St Paul, MN 55108 USA. Univ Minnesota, Sch Publ Hlth, Minneapolis, MN USA. Minnesota Dept Hlth, Minneapolis, MN USA. Calif Emerging Infect Program, San Francisco, CA USA. Connecticut Emerging Infect Program, New Haven, CT USA. Ctr Dis Control & Prevent, Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA USA. Univ Maryland, Sch Med, Baltimore, MD 21201 USA. New York State Emerging Infect Program, Albany, NY USA. Oregon Hlth Div, Portland, OR USA. Ctr Dis Control & Prevent, Georgia Emerging Infect Program, Atlanta, GA USA. RP Bender, JB (reprint author), Univ Minnesota, Coll Vet Med, 136F ABLMS,1354 Eckles Ave, St Paul, MN 55108 USA. EM bende002@umn.edu NR 29 TC 17 Z9 20 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S157 EP S164 DI 10.1086/381582 PG 8 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900007 PM 15095185 ER PT J AU Chatterjee, NK Moore, DW Monroe, SS Glass, RI Cambridge, MJ Kondracki, SF Morse, DL AF Chatterjee, NK Moore, DW Monroe, SS Glass, RI Cambridge, MJ Kondracki, SF Morse, DL TI Molecular epidemiology of outbreaks of viral gastroenteritis in New York State, 1998-1999 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID NORWALK-LIKE VIRUSES; ROUND-STRUCTURED VIRUSES; HUMAN ENTERIC CALICIVIRUSES; UNITED-STATES; SEQUENCE; ORGANIZATION; EXPRESSION; DISTINCT; PCR AB This investigation evaluated the role of Norwalk-like virus (NLV) and other viruses (rotavirus, enteric adenovirus, and enterovirus) in 11 outbreaks of acute nonbacterial gastroenteritis that occurred in multiple settings in a span of 18 months in New York State. To determine the etiology of illness, patients' stool specimens were analyzed with a combination of reverse-transcription polymerase chain reaction(RT-PCR) and nucleotide sequencing, cell culture, and ELISA diagnostic techniques. NLV was detected from all of these outbreaks, with an overall detection rate of 64% (51 of 79) for all specimens tested. Repeated attempts to isolate other viral pathogens were unsuccessful. Phylogenetic analysis of a subset of 27 specimens from these outbreaks showed the presence of both genogroup I and genogroup II NLVs. A spectrum of different nucleotide sequences were detected, demonstrating interoutbreak sequence variation and unrelated infections. NLV is a significant causative agent of diarrhea outbreaks in New York State. C1 New York State Dept Hlth, Griffin Lab, Slingerlands, NY 12159 USA. New York State Dept Hlth, Ctr Environm Hlth, Herkimer, NY USA. New York State Dept Hlth, Bur Communicable Dis Control, Albany, NY 12237 USA. New York State Dept Hlth, Off Sci & Publ Hlth, Albany, NY 12237 USA. Ctr Dis Control & Prevent, Viral Gastroenteritis Sect, Atlanta, GA USA. RP Chatterjee, NK (reprint author), New York State Dept Hlth, Griffin Lab, 5668 Old State Farm Rd, Slingerlands, NY 12159 USA. EM nkc01@health.state.ny.us NR 23 TC 8 Z9 10 U1 0 U2 1 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S303 EP S310 DI 10.1086/381600 PG 8 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900025 PM 15095203 ER PT J AU Friedman, CR Hoekstra, RM Samuel, M Marcus, R Bender, J Shiferaw, B Reddy, S Ahuja, SD Helfrick, DL Hardnett, F Carter, M Anderson, B Tauxe, RV AF Friedman, CR Hoekstra, RM Samuel, M Marcus, R Bender, J Shiferaw, B Reddy, S Ahuja, SD Helfrick, DL Hardnett, F Carter, M Anderson, B Tauxe, RV CA Emerging Infections Program FoodNe TI Risk factors for sporadic Campylobacter infection in the United States: A case-control study in FoodNet sites SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID JEJUNI INFECTION; ESCHERICHIA-COLI; RETAIL CHICKEN; RAW-MILK; ENTERITIS; SALMONELLA; CHILDREN; POULTRY; HOUSEHOLDS; PREVALENCE AB Campylobacter is a common cause of gastroenteritis in the United States. We conducted a population-based case-control study to determine risk factors for sporadic Campylobacter infection. During a 12-month study, we enrolled 1316 patients with culture-confirmed Campylobacter infections from 7 states, collecting demographic, clinical, and exposure data using a standardized questionnaire. We interviewed 1 matched control subject for each case patient. Thirteen percent of patients had traveled abroad. In multivariate analysis of persons who had not traveled, the largest population attributable fraction (PAF) of 24% was related to consumption of chicken prepared at a restaurant. The PAF for consumption of nonpoultry meat that was prepared at a restaurant was also large (21%); smaller proportions of illness were associated with other food and nonfood exposures. Efforts to reduce contamination of poultry with Campylobacter should benefit public health. Restaurants should improve food-handling practices, ensure adequate cooking of meat and poultry, and consider purchasing poultry that has been treated to reduce Campylobacter contamination. C1 Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Natl Ctr Infect Dis, Washington, DC 20201 USA. Ctr Dis Control & Prevent, Biostat & Informat Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Washington, DC 20201 USA. Georgia Emerging Infect Program, Atlanta, GA USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Washington, DC USA. Calif Emerging Infect Program, San Francisco, CA USA. Connecticut Emerging Infect Program, New Haven, CT USA. Minnesota Dept Hlth, Minneapolis, MN USA. Oregon Dept Human Serv, Portland, OR USA. Maryland Dept Hlth & Mental Hyg, Baltimore, MD USA. New York State Dept Hlth, Albany, NY 12237 USA. RP Friedman, CR (reprint author), Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Natl Ctr Infect Dis, 746 G Hubert Humphrey Bldg,200 Independence Ave S, Washington, DC 20201 USA. EM ccf6@cdc.gov NR 46 TC 265 Z9 276 U1 12 U2 27 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S285 EP S296 DI 10.1086/381598 PG 12 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900023 PM 15095201 ER PT J AU Glynn, MK Reddy, V Hutwagner, L Rabatsky-Ehr, T Shiferaw, B Vugia, DJ Segler, S Bender, J Barrett, TJ Angulo, FJ AF Glynn, MK Reddy, V Hutwagner, L Rabatsky-Ehr, T Shiferaw, B Vugia, DJ Segler, S Bender, J Barrett, TJ Angulo, FJ CA Emerging Infections Program FoodNe TI Prior antimicrobial agent use increases the risk of sporadic infections with multidrug-resistant Salmonella enterica serotype typhimurium: A FoodNet case-control study, 1996-1997 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID MULTIPLE-DRUG RESISTANCE; RAW-MILK CHEESE; UNITED-STATES; DT104 INFECTIONS; ANTIBIOTIC-RESISTANCE; GREAT-BRITAIN; ANIMALS; HUMANS; CHILDREN; POULTRY AB Several strains of multidrug-resistant (MDR) Salmonella serotype Typhimurium, including MDR S. Typhimurium definitive type 104, cause almost 10% of Salmonella infections among humans in the United States. To determine the risk factors for acquiring sporadic MDR S. Typhimurium infection, we conducted a population-based, case-control study using data from the Foodborne Diseases Active Surveillance Network (FoodNet) during 1996-1997. S. Typhimurium isolates from 5 FoodNet surveillance areas ( California, Connecticut, Georgia, Minnesota, and Oregon) were tested for antimicrobial resistance and phage typing. Telephone interviews were conducted with ill persons and matched control subjects. Compared with both control subjects and patients infected with pansensitive strains of S. Typhimurium, patients with MDR S. Typhimurium infection were significantly more likely to have received an antimicrobial agent, particularly an agent to which the Salmonella isolate was resistant, during the 4 weeks preceding illness onset. Prudent antimicrobial agent use among humans and among veterinarians and food-animal producers is necessary to reduce the burden of drug-resistant salmonellosis in humans. C1 Ctr Dis Control & Prevent, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Emerging Infect Program, Atlanta, GA USA. Emerging Infect Program, New Haven, CT USA. Oregon Dept Human Serv, Off Dis Prevent & Epidemiol, Portland, OR USA. Calif Dept Hlth Serv, Berkeley, CA 94704 USA. Minnesota Dept Hlth, Minneapolis, MN USA. RP Angulo, FJ (reprint author), Ctr Dis Control & Prevent, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, 1600 Clifton Rd NE,MS A-38, Atlanta, GA 30333 USA. EM kglynn@cdc.gov; fangulo@cdc.gov NR 46 TC 48 Z9 51 U1 2 U2 5 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S227 EP S236 DI 10.1086/381591 PG 10 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900016 PM 15095194 ER PT J AU Hardnett, FP Hoekstra, RM Kennedy, M Charles, L Angulo, FJ AF Hardnett, FP Hoekstra, RM Kennedy, M Charles, L Angulo, FJ CA Emerging Infections Program FoodN TI Epidemiologic issues in study design and data analysis related to FoodNet activities SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID UNITED-STATES; ILLNESS AB The Foodborne Disease Active Surveillance Network (FoodNet) seeks to determine and to monitor the burden of foodborne diseases in the United States more precisely and to attribute these diseases to specific food vehicles or other exposures. These objectives present statistical and epidemiologic challenges. Estimates of the burden of foodborne diseases should include an estimate of the uncertainty in such calculations. Monitoring the burden of foodborne diseases should account for the expansion of the FoodNet population over time. Attributing foodborne diseases to specific vehicles is facilitated by FoodNet case-control studies of sporadic illness. This article discusses the strengths and limitations of the various studies aimed at addressing these objectives in this supplement. Furthermore, because the FoodNet surveillance areas were not chosen specifically to reflect the demographic composition of the US population, this article also discusses the generalizability of FoodNet results to the US population. C1 Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Atlanta, GA 30033 USA. Ctr Dis Control & Prevent, Biostat & Informat Management Branch, Atlanta, GA 30033 USA. RP Angulo, FJ (reprint author), Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, 19600 Clifton Rd,MS D-63, Atlanta, GA 30033 USA. EM fangulo@cdc.gov RI Charles, Luenda/H-6008-2011 NR 30 TC 36 Z9 39 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S121 EP S126 DI 10.1086/381602 PG 6 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900002 PM 15095180 ER PT J AU Hennessy, TW Marcus, R Deneen, V Reddy, S Vugia, D Townes, J Bardsley, M Swerdlow, D Angulo, FJ AF Hennessy, TW Marcus, R Deneen, V Reddy, S Vugia, D Townes, J Bardsley, M Swerdlow, D Angulo, FJ CA Emerging Infections Program FoodNe TI Survey of physician diagnostic practices for patients with acute diarrhea: Clinical and public health implications SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID UNITED-STATES; ILLNESS AB To understand physician practices regarding the diagnosis of acute diarrheal diseases, we conducted a survey, in 1996, of 2839 physicians in Connecticut, Georgia, Minnesota, Oregon, and California. Bacterial stool culture was requested for samples from the last patient seen for acute diarrhea by 784 (44%; 95% confidence interval, 42%-46%) of 1783 physicians. Physicians were more likely to request a culture for persons with acquired immune deficiency syndrome, bloody stools, travel to a developing country, diarrhea for 13 days, intravenous rehydration, or fever. Substantial geographic and specialty differences in culture-request practices were observed. Twenty-eight percent of physicians did not know whether stool culture included testing for Escherichia coli O157: H7; 40% did not know whether Yersinia or Vibrio species were included. These variabilities suggest a need for clinical diagnostic guidelines for diarrhea. Many physicians could benefit from education to improve their knowledge about tests included in routine stool examinations. C1 Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA USA. Georgia Dept Human Resources, Div Publ Hlth, Atlanta, GA USA. Connecticut Emerging Infect Program, New Haven, CT USA. Minnesota Dept Hlth, Minneapolis, MN USA. Calif Dept Hlth Serv, Berkeley, CA 94704 USA. Oregon Dept Human Resources, Oregon Hlth Div, Portland, OR USA. RP Hennessy, TW (reprint author), Arctic Investigat Program, 4055 Tudor Ctr Rd, Anchorage, AK 99508 USA. EM tbh0@cdc.gov NR 9 TC 43 Z9 44 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S203 EP S211 DI 10.1086/381588 PG 9 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900013 PM 15095191 ER PT J AU Hennessy, TW Cheng, LH Kassenborg, H Ahuja, SD Mohle-Boetani, J Marcus, R Shiferaw, B Angulo, FJ AF Hennessy, TW Cheng, LH Kassenborg, H Ahuja, SD Mohle-Boetani, J Marcus, R Shiferaw, B Angulo, FJ CA Emerging Infections Program FoodNe TI Egg consumption is the principal risk factor for sporadic Salmonella serotype Heidelberg infections: A case-control study in FoodNet sites SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID UNITED-STATES; CHANGING EPIDEMIOLOGY; CAMPYLOBACTER-JEJUNI; ENTERITIDIS; MINNESOTA; TYPHIMURIUM; DISEASE AB To determine risk factors for sporadic Salmonella serotype Heidelberg diarrheal disease, we conducted a population-based case-control study in 5 Foodborne Diseases Active Surveillance Network (FoodNet) surveillance areas in 1996-1997. Forty-four case patients and 83 control subjects matched by age and telephone exchange were asked about exposures during the 5-day period before onset of illness in the case patient. Risk factors for infection were evaluated using conditional logistic regression analysis. Eating eggs prepared outside the home remained the only significant risk factor for illness (matched odds ratio [MOR], 6.0; 95% confidence interval [CI], 1.2-29.6). The population-attributable fraction of S. Heidelberg infections associated with eating eggs prepared outside the home was 37%. Eliminating the risk associated with out-of-home egg consumption could substantially reduce the incidence of S. Heidelberg infections. Control measures to prevent S. Heidelberg infection should include advising consumers to avoid eating undercooked eggs and educating food handlers about proper egg handling and cooking. C1 Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Georgia Emerging Infect Program, Atlanta, GA USA. Minnesota Dept Hlth, Minneapolis, MN USA. Calif Emerging Infect Program, Berkeley, CA USA. Connecticut Emerging Infect Program, New Haven, CT USA. Dept Hlth Serv, Oregon Hlth Div, Portland, OR USA. RP Angulo, FJ (reprint author), Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, 1600 Clifton Rd, Atlanta, GA 30333 USA. EM tbh0@cdc.gov NR 35 TC 60 Z9 62 U1 0 U2 3 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S237 EP S243 DI 10.1086/381593 PG 7 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900017 PM 15095195 ER PT J AU Imhoff, B Morse, D Shiferaw, B Hawkins, M Vugia, D Lance-Parker, S Hadler, J Medus, C Kennedy, M Moore, MR Van Gilder, T AF Imhoff, B Morse, D Shiferaw, B Hawkins, M Vugia, D Lance-Parker, S Hadler, J Medus, C Kennedy, M Moore, MR Van Gilder, T CA Emerging Infections Program FoodNe TI Burden of self-reported acute diarrheal illness in FoodNet surveillance areas, 1998-1999 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID UNITED-STATES; COMMUNITY; NETHERLANDS; GASTROENTERITIS; TECUMSEH; DISEASES AB To assess trends in the burden of acute diarrheal illness, the Foodborne Diseases Active Surveillance Network (FoodNet) conducted a population-based telephone survey during 1998-1999, using a random-digit-dialing, single-stage Genesys-ID sampling method. During the 12-month study period, 12,755 persons were interviewed; after the exclusion of persons with chronic diarrheal illnesses, 12,075 persons were included in the analysis; 6% (N=645) reported having experienced an acute diarrheal illness at some point during the 4 weeks preceding the interview (annualized rate, 0.72 episodes per person-year). Rates of diarrheal illness were highest among children aged <5 years (1.1 episodes per person-year) and were lowest in persons aged &GE;65 years (0.32 episodes per person-year). Twenty-one percent of persons with acute diarrheal illness sought medical care as a result of their illness. Diarrheal illness imposes a considerable burden on the US population and health care system. C1 Ctr Dis Control & Prevent, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Georgia Div Publ Hlth, Atlanta, GA USA. New York State Dept Hlth, Albany, NY 12237 USA. Dept Human Serv, Oregon Hlth Div, Portland, OR USA. Univ Maryland, Sch Med, Baltimore, MD 21201 USA. Calif Dept Hlth Serv, Berkeley, CA 94704 USA. Connecticut Dept Publ Hlth, Hartford, CT USA. Minnesota Dept Hlth, Minneapolis, MN USA. RP Lance-Parker, S (reprint author), Ctr Dis Control & Prevent, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, 1600 Clifton Rd,MS D-63, Atlanta, GA 30333 USA. NR 18 TC 67 Z9 72 U1 0 U2 1 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S219 EP S226 DI 10.1086/381590 PG 8 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900015 PM 15095193 ER PT J AU Jones, JL Lopez, A Wahlquist, SP Nadle, J Wilson, M AF Jones, JL Lopez, A Wahlquist, SP Nadle, J Wilson, M CA Emerging Infections Program FoodNe TI Survey of clinical laboratory practices for parasitic diseases SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID TOXOPLASMA-GONDII INFECTION; DIAGNOSIS; AVIDITY AB To gain knowledge about laboratory testing practices for parasitic diseases, in 2000 we surveyed 562 laboratories in 9 US states, and 455 (81%) responded. Most laboratories (59%) indicated that they send specimens off site for parasite screening, and most laboratories (89%) did not routinely test fecal specimens for Cryptosporidium species, Cyclospora cayetanensis, or microsporidia, unless testing for these organisms was specifically requested by a physician. Only 39 laboratories offered serological testing for Toxoplasma gondii, and most (78%) that had their results confirmed did so at national commercial laboratories rather than a Toxoplasma reference laboratory. Because most clinical laboratories do not routinely test fecal specimens for Cryptosporidium species, C. cayetanensis, or microsporidia, physicians must request specific testing for these organisms when they are clinically suspected; because of this lack of routine testing, it is difficult to estimate the true burden of disease due to these organisms. C1 Ctr Dis Control & Prevent, Div Parasit Dis, Natl Ctr Infect Dis, Atlanta, GA 30341 USA. Calif Emerging Infect Program, San Francisco, CA USA. RP Jones, JL (reprint author), Ctr Dis Control & Prevent, Div Parasit Dis, Natl Ctr Infect Dis, MS F-22,4770 Buford Hwy NE, Atlanta, GA 30341 USA. EM jlj1@cdc.gov NR 14 TC 19 Z9 27 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S198 EP S202 DI 10.1086/381587 PG 5 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900012 PM 15095190 ER PT J AU Jones, TF Imhoff, B Samuel, M Mshar, P McCombs, KG Hawkins, M Deneen, V Cambridge, M Olsen, SJ AF Jones, TF Imhoff, B Samuel, M Mshar, P McCombs, KG Hawkins, M Deneen, V Cambridge, M Olsen, SJ CA Emerging Infections Program FoodNe TI Limitations to successful investigation and reporting of foodborne outbreaks: An analysis of foodborne disease outbreaks in FoodNet catchment areas, 1998-1999 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID UNITED-STATES; EPIDEMIOLOGY AB To better understand factors associated with confirming the etiologic organism and identifying the food vehicle responsible for foodborne-disease outbreaks, we examined data from outbreaks reported in 1998 and 1999 through active surveillance by Foodborne Disease Active Surveillance Network (FoodNet) surveillance areas in 7 states. In 71% of these outbreaks, no confirmed etiology was identified, and in 46%, no suspected food vehicle was identified. Outbreaks involving greater than or equal to10 cases were significantly more likely to have their etiology identified than were smaller outbreaks. In two-thirds of outbreaks in which an etiology was not confirmed, no stool specimens were collected for laboratory testing; in 55% of these outbreaks, neither clinical specimens nor food samples were tested. If the etiology of and factors contributing to foodborne-disease outbreaks are to be understood, adequate resources must be available to allow specimens to be collected and tested and epidemiologic investigations to be conducted appropriately. C1 Tennessee Dept Hlth, Communicable & Environm Dis Serv, Nashville, TN 37247 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Georgia Div Publ Hlth, Atlanta, GA USA. Calif Emerging Infect Program, Oakland, CA USA. Connecticut Dept Publ Hlth, Hartford, CT USA. Univ Maryland, Sch Med, Baltimore, MD 21201 USA. Minnesota Dept Hlth, Minneapolis, MN USA. New York State Dept Hlth, Albany, NY 12237 USA. RP Jones, TF (reprint author), Tennessee Dept Hlth, Communicable & Environm Dis Serv, 4th Fl,Cordell Hull Bldg,425 5th Ave N, Nashville, TN 37247 USA. EM tim.f.jones@state.tn.us NR 9 TC 36 Z9 36 U1 0 U2 4 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S297 EP S302 DI 10.1086/381599 PG 6 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900024 PM 15095202 ER PT J AU Kassenborg, HD Smith, KE Vugia, DJ Rabatsky-Ehr, T Bates, MR Carter, MA Dumas, NB Cassidy, MP Marano, N Tauxe, RV Angulo, FJ AF Kassenborg, HD Smith, KE Vugia, DJ Rabatsky-Ehr, T Bates, MR Carter, MA Dumas, NB Cassidy, MP Marano, N Tauxe, RV Angulo, FJ CA Emerging Infections Program FoodNe TI Fluoroquinolone-resistant Campylobacter infections: Eating poultry outside of the home and foreign travel are risk factors SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID JEJUNI INFECTIONS AB A 12-month, population-based, case-control study of Campylobacter infections was conducted at Foodborne Disease Active Surveillance Network surveillance areas during 1998-1999. Of 858 Campylobacter isolates tested for antimicrobial susceptibility to the fluoroquinolone ciprofloxacin, 94 (11%) were resistant. Travel outside of the United States was reported by 27 (42%) of 64 patients with fluoroquinolone-resistant Campylobacter infection and by 51 (9%) of 582 patients with fluoroquinolone-susceptible Campylobacter infection (odds ratio [OR], 7.6; 95% confidence interval [CI], 4.3-13.4). When patients with domestically acquired fluoroquinolone-resistant Campylobacter infection were compared with matched healthy control subjects in a multivariate analysis, those infected were 10 times more likely to have eaten chicken or turkey cooked at a commercial establishment (18 [55%] of 33 case patients vs. 7 [21%] of 33 controls; matched OR, 10.0; 95% CI, 1.3-78). Although travel outside of the United States was associated with fluoroquinolone-resistant Campylobacter infection, most infections among study participants were domestically acquired. This study provides additional evidence that poultry is an important source of domestically acquired fluoroquinolone-resistant Campylobacter infection. Control measures should include efforts to improve food handling in commercial establishments. C1 Minnesota Dept Hlth, Minneapolis, MN USA. Calif Dept Hlth Serv, Berkeley, CA 94704 USA. Connecticut Emerging Infect Program, New Haven, CT USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Georgia Emerging Infect Program, Atlanta, GA USA. Maryland Dept Hlth & Mental Hyg, Baltimore, MD USA. New York State Dept Hlth, Albany, NY 12237 USA. Oregon Hlth Div, Portland, OR USA. RP Kassenborg, HD (reprint author), Minnesota Dept Agr, 90 W Plato Blvd, St Paul, MN 55107 USA. EM heidi.kassenborg@state.mn.us NR 19 TC 68 Z9 71 U1 0 U2 1 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S279 EP S284 DI 10.1086/381597 PG 6 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900022 PM 15095200 ER PT J AU Kassenborg, HD Hedberg, CW Hoekstra, M Evans, MC Chin, AE Marcus, R Vugia, DJ Smith, K Ahuja, SD Slutsker, L Griffin, PM AF Kassenborg, HD Hedberg, CW Hoekstra, M Evans, MC Chin, AE Marcus, R Vugia, DJ Smith, K Ahuja, SD Slutsker, L Griffin, PM CA Emerging Infections Program FoodNe TI Farm visits and undercooked hamburgers as major risk factors for sporadic Escherichia coli O157 : H7 infection: Data from a case-control study in 5 FoodNet sites SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID HEMOLYTIC-UREMIC SYNDROME; UNITED-STATES; 0157-H7 INFECTION; VERO CYTOTOXIN-1; DAIRY-CATTLE; OUTBREAK; BEEF; CONSUMPTION; ANTIBODIES; DIARRHEA AB In 1996, active surveillance in 5 Foodborne Diseases Active Surveillance Network (FoodNet) sites revealed up to a 9-fold difference in Escherichia coli O157:H7 (O157) infection incidence between sites. A matched case-control study of sporadic O157 cases was conducted in these sites from March 1996 through April 1997. Case subjects were patients with non-outbreak-related diarrheal illness who had O157 isolated from their stool samples. Control subjects were healthy persons matched by age and telephone number exchange. Overall, 196 case patients and 372 controls were enrolled. O157 infections were associated with farm exposure, cattle exposure, eating a pink hamburger (both at home and away from home), eating at a table-service restaurant, using immunosuppressive medication, and obtaining beef through a private slaughter arrangement. Variations in cattle exposures may explain a part of the regional variability of O157 infection incidence. O157 control measures should focus on reducing risks associated with eating undercooked hamburger, dining at table-service restaurants, and farm exposures. C1 Minnesota Dept Hlth, Minneapolis, MN USA. Ctr Dis Control & Prevent, Biostat & Informat Management Branch, Atlanta, GA USA. Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA USA. Ctr Dis Control & Prevent, Epidem Intelligence Serv, Epidemiol Program Off, Atlanta, GA USA. Georgia Emerging Infect Program, Atlanta, GA USA. Oregon Hlth Div, Portland, OR USA. Connecticut Emerging Infect Program, New Haven, CT USA. Calif Dept Hlth Serv, Berkeley, CA 94704 USA. RP Kassenborg, HD (reprint author), Minnesota Dept Agr, 90 W Plato Blvd, St Paul, MN 55107 USA. EM heidi.kassenborg@state.mn.us NR 50 TC 81 Z9 87 U1 7 U2 16 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 BP S271 EP S278 DI 10.1086/381596 PG 8 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900021 PM 15095199 ER PT J AU Kennedy, M Villar, R Vugia, DJ Rabatsky-Ehr, T Farley, MM Pass, M Smith, K Smith, P Cieslak, PR Imhoff, B Griffin, PM AF Kennedy, M Villar, R Vugia, DJ Rabatsky-Ehr, T Farley, MM Pass, M Smith, K Smith, P Cieslak, PR Imhoff, B Griffin, PM CA Emerging Infections Program FoodNe TI Hospitalizations and deaths due to Salmonella infections, FoodNet, 1996-1999 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID UNITED-STATES; RESISTANT SALMONELLA; SEROTYPES AB Nontyphoidal Salmonella causes a higher proportion of food-related deaths annually than any other bacterial pathogen in the United States. We reviewed 4 years (1996-1999) of population-based active surveillance data on laboratory-confirmed Salmonella infections from the Emerging Infections Program's Foodborne Diseases Active Surveillance Network (FoodNet), to determine the rates of hospitalization and death associated with Salmonella infection. Overall, 22% of infected persons were hospitalized, with the highest rate (47%) among persons aged 160 years. Fifty-eight deaths occurred, for an estimated annual incidence of 0.08 deaths/100,000 population. These deaths accounted for 38% of all deaths reported through FoodNet from 1996 through 1999, and they occurred primarily among adults with serious underlying disease. Although Salmonella infection was seldom listed as a cause of death on hospital charts and death certificates, our chart review suggests that Salmonella infection contributed to these deaths. C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. Univ Arizona, Childrens Clin, Tucson, AZ USA. Univ Arizona, Dept Pediat, Tucson, AZ USA. Calif Dept Hlth Serv, Berkeley, CA 94704 USA. Connecticut Emerging Infect Program, New Haven, CT USA. Johns Hopkins Sch Hyg & Publ Hlth, Baltimore, MD USA. Minnesota Dept Hlth, Minneapolis, MN USA. New York State Dept Hlth, Albany, NY USA. Oregon Dept Human Serv, Off Dis Prevent & Epidemiol, Portland, OR USA. Georgia Emerging Infect Program, Atlanta, GA USA. RP Kennedy, M (reprint author), Ctr Dis Control & Prevent, MS D63,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM mhkenned@hsph.harvard.edu NR 13 TC 63 Z9 66 U1 0 U2 2 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S142 EP S148 DI 10.1086/381580 PG 7 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900005 PM 15095183 ER PT J AU Kimura, AC Reddy, V Marcus, R Cieslak, PR Mohle-Boetani, JC Kassenborg, HD Segler, SD Hardnett, FP Barrett, T Swerdlow, DL AF Kimura, AC Reddy, V Marcus, R Cieslak, PR Mohle-Boetani, JC Kassenborg, HD Segler, SD Hardnett, FP Barrett, T Swerdlow, DL CA Emerging Infections Program FoodNe TI Chicken consumption is a newly identified risk factor for sporadic Salmonella enterica serotype enteritidis infections in the United States: A case-control study in FoodNet sites SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID PHAGE TYPE-4; TRAVELERS DIARRHEA; BROILER-CHICKENS; CROSS-CONTAMINATION; OUTBREAKS; CALIFORNIA; ILLNESS; EGGS; CAMPYLOBACTER; EXPERIENCE AB The sources of sporadic Salmonella enterica serotype Enteritidis (SE) infections in the United States are unclear. To determine risk factors for sporadic SE infection, we conducted a population-based case-control study in 5 Foodborne Disease Active Surveillance Network surveillance areas. During the 12-month study, 396 cases of SE infection were ascertained. Among the 182 case patients and 345 controls, SE infection was univariately associated with international travel (matched odds ratio [MOR], 61; 95% confidence interval [CI], 8-447), eating undercooked eggs (MOR, 2.2; 95% CI, 1-5), and eating chicken prepared outside of the home (MOR, 2.2; 95% CI, 1.3-3.4). Multivariate analysis revealed that eating chicken outside of the home remained the only significant risk factor for illness (MOR, 2.0; 95% CI, 1.1-3.6). Chicken consumption has not previously been identified in the United States as a risk factor for SE infection. Measures to prevent SE infections include educating consumers and food handlers about food safety and interventions to decrease contamination of eggs and poultry. C1 Ctr Dis Control & Prevent, Biostat & Informat Management Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Georgia Emerging Infect Program, Atlanta, GA USA. Connecticut Emerging Infect Program, New Haven, CT USA. Oregon Dept Human Serv, Hlth Div, Portland, OR USA. Calif Dept Hlth Serv, Div Communicable Dis Control, Berkeley, CA 94704 USA. Minnesota Dept Hlth, Acute Dis Epidemiol Sect, Minneapolis, MN USA. RP Hardnett, FP (reprint author), Ctr Dis Control & Prevent, Biostat & Informat Management Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. EM fbp3@cdc.gov NR 48 TC 111 Z9 112 U1 2 U2 6 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S244 EP S252 DI 10.1086/381576 PG 9 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900018 PM 15095196 ER PT J AU Marcus, R Rabatsky-Ehr, T Mohle-Boetani, JC Farley, M Medus, C Shiferaw, B Carter, M Zansky, S Kennedy, M Van Gilder, T Hadler, JL AF Marcus, R Rabatsky-Ehr, T Mohle-Boetani, JC Farley, M Medus, C Shiferaw, B Carter, M Zansky, S Kennedy, M Van Gilder, T Hadler, JL CA Emerging Infections Program FoodNe TI Dramatic decrease in the incidence of Salmonella serotype enteritidis infections in 5 FoodNet sites: 1996-1999 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID UNITED-STATES; PHAGE TYPE-4; EGGS; CALIFORNIA; EMERGENCE; OUTBREAK AB Salmonella serotype Enteritidis (SE) emerged as the most common Salmonella serotype among infected persons in the United States during the 1980s and 1990s, with infections reaching a peak in 1995. During the past decade, farm-to-table control measures have been instituted in the United States, particularly in regions with the highest incidence of SE infection. We report trends in the incidence of SE in the 5 original surveillance areas of the Foodborne Diseases Active Surveillance Network during 1996-1999: Minnesota, Oregon, and selected counties in California, Connecticut, and Georgia. Overall, the incidence of SE decreased 46% from 1996 to 1999. The greatest decrease was in Connecticut (71%), followed by northern California (50%), Minnesota (46%), and Oregon (13%). Although SE infection remains an important public health concern, there has been a remarkable decrease in its incidence. This decrease may be a result of targeted interventions, including on-farm control measures, refrigeration, and education efforts. C1 Connecticut Emerging Infect Program, New Haven, CT 06510 USA. Calif Dept Hlth Serv, Berkeley, CA 94704 USA. Emory Univ, Sch Med, Atlanta, GA 30322 USA. Ctr Dis Control & Prevent, Foodborne & Diarrhoeal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA USA. Minnesota Dept Hlth, Minneapolis, MN USA. Oregon Hlth Div, Dept Human Serv, Portland, OR USA. Maryland Dept Hlth & Mental Hyg, Baltimore, MD USA. New York State Dept Hlth, Albany, NY USA. RP Marcus, R (reprint author), Connecticut Foodnet Emerging Infect Program, 1 Church St,7th Fl, New Haven, CT 06510 USA. EM ruthanne.marcus@yale.edu NR 20 TC 26 Z9 26 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S135 EP S141 DI 10.1086/381579 PG 7 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900004 PM 15095182 ER PT J AU Mermin, J Hutwagner, L Vugia, D Shallow, S Daily, P Bender, J Koehler, J Marcus, R Angulo, FJ AF Mermin, J Hutwagner, L Vugia, D Shallow, S Daily, P Bender, J Koehler, J Marcus, R Angulo, FJ CA Emerging Infections Program FoodNe TI Reptiles, amphibians, and human Salmonella infection: A population-based, case-control study SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID TURTLE-ASSOCIATED SALMONELLOSIS; UNITED-STATES; PET TURTLES; PUBLIC-HEALTH; ENTERITIDIS INFECTIONS; CHILDREN; OUTBREAK; MAGNITUDE; ORGANISMS; IGUANAS AB To estimate the burden of reptile- and amphibian-associated Salmonella infections, we conducted 2 case-control studies of human salmonellosis occurring during 1996-1997. The studies took place at 5 Foodborne Diseases Active Surveillance Network (FoodNet) surveillance areas: all of Minnesota and Oregon and selected counties in California, Connecticut, and Georgia. The first study included 463 patients with serogroup B or D Salmonella infection and 7618 population-based controls. The second study involved 38 patients with non serogroup B or D Salmonella infection and 1429 controls from California only. Patients and controls were interviewed about contact with reptiles and amphibians. Reptile and amphibian contact was associated both with infection with serogroup B or D Salmonella (multivariable odds ratio [OR], 1.6; 95% confidence interval [CI], 1.1-2.2; p<.009) and with infection with non-serogroup B or D Salmonella (OR, 4.2; CI, 1.8-9.7; P<.001). The population attributable fraction for reptile or amphibian contact was 6% for all sporadic Salmonella infections and 11% among persons <21 years old. These data suggest that reptile and amphibian exposure is associated with &SIM;74,000 Salmonella infections annually in the United States. C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. Georgia Dept Human Resources, Atlanta, GA USA. Calif Dept Hlth Serv, Berkeley, CA 94704 USA. Calif Emerging Infect Program, San Francisco, CA USA. Calif Emerging Infect Program, Oakland, CA USA. Minnesota Dept Hlth, Minneapolis, MN USA. Connecticut Emerging Infect Program, New Haven, CT USA. RP Angulo, FJ (reprint author), Ctr Dis Control & Prevent, MS-D63,1600 Clifton Rd, Atlanta, GA 30333 USA. EM fja0@cdc.gov RI Mermin, Jonathan/J-9847-2012 NR 58 TC 130 Z9 138 U1 1 U2 23 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S253 EP S261 DI 10.1086/381594 PG 9 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900019 PM 15095197 ER PT J AU Ray, SM Ahuja, SD Blake, PA Farley, MM Samuel, M Rabatsky-Ehr, T Swanson, E Cassidy, M Lay, JC Van Gilder, T AF Ray, SM Ahuja, SD Blake, PA Farley, MM Samuel, M Rabatsky-Ehr, T Swanson, E Cassidy, M Lay, JC Van Gilder, T CA Emerging Infections Program FoodNe TI Population-based surveillance for Yersinia enterocolitica infections in FoodNet sites, 1996-1999: Higher risk of disease in infants and minority populations SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID UNITED-STATES; CHILDREN; O-3 AB Active surveillance for laboratory-confirmed Yersinia enterocolitica (YE) infections was conducted at 5 Foodborne Diseases Active Surveillance Network (FoodNet) sites in the United States during 1996-1999. The annual incidence averaged 0.9 cases/100,000 population. After adjusting for missing data, the average annual incidence by race/ethnicity was 3.2 cases/100,000 population among black persons, 1.5 cases/100,000 population among Asian persons, 0.6 cases/100,000 population among Hispanic persons, and 0.4 cases/100,000 population among white persons. Incidence increased with decreasing age in all race/ethnicity groups. Black infants had the highest incidence (141.9 cases/100,000 population; range, 8.7 cases/100,000 population in Minnesota to 207.0 cases/100,000 population in Georgia). Seasonal variations in incidence, with a marked peak in December, were noted only among black persons. YE infections should be suspected in black children with gastroenteritis, particularly during November-February. Culturing for YE should be part of routine testing of stool specimens by clinical laboratories serving populations at risk, especially during the winter months. C1 Emory Univ, Sch Med, Dept Med 1D, Atlanta, GA 30303 USA. Georgia Dept Human Resources, Div Publ Hlth, Atlanta, GA USA. Georgia Emerging Infect Program, Atlanta, GA USA. Vet Affairs Med Ctr, Atlanta, GA 30033 USA. Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA USA. Calif Emerging Infect Program, San Francisco, CA USA. Connecticut Emerging Infect Program, New Haven, CT USA. Minnesota Dept Hlth, Minneapolis, MN USA. Oregon Hlth Div, Dept Human Serv, Portland, OR USA. RP Ray, SM (reprint author), Emory Univ, Sch Med, Dept Med 1D, 69 Butler St SE, Atlanta, GA 30303 USA. EM sray02@emory.edu NR 15 TC 23 Z9 24 U1 0 U2 1 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S181 EP S189 DI 10.1086/381585 PG 9 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900010 PM 15095188 ER PT J AU Rees, JR Pannier, MA McNees, A Shallow, S Angulo, FJ Vugia, DJ AF Rees, JR Pannier, MA McNees, A Shallow, S Angulo, FJ Vugia, DJ TI Persistent diarrhea, arthritis, and other complications of enteric infections: A pilot survey based on California FoodNet surveillance, 1998-1999 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID IRRITABLE-BOWEL-SYNDROME; REACTIVE ARTHRITIS; REITERS-SYNDROME AB Numerous complications of enteric infections have been described, including persistent diarrhea, reactive arthritis, and Guillain-Barre syndrome. We determined the frequency of self-reported complications of enteric infections in a pilot study in the California site of the Foodborne Diseases Active Surveillance Network. From 1 April 1998 through 31 March 1999, active surveillance identified 1454 infections in Alameda and San Francisco counties, of which 52% were Campylobacter infections, 22% were Salmonella infections, 15% were Shigella infections, 6% were Cryptosporidium infections, 2% were Escherichia coli O157:H7 infections, 2% were Yersinia infections, and 1% were Vibrio infections. We mailed surveys to 1331 eligible participants, and 571 (43%) were returned. A new health problem following infection was reported by 153 (27%) of the respondents: 12 (8%) reported new onset of joint pain and 53 (35%) reported new gastrointestinal symptoms, of whom 38 reported persistent diarrhea, including 2 who reported irritable bowel syndrome. Three respondents reported hair loss. The frequency, nature, and etiology of these complications merit further investigation. C1 Calif Emerging Infect Program, Oakland, CA USA. Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USA. Calif Dept Hlth Serv, Berkeley, CA 94704 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Rees, JR (reprint author), Dartmouth Hitchcock Med Ctr, Dartmouth Med Sch, HB 7927,1 Med Ctr Dr, Lebanon, NH 03756 USA. EM judith.rees@dartmouth.edu NR 16 TC 27 Z9 28 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S311 EP S317 DI 10.1086/381601 PG 7 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900026 PM 15095204 ER PT J AU Rowe, SY Rocourt, JR Shiferaw, B Kassenborg, HD Segler, SD Marcus, R Daily, PJ Hardnett, FP Slutsker, L AF Rowe, SY Rocourt, JR Shiferaw, B Kassenborg, HD Segler, SD Marcus, R Daily, PJ Hardnett, FP Slutsker, L CA Emerging Infections Program FoodNe TI Breast-feeding decreases the risk of sporadic salmonellosis among infants in FoodNet sites SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID UNITED-STATES; INFECTION; CHILDREN; PATHOGEN; ILLNESS; IGUANAS AB Among the population of the Foodborne Diseases Active Surveillance Network (FoodNet) surveillance areas ("FoodNet sites") in 1996, children under 12 months of age had the highest incidence of sporadic salmonellosis. We conducted a case-control study in 5 FoodNet sites to identify risk factors for sporadic infant salmonellosis. A case patient was a child under 12 months of age with a laboratory-confirmed, nontyphoidal serogroup B or D Salmonella infection. Twenty-two case patients were matched with 39 control subjects by age and either telephone exchange or vital record birth list. In a multivariate analysis, case patients were more likely to have a liquid diet containing no breast milk than a liquid diet containing only breast milk ( matched odds ratio, 44.5; P=.04). Case-patients were more likely to reside in a household where a member had diarrhea ( matched odds ratio, 13.2; P=.01). To decrease their infants' risk of salmonellosis, mothers should be encouraged to breast-feed their infants. Caretakers of infants should learn about salmonellosis, hand washing, and safe preparation of formula and solid food. C1 Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Atlanta, GA USA. Ctr Dis Control & Prevent, Biostat & Informat Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA USA. Georgia Emerging Infect Program, Atlanta, GA USA. Oregon Hlth Div, Portland, OR USA. Minnesota Dept Hlth, Minneapolis, MN USA. Connecticut Emerging Infect Program, New Haven, CT USA. Calif Emerging Infect Program, Berkeley, CA USA. RP Rowe, SY (reprint author), Rollins Sch Publ Hlth, Dept Epidemiol, 4th Fl,1518 Clifton Rd NE, Atlanta, GA 30322 USA. EM syang06@sph.emory.edu NR 29 TC 21 Z9 21 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S262 EP S270 DI 10.1086/381595 PG 9 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900020 PM 15095198 ER PT J AU Samuel, MC Vugia, DJ Shallow, S Marcus, R Segler, S McGivern, T Kassenborg, H Reilly, K Kennedy, M Angulo, F Tauxe, RV AF Samuel, MC Vugia, DJ Shallow, S Marcus, R Segler, S McGivern, T Kassenborg, H Reilly, K Kennedy, M Angulo, F Tauxe, RV CA Emerging Infections Program FoodNe TI Epidemiology of sporadic Campylobacter infection in the United States and declining trend in incidence, FoodNet 1996-1999 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID RISK-FACTORS; JEJUNI INFECTIONS; RAW-MILK; ENTERITIS; CHICKEN; HAZARDS; HEALTH AB Campylobacter species are a leading cause of foodborne illness in the United States, but few population-based data describing patterns and trends of disease are available. We summarize data on culture-confirmed cases of Campylobacter infection reported during 1996-1999 to the Foodborne Diseases Active Surveillance Network (FoodNet) system. The average annual culture-confirmed incidence was 21.9 cases/100,000 population, with substantial site variation (from 43.8 cases/100,000 population in California to 12.2 cases/100,000 population in Georgia). The incidence among male subjects was consistently higher than that among female subjects in all age groups. The incidence trended downward over the 4 years, with incidences of 23.6, 25.2, 21.4, and 17.5 cases/100,000 population for 1996-1999, respectively-a 26% overall decrease. This trend was sharpest and most consistent in California. Overall, we estimate that similar to2 million people were infected with Campylobacter in the United States each year during this time period. Although the number of Campylobacter infections appears to have decreased in the United States during 1996-1999, the disease burden remains significant, which underscores the need to better understand how the disease is transmitted. C1 Calif Dept Hlth Serv, Berkeley, CA 94704 USA. Calif Emerging Infect Program, Berkeley, CA USA. Connecticut Emerging Infect Program, New Haven, CT USA. Ctr Dis Control & Prevent, Georgia Emerging Infect Program, Atlanta, GA USA. Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA USA. Dept Hlth Serv, Oregon Emerging Infect Program, Portland, OR USA. Minnesota Dept Hlth, Minneapolis, MN USA. RP Samuel, MC (reprint author), Calif Dept Hlth Serv, 1947 Ctr St,Ste 201, Berkeley, CA 94704 USA. EM msamuel@dhs.ca.gov NR 30 TC 117 Z9 123 U1 0 U2 4 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S165 EP S174 DI 10.1086/381583 PG 10 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900008 PM 15095186 ER PT J AU Shiferaw, B Shallow, S Marcus, R Segler, S Soderlund, D Hardnett, FP Van Gilder, T AF Shiferaw, B Shallow, S Marcus, R Segler, S Soderlund, D Hardnett, FP Van Gilder, T CA Emerging Infections Program FoodNe TI Trends in population-based active surveillance for shigellosis and demographic variability in FoodNet sites, 1996-1999 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID DAY-CARE-CENTERS; UNITED-STATES; INFECTIONS; OUTBREAK AB Shigella is a common cause of diarrhea in the United States, and accurate surveillance is needed to determine the burden of illness that they cause. Active surveillance for culture-confirmed Shigella infection was done as part of the Foodborne Diseases Active Surveillance Network (FoodNet). A total of 4317 cases of shigellosis were reported during 1996-1999 in the original FoodNet surveillance areas. The average annual incidence was 7.4 cases/100,000 population. The incidence was similar during 1996-1998, but it declined in 1999 to 5.0 cases/100,000 population. State-to-state variability was seen in the incidence of shigellosis. Higher incidence was observed in California and Georgia. Shigella sonnei accounted for 70% of the infections, followed by Shigella flexneri (24%). Compared with other age groups, the incidence was highest among children aged 1-4 years of (36.3 cases/100,000 population). Marked demographic differences were observed between infections with S. sonnei and S. flexneri. C1 Oregon Dept Human Serv, Off Dis Prevent & Epidemiol, Portland, OR 97232 USA. Calif Emerging Infect Program, San Francisco, CA USA. Connecticut Emerging Infect Program, New Haven, CT USA. Ctr Dis Control & Prevent, Georgia Emerging Infect Program, Atlanta, GA USA. Ctr Dis Control & Prevent, Biostat & Informat Management Branch, Atlanta, GA USA. Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA USA. Minnesota Dept Hlth, Minneapolis, MN USA. RP Shiferaw, B (reprint author), Oregon Dept Human Serv, Off Dis Prevent & Epidemiol, 800 NE Oregon St,Ste 772, Portland, OR 97232 USA. EM beletshachew.shiferaw@state.or.us NR 18 TC 18 Z9 19 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S175 EP S180 DI 10.1086/381584 PG 6 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900009 PM 15095187 ER PT J AU Voetsch, AC Angulo, FJ Rabatsky-Ehr, T Shallow, S Cassidy, M Thomas, SM Swanson, E Zansky, SM Hawkins, MA Jones, TF Shillam, PJ Van Gilder, TJ Wells, JG Griffin, PM AF Voetsch, AC Angulo, FJ Rabatsky-Ehr, T Shallow, S Cassidy, M Thomas, SM Swanson, E Zansky, SM Hawkins, MA Jones, TF Shillam, PJ Van Gilder, TJ Wells, JG Griffin, PM CA Emerging Infections Program FoodNe TI Laboratory practices for stool-specimen culture for bacterial pathogens, including Escherichia coli O157 : H7, in the FoodNet sites, 1995-2000 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID PUBLIC-HEALTH SURVEILLANCE; UNITED-STATES; CLINICAL MICROBIOLOGY; DIARRHEAL DISEASES; ENTERIC PATHOGENS; CARE; INFECTIONS; CRITERIA; NETWORK AB In 2000, we surveyed microbiologists in 388 clinical laboratories, which tested an estimated 339,000 stool specimens in 1999, about laboratory methods and policies for the routine testing of stool specimens for Salmonella, Shigella, Campylobacter, and Vibrio species, Yersinia entercolitica, and Escherichia coli O157: H7. The results were compared with those of similar surveys conducted in 1995 and 1997. Although these laboratories reported routinely testing for Salmonella, Shigella, and Campylobacter species, only 57% routinely tested for E. coli O157: H7, 50% for Y. entercolitica, and 50% for Vibrio species. The mean proportions of stool specimens that yielded these pathogens were as follows: Campylobacter, 1.3% of specimens; Salmonella, 0.9%; Shigella, 0.4%; and E. coli O157: H7, 0.3%. The proportion of laboratories that routinely tested for E. coli O157: H7 increased from 59% in 1995 to 68% in 2000; however, the proportion of stool specimens tested decreased from 53% to 46%. E. coli O157: H7 should be routinely sought in stool specimens submitted for microbiologic culture. C1 Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Atlanta, GA 30333 USA. Georgia Div Publ Hlth, Atlanta, GA USA. Yale Univ, Connecticut Emerging Infect Program, New Haven, CT USA. Calif Emerging Infect Program, San Francisco, CA USA. Oregon Dept Human Serv, Off Dis Prevent & Epidemiol, Portland, OR USA. Minnesota Dept Hlth, Minneapolis, MN USA. New York State Dept Hlth, Albany, NY USA. Univ Maryland, Sch Med, Baltimore, MD 21201 USA. Tennessee Dept Hlth, Nashville, TN USA. Colorado Dept Publ Hlth & Environm, Denver, CO USA. RP Angulo, FJ (reprint author), Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, MS D63,1600 Clifton Rd, Atlanta, GA 30333 USA. EM fangulo@cdc.gov NR 29 TC 42 Z9 44 U1 0 U2 2 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S190 EP S197 DI 10.1086/381586 PG 8 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900011 PM 15095189 ER PT J AU Voetsch, AC Van Gilder, TJ Angulo, FJ Farley, MM Shallow, S Marcus, R Cieslak, PR Deneen, VC Tauxe, RV AF Voetsch, AC Van Gilder, TJ Angulo, FJ Farley, MM Shallow, S Marcus, R Cieslak, PR Deneen, VC Tauxe, RV CA Emerging Infections Program FoodNe TI FoodNet estimate of the burden of illness caused by nontyphoidal Salmonella infections in the United States SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID REPTILE-ASSOCIATED SALMONELLOSIS; PATHOLOGISTS Q-PROBES; PLATING MEDIA; ENTERITIDIS INFECTIONS; RESISTANT SALMONELLA; VETERINARY SAMPLES; BRILLIANT GREEN; SHIGELLA AGAR; STOOL SAMPLES; PHAGE TYPE-4 AB To determine the burden of Salmonella infections in the United States, Foodborne Diseases Active Surveillance Network (FoodNet) investigators conducted population-based active surveillance for culture-confirmed Salmonella infections during 1996-1999 at FoodNet laboratories. In addition, all clinical microbiology FoodNet laboratories were surveyed to determine their practices for isolating Salmonella. Telephone interviews were also conducted among residents of the FoodNet sites to determine the proportion of persons with diarrheal illness who sought medical care and the proportion who submitted stool specimens for bacterial culture. Using our model, we estimated that there were 1.4 million nontyphoidal Salmonella infections in the United States, resulting in 168,000 physician office visits per year during 1996-1999. Including both culture-confirmed infections and those not confirmed by culture, we estimated that Salmonella infections resulted in 15,000 hospitalizations and 400 deaths annually. These estimates indicate that salmonellosis presents a major ongoing burden to public health. C1 Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Atlanta, GA 30333 USA. Emory Univ, Sch Med, Atlanta, GA USA. Calif Emerging Infect Program, San Francisco, CA USA. Yale Univ, New Haven, CT USA. Oregon Dept Human Serv, Off Dis Prevent & Epidemiol, Portland, OR USA. Minnesota Dept Hlth, Minneapolis, MN USA. RP Angulo, FJ (reprint author), Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, MS D63,1600 Clifton Rd, Atlanta, GA 30333 USA. EM fangulo@cdc.gov NR 58 TC 344 Z9 376 U1 1 U2 31 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S127 EP S134 DI 10.1086/381578 PG 8 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900003 PM 15095181 ER PT J AU Vugia, DJ Samuel, M Farley, MM Marcus, R Shiferaw, B Shallow, S Smith, K Angulo, FJ AF Vugia, DJ Samuel, M Farley, MM Marcus, R Shiferaw, B Shallow, S Smith, K Angulo, FJ CA Emerging Infections Program FoodNe TI Invasive Salmonella infections in the United States, FoodNet, 1996-1999: Incidence, serotype distribution, and outcome SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID HUMAN-IMMUNODEFICIENCY-VIRUS; TYPHIMURIUM DT104 INFECTIONS; RAW-MILK CHEESE; BACTEREMIA; ILLNESS; DISEASE; CALIFORNIA; MORTALITY; EMERGENCE; AIDS AB Invasive Salmonella infections are severe and can be life threatening. We analyzed population-based data collected during 1996-1999 by the Foodborne Diseases Active Surveillance Network (FoodNet), to determine the incidences, infecting serotypes, and outcomes of invasive Salmonella infection. We found that the mean annual incidence of invasive salmonellosis was 0.9 cases/100,000 population and was highest among infants (7.8 cases/100,000). The incidence was higher among men than women (1.2 vs. 0.7 cases/100,000;) P<.001 and higher among blacks, Asians, and Hispanics than among whites (2.5, 2.0, and 1.3 cases/100,000 population, respectively, vs. 0.4 cases/100,000; all). Seventy-four percent of cases were caused by 8 Salmonella P<.001 serotypes: Typhimurium, Typhi, Enteritidis, Heidelberg, Dublin, Paratyphi A, Choleraesuis, and Schwarzengrund. Of 540 persons with invasive infection, 386 (71%) were hospitalized and 29 (5%) died; 13 (45%) of the deaths were among persons aged greater than or equal to60 years. Invasive Salmonella infections are a substantial health problem in the United States and contribute to hospitalizations and deaths. C1 Calif Dept Hlth Serv, Berkeley, CA 94704 USA. Calif Emerging Infect Program, Berkeley, CA USA. Emory Univ, Sch Med, Atlanta, GA USA. Atlanta Vet Affairs Med Ctr, Atlanta, GA USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Connecticut Emerging Infect Program, Berkeley, CA 94704 USA. Oregon Hlth Div, Portland, OR USA. Minnesota Dept Hlth, Minneapolis, MN USA. RP Vugia, DJ (reprint author), Calif Dept Hlth Serv, 2151 Berkeley Way,Rm 708, Berkeley, CA 94704 USA. EM dvugia@dhs.ca.gov NR 34 TC 96 Z9 98 U1 0 U2 6 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S149 EP S156 DI 10.1086/381581 PG 8 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900006 PM 15095184 ER PT J AU Wong, S Marcus, R Hawkins, M Shallow, S McCombs, KG Swanson, E Anderson, B Shiferaw, B Garman, R Noonan, K Van Gilder, T AF Wong, S Marcus, R Hawkins, M Shallow, S McCombs, KG Swanson, E Anderson, B Shiferaw, B Garman, R Noonan, K Van Gilder, T CA Emerging Infections Program FoodNe TI Physicians as food-safety educators: A practices and perceptions survey SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID PRIMARY-CARE PHYSICIANS; NUTRITION GUIDANCE AB An estimated 4 million bacterial foodborne illnesses occur in the United States annually. Many of these illnesses can be prevented by educating the public about food-safety practices. We investigated both the role of physicians as food-safety educators and the barriers to providing food-safety information. Participants were randomly selected physicians (N=3117) practicing within the surveillance area of the Foodborne Diseases Active Surveillance Network; 1100 were included in the study. Although only 331 (30%) of 1110 respondents provided food-safety information to their patients, 524 (68%) of 769 who did not provide information expressed interest in doing so. Physicians were more likely to provide food-safety information to patients if they perceived foodborne disease to be a serious problem, perceived food-safety education as their role, felt that patients perceived them as a valuable resource for food-safety advice, or felt comfortable making food-safety recommendations. A national physician education campaign that addresses barriers in food-safety education could improve food-safety education by physicians. C1 Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA USA. Connecticut Emerging Infect Program, New Haven, CT USA. Maryland Dept Hlth & Mental Hyg, Baltimore, MD USA. Calif Emerging Infect Program, San Francisco, CA USA. Montgomery Cty Hlth Dept, Christiansburg, VA USA. Minnesota Dept Hlth, Minneapolis, MN USA. New York State Dept Hlth, Emerging Infect Program, Albany, NY USA. Oregon Dept Hlth Serv, Portland, OR USA. Tennessee Dept Hlth, Nashville, TN USA. Massachusetts Dept Publ Hlth, Jamaica Plain, MA USA. RP Wong, S (reprint author), Care of Kennedy M, Ctr Dis Control & Prevent, 1600 Clifton Rd,MS D-63, Atlanta, GA 30333 USA. EM skwong@spawar.navy.mil NR 12 TC 12 Z9 12 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 15 PY 2004 VL 38 SU 3 BP S212 EP S218 DI 10.1086/381589 PG 7 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WR UT WOS:000220734900014 PM 15095192 ER PT J AU Lowe, BD AF Lowe, BD TI Accuracy and validity of observational estimates of wrist and forearm posture SO ERGONOMICS LA English DT Article DE wrist posture; exposure assessment; musculoskeletal disorders ID MUSCULOSKELETAL DISORDERS; VISUAL-PERCEPTION; UPPER EXTREMITIES; WORK; RISK; CLASSIFICATION; RELIABILITY; EXPOSURE; TIME AB Numerous observational methods for analysis of working posture of the wrist/forearm have been reported in the literature yet few of these methods have been validated for the accuracy of their posture classification. The present study evaluated the accuracy of estimates of working posture made by 28 experienced ergonomists using methods of scaling upper limb posture typical of those reported in the literature. Observational estimates of wrist/forearm posture of four jobs presented on video-recording were compared with posture levels measured directly with an electrogoniometer system. Ergonomists using a visual analogue scale tended to underestimate peak and average wrist extension with mean errors of -29.4% and -10.5% of the joint ROM, respectively (p<0.05). While estimates of wrist flexion, pronation and supination resulted in less bias, variability in observer error was large for all wrist postures. The probability of an analyst misclassifying the most frequently occurring posture using a three- and a six-category scale was 54 and 70%, respectively. The probability of misclassifying peak posture was 22 and 61% using a three- and a six-category scale respectively. This suggests a trade-off between the degree of precision afforded by the categorical scale and the likelihood of posture misclassification. Estimates of the temporal distribution of posture among the categories appeared to be biased towards more neutral postures than were measured for the jobs. This indicated the possibility of a trend towards underestimation of posture duration severity by the ergonomists. C1 NIOSH, Cincinnati, OH 45226 USA. RP Lowe, BD (reprint author), NIOSH, 4676 Columbia Pkwy,MS C-24, Cincinnati, OH 45226 USA. EM blowe@cdc.gov NR 36 TC 31 Z9 32 U1 1 U2 5 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0014-0139 J9 ERGONOMICS JI Ergonomics PD APR 15 PY 2004 VL 47 IS 5 BP 527 EP 554 DI 10.1080/00140130310001653057 PG 28 WC Engineering, Industrial; Ergonomics; Psychology, Applied; Psychology SC Engineering; Psychology GA 804VH UT WOS:000220325700005 PM 15204302 ER PT J AU Doublet, B Carattoli, A Whichard, JM White, DG Baucheron, S Chaslus-Dancla, E Cloeckaert, A AF Doublet, B Carattoli, A Whichard, JM White, DG Baucheron, S Chaslus-Dancla, E Cloeckaert, A TI Plasmid-mediated florfenicol and ceftriaxone resistance encoded by the floR and bla(CMY-2) genes in Salmonella enterica serovars Typhimurium and Newport isolated in the United States SO FEMS MICROBIOLOGY LETTERS LA English DT Article DE Salmonella; multidrug resistance; phenicols; cephalosporins; plasmid; conjugation ID ESCHERICHIA-COLI; BETA-LACTAMASE; STRAINS; ANIMALS; IDENTIFICATION; SEQUENCE; CMY-2 AB Multidrug resistance plasmids carrying the bla(CMY-2) gene have been identified in Salmonella enterica serovars Typhimurium and Newport from the United States. This gene confers decreased susceptibility to ceftriaxone, and is most often found in strains with concomitant resistance to ampicillin, chloramphenicol, streptomycin, sulfamethoxazole and tetracycline. The bla(CMY-2)-carrying plasmids studied here were shown to also carry the florfenicol resistance gene, floR, on a genetic structure previously identified in Escherichia coli plasmids in Europe. These data indicate that the use of different antimicrobial agents, including phenicols, may serve to maintain multidrug resistance plasmids on which extended-spectrum cephalosporin resistance determinants co-exist with other resistance genes in Salmonella. (C) 2004 Published by Elsevier B.V. on behalf of the Federation of European Microbiological Societies. C1 INRA, Unite Bioagresseurs, F-37380 Nouzilly, France. Ist Super Sanita, Batteriol & Micol Med Lab, I-00161 Rome, Italy. CDCP, Natl Ctr Infect Dis, Div Bacterial & Mycot Dis, Foodborne & Diarrheal Dis Branch, Atlanta, GA 30333 USA. US FDA, Ctr Vet Med, Laurel, MD 20708 USA. RP Cloeckaert, A (reprint author), INRA, Unite Bioagresseurs, F-37380 Nouzilly, France. EM cloeckae@tours.inra.fr NR 20 TC 27 Z9 30 U1 1 U2 6 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 0378-1097 J9 FEMS MICROBIOL LETT JI FEMS Microbiol. Lett. PD APR 15 PY 2004 VL 233 IS 2 BP 301 EP 305 DI 10.1016/j.femsle.2004.02.023 PG 5 WC Microbiology SC Microbiology GA 812BQ UT WOS:000220815400017 PM 15063500 ER PT J AU Paramsothy, P Duerr, A Heilig, CM Cu-Uvin, S Anderson, JR Schuman, P Klein, RS AF Paramsothy, P Duerr, A Heilig, CM Cu-Uvin, S Anderson, JR Schuman, P Klein, RS CA HER Study Grp TI Abnormal vaginal cytology in HIV-infected and at-risk women after hysterectomy SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES LA English DT Article DE HIV; women; hysterectomy; vaginal smears; squamous intraepithelial lesion; vaginal intraepithelial neoplasia; human papillomavirus ID HUMAN-IMMUNODEFICIENCY-VIRUS; CERVICAL INTRAEPITHELIAL NEOPLASIA; ACTIVE ANTIRETROVIRAL THERAPY; HUMAN-PAPILLOMAVIRUS INFECTION; PAPANICOLAOU SMEARS; SEROPOSITIVE WOMEN; PROSPECTIVE COHORT; BENIGN DISEASE; PREVALENCE; CANCER AB Objective: To determine the frequency of and risk factors for abnormal vaginal Papanicolaou smears in HIV-infected women after hysterectomy. Methods: Data were from the HIV Epidemiology Research (HER) study, a prospective multisite study of HIV-infected and uninfected women. Semiannual vaginal Papanicolaou smears and colposcopy data were obtained from 102 HIV-infected and 46 at-risk women who had hysterectomy either before or during the study. Analytic models used include Cox proportional hazards (women with hysterectomy during the study) and multiple logistic regressions, which corrected for repeated measures (all women). Results: Among the HIV-infected women, evidence of cervical intraepithelial neoplasia before or at hysterectomy was associated with abnormal cytology during follow-up; 63% had squamous intraepithelial lesions (SIL) on vaginal Papanicolaou smears following hysterectomy. CD4 counts of <200 cells/muL at hysterectomy and HIV viral load of >10,000 copies/mL at hysterectomy were predictive of SIL vaginal cytology. Prevalent SIL vaginal cytology was associated with low CD4 count and human papillomavirus risk type. Of the 102 HIV-infected women, 16 (16%) had vaginal intraepithelial neoplasia on biopsy. Conclusions: The high rate of SIL on vaginal Papanicolaou smears and the presence of high-grade vaginal intraepithelial neoplasia among HIV-infected women after hysterectomy demonstrate the need for continued follow-up for lower genital tract lesions. C1 Ctr Dis Control & Prevent, Atlanta, GA 30341 USA. Contracept Res & Dev Program, Arlington, VA USA. Brown Univ, Sch Med, Providence, RI 02912 USA. Johns Hopkins Univ, Sch Med, Baltimore, MD USA. Wayne State Univ, Sch Med, Detroit, MI USA. Montefiore Med Ctr, Bronx, NY 10467 USA. Albert Einstein Coll Med, Bronx, NY 10467 USA. RP Duerr, A (reprint author), Ctr Dis Control & Prevent, Mailstop K-34,4770 Buford Hwy,NE, Atlanta, GA 30341 USA. EM pfp5@cdc.gov; aduerr@fhcrc.org RI Heilig, Charles/C-2753-2008 OI Heilig, Charles/0000-0003-1075-1310 FU ODCDC CDC HHS [U64/CCU506831, U64/CCU106795, U64/CCU206798, U64/CCU306802] NR 32 TC 7 Z9 8 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1525-4135 J9 JAIDS-J ACQ IMM DEF JI JAIDS PD APR 15 PY 2004 VL 35 IS 5 BP 484 EP 491 DI 10.1097/00126334-200404150-00006 PG 8 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 809JC UT WOS:000220632000006 PM 15021313 ER PT J AU Sullivan, PS Lansky, A Drake, A AF Sullivan, PS Lansky, A Drake, A CA HITS-2000 Investigators TI Failure to return for HIV test results among persons at high risk for HIV infection - Results from a multistate interview project SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES LA English DT Article DE HIV testing; failure to return; rapid testing ID PSYCHOSOCIAL PREDICTORS; ADOLESCENTS; POPULATION; BEHAVIORS; CLIENTS; RATES; SITE AB Background: Voluntary counseling and testing is an important strategy for HIV prevention. For optimal impact, however, clients must return for HIV test results and counseling. The goal of this study was to document the frequency of self-reported failure to return for HIV test results (FTR) and associated reasons among persons at high risk for HIV infection. Methods: Respondents were recruited at gay bars (men who have sex with men [MSM]), by street intercept (injection drug users [IDUs]), or at sexually transmitted disease clinics (high-risk heterosexuals [HRHs]) in 7 US states in 2000. Self-reported history of and reasons for FTR were evaluated. Results: FTR was commonly reported among 2241 respondents: 10% of MSM, 20% of HRHs, and 27% of IDUs reported FTR at least once. FTR was significantly (P < 0.05) more common among those with higher perceived risk of HIV infection and significantly less common among HRHs who had completed more than high school (vs. high school or General Education Development certificate) or were employed part time (VS. unemployed). About one fourth of respondents cited fear of getting test results as an important reason for FTR. Conclusion: Self-reported occurrences of FTR in our venue-recruited sample were similar to proportions of FTR previously reported from publicly funded venues. Increased pretest counseling on fear of learning HIV status and on the availability of rapid testing may help to reduce FTR. C1 Ctr Dis Control & Prevent, Div HIV AIDS Prevent Surveillance & Epidemiol, Atlanta, GA 30333 USA. RP Sullivan, PS (reprint author), Ctr Dis Control & Prevent, Div HIV AIDS Prevent Surveillance & Epidemiol, 1600 Clifton Rd,Mailstop E-46, Atlanta, GA 30333 USA. EM pssO@cdc.gov OI Sullivan, Patrick/0000-0002-7728-0587 NR 24 TC 55 Z9 57 U1 0 U2 5 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1525-4135 J9 JAIDS-J ACQ IMM DEF JI JAIDS PD APR 15 PY 2004 VL 35 IS 5 BP 511 EP 518 DI 10.1097/00126334-200404150-00009 PG 8 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 809JC UT WOS:000220632000009 PM 15021316 ER PT J AU Harawa, NT Greenland, S Bingham, TA Johnson, DF Cochran, SD Cunningham, WE Celentano, DD Koblin, BA LaLota, M MacKellar, DA McFarland, W Shehan, D Stoyanoff, S Thiede, H Torian, L Valleroy, LA AF Harawa, NT Greenland, S Bingham, TA Johnson, DF Cochran, SD Cunningham, WE Celentano, DD Koblin, BA LaLota, M MacKellar, DA McFarland, W Shehan, D Stoyanoff, S Thiede, H Torian, L Valleroy, LA TI Associations of race/ethnicity with HIV prevalence and HIV-related behaviors among young men who have sex with men in 7 urban centers in the United States SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES LA English DT Article DE ethnic groups; HIV risk factors; epidemiology; young adults; homosexuality; drug use; sexual behavior ID NEW-YORK-CITY; AFRICAN-AMERICAN MEN; RISK-FACTORS; GAY MEN; HOMOSEXUAL MEN; SUBSTANCE USE; BISEXUAL MEN; LOS-ANGELES; INFECTION; SEROPREVALENCE C1 Los Angeles Cty Dept Hlth Serv, HIV Epidemiol Program, Los Angeles, CA 90095 USA. Univ Calif Los Angeles, Sch Publ Hlth, Los Angeles, CA 90024 USA. Univ Calif Los Angeles, Sch Med, Los Angeles, CA USA. Johns Hopkins Univ, Sch Hyg & Publ Hlth, Baltimore, MD USA. New York Blood Ctr, New York, NY 10021 USA. Florida Dept Hlth, Tallahassee, FL USA. Natl Ctr HIV STD & TB Prevent, Div HIV AIDS Prevent Surveillance & Epidemiol, Ctr Dis Control & Prevent, Atlanta, GA USA. San Francisco Dept Hlth, San Francisco, CA USA. Univ Texas, SW Med Ctr, Dallas, TX USA. Seattle King Cty Dept Publ Hlth, Seattle, WA USA. New York City Dept Hlth, New York, NY 10013 USA. RP Harawa, NT (reprint author), Los Angeles Cty Dept Hlth Serv, HIV Epidemiol Program, 600 S Comminwealth Blvd,Suite 1920, Los Angeles, CA 90095 USA. EM nharawa@dhs.co.la.ca.us FU NIAID NIH HHS [T32 AI07481]; NICHD NIH HHS [1P20HD000148] NR 54 TC 168 Z9 169 U1 1 U2 9 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1525-4135 J9 JAIDS-J ACQ IMM DEF JI JAIDS PD APR 15 PY 2004 VL 35 IS 5 BP 526 EP 536 DI 10.1097/00126334-200404150-00011 PG 11 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 809JC UT WOS:000220632000011 PM 15021318 ER PT J AU Barrientos, LG Lasala, F Otero, JR Sanchez, A Delgado, R AF Barrientos, LG Lasala, F Otero, JR Sanchez, A Delgado, R TI In vitro evaluation of cyanovirin-N antiviral activity, by use of lentiviral vectors pseudotyped with filovirus envelope glycoproteins SO JOURNAL OF INFECTIOUS DISEASES LA English DT Article ID EBOLA-VIRUS; DC-SIGN; GP120; PROTEIN; BINDS AB Cyanovirin-N (CV-N) has been shown to inhibit Ebola Zaire virus (EboZV) infection, both in vitro and in vivo, through its ability to bind to oligomannoses-8/9 on the EboZV surface glycoprotein ( GP). Here, we report the in vitro potency of CV-N to inhibit EboZV GP - and Marburg virus GP - pseudotyped viruses (EC50 similar to 40 - 60 nmol/L and similar to 6 - 25 nmol/L, respectively) from mediating gene transduction into HeLa cells. In addition, we provide evidence that CV-N can effectively inhibit DC-SIGN - mediated EboZV infection. Our data emphasize both the utility of GP-pseudotyped vectors in the assessment of compounds that affect cell entry by filovirus and the use of CV-N as a reagent for the probing of carbohydrate-dependent interactions at viral entry. C1 Ctr Dis Control & Prevent, Special Pathogens Branch, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Hosp 12 Octubre, Mol Microbiol Lab, E-28041 Madrid, Spain. RP Barrientos, LG (reprint author), Ctr Dis Control & Prevent, Special Pathogens Branch, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, MailStop G14, Atlanta, GA 30333 USA. EM lbarrientos1@cdc.gov; rdelgado.hdoc@salud.madrid.org RI Delgado, Rafael/C-4910-2016 OI Delgado, Rafael/0000-0002-6912-4736 NR 15 TC 24 Z9 25 U1 0 U2 1 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 0022-1899 J9 J INFECT DIS JI J. Infect. Dis. PD APR 15 PY 2004 VL 189 IS 8 BP 1440 EP 1443 DI 10.1086/382658 PG 4 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 810WW UT WOS:000220735400014 PM 15073681 ER PT J AU Dillon, C Paulose-Ram, R Hirsch, R Gu, QP AF Dillon, C Paulose-Ram, R Hirsch, R Gu, QP TI Skeletal muscle relaxant use in the United States - Data from the Third National Health and Nutrition Examination Survey (NHANES III) SO SPINE LA English DT Article DE back pain; drug utilization; NHANES; prevalence; quinine sulfate; survey; muscle relaxant ID LOW-BACK-PAIN; MEDICATION USE; PRIMARY-CARE; DRUGS; ANALGESICS; THERAPY AB Study Design. Population-based cross-sectional prevalence survey. Objectives. To define muscle relaxant use patterns in the United States. Summary of Background Data: Despite a long history of use for back pain and musculoskeletal disorders, national prevalence patterns of prescription muscle relaxant use have not been defined. Methods. NHANES III ( 1988 - 1994) is an in-person health examination survey of the U. S. civilian population, based on a complex, multistage probability sample design. Results. An estimated 2 million American adults reported muscle relaxant use (1-month period prevalence 1.0%; 95% confidence interval 0.8 - 1.3%). While virtually all (94%) used individual muscle relaxants rather than fixed combination muscle relaxant analgesics, two thirds took an additional prescription analgesic. Men and women had similar usage. Median user age was 42 years, but 16% of users were older than 60 years. Eighty-five percent of users took muscle relaxants for back pain or muscle disorders. Two thirds of muscle relaxant users had histories of recent back pain; however, only 4% of all those with a recent history of back pain reported any muscle relaxant use. Mean length of use was 2.1 years ( 95% confidence interval 1.6 - 2.6), with 44.5% taking medication longer than a year ( 95% confidence interval 35.7 - 53.3). Muscle relaxant use in the elderly, among older persons with ambulatory impairments, and in chronic obstructive pulmonary disease appeared undiminished compared with general population use. Conclusions. Although typically recommended for short-term treatment of back pain, muscle relaxants are often used chronically and are prescribed to subpopulations potentially at risk for adverse effects. C1 Ctr Dis Control & Prevent, Div Hlth Examinat Stat, US Natl Ctr Hlth Stat, Hyattsville, MD USA. Orkand Corp, Falls Church, VA USA. RP Dillon, C (reprint author), Natl Ctr Hlth Stat, DHES NHANES, 3311 Toldeo Rd,Rm 4217, Hyattsville, MD 20782 USA. EM cid2@cdc.gov NR 23 TC 19 Z9 19 U1 1 U2 1 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0362-2436 J9 SPINE JI SPINE PD APR 15 PY 2004 VL 29 IS 8 BP 892 EP 896 DI 10.1097/00007632-200404150-00014 PG 5 WC Clinical Neurology; Orthopedics SC Neurosciences & Neurology; Orthopedics GA 812XB UT WOS:000220871100013 PM 15082991 ER PT J AU Lavonas, EJ Kerns, WP Tomaszewski, CA Blackwell, TH Galaska, PN Hay, TL McCormick, GE Brown, AS Mott, JA AF Lavonas, EJ Kerns, WP Tomaszewski, CA Blackwell, TH Galaska, PN Hay, TL McCormick, GE Brown, AS Mott, JA TI Use of carbon monoxide alarms to prevent poisonings during a power outage - North Carolina, December 2002 (Reprinted from MMWR, vol 53, pg 189-192, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 Charlotte Fire Dept, Charlotte, NC USA. CDC, Div Environm Hazards & Hlth Effects, Natl Ctr Environm Hlth, Atlanta, GA 30333 USA. NR 11 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD APR 14 PY 2004 VL 291 IS 14 BP 1691 EP 1692 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 811RJ UT WOS:000220788700007 ER PT J AU Klausner, JD Engelman, J Lukehart, SA Berman, SM Mitchell, SJ AF Klausner, JD Engelman, J Lukehart, SA Berman, SM Mitchell, SJ TI Brief report: Azithromycin treatment failures in syphilis infections - San Francisco, California, 2002-2003 (Reprinted from MMWR, vol 53, pg 197-198, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 San Francisco Dept Publ Hlth, STD Prevent & Control Serv, San Francisco, CA USA. Univ Washington, Seattle, WA 98195 USA. CDC, Div STD Prevent, Natl Ctr HIV STD & TB Prevent, Atlanta, GA 30333 USA. RP Klausner, JD (reprint author), San Francisco Dept Publ Hlth, STD Prevent & Control Serv, San Francisco, CA USA. NR 4 TC 0 Z9 0 U1 0 U2 1 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD APR 14 PY 2004 VL 291 IS 14 BP 1692 EP 1693 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 811RJ UT WOS:000220788700008 ER PT J AU Ham, SA Yore, MM Fulton, JE Kohl, HW AF Ham, SA Yore, MM Fulton, JE Kohl, HW TI Prevalence of no leisure-time physical activity - 35 states and the District of Columbia, 1988-2002 (Reprinted from MMWR, vol 53, pg 82-86, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint ID HEALTH C1 CDC, Div Nutr & Phys Act, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. RP Ham, SA (reprint author), CDC, Div Nutr & Phys Act, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. NR 11 TC 1 Z9 1 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD APR 14 PY 2004 VL 291 IS 14 BP 1693 EP 1694 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 811RJ UT WOS:000220788700009 ER PT J AU Kellerman, SE Do, A Metler, R Hammett, T Sullivan, P AF Kellerman, SE Do, A Metler, R Hammett, T Sullivan, P TI Intentional self-inoculation with HIV-positive blood: a case series from the centers for disease control and prevention HIV/AIDS surveillance system SO AIDS LA English DT Letter ID AIDS C1 CDCP, Natl Ctr HIV STD & TB Prevent, Behav & Clin Surveillance Branch, Div HIV AIDS Prevent, Atlanta, GA 30333 USA. CDCP, Natl Ctr HIV STD & TB Prevent, HIV Incidence & Case Surveillance Branch, Div HIV AIDS Prevent, Atlanta, GA 30333 USA. CDCP, Off Director, Atlanta, GA 30341 USA. RP Kellerman, SE (reprint author), CDCP, Natl Ctr HIV STD & TB Prevent, Behav & Clin Surveillance Branch, Div HIV AIDS Prevent, 1600 Clifton Rd,Mail Stop E-46, Atlanta, GA 30333 USA. RI Sullivan, Patrick/A-9436-2009 NR 6 TC 0 Z9 0 U1 3 U2 3 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0269-9370 J9 AIDS JI Aids PD APR 9 PY 2004 VL 18 IS 6 BP 965 EP 968 DI 10.1097/01.aids.0000125922.03045.45 PG 4 WC Immunology; Infectious Diseases; Virology SC Immunology; Infectious Diseases; Virology GA 818DJ UT WOS:000221225500023 PM 15060453 ER PT J AU Lipscomb, JC Barton, HA Tornero-Velez, R Evans, MV Alcasey, S Snawder, JE Laskey, J AF Lipscomb, JC Barton, HA Tornero-Velez, R Evans, MV Alcasey, S Snawder, JE Laskey, J TI The metabolic rate constants and specific activity of human and rat hepatic cytochrome P-450 2E1 toward toluene and chloroform SO JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH-PART A-CURRENT ISSUES LA English DT Article ID TRICHLOROETHYLENE METABOLISM; LIVER-MICROSOMES; BIOACTIVATION; EXTRAPOLATION; OXIDATION; VARIANCE; ETHANOL; PROTEIN; FORMS; MICE AB Chloroform (CHCl3) is a near-ubiquitous environmental contaminant, a by-product of the disinfection of drinking water sources and a commercially important compound. Standards for safe exposure have been established based on information defining its toxicity, which is mediated by metabolites. The metabolism of CHCl3 is via cytochrome P-450 2E1 (CYP2E1)-mediated oxidation to phosgene, which is known to obey a saturable mechanism. CyP2E1 is a highly conserved form, expressed in all mammalian systems studied, and is responsible for the metabolism of a great many low-molecular-weight (halogenated) compounds. However, the Michaelis-Menten rate constants for CHCl3 oxidation have not been derived in vitro, and the specific activity of CYP2E1 toward CHCl3 has not been reported. In this investigation with microsomal protein (MSP), apparent V-max values of 27.6 and 28.3 nmol/h/mg MSP and apparent K-m values of 1 and 0.15 muM in rats and human organ donors, respectively, were demonstrated. The specific activity of CYP2E1 toward CHCl3 in rats and humans was 5.29 and 5.24 pmol/min/pmol CYP2E1, respectively. Toluene metabolism to benzyl alcohol (BA), another CYP2E1-dependent reaction, was also highly dependent on CYP2E1 content in humans, and was more efficient than was CHCl3 metabolism. The specific activity of human CYP2E1 toward toluene metabolism in human MSP was 23 pmol/min/pmol CYP2E1. These results demonstrate that differences in CYP2E1 content of MSP among individuals and between species are largely responsible for observed differences in toluene and CHCl3 metabolism in vitro. C1 US EPA, Off Res & Dev, Natl Ctr Environm Assessment, Cincinnati, OH 45268 USA. US EPA, Off Res & Dev, Natl Hlth & Environm Effects Res Lab, Res Triangle Pk, NC 27711 USA. US EPA, Off Res & Dev, Natl Exposure Res Lab, Res Triangle Pk, NC 27711 USA. NIOSH, Ctr Dis Control & Prevent, Cincinnati, OH 45226 USA. Natl Caucus & Ctr Black Aged Inc, SEP, Res Triangle Pk, NC USA. RP Lipscomb, JC (reprint author), US EPA, Off Res & Dev, Natl Ctr Environm Assessment, Cincinnati, OH 45268 USA. EM lipscomb.john@epa.gov NR 32 TC 21 Z9 21 U1 1 U2 1 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 325 CHESTNUT ST, SUITE 800, PHILADELPHIA, PA 19106 USA SN 1528-7394 J9 J TOXICOL ENV HEAL A JI J. Toxicol. Env. Health Part A PD APR 9 PY 2004 VL 67 IS 7 BP 537 EP 553 DI 10.1080/15287390490425588 PG 17 WC Environmental Sciences; Public, Environmental & Occupational Health; Toxicology SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health; Toxicology GA 807GO UT WOS:000220490200002 PM 15129551 ER PT J AU Shapiro, S Morrow, P Fallico, F Baumgartner, EA AF Shapiro, S Morrow, P Fallico, F Baumgartner, EA TI Hypothermia-related deaths - United States, 2003 (Reprinted from MMWR, vol 53, pg 172-173, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 Vermont Dept Hlth, Burlington, VT 05402 USA. Alaska Dept Hlth & Social Serv, Juneau, AK USA. CDC, Atlanta, GA 30333 USA. RP Shapiro, S (reprint author), Vermont Dept Hlth, Burlington, VT 05402 USA. NR 1 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD APR 7 PY 2004 VL 291 IS 13 BP 1556 EP 1557 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 809PQ UT WOS:000220649000006 ER PT J AU Kenyon, C Miller, C Ehresmann, K Boxrud, D Cassiday, P Sanden, GN Bisgard, KM Kiang, K AF Kenyon, C Miller, C Ehresmann, K Boxrud, D Cassiday, P Sanden, GN Bisgard, KM Kiang, K TI Fatal case of unsuspected pertussis diagnosed from a blood culture - Minnesota, 2003 (Reprinted from MMWR, vol 53, pg 131-132, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 Minnesota Dept Hlth, Immunizat TB & Int Hlth Sect, Minneapolis, MN 55414 USA. Minnesota Dept Hlth, Publ Hlth Lab, Minneapolis, MN 55414 USA. Ctr Dis Control, Natl Ctr Infect Dis, Div Bacterial & Mycot Dis, Atlanta, GA 30333 USA. CDC, Natl Immunizat Program, Atlanta, GA 30333 USA. RP Kenyon, C (reprint author), Minnesota Dept Hlth, Immunizat TB & Int Hlth Sect, Minneapolis, MN 55414 USA. NR 1 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD APR 7 PY 2004 VL 291 IS 13 BP 1557 EP 1558 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 809PQ UT WOS:000220649000007 ER PT J AU Palella, FJ Chmiel, JS Holmberg, SD AF Palella, FJ Chmiel, JS Holmberg, SD TI HIV survival benefit associated with earlier antiviral therapy - Response SO ANNALS OF INTERNAL MEDICINE LA English DT Letter C1 Northwestern Univ, Chicago, IL 60611 USA. Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Palella, FJ (reprint author), Northwestern Univ, Chicago, IL 60611 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU AMER COLL PHYSICIANS PI PHILADELPHIA PA INDEPENDENCE MALL WEST 6TH AND RACE ST, PHILADELPHIA, PA 19106-1572 USA SN 0003-4819 J9 ANN INTERN MED JI Ann. Intern. Med. PD APR 6 PY 2004 VL 140 IS 7 BP 579 EP 579 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA 808OE UT WOS:000220577600015 ER PT J AU B'Hymer, C Cheever, KL AF B'Hymer, C Cheever, KL TI Development of a gas chromatographic test for the quantification of the biomarker 3-bromopropionic acid in human urine SO JOURNAL OF CHROMATOGRAPHY B-ANALYTICAL TECHNOLOGIES IN THE BIOMEDICAL AND LIFE SCIENCES LA English DT Article DE 3-bromopropionic acid; 1-bromopropane ID MASS-SPECTROMETRY; 1-BROMOPROPANE; METABOLISM; 2-BROMOPROPANE; RATS; DISORDERS; SOLVENTS; EXPOSURE; ANALOGS; INVIVO AB An accurate and precise method was developed for the detection and quantification of 3-bromopropionic acid (3-BPA), a metabolite and biomarker for exposure to 1-bromopropane (1-BP). 1-BP is used as an industrial solvent and exposure is a health concern for industrial workers due to its toxicity. It has been associated with neurological disorders in both animals and humans. Urine sample preparation for the determination of 3-BPA consisted of liquid-liquid extraction (LLE) with ethyl acetate and silylation with N-methyl-N-[tert-butyldimethylsilyl]trifluoroacetamide (MTBSTFA). Quantification was by means of a gas chromatograph (GC) equipped with a mass selective detector (MSD) using a dimethylpolysiloxane (HP-1) capillary column and 3-chloropropionic acid was used as an internal standard in the procedure. Demonstrated accuracy and precision during this method's validation was good; recovery varied between 93 and 98% with relative standard deviations (R.D.S.) of 5.7% or less. The limit of detection (LOD) for the procedure was approximately 0.01 mug/ml 3-BPA in urine. These data and other factors of the development and validation of this test method will be discussed. (C) 2004 Elsevier B.V. All rights reserved. C1 NIOSH, US Dept Hlth & Human Serv, Ctr Dis Control & Prevent, Div Appl Res & Technol,Taft Lab, Cincinnati, OH 45226 USA. RP B'Hymer, C (reprint author), NIOSH, US Dept Hlth & Human Serv, Ctr Dis Control & Prevent, Div Appl Res & Technol,Taft Lab, 4676 Columbia Pkwy, Cincinnati, OH 45226 USA. EM cbhymer@cdc.gov NR 26 TC 19 Z9 19 U1 0 U2 7 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 1570-0232 J9 J CHROMATOGR B JI J. Chromatogr. B PD APR 5 PY 2004 VL 802 IS 2 BP 361 EP 366 DI 10.1016/j.jchromb.2003.12.004 PG 6 WC Biochemical Research Methods; Chemistry, Analytical SC Biochemistry & Molecular Biology; Chemistry GA 800TS UT WOS:000220051200017 PM 15018799 ER PT J AU Schier, JG Ravikumar, PR Nelson, LS Heller, MB Howland, MA Hoffman, RS AF Schier, JG Ravikumar, PR Nelson, LS Heller, MB Howland, MA Hoffman, RS TI Preparing for chemical terrorism: Stability of injectable atropine sulfate SO ACADEMIC EMERGENCY MEDICINE LA English DT Article; Proceedings Paper CT Annual North American Congress of Clinical Toxicology CY SEP 24-29, 2002 CL PALM SPRINGS, CA DE atropine; organophosphate; drug stability ID KINETICS; HYDROLYSIS; ANTIDOTES; PRODUCTS AB Objective: A massive nerve agent attack may rapidly deplete in-date supplies of atropine. The authors considered using atropine beyond its labeled shelf life. The objective was to determine the stability of premixed injectable atropine sulfate samples with different expiration dates. Methods: This was an in-vitro study using gas chromatography and mass spectrometry (GC/MS). Four atropine solutions (labeled concentration of 400 mug/mL) ranging from in date to 12 years beyond expiration (exp) and an additional sample of atropine sulfate (labeled concentration of 2,000 mug/mL) obtained from a World War 11 era autoinjector were assayed for atropine stability. Standards of atropine sulfate and tropine were prepared and quantified by GC/MS. Study samples were prepared by adding a buffer solution to free the base, extracting with an isopropanol/methylene chloride mixture and followed by evaporating the organic layer to dryness. Pentafluoropropionic anhydride and pentafluoro-propanol were then added as derivatization reagents. Study samples were heated, the derivitization reagents were evaporated, and the remaining compound was reconstituted in ethyl acetate for injection into the GC/MS. Results: All solutions were clear and colorless. Atropine concentrations were as follows: in date, 252 mug/mL,; 2001 exp, 290 mug/mL; 1999 exp, 314 mug/mL,; 1990 exp, 398 mug/mL; and WW 11 specimen, 1,475 mug/mL. Tropine was found in concentrations of <10 mug/mL in all study samples. Conclusions: Significant amounts of atropine were found in all study samples. All samples remained clear and colorless, and no substantial amount of tropine was found in any study sample. Further testing is needed to determine clinical effect. C1 NYC Poison Control Ctr, New York, NY USA. NYC Dept Hlth & Mental Hyg, Bur Labs, New York, NY USA. St Johns Univ, Coll Pharm, Jamaica, NY 11439 USA. RP Schier, JG (reprint author), CDC, NCEH, EHHE, HSB, F-46,4770 Buford Highway NE, Chamblee, GA 30341 USA. EM jschier@cdc.gov RI Schier, Joshua/F-9861-2013 NR 14 TC 14 Z9 14 U1 1 U2 13 PU HANLEY & BELFUS INC PI PHILADELPHIA PA 210 S 13TH ST, PHILADELPHIA, PA 19107 USA SN 1069-6563 J9 ACAD EMERG MED JI Acad. Emerg. Med. PD APR PY 2004 VL 11 IS 4 BP 329 EP 334 DI 10.1197/j.aem.2003.06.014 PG 6 WC Emergency Medicine SC Emergency Medicine GA 809TO UT WOS:000220659200001 PM 15064203 ER PT J AU Maynard, AD Ito, Y Arslan, I Zimmer, AT Browning, N Nicholls, A Nicholls, A AF Maynard, AD Ito, Y Arslan, I Zimmer, AT Browning, N Nicholls, A Nicholls, A TI Examining elemental surface enrichment in ultrafine aerosol particles using analytical scanning transmission electron microscopy SO AEROSOL SCIENCE AND TECHNOLOGY LA English DT Article ID ENERGY-LOSS SPECTROSCOPY; ENVIRONMENTAL PARTICLES; TUNNELING SPECTROSCOPY; CLAY OCCLUSION; WELDING FUMES; RESOLUTION; FLAME; NANOPARTICLES; SIZE; AREA AB The surface structure and chemistry of ultrafine aerosol particles (typically particles smaller than 100 nm in diameter) play key roles in determining physical and chemical behavior, and is relevant to fields as diverse as nanotechnology and aerosol toxicity. Analytical scanning transmission electron microscopy (STEM) is one of the few analytical methods available that is potentially capable of characterizing ultrafine particles at subnanometer resolution. We propose a method that enables STEM to characterize and quantify elemental surface enrichment within radially symmetrical particles at a spatial resolution of less than 1 mm when used in conjunction with electron energy loss spectroscopy (EELS) and X-ray energy dispersive spectroscopy (EDS). Although the method relies on a number of assumptions for complete particle characterization, estimation of the depth of an outer layer of elemental enrichment should be possible with relatively few assumptions. A preliminary investigation of the method has been carried out using particles from gas metal arc welding on mild steel. Using the analysis method, we were able to characterize Si and O enrichment in a number of particles. Two particles were investigated extensively using EELS and EDS analysis. Both techniques allowed surface enrichment of Si to be identified and quantified in the particles, although the relatively poor sensitivity of EDS was a limiting factor in the analysis. EELS allowed rapid data collection and enabled surface enrichment of Si and O to be characterized. Using a simple model to describe elemental composition with radial position, it was estimated that Si and O were enriched in an outer layer around the particle approximately 1 nm deep. C1 NIOSH, Cincinnati, OH 45226 USA. No Illinois Univ, Dept Phys, De Kalb, IL 60115 USA. Univ Illinois, Dept Phys, Chicago, IL 60680 USA. Univ Illinois, Res Resources Ctr, Chicago, IL USA. RP Maynard, AD (reprint author), NIOSH, 4676 Columbia Pkwy,MS-R3, Cincinnati, OH 45226 USA. EM amaynard@cdc.gov RI Maynard, Andrew/D-1076-2010; OI Maynard, Andrew/0000-0003-2117-5128; Browning, Nigel/0000-0003-0491-251X NR 59 TC 16 Z9 16 U1 0 U2 7 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 325 CHESTNUT ST, SUITE 800, PHILADELPHIA, PA 19106 USA SN 0278-6826 J9 AEROSOL SCI TECH JI Aerosol Sci. Technol. PD APR PY 2004 VL 38 IS 4 BP 365 EP 381 DI 10.1080/02786820490437479 PG 17 WC Engineering, Chemical; Engineering, Mechanical; Environmental Sciences; Meteorology & Atmospheric Sciences SC Engineering; Environmental Sciences & Ecology; Meteorology & Atmospheric Sciences GA 825ZF UT WOS:000221797300009 ER PT J AU Loughlin, A Metsch, L Gardner, L Anderson-Mahoney, P Barrigan, M Strathdee, S AF Loughlin, A Metsch, L Gardner, L Anderson-Mahoney, P Barrigan, M Strathdee, S TI Provider barriers to prescribing HAART to medically-eligible HIV-infected drug users SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV LA English DT Article ID HUMAN-IMMUNODEFICIENCY-VIRUS; ACTIVE ANTIRETROVIRAL THERAPY; UNITED-STATES; PSYCHIATRIC-DISORDERS; SERVICES UTILIZATION; CASE-MANAGEMENT; CARE; IMPACT; ACCESS; AIDS AB We aimed to identify factors associated with a medical provider's resistance to prescribing HAART to medically-eligible HIV-infected illicit drug users. In four US cities, a mailed, self-administered survey queried 420 HIV care providers about patients' characteristics and barriers to care. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were estimated using logistic regression. Providers identified as resistant to prescribing HAART to medically-eligible HIV-infected illicit drug users were more likely to be non-physicians (AOR = 1.89, 95% CI: 1.04-3.46), to work in populations with a high prevalence of both mental illness (AOR = 2.42; 95% CI: 1.11-5.26) and injection drug use (AOR = 1.82 95% CI: 1.02-3.25) and were deterred from prescribing HAART by patients' limited ability to keep appointments, (AOR = 3.19; 95% CI: 1.39-7.37), alcoholism (AOR = 1.92; 95% CI: 1.04-3.55) and homelessness (AOR = 1.81; 95% CI: 1.07-3.06). Providers working in populations with a high injection drug use prevalence commonly reported higher prevalence of non-injection drug use, alcohol problems and mental illness, and higher antiretroviral therapy refusal rates within their patient populations. Our findings underscore the challenges to providers who treat HIV-infected drug users and suggest that their care and treatment would benefit from on-site drug treatment, mental health and social services. C1 Boston Univ, Sch Med, Maxwell Finland Labs, Boston, MA 02118 USA. Univ Miami, Sch Med, Coral Gables, FL 33124 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Emory Univ, Atlanta, GA 30322 USA. Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD 21218 USA. RP Loughlin, A (reprint author), Boston Univ, Sch Med, Maxwell Finland Labs, 774 Albany St,Room 315D, Boston, MA 02118 USA. EM aloughli@bu.edu RI Strathdee, Steffanie/B-9042-2009 NR 63 TC 28 Z9 30 U1 1 U2 2 PU CARFAX PUBLISHING PI BASINGSTOKE PA RANKINE RD, BASINGSTOKE RG24 8PR, HANTS, ENGLAND SN 0954-0121 J9 AIDS CARE JI Aids Care-Psychol. Socio-Med. Asp. Aids/Hiv PD APR PY 2004 VL 16 IS 4 BP 485 EP 500 DI 10.1080/09540120410001683411 PG 16 WC Health Policy & Services; Public, Environmental & Occupational Health; Psychology, Multidisciplinary; Respiratory System; Social Sciences, Biomedical SC Health Care Sciences & Services; Public, Environmental & Occupational Health; Psychology; Respiratory System; Biomedical Social Sciences GA 817FI UT WOS:000221163000007 PM 15203416 ER PT J AU Hutchinson, AB Corbie-Smith, G Thomas, SB Mohanan, S del Rio, C AF Hutchinson, AB Corbie-Smith, G Thomas, SB Mohanan, S del Rio, C TI Understanding the patient's perspective on rapid and routine HIV testing in an inner-city urgent care center SO AIDS EDUCATION AND PREVENTION LA English DT Article ID HIGH-RISK; EMERGENCY; INFECTION; POPULATIONS AB The purpose of this study was to explore patient perspectives of rapid and routine HIV-testing in an urgent care center at an urban public hospital. We conducted structured focus groups during a clinical trial comparing routinely offered rapid HIV-testing, routinely offered enzyme immunoassay (EIA) testing, and conventional EIA testing. Participants of the six focus groups were 89% African American, 60% uninsured, and had a low educational status. Four independent coders analyzed the data using iterative content analysis. Rapid testing was preferred to EIA testing because it reduced the need for a return visit and stress of waiting for test results, though there were concerns about accuracy. Participants supported routinely offering testing, but there were concerns about privacy and cost. Fear and stigma were common reasons for refusing testing and not returning for results. Distrust and misconceptions about HIV, particularly regarding the importance of testing, were very common. C1 Georgia State Univ, Grady Mem Hosp, Atlanta, GA 30303 USA. Georgia Inst Technol, Sch Publ Policy, Atlanta, GA 30332 USA. Univ N Carolina, Chapel Hill, NC USA. Univ Pittsburgh, Pittsburgh, PA 15260 USA. Carolinas HealthCare Syst, Charlotte, NC 28232 USA. Emory Univ, Sch Med, Atlanta, GA 30322 USA. RP Hutchinson, AB (reprint author), Ctr Dis Control & Prevent, 1600 Clifton Rd,MS E-37, Atlanta, GA 30333 USA. EM ahutchinson@cdc.gov RI del Rio, Carlos/B-3763-2012 OI del Rio, Carlos/0000-0002-0153-3517 FU ODCDC CDC HHS [UR3/CCU416463] NR 34 TC 85 Z9 88 U1 0 U2 4 PU GUILFORD PUBLICATIONS INC PI NEW YORK PA 72 SPRING STREET, NEW YORK, NY 10012 USA SN 0899-9546 J9 AIDS EDUC PREV JI Aids Educ. Prev. PD APR PY 2004 VL 16 IS 2 BP 101 EP 114 DI 10.1521/aeap.16.2.101.29394 PG 14 WC Education & Educational Research; Public, Environmental & Occupational Health SC Education & Educational Research; Public, Environmental & Occupational Health GA 816SY UT WOS:000221130800001 PM 15134119 ER PT J AU Calvert, GM AF Calvert, GM TI Health effects from pesticide exposure SO AMERICAN FAMILY PHYSICIAN LA English DT Editorial Material ID SURFACES C1 NIOSH, Ctr Dis Control & Prevent, Cincinnati, OH 45226 USA. RP Calvert, GM (reprint author), NIOSH, Ctr Dis Control & Prevent, 4676 Columbia Pkwy,R-17, Cincinnati, OH 45226 USA. NR 12 TC 0 Z9 0 U1 0 U2 0 PU AMER ACAD FAMILY PHYSICIANS PI KANSAS CITY PA 8880 WARD PARKWAY, KANSAS CITY, MO 64114-2797 USA SN 0002-838X J9 AM FAM PHYSICIAN JI Am. Fam. Physician PD APR 1 PY 2004 VL 69 IS 7 BP 1613 EP + PG 3 WC Primary Health Care; Medicine, General & Internal SC General & Internal Medicine GA 811GR UT WOS:000220760900003 PM 15086034 ER PT J AU Gillespie, C Ballew, C Bowman, BA Donehoo, R Serdula, MK AF Gillespie, C Ballew, C Bowman, BA Donehoo, R Serdula, MK TI Intraindividual variation in serum retinol concentrations among participants in the third National Health and Nutrition Examination Survey, 1988-1994 SO AMERICAN JOURNAL OF CLINICAL NUTRITION LA English DT Article DE biological variation; CV; regression; regression to the mean; serum retinol; vitamin A; Third National Health and Nutrition Examination Survey; NHANES III ID INTRA-INDIVIDUAL VARIATION; 3RD NATIONAL-HEALTH; VITAMIN-A; REFERENCE VALUES; BETA-CAROTENE; CHOLESTEROL; LIPIDS; VARIABILITY; DISTRIBUTIONS; CONSTITUENTS AB Background: The biological variability in serum retinol concentrations has never been examined in a large sample, and its effect on population distribution estimates and the clinical assessment of vitamin A status is unknown. I Objective: We evaluated the biological CV of serum retinol and examined the effect of the CV on both population distribution estimates and clinical assessments of vitamin A status by using data from the third National Health and Nutrition Examination Survey, 1988-1994. Design: We described the biological CV [(SD/root(x) over bar) x 100] and examined associations between the CV and other factors via multivariate analysis of variance and linear regression. We used linear regression to predict the mean retinol concentration from a single concentration and established 95% CIs for each participant. We estimated the adjusted prevalence of inadequate vitamin A status (retinol < 1.05 mumol/L) on the basis of the CIs.,We estimated an uncertainty range for serum retinol concentrations for which the CIs included the established cutoff. Results: The mean biological CV across all strata was 6.45%. The biological CV varied significantly between racial-ethnic groups (P < 0.05). Prevalence estimates of inadequate serum retinol concentrations were reduced after adjustment for the total variation, with an adjusted overall prevalence of 0.62% compared with an unadjusted prevalence of 2.63%. Conclusions: The actual population prevalence of inadequate vitamin A status may be 75% lower than the estimates previously reported. Confirmation of vitamin A status may be needed for persons in the United States with observed serum retinol concentrations near the recognized cutoff. C1 Chron Dis Prevent Branch, Div Nutr & Phys Act, Atlanta, GA 30341 USA. Natl Ctr Chron Dis Prevent & Hlth Promot, Ctr Dis Control & Prevent, Div Diabet Translat, Atlanta, GA USA. Natl Ctr Chron Dis Prevent & Hlth Promot, Div Adult & Community Hlth, Ctr Dis Control & Prevent, Atlanta, GA USA. Alaska Nat Epidemiol Ctr, Anchorage, AK USA. RP Gillespie, C (reprint author), Chron Dis Prevent Branch, Div Nutr & Phys Act, 4770 Buford Highway NE,Mailstop K26, Atlanta, GA 30341 USA. EM cgillespie@cdc.gov NR 39 TC 6 Z9 6 U1 0 U2 1 PU AMER SOC CLINICAL NUTRITION PI BETHESDA PA 9650 ROCKVILLE PIKE, SUBSCRIPTIONS, RM L-3300, BETHESDA, MD 20814-3998 USA SN 0002-9165 J9 AM J CLIN NUTR JI Am. J. Clin. Nutr. PD APR PY 2004 VL 79 IS 4 BP 625 EP 632 PG 8 WC Nutrition & Dietetics SC Nutrition & Dietetics GA 807IZ UT WOS:000220496500016 PM 15051607 ER PT J AU Kruszon-Moran, DM McQuillan, GM Chu, SY AF Kruszon-Moran, DM McQuillan, GM Chu, SY TI Tetanus and diphtheria immunity among females in the United States: Are recommendations being followed? SO AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY LA English DT Article DE tetanus; diphtheria; immunity; vaccination; survey ID OBSTETRICIAN-GYNECOLOGISTS; HEALTH-CARE; VACCINE AB Objective: The purpose of this study was to examine prevalence and factors associated with tetanus and diphtheria immunity among women in the United States. Study design: Sera from 9411 female participants from the third National Health and Nutrition Examination Survey were tested for diphtheria and tetanus antitoxin. Interview information for adult women was analyzed to examine associations with immunity. Results: Fifty-seven percent of the female subjects who were greater than or equal to6 years old were positive for diphtheria, and 64% of the female subjects for tetanus anti-toxin. Among women greater than or equal to20 years old, only 41% of the women were protected against both antigens. Older age, birth outside the United States, and less education was associated with lower immunity. Markers for contact with the health care system were not related to higher immunity. Conclusion: More than one half of US women greater than or equal to20 years old who were tested were not protected fully against diphtheria and tetanus. All physicians, including obstetricians and gynecologists who may be the sole medical providers for women, should be familiar with the current Advisory Committee on Immunization Practices recommendations regarding tetanus and diphtheria toxoid booster vaccines. (C) 2004 Elsevier Inc. All rights reserved. C1 Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Div Hlth & Nutr Examinat Stat, Hyattsville, MD 20782 USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Off Director, Atlanta, GA USA. RP Kruszon-Moran, DM (reprint author), Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Div Hlth & Nutr Examinat Stat, Hyattsville, MD 20782 USA. NR 26 TC 7 Z9 8 U1 0 U2 0 PU MOSBY, INC PI ST LOUIS PA 11830 WESTLINE INDUSTRIAL DR, ST LOUIS, MO 63146-3318 USA SN 0002-9378 J9 AM J OBSTET GYNECOL JI Am. J. Obstet. Gynecol. PD APR PY 2004 VL 190 IS 4 BP 1070 EP 1076 DI 10.1016/j.ajog.2003.09.051 PG 7 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 817XG UT WOS:000221209600053 PM 15118644 ER PT J AU Strine, TW Balluz, L Chapman, DP Moriarty, DG Owens, M Mokdad, AH AF Strine, TW Balluz, L Chapman, DP Moriarty, DG Owens, M Mokdad, AH TI Risk behaviors and healthcare coverage among adults by frequent mental distress status, 2001 SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE LA English DT Article ID QUALITY-OF-LIFE; FACTOR SURVEILLANCE SYSTEM; UNITED-STATES; PREVENTIVE-SERVICES; PUBLIC-HEALTH; US; DEPRESSION; MORTALITY; VIOLENCE; MEDICINE AB Background: Given the increased emphasis on chronic diseases in the United States, physicians and health survey analysts are now gathering information on patients' subjective measures of health, also known as health-related quality-of-life measures. Studies indicate that these measures can be more powerful predictors of chronic disease-related morbidity and mortality than objective measures. Methods: The Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing, state-based, random-digit-dialed telephone survey of the non-Instittitionalized U.S. population aged 18 years or older. This Study examined frequent mental distress (FMD), defined as self-reported 14 or more mentally unhealthy days in the past 30 days, and its association with adverse health behaviors and lack of healthcare coverage. Results: In 2001, approximately 10% of adults reported FMD. Persons reporting FMD had a hi 9 her prevalence of smoking, drinking heavily, physical inactivity, and obesity than did persons without FMD. They were also more often without healthcare coverage. In addition, persons with FMD were more likely to engage in multiple adverse behaviors than were persons without FMD. Conclusions: Persons reporting FMD are at higher risk of chronic diseases because they engage in risky health behaviors and lack healthcare coverage. This study Provides further support that mental health screening as well as physical health screening is important in clinical practice. Further research is needed to identify therapeutic or mental health-promoting interventions to reduce mental distress and reinforce healthy behaviors. C1 Ctr Dis Control & Prevent, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. RP Strine, TW (reprint author), Ctr Dis Control & Prevent, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, 4770 Buford Highway NE,Mailstop K-66, Atlanta, GA 30341 USA. EM tws2@cdc.gov NR 43 TC 37 Z9 38 U1 1 U2 1 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0749-3797 J9 AM J PREV MED JI Am. J. Prev. Med. PD APR PY 2004 VL 26 IS 3 BP 213 EP 216 DI 10.1016/j.amepre.2003.11.002 PG 4 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 804SU UT WOS:000220319200004 PM 15026100 ER PT J AU Dellinger, AM Kresnow, MJ White, DD Sehgal, M AF Dellinger, AM Kresnow, MJ White, DD Sehgal, M TI Risk to self versus risk to others - How do older drivers compare to others on the road? SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE LA English DT Article ID MEDICAL CONDITIONS; BENZODIAZEPINE USE; ELDERLY DRIVERS; ACCIDENTS; CRASHES; USERS AB Background: The objective of this study was to assess the risk of death or nonfatal injury drivers aged greater than or equal to65 pose to themselves and to other road users as compared with drivers in younger age groups. Methods: Crash-related deaths and injuries were separated into two categories: those occurring among the drivers themselves, and those occurring among others, such as passengers, bicyclists, or pedestrians. Results: The number of deaths among others varied by driver's age, with deaths among others decreasing as the driver's age increased. The proportion of deaths among others compared with deaths among drivers also varied by age. For drivers in the youngest three age groups, about two thirds of the deaths were among others (ages 16 to 19, 63.1%; ages 20 to 34, 68.1%; and ages 35 to 59, 66.6%). This proportion declined with age, reaching a low among drivers aged greater than or equal to85 years (ages 60 to 74, 52.2%, ages 75 to 84, 37.9%, ages greater than or equal to85, 18.9%). When calculating deaths among others per 100 million miles driven, crashes among voting (16 to 19) and older (aged >74) drivers were associated with more deaths Juries to others than were crashes among drivers aged 20 to 74. The number of nonfatal injuries among others also declined as age of the driver increased. The number of injuries among others per 100 million miles driven was highest among the youngest (16 to 19) and oldest (greater than or equal to85) drivers. Conclusions: Our findings suggest that older drivers make relatively small contributions to crash-related morbidity and mortality; moreover, their contributions are generally a result of injuries to self rather than to others. C1 Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA 30341 USA. RP Dellinger, AM (reprint author), Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, 4770 Buford Highway NE,Mailstop K-63, Atlanta, GA 30341 USA. EM amd1@cdc.gov NR 19 TC 17 Z9 17 U1 0 U2 7 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0749-3797 J9 AM J PREV MED JI Am. J. Prev. Med. PD APR PY 2004 VL 26 IS 3 BP 217 EP 221 DI 10.1016/j.amepre.2003.10.021 PG 5 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 804SU UT WOS:000220319200005 PM 15026101 ER PT J AU Okoro, CA Brewer, RD Naimi, TS Moriarty, DG Giles, WH Mokdad, AH AF Okoro, CA Brewer, RD Naimi, TS Moriarty, DG Giles, WH Mokdad, AH TI Binge drinking and health-related quality of life - Do popular perceptions match reality? SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE LA English DT Article ID RISK-FACTOR SURVEILLANCE; ALCOHOL-USE; BRIEF INTERVENTIONS; COLLEGE-STUDENTS; PHYSICIAN ADVICE; US ADULTS; DRINKERS; WOMEN; CONSUMPTION; TOBACCO AB Background: Popular culture (movies, television shows, advertising) often portrays drinking to the point of intoxication as either humorous or associated with enjoyable social activities that enhance quality of life. This study examined the association between binge drinking (consuming five or more alcoholic drinks on one occasion) and health-related quality of life (HRQOL) among U.S. adults. Methods: Data are from the Behavioral Risk Factor Surveillance System, a continuous random-digit-dial telephone survey of adults aged 2 18 years conducted in all states. This survey included questions about alcohol consumption and HRQOL. Results: In 2001, 52% of U.S. adults were current drinkers (one or more drinks in the past 30 days). Of current drinkers, 11% were frequent binge drinkers (three or more episodes in past month) and 14% were infrequent binge drinkers (one to two episodes in past month). After adjusting for confounding factors, frequent binge drinkers were more likely than non-binge drinkers to experience greater than or equal to14 unhealthy days (physical or mental) in the past month (adjusted odds ratio [AOR]-1.39, 95% confidence interval [CI]=1.24-1.56), primarily because they had more mentally unhealthy days than non-binge drinkers (AOR=1.52, 95% CI 1.32-1.75). Conclusions: Frequent binge drinking is associated with significantly worse HRQOL and mental distress, including stress, depression, and emotional problems. Effective interventions to prevent binge drinking should be widely adopted and may help improve quality of life. C1 Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. RP Okoro, CA (reprint author), Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, 4770 Buford Highway NE,Mailstop K66, Atlanta, GA 30341 USA. EM Cokoro@cdc.gov NR 57 TC 80 Z9 81 U1 4 U2 9 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0749-3797 J9 AM J PREV MED JI Am. J. Prev. Med. PD APR PY 2004 VL 26 IS 3 BP 230 EP 233 DI 10.1016/j.amepre.2003.10.022 PG 4 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 804SU UT WOS:000220319200007 PM 15026103 ER PT J AU Rowe, AK Powell, KE Flanders, WD AF Rowe, AK Powell, KE Flanders, WD TI Why population attributable fractions can sum to more than one SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE LA English DT Article ID RISK-FACTORS; CANCER AB Background: Population attributable fractions (PAFs) are useful for estimating the proportion of disease cases that could be prevented if risk factors were reduced or eliminated. For diseases with multiple risk factors, PAFs of individual risk factors cart sum to more than 1, a result suggesting the impossible situation in which more than 100% of cases are preventable. Methods: A hypothetical example in which risk factors for a disease were eliminated in different sequences was analyzed to show why PAFs can sum to more than 1. Results: PAF estimates assume each risk factor is the first to be eliminated, thereby describing mutually exclusive scenarios that are illogical to sum, except under special circumstances. PAFs can sum to more than 1 because some individuals with more than one risk factor can have disease prevented in more than one way, and the prevented cases of these individuals could be counted more than once. Upper and lower limits of sequential attributable fractions (SAFs) cart be calculated to describe the maximum and minimum proportions of the original number of disease cases that would be prevented if a particular risk factor were eliminated. Conclusions: Improved descriptions of the assumptions that underlie the PAF calculations, rise of SAF limits, or multivariable PAFs would help avoid unrealistic estimates of the disease burden that would be prevented after resources are expended to reduce or eliminate multiple risk factors. C1 Ctr Dis Control & Prevent, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. Georgia Dept Human Resources, Div Publ Hlth, Atlanta, GA USA. Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA USA. RP Rowe, AK (reprint author), Ctr Dis Control & Prevent, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. EM axr9@cdc.gov NR 15 TC 48 Z9 49 U1 0 U2 2 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0749-3797 J9 AM J PREV MED JI Am. J. Prev. Med. PD APR PY 2004 VL 26 IS 3 BP 243 EP 249 DI 10.1016/j.amepre.2003.12.007 PG 7 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 804SU UT WOS:000220319200010 PM 15026106 ER PT J AU Rowe, AK Kleinbaum, DG Koplan, JP AF Rowe, AK Kleinbaum, DG Koplan, JP TI Practical methods for public health practitioners SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE LA English DT Editorial Material ID OBSTETRICS; GYNECOLOGY C1 Ctr Dis Control & Prevent, Malaria Epidemiol Branch, Div Parasit Dis, Natl Ctr Infect Dis, Atlanta, GA 30341 USA. Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA 30322 USA. Emory Univ, Robert W Woodruff Hlth Sci Ctr, Atlanta, GA 30322 USA. RP Rowe, AK (reprint author), Ctr Dis Control & Prevent, Malaria Epidemiol Branch, Div Parasit Dis, Natl Ctr Infect Dis, Atlanta, GA 30341 USA. EM axr9@cdc.gov NR 16 TC 0 Z9 0 U1 0 U2 1 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0749-3797 J9 AM J PREV MED JI Am. J. Prev. Med. PD APR PY 2004 VL 26 IS 3 BP 252 EP 253 DI 10.1016/j.amepre.2003.12.002 PG 2 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 804SU UT WOS:000220319200012 PM 15026108 ER PT J AU Contractor, D Bellamy, P Hamilton, D Koo, D Kellerman, S AF Contractor, D Bellamy, P Hamilton, D Koo, D Kellerman, S TI Applied epidemiology elective at the Centers for Disease Control and Prevention, 1997-2002 SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE LA English DT Letter C1 Ctr Dis Control & Prevent, Div Appl Publ Hlth Training, Epidemiol Program Off, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Natl Ctr HIV STD & TB Prevent, Atlanta, GA USA. RP Contractor, D (reprint author), Ctr Dis Control & Prevent, Div Appl Publ Hlth Training, Epidemiol Program Off, Atlanta, GA 30333 USA. NR 5 TC 1 Z9 1 U1 0 U2 0 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0749-3797 J9 AM J PREV MED JI Am. J. Prev. Med. PD APR PY 2004 VL 26 IS 3 BP 254 EP 255 DI 10.1016/j.amepre.2003.10.020 PG 2 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 804SU UT WOS:000220319200013 PM 15026109 ER PT J AU Miller, JW Brewer, RD Naimi, TS AF Miller, JW Brewer, RD Naimi, TS TI Alcohol consumption patterns and work-related injuries among Colorado farm residents SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE LA English DT Letter ID BINGE DRINKING C1 Ctr Dis Control & Prevent, Alcohol Team, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. RP Miller, JW (reprint author), Ctr Dis Control & Prevent, Alcohol Team, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. NR 7 TC 1 Z9 1 U1 0 U2 0 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0749-3797 J9 AM J PREV MED JI Am. J. Prev. Med. PD APR PY 2004 VL 26 IS 3 BP 255 EP 256 DI 10.1016/j.amepre.2004.01.002 PG 2 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 804SU UT WOS:000220319200014 PM 15026110 ER PT J AU Doll, L Binder, S AF Doll, L Binder, S TI Injury prevention research at the Centers for Disease Control and Prevention SO AMERICAN JOURNAL OF PUBLIC HEALTH LA English DT Editorial Material ID INTERVENTIONS; REVIEWS C1 Natl Ctr Injury Prevent & Control, Ctr Dis Control & Prevent, Atlanta, GA 30341 USA. RP Doll, L (reprint author), Natl Ctr Injury Prevent & Control, Ctr Dis Control & Prevent, 4770 Buford Hwy,Mail Stop K-02, Atlanta, GA 30341 USA. EM lsd1@cdc.gov NR 20 TC 3 Z9 3 U1 0 U2 0 PU AMER PUBLIC HEALTH ASSOC INC PI WASHINGTON PA 1015 FIFTEENTH ST NW, WASHINGTON, DC 20005 USA SN 0090-0036 J9 AM J PUBLIC HEALTH JI Am. J. Public Health PD APR PY 2004 VL 94 IS 4 BP 522 EP 524 DI 10.2105/AJPH.94.4.522 PG 3 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 807IC UT WOS:000220494200006 PM 15053994 ER PT J AU Ham, SA Levin, S Zlot, AI Andrews, RR Miles, R AF Ham, SA Levin, S Zlot, AI Andrews, RR Miles, R TI Ranking of cities according to public health criteria: Pitfalls and opportunities SO AMERICAN JOURNAL OF PUBLIC HEALTH LA English DT Article ID PHYSICAL-ACTIVITY; ADULTS AB Popular magazines often rank cities in terms of various aspects of quality of life. Such ranking studies can motivate people to visit or relocate to a particular city or increase the frequency with which they engage in healthy behaviors. With careful consideration of study design and data limitations, these efforts also can assist policymakers in identifying local public health issues. We discuss considerations in interpreting ranking studies that use environmental measures of a city population's public health related to physical activity, nutrition, and obesity. Ranking studies such as those commonly publicized are constrained by statistical methodology issues and a lack of a scientific basis in regard to design. C1 Ctr Dis Control & Prevent, Phys Act & Hlth Branch, Atlanta, GA 30341 USA. Johns Hop Univ Prevent Med, Baltimore, MD USA. Florida State Univ, Dept Urban & Reg Planning, Tallahassee, FL 32306 USA. RP Ham, SA (reprint author), Ctr Dis Control & Prevent, Phys Act & Hlth Branch, 4770 Buford Hwy NE,Mail Stop K-46, Atlanta, GA 30341 USA. EM sham@cdc.gov NR 14 TC 5 Z9 5 U1 1 U2 3 PU AMER PUBLIC HEALTH ASSOC INC PI WASHINGTON PA 1015 FIFTEENTH ST NW, WASHINGTON, DC 20005 USA SN 0090-0036 J9 AM J PUBLIC HEALTH JI Am. J. Public Health PD APR PY 2004 VL 94 IS 4 BP 546 EP 549 DI 10.2105/AJPH.94.4.546 PG 4 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 807IC UT WOS:000220494200011 PM 15053999 ER PT J AU Wang, GJ Macera, CA Scudder-Soucie, B Schmid, T Pratt, M Buchner, D Heath, G AF Wang, GJ Macera, CA Scudder-Soucie, B Schmid, T Pratt, M Buchner, D Heath, G TI Cost analysis of the built environment: The case of bike and pedestrian trials in Lincoln, Neb SO AMERICAN JOURNAL OF PUBLIC HEALTH LA English DT Article ID CARDIOVASCULAR-DISEASE PREVENTION; PARTICULATE AIR-POLLUTION; PHYSICAL-ACTIVITY; INTERVENTIONS; POLICY; OPPORTUNITIES; MORTALITY; WALKING; ADULTS; CANCER AB We estimated the annual cost of bike and pedestrian trails in Lincoln, Neb, using construction and maintenance costs provided by the Department of Parks and Recreation of Nebraska. We obtained the number of users of 5 trails from a 1998 census report. The annual construction cost of each trail was calculated by using 3%, 5%, and 10% discount rates for a period of useful life of 10, 30, and 50 years. The average cost per mile and per user was calculated. Trail length averaged 3.6 miles (range= 1.6-4.6 miles). Annual cost in 2002 dollars ranged from $25 762 to $248479 (mean=$124927; median= $171064). The cost per mile ranged from $5735 to $54017 (mean=$35355; median=$37994). The annual cost per user was $235 (range= $83-$592), whereas per capita annual medical cost of inactivity was $622. Construction of trails fits a wide range of budgets and may be a viable health amenity for most communities. To increase trail cost-effectiveness, efforts to decrease cost and increase the number of users should be considered. C1 Ctr Dis Control & Prevent, Div Nutr & Phys Act, Atlanta, GA 30341 USA. Nebraska Hlth & Human Serv, Phys Act Program, Lincoln, NE USA. RP Wang, GJ (reprint author), Ctr Dis Control & Prevent, Div Nutr & Phys Act, 4770 Buford Hwy,Mail Stop K-46, Atlanta, GA 30341 USA. EM gbw9@cdc.gov NR 33 TC 25 Z9 25 U1 1 U2 9 PU AMER PUBLIC HEALTH ASSOC INC PI WASHINGTON PA 1015 FIFTEENTH ST NW, WASHINGTON, DC 20005 USA SN 0090-0036 J9 AM J PUBLIC HEALTH JI Am. J. Public Health PD APR PY 2004 VL 94 IS 4 BP 549 EP 553 DI 10.2105/AJPH.94.4.549 PG 5 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 807IC UT WOS:000220494200012 PM 15054000 ER PT J AU Nelson, DE Naimi, TS Brewer, RD Bolen, J Wells, HE AF Nelson, DE Naimi, TS Brewer, RD Bolen, J Wells, HE TI Metropolitan-area estimates of binge drinking in the United States SO AMERICAN JOURNAL OF PUBLIC HEALTH LA English DT Article ID BRIEF PHYSICIAN ADVICE; RISK-FACTORS; US ADULTS; ALCOHOL; HEALTH; MORTALITY; DRINKERS; VALIDITY AB Objectives. We estimated adult binge drinking prevalence in US metropolitan areas. Methods. We analyzed 1997 and 1999 Behavioral Risk Factor Surveillance System data for 120 metropolitan areas in 48 states and the District of Columbia. Results. The prevalence of binge drinking varied substantially across metropolitan areas, from 4.1% in Chattanooga, Tenn, to 23.9% in San Antonio, Tex, (median =14.5%). Seventeen of the 20 metropolitan areas with the highest estimates were located in the upper Midwest, Texas, and Nevada. In 13 of these areas, at least one third of persons aged 18 to 34 years were binge drinkers. There were significant intrastate differences for binge drinking among metropolitan areas in New York, Tennessee, and Utah. Conclusions. Metropolitan-area estimates can be used to guide local efforts to reduce binge drinking. C1 Ctr Dis Control & Prevent, Off Smoking & Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. Natl Ctr Chron Dis Prevent & Hlth Promot, Div Adult & Community Hlth, Atlanta, GA USA. Res Triangle Inst, Atlanta, GA USA. RP Nelson, DE (reprint author), Ctr Dis Control & Prevent, Off Smoking & Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, 4770 Buford Hwy,NE,Mail Stop K-50, Atlanta, GA 30341 USA. EM den2@edc.gov NR 45 TC 17 Z9 17 U1 2 U2 2 PU AMER PUBLIC HEALTH ASSOC INC PI WASHINGTON PA 800 I STREET, NW, WASHINGTON, DC 20001-3710 USA SN 0090-0036 EI 1541-0048 J9 AM J PUBLIC HEALTH JI Am. J. Public Health PD APR PY 2004 VL 94 IS 4 BP 663 EP 671 DI 10.2105/AJPH.94.4.663 PG 9 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 807IC UT WOS:000220494200034 PM 15054022 ER PT J AU Tripp, RA AF Tripp, RA TI The Brume surrounding respiratory syncytial virus persistence SO AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE LA English DT Editorial Material ID G GLYCOPROTEIN; INFECTION; CELLS; BRONCHIOLITIS; FRACTALKINE; RESPONSES; PROTEIN; FORMS C1 Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Atlanta, GA USA. RP Tripp, RA (reprint author), Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Atlanta, GA USA. OI Tripp, Ralph/0000-0002-2924-9956 NR 19 TC 18 Z9 18 U1 0 U2 0 PU AMER THORACIC SOC PI NEW YORK PA 1740 BROADWAY, NEW YORK, NY 10019-4374 USA SN 1073-449X J9 AM J RESP CRIT CARE JI Am. J. Respir. Crit. Care Med. PD APR 1 PY 2004 VL 169 IS 7 BP 778 EP 779 DI 10.1164/rccm.2401013 PG 2 WC Critical Care Medicine; Respiratory System SC General & Internal Medicine; Respiratory System GA 807IB UT WOS:000220494100002 PM 15044217 ER PT J AU Jiang, J Chan, TC Temenak, JJ Dasch, GA Ching, WM Richards, AL AF Jiang, J Chan, TC Temenak, JJ Dasch, GA Ching, WM Richards, AL TI Development of a quantitative real-time polymerase chain reaction assay specific for Orientia tsutsugamushi SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE LA English DT Article ID LINKED IMMUNOSORBENT ASSAYS; PROTEIN ANTIGEN R56; SCRUB TYPHUS; RICKETTSIA-TSUTSUGAMUSHI; FLOW ASSAY; ANTIBODIES; DIAGNOSIS; AMPLIFICATION; EXPRESSION; CHIGGERS AB Two specific and sensitive polymerase chain reaction (PCR) assays were developed to detect and quantitate Orientia tsutsugamushi, the agent of scrub typhus, using a portion of the 47-kD outer membrane protein antigen/ high temperature requirement A gene as the target. A selected 47-kD protein gene primer pair amplified a 118-basepair fragment from all 26 strains of O. tsutsugamushi evaluated, but it did not produce amplicons when 17 Rickettsia and 18 less-related bacterial nucleic acid extracts were tested. Similar agent specificity for the real-time PCR assay, which used the same primers and a 31-basepair fluorescent probe, was demonstrated. This sensitive and quantitative assay determination of the content of O. tsutsugamushi nucleic acid used a plasmid containing the entire 47-kD gene from the Kato strain as a standard. Enumeration of the copies of O. tsutsugamushi DNA extracted from infected tissues from mice and monkeys following experimental infection with Orientia showed 27-5,552 copies/muL of mouse blood, 14,448-86,012 copies/muL of mouse liver/spleen homogenate, and 3-21 copies/muL of monkey blood. C1 USN, Rickettsial Dis Dept, Med Res Ctr, Silver Spring, MD 20910 USA. US FDA, Div Vaccines & Related Prod Applicat, Rockville, MD 20857 USA. Ctr Dis Control & Prevent, Div Viral & Rickettsial Dis, Atlanta, GA USA. Uniformed Serv Univ Hlth Sci, Dept Prevent Med & Biometr, Bethesda, MD 20814 USA. RP Jiang, J (reprint author), USN, Rickettsial Dis Dept, Med Res Ctr, 503 Robert Grant Ave, Silver Spring, MD 20910 USA. EM JiangJ@nmrc.navy.mil; ChanC@nmrc.navy.mil NR 44 TC 97 Z9 105 U1 0 U2 6 PU AMER SOC TROP MED & HYGIENE PI MCLEAN PA 8000 WESTPARK DR, STE 130, MCLEAN, VA 22101 USA SN 0002-9637 J9 AM J TROP MED HYG JI Am. J. Trop. Med. Hyg. PD APR PY 2004 VL 70 IS 4 BP 351 EP 356 PG 6 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 814RI UT WOS:000220991400003 PM 15100446 ER PT J AU Blair, PJ Schoeler, GB Moron, C Anaya, E Caceda, R Cespedes, N Cruz, C Felices, V Guevara, C Huaman, A Luckett, R Mendoza, L Richards, AL Rios, Z Sumner, JW Villaseca, P Olson, JG AF Blair, PJ Schoeler, GB Moron, C Anaya, E Caceda, R Cespedes, N Cruz, C Felices, V Guevara, C Huaman, A Luckett, R Mendoza, L Richards, AL Rios, Z Sumner, JW Villaseca, P Olson, JG TI Evidence of rickettsial and leptospfra infections in andean northern Peru SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE LA English DT Article ID POLYMERASE CHAIN-REACTION; Q-FEVER; SPOTTED-FEVER; LEPTOSPIROSIS; DIAGNOSIS; REGION; SPP. AB Between May and October 2002, a cluster of acute febrile illnesses occurred in the subtropical Andean foothills of Peru. Serologic evidence in villages where disease had been documented showed that the prevalence of IgM antibody to Leptospira ranged from 6% to 52%, that of IgM antibody to spotted fever group (SFG) rickettsia ranged from 10% to 19%. and that of IgM antibody to Coxiella burnetii from 1% to 15%. Measurement of IgG antibodies for SFG rickettsiae suggested that this disease was endemic. In contrast, IgG antibodies against C burnetii were largely absent. In humans. microagglutination tests identified pathogenic variants of Leptospira. The presence of an SFG rickettsial infection was confirmed in four febrile patients following polymerase chain reaction and sequencing of the conserved 17-kD common antigen gene (htrA). Collectively. these analyses indicated that Rickettsia sp., C. burnetii, and Leptospira sp. were circulating in the region during the time of disease outbreak and implicate the involvement of all as yet undetermined SFG rickettsia in northwestern Peru. C1 USN, Med Res Ctr Detachment, Lima, Peru. NIH, Minist Hlth, Lima, Peru. USN, Med Res Ctr, Silver Spring, MD USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Blair, PJ (reprint author), USN, Viral Dis Program, Med Res Ctr Detachment, Unit 3800, APO, AA 34031 USA. EM blair@nmred.med.navy.mil; george.schoeler@ndvecc.navy.mil; cmoron@bcm.tmc.edu; richardsA@nmrc.navv.mil; jws3@cdc.gov NR 33 TC 24 Z9 29 U1 0 U2 5 PU AMER SOC TROP MED & HYGIENE PI MCLEAN PA 8000 WESTPARK DR, STE 130, MCLEAN, VA 22101 USA SN 0002-9637 J9 AM J TROP MED HYG JI Am. J. Trop. Med. Hyg. PD APR PY 2004 VL 70 IS 4 BP 357 EP 363 PG 7 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 814RI UT WOS:000220991400004 PM 15100447 ER PT J AU Lindo, JF Escoffery, CT Reid, B Codrington, G Cunningham-Myrie, C Eberhard, ML AF Lindo, JF Escoffery, CT Reid, B Codrington, G Cunningham-Myrie, C Eberhard, ML TI Fatal autochthonous eosinophilic meningitis in a Jamaican child caused by Angiostrongylus cantonensis SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE LA English DT Article ID OUTBREAK AB A fatal case of infection with Angiostrongylus cantonensis is reported in a 14-month-old Jamaican boy. Although infection with Angiostrongylus was not considered initially, sections of multiple worms were observed in the brain and lungs at autopsy and confirmed the infection. This is the first reported fatality due to this infection in the Western Hemisphere, and follows shortly after an outbreak of eosinophilic meningitis among a group of travelers to Jamaica. The source of infection in this case could not be determined. C1 Univ W Indies, Dept Microbiol, Kingston, Jamaica. Univ W Indies, Dept Pathol, Kingston 7, Jamaica. Bustamante Hosp Children, Kingston, Jamaica. Minist Hlth, Natl Publ Hlth Lab, Kingston, Jamaica. Ctr Dis Control & Prevent, Div Parasit Dis, Natl Ctr Infect Dis, Atlanta, GA USA. RP Lindo, JF (reprint author), Univ W Indies, Dept Microbiol, Kingston, Jamaica. EM john.lindo@uwimona.edu.jm NR 13 TC 29 Z9 32 U1 0 U2 2 PU AMER SOC TROP MED & HYGIENE PI MCLEAN PA 8000 WESTPARK DR, STE 130, MCLEAN, VA 22101 USA SN 0002-9637 J9 AM J TROP MED HYG JI Am. J. Trop. Med. Hyg. PD APR PY 2004 VL 70 IS 4 BP 425 EP 428 PG 4 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 814RI UT WOS:000220991400015 PM 15100458 ER PT J AU Castle, KT Kosoy, M Lerdthusnee, K Phelan, L Bai, Y Gage, KL Leepitakrat, W Monkanna, T Khlaimanee, N Chandranol, K Jones, JW Coleman, RE AF Castle, KT Kosoy, M Lerdthusnee, K Phelan, L Bai, Y Gage, KL Leepitakrat, W Monkanna, T Khlaimanee, N Chandranol, K Jones, JW Coleman, RE TI Prevalence and diversity of Bartonella in rodents of northern Thailand: A comparison with Bartonella in rodents from southern China SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE LA English DT Article ID HENSELAE SP-NOV; RNA GENE TYPES; ROCHALIMAEA-HENSELAE; DOMESTIC CATS; TOXOPLASMA-GONDII; HOST-SPECIFICITY; PATIENT; JAPAN; NEURORETINITIS; SEROPREVALENCE AB We report results of the first study to investigate the distribution and diversity of Bartonella in rodents from Thailand. Whole blood from 195 rodents, representing six species, was tested for the presence of Bartonella species using standard culture techniques. Isolates were obtained from 17 (8.7%) of the samples, and 14 of those isolates represented distinct strains, based upon partial sequencing of the citrate synthase (gltA) gene. Phylogenetic analysis of the isolates and other Bartonella species indicated that five unique isolates from Bandicota indica form a cluster that may represent a new Bartonella species. Two additional isolates from B. indica clustered together, and were nearly identical to an isolate from Apodemus draco collected in southern China. Importantly, a number of the isolates from Thailand rodents are closely related to B. grahamii and B. elizabethae, species which have been associated with human illness. C1 Ctr Dis Control & Prevent, Div Vector Borne Infect Dis, Bacterial Zoonoses Branch, Ft Collins, CO USA. USA Med Component, Dept Entomol, Armed Forces Inst Med Sci, Bangkok, Thailand. Yunnan Inst Epidem Dis Control & Res, Yunan, Peoples R China. RP Castle, KT (reprint author), Ctr Dis Control & Prevent, Div Vector Borne Infect Dis, Bacterial Zoonoses Branch, Foothills Campus, Ft Collins, CO USA. NR 28 TC 65 Z9 68 U1 0 U2 4 PU AMER SOC TROP MED & HYGIENE PI MCLEAN PA 8000 WESTPARK DR, STE 130, MCLEAN, VA 22101 USA SN 0002-9637 J9 AM J TROP MED HYG JI Am. J. Trop. Med. Hyg. PD APR PY 2004 VL 70 IS 4 BP 429 EP 433 PG 5 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 814RI UT WOS:000220991400016 PM 15100459 ER PT J AU Lyon, GM Bravo, AV Espino, A Lindsley, MD Gutierrez, RE Rodriguez, I Corella, A Carrillo, F McNeil, MM Warnock, DW Hajjeh, RA AF Lyon, GM Bravo, AV Espino, A Lindsley, MD Gutierrez, RE Rodriguez, I Corella, A Carrillo, F McNeil, MM Warnock, DW Hajjeh, RA TI Histoplasmosis associated with exploring a bat-inhabited cave in Costa Rica, 1998-1999 SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE LA English DT Article ID OUTBREAK; CAPSULATUM; WASHINGTON AB Between October 1998 and April 1999, 51 persons belonging to two separate groups developed acute pulmonary histoplasmosis after visiting a cave in Costa Rica. The first group consisted of 61 children and 14 adults from San Jose. Costa Rica 44 (72%) were diagnosed with acute histoplasmosis. The second group comprised 14 tourists from the United States and Canada 9 (64%) were diagnosed with histoplasmosis. After a median incubation time of 14 days, the most common symptoms were headache, fever, cough, and myalgias. Risk factors for developing histoplasmosis included crawling (odds ratio [OR] 17.5,95% confidence interval [CI] 2.3-802) and visiting one specific room (OR 3.4, 95% CI 1.0-12.3) in the cave. Washing hands (OR = 0.1, 95% CI = 0.01-0.6) after exiting the cave was associated with a decreased risk of developing histoplasmosis. Histoplasma capsulatum was isolated from bat guano collected from inside the cave. Persons who explore caves, whether for recreation or science, should be aware of the risk bat-inhabited caves pose for developing histoplasmosis, especially if they are immunocompromised in any way. C1 Natl Ctr Infect Dis, Epidem Intelligence Serv, Epidemiol Program Off, Mycot Dis Branch,Div Bacterial & Mycot Dis, Atlanta, GA USA. CDCP, Natl Immunizat Program, Surveillance Div, Atlanta, GA USA. Ctr Integrado Salud Coronado, San Isidro Coronado, Costa Rica. RP Lyon, GM (reprint author), Natl Ctr Infect Dis, Epidem Intelligence Serv, Epidemiol Program Off, Mycot Dis Branch,Div Bacterial & Mycot Dis, Atlanta, GA USA. EM gmlyon@emory.edu NR 28 TC 46 Z9 48 U1 0 U2 2 PU AMER SOC TROP MED & HYGIENE PI MCLEAN PA 8000 WESTPARK DR, STE 130, MCLEAN, VA 22101 USA SN 0002-9637 J9 AM J TROP MED HYG JI Am. J. Trop. Med. Hyg. PD APR PY 2004 VL 70 IS 4 BP 438 EP 442 PG 5 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 814RI UT WOS:000220991400018 PM 15100461 ER PT J AU Sjodin, A Jones, RS Lapeza, CR Focant, JF McGahee, EE Patterson, DG AF Sjodin, A Jones, RS Lapeza, CR Focant, JF McGahee, EE Patterson, DG TI Semiautomated high-throughput extraction and cleanup method for the measurement of polybrominated diphenyl ethers, polybrominated biphenyls, and polychlorinated biphenyls in human serum SO ANALYTICAL CHEMISTRY LA English DT Article ID SWEDISH HUMAN-MILK; BIOLOGICAL SAMPLES; FLAME RETARDANTS; FISH; ENVIRONMENT; POLLUTANTS; EXPOSURE; RIVER; PBDES AB A semiautomated extraction and cleanup method has been developed for the measurement of eight polybrominated diphenyl ethers (PBDEs), 2,2',4,4',5,5'-hexabromobiphenyl (BB-153) and 2,2',4,4',5,5'-hexachlorobiphenyl (CB-153). The method employs automated addition of internal standards (C-13-labeled), addition of formic acid (denaturation agent), and dilution with water prior to automated overnight extraction using a modular solid-phase extraction (SPE) system. Removal of coextracted biogenic materials was performed on a two-layered 3-mL disposable cartridge containing activated silica gel and a mixture of silica gel and sulfuric acid. Sample cleanup was automated using the same modular SPE system. Reproducibility and precision of the liquid handler used for internal standard additions were shown to be 2 and 4%, respectively. Overall reproducibility during processing of eight batches of samples (N = 30/batch, including methods blanks) was below 10% for most analytes. Mean recoveries of the C-13-labeled internal standards ranged from 69 to 95% for the seven monitored PBDEs; 76 and 98% were recovered for BB-153 and CB-153, respectively. C1 Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Div Sci Lab, Atlanta, GA 30341 USA. RP Sjodin, A (reprint author), Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Div Sci Lab, 4770 Buford Highway,NE Mail Stop F-17, Atlanta, GA 30341 USA. EM asjodin@cdc.gov RI Sjodin, Andreas/F-2464-2010 NR 26 TC 125 Z9 131 U1 1 U2 28 PU AMER CHEMICAL SOC PI WASHINGTON PA 1155 16TH ST, NW, WASHINGTON, DC 20036 USA SN 0003-2700 J9 ANAL CHEM JI Anal. Chem. PD APR 1 PY 2004 VL 76 IS 7 BP 1921 EP 1927 DI 10.1021/ac030381 PG 7 WC Chemistry, Analytical SC Chemistry GA 809DW UT WOS:000220618400025 PM 15053652 ER PT J AU Brewer, NT Weinstein, ND Cuite, CL Herrington, JE AF Brewer, NT Weinstein, ND Cuite, CL Herrington, JE TI Risk perceptions and their relation to risk behavior SO ANNALS OF BEHAVIORAL MEDICINE LA English DT Article; Proceedings Paper CT Annual Conference of the Society-for-Behavioral-Medicine CY 2001 CL Washington, DC SP Soc Behavioral Med AB Background: Because risk perceptions can affect protective behavior and protective behavior can affect risk perceptions, the relations between these 2 constructs are complex and incorrect tests often lead to invalid conclusions. Purpose: To discuss and carry out appropriate tests of 3 easily confused hypotheses: (a) the behavior motivation hypothesis (perceptions of personal risk cause people to take protective action), (b) the risk reappraisal hypothesis (when people take actions thought to be effective, they lower their risk perceptions), and (c) the accuracy hypothesis (risk perceptions accurately reflect risk behavior). Methods: Longitudinal study with an initial interview just after the Lyme disease vaccine was made publicly available and a follow-up interview 18 months later Random sample of adult homeowners (N = 745) in 3 northeastern U.S. counties with high Lyme disease incidence. Lyme disease vaccination behavior and risk perception were assessed. Results: All 3 hypotheses were supported. Participants with higher initial risk perceptions were much more likely than those with lower risk perceptions to get vaccinated against Lyme disease (OR = 5.81, 95% CI 2.63-12.82, p < .001). Being vaccinated led to a reduction in risk perceptions, chi(2)(1, N = 745) = 30.90, p < . 001, and people vaccinated correctly believed that their risk of future infection was lower than that of people not vaccinated (OR = .44, 95% CI .21-91, p < .05). Conclusions: The behavior motivation hypothesis was supported in this longitudinal study, but the opposite conclusion (i.e., that higher risk led to less protective behavior) would have been drawn from an incorrect test based only on cross-sectional data. Health researchers should take care informulating and testing risk-perception-behavior hypotheses. C1 Rutgers State Univ, Dept Psychol, Piscataway, NJ 08854 USA. Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Brewer, NT (reprint author), Rutgers State Univ, Dept Psychol, 152 Frelinghuysen Rd, Piscataway, NJ 08854 USA. EM brewer@aesop.rutgers.edu RI Brewer, Noel/C-4375-2008 NR 11 TC 232 Z9 238 U1 5 U2 40 PU LAWRENCE ERLBAUM ASSOC INC PI MAHWAH PA 10 INDUSTRIAL AVE, MAHWAH, NJ 07430-2262 USA SN 0883-6612 J9 ANN BEHAV MED JI Ann. Behav. Med. PD APR PY 2004 VL 27 IS 2 BP 125 EP 130 DI 10.1207/s15324796abm2702_7 PG 6 WC Psychology, Multidisciplinary SC Psychology GA 803HJ UT WOS:000220221900007 PM 15026296 ER PT J AU Mzayek, F Sherwin, R Fonseca, V Valdez, R Srinivasan, SR Cruickshank, JK Berenson, GS AF Mzayek, F Sherwin, R Fonseca, V Valdez, R Srinivasan, SR Cruickshank, JK Berenson, GS TI Differential association of birth weight with cardiovascular risk variables in African-Americans and whites: The Bogalusa Heart Study SO ANNALS OF EPIDEMIOLOGY LA English DT Article DE birth weight; BMI; cholesterol; ethnic; insulin resistance; risk factors ID INSULIN-RESISTANCE SYNDROME; CATCH-UP GROWTH; AGE 7-11 YEARS; BLOOD-PRESSURE; FETAL ORIGINS; ADULT LIFE; GLUCOSE-TOLERANCE; INDIAN CHILDREN; BIRACIAL SAMPLE; DISEASE AB PURPOSE: To study the relationship between low birth weight and the subsequent development of cardiovascular risk factors and to compare this relationship between African-Americans and whites at 7 to 21 years of age. METHODS: The relationship of birth weight with cardiovascular risk factors, namely, systolic and diastolic blood pressure (BP), BMI, HDL, LDL, triglycerides, and HOMA insulin resistance (HOMA-IR) was examined retrospectively using information on 1155 participants (730 whites and 425 African-Americans) from two cohorts of the Bogalusa Heart Study. RESULTS: Participants with lower birth weight had higher systolic BP, HOMA-IR, triglycerides, and LDL. The association of birth weight with LDL, triglycerides, and HOMA-IR was stronger in African-Americans, while the association with systolic BP was stronger in whites. Subjects with birth weight < 2500 g were at increased risk of having values of HOMA-IR and LDL in the upper quartile of the observed range compared with those with birth weight >2500 g. CONCLUSIONS: These results Support a relationship between low birth weight and the later development of important cardiovascular risk factors in young African-Americans and white individuals. This relationship tends to be stronger in African-Americans than in whites, except for systolic blood pressure. (C) 2004 Elsevier Inc. All rights reserved. C1 Tulane Univ, Ctr Hlth Sci, Tulane Ctr Cardiovasc Hlth, Tulane Sch Publ Hlth & Trop Med, New Orleans, LA 70112 USA. Tulane Univ, Ctr Hlth Sci, Dept Epidemiol, Tulane Sch Publ Hlth & Trop Med, New Orleans, LA 70112 USA. Tulane Univ, Ctr Hlth Sci, Dept Med, New Orleans, LA 70112 USA. CDC, Div Diabet Translat, Atlanta, GA 30333 USA. Univ Manchester, Sch Med, Clin Epidemiol Grp, Manchester, Lancs, England. RP Fonseca, V (reprint author), Tulane Univ, Ctr Hlth Sci, Tulane Ctr Cardiovasc Hlth, Tulane Sch Publ Hlth & Trop Med, 1439 Tulane Ave SL-53, New Orleans, LA 70112 USA. EM vfonseca@tulane.edu FU NHLBI NIH HHS [HL38844]; NICHD NIH HHS [HD32194] NR 43 TC 18 Z9 18 U1 3 U2 4 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 1047-2797 J9 ANN EPIDEMIOL JI Ann. Epidemiol. PD APR PY 2004 VL 14 IS 4 BP 258 EP 264 DI 10.1016/j.annepidem.2003.09.014 PG 7 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 813BM UT WOS:000220882600004 PM 15066605 ER PT J AU Evans, MR Swaminathan, B Graves, LM Altermann, E Klaenhammer, TR Fink, RC Kernodle, S Kathariou, S AF Evans, MR Swaminathan, B Graves, LM Altermann, E Klaenhammer, TR Fink, RC Kernodle, S Kathariou, S TI Genetic markers unique to Listeria monocytogenes serotype 4b differentiate epidemic clone II (hot dog outbreak strains) from other lineages SO APPLIED AND ENVIRONMENTAL MICROBIOLOGY LA English DT Article ID TEICHOIC-ACID GLYCOSYLATION; ACTIN-BASED MOVEMENT; SURFACE-ANTIGENS; ENTRY; 4B; RESTRICTION; ELECTROPHORESIS; IDENTIFICATION; INTERNALIN; PATHOGEN AB A small number of closely related strains of Listeria monocytogenes serotype 4b, designated epidemic clone I (ECI), have been implicated in numerous outbreaks of food-borne listeriosis described during the past two decades in Europe and North America. In 1998 to 1999, a multistate outbreak traced to contaminated hot dogs involved a different strain type or serotype 4b, with genetic fingerprints rarely encountered before. In spite of the profound economic and public health impact of this outbreak, the implicated bacteria (designated epidemic clone II [ECII]) have remained poorly characterized genetically, and nucleotide sequences specific for these strains have not been reported. Using genome sequence information, PCR, and Southern blots, we identified DNA fragments which appeared to be either absent or markedly divergent in the hot dog outbreak strains but conserved among other serotype 4b strains. PCR with primers derived from these fragments as well as Southern blots with the amplicons as probes readily differentiated ECII from other serotype 4b strains. The serotype 4b-specific region harboring these fragments was adjacent to inlA, which encodes a well-characterized virulence determinant. The findings suggest that ECII strains have undergone divergence in portions of a serotype-specific region that is conserved in other serotype 4b strains. Although the mechanisms that drive this divergence remain to be identified, DNA-based tools from this region can facilitate the detection and further characterization of strains belonging to this lineage. C1 N Carolina State Univ, Dept Food Sci, Raleigh, NC 27695 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Kathariou, S (reprint author), N Carolina State Univ, Dept Food Sci, Campus Box 7624, Raleigh, NC 27695 USA. EM skathar@unity.ncsu.edu RI Fink, Ryan/B-8097-2008; Ducey, Thomas/A-6493-2011; OI Fink, Ryan/0000-0002-9827-5090; Altermann, Eric/0000-0003-1376-1549 NR 29 TC 51 Z9 58 U1 0 U2 3 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0099-2240 J9 APPL ENVIRON MICROB JI Appl. Environ. Microbiol. PD APR PY 2004 VL 70 IS 4 BP 2383 EP 2390 DI 10.1128/AEM.70.4.2383-2390.2004 PG 8 WC Biotechnology & Applied Microbiology; Microbiology SC Biotechnology & Applied Microbiology; Microbiology GA 811SS UT WOS:000220792200059 PM 15066835 ER PT J AU Baker, SE Olsson, AO Barr, DB AF Baker, SE Olsson, AO Barr, DB TI Isotope dilution high-performance liquid chromatography-tandem mass Spectrometry method for quantifying urinary metabolites of synthetic pyrethroid insecticides SO ARCHIVES OF ENVIRONMENTAL CONTAMINATION AND TOXICOLOGY LA English DT Article ID HUMAN DOSE-EXCRETION; SOLID-PHASE EXTRACTION; CYPERMETHRIN; PESTICIDES; POPULATION; EXPOSURE; RATS AB This paper describes a method for measuring cis- and trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane-l-carboxy- lic acids (cis-DCCA and trans-DCCA), cis-3-(2,2-dibromovinyl)2,2-dimetbylcyclopropane-1-carboxylic acid (DBCA), 3-phenoxybenzoic acid (3PBA), and 4-fluoro-3-phenoxybenzoic acid (4F3PBA) in human urine. These compounds are considered to be reliable biomarkers of exposure for many pyrethroid insecticides used in the United States. In this method, stable isotopically labeled analogues of trans-DCCA and 3PBA were spiked into urine as internal standards. After solid-phase extraction, the extracts were analyzed by high-performance liquid chromatography coupled with tandem mass spectrometry using turbo ion-spray atmospheric pressure ionization. The limits of detection (LODs) ranged from 0.1 to 0.5 mug/L. Within-day relative standard deviations ranged from 1.8 to 13% and between-day relative standard deviations ranged from 0.5 to 18%. Absolute analyte recoveries ranged from 72 to 93%. Chromatographic retention times were less than 8 min. This method was used to measure urinary concentrations of these metabolites in persons with no known exposure to pyrethroids and some with suspected residential exposure. Metabolites of synthetic pyrethroids were detected in 74% of the samples analyzed. cis-DCCA, trans-DCCA, DBCA, 4F3PBA, and 3PBA were detected in 36, 50, 3, 9, and 64% of the samples analyzed, respectively. C1 Ctr Dis Control & Prevent, Div Sci Lab, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. RP Barr, DB (reprint author), 4770 Buford Hwy,Mailstop F17, Atlanta, GA 30341 USA. EM dbarr@cdc.gov RI Barr, Dana/E-6369-2011; Barr, Dana/E-2276-2013 NR 26 TC 51 Z9 55 U1 2 U2 15 PU SPRINGER-VERLAG PI NEW YORK PA 175 FIFTH AVE, NEW YORK, NY 10010 USA SN 0090-4341 J9 ARCH ENVIRON CON TOX JI Arch. Environ. Contam. Toxicol. PD APR PY 2004 VL 46 IS 3 BP 281 EP 288 DI 10.1007/s00244-003-3044-3 PG 8 WC Environmental Sciences; Toxicology SC Environmental Sciences & Ecology; Toxicology GA 801OK UT WOS:000220105000001 PM 15195798 ER PT J AU Jung, SM Schelper, RL Visvesvara, GS Chang, HT AF Jung, SM Schelper, RL Visvesvara, GS Chang, HT TI Balamuthia mandrillaris meningoencephalitis in an immunocompetent patient - An unusual clinical course and a favorable outcome SO ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE LA English DT Article; Proceedings Paper CT Annual Meeting of the American-Association-of-Neuropathologists CY JUN 19-21, 2003 CL Orlando, FL SP Amer Assoc Neuropathologists ID AMEBIC ENCEPHALITIS; AGENT AB Balamuthia mandrillaris meningoencephalitis is a rare but often fatal infection; only 2 survivors have been reported to date worldwide. We report the case of an apparently immunocompetent patient (72-year-old woman) who developed several episodes of seizures without prior history of respiratory or skin infections. Magnetic resonance imaging with contrast revealed 2 ring-enhancing lesions, one in the right precentral region and the other in the left posterotemporal region. Open biopsy revealed Balamuthia encephalitis. The patient was treated with combination antibiotics (pentamidine, 300 mg intravenously once a day; sulfadiazine, 1.5 g 4 times a day; fluconazole, 400 mg once a day; and clarithromycin, 500 mg 3 times a day) and was discharged home. There have been no significant neurological sequelae at this writing (6 months after biopsy). We present this case with unusual clinical course to raise awareness of this infectious disease, which may have a more favorable outcome if diagnosed and treated in its early states. C1 SUNY Upstate Med Sch, Dept Pathol, Syracuse, NY 13210 USA. Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA USA. RP Chang, HT (reprint author), SUNY Upstate Med Sch, Dept Pathol, 750 E Adams St, Syracuse, NY 13210 USA. EM changh@upstate.edu NR 15 TC 50 Z9 52 U1 0 U2 1 PU COLLEGE AMER PATHOLOGISTS PI NORTHFIELD PA C/O KIMBERLY GACKI, 325 WAUKEGAN RD, NORTHFIELD, IL 60093-2750 USA SN 0003-9985 J9 ARCH PATHOL LAB MED JI Arch. Pathol. Lab. Med. PD APR PY 2004 VL 128 IS 4 BP 466 EP + PG 4 WC Medical Laboratory Technology; Medicine, Research & Experimental; Pathology SC Medical Laboratory Technology; Research & Experimental Medicine; Pathology GA 809CL UT WOS:000220614700020 PM 15043486 ER PT J AU Kirschke, DL Jones, TF Smith, NM Schaffner, W AF Kirschke, DL Jones, TF Smith, NM Schaffner, W TI Photokeratitis and UV-radiation burns associated with damaged metal halide lamps SO ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE LA English DT Article ID ULTRAVIOLET-LIGHT; EXPOSURE; KERATOCONJUNCTIVITIS; CONJUNCTIVITIS; ERYTHEMA AB Background: Damaged metal halide lamps are known to cause outbreaks of photokeratitis and UV-radiation burns among children and adults, which has prompted the Food and Drug Administration, Rockville, Md, to publish consumer recommendations to prevent such injuries. We investigated 3 outbreaks of photokeratitis and UV-radiation burns in gymnasiums associated with failure to heed these recommendations. Objective: To determine the cause of the outbreaks and promote interventions to prevent further injuries. Design and Setting: A cohort study of persons exposed to damaged metal halide lamps during the index outbreak in a community gymnasium and a descriptive epidemiologic study of 2 subsequently identified outbreaks in other gymnasiums. Participants: A total of 273 persons potentially exposed during events in 3 gymnasiums. Main Outcome Measure: Photokeratitis with onset within 12 hours of the event. The intensity of UV radiation was measured, and an occupational exposure standard applied. Results: Investigation of the index outbreak identified 18 (approximately 3%) persons who met our case definition for photokeratitis. The median incubation period was 7 hours, and health care visits were reported by 11 persons (61%). of the 18 patients, 17 (94%) were seated in the back of the gymnasium. Among 37 persons sitting in this high-risk area, the attack rate was 46%. Only 1 (9%) of 11 persons wearing glasses or contact lenses with UV-radiation protection in the high-risk area developed photokeratitis (relative risk, 0.15; P = .01). The safe occupational exposure limit in the high-risk area was 10 to 15 minutes, but exposures of 1 to 3 hours were reported. Prevention recommendations had not been instituted at any of the 3 facilities. Conclusions: Injuries from metal halide lamps are avoidable, but prevention recommendations may not be widely observed. All facilities using metal halide lamps in areas where children may be exposed should follow the Food and Drug Administration recommendations; amending the National Electric Code may be warranted. C1 Ctr Dis Control & Prevent, Epidem Intelligence Serv, Epidemiol Program Off, Atlanta, GA USA. Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA USA. Tennessee Dept Hlth, Nashville, TN USA. Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA. RP Kirschke, DL (reprint author), Tennessee Dept Hlth, NE Tennessee Reg Hlth Off, 1233 SW Ave Extens, Johnson City, TN 37604 USA. EM david.kirschke@state.tn.us NR 18 TC 5 Z9 7 U1 1 U2 1 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 1072-4710 J9 ARCH PEDIAT ADOL MED JI Arch. Pediatr. Adolesc. Med. PD APR PY 2004 VL 158 IS 4 BP 372 EP 376 DI 10.1001/archpedi.158.4.372 PG 5 WC Pediatrics SC Pediatrics GA 810DJ UT WOS:000220684700015 PM 15066878 ER PT J AU van Griensven, F Kilmarx, PH Jeeyapant, S Manopaiboon, C Korattana, S Jenkins, RA Uthaivoravit, W Limpakarnjanarat, K Mastro, TD AF van Griensven, F Kilmarx, PH Jeeyapant, S Manopaiboon, C Korattana, S Jenkins, RA Uthaivoravit, W Limpakarnjanarat, K Mastro, TD TI The prevalence of bisexual and homosexual orientation and related health risks among adolescents in northern Thailand SO ARCHIVES OF SEXUAL BEHAVIOR LA English DT Article DE Thailand; youth; homosexuality; bisexuality; sexual orientation; health risk ID CHILDHOOD SEXUAL ABUSE; HIV-INFECTION; DRUG-USE; YOUNG MEN; BEHAVIOR; GAY; TRIAL; YOUTH AB Homo- or bisexual (HB) adolescents may have greater and different health risks than the population of heterosexual adolescents. We assessed sexual orientation and health risk behaviors in 1,725 consenting 15- to 21-year-old vocational school students in northern Thailand. Data were collected using audio-computer-assisted self-interviewing. Nine percent of males and 11.2% of females identified themselves as homo- or bisexual. HB males had an earlier mean age at sexual debut (14.7 years) and a higher mean number of lifetime sexual partners (7.9) than did heterosexual males (16.8 years and 5.8 partners, respectively). HB males (25.9%) and females (32.2%) were sexually coerced more often than were heterosexual males (4.6%) and females (19.6%). Drug use was reported significantly more frequently by HB females and significantly less frequently by HB males than by their heterosexual counterparts. HB males showed more signs of social isolation and depression than did heterosexual males. We conclude that HB adolescents in northern Thailand are at greater and different health risks than are their heterosexual counterparts. Differential health education messages for HB and heterosexual youth are warranted. C1 Minist Publ Hlth, Thailand MOPH US CDC Collaborat, Nonthaburi 11000, Thailand. Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Natl Ctr HIV STD & TB Prevent, Atlanta, GA USA. Chiang Rai Publ Hlth Off, Chiang Rai, Thailand. RP van Griensven, F (reprint author), Minist Publ Hlth, Thailand MOPH US CDC Collaborat, DMS 6 Bldg, Nonthaburi 11000, Thailand. EM fav1@cdc.gov RI van Griensven, Frits/G-4719-2013 OI van Griensven, Frits/0000-0002-0971-2843 NR 37 TC 34 Z9 35 U1 0 U2 6 PU KLUWER ACADEMIC/PLENUM PUBL PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0004-0002 J9 ARCH SEX BEHAV JI Arch. Sex. Behav. PD APR PY 2004 VL 33 IS 2 BP 137 EP 147 DI 10.1023/B:ASEB.0000014328.49070.8c PG 11 WC Psychology, Clinical; Social Sciences, Interdisciplinary SC Psychology; Social Sciences - Other Topics GA 770EF UT WOS:000188709700008 PM 15146146 ER PT J AU Ford, ES AF Ford, ES TI The metabolic syndrome and mortality from cardiovascular disease and all-causes: findings from the National Health and Nutrition Examination Survey II Mortality Study SO ATHEROSCLEROSIS LA English DT Article DE cerebrovascular accident; coronary disease; mortality; metabolic syndrome X; prospective studies ID DIABETES-MELLITUS; HEART-DISEASE; RISK; CHOLESTEROL; DEFINITIONS; COMPONENTS; POPULATION; PREVALENCE; EVENTS AB The prospective associations between the metabolic syndrome as defined by the National Cholesterol Education Program (NCEP/ATP III) expert panel and mortality from cardiovascular disease and all-causes has not been extensively examined. Using data from the National Health and Nutrition Examination Survey II Mortality Study (1976-1992), the author examined the association between the metabolic syndrome and mortality from all-causes and cardiovascular disease among 2431 US adults aged 30-75 years. The NCEP/ATP III criteria were modified to substitute body mass index greater than or equal to25 kg/m(2) for waist circumference for women and greater than or equal to 30 kg/m(2) for men. After multiple-adjustment, the hazard ratios for participants with the metabolic syndrome were 1.37 (95% confidence interval (Cl): 1.02, 1.85) for mortality from cardiovascular disease, 1.29 (95% Cl: 0.92, 1.82) for mortality from coronary heart disease, 1.68 (95% Cl: 0.86, 3.27) for mortality from stroke, 1.23 (95% Cl: 0.95, 1.59) for mortality from diseases of the circulatory system, and 1.15 (95% Cl: 0.92, 1.45) for all-cause mortality compared with participants without the syndrome. The association between the number of metabolic syndrome criteria and mortality from cardiovascular disease was near linear (P = 0.007). Three criteria of the syndrome-excess weight, hypertriglyceridemia, and low high-density lipoprotein cholesterol concentration-were not independently associated with any of the outcomes. Additional prospective studies are needed to examine the association between the metabolic syndrome and the incidence of cardiovascular disease and mortality from cardiovascular disease and all-causes. (C) 2004 Elsevier Ireland Ltd. All rights reserved. C1 CDCP, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Adult & Community Hlth, Atlanta, GA 30341 USA. RP Ford, ES (reprint author), CDCP, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Adult & Community Hlth, 4770 Buford Highway,MS K66, Atlanta, GA 30341 USA. EM eford@cdc.gov NR 25 TC 266 Z9 281 U1 0 U2 10 PU ELSEVIER SCI IRELAND LTD PI CLARE PA CUSTOMER RELATIONS MANAGER, BAY 15, SHANNON INDUSTRIAL ESTATE CO, CLARE, IRELAND SN 0021-9150 J9 ATHEROSCLEROSIS JI Atherosclerosis PD APR PY 2004 VL 173 IS 2 BP 309 EP 314 DI 10.1016/j.atherosclerosis.2003.12.022 PG 6 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 825KL UT WOS:000221755700019 PM 15064107 ER PT J AU Jackson, LW Correa-Villasenor, A Lees, PSJ Dominici, F Stewart, PA Breysse, PN Matanoski, G AF Jackson, LW Correa-Villasenor, A Lees, PSJ Dominici, F Stewart, PA Breysse, PN Matanoski, G TI Parental lead exposure and total anomalous pulmonary venous return SO BIRTH DEFECTS RESEARCH PART A-CLINICAL AND MOLECULAR TERATOLOGY LA English DT Article DE congenital heart defects; lead; occupational exposure ID LOW-BIRTH-WEIGHT; CONGENITAL HEART-DISEASE; OCCUPATIONAL EXPOSURES; SPONTANEOUS-ABORTION; SEMEN QUALITY; MALE-FERTILITY; SPERM COUNT; MEN; WORKERS; RISK AB Investigators from the Baltimore-Washington Infant Study (BWIS) reported an association between self-reported maternal lead exposure and total anomalous pulmonary venous return (TAPVR) in their offspring. This association was further evaluated in the BWIS population using a more sensitive exposure estimate. METHODS: Cases included 54 live-born infants with TAPVR; controls were a stratified random sample of 522 live-born infants from the BWIS control group. Parental lead exposure was based on three assessment methods, including: an industrial hygiene assessment, an a priori job exposure matrix, and self-reported exposures. A parent was classified as exposed to lead if he/she was classified as exposed by any one of the assessment methods. RESULTS: Approximately 17% of case mothers and 11% of control mothers were classified as exposed to lead during the three months prior to conception through the first trimester (odds ratio [OR], 1.57; 95% confidence interval [CI], 0.64-3.47). Among fathers, 61% of case fathers and 46% of control fathers were classified as exposed to lead during the six months prior to conception (paternal critical period) (OR, 1.83; 95% Cl, 1.00-3.42). During the paternal critical period, when only the father was exposed compared to neither parent exposed, the OR for any lead exposure and TAPVR was 1.65 (95% Cl, 0.84-3.25). CONCLUSIONS: This study supports a possible association between paternal lead exposure and TAPVR. Further studies are warranted using validated assessment methods for occupational and nonoccupational lead exposures to corroborate this association and to elucidate the possible biological mechanism. (C) 2004 Wiley-Liss, Inc. C1 NICHHD, Div Epidemiol Stat & Prevent Res, NIH, Rockville, MD 20852 USA. CDCP, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA USA. Johns Hopkins Bloomberg Sch Publ Hlth, Dept Environm Hlth Sci, Baltimore, MD USA. Johns Hopkins Bloomberg Sch Publ Hlth, Dept Biostat, Baltimore, MD USA. NCI, Div Canc Epidemiol & Genet, Occupat & Environm Epidemiol Branch, Rockville, MD USA. Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA. RP Jackson, LW (reprint author), NICHHD, Div Epidemiol Stat & Prevent Res, NIH, 6100 Executive Blvd,Room 7B03, Rockville, MD 20852 USA. EM jacksole@mail.nih.gov FU NIEHS NIH HHS [R29-ES06218] NR 54 TC 18 Z9 19 U1 1 U2 3 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 1542-0752 J9 BIRTH DEFECTS RES A JI Birth Defects Res. Part A-Clin. Mol. Teratol. PD APR PY 2004 VL 70 IS 4 BP 185 EP 193 DI 10.1002/bdra.20014 PG 9 WC Developmental Biology; Toxicology SC Developmental Biology; Toxicology GA 817JZ UT WOS:000221175100005 PM 15108245 ER PT J AU Stone, KM Reiff-Eldridge, R White, AD Cordero, JF Brown, Z Alexander, ER Andrews, EB AF Stone, KM Reiff-Eldridge, R White, AD Cordero, JF Brown, Z Alexander, ER Andrews, EB TI Pregnancy outcomes following systemic prenatal acyclovir exposure: Conclusions from the International Acyclovir Pregnancy Registry, 1984-1999 SO BIRTH DEFECTS RESEARCH PART A-CLINICAL AND MOLECULAR TERATOLOGY LA English DT Article DE genital herpes; HSV; pregnancy; acyclovir treatment ID HERPES-SIMPLEX-VIRUS; HYPERTROPHIC PYLORIC-STENOSIS; GENITAL HERPES; CESAREAN DELIVERY; INFECTIONS; EPIDEMIOLOGY; SURVEILLANCE; SUPPRESSION; EPISODE AB Oral acyclovir is commonly used for genital herpes and other herpesvirus infections. Data on potential fetal risk are extremely limited. From 1984 to 1998, the Acyclovir in Pregnancy Registry monitored birth outcomes of women exposed to oral or intravenous acyclovir during pregnancy. This report describes the final results. METHODS: The registry was publicized to health care providers most likely to diagnose pregnancy; providers called the registry telephone number, then mailed in a brief questionnaire. Pregnancy outcomes were categorized either as outcomes with birth defects or outcomes without birth defects, subcategorized as live births, spontaneous pregnancy losses (including stillbirths), and induced abortions. Birth defects were defined using a modification of the CDC definition for birth defects surveillance systems. Observed rates were compared to the rate (3.2%) of birth defects expected in the general population. RESULTS: Between June 1, 1984 and June 30, 1998, 1695 pregnancies exposed to oral or IV acyclovir were registered; 461 (27%) were lost to follow-up. A total of 1234 pregnancies in 24 countries were followed, with a total of 1246 outcomes. Among 1246 pregnancy outcomes, 756 involved acyclovir exposure in the first trimester, 197 in the second trimester, and 291 in the third trimester. Among live births with first trimester acyclovir exposure, risk of birth defects was 19 of 596 (3.2%; 95% Cl, 2.0-5.0%). No unusual defects or pattern of defects were apparent. CONCLUSIONS: The observed rates and types of birth defects for pregnancies exposed to acyclovir did not differ significantly from those in the general population. Published 2004 Wiley-Liss, Inc. C1 CDCP, Div STD Prevent, Natl Ctr HIV STD & TB Prevent, Atlanta, GA 30333 USA. GlaxoSmithKline, Res Triangle Pk, NC USA. CDCP, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA USA. Univ Washington, Dept Obstet & Gynecol, Seattle, WA USA. Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA. RP Stone, KM (reprint author), CDCP, Div STD Prevent, Natl Ctr HIV STD & TB Prevent, Mailstop E02,1600 Clifton Rd, Atlanta, GA 30333 USA. EM kstone@cdc.gov NR 34 TC 74 Z9 78 U1 1 U2 7 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 1542-0752 J9 BIRTH DEFECTS RES A JI Birth Defects Res. Part A-Clin. Mol. Teratol. PD APR PY 2004 VL 70 IS 4 BP 201 EP 207 DI 10.1002/bdra.20013 PG 7 WC Developmental Biology; Toxicology SC Developmental Biology; Toxicology GA 817JZ UT WOS:000221175100007 PM 15108247 ER PT J AU Soucie, JM Cianfrini, C Janco, RL Kulkarni, F Hambleton, J Evatt, B Forsyth, A Geraghty, S Hoots, K Abshire, T Curtis, R Forsberg, A Huszti, H Wagner, M White, GC AF Soucie, JM Cianfrini, C Janco, RL Kulkarni, F Hambleton, J Evatt, B Forsyth, A Geraghty, S Hoots, K Abshire, T Curtis, R Forsberg, A Huszti, H Wagner, M White, GC TI Joint range-of-motion limitations among young males with hemophilia: prevalence and risk factors SO BLOOD LA English DT Article ID V-LEIDEN MUTATION; VENOUS THROMBOSIS; MYOCARDIAL-INFARCTION; GENE AB Chronic joint disease from repeated bleeding into joints is a serious complication of hemophilia. To measure the extent of and to identify risk factors for deviations from normal In joint range of motion (ROM), we used cross-sectional data collected from 4343 males with hemophilia aged 2 to 19 years who received care at 136 US hemophilia treatment centers (HTCs). Factors examined included age, race/ethnicity, family history, insurance status, age at diagnosis and first HTC visit, frequency of HTC visits, hemophilia type, bleeding frequency, prophylaxis use, inhibitor status, body mass index (BMI), and recent orthopedic procedures. Trained personnel using a standard protocol obtained ROM measurements on 10 joints (hips, knees, shoulders, elbows, and ankles). Analyses used multiple linear regression to model overall ROM limitation separately by disease severity. For persons in all severity groups, joint ROM limitation was positively associated with older age, nonwhite race, and increased BMI. For those with severe disease, ROM limitation was also positively associated with number of bleeds and was greater for those with inhibitors or recent orthopedic procedures. We conclude that ROM limitations begin at an early age, especially for those with severe and moderate disease, and that BMI is an important, potentially modifiable risk factor. (C) 2004 by The American Society of Hematology. C1 Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Div AIDS STD & TB Lab Res, Hematol Dis Branch, Atlanta, GA USA. Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA. Michigan State Univ, E Lansing, MI 48824 USA. Univ Calif San Francisco, San Francisco, CA 94143 USA. Univ Penn, Presbyterian Med Ctr, Philadelphia, PA 19104 USA. Mt States Reg Hemophilia & Thrombosis Ctr, Aurora, CO USA. Univ Texas, Hlth Sci Ctr, Houston, TX USA. Emory Univ, Sch Med, Atlanta, GA 30322 USA. Dept Hlth Serv, Berkeley, CA USA. Umass Mem Hlth Care, Worcester, MA USA. Childrens Hosp Orange Cty, Orange, CA 92668 USA. Christiana Care Hlth Syst, Newark, DE USA. Univ N Carolina, Sch Med, Chapel Hill, NC USA. RP Soucie, JM (reprint author), 1600 Clifton Rd,MS E64, Atlanta, GA 30333 USA. EM msoucie@cdc.gov NR 22 TC 128 Z9 135 U1 1 U2 4 PU AMER SOC HEMATOLOGY PI WASHINGTON PA 1900 M STREET. NW SUITE 200, WASHINGTON, DC 20036 USA SN 0006-4971 J9 BLOOD JI Blood PD APR 1 PY 2004 VL 103 IS 7 BP 2467 EP 2473 DI 10.1182/blood-2003-05-1457 PG 7 WC Hematology SC Hematology GA 830ZR UT WOS:000222163200014 PM 14615381 ER PT J AU Hamir, AN Stasko, J Rupprecht, CE AF Hamir, AN Stasko, J Rupprecht, CE TI Observation of Helicobacter-like organisms in gastric mucosa of grey foxes (Urocyon cinereoargenteus) and bobcats (Lynx rufus) SO CANADIAN JOURNAL OF VETERINARY RESEARCH-REVUE CANADIENNE DE RECHERCHE VETERINAIRE LA English DT Article ID PYLORI; BACTERIA AB Archival specimens of gastric mucosa of 10 raccoons (Procyon lotor), 9 porcupines (Erethizon dorsatum), 6 grey foxes (Urocyon cinereoargenteus), 6 bobcats (Lynx rufus), 4 skunks (Mephitis mephitis), and 3 black bears (Ursus americanus) were microscopically examined for evidence of Helicobacter-like organisms. Such organisms were seen in the specimens from the grey foxes and bobcats only. Histochemical stains (modified Steiner and carbol fuchsin methods) revealed long spiral organisms within lumina of gastric glands; however, neither gross nor microscopic lesions were observed. By electron microscopy (EM), the organisms were found to be free in the glandular lumina and were seen occasionally in the cytoplasm of gastric epithelial cells. Morphologically, 2 different phenotypes of spiral organisms were identified by EM. The organisms associated with bobcats appeared to be more tightly coiled than those seen in grey foxes. The presence of Helicobacter-like organisms in the gastric mucosa of grey foxes has not previously been described. C1 USDA, Agr Res Serv, Natl Anim Dis Ctr, Ames, IA 50010 USA. Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Hamir, AN (reprint author), USDA, Agr Res Serv, Natl Anim Dis Ctr, 2300 Dayton Rd,POB 70, Ames, IA 50010 USA. EM ahamir@nadc.ars.usda.gov NR 11 TC 3 Z9 3 U1 0 U2 1 PU CANADIAN VET MED ASSOC PI OTTAWA PA 339 BOOTH ST ATTN: KIMBERLY ALLEN-MCGILL, OTTAWA, ONTARIO K1R 7K1, CANADA SN 0830-9000 J9 CAN J VET RES JI Can. J. Vet. Res.-Rev. Can. Rech. Vet. PD APR PY 2004 VL 68 IS 2 BP 154 EP 156 PG 3 WC Veterinary Sciences SC Veterinary Sciences GA 819UK UT WOS:000221341200013 PM 15188962 ER PT J AU Young, JL Ward, KC Wingo, PA Howe, HL AF Young, JL Ward, KC Wingo, PA Howe, HL TI The incidence of malignant non-carcinomas of the female breast SO CANCER CAUSES & CONTROL LA English DT Article DE breast cancer; incidence; non-carcinomas ID CYSTOSARCOMA-PHYLLODES; EPIDEMIOLOGY AB Objective: Demographic and tumor characteristics of all malignant non-carcinomas of the breast, including the lymphomas and myelomas, are the focus of this investigation. Methods: Twenty-six US population-based registries identified 363,801 newly diagnosed malignant breast cancers among women during the time period 1994 - 1998. Of these, 4625 (1.3%) were reported simply as cancer, NOS; 357,775 (98.3%) were of epithelial origin ( carcinomas or adenocarcinomas); and the remaining 1401 (0.4%) were non-epithelial in origin. All but nine of the non-epithelial breast cancers were some form of soft tissue sarcoma. Results: The most common non-epithelial cancer was malignant phyllodes tumor, which accounted for 61% of these diagnoses. In addition to the 363,801 malignant cancers classified to the breast, another 613 tumors arose in the breast but were classified as myelomas or lymphomas; two as solitary myelomas, two as Hodgkin lymphoma and the remaining 609 as non-Hodgkin lymphoma. Principal conclusions: The median age of females with a non-epithelial cancer ( 53) was 10 years younger than that of women with an epithelial cancer. The age-adjusted incidence rate per 100,000 females was 0.51 for non-epithelial cancers compared to 127.05 for epithelial cancers. Adding the myelomas and lymphomas, which are traditionally included with the hematopoietic cancers, to the incidence rates for breast cancer would increase the rate by less than 0.2 per 100,000. C1 Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA 30322 USA. Ctr Dis Control & Prevent, Canc Surveillance Branch, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA. N Amer Assoc Cent Canc Registries, Springfield, IL USA. RP Young, JL (reprint author), Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, 1462 Clifton Rd NE,Room 504, Atlanta, GA 30322 USA. EM jlyoung@sph.emory.edu FU ODCDC CDC HHS [U75/CCU51598] NR 9 TC 12 Z9 13 U1 0 U2 1 PU KLUWER ACADEMIC PUBL PI DORDRECHT PA VAN GODEWIJCKSTRAAT 30, 3311 GZ DORDRECHT, NETHERLANDS SN 0957-5243 J9 CANCER CAUSE CONTROL JI Cancer Causes Control PD APR PY 2004 VL 15 IS 3 BP 313 EP 319 PG 7 WC Oncology; Public, Environmental & Occupational Health SC Oncology; Public, Environmental & Occupational Health GA 812WC UT WOS:000220868600010 PM 15090726 ER PT J AU Wingo, PA Jamison, PM Young, JL Gargiullo, P AF Wingo, PA Jamison, PM Young, JL Gargiullo, P TI Population-based statistics for women diagnosed with in inflammatory breast cancer (United States) SO CANCER CAUSES & CONTROL LA English DT Article DE breast cancer; incidence; inflammatory ID CONFIDENCE-INTERVALS; EPIDEMIOLOGY; SURVEILLANCE; EXPERIENCE; CARCINOMA; PROGRAM AB Objective: The purpose of this study was to use population-based information to describe the demographic and tumor characteristics of inflammatory breast cancer (IBC) - the most aggressive form of this disease. Methods: IBC cases diagnosed during 1994 through 1998 were reported to 26 population-based cancer registries covering approximately 40% of the US population. Rates were expressed per 100,000 female population and age-adjusted to the 2000 US population. Ninety-five percent gamma confidence limits were estimated for the rates. Results: Among the 3626 women diagnosed with IBC during 1994 - 1998, the majority were 40 - 59 years old. Most tumors were diagnosed at a regional (68.9%) or distant (25.3%) stage and were poorly differentiated (49.4%). The rate of IBC was 1.3 per 100,000 for all races combined. Black women had the highest risk (1.6) and Asian and Pacific Islander women the lowest (0.7). Conclusions: IBC is an extremely rare form of breast cancer. More precise diagnostic criteria are needed to distinguish it from less aggressive forms of the disease. Future studies should use a population-based design and collect detailed clinical information, including the presence of erythema, edema or peau d'orange appearance of the skin, and other clinical signs of disease. C1 Ctr Dis Control & Prevent, Div Canc Prevent & Control, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA. Emory Univ, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA. Natl Immunizat Program, Div Epidemiol & Surveillance, Atlanta, GA USA. RP Wingo, PA (reprint author), Ctr Dis Control & Prevent, 4770 Buford Highway NE,MS K53, Chamblee, GA 30341 USA. EM pwingo@cdc.gov FU ODCDC CDC HHS [U75/CCU51598] NR 24 TC 37 Z9 38 U1 0 U2 0 PU KLUWER ACADEMIC PUBL PI DORDRECHT PA VAN GODEWIJCKSTRAAT 30, 3311 GZ DORDRECHT, NETHERLANDS SN 0957-5243 J9 CANCER CAUSE CONTROL JI Cancer Causes Control PD APR PY 2004 VL 15 IS 3 BP 321 EP 328 DI 10.1023/B:CACO.0000024222.61114.18 PG 8 WC Oncology; Public, Environmental & Occupational Health SC Oncology; Public, Environmental & Occupational Health GA 812WC UT WOS:000220868600011 PM 15090727 ER PT J AU Bobo, JK Shapiro, JA Schulman, J Wolters, CL AF Bobo, JK Shapiro, JA Schulman, J Wolters, CL TI On-schedule mammography rescreening in the National Breast and Cervical Cancer Early Detection Program SO CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION LA English DT Article ID LOW-INCOME WOMEN; SCREENING MAMMOGRAPHY; REPEAT MAMMOGRAPHY; UNITED-STATES; PREDICTORS; GUIDELINES; POPULATION; PATTERNS; ACCURACY; SAMPLE AB Objective: The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides free cancer screening to many low-income, underinsured women annually but does not routinely collect all data necessary for precise estimation of mammography rescreening rates among enrollees. Materials and Methods: To determine the percentages rescreened and to identify factors that encourage on-schedule rescreening, telephone interview and medical record data were collected from 1685 enrollees in Maryland, New York, Ohio, and Texas at least 30 months after their 1997 index mammogram. Results: Overall, 72.4% [95% confidence interval (95% CI) = 70.1-74.7] were rescreened within 18 months and 81.5% (95% CI = 79.6-83.5) within 30 months. At 30 months, the adjusted odds ratios (ORs) for rescreening were higher among Hispanics (OR = 1.95, 95% CI = 1.15-3.28), women with a history of breast cancer before the index mammogram (OR = 3.36, 95% CI = 1.07-10.53), and those who had used hormone replacement therapy before their index mammogram (OR = 1.94, 95% CI = 1.30-2.91). The 30-month adjusted ORs were lower for women who reported poor health status (OR = 0.60, 95% CI = 0.42-0.85), did not have a usual source of care (OR = 0.61, 95% CI = 0.40-0.94), did not know if they could have another free mammogram (OR = 0.28, 95% CI = 0.14-0.51), described their index screen as their first mammogram ever (OR for no prior mammograms versus three or more = 0.40, 95% CI = 0.27-0.60), did not recall receiving a rescreening reminder (OR = 0.35, 95% CI = 0.25-0.48), or did not think they had been encouraged to rescreen by their provider (OR = 0.61, 95% CI = 0.44-0.86). Discussion: Rescreening behavior in this sample of NBCCEDP enrollees was comparable with that observed in other populations. To facilitate routine rescreening among low-income women, ongoing efforts are needed to ensure they receive annual reminders and encouragements from their medical providers and that they know how to obtain the services they need. C1 Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Canc Prevent & Control, Atlanta, GA USA. Battelle Ctr Publ Hlth Res & Evaluat, Atlanta, GA USA. Battelle Ctr Publ Hlth Res & Evaluat, Baltimore, MD USA. RP Bobo, JK (reprint author), Battelle Ctr Publ Hlth Res & Evaluat, 4500 Sand Point Way NE,Suite 100, Seattle, WA 98105 USA. EM boboj@battelle.org NR 40 TC 45 Z9 46 U1 1 U2 1 PU AMER ASSOC CANCER RESEARCH PI PHILADELPHIA PA 615 CHESTNUT ST, 17TH FLOOR, PHILADELPHIA, PA 19106-4404 USA SN 1055-9965 J9 CANCER EPIDEM BIOMAR JI Cancer Epidemiol. Biomarkers Prev. PD APR PY 2004 VL 13 IS 4 BP 620 EP 630 PG 11 WC Oncology; Public, Environmental & Occupational Health SC Oncology; Public, Environmental & Occupational Health GA 810SQ UT WOS:000220724400018 PM 15066928 ER PT J AU Evans, CD LaDow, K Schumann, BL Savage, RE Caruso, J Vonderheide, A Succop, P Talaska, G AF Evans, CD LaDow, K Schumann, BL Savage, RE Caruso, J Vonderheide, A Succop, P Talaska, G TI Effect of arsenic on benzo[a]pyrene DNA adduct levels in mouse skin and lung SO CARCINOGENESIS LA English DT Article ID SODIUM ARSENITE; DRINKING-WATER; SMELTER WORKERS; COPPER SMELTER; CANCER; EXPOSURE; CELLS; SMOKING; BENZOPYRENE; CARCINOGENICITY AB Concomitant exposures to arsenic and polycyclic aromatic hydrocarbons (PAHs) such as benzo[a]pyrene (BaP) are widespread. While BaP acts by binding to and inducing mutations in critical sites on DNA, the mechanism(s) of arsenic carcinogenesis remains unknown. Data from epidemiological studies of arsenic copper smelter workers and arsenic ingestion in drinking water suggest a positive interaction for arsenic exposure and smoking and lung cancer. A previous in vitro study showed that arsenic potentiated the formation of DNA adducts at low doses of BaP and arsenic. The present study was conducted to test the effect of arsenic on BaP-DNA adduct formation in vivo. We hypothesized that arsenic co-treatment would significantly increase BaP adduct levels in C57BL/6 mouse target organs: skin and lung. Treatment groups were: five mice, -BaP/-arsenic; five mice, -BaP/+arsenic; 15 mice, +BaP/-arsenic; 15 mice, +BaP/+arsenic. Mice in the appropriate groups were provided sodium arsenite in drinking water (2.1 mg/l), ad libitum, for 13 days (starting 9 days before BaP treatment), and 200 nmol BaP/25 ml acetone (or acetone alone) was applied topically, once per day for 4 days. DNA was extracted from skin and lung and assayed by P-32-postlabeling. Statistical comparisons were made using independent t-tests (unequal variances assumed). BaP-DNA adduct levels in the +BaP groups were significantly higher than -BaP controls. Arsenic co-treatment increased average BaP adduct levels in both lung and skin; the increase was statistically significant in the lung (P = 0.038). BaP adduct levels in the skin of individual animals were positively related to skin arsenic concentrations. These results corroborate our in vitro findings and provide a tentative explanation for arsenic and PAH interactions in lung carcinogenesis. C1 Univ Cincinnati, Dept Environm Hlth, Cincinnati, OH 45267 USA. NIOSH, NIRS, EPHB, DART, Cincinnati, OH 45226 USA. Univ Cincinnati, Dept Chem, Cincinnati, OH 45267 USA. RP Talaska, G (reprint author), Univ Cincinnati, Dept Environm Hlth, 3223 Eden Ave, Cincinnati, OH 45267 USA. EM talaskgg@ucmail.uc.edu FU ODCDC CDC HHS [T42/CCT510420] NR 35 TC 36 Z9 36 U1 1 U2 2 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 0143-3334 J9 CARCINOGENESIS JI Carcinogenesis PD APR PY 2004 VL 25 IS 4 BP 493 EP 497 DI 10.1093/carcin/bgg199 PG 5 WC Oncology SC Oncology GA 807EV UT WOS:000220485700004 PM 14578163 ER PT J AU Feldman, DM Baron, SL Bernard, BP Lushniak, BD Banauch, G Arcentales, N Kelly, KJ Prezant, DJ AF Feldman, DM Baron, SL Bernard, BP Lushniak, BD Banauch, G Arcentales, N Kelly, KJ Prezant, DJ TI Symptoms, respirator use, and pulmonary function changes among New York City firefighters responding to the World Trade Center disaster SO CHEST LA English DT Article DE disaster; firefighters; occupational exposure pulmonary function; World Trade Center ID COLLAPSE; COUGH AB Context: New York City firefighters responding to the World Trade Center (WTC) disaster on September 11, 2001, were exposed to numerous hazards. A medical screening program was conducted 3 weeks after the disaster on a sample of firefighters. Objectives: To determine whether arrival time at the WTC and other exposure variables (including respirator use) were associated with symptoms and changes in pulmonary function (after exposure - before exposure). Design: A cross-sectional comparison of firefighters representing the following groups: (1) firefighters who arrived before/during the WTC collapse, (2) firefighters who arrived 1 to 2 days after the collapse, (3) firefighters who arrived 3 to 7 days after the collapse, and (4) unexposed firefighters. Setting: Fire Department of New York City (FDNY) Bureau of Health Services on October 1 to 5, 2001. Population: A stratified random sample of 362 of 398 recruited working firefighters (91%). Of these, 149 firefighters (41%) were present at the WTC collapse, 142 firefighters (39%) arrived after the collapse but within 48 h, 28 firefighters (8%) arrived 3 to 7 days after the collapse, and 43 firefighters (12%) were unexposed. Main outcome measures: New/worsening symptoms involving the eyes, skin, respiratory system, and nose and throat (NT), and changes in spirometry from before to after exposure. Results: During the first 2 weeks at the WTC site, 19% of study firefighters reported not using a respirator; 50% reported using a respirator but only rarely. Prevalence ratios (PRs) for skin, eye, respiratory, and NT symptoms showed a dose-response pattern between exposure groups based on time of arrival at the WTC site, with PRs between 2.6 and 11.4 with 95% confidence intervals (CIs) excluding 1.0 for all but skin symptoms. For those spending > 7 days at the site, the PR for respiratory symptoms was 1.32 (95% CI, 1.13 to 1.55), compared with those who were exposed for < 7 days. Mean spirometry results before and after exposure were within normal limits. The change in spirometry findings (after exposure - before exposure) showed near-equal reductions for FVC and FEV1. These reductions were greater than the annual reductions measured in a referent population of incumbent FDNY firefighters prior to September 11 (p less than or equal to 0.05). There was a 60% increased risk of a decline of greater than or equal to 450 mL in FEV1 in those arriving during the first 48 h compared to the referent (p :5 0.05). Conclusions: The symptoms and pulmonary function changes following exposure at the WTC demonstrate the need for improvements in respirators and their use, as well as long-term medical monitoring of rescue workers. C1 Bur Hlth Serv, New York City Fire Dept, Brooklyn, NY 11201 USA. Ctr Dis Control & Prevent, Natl Inst Occupat Safety & Hlth, Cincinnati, OH USA. Montefiore Med Ctr, Albert Einstein Coll Med, Dept Med, Bronx, NY 10467 USA. Montefiore Med Ctr, Albert Einstein Coll Med, Div Pulm, Bronx, NY 10467 USA. RP Prezant, DJ (reprint author), Bur Hlth Serv, New York City Fire Dept, 9 Metrotech Ctr, Brooklyn, NY 11201 USA. EM prezand@fdny.nyc.gov FU NIOSH CDC HHS [R01-OH07350]; ODCDC CDC HHS [U1Q/CCU221158] NR 8 TC 83 Z9 85 U1 0 U2 3 PU AMER COLL CHEST PHYSICIANS PI NORTHBROOK PA 3300 DUNDEE ROAD, NORTHBROOK, IL 60062-2348 USA SN 0012-3692 J9 CHEST JI Chest PD APR PY 2004 VL 125 IS 4 BP 1256 EP 1264 DI 10.1378/chest.125.4.1256 PG 9 WC Critical Care Medicine; Respiratory System SC General & Internal Medicine; Respiratory System GA 825YB UT WOS:000221793700016 PM 15078732 ER PT J AU Sunenshine, RH Liedtke, LA Jernigan, DB Strausbaugh, LJ AF Sunenshine, RH Liedtke, LA Jernigan, DB Strausbaugh, LJ CA Infect Dis Soc Am Emerging Infect TI Role of infectious diseases consultants in management of antimicrobial use in hospitals SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID ANTIBIOTIC RESTRICTION; RESISTANCE; SUSCEPTIBILITIES; EXPENDITURES; STRATEGIES; KLEBSIELLA; PHYSICIAN; PREVENT; IMPACT; SPREAD AB The Infectious Diseases Society of America Emerging Infections Network (EIN) surveyed its members to characterize antimicrobial restriction policies in their hospitals and the involvement of infectious diseases consultants in this process. Of the 502 respondents (73%), 250 (50%) indicated that their hospital pharmacies would not dispense certain antimicrobials without approval of infectious diseases consultants. Moreover, 89% agreed that infectious diseases consultants need to be directly involved in the approval process. At hospitals with control policies, commonly restricted agents included lipid formulations of amphotericin B, carbapenems, fluoroquinolones, piperacillin-tazobactam, and vancomycin. Only 46 EIN members (18%) reported remuneration of infectious diseases consultants for participation in the approval process. Pediatric infectious diseases consultants were more likely to practice in hospitals with restriction policies than were adult infectious diseases consultants (64% vs. 45%; P<.001). Similarly, teaching hospitals were more likely to have antimicrobial-control policies than were nonteaching facilities ( 60% vs. 17%; P<.001). C1 Oregon Hlth & Sci Univ, Dept Med, Div Infect Dis, Portland, OR USA. Oregon Hlth & Sci Univ, Sch Med, Portland, OR USA. Vet Affairs Med Ctr, Div Hosp & Specialty Med, Res Serv, Portland, OR USA. Vet Affairs Med Ctr, Div Hosp & Specialty Med, Infect Dis Sect, Portland, OR USA. Ctr Dis Control & Prevent, Off Surveillance, Natl Ctr Infect Dis, Atlanta, GA USA. RP Strausbaugh, LJ (reprint author), Vet Affairs Med Ctr, Div Hosp & Specialty Med P3ID, POB 1034, Portland, OR 97207 USA. EM strausba@ohsu.edu FU ODCDC CDC HHS [U50/CCU112346] NR 22 TC 42 Z9 44 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD APR 1 PY 2004 VL 38 IS 7 BP 934 EP 938 DI 10.1086/382358 PG 5 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 805AF UT WOS:000220338500007 PM 15034823 ER PT J AU Igietseme, JU Eko, FO He, Q Bandea, C Black, CM AF Igietseme, JU Eko, FO He, Q Bandea, C Black, CM TI Developing effective delivery systems for Chlamydia vaccines SO CURRENT OPINION IN MOLECULAR THERAPEUTICS LA English DT Review DE adjuvants; Chlamydia; delivery systems; immunity; immunomodulation; vaccine; vectors ID OUTER-MEMBRANE PROTEIN; PELVIC-INFLAMMATORY-DISEASE; PROTECTIVE IMMUNE-RESPONSE; GENITAL-TRACT SECRETIONS; NASAL LYMPHOID-TISSUE; DENDRITIC CELLS; INTRANASAL IMMUNIZATION; TRACHOMATIS INFECTIONS; T-CELLS; LYMPHOGRANULOMA-VENEREUM AB Members of the genus Chlamydia cause a plethora of ocular, genital and respiratory diseases, with severe complications, such as blinding trachoma, pelvic inflammatory disease, ectopic pregnancy and tubal factor infertility, interstitial pneumonia, and chronic diseases that may include atherosclerosis, multiple sclerosis, adult-onset asthma and Alzheimer's disease. The current medical opinion is that an effective prophylactic vaccine would constitute the best approach to protect the human population from the most severe consequences of these infections. There are three essential and mutually inclusive areas of challenge confronting researchers developing Chlamydia vaccines. These are to define the elements of protective immunity and the basis of vaccine evaluation, the judicious selection of an immunogenic and safe antigen(s) to form the basis of a subunit vaccine, and to develop effective delivery systems that boost the immune response to achieve long-lasting protective immunity. The development of delivery vehicles and adjuvants to boost protective long-term immunity against chlamydiae currently poses the greatest challenge in vaccine research. However, enormous progress is being made in the construction of novel delivery systems, such as DNA and plasmid expression systems, viral vectors, and living and non-living bacterial delivery systems, and the use of chemical adjuvants. In addition, there is increasing effort being made in designing delivery strategies involving specific immunomodulatory procedures that modify the cytokine and chemokine environment, upregulate co-stimulatory molecules and target vaccines to specific mucosal sites. These efforts will likely culminate in an efficacious chlamydial vaccine in the near future. C1 Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Morehouse Sch Med, Dept Microbiol & Immunol, Atlanta, GA 30310 USA. RP Igietseme, JU (reprint author), Ctr Dis Control & Prevent, Natl Ctr Infect Dis, 1600 Clifton Rd, Atlanta, GA 30333 USA. EM jigietseme@cdc.gov FU NCRR NIH HHS [RR03034]; NIAID NIH HHS [AI41231]; NIGMS NIH HHS [GM08248] NR 147 TC 4 Z9 8 U1 0 U2 3 PU CURRENT DRUGS LTD PI LONDON PA MIDDLESEX HOUSE, 34-42 CLEVELAND ST, LONDON W1P 6LB, ENGLAND SN 1464-8431 J9 CURR OPIN MOL THER JI Curr. Opin. Mol. Ther. PD APR PY 2004 VL 6 IS 2 BP 182 EP 194 PG 13 WC Biotechnology & Applied Microbiology; Medicine, Research & Experimental SC Biotechnology & Applied Microbiology; Research & Experimental Medicine GA 838UA UT WOS:000222737600011 PM 15195931 ER PT J AU Yang, J Hooper, WC Phillips, DJ Talkington, DF AF Yang, J Hooper, WC Phillips, DJ Talkington, DF TI Cytokines in Mycoplasma pneumoniae infections SO CYTOKINE & GROWTH FACTOR REVIEWS LA English DT Review DE Mycoplasma pneumoniae; mycoplasma; cytokines; pathogenesis ID COMMUNITY-ACQUIRED PNEUMONIA; NECROSIS-FACTOR-ALPHA; BLOOD MONONUCLEAR-CELLS; GAMMA-INTERFERON; EPITHELIAL-CELLS; GENE-EXPRESSION; MURINE MODEL; BRONCHIAL HYPERRESPONSIVENESS; PROINFLAMMATORY CYTOKINES; INFLAMMATORY RESPONSE AB Mycoplasma pneumoniae (M. pneumoniae) is one of the smallest free-living bacteria known. Along with other unique characteristics of this genus, it lacks the typical peptidoglycan cell wall of most eubacteria. Best known for causing tracheobronchitis and atypical pneumonia in humans, this pathogen also causes a number of extrapulmonary syndromes such as meningitis/encephalitis and arthritis. Recent studies also suggest that infection may be associated with chronic conditions such as asthma. Although the mechanisms of M. pneumoniae pathogenesis remain to be elucidated, one important component of M. pneumoniae infections is the induction of proinflammatory and other cytokines in both acute and chronic conditions. In this review, we survey the induction of cytokines by M. pneumoniae in different model systems, and we discuss the possible role of induced cytokines in M. pneumoniae pathogenesis. Published by Elsevier Ltd. C1 CDCP, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Zhejiang Univ, Sch Med, Dept Pathol & Pathophysiol, Hangzhou 310031, Zhejiang, Peoples R China. Zhejiang Univ, Sch Med, Dept Publ Hlth, Hangzhou 310031, Zhejiang, Peoples R China. Zhejiang Univ, Sch Med, Proteom Res Ctr, Hangzhou 310031, Zhejiang, Peoples R China. Ctr Dis Control & Prevent, Div Hereditary Blood Disorders, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA 30333 USA. RP Talkington, DF (reprint author), CDCP, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Mail Stop G03,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM dft1@cdc.gov NR 132 TC 44 Z9 59 U1 0 U2 9 PU ELSEVIER SCI LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, OXON, ENGLAND SN 1359-6101 J9 CYTOKINE GROWTH F R JI Cytokine Growth Factor Rev. PD APR-JUN PY 2004 VL 15 IS 2-3 BP 157 EP 168 DI 10.1016/j.cytogfr.2004.01.001 PG 12 WC Biochemistry & Molecular Biology; Cell Biology SC Biochemistry & Molecular Biology; Cell Biology GA 820JV UT WOS:000221385900009 PM 15110799 ER PT J AU King, RJ Campbell-Lendrum, DH Davies, CR AF King, RJ Campbell-Lendrum, DH Davies, CR TI Predicting geographic variation in cutaneous leishmaniasis, Colombia SO EMERGING INFECTIOUS DISEASES LA English DT Article ID VECTOR-BORNE DISEASES; COFFEE PLANTATIONS; KALA-AZAR; BRAZIL; MODELS; TRANSMISSION; OPPORTUNITIES; VALIDATION; SYSTEMS; FORESTS AB Approximately 6,000 cases of cutaneous leishmaniasis are reported annually in Colombia, a greater than twofold increase since the 1980s. Such reports certainly underestimate true incidence, and their geographic distribution is likely biased by local health service effectiveness. We investigated how well freely available environmental data explain the distribution of cases among 1,079 municipalities. For each municipality, a unique predictive logistic regression model was derived from the association among remaining municipalities between elevation, land cover (preclassified maps derived from satellite images), or both, and the odds of at least one case being reported. Land cover had greater predictive power than elevation; using both datasets improved accuracy. Fitting separate models to different ecologic zones, reflecting transmission cycle diversity, enhanced the accuracy of predictions. We derived measures that can be directly related to disease control decisions and show how results can vary, depending on the threshold selected for predicting a disease-positive municipality. The results identify areas where disease is most likely to be underreported. C1 Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA 30341 USA. London Sch Hyg & Trop Med, London WC1, England. RP King, RJ (reprint author), Ctr Dis Control & Prevent, Div Parasit Dis, 4770 Buford Highway NE, Atlanta, GA 30341 USA. EM rjking@cdc.gov NR 40 TC 33 Z9 37 U1 0 U2 5 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD APR PY 2004 VL 10 IS 4 BP 598 EP 607 PG 10 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 808OO UT WOS:000220578600007 PM 15200848 ER PT J AU Herwaldt, BL de Bruyn, G Pieniazek, NJ Homer, M Lofy, KH Slemenda, SB Fritsche, TR Persing, DH Limaye, AP AF Herwaldt, BL de Bruyn, G Pieniazek, NJ Homer, M Lofy, KH Slemenda, SB Fritsche, TR Persing, DH Limaye, AP TI Babesia divergens-like infection, Washington State SO EMERGING INFECTIOUS DISEASES LA English DT Article ID TRANSFUSION-TRANSMITTED BABESIOSIS; MOLECULAR CHARACTERIZATION; EXCHANGE-TRANSFUSION; UNITED-STATES; PIROPLASM; PARASITE; AZITHROMYCIN; CALIFORNIA; ATOVAQUONE; ODOCOILEI AB Most reported U.S. zoonotic cases of babesiosis have occurred in the Northeast and been caused by Babesia microti. In Washington State, three cases of babesiosis have been reported previously, which were caused by WA1 (for "Washington 1 ")-type parasites. We investigated a case of babesiosis in Washington in an 82-year-old man whose spleen had been removed and whose parasitemia level was 41.4%. The complete 18S ribosomal RNA gene of the parasite was amplified from specimens of his whole blood by polymerase chain reaction. Phylogenetic analysis showed the parasite is most closely related, but not identical, to B. divergens (similarity score, 99.5%), a bovine parasite in Europe. By indirect fluorescent-anti body testing, his serum reacted to B. divergens but not to B. microti or WA1 antigens. This case demonstrates that babesiosis can be caused by novel parasites detectable by manual examination of blood smears but not by serologic or molecular testing for B. microti or WA1 -type parasites. C1 Univ Washington, Med Ctr, Dept Lab Med, Seattle, WA 98195 USA. Univ Washington, Med Ctr, Dept Med, Seattle, WA 98195 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Corixa Corp, Seattle, WA USA. Washington State Univ, Dept Hlth, Olympia, WA USA. RP Limaye, AP (reprint author), Univ Washington, Med Ctr, Dept Lab Med, Box 357110,1959 NE Pacific St, Seattle, WA 98195 USA. EM limaye@u.washington.edu NR 38 TC 51 Z9 53 U1 0 U2 2 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD APR PY 2004 VL 10 IS 4 BP 622 EP 629 PG 8 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 808OO UT WOS:000220578600010 PM 15200851 ER PT J AU Petersen, LR Marshall, SL Barton-Dickson, C Hajjeh, RA Lindsley, MD Warnock, DW Panackal, AA Shaffer, JB Haddadj, MB Fisher, FS Dennis, DT Morgan, J AF Petersen, LR Marshall, SL Barton-Dickson, C Hajjeh, RA Lindsley, MD Warnock, DW Panackal, AA Shaffer, JB Haddadj, MB Fisher, FS Dennis, DT Morgan, J TI Coccidioidomycosis among workers at an archeological site, northeastern Utah SO EMERGING INFECTIOUS DISEASES LA English DT Article ID ENDEMIC COCCIDIOIDOMYCOSIS; NORTHERN-CALIFORNIA; ARCHEOLOGY STUDENTS; OUTBREAK; IMMITIS; EPIDEMIC; COUNTY; STATE; AREA AB In 2001, an outbreak of acute respiratory disease occurred among persons working at a Native American archeological site at Dinosaur National Monument in northeastern Utah. Epidemiologic and environmental investigations were undertaken to determine the cause of the outbreak. A clinical case was defined by the presence of at least two of the following symptoms: self-reported fever, shortness of breath, or cough. Ten workers met the clinical case definition; 9 had serologic confirmation of coccidioidomycosis, and 8 were hospitalized. All 10 were present during sifting of dirt through screens on June 19; symptoms began 9-12 days later (median 10). Coccidioidomycosis also developed in a worker at the site in September 2001. A serosurvey among 40 other Dinosaur National Monument workers did not find serologic evidence of recent infection. This outbreak documents a new endemic focus of coccidioidomycosis, which extends northward its known geographic distribution in Utah by approximately 200 miles. C1 Ctr Dis Control & Prevent, Ft Collins, CO USA. Utah Dept Hlth, Salt Lake City, UT USA. Ctr Dis Control & Prevent, Atlanta, GA USA. TriCounty Hlth Dept, Vernal, UT USA. Univ Arizona, Tucson, AZ USA. RP Petersen, LR (reprint author), Div Vector Borne Infect Dis, POB 2087,Foothills Campus, Ft Collins, CO 80522 USA. EM LRPetersen@cdc.gov OI Panackal, Anil/0000-0001-5524-668X NR 24 TC 33 Z9 33 U1 0 U2 4 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD APR PY 2004 VL 10 IS 4 BP 637 EP 642 PG 6 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 808OO UT WOS:000220578600012 PM 15200853 ER PT J AU Ayisi, JG van Eijk, AM Newman, RD ter Kuile, FO Shi, YP Yang, CF Kolczak, MS Otieno, JA Misore, AO Kager, PA Lal, RB Steketee, RW Nahlen, BL AF Ayisi, JG van Eijk, AM Newman, RD ter Kuile, FO Shi, YP Yang, CF Kolczak, MS Otieno, JA Misore, AO Kager, PA Lal, RB Steketee, RW Nahlen, BL TI Maternal malaria and perinatal HIV transmission, western Kenya SO EMERGING INFECTIOUS DISEASES LA English DT Article; Proceedings Paper CT 49th Annual Epidemic-Intelligence-Service Conference CY APR 24-28, 2001 CL ATLANTA, GA SP Epidem Intelligence Serv ID HUMAN-IMMUNODEFICIENCY-VIRUS; TO-CHILD TRANSMISSION; PLASMODIUM-FALCIPARUM MALARIA; ASYMPTOMATIC PREGNANT-WOMEN; PLACENTAL MALARIA; RISK-FACTORS; INTERVILLOUS BLOOD; COST-EFFECTIVENESS; UGANDAN ADULTS; INFECTION AB To determine whether maternal placental malaria is associated with an increased risk for perinatal mother-to-child HIV transmission (MTCT), we studied HIV-positive women in western Kenya. We enrolled 512 mother-infant pairs; 128 (25.0%) women had placental malaria, and 102 (19.9%) infants acquired HIV perinatally. Log(10) HIV viral load and episiotomy or perineal tear were associated with increased perinatal HIV transmission, whereas low-density placental malaria (<10,000 parasites/muL) was associated with reduced risk (adjusted relative risk [ARR] 0.4). Among women dually infected with malaria and HIV, high-density placental malaria (greater than or equal to10,000 parasites/muL) was associated with increased risk for perinatal MTCT (ARR 2.0), compared to low-density malaria. The interaction between placental malaria and MTCT appears to be variable and complex: placental malaria that is controlled at low density may cause an increase in broad-based immune responses that protect against MTCT;, uncontrolled, high-density malaria may simultaneously disrupt placental architecture and generate substantial antigen stimulus to HIV replication and increase risk for MTCT. C1 Ctr Dis Control & Prevent, Malaria Branch, Atlanta, GA 30341 USA. Kenya Govt Med Res Ctr, Ctr Vector Biol & Control Res, Kisumu, Kenya. Univ Amsterdam, Amsterdam, Netherlands. Minist Hlth, Kisumu, Kenya. WHO, CH-1211 Geneva, Switzerland. RP Newman, RD (reprint author), Ctr Dis Control & Prevent, Malaria Branch, 4770 Buford Highway NE,Mailstop F22, Atlanta, GA 30341 USA. EM ren5@cdc.gov RI Yang, Chunfu/G-6890-2013 NR 48 TC 63 Z9 64 U1 0 U2 0 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD APR PY 2004 VL 10 IS 4 BP 643 EP 652 PG 10 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 808OO UT WOS:000220578600013 PM 15200854 ER PT J AU Mullins, JA Erdman, DD Weinberg, GA Edwards, K Hall, CB Walker, FJ Iwane, M Anderson, LJ AF Mullins, JA Erdman, DD Weinberg, GA Edwards, K Hall, CB Walker, FJ Iwane, M Anderson, LJ TI Human metapneumovirus infection among children hospitalized with acute respiratory illness SO EMERGING INFECTIOUS DISEASES LA English DT Article ID TRACT INFECTIONS; DISEASE; YOUNG; AGE AB Recent studies have associated human metapneumovirus (HMPV) infection in children with respiratory disease of similar severity as respiratory syncytial virus (RSV) infection. We studied 668 banked swab specimens (one per admission) collected from a population-based, prospective study of acute respiratory illness among inpatient children from two U.S. cities. Specimens were tested for HMPV, RSV, influenza, and parainfluenza viruses by reverse transcription-polymerase chain reaction assays. Twenty-six (3.9%) were positive for HMPV; 125 (18.7%) for RSV; 45 (6.7%) for parainfluenza 1, 2, or 3; and 23 (3.4%) for influenza. HIMPV-positive children were significantly older than RSV-positive children. HMPV-positive children required medical intensive care and received supplemental oxygen in similar frequencies to RSV-positive children. Among children hospitalized with respiratory illness, the incidence of HMPV infection was less than RSV, but clinical disease severity mirrored that of RSV infection. Further investigations to better characterize HMPV infection and its clinical effect are needed. C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. Univ Rochester, Sch Med & Dent, Rochester, NY 14627 USA. Vanderbilt Univ, Nashville, TN USA. RP Anderson, LJ (reprint author), Ctr Dis Control & Prevent, 1600 Clifton Rd,Maistop R34, Atlanta, GA 30333 USA. EM LAnderson@cdc.gov FU ODCDC CDC HHS [U38/CCU217969, U38/CCU417958] NR 20 TC 164 Z9 171 U1 1 U2 1 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD APR PY 2004 VL 10 IS 4 BP 700 EP 705 PG 6 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 808OO UT WOS:000220578600022 PM 15200863 ER PT J AU Alfano-Sobsey, EM Eberhard, ML Seed, JR Weber, DJ Won, KY Nace, EK Moe, CL AF Alfano-Sobsey, EM Eberhard, ML Seed, JR Weber, DJ Won, KY Nace, EK Moe, CL TI Human challenge pilot study with Cyclospora cayetanensis SO EMERGING INFECTIOUS DISEASES LA English DT Article ID PARVUM OOCYST INFECTIVITY; TRANSCRIBED SPACER REGION; CRYPTOSPORIDIUM-PARVUM; VARIABILITY AB We describe a pilot study that attempted to infect human volunteers with Cyclospora cayetanensis. Seven healthy volunteers ingested an inoculum of Cyclospora oocysts (approximately 200-49,000 oocysts). The volunteers did not experience symptoms of gastroenteritis, and no oocysts were detected in any stool samples during the 16 weeks volunteers were monitored. C1 Off Publ Hlth Preparedness & Response, Raleigh, NC USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Univ N Carolina, Chapel Hill, NC USA. Emory Univ, Atlanta, GA 30322 USA. RP Alfano-Sobsey, EM (reprint author), Durham Cty Hlth Dept, 414 E Main St, Durham, NC 27701 USA. EM ealfano@ph.co.durham.nc.us RI Moe, Christine/G-6118-2012 FU NCRR NIH HHS [M01 RR000046, RR00046] NR 15 TC 18 Z9 23 U1 0 U2 3 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD APR PY 2004 VL 10 IS 4 BP 726 EP 728 PG 3 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 808OO UT WOS:000220578600029 PM 15200870 ER PT J AU Perera, FP Rauh, V Whyatt, RM Tsai, WY Bernert, JT Tu, YH Andrews, H Ramirez, J Qu, LR Tang, DL AF Perera, FP Rauh, V Whyatt, RM Tsai, WY Bernert, JT Tu, YH Andrews, H Ramirez, J Qu, LR Tang, DL TI Molecular evidence of an interaction between prenatal environmental exposures and birth outcomes in a multiethnic population SO ENVIRONMENTAL HEALTH PERSPECTIVES LA English DT Article DE adducts; birth outcomes; development; environmental; ETS; PAHs; pollutants; prenatal ID POLYCYCLIC AROMATIC-HYDROCARBONS; TANDEM MASS-SPECTROMETRY; TOBACCO-SMOKE; SERUM COTININE; AIR-POLLUTION; DNA-ADDUCTS; WEIGHT; CHILDREN; BENZO(A)PYRENE; PREGNANCY AB Inner-city, minority populations are high-risk groups for adverse birth outcomes and also are more likely to be exposed to environmental contaminants, including environmental tobacco smoke (ETS), benzo[a]pyrene (BaP), and other polycyclic aromatic hydrocarbons (PAHs) found in urban air. In a sample of nonsmoking African-American and Dominican women, we evaluated the effects on birth outcomes of prenatal exposure to ETS, using questionnaire data and plasma cotinine as a biomarker of exposure, and environmental PAHs using BaP-DNA adducts as a molecular dosimeter. We previously reported that among African Americans, high prenatal exposure to PAHs estimated by prenatal personal air monitoring was associated with lower birth weight (p = 0.003) and smaller head circumference (p = 0.01) after adjusting for potential confounders. In the present analysis, self-reported ETS was associated with decreased head circumference (p = 0.04). BaP-DNA adducts were not correlated with ETS or dietary PAHs. There was no main effect of BaP-DNA adducts on birth outcomes. However, there was a significant interaction between the two pollutants such that the combined exposure to high ETS and high adducts had a significant multiplicative effect on birth weight (p = 0.04) and head circumference (p = 0.01) after adjusting for ethnicity, sex of newborns, maternal body mass index, dietary PAHs, and gestational age. This study provides evidence that combined exposure to environmental pollutants at levels currently encountered in New York City adversely affects fetal development. C1 Columbia Univ, Ctr Childrens Environm Hlth, Mailman Sch Publ Hlth, New York, NY 10032 USA. Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Div Sci Lab, Atlanta, GA USA. RP Perera, FP (reprint author), Columbia Univ, Ctr Childrens Environm Hlth, Mailman Sch Publ Hlth, 60 Haven Ave,B-109, New York, NY 10032 USA. EM Fpp1@columbia.edu FU NCRR NIH HHS [RR 00065]; NIEHS NIH HHS [R01 ES 012468, 5R01 ES 08977, P01 ES009600, P50 ES 09600, R01 ES 10565, R01 ES 111158, R01 ES008977, R01 ES010165] NR 51 TC 79 Z9 86 U1 1 U2 6 PU US DEPT HEALTH HUMAN SCIENCES PUBLIC HEALTH SCIENCE PI RES TRIANGLE PK PA NATL INST HEALTH, NATL INST ENVIRONMENTAL HEALTH SCIENCES, PO BOX 12233, RES TRIANGLE PK, NC 27709-2233 USA SN 0091-6765 J9 ENVIRON HEALTH PERSP JI Environ. Health Perspect. PD APR PY 2004 VL 112 IS 5 BP 626 EP 630 DI 10.1289/ehp.6617 PG 5 WC Environmental Sciences; Public, Environmental & Occupational Health; Toxicology SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health; Toxicology GA 811KI UT WOS:000220770400053 PM 15064172 ER PT J AU Srikantiah, P Lay, JC Hand, S Crump, JA Campbell, J Van Duyne, MS Bishop, R Middendor, R Currier, M Mead, PS Molbak, K AF Srikantiah, P Lay, JC Hand, S Crump, JA Campbell, J Van Duyne, MS Bishop, R Middendor, R Currier, M Mead, PS Molbak, K TI Salmonella enterica serotype Javiana infections associated with amphibian contact, Mississippi, 2001 SO EPIDEMIOLOGY AND INFECTION LA English DT Article ID COLI O157 INFECTION; ESCHERICHIA-COLI; UNITED-STATES; OUTBREAK; CHILDREN; FROGS; RISK; ENVIRONMENT AB Salmonella Javiana is a Salmonella serotype that is restricted geographically in the United States to the Southeast. During the summer of 2001, the number of reported S. Javiana infections in Mississippi increased sevenfold. To identify sources of infection, we conducted a case-control study, defining a case as an infection with S. Javiana between August and September in a Mississippi resident. We enrolled 55 cases and 109 controls. Thirty (55%) case patients reported exposure to amphibians, defined as owning, touching, or seeing an amphibian on one's property, compared with 30 (29%) controls (matched odds ratio 2.8, P = 0.006). Contact with amphibians and their environments may be a risk factor for human infection with S. Javiana. The geographic pattern of S. Javiana infections in the United States mimics the distribution of certain amphibian species in the Southeast. Public health officials should consider amphibians as potential sources of salmonellosis, and promote hand washing after contact with amphibians. C1 Ctr Dis Control & Prevent, Epidem Intelligence Serv, Div Appl Publ Hlth Training, Epidemiol Program Off, Atlanta, GA USA. Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Natl Ctr Infect Dis, Atlanta, GA USA. Ctr Dis Control & Prevent, Biostat & Informat Branch, Natl Ctr Infect Dis, Atlanta, GA USA. Mississippi Dept Hlth, Jackson, MS USA. Statens Serum Inst, DK-2300 Copenhagen, Denmark. RP Mead, PS (reprint author), Ctr Dis Control & Prevent, Bacterial Zoonoses Branch, Div Vector Borne Infect Dis, Natl Ctr Infect Dis, POB 2087, Ft Collins, CO 80522 USA. NR 34 TC 24 Z9 24 U1 3 U2 8 PU CAMBRIDGE UNIV PRESS PI NEW YORK PA 40 WEST 20TH ST, NEW YORK, NY 10011-4211 USA SN 0950-2688 J9 EPIDEMIOL INFECT JI Epidemiol. Infect. PD APR PY 2004 VL 132 IS 2 BP 273 EP 281 DI 10.1017/S0950268803001638 PG 9 WC Public, Environmental & Occupational Health; Infectious Diseases SC Public, Environmental & Occupational Health; Infectious Diseases GA 813RD UT WOS:000220923300014 PM 15061502 ER PT J AU Newton, R Bousarghin, L Ziegler, J Casabonne, D Beral, V Mbidde, E Carpenter, L Parkin, DM Wabinga, H Mbulaiteye, S Jaffe, H Touze, A Coursaget, P AF Newton, R Bousarghin, L Ziegler, J Casabonne, D Beral, V Mbidde, E Carpenter, L Parkin, DM Wabinga, H Mbulaiteye, S Jaffe, H Touze, A Coursaget, P CA Uganda Kapposi's Sarcoma Study Grp TI Human papillomaviruses and cancer in Uganda SO EUROPEAN JOURNAL OF CANCER PREVENTION LA English DT Article DE cancer; human papillomavirus (HPV); Uganda ID VIRUS-LIKE PARTICLES; CERVICAL INTRAEPITHELIAL NEOPLASIA; NESTED CASE-CONTROL; PENILE CARCINOMAS; IMMUNE-RESPONSES; KAPOSIS-SARCOMA; RISK-FACTORS; HPV DNA; IN-SITU; TYPE-16 AB In a case-control study in Uganda, we examined associations between different cancer sites or types in relation to antibodies against human papillomaviruses (HPV)-16, -18 and -45. For each cancer site or type, the control group comprised all other cancers excluding those known, or thought to be associated with HPV infection (cancers of the uterine cervix, penis and eye). Among controls the seroprevalence of antibodies was 11% (68/616) against HPV-16, 5% (29/605) against HPV-18 and 6% (35/605) against HPV-45. Antibodies against HPV-16 were significantly associated with only two cancers: uterine cervix [prevalence of antibodies 27% (51/191); odds ratio (OR) 2.0, 95% confidence interval (CI) 1.2-3.1, P = 0.01] and penis [prevalence of antibodies 27% (4/15); OR 6.4, 95% Cl 1.7-24.3, P = 0.01]. For both cancers, the risk increased with increasing anti-HPV-16 antibody titre (P-trend = 0.01 for each). No cancer site or type was significantly associated with antibodies against HPV-18 and -45. (C) 2004 Lippincott Williams Wilkins. C1 Radcliffe Infirm, Epidemiol Unit, Canc Res UK, Oxford OX2 6HE, England. Fac Pharm, INSERM, EMIU 0010, Virol Lab, Tours, France. Fac Pharm, USC, INRA, Tours, France. Makerere Univ, Sch Med, Kampala, Uganda. Uganda Virus Res Inst, MRC Programme AIDS, Entebbe, Uganda. Int Agcy Res Canc, Lyon, France. Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Newton, R (reprint author), Radcliffe Infirm, Epidemiol Unit, Canc Res UK, Oxford OX2 6HE, England. EM Rob.Newton@cancer.org.uk RI Beral, Valerie/B-2979-2013; Casabonne, Delphine/H-6425-2014 NR 39 TC 15 Z9 15 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0959-8278 J9 EUR J CANCER PREV JI Eur. J. Cancer Prev. PD APR PY 2004 VL 13 IS 2 BP 113 EP 118 PG 6 WC Oncology SC Oncology GA 815ND UT WOS:000221048100004 PM 15100577 ER PT J AU Jack, L Boseman, L Vinicor, F AF Jack, L Boseman, L Vinicor, F TI Aging Americans and diabetes SO GERIATRICS LA English DT Article ID SELF-MANAGEMENT; US ADULTS; HEALTH; INTERVENTION; DISABILITY; EDUCATION AB Aging Americans experience normal age-related physiological changes and an increased burden of diabetes will require a public health and clinical response. This article discusses how the Division of Diabetes Translation (DDT) at the Centers for Disease Control Prevention (CDC) translates scientific findings into public health practice and introduces a 4-article series written by DDT and external partners that provides an overview of diabetes treatment guidelines among the aging; the role of psychosocial process in diabetes management; implementation of diabetes treatment guidelines; and identifying resources for patient education. C1 Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Diabet Translat, Program Dev Branch,Community Intervent Sect, Atlanta, GA 30333 USA. RP Jack, L (reprint author), Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Diabet Translat, Program Dev Branch,Community Intervent Sect, Atlanta, GA 30333 USA. NR 19 TC 16 Z9 16 U1 0 U2 0 PU ADVANSTAR COMMUNICATIONS PI DULUTH PA 131 W FIRST ST, DULUTH, MN 55802 USA SN 0016-867X J9 GERIATRICS JI Geriatrics PD APR PY 2004 VL 59 IS 4 BP 14 EP 17 PG 12 WC Geriatrics & Gerontology SC Geriatrics & Gerontology GA 811TE UT WOS:000220793400006 PM 15086069 ER PT J AU Olson, DE Norris, SL AF Olson, DE Norris, SL TI Diabetes in older adults SO GERIATRICS LA English DT Article DE diabetes; guidelines; geriatrics; evidence base ID BLOOD-PRESSURE; MELLITUS; HEALTH; COMPLICATIONS; OUTCOMES; GLUCOSE; POPULATION; VETERANS; TRIAL AB The recent published guidelines from the California Healthcare Foundation/American Geriatrics Society Panel on improving Care for Elders with Diabetes provide recommendations that should help improve care in that population. This paper will summarize the guidelines and indicate which recommendations are evidence-based and which are based on expert opinion, as some aspects of the guidelines have not been examined in controlled clinical trials. Practitioners need to apply approaches to care that consider level function and the patient's and family's wishes and values. C1 Emory Univ, Sch Med, Div Endocrinol & Metab, Atlanta, GA 30322 USA. Vet Affairs Med Ctr, Atlanta, GA 30033 USA. Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Diabet Translat, Atlanta, GA USA. RP Olson, DE (reprint author), Emory Univ, Sch Med, Div Endocrinol & Metab, Atlanta, GA 30322 USA. NR 24 TC 18 Z9 18 U1 0 U2 0 PU ADVANSTAR COMMUNICATIONS PI DULUTH PA 131 W FIRST ST, DULUTH, MN 55802 USA SN 0016-867X J9 GERIATRICS JI Geriatrics PD APR PY 2004 VL 59 IS 4 BP 18 EP 24 PG 7 WC Geriatrics & Gerontology SC Geriatrics & Gerontology GA 811TE UT WOS:000220793400007 PM 15086070 ER PT J AU Kirkpatrick, B Fleming, LE Squicciarini, D Backer, LC Clark, R Abraham, W Benson, J Cheng, YS Johnson, D Pierce, R Zaias, J Bossart, GD Baden, DG AF Kirkpatrick, B Fleming, LE Squicciarini, D Backer, LC Clark, R Abraham, W Benson, J Cheng, YS Johnson, D Pierce, R Zaias, J Bossart, GD Baden, DG TI Literature review of Florida red tide: implications for human health effects SO HARMFUL ALGAE LA English DT Review DE Florida red tide; red tide; neurotoxic shellfish poisoning; NSP; brevetoxins; harmful algal bloom; HAB; karenia brevis; shellfish poisoning; respiratory irritation; marine toxin diseases ID NEUROTOXIC SHELLFISH TOXINS; FORMERLY GYMNODINIUM-BREVE; SENSITIVE SODIUM-CHANNELS; RAT-BRAIN SYNAPTOSOMES; MARINE ALGAL TOXINS; PTYCHODISCUS-BREVIS; NEW-ZEALAND; DINOFLAGELLATE TOXINS; CRASSOSTREA-GIGAS; MOUSE BIOASSAY AB Florida red tides are a natural phenomenon caused by dense aggregations of single cell or several species Of unicellular organisms. Patches of discolored water, dead or dying fish, and respiratory irritants in the air often characterize these algal blooms. In humans, two distinct clinical entities, depending on the route of exposure, are associated with exposure to the Florida red tide toxins (particularly the brevetoxins). With the ingestion of brevetoxin-contaminated shellfish, neurotoxic shellfish poisoning (NSP) presents as a milder gastroenteritis with neurologic symptoms compared with other marine toxin diseases such as paralytic shellfish poisoning (PSP) or ciguatera fish poisoning. With the inhalation of the aerosolized red tide toxins (especially the brevetoxins) from the sea spray, respiratory irritation and possibly other health effects are reported in both humans and other mammals [Nat. Toxins Drugs (1995) 141; Fleming, L.E., Baden, D.G., 1988. Neurotoxic shellfish poisoning: public health and human health effects. White Paper for the Proceedings of the Texas Conference on Neurotoxic Shellfish Poisoning. In: Proceedings of the Texas NSP Conference, Corpus Christi, TX, pp. 27-34; Travel Med, 2 (10) (1998b) 1: Travel Med. 3 (10) (1999a) 1; Toxins Pathol. 26 (2) (1998) 276; J. Allergy Clin. Imunol. 69 (1982) 418; Arch. Intern. Med. 149 (1989) 1735; Toxicon 24 (1986) 955; Florida Med. J. 60 (11) (1773) 27; J. Nat. Toxins 4 (1995) 181; J. Nat. Toxins 4 (1995) 18 1: Sci. Ani. 271 (4) (1994) 62]. This paper reviews the literature on the known and possible human health effects of exposure to the Florida red tides and their toxins. The review includes discussion of the red tide organisms and their toxins, as well as the effects of these toxins on both wild and laboratory animals as they relate to possible human health effects and exposures. (C) 2004 Elsevier B.V. All rights reserved. C1 Mote Marine Lab, Sarasota, FL 34236 USA. Univ Miami, NIEHS, Marine & Freshwater Biomed Sci Ctr, Miami, FL 33149 USA. Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA 30333 USA. Florida Dept Hlth, Tallahassee, FL 32399 USA. Lovelace Resp Inst, Albuquerque, NM 87108 USA. Univ N Carolina, Ctr Marine Sci, Wilmington, NC 28409 USA. RP Kirkpatrick, B (reprint author), Mote Marine Lab, 1600 Ken Thompson Pkwy, Sarasota, FL 34236 USA. EM bkirkpat@mote.org FU NIEHS NIH HHS [P01 ES010594, P01 ES010594-04] NR 147 TC 180 Z9 185 U1 11 U2 73 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 1568-9883 J9 HARMFUL ALGAE JI Harmful Algae PD APR PY 2004 VL 3 IS 2 BP 99 EP 115 DI 10.1016/j.hal.2003.08.005 PG 17 WC Marine & Freshwater Biology SC Marine & Freshwater Biology GA 813RY UT WOS:000220925400001 PM 20411030 ER PT J AU Green, LW AF Green, LW TI Introduction of Albert Bandura to receive the Healthtrac Foundation Health Education Award and to present the Healthtrac Lecture at SOPHE Annual Conference SO HEALTH EDUCATION & BEHAVIOR LA English DT Biographical-Item C1 US Dept HHS, Ctr Dis Control & Prevent, Publ Hlth Practice Program Off, Off Sci & Extramural Res, Atlanta, GA 30341 USA. RP Green, LW (reprint author), US Dept HHS, Ctr Dis Control & Prevent, Publ Hlth Practice Program Off, Off Sci & Extramural Res, Mail Stop K-36,4770 Bufford Highway,NE, Atlanta, GA 30341 USA. EM lgreen@cdc.gov NR 1 TC 0 Z9 0 U1 1 U2 3 PU SAGE PUBLICATIONS INC PI THOUSAND OAKS PA 2455 TELLER RD, THOUSAND OAKS, CA 91320 USA SN 1090-1981 J9 HEALTH EDUC BEHAV JI Health Educ. Behav. PD APR PY 2004 VL 31 IS 2 BP 141 EP 142 DI 10.1177/1090198104263659 PG 2 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 804KF UT WOS:000220296900001 ER PT J AU Lytle, LA Murray, DM Perry, CL Story, M Birnbaum, AS Kubik, MY Varnell, S AF Lytle, LA Murray, DM Perry, CL Story, M Birnbaum, AS Kubik, MY Varnell, S TI School-based approaches to affect adolescents' diets: Results from the TEENS study SO HEALTH EDUCATION & BEHAVIOR LA English DT Article DE adolescent; nutrition; dietary behaviors; middle schools ID YOUNG ADOLESCENTS; UNITED-STATES; VEGETABLE CONSUMPTION; CARDIOVASCULAR HEALTH; NUTRITION EDUCATION; PHYSICAL-ACTIVITY; US CHILDREN; FRUIT; INTERVENTION; MINNESOTA AB This article reports on the outcomes of the Teens Eating for Energy and Nutrition at School (TEENS) study, a 2-year intervention study conducted in 16 middle schools with a goal of increasing students' intakes of fruits, vegetables, and lower fat foods. Despite positive interim results for students randomized to intervention schools, the positive effects of the intervention were not seen for the primary outcomes at the end of the 2nd year. Positive effects were seen only for a food choice score (suggesting that the students usually choose lower versus higher fat foods) and not for measures of food intake. Future studies may need to take a step back toward more controlled efficacy studies in working with this age-group. In addition, future work may consider the use of peer leaders, more intensive teacher training, ongoing formative assessment, and the testing of more powerful environmental change intervention strategies. C1 Univ Minnesota, Div Epidemiol, Minneapolis, MN 55454 USA. Univ Memphis, Dept Psychol, Memphis, TN 38152 USA. Cornell Univ, Weill Med Ctr, Dept Publ Hlth, New York, NY 10021 USA. Univ Minnesota, Sch Nursing, Minneapolis, MN 55454 USA. Ctr Dis Control & Prevent, Epidemiol Branch, Div HIV AIDS Prevent, Atlanta, GA USA. RP Lytle, LA (reprint author), Univ Minnesota, Div Epidemiol, 1300 S 2nd St,Suite 300, Minneapolis, MN 55454 USA. EM lytle@epi.umn.edu FU NCI NIH HHS [5R01 CA71943-03] NR 46 TC 81 Z9 81 U1 1 U2 13 PU SAGE PUBLICATIONS INC PI THOUSAND OAKS PA 2455 TELLER RD, THOUSAND OAKS, CA 91320 USA SN 1090-1981 J9 HEALTH EDUC BEHAV JI Health Educ. Behav. PD APR PY 2004 VL 31 IS 2 BP 270 EP 287 DI 10.1177/1090198103260635 PG 18 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 804KF UT WOS:000220296900010 PM 15090126 ER PT J AU Schieve, LA Reynolds, MA AF Schieve, LA Reynolds, MA TI What is the most relevant standard of success in assisted reproduction? Challenges in measuring and reporting success rates for assisted reproductive technology treatments: What is optimal? SO HUMAN REPRODUCTION LA English DT Article DE assisted reproduction; live birth; singleton birth; success rates ID IN-VITRO FERTILIZATION; MULTIPLE-BIRTH RISK; PRETERM BIRTH; PERINATAL HEALTH; CHILDREN BORN; PREGNANCIES; SINGLETON; IVF; MALFORMATIONS; GESTATION AB For assisted reproductive technology (ART) treatments, measures of success that move beyond traditional measures of pregnancy and live birth and narrow the numerator to infant outcomes with an optimal short- and long-term prognosis are needed. Hence, presentation of singleton live birth delivery rates is warranted. Twins have greatly increased risks for morbidity and mortality in comparison with singletons. Success rates based on singleton live births will more completely inform patients evaluating which ART treatment options will maximize their chance for a healthy infant. Additionally, providers who limit embryos transferred can feel they are on an even playing field in reporting their success rates. Measures of success that narrow the numerator further to exclude preterm or low birth weight singleton births might also be informative. However, the utility of such measures is less clear because the aetiologies of preterm birth and low birth weight among singletons are probably multifactorial. While it may be desirable to consider adverse outcomes such as congenital anomalies in defining treatment success, it is unfeasible to collect complete and accurate data on anomalies in current ART registries. As ART use increases, continual re-examination and critique of the manner in which success is defined and presented to the public is critical. C1 Ctr Dis Control & Prevent, Div Reprod Hlth, Atlanta, GA 30341 USA. RP Schieve, LA (reprint author), Ctr Dis Control & Prevent, Div Reprod Hlth, Mailstop K-34,4770 Buford Highway NE, Atlanta, GA 30341 USA. EM lschieve@cdc.gov NR 43 TC 19 Z9 24 U1 0 U2 0 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 0268-1161 J9 HUM REPROD JI Hum. Reprod. PD APR PY 2004 VL 19 IS 4 BP 778 EP 782 DI 10.1093/humrep/deh160 PG 5 WC Obstetrics & Gynecology; Reproductive Biology SC Obstetrics & Gynecology; Reproductive Biology GA 807FG UT WOS:000220486800005 PM 15033946 ER PT J AU Sehulster, LM AF Sehulster, LM TI Prion inactivation and medical instrument reprocessing: Challenges facing healthcare facilities SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY LA English DT Editorial Material ID CREUTZFELDT-JAKOB-DISEASE; TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES; SCRAPIE AGENT; STEEL-SURFACE; VARIANT; INFECTIVITY C1 Ctr Dis Control & Prevent, DHQP, Epidemiol & Lab Branch, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Sehulster, LM (reprint author), Ctr Dis Control & Prevent, DHQP, Epidemiol & Lab Branch, Natl Ctr Infect Dis, Mailstop A-35,1600 Clifton Rd NE, Atlanta, GA 30333 USA. NR 29 TC 13 Z9 13 U1 0 U2 1 PU SLACK INC PI THOROFARE PA 6900 GROVE RD, THOROFARE, NJ 08086 USA SN 0899-823X J9 INFECT CONT HOSP EP JI Infect. Control Hosp. Epidemiol. PD APR PY 2004 VL 25 IS 4 BP 276 EP 279 DI 10.1086/502391 PG 4 WC Public, Environmental & Occupational Health; Infectious Diseases SC Public, Environmental & Occupational Health; Infectious Diseases GA 811SM UT WOS:000220791600001 PM 15108722 ER PT J AU Binder, S Runge, JW AF Binder, S Runge, JW TI Road safety and public health: a US perspective and the global challenge SO INJURY PREVENTION LA English DT Editorial Material C1 Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, US Dept HHS, Atlanta, GA 30333 USA. Natl Highway Traff Safety Adm US, US Dept Transportat, Washington, DC 20590 USA. RP Binder, S (reprint author), Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, US Dept HHS, Atlanta, GA 30333 USA. EM scb1@cdc.gov NR 7 TC 1 Z9 1 U1 0 U2 0 PU B M J PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 1353-8047 J9 INJURY PREV JI Inj. Prev. PD APR PY 2004 VL 10 IS 2 BP 68 EP 69 DI 10.1136/ip.2004.005496 PG 2 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 820AX UT WOS:000221359900003 PM 15066966 ER PT J AU Strife, BJ Paulozzi, L AF Strife, BJ Paulozzi, L TI To make further progress against carbon monoxide poisoning, focus on motor vehicles SO INJURY PREVENTION LA English DT Editorial Material ID UNITED-STATES; SUICIDE; PREVENTION; INJURIES; EXHAUST C1 CDCP, Natl Ctr Injury Prevent & Control, Div Violence Prevent, Atlanta, GA 30341 USA. RP Paulozzi, L (reprint author), CDCP, Natl Ctr Injury Prevent & Control, Div Violence Prevent, 4770 Buford Highway NE,Mailstop K60, Atlanta, GA 30341 USA. EM lpaulozzi@cdc.gov NR 17 TC 1 Z9 1 U1 0 U2 1 PU B M J PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 1353-8047 J9 INJURY PREV JI Inj. Prev. PD APR PY 2004 VL 10 IS 2 BP 74 EP 75 DI 10.1136/ip.2003.004432 PG 2 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 820AX UT WOS:000221359900006 PM 15066969 ER PT J AU McDonald, LC Lauderdale, TL Shiau, YR Chen, PC Lai, JF Wang, HY Ho, M AF McDonald, LC Lauderdale, TL Shiau, YR Chen, PC Lai, JF Wang, HY Ho, M CA TSAR Participating Hospitals TI The status of antimicrobial resistance in Taiwan among gram-positive pathogens: the Taiwan Surveillance of Antimicrobial Resistance (TSAR) programme, 2000 SO INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS LA English DT Article DE grain-positive bacteria; antimicrobial; antibiotic resistance in Taiwan ID BLOOD-STREAM INFECTIONS; STAPHYLOCOCCUS-AUREUS; METHICILLIN-RESISTANT; UNITED-STATES; QUINUPRISTIN-DALFOPRISTIN; STREPTOCOCCUS-PNEUMONIAE; ANTIBIOTIC-RESISTANCE; HIGH PREVALENCE; ASIAN NETWORK; LATIN-AMERICA AB In the Taiwan Surveillance of Antimicrobial Resistance programme, isolates were collected from 21 hospitals over a 3-month period in 2000 (TSAR 11) and rates of resistance in Gram-positive pathogens were determined. Resistance rates were high including oxacillin resistance in Staphylococcus aureus (60%) and coagulase-negative staphylococci (80%), high-level gentamicin resistance (HLGR) in Enterococcus faecalis (60%) and penicillin non-susceptibility in Streptococcus pneumoniae (69%). Oxacillin resistance had increased from 1998 (TSAR 1) and may be spreading into outpatient settings. In contrast, less than 2% enterococci were vancomycin-resistant. No linezolid resistance was found in either staphylococci or enterococci. (C) 2004 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved. C1 Natl Hlth Res Inst, Div Clin Res, Sect 2, Taipei 115, Taiwan. Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA USA. RP Lauderdale, TL (reprint author), Natl Hlth Res Inst, Div Clin Res, Sect 2, 128,Yen Chiu Yuan Rd, Taipei 115, Taiwan. EM lauderdale@nhri.org.tw RI Lauderdale, Tsai-Ling/B-2660-2010 NR 42 TC 34 Z9 38 U1 0 U2 1 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 0924-8579 J9 INT J ANTIMICROB AG JI Int. J. Antimicrob. Agents PD APR PY 2004 VL 23 IS 4 BP 362 EP 370 DI 10.1016/j.ijantimicag.2003.09.021 PG 9 WC Infectious Diseases; Microbiology; Pharmacology & Pharmacy SC Infectious Diseases; Microbiology; Pharmacology & Pharmacy GA 818AL UT WOS:000221217900008 PM 15081085 ER PT J AU Marano, N Plikaytis, B AF Marano, N Plikaytis, B TI Commentary: Strategic surveillance-key to attainment of leprosy control and elimination goals at the local level SO INTERNATIONAL JOURNAL OF EPIDEMIOLOGY LA English DT Editorial Material C1 Ctr Dis Control & Prevent, Meningitis & Special Pathogens Branch, Atlanta, GA 30333 USA. RP Marano, N (reprint author), Ctr Dis Control & Prevent, Meningitis & Special Pathogens Branch, 1600 Clifton Rd Mailstop C-09, Atlanta, GA 30333 USA. EM nbm8@cdc.gov NR 12 TC 0 Z9 0 U1 0 U2 1 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 0300-5771 J9 INT J EPIDEMIOL JI Int. J. Epidemiol. PD APR PY 2004 VL 33 IS 2 BP 349 EP 350 DI 10.1093/ije/dyh085 PG 2 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 813HB UT WOS:000220897100022 PM 15082638 ER PT J AU Schulte-Spechtel, U Lehnert, G Liegl, G Fingerle, V Heimerl, C Johnson, B Wilske, B AF Schulte-Spechtel, U Lehnert, G Liegl, G Fingerle, V Heimerl, C Johnson, B Wilske, B TI Significant improvement of the recombinant Borrefia IgG immunoblot for serodiagnosis of early neuroborreliosis SO INTERNATIONAL JOURNAL OF MEDICAL MICROBIOLOGY LA English DT Meeting Abstract CT 7th International Potsdam Symposium on Tick-Borne Diseases (IPS VII) CY MAR 13-14, 2003 CL Berlin, GERMANY DE neuroborreliosis; recombinant immunoblot; diagnostics; IgG ID BORRELIA-BURGDORFERI; VLSE C1 Ctr Dis Control & Prevent, Div Vector Borne Infect Dis, Ft Collins, CO USA. Max Von Pettenkofer Inst, Natl Reference Ctr Borreliae, Munich, Germany. EM Spechtel@m3401.mpk.med.uni-muenchen.de NR 6 TC 2 Z9 2 U1 0 U2 0 PU URBAN & FISCHER VERLAG PI JENA PA BRANCH OFFICE JENA, P O BOX 100537, D-07705 JENA, GERMANY SN 1438-4221 J9 INT J MED MICROBIOL JI Int. J. Med. Microbiol. PD APR PY 2004 VL 293 SU 37 BP 158 EP 160 DI 10.1016/S1433-1128(04)80030-5 PG 3 WC Microbiology; Virology SC Microbiology; Virology GA 823UB UT WOS:000221637700030 PM 15146999 ER PT J AU Talbot, EA Halabi, S Manchanda, R Mwansa, RA Wells, CD AF Talbot, EA Halabi, S Manchanda, R Mwansa, RA Wells, CD TI Knowledge, attitudes, and beliefs about directly-administered antiretroviral therapy among tuberculosis patients, Botswana 2002 SO INTERNATIONAL JOURNAL OF STD & AIDS LA English DT Letter C1 Ctr Dis Control & Prevent, BOTUSA Project, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Div TB Eliminat, Atlanta, GA 30333 USA. Minist Hlth, Gaborone, Botswana. RP Wells, CD (reprint author), Ctr Dis Control & Prevent, BOTUSA Project, 1600 Clifton Rd MS E-10, Atlanta, GA 30333 USA. EM CCW2@cdc.gov NR 5 TC 1 Z9 2 U1 0 U2 0 PU ROYAL SOC MEDICINE PRESS LTD PI LONDON PA 1 WIMPOLE STREET, LONDON W1G 0AE, ENGLAND SN 0956-4624 J9 INT J STD AIDS JI Int. J. STD AIDS PD APR PY 2004 VL 15 IS 4 BP 282 EP 283 DI 10.1258/095646204773557884 PG 2 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 816AT UT WOS:000221083500016 PM 15075029 ER PT J AU Wiktor, SZ Abouya, L Angoran, H McFarland, J Sassan-Morokro, M Tossou, O Coulibaly, D Coulibaly, IM Greenberg, AE AF Wiktor, SZ Abouya, L Angoran, H McFarland, J Sassan-Morokro, M Tossou, O Coulibaly, D Coulibaly, IM Greenberg, AE TI Effect of an HIV counseling and testing program on AIDS-related knowledge and practices in tuberculosis clinics in Abidjan, Cote d'Ivoire SO INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE LA English DT Article DE HIV testing; tuberculosis; counseling; Cote d'Ivoire; Africa ID HUMAN-IMMUNODEFICIENCY-VIRUS; RANDOMIZED CONTROLLED-TRIAL; TRIMETHOPRIM-SULFAMETHOXAZOLE; EFFICACY; AFRICA; BEHAVIOR; IMPACT AB SETTING: Two out-patient tuberculosis treatment centers, Abidjan, Cote d'Ivoire. OBJECTIVE: To assess the effect of a human immunodeficiency virus (HIV) counseling and testing program on acquired immune-deficiency syndrome (AIDS) related knowledge and behaviors among persons with newly diagnosed tuberculosis. DESIGN: Since 1994, patients with newly diagnosed tuberculosis have received individual or group HIV pretest counseling, informed consent, free HIV testing for those who consent, and post test counseling. From January 1995 through August 1996 in Abidjan's two largest tuberculosis clinics, knowledge and beliefs about HIV/ AIDS were assessed before and immediately after the group pretest sessions, and again 4 months later. RESULTS: Prior to pretest counseling, 68.9% and 68.0% of the 559 enrolled subjects could correctly identify five modes of HIV transmission and five modes of HIV prevention. These proportions increased significantly immediately after pretest counseling (90.0%, 86.6%, respectively), and remained higher 4 months later (83.7%, 87.7%) (all P < 0.01). Among men, consistent condom use during the preceding 4 months with a partner who was not a commercial sex worker increased from 9.9% at enrollment to 23.6% at the 4-month visit (P = 0.001), but not for women (6.3% vs. 9.5%, P = 0.40). CONCLUSIONS: An HIV pretest counseling program conducted in an out-patient tuberculosis clinic was well accepted, and significantly increased the level of HIV/ AIDS knowledge and, among men, self-reported condom use. C1 CDCP, Global AIDS Program, Natl Ctr HIV STD & TB Prevent, Atlanta, GA 30333 USA. Projet RETRO CI, Abidjan, Cote Ivoire. Natl AIDS STD TB Control Program, Abidjan, Cote Ivoire. RP Wiktor, SZ (reprint author), CDCP, Global AIDS Program, Natl Ctr HIV STD & TB Prevent, 1600 Clifton Rd,MS-E30, Atlanta, GA 30333 USA. EM swiktor@cdc.gov NR 21 TC 10 Z9 10 U1 0 U2 0 PU INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D) PI PARIS PA 68 BOULEVARD SAINT-MICHEL,, 75006 PARIS, FRANCE SN 1027-3719 J9 INT J TUBERC LUNG D JI Int. J. Tuberc. Lung Dis. PD APR PY 2004 VL 8 IS 4 BP 445 EP 450 PG 6 WC Infectious Diseases; Respiratory System SC Infectious Diseases; Respiratory System GA 817GB UT WOS:000221164900010 PM 15141737 ER PT J AU Vaudaux, J Doymaz, MZ Holland, GN Muccioli, C Silveira, C Belfort, R Bruckner, DA Yu, F Jones, JL Grigg, ME AF Vaudaux, J Doymaz, MZ Holland, GN Muccioli, C Silveira, C Belfort, R Bruckner, DA Yu, F Jones, JL Grigg, ME TI Identification of genotype-restricted anti-Toxoplasma gondii antibodies among individuals infected in an epidemic SO INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE LA English DT Meeting Abstract CT Annual Meeting of the Association-for-Research-in-Vision-and-Ophthalmology CY APR 24-29, 2004 CL Ft Lauderdale, FL SP Assoc Res Vis & Ophthalmol C1 Univ Calif Los Angeles, David Geffen Sch Med, Jules Stein Eye Inst, Los Angeles, CA USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Univ Fed Sao Paulo, Sao Paulo, Brazil. Univ British Columbia, Vancouver, BC V5Z 1M9, Canada. RI Belfort Jr, Rubens/E-2252-2012; Muccioli, Cristina/C-3419-2013 OI Belfort Jr, Rubens/0000-0002-8422-3898; NR 0 TC 0 Z9 0 U1 0 U2 1 PU ASSOC RESEARCH VISION OPHTHALMOLOGY INC PI ROCKVILLE PA 12300 TWINBROOK PARKWAY, ROCKVILLE, MD 20852-1606 USA SN 0146-0404 J9 INVEST OPHTH VIS SCI JI Invest. Ophthalmol. Vis. Sci. PD APR PY 2004 VL 45 SU 1 MA 1128 BP U412 EP U412 PG 1 WC Ophthalmology SC Ophthalmology GA 846TA UT WOS:000223338001096 ER PT J AU Dunn, JR Keen, JE Thompson, RA AF Dunn, JR Keen, JE Thompson, RA TI Prevalence of shiga-toxigenic Escherichia coli O157 : H7 in adult dairy cattle SO JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION LA English DT Article; Proceedings Paper CT Annual Meeting of the Research-Workers-in-Animal-Diseases CY NOV, 2002 CL St Louis, MO SP Res Workers Animal Dis ID FIELD GEL-ELECTROPHORESIS; HEMOLYTIC-UREMIC SYNDROME; MULTIPLEX PCR ASSAYS; MONOCLONAL-ANTIBODIES; BEEF-CATTLE; FARMS; INFECTIONS; OUTBREAK; DISEASE; TRANSMISSION AB Objective-To describe shiga-toxigenic Escherichia coli O157:H7 (STEC O157:H7) fecal shedding prevalence, seasonal fecal shedding patterns, and site-specific prevalence from the oral cavity, skin, and feces of dairy cattle. Design-Cross-sectional study. Animals-Adult dairy cattle from 13 herds in Louisiana. Procedure Samples were cultured for STEC O157 by use of sensitive and specific techniques, including selective broth enrichment, immunomagnetic separation, monoclonal antibody-based O:H enzyme immunoassay serotyping, and polymerase chain reaction virulence gene characterization. Point estimates and 95% confidence intervals were calculated for fecal shedding prevalence as well as site-specific prevalence from the oral cavity, skin, and feces. Logistic regression was used to assess seasonal variation and differences at various stages of lactation with respect to fecal shedding of STEC O157 in cattle sampled longitudinally. Results-Summer prevalence in herds (n = 13) was 38.5%, with a cow-level prevalence of 6.5%. Among positive herds, prevalence ranged from 3% to 34.6%. Samples from 3 of 5 herds sampled quarterly over I year yielded positive results for STEC O157 In herds with STEC O157, an increase in cow-level prevalence was detected during spring (13.3%) and summer (10.5%), compared with values for fall and winter. Site-specific prevalences of STEC O157:1-17 from oral cavity, skin, and fecal samples were 0%, 0.7%, and 25.2%, respectively. Conclusions and Clinical Relevance-Our data indicated that STEC O157:H7 was commonly isolated from dairy cows in Louisiana, seasonally shed, and isolated from the skin surface but not the oral cavity of cows. C1 USDA ARS, US Meat Anim Res Ctr, Clay Ctr, NE 68933 USA. Univ Montreal, Fac Vet Med, Dept Vet Biomed, St Hyacinthe, PQ J2S 7C6, Canada. Louisiana State Univ, Sch Vet Med, Dept Pathobiol Sci, Baton Rouge, LA 70803 USA. RP Dunn, JR (reprint author), Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, 1600 Clifton Rd,NE MS D-63, Atlanta, GA 30333 USA. NR 47 TC 31 Z9 35 U1 0 U2 4 PU AMER VETERINARY MEDICAL ASSOC PI SCHAUMBURG PA 1931 N MEACHAM RD SUITE 100, SCHAUMBURG, IL 60173-4360 USA SN 0003-1488 J9 JAVMA-J AM VET MED A JI JAVMA-J. Am. Vet. Med. Assoc. PD APR 1 PY 2004 VL 224 IS 7 BP 1151 EP 1158 DI 10.2460/javma.2004.224.1151 PG 8 WC Veterinary Sciences SC Veterinary Sciences GA 807OV UT WOS:000220511700027 PM 15074864 ER PT J AU Masse, LC Fulton, JE Watson, KL Mahar, MT Meyers, MC Wong, WW AF Masse, LC Fulton, JE Watson, KL Mahar, MT Meyers, MC Wong, WW TI Influence of body composition on physical activity validation studies using doubly labeled water SO JOURNAL OF APPLIED PHYSIOLOGY LA English DT Article DE accelerometer; physical activity diary; energy expenditure; physical activity energy expenditure ID RESTING METABOLIC-RATE; ENERGY-EXPENDITURE; ACTIVITY QUESTIONNAIRES; MOVEMENT REGISTRATION; ACTIVITY DIARY; WOMEN AB This study investigated the influence of two approaches ( mathematical transformation and statistical procedures), used to account for body composition [ body mass or fat-free mass (FFM)], on associations between two measures of physical activity and energy expenditure determined by doubly labeled water (DLW). Complete data for these analyses were available for 136 African American (44.1%) and Hispanic (55.9%) women ( mean age 50 +/- 7.3 yr). Total energy expenditure ( TEE) by DLW was measured over 14 days. Physical activity energy expenditure (PAEE) was computed as 0.90 x TEE - resting metabolic rate. During week 2, participants wore an accelerometer for 7 consecutive days and completed a 7-day diary. Pearson's product-moment correlations and three statistical procedures ( multiple regressions, partial correlations, and allometric scaling) were used to assess the effect of body composition on associations. The methods-comparison analysis was used to study the effect of body composition on agreement. The statistical procedures demonstrated that associations improved when body composition was included in the model. The accelerometer explained a small but meaningful portion of the variance in TEE and PAEE after body mass was accounted for. The methods-comparison analysis confirmed that agreement with DLW was affected by the transformation. Agreement between the diary ( transformed with body mass) and TEE reflected the association that exists between body mass and TEE. These results suggest that the accelerometer and diary accounted for a small portion of TEE and PAEE. Most of the variance in DLW-measured energy expenditure was explained by body mass or FFM. C1 NCI, Behav Res Program, Hlth Promot Res Branch, Div Canc Control & Populat Sci, Bethesda, MD 20892 USA. Ctr Dis Control & Prevent, Atlanta, GA 30341 USA. Baylor Coll Med, Houston, TX 77030 USA. E Carolina Univ, Greenville, NC 27858 USA. W Texas A&M Univ, Canyon, TX 79016 USA. RP Masse, LC (reprint author), NCI, Behav Res Program, Hlth Promot Res Branch, Div Canc Control & Populat Sci, EPN 4076,MSC 7335,6130 Execut Blvd, Bethesda, MD 20892 USA. FU ODCDC CDC HHS [U48/CC609653] NR 34 TC 31 Z9 31 U1 0 U2 1 PU AMER PHYSIOLOGICAL SOC PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814 USA SN 8750-7587 J9 J APPL PHYSIOL JI J. Appl. Physiol. PD APR 1 PY 2004 VL 96 IS 4 BP 1357 EP 1364 DI 10.1152/japplphysiol.00901.2003 PG 8 WC Physiology; Sport Sciences SC Physiology; Sport Sciences GA 801YE UT WOS:000220130400014 PM 14660509 ER PT J AU Millman, K Black, CM Johnson, RE Stamm, WE Jones, RB Hook, EW Martin, DH Bolan, G Tavare, S Dean, D AF Millman, K Black, CM Johnson, RE Stamm, WE Jones, RB Hook, EW Martin, DH Bolan, G Tavare, S Dean, D TI Population-based genetic and evolutionary analysis of Chlamydia trachomatis urogenital strain variation in the United States SO JOURNAL OF BACTERIOLOGY LA English DT Article ID OUTER-MEMBRANE-PROTEIN; ACID AMPLIFICATION TESTS; OMP1 GENE; NEISSERIA-MENINGITIDIS; PHYLOGENETIC ANALYSIS; NUCLEOTIDE-SEQUENCE; VARIABLE DOMAINS; INFECTIONS; SEROVARS; DISEASE AB Chlamydia trachomatis is a major cause of ocular and sexually transmitted diseases worldwide. While much of our knowledge about its genetic diversity comes from serotyping or ompA genotyping, no quantitative assessment of genetic diversity within serotypes has been performed. To accomplish this, 507 urogenital samples from a multicenter U.S. study were analyzed by phylogenetic and statistical modeling. No B, Da, or I serotypes were represented. Based on our analyses, all but one previous urogenital B serotype was identified as Ba. This, coupled with the lack of B serotypes in our population, suggests that B has specific tropism for ocular mucosa. We identified a Ba/D recombinant (putative crossover nucleotide 477; P < 0.0001) similar to a B/D mosaic we described previously from an African trachoma patient. Computational analyses of the Ba/D recombinant indicated that upstream changes were less important for tissue tropism than downstream incorporation of the D sequence. Since most serotypes had nonsynonymous/synonymous ratios of <1.0, the major outer membrane protein, encoded by ompA, has many functional constraints and is under purifying selection. Surprisingly, all serotype groups except for J had a unimodal population structure indicating rapid clonal expansion. Of the groups with a unimodal structure, E and la and, to a lesser extent, G and K were prevalent, had infrequent incorporation of mutations, and, compared to other groups, had a relatively greater degree of diversifying selection, consistent with a selective sweep of mutations within these groups. Collectively, these data suggest a diverse evolutionary strategy for different serogroups of the organism. C1 Univ So Calif, Keck Sch Med, Dept Prevent Med, Los Angeles, CA 90033 USA. Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. Univ Washington, Ctr Med, Div Infect Dis, Seattle, WA 98195 USA. Wishard Hlth Serv, Indianapolis, IN 46202 USA. Univ Alabama, Div Infect Dis, Birmingham, AL 35294 USA. Louisiana State Univ, Ctr Hlth Sci, Dept Med, New Orleans, LA 70112 USA. Calif Dept Hlth Serv, Sexually Transmitted Dis Control, Berkeley, CA 94704 USA. Univ So Calif, Dept Sci Biol, Los Angeles, CA 90089 USA. Univ So Calif, Dept Math, Los Angeles, CA 90089 USA. Childrens Hosp Oakland, Res Inst, Oakland, CA 94609 USA. Univ Calif San Francisco, Sch Med, Dept Med, San Francisco, CA 94143 USA. RP Dean, D (reprint author), Childrens Hosp Oakland, Res Inst, 5700 Martin Luther King Jr Way, Oakland, CA 94609 USA. EM ddean@chori.org FU NEI NIH HHS [EY/AI12219, R01 EY012219]; NHLBI NIH HHS [P0HC96000762]; NIAID NIH HHS [AI39499, R01 AI039499] NR 57 TC 59 Z9 68 U1 0 U2 4 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0021-9193 J9 J BACTERIOL JI J. Bacteriol. PD APR PY 2004 VL 186 IS 8 BP 2457 EP 2465 DI 10.1128/JB.186.8.2457-2465.2004 PG 9 WC Microbiology SC Microbiology GA 809ZE UT WOS:000220673800027 PM 15060049 ER PT J AU Cardinali, FL Ashley, DL Morrow, JC Moll, DM Blount, BC AF Cardinali, FL Ashley, DL Morrow, JC Moll, DM Blount, BC TI Measurement of trihalomethanes and methyl tertiary-butyl ether in tap water using solid-phase microextraction GC-MS SO JOURNAL OF CHROMATOGRAPHIC SCIENCE LA English DT Article ID CHROMATOGRAPHY-MASS-SPECTROMETRY; VOLATILE ORGANIC-COMPOUNDS; DISINFECTION BY-PRODUCTS; PER-TRILLION LEVEL; DRINKING-WATER; GAS-CHROMATOGRAPHY; HUMAN BLOOD; EXPOSURE C1 Ctr Dis Control & Prevent, Div Sci Lab, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. Ctr Dis Control & Prevent, Div Environm Hazards & Hlth Effects, Natl Ctr Environm Hlth, Atlanta, GA 30333 USA. RP Cardinali, FL (reprint author), 4770 Buford Hwy,MSF47, Atlanta, GA 30341 USA. EM fcardinali@cdc.gov NR 23 TC 20 Z9 21 U1 2 U2 4 PU PRESTON PUBLICATIONS INC PI NILES PA 7800 MERRIMAC AVE PO BOX 48312, NILES, IL 60648 USA SN 0021-9665 J9 J CHROMATOGR SCI JI J. Chromatogr. Sci. PD APR PY 2004 VL 42 IS 4 BP 200 EP 206 PG 7 WC Biochemical Research Methods; Chemistry, Analytical SC Biochemistry & Molecular Biology; Chemistry GA 812IQ UT WOS:000220833600006 PM 15154982 ER PT J AU Clark, HF Lawley, DA Schaffer, A Patacsil, JM Marcello, AE Glass, RI Jain, V Gentsch, J AF Clark, HF Lawley, DA Schaffer, A Patacsil, JM Marcello, AE Glass, RI Jain, V Gentsch, J TI Assessment of the epidemic potential of a new strain of rotavirus associated with the novel G9 serotype which caused an outbreak in the United States for the first time in the 1995-1996 season SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID POLYMERASE CHAIN-REACTION; MOLECULAR CHARACTERIZATION; CHILDREN; PROTECTION; INFECTIONS; VP7 AB Rotavirus causes severe morbidity in developed countries and frequent deaths (greater than or equal to500,000 per year) in less-developed countries. Historically, four serotypes-G1, G2, G3, and G4-have predominated; they are distinguished by one of two surface neutralization antigens (VP7). However, in 1983 and 1984 we described a new rotavirus serotype, designated G9, in five children hospitalized for diarrhea in Philadelphia, Pa. G9 rotavirus was not identified again in the Western Hemisphere until it caused ca. 50% of the rotavirus disease detected in Philadelphia in the 1995-1996 season. This outbreak allowed us to question whether a rotavirus strain completely new to a well-studied community would target either very young infants or older children, cause especially severe disease, or completely displace previously extant serotypes. We observed a significant excess of G9 infections in younger infants (especially in those <6 months old) that might be attributed to the lack of G9-specific antibodies in mothers. Of further note, six of the seven oldest patients with rotavirus diarrhea were infected with the G9 strains (not significant). However, the age distribution of children with rotavirus did not differ over a 5-year study period regardless of the infecting serotype. Patients with diarrhea associated with G9 strains did not have disease more severe than that caused by the G1, G2, or G3 serotype. G9 strains did not displace the other serotypes but were virtually completely replaced by G1 or G2 serotypes in the three subsequent rotavirus seasons. We conclude that the abrupt appearance of this novel rotavirus serotype did not present a special threat to public health in the community. C1 Childrens Hosp Philadelphia, Div AIID, Philadelphia, PA 19104 USA. Ctr Dis Control & Prevent, Viral Gastroenteritis Sect, Atlanta, GA USA. RP Clark, HF (reprint author), Childrens Hosp Philadelphia, Div Infect Dis, 3516 Civic Ctr Blvd, Philadelphia, PA 19104 USA. EM clarkf@email.chop.edu NR 22 TC 48 Z9 52 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD APR PY 2004 VL 42 IS 4 BP 1434 EP 1438 DI 10.1128/JCM.42.4.1434-1438.2004 PG 5 WC Microbiology SC Microbiology GA 814GK UT WOS:000220963000008 PM 15070985 ER PT J AU Lasker, BA Ran, YP AF Lasker, BA Ran, YP TI Analysis of polymorphic microsatellite markers for typing Penicillium marneffei isolates SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID HUMAN-IMMUNODEFICIENCY-VIRUS; CANDIDA-ALBICANS; ASPERGILLUS-FUMIGATUS; RANDOM AMPLIFICATION; NORTHERN THAILAND; INFECTED PATIENTS; DNA; STRAINS; PATHOGEN; SEQUENCE AB Penicillium marneffei is an emerging opportunistic dimorphic fungal pathogen that is endemic in Southeast Asia. A typing method based on the analysis of size polymorphisms in microsatellite loci was investigated. Three loci available from the GenBank database were identified to harbor microsatellites. PCR primers flanking the microsatellite repeats were designed with one primer in the set fluorescently labeled. PCR products were then sized by automated capillary electrophoresis. As expected for a haploid fungus, a single band was observed for each microsatellite locus for all isolates. Polymorphic microsatellite marker (PMM) analysis detected a total of 22 different allelic types for 35 isolates of P. marneffei with a high discriminatory power (D = 0.956). Microsatellites 1, 11, and III detected 14, 10, and 7 alleles, respectively. The reproducibility of length polymorphisms was confirmed by using different DNA preparations from the same isolate or by repeated runs from the same DNA preparation. PMM profiles for eight isolates passaged in vitro for 7 to 8 weeks were identical to the original culture, demonstrating short-term stability and reproducibility. PCR products were not observed for other dimorphic fungi or human DNA. Comparison of allelic frequencies in isolates obtained from China and Thailand identified distinct allele combinations, suggesting the potential geographic isolation of populations. Due to the high discriminatory power, reproducibility, and potential for high throughput, PMM analysis may provide a good typing method for epidemiologic and surveillance investigations of P. marneffei. C1 CDCP, Mycot Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Sichuan Univ, W China Hosp, Chengdu 610041, Peoples R China. RP Lasker, BA (reprint author), CDCP, Mycot Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Mailstop G-11,1600 Clifton Rd, Atlanta, GA 30333 USA. EM blasker@cdc.gov NR 51 TC 20 Z9 24 U1 0 U2 5 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD APR PY 2004 VL 42 IS 4 BP 1483 EP 1490 DI 10.1128/JCM.42.4.1483-1490.2004 PG 8 WC Microbiology SC Microbiology GA 814GK UT WOS:000220963000016 PM 15070993 ER PT J AU Hajjeh, RA Sofair, AN Harrison, LH Lyon, GM Arthington-Skaggs, BA Mirza, SA Phelan, M Morgan, J Lee-Yang, W Ciblak, MA Benjamin, LE Sanza, LT Huie, S Yeo, SF Brandt, ME Warnock, DW AF Hajjeh, RA Sofair, AN Harrison, LH Lyon, GM Arthington-Skaggs, BA Mirza, SA Phelan, M Morgan, J Lee-Yang, W Ciblak, MA Benjamin, LE Sanza, LT Huie, S Yeo, SF Brandt, ME Warnock, DW TI Incidence of bloodstream infections due to Candida species and in vitro susceptibilities of isolates collected from 1998 to 2000 in a population-based active surveillance program SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID HOSPITAL-ACQUIRED CANDIDEMIA; CARE-UNIT PATIENTS; ANTIFUNGAL SUSCEPTIBILITY; AMPHOTERICIN-B; RISK-FACTORS; ADULT PATIENTS; DNA PROBES; EPIDEMIOLOGY; FLUCONAZOLE; ALBICANS AB To determine the incidence of Candida bloodstream infections (BSI) and antifungal drug resistance, population-based active laboratory surveillance was conducted from October 1998 through September 2,000 in two areas of the United States (Baltimore, Md., and the state of Connecticut; combined population, 4.7 million). A total of 1,143 cases were detected, for an average adjusted annual incidence of 10 per 100,000 population or 1.5 per 10,000 hospital days. In 28% of patients, Candida BSI developed prior to or on the day of admission; only 36% of patients were in an intensive care unit at the time of diagnosis. No fewer than 78% of patients had a central catheter in place at the time of diagnosis, and 50% had undergone surgery within the previous 3 months. Candida albicans comprised 45% of the isolates, followed by C. glabrata (24%), C. parapsilosis (13%), and C. tropicalis (12%). Only 1.2% of C. albicans isolates were resistant to fluconazole (MIC, greater than or equal to64 mug/ml), compared to 7% of C. glabrata isolates and 6% of C. tropicalis isolates. Only 0.9% of C. albicans isolates were resistant to itraconazole (MIC, greater than or equal to1 mug/ml), compared to 19.5% of C. glabrata isolates and 6% of C. tropicalis isolates. Only 4.3% of C. albicans isolates were resistant to flucytosine (MIC, greater than or equal to32 mug/ml), compared to <1% of C. parapsilosis and C. tropicalis isolates and no C. glabrata isolates. As determined by E-test, the MICs of amphotericin B were greater than or equal to0.38 mug/ml for 10% of Candida isolates, greater than or equal to1 mug/ml for 1.7% of isolates, and greater than or equal to2 mug/ml for 0.4% of isolates. Our findings highlight changes in the epidemiology of Candida BSI in the 1990s and provide a basis upon which to conduct further studies of selected high-risk subpopulations. C1 CDCP, Mycot Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Yale Univ, Sch Med, New Haven, CT USA. Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD USA. RP Warnock, DW (reprint author), CDCP, Mycot Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, 1600 Clifton Rd,NE,Mailstop G-11, Atlanta, GA 30333 USA. EM DWarnock@cdc.gov NR 48 TC 398 Z9 426 U1 0 U2 5 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD APR PY 2004 VL 42 IS 4 BP 1519 EP 1527 DI 10.1128/JCM.42.4.1519-1527.2004 PG 9 WC Microbiology SC Microbiology GA 814GK UT WOS:000220963000021 PM 15070998 ER PT J AU Bronsdon, MA O'Brien, KL Facklam, RR Whitney, CG Schwartz, B Carlone, GM AF Bronsdon, MA O'Brien, KL Facklam, RR Whitney, CG Schwartz, B Carlone, GM TI Immunoblot method to detect Streptococcus pneumoniae and identify multiple serotypes from nasopharyngeal secretions SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID PNEUMOCOCCAL CONJUGATE VACCINE; CHILDREN YOUNGER; OTITIS-MEDIA; CARRIAGE; IMMUNOGENICITY; PREVENTION; EFFICACY; IMPACT AB Conventional culture techniques are limited in the ability to detect multiple Streptococcus pneumoniae serotypes in nasopharyngeal (NP) secretions. We developed an immunoblot (IB) method with monoclonal antibodies (MAbs) to detect S. pneumoniae and to identify serotypes. NP specimens stored in skim milk-tryptone-glucose-glycerol medium were assessed by the IB method and the reference culture method (RM). In the RM, four optochin-sensitive alpha-hemolytic colonies resembling pneumococci were typed by the Quellung reaction. In the IB method, a nitrocellulose membrane blot of surface growth was reacted with a pneumococcal surface adhesion (PsaA) MAb and visualized. Of 47 NP specimens, 32 (68%) were found to be positive and 13 (28%) were found to be negative for pneumococci by both methods; each method alone yielded one positive result. The sensitivity and specificity of the IB method for the detection of pneumococci were 97 and 93%, respectively. To identify serotypes, blots were tested with serotype-specific MAbs (4, 6A, 613, 9V, 14, 18C, 19F, and 23F). To detect the remaining serotypes, positive serotype-specific replicate blots were compared visually to an original anti-PsaA-positive blot; four unidentified colonies were subcultured and serotyped by the Quellung reaction. Fifty-eight S. pneumoniae-positive NP specimens containing 69 pneumococcal strains (23 serotypes) were tested; 68 (98.6%) of the strains were detected by the IB method, and 66 (95.6%) were detected by the RM. For 11 specimens found to contain two serotypes, both methods detected both serotypes in 7 (63.6%), the IB method alone detected the two serotypes in 3 (27.3%), and the RM alone detected both serotypes in 1 (9%). The IB method identified multiple clones and minor populations of pneumococci in NP secretions. This method is useful for detecting specific serotypes and carriage of multiple serotypes in epidemiologic surveillance and carriage studies. C1 Ctr Dis Control & Prevent, Resp Dis Branch, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP O'Brien, KL (reprint author), Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Ctr Amer Indian Hlth, 621 N Washington St, Baltimore, MD 21205 USA. EM klobrien@jhsph.edu NR 23 TC 40 Z9 40 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD APR PY 2004 VL 42 IS 4 BP 1596 EP 1600 DI 10.1128/JCM.42.4.1596-1600.2004 PG 5 WC Microbiology SC Microbiology GA 814GK UT WOS:000220963000033 PM 15071010 ER PT J AU Soares, CC Volotao, EM Albuquerque, MCM Nozawa, CM Linhares, REC Volokhov, D Chizhikov, V Lu, XY Erdman, D Santos, N AF Soares, CC Volotao, EM Albuquerque, MCM Nozawa, CM Linhares, REC Volokhov, D Chizhikov, V Lu, XY Erdman, D Santos, N TI Genotyping of enteric adenoviruses by using single-stranded conformation polymorphism analysis and Heteroduplex mobility assay SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID RESTRICTION-ENDONUCLEASE ANALYSIS; PCR; IDENTIFICATION; STRAINS AB Single-stranded conformation polymorphism (SSCP) analysis and heteroduplex mobility assays (HMAs) were used to identify and genotype enteric adenoviruses (EAd). The results were compared to those of restriction endonuclease assays, species-specific PCRs, and direct nucleotide sequence analyses. Of the 31 stool samples tested, 15 isolates were identified as EAd and 7 were identified as nonenteric Ad by all methods. An agreement of 100% was found between the SSCP and HMA results. C1 Univ Fed Rio de Janeiro, Dept Virol, Inst Microbiol, BR-21941590 Rio De Janeiro, Brazil. Univ Estadual Londrina, Dept Microbiol, BR-86061970 Londrina, PR, Brazil. US FDA, Ctr Biol Evaluat & Res, Rockville, MD 20852 USA. Ctr Dis Control & Prevent, Div Viral & Rickettsial Dis, Atlanta, GA 30333 USA. RP Santos, N (reprint author), Univ Fed Rio de Janeiro, Dept Virol, Inst Microbiol, Cidade Univ,CCS,Bl I, BR-21941590 Rio De Janeiro, Brazil. EM nsantos@micro.ufrj.br RI Santos, Norma/H-6986-2015 OI Santos, Norma/0000-0002-5123-9172 NR 14 TC 6 Z9 6 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD APR PY 2004 VL 42 IS 4 BP 1723 EP 1726 DI 10.1128/JCM.42.4.1723-1729.2004 PG 4 WC Microbiology SC Microbiology GA 814GK UT WOS:000220963000055 PM 15071032 ER PT J AU Boras, A Jeren, T Sacchi, CT Schmink, S Bozinovic, D Barsic, B Rosenstein, NE Popovic, T AF Boras, A Jeren, T Sacchi, CT Schmink, S Bozinovic, D Barsic, B Rosenstein, NE Popovic, T CA Croatian Study Grp Bacterial Menin TI Establishment of an active laboratory-based surveillance for bacterial meningitis in Croatia and molecular characterization of Neisseria meningitidis isolates causing meningococcal disease that were collected in the year 2000, the first year of activity SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID ELECTROPHORESIS; IDENTIFICATION; EPIDEMIOLOGY AB In 2000, 23 Neisseria meningitidis (meningococcal [Men]) isolates were collected in Croatia through an active laboratory-based surveillance for bacterial meningitis (17 Men serogroup B [MenB], 4 MenC, 1 MenW135, and 1 nongroupable isolate). Molecular characterization revealed a substantial level of diversity with only six isolates belonging to electrophoretic type 5 (ET-5) and ET-37 hypervirulent complexes. C1 CDCP, Natl Ctr Infect Dis, Div Bacterial & Mycot Dis, Epidemiol Invest Lab,Meningitis & Special Pathoge, Atlanta, GA 30333 USA. Univ Zagreb, Univ Hosp Infect Dis, Zagreb, Croatia. RP Boras, A (reprint author), CDCP, Natl Ctr Infect Dis, Div Bacterial & Mycot Dis, Epidemiol Invest Lab,Meningitis & Special Pathoge, 17-2209,GS 34,1600 Clifton Rd, Atlanta, GA 30333 USA. EM txp1@cdc.gov NR 19 TC 2 Z9 2 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD APR PY 2004 VL 42 IS 4 BP 1803 EP 1806 DI 10.1128/JCM.42.4.1803-1806.2004 PG 4 WC Microbiology SC Microbiology GA 814GK UT WOS:000220963000079 PM 15071056 ER PT J AU Gira, AK Reisenauer, AH Hammock, L Nadiminti, U Macy, JT Reeves, A Burnett, C Yakrus, MA Toney, S Jensen, BJ Blumberg, HM Caughman, SW Nolte, FS AF Gira, AK Reisenauer, AH Hammock, L Nadiminti, U Macy, JT Reeves, A Burnett, C Yakrus, MA Toney, S Jensen, BJ Blumberg, HM Caughman, SW Nolte, FS TI Furunculosis due to Mycobacterium mageritense associated with footbaths at a nail salon SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID SP-NOV; DNA; IDENTIFICATION; INFECTIONS; PATTERNS AB We report two cases of lower-extremityfurunculosis caused by Mycobacterium mageritense. Both patients were patrons of the same nail salon, where they received footbaths prior to pedicures. M. mageritense bacteria isolated from two whirlpool footbaths were determined to be closely related to the patient isolates by pulsed-field gel electrophoresis. C1 Emory Univ, Sch Med, Dept Pathol & Lab Med, Atlanta, GA 30322 USA. Emory Univ, Sch Med, Dept Dermatol, Atlanta, GA 30322 USA. Emory Univ, Sch Med, Dept Med, Div Infect Dis, Atlanta, GA 30322 USA. Ctr Dis Control & Prevent, Georgia Dept Human Resources, Div Publ Hlth, Atlanta, GA USA. Ctr Dis Control & Prevent, Tuberculosis Mycobacteriol Branch, Div AIDS STD & TB Lab Res, Atlanta, GA USA. Ctr Dis Control & Prevent, Epidemiol & Lab Branch, Div Healthcare & Qual Promot, Atlanta, GA USA. Dekalb Cty Board Hlth, Div Hlth Assessment & Promot, Decatur, GA USA. RP Nolte, FS (reprint author), Emory Univ Hosp, Clin Labs, 1364 Clifton Rd NE,Room F145, Atlanta, GA 30322 USA. EM fnolte@emory.edu NR 17 TC 36 Z9 38 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD APR PY 2004 VL 42 IS 4 BP 1813 EP 1817 DI 10.1128/JCM.42.4.1813-1817.2004 PG 5 WC Microbiology SC Microbiology GA 814GK UT WOS:000220963000081 PM 15071058 ER PT J AU Zhou, L Singh, A Jiang, JL Xiao, LH AF Zhou, L Singh, A Jiang, JL Xiao, LH TI Molecular surveillance of Cryptosporidium spp. in raw wastewater in Milwaukee: Implications for understanding outbreak occurrence and transmission dynamics (vol 41, pg 5254, 2003) SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Correction C1 Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA 30341 USA. City Milwaukee Publ Hlth Labs, Milwaukee, WI 53202 USA. RP Zhou, L (reprint author), Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA 30341 USA. RI Xiao, Lihua/B-1704-2013 OI Xiao, Lihua/0000-0001-8532-2727 NR 1 TC 1 Z9 1 U1 0 U2 1 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD APR PY 2004 VL 42 IS 4 BP 1859 EP 1859 DI 10.1128/JCM.42.4.1859.2004 PG 1 WC Microbiology SC Microbiology GA 814GK UT WOS:000220963000098 ER PT J AU Sharpe, TT Lee, LM Nakashima, AK Elam-Evans, LD Fleming, PL AF Sharpe, TT Lee, LM Nakashima, AK Elam-Evans, LD Fleming, PL TI Crack cocaine use and adherence to antiretroviral treatment among HIV-infected black women SO JOURNAL OF COMMUNITY HEALTH LA English DT Article DE crack cocaine; antiretroviral treatment; HIV/AIDS; black women ID UNITED-STATES; SEX; THERAPY; BEHAVIORS AB Since the appearance of crack cocaine in the 1980s, unprecedented numbers of women have become addicted. A disproportionate number of female crack users are Black and poor. We analyzed interview data of HIV-infected women greater than or equal to 18 years of age reported to 12 health departments between July 1997 and December 2000 to ascertain if Black women reported crack use more than other HIV-infected women and to examine the relationship between crack use and antiretroviral treatment (ART) adherence among Black women. Of 1655 HIV-infected women, 585 (35%) were nonusers of drugs, 694 (42%) were users of other drugs and 376 (23%) were crack users. Of the 1196 (72%) Black women, 306 (26%) were crack users. We used logistic regression to examine the effect of crack use on adherence to ART, controlling for age and education among Black women. In multivariate analysis, crack users and users of other drugs were less likely than non-users to take their ART medicines exactly as prescribed (odds ratio [OR] = 0.37; 95% confidence interval [CI] = 0.24-0.56), OR = 0.47; 95% CI = 0.36-0.68), respectively. HIV-infected Black women substance users, especially crack cocaine users, may require sustained treatment and counseling to help them reduce substance use and adhere to ART. C1 Natl Ctr Birth Defects & Dev Disabil, Fetal Alcohol Synddrome Prevent Team, Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Natl Ctr HIV STD & TB Prevent, Div HIV AIDS Prevent, Atlanta, GA USA. Ctr Dis Control & Prevent, Natl Ctr HIV STD & TB Prevent, Div HIV AIDS Prevent, Atlanta, GA USA. Ctr Dis Control & Prevent, Surveillance Unit, ITSSB, Div Reprod Hlth, Atlanta, GA USA. RP Sharpe, TT (reprint author), Natl Ctr Birth Defects & Dev Disabil, Fetal Alcohol Synddrome Prevent Team, Ctr Dis Control & Prevent, 1600 Clifton Rd,Mailstop E-86, Atlanta, GA 30333 USA. EM tsharpe2@cdc.gov NR 31 TC 55 Z9 57 U1 1 U2 3 PU KLUWER ACADEMIC-HUMAN SCIENCES PRESS PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013-1578 USA SN 0094-5145 J9 J COMMUN HEALTH JI J. Community Health PD APR PY 2004 VL 29 IS 2 BP 117 EP 127 DI 10.1023/B:JOHE.0000016716.99847.9b PG 11 WC Health Policy & Services; Public, Environmental & Occupational Health SC Health Care Sciences & Services; Public, Environmental & Occupational Health GA 802TH UT WOS:000220185300002 PM 15065731 ER PT J AU Milan, S Ickovics, JR Kershaw, T Lewis, J Meade, C Ethier, K AF Milan, S Ickovics, JR Kershaw, T Lewis, J Meade, C Ethier, K TI Prevalence, course, and predictors of emotional distress in pregnant and parenting adolescents SO JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY LA English DT Article ID 3 YEARS POSTPARTUM; DEPRESSIVE SYMPTOMS; BEHAVIOR PROBLEMS; AFRICAN-AMERICAN; DEVELOPMENTAL TRAJECTORIES; MATERNAL DEPRESSION; PRESCHOOL-CHILDREN; INFANT HEALTH; MOTHERS; PARENTHOOD AB This study examines trajectories and correlates of emotional distress symptoms in pregnant adolescents (n = 203) and nulliparous adolescents (n = 188) from economically disadvantaged communities over an 18-month period. For both groups, the prevalence of significant emotional distress exceeded expectation based on adolescent norms; however, the severity of symptoms did not differ between the 2 groups. Results from growth curve modeling revealed a significant decline in symptoms during the study period for both groups, but pregnant adolescents experienced a different pattern of decline. Also, certain interpersonal factors (e.g., history of physical maltreatment, partner support) appeared to play a more important role in the emotional well-being of pregnant and parenting adolescents relative to nulliparous adolescents. Implications for early identification and intervention are discussed. C1 Yale Univ, Sch Med, Dept Epidemiol & Publ Hlth, New Haven, CT 06520 USA. Yale Univ, Sch Med, Ctr Interdisciplinary Res AIDS, New Haven, CT 06520 USA. Yale Univ, Dept Psychol, New Haven, CT 06520 USA. Ctr Dis Control & Prevent, Div Sexually Transmitted Dis Prevent, Behav Intervent & Res Branch, Atlanta, GA USA. RP Milan, S (reprint author), Yale Univ, Sch Med, Dept Epidemiol & Publ Hlth, 135 Coll St,Suite 323, New Haven, CT 06520 USA. EM stephanie.milan@yale.edu FU NIMH NIH HHS [31T32 MH20031-02, P01 MH/DA 56826-01A1] NR 61 TC 41 Z9 41 U1 9 U2 14 PU AMER PSYCHOLOGICAL ASSOC PI WASHINGTON PA 750 FIRST ST NE, WASHINGTON, DC 20002-4242 USA SN 0022-006X J9 J CONSULT CLIN PSYCH JI J. Consult. Clin. Psychol. PD APR PY 2004 VL 72 IS 2 BP 328 EP 340 DI 10.1037/0022-006X.72.2.328 PG 13 WC Psychology, Clinical SC Psychology GA 806OE UT WOS:000220442400016 PM 15065965 ER PT J AU Kerr, EA Gerzoff, R Krein, SL Selby, JV Piette, JD Curb, J Herman, WH Marrero, DG Narayan, V Safford, M Mangione, CM AF Kerr, EA Gerzoff, R Krein, SL Selby, JV Piette, JD Curb, J Herman, WH Marrero, DG Narayan, V Safford, M Mangione, CM TI A comparison of diabetes care quality in VA and commercial managed care: The Triad study. SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 27th Annual Meeting of the Society-of-General-Internal-Medicine CY MAY 12-15, 2004 CL Chicago, IL SP Soc Gen Internal Med C1 Univ Michigan, Ann Arbor, MI 48109 USA. VA Ann Arbor Healthcare Syst, Ann Arbor, MI USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Kaiser Permanente, Div Res, Oakland, CA USA. Pacific Hlth Res Inst, Honolulu, HI USA. Univ Med & Dent New Jersey, Newark, NJ 07103 USA. Univ Calif Los Angeles, Los Angeles, CA 90024 USA. Indiana Univ Purdue Univ, Indianapolis, IN 46202 USA. RI Krein, Sarah/E-2742-2014 OI Krein, Sarah/0000-0003-2111-8131 NR 0 TC 0 Z9 0 U1 0 U2 1 PU BLACKWELL PUBLISHING INC PI MALDEN PA 350 MAIN ST, MALDEN, MA 02148 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2004 VL 19 SU 1 BP 109 EP 109 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 816RA UT WOS:000221125800363 ER PT J AU Johnson, BA Koppaka, VR Cors, CS AF Johnson, BA Koppaka, VR Cors, CS TI Emergency preparedness on US college and university campuses. SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 27th Annual Meeting of the Society-of-General-Internal-Medicine CY MAY 12-15, 2004 CL Chicago, IL SP Soc Gen Internal Med C1 Virginia Commonwealth Univ, Richmond, VA 23284 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 1 PU BLACKWELL PUBLISHING INC PI MALDEN PA 350 MAIN ST, MALDEN, MA 02148 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2004 VL 19 SU 1 BP 149 EP 149 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 816RA UT WOS:000221125800530 ER PT J AU Rao, JK Anderson, LA AF Rao, JK Anderson, LA TI Improving physician and patient communication skills in outpatient settings: Lessons learned from intervention research. SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 27th Annual Meeting of the Society-of-General-Internal-Medicine CY MAY 12-15, 2004 CL Chicago, IL SP Soc Gen Internal Med C1 Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU BLACKWELL PUBLISHING INC PI MALDEN PA 350 MAIN ST, MALDEN, MA 02148 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2004 VL 19 SU 1 BP 167 EP 167 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 816RA UT WOS:000221125800604 ER PT J AU Mann, DM Lee, JD Liao, Y Natarajan, S AF Mann, DM Lee, JD Liao, Y Natarajan, S TI Population impact of obesity on fatal coronary heart disease in US adults. SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 27th Annual Meeting of the Society-of-General-Internal-Medicine CY MAY 12-15, 2004 CL Chicago, IL SP Soc Gen Internal Med C1 NYU, New York, NY USA. Cornell Univ, Coll Med, New York, NY USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU BLACKWELL PUBLISHING INC PI MALDEN PA 350 MAIN ST, MALDEN, MA 02148 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2004 VL 19 SU 1 BP 193 EP 193 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 816RA UT WOS:000221125800716 ER PT J AU Kim, C Ferrara, A McEwen, L Marrero, D Gerzoff, RB Herman, WH AF Kim, C Ferrara, A McEwen, L Marrero, D Gerzoff, RB Herman, WH TI Preconception care in managed care: The Translating Research into Action for Diabetes study (TRIAD). SO JOURNAL OF GENERAL INTERNAL MEDICINE LA English DT Meeting Abstract CT 27th Annual Meeting of the Society-of-General-Internal-Medicine CY MAY 12-15, 2004 CL Chicago, IL SP Soc Gen Internal Med C1 Univ Michigan, Ann Arbor, MI 48109 USA. Kaiser Permanente, Div Res, Oakland, CA USA. Indiana Univ, Indianapolis, IN 46204 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 1 PU BLACKWELL PUBLISHING INC PI MALDEN PA 350 MAIN ST, MALDEN, MA 02148 USA SN 0884-8734 J9 J GEN INTERN MED JI J. Gen. Intern. Med. PD APR PY 2004 VL 19 SU 1 BP 194 EP 194 PG 1 WC Health Care Sciences & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 816RA UT WOS:000221125800721 ER PT J AU Vinje, J Gregoricus, N Martin, J Gary, HE Caceres, VM Venczel, L Macadam, A Dobbins, JG Burns, C Wait, D Ko, G Landaverde, M Kew, O Sobsey, MD AF Vinje, J Gregoricus, N Martin, J Gary, HE Caceres, VM Venczel, L Macadam, A Dobbins, JG Burns, C Wait, D Ko, G Landaverde, M Kew, O Sobsey, MD TI Isolation and characterization of circulating type 1 vaccine-derived poliovirus from sewage and stream waters in Hispaniola SO JOURNAL OF INFECTIOUS DISEASES LA English DT Article ID POLYMERASE CHAIN-REACTION; ENVIRONMENTAL SURVEILLANCE; PARALYTIC POLIOMYELITIS; WIDESPREAD CIRCULATION; DEOXYINOSINE RESIDUES; CODON DEGENERACY; ENTERIC VIRUSES; MIXED-BASE; OUTBREAK; IDENTIFICATION AB Twenty-one cases of acute flaccid paralysis (AFP) were reported on the island of Hispaniola in 2000. Laboratory analysis confirmed the presence of circulating vaccine-derived poliovirus (cVDPV) type 1 in stool samples obtained from patients. As a complement to the active search for cases of AFP, environmental sampling was conducted during November and December 2000, to test for cVDPV in sewage, streams, canals, and public latrines. Fifty-five environmental samples were obtained and analyzed for the presence of polioviruses by use of cell culture followed by neutralization and reverse-transcription polymerase chain reaction. Of the 23 positive samples, 10 tested positive for poliovirus type 1, 7 tested positive for poliovirus type 2, 5 tested positive for poliovirus type 3, and 1 tested positive for both poliovirus type 2 and type 3. By sequence analysis of the complete viral capsid gene 1 (VP1), a 2.1% - 3.7% genetic sequence difference between 7 type 1 strains and Sabin type 1 vaccine strain was found. Phylogenetic analysis showed that these viruses are highly related to cVDPV isolated from clinical cases and form distinct subclusters related to geographic region. Our findings demonstrate a useful role for environmental surveillance of neurovirulent polioviruses in the overall polio eradication program. C1 Univ N Carolina, Sch Publ Hlth, Dept Environm Sci & Engn, Chapel Hill, NC 27599 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Pan Amer Hlth Org, Washington, DC USA. Natl Inst Biol Stand & Controls, Potters Bar EN6 3QG, Herts, England. RP Vinje, J (reprint author), Univ N Carolina, Sch Publ Hlth, Dept Environm Sci & Engn, Chapel Hill, NC 27599 USA. EM janvinje@email.unc.edu OI Vinje, Jan/0000-0002-1530-3675 NR 41 TC 18 Z9 19 U1 2 U2 7 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 0022-1899 J9 J INFECT DIS JI J. Infect. Dis. PD APR 1 PY 2004 VL 189 IS 7 BP 1168 EP 1175 DI 10.1086/382545 PG 8 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 805AC UT WOS:000220338200006 PM 15031784 ER PT J AU Taylor, L Jones, RL Ashley, K Deddens, JA Kwan, L AF Taylor, L Jones, RL Ashley, K Deddens, JA Kwan, L TI Comparison of capillary earlobe and venous blood monitoring for occupational lead surveillance SO JOURNAL OF LABORATORY AND CLINICAL MEDICINE LA English DT Article ID BINDING PROTEIN; ABSORPTION; EXPOSURE; WORKERS; DONORS; SAMPLES AB Biological monitoring for occupational lead exposure involves routine venous blood draws from exposed employees. This uncomfortable procedure normally yields more blood than what is needed for analysis. Capillary blood sampling is less invasive but introduces the possibility of surface contamination. The objective of this study was to compare venous and capillary (earlobe) blood lead samples obtained from occupationally exposed individuals. Phlebotomists trained specifically in the collection of blood samples for lead determination collected 2 venous blood samples and 2 capillary earlobe samples from each participating employee. Before the capillary draw, the employee's earlobe was cleansed with an alcohol wipe in an effort to remove potential lead contamination. A second alcohol wipe was then used to sanitize the lancing area and was retained for lead analysis. Both the venous and capillary samples were subsequently analyzed with the use of graphite furnace atomic absorption spectrometry (GFAAS). GFAAS of venous blood specimens was considered the reference method of sampling and analysis. We collected and analyzed 126 paired earlobe and venous samples. Earlobe sampling was preferred to venous sampling by 54% of the employees surveyed. The mean difference between the capillary and venous results was 38.8 +/- 48.1 mug/dl.. Lead concentrations in earlobe blood were more than twice those found in venous samples in more than half of the samples (64 of 126). Despite simple cleansing with an alcohol wipe and no visible skin contamination, 94% of the wipe samples from earlobes contained more than 1 mug of lead. Even low concentrations of contamination can significantly alter the concentration of lead in the blood; for example, sample contamination of 0.3 mug lead in a 200-muL blood sample would yield an increase of 150 mug/dL in the measured lead concentration. The findings of this study suggest that until satisfactory skin cleansing and decontamination techniques are identified and evaluated, earlobe sampling should be avoided in the surveillance of occupational blood lead levels. C1 US Dept HHS, NIOSH, Ctr Dis Control & Prevent, Cincinnati, OH USA. US Dept HHS, Natl Ctr Environm Hlth, Ctr Dis Control & Prevent, Washington, DC 20201 USA. Univ Cincinnati, Dept Math Sci, Cincinnati, OH 45221 USA. Univ Calif Los Angeles, Jonsson Comprehens Canc Ctr, Los Angeles, CA 90024 USA. RP Taylor, L (reprint author), NIOSH, CDC, 4676 Columbia Pkwy,MS R-14, Cincinnati, OH 45226 USA. EM LTaylor@cdc.gov RI Ashley, Kevin/C-9005-2011 NR 34 TC 4 Z9 4 U1 0 U2 0 PU MOSBY, INC PI ST LOUIS PA 11830 WESTLINE INDUSTRIAL DR, ST LOUIS, MO 63146-3318 USA SN 0022-2143 J9 J LAB CLIN MED JI J. Lab. Clin. Med. PD APR PY 2004 VL 143 IS 4 BP 217 EP 224 DI 10.1016/j.lab.2003.12.011 PG 8 WC Medical Laboratory Technology; Medicine, General & Internal; Medicine, Research & Experimental SC Medical Laboratory Technology; General & Internal Medicine; Research & Experimental Medicine GA 816MK UT WOS:000221113800004 PM 15085080 ER PT J AU Coffey, CC Lawrence, RB Campbell, DL Zhuang, ZQ Calvert, CA Jensen, PA AF Coffey, CC Lawrence, RB Campbell, DL Zhuang, ZQ Calvert, CA Jensen, PA TI Fitting characteristics of eighteen N95 filtering-facepiece respirators SO JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE LA English DT Article DE filtering-facepiece; fit-test; respirator; simulated workplace protection factor ID WORKPLACE PERFORMANCE; PROTECTION AB Four performance measures were used to evaluate the fitting characteristics of 18 models of N95 filtering-facepiece respirators: (1) the 5th percentile simulated workplace protection factor (SWPF) value, (2) the shift average SWPF value, (3) the h-value, aid (4) the assignment error. The effect of fit-testing on the level of protection provided by the respirators was also evaluated. The respirators were tested on a panel of 25 subjects with various face Sizes. Simulated workplace protection factor values, determined from six total penetration (face-seal leakage plus filter penetration) tests with re-donning, between each test, were used to indicate respirator performance. Five fit-tests were used: Bitrex(TM), saccharin, generated aerosol corrected for filter penetration, PortaCounr(R) Plus corrected for filter penetration,and the PortaCount Plus with the N95-Companion(TM) accessory. Without fit-testing, the 5th percentile SWPF for all models combined was 2.9 with individual model values ranging from 1.3 to 48.0. Passing a fit-test generally resulted in an increase in protection. In addition, the h-value of each respirator was computed. The h-value has been determined to be the population fraction of individuals who will obtain an adequate level of protection(i.e.. SWPF greater than or equal to 10, which is the expected level of protection of half-facepiece respirators) when a respirator is selected and donned (including a users seal check) in accordance with the manufacturer's instructions without fit-testing. The h-value for all models combined was 0.74 (i.e., 74% of all donnings resulted in an adequate level of proteclion), with individual model h-values ranging from 0.31 to 0.99. Only three models had h-values above 0.95. Higher SWPF values were achieved by excluding SWPF values determined for test subject/respirator combinations that failed a fittest.. The improvement was greatest for respirator models with lower h-values. Using the concepts of shift average and assignment error to measure respirator performance yielded similar results. The highest level of protection was provided by, passing a fit-test with a respirator having good fitting characteristics. C1 NIOSH, Ctr Dis Control & Prevent, Dept Hlth & Human Serv, Div Resp Dis Studies, Morgantown, WV 26505 USA. NIOSH, Natl Personal Protect Technol Lab, Pittsburgh, PA USA. RP Coffey, CC (reprint author), NIOSH, Ctr Dis Control & Prevent, Dept Hlth & Human Serv, Div Resp Dis Studies, 1095 Willowdale Rd, Morgantown, WV 26505 USA. EM ccoffey@cdc.gov RI Coffey, Christopher/I-2471-2012; Zhuang, Ziqing/K-5462-2012 NR 18 TC 56 Z9 56 U1 0 U2 5 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 325 CHESTNUT ST, SUITE 800, PHILADELPHIA, PA 19106 USA SN 1545-9624 J9 J OCCUP ENVIRON HYG JI J. Occup. Environ. Hyg. PD APR PY 2004 VL 1 IS 4 BP 262 EP 271 DI 10.1080/15459620490433799 PG 10 WC Environmental Sciences; Public, Environmental & Occupational Health SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health GA 816PY UT WOS:000221123000010 PM 15204866 ER PT J AU Bartley, DL AF Bartley, DL TI Reconciling traditional accuracy assessment with the ISO Guide to the Expression of Uncertainty in Measurement (ISO/GUM) SO JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE LA English DT Editorial Material C1 NIOSH, Cincinnati, OH 45226 USA. NR 13 TC 8 Z9 8 U1 0 U2 1 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 325 CHESTNUT ST, SUITE 800, PHILADELPHIA, PA 19106 USA SN 1545-9624 J9 J OCCUP ENVIRON HYG JI J. Occup. Environ. Hyg. PD APR PY 2004 VL 1 IS 4 BP D37 EP D41 DI 10.1080/15459620490432079 PG 5 WC Environmental Sciences; Public, Environmental & Occupational Health SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health GA 816PY UT WOS:000221123000001 PM 15204856 ER PT J AU Moss, DM Montgomery, JM Newland, SV Priest, JW Lammie, PJ AF Moss, DM Montgomery, JM Newland, SV Priest, JW Lammie, PJ TI Detection of Cryptosporidium antibodies in sera and oral fluids using multiplex bead assay SO JOURNAL OF PARASITOLOGY LA English DT Article ID FLUORESCENT MICROSPHERE IMMUNOASSAY; IMMUNOGLOBULIN-G ANTIBODIES; COAST-GUARD CUTTER; ENZYME-IMMUNOASSAY; ANTIGENS; PARVUM; CYTOKINES; QUANTITATION; OUTBREAK; HUMANS AB For the first time, a multiplex h ad assay (MBA) was used to assay oral fluid and serum specimens for immunoglobulin G (IgG) antibodies to specific Cryptosporidium parvum antigens that were coupled to polystyrene beads. Recombinant C parvum 17- and 27-kDa antigens (r17 and r27, respectively) both linked with glutathione-S-transferase (GST) fusion proteins, native 17-kDa antigen, and GST alone were each coupled to microspheres that could be differentiated based on variable amounts of internally incorporated red fluorescent dye. Initial and follow-up serum and oral fluid specimens from a 1997 cryptosporidiosis outbreak in Spokane, Washington, were incubated with the coupled beads. Antibodies bound to the coupled beads were detected using biotinylated monoclonal anti-human IgG antibody and streptavidin-labeled r-phycoerythrin. Fluorescence intensity was measured by flow cytometry. For the 3 C. parvum antigens, the median of the mean fluorescence intensity (MFI) was significantly higher (P < 0.03) in the initial specimens than in the follow-up specimens. No significant change in IgG responses to GST in oral fluids or serum specimens was observed. For all Cryptosporidium antigens, the MFI in the initial serum specimens correlated with the MFI in the initial oral fluid specimens (P < 0.001, r > 0.673). For the recombinant antigens used in the MBA, the MFI correlated with the response as measured by an enzyme-linked immunosorbent assay that used r17 and r27 expressed without the GST fusion partner (P < 0.001, r > 0.854). MBA using sera or more conveniently collected oral fluids, especially from children, may be an option for immunodiagnosis of C. parvum infection and for prospective epidemiological studies designed to monitor infection risk. C1 Ctr Dis Control & Prevent, Div Parasit Dis, Natl Ctr Infect Dis, US PHS,Dept Hlth & Human Serv, Atlanta, GA 30341 USA. RP Moss, DM (reprint author), Ctr Dis Control & Prevent, Div Parasit Dis, Natl Ctr Infect Dis, US PHS,Dept Hlth & Human Serv, Atlanta, GA 30341 USA. EM dmm3@cdc.gov NR 19 TC 21 Z9 25 U1 0 U2 1 PU AMER SOC PARASITOLOGISTS PI LAWRENCE PA 810 EAST 10TH STREET, LAWRENCE, KS 66044 USA SN 0022-3395 J9 J PARASITOL JI J. Parasitol. PD APR PY 2004 VL 90 IS 2 BP 397 EP 404 DI 10.1645/GE-3267 PG 8 WC Parasitology SC Parasitology GA 819YH UT WOS:000221351800028 PM 15165066 ER PT J AU Dubey, JP Morales, ES Lehmann, T AF Dubey, JP Morales, ES Lehmann, T TI Isolation and genotyping of Toxoplasma gondii from free-ranging chickens from Mexico SO JOURNAL OF PARASITOLOGY LA English DT Article ID BRAZIL AB The prevalence of Toxoplasma gondii in free-ranging chickens is a good indicator of the presence of T. gondii oocysts in the environment because chickens feed from the soil. In the present study, prevalence of T. gondii in 208 free-range chickens (Gallus domesticus) from Mexico was investigated. Blood, heart, and brain from each animal were obtained to test for T. gondii infection. Antibodies to T gondii, assayed with the modified agglutination test (1:10 or higher), were found in 13 (6.2%) chickens. Hearts and brains of 13 seropositive chickens were bioassayed in mice, and T. gondii was isolated from 6 chickens. All 6 isolates were avirulent for mice. Genotyping of chicken isolates of T. gondii using the SAG2 locus indicated that 5 were type III and 1 was type I. This is the first report of isolation of T. gondii from chickens from Mexico. C1 ARS, USDA, Anim & Nat Resources Inst, Anim Parasit Dis Lab, Beltsville, MD 20705 USA. Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA 30341 USA. Univ Nacl Autonoma Mexico, Fac Med Vet & Zooten, Dept Patol, Mexico City 04510, DF, Mexico. RP Dubey, JP (reprint author), ARS, USDA, Anim & Nat Resources Inst, Anim Parasit Dis Lab, Bldg 1001, Beltsville, MD 20705 USA. EM jdubey@anri.barc.usda.gov NR 12 TC 35 Z9 40 U1 0 U2 0 PU AMER SOC PARASITOLOGISTS PI LAWRENCE PA 810 EAST 10TH STREET, LAWRENCE, KS 66044 USA SN 0022-3395 J9 J PARASITOL JI J. Parasitol. PD APR PY 2004 VL 90 IS 2 BP 411 EP 413 DI 10.1645/GE-194R PG 3 WC Parasitology SC Parasitology GA 819YH UT WOS:000221351800032 PM 15165070 ER PT J AU Mills, JL Schonberger, LB Wysowski, DK Brown, P Durako, SJ Cox, C Kong, FH Fradkin, JE AF Mills, JL Schonberger, LB Wysowski, DK Brown, P Durako, SJ Cox, C Kong, FH Fradkin, JE TI Long-term, mortality in the united states cohort of pituitary-derived growth hormone recipients SO JOURNAL OF PEDIATRICS LA English DT Article ID CREUTZFELDT-JAKOB-DISEASE; CHILDREN; THERAPY; DEFICIENCY AB Objective Patients who received pituitary-derived growth hormone (GH) are at excess risk of mortality from Creutzfeldt-Jakob disease. We investigated whether they were at increased risk of death from other conditions, particularly preventable conditions. Study design A cohort (N = 6107) from known US pituitary-derived GH recipients (treated 1963-1985) was studied. Deaths were identified by reports from physicians and parents and the National Death Index. Rates were compared with the expected rates for the US population standardized for race, age, and sex. Results There were 433 deaths versus 114 expected (relative risk [RR], 3.8; 95% confidence interval [CI], 3.4-4.2; P < .0001) from 1963 through 1996. Risk was increased in subjects with GH deficiency caused by any tumor (RR, 10.4; 95% CI, 9.1-12.0; P < .0001). Surprisingly, subjects with hypoglycemia treated within the first 6 months of life were at extremely high risk (RR, 18.3; 95% CI, 9.2-32.8; P < .0001), as were all subjects with adrenal insufficiency (RR, 7.1; 95% CI, 6.2-8.2; P < .0001). A quarter of all deaths were sudden and unexpected. Of the 26 cases of Creutzfeldt-Jakob disease, four cases have died since 2000. Conclusions The death rate in pituitary-derived GH recipients was almost four times the expected rate. Replacing pituitary derived GH with recombinant GH has eliminated only the risk of Creutzfeldt-Jakob disease. Hypoglycemia and adrenal insufficiency accounted for far more mortality than Creutzfeldt-Jakob disease. The large number of potentially preventable deaths in patients with adrenal insufficiency and hypo glycemia underscores the importance of early intervention when infection occurs in patients with adrenal insufficiency, and aggressive treatment of panhypopituitarism. C1 NINDS, NICHHD, Bethesda, MD 20892 USA. NIDDKD, NIH, Dept Hlth & Human Serv, Bethesda, MD 20892 USA. US FDA, Rockville, MD 20857 USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Atlanta, GA USA. RP Mills, JL (reprint author), NICHD, Pediat Epidemiol Sect, NIH, DHHS, 6100 Bldg Room 7B03, Bethesda, MD 20892 USA. EM jamesmills@nih.gov NR 14 TC 72 Z9 73 U1 0 U2 2 PU MOSBY-ELSEVIER PI NEW YORK PA 360 PARK AVENUE SOUTH, NEW YORK, NY 10010-1710 USA SN 0022-3476 EI 1097-6833 J9 J PEDIATR-US JI J. Pediatr. PD APR PY 2004 VL 144 IS 4 BP 430 EP 436 DI 10.1016/j.jpeds.2003.12.036 PG 7 WC Pediatrics SC Pediatrics GA 811GO UT WOS:000220760600015 PM 15069388 ER PT J AU Brener, ND Kann, L McManus, T Stevenson, B Wooley, SF AF Brener, ND Kann, L McManus, T Stevenson, B Wooley, SF TI The relationship between school health councils and school health policies and programs in US schools SO JOURNAL OF SCHOOL HEALTH LA English DT Article AB This study analyzed data from the School Health Policies and Programs Study (SHPPS) 2000 to examine the relationship between school health councils and selected school health policies and programs. SHPPS 2000 collected data from faculty and staff in a nationally representative sample of schools. About two-thirds (65.7%) of US schools have school health councils. Schools with councils were significantly more likely than schools without councils to report policies and programs related to health services, mental health and social services, faculty, and staff health promotion, and family and community involvement. Schools with councils were as likely as schools without councils to report policies and programs related to health education, physical education, and food service. Although school health councils are associated with the presence of some key school health policies and programs, a council does not guarantee a school will have all important school health policies and programs in place. C1 Natl Ctr Chron Dis Prevent & Hlth Promot, CDCP, Surveillance & Evaluat Res Branch, Atlanta, GA 30341 USA. Natl Ctr Chron Dis Prevent & Hlth Promot, CDCP, Div Adolescent & Sch Hlth, Atlanta, GA 30341 USA. Amer Canc Soc, Atlanta, GA 30329 USA. Amer Sch Hlth Assoc, Kent, OH 44240 USA. RP Brener, ND (reprint author), Natl Ctr Chron Dis Prevent & Hlth Promot, CDCP, Surveillance & Evaluat Res Branch, MS K-33,4770 Buford Highway NE, Atlanta, GA 30341 USA. EM nadl@cdc.gov NR 14 TC 5 Z9 5 U1 0 U2 3 PU AMER SCHOOL HEALTH ASSOC PI KENT PA PO BOX 708, KENT, OH 44240 USA SN 0022-4391 J9 J SCHOOL HEALTH JI J. Sch. Health PD APR PY 2004 VL 74 IS 4 BP 130 EP 135 PG 6 WC Education & Educational Research; Education, Scientific Disciplines; Health Care Sciences & Services; Public, Environmental & Occupational Health SC Education & Educational Research; Health Care Sciences & Services; Public, Environmental & Occupational Health GA 820UX UT WOS:000221416100004 PM 15193003 ER PT J AU Weinstein, SJ Vogt, TM Gerrior, SA AF Weinstein, SJ Vogt, TM Gerrior, SA TI Healthy Eating Index scores are associated with blood nutrient concentrations in the third national health and nutrition examination survey SO JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION LA English DT Article ID GUIDELINES-FOR-AMERICANS; MAJOR CHRONIC DISEASE; DIET QUALITY INDEX; PLASMA CAROTENOIDS; VEGETABLE INTAKE; SUPPLEMENT USE; ENERGY-INTAKE; OLDER ADULTS; VITAMIN-C; FRUIT AB Objectives The Healthy Eating Index (HEI) is a summary measure of dietary quality, based on a 100-point scale. Our objectives were to assess the HEI as a measure of dietary status through its correlation with nutritional biomarkers and to identify those biomarkers most associated with diet quality and healthful food intake patterns. Design National Health and Nutrition Examination Survey (NHANES) III, 1988-94. Subjects Adults ( greater than or equal to17 years) with calculated HEI scores and blood nutrient data (n=16,467). Statistical Analyses Performed Weighted crude and partial Pearson correlation coefficients (r) between HEI scores and blood nutrients were calculated. Geometric mean blood nutrient concentrations were calculated for five HEI score categories (ranging from less than or equal to50 to >80). Results HEI score was positively correlated with serum (r=0.25) and red blood cell (r=0.27) folate, serum vitamins C (r=0.30) and E (r=0.21), and all serum carotenoids except lycopene (r=0.17 to 0.27). These blood nutrient concentrations were 21% to 175% higher for participants in the highest HEI score group (>80) compared with those in the lowest group (less than or equal to50). Mean HEI scores were significantly (P<.0001) greater among the 42% of participants who took dietary supplements. Most correlations were attenuated when adjusted for additional factors. Conclusions HEI score is correlated with a wide range of blood nutrients; the strongest relationships are with biomarkers of fruit and vegetable intake. These results are an important step in the validation of the HEI, emphasizing its potential as a tool for nutrition and health studies. C1 USDA, Ctr Nutr Policy & Promot, Alexandria, VA 22302 USA. NCI, Nutr Epidemiol Branch, Div Canc Epidemiol & Genet, NIH,Dept Hlth & Human Serv, Bethesda, MD 20892 USA. Ctr Dis Control & Prevent, Epidem Intelligence Serv, Div Viral Hepatitis, Natl Ctr Infect Dis, Atlanta, GA USA. RP Gerrior, SA (reprint author), USDA, Ctr Nutr Policy & Promot, 3101 Pk Ctr Dr, Alexandria, VA 22302 USA. EM shirley.gerrior@cnpp.usda.gov NR 55 TC 77 Z9 81 U1 0 U2 12 PU AMER DIETETIC ASSOC PI CHICAGO PA 216 W JACKSON BLVD #800, CHICAGO, IL 60606-6995 USA SN 0002-8223 J9 J AM DIET ASSOC JI J. Am. Diet. Assoc. PD APR PY 2004 VL 104 IS 4 BP 576 EP 584 DI 10.1016/j.jada.2004.01.005 PG 9 WC Nutrition & Dietetics SC Nutrition & Dietetics GA 809KE UT WOS:000220634800016 PM 15054343 ER PT J AU Pulford, D Meyer, H Brightwell, G Damon, I Kline, R Ulaeto, D AF Pulford, D Meyer, H Brightwell, G Damon, I Kline, R Ulaeto, D TI Amplification refractory mutation system PCR assays for the detection of variola and Orthopoxvirus SO JOURNAL OF VIROLOGICAL METHODS LA English DT Article DE ARMS; variola virus; Orthopoxvirus; detection ID POLYMERASE-CHAIN-REACTION; VACCINIA VIRUS; GENOMIC SEQUENCE; TERMINAL REGION; SMALLPOX VIRUS; CAMELPOX VIRUS; HEPATITIS-B; DNA; STRAIN; DIFFERENTIATION AB PCR assays that can identify the presence of variola virus (VARV) sequences in an unknown DNA sample were developed using principles established for the amplification refractory mutation system (ARMS). The assay's specificity utilised unique single nucleotide polymorphisms (SNP) identified among Orthopoxvirus (OPV) orthologs of the vaccinia virus Copenhagen strain A13L and A36R genes. When a variola virus specific primer was used with a consensus primer in an ARMS assay with different Orthopoxvirus genomes, a PCR product was only amplified from variola virus DNA. Incorporating a second consensus primer into the assay produced a multiplex PCR that provided Orthopoxvirus generic and variola-specific products with variola virus DNA. We tested two single nucleotide polymorphisms with a panel of 43 variola virus strains, collected over 40 years from countries across the world, and have shown that they provide reliable markers for variola virus identification. The variola virus specific primers did not produce amplicons with either assay format when tested with 50 other Orthopoxvirus DNA samples. Our analysis shows that these two polymorphisms were conserved in variola virus genomes and provide a reliable signature of Orthopoxvirus species identification. (C) 2004 Published by Elsevier B.V. C1 DSTL Porton Down, Biomed Sci, Salisbury SP4 0JQ, Wilts, England. German Armed Forces, Inst Microbiol, D-80937 Munich, Germany. Salisbury Dist Hosp, Wessex Reg Genet Lab, Salisbury, Wilts, England. Ctr Dis Control & Prevent, US Dept Hlth & Human Sci, Atlanta, GA 30333 USA. RP Pulford, D (reprint author), DSTL Porton Down, Biomed Sci, Salisbury SP4 0JQ, Wilts, England. EM davidpulford@hotmail.com OI Pulford, David/0000-0001-5955-2991 NR 38 TC 6 Z9 6 U1 0 U2 0 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 0166-0934 J9 J VIROL METHODS JI J. Virol. Methods PD APR PY 2004 VL 117 IS 1 BP 81 EP 90 DI 10.1016/j.jviromet.2004.01.001 PG 10 WC Biochemical Research Methods; Biotechnology & Applied Microbiology; Virology SC Biochemistry & Molecular Biology; Biotechnology & Applied Microbiology; Virology GA 804ZN UT WOS:000220336700010 PM 15019263 ER PT J AU Chen, MH Icenogle, JP AF Chen, MH Icenogle, JP TI Rubella virus capsid protein modulates viral genome replication and virus infectivity SO JOURNAL OF VIROLOGY LA English DT Article ID DEPENDENT RNA-POLYMERASE; CIS-ACTING ELEMENTS; NUCLEOCAPSID PROTEIN; NONSTRUCTURAL PROTEINS; IN-VIVO; BINDING; DOMAIN; CELLS; IDENTIFICATION; LOCALIZATION AB The structural proteins (SP) of the Togaviridae can be deleted in defective interfering RNAs. The dispensability of viral SP has allowed construction of noninfectious viral expression vectors and replicons from viruses of the Alphavirus and Rubivirus genera. Nevertheless, in this study, we found that the SP of rubella virus (RUB) could enhance expression of reporter genes from RUB replicons in trans. SP enhancement required capsid protein (CP) expression and was not due to RNA-RNA recombination. Accumulation of minus- and plus-strand RNAs from replicons was observed in the presence of SP, suggesting that SP specifically affects RNA synthesis. By using replicons containing an antibiotic resistance gene, we found 2- to 50-fold increases in the number of cells surviving selection in the presence of SP. The increases depended significantly on the amount of transfected RNA. Small amounts of RNA or templates that replicated inefficiently showed more enhancement. The infectivity of infectious RNA was increased by at least 10-fold in cells expressing CP. Moreover, virus infectivity was greatly enhanced in such cells. In other cells that expressed higher levels of CP, RNA replication of replicons was inhibited. Thus, depending on conditions, CP can markedly enhance or inhibit RUB RNA replication. C1 Ctr Dis Control & Prevent, Div Viral & Rickettsial Dis, Atlanta, GA 30333 USA. Georgia State Univ, Dept Biol, Atlanta, GA USA. RP Icenogle, JP (reprint author), Ctr Dis Control & Prevent, Div Viral & Rickettsial Dis, Atlanta, GA 30333 USA. EM jci1@cdc.gov NR 33 TC 28 Z9 32 U1 0 U2 1 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0022-538X J9 J VIROL JI J. Virol. PD APR PY 2004 VL 78 IS 8 BP 4314 EP 4322 DI 10.1128/JVI.78.8.4314-4322.2004 PG 9 WC Virology SC Virology GA 809MU UT WOS:000220641600050 PM 15047844 ER PT J AU Towner, JS Rollin, PE Bausch, DG Sanchez, A Crary, SM Vincent, M Lee, WF Spiropoulou, CF Ksiazek, TG Lukwiya, M Kaducu, F Downing, R Nichol, ST AF Towner, JS Rollin, PE Bausch, DG Sanchez, A Crary, SM Vincent, M Lee, WF Spiropoulou, CF Ksiazek, TG Lukwiya, M Kaducu, F Downing, R Nichol, ST TI Rapid diagnosis of Ebola hemorrhagic fever by reverse transcription-PCR in an outbreak setting and assessment of patient viral load as a predictor of outcome SO JOURNAL OF VIROLOGY LA English DT Article ID CLINICAL VIROLOGY; RT-PCR; VIRUS; CONGO; SEQUENCE; PRIMATES; DISEASE; KIKWIT; RNA AB The largest outbreak on record of Ebola hemorrhagic fever (EHF) occurred in Uganda from August 2000 to January 2001. The outbreak was centered in the Gulu district of northern Uganda, with secondary transmission to other districts. After the initial diagnosis of Sudan ebolavirus by the National Institute for Virology in Johannesburg, South Africa, a temporary diagnostic laboratory was established within the Gulu district at St. Mary's Lacor Hospital. The laboratory used antigen capture and reverse transcription-PCR (RT-PCR) to diagnose Sudan ebolavirus infection in suspect patients. The RT-PCR and antigen-capture diagnostic assays proved very effective for detecting ebolavirus in patient serum, plasma, and whole blood. In samples collected very early in the course of infection, the RT-PCR assay could detect ebolavirus 24 to 48 h prior to detection by antigen capture. More than 1,000 blood samples were collected, with multiple samples obtained from many patients throughout the course of infection. Real-time quantitative RT-PCR was used to determine the viral load in multiple samples from patients with fatal and nonfatal cases, and these data were correlated with the disease outcome. RNA copy levels in patients who died averaged 2 log(10) higher than those in patients who survived. Using clinical material from multiple EHF patients, we sequenced the variable region of the glycoprotein. This Sudan ebolavirus strain was not derived from either the earlier Boniface (1976) or Maleo (1979) strain, but it shares a common ancestor with both. Furthermore, both sequence and epidemiologic data are consistent with the outbreak having originated from a single introduction into the human population. C1 Ctr Dis Control & Prevent, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Special Pathogens Branch, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Dept Pathol, Atlanta, GA 30333 USA. Depauw Univ, Greencastle, IN 46135 USA. St Marys Lacor Hosp, Gulu, Uganda. Gulu Reg Hosp, Gulu, Uganda. Uganda Virus Res Inst, Ctr Dis Control & Prevent, Entebbe, Uganda. RP Nichol, ST (reprint author), Ctr Dis Control & Prevent, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, MS G-14, Atlanta, GA 30333 USA. EM stn1@cdc.gov NR 22 TC 250 Z9 273 U1 2 U2 53 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0022-538X EI 1098-5514 J9 J VIROL JI J. Virol. PD APR PY 2004 VL 78 IS 8 BP 4330 EP 4341 DI 10.1128/JVI.78.8.4330-4341.2004 PG 12 WC Virology SC Virology GA 809MU UT WOS:000220641600052 PM 15047846 ER PT J AU Dunn, JR Keen, JE Moreland, D Thompson, RA AF Dunn, JR Keen, JE Moreland, D Thompson, RA TI Prevalence of Escherichia coli O157 : H7 in white-tailed deer from Louisiana SO JOURNAL OF WILDLIFE DISEASES LA English DT Article DE Escherichia coli O157 : H7; fecal shedding; foodborne disease; Odocoileus virginianus; prevalence; seasonal; white-tailed deer ID MULTIPLEX PCR ASSAYS; SHIGA TOXIN; MONOCLONAL-ANTIBODIES; CATTLE; STRAINS; INFECTION; OUTBREAK; DISEASES; MEAT AB Escherichia coli O157:H7 (EC O157) is an important zoonosis. White-tailed deer (Odocoileus virginianus) have been implicated in transmission of this bacterium to humans and have been suggested as reservoirs that might affect carriage in cattle populations. Our study objectives were to estimate prevalence of EC O157 in feces of hunter-harvested deer and to describe fecal shedding patterns in a captive herd sampled over 1 yr. Prevalence of EC O157 in hunter-harvested deer was 0.3% (n=338). In August 2001, EC O157 was detected in one of 55 deer (1.8%) from the captive herd. Prevalence over the 1-yr period was 0.4% (n=226). Escherichia coli O157:H7 was rarely isolated from hunter-harvested deer during the winter. We could not describe a seasonal shedding pattern based on one positive sample in the captive herd. These data do not support a prominent role of deer as a reservoir for EC O157 for cattle or humans. C1 Louisiana State Univ, Sch Vet Med, Baton Rouge, LA 70803 USA. USDA ARS, Meat Anim Res Ctr, Clay Ctr, NE 68933 USA. Louisiana Dept Wildlife & Fisheries, Baton Rouge, LA 70808 USA. RP Dunn, JR (reprint author), Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, 1600 Clifton Rd,NE MS D-63, Atlanta, GA 30333 USA. EM Jdunn1@cdc.gov NR 26 TC 29 Z9 31 U1 2 U2 7 PU WILDLIFE DISEASE ASSN, INC PI LAWRENCE PA 810 EAST 10TH ST, LAWRENCE, KS 66044-8897 USA SN 0090-3558 J9 J WILDLIFE DIS JI J. Wildl. Dis. PD APR PY 2004 VL 40 IS 2 BP 361 EP 365 PG 5 WC Veterinary Sciences SC Veterinary Sciences GA 836JY UT WOS:000222553000029 PM 15362843 ER PT J AU Schmidt, JV Kroger, AT Roy, SL AF Schmidt, JV Kroger, AT Roy, SL TI Vaccines in women SO JOURNAL OF WOMENS HEALTH LA English DT Article AB Women's healthcare providers are encouraged to incorporate immunizations into their clients' care. Because women often rely on their healthcare provider for primary and preventive care, that provider may dramatically improve clients' quality of life by decreasing the risk of vaccine-preventable diseases. Women often assume responsibility for the entire family's health, and educating women can prevent disease in the household. Women's healthcare providers should offer and promote these vaccines: hepatitis B, varicella, measles/mumps/rubella, and combined tetanus/diphtheria toxoids for adolescent and young adult women, inactivated influenza vaccine during pregnancy, and pneumococcal, influenza, and tetanus/diphtheria vaccines for the adult or elderly woman. Education should include the importance of vaccines and the rationale for their necessity during each stage of life. Several strategies for implementing and supporting an immunization program have been shown to improve adult immunization rates. These include employing such protocols as standing orders, screening for adult immunizations at each office encounter, and using previously developed immunization documentation forms. The Advisory Committee on Immunization Practices (ACIP) recommendations, vaccine information statements (VIS), and storage and handling guidelines are readily available at low or no cost through CDC and professional organizations or immunization interest group websites. The current adult vaccine schedule assists providers to determine the need for vaccines by displaying graphically both age and medical risk factors. C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA 30333 USA. RP Schmidt, JV (reprint author), Ctr Dis Control & Prevent, Natl Immunizat Program, 1600 Clifton Rd NE,Mailstop E-52, Atlanta, GA 30333 USA. EM JSchmidt1@cdc.gov; AKroger@cdc.gov NR 23 TC 4 Z9 4 U1 0 U2 0 PU MARY ANN LIEBERT INC PUBL PI LARCHMONT PA 2 MADISON AVENUE, LARCHMONT, NY 10538 USA SN 1540-9996 J9 J WOMENS HEALTH JI J. Womens Health PD APR PY 2004 VL 13 IS 3 BP 249 EP 257 DI 10.1089/154099904323016400 PG 9 WC Public, Environmental & Occupational Health; Medicine, General & Internal; Obstetrics & Gynecology; Women's Studies SC Public, Environmental & Occupational Health; General & Internal Medicine; Obstetrics & Gynecology; Women's Studies GA 820PC UT WOS:000221400800001 PM 15130253 ER PT J AU Padhye, AA Karpati, A Rosenthal, SA Punithalingam, E AF Padhye, AA Karpati, A Rosenthal, SA Punithalingam, E TI Subcutaneous phaeohyphomycotic abscess caused by Pleurophomopsis lignicola SO MEDICAL MYCOLOGY LA English DT Article DE amphotericin B; immunocompromized patient with AIDS; Pleurophomopsis lignicola; subcutaneous phaeohyphomycosis; surgical intervention; treatment-early diagnosis AB A 41-year-old man with a past medical history of diabetes mellitus type II, AIDS (diagnosed 2 years earlier; CD4 count < 10), peripheral neuropathy, and pulmonary tuberculosis of 2 years duration was admitted to the hospital with abnormal liver function tests. There was a chronic hepatitis/cholestasis that had worsened while the patient was undergoing directly observed tuberculosis therapy. On admission, the patient complained of a painful swelling on his right arm. In the posterior aspect of the arm, there was a 3-4-cm subcutaneous mass that was fluctuant, mobile and tender. Incision of the mass released yellowish pus mixed with blood. Direct examination of the pus in KOH mounts and Gram-stained smears revealed subhyaline, septate, branched hyphae. When the pus was cultured on Sabouraud dextrose agar containing chloramphenicol, several velvety, olivaceous grey colonies grew after 7 days at 25&DEG;C. When grown on oatmeal agar, the fungus produced subglobose, rostrate pycnidia with phialidic conidiogenous cells, and 1-celled cylindrical conidia. It was identified as Pleurophomopsis lignicola Petrak. This report describes the third known case of subcutaneous infection caused by P. lignicola in an immuno-compromized patient. C1 Ctr Dis Control & Prevent, Mycot Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA USA. NYU Med Ctr, New York, NY 10016 USA. Royal Bot Gardens, Mycol Sect, Surrey, England. RP Padhye, AA (reprint author), 2956 Windfield Circle, Tucker, GA 30084 USA. EM aapadhye@msn.com NR 7 TC 1 Z9 1 U1 0 U2 0 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 1369-3786 J9 MED MYCOL JI Med. Mycol. PD APR PY 2004 VL 42 IS 2 BP 129 EP 134 DI 10.1080/13693780310001644707 PG 6 WC Infectious Diseases; Mycology; Veterinary Sciences SC Infectious Diseases; Mycology; Veterinary Sciences GA 812NL UT WOS:000220846100005 PM 15124866 ER PT J AU Hancock, K Pattabhi, S Greene, RM Yushak, ML Williams, F Khan, A Priest, JW Levine, MZ Tsang, VCW AF Hancock, K Pattabhi, S Greene, RM Yushak, ML Williams, F Khan, A Priest, JW Levine, MZ Tsang, VCW TI Characterization and cloning of GP50, a Taenia solium antigen diagnostic for cysticercosis (vol 133, pg 115, 2004) SO MOLECULAR AND BIOCHEMICAL PARASITOLOGY LA English DT Correction C1 Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA 30341 USA. Univ Illinois, Dept Otolaryngol Head & Neck Surg, Chicago, IL 60612 USA. Temple Univ, Sch Med, Dept Microbiol & Immunol, Philadelphia, PA 19140 USA. RP Hancock, K (reprint author), Ctr Dis Control & Prevent, Div Parasit Dis, Bldg 23,Room 1001,Mail Stop F-13,4770 Buford High, Atlanta, GA 30341 USA. EM khancock@cdc.gov NR 1 TC 2 Z9 2 U1 0 U2 1 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 0166-6851 J9 MOL BIOCHEM PARASIT JI Mol. Biochem. Parasitol. PD APR PY 2004 VL 134 IS 2 BP 285 EP 285 DI 10.1016/j.molbiopara.2004.02.001 PG 1 WC Biochemistry & Molecular Biology; Parasitology SC Biochemistry & Molecular Biology; Parasitology GA 806FM UT WOS:000220419800012 ER PT J AU Henningfield, JE Pankow, JF Garrett, BE AF Henningfield, JE Pankow, JF Garrett, BE TI Ammonia and other chemical base tobacco additives and cigarette nicotine delivery: Issues and research needs SO NICOTINE & TOBACCO RESEARCH LA English DT Article C1 Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD USA. Oregon Hlth Sci Univ, Sch Sci & Engn, OGI, Dept Environm & Biomol Syst, Portland, OR USA. Ctr Dis Control & Prevent, Off Smoking & Hlth, Atlanta, GA USA. RP Henningfield, JE (reprint author), Pinney Associates Inc, 4800 Montgomery Lane,Suite 1000, Bethesda, MD 20814 USA. EM jhenning@pinneyassociates.com FU NIDA NIH HHS [R01-DA10906-02] NR 34 TC 32 Z9 36 U1 0 U2 4 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 1462-2203 J9 NICOTINE TOB RES JI Nicotine Tob. Res. PD APR PY 2004 VL 6 IS 2 BP 199 EP 205 PG 7 WC Substance Abuse; Public, Environmental & Occupational Health SC Substance Abuse; Public, Environmental & Occupational Health GA 822AJ UT WOS:000221505400002 PM 15203793 ER PT J AU Blair, JM Hanson, DL Jones, JL Dworkin, MS AF Blair, JM Hanson, DL Jones, JL Dworkin, MS CA Adult Adolescent Spectrum of HIV TI Trends in pregnancy rates among women with human immunodeficiency virus SO OBSTETRICS AND GYNECOLOGY LA English DT Article ID HIV-INFECTED WOMEN; UNITED-STATES; DECISIONS; DIAGNOSIS; KNOWLEDGE; CONTINUE; COHORT; BIRTH AB OBJECTIVE: To describe factors associated with pregnancy and trends in pregnancy rates among women with human immunodeficiency virus (HIV) before and after the release of U.S. Public Health Service Guidelines for the Use of Zidovudine and the Increased Availability of Highly Active Antiretroviral Therapy. METHODS: Human immunodeficiency virus (HIV)-infected women aged 15 to 44 years who were enrolled in die Adult/Adolescent Spectrum of HIV Disease Project, a medical records cohort study of HIV-infected persons conducted in more than 100 U.S. health care facilities. RESULTS: Among 8,857 women, there were 1,185 incident pregnancies during 21,617 person-years of follow-up from 1992 through 2001. Pregnancy rate at enrollment was 16%; thereafter, an average of 5.5% of women became pregnant annually. Pregnancies were more likely to occur in women aged 15 to 24 years (adjusted rate ratio [RR] 9.2; 95% confidence interval [CI] 7.4, 11.3) and 25 to 34 years (adjusted RR 4.0; 95% CI 3.3, 4.9) than in women aged 35 to 44 years. Pregnancies were less likely to occur in women with a history of acquired immunodeficiency syndrome (AIDS)-opportunistic illness (adjusted RR 0.4; 95% CI 0.3, 0.5) or a CD4 count below 200 cells/muL and no opportunistic illness (adjusted RR 0.6; 95% CI 0.5, 0.7) than in women with HIV but not AIDS. Higher rates of pregnancy were observed for women prescribed highly active antiretroviral therapy (adjusted RR 1.3; 95% CI 1.0, 1.6) than women prescribed other regimens of antiretroviral therapy. There were significantly higher rates of pregnancy during 1997 through 2001. CONCLUSION: The increase in pregnancy rates during the era of widespread use of highly active antiretroviral therapy illustrates the continued need for comprehensive prevention and treatment services. (C) 2004 by The American College of Obstetricians and Gynecologists. C1 CDCP, Div HIV AIDS Prevent, Natl Ctr HIV STD & TB Prevent, Atlanta, GA 30333 USA. Illinois Dept Publ Hlth, Chicago, IL USA. CDCP, Epidem Intelligence Serv, Div Appl Publ Hlth Training, Epdiemiol Program Off, Atlanta, GA USA. RP Blair, JM (reprint author), CDCP, Div HIV AIDS Prevent, Natl Ctr HIV STD & TB Prevent, Mailstop E-47,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM JBlair@cdc.gov NR 22 TC 49 Z9 49 U1 0 U2 1 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0029-7844 J9 OBSTET GYNECOL JI Obstet. Gynecol. PD APR PY 2004 VL 103 IS 4 BP 663 EP 668 DI 10.1097/01.AOG.0000117083.33239.b5 PG 6 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 875IO UT WOS:000225413900010 PM 15051556 ER PT J AU Bartlett, LA Berg, CJ Shulman, HB Zane, SB Green, CA Whitehead, S Atrash, HK AF Bartlett, LA Berg, CJ Shulman, HB Zane, SB Green, CA Whitehead, S Atrash, HK TI Risk factors for legal induced abortion-related mortality in the United States SO OBSTETRICS AND GYNECOLOGY LA English DT Article ID MULTICENTER TRIAL; SERVICES; MIFEPRISTONE; PREGNANCY; IMPACT; ACCEPTABILITY; MISOPROSTOL AB OBJECTIVE: To assess risk factors for legal induced abortion-related deaths. METHODS: This is a descriptive epidemiologic study of women dying of complications of induced abortions. Numerator data are from the Abortion Mortality Surveillance System. Denominator data are from the Abortion Surveillance System, which monitors the number and characteristics of women who have legal induced abortions in the United States. Risk factors examined include age of the woman, gestational length of pregnancy at the time of termination, race, and procedure. Main outcome measures include crude, adjusted, and risk factor-specific mortality rates. RESULTS: During 1988-1997, the overall death rate for women obtaining legally induced abortions was 0.7 per 100,000 legal induced abortions. The risk of death increased exponentially by 38% for each additional week of gestation. Compared with women whose abortions were performed at or before 8 weeks of gestation, women whose abortions were performed in the second trimester were significantly more likely to die of abortion-related causes. The relative risk (unadjusted) of abortion-related mortality was 14.7 at 13-15 weeks of gestation (95% confidence interval [CI] 6.2, 34.7), 29.5 at 16-20 weeks (95% CI 12.9, 67.4), and 76.6 at or after 21 weeks (95% CI 32.5,180.8). Up to 87% of deaths in women who chose to terminate their pregnancies after 8 weeks of gestation may have been avoidable if these women had accessed abortion services before 8 weeks of gestation. CONCLUSION: Although primary prevention of unintended pregnancy is optimal, among women who choose to terminate their pregnancies, increased access to surgical and nonsurgical abortion services may increase the proportion of abortions performed at lower-risk, early gestational ages and help further decrease deaths. (C) 2004 by The American College of Obstetricians and Gynecologists. C1 Natl Ctr Chron Dis Prevent & Hlth Promot, Div Reprod Hlth, Maternal & Infant Hlth Branch, Atlanta, GA 30341 USA. Natl Ctr Chron Dis Prevent & Hlth Promot, Informat Technol Stat & Surveillance Branch, Div Reprod Hlth, Atlanta, GA 30341 USA. Natl Ctr Chron Dis Prevent & Hlth Promot, Div Reprod Hlth, Appl Sci Branch, Atlanta, GA 30341 USA. Div Appl Publ Hlth Training, Epidemiol Program Off, Epidem Intelligence Serv, Atlanta, GA USA. RP Bartlett, LA (reprint author), Natl Ctr Chron Dis Prevent & Hlth Promot, Div Reprod Hlth, Maternal & Infant Hlth Branch, 4770 Buford Highway NE,MS-K-23, Atlanta, GA 30341 USA. EM LBartlett@CDC.gov NR 30 TC 179 Z9 186 U1 1 U2 8 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0029-7844 J9 OBSTET GYNECOL JI Obstet. Gynecol. PD APR PY 2004 VL 103 IS 4 BP 729 EP 737 DI 10.1097/01.AOG.0000116260.81570.60 PG 9 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 875IO UT WOS:000225413900020 PM 15051566 ER PT J AU Jamieson, DJ Cono, J Richards, CL Treadwell, TA AF Jamieson, DJ Cono, J Richards, CL Treadwell, TA TI The role of the obstetrician-gynecologist in emerging infectious diseases: Monkeypox and pregnancy SO OBSTETRICS AND GYNECOLOGY LA English DT Editorial Material ID OUTBREAK; CONGO AB Early in June 2003, the Centers for Disease Control and Prevention (CDC) announced yet another unique infectious disease outbreak, the first evidence of community-acquired monkeypox in the United States. By July 8, 2003, a total of 71 cases had been reported to CDC from 6 states. When emerging infectious diseases are reported in the United States, particularly when these reports receive widespread media attention, obstetrician-gynecologists may be called upon to rapidly respond to queries from their patients and to address certain infectious disease risks within their clinical practices. In addition, obstetrician-gynecologists may have specific concerns about the implications for an infectious disease outbreak, such as monkeypox, for pregnant women. Therefore, it is important that obstetrician-gynecologists know how to gather up-to-date and accurate information about infectious disease outbreaks and that they be familiar with the public health response system for responding to such outbreaks. . (C) 2004 by The American College of Obstetricians and Gynecologists. C1 Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Atlanta, GA 30341 USA. RP Jamieson, DJ (reprint author), Ctr Dis Control & Prevent, Natl Ctr Infect Dis, 4770 Buford Highway,Mailstop K-34, Atlanta, GA 30341 USA. EM djj0@cdc.gov NR 15 TC 3 Z9 3 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0029-7844 J9 OBSTET GYNECOL JI Obstet. Gynecol. PD APR PY 2004 VL 103 IS 4 BP 754 EP 756 DI 10.1097/01.AOG.0000114987.76424.6d PG 3 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 875IO UT WOS:000225413900023 PM 15051569 ER PT J AU Wong, GC Bernaards, CA Berman, BA Jones, C Bernert, JT AF Wong, GC Bernaards, CA Berman, BA Jones, C Bernert, JT TI Do children with asthma and their parents agree on household ETS exposure? Implications for asthma management SO PATIENT EDUCATION AND COUNSELING LA English DT Article DE asthma management; environmental tobacco smoke; minority; low-income ID ENVIRONMENTAL TOBACCO-SMOKE; CHILDHOOD ASTHMA; PASSIVE SMOKING; CIGARETTE-SMOKING; URINARY COTININE; SCHOOL-CHILDREN; HEALTH-SERVICES; POPULATION; TRENDS; CITY AB The adverse consequences of passive smoking have spurred efforts to reduce environmental tobacco smoke (ETS) exposure among children, particularly in the home. For children with asthma, teaching them to avoid tobacco smoke at home is an important element of patient self-management. This strategy assumes that children can accurately assess household smoking behaviors and the level of their own exposure in the home. This study compared child and parental assessments of household smoking behaviors in an urban, low-income and largely ethnic minority sample of asthmatic children and their parents. While there was general parent-child agreement on the smoking status of household members, there was less agreement on duration of household smoking and the child's exposure to ETS. Objective validation measures (cotinine, nicotine) suggest that parents were better able than their children to assess hours of indoor smoking. Children's assessment of the extent of exposure to ETS may be problematic, with important implications for asthma patient self-management efforts. (C) 2003 Elsevier Ireland Ltd. All rights reserved. C1 Univ Calif Los Angeles, Jonsson Comprehens Canc Ctr, Div Canc Prevent & Control Res, Los Angeles, CA 90095 USA. Univ Calif Los Angeles, Dept Stat, Los Angeles, CA USA. Univ Calif Los Angeles, Div Canc Prevent & Control Res, Sch Publ Hlth, Los Angeles, CA USA. Univ So Calif, Med Ctr, Los Angeles Cty, Div Allergy & Immunol, Los Angeles, CA USA. NCEH, Div Sci Lab, Air Toxicants Branch, Ctr Dis Control & Prevent, Atlanta, GA USA. RP Wong, GC (reprint author), Univ Calif Los Angeles, Jonsson Comprehens Canc Ctr, Div Canc Prevent & Control Res, A2-125 CHS,Box 956900, Los Angeles, CA 90095 USA. EM clrvu@ucla.edu FU NHLBI NIH HHS [HL53957] NR 40 TC 10 Z9 10 U1 0 U2 2 PU ELSEVIER SCI IRELAND LTD PI CLARE PA CUSTOMER RELATIONS MANAGER, BAY 15, SHANNON INDUSTRIAL ESTATE CO, CLARE, IRELAND SN 0738-3991 J9 PATIENT EDUC COUNS JI Patient Educ. Couns. PD APR PY 2004 VL 53 IS 1 BP 19 EP 25 DI 10.1016/S0738-3991(03)00123-X PG 7 WC Public, Environmental & Occupational Health; Social Sciences, Interdisciplinary SC Public, Environmental & Occupational Health; Social Sciences - Other Topics GA 816VB UT WOS:000221136300004 PM 15062900 ER PT J AU Thomas, AR Fiore, AE Corwith, HL Cieslak, PR Margolis, HS AF Thomas, AR Fiore, AE Corwith, HL Cieslak, PR Margolis, HS TI Hepatitis B vaccine coverage among infants born to women without prenatal screening for hepatitis B virus infection: effects of the Joint Statement on Thimerosal in Vaccines SO PEDIATRIC INFECTIOUS DISEASE JOURNAL LA English DT Article DE hepatitis B (prevention and control); hepatitis B vaccine; thimerosal; immunization programs ID RECOMMENDATIONS; IMPACT; MERCURY AB Background. As a result of controversy about mercury exposures from vaccines containing thimerosal, the American Academy of Pediatrics and the US Public Health Service recommended in July 1999 that the first dose of hepatitis B vaccine be deferred until 2 to 6 months of age, but only for infants born to hepatitis B surface antigen (HBsAg)-negative women. We investigated the effect of these recommendation changes on the management of Oregon infants born to women whose HBsAg status was "unknown." Methods. Infants were identified by reviewing electronic birth certificate data from 34 Oregon hospitals during (1)April through June 1999 [before recommendation changes (T1)], (2) August through October 1999 [after recommendations changes (T2)] and (3) April through June 2000 [when resumption of pre-1999 practices were recommended (T3)]. We verified maternal HBsAg screening and newborn hepatitis B vaccination by chart review. Results. We identified 147 infants born to women who were not screened for HBsAg. During T1, 27% of infants born to mothers of unknown HBsAg status were vaccinated within 12 h of birth, and 80% were vaccinated before hospital discharge. This decreased to 2 and 4%, respectively, during T2 and continued to remain lower during T3. Conclusion. Hepatitis B vaccine coverage for infants born to unscreened women declined significantly after the July 1999 announcement and remained significantly lower 10 to 12 months later. When changes are made in established vaccination practices, policy makers should ensure that such changes are not misinterpreted, resulting in failure to immunize appropriate groups. C1 Oregon Dept Human Serv, Off Dis Prevent & Epidemiol, Portland, OR 97232 USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Div Viral Hepatitis, Atlanta, GA USA. RP Thomas, AR (reprint author), Oregon Dept Human Serv, Off Dis Prevent & Epidemiol, 800 NE Oregon St,Suite 772, Portland, OR 97232 USA. EM ann.thomas@state.or.us NR 19 TC 12 Z9 12 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0891-3668 EI 1532-0987 J9 PEDIATR INFECT DIS J JI Pediatr. Infect. Dis. J. PD APR PY 2004 VL 23 IS 4 BP 313 EP 318 DI 10.1097/00006454-200404000-00007 PG 6 WC Immunology; Infectious Diseases; Pediatrics SC Immunology; Infectious Diseases; Pediatrics GA 812YD UT WOS:000220873900006 PM 15071284 ER PT J AU Watson, JT Gerber, SI AF Watson, JT Gerber, SI TI West Nile virus: A brief review SO PEDIATRIC INFECTIOUS DISEASE JOURNAL LA English DT Editorial Material ID NEW-YORK; ENCEPHALITIS; INFECTION C1 Ctr Dis Control & Prevent, Epidem Intelligence Serv, Atlanta, GA 30333 USA. Chicago Dept Publ Hlth, Chicago, IL USA. RP Watson, JT (reprint author), Ctr Dis Control & Prevent, Epidem Intelligence Serv, Atlanta, GA 30333 USA. NR 15 TC 4 Z9 4 U1 0 U2 1 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0891-3668 J9 PEDIATR INFECT DIS J JI Pediatr. Infect. Dis. J. PD APR PY 2004 VL 23 IS 4 BP 357 EP 358 DI 10.1097/00006454-200404000-00017 PG 2 WC Immunology; Infectious Diseases; Pediatrics SC Immunology; Infectious Diseases; Pediatrics GA 812YD UT WOS:000220873900016 PM 15071294 ER PT J AU Redding, G Singleton, R Lewis, T Martinez, P Butler, J Stamey, D Bulkow, L Peters, H Gove, J Morray, B Jones, C AF Redding, G Singleton, R Lewis, T Martinez, P Butler, J Stamey, D Bulkow, L Peters, H Gove, J Morray, B Jones, C TI Early radiographic and clinical features associated with bronchlectasis in children SO PEDIATRIC PULMONOLOGY LA English DT Article DE Alaska native children; chronic bronchiectasis; radiographs; RSV ID ALASKA NATIVE CHILDREN; ACUTE RESPIRATORY-INFECTIONS; STREPTOCOCCUS-PNEUMONIAE; ESKIMO CHILDREN; BRONCHIECTASIS; DISEASE; LUNG; INTERVENTION; ILLNESS; ASTHMA AB Bronchiectasis among children living in developing regions is associated with respiratory infections during early childhood, but specific risk factors that precede childhood bronchiectasis are not fully characterized. We hypothesized that severe respiratory syncytial viral (RSV) infection in infancy would increase the risk of bronchiectasis among Alaska Native children in rural Alaska. This was a follow-up cohort study of a 1993-1996 case-control study of RSV-hospitalized case patients and their controls. For each 5-8-year-old former case-patient and control subject, we reviewed medical records, interviewed parents, performed physical examinations and spirometry, collected sera, and analyzed all historical chest radiographs. Ten (11%) RSV cases and 10 (9%) controls had radiographic evidence of bronchiectasis. The mean age at radiographic diagnosis of bronchiectasis was 3.3 years (range, 1.2-6.1 years). Children were more likely to develop bronchiectasis if their chest radiographs, when they were < 2 years of age, showed lung parenchymal densities (RR = 3.9, P < 0.013), persistent parenchymal densities > 6 months' duration (RR = 3.0, P = 0.02), or infiltrates on multiple episodes (test for trend, P = 0.003). Radiographic features of hyperinflation and atelectasis among children < 2 years old were not associated with eventual bronchiectasis. A single severe infection with RSV alone did not predispose Alaska Native infants to bronchiectasis. Childhood bronchiectasis was associated with lung and hence airway injury, manifested on radiographs by parenchymal densities or "pneumonia" rather than by hyperinflation or atelectasis. (C) 2004 Wiley-Liss, Inc. C1 Univ Washington, Sch Med, Pediat Pulm Div, Seattle, WA 98195 USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Arctic Invest Program, Anchorage, AK USA. Alaska Native Tribal Hlth Consortium, Anchorage, AK USA. Univ Michigan, Sch Med, Ann Arbor, MI 48109 USA. Univ Michigan, Sch Publ Hlth, Ann Arbor, MI 48109 USA. Yukon Kuskokwin Hlth Corp, Bethel, AK USA. Rockford Allergy Clin, Chicago, IL USA. RP Redding, G (reprint author), Childrens Hosp, Pediat Pulm Div, 3D-4,4800 Sant Point Way NE, Seattle, WA 98105 USA. EM gredding@u.washington.edu NR 39 TC 11 Z9 11 U1 0 U2 0 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 8755-6863 J9 PEDIATR PULM JI Pediatr. Pulmonol. PD APR PY 2004 VL 37 IS 4 BP 297 EP 304 DI 10.1002/ppul.10427 PG 8 WC Pediatrics; Respiratory System SC Pediatrics; Respiratory System GA 809FW UT WOS:000220623600003 PM 15022125 ER PT J AU Mitchell, DK Walter, JE Jiang, X Guerrero, ML Meinzen-Derr, J Primeggia, J Pickering, LK Altaye, M Ruiz-Palacios, G Morrow, AL AF Mitchell, DK Walter, JE Jiang, X Guerrero, ML Meinzen-Derr, J Primeggia, J Pickering, LK Altaye, M Ruiz-Palacios, G Morrow, AL TI Molecular epidemiology of human astrovirus infections among children in a cohort study in Mexico City SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Mexico City, DF, Mexico. Childrens Hosp, Med Ctr, Cincinnati, OH 45229 USA. Eastern Virginia Med Sch, Ctr Pediat Res, Norfolk, VA 23501 USA. RI Meinzen-Derr, Jareen/N-4805-2015; Altaye, Mekibib/N-5274-2015 NR 0 TC 0 Z9 0 U1 0 U2 1 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 327 BP 58A EP 58A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591100344 ER PT J AU Walter, JE Afflerbach, C Jiang, X Matson, DO Pickering, LK Guerrero, ML Ruiz-Palacios, G Mitchell, DK AF Walter, JE Afflerbach, C Jiang, X Matson, DO Pickering, LK Guerrero, ML Ruiz-Palacios, G Mitchell, DK TI Characterization of a novel astrovirus from Mexican children SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. Childrens Hosp, Med Ctr, Cincinnati, OH 45229 USA. Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Mexico City, DF, Mexico. Eastern Virginia Med Sch, Ctr Pediat Res, Norfolk, VA 23501 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 328 BP 58A EP 58A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591100345 ER PT J AU Myrick, AM Rickert, D Yusuf, H Schwartz, B AF Myrick, AM Rickert, D Yusuf, H Schwartz, B TI Are provider concerns regarding vaccine safety associated with immunization delay in children? SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 963 BP 171A EP 171A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591100995 ER PT J AU Lara, M Akinbami, E Flores, G Morgenstern, F AF Lara, M Akinbami, E Flores, G Morgenstern, F TI Heterogeneity of childhood asthma among Hispanics: the disproportionate burden among Puerto Ricans SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Univ Calif Los Angeles, RAND Program Latino Childrens Asthma, Los Angeles, CA 90024 USA. Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Hyattsville, MD 20782 USA. Med Coll Wisconsin, Milwaukee, WI 53226 USA. Childrens Hosp Wisconsin, Milwaukee, WI 53201 USA. Univ Michigan, Sch Publ Hlth, Ann Arbor, MI 48109 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 970 BP 172A EP 172A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101002 ER PT J AU Dabelea, D Lawrence, J Pihoker, C Rodriguez, B Standiford, D Mayer-Davis, E Bell, R Liu, L Imperatore, G AF Dabelea, D Lawrence, J Pihoker, C Rodriguez, B Standiford, D Mayer-Davis, E Bell, R Liu, L Imperatore, G TI Challenges in classification of diabetes type in children: The SEARCH for diabetes in youth study SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Univ Colorado, Hlth Sci Ctr, Denver, CO 80202 USA. Kaiser Permanente So Calif, Res & Evaluat, Pasadena, CA USA. Childrens Hosp & Reg Med Ctr, Seattle, WA USA. Pacific Hlth Res Inst, Honolulu, HI USA. Childrens Hosp, Med Ctr, Div Endocrinol, Cincinnati, OH 45229 USA. Univ S Carolina, Columbia, SC 29208 USA. Wake Forest Univ, Sch Med, Winston Salem, NC 27109 USA. Univ Washington, Seattle, WA 98195 USA. Ctr Dis Control & Prevent, NCCDPHP, Div Diabet Translat, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 975 BP 173A EP 173A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101007 ER PT J AU Smith, PJ Chu, SY Barker, LF AF Smith, PJ Chu, SY Barker, LF TI Unvaccinated children: Who are they, and where do they live? SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 1 U2 1 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 991 BP 175A EP 176A PN 2 PG 2 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101023 ER PT J AU Hambidge, SJ Phibbs, S Davidson, AJ LeBaron, C Steiner, JF AF Hambidge, SJ Phibbs, S Davidson, AJ LeBaron, C Steiner, JF TI Risk factors for infant under-utilization of well child care in an urban health care system SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Denver Hlth, Pediat Family Med & Publ Hlth, Denver, CO USA. UCHSC, Colorado Hlth Outcomes Program, Denver, CO USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 1 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1083 BP 192A EP 192A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101115 ER PT J AU Stokley, S Santoli, JM Barker, L Willis, B AF Stokley, S Santoli, JM Barker, L Willis, B TI Vaccination status of children enrolled in State Children's Health Insurance Program (SCHIP) SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1130 BP 200A EP 200A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101162 ER PT J AU Zhou, FJ Jumaan, AO Shefer, A Harpaz, R AF Zhou, FJ Jumaan, AO Shefer, A Harpaz, R TI Impact of varicella vaccination on health care utilization in the United States, 1994-2001 SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 1 Z9 1 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1132 BP 200A EP 200A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101164 ER PT J AU Bartlett, DL AF Bartlett, DL TI Measuring child participation and vaccine provider participation in immunization registries, 2002 SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 03-06, 2003 CL SEATTLE, WA SP Pediat Acad Soc, Amer Pediat Soc, Soc Pediat Res, Ambulatory Pediat Assoc, Tulane Univ Hlth Sci Ctr, Ctr Continuing Educ C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1180 BP 209A EP 209A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101229 ER PT J AU Daley, MF Crane, LA Barrow, J Pearson, K Stevenson, JM Berman, S Kempe, A AF Daley, MF Crane, LA Barrow, J Pearson, K Stevenson, JM Berman, S Kempe, A TI Parental decision-making regarding new and targeted vaccines SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 03-06, 2003 CL SEATTLE, WA SP Pediat Acad Soc, Amer Pediat Soc, Soc Pediat Res, Ambulatory Pediat Assoc, Tulane Univ Hlth Sci Ctr, Ctr Continuing Educ C1 Univ Colorado, Ctr Hlth Sci, Denver, CO 80202 USA. Childrens Hosp, Childrens Outcomes Res Program, Denver, CO 80218 USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1190 BP 210A EP 211A PN 2 PG 2 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101239 ER PT J AU Daley, MF Barrow, J Stevenson, JM Pearson, K Crane, LA Berman, S Kempe, A AF Daley, MF Barrow, J Stevenson, JM Pearson, K Crane, LA Berman, S Kempe, A TI Missed opportunities for influenza immunization in children with chronic medical conditions SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 03-06, 2003 CL SEATTLE, WA SP Pediat Acad Soc, Amer Pediat Soc, Soc Pediat Res, Ambulatory Pediat Assoc, Tulane Univ Hlth Sci Ctr, Ctr Continuing Educ C1 Univ Colorado, Ctr Hlth Sci, Denver, CO 80202 USA. Childrens Hosp, Childrens Outcomes Res Program, Denver, CO 80218 USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 1 Z9 1 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1191 BP 211A EP 211A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101240 ER PT J AU Pochling, K Walker, F Copeland, J Szilagyi, P Hall, C Weinberg, G Iwane, M Bridges, C Sewartz, B Griffin, M AF Pochling, K Walker, F Copeland, J Szilagyi, P Hall, C Weinberg, G Iwane, M Bridges, C Sewartz, B Griffin, M TI Epidemiology of outpatient visits for influenza infections in young children SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 03-06, 2003 CL SEATTLE, WA SP Pediat Acad Soc, Amer Pediat Soc, Soc Pediat Res, Ambulatory Pediat Assoc, Tulane Univ Hlth Sci Ctr, Ctr Continuing Educ C1 Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Atlanta, GA USA. Univ Rochester, Sch Med & Dent, Rochester, NY USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1365 BP 241A EP 241A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101414 ER PT J AU Poehling, K Walker, F Copeland, J Szilagyi, P Hall, C Weinberg, G Iwane, M Bridges, C Schwartz, B Griffin, M Edwards, K AF Poehling, K Walker, F Copeland, J Szilagyi, P Hall, C Weinberg, G Iwane, M Bridges, C Schwartz, B Griffin, M Edwards, K TI Population-based hospitalization rates of influenza infections in young children SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 03-06, 2003 CL SEATTLE, WA SP Pediat Acad Soc, Amer Pediat Soc, Soc Pediat Res, Ambulatory Pediat Assoc, Tulane Univ Hlth Sci Ctr, Ctr Continuing Educ C1 Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA. Ctr Dis Control, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Univ Rochester, Sch Med & Dent, Rochester, NY USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1366 BP 241A EP 241A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101415 ER PT J AU Lee, CM LeBaron, CW Murphy, TV Lett, S Schauer, S Lieu, TA AF Lee, CM LeBaron, CW Murphy, TV Lett, S Schauer, S Lieu, TA TI Pertussis in adolescent and adults: Should we vaccinate? SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Harvard Univ, Sch Med, Ctr Child Hlth Care Studies, Dept Ambulat Care & Prevent, Boston, MA USA. Harvard Univ, Pilgrim Hlth Care, Boston, MA USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. Massachusetts Dept Publ Hlth, Jamaica Plain, MA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1795 BP 315A EP 316A PN 2 PG 2 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101861 ER PT J AU Schaffer, SJ Szilagyi, PG Ambrose, S Barth, R Shone, L Yussuf, H Rickert, D Shefer, A AF Schaffer, SJ Szilagyi, PG Ambrose, S Barth, R Shone, L Yussuf, H Rickert, D Shefer, A TI Availability of hepatitis B vaccine for incarcerated youth SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 01-04, 2004 CL San Francisco, CA SP Pediat Acad Soc C1 Univ Rochester, Dept Pediat, Rochester, NY USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 W CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1797 BP 316A EP 316A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101863 ER PT J AU Schaffer, SJ Szilagyi, PG Ambrose, S Barth, RB Shone, L Yusuf, H Rickert, D Shefer, A AF Schaffer, SJ Szilagyi, PG Ambrose, S Barth, RB Shone, L Yusuf, H Rickert, D Shefer, A TI Hepatitis B vaccine availability in alternative health care settings SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 01-04, 2004 CL San Francisco, CA SP Pediat Acad Soc C1 Univ Rochester, Dept Pediat, Rochester, NY USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 W CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1799 BP 316A EP 316A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101864 ER PT J AU Daley, MF Crane, LA Barrow, J Hester, N Beaty, BL Pearson, K Allred, NJ Berman, S Kempe, A AF Daley, MF Crane, LA Barrow, J Hester, N Beaty, BL Pearson, K Allred, NJ Berman, S Kempe, A TI Parental knowledge,attitudes, and beliefs(KABs) regarding influenza immunization in healthy young children SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Univ Colorado, HSC, Denver, CO USA. Childrens Hosp, Childrens Outcomes Res Program, Denver, CO USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 1 Z9 1 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1805 BP 317A EP 317A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101871 ER PT J AU Kempe, A Daley, MF Crane, LA Barrow, J Hester, N Beaty, BL Allred, NJ Pearson, K Berman, S AF Kempe, A Daley, MF Crane, LA Barrow, J Hester, N Beaty, BL Allred, NJ Pearson, K Berman, S TI Parental knowledge of influenza vaccine recommendations and the safety of vaccination in different high-risk populations SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Univ CO HSC, Dept Pediat, Denver, CO USA. Childrens Hosp, Childrens Outcomes Res Program, Denver, CO USA. Univ CO HSC, Dept Prevent Med & Biometr, Denver, CO USA. Ctr Dis Control & Prevent, Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1806 BP 317A EP 317A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101872 ER PT J AU Lin, ND Kleinman, K Ye, XJ France, E Wei, FF Mullooly, JP Santoli, JM Lieu, TA AF Lin, ND Kleinman, K Ye, XJ France, E Wei, FF Mullooly, JP Santoli, JM Lieu, TA CA The Vaccine Safety Datalink Projec TI Impact of the introduction of pneumococcal conjugate vaccine on immunization coverage SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Harvard Univ, Sch Med, Pilgrim Hlth Care, Dept Ambulat Care & Prevent, Boston, MA USA. Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA. Kaiser Permanente, Denver, CO USA. HealthPartners Res Fdn, Minneapolis, MN USA. NW Kaiser Permanente, Ctr Hlth Res, Portland, OR USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1801 BP 317A EP 317A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101867 ER PT J AU Iwamoto, M Hlady, WG Jeter, MM Burnett, CL Drenzek, CL Lance-Parker, SE Benson, J Page, DP Blake, PA AF Iwamoto, M Hlady, WG Jeter, MM Burnett, CL Drenzek, CL Lance-Parker, SE Benson, J Page, DP Blake, PA TI Shigellosis among swimmers in a freshwater lake - Georgia, 2003 SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, Epidemiol Program Off, Div Appl Publ Hlth, State Branch, Atlanta, GA USA. Epidemiol Branch, Georgia Div Publ Hlth, Dept Human Resources, Atlanta, GA USA. Coastal Hlth Dist, Brunswick, GA USA. Georgia Publ Hlth Lab, Dept Human Resources, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1827 BP 321A EP 321A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101893 ER PT J AU Weinberg, GA Hall, CB Walker, FJ Copeland, J Edwards, KM Griffin, MR Iwane, MK Schwartz, B Szilagyi, PG AF Weinberg, GA Hall, CB Walker, FJ Copeland, J Edwards, KM Griffin, MR Iwane, MK Schwartz, B Szilagyi, PG TI Parainfluenza virus infection of young children: Burden of hospitalization and seasonal patterns of infection SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Univ Rochester, Sch Med, Rochester, MN USA. CDC, Natl Immunizat Program, Atlanta, GA USA. Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA. NR 0 TC 1 Z9 1 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1824 BP 321A EP 321A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101890 ER PT J AU Shulman, ST Tanz, RR Kabat, W Kabat, K Cederlund, E Patel, D Rippe, J Dale, JB Beall, B AF Shulman, ST Tanz, RR Kabat, W Kabat, K Cederlund, E Patel, D Rippe, J Dale, JB Beall, B TI US and Canadian pharyngeal group a streptococcal (GAS) emm types show differences SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Childrens Mem Hosp, Gen Acad Pediat, Chicago, IL USA. Northwestern Univ, Feinberg Sch Med, Infect Dis Lab, Childrens Mem Hosp, Chicago, IL USA. Univ Tennessee, Hlth Sci Ctr, Memphis, TN USA. VA Med Ctr, Memphis, TN USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 1 Z9 1 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1846 BP 324A EP 324A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101912 ER PT J AU Tanx, RR Shulman, ST Shortridge, VD Kabat, W Kabat, K Cederlund, E Rippe, J Doktor, S Beyer, J Beall, B AF Tanx, RR Shulman, ST Shortridge, VD Kabat, W Kabat, K Cederlund, E Rippe, J Doktor, S Beyer, J Beall, B TI Macrolide and clindamycin resistance among pharyngeal group A Streptococci is higher in Canada than in the US SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Childrens Mem Hosp, Chicago, IL 60614 USA. Northwestern Univ Feinberg, Sch Med, Chicago, IL USA. Childrens Mem Hosp, Infect Dis Lab, Chicago, IL USA. Abbott Labs, Abbott Pk, IL 60064 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1845 BP 324A EP 324A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101911 ER PT J AU Jaggi, P Shulman, ST Beall, B Tanz, R AF Jaggi, P Shulman, ST Beall, B Tanz, R TI Age influences the emmType distribution of pediatric pharyngeal group a Streptococci: A three year evaluation SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 01-04, 2004 CL San Francisco, CA SP Pediat Acad Soc C1 Northwestern Univ, Childrens Mem Hosp, Feinberg Sch Med, Chicago, IL USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 W CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1847 BP 325A EP 325A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101913 ER PT J AU Peck, AJ Holman, RC Curns, AT Lingappa, JR Cheek, JE Singleton, RJ Carver, K Anderson, LJ AF Peck, AJ Holman, RC Curns, AT Lingappa, JR Cheek, JE Singleton, RJ Carver, K Anderson, LJ TI Lower respiratory tract infections among American Indian and Alaska native (AI/AN) children and US children SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Div Viral & Rickettsial Dis, Atlanta, GA USA. IHS, Program Epidemiol, Off Publ Hlth, Albuquerque, NM USA. CDC, NCID, Alaska Native Tribal Hlth Consortium & Arctic Inv, Anchorage, AK USA. US Dept HHS, IHS, Rockville, MD USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1903 BP 334A EP 334A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101969 ER PT J AU Rickert, D Santoli, J Abigail, S Hussain, Y AF Rickert, D Santoli, J Abigail, S Hussain, Y TI Influenza vaccination of medically high-risk children: What the providers say SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1929 BP 339A EP 339A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101995 ER PT J AU Watson, B Perella, D Heath, K Robinson, D Spain, CV Jumaan, A Schmid, S Guris, D AF Watson, B Perella, D Heath, K Robinson, D Spain, CV Jumaan, A Schmid, S Guris, D TI Laboratory confirmation of suspected breakthrough varicella infections SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Philadelphia Dept Publ Hlth, Varicella Act Surveillance, Philadelphia, PA USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. Ctr Dis Control & Prevent, Natl Varicella Zoster Virus, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1927 BP 339A EP 339A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591101993 ER PT J AU Schieber, RA Yusuf, H Wooten, K AF Schieber, RA Yusuf, H Wooten, K TI Knowledge, attitudes, and practices among providers of hepatitis B vaccine in young children SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, CDC, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 1968 BP 346A EP 346A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591102034 ER PT J AU Lukacs, SL Schoendorf, KC AF Lukacs, SL Schoendorf, KC TI National estimates of newborn sepsis rates in the United States, 1990-2001 SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Infant & Child Hlth Studies Branch, Hyattsville, MD 20782 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 2136 BP 376A EP 376A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591102202 ER PT J AU Smith, PJ Santoli, JM Chu, SY Ochoa, DO Rodewald, LE AF Smith, PJ Santoli, JM Chu, SY Ochoa, DO Rodewald, LE TI The association between medical home and vaccination coverage among VFC-eligible children SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT Annual Meeting of the Pediatric-Academic-Societies CY MAY 04, 2004 CL San Francisco, CA SP Pediatr Acad Soc C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD APR PY 2004 VL 55 IS 4 SU S MA 3449 BP 608A EP 608A PN 2 PG 1 WC Pediatrics SC Pediatrics GA 808TJ UT WOS:000220591103526 ER PT J AU Weiss, B Amler, S Amler, RW AF Weiss, B Amler, S Amler, RW TI Pesticides SO PEDIATRICS LA English DT Article DE pesticides; brain development; neurotoxicity; behavior; endocrine disruption ID FATTY-ACID CONJUGATE; ORGANOPHOSPHATE PESTICIDES; ENVIRONMENTAL CHEMICALS; ORGANO-PHOSPHATE; BIRTH-DEFECTS; BREAST-MILK; EXPOSURE; CHILDREN; DDT; CHLORPYRIFOS AB Pesticides are a broad group of heterogeneous chemicals that have a significant public health benefit by increasing food production productivity and decreasing food-borne and vector-borne diseases. However, depending on the agent and the exposure, they may pose health risks. Because of their behavior, acute accidental toxic exposures occur more commonly in children. Because of the dietary habits and greater intake of foods per kilogram in children and because some infants are breastfed, there is also concern about the effects on them of low-level environmental exposures. In the absence of direct conclusive evidence, consistent and relevant observations have led some investigators to infer that chronic low-dose exposure to certain pesticides might pose a potential hazard to the health and development of infants and children. Other investigators have concluded that such inferences can be neither supported nor refuted at the present time. The pediatrician has a role to play in recognizing the symptoms of acute exposure and to be able to provide appropriate treatment. It is essential to study whether there are subtle neurologic effects that may result from low-level pesticide exposures in individual patients. C1 Univ Rochester, Sch Med & Dent, Dept Environm Med, Rochester, NY 14642 USA. US Dept HHS, Agcy Tox Subst & Dis Registry, Atlanta, GA USA. RP Weiss, B (reprint author), Univ Rochester, Sch Med & Dent, Dept Environm Med, Rochester, NY 14642 USA. EM bernard_weiss@urmc.rochester.edu NR 71 TC 80 Z9 86 U1 4 U2 15 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD,, ELK GROVE VILLAGE, IL 60007-1098 USA SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD APR 1 PY 2004 VL 113 IS 4 SU S BP 1030 EP 1036 PG 7 WC Pediatrics SC Pediatrics GA 808RC UT WOS:000220585200013 PM 15060196 ER PT J AU Goldman, L Falk, H Landrigan, PJ Balk, SJ Reigart, JR Etzel, RA AF Goldman, L Falk, H Landrigan, PJ Balk, SJ Reigart, JR Etzel, RA TI Environmental pediatrics and its impact on government health policy SO PEDIATRICS LA English DT Article DE child; child welfare; environmental exposure; environmental health; environmental pollutants; human risk assessment; public policy ID IDENTIFY CRITICAL WINDOWS; CHILDRENS HEALTH; CHILDHOOD-CANCER; NERVOUS-SYSTEM; ANIMAL-MODELS; EXPOSURE; WORKSHOP; SUSCEPTIBILITY; EMBRYOPATHY; RADIATION AB Recent public recognition that children are different from adults in their exposures and susceptibilities to environmental contaminants has its roots in work that began > 46 years ago, when the American Academy of Pediatrics ( APA) established a standing committee to focus on children's radiation exposures. We summarize the history of that important committee, now the AAP Committee on Environmental Health, including its statements and the 1999 publication of the AAP Handbook of Pediatric Environmental Health, and describe the recent emergence of federal and state legislative and executive actions to evaluate explicitly environmental health risks to children. As a result in large part of these efforts, numerous knowledge gaps about children's health and the environment are currently being addressed. Government efforts began in the 1970s to reduce childhood lead poisoning and to monitor birth defects and cancer. In the 1990s, federal efforts accelerated with the Food Quality Protection Act, an executive order on children's environmental health, the Agency for Toxic Substances and Disease Registry/ Environmental Protection Agency Pediatric Environmental Health Specialty Units, and National Institute of Environmental Health Sciences/ Environmental Protection Agency Centers of Excellence in Research in Children's Environmental Health. In this decade, the Children's Environmental Health Act authorized the National Children's Study, which has the potential to address a number of critical questions about children's exposure and health. The federal government has expanded efforts in control and prevention of childhood asthma and in tracking of asthma, birth defects, and other diseases that are linked to the environment. Efforts continue on familiar problems such as the eradication of lead poisoning, but new issues, such as prevention of childhood exposure to carcinogens and neurotoxins other than lead, and emerging issues, such as endocrine disruptors and pediatric drug evaluations, are in the forefront. More recently, these issues have been taken up by states and in the international arena. C1 Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD 20815 USA. Ctr Dis Control & Prevent, Agcy Tox Subst & Dis Registry, Atlanta, GA USA. Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA USA. CUNY Mt Sinai Sch Med, New York, NY 10029 USA. Childrens Hosp Montefiore, Albert Einstein Coll Med, Bronx, NY USA. Med Univ S Carolina, Charleston, SC 29425 USA. George Washington Univ, Sch Publ Hlth & Hlth Serv, Washington, DC USA. RP Goldman, L (reprint author), Johns Hopkins Bloomberg Sch Publ Hlth, 615 N Wolfe St,Rm W8511, Baltimore, MD 20815 USA. EM lgoldman@jhsph.edu NR 63 TC 24 Z9 24 U1 0 U2 2 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD,, ELK GROVE VILLAGE, IL 60007-1098 USA SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD APR 1 PY 2004 VL 113 IS 4 SU S BP 1146 EP 1157 PG 12 WC Pediatrics SC Pediatrics GA 808RC UT WOS:000220585200029 PM 15060212 ER PT J AU Haber, P Chen, RT Zanardi, LR Mootrey, GT English, R Braun, MM AF Haber, P Chen, RT Zanardi, LR Mootrey, GT English, R Braun, MM CA VAERS Working Grp TI An analysis of rotavirus vaccine reports to the vaccine adverse event reporting system: More than intussusception alone? SO PEDIATRICS LA English DT Article DE rotavirus vaccine; Vaccine Adverse Event Reporting System; VAERS; vaccine safety; postmarketing surveillance; rotavirus vaccine ID SPONTANEOUS REDUCTION; SURVEILLANCE; VAERS; IMMUNIZATION; ASSOCIATION; PREVENTION; INFECTION; INFANTS; DISEASE; SAFETY AB Background. The rhesus-human rotavirus reassortant-tetravalent vaccine (RRV-TV) was licensed on August, 31, 1998, and subsequently recommended for routine infant immunizations in the United States. After similar to1 million doses had been administered, an increase in acute risk of intussusception in vaccinees led to the suspension of the use of RRV-TV and its withdrawal from the market. These postmarketing safety studies focused on a single adverse event ( intussusception) and, to minimize the risk of a false-positive finding, accepted only cases that met a strict case definition. Safer rotavirus vaccines are needed to prevent the substantial global morbidity and mortality caused by rotavirus infections; their development and future use may benefit from a better understanding of the postmarketing safety profile of RRV-TV beyond intussusception. Objective. To characterize more completely the postmarketing surveillance safety profile of RRV-TV more completely by review and analysis of Vaccine Adverse Event Reporting System (VAERS) case reports to better understand 1) whether severe adverse events other than intussusception may have occurred after RRV-TV and 2) the likely scope of gastrointestinal illnesses, of which the previously identified, highly specific intussusception cases may account for just a fraction. Setting and Participants. Infants vaccinated with RRV-TV and other vaccines in the United States and for whom a report was submitted to VAERS during September 1, 1998, to December 31, 1999. Methodology. To detect adverse events of interest other than intussusception, we used proportional morbidity analysis to compare the adverse event profile of VAERS reports among infants who received routine vaccines including RRV-TV ( after excluding confirmed and suspected intussusception reports) with infants who received identical vaccine combinations but without RRV-TV. Next, to better capture all described diagnoses, signs, and symptoms associated with the suspected adverse events, a set of new codes was developed and assigned to each VAERS report. All 448 nonfatal RRV-TV-associated reports ( including intussusception) were recoded manually from the clinical description on the VAERS report and categorized into clinical groups to better describe a spectrum of reported illnesses after the vaccine. Each report was assigned to one of the following hierarchical and mutually exclusive clinical groups: 1) diagnosed intussusception; 2) suspected intussusception; 3) illness consistent with either gastroenteritis or intussusception; 4) gastroenteritis; 5) other gastrointestinal diagnoses (ie, not consistent with intussusception or rotavirus-like gastroenteritis); and 6) nongastrointestinal diagnoses. Results. Even after excluding intussusception cases, a higher proportion of RRV-TV reports than non-RRV-TV reports included fever and various gastrointestinal symptoms, most notably bloody stool but also vomiting, diarrhea, abdominal pain, gastroenteritis, abnormal stool, and dehydration. Distribution of RRV-TV reports by clinical groups was as follows: diagnosed intussusception (109 [24%], suspected intussusception (36 [8%]), and illness consistent with gastroenteritis or intussusception (33 [7%]), gastroenteritis (101 [22%]), other gastrointestinal diagnoses (10 [2%]), and nongastrointestinal outcomes (159 [35%]). The median time interval between vaccination and illness onset decreased incrementally among the first 4 clinical groups: from 7 days for diagnosed intussusceptions to 3 days for gastroenteritis. Conclusions. Intussusception and gastroenteritis were the most commonly reported outcomes; however, a substantial number of reports indicate signs and symptoms consistent with either illness, possibly suggestive of a spectrum of gastrointestinal illness(es) related to RRV-TV. Although VAERS data have recognized limitations such as underreporting ( that may differ by vaccine) and are nearly always insufficient to prove causality between a vaccine and an adverse event, this safety profile of RRV-TV may aid better understanding of the pathophysiology of intussusception as well as development of future safer rotavirus vaccines. C1 CDCP, Immunizat Safety Branch, Epidemiol & Surveillance Div, Natl Immunizat Program, Atlanta, GA 30333 USA. US FDA, Div Epidemiol, Off Biostat & Epidemiol, Rockville, MD 20857 USA. RP Haber, P (reprint author), CDCP, Immunizat Safety Branch, Epidemiol & Surveillance Div, Natl Immunizat Program, Mail Stop E-61,1600 Clifton Rd, Atlanta, GA 30333 USA. EM phaber@cdc.gov NR 34 TC 25 Z9 26 U1 1 U2 2 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD,, ELK GROVE VILLAGE, IL 60007-1098 USA SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD APR 1 PY 2004 VL 113 IS 4 BP E353 EP E359 DI 10.1542/peds.113.4.e353 PG 7 WC Pediatrics SC Pediatrics GA 808RB UT WOS:000220585100054 PM 15060267 ER PT J AU Rosenthal, J Rodewald, L McCauley, M Berman, S Irigoyen, M Sawyer, M Yusuf, H Davis, R Kalton, G AF Rosenthal, J Rodewald, L McCauley, M Berman, S Irigoyen, M Sawyer, M Yusuf, H Davis, R Kalton, G TI Immunization coverage levels among 19- to 35-month-old children in 4 diverse, medically underserved areas of the United States SO PEDIATRICS LA English DT Article DE immunization coverage levels; medically underserved areas; preschool children ID PRESCHOOL-CHILDREN; HERD-IMMUNITY; MEASLES; VACCINE; COMMUNITY; DISEASES; RISK; CARE AB Background. The National Immunization Survey demonstrates that national immunization coverage in 2002 remained near the all-time highs achieved in 2000. However, that survey cannot detect whether coverage is uniformly high within relatively small areas or populations. The measles resurgence in the early 1990s revealed that coverage was low in some areas, particularly among inner-city children from racial and ethnic minority groups. Today, identifying areas with low childhood-vaccination coverage remains important, particularly if these areas are at risk for the introduction of disease. In 1995, the Centers for Disease Control and Prevention launched a congressionally mandated demonstrated project now called the Childhood Immunization Demonstration project of Community Health Networks. This mandate specified an assessment to determine whether a network of primary care providers affiliated with university teaching hospitals could assume a public health responsibility for raising immunization levels among preschoolers in medically underserved communities. Communities with federally designated health professional shortage areas were invited to submit proposals, and 4 were selected: Detroit, MI, New York, NY, San Diego, CA, and rural Colorado. Objectives. To measure immunization coverage among preschool children in the 4 selected medically underserved areas and determine predictors of coverage levels. Design and Setting. Surveys in the 4 areas were based on stratified cluster probability sample designs in which clusters of dwelling units were selected and all households in selected clusters were screened for the presence of children aged 12 to 35 months. Immunization histories were obtained from parents and providers for these children. For each age-eligible child, the information collected on utilization of immunization health services included a listing of all clinics or offices ever used for the child's well-child care and/or for obtaining immunizations. Information was also collected on whether the child currently had health insurance ( public and/or private) and whether the child had a medical home. A child was classified as having a medical home if the survey respondent reported a source of well care that was the same as the source of sick care and that this place was not an emergency department. Participants. Children 12 to 35 months of age in Detroit, New York, San Diego, and rural Colorado. Outcome Measure. Community-wide up-to-date (UTD) immunization coverage levels at 19 to 35 months of age, defined as receipt of 4 doses of diphtheria and tetanus toxoids and pertussis vaccine, 3 doses of poliovirus vaccine, 1 dose of measles, mumps, and rubella vaccine, 3 doses of Haemophilus influenzae type B vaccine, and 3 doses of hepatitis B vaccine ( the 4: 3: 1: 3: 3 series). Analysis. We examined the association between coverage level and independent variables and performed chi(2) and t tests to determine whether differences observed within and between groups and sites were significant. Results. The overall response rate for eligible children ranged from 79.4% to 88.1%. Coverage levels for most individual vaccines were > 90% in all sites except Detroit. Coverage for the 4: 3: 1: 3: 3 series was significantly higher for children in New York (84%) and San Diego (86%) than for children in Detroit (66%) and rural Colorado (75%). Demographic risk factors related to UTD immunization status varied by site. Although differences in coverage levels by ethnicity varied by site, differences were not significant. In Colorado and New York, coverage was slightly lower among Hispanic than white children (71% vs 76% and 83% vs 91%, respectively). In San Diego, coverage was lower among whites, compared with Hispanics ( 76% vs 85%). Coverage was also lower for African American than white children only in New York ( 75% vs 91%). However, in San Diego and Colorado, children receiving their vaccinations from private providers had lower coverage levels than children receiving their vaccinations from other providers (78% vs 91% and 71% vs 57%, respectively). In all 4 sites, children for whom respondents reported having an immunization card at the time of the interview were more likely to have higher series coverage levels than children for whom a parent-held card was not available. Also, children who were UTD at 3 months of age had significantly higher vaccination-series coverage levels than children who were not UTD at 3 months of age. In addition, the vaccination coverage was lower for children in Detroit whose parents reported problems accessing the health care system because lack of transportation (46%), compared with those who did not report such problems (65%); however, this difference did not reach significance (chi(2) = 6.0). In Colorado, the small proportion of children in families without a phone had a lower vaccination coverage level (58%) than those in households with a phone ( 75%) (chi(2) = 6.3). In all sites, children who were UTD at 3 months of age and had a parent-held vaccination card were more likely to be UTD at 19 to 35 months of age. Conclusions. Preschoolers in these medically underserved areas were not at uniform risk for underimmunization. Because they were designated as health professional shortage areas, the 4 sites in this study were expected to have low immunization-coverage rates. However, this was not the case. In fact, coverage in 3 of the 4 areas was quite high compared with US national figures (73%); only Detroit had a much lower UTD rate (66%). Efforts are needed to improve methods to identify areas with low immunization coverage so that resources can be directed to places where interventions are needed. Our results reveal that an area's need for childhood immunization interventions is not well predicted by a low number of providers per capita. Other criteria must be developed to predict areas or populations with low immunization coverage. Understanding more about the characteristics of children/provider pairs for children who are UTD at 3 months and more about the role of parental hand-held cards, along with finding strategies to improve immunization delivery by providers in Vaccines for Children Program facilities, suggest potentially productive avenues for increasing and sustaining high coverage levels. C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA 30333 USA. Univ Colorado, Dept Pediat, Denver, CO 80202 USA. Childrens Hosp, Denver, CO 80218 USA. Columbia Univ, Div Pediat, New York, NY USA. Univ Calif San Diego, Dept Pediat, La Jolla, CA 92093 USA. Henry Ford Hosp, Ctr Hlth Promot & Dis Prevent, Detroit, MI 48202 USA. Westat Corp, Div Res, Rockville, MD USA. RP Rosenthal, J (reprint author), Ctr Dis Control & Prevent, Natl Immunizat Program, MS-E86,1600 Clifton Rd, Atlanta, GA 30333 USA. EM jyr4@cdc.gov NR 25 TC 30 Z9 32 U1 0 U2 6 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD,, ELK GROVE VILLAGE, IL 60007-1098 USA SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD APR 1 PY 2004 VL 113 IS 4 BP E296 EP E302 DI 10.1542/peds.113.4.e296 PG 7 WC Pediatrics SC Pediatrics GA 808RB UT WOS:000220585100043 PM 15060256 ER PT J AU Taveras, EM Li, RW Grummer-Strawn, L Richardson, M Marshall, R Rego, VH Miroshnik, I Lieu, TA AF Taveras, EM Li, RW Grummer-Strawn, L Richardson, M Marshall, R Rego, VH Miroshnik, I Lieu, TA TI Opinions and practices of clinicians associated with continuation of exclusive breastfeeding SO PEDIATRICS LA English DT Article ID LOW-INCOME POPULATION; PROMOTION; ATTITUDES; EDUCATION; DURATION; INFANT; PRACTITIONERS; PREVALENCE; RESIDENTS; KNOWLEDGE AB Background. The American Academy of Pediatrics recommends exclusive breastfeeding for the first 6 months of life. Recent statistics indicate that initiation and maintenance of exclusive breastfeeding are low in the United States. Unfortunately, little information is available on how clinicians and health care organizations can best promote continuation of exclusive breastfeeding. Objective. To identify clinicians' opinions and management practices that are associated with continuation of exclusive breastfeeding. Methods. We conducted a prospective cohort study of low-risk mother-newborn pairs in a large, multispecialty group practice in which the mother was breastfeeding at 4 weeks. Mothers completed telephone interviews at 4 and 12 weeks postpartum, and their data were linked with their obstetric and pediatric clinicians' responses to a cross-sectional mailed survey conducted during the same time period. Obstetric and pediatric clinicians included medical doctors, nurse practitioners, and nurse midwives. Overall response rates were 63% for mothers and 82% for clinicians ( 54 obstetric and 67 pediatric clinicians). Bivariate and multivariate analyses were conducted to identify the characteristics of clinicians and mothers that predicted exclusive breastfeeding at 12 weeks. Results. Of the 288 mothers who were breastfeeding at 4 weeks and had a complete 12-week interview, 152 (53%) were exclusively breastfeeding their infants at 12 weeks. Mothers who discontinued exclusive breastfeeding were more likely to have experienced problems with their infant latching on or sucking ( odds ratio [ OR]: 3.8; 95% confidence interval [CI]: 1.5 - 9.7) or report that a health care provider recommended formula supplementation ( OR: 2.3; 95% CI: 1.1 - 5.0). Clinicians reported limited time during preventive visits to address breastfeeding problems as a very important barrier to promoting breastfeeding. Obstetric providers were least confident in resolving problems with mothers not producing enough breast milk. Pediatric providers were least confident in resolving problems with breast pain or tenderness or cracked or painful nipples. In the final multivariate model, mothers whose pediatric providers recommended formula supplementation if an infant was not gaining enough weight (OR: 3.2; 95% CI: 1.04, 9.7) or who considered their advice to mothers on breastfeeding duration to be not very important ( OR: 2.2; 95% CI: 1.2 - 3.9) were more likely to have discontinued exclusive breastfeeding by 12 weeks postpartum. Black mothers were significantly more likely to discontinue exclusive breastfeeding by 12 weeks. Conclusions. Clinicians' practices regarding formula supplementation of healthy infants and their opinions about the importance of their breastfeeding advice are associated with the likelihood that mothers will continue exclusive breastfeeding. Policies to enhance clinicians' abilities to address breastfeeding problems within the constraints of busy practices could improve their ability to support exclusive breastfeeding. C1 Harvard Pilgrim Hlth Care, Dept Ambulatory Care & Prevent, Ctr Child Hlth Care Studies, Boston, MA 02215 USA. Harvard Univ, Sch Med, Boston, MA USA. Ctr Dis Control & Prevent, Div Nutr & Phys Activ, Maternal & Child Nutr Branch, Atlanta, GA USA. Harvard Vanguard Med Associates, Boston, MA USA. RP Taveras, EM (reprint author), Harvard Pilgrim Hlth Care, Dept Ambulatory Care & Prevent, Ctr Child Hlth Care Studies, 1333 Brookline Ave,6th Fl, Boston, MA 02215 USA. EM elsie.taveras@tch.harvard.edu NR 37 TC 60 Z9 64 U1 1 U2 8 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD,, ELK GROVE VILLAGE, IL 60007-1098 USA SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD APR 1 PY 2004 VL 113 IS 4 BP E283 EP E290 DI 10.1542/peds.113.4.e283 PG 8 WC Pediatrics SC Pediatrics GA 808RB UT WOS:000220585100041 PM 15060254 ER PT J AU Katow, S AF Katow, S TI Molecular epidemiology of rubella virus in Asia: Utility for reduction in the burden of diseases due to congenital rubella syndrome SO PEDIATRICS INTERNATIONAL LA English DT Article DE rubella; congenital rubella syndrome; CRS; molecular epidemiology; phylogenic tree ID DEVELOPING-COUNTRIES; SYNDROME CRS AB Background: Rubella is a mild disease mainly of infants, involving a rash and a fever. However, when women who have no immunity to rubella are infected during the early stage of pregnancy, their babies are often born with congenital rubella syndrome (CRS), which is characterized by a few disorders including deafness, cataracts and heart malformations. To prevent CRS, several strains of live attenuated rubella vaccine have been developed and introduced into immunization programs in many countries. In most Asian countries except Japan, Singapore and Taiwan, rubella remains uncontrolled, and the burden of diseases from CRS is high. In order to develop a control program to reduce the number of CRS cases in Asian countries, it is necessary to conduct a survey of rubella and CRS cases, and to then determine the genotype of the circulating rubella virus in each country. Methods: Cases of rubella and CRS, based on national reporting systems or active surveillance in the Asian countries, are summarized. Sequences of the E1 gene of the virus isolates from the Asian countries were compared by phylogenic analysis. Results: Recent studies of the molecular epidemiology of rubella virus worldwide revealed that there are two genotypes, and that genotype I is circulating almost worldwide, while genotype II is an Asian prototype restricted to the Asian continent. Genotype I viruses fall into a number of groups, some of which are geographically localized. Antigenically these two genotypes are cross-reactive and immunization with either virus results in immunity to all rubella viruses. Discussion: The hypotheses that rubella virus has evolved on the Asian continent is proposed. The World Health Organization (WHO) has recognized that a rubella immunization program can be combined with the measles immuization program. Inclusion of rubella in the expanded program of immunization (EPI) of measles would be ideal in Asian countries, as it would be efficient and cost effective to administer one injection containing a three-combined vaccine (MMR). It would also be desirable given that WHO require laboratory tests to confirm the presence of measles or rubella as part of it's measles control project, because rubella is often misdiagnosed as measles. RP Katow, S (reprint author), CDC, Mailstop C-22,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM sqk6@cdc.gov NR 14 TC 11 Z9 21 U1 2 U2 2 PU BLACKWELL PUBLISHING ASIA PI CARLTON PA 54 UNIVERSITY ST, P O BOX 378, CARLTON, VICTORIA 3053, AUSTRALIA SN 1328-8067 J9 PEDIATR INT JI Pediatr. Int. PD APR PY 2004 VL 46 IS 2 BP 207 EP 213 DI 10.1046/j.1442-200x.2004.01866.x PG 7 WC Pediatrics SC Pediatrics GA 807ST UT WOS:000220521900021 PM 15056254 ER PT J AU Milam, JE Richardson, JL Marks, G Kemper, CA McCutchan, AJ AF Milam, JE Richardson, JL Marks, G Kemper, CA McCutchan, AJ TI The roles of dispositional optimism and pessimism in HIV disease progression SO PSYCHOLOGY & HEALTH LA English DT Article DE dispositional optimism; pessimism; HIV; antiretroviral therapy; adherence; CD4 count; viral load ID LIFE ORIENTATION TEST; GENERALIZED OUTCOME EXPECTANCIES; RISK SEXUAL-BEHAVIOR; DEPRESSIVE SYMPTOMS; SELF-ESTEEM; PSYCHOLOGICAL DISTRESS; RHEUMATOID-ARTHRITIS; CORONARY ANGIOPLASTY; COGNITIVE ADAPTATION; TRAIT ANXIETY AB Relationships between dispositional optimism and pessimism and the course of HIV infection, determined by changes in viral load and CD4 counts, were studied in a longitudinal cohort of 412 patients on antiretroviral therapy (ART). Multiple regression analyses controlling for baseline levels of disease status, ethnicity, and depressive symptoms demonstrated that higher pessimism at baseline was associated with higher viral load at follow-up (average of 18 months later). Optimism at baseline had a curvilinear relationship with CD4 counts at follow-up. Moderate levels of optimism at baseline predicted the highest CD4 counts at follow-up. Although optimism and pessimism were associated with specific health behaviors (e.g., ART adherence, cigarette use, drug use, dietary practices), none of these behaviors mediated the optimism/pessimism effects. The biologic and behavioral mediators of associations of personality variables with the course of treated HIV infection deserve continued investigation. C1 Univ So Calif, Inst Hlth Promot & Dis Prevent Res, Dept Prevent Med, Los Angeles, CA 90089 USA. Univ Calif San Diego, La Jolla, CA 92093 USA. Stanford Univ, Sch Med, Stanford, CA 94305 USA. Santa Clara Valley Med Ctr, Div Infect Dis, Dept Med, Santa Clara, CA USA. Ctr Dis Control, Atlanta, GA 30333 USA. RP Milam, JE (reprint author), Univ So Calif, Inst Hlth Promot & Dis Prevent Res, Dept Prevent Med, 1441 Eastlake Ave,MS44, Los Angeles, CA 90089 USA. EM milam@hsc.usc.edu NR 52 TC 28 Z9 30 U1 3 U2 10 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 0887-0446 J9 PSYCHOL HEALTH JI Psychol. Health PD APR PY 2004 VL 19 IS 2 BP 167 EP 181 DI 10.1080/08870440310001652696 PG 15 WC Public, Environmental & Occupational Health; Psychology, Multidisciplinary SC Public, Environmental & Occupational Health; Psychology GA 800SW UT WOS:000220049000003 ER PT J AU Mark, KE Gunn, RA AF Mark, KE Gunn, RA TI Gonorrhea surveillance - Estimating epidemiologic and clinical characteristics of reported cases using a sample survey methodology SO SEXUALLY TRANSMITTED DISEASES LA English DT Article ID UNITED-STATES; HEPATITIS-B; INFECTION; VIRUS; PHYSICIANS; PREVALENCE; RATES; CARE; ERA AB Background: Little is known about the epidemiology of gonorrhea in the United States, except for basic demographics of reported cases. Knowing the proportion of reported gonorrhea cases identified through screening, the diagnostic test used, and patient behavioral risk factors might help to better explain changes in gonorrhea rates over time. Goal: The goal of this study was to implement and evaluate a gonorrhea sample survey surveillance methodology in San Diego, California. Study Design: Healthcare providers caring for a representative sample of all gonorrhea patients reported during August 16 through October 18, 2001 were interviewed by telephone about patient demographics, risk factors, and management. Results: The healthcare providers of 248 gonorrhea patients were contacted; data were obtained on 224 (90%) patients. Major reasons for testing included symptoms (68%), partner referral (14%), and screening (12%). Gonococcal culture, DNA probe tests, and nucleic acid amplification tests were used to diagnose 40%, 34%, and 21% of patients, respectively. At minimum, 36% of male gonorrhea patients were men who have sex with men (MSM); MSM with gonorrhea were rarely diagnosed with rectal or pharyngeal gonorrhea outside of sexually transmitted disease (STD) clinics. Estimated local resources required to conduct this survey were $12 per completed interview. Conclusion: Healthcare provider telephone interviews regarding recently reported gonorrhea patients are feasible and can provide important additional information to STD programs, which could be used to direct intervention strategies and monitor trends. Ultimately, a national sampling approach could be explored and incorporated into ongoing gonorrhea surveillance. C1 Ctr Dis Control & Prevent, Epidem Intelligence Serv, Epidemiol Program Off, Atlanta, GA USA. San Diego Cty Hlth & Human Serv Agcy, Div STD & Hepatitis Prevent, San Diego, CA USA. Ctr Dis Control & Prevent, Div STD Prevent, Atlanta, GA USA. RP Mark, KE (reprint author), Univ Washington, Virol Res Clin, 600 Broadway,Suite 400, Seattle, WA 98122 USA. EM kmark@u.washington.edu NR 19 TC 15 Z9 15 U1 2 U2 2 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0148-5717 J9 SEX TRANSM DIS JI Sex. Transm. Dis. PD APR PY 2004 VL 31 IS 4 BP 215 EP 220 DI 10.1097/01.OLQ.0000118421.15177.34 PG 6 WC Infectious Diseases SC Infectious Diseases GA 807ZF UT WOS:000220538700004 PM 15028934 ER PT J AU Cannuscio, CC Colditz, GA Rimm, EB Berkman, LF Jones, CP Kawachi, I AF Cannuscio, CC Colditz, GA Rimm, EB Berkman, LF Jones, CP Kawachi, I TI Employment status, social ties, and caregivers' mental health SO SOCIAL SCIENCE & MEDICINE LA English DT Article DE caregivers; mental health; depressive symptoms; social ties; employment; USA ID DEPRESSIVE SYMPTOMS; FAMILY MEMBERS; MORTALITY; NETWORKS; SUPPORT; CARE; DISTRESS; DISEASE; IMPACT; SELF AB The purpose of this study of mid-life and older women was to assess the relation between informal care provision and depressive symptoms, taking into account concurrent demands on women's time (including multiple caregiving roles and employment outside the home) as well as participants' access to potentially supportive social ties. This cross-sectional study included women ages 46-71, free from major disease, who provided complete health and social information in the 1992 Nurses' Health Study follow-up survey (n = 61, 383). In logistic regression models predicting depressive symptoms, we examined the interaction between employment outside the home and informal care provision for a disabled or ill spouse or parent. We also investigated level of social ties, measured with the Berkman-Syme Social Network Index, as a potential modifier of the association between informal care provision and depressive symptoms. In all analyses, higher weekly time commitment to informal care for a spouse or parent was associated with increased risk of depressive symptoms. This relationship persisted whether women were not employed outside the home, were employed full-time, or were employed part-time. Higher weekly time commitment to informal care provision was associated with increased risk of depressive symptoms whether women were socially integrated or socially isolated. However, both informal care provision and social ties were potent independent correlates of depressive symptoms. Therefore, women who reported high spousal care time commitment and few social ties experienced a dramatic elevation in depressive symptoms, compared to women with no spousal care responsibilities and many social ties (OR for depressive symptoms = 11.8; 95% CI 4.8, 28.9). We observed the same pattern among socially isolated women who cared for their parent(s) many hours per week, but the association was not as strong (OR for depressive symptoms = 6.5; 95% CI 3.4, 12.7). In this cross-sectional study, employment status did not seem to confer additional mental health risk or benefit to informal caregivers, while access to extensive social ties was associated with more favorable caregiver health outcomes. (C) 2003 Elsevier Ltd. All rights reserved. C1 Merck Res Labs, Dept Epidemiol, Blue Bell, PA 19422 USA. Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA. Harvard Univ, Dept Med, Channing Lab, Boston, MA 02115 USA. Brigham & Womens Hosp, Boston, MA 02115 USA. Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA. Harvard Univ, Sch Publ Hlth, Dept Hlth & Social Behav, Boston, MA 02115 USA. Ctr Dis Control & Prevent, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA. RP Cannuscio, CC (reprint author), Merck Res Labs, Dept Epidemiol, Blue Bell, PA 19422 USA. EM carolyn_cannuscio@merck.com RI Cannuscio, Carolyn/A-1123-2007; Colditz, Graham/A-3963-2009 OI Colditz, Graham/0000-0002-7307-0291 FU NCI NIH HHS [CA62005, CA 40356, CA08283, CA46475, CA55075, CA62252, CA65725, CA66385, CA67883, CA70817, CA75016, CA80620]; NEI NIH HHS [EY09611]; NHLBI NIH HHS [HL03535, HL34594, HL57871]; NIA NIH HHS [AG12806, AG13842, AG15424]; NIAMS NIH HHS [AR02074]; NIDDK NIH HHS [DK45362, DK46519, DK52866]; NIEHS NIH HHS [ES05947] NR 27 TC 59 Z9 59 U1 2 U2 16 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0277-9536 J9 SOC SCI MED JI Soc. Sci. Med. PD APR PY 2004 VL 58 IS 7 BP 1247 EP 1256 DI 10.1016/S0277-9536(03)00317-4 PG 10 WC Public, Environmental & Occupational Health; Social Sciences, Biomedical SC Public, Environmental & Occupational Health; Biomedical Social Sciences GA 804AJ UT WOS:000220271300003 PM 14759673 ER PT J AU Baccarelli, A Pesatori, AC Masten, SA Patterson, DG Needham, LL Mocarelli, P Caporaso, NE Consonni, D Grassman, JA Bertazzi, PA Landi, MT AF Baccarelli, A Pesatori, AC Masten, SA Patterson, DG Needham, LL Mocarelli, P Caporaso, NE Consonni, D Grassman, JA Bertazzi, PA Landi, MT TI Aryl-hydrocarbon receptor-dependent pathway and toxic effects of TCDD in humans: a population-based study in Seveso, Italy SO TOXICOLOGY LETTERS LA English DT Article; Proceedings Paper CT 41st Congress of the European-Societies-of-Toxicology CY SEP 28-OCT 01, 2003 CL Florence, Italy SP European Soc Toxicol DE dioxin; TCDD; molecular epidemiology; aryl-hydrocarbon receptor; population-based study ID DIOXIN EXPOSURE; ACCIDENT; 2,3,7,8-TETRACHLORODIBENZO-P-DIOXIN; ANIMALS AB Approximately 20 years after the Seveso, Italy accident, we conducted a population-based study to evaluate the impact of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) exposure upon immune and mechanistically based biomarkers of dioxin response in humans. TCDD toxic effects are known to be mediated by the aryl-hydrocarbon receptor (AhR). We randomly selected 62 study subjects from the highest exposed zones and 59 from the surrounding non-contaminated area. Current lipid-adjusted plasma TCDD concentrations in these subjects ranged from 3.5 to 90 ng/kg (or ppt) and were negatively associated with plasma IgG concentrations (r = -0.35; P = 0.0002). The expression of genes in the AhR-dependent pathway, including AhR, aryl-hydrocarbon receptor nuclear translocator (ARNT), CYP1A1, and CYP1B1 transcripts, and the CYP1A1-associated 7-ethoxyresorufin-O-deethylase (EROD) activity was measured in lymphocytes. AhR mRNA levels in uncultured lymphocytes were negatively associated with plasma TCDD (P = 0.03). When mitogen-induced lymphocytes were cultured with 10 nM TCDD, all AhR-dependent genes were induced 1.2- to 13-fold. In these cells, plasma TCDD was associated with decreased EROD activity. Markers within the AhR pathway were correlated with one another. Our findings suggest the presence of long-term effects in the subjects exposed to TCDD after the Seveso accident. (C) 2004 Elsevier Ireland Ltd. All rights reserved. C1 NCI, Genet Epidemiol Branch, Div Canc Epidemiol & Genet, NIH,DHHS, Bethesda, MD 20892 USA. Univ Milan, Ctr Res Occupat Clin & Environm Epidemiol, EPOCA, Dept Occupat & Environm Hlth, I-20122 Milan, Italy. Ist Clin Perfezionamento, Epidemiol Unit, Dept Occupat Hlth & Safety, Milan, Italy. NIEHS, Environm Toxicol Program, Res Triangle Pk, NC 27709 USA. Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Div Environm Hlth Lab Sci, Atlanta, GA USA. Univ Milan, Hosp Desio, Dept Lab Med, I-20122 Milan, Italy. CUNY Brooklyn Coll, Brooklyn, NY 11210 USA. RP Baccarelli, A (reprint author), NCI, Genet Epidemiol Branch, Div Canc Epidemiol & Genet, NIH,DHHS, 6120 Execut Blvd,EPS 7110, Bethesda, MD 20892 USA. EM baccarea@mail.nih.gov RI Needham, Larry/E-4930-2011; masten, scott/R-1403-2016; bertazzi, pietro alberto/D-5039-2017; OI masten, scott/0000-0002-7847-181X; bertazzi, pietro alberto/0000-0003-3475-2449; Baccarelli, Andrea/0000-0002-3436-0640; pesatori, angela/0000-0002-0261-3252 NR 15 TC 38 Z9 42 U1 3 U2 7 PU ELSEVIER SCI IRELAND LTD PI CLARE PA CUSTOMER RELATIONS MANAGER, BAY 15, SHANNON INDUSTRIAL ESTATE CO, CLARE, IRELAND SN 0378-4274 J9 TOXICOL LETT JI Toxicol. Lett. PD APR 1 PY 2004 VL 149 IS 1-3 BP 287 EP 293 DI 10.1016/j.toxlet.2003.12.062 PG 7 WC Toxicology SC Toxicology GA 815TA UT WOS:000221063400035 PM 15093275 ER PT J AU Hira, PR Francis, I Abdella, NA Gupta, R Al-Ali, FM Grover, S Khalid, N Abdeen, S Iqbal, J Wilson, M Tsang, VCW AF Hira, PR Francis, I Abdella, NA Gupta, R Al-Ali, FM Grover, S Khalid, N Abdeen, S Iqbal, J Wilson, M Tsang, VCW TI Cysticercosis: imported and autochthonous infections in Kuwait SO TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE LA English DT Article DE cysticercosis; Taenia solium; serodiagnosis; Kuwait ID LINKED IMMUNOELECTROTRANSFER BLOT; TAENIA-SOLIUM; NEUROCYSTICERCOSIS; ASSAY AB Intracerebral and non-central nervous system (non-CNS) cysticercosis caused by the larval pork tapeworm Taenia solium was diagnosed in patients in an Islamic state. The mode of transmission and challenges in diagnosis are highlighted. Sixteen patients with neurocysticercosis and six with non-CNS lesions were diagnosed by imaging studies (computerized tomography [CT]/magnetic resonance imaging [MRI]) and serotogy (ELISA and/or enzyme-linked immunoelectrotransfer blot assay [EITB]). Four of 55 family members, including servants, tested for antibodies were positive by the EITB and ELISA. Only one of these sera tested for antibodies to adult T solium was positive: that of the cook, the probable source of the infection. We postulate a similar mode of transmission in the other Kuwaitis. Evaluation of several commercially available ELISA kits showed they were of poor specificity. Even in countries where pork consumption is proscribed by religious laws, physicians should include cysticercosis in their differential diagnosis in patients with neurological symptoms or non-CNS lesions, especially in non-endemic countries with a large expatriate population such as Kuwait. In children particularly, and in this region, suspected tuberculous lesions on CT must be investigated to rule out cysticerci by a more diligent use of the sensitive and specific EITB assay. Failure to understand the local epidemiology leads to empirical, inappropriate and prolonged therapy for chronic disease. (C) 2003 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved. C1 Kuwait Univ, Fac Med, Dept Microbiol, Safat 13110, Kuwait. Kuwait Univ, Fac Med, Dept Pathol, Safat 13110, Kuwait. Kuwait Univ, Fac Med, Dept Med, Safat 13110, Kuwait. Kuwait Univ, Fac Med, Dept Radiol, Safat 13110, Kuwait. Farwania Hosp, Microbiol Labs, Kuwait, Kuwait. Infect Dis Hosp, Sulibikhat, Kuwait. Ctr Dis Control & Prevent, Div Parasit Dis, Natl Ctr Infect Dis, Atlanta, GA 30341 USA. RP Hira, PR (reprint author), Kuwait Univ, Fac Med, Dept Microbiol, POB 24923, Safat 13110, Kuwait. EM Hira@hsc.kuniv.edu.kw NR 6 TC 29 Z9 29 U1 1 U2 2 PU ROYAL SOC TROPICAL MEDICINE PI LONDON PA MANSON HOUSE 26 PORTLAND PLACE, LONDON W1N 1EY, ENGLAND SN 0035-9203 J9 T ROY SOC TROP MED H JI Trans. Roy. Soc. Trop. Med. Hyg. PD APR PY 2004 VL 98 IS 4 BP 233 EP 239 DI 10.1016/S0035-9203(03)00061-0 PG 7 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 803RK UT WOS:000220248000005 PM 15049462 ER PT J AU Glaser, C Kazacos, K Lacroix, C Lewis, P Schantz, P Blagburn, B AF Glaser, C Kazacos, K Lacroix, C Lewis, P Schantz, P Blagburn, B TI Examining the issues: A roundtable discussion on parasitic zoonosis SO VETERINARY MEDICINE LA English DT Editorial Material ID LARVA MIGRANS; TOXOCARIASIS; SCHOOLCHILDREN; PREVALENCE; DISEASE; DOGS C1 Univ Calif San Francisco, Dept Pediat, San Francisco, CA 94143 USA. Calif State Dept Hlth, Viral & Rickettsial Dis Lab, Richmond, CA USA. Purdue Univ, Sch Vet Med, W Lafayette, IN 47907 USA. Prior Vet Legal Consultants, Whitehouse Stn, NJ USA. Oregon Hlth Sci Univ, Dept Pediat, Portland, OR 97201 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Glaser, C (reprint author), Auburn Univ, Coll Vet Med, Auburn, AL 36849 USA. NR 14 TC 0 Z9 0 U1 0 U2 0 PU VETERINARY MEDICINE PUBL CO PI LENEXA PA 15333 W 95TH STREET, LENEXA, KS 66219 USA SN 8750-7943 J9 VET MED-US JI Vet. Med. PD APR PY 2004 VL 99 IS 4 BP A1 EP A12 PG 12 WC Veterinary Sciences SC Veterinary Sciences GA 816JI UT WOS:000221105800005 ER PT J AU Honig, JE Osborne, JC Nichol, ST AF Honig, JE Osborne, JC Nichol, ST TI Crimean-Congo hemorrhagic fever virus genome L RNA segment and encoded protein SO VIROLOGY LA English DT Article DE nairovirus; virus; Crimean; Congo; hemorrhagic; OTU; polymerase; Dugbe; L; deubiquitination ID CYSTEINE PROTEASES; SEQUENCE; POLYMERASE; PATHWAY; DOMAIN; ENZYME AB Sequence analysis of the L RNA genome segment and predicted encoded L polymerase protein of Crimean-Congo hemorrhagic fever (CCHF) virus (genus Nairovirus, family Bunyaviridae) demonstrates that they are approximately twice the size of those found in viruses of other bunyavirus genera. The CCHF virus L segment and encoded protein (12164 nucleotides and 3944 amino acids, respectively) are similar in size and sequence to those of the nairovirus Dugbe virus (12255/62% and 4036/62% nucleotide and amino acid length/identity, respectively). The identification of an ovarian tumor (OTU)-like protease motif in the L protein amino termini of the nairoviruses Dugbe, CCHF, and Nairobi sheep disease (NSD) indicates these proteins are members of the recently described OTU-like protease family and suggests that these large proteins may be polyproteins that are autoproteolytically cleaved or involved in deubiquitination. Published by Elsevier Inc. C1 CDCP, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Special Pathogens Branch, Atlanta, GA 30333 USA. RP Nichol, ST (reprint author), CDCP, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Special Pathogens Branch, Mailstop G14,1600,Clifton Rd,NE, Atlanta, GA 30333 USA. EM snichol@cdc.gov NR 16 TC 59 Z9 62 U1 0 U2 2 PU ACADEMIC PRESS INC ELSEVIER SCIENCE PI SAN DIEGO PA 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495 USA SN 0042-6822 J9 VIROLOGY JI Virology PD MAR 30 PY 2004 VL 321 IS 1 BP 29 EP 35 DI 10.1016/j.virol.2003.09.042 PG 7 WC Virology SC Virology GA 807KB UT WOS:000220499300004 PM 15033562 ER PT J AU Porter, CH Wolff, MI AF Porter, CH Wolff, MI TI A new species of Wyeomyia (Hystatomyia) (Diptera : Culicidae) from Colombia and a redescription of Wy. (Hystatomyia) intonca Dyar & Knab SO ZOOTAXA LA English DT Article DE Diptera; Culicidae; Wyeomyia; Hystatomyia; new species; bromeliads; Colombia AB Species within the Wyeomyia subgenus Hystatomyia represent one of the dominant mosquito groups utilizing tank bromeliads as larval development sites in mangrove and adjacent forest habitats on the northern Pacific Coast of Colombia. Surveys of phytotelm plants in this region found larval stages of Wy. intonca Dyar & Knab frequently associated with large tank bromeliads, especially of the genus Werauhia, growing in mangrove. Wyeomyia intonca was originally described in 1910 on the basis of a male from the Canal Zone, Panama, and the larval stage was partial described in the 1920s. These incomplete descriptions have led to confusion over its identity and differentiation from Wy. circumcincta Dyar & Knab. Consequently, Wy. intonca is redescribed here. In addition, Wy. chocoensis sp.n. is described from specimens reared from tank bromeliads in the same region where Wy. intonca occurred. The descriptions of these two species, accompanied with relevant illustrations, are of adult males and females and of the pupal and larval stages. C1 Ctr Dis Control & Prevent, Div Parasit Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Univ Antioquia, Dept Biol, Medellin, Colombia. RP Porter, CH (reprint author), Ctr Dis Control & Prevent, Div Parasit Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. EM cporter@cdc.gov; mwolff@matematicas.udea.edu.co NR 25 TC 3 Z9 3 U1 1 U2 1 PU MAGNOLIA PRESS PI AUCKLAND PA PO BOX 41383, AUCKLAND, 1030, NEW ZEALAND SN 1175-5334 J9 ZOOTAXA JI Zootaxa PD MAR 29 PY 2004 IS 477 BP 1 EP 31 PG 31 WC Zoology SC Zoology GA 868DH UT WOS:000224892700001 ER PT J AU Meyer, M Ferrell, G Bumgarner, JE Cole, D Hutchins, S Krapac, I Johnson, K Verstraeten, I Kolpin, DW AF Meyer, M Ferrell, G Bumgarner, JE Cole, D Hutchins, S Krapac, I Johnson, K Verstraeten, I Kolpin, DW TI Occurrence of antibiotic residues in waste storage facilities at swine animal feeding operation. SO ABSTRACTS OF PAPERS OF THE AMERICAN CHEMICAL SOCIETY LA English DT Meeting Abstract CT 227th National Meeting of the American-Chemical Society CY MAR 28-APR 01, 2004 CL Anaheim, CA SP Amer Chem Soc C1 US Geol Survey, Lawrence, KS 66049 USA. Univ Georgia, Coll Vet Med, Athens, GA USA. US EPA, Res Triangle Pk, NC USA. Ctr Dis Control & Prevent, Atlanta, GA USA. EM mmeyer@usgs.gov NR 0 TC 0 Z9 0 U1 1 U2 1 PU AMER CHEMICAL SOC PI WASHINGTON PA 1155 16TH ST, NW, WASHINGTON, DC 20036 USA SN 0065-7727 J9 ABSTR PAP AM CHEM S JI Abstr. Pap. Am. Chem. Soc. PD MAR 28 PY 2004 VL 227 MA 155-AGFD BP U53 EP U53 PN 1 PG 1 WC Chemistry, Multidisciplinary SC Chemistry GA 851AJ UT WOS:000223655600163 ER PT J AU Ospina, M Vesper, HW Licea-Perez, H Mi, LC Myers, GL AF Ospina, M Vesper, HW Licea-Perez, H Mi, LC Myers, GL TI LC/MS/MS method for the analysis of acrylamide and glycidamide hemoglobin adducts. SO ABSTRACTS OF PAPERS OF THE AMERICAN CHEMICAL SOCIETY LA English DT Meeting Abstract CT 227th National Meeting of the American-Chemical Society CY MAR 28-APR 01, 2004 CL Anaheim, CA SP Amer Chem Soc C1 NCEH, DLS, CDC, Atlanta, GA 30341 USA. RI Ospina, Maria/C-5111-2012 NR 0 TC 0 Z9 0 U1 0 U2 0 PU AMER CHEMICAL SOC PI WASHINGTON PA 1155 16TH ST, NW, WASHINGTON, DC 20036 USA SN 0065-7727 J9 ABSTR PAP AM CHEM S JI Abstr. Pap. Am. Chem. Soc. PD MAR 28 PY 2004 VL 227 MA 124-AGFD BP U48 EP U48 PN 1 PG 1 WC Chemistry, Multidisciplinary SC Chemistry GA 851AJ UT WOS:000223655600132 ER PT J AU Vesper, HW Licea-Perez, H Meyers, T Ospina, M Myers, GL AF Vesper, HW Licea-Perez, H Meyers, T Ospina, M Myers, GL TI Pilot study on the impact of potato chips consumption on biomarkers of acrylamide exposure. SO ABSTRACTS OF PAPERS OF THE AMERICAN CHEMICAL SOCIETY LA English DT Meeting Abstract CT 227th National Meeting of the American-Chemical Society CY MAR 28-APR 01, 2004 CL Anaheim, CA SP Amer Chem Soc C1 NCEH DLS, CDC, Atlanta, GA 30341 USA. EM HVesper@cdc.gov RI Ospina, Maria/C-5111-2012 NR 0 TC 0 Z9 0 U1 0 U2 0 PU AMER CHEMICAL SOC PI WASHINGTON PA 1155 16TH ST, NW, WASHINGTON, DC 20036 USA SN 0065-7727 J9 ABSTR PAP AM CHEM S JI Abstr. Pap. Am. Chem. Soc. PD MAR 28 PY 2004 VL 227 MA 081-AGFD BP U40 EP U40 PN 1 PG 1 WC Chemistry, Multidisciplinary SC Chemistry GA 851AJ UT WOS:000223655600089 ER PT J AU Morris, A Kingsley, LA Groner, G Lebedeva, IP Beard, CB Norris, KA AF Morris, A Kingsley, LA Groner, G Lebedeva, IP Beard, CB Norris, KA TI Prevalence and clinical predictors of Pneumocystis colonization among HIV-infected men SO AIDS LA English DT Article DE Pneumocystis jiroveci; colonization; HIV infection; Multicenter AIDS Cohort; PCP ID HUMAN-IMMUNODEFICIENCY-VIRUS; CARINII DIHYDROPTEROATE SYNTHASE; POLYMERASE CHAIN-REACTION; SULFONE PROPHYLAXIS; DNA AMPLIFICATION; CIGARETTE-SMOKING; PNEUMONIA; MUTATIONS; GENE; AIDS AB Background: The epidemiology and transmission of Pneumocystis are poorly understood. The incidence of colonization, or detection of organisms without signs of disease, has been debated, and risk factors for colonization are largely unknown. Objective: To determine the rate of Pneumocystis colonization among HIV-infected patients at autopsy and analyze associated clinical variables. Methods: Subjects were selected from the Multicenter AIDS Cohort Study. Subjects who died from causes other than Pneumocystis pneumonia and consented to autopsy were included in analysis. DNA was extracted from lung tissue, and nested PCR was performed to detect the presence of Pneumocystis. Clinical data were obtained from the Multicenter AIDS Cohort database. Univariate and multivariate analyses were performed to determine predictors of Pneumocystis colonization. Results: Pneumocystis DNA was detected in 42 of 91 (46%) subjects by nested PCR. Clinical variables such as CD4 cell count, use of Pneumocystis prophylaxis or antiretroviral drugs, and history of previous Pneumocystis pneumonia were not related to risk of colonization. Multivariate analysis demonstrated that cigarette smoking was related to an increased risk of colonization [odds ratio (OR), 4.5; 95% confidence interval (Cl), 1.27-15.6; P= 0.02] and risk also varied by city of residence (OR, 0.12; 95%, Cl, 0.03-0.45; P= 0.002 for living in Los Angeles). Conclusions: This study found a high rate of Pneumocystis colonization among HIV-infected patients. We also identified cigarette smoking and city of residence as novel, independent risk factors for colonization. The role of subclinical colonization in disease transmission and the effects of Pneumocystis colonization on the lung require further study. (C) 2004 Lippincott Williams Wilkins. C1 Univ Pittsburgh, Sch Med, Div Pulm Allergy & Crit Care Med, Dept Med, Pittsburgh, PA USA. Univ So Calif, Dept Med, Div Pulm & Crit Care, Los Angeles, CA USA. Univ Pittsburgh, Grad Sch Publ Hlth, Dept Infect Dis & Microbiol, Pittsburgh, PA 15261 USA. Ctr Dis Control & Prevent, Div Parasit Dis, Natl Ctr Infect Dis, Atlanta, GA USA. Univ Pittsburgh, Sch Med, Dept Immunol, Pittsburgh, PA USA. RP Morris, A (reprint author), 2011 Zonal Ave,HMR 911, Los Angeles, CA 90033 USA. FU NCRR NIH HHS [5-M01-RR-00722]; NHLBI NIH HHS [K23 HL072837]; NIAID NIH HHS [U01-AI-35039, U01-AI-35042, U01-AI-37613, U01-AI-35043, U01-AI-35040, U01-AI-37984, U01-AI-35041] NR 29 TC 67 Z9 70 U1 0 U2 1 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0269-9370 J9 AIDS JI Aids PD MAR 26 PY 2004 VL 18 IS 5 BP 793 EP 798 DI 10.1097/01.aids.0000111416.91384.b4 PG 6 WC Immunology; Infectious Diseases; Virology SC Immunology; Infectious Diseases; Virology GA 816DO UT WOS:000221090800011 PM 15075515 ER PT J AU Atkinson, TP Zhu, ZB Dai, YL Mirel, L Kariuki, S Udhayakumar, V Lal, AA AF Atkinson, TP Zhu, ZB Dai, YL Mirel, L Kariuki, S Udhayakumar, V Lal, AA TI High frequency of complement C6 null alleles across sub-Saharan Africa SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Univ Alabama, Birmingham, AL 35294 USA. Ctr Dis Control & Prevent, Malaria Branch, Atlanta, GA USA. Kenya Govt Med Res Ctr, Ctr Vector Biol & Control Res, Kisumu, Kenya. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 24 PY 2004 VL 18 IS 5 SU S BP A1162 EP A1162 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZB UT WOS:000220470701926 ER PT J AU de la Rosa, P Lewis, DM Biagini, RE Weissman, DN AF de la Rosa, P Lewis, DM Biagini, RE Weissman, DN TI Primary and secondary responses to pneumococcal polysaccharide (PPS) vaccine SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 NIOSH, HELD, Morgantown, WV 26505 USA. NIOSH, DART, Cincinnati, OH 45226 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 24 PY 2004 VL 18 IS 5 SU S BP A822 EP A822 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZB UT WOS:000220470700304 ER PT J AU Johnson, VJ Yucesoy, B Luster, MI AF Johnson, VJ Yucesoy, B Luster, MI TI Role of interleukin-1 in toluene diisocyanate asthma SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 NIOSH, CDC, Toxicol & Mol Biol Branch, Morgantown, WV 26505 USA. RI Johnson, Victor/A-7910-2009; Yucesoy, Berran/B-4497-2009 NR 0 TC 0 Z9 0 U1 0 U2 1 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 24 PY 2004 VL 18 IS 5 SU S BP A1130 EP A1130 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZB UT WOS:000220470701770 ER PT J AU Nicholson, A Rajeevan, M Unger, E Vernon, S AF Nicholson, A Rajeevan, M Unger, E Vernon, S TI Evaluation of psychoneuroendocrinimmune (PNI) gene expression in peripheral blood SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Ctr Dis Control & Prevent, VEHB, Atlanta, GA 30322 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 24 PY 2004 VL 18 IS 5 SU S BP A934 EP A934 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZB UT WOS:000220470700836 ER PT J AU Steinau, M Habis, AH Lee, DR Vernon, SD Ruffin, MT Verma, M Srivastava, S Unger, ER AF Steinau, M Habis, AH Lee, DR Vernon, SD Ruffin, MT Verma, M Srivastava, S Unger, ER TI Molecular signatures of cervical neoplasia: A pilot study of gene expression profiling in exfoliated cervical cells SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. Univ Michigan, Ann Arbor, MI 48109 USA. NCI, Bethesda, MD 20892 USA. NR 0 TC 0 Z9 0 U1 1 U2 1 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 24 PY 2004 VL 18 IS 5 SU S BP A936 EP A936 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZB UT WOS:000220470700843 ER PT J AU Rhodes, L Bailey, CM Moorman, JE AF Rhodes, L Bailey, CM Moorman, JE TI Asthma prevalence and control characteristics by race/ethnicity - United States, 2002 (Reprinted from MMWR, vol 53, pg 145-148, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 CDC, Div Environm Hazards & Hlth Effects, Natl Ctr Environm Hlth, Atlanta, GA 30333 USA. RP Rhodes, L (reprint author), CDC, Div Environm Hazards & Hlth Effects, Natl Ctr Environm Hlth, Atlanta, GA 30333 USA. NR 1 TC 4 Z9 4 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD MAR 24 PY 2004 VL 291 IS 12 BP 1435 EP 1436 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 805UI UT WOS:000220390800009 ER PT J AU Hayes, E O'Leary, D Rasmussen, SA AF Hayes, E O'Leary, D Rasmussen, SA TI Interim guidelines for the evaluation of infants born to mothers infected with West Nile Virus during pregnancy (Reprinted from MMWR, vol 53, pg 154-157, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 CDC, Div Vector Borne Infect Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. CDC, Div Birth Defects & Dev Disabilities, Natl Ctr Birth Defects & Dev Disabilities, Atlanta, GA 30333 USA. RP Hayes, E (reprint author), CDC, Div Vector Borne Infect Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. NR 7 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD MAR 24 PY 2004 VL 291 IS 12 BP 1436 EP 1438 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA 805UI UT WOS:000220390800010 ER PT J AU Biddle, CD Imhoff-Kunsch, BC Schleicher, RL AF Biddle, CD Imhoff-Kunsch, BC Schleicher, RL TI Measuring retinol in human dried-blood spots using HPLC/UV-visible spectrophotometry SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. Emory Univ, Grad Div Biol & Biomed Sci, Atlanta, GA 30322 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A500 EP A500 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470602408 ER PT J AU Bobrow, EA Mdebwe, HJ Chimtolo, F Butao, D Banda, T Thompson, D Buxton, CH Timmer, A Kalimbira, A Chilima, D Knowles, J Sullivan, K Parvanta, I Grummer-Strawn, L Ortiz, J AF Bobrow, EA Mdebwe, HJ Chimtolo, F Butao, D Banda, T Thompson, D Buxton, CH Timmer, A Kalimbira, A Chilima, D Knowles, J Sullivan, K Parvanta, I Grummer-Strawn, L Ortiz, J TI Vitamin A situation assessment in Malawi: Results from the national micronutrient survey SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Ctr Dis Control & Prevent, Atlanta, GA 30341 USA. UNICEF, Lilongwe, Malawi. Minist Hlth & Populat, Lilongwe, Malawi. Bunda Coll, Lilongwe, Malawi. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A508 EP A508 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470602449 ER PT J AU Borrudl, LG McDowell, MA Hughes, JP AF Borrudl, LG McDowell, MA Hughes, JP TI Prevalence of high waist circumference among US adults in the National Health and Nutrition Examination Survey SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Orkand Corp, Falls Church, VA 22043 USA. Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Hyattsville, MD 20782 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A148 EP A148 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470600714 ER PT J AU Chaudhary-Webb, M Erhardt, JG Bowen, MB Schleicher, RL AF Chaudhary-Webb, M Erhardt, JG Bowen, MB Schleicher, RL TI Simplified HPLC/UV detection method for measuring serum retinol SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. Univ Indonesia, Fac Publ Hlth, Jakarta, Indonesia. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A499 EP A500 PG 2 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470602407 ER PT J AU Fazili, Z Pfeiffer, CM Jain, R AF Fazili, Z Pfeiffer, CM Jain, R TI Effects of different anticoagulants on folate measurements in paired human serum and plasma samples SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A175 EP A175 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470600845 ER PT J AU Furr, HC Tucker, RT Craft, NE Chen, HP Schleicher, R AF Furr, HC Tucker, RT Craft, NE Chen, HP Schleicher, R TI Comparison of values from new method for NHANES analysis of vitamins A/E and carotenoids to CDC values SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Craft Technol Inc, Wilson, NC USA. Ctr Dis Control, Atlanta, GA 30333 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A5 EP A5 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470600026 ER PT J AU Kandiah, J Techakittiroj, C Strahley, ML AF Kandiah, J Techakittiroj, C Strahley, ML TI Iron deficiency and anemia in Malawi: Results from the national micronutrient survey SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Annual Meeting CY APR 17-21, 2004 CL Washington, DC C1 Ctr Dis Control & Prevent, Atlanta, GA 30341 USA. UNICEF, Lilongwe, Malawi. Minist Hlth & Populat, Lilongwe, Malawi. Bunda Coll, Lilongwe, Malawi. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 EI 1530-6860 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A509 EP A509 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470602450 ER PT J AU Ogden, CL Tandon, R Rhodes, J Wright, JD Flegal, KM AF Ogden, CL Tandon, R Rhodes, J Wright, JD Flegal, KM TI Trends in overweight and soda consumption among children in the United States, 1976-2000 SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Hyattsville, MD 20782 USA. RI Flegal, Katherine/A-4608-2013 NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A97 EP A97 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470600473 ER PT J AU Rybak, ME Pfeiffer, CM AF Rybak, ME Pfeiffer, CM TI Determination of vitamin B6 by reversed-phase HPLC with chlorite postcolumn derivatization SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. NR 0 TC 0 Z9 0 U1 0 U2 2 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A175 EP A175 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470600843 ER PT J AU Sankaranarayanan, S Suarez, M Taren, D Genaro-Wolf, D Pfeiffer, M Sowell, A Rosales, FJ AF Sankaranarayanan, S Suarez, M Taren, D Genaro-Wolf, D Pfeiffer, M Sowell, A Rosales, FJ TI Vitamin A status affects the concentration of free holo-retinol binding protein in pregnant women from Nepal SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 Penn State Univ, Huck Inst Life Sci, University Pk, PA 16802 USA. Boston Coll, Boston, MA USA. Univ Arizona, Arizona Hlth Sci Ctr, Coll Publ Hlth, Tucson, AZ 85721 USA. CDC, US CDC, Atlanta, GA 30333 USA. Penn State Univ, University Pk, PA 16802 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A510 EP A510 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470602455 ER PT J AU Summan, M Hulderman, T Salmen, R Li, J Simeonova, PP AF Summan, M Hulderman, T Salmen, R Li, J Simeonova, PP TI TNF alpha and skeletal muscle repair mechanisms SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 NIOSH, Toxicol & Mol Biol Branch, DHSS, CDC, Morgantown, WV 26505 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A454 EP A454 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470602189 ER PT J AU Tompkins, SM Lo, CY Tumpey, TM Epstein, SL AF Tompkins, SM Lo, CY Tumpey, TM Epstein, SL TI Protection against lethal influenza virus challenge by RNA interference in vivo SO FASEB JOURNAL LA English DT Meeting Abstract CT Experimental Biology 2004 Meeting CY APR 17-21, 2004 CL Washington, DC C1 US FDA, Ctr Biol Evaluat & Res, Div Cellular & Gene Therapies, Bethesda, MD 20892 USA. Ctr Dis Control & Prevent, Div Viral & Rickettsial Dis, Influenza Branch, Atlanta, GA USA. RI Tompkins, Stephen/A-3317-2008 OI Tompkins, Stephen/0000-0002-1523-5588 NR 0 TC 0 Z9 0 U1 0 U2 4 PU FEDERATION AMER SOC EXP BIOL PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814-3998 USA SN 0892-6638 J9 FASEB J JI Faseb J. PD MAR 23 PY 2004 VL 18 IS 4 SU S BP A460 EP A460 PG 1 WC Biochemistry & Molecular Biology; Biology; Cell Biology SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA 806ZA UT WOS:000220470602214 ER PT J AU Wolfe, ND Switzer, WM Carr, JK Bhullar, VB Shanmugam, V Tamoufe, U Prosser, AT Torimiro, JN Wright, A Mpoudi-Ngole, E McCutchan, FE Birx, DL Folks, TM Burke, DS Heneine, W AF Wolfe, ND Switzer, WM Carr, JK Bhullar, VB Shanmugam, V Tamoufe, U Prosser, AT Torimiro, JN Wright, A Mpoudi-Ngole, E McCutchan, FE Birx, DL Folks, TM Burke, DS Heneine, W TI Naturally acquired simian retrovirus infections in central African hunters SO LANCET LA English DT Article ID FOAMY VIRUS-INFECTION; IMMUNODEFICIENCY VIRUS; NONHUMAN-PRIMATES; LABORATORY WORKER; IDENTIFICATION; TRANSMISSION; POPULATIONS; HEALTH; RISK AB Background Hunting and butchering of wild non-human primates infected with simian immunodeficiency virus (SIV) is thought to have sparked the HIV pandemic. Although SIV and other primate retroviruses infect laboratory workers and zoo workers, zoonotic retrovirus transmission has not been documented in natural settings. We investigated zoonotic infection in individuals living in central Africa. Methods We obtained behavioural data, plasma samples, and peripheral blood lymphocytes from individuals living in rural villages in Cameroon. We did serological testing, PCR, and sequence analysis to obtain evidence of retrovirus infection. Findings Zoonotic infections with simian foamy virus (SFV), a retrovirus endemic in most Old World primates, were identified in people living in central African forests who reported direct contact with blood and body fluids of wild non-human primates. Ten (1%) of 1099 individuals had antibodies to SFV. Sequence analysis from these individuals revealed three geographically-independent human SFV infections, each of which was acquired from a distinct non-human primate lineage: De Brazza's guenon (Cercopithecus neglectus), mandrill (Mandrillus sphinx), and gorilla (Gorilla gorilla), two of which (De Brazza's guenon and mandrill) are naturally infected with SIV. Interpretation Our findings show that retroviruses are actively crossing into human populations, and demonstrate that people in central Africa are currently infected with SFV. Contact with non-human primates, such as happens during hunting and butchering, can play a part in the emergence of human retroviruses and the reduction of primate bushmeat hunting has the potential to decrease the frequency of. disease emergence. C1 Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 USA. Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD 21205 USA. Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Mol Microbiol & Immunol, Baltimore, MD 21205 USA. Ctr Dis Control & Prevent, HIV & Retrovirol Branch, Div AIDS Sexually Transmitted Dis, Atlanta, GA USA. Ctr Dis Control & Prevent, TB Lab Res, Natl Ctr HIV AIDS Sexually Transmitted Dis & TB P, Atlanta, GA USA. Henry M Jackson Fdn, Rockville, MD USA. Army Hlth Res Ctr, Yaounde, Cameroon. Walter Reed Army Inst Res, Rockville, MD USA. RP Wolfe, ND (reprint author), Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, 615 N Wolfe St E7132, Baltimore, MD 21205 USA. EM nwolfe@jhsph.edu OI /0000-0002-5704-8094 NR 22 TC 229 Z9 242 U1 2 U2 53 PU LANCET LTD PI LONDON PA 84 THEOBALDS RD, LONDON WC1X 8RR, ENGLAND SN 0140-6736 J9 LANCET JI Lancet PD MAR 20 PY 2004 VL 363 IS 9413 BP 932 EP 937 DI 10.1016/S0140-6736(04)15787-5 PG 6 WC Medicine, General & Internal SC General & Internal Medicine GA 804OS UT WOS:000220308600009 PM 15043960 ER PT J AU Martinez-Frias, ML Bermejo, E Rodriguez-Pinilla, E Scala, I Andria, G Botto, L AF Martinez-Frias, ML Bermejo, E Rodriguez-Pinilla, E Scala, I Andria, G Botto, L TI Frequency of the mutation 677C-T of methylenetetrahydrofolate reductase gene on a sample of 652 Spanish liveborn infants SO MEDICINA CLINICA LA Spanish DT Article DE methylene tetrahydrofolate reductase; T-allele; mutation 677C-T ID NEURAL-TUBE DEFECTS; 5,10-METHYLENETETRAHYDROFOLATE REDUCTASE; RISK-FACTOR; COMMON MUTATION; SPINA-BIFIDA; DISEASE; POPULATION; PREVALENCE; VARIANT; PREECLAMPSIA AB BACKGROUND AND OBJECTIVE: An international study on the frequency of the mutation 677C-T of the methylenetetrahydrofolate reductase (MTHFR) gene and its genotypes has been performed on a sample of consecutive liveborn infants around the world. In that study Spain participated through the ECEMC group. Here we present the distribution of the frequency of the T-allele by Spanish Regions (Autonomic Comunities). SUBJECTS AND METHOD: The ECEMC collaborating physicians gathered blood samples from 15 consecutive liveborn infants in 67 hospitals from all over the country during the same months, specifying the ethnicity and sex of each infant. The frequency of the mutation was estimated through the percentage with its confidence interval. The chi(2) of homogeneity (k-1 degrees of freedom) was used to confirm that the frequencies were not statistically different across the country. RESULTS: The frequency distribution of the TT genotype does not differ significantly between Spanish Regions. CONCLUSIONS: This seems to be the first nation-wide study on a homogeneous sample of individuals. The observed frequencies are in agreement with those observed in some published studies on specific Spanish geographic areas. The overall frequency is similar to that reported in Mediterranean countries. C1 CIAC, Inst Salud Carlos III, Minist Sanidad & Consumo, ECEMC, Madrid, Spain. Univ Naples, Dept Pediat, Naples, Italy. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Martinez-Frias, ML (reprint author), CIAC, Inst Salud Carlos III, Minist Sanidad & Consumo, ECEMC, Sinesio Delgado,4-6, Madrid, Spain. NR 23 TC 8 Z9 8 U1 0 U2 1 PU EDICIONES DOYMA S/L PI BARCELONA PA TRAV DE GRACIA 17-21, 08021 BARCELONA, SPAIN SN 0025-7753 J9 MED CLIN-BARCELONA JI Med. Clin. PD MAR 20 PY 2004 VL 122 IS 10 BP 361 EP 364 PG 4 WC Medicine, General & Internal SC General & Internal Medicine GA 814JW UT WOS:000220972000001 PM 15033038 ER PT J AU Kanitz, MH Swaminathan, S Savage, RE AF Kanitz, MH Swaminathan, S Savage, RE TI Two-dimensional electrophoretic protein profile analysis following exposure of human uroepithelial cells to occupational bladder carcinogens SO CANCER LETTERS LA English DT Article DE uroepithelial cells; bladder carcinogen; two-dimensional gel electrophoresis; protein biomarkers ID NEOPLASTIC PROGRESSION; LIVER MICROSOMES; ACID-BINDING; DNA-ADDUCTS; RAT-LIVER; CANCER; 4-AMINOBIPHENYL; TRANSFORMATION; INVITRO; 4,4'-METHYLENEBIS(2-CHLOROANILINE) AB Protein biomarkers to occupational carcinogens were investigated using a transformable human uroepithelial cell system, SV-HUC.PC. SV-HUC.PC was treated with N-hydroxy-4,4'-methylene bis (2-chloroaniline) (N-OH-MOCA) or N-hydroxy-4 aminobiphenyl (N-OH-ABP). Two-dimensional gel electrophoresis of cell lysates compared protein changes across treatments. Increasing N-OH-MOCA resulted in a dose-related increase in protein spots altered. Comparing cell profiles treated with either carcinogen revealed alterations in the expression of nine proteins, identified using the TagIdent database. These demonstrated isoelectric point shift (1) or quantity change (8). Our investigation may be useful in identifying biomarkers of effects of exposure to bladder carcinogens. (C) 2003 Elsevier Ireland Ltd. All rights reserved. C1 NIOSH, Taft Lab, Div Appl Res & Technol, Cincinnati, OH 45226 USA. Univ Wisconsin, Sch Med, Dept Pharmacol, Madison, WI 53706 USA. RP Kanitz, MH (reprint author), NIOSH, Taft Lab, Div Appl Res & Technol, MS-C-23,4676 Columbia Pkwy, Cincinnati, OH 45226 USA. EM mhk2@cdc.gov NR 37 TC 5 Z9 5 U1 0 U2 0 PU ELSEVIER SCI IRELAND LTD PI CLARE PA CUSTOMER RELATIONS MANAGER, BAY 15, SHANNON INDUSTRIAL ESTATE CO, CLARE, IRELAND SN 0304-3835 J9 CANCER LETT JI Cancer Lett. PD MAR 18 PY 2004 VL 205 IS 2 BP 121 EP 131 DI 10.1016/j.canlet.2003.09.032 PG 11 WC Oncology SC Oncology GA 800OJ UT WOS:000220037300001 PM 15036644 ER PT J AU Gerberding, JL Morgan, JG Shepard, JO Kradin, RL AF Gerberding, JL Morgan, JG Shepard, JO Kradin, RL TI An 18-year-old man with respiratory symptoms and shock - Influenza A infection with rhabdomyolysis, severe; myoglobinuria; viral tracheobronchitis and pneumonia; virus-associated cardiac changes ("borderline myocarditis") and catecholamine-induced myonecrosis; pericardial effusion. Disseminated intravascular coagulation. Hepatic centrilobular necrosis. Cardiac hypertrophy of unknown cause. SO NEW ENGLAND JOURNAL OF MEDICINE LA English DT Editorial Material ID ACUTE-RENAL-FAILURE; MYOPERICARDITIS; DISEASE; CHILD C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. Massachusetts Gen Hosp, Cardiac Echo Lab, Boston, MA 02114 USA. Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA. Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA. Massachusetts Gen Hosp, Dept Pathol, Boston, MA 02114 USA. Harvard Univ, Sch Med, Cambridge, MA 02138 USA. RP Gerberding, JL (reprint author), Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. NR 39 TC 9 Z9 10 U1 0 U2 0 PU MASSACHUSETTS MEDICAL SOC/NEJM PI WALTHAM PA WALTHAM WOODS CENTER, 860 WINTER ST,, WALTHAM, MA 02451-1413 USA SN 0028-4793 J9 NEW ENGL J MED JI N. Engl. J. Med. PD MAR 18 PY 2004 VL 350 IS 12 BP 1236 EP 1247 PG 12 WC Medicine, General & Internal SC General & Internal Medicine GA 803PG UT WOS:000220242400012 PM 15028828 ER PT J AU Acerno, T Pelletier, A Johnson, J Sawyer, M Ramsey, L AF Acerno, T Pelletier, A Johnson, J Sawyer, M Ramsey, L TI Snowmobile fatalities - Maine, New Hampshire, and Vermont, 2002-2003 (Reprinted from MMWR, vol 52, pg 1221-1224, 2003) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 New Hampshire Fish & Game Dept, Concord, NH 03301 USA. New Hampshire Dept Hlth & Human Serv, Waterbury, VT USA. Maine Dept Inland Fisheries & Wildlife, Augusta, ME USA. CDC, Atlanta, GA 30333 USA. RP Acerno, T (reprint author), New Hampshire Fish & Game Dept, Concord, NH 03301 USA. NR 1 TC 0 Z9 0 U1 1 U2 2 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD MAR 17 PY 2004 VL 291 IS 11 BP 1314 EP 1315 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 802PF UT WOS:000220174700008 ER PT J AU Oh, SS Croft, JB Greenlund, KJ Ayala, C Zheng, ZJ Mensah, GA Giles, WH AF Oh, SS Croft, JB Greenlund, KJ Ayala, C Zheng, ZJ Mensah, GA Giles, WH TI Disparities in premature deaths from heart disease - 50 states and the District of Columbia, 2001 (Reprinted from MMWR, vol 53, pg 121-125, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint ID UNITED-STATES; TRENDS C1 CDC, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. RP Oh, SS (reprint author), CDC, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. NR 10 TC 0 Z9 0 U1 1 U2 1 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD MAR 17 PY 2004 VL 291 IS 11 BP 1316 EP 1317 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 802PF UT WOS:000220174700009 ER PT J AU Hall, HI Lee, LM Glynn, MK Song, R Espinoza, L AF Hall, HI Lee, LM Glynn, MK Song, R Espinoza, L TI Heterosexual transmission of HIV - 29 states, 1999-2002 (Reprinted from MMWR, vol 53, pg 125-129, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 Natl Ctr HIV STD & TB Prevent, Div HIV AIDS Prevent, Atlanta, GA 30329 USA. CDC, Atlanta, GA 30333 USA. RP Hall, HI (reprint author), Natl Ctr HIV STD & TB Prevent, Div HIV AIDS Prevent, Atlanta, GA 30329 USA. NR 11 TC 0 Z9 0 U1 1 U2 1 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD MAR 17 PY 2004 VL 291 IS 11 BP 1317 EP 1318 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 802PF UT WOS:000220174700010 ER PT J AU Pappaioanou, M AF Pappaioanou, M TI Veterinary medicine protecting and promoting the public's health and well-being SO PREVENTIVE VETERINARY MEDICINE LA English DT Article; Proceedings Paper CT Symposium on One Medicine for the Future CY NOV 10, 2002 CL St Louis, MO SP Assoc Vet Epidemiol & Prevent Med, Assoc Teachers, Bayer Anim Hlth DE veterinary medicine; public health; food safety; emerging infectious diseases; bioterrorism preparedness and response AB Dr. Calvin Schwabe's vision of "One Medicine" has long inspired many in the public health community to strive toward bringing human and veterinary medicine together to improve the public's health and well-being around the world. In an increasingly human-dominated world, as Dr. Schwabe suggested many years ago, human health provides the most-logical unifying or apical cause in veterinary medicine's hierarchy of values. Veterinarians in all aspects of the profession-have opportunity and responsibility to protect the health and well-being of people in all that they do, including protecting food security and safety; addressing threats to antibiotic sensitivity; preventing and controlling zoonotic emerging infectious diseases; protecting environments and ecosystems; participating in bio- and agro-terrorism preparedness and response; using their skills to confront non-zoonotic diseases (such as malaria, HlV/AIDS, vaccine preventable diseases, chronic diseases and injuries); strengthening the public-health infrastructure; and advancing medical science through research. This article provides an overview of contributions made by veterinarians in each of these areas, and discusses the challenges to be overcome and the need for strategic thinking and action to achieve the vision of "one medicine". Published by Elsevier B.V. C1 Ctr Dis Control & Prevent, Off Global Hlth, Atlanta, GA 30333 USA. RP Pappaioanou, M (reprint author), Ctr Dis Control & Prevent, Off Global Hlth, Mailstop D-69, Atlanta, GA 30333 USA. EM mxp1@cdc.gov NR 29 TC 15 Z9 17 U1 0 U2 2 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 0167-5877 J9 PREV VET MED JI Prev. Vet. Med. PD MAR 16 PY 2004 VL 62 IS 3 BP 153 EP 163 DI 10.1016/j.prevetmed.2003.11.001 PG 11 WC Veterinary Sciences SC Veterinary Sciences GA 809ZX UT WOS:000220675700001 PM 15041202 ER PT J AU Bertoni, AG Duren-Winfield, V Ambrosius, WT McArdle, J Sueta, CA Massing, MW Peacock, S Davis, J Croft, JB Goff, DC AF Bertoni, AG Duren-Winfield, V Ambrosius, WT McArdle, J Sueta, CA Massing, MW Peacock, S Davis, J Croft, JB Goff, DC TI Quality of heart failure care in managed Medicare and Medicaid patients in North Carolina SO AMERICAN JOURNAL OF CARDIOLOGY LA English DT Article ID MORTALITY; UNDERUTILIZATION; MORBIDITY; SURVIVAL; HOSPITALIZATIONS; INHIBITORS; COMMUNITY AB Use of angiotensin-converting, enzyme (ACE) inhibitors and beta-adrenergic receptor blockers in patients with heart failure (HF) remains low despite the results of clinical trials and evidence-based guidelines that support their use. The quality of HF care in managed Medicare and Medicaid programs in North Carolina participating in a HF quality improvement program was assessed. Managed care plans identified adult patients with 1 inpatient or 3 outpatient claims for HF during 2000. A stratified random sample of 971 Medicare and 642 Medicaid patients' outpatient medical records from 5 plans were reviewed by trained nurse abstractors to obtain data regarding type of HF, demographics, comorbidities and therapies. Left ventricular function assessment was performed in 88% of patients. Among 494 patients with systolic dysfunction, 86% were appropriately treated with respect to ACE inhibitors (73% prescribed, 13% had a documented contraindication). In contrast, beta-blocker therapy was appropriate in 61% (49% prescribed, 12% contraindication). There were no,significant differences in drug use by insurance, gender, race, or age. Ventricular function assessment and ACE inhibitor prescription rates are higher than beta-blocker prescription rates among Medicare and Medicaid managed care patients in North Carolina. Opportunities for improvement remain, particularly for beta-blocker use. (C) 2004 by Excerpta Medica, Inc. C1 Wake Forest Univ, Baptist Med Ctr, Sch Med, Dept Publ Hlth Sci, Winston Salem, NC 27157 USA. Wake Forest Univ, Sch Med, Dept Internal Med, Winston Salem, NC 27109 USA. Med Review N Carolina, Cary, NC USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Bertoni, AG (reprint author), Wake Forest Univ, Baptist Med Ctr, Sch Med, Dept Publ Hlth Sci, Med Ctr Blvd, Winston Salem, NC 27157 USA. EM abertoni@wfubmc.edu OI Duren-Winfield, Vanessa/0000-0003-4336-0324 NR 27 TC 11 Z9 11 U1 0 U2 1 PU EXCERPTA MEDICA INC PI NEW YORK PA 650 AVENUE OF THE AMERICAS, NEW YORK, NY 10011 USA SN 0002-9149 J9 AM J CARDIOL JI Am. J. Cardiol. PD MAR 15 PY 2004 VL 93 IS 6 BP 714 EP 718 DI 10.1016/j.amjcard.2003.11.053 PG 5 WC Cardiac & Cardiovascular Systems SC Cardiovascular System & Cardiology GA 803ML UT WOS:000220235100009 PM 15019875 ER PT J AU Comstock, RD Castillo, EM Lindsay, SP AF Comstock, RD Castillo, EM Lindsay, SP TI Four-year review of the use of race and ethnicity in epidemiologic and public health research SO AMERICAN JOURNAL OF EPIDEMIOLOGY LA English DT Article DE epidemiologic methods; ethnic groups; population groups ID UNITED-STATES; RACISM AB To determine how current researchers address the use of race and ethnicity as variables in epidemiologic and public health studies, the authors conducted a comprehensive review of 1,198 articles published in the American Journal of Epidemiology and the American Journal of Public Health from 1996 to 1999. Seventy-seven percent (n = 919) of the articles referred to race or ethnicity. The number of variable categories ranged from 0 to 24, with an average of 3.14 per article. An enormous diversity of terms was used to describe the concepts of race and ethnicity as variables as well as to describe the categories used to assess these variables. Researchers frequently failed to differentiate between the concepts of race and ethnicity, to state the context in which these variables were used, to state the study methods used to assess these variables, and to discuss significant study results based on race or ethnicity. Continued professional commitment is needed to ensure the scientific integrity of race and ethnicity as variables. At a minimum, researchers should clearly state the context in which these valuable epidemiologic and public health study variables are being used, describe the method used to assess and categorize these variables, and discuss all significant findings. C1 Ctr Dis Control & Prevent, Epidem Intelligence Serv, Epidemiol Program Off, Atlanta, GA USA. Oklahoma Dept Hlth, Injury Prevent Serv, Oklahoma City, OK USA. Hlth & Human Serv Agcy, Div Emergency Med Serv, San Diego, CA USA. San Diego State Univ, Grad Sch Publ Hlth, Inst Publ Hlth, San Diego, CA 92182 USA. RP Castillo, EM (reprint author), Emergency Med Serv, 6255 Mission Gorge Rd, San Diego, CA 92120 USA. EM edward.castillo@sdcounty.ca.gov NR 19 TC 64 Z9 71 U1 0 U2 5 PU OXFORD UNIV PRESS INC PI CARY PA JOURNALS DEPT, 2001 EVANS RD, CARY, NC 27513 USA SN 0002-9262 J9 AM J EPIDEMIOL JI Am. J. Epidemiol. PD MAR 15 PY 2004 VL 159 IS 6 BP 611 EP 619 DI 10.1093/aje/kwh084 PG 9 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 802RM UT WOS:000220180600011 PM 15003966 ER PT J AU Begier, EM Burwen, DR Haber, P Ball, R AF Begier, EM Burwen, DR Haber, P Ball, R CA Vaccine Adverse Event Reporting Sy TI Postmarketing safety surveillance for typhoid fever vaccines from the Vaccine Adverse Event Reporting System, July 1990 through June 2002 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID VI-CAPSULAR POLYSACCHARIDE; ENTERIC-COATED CAPSULES; SALMONELLA-TYPHI; UNITED-STATES; FIELD TRIAL; EFFICACY; IMMUNOGENICITY; IMMUNIZATION AB Vaccines against Salmonella enterica serotype Typhi are used for prophylaxis of international travelers and have potential use as counterbioterrorism agents. The Vaccine Adverse Event Reporting System (VAERS) cannot usually establish causal relationships between vaccines and reported adverse events without further research but has successfully detected unrecognized side effects of vaccine. We reviewed reports to VAERS for US-licensed typhoid fever vaccines for the period of July 1990 through June 2002. We received 321 reports for parenteral Vi capsular polysaccharide vaccine and 345 reports for live, oral, attenuated Ty21a vaccine, with 7.5% and 5.5%, respectively, describing death, hospitalization, permanent disability, or life-threatening illness. Unexpected frequently reported symptoms included dizziness and pruritus for Vi vaccine and fatigue and myalgia for Ty21a vaccine. Gastroenteritis-like illness after receipt of Ty21a vaccine and abdominal pain after receipt of Vi vaccine, which are previously recognized events, occasionally required hospitalization. Nonfatal anaphylaxis was reported after both vaccines. VAERS reports do not indicate any unexpected serious side effects that compromise these vaccines' use for travelers' prophylaxis. C1 US FDA, Ctr Biol Evaluat & Res, Off Biostat & Epidemiol, Div Epidemiol,Vaccine Safety Branch, Rockville, MD 20852 USA. Ctr Dis Control & Prevent, Immunizat Safety Branch, Epidemiol & Surveillance Div, Natl Immunizat Program, Atlanta, GA USA. RP Ball, R (reprint author), US FDA, Ctr Biol Evaluat & Res, Off Biostat & Epidemiol, Div Epidemiol,Vaccine Safety Branch, HFM-222,1401 Rockville Pike, Rockville, MD 20852 USA. EM ballr@cber.fda.gov NR 34 TC 21 Z9 25 U1 1 U2 1 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD MAR 15 PY 2004 VL 38 IS 6 BP 771 EP 779 DI 10.1086/381548 PG 9 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 800QI UT WOS:000220042400008 PM 14999618 ER PT J AU Trick, WE Paule, SM Cunningham, S Cordell, RL Lankford, M Stosor, V Solomon, SL Peterson, LR AF Trick, WE Paule, SM Cunningham, S Cordell, RL Lankford, M Stosor, V Solomon, SL Peterson, LR TI Detection of vancomycin-resistant enterococci before and after antimicrobial therapy: Use of conventional culture and polymerase chain reaction SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID INTENSIVE-CARE-UNIT; ANTIBIOTIC-THERAPY; RISK-FACTORS; PCR ASSAY; COLONIZATION; FAECIUM; INFECTION; OUTBREAK; HEALTH; STOOL AB Antimicrobial therapy can increase the colonization density of gastrointestinal vancomycin-resistant enterococci (VRE). Among previously VRE-colonized patients, we evaluated VRE colonization before and after initiation of antimicrobial therapy by means of polymerase chain reaction (PCR) and culture. Perianal swab samples were obtained at admission to the hospital and after receipt of antimicrobial therapy. At admission, 12 (21%) of 56 patients were culture positive, and 17 (30%) had vanA or vanB genes detected by PCR. Culture results showed that 25 ( 86%) of 29 culture-negative patients from whom a second swab sample was obtained remained culture negative, 2 (6.9%) had a relapse of colonization with a strain related to the previously colonizing strain type ( 2 and 6 days after admission), and 2 ( 6.9%) tested positive for a previously undetected strain type ( 16 and 19 days after admission). PCR at admission detected VRE in 1 of the 2 patients who later relapsed. Patients with negative results of culture of the initial swab sample and of PCR were unlikely to relapse after receipt of antimicrobial therapy. C1 Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Natl Ctr Infect Dis, Atlanta, GA USA. Northwestern Univ, Feinberg Sch Med, Div Infect Dis, Chicago, IL 60611 USA. NW Mem Hosp, Prevent EpiCtr, Chicago, IL 60611 USA. RP Trick, WE (reprint author), Strong Hosp Cook Cty, Collaborat Res Unit, 1900 W Polk St,Ste 1600, Chicago, IL 60612 USA. EM wtrick@cchil.org FU ODCDC CDC HHS [UR8/CCU 515081] NR 27 TC 9 Z9 9 U1 0 U2 1 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD MAR 15 PY 2004 VL 38 IS 6 BP 780 EP 786 DI 10.1086/381552 PG 7 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 800QI UT WOS:000220042400009 PM 14999619 ER PT J AU Shepard, CW Daneshvar, MI Kaiser, RM Ashford, DA Lonsway, D Patel, JB Morey, RE Jordan, JG Weyant, RS Fischer, M AF Shepard, CW Daneshvar, MI Kaiser, RM Ashford, DA Lonsway, D Patel, JB Morey, RE Jordan, JG Weyant, RS Fischer, M TI Bordetella holmesii bacteremia: A newly recognized clinical entity among asplenic patients SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID PERTUSSIS-LIKE SYMPTOMS; ADOLESCENT; SEPTICEMIA; INFECTION; GENE AB Bordetella holmesii is a recently identified gram-negative bacterial species associated with bacteremia, endocarditis, and respiratory illness, mainly in immunocompromised patients. From isolates submitted to the Centers for Disease Control and Prevention from 1983 through 2000 for further identification, we identified 30 patients with B. holmesii bacteremia. Of the 26 patients for whom data were available, 22 (85%) were anatomically or functionally asplenic. In 25 (96%) of the 26 patients, B. holmesii was the only organism isolated from blood samples, and 14 patients (54%) had B. holmesii recovered from greater than or equal to2 blood cultures. The clinical course of the infection was generally characterized by a nonspecific febrile illness. Twenty-one patients (81%) were treated with various antimicrobial agents, and 20 (77%) were admitted to the hospital. There were no deaths. Our findings support evidence that B. holmesii may be a true pathogen associated with bacteremia among asplenic patients. C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Shepard, CW (reprint author), Ctr Dis Control & Prevent, MS G-37,1600 Clifton Rd, Atlanta, GA 30333 USA. EM cvs8@cdc.gov NR 16 TC 52 Z9 52 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD MAR 15 PY 2004 VL 38 IS 6 BP 799 EP 804 DI 10.1086/381888 PG 6 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 800QI UT WOS:000220042400011 PM 14999621 ER PT J AU Paddock, CD Sumner, JW Comer, JA Zaki, SR Goldsmith, CS Goddard, J McLellan, SLF Tamminga, CL Ohl, CA AF Paddock, CD Sumner, JW Comer, JA Zaki, SR Goldsmith, CS Goddard, J McLellan, SLF Tamminga, CL Ohl, CA TI Rickettsia parkeri: A newly recognized cause of spotted fever rickettsiosis in the United States SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID GULF-COAST; TICK; IXODIDAE; ACARI; SEROTYPES; DISEASES; HUMANS; DNA AB Ticks, including many that bite humans, are hosts to several obligate intracellular bacteria in the spotted fever group (SFG) of the genus Rickettsia. Only Rickettsia rickettsii, the agent of Rocky Mountain spotted fever, has been definitively associated with disease in humans in the United States. Herein we describe disease in a human caused by Rickettsia parkeri, an SFG rickettsia first identified 160 years ago in Gulf Coast ticks ( Amblyomma maculatum) collected from the southern United States. Confirmation of the infection was accomplished using serological testing, immunohistochemical staining, cell culture isolation, and molecular methods. Application of specific laboratory assays to clinical specimens obtained from patients with febrile, eschar-associated illnesses following a tick bite may identify additional cases of R. parkeri rickettsiosis and possibly other novel SFG rickettsioses in the United States. C1 Ctr Dis Control & Prevent, Div Viral & Rickettsial Dis, Atlanta, GA 30333 USA. Mississippi Dept Hlth, Jackson, MS USA. Tulane Univ, Hlth Sci Ctr, Infect Dis Sect, New Orleans, LA 70118 USA. Portsmouth Naval Med Ctr, Div Infect Dis, Portsmouth, VA USA. Wake Forest Univ, Bowman Gray Sch Med, Infect Dis Sect, Winston Salem, NC USA. RP Paddock, CD (reprint author), Ctr Dis Control & Prevent, Div Viral & Rickettsial Dis, Mailstop G-32,1600 Clifton Rd, Atlanta, GA 30333 USA. EM cpaddock@cdc.gov NR 38 TC 218 Z9 229 U1 1 U2 8 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD MAR 15 PY 2004 VL 38 IS 6 BP 805 EP 811 DI 10.1086/381894 PG 7 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 800QI UT WOS:000220042400012 PM 14999622 ER PT J AU Fitzpatrick, L Braden, C Cronin, W English, J Campbell, E Valway, S Onorato, I AF Fitzpatrick, L Braden, C Cronin, W English, J Campbell, E Valway, S Onorato, I TI Investigation of laboratory cross-contamination of mycobacterium tuberculosis cultures SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID FALSE-POSITIVE CULTURES; PSEUDO-OUTBREAK; EPIDEMIOLOGY AB Many clinicians and laboratory personnel are unaware that a culture positive for Mycobacterium tuberculosis may represent contamination. Laboratory cross-contamination with the M. tuberculosis laboratory control strain (H37Ra) occurs infrequently and therefore demands heightened awareness and recognition. We report 3 occurrences of laboratory cross-contamination from the same laboratory. These occurrences illustrate the importance of interpreting laboratory results in conjunction with the patient's clinical presentation. Failure to recognize laboratory cross-contamination with M. tuberculosis leads to both erroneous administration of unnecessary medications and expenditure of resources required to conduct contact investigations. C1 Ctr Dis Control & Prevent, Div TB Eliminat, Natl Ctr HIV STD & TB Prevent, Atlanta, GA 30333 USA. Natl Naval Med Res Inst, Dept Hosp Infect Control, Bethesda, MD USA. Maryland Dept Hlth & Hyg, Div TB Control, Baltimore, MD USA. RP Fitzpatrick, L (reprint author), Ctr Dis Control & Prevent, Div TB Eliminat, Natl Ctr HIV STD & TB Prevent, 1600 Clifton Rd,Mailstop E-45, Atlanta, GA 30333 USA. EM lfitzpatrick@cdc.gov NR 7 TC 13 Z9 13 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD MAR 15 PY 2004 VL 38 IS 6 BP E52 EP E54 DI 10.1086/382076 PG 3 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 800QI UT WOS:000220042400038 PM 14999647 ER PT J AU Pieniazek, NJ AF Pieniazek, NJ TI On abandonware SO SCIENTIST LA English DT Letter C1 CDC, Atlanta, GA 30333 USA. RP Pieniazek, NJ (reprint author), CDC, Atlanta, GA 30333 USA. EM nxp3@cdc.gov NR 1 TC 0 Z9 0 U1 0 U2 1 PU SCIENTIST INC PI PHILADELPHIA PA 3535 MARKET ST, SUITE 200, PHILADELPHIA, PA 19104-3385 USA SN 0890-3670 J9 SCIENTIST JI Scientist PD MAR 15 PY 2004 VL 18 IS 5 BP 11 EP 11 PG 1 WC Information Science & Library Science; Multidisciplinary Sciences SC Information Science & Library Science; Science & Technology - Other Topics GA 802IZ UT WOS:000220158500008 ER PT J AU Wise, AG Monroe, SS Hanson, LE Grooms, DL Sockett, D Maes, RK AF Wise, AG Monroe, SS Hanson, LE Grooms, DL Sockett, D Maes, RK TI Molecular characterization of noroviruses detected in diarrheic stools of Michigan and Wisconsin dairy calves: circulation of two distinct subgroups SO VIRUS RESEARCH LA English DT Article DE norovirus; NLV; Jena; Newbury agent-2; bovine enteric calicivirus; RT-PCR ID NORWALK-LIKE VIRUSES; BOVINE ENTERIC CALICIVIRUSES; UNITED-STATES; GENETIC-POLYMORPHISM; CECUM CONTENTS; GENOGROUP-II; GASTROENTERITIS; DIVERSITY; OUTBREAKS; EPIDEMIOLOGY AB Noroviruses have emerged as the leading worldwide cause of acute non-bacterial gastroenteritis in humans. The presence of noroviruses in diarrheic stool samples from calves on Michigan and Wisconsin dairy farms was investigated by RT-PCR. Norovirus-positive samples were found on all eight farms studied in Michigan and on 2 out of 14 farms in Wisconsin. Phylogenetic analyses of partial polymerase and capsid sequences, derived for a subset of these bovine noroviruses, showed that these strains formed a group which is genetically distinct from the human noroviruses, but more closely related to genogroup I than to genogroup II human noroviruses. Examination of 2 full and 10 additional partial capsid (ORF2) sequences of these bovine strains revealed the presence of two genetic subgroups or clusters of bovine noroviruses circulating on Michigan and Wisconsin farms. One subgroup is "Jena-like", the other "Newbury agent-2-like". (C) 2003 Elsevier B.V. All rights reserved. C1 Michigan State Univ, Vet Med Ctr A45, Diagnost Ctr Populat & Anim Hlth, E Lansing, MI 48824 USA. Michigan State Univ, Vet Med Ctr A45, Dept Microbiol & Mol Genet, E Lansing, MI 48824 USA. Ctr Dis Control & Prevent, Viral Gastroenteritis Sect, Atlanta, GA 30333 USA. Michigan State Univ, Dept Large Anim Clin Sci, E Lansing, MI 48824 USA. Wisconsin Vet Diagnost Labs, Madison, WI 53705 USA. RP Maes, RK (reprint author), Michigan State Univ, Vet Med Ctr A45, Diagnost Ctr Populat & Anim Hlth, E Lansing, MI 48824 USA. EM wisea@msu.edu; stm2@cdc.gov; hansonlo@cvm.msu.edu; groomsd@cvm.msu.edu; donald.sockett@wvdl.wisc.edu; maes@dcpah.msu.edu OI Monroe, Stephan/0000-0002-5424-716X NR 39 TC 36 Z9 37 U1 0 U2 1 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 0168-1702 J9 VIRUS RES JI Virus Res. PD MAR 15 PY 2004 VL 100 IS 2 BP 165 EP 177 DI 10.1016/j.viruses.2003.11.014 PG 13 WC Virology SC Virology GA 804VO UT WOS:000220326400003 PM 15019235 ER PT J AU Bellanti, JA Zeligs, BJ Mendez-Inocencio, J Garcia-Garcia, MD Islas-Romero, R Omidvar, B Omidvar, J Kim, G de Castro, JF Amor, JS Walls, L Bellini, WJ Valdespino-Gomez, JL AF Bellanti, JA Zeligs, BJ Mendez-Inocencio, J Garcia-Garcia, MD Islas-Romero, R Omidvar, B Omidvar, J Kim, G de Castro, JF Amor, JS Walls, L Bellini, WJ Valdespino-Gomez, JL TI Immunologic studies of specific mucosal and systemic immune responses in Mexican school children after booster aerosol or subcutaneous immunization with measles vaccine SO VACCINE LA English DT Article DE mucosal and systemic immune responses; measles vaccine; school children ID ATYPICAL MEASLES; NASAL SECRETIONS; ALTERNATIVE ROUTES; MATERNAL ANTIBODY; RANDOMIZED-TRIAL; RHESUS MACAQUES; VIRUS; SCHOOLCHILDREN; SERUM AB The purpose of the present study was to compare serum and mucosal immune responses following either aerosol (Aer) or subcutaneous (SQ) measles immunization of Mexican school children. A cohort of 49 children from 6 to 7 years of age received either Aer (n = 22) or SQ (n = 27) Edmonston-Zagreb (EZ) measles vaccine. Serum and nasal secretions were collected prior to (Pre), 1 and 3 months (mos) intervals and analyzed for immunoglobulin (Ig) concentrations and measles specific Ig isotype-associated antibody by enzyme immunoassay (EIA). Serum and nasal IgG and IgA antibody responses were stimulated following immunization with live, attenuated EZ measles vaccine administered either by SQ or Aer routes but these responses were significantly greater by the Aer compared to the SQ route. These studies also suggest that the level of antibody in these secretions may serve as an important marker of immunity to measles and lend further support for aerosol immunization as an effective alternative vaccine delivery strategy for measles eradication. (C) 2003 Elsevier Ltd. All rights reserved. C1 Georgetown Univ, Med Ctr, Int Ctr Interdisciplinary Studies Immunol, Washington, DC 20007 USA. Georgetown Univ, Med Ctr, Dept Pediat, Washington, DC 20007 USA. Inst Nacl Salud Publ, Cuernavaca, Morelos, Mexico. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Bellanti, JA (reprint author), Georgetown Univ, Med Ctr, Int Ctr Interdisciplinary Studies Immunol, Washington, DC 20007 USA. EM bellantj@georgetown.edu OI Bellanti, Joseph/0000-0002-5038-7202; waluyo, imam/0000-0002-1813-9487 NR 22 TC 31 Z9 31 U1 1 U2 1 PU ELSEVIER SCI LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, OXON, ENGLAND SN 0264-410X J9 VACCINE JI Vaccine PD MAR 12 PY 2004 VL 22 IS 9-10 BP 1214 EP 1220 DI 10.1016/j.vaccine.2003.09.032 PG 7 WC Immunology; Medicine, Research & Experimental SC Immunology; Research & Experimental Medicine GA 804WF UT WOS:000220328100018 PM 15003650 ER PT J CA CDC Who Avian Influenza Response T TI Outbreaks of avian influenza A (H5N1) in Asia and interim recommendations for evaluation and reporting of suspected cases - United States, 2004 (Reprinted from MMWR, vol 53, pg 97-100, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint ID HONG-KONG; INFECTION; WORKERS; RISK C1 CDC, WHO Avian Influenza Response Team, Atlanta, GA 30333 USA. RP CDC, WHO Avian Influenza Response Team, Atlanta, GA 30333 USA. NR 6 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 330 N WABASH AVE, STE 39300, CHICAGO, IL 60611-5885 USA SN 0098-7484 EI 1538-3598 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD MAR 10 PY 2004 VL 291 IS 10 BP 1191 EP 1193 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA 800XV UT WOS:000220061900008 ER PT J AU Wright, JD Kennedy-Stephenson, J Wang, CY McDowell, MA Johnson, CL AF Wright, JD Kennedy-Stephenson, J Wang, CY McDowell, MA Johnson, CL TI Trends in intake of energy and macronutrients - United States, 1971-2000 (Reprinted from MMWR, vol 53, pg 80-82, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint ID US C1 CDC, Natl Ctr Hlth Stat, Atlanta, GA 30333 USA. RP Wright, JD (reprint author), CDC, Natl Ctr Hlth Stat, Atlanta, GA 30333 USA. NR 10 TC 31 Z9 31 U1 0 U2 3 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD MAR 10 PY 2004 VL 291 IS 10 BP 1193 EP 1194 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 800XV UT WOS:000220061900009 ER PT J AU Mokdad, AH Marks, JS Stroup, DF Gerberding, JL AF Mokdad, AH Marks, JS Stroup, DF Gerberding, JL TI Actual causes of death in the United States, 2000 SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Article ID TOTAL CHOLESTEROL CONCENTRATIONS; CORONARY HEART-DISEASE; ALL-CAUSE MORTALITY; ILLICIT DRUG-USE; NATIONAL-HEALTH; US ADULTS; ALCOHOL-CONSUMPTION; DIABETES-MELLITUS; LIFE EXPECTANCY; AIR-POLLUTION AB Context Modifiable behavioral risk factors are leading causes of mortality in the United States. Quantifying these will provide insight into the effects of recent trends and the implications of missed prevention opportunities. Objectives To identify and quantify the leading causes of mortality in the United States. Design Comprehensive MEDLINE search of English-language articles that identified epidemiological, clinical, and laboratory studies linking risk behaviors and mortality. The search was initially restricted to articles published during or after 1990, but we later included relevant articles published in 1980 to December 31, 2002. Prevalence and relative risk were identified during the literature search. We used 2000 mortality data reported to the Centers for Disease Control and Prevention to identify the causes and number of deaths. The estimates of cause of death were computed by multiplying estimates of the cause-attributable fraction of preventable deaths with the total mortality data. Main Outcome Measures Actual causes of death. Results The leading causes of death in 2000 were tobacco (435000 deaths; 18.1% of total US deaths), poor diet and physical inactivity (400000 deaths; 16.6%), and alcohol consumption (85000 deaths; 3.5%). Other actual causes of death were microbial agents (75000), toxic agents (55000), motor vehicle crashes (43000), incidents involving firearms (29000), sexual behaviors (20000), and illicit use of drugs (17000). Conclusions These analyses show that smoking remains the leading cause of mortality. However, poor diet and physical inactivity may soon overtake tobacco as the leading cause of death. These findings, along with escalating health care costs and aging population, argue persuasively that the need to establish a more preventive orientation in the US health care and public health systems has become more urgent. C1 CDCP, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. CDCP, Off Director, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA. RP Mokdad, AH (reprint author), CDCP, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, 4770 Buford Hwy NE,Mailstop K66, Atlanta, GA 30341 USA. EM amokdad@cdc.gov NR 97 TC 2687 Z9 2735 U1 19 U2 219 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD MAR 10 PY 2004 VL 291 IS 10 BP 1238 EP 1245 DI 10.1001/jama.291.10.1238 PG 8 WC Medicine, General & Internal SC General & Internal Medicine GA 800XV UT WOS:000220061900025 PM 15010446 ER PT J AU Nesheim, S Henderson, S Lindsay, M Zuberi, J Grimes, V Buehler, J Lindegren, ML Bulterys, M AF Nesheim, S Henderson, S Lindsay, M Zuberi, J Grimes, V Buehler, J Lindegren, ML Bulterys, M CA CDC TI Prenatal HIV testing and antiretroviral prophylaxis at an urban hospital - Atlanta, Georgia, 1997-2000 (Reprinted from MMWR, vol 52, 1245-1248, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 Grady Mem Hosp, Atlanta, GA 30322 USA. Georgia Dept Human Resources, Div Publ Hlth, Atlanta, GA 30303 USA. CDC, Div HIV AIDS Prevent, Natl Ctr HIV STD & TB Prevent, Atlanta, GA 30333 USA. RP Nesheim, S (reprint author), Grady Mem Hosp, Atlanta, GA 30322 USA. NR 1 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD MAR 3 PY 2004 VL 291 IS 9 BP 1061 EP 1062 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 780AQ UT WOS:000189348900008 ER PT J AU Mosca, L Appel, LJ Benjamin, EJ Berra, K Chandra-Strobos, N Fabunmi, RP Grady, D Haan, CK Hayes, SN Judelson, DR Keenan, NL McBride, P Oparil, S Ouyang, P Oz, MC Mendelsohn, ME Pasternak, RC Pinn, VW Robertson, RM Schenck-Gustafsson, K Sila, CA Smith, SC Sopko, G Taylor, AL Walsh, BW Wenger, NK Williams, CL AF Mosca, L Appel, LJ Benjamin, EJ Berra, K Chandra-Strobos, N Fabunmi, RP Grady, D Haan, CK Hayes, SN Judelson, DR Keenan, NL McBride, P Oparil, S Ouyang, P Oz, MC Mendelsohn, ME Pasternak, RC Pinn, VW Robertson, RM Schenck-Gustafsson, K Sila, CA Smith, SC Sopko, G Taylor, AL Walsh, BW Wenger, NK Williams, CL CA Expert Panel Writing Grp TI Evidence-based guidelines for cardiovascular disease prevention in women SO JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY LA English DT Review DE AHA Scientific Statements; prevention; women; cardiovascular diseases; risk factors ID CORONARY-HEART-DISEASE; ACUTE MYOCARDIAL-INFARCTION; RANDOMIZED CONTROLLED-TRIAL; HORMONE REPLACEMENT THERAPY; HIGH-RISK PATIENTS; NONRHEUMATIC ATRIAL-FIBRILLATION; CONVERTING-ENZYME-INHIBITOR; PLACEBO-CONTROLLED TRIAL; DENSITY-LIPOPROTEIN CHOLESTEROL; FACTOR INTERVENTION TRIAL C1 Amer Heart Assoc, Dallas, TX 75231 USA. Amer Coll Cardiol, Bethesda, MD 20814 USA. Amer Coll Obstetricians & Gynecologists, Washington, DC 20090 USA. Amer Med Womens Assoc, Alexandria, VA 22314 USA. Assoc Black Cardiologists, Atlanta, GA 30303 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NHLBI, Bethesda, MD 20892 USA. Soc Thorac Surg, Chicago, IL 60611 USA. RP Amer Heart Assoc, Dallas, TX 75231 USA. OI Hayes, Sharonne/0000-0003-3129-362X; Benjamin, Emelia/0000-0003-4076-2336 NR 509 TC 52 Z9 53 U1 0 U2 2 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0735-1097 EI 1558-3597 J9 J AM COLL CARDIOL JI J. Am. Coll. Cardiol. PD MAR 3 PY 2004 VL 43 IS 5 BP 900 EP 921 DI 10.1016/j.jacc.2004.02.001 PG 22 WC Cardiac & Cardiovascular Systems SC Cardiovascular System & Cardiology GA 779AP UT WOS:000189273700030 PM 14998635 ER PT J AU Weber, JT Hughes, JM AF Weber, JT Hughes, JM TI Beyond semmelweis: Moving infection control into the community SO ANNALS OF INTERNAL MEDICINE LA English DT Editorial Material ID ABSENTEEISM; ILLNESS C1 Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Weber, JT (reprint author), Ctr Dis Control & Prevent, Natl Ctr Infect Dis, 1600 Clifton Rd NE,C-12, Atlanta, GA 30333 USA. NR 16 TC 6 Z9 6 U1 0 U2 1 PU AMER COLL PHYSICIANS PI PHILADELPHIA PA INDEPENDENCE MALL WEST 6TH AND RACE ST, PHILADELPHIA, PA 19106-1572 USA SN 0003-4819 J9 ANN INTERN MED JI Ann. Intern. Med. PD MAR 2 PY 2004 VL 140 IS 5 BP 397 EP 398 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 778NC UT WOS:000189246800010 PM 14996682 ER PT J AU Tumpey, TM Garcia-Sastre, A Taubenberger, JK Palese, P Swayne, DE Basler, CF AF Tumpey, TM Garcia-Sastre, A Taubenberger, JK Palese, P Swayne, DE Basler, CF TI Pathogenicity and immunogenicity of influenza viruses with genes from the 1918 pandemic virus SO PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA LA English DT Article ID A VIRUS; SPANISH INFLUENZA; HONG-KONG; MONOCLONAL-ANTIBODIES; VACCINE STRAINS; H5N1 VIRUSES; HEMAGGLUTININ; MICE; VIRULENCE; REPLICATION AB The 1918 influenza A H1N1 virus caused the worst pandemic of influenza ever recorded. To better understand the pathogenesis and immunity to the 1918 pandemic virus, we generated recombinant influenza viruses possessing two to five genes of the 1918 influenza virus. Recombinant influenza viruses possessing the hemagglutinin (HA), neuraminidase (NA), matrix (M), nonstructural (NS), and nucleoprotein (NP) genes or any recombinant virus possessing both the HA and NA genes of the 1918 influenza virus were highly lethal for mice. Antigenic analysis by hemagglutination inhibition (HI) tests with ferret and chicken H1N1 antisera demonstrated that the 1918 recombinant viruses antigenically most resembled A/Swine/Iowa/30 (Sw/ Iowa/30) virus but differed from H1N1 viruses isolated since 1930. HI and virus neutralizing (VN) antibodies to 1918 recombinant and Sw/Iowa/30 viruses in human sera were present among individuals born before or shortly after the 1918 pandemic. Mice that received an intramuscular immunization of the homologous or Sw/Iowa/30-inactivated vaccine developed HI and VN antibodies to the 1918 recombinant virus and were completely protected against lethal challenge. Mice that received A/PR/8/34, A/Texas/36/91, or A/New Caledonia/20/99 H1N1 vaccines displayed partial protection from lethal challenge. In contrast, control-vaccinated mice were not protected against lethal challenge and displayed high virus titers in respiratory tissues. Partial vaccine protection mediated by baculovirus-expressed recombinant HA vaccines suggest common cross-reactive epitopes on the H1 HA. These data suggest a strategy of vaccination that would be effective against a reemergent 1918 or 1918-like virus. C1 USDA ARS, SE Poultry Res Lab, Athens, GA 30605 USA. CUNY Mt Sinai Sch Med, Dept Microbiol, New York, NY 10029 USA. Armed Forces Inst Pathol, Dept Cellular Pathol & Genet, Div Mol Pathol, Rockville, MD 20850 USA. RP Tumpey, TM (reprint author), Ctr Dis Control & Prevent, Influenza Branch, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Mailstop G-16,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM tft9@cdc.gov OI Palese, Peter/0000-0002-0337-5823; Garcia-Sastre, Adolfo/0000-0002-6551-1827 FU NIAID NIH HHS [5R01 AI0506919-02] NR 49 TC 135 Z9 144 U1 0 U2 7 PU NATL ACAD SCIENCES PI WASHINGTON PA 2101 CONSTITUTION AVE NW, WASHINGTON, DC 20418 USA SN 0027-8424 J9 P NATL ACAD SCI USA JI Proc. Natl. Acad. Sci. U. S. A. PD MAR 2 PY 2004 VL 101 IS 9 BP 3166 EP 3171 DI 10.1073/pnas.0308391100 PG 6 WC Multidisciplinary Sciences SC Science & Technology - Other Topics GA 800ZD UT WOS:000220065300092 PM 14963236 ER PT J AU Kimberly, MM AF Kimberly, MM TI Reference material needs in clinical laboratory science SO ACCREDITATION AND QUALITY ASSURANCE LA English DT Article; Proceedings Paper CT 9th International Symposium on Biological and Environment Reference Materials CY JUN 15-19, 2003 CL berlin, GERMANY DE commutability; JCTLM; reference materials AB In 1968, clinical chemistry was considered to be the field most in need of certified reference materials (CRMs). While significant progress has been made in this area, new diagnostic assays are continually being developed that create a need for new CRMs. Members of the clinical laboratory community help to identify reference material needs. Professional and governmental organizations, such as IFCC, AACC, NCCLS, CDC, and the national metrological institutes (NMIs), respond to develop protocols and materials. Several measurands are presented as examples. In the late 1950s and early 1960s, in response to a need for standardization of lipid and lipoprotein measurements, CDC developed a reference system that included secondary reference materials. Over the years, the process of preparation of these materials was refined, eventually leading to the development of NCCLS guideline for preparation of commutable frozen serum pools for use as secondary reference materials (C37-A). This protocol was used for the preparation of NIST SRM 1951a (lipids in frozen (liquid) human serum). In the 1980s, a need for a reference material for blood lead was identified. CDC and NIST cooperated to develop SRM 955 (lead in bovine blood). More recently, efforts have been initiated to standardize high-sensitivity C-reactive protein (hsCRP) assays. In this case, a CRM for CRP existed (CRM 470, developed by IFCC and available from IRMM), but at concentrations in the acute phase reactant range and not in the low range needed for hsCRP assays. CDC coordinated a study to evaluate diluted CRM470 and other candidate materials as secondary reference materials for hsCRP assays. C1 Ctr Dis Control & Prevent, Div Sci Lab, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. RP Kimberly, MM (reprint author), Ctr Dis Control & Prevent, Div Sci Lab, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. EM mkimberly@cdc.gov NR 13 TC 0 Z9 0 U1 1 U2 2 PU SPRINGER-VERLAG PI NEW YORK PA 175 FIFTH AVE, NEW YORK, NY 10010 USA SN 0949-1775 J9 ACCREDIT QUAL ASSUR JI Accredit. Qual. Assur. PD MAR PY 2004 VL 9 IS 4-5 BP 239 EP 241 DI 10.1007/s00769-004-0765-6 PG 3 WC Chemistry, Analytical; Instruments & Instrumentation SC Chemistry; Instruments & Instrumentation GA 779FY UT WOS:000189285700011 ER PT J AU Gillum, RF AF Gillum, RF TI Coronary revascularization in older women and men in the United States: Trends in ethnic differences SO AMERICAN HEART JOURNAL LA English DT Article ID BYPASS GRAFT-SURGERY; INVASIVE CARDIOVASCULAR PROCEDURES; ACUTE MYOCARDIAL-INFARCTION; ASSOCIATION TASK-FORCE; OF-VETERANS-AFFAIRS; RACIAL-DIFFERENCES; HEART-DISEASE; CARDIAC-CATHETERIZATION; MEDICARE BENEFICIARIES; BLACK POPULATIONS AB Background Many reports of ethnic differences in utilization of coronary artery bypass grafting (CABG) have been published in the post 2 decades. However, revascularization trends in elderly ethnic minorities have received little attention. Objectives The purpose of the present study was to determine whether ethnic differences in rates of CABG and percutaneous transluminal coronary angioplasty (PTCA) decreased after 1990 among elderly women and men. Methods Data from the Centers for Medicare and Medicaid Services were examined for the years 1990 through 1997-99. Numbers of CABG and PTCA procedures performed in Medicare enrollees were used to compute rates per 100,000 non-HMO beneficiaries by year, sex, and ethnicity for persons aged greater than or equal to65 years. Results In women and men, the rate of CABG increased in African Americans and in European Americans between 1990 and 1996. However, a decline in numbers and rates of CABG was noted for the first time in 1997. Between 1990 and 1997, the ratio of rates in European Americans to those in African Americans declined somewhat (eg, in women, from 1.79 in 1990 to 1.55 in 1997). Along with steady rapid increases in rates of PTCA in both groups, a decrease in this ratio was noted (eg, in women, from 2.09 in 1990 to 1.54 in 1997 to 1.44 in 1999). This ratio was higher at ages 75 to 84 years than at 65 to 74, declining most at 75 to 84. Conclusions Despite apparent decreases in ratios of rates in European Americans to those in African Americans for CABG and inpatient PTCA from 1990-1999, large ethnic differences in utilization of CABG and PTCA persist in the elderly, requiring further evaluation and possible intervention. C1 Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Hyattsville, MD 20782 USA. RP Gillum, RF (reprint author), Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, 3311 Toledo Rd, Hyattsville, MD 20782 USA. EM rfg2@cdc.gov NR 38 TC 4 Z9 4 U1 1 U2 1 PU MOSBY, INC PI ST LOUIS PA 11830 WESTLINE INDUSTRIAL DR, ST LOUIS, MO 63146-3318 USA SN 0002-8703 J9 AM HEART J JI Am. Heart J. PD MAR PY 2004 VL 147 IS 3 BP 418 EP 424 DI 10.1016/j.ahj.2003.10.035 PG 7 WC Cardiac & Cardiovascular Systems SC Cardiovascular System & Cardiology GA 807ZM UT WOS:000220539400012 PM 14999189 ER PT J AU Terlouw, DJ Desai, MR Wannemuehler, KA Kariuki, SK Pfeiffer, CM Kager, PA Shi, YP ter Kuile, FO AF Terlouw, DJ Desai, MR Wannemuehler, KA Kariuki, SK Pfeiffer, CM Kager, PA Shi, YP ter Kuile, FO TI Relation between the response to iron supplementation and sickle cell hemoglobin phenotype in preschool children in western Kenya SO AMERICAN JOURNAL OF CLINICAL NUTRITION LA English DT Article DE iron supplementation; sickle cell hemoglobin; hemoglobin; malaria; children; Africa ID TREATED BED NETS; PERENNIAL MALARIA TRANSMISSION; LONGITUDINAL COHORT; AREA; MORTALITY; ANEMIA; MORBIDITY; SITE; EPIDEMIOLOGY; DEFICIENCY AB Background: Iron supplementation has been associated with greater susceptibility to malaria and lower hematologic responses in pregnant Gambian women with sickle cell trait (HbAS) than in similar women with the normal (HbAA) phenotype. It is not known whether a similar interaction exists in children. Objective: Our aim was to determine the influence of the HbAS phenotype on hematologic responses and malaria after iron supplementation in anemic (hemoglobin: 70-109 g/L) children aged 2-35 mo. Design: We conducted a double-blind, randomized, placebo-controlled trial (HbAS, n = 115; HbAA, n = 408) of intermittent preventive treatment with sulfadoxine pyrimethamine (IPT-SP) at 4 and 8 wk and daily supervised iron for 12 wk. Results: The mean difference in hemoglobin concentrations at 12 wk between children assigned iron and placebo iron, after adjustment for the effect of IPT-SP, was 9.1 g/L (95% CI: 6.4, 11.8) and 8.2 g/L (4.0, 12.4) in HbAA and HbAS children, respectively (P for interaction = 0.68). Although malaria parasitemia and clinical malaria occurred more often in HbAS children in the iron group than in those in the placebo iron group, this difference was not significant; incidence rate ratios were 1.23 (95% CI: 0.64, 2.34) and 1.41 (0.39, 5.00), respectively. The corresponding incidence rate ratios in HbAA children in the same groups were 1.07 (95% Cl: 0.77, 1.48) and 0.59 (0.35, 1.01), respectively. The corresponding interactions between the effects of iron and hemoglobin phenotype were not significant. Conclusions: There was no evidence for a clinically relevant modification by the hemoglobin S phenotype of the effects of iron supplementation in the treatment of mild anemia. The benefits of iron supplementation are likely to outweigh possible risks associated with malaria in children with the HbAA or HbAS phenotype. C1 Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Natl Ctr Infect Dis, Div Parasit Dis, Atlanta, GA USA. Kenya Govt Med Res Ctr, Ctr Vector Biol & Control Res, Kisumu, Kenya. Univ Amsterdam, Acad Med Ctr, Dept Infect Dis & Trop Med & AIDS, Amsterdam, Netherlands. RP ter Kuile, FO (reprint author), Univ Liverpool, Liverpool Sch Trop Med, Child & Reprod Hlth Grp, Pembroke Pl, Liverpool L3 5QA, Merseyside, England. EM terkuile@liv.ac.uk NR 28 TC 11 Z9 12 U1 0 U2 0 PU AMER SOC CLINICAL NUTRITION PI BETHESDA PA 9650 ROCKVILLE PIKE, SUBSCRIPTIONS, RM L-3300, BETHESDA, MD 20814-3998 USA SN 0002-9165 J9 AM J CLIN NUTR JI Am. J. Clin. Nutr. PD MAR PY 2004 VL 79 IS 3 BP 466 EP 472 PG 7 WC Nutrition & Dietetics SC Nutrition & Dietetics GA 777RD UT WOS:000189190600019 PM 14985223 ER PT J AU Farmer, TW Price, LSN O'Neal, KK Leung, MC Goforth, JB Cairns, BD Reese, LRE AF Farmer, TW Price, LSN O'Neal, KK Leung, MC Goforth, JB Cairns, BD Reese, LRE TI Exploring risk in early adolescent African American youth SO AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY LA English DT Article DE adolescence; configurations; adjustment; African American ID CHILDREN; CONFIGURATIONS; AGGRESSION; VIOLENCE; IMPACT; BOYS AB Two studies were conducted to explore the degree to which single- and multiple-risk profiles were evident in samples of African American early adolescents in low-income inner-city, rural, and suburban schools. Study 1 examined early adolescent risk status (i.e., single, multiple) in relation to later adjustment in a representative sample (70% European American, 30% African American). Youthwhoexperienced a single risk in early adolescence had moderately increased levels of school dropout and criminal arrests, whereas youth with multiple risks (i.e., combination of 2 or more risks) had significantly increased levels of school dropout, criminal arrests, and teen parenthood. Study 2 examined the extent to which single- and multiple-risk profiles were evident in cross-sectional samples of African American youth from low-income inner-city and rural areas. About one fourth of both the inner-city and rural samples of African American youth were composed of youth in the single- risk category. A significantly greater proportion of boys in the inner-city sample (20%) than boys in the rural sample (13%) experienced multiple risks. Girls across the rural and inner-city samples did not differ in terms of risk. Overall, more than 60% of African American youth in these two low-income samples did not evidence risk for later adjustment problems. Implications for research and intervention are discussed. C1 Univ N Carolina, Ctr Dev Sci, Chapel Hill, NC 27599 USA. NIMH, Dev Psychopathol & Prevent Res Branch, Rockville, MD 20857 USA. Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA USA. RP Farmer, TW (reprint author), Univ N Carolina, Ctr Dev Sci, CB 8115, Chapel Hill, NC 27599 USA. EM tfarmer@email.unc.edu FU NIMH NIH HHS [MH52429]; ODCDC CDC HHS [R49CCR419824, U81CCU416369] NR 19 TC 22 Z9 23 U1 2 U2 4 PU KLUWER ACADEMIC/PLENUM PUBL PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 0091-0562 J9 AM J COMMUN PSYCHOL JI Am. J. Community Psychol. PD MAR PY 2004 VL 33 IS 1-2 BP 51 EP 59 DI 10.1023/B:AJCP.0000014318.16652.30 PG 9 WC Public, Environmental & Occupational Health; Psychology, Multidisciplinary; Social Work SC Public, Environmental & Occupational Health; Psychology; Social Work GA 770EH UT WOS:000188709900006 PM 15055754 ER PT J AU Liller, KD Sleet, DA AF Liller, KD Sleet, DA TI Health promotion research approaches to the prevention of injuries and violence SO AMERICAN JOURNAL OF HEALTH BEHAVIOR LA English DT Article C1 Univ S Florida, Coll Publ Hlth, Dept Community & Family Hlth, Tampa, FL 33612 USA. Ctr Dis Control & Prevent, Div Unintent Injury Prevent, Atlanta, GA USA. RP Liller, KD (reprint author), Univ S Florida, Coll Publ Hlth, Dept Community & Family Hlth, 13201 Bruce B Downs Blvd, Tampa, FL 33612 USA. EM kliller@hse.usf.edu NR 9 TC 4 Z9 4 U1 0 U2 0 PU PNG PUBLICATIONS PI STAR CITY PA PO BOX 4593, STAR CITY, WV 26504-4593 USA SN 1087-3244 J9 AM J HEALTH BEHAV JI Am. J. Health Behav. PD MAR-APR PY 2004 VL 28 SU 1 BP S3 EP S5 PG 3 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 811RZ UT WOS:000220790300001 PM 15055566 ER PT J AU Lutzker, JR Sleet, DA AF Lutzker, JR Sleet, DA TI Lizette Peterson-Homer, PhD (1951-2002) - In memory SO AMERICAN JOURNAL OF HEALTH BEHAVIOR LA English DT Biographical-Item C1 Ctr Dis Control & Prevent, Prevent Dev & Evaluat Branch, Div Violence Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA 30341 USA. Ctr Dis Control & Prevent, Div Unintent Injury Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA 30341 USA. RP Lutzker, JR (reprint author), Ctr Dis Control & Prevent, Prevent Dev & Evaluat Branch, Div Violence Prevent, Natl Ctr Injury Prevent & Control, 4770 Buford Highway NE,MS K-60, Atlanta, GA 30341 USA. EM IZL3@cdc.gov NR 1 TC 0 Z9 0 U1 0 U2 0 PU PNG PUBLICATIONS PI STAR CITY PA PO BOX 4593, STAR CITY, WV 26504-4593 USA SN 1087-3244 J9 AM J HEALTH BEHAV JI Am. J. Health Behav. PD MAR-APR PY 2004 VL 28 SU 1 BP S69 EP S71 PG 3 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 811RZ UT WOS:000220790300008 ER PT J AU Sleet, DA Liller, KD White, DD Hopkins, K AF Sleet, DA Liller, KD White, DD Hopkins, K TI Injuries, injury prevention and public health SO AMERICAN JOURNAL OF HEALTH BEHAVIOR LA English DT Article DE injury; accidents; public health; health promotion; behavioral science AB To introduce the readers to the field of injury prevention and comprehensive public health intervention approaches. Methods: A review of injury epidemiology, statistics, definitions, intervention approaches, and the importance of health promotion is provided. Results: Behavioral, environmental, and technological solutions will be necessary to reduce or eliminate the factors that lead to injury. Conclusions: Reductions in injury and their costs will need the support, collaboration, and partnering of several disciplines. The use of sound behavioral and social science theories and methods will be an essential component of intervention effectiveness. C1 Ctr Dis Control & Prevent, Div Unintent Injury Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA 30341 USA. Univ S Florida, Coll Publ Hlth, Dept Community & Family Med, Tampa, FL USA. Ctr Dis Control & Prevent, Off Stat & Programming, Natl Ctr Injury Prevent & Control, Atlanta, GA 30341 USA. RP Sleet, DA (reprint author), Ctr Dis Control & Prevent, Div Unintent Injury Prevent, Natl Ctr Injury Prevent & Control, 4770 Buford Hwy NE,MSK63, Atlanta, GA 30341 USA. EM dsleet@cdc.gov NR 17 TC 6 Z9 6 U1 0 U2 0 PU PNG PUBLICATIONS PI STAR CITY PA PO BOX 4593, STAR CITY, WV 26504-4593 USA SN 1087-3244 J9 AM J HEALTH BEHAV JI Am. J. Health Behav. PD MAR-APR PY 2004 VL 28 SU 1 BP S6 EP S12 PG 7 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 811RZ UT WOS:000220790300002 PM 15055567 ER PT J AU Kerr, NA Yore, MM Ham, SA Dietz, WH AF Kerr, NA Yore, MM Ham, SA Dietz, WH TI Increasing stair use in a worksite through environmental changes SO AMERICAN JOURNAL OF HEALTH PROMOTION LA English DT Article DE physical activity; lifestyle risk reduction; intervention studies; occupational health; prevention research ID INTERVENTION; SIGNS AB Purpose. This study assessed the impact on stair use of four sequential environmental interventions: (1) installing new carpet and painting the walls, (2) adding framed artwork on stair landings, (3) displaying motivational signs throughout the building, and (4) adding a stereo system and playing various types of music in the stairwell. Methods. We conducted a longitudinal study with no comparison group to evaluate the impact of environmental changes on stairway use. The setting was the main stairwell in the Centers for Disease Control and, Preventions (CDC) Rhodes Building in Atlanta, Georgia. Proximity sensors were installed in each stairwell entry to moat. tor traffic. The subjects were 554 permanent CDC employees and 110 temporary employees. Changes in stairwell use by intervention were evaluated. Results. Both motivational signs and music significantly increased stair use by 8.9% over baseline (p <.05). The increase in sign use occurred in the first 3 months of the intervention, whereas the increase in music occurred after the first 3 months. Discussion. These data suggest that physical improvements to a stairwell, signage that encourages stair use, and music may increase physical activity among building occupants. C1 Ctr Dis Control & Prevent, Phys Act & Hlth Branch, Div Nutr & Phys Act, Atlanta, GA 30341 USA. RP Yore, MM (reprint author), Ctr Dis Control & Prevent, Phys Act & Hlth Branch, Div Nutr & Phys Act, 4770 Buford Hwy,K-46, Atlanta, GA 30341 USA. NR 11 TC 58 Z9 58 U1 4 U2 17 PU AMER J HEALTH PROMOTION INC PI KEEGO HARBOR PA 1660 CASS LAKE RD, STE 104, KEEGO HARBOR, MI 48320 USA SN 0890-1171 J9 AM J HEALTH PROMOT JI Am. J. Health Promot. PD MAR-APR PY 2004 VL 18 IS 4 BP 312 EP 315 PG 4 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 780JX UT WOS:000189378500007 PM 15011931 ER PT J AU Mueller, WH Harrist, RB Doyle, SR Labarthe, DR AF Mueller, WH Harrist, RB Doyle, SR Labarthe, DR TI Percentiles of body composition from bioelectrical impedance and body measurements in US adolescents 8-17 years old: Project HeartBeat! SO AMERICAN JOURNAL OF HUMAN BIOLOGY LA English DT Article ID X-RAY ABSORPTIOMETRY; FAT-FREE MASS; CARDIOVASCULAR RISK-FACTORS; SURVEY HHANES 1982-1984; YOUNG-ADULTS; WHITE GIRLS; ANTHROPOMETRIC VARIABLES; AMERICAN CHILDREN; TOTAL CHOLESTEROL; CROSS-VALIDATION AB Reference percentiles (5th, 10th, 50th, 85th, 90th, and 95th) of black and nonblack children ages 8-17 years from Project HeartBeat! (n = 678) are presented for body mass index (BMI), percent body fat (PBF), fat-free mass (FFM), and fat mass (FM) derived from bioelectrical impedance. Project HeartBeat! is a mixed longitudinal study in which three cohorts of children (seen initially at age 8, 11, or 14 years) were followed for 4 years and measured thrice-yearly from 1991 through 1995. Weight, height, and BMI of,Project HeartBeat! children are similar in central tendency and variability to those of nationally representative samples for nonblack children but not black children, for whom there is an excess of children at or above the 95th percentile for weight and BMI. Values of PBF above which cardiovascular risk variables increase (as suggested in the literature) are located at the 85th percentile of the Project HeartBeat! distributions. This percentile of PBF may be tentatively considered as a cutoff point with epidemiological significance for children. Am. J. Hum. Biol. 16:135-150, 2004. (C) 2004 Wiley-Liss, Inc. C1 Univ Texas, Hlth Sci Ctr, Sch Publ Hlth, Houston, TX 77225 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Mueller, WH (reprint author), Univ Texas, Hlth Sci Ctr, Sch Publ Hlth, POB 20186, Houston, TX 77225 USA. EM wmueller@sph.uth.tmc.edu FU NHLBI NIH HHS [U01-HL-41166]; ODCDC CDC HHS [U48/CCU609653] NR 53 TC 27 Z9 28 U1 0 U2 2 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 1042-0533 J9 AM J HUM BIOL JI Am. J. Hum. Biol. PD MAR-APR PY 2004 VL 16 IS 2 BP 135 EP 150 DI 10.1002/ajhb.20002 PG 16 WC Anthropology; Biology SC Anthropology; Life Sciences & Biomedicine - Other Topics GA 800CL UT WOS:000220006400004 PM 14994313 ER PT J AU Yang, QH Khoury, MJ Botto, L Friedman, JM Flanders, WD AF Yang, QH Khoury, MJ Botto, L Friedman, JM Flanders, WD TI Revisiting the clinical validity of multiplex genetic testing in complex diseases: Reply to Janssens et al. SO AMERICAN JOURNAL OF HUMAN GENETICS LA English DT Letter ID PREDICTION; MEDICINE; CANCER C1 CDC, Natl Birth Defects Ctr & Dev Disabil, Atlanta, GA 30333 USA. CDC, Off Genom & Dis Prevent, Atlanta, GA 30333 USA. Emory Univ, Sch Publ Hlth, Dept Epidemiol, Atlanta, GA USA. Univ British Columbia, Dept Med Genet, Vancouver, BC, Canada. RP Yang, QH (reprint author), CDC, Natl Birth Defects Ctr & Dev Disabil, 1600 Clifton Rd,MS E-86, Atlanta, GA 30333 USA. EM qay0@cdc.gov NR 8 TC 4 Z9 4 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 0002-9297 J9 AM J HUM GENET JI Am. J. Hum. Genet. PD MAR PY 2004 VL 74 IS 3 BP 588 EP 589 DI 10.1086/382054 PG 2 WC Genetics & Heredity SC Genetics & Heredity GA 801TP UT WOS:000220118500028 ER PT J AU Botto, LD Mulinare, J Yang, QH Liu, YC Erickson, JD AF Botto, LD Mulinare, J Yang, QH Liu, YC Erickson, JD TI Autosomal trisomy and maternal use of multivitamin supplements SO AMERICAN JOURNAL OF MEDICAL GENETICS PART A LA English DT Article DE pregnancy; vitamins; folic acid; prevention; trisomy; Down syndrome; chromosomal; congenital abnormality ID METHYLENETETRAHYDROFOLATE REDUCTASE GENE; DOWN-SYNDROME; FOLATE METABOLISM; RISK-FACTORS; MUTATION; POLYMORPHISMS; PREVALENCE; ETIOLOGY AB Recent reports suggest that women carrying certain polymorphisms of folate genes associated with suboptimal folate status might be at increased risk for having a child with Down syndrome or other autosomal trisomies, and hypothesized that maternal use of multivitamin supplements might reduce such risk. To evaluate this hypothesis, we examined data from a population-based case-control study, and contrasted cases of Down syndrome, trisomy 18, and trisomy 13, with unaffected controls. Periconceptional multivitamin use, compared to no such use, was associated with an odds ratio (OR) of 0.9 (95% confidence interval [CI], 0.6-1.3) for having a pregnancy affected by an autosomal trisomy. The OR was 0.8 (95% CI, 0.5-1.3) for Down syndrome and 1.4 (95% CI, 0.5-3.6) for trisomies 13 and 18, with little variation by maternal race or age. Periconceptional multivitamin use was not associated with a major reduction in the risk for common autosomal trisomies. Published 2003 Wiley-Liss, Inc.(dagger) C1 Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA 30333 USA. RP Botto, LD (reprint author), Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, MS E-88,1600 Clifton Rd, Atlanta, GA 30333 USA. EM LBotto@cdc.gov NR 14 TC 7 Z9 7 U1 0 U2 2 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 0148-7299 J9 AM J MED GENET A JI Am. J. Med. Genet. A PD MAR 1 PY 2004 VL 125A IS 2 BP 113 EP 116 DI 10.1002/ajmg.a.20436 PG 4 WC Genetics & Heredity SC Genetics & Heredity GA 800CZ UT WOS:000220007800001 PM 14981710 ER PT J AU Spadano, JL Bandini, LG Must, A Dallal, GE Dietz, WH AF Spadano, JL Bandini, LG Must, A Dallal, GE Dietz, WH TI Does menarche mark a period of elevated resting metabolic rate? SO AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM LA English DT Article DE parental overweight; puberty; adolescence; obesity; energy expenditure ID FAT-FREE MASS; ENERGY-EXPENDITURE; GROWTH-HORMONE; BODY-COMPOSITION; AFRICAN-AMERICAN; MENSTRUAL-CYCLE; ORGAN SIZE; PREMENARCHEAL GIRLS; INSULIN-RESISTANCE; ACTIVE COMPONENTS AB Resting metabolic rate (RMR) and body composition were measured in 44 initially nonoverweight girls at three time points relative to menarche: premenarche (Tanner stage I or 2), menarche (+/-6 mo), and 4 yr after menarche. Mean absolute RMR was 1,167, 1,418, and 1,347 kcal/day, respectively. Absolute RMR was statistically significantly higher at menarche than at 4 yr after menarche despite statistically significantly less fat-free mass (FFM) and fat mass (FM), suggesting an elevation in RMR around the time of menarche. The pattern of change in RMR, adjusted for FFM, log transformed FM, age, race, parental overweight, and two interactions (visit by parental overweight, parental overweight by FFM), was also considered. Adjusted RMR did not differ statistically between the visits for girls with two normal-weight parents. For girls with at least one overweight parent, adjusted RMR was statistically significantly lower 4 yr after menarche than at premenarche or menarche. Thus parental overweight may influence changes that occur in RMR during adolescence in girls. C1 Tufts Univ, Sch Med, Jean Mayer USDA HNRCA, Dept Epidemiol, Boston, MA 02111 USA. MIT, Gen Clin Res Ctr, Cambridge, MA 02139 USA. Boston Univ, Dept Hlth Sci, Boston, MA 02215 USA. Tufts Univ, Sch Med, Gerald J & Dorothy R Friedman Sch Nutr Sci & Poli, Boston, MA 02111 USA. Tufts Univ, Sch Med, Dept Family Med & Community Hlth, Boston, MA 02111 USA. Ctr Dis Control & Prevent, Div Nutr & Phys Act, Ctr Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. RP Spadano, JL (reprint author), Tufts Univ, Sch Med, Jean Mayer USDA HNRCA, Dept Epidemiol, 711 Washington St, Boston, MA 02111 USA. EM jennifer.spadano@tufts.edu FU NCRR NIH HHS [M01 RR-00088]; NIDDK NIH HHS [5 PD30 DK-46200, DK-HD-50537] NR 58 TC 3 Z9 3 U1 0 U2 0 PU AMER PHYSIOLOGICAL SOC PI BETHESDA PA 9650 ROCKVILLE PIKE, BETHESDA, MD 20814 USA SN 0193-1849 J9 AM J PHYSIOL-ENDOC M JI Am. J. Physiol.-Endocrinol. Metab. PD MAR PY 2004 VL 286 IS 3 BP E456 EP E462 DI 10.1152/ajpendo.00410.2003 PG 7 WC Endocrinology & Metabolism; Physiology SC Endocrinology & Metabolism; Physiology GA 776XP UT WOS:000189144900018 PM 14625206 ER PT J AU Des Jarlais, DC Lyles, C Crepaz, N AF Des Jarlais, DC Lyles, C Crepaz, N CA TREND Grp TI Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: The TREND statement SO AMERICAN JOURNAL OF PUBLIC HEALTH LA English DT Article ID HIV PREVENTION INTERVENTIONS; RANDOMIZED TRIALS; CONSORT STATEMENT; UNITED-STATES; METAANALYSIS; SEX AB Developing an evidence base for making public health decisions will require using data from evaluation studies with randomized and nonrandomized designs. Assessing individual studies and using studies in quantitative research syntheses require transparent reporting of the study, with sufficient detail and clarity to readily see differences and similarities among studies in the same area. The Consolidated Standards of Reporting Trials (CONSORT) statement provides guidelines for transparent reporting of randomized clinical trials. We present the initial version of the Transparent Reporting of Evaluations with Non-randomized Designs (TREND) statement. These guidelines emphasize the reporting of theories used and descriptions of intervention and comparison conditions, research design, and methods of adjusting for possible biases in evaluation studies that use nonrandomized designs. C1 Beth Israel Med Ctr, Inst Chem Dependency, New York, NY 10003 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Des Jarlais, DC (reprint author), Beth Israel Med Ctr, Inst Chem Dependency, 1st Ave & 16 St, New York, NY 10003 USA. EM dcdesjarla@aol.com NR 14 TC 588 Z9 597 U1 2 U2 22 PU AMER PUBLIC HEALTH ASSOC INC PI WASHINGTON PA 1015 FIFTEENTH ST NW, WASHINGTON, DC 20005 USA SN 0090-0036 J9 AM J PUBLIC HEALTH JI Am. J. Public Health PD MAR PY 2004 VL 94 IS 3 BP 361 EP 366 DI 10.2105/AJPH.94.3.361 PG 6 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 779TQ UT WOS:000189317400004 PM 14998794 ER PT J AU Allegrante, JR Sleet, DA McGinnis, JM AF Allegrante, JR Sleet, DA McGinnis, JM TI Mayhew Derryberry: Pioneer of health education SO AMERICAN JOURNAL OF PUBLIC HEALTH LA English DT Biographical-Item C1 Columbia Univ, Teachers Coll, Dept Hlth & Behav Studies, New York, NY 10027 USA. Columbia Univ, Mailman Sch Publ Hlth, New York, NY 10027 USA. Natl Ctr Hlth Educ, New York, NY USA. Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA USA. RP Allegrante, JR (reprint author), Columbia Univ, Teachers Coll, Dept Hlth & Behav Studies, 525 W 120th St,Box 114, New York, NY 10027 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU AMER PUBLIC HEALTH ASSOC INC PI WASHINGTON PA 1015 FIFTEENTH ST NW, WASHINGTON, DC 20005 USA SN 0090-0036 J9 AM J PUBLIC HEALTH JI Am. J. Public Health PD MAR PY 2004 VL 94 IS 3 BP 370 EP 371 DI 10.2105/AJPH.94.3.370 PG 2 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 779TQ UT WOS:000189317400007 PM 14998797 ER PT J AU Pamuk, ER Wagener, DK Molla, MT AF Pamuk, ER Wagener, DK Molla, MT TI Achieving national health objectives: The impact on life expectancy and on healthy life expectancy SO AMERICAN JOURNAL OF PUBLIC HEALTH LA English DT Article AB Our study quantifies the impact of achieving specific Healthy-People 2010 targets and of eliminating racial/ethnic health disparities on summary measures of health. We used life table methods to calculate gains in life expectancy and healthy life expectancy that would result from achievement of Healthy People 2010 objectives or of current mortality rates in the Asian/Pacific Islander (API) population. Attainment of Healthy People 2010 mortality targets would increase life expectancy by 2.8 years, and reduction of population-wide mortality rates to current API rates would add 4.1 years. Healthy life expectancy would increase by 5.8 years if Healthy People 2010 mortality and assumed morbidity targets were attained and by 8.1 years if API mortality and activity limitation rates were attained. Achievement of specific Healthy People 2010 targets would produce significant increases in longevity and health, and elimination of racial/ethnic health disparities could result in even larger gains. C1 Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Hyattsville, MD USA. RP Pamuk, ER (reprint author), POB 1655, Eastsound, WA 98245 USA. EM epamuk@cdc.gov NR 16 TC 17 Z9 17 U1 0 U2 1 PU AMER PUBLIC HEALTH ASSOC INC PI WASHINGTON PA 1015 FIFTEENTH ST NW, WASHINGTON, DC 20005 USA SN 0090-0036 J9 AM J PUBLIC HEALTH JI Am. J. Public Health PD MAR PY 2004 VL 94 IS 3 BP 378 EP 383 DI 10.2105/AJPH.94.3.378 PG 6 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 779TQ UT WOS:000189317400009 PM 14998799 ER PT J AU Addy, CL Wilson, DK Kirtland, KA Ainsworth, BE Sharpe, P Kimsey, D AF Addy, CL Wilson, DK Kirtland, KA Ainsworth, BE Sharpe, P Kimsey, D TI Associations of perceived social and physical environmental supports with physical activity and walking behavior SO AMERICAN JOURNAL OF PUBLIC HEALTH LA English DT Article ID AUSTRALIAN ADULTS; PUBLIC-HEALTH; EXERCISE; INTERVENTIONS; POLICY AB We evaluated perceived social and environmental supports for physical activity and walking using multivariable modeling. Perceptions were obtained on a sample of households in a southeastern county. Respondents were classified according to physical activity levels and walking behaviors. Respondents who had good street lighting; trusted their neighbors; and used private recreational facilities, parks, playgrounds, and sports fields were more likely to be regularly active. Perceiving neighbors as being active, having access to sidewalks, and using malls were associated with regular walking. C1 Univ S Carolina, Arnold Sch Publ Hlth, Dept Epidemiol & Biostat, Columbia, SC 29208 USA. Univ S Carolina, Arnold Sch Publ Hlth, Dept Exercise Sci, Columbia, SC 29208 USA. Univ S Carolina, Arnold Sch Publ Hlth, Prevent Res Ctr, Columbia, SC 29208 USA. Natl Ctr Chronic Dis Prevent & hlth Promot, CDCP, Div Nutr & Phys Activ, Phys Activ & Hlth Branch, Atlanta, GA USA. RP Addy, CL (reprint author), Univ S Carolina, Arnold Sch Publ Hlth, Dept Epidemiol & Biostat, 800 Sumter St, Columbia, SC 29208 USA. EM caddy@sc.edu FU ODCDC CDC HHS [U48/CCU409664-06] NR 23 TC 164 Z9 165 U1 3 U2 21 PU AMER PUBLIC HEALTH ASSOC INC PI WASHINGTON PA 1015 FIFTEENTH ST NW, WASHINGTON, DC 20005 USA SN 0090-0036 J9 AM J PUBLIC HEALTH JI Am. J. Public Health PD MAR PY 2004 VL 94 IS 3 BP 440 EP 443 DI 10.2105/AJPH.94.3.440 PG 4 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 779TQ UT WOS:000189317400020 PM 14998810 ER PT J AU Boyd, HA Waller, LA Flanders, WD Beach, MJ Sivilus, JS Lovince, R Lammie, PJ Addiss, DG AF Boyd, HA Waller, LA Flanders, WD Beach, MJ Sivilus, JS Lovince, R Lammie, PJ Addiss, DG TI Community- and individual-level determinants of Wuchereria bancrofti infection in Leogane Commune, Haiti SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE LA English DT Article ID LYMPHATIC FILARIASIS AB We conducted a school-based assessment of the geographic distribution of Wuchereria bancrofti infection in Leogane Commune, Haiti, using the immunochromatographic test. In multivariate analyses performed using generalized linear mixed models, children attending schools in the foothills and plains were 3.95 (95% confidence interval [CI] = 1.28-12.23) and 23.56 (95% CI = 8.99-61.79) times as likely to be infected, respectively, as children attending mountain schools. Infection prevalence decreased with increasing altitude, but some local foci of infection were detected at higher altitudes. Higher school tuition, a marker of socioeconomic status (SES), was not associated with decreased infection prevalence. Our results indicate that although the force of infection in Leogane Commune is greatest below 70 meters above sea level, higher altitude communities are not exempt from infection. Lymphatic filariasis (LF) elimination programs should consider extending infection mapping activities to presumed non-LF altitudes. In addition, higher SES does not confer protection against W. bancrofti infection. C1 Ctr Dis Control & Prevent, Chamblee Facil, Div Parasit Dis, Atlanta, GA 30341 USA. Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA 30322 USA. Emory Univ, Rollins Sch Publ Hlth, Dept Biostat, Atlanta, GA 30322 USA. Hop St Croix, Leogane, Haiti. RP Addiss, DG (reprint author), Ctr Dis Control & Prevent, Chamblee Facil, Div Parasit Dis, Mailstop F-22,4770 Buford Highway, Atlanta, GA 30341 USA. EM heb6@cdc.gov; lwaller@sph.emory.edu; wflande@sph.emory.edu; mjb3@cdc.gov; jeanssivilus@yahoo.fr; Rodrigue.Lovince.1@nd.edu; pjl1@cdc.gov; dga1@cdc.gov NR 14 TC 12 Z9 12 U1 0 U2 2 PU AMER SOC TROP MED & HYGIENE PI MCLEAN PA 8000 WESTPARK DR, STE 130, MCLEAN, VA 22101 USA SN 0002-9637 J9 AM J TROP MED HYG JI Am. J. Trop. Med. Hyg. PD MAR PY 2004 VL 70 IS 3 BP 266 EP 272 PG 7 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 802YM UT WOS:000220198800007 PM 15031515 ER PT J AU Abdel Fadeel, M Crump, JA Mahoney, FJ Nakhla, IA Mansour, AM Reyad, B El Melegi, D Sultan, Y Mintz, ED Bibb, WF AF Abdel Fadeel, M Crump, JA Mahoney, FJ Nakhla, IA Mansour, AM Reyad, B El Melegi, D Sultan, Y Mintz, ED Bibb, WF TI Rapid diagnosis of typhoid fever by enzyme-linked immunosorbent assay detection of Salmonella serotype typhi antigens in urine SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE LA English DT Article; Proceedings Paper CT 51st Annual Meeting of the American-Society-of-Tropical-Medicine-and-Hygiene CY NOV 10-14, 2002 CL DENVER, CO SP Amer Soc Trop Med Hyg ID CONTROLLED FIELD TRIAL; DEVELOPING-COUNTRIES; ENTERIC FEVER; ENDEMIC AREA; VI ANTIGEN; WIDAL TEST; HUMAN SERA; VACCINE; ANTIBODIES; SPECIMENS AB We developed and evaluated an enzyme-linked immunosorbent assay (ELISA) using monoclonal antibodies to capture somatic antigen 9 (09), flagellar antigen d (Hd), and the Vi capsular polysaccharide antigen (Vi) from the urine of persons with and without typhoid fever. Sequential urine samples were collected from 44 patients with blood culture-confirmed typhoid fever and from two control groups. The first control group included patients with brucellosis (n = 12) and those with clinically diagnosed, non-typhoid, acute, febrile illness (n = 27). The second control group was a sample of healthy volunteer laboratory workers (n = 11). When assessed relative to date of fever onset, sensitivity was highest during the first week for all three antigens: Vi was detected in the urine of nine (100%) patients, 09 in 4 (44%) patients, and Hd in 4 (44%) patients. Sequential testing of two urine samples from the same patient improved test sensitivity. Combined testing for Vi with 09 and Hd produced a trend towards increased sensitivity without compromising specificity. The specificity for Vi exceeded 90% when assessed among both febrile and healthy control subjects, but was only 25 %. when assessed among patients with brucellosis. Detection of urinary Vi antigen with this ELISA shows promise for the diagnosis of typhoid fever, particularly when used within the first week after fever onset. However, positive reactions for Vi antigen in patients with brucellosis must be understood before urinary Vi antigen detection can be developed further as a useful rapid diagnostic test. C1 Naval Med Res Unit 3, Dis Surveillance Program, Serol Chem Sect, Cairo, Egypt. Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Atlanta, GA 30333 USA. Cairo Univ, Fac Sci, Cairo, Egypt. Cairo Univ, Fac Med, Cairo, Egypt. Abbasia Fever Hosp, Cairo, Egypt. RP Abdel Fadeel, M (reprint author), Naval Med Res Unit 3, Dis Surveillance Program, Serol Chem Sect, PSC 452,Box 5000,Attn Coe 304A,FPO AE 098350007, Cairo, Egypt. EM fadeelm@namru3.org NR 28 TC 0 Z9 0 U1 0 U2 0 PU AMER SOC TROP MED & HYGIENE PI MCLEAN PA 8000 WESTPARK DR, STE 130, MCLEAN, VA 22101 USA SN 0002-9637 J9 AM J TROP MED HYG JI Am. J. Trop. Med. Hyg. PD MAR PY 2004 VL 70 IS 3 BP 323 EP 328 PG 6 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 802YM UT WOS:000220198800017 ER PT J AU Talan, DA Abrahamian, FM Moran, GJ Mower, WR Alagappan, K Tiffany, BR Pollack, CV Steele, MT Dunbar, LM Bajani, MD Weyant, RS Ostroff, SM AF Talan, DA Abrahamian, FM Moran, GJ Mower, WR Alagappan, K Tiffany, BR Pollack, CV Steele, MT Dunbar, LM Bajani, MD Weyant, RS Ostroff, SM TI Tetanus immunity and physician compliance with tetanus prophylaxis practices among emergency department patients presenting with wounds SO ANNALS OF EMERGENCY MEDICINE LA English DT Article ID UNITED-STATES; ANTITOXIN; ELISA AB Study objective: We determine tetanus seroprotection rates and physician compliance with tetanus prophylaxis recommendations among patients presenting with wounds. Methods: A prospective observational study of patients aged 18 years or older who presented to 5 university-affiliated emergency departments (EDs) because of wounds was conducted between March 1999 and August 2000. Serum antitoxin levels were measured by enzyme immunoassay with seroprotection defined as more than 0.15 IU/mL. Seroprotection rates, risk factors for lack of seroprotection, and rates of physician compliance with tetanus prophylaxis recommendations by the Advisory Committee on Immunization Practices were determined. Results: The seroprotection rate among 1,988 patients was 90.2% (95% confidence interval 88.8% to 91.5%). Groups with significantly lower seroprotection rates were persons aged 70 years or older, 59.5% (risk ratio [RR] 5.2); immigrants from outside North America or Western Europe, 75.3% (RR 3.7); persons with a history of inadequate immunization, 86.3% (RR 2.9); and persons without education beyond grade school, 76.5% (RR 2.5). Despite a history of adequate immunization, 18% of immigrants lacked seroprotection. Overall, 60.9% of patients required tetanus immunization, of whom 57.6% did not receive indicated immunization. Among patients with tetanus-prone wounds, appropriate prophylaxis (ie, tetanus immunoglobulin and toxoid) was provided to none of 504 patients who gave a history of inadequate primary immunization (of whom 15.1% had nonprotective antibody titers) and to 218 (79%) of 276 patients who required only a toxoid booster. Conclusion: Although seroprotection rates are generally high in the United States, the risk of tetanus persists in the elderly, immigrants, and persons without education beyond grade school. There is substantial underimmunization in the ED (particularly with regard to use of tetanus immunoglobulin), leaving many patients, especially those from high-risk groups, unprotected. Better awareness of tetanus prophylaxis recommendations is necessary, and future tetanus prophylaxis recommendations may be more effective if they are also based on demographic risk factors. C1 Olive View UCLA Med Ctr, Dept Med, Dept Emergency Med, Sylmar, CA 91342 USA. Olive View UCLA Med Ctr, Dept Med, Div Infect Dis, Sylmar, CA 91342 USA. Univ Calif Los Angeles, Med Ctr, Ctr Emergency Med, Los Angeles, CA 90024 USA. Long Isl Jewish Med Ctr, Dept Emergency Med, New Hyde Pk, NY 11042 USA. Maricopa Cty Gen Hosp, Dept Emergency Med, Phoenix, AZ USA. Univ Missouri, Truman Med Ctr, Dept Emergency Med, Columbia, MO 65211 USA. Louisiana State Univ, Char Med Ctr, Dept Emergency Med, New Orleans, LA USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Atlanta, GA USA. RP Talan, DA (reprint author), Olive View UCLA Med Ctr, Dept Med, Dept Emergency Med, 14445 Olive View Dr, Sylmar, CA 91342 USA. EM idnet@ucla.edu NR 14 TC 44 Z9 48 U1 0 U2 0 PU MOSBY, INC PI ST LOUIS PA 11830 WESTLINE INDUSTRIAL DR, ST LOUIS, MO 63146-3318 USA SN 0196-0644 J9 ANN EMERG MED JI Ann. Emerg. Med. PD MAR PY 2004 VL 43 IS 3 BP 305 EP 314 DI 10.1016/j.am.emergmed.2003.09.017 PG 10 WC Emergency Medicine SC Emergency Medicine GA 779TT UT WOS:000189317600001 PM 14985655 ER PT J AU Roper, MH AF Roper, MH TI Tetanus prophylaxis in the emergency department SO ANNALS OF EMERGENCY MEDICINE LA English DT Editorial Material ID UNITED-STATES; DIPHTHERIA; IMMUNITY C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Bacterial Vaccine Preventable Dis Branch, Atlanta, GA 30333 USA. RP Roper, MH (reprint author), Ctr Dis Control & Prevent, Natl Immunizat Program, Bacterial Vaccine Preventable Dis Branch, 1600 Clifton Rd,Mailstop E-61, Atlanta, GA 30333 USA. EM mroper@cdc.gov OI Roper, Martha/0000-0002-0897-3793 NR 17 TC 7 Z9 7 U1 0 U2 0 PU MOSBY, INC PI ST LOUIS PA 11830 WESTLINE INDUSTRIAL DR, ST LOUIS, MO 63146-3318 USA SN 0196-0644 J9 ANN EMERG MED JI Ann. Emerg. Med. PD MAR PY 2004 VL 43 IS 3 BP 315 EP 317 DI 10.1016/j.annemergmed.2003.10.047 PG 3 WC Emergency Medicine SC Emergency Medicine GA 779TT UT WOS:000189317600002 PM 14985656 ER PT J AU Talan, DA Moran, GJ View, O Pinner, R AF Talan, DA Moran, GJ View, O Pinner, R TI Rapid point-of-care testing for HIV-1 during labor and delivery - Chicago, Illinois, 2002 SO ANNALS OF EMERGENCY MEDICINE LA English DT Article ID HUMAN-IMMUNODEFICIENCY-VIRUS; TRANSMISSION; ZIDOVUDINE C1 Olive View UCLA Med Ctr, Dept Emergency Med, Sylmar, CA 91342 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Talan, DA (reprint author), Olive View UCLA Med Ctr, Dept Emergency Med, 14445 Olive View Dr, Sylmar, CA 91342 USA. NR 10 TC 0 Z9 0 U1 0 U2 0 PU MOSBY, INC PI ST LOUIS PA 11830 WESTLINE INDUSTRIAL DR, ST LOUIS, MO 63146-3318 USA SN 0196-0644 J9 ANN EMERG MED JI Ann. Emerg. Med. PD MAR PY 2004 VL 43 IS 3 BP 339 EP 340 DI 10.1016/j.annemergmed.2003.12.011 PG 2 WC Emergency Medicine SC Emergency Medicine GA 779TT UT WOS:000189317600006 ER PT J AU Gillum, RF AF Gillum, RF TI Distribution of total serum homocysteine and its association with parental history and cardiovascular risk factors at ages 12-16 years: The Third National Health and Nutrition Examination Survey SO ANNALS OF EPIDEMIOLOGY LA English DT Article DE total homocysteine; serum; adolescence; risk factors; blood pressure; lipoproteins; HDL cholesterol; obesity ID PLASMA HOMOCYSTEINE; FAMILIAL HYPERCHOLESTEROLEMIA; METABOLIC SYNDROME; VASCULAR-DISEASE; OBESE CHILDREN; DETERMINANTS; HYPERTENSION; HOMOCYST(E)INE; RETINOPATHY; ADOLESCENT AB PURPOSE: To describe the distribution and to assess the association of serum total homocysteine (tHcy) concentration with variables associated with insulin resistance syndrome in adolescent boys and girls. METHODS: In the Third National Health and Nutrition Examination Survey, adolescents aged 12 to 16 years (n = 941) had parental medical history ascertained and glycated hemoglobin, systolic blood pressure, body mass index (BMI), body fat distribution, HDL cholesterol, and serum tHcy concentrations were measured. RESULTS: Cumulative distribution of serum tHcy in boys was shifted to the right compared with that in girls. A parental history of high blood pressure or stroke before age 50 was significantly positively associated with the subjects' log serum tHcy after adjustment for confounders (beta 0.156, p = 0.003). Log serum tHcy was significantly positively associated with systolic blood pressure in boys after adjustment for confounders (beta = 0.21, p = 0.03). Log serum tHcy was not significantly associated with glycated hemoglobin percent or most other risk factors other than age. Log serum tHcy concentration showed borderline significant (r = -0.15, P = 0.044) inverse association with BMI in girls. CONCLUSION: tHcy was associated with parental history of high blood pressure or stroke before age 50 and with systolic blood pressure in adolescent boys. (C) 2003 Elsevier Inc. All rights reserved. C1 Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Hyattsville, MD 20782 USA. RP Gillum, RF (reprint author), Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, 3311 Toledo Rd, Hyattsville, MD 20782 USA. EM RGillum@cdc.gov NR 37 TC 4 Z9 6 U1 0 U2 1 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 1047-2797 J9 ANN EPIDEMIOL JI Ann. Epidemiol. PD MAR PY 2004 VL 14 IS 3 BP 229 EP 233 DI 10.1016/S1047-2797(03)00242-4 PG 5 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 780KK UT WOS:000189379700012 PM 15036228 ER PT J AU Peleg, K Aharonson-Daniel, L Stein, M Michaelson, M Kluger, Y Simon, D Noji, EK AF Peleg, K Aharonson-Daniel, L Stein, M Michaelson, M Kluger, Y Simon, D Noji, EK CA ITG TI Gunshot and explosion injuries - Characteristics, outcomes, and implications for care of terror-related injuries in Israel SO ANNALS OF SURGERY LA English DT Article ID MULTIPLE INJURIES; SEVERITY SCORE; PATTERNS AB Context: An increase of terror-related activities may necessitate treatment of mass casualty incidents, requiring a broadening of existing skills and knowledge of various injury mechanisms. Objective: To characterize and compare injuries from gunshot and explosion caused by terrorist acts. Methods: A retrospective cohort study of patients recorded in the Israeli National Trauma Registry (ITR), all due to terror-related injuries, between October 1, 2000, to June 30, 2002. The ITR records all casualty admissions to hospitals, in-hospital deaths, and transfers at 9 of the 23 trauma centers in Israel. All 6 level I trauma centers and 3 of the largest regional trauma centers in the country are included. The registry includes the majority of severe terror-related injuries. Injury diagnoses, severity scores, hospital resource utilization parameters, length of stay (LOS), survival, and disposition. Results: A total of 1155 terror-related injuries: 54% by explosion, 36% gunshot wounds (GSW), and 10% by other means. This paper focused on the 2 larger patient subsets: 1033 patients injured by terror-related explosion or GSW. Seventy-one percent of the patients were male, 84% in the GSW group and 63% in the explosion group. More than half (53%) of the patients were 15 to 29 years old, 59% in the GSW group and 48% in the explosion group. GSW patients suffered higher proportions of open wounds (63% versus 53%) and fractures (42% versus 31%). Multiple body-regions injured in a single patient occurred in 62% of explosion victims versus 47% in GSW patients. GSW patients had double the proportion of moderate injuries than explosion victims. Explosion victims have a larger proportion of minor injuries on one hand and critical to fatal injuries on the other. LOS was longer than 2 weeks for 20% (22% in explosion, 18% in GSW). Fifty-one percent of the patients underwent a surgical procedure, 58% in the GSW group and 46% in explosion group. Inpatient death rate was 6.3% (65 patients), 7.8% in the GSW group compared with 5.3% in the explosion group. A larger proportion of gunshot victims died during the first day (97% versus 58%). Conclusions: GSW and injuries from explosions differ in the body region of injury, distribution of severity, LOS, intensive care unit (ICU) stay, and time of inpatient death. These findings have implications for treatment and for preparedness of hospital resources to treat patients after a terrorist attack in any region of the world. Tailored protocol for patient evaluation and initial treatment should differ between GSW and explosion victims. Hospital organization toward treating and admitting these patients should take into account the different arrival and injury patterns. C1 Chaim Sheba Med Ctr, Gertner Inst, Ctr Trauma & Emergency Med Res, IL-52621 Tel Hashomer, Israel. Rabin Med Ctr, Trauma Serv, Dept Surg, Petah Tiqwa, Israel. Rambam Med Ctr, Trauma Unit, Haifa, Israel. Tel Aviv Med Ctr & Sch Med, Rabin Trauma Ctr, Dept Surg, Tel Aviv, Israel. Chaim Sheba Med Ctr, Trauma Unit, IL-52621 Tel Hashomer, Israel. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Peleg, K (reprint author), Chaim Sheba Med Ctr, Gertner Inst, Ctr Trauma & Emergency Med Res, IL-52621 Tel Hashomer, Israel. EM kobip@gertner.health.gov.il RI AHARONSON-DANIEL, LIMOR/F-1998-2012 OI AHARONSON-DANIEL, LIMOR/0000-0003-4585-6892 NR 20 TC 127 Z9 132 U1 1 U2 2 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0003-4932 J9 ANN SURG JI Ann. Surg. PD MAR PY 2004 VL 239 IS 3 BP 311 EP 318 DI 10.1097/01.sla.0000114012.84732.be PG 8 WC Surgery SC Surgery GA 777RJ UT WOS:000189191100003 PM 15075646 ER PT J AU De Arruda, ME Collins, KM Hochberg, LP Ryan, PR Wirtz, RA Ryan, JR AF De Arruda, ME Collins, KM Hochberg, LP Ryan, PR Wirtz, RA Ryan, JR TI Quantitative determination of sporozoites and circumsporozoite antigen in mosquitoes infected with Plasmodium falciparum or P-vivax SO ANNALS OF TROPICAL MEDICINE AND PARASITOLOGY LA English DT Article ID LINKED-IMMUNOSORBENT-ASSAY; MALARIA PARASITE; FIELD-EVALUATION; IDENTIFICATION; PROTEINS; VACCINE AB It is essential for malariologists and researchers to have simple and accurate means of assessing the threat of Plasmodium parasites. An attempt was therefore made to re-standardize one of the circumsporozoite (CS) ELISA that can be used to detect and quantify the circumsporozoite antigens of P. falciparum and P. vivax. A two-site, 'sandwich' ELISA based on a monoclonal antibody was used to test for the CS antigen and sporozoites of each Plasmodium species simultaneously. Using the resultant optical-density values, standard curves, that permit the number of sporozoites in an infected mosquito to be estimated from the quantification of the CS antigen, were constructed. Using these plots and the CS ELISA, the presence of just 12.5 sporozoites (i.e. 0.8 pg CS antigen) of P. falciparum, four sporozoites (3.2 pg antigen) of P. vivax-210 or 12.5 sporozoites (32.0 pg antigen) of P. vivax-247 could be demonstrated. C1 CPqAM, Oswaldo Cruz Fdn, Dept Immunol, BR-50670420 Recife, PE, Brazil. Walter Reed Army Inst Res, Dept Entomol, Silver Spring, MD 20910 USA. Ctr Dis Control & Prevent, Entomol Branch, Atlanta, GA 30341 USA. Cepheid, Sunnyvale, CA 94089 USA. RP Ryan, JR (reprint author), Cepheid, 120 Beth Court, Athens, GA 30605 USA. EM ryan@cepheid.com NR 12 TC 6 Z9 6 U1 0 U2 1 PU MANEY PUBLISHING PI LEEDS PA HUDSON RD, LEEDS LS9 7DL, ENGLAND SN 0003-4983 J9 ANN TROP MED PARASIT JI Ann. Trop. Med. Parasitol. PD MAR PY 2004 VL 98 IS 2 BP 121 EP 127 DI 10.1179/000349804225003181 PG 7 WC Public, Environmental & Occupational Health; Parasitology; Tropical Medicine SC Public, Environmental & Occupational Health; Parasitology; Tropical Medicine GA 809XA UT WOS:000220668200003 PM 15035722 ER PT J AU Ibanez, GE Buck, CA Khatchikian, N Norris, FH AF Ibanez, GE Buck, CA Khatchikian, N Norris, FH TI Qualitative analysis of coping strategies among Mexican disaster survivors SO ANXIETY STRESS AND COPING LA English DT Article DE disaster; coping; qualitative analysis; Mexican ID SOCIAL SUPPORT; MODEL; EARTHQUAKE; CONTEXT; IMPACT; WOMEN AB This study describes the various coping strategies reportedly used by survivors after a disaster. Using unstructured interviews, 27 Mexicans (16 women, 11 men) were asked to recount how they coped with a specific disaster and its aftermath. Interviews were carried out in three cities: Guadalajara, Jalisco ( n =10), Homestead, Florida ( n =6) and Puerto Angel, Oaxaca ( n =11). Guadalajara experienced a neighbourhood sewer explosion, whereas Homestead and Puerto Angel experienced Hurricane Andrew and Hurricane Paulina, respectively. Analysis of common themes revealed seeking support, seeking meaning, problem solving, and avoidance as primary coping strategies in all three cities. Seeking support was the most commonly cited coping strategy. Seeking support may be a universal coping strategy for disaster survivors, whereas other coping strategies varied by context-specific factors such as type of disaster, resource availability, and stage of disaster recovery. Implications for future coping research and interventions are discussed. C1 Georgia State Univ, Atlanta, GA 30303 USA. Dartmouth Coll Sch Med, Natl Ctr Posttraumat Stress Disorder, Hanover, NH 03756 USA. RP Ibanez, GE (reprint author), Ctr Dis Control, Atlanta, GA 30333 USA. EM gbi2@cdc.gov NR 45 TC 13 Z9 14 U1 1 U2 5 PU TAYLOR & FRANCIS LTD PI ABINGDON PA 4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND SN 1061-5806 J9 ANXIETY STRESS COPIN JI Anxiety Stress Coping PD MAR PY 2004 VL 17 IS 1 BP 69 EP 85 DI 10.1080/10615800310001639628 PG 17 WC Neurosciences; Psychiatry; Psychology, Multidisciplinary SC Neurosciences & Neurology; Psychiatry; Psychology GA 801IJ UT WOS:000220089300005 ER PT J AU Lowe, BD AF Lowe, BD TI Accuracy and validity of observational estimates of shoulder and elbow posture SO APPLIED ERGONOMICS LA English DT Article DE shoulder posture; exposure assessment; musculoskeletal disorders ID CUMULATIVE TRAUMA DISORDERS; UPPER-LIMB DISORDERS; MUSCULOSKELETAL DISORDERS; INDUSTRIAL-WORKERS; VISUAL-PERCEPTION; WORKING POSTURES; NECK; RELIABILITY; EXPOSURE; MODEL AB This study investigated the accuracy of video-based observational posture analysis for the elbow and shoulder. Posture analyses were conducted by 28 ergonomists for four jobs presented on a traditional VHS formal video recording. Estimates of posture from the observational-based methods were compared with values measured directly with an optical motion capture system. Ergonomists used categorical posture scales and a continuous visual analog scale to estimate the peals and most frequently occurring or average posture for each job. Use of a three-category scale resulted in misclassifications of peak and most frequently occurring elbow and shoulder Posture with a probability averaging 30.1%. With the six-category posture scale this average probability of misclassification increased to 64.9%. Using a continuous visual analog scale peak shoulder elevation was the only posture for which the average error among ergonomists' estimates was significantly different from zero (p<0.05). Correlations between the estimated postures and measured postures were higher and statistically significant (p<0.05) for elbow flexion and shoulder elevation (r(2) between 0.45 and 0.66) but were considerably lower and not significant (r(2) between 0.03 and 0.18) for the peak and average horizontal shoulder abduction. Ergonomists' estimates of the temporal distribution of shoulder posture, indicating the duration severity of the Posture, appeared to be biased such that the percentage of the cycle time in each posture category was estimated as more uniformly distributed than the measured values indicated. Published by Elsevier Ltd. C1 NIOSH, Robert A Taft Labs, Cincinnati, OH 45226 USA. RP Lowe, BD (reprint author), NIOSH, Robert A Taft Labs, 4676 Columbia Pkwy,MS C-24, Cincinnati, OH 45226 USA. EM blowe@edu.gov NR 35 TC 25 Z9 25 U1 1 U2 5 PU ELSEVIER SCI LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, OXON, ENGLAND SN 0003-6870 J9 APPL ERGON JI Appl. Ergon. PD MAR PY 2004 VL 35 IS 2 BP 159 EP 171 DI 10.1016/j.apergo.2004.01.003 PG 13 WC Engineering, Industrial; Ergonomics; Psychology, Applied SC Engineering; Psychology GA 820CL UT WOS:000221364100011 PM 15105078 ER PT J AU Kirschke, DL Craig, AS Schaffner, W Daugherty, JR Narramore, J Griffin, MR AF Kirschke, DL Craig, AS Schaffner, W Daugherty, JR Narramore, J Griffin, MR TI Childhood immunization rates before and after the implementation of medicaid managed care SO ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE LA English DT Article ID HEALTH-CARE; CHILDREN; PROGRAM; TENNESSEE; TENNCARE; COVERAGE; VACCINE; IMPACT; OPPORTUNITIES; DELIVERY AB Objective: To evaluate trends in childhood immunization coverage after implementation of Medicaid managed care in Tennessee (TennCare) in 1994. Design: Before-and-after study using the Tennessee Department of Health annual cross-sectional survey of children aged 24 months. Patients: A mean of 1663 children per year who were randomly sampled during 1986-1999. Main Outcome Measure: Completion rate for recommended immunizations by the age of 24 months or younger. Results: A total of 23 044 children were included. The proportion of children continuously enrolled in Medicaid from age I to 24 months increased slightly with TennCare. Among children enrolled, immunization rates increased considerably before TennCare (1986-1993) and continued to increase after TennCare (1994-1999), albeit less dramatically. Immunization coverage was significantly lower for children enrolled compared with children not enrolled in fee-for-service Medicaid. Among children enrolled in fee-for-service Medicaid, black children were more likely to be inadequately immunized than white children (40% vs 26%; relative risk [RR], 1.56; 95% confidence interval [CI], 1.40-1.73). These gaps were nearly eliminated after TennCare. An increased proportion of children enrolled in TennCare received immunizations in the private sector. Among children enrolled in fee-for-service Medicaid, those receiving immunizations entirely in the private sector were more likely to have incomplete immunization status than children immunized entirely in the public sector (27% vs 21%; RR, 1.28; 95% Cl, 1.20-1.37). Under TennCare and after implementation of the Vaccines for Children program in Tennessee, the difference was not significant. Conclusions: Overall, TennCare had no discernible negative effect on immunization rates in Tennessee and perhaps contributed to decreasing the immunization gap between children enrolled and children not enrolled in Medicaid and between black and white children. C1 NE Tennessee Reg Hlth Off, Tennessee Dept Hlth, Johnson City, TN 37604 USA. Vanderbilt Univ, Sch Med, Tennessee Dept Hlth, Nashville, TN 37212 USA. Vanderbilt Univ, Sch Med, Dept Prevent Med, Nashville, TN 37212 USA. Vanderbilt Univ, Sch Med, Ctr Educ & Res Therapeut, Nashville, TN 37212 USA. Ctr Dis Control & Prevent, Epidem Intelligence Serv, Atlanta, GA USA. RP Kirschke, DL (reprint author), NE Tennessee Reg Hlth Off, Tennessee Dept Hlth, 1233 SW Ave Extens, Johnson City, TN 37604 USA. EM david.kirschke@state.tn.us NR 39 TC 7 Z9 7 U1 1 U2 3 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 1072-4710 J9 ARCH PEDIAT ADOL MED JI Arch. Pediatr. Adolesc. Med. PD MAR PY 2004 VL 158 IS 3 BP 230 EP 235 DI 10.1001/archpedi.158.3.230 PG 6 WC Pediatrics SC Pediatrics GA 778ZB UT WOS:000189270300008 PM 14993081 ER PT J AU LeBaron, CW Starnes, DM Rask, KJ AF LeBaron, CW Starnes, DM Rask, KJ TI The impact of reminder-recall interventions on low vaccination coverage in an inner-city population SO ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE LA English DT Article ID IMMUNIZATION REGISTRY; PRESCHOOL-CHILDREN; UNITED-STATES; INFANTS; MEASLES; FEEDBACK; PROGRAM; WOMEN; RATES; ACCURACY AB Background: Reminder-recall interventions have improved immunization rates in numerous studies. Objective: To evaluate the impact of large-scale, registry-based reminder-recall interventions on low immunization rates in an inner-city population. Design: Randomized, controlled, effectiveness trial . Setting: Fulton County, Georgia. Participants: A total of 3050 children (76% black, 14% Hispanic, 7% white, and 3% other or unknown; median age, 9 months; range, 1-14 months) identified in an immunization registry as receiving health care in the public sector. Interventions: Each child was randomly assigned to 1 of 4 groups: control (usual care), autodialer (automated telephone or mail reminder recall), outreach (in-person telephone, mail, or home visit recall), and combination (autodialer with outreach backup). Interventions continued until the child reached 24 months of age. Main Outcome Measure: Completion by the age of 24 months of the 4-3-1-3 vaccination series based on intention-to-treat analysis. Results: A total of 260 (34%) of the 763 patients in the control group, 306 (40%) of the 763 in the autodialer group, 284 (37%) of the 760 in the outreach group, and 293 (38%) of 764 in the combination group completed the vaccination series. Conclusion: Large-scale, registry-based reminder-recall interventions produced only small improvements in low immunization rates of an inner-city population. C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA 30333 USA. EMSTAR Res Inc, Atlanta, GA USA. Emory Univ, Rollins Sch Publ Hlth, Dept Hlth Policy & Management, Atlanta, GA 30322 USA. RP LeBaron, CW (reprint author), Ctr Dis Control & Prevent, Natl Immunizat Program, Mail Stop E-61, Atlanta, GA 30333 USA. EM clebaron@cdc.gov RI rask, kimberly/M-8001-2016 NR 39 TC 44 Z9 45 U1 3 U2 6 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 1072-4710 J9 ARCH PEDIAT ADOL MED JI Arch. Pediatr. Adolesc. Med. PD MAR PY 2004 VL 158 IS 3 BP 255 EP 261 DI 10.1001/archpedi.158.3.255 PG 7 WC Pediatrics SC Pediatrics GA 778ZB UT WOS:000189270300012 PM 14993085 ER PT J AU Mosca, L Appel, LJ Benjamin, EJ Berra, K Chandra-Strobos, N Fabunmi, RP Grady, D Haan, CK Hayes, SN Judelson, DR Keenan, NL McBride, P Oparil, S Ouyang, P Oz, MC Mendelsohn, ME Pasternak, RC Pinn, VW Robertson, RM Schenck-Gustafsson, K Sila, CA Smith, SC Sopko, G Taylor, AL Walsh, BW Wenger, NK Williams, CL AF Mosca, L Appel, LJ Benjamin, EJ Berra, K Chandra-Strobos, N Fabunmi, RP Grady, D Haan, CK Hayes, SN Judelson, DR Keenan, NL McBride, P Oparil, S Ouyang, P Oz, MC Mendelsohn, ME Pasternak, RC Pinn, VW Robertson, RM Schenck-Gustafsson, K Sila, CA Smith, SC Sopko, G Taylor, AL Walsh, BW Wenger, NK Williams, CL CA Expert Panel Writing Grp TI Evidence-based guidelines for cardiovascular disease prevention in women SO ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY LA English DT Review ID CORONARY-HEART-DISEASE; ACUTE MYOCARDIAL-INFARCTION; RANDOMIZED CONTROLLED-TRIAL; HORMONE REPLACEMENT THERAPY; HIGH-RISK PATIENTS; NONRHEUMATIC ATRIAL-FIBRILLATION; CONVERTING-ENZYME-INHIBITOR; FACTOR INTERVENTION TRIAL; PLACEBO-CONTROLLED TRIAL; TIME PHYSICAL-ACTIVITY C1 Amer Heart Assoc, Dallas, TX 75231 USA. Amer Coll Cardiol, Bethesda, MD 20814 USA. Amer Coll Obstetricians & Gynecologists, Washington, DC 20090 USA. Amer Med Womens Assoc, Alexandria, VA 22314 USA. Assoc Black Cardiologists, Atlanta, GA 30328 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NHLBI, Bethesda, MD 20892 USA. Soc Thorac Surg, Chicago, IL 60611 USA. RP Amer Heart Assoc, Dallas, TX 75231 USA. NR 515 TC 60 Z9 63 U1 0 U2 4 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA SN 1079-5642 EI 1524-4636 J9 ARTERIOSCL THROM VAS JI Arterioscler. Thromb. Vasc. Biol. PD MAR PY 2004 VL 24 IS 3 BP E29 EP E50 DI 10.1161/01.ATV.0000114834.85476.81 PG 22 WC Hematology; Peripheral Vascular Disease SC Hematology; Cardiovascular System & Cardiology GA 800UI UT WOS:000220052800041 PM 15003974 ER PT J AU Cleves, MA Savell, VH Raj, S Zhao, WZ Correa, A Werler, MM Hobbs, CA AF Cleves, MA Savell, VH Raj, S Zhao, WZ Correa, A Werler, MM Hobbs, CA CA Natl Birth Defects Prevention Stud TI Maternal use of acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs), and muscular ventricular septal defects SO BIRTH DEFECTS RESEARCH PART A-CLINICAL AND MOLECULAR TERATOLOGY LA English DT Article DE ventricular septal defects; congenital heart defects; NSAIDs; acetaminophen; maternal fever; National Birth Defects Prevention Study ID CONGENITAL HEART-DISEASE; EARLY-PREGNANCY; SPONTANEOUS CLOSURE; MULTIVITAMIN USE; CARDIAC DEFECTS; HIGH PREVALENCE; BIRTH-DEFECTS; RISK-FACTORS; 1ST YEAR; ASPIRIN AB BACKGROUND: Muscular ventricular septal defects (mVSDs) are the most common congenital heart defects. Previous studies have suggested maternal use of acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), and/or fever as risk factors. We evaluated the association between mVSDs and maternal use of acetaminophen or NSAIDs adjusting for fever. METHODS: Infants with nonsyndromic mVSDs (cases) and without birth defects (controls), with gestational age greater than or equal to37 weeks and their mothers were enrolled in the National Birth Defects Prevention Study. Two exposure periods were defined: the first trimester of pregnancy, and one month before pregnancy through delivery. Mothers reporting fever or medication use at least once during either period were considered exposed. Adjusted odds ratios and 95% confidence intervals were estimated independently for each exposure period. RESULTS: The analysis included 168 cases and 692 controls. Two case groups were evaluated: all mVSD infants (n = 168) (including those with associated minor cardiac defects or noncardiac defects), and infants with isolated mVSDs (n = 133). Mothers of cases were less likely to be African-American than Caucasian (OR, 0.36; 95% CI, 0.18, 0.73). Approximately equal numbers of case mothers and control mothers (10.4 versus 9.7%, respectively) reported at least one febrile episode during the first trimester. Neither acetaminophen nor NSAID exposure was significantly associated with mVSDs. This was true for both case groups and both exposure periods. CONCLUSIONS: Significant associations were not detected between the occurrence of mVSDs and maternal use of NSAIDs or acetaminophen adjusting for maternal fever, nor were they detected between maternal fever and mVSDs. (C) Published 2004 Wiley-Liss, Inc.(dagger) C1 Univ Arkansas Med Sci, Arkansas Ctr Birth Defect Res & Prevent, Dept Pediat, Little Rock, AR 72211 USA. Arkansas Childrens Hosp, Little Rock, AR 72211 USA. Driscoll Childrens Hosp, Dept Pathol, Corpus Christi, TX USA. Natl Ctr Birth Defects & Dev Disabil, Div Birth Defects & Dev Disabil, Ctr Dis Control & Prevent, Atlanta, GA USA. Boston Univ, Sch Publ Hlth, Stone Epidemiol Ctr, Boston, MA USA. RP Hobbs, CA (reprint author), Univ Arkansas Med Sci, Arkansas Childrens Hosp, Dept Pediat, Arkansas Ctr Birth Defect Res & Prevent, 11219 Financial Ctr Pkwy,Suite 250, Little Rock, AR 72211 USA. EM HobbsCharlotte@uams.edu RI Publications, NBDPS/B-7692-2013; OI Werler, Martha/0000-0003-3392-6814 FU ODCDC CDC HHS [U50/CCU 613236-02] NR 40 TC 32 Z9 34 U1 0 U2 6 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 1542-0752 J9 BIRTH DEFECTS RES A JI Birth Defects Res. Part A-Clin. Mol. Teratol. PD MAR PY 2004 VL 70 IS 3 BP 107 EP 113 DI 10.1002/bdra.20005 PG 7 WC Developmental Biology; Toxicology SC Developmental Biology; Toxicology GA 808PG UT WOS:000220580400002 PM 15039924 ER PT J AU Howard, DH Molinari, NA Thorpe, KE AF Howard, DH Molinari, NA Thorpe, KE TI National estimates of medical costs incurred by nonelderly cancer patients SO CANCER LA English DT Editorial Material ID CARE COSTS; HEALTH; RETRANSFORMATION; BURDEN C1 Emory Univ, Rollins Sch Publ Hlth, Dept Hlth Policy & Management, Atlanta, GA 30322 USA. Ctr Dis Control & Prevent, Div Canc Prevent & Control, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA. RP Howard, DH (reprint author), Emory Univ, Rollins Sch Publ Hlth, Dept Hlth Policy & Management, 1518 Clifton Rd NE, Atlanta, GA 30322 USA. EM dhhowar@emory.edu NR 18 TC 23 Z9 23 U1 0 U2 3 PU JOHN WILEY & SONS INC PI HOBOKEN PA 111 RIVER ST, HOBOKEN, NJ 07030 USA SN 0008-543X J9 CANCER JI Cancer PD MAR 1 PY 2004 VL 100 IS 5 BP 883 EP 891 DI 10.1002/cncr.20063 PG 9 WC Oncology SC Oncology GA 775XB UT WOS:000189085000002 PM 14983481 ER PT J AU Coughlin, SS Uhler, RJ Bobo, JK Caplan, L AF Coughlin, SS Uhler, RJ Bobo, JK Caplan, L TI Breast cancer screening practices among women in the United States, 2000 SO CANCER CAUSES & CONTROL LA English DT Article DE blacks; breast cancer; cancer prevention and control; clinical breast examination; Hispanics; mammography ID LOW-INCOME; CERVICAL-CANCER; HISPANIC WOMEN; AMERICAN WOMEN; PRIMARY-CARE; WHITE WOMEN; PAP SMEAR; MAMMOGRAPHY; BLACK; POPULATION AB Results from recent studies indicate that many women in the US undergo routine screening for breast cancer, but some groups of women are under-screened. In this study, we examined the breast cancer screening practices of white and black women in the United States, according to Hispanic ethnicity and other factors, using data from the 2000 National Health Interview Survey. Among women aged greater than or equal to40 years, 71.2% (95% confidence interval, CI: 70.0-72.4%) of the 8201 white women and 67.6% (95% CI: 64.5-70.6%) of the 1474 black women in this sample reported having a mammogram in the past two years. About 60.3% (95% CI: 56.7-70.3%) of 970 Hispanic women (including those who reported they were white or black) and 71.5% (95% CI: 70.3-72.7%) of 8705 non-Hispanic women reported having a mammogram in the past two years. About 74.8% (95% CI: 73.8-76.8%) of 8176 white women and 73.8% (95% CI: 71.1-76.6%) of 1471 black women aged greater than or equal to40 years had received a clinical breast examination in the past two years. About 60.1% (95% CI: 56.1-64.0%) of 969 Hispanic women (including those who reported they were white or black) and 75.6% (95% CI: 74.6-76.6%) of 8678 non-Hispanic women had received a clinical breast examination in the past two years. Women with lower incomes, those with less education, and recent immigrants were less likely to be screened. Women who had a usual source of health care and those with health insurance coverage were more likely to have been screened. These results underscore the need for continued efforts to ensure that uninsured women and those who are medically underserved have access to cancer screening services. C1 Ctr Dis Control & Prevent, Epidemiol & Appl Res Branch, Div Canc Prevent & Control, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. Battelle Seattle Res Ctr, Ctr Publ Hlth Res & Evaluat, Seattle, WA USA. RP Coughlin, SS (reprint author), Ctr Dis Control & Prevent, Epidemiol & Appl Res Branch, Div Canc Prevent & Control, Natl Ctr Chron Dis Prevent & Hlth Promot, 4770 Buford Hwy NE K-55, Atlanta, GA 30341 USA. EM sic9@cdc.gov NR 28 TC 55 Z9 57 U1 0 U2 6 PU KLUWER ACADEMIC PUBL PI DORDRECHT PA VAN GODEWIJCKSTRAAT 30, 3311 GZ DORDRECHT, NETHERLANDS SN 0957-5243 J9 CANCER CAUSE CONTROL JI Cancer Causes Control PD MAR PY 2004 VL 15 IS 2 BP 159 EP 170 DI 10.1023/B:CACO.0000019496.30145.62 PG 12 WC Oncology; Public, Environmental & Occupational Health SC Oncology; Public, Environmental & Occupational Health GA 803FS UT WOS:000220217600007 PM 15017128 ER PT J AU Habis, AH Vernon, SD Lee, DR Verma, M Unger, ER AF Habis, AH Vernon, SD Lee, DR Verma, M Unger, ER TI Molecular quality of exfoliated cervical cells: Implications for molecular epidemiology and biomarker discovery SO CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION LA English DT Article ID SCATTERING SUBMICROSCOPIC PARTICLES; HIGHLY FLUORESCENT ANALOGS; POLYMERASE CHAIN-REACTION; BIOLOGICAL APPLICATIONS; TRACER LABELS; SAMPLES; RNA; TRANSCRIPTS AB The biologic sample collected in molecular epidemiology studies must accurately reflect the disease being studied and have sufficient molecular quality for the intended assays. Noninvasive sampling methods, such as scrapes or brushes, are increasingly used. In this study, we evaluate the impact of sample collection media and extraction methods on the quality and yield of RNA from routine exfoliated cervical cytology. Excess cellular material remaining on the cytologic collection device after preparation of the routine screening Papanicolaou smear was placed in a variety of collection media and extracted using two commercial kits. The collection media had the largest impact on the yield and quality of RNA as evaluated by denaturing agarose gel electrophoresis and image analysis. Two collection media, PAXgene and PreservCyt, yielded RNA from most samples. The RNA showed some degree of degradation as evidenced by the reduced size of the higher molecular weight ribosomal band. However, with a sensitive gold particle-based detection method, reproducible microarray results were obtained using this RNA. C1 US PHS, US Dept Hlth & Human Serv, Ctr Dis Control & Prevent, Atlanta, GA USA. NCI, Canc Biomarkers Res Grp, Bethesda, MD 20892 USA. RP Unger, ER (reprint author), Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Div Viral & Rickettsial Dis, Viral Exanthems & Herpesvirus Branch, 1600 Clifton Rd,Mailstop G-41, Atlanta, GA 30333 USA. EM eru0@cdc.gov OI Unger, Elizabeth/0000-0002-2925-5635 FU NCI NIH HHS [Y1-CN-0101-01] NR 13 TC 31 Z9 35 U1 0 U2 4 PU AMER ASSOC CANCER RESEARCH PI PHILADELPHIA PA 615 CHESTNUT ST, 17TH FLOOR, PHILADELPHIA, PA 19106-4404 USA SN 1055-9965 J9 CANCER EPIDEM BIOMAR JI Cancer Epidemiol. Biomarkers Prev. PD MAR PY 2004 VL 13 IS 3 BP 492 EP 496 PG 5 WC Oncology; Public, Environmental & Occupational Health SC Oncology; Public, Environmental & Occupational Health GA 801FE UT WOS:000220081000025 PM 15006929 ER PT J AU Bates, MN Buckland, SJ Garrett, N Ellis, H Needham, LL Patterson, DG Turner, WE Russell, DG AF Bates, MN Buckland, SJ Garrett, N Ellis, H Needham, LL Patterson, DG Turner, WE Russell, DG TI Persistent organochlorines in the serum of the non-occupationally exposed New Zealand population SO CHEMOSPHERE LA English DT Article DE dioxins; New Zealand; polychlorinated dibenzo-p-dioxins; polychlorinated dibenzofurans; polychlorinated biphenyls; (PCBs); organochlorine pesticides ID BREAST-MILK; 2,3,7,8-TETRACHLORODIBENZO-P-DIOXIN; VETERANS; GERMANY; HUMANS; WOMEN AB Concentrations of polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), polychlorinated biphenyls (PCBs), and organochlorine pesticides were measured in the serum of a sample of the New Zealand population aged 15 years and older. This was the first study to obtain representative measures of PCDDs, PCDFs and PCBs in the adult population of an entire country. Serum samples were obtained in 1996-1997. Potentially occupationally exposed individuals were excluded. Serum samples were pooled according to stratification criteria for area of residence, ethnicity, age, and sex. Of the 80 possible strata, sufficient serum for chemical analysis was available for 60, to which 1,834 individual samples contributed. For the PCDDs and PCDFs, most 2,3,7,8-chlorinated congeners were measured in all strata, with a mean toxic equivalents concentration across all strata of 12.8 ng TEQ kg(-1) lipid. Seven PCB congeners were frequently measured, including the coplanar congeners #126 and #169, quantified in all strata. Of the pesticides and their metabolites, only beta-HCH, dieldrin and pp'-DDE were consistently detected across strata. There was a general trend of increasing concentration with age. There were no consistent differences between the sexes, or between people of Maori (the indigenous people of New Zealand) and non-Maori ethnicity. Concentrations of PCDDs and PCDFs tended to increase in a North-South direction, possibly reflecting greater levels of industrialization and population concentration, and concentrations of the pesticide products were highest in the South, possibly reflecting historical use patterns. Results were consistent with a recent study of concentrations of these compounds in the milk of first-time mothers. (C) 2003 Elsevier Ltd. All rights reserved. C1 Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USA. Minist Educ, Wellington, New Zealand. Inst Environm Sci & Res Ltd, Porirua, New Zealand. Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. Univ Otago, Dunedin, New Zealand. RP Bates, MN (reprint author), Univ Calif Berkeley, Sch Publ Hlth, 140 Warren Hall, Berkeley, CA 94720 USA. EM m_bates@uclink.berkeley.edu RI Needham, Larry/E-4930-2011; OI Garrett, Nick/0000-0001-9289-9743 NR 24 TC 78 Z9 82 U1 2 U2 13 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0045-6535 J9 CHEMOSPHERE JI Chemosphere PD MAR PY 2004 VL 54 IS 10 BP 1431 EP 1443 DI 10.1016/j.chemosphere.2003.09.040 PG 13 WC Environmental Sciences SC Environmental Sciences & Ecology GA 772VT UT WOS:000188863100008 PM 14659945 ER PT J AU Ford, ES Giles, WH Mokdad, AH Myers, GL AF Ford, ES Giles, WH Mokdad, AH Myers, GL TI Distribution and correlates of C-reactive protein concentrations among adult US women SO CLINICAL CHEMISTRY LA English DT Article ID APPARENTLY HEALTHY-MEN; NUTRITION EXAMINATION SURVEY; HORMONE REPLACEMENT THERAPY; CORONARY HEART-DISEASE; MIDDLE-AGED WOMEN; INSULIN-RESISTANCE; CARDIOVASCULAR-DISEASE; POSTMENOPAUSAL WOMEN; METABOLIC SYNDROME; BODY-FAT AB Background: Understanding the distribution of C-reactive protein (CRP) concentration among adult women in the US helps to establish the magnitude of women at increased risk for cardiovascular disease. Methods: We examined the distribution and correlates of CRP, using data from 2205 women greater than or equal to20 years of age from the National Health and Nutrition Examination Survey 1999-2000. CRP was measured with a high-sensitivity latex-enhanced turbidimetric assay. Results: CRP concentration ranged from 0.1 to 296.0 mg/L (median, 2.7 mg/L). After exclusion of women with a CRP concentration >10 mg/L, the median was 2.2 mg/L. Approximately 25.7% of women, representing similar to26.8 million women, did not report using hormone replacement therapy and had a CRP concentration >3.0 to 10 mg/L, a category considered to indicate high risk for cardiovascular disease. Multiple linear regression analysis included age, race or ethnicity, education, smoking status, total cholesterol concentration, triglyceride concentration, systolic blood pressure, waist circumference, and concentrations of glucose, insulin, c-peptide, and glycated hemoglobin. CRP concentration varied by race or ethnicity (Mexican American > white) and hormone replacement therapy (users > nonusers). In addition, significant and independent associations existed between CRP and waist circumference, total cholesterol and triglyceride concentrations, and systolic blood pressure but not age, smoking status, alcohol use, insulin concentration, glycated hemoglobin, and c-peptide concentration. Conclusion: Large numbers of US women have an increased concentration of CRP. (C) 2004 American Association for Clinical Chemistry. C1 Ctr Dis Control & Prevent, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. Ctr Dis Control & Prevent, Div Sci Lab, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. RP Ford, ES (reprint author), Ctr Dis Control & Prevent, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, 4770 Buford Hwy,MS K66, Atlanta, GA 30341 USA. EM eford@cdc.gov NR 40 TC 115 Z9 119 U1 1 U2 3 PU AMER ASSOC CLINICAL CHEMISTRY PI WASHINGTON PA 2101 L STREET NW, SUITE 202, WASHINGTON, DC 20037-1526 USA SN 0009-9147 J9 CLIN CHEM JI Clin. Chem. PD MAR PY 2004 VL 50 IS 3 BP 574 EP 581 DI 10.1373/clinchem.2003.027359 PG 8 WC Medical Laboratory Technology SC Medical Laboratory Technology GA 779GT UT WOS:000189287500019 PM 14709450 ER PT J AU Gaynes, R Rimland, D Killum, E Lowery, HK Johnson, TM Killgore, G Tenover, FC AF Gaynes, R Rimland, D Killum, E Lowery, HK Johnson, TM Killgore, G Tenover, FC TI Outbreak of Clostridium difficile infection in a long-term care facility: Association with gatifloxacin use SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID DIARRHEA; CIPROFLOXACIN; DISEASE; EPIDEMIOLOGY; COLITIS; COLONIZATION; ACQUISITION; RESIDENTS; ANTIBODY; TOXIN AB To determine the cause of an increase in the rate of Clostridium difficile-associated diarrhea (CDAD) in a long-term care facility (LTCF), we analyzed CDAD cases among LTCF patients from October 2001 through June 2002. CDAD cases were identified from review of all enzyme immunoassays positive for C. difficile toxin A. The increase coincided with a formulary change from levofloxacin to gatifloxacin. We performed a case-control study in which we randomly selected control subjects from 612 LTCF admissions during this period. Although we examined a variety of risk factors, logistic regression analysis only demonstrated associations between CDAD and use of clindamycin (P = .005) and gatifloxacin, the latter being associated with an increasing risk of CDAD with increasing duration of gatifloxacin therapy (P < .0001). We concluded that an outbreak of CDAD in an LTCF was associated with a formulary change from levofloxacin to gatifloxacin. The rate of CDAD in the LTCF decreased after a change back to levofloxacin. C1 Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Atlantic Vet Affairs Med Ctr, Atlanta, GA USA. Emory Univ, Sch Med, Atlanta, GA USA. RP Gaynes, R (reprint author), Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Natl Ctr Infect Dis, Mailstop E55,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM rpg1@cdc.gov NR 30 TC 188 Z9 194 U1 0 U2 3 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD MAR 1 PY 2004 VL 38 IS 5 BP 640 EP 645 DI 10.1086/381551 PG 6 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 777EY UT WOS:000189163900005 PM 14986246 ER PT J AU Newman, LM Wang, SA Ohye, RG O'Connor, N Lee, MV Weinstock, HS AF Newman, LM Wang, SA Ohye, RG O'Connor, N Lee, MV Weinstock, HS TI The epidemiology of fluoroquinolone-resistant Neisseria gonorrhoeae in Hawaii, 2001 SO CLINICAL INFECTIOUS DISEASES LA English DT Article AB Increases in the number of infections with fluoroquinolone-resistant Neisseria gonorrhoeae in Asia and the United States threaten the efficacy of fluoroquinolones as inexpensive, single-dose, orally administered treatments for gonorrhea. This report describes the findings of a field investigation of an increase in the number of infections with ciprofloxacin-resistant N. gonorrhoeae (CipRGC) in Hawaii in 2001. We conducted a case review of 53 patients with CipRGC, who constituted 20% of the 267 patients with cultures positive for N. gonorrhoeae during this period. Nearly one-half of patients with CipRGC were seen by clinicians in private practice, one-third were seen by clinicians at a sexually transmitted diseases (STD) clinic, and only 2% were seen by clinicians in the military. Among the 117 patients with culture-confirmed gonorrhea who attended the public STD clinic, we found a prevalence of infection with CipRGC of 17%. The demographic and clinical characteristics of patients with CipRGC were similar to those of patients with gonorrhea that was not resistant to ciprofloxacin, suggesting that fluoroquinolone-resistant gonorrhea has become endemic in Hawaii. C1 Ctr Dis Control & Prevent, Div STD Prevent, Atlanta, GA USA. Hawaii State Dept Hlth, Honolulu, HI USA. State Hawaii Dept Hlth, Div Labs, Pearl City, HI USA. RP Newman, LM (reprint author), Mailstop E-02,1600 Clifton Rd, Atlanta, GA 30333 USA. EM len4@cdc.gov NR 17 TC 14 Z9 14 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD MAR 1 PY 2004 VL 38 IS 5 BP 649 EP 654 DI 10.1086/381546 PG 6 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 777EY UT WOS:000189163900007 PM 14986248 ER PT J AU Boulanger, LL Ettestad, P Fogarty, JD Dennis, DT Romig, D Mertz, G AF Boulanger, LL Ettestad, P Fogarty, JD Dennis, DT Romig, D Mertz, G TI Gentamicin and tetracyclines for the treatment of human plague: Review of 75 cases in New Mexico, 1985-1999 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID YERSINIA-PESTIS INFECTION; CLINICAL FEATURES; BUBONIC PLAGUE; UNITED-STATES; CIPROFLOXACIN; DOXYCYCLINE; MANAGEMENT; MICE AB Streptomycin, an antimicrobial with limited availability, is the treatment of choice for plague, a fulminating and potentially epidemic disease that poses a bioterrorism concern. We evaluated the efficacy of gentamicin and tetracyclines for treating human plague. A medical record review was conducted on all 75 patients with plague who were reported in New Mexico during 1985-1999. Fifty patients were included in an analysis that compared streptomycin-treated patients (n = 14) with those treated with gentamicin and/ or a tetracycline (n = 36). The mean numbers of fever days, hospital days, and complications and the number of deaths did not differ between patients treated with streptomycin and those treated with gentamicin. One patient who received tetracycline alone experienced a serious complication. Gentamicin alone or in combination with a tetracycline was as efficacious as streptomycin for treating human plague. The efficacy of a tetracycline alone could not be determined from the study. C1 Univ New Mexico, Dept Internal Med, Div Infect Dis, Albuquerque, NM 87131 USA. Univ New Mexico, Dept Family Med, Albuquerque, NM 87131 USA. Univ New Mexico, Masters Publ Hlth Program, Albuquerque, NM 87131 USA. New Mexico Dept Hlth, Off Epidemiol, Santa Fe, NM USA. US PHS, Indian Hlth Serv, Crownpoint, NM USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Ft Collins, CO USA. RP Boulanger, LL (reprint author), 218 Amherst SE, Albuquerque, NM 87106 USA. EM lucyjohn@hotmail.com NR 39 TC 29 Z9 33 U1 0 U2 1 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD MAR 1 PY 2004 VL 38 IS 5 BP 663 EP 669 DI 10.1086/381545 PG 7 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 777EY UT WOS:000189163900009 PM 14986250 ER PT J AU Fiore, AE AF Fiore, AE TI Hepatitis A transmitted by food SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID OYSTER-ASSOCIATED HEPATITIS; VIRAL-HEPATITIS; BORNE OUTBREAK; CLINICAL MANIFESTATIONS; MULTISTATE OUTBREAK; VIRUS-INFECTIONS; INACTIVATION; EPIDEMIC; SURVIVAL; SHELLFISH AB Hepatitis A is caused by hepatitis A virus (HAV). Transmission occurs by the fecal-oral route, either by direct contact with an HAV-infected person or by ingestion of HAV-contaminated food or water. Foodborne or waterborne hepatitis A outbreaks are relatively uncommon in the United States. However, food handlers with hepatitis A are frequently identified, and evaluation of the need for immunoprophylaxis and implementation of control measures are a considerable burden on public health resources. In addition, HAV-contaminated food may be the source of hepatitis A for an unknown proportion of persons whose source of infection is not identified. C1 Ctr Dis Control & Prevent, Div Viral Hepatitis, Atlanta, GA 30333 USA. RP Fiore, AE (reprint author), Ctr Dis Control & Prevent, Div Viral Hepatitis, Atlanta, GA 30333 USA. EM afiore@cdc.gov NR 78 TC 130 Z9 135 U1 0 U2 15 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD MAR 1 PY 2004 VL 38 IS 5 BP 705 EP 715 DI 10.1086/381671 PG 11 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 777EY UT WOS:000189163900015 PM 14986256 ER PT J AU Luke, B Martin, JA AF Luke, B Martin, JA TI The rise in multiple births in the United States: Who, what, when, where, and why SO CLINICAL OBSTETRICS AND GYNECOLOGY LA English DT Article ID ASSISTED REPRODUCTIVE TECHNOLOGY; INTENSIVE-CARE UNITS; PERINATAL-MORTALITY; NATIONAL INSTITUTE; TRIPLET GESTATIONS; INFANT-MORTALITY; TWIN PREGNANCIES; CEREBRAL-PALSY; CHILD HEALTH; WEIGHT C1 Univ Miami, Sch Med, Dept Epidemiol & Publ Hlth, Miami, FL 33136 USA. Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Div Vital Stat, Dept Hlth & Human Serv, Hyattsville, MD 20782 USA. RP Luke, B (reprint author), Univ Miami, Sch Med, Dept Epidemiol & Publ Hlth, Highland Profess Bldg,1801 NW 9th Ave,Room 200H, Miami, FL 33136 USA. EM bluke@med.miami.edu NR 43 TC 23 Z9 30 U1 0 U2 1 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-9201 J9 CLIN OBSTET GYNECOL JI Clin. Obstet. Gynecol. PD MAR PY 2004 VL 47 IS 1 BP 118 EP 133 DI 10.1097/00003081-200403000-00016 PG 16 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 959PP UT WOS:000231530500013 PM 15024280 ER PT J AU Petersen, R Payne, P Albright, J Holland, H Cabral, R Curtis, KM AF Petersen, R Payne, P Albright, J Holland, H Cabral, R Curtis, KM TI Applying motivational interviewing to contraceptive counseling: ESP for clinicians SO CONTRACEPTION LA English DT Article DE contraceptive; prevention; counseling; motivational interviewing ID PRIMARY-CARE; PREVENTION PRACTICES; RISK ASSESSMENT; HIV-INFECTION; PHYSICIANS; INTERVENTION; PREGNANCY; SMOKERS; IMPACT; USERS AB Healthcare providers are in a unique position to address women's risk of unintended pregnancy and sexually transmitted infections (STIs), yet evidence for effective counseling strategies is limited. One approach to developing effective contraceptive counseling methods may be the application of theory-based behavior counseling models. One such model, motivational interviewing (MI), is a promising approach for addressing risk-taking behaviors of many kinds. We propose application of MI to contraceptive counseling. This process, ESP, involves Exploring discrepancies between pregnancy intention and contraceptive use and between risk of STIs and condom use, Sharing information and Promoting behaviors to reduce risk. This model emphasizes the importance of identifying discrepancies between goals and behaviors and supporting women's confidence in using appropriate contraceptive methods. Published by Elsevier Inc. C1 Univ N Carolina, Sch Med, Dept Obstet & Gynecol, Chapel Hill, NC 27599 USA. Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA. Ctr Dis Control & Prevent, Div Reprod Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA. RP Petersen, R (reprint author), Univ N Carolina, Sch Med, Dept Obstet & Gynecol, CB 7590, Chapel Hill, NC 27599 USA. EM ruth_petersen@unc.edu FU ODCDC CDC HHS [U50/CCU300860TS-0768] NR 35 TC 20 Z9 20 U1 1 U2 2 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0010-7824 J9 CONTRACEPTION JI Contraception PD MAR PY 2004 VL 69 IS 3 BP 213 EP 217 DI 10.1016/j.contraception.2003.10.007 PG 5 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 777AZ UT WOS:000189153000007 PM 14969669 ER PT J AU Golden, MR Whittington, WLH Handsfield, HH Clark, A Malinski, C Helmers, JR Hogben, M Holmes, KK AF Golden, MR Whittington, WLH Handsfield, HH Clark, A Malinski, C Helmers, JR Hogben, M Holmes, KK TI Failure of family-planning referral and high interest in advanced provision emergency contraception among women contacted for STD partner notification SO CONTRACEPTION LA English DT Article DE family planning; emergency contraception; sexually transmitted diseases; gonorrhea; Chlamydia trachomatis ID CHLAMYDIA-TRACHOMATIS INFECTION; UNINTENDED PREGNANCY; SERVICES; CRITERIA; CLINICS; YOUNG; RISK AB Background: Few data are available on the risk of unintended pregnancy in women with STD or how contraceptive services can be integrated into STD control activities. Objective: To define the risk for unintended pregnancy and assess the effectiveness of family-planning (FP) referral and interest in advanced provision emergency contraception (APEC) among women with gonorrhea or chlamydial infection. Methods: Female participants in a randomized trial of different approaches to partner notification were interviewed, offered referral for FP services and asked if they would want APEC. Results: Among participants ages 14-24, the observed past pregnancy rate and age-adjusted anticipated past pregnancy rate were, respectively, 196 and 72 per 1000 women-years. Of 474 nonpregnant participants who did not desire pregnancy, 127 (34%) were using no contraception or condoms alone, of whom 8 (6%) requested a FP appointment and 81% wanted APEC. Conclusions: Women treated for STD are at high-risk for unintended pregnancy. Although referral for FP was ineffective, interest in APEC was very high. (C) 2004 Elsevier Inc. All rights reserved. C1 Univ Washington, Div Infect Dis, Seattle, WA 98104 USA. Univ Washington, Harborview Med Ctr, Ctr AIDS & STD, Seattle, WA 98104 USA. Seattle King Cty Dept Publ Hlth, Seattle, WA 98104 USA. Ctr Dis Control & Prevent, Div Std Prevent, Atlanta, GA USA. RP Golden, MR (reprint author), Univ Washington, Div Infect Dis, Box 359777,325 9th Ave, Seattle, WA 98104 USA. EM golden@u.washington.edu FU NIAID NIH HHS [AI31448, K23 AI01846-02] NR 21 TC 8 Z9 8 U1 0 U2 0 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0010-7824 J9 CONTRACEPTION JI Contraception PD MAR PY 2004 VL 69 IS 3 BP 241 EP 246 DI 10.1016/j.contraception.2003.10.018 PG 6 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 777AZ UT WOS:000189153000011 PM 14969673 ER PT J AU Rao, JK Hootman, JM AF Rao, JK Hootman, JM TI Prevention research and rheumatic disease SO CURRENT OPINION IN RHEUMATOLOGY LA English DT Review DE prevention; arthritis; cohort; intervention ID RANDOMIZED CONTROLLED-TRIAL; LOW-BACK-PAIN; SYSTEMIC-LUPUS-ERYTHEMATOSUS; ARTHRITIS SELF-MANAGEMENT; HEALTH-EDUCATION PROGRAM; TOTAL HIP-ARTHROPLASTY; OLDER-ADULTS; KNEE OSTEOARTHRITIS; COST-EFFECTIVENESS; PHYSICAL-ACTIVITY AB Purpose of review Prevention may occur in clinical, community, or population settings and is often classified into primary, secondary, and tertiary types. To provide a context for this review, we define the three types and provide general and arthritis-specific examples of prevention strategies. Next, we highlight recently published longitudinal cohort and intervention studies that focus on arthritis prevention in the following topic areas: cognitive and behavioral strategies, obesity, exercise, and occupational injury prevention. Recent findings Few studies examined primary prevention strategies. In one study, an educational intervention significantly changed tick-related knowledge and behaviors among a population at risk of Lyme disease. Another population-based study used a mailed, stage-based educational program to successfully increase physical activity levels; this intervention may have practical application as a primary or tertiary prevention strategy for arthritis. Tertiary prevention research received much attention: Recent studies extend the benefits of exercise and cognitive-behavioral interventions to persons with different rheumatic conditions (eg, neck pain, low back pain, systemic lupus erythematosus, fibromyalgia). Longitudinal cohort studies improve our understanding of the relationships between computer use and carpal tunnel syndrome among office workers, birth weight and hand osteoarthritis, and baseline balance and functional declines among older adults with knee pain. Summary Prevention of arthritis and its complications is an active focus of investigation. Primary prevention research remains a challenge because of the prolonged time frame for disease expression. Scientific evidence continues to provide support for tertiary prevention strategies among people with documented rheumatic disease. C1 Ctr Dis Control & Prevent, Hlth Care & Aging Studies Branch, Atlanta, GA 30341 USA. RP Rao, JK (reprint author), Ctr Dis Control & Prevent, Hlth Care & Aging Studies Branch, 4770 Buford Highway NE,MS K-51, Atlanta, GA 30341 USA. EM jrao@cdc.gov RI Agaliotis, Maria/G-5334-2012 NR 64 TC 5 Z9 5 U1 3 U2 11 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1040-8711 J9 CURR OPIN RHEUMATOL JI CURR. OPIN. RHEUMATOL. PD MAR PY 2004 VL 16 IS 2 BP 119 EP 124 DI 10.1097/00002281-200403000-00008 PG 6 WC Rheumatology SC Rheumatology GA 779FV UT WOS:000189285400007 PM 14770096 ER PT J AU Gregg, EW Gerzoff, RB Thompson, TJ Williamson, DF AF Gregg, EW Gerzoff, RB Thompson, TJ Williamson, DF TI Trying to lose weight, losing weight, and 9-year mortality in overweight US adults with diabetes SO DIABETES CARE LA English DT Article ID CORONARY-HEART-DISEASE; ALL-CAUSE MORTALITY; DIETARY-FAT INTAKE; BODY-MASS INDEX; WOMENS HEALTH; OLDER WOMEN; POPULATION; RISK; INTERVENTION; VARIABILITY AB OBJECTIVE - The aim of this study was to examine the relationships between intention to lose weight, actual weight loss, and all-cause mortality among overweight individuals with diabetes. RESEARCH DESIGN AND METHODS - We performed a prospective analysis among 1,401 overweight diabetic adults aged greater than or equal to35 years sampled in the National Health Interview Survey. The previous year intention to lose weight and weight change were assessed by self-report. Nine-year mortality rates were examined according to intent to lose weight and weight loss, which were adjusted for age, sex, education, ethnicity, smoking, initial body weight, and diabetes complications. RESULTS- Individuals trying to lose weight had a 23% lower mortality rate (hazard rate ratio [HRR] 0.77, 95% CI 0.61-0.99) than those who reported not trying to lose weight. This association was as strong for those who failed to lose weight (0.72, 0.55-0.96) as for those who succeeded in losing weight (0.83, 0.63-1.08). Trying to lose weight was beneficial for overweight (BMI 25-30 kg/m(2)) individuals (0.62, 0.46-0.83) but not for obese (BMI >30) individuals (1.17, 0.72-1.92). Overall weight loss, without regard to intent, was associated with an increase of 22% (1.22, 0.99-1.50) in the mortality rate. This increase was largely explained by unintentional weight loss, which was associated with a 58% (1.58, 1.08-2.31) higher mortality rate. CONCLUSIONS - Overweight diabetic adults trying to lose weight have a reduced risk of all-cause mortality, independent of whether they lose weight. Actual weight loss is associated with increased mortality only if the weight loss is unintentional. C1 CDCP, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Diabet Translat, Atlanta, GA 30341 USA. RP Gregg, EW (reprint author), CDCP, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Diabet Translat, 4770 Buford Hwy NE,Mailstop K-10, Atlanta, GA 30341 USA. EM edg7@cdc.gov NR 27 TC 48 Z9 49 U1 0 U2 1 PU AMER DIABETES ASSOC PI ALEXANDRIA PA 1701 N BEAUREGARD ST, ALEXANDRIA, VA 22311-1717 USA SN 0149-5992 J9 DIABETES CARE JI Diabetes Care PD MAR PY 2004 VL 27 IS 3 BP 657 EP 662 DI 10.2337/diacare.27.3.657 PG 6 WC Endocrinology & Metabolism SC Endocrinology & Metabolism GA 779NU UT WOS:000189307400003 PM 14988281 ER PT J AU Gopalakrishna, G Choo, P Leo, YS Tay, BK Lim, YT Khan, AS Tan, CC AF Gopalakrishna, G Choo, P Leo, YS Tay, BK Lim, YT Khan, AS Tan, CC TI SARS transmission and hospital containment SO EMERGING INFECTIOUS DISEASES LA English DT Article ID OUTBREAK AB An outbreak of severe acute respiratory syndrome (SARS) was detected in Singapore at the beginning of March 2003. The outbreak, initiated by a traveler to Hong Kong in late February 2003, led to sequential spread of SARS to three major acute-care hospitals in Singapore. Critical factors in containing this outbreak were early detection and complete assessment of movements and follow-up of patients, healthcare workers, and visitors who were contacts. Visitor records were important in helping identify exposed persons who could carry the infection into the community. In the three hospital outbreaks, three different containment strategies were used to contain spread of infection: closing an entire hospital, removing all potentially infected persons to a dedicated SARS hospital, and managing exposed persons in place. On the basis of this experience, if a nosocomial outbreak is detected late, a hospital may need to be closed in order to contain spread of the disease. Outbreaks detected early can be managed by either removing all exposed persons to a designated location or isolating and managing them in place. C1 Minist Hlth, Singapore 169854, Singapore. Tan Tock Seng Hosp, Singapore, Singapore. Singapore Gen Hosp, Singapore 0316, Singapore. Natl Univ Singapore Hosp, Singapore 117548, Singapore. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Tan, CC (reprint author), Minist Hlth, Coll Med Bldg,16 Coll Rd, Singapore 169854, Singapore. EM tan_chorh_chuan@moh.gov.sg NR 5 TC 42 Z9 43 U1 0 U2 1 PU CENTERS DISEASE CONTROL PI ATLANTA PA 1600 CLIFTON RD, ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD MAR PY 2004 VL 10 IS 3 BP 395 EP 400 PG 6 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 801EO UT WOS:000220079400002 PM 15109403 ER PT J AU Meites, E Jay, MT Deresinski, S Shieh, WJ Zaki, SR Tompkins, L Smith, DS AF Meites, E Jay, MT Deresinski, S Shieh, WJ Zaki, SR Tompkins, L Smith, DS TI Reemerging leptospirosis, California SO EMERGING INFECTIOUS DISEASES LA English DT Article ID TRIATHLON; OUTBREAK AB Leptospirosis is a reemerging infectious disease in California. Leptospirosis is the most widespread zoonosis throughout the world, though it is infrequently diagnosed in the continental United States. From 1982 to 2001, most reported California cases occurred in previously healthy young adult white men after recreational exposures to contaminated freshwater. We report five recent cases of human leptospirosis acquired in California, including the first documented common-source outbreak of human leptospirosis acquired in this state, and describe the subsequent environmental investigation. Salient features in the California cases include high fever with uniform renal impairment and mild hepatitis. Because leptospirosis can progress rapidly if untreated, this reemerging infection deserves consideration in febrile patients with a history of recreational freshwater exposure, even in states with a low reported incidence of infection. C1 Stanford Univ, Sch Med, Stanford, CA 94305 USA. Calif Dept Hlth Serv, Sacramento, CA USA. Santa Clara Valley Med Ctr, San Jose, CA 95128 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Kaiser Permanente Med Grp, Redwood City, CA USA. RP Smith, DS (reprint author), Div Infect Dis & Geog Med, 1150 Vet Blvd, Redwood City, CA 94063 USA. EM darvin.s.smith@kp.org OI Meites, Elissa/0000-0002-0077-2591 NR 28 TC 79 Z9 86 U1 0 U2 0 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD MAR PY 2004 VL 10 IS 3 BP 406 EP 412 PG 7 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 801EO UT WOS:000220079400004 PM 15109405 ER PT J AU Petersen, JM Schriefer, ME Carter, LG Zhou, Y Sealy, T Bawiec, D Yockey, B Urich, S Zeidner, NS Avashia, S Kool, JL Buck, J Lindley, C Celeda, L Monteneiri, JA Gage, KL Chu, MC AF Petersen, JM Schriefer, ME Carter, LG Zhou, Y Sealy, T Bawiec, D Yockey, B Urich, S Zeidner, NS Avashia, S Kool, JL Buck, J Lindley, C Celeda, L Monteneiri, JA Gage, KL Chu, MC TI Laboratory analysis of tularemia in wild-trapped, commercially traded prairie dogs, Texas, 2002 SO EMERGING INFECTIOUS DISEASES LA English DT Article ID TULARENSIS; ANTIBODIES AB Oropharyngeal tularemia was identified as the cause of a die-off in captured wild prairie dogs at a commercial exotic animal facility in Texas. From this point source, Francisella tularensis-infected prairie dogs were traced to animals distributed to the Czech Republic and to a Texas pet shop. F tularensis culture isolates were recovered (or made) from 63 prairie dogs, including one each from the secondary distribution sites. Molecular and biochemical subtyping indicated that all isolates were F tularensis subsp. holarctica (Type B). Microagglutination assays detected antibodies against F tularensis, with titers as great as 1:4,096 in some live animals. All seropositive animals remained culture positive, suggesting that prairie dogs may act as chronic carriers of F tularensis. These findings demonstrate the need for additional studies of tularemia in prairie dogs, given the seriousness of the resulting disease, the fact that prairie dogs are sold commercially as pets, and the risk for pet-to-human transmission. C1 Ctr Dis Control & Prevent, Bacterial Zoonoses Branch, Diagnost & Reference Sect, Ft Collins, CO 80522 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Texas Dept Hlth, Arlington, TX USA. State Vet Adm, Prague, Czech Republic. RP Petersen, JM (reprint author), Ctr Dis Control & Prevent, Bacterial Zoonoses Branch, Diagnost & Reference Sect, POB 2087,Rampart Rd,Foothills Campus, Ft Collins, CO 80522 USA. EM nzp0@cdc.gov NR 19 TC 45 Z9 48 U1 1 U2 9 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD MAR PY 2004 VL 10 IS 3 BP 419 EP 425 PG 7 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 801EO UT WOS:000220079400006 PM 15109407 ER PT J AU Guarner, J Johnson, BJ Paddock, CD Shieh, WJ Goldsmith, CS Reynolds, MG Damon, IK Regnery, RL Zaki, SR AF Guarner, J Johnson, BJ Paddock, CD Shieh, WJ Goldsmith, CS Reynolds, MG Damon, IK Regnery, RL Zaki, SR CA Vet Monkeypox Virus Working Grp TI Monkeypox transmission and pathogenesis in prairie dogs SO EMERGING INFECTIOUS DISEASES LA English DT Article ID PARAFFIN-EMBEDDED TISSUE; IMMUNOHISTOCHEMICAL DETECTION; VIRUS-INFECTION; PATHOLOGY; SMALLPOX; FEATURES; DISEASE; CONGO; PCR AB During May and June 2003, the first cluster of human monkeypox cases in the United States was reported. Most patients with this febrile vesicular rash illness presumably acquired the infection from prairie dogs. Monkeypox virus was demonstrated by using polymerase chain reaction 'in two prairie dogs in which pathologic studies showed necrotizing bronchopneumonia, conjunctivitis, and tongue ulceration. Immunohistochemical assays for orthopoxviruses demonstrated abundant viral antigens in surface epithelial cells of lesions in conjunctivae and tongue, with lower amounts in adjacent macrophages, fibroblasts, and connective tissues. Viral antigens in the lung were abundant in bronchial epithelial cells, macrophages, and fibroblasts. Virus isolation and electron microscopy demonstrated active viral replication in lungs and tongue. These findings indicate that both respiratory and direct mucocutaneous exposures are potentially important routes of transmission of monkeypox virus between rodents and to humans. Prairie dogs offer insights into transmission, pathogenesis, and new vaccine and treatment trials because they are susceptible to severe monkeypox infection. C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. Oklahoma State Univ, Stillwater, OK 74078 USA. RP Guarner, J (reprint author), Ctr Dis Control & Prevent, Mailstop G32,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM jguarner@cdc.gov RI Guarner, Jeannette/B-8273-2013 NR 26 TC 74 Z9 83 U1 0 U2 3 PU CENTERS DISEASE CONTROL PI ATLANTA PA 1600 CLIFTON RD, ATLANTA, GA 30333 USA SN 1080-6040 EI 1080-6059 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD MAR PY 2004 VL 10 IS 3 BP 426 EP 431 PG 6 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 801EO UT WOS:000220079400007 PM 15109408 ER PT J AU Sorvillo, FJ Portigal, L DeGiorgio, C Smith, L Waterman, SH Berlin, GW Ash, LR AF Sorvillo, FJ Portigal, L DeGiorgio, C Smith, L Waterman, SH Berlin, GW Ash, LR TI Cysticercosis-related deaths, California SO EMERGING INFECTIOUS DISEASES LA English DT Article ID LOS-ANGELES COUNTY; NEUROCYSTICERCOSIS; MANAGEMENT; DISEASE; CERTIFICATE; DIAGNOSIS; CHILDREN AB Cysticercosis is an increasingly important disease in the United States, but information on the occurrence of related deaths is limited. We examined data from California death certificates for the 12-year period 1989-2000. A total of 124 cysticercosis deaths were identified, representing a crude 12-year death rate of 3.9 per million population (95% confidence interval [Cl] 3.2 to 4.6). Eighty-two (66%) of the case-patients were male; 42 (34%) were female. The median age at death was 34.5 years (range 7-81 years). Most patients (107, 86.3%) were foreign-born, and 90 (72.6%) had emigrated from Mexico. Seventeen (13.7%) deaths occurred in U.S.-born residents. Cysticercosis death rates were higher in Latino residents of California (13.0/10(6)) than in other racial/ethnic groups (0.4/10(6)), in males (5.2/10(6)) than in females (2.7/10(6)), and in persons >14 years of age (5.0/10(6)). Cysticercosis is a preventable cause of premature death, particularly among young Latino persons in California and may be a more common cause of death in the United States than previously recognized. C1 Univ Calif Los Angeles, Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA 90095 USA. Off Vital Records, Sacramento, CA USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Sorvillo, FJ (reprint author), Univ Calif Los Angeles, Sch Publ Hlth, Dept Epidemiol, Box 951772, Los Angeles, CA 90095 USA. EM fsorvill@ucla.edu NR 24 TC 17 Z9 19 U1 0 U2 2 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD MAR PY 2004 VL 10 IS 3 BP 465 EP 469 PG 5 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 801EO UT WOS:000220079400013 PM 15109414 ER PT J AU Avashia, SB Petersen, JM Lindley, CM Schriefer, ME Gage, KL Cetron, M DeMarcus, TA Kim, DK Buck, J Montenieri, JA Lowell, JL Antolin, MF Kosoy, MY Carter, LG Chu, MC Hendricks, KA Dennis, DT Kool, JL AF Avashia, SB Petersen, JM Lindley, CM Schriefer, ME Gage, KL Cetron, M DeMarcus, TA Kim, DK Buck, J Montenieri, JA Lowell, JL Antolin, MF Kosoy, MY Carter, LG Chu, MC Hendricks, KA Dennis, DT Kool, JL TI First reported prairie dog-to-human tularemia transmission, Texas, 2002 SO EMERGING INFECTIOUS DISEASES LA English DT Article ID BITE AB A tularemia outbreak, caused by Francisella tularensis type B, occurred among wild-caught, commercially traded prairie dogs. F tularensis microagglutination titers in one exposed person indicated recent infection. These findings represent the first evidence for prairie-clog-to-human tularemia transmission and demonstrate potential human health risks of the exotic pet trade. C1 Texas Dept Hlth, Infect Dis Epidemiol & Surveillance Div, Austin, TX 78756 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Ctr Dis Control & Prevent, Ft Collins, CO USA. Texas Dept Hlth, Arlington, TX USA. Colorado State Univ, Ft Collins, CO 80523 USA. RP Avashia, SB (reprint author), Texas Dept Hlth, Infect Dis Epidemiol & Surveillance Div, T-801,1100 W 49th St, Austin, TX 78756 USA. EM swati.avashia@tdh.state.tx.us NR 16 TC 29 Z9 35 U1 0 U2 8 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD MAR PY 2004 VL 10 IS 3 BP 483 EP 486 PG 4 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 801EO UT WOS:000220079400016 PM 15109417 ER PT J AU Jensen, K Alvarado-Ramy, F Gonzalez-Martinez, J Kraiselburd, E Rullan, J AF Jensen, K Alvarado-Ramy, F Gonzalez-Martinez, J Kraiselburd, E Rullan, J TI B-virus and free-ranging macaques, Puerto Rico SO EMERGING INFECTIOUS DISEASES LA English DT Article ID POPULATION; MONKEYS AB In Puerto Rico, risk for transmission of B-virus from free-ranging rhesus monkeys to humans has become a serious challenge. An incident with an injured rhesus monkey, seropositive for B-virus, resulted in inappropriate administration of antiviral postexposure prophylaxis. This incident underscores the importance of education about risks associated with interactions between humans and nonhuman primates. C1 Puerto Rico Dept Hlth, San Juan, PR 00921 USA. Caribbean Primate Res Ctr, Sabana Seca, PR USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Cornell Univ, Ithaca, NY USA. RP Alvarado-Ramy, F (reprint author), Puerto Rico Dept Hlth, Casia St 2, San Juan, PR 00921 USA. EM fba8@cdc.gov FU NCRR NIH HHS [P40 RR 03640, P40 RR003640] NR 15 TC 7 Z9 8 U1 1 U2 3 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD MAR PY 2004 VL 10 IS 3 BP 494 EP 496 PG 3 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 801EO UT WOS:000220079400019 PM 15109420 ER PT J AU Madariaga, MG Pulvirenti, J Sekosan, M Paddock, CD Zaki, SR AF Madariaga, MG Pulvirenti, J Sekosan, M Paddock, CD Zaki, SR TI Q fever endocarditis in HIV-infected patient SO EMERGING INFECTIOUS DISEASES LA English DT Article ID HUMAN-IMMUNODEFICIENCY-VIRUS; COXIELLA-BURNETII INFECTION; DRUG-USERS; IMMUNOSUPPRESSION; DIAGNOSIS; FRANCE AB We describe a case of Q fever endocarditis in an HIV-infected patient. The case was treated successfully with valvular replacement and a combination of doxycycline and hydroxychloroquine. We review the current literature on Q fever endocarditis, with an emphasis on the co-infection of HIV and Coxiella burnetii. C1 Cook Cty Hosp, Rush Med Coll, Div Infect Dis, Chicago, IL 60612 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Madariaga, MG (reprint author), Cook Cty Hosp, Rush Med Coll, Div Infect Dis, Chicago, IL 60612 USA. EM migmad@worldnet.att.net NR 23 TC 6 Z9 6 U1 0 U2 0 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD MAR PY 2004 VL 10 IS 3 BP 501 EP 504 PG 4 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 801EO UT WOS:000220079400021 PM 15109422 ER PT J AU Beatty, ME Bopp, CA Wells, JG Greene, KD Puhr, ND Mintz, ED AF Beatty, ME Bopp, CA Wells, JG Greene, KD Puhr, ND Mintz, ED TI Enterotoxin-producing Escherichia coli O169 : H41, United States SO EMERGING INFECTIOUS DISEASES LA English DT Article ID TRAVELERS DIARRHEA; OUTBREAKS; JAPAN AB From 1996 to 2003, 16 outbreaks of enterotoxigenic Escherichia coli (ETEC) infections in the United States and on cruise ships were confirmed. E. coli serotype O169:H41 was identified in 10 outbreaks and was the only serotype in 6. This serotype was identified in 1 of 21 confirmed ETEC outbreaks before 1996. C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Beatty, ME (reprint author), Ctr Dis Control & Prevent, Mailstop A38,1600 Clifton Rd, Atlanta, GA 30333 USA. EM zbn5@cdc.gov NR 17 TC 35 Z9 38 U1 0 U2 1 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD MAR PY 2004 VL 10 IS 3 BP 518 EP 521 PG 4 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 801EO UT WOS:000220079400026 PM 15109427 ER PT J AU Sejvar, JJ Leis, A Van Gerpen, JA Marfin, AA Petersen, LR AF Sejvar, JJ Leis, A Van Gerpen, JA Marfin, AA Petersen, LR TI West Nile poliomyelitis - Reply SO EMERGING INFECTIOUS DISEASES LA English DT Letter ID VIRUS-INFECTION; FLACCID PARALYSIS; MYELITIS C1 Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Div Viral & Rickettsial Dis, Atlanta, GA 30333 USA. Methodist Rehabil Ctr, Jackson, MS USA. Alton Ochsner Med Fdn & Ochsner Clin, New Orleans, LA 70121 USA. Ctr Dis Control & Prevent, Ft Collins, CO USA. RP Sejvar, JJ (reprint author), Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Div Viral & Rickettsial Dis, Mailstop A39,1600 Clifton Rd, Atlanta, GA 30333 USA. EM JSejvar@cdc.gov NR 7 TC 0 Z9 0 U1 0 U2 0 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD MAR PY 2004 VL 10 IS 3 BP 548 EP 549 PG 2 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 801EO UT WOS:000220079400038 ER PT J AU Maervoet, J Covaci, A Schepens, P Sandau, CD Letcher, RJ AF Maervoet, J Covaci, A Schepens, P Sandau, CD Letcher, RJ TI A reassessment of the nomenclature of polychlorinated biphenyl (PCB) metabolites SO ENVIRONMENTAL HEALTH PERSPECTIVES LA English DT Editorial Material DE hydroxylated metabolites; methyl sulfone metabolites; nomenclature; polychlorinated biphenyls ID POLYBROMINATED DIPHENYL ETHERS; CHLORINATED PHENOLIC-COMPOUNDS; METHYL SULFONE METABOLITES; HYDROXYLATED METABOLITES; HUMAN TISSUES; PLASMA; BLOOD; IDENTIFICATION; EXPOSURE; MIXTURES AB Polychlorinated biphenyls (PCBs) area widespread class of persistent organic chemicals that accumulate in the environment and humans and are associated with a broad spectrum of health effects. PCB biotransformation has been shown to lead to two classes of PCB metabolites that are present as contaminant residues in the tissues of selected biota: hydroxylated (HO) and methyl sulfone (MeSO2) PCBs. Although these two types of metabolites are related structures, different rules for abbreviation of both classes have emerged. It is important that a standardized nomenclature for the notation of PCB metabolites be universally agreed upon. We suggest that the full chemical name of the PCB metabolite and a shorthand notation should be adopted using the International Union of Pure and Applied Chemistry's chemical name/original Ballschmiter and Zell number of the parent congener, followed by the assignment of the phenyl ring position number of the MeSO2- or HO-substituent. This nomenclature provides a clear, unequivocal set of rules in naming and abbreviating the PCB metabolite structure. Furthermore, this unified PCB metabolite nomenclature approach can be extended to the naming and abbreviation of potential metabolites of structurally analogous contaminants such as HO-polybrominated biphenyls and HO-polybrominated diphenyl ethers. C1 Univ Antwerp, Toxicol Ctr, B-2610 Wilrijk, Belgium. Ctr Dis Control & Prevent, Div Sci Lab, Atlanta, GA USA. Univ Windsor, Great Lakes Inst Environm Res, Windsor, ON N9B 3P4, Canada. RP Maervoet, J (reprint author), Univ Antwerp, Toxicol Ctr, Univ Pl 1, B-2610 Wilrijk, Belgium. EM Johan.Maervoet@ua.ac.be RI Covaci, Adrian/A-9058-2008; Sandau, Courtney/D-9555-2015 OI Covaci, Adrian/0000-0003-0527-1136; Sandau, Courtney/0000-0002-4387-3480 NR 36 TC 37 Z9 37 U1 0 U2 5 PU US DEPT HEALTH HUMAN SCIENCES PUBLIC HEALTH SCIENCE PI RES TRIANGLE PK PA NATL INST HEALTH, NATL INST ENVIRONMENTAL HEALTH SCIENCES, PO BOX 12233, RES TRIANGLE PK, NC 27709-2233 USA SN 0091-6765 J9 ENVIRON HEALTH PERSP JI Environ. Health Perspect. PD MAR PY 2004 VL 112 IS 3 BP 291 EP 294 DI 10.1289/ehp.6409 PG 4 WC Environmental Sciences; Public, Environmental & Occupational Health; Toxicology SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health; Toxicology GA 800SJ UT WOS:000220047700025 PM 14998742 ER PT J AU Kato, K Silva, MJ Reidy, JA Hurtz, D Malek, NA Needham, LL Nakazawa, H Barr, DB Calafat, AM AF Kato, K Silva, MJ Reidy, JA Hurtz, D Malek, NA Needham, LL Nakazawa, H Barr, DB Calafat, AM TI Mono(2-ethyl-5-hydroxyhexyl) phthalate and mono-(2-ethyl-5-oxohexyl) phthalate as biomarkers for human exposure assessment to di-(2-ethylhexyl) phthalate SO ENVIRONMENTAL HEALTH PERSPECTIVES LA English DT Article DE DEHP; MEHHP; MEHP; MEOHP; phthalate metabolites; phthalates ID TANDEM MASS-SPECTROMETRY; QUANTITATIVE DETECTION; DI-2-ETHYLHEXYL PHTHALATE; DIETHYLHEXYL PHTHALATE; HUMAN SERUM; METABOLITES; RAT; URINARY; CHROMATOGRAPHY; PESTICIDES AB Exposure to di-(2-ethylhexyl) phthalate (DEHP) is prevalent based on the measurement of its hydrolytic metabolite mono-(2-ethylhexyl) phthalate (MEHP) in the urine of 78% of the general U.S. population studied in the 1999-2000 National Health and Nutrition Examination Survey (NHANES). However, despite the high level of production and use of DEHP, the urinary MEHP levels in the NHANES samples were lower than the monoester metabolites of phthalates less commonly used than DEHP, suggesting metabolic differences between phthalates. We measured MEHP and two oxidative DEHP metabolites, mono-(2-ethyl-5-oxohexyl) phthalate (MEOHP) and mono (2-ethyl-5-hydroxyhexyl) phthalate (MEHHP) to verify whether these other metabolites account for a greater proportion of DEHP metabolic products in 127 paired human urine and serum samples. We found that the urinary levels of MEHHP and MEOHP were 10-fold higher than levels of MEHP; concentrations of urinary MEOHP and MEHHP were strongly correlated (r = 0.928). We also found that the serum levels of MEOHP and MEHHP were comparatively lower than those in urine. Furthermore, the glucuronide-bound conjugates of the oxidative metabolites were the predominant form in both urine and serum. MEOHP and MEHHP cannot be formed by serum enzymes from the hydrolysis of any contamination from DEHP potentially introduced during blood collection and storage. Therefore, concentrations of MEHHP and MEOHP in serum may be a more selective measure of DEHP exposure than is MEHP. However, additional data on the absorption, distribution, metabolism, and elimination of these oxidative metabolites are needed to completely understand the extent of DEHP exposure from the serum concentrations of oxidative DEHP metabolites. C1 Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Div Sci Lab, Atlanta, GA 30341 USA. Hoshi Univ, Fac Pharmaceut Sci, Dept Analyt Chem, Tokyo 142, Japan. RP Silva, MJ (reprint author), Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Div Sci Lab, 4770 Buford Highway NE,Mailstop F17, Atlanta, GA 30341 USA. EM zca2@cdc.gov RI Needham, Larry/E-4930-2011; Barr, Dana/E-6369-2011; Barr, Dana/E-2276-2013 NR 29 TC 136 Z9 141 U1 5 U2 29 PU US DEPT HEALTH HUMAN SCIENCES PUBLIC HEALTH SCIENCE PI RES TRIANGLE PK PA NATL INST HEALTH, NATL INST ENVIRONMENTAL HEALTH SCIENCES, PO BOX 12233, RES TRIANGLE PK, NC 27709-2233 USA SN 0091-6765 J9 ENVIRON HEALTH PERSP JI Environ. Health Perspect. PD MAR PY 2004 VL 112 IS 3 BP 327 EP 330 DI 10.1289/ehp.6663 PG 4 WC Environmental Sciences; Public, Environmental & Occupational Health; Toxicology SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health; Toxicology GA 800SJ UT WOS:000220047700031 PM 14998748 ER PT J AU Silva, MJ Barr, DB Reidy, JA Malek, NA Hodge, CC Caudill, SP Brock, JW Needham, LL Calafat, AM AF Silva, MJ Barr, DB Reidy, JA Malek, NA Hodge, CC Caudill, SP Brock, JW Needham, LL Calafat, AM TI Urinary levels of seven phthalate metabolites in the US population from the National Health and Nutrition Examination Survey (NHANES) 1999-2000 SO ENVIRONMENTAL HEALTH PERSPECTIVES LA English DT Article DE mono-(2-ethylhexyl) phthalate; monobenzyl phthalate; monobutyl phthalate; monoethyl phthalate; NHANES; phthalate exposure ID TANDEM MASS-SPECTROMETRY; QUANTITATIVE DETECTION; HEMODIALYSIS-PATIENTS; MONOBUTYL PHTHALATE; REPRODUCTIVE-TRACT; EXPOSURE; RATS; DI(2-ETHYLHEXYL)PHTHALATE; MALFORMATIONS; MONOESTERS AB We measured the urinary monoester metabolites of seven commonly used phthalates in approximately 2,540 samples collected from participants of the National Health and Nutrition Examination Survey (NHANES), 1999-2000, who were greater than or equal to 6 years of age. We found detectable levels of metabolites monoethyl phthalate (MEP), monobutyl phthalate (MBP), monobenzyl phthalate (MBzP), and mono-(2-ethylhexyl) phthalate (MEHP) in > 75% of the samples, suggesting widespread exposure in the United States to diethyl phthalate, dibutyl phthalate or diisobutylphthalate, benzylbutyl phthalate, and di-(2-ethylhexyl) phthalate, respectively. We infrequently detected monoisononyl phthalate, mono-cyclohexyl phthalate, and mono-n-octyl phthalate, suggesting that human exposures to di-isononyl phthalate, dioctylphthalate, and dicyclohexyl phthalate, respectively, are lower than those listed above, or the pathways, routes of exposure, or pharmacokinetic factors such as absorption, distribution, metabolism, and elimination are different. Non-Hispanic blacks had significantly higher concentrations of MEP than did Mexican Americans and non-Hispanic whites. Compared with adolescents and adults, children had significantly higher levels of MBP, MBzP, and MEHP but had significantly lower concentrations of MEP. Females had significantly higher concentrations of MEP and MBzP than did males, but similar MEHP levels. Of particular interest, females of all ages had significantly higher concentrations of the reproductive toxicant MBP than did males of all ages; however, women of reproductive age (i.e., 20-39 years of age) had concentrations similar to adolescent girls and women greater than or equal to 40 years of age. These population data on exposure to phthalates will serve an important role in public health by helping to set research priorities and by establishing a nationally representative baseline of exposure with which population levels can be compared. C1 Ctr Dis Control & Prevent, Dis Lab Sci, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. RP Calafat, AM (reprint author), Ctr Dis Control & Prevent, Dis Lab Sci, Natl Ctr Environm Hlth, 4770 Buford Hwy NE,Mailstop F17, Atlanta, GA 30341 USA. EM Acalafat@cdc.gov RI Needham, Larry/E-4930-2011; Barr, Dana/E-6369-2011; Barr, Dana/E-2276-2013 NR 36 TC 439 Z9 464 U1 10 U2 61 PU US DEPT HEALTH HUMAN SCIENCES PUBLIC HEALTH SCIENCE PI RES TRIANGLE PK PA NATL INST HEALTH, NATL INST ENVIRONMENTAL HEALTH SCIENCES, PO BOX 12233, RES TRIANGLE PK, NC 27709-2233 USA SN 0091-6765 J9 ENVIRON HEALTH PERSP JI Environ. Health Perspect. PD MAR PY 2004 VL 112 IS 3 BP 331 EP 338 DI 10.1289/ehp.6723 PG 8 WC Environmental Sciences; Public, Environmental & Occupational Health; Toxicology SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health; Toxicology GA 800SJ UT WOS:000220047700032 PM 14998749 ER PT J AU Toraason, M Albertini, R Bayard, S Bigbee, W Blair, A Boffetta, P Bonassi, S Chanock, S Christiani, D Eastmond, D Hanash, S Henry, C Kadlubar, F Mirer, F Nebert, D Rapport, S Rest, K Rothman, N Ruder, A Savage, R Schulte, P Siemiatycki, J Shields, P Smith, M Tolbert, P Vermeulen, R Vineis, P Wacholder, S Ward, E Waters, M Weston, A AF Toraason, M Albertini, R Bayard, S Bigbee, W Blair, A Boffetta, P Bonassi, S Chanock, S Christiani, D Eastmond, D Hanash, S Henry, C Kadlubar, F Mirer, F Nebert, D Rapport, S Rest, K Rothman, N Ruder, A Savage, R Schulte, P Siemiatycki, J Shields, P Smith, M Tolbert, P Vermeulen, R Vineis, P Wacholder, S Ward, E Waters, M Weston, A TI Applying new biotechnologies to the study of occupational cancer - A workshop summary SO ENVIRONMENTAL HEALTH PERSPECTIVES LA English DT Article DE biomarkers; chemical exposure; epidemiology; gene-environment interactions; genomics; occupational cancer; polymorphisms; proteomics; risk assessment; toxicogenomics AB As high-throughput technologies in genomics, transcriptomics, and proteomics evolve, questions arise about their use in the assessment of occupational cancers. To address these questions, the National Institute for Occupational Safety and Health, the National Cancer Institute, the National Institute of Environmental Health Sciences, and the American Chemistry Council sponsored a workshop 8-9 May 2002 in Washington, DC. The workshop brought together 80 international specialists whose objective was to identify the means for best exploiting new technologies to enhance methods for laboratory investigation, epidemiologic evaluation, risk assessment, and prevention of occupational cancer. The workshop focused on identifying and interpreting markers for early biologic effect and inherited modifiers of risk. C1 NIOSH, Cincinnati, OH 45226 USA. Univ Vermont, Burlington, VT USA. Occupat Safety & Hlth Adm, Washington, DC USA. Univ Pittsburgh, Inst Canc, Pittsburgh, PA USA. NCI, Dept Hlth & Human Serv, NIH, Bethesda, MD 20892 USA. Int Agcy Res Canc, F-69372 Lyon, France. Natl Inst Canc Res, Genoa, Italy. Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA. Univ Calif Riverside, Riverside, CA 92521 USA. Univ Michigan, Ann Arbor, MI 48109 USA. Amer Chem Council, Arlington, VA USA. Natl Ctr Toxicol Res, Jefferson, AR USA. United Auto Workers Union, Int Union, Hlth & Safety Dept, Detroit, MI USA. Univ Cincinnati, Cincinnati, OH USA. Univ N Carolina, Chapel Hill, NC USA. NIOSH, Washington, DC USA. Univ Montreal, Montreal, PQ, Canada. Georgetown Univ, Washington, DC USA. Univ Calif Berkeley, Berkeley, CA 94720 USA. Emory Univ, Atlanta, GA 30322 USA. Univ Turin, Turin, Italy. Amer Canc Soc, Atlanta, GA 30329 USA. NIEHS, Dept Hlth & Human Serv, NIH, Res Triangle Pk, NC 27709 USA. NIOSH, Morgantown, WV 26505 USA. RP Toraason, M (reprint author), NIOSH, C23,4676 Columbia Pkwy, Cincinnati, OH 45226 USA. EM mtoraason@cdc.gov RI Waters, Martha/B-7441-2011; Shields, Peter/I-1644-2012; Ruder, Avima/I-4155-2012; Tolbert, Paige/A-5676-2015; Vermeulen, Roel/F-8037-2011; OI Ruder, Avima/0000-0003-0419-6664; Vermeulen, Roel/0000-0003-4082-8163; bonassi, stefano/0000-0003-3833-6717 NR 5 TC 21 Z9 23 U1 0 U2 3 PU US DEPT HEALTH HUMAN SCIENCES PUBLIC HEALTH SCIENCE PI RES TRIANGLE PK PA NATL INST HEALTH, NATL INST ENVIRONMENTAL HEALTH SCIENCES, PO BOX 12233, RES TRIANGLE PK, NC 27709-2233 USA SN 0091-6765 J9 ENVIRON HEALTH PERSP JI Environ. Health Perspect. PD MAR PY 2004 VL 112 IS 4 BP 413 EP 416 DI 10.1289/txg.6343 PG 4 WC Environmental Sciences; Public, Environmental & Occupational Health; Toxicology SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health; Toxicology GA 807BS UT WOS:000220477600012 PM 15033588 ER PT J AU Orloff, KG Mistry, K Charp, P Metcalf, S Marino, R Shelly, T Melaro, E Donohoe, AM Jones, RL AF Orloff, KG Mistry, K Charp, P Metcalf, S Marino, R Shelly, T Melaro, E Donohoe, AM Jones, RL TI Human exposure to uranium in groundwater SO ENVIRONMENTAL RESEARCH LA English DT Article DE uranium; urine; groundwater; human exposure ID UNITED-STATES; DRINKING-WATER; URINE AB High concentrations of uranium (mean = 620 mug/L) were detected in water samples collected from private wells in a residential community. Based on isotopic analyses, the source of the uranium contamination appeared to be from naturally occurring geological deposits. In homes where well water concentrations of uranium exceeded the drinking water standard, the residents were advised to use an alternate water source for potable purposes. Several months after the residents had stopped drinking the water, urine samples were collected and tested for uranium. Elevated concentrations of uranium (mean = 0.40 mug/g creatinine) were detected in urine samples, and 85 percent of the urine uranium concentrations exceeded the 95th percentile concentration of a national reference population. Urine uranium concentrations were positively correlated with water uranium concentrations, but not with the participants' ages or how long they had been drinking the water. Six months later, a second urine sample was collected and tested for uranium. Urine uranium concentrations decreased in most (63 percent) of the people. In those people with the highest initial urine uranium concentrations, the urine levels decreased an average of 78 percent. However, urine uranium concentrations remained elevated (mean= 0.27 mug/g), and 87 percent of the urine uranium concentrations exceeded the 95th percentile concentration of the reference population. The results of this investigation demonstrated that after long-term ingestion of uranium in drinking water, elevated concentrations of uranium in urine could be detected up to 10 months after exposure had stopped. Published by Elsevier Inc. C1 Agcy Tox Subst & Dis Registry, Atlanta, GA 30333 USA. S Carolina Dept Hlth & Environm Control, Columbia, SC 29201 USA. Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Orloff, KG (reprint author), Agcy Tox Subst & Dis Registry, 1600 Clifton Rd,MS-E32, Atlanta, GA 30333 USA. EM keo1@cdc.gov NR 20 TC 59 Z9 60 U1 1 U2 10 PU ACADEMIC PRESS INC ELSEVIER SCIENCE PI SAN DIEGO PA 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495 USA SN 0013-9351 J9 ENVIRON RES JI Environ. Res. PD MAR PY 2004 VL 94 IS 3 BP 319 EP 326 DI 10.1016/S0013-9351(03)00115-4 PG 8 WC Environmental Sciences; Public, Environmental & Occupational Health SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health GA 805EM UT WOS:000220349600013 PM 15016600 ER PT J AU Basak, SC Mills, D El-Masri, HA Mumtaz, MM Hawkins, DM AF Basak, SC Mills, D El-Masri, HA Mumtaz, MM Hawkins, DM TI Predicting blood : air partition coefficients using theoretical molecular descriptors SO ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY LA English DT Article; Proceedings Paper CT International Conference on Chemical Mixtures (ICCM) CY SEP 09-12, 2002 CL Atlanta, GA SP FDA, US EPA, NIEHS, NIOSH, Health Council Netherlands DE quantitative structure-activity relationships; volatile organic chemicals (VOCs); physiologically based pharmacokinetic models; risk assessment; ridge regression ID HIERARCHICAL QSAR APPROACH; STRUCTURE-PROPERTY RELATIONSHIPS; ELECTROTOPOLOGICAL-STATE; TOPOLOGICAL INDEXES; ORGANIC-CHEMICALS; RISK ASSESSMENT; VAPOR-PRESSURE; MUTAGENICITY; PARAMETERS; TOXICOLOGY AB Three regression methods, namely ridge regression (RR), partial least squares (PLS), and principal components regression (PCR), were used to develop models for the prediction of rat blood:air partition coefficient for increasingly diverse data sets. Initially, modeling was performed for a set of 13 chlorocarbons. To this set, 10 additional hydrophobic compounds were added, including aromatic and non-aromatic hydrocarbons. A set of 16 hydrophilic compounds was also modeled separately. Finally, all 39 compounds were combined into one data set for which comprehensive models were developed. A large set of diverse, theoretical molecular descriptors was calculated for use in the current study. The topostructural (TS), topochemical (TC), and geometrical or 3-dimensional (3D) indices were used hierarchically in model development. In addition, single-class models were developed using the TS, TC, and 3D descriptors. In most cases, RR outperformed PLS and PCR, and the models developed using TC indices were superior to those developed using other classes of descriptors. (C) 2003 Elsevier B.V. All rights reserved. C1 Univ Minnesota, Nat Resources Res Inst, Duluth, MN 55811 USA. ATSDR, Computat Toxicol Lab, Div Toxicol, Atlanta, GA 30333 USA. Univ Minnesota, Sch Stat, Minneapolis, MN 55455 USA. RP Basak, SC (reprint author), Univ Minnesota, Nat Resources Res Inst, 5013 Miller Truck Highway, Duluth, MN 55811 USA. EM sbasak@nrri.umn.edu NR 47 TC 25 Z9 26 U1 0 U2 5 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 1382-6689 EI 1872-7077 J9 ENVIRON TOXICOL PHAR JI Environ. Toxicol. Pharmacol. PD MAR PY 2004 VL 16 IS 1-2 BP 45 EP 55 DI 10.1016/j.etap.2003.09.002 PG 11 WC Environmental Sciences; Pharmacology & Pharmacy; Toxicology SC Environmental Sciences & Ecology; Pharmacology & Pharmacy; Toxicology GA 806TE UT WOS:000220455400005 ER PT J AU El-Masri, HA Mumtaz, MM Yushak, ML AF El-Masri, HA Mumtaz, MM Yushak, ML TI Application of physiologically-based pharmacokinetic modeling to investigate the toxicological interaction between chlorpyrifos and parathion in the rat SO ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY LA English DT Article; Proceedings Paper CT International Conference on Chemical Mixtures (ICCM) CY SEP 09-12, 2002 CL Atlanta, GA SP FDA, US EPA, NIEHS, NIOSH, Health Council Netherlands DE chlorpyrifos; parathion; PBPK; interaction threshold ID INSECTICIDE CHLORPYRIFOS; LIVER-MICROSOMES; KINETIC-ANALYSIS; TREATED RATS; OXON; INHIBITION; PARAOXON; ACTIVATION; ACETYLCHOLINESTERASE; CYTOCHROME-P450 AB Environmental exposure is usually due to the presence of multiple chemicals. In most cases, these chemicals interact with each other at both pharmacokinetic and pharmacodynamic toxicity mechanisms. In the absence of data, joint toxicity assessment of a mixture is based on default dose or response additivity. Although, the concept of additivity is mostly accepted at low dose levels, these levels need to be determined quantitatively to validate the use of additivity as an absence of any possible synergistic or antagonistic interactions at low environmental exposure levels. The doses at which interaction becomes significant define the interaction threshold. In most cases, estimation of these low-dose interaction thresholds experimentally is economically costly and challenging because of the need to use a large number of laboratory animals. Computational toxicology methods provide a feasible alternative to establish interaction thresholds. For example, a physiologically based pharmacokinetic (PBPK) model was developed to estimate an interaction threshold for the joint toxicity between chlorpyrifos and parathion in the rat. Initially, PBPK models were developed for each chemical to estimate the blood concentrations of their respective metabolite. The metabolite concentrations in blood out-put was then linked to acetylcholinesterase kinetics submodel. The resulting overall PBPK model described interactions between these pesticides at two levels in the organism: (a) the P450 enzymatic bioactivation site, and (b) acetylcholinesterase binding sites. Using the overall model, a response surface was constructed at various dose levels of each chemical to investigate the mechanism of interaction and to calculate interaction threshold doses. The overall model simulations indicated that additivity is obtained at oral dose levels below 0.08 mg/kg of each chemical. At higher doses, antagonism by enzymatic competitive inhibition is the mode of interaction. (C) 2003 Elsevier B.V. All rights reserved. C1 ATSDR, Div Toxicol, Computat Toxicol Lab, Atlanta, GA 30333 USA. RP El-Masri, HA (reprint author), ATSDR, Div Toxicol, Computat Toxicol Lab, 1600 Clifton Rd,NE,Mail Stop F-29, Atlanta, GA 30333 USA. EM hbe4@cdc.gov NR 24 TC 14 Z9 15 U1 2 U2 10 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 1382-6689 J9 ENVIRON TOXICOL PHAR JI Environ. Toxicol. Pharmacol. PD MAR PY 2004 VL 16 IS 1-2 BP 57 EP 71 DI 10.1016/j.etap.2003.10.002 PG 15 WC Environmental Sciences; Pharmacology & Pharmacy; Toxicology SC Environmental Sciences & Ecology; Pharmacology & Pharmacy; Toxicology GA 806TE UT WOS:000220455400006 PM 21782694 ER PT J AU Fisher, J Lumpkin, M Boyd, J Mahle, D Bruckner, J El-Masri, HA AF Fisher, J Lumpkin, M Boyd, J Mahle, D Bruckner, J El-Masri, HA TI PBPK modeling of the metabolic interactions of carbon tetrachloride and tetrachloroethylene in B6C3F1 mice SO ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY LA English DT Article; Proceedings Paper CT International Conference on Chemical Mixtures (ICCM) CY SEP 09-12, 2002 CL Atlanta, GA SP FDA, US EPA, NIEHS, NIOSH, Health Council Netherlands DE PBPK model; mice; carbon tetrachloride; tetrachloroethylene; metabolism; metabolic inhibition ID GAS UPTAKE; RAT-LIVER; PHARMACOKINETIC MODELS; IN-VITRO; TRICHLOROETHYLENE; HEPATOTOXICITY; INJURY; BROMOTRICHLOROMETHANE; PERCHLOROETHYLENE; INSUFFICIENCY AB Potential exists for widespread human exposure to low levels of carbon tetrachloride (CT) and tetrachloroethylene (TET). These halocarbons are metabolized by the cytochrome P450 system. CT is known to inhibit its own metabolism (suicide inhibition) and to cause liver injury by generation of metabolically derived free radicals. The objective of this research was to use develop a physiologically based pharmacokinetic (PBPK) model to forcast the metabolic interactions between orally administered CT and TET in male B6C3F1 mice. Trichloroacetic acid (TCA), a stable metabolite of TET, was used as a biomarker to assess inhibition of the cytochrome P450 system by CT. Metabolic constants utilized for CT were 1.0 mg/kg/h for Vmaxc_CT and 0.3 for Km_CT (mg/l). Values for TET (based in TCA production), were 6.0 mg/kg/h for Vmaxc_TET was 3.0 mg/l for Km_TET. The rate of loss of metabolic capacity for CT (suicide inhibition) was describe as: Vmaxloss (mg/h) = -Kd (RAM x RAM), where Kd (h/kg) is a second-order rate constant, and RAM (mg/h) is the Michaelis-Menten description of the rate of metabolism of CT. For model simplicity, CT was assumed to damage the primary enzymes responsible for metabolism of CT (CYP2E1) and TET (CYP2B2) in an equal fashion. Thus, the calculated fractional loss of TET metabolic capacity was assumed to be equivalent to the calculated loss in metabolic capacity of CT. Use of a Kd value of 400 h/kg successfully described serum TCA levels in mice dosed orally with 5-100 mg/kg of CT. We report, for the first time, suicide inhibition at a very low dose of CT (1 mg/kg). The PBPK model under-predicted the degree of metabolic inhibition in mice administered 1 mg/kg of CT. This PBPK model is one of only a few physiological models available to predict the metabolic interactions of chemical mixtures involving suicide inhibition. The success of this PBPK model demonstrates that PBPK models are useful tools for examining the nature of metabolic interactions of chemical mixtures, including suicide inhibition. Further research is required to compare the inhibitory effects of inhaled CT vapors with CT administered by oral bolus dosing and determine the interaction threshold for CT-induced metabolic inhibition. (C) 2003 Elsevier B.V. All rights reserved. C1 Univ Georgia, Interdisciplinary Toxicol Program, Athens, GA 30602 USA. AFRL, HEST, Operat Toxicol Branch, WPAFB, Dayton, OH USA. Agcy Tox Subst & Dis Registry, Div Toxicol, Computat Toxicol Lab, Atlanta, GA USA. RP Fisher, J (reprint author), Univ Georgia, Interdisciplinary Toxicol Program, Athens, GA 30602 USA. EM jwfisher@uga.edu NR 37 TC 7 Z9 7 U1 0 U2 4 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 1382-6689 J9 ENVIRON TOXICOL PHAR JI Environ. Toxicol. Pharmacol. PD MAR PY 2004 VL 16 IS 1-2 BP 93 EP 105 DI 10.1016/j.etap.2003.10.006 PG 13 WC Environmental Sciences; Pharmacology & Pharmacy; Toxicology SC Environmental Sciences & Ecology; Pharmacology & Pharmacy; Toxicology GA 806TE UT WOS:000220455400008 PM 21782696 ER PT J AU Dennison, JE Andersen, ME Dobrev, ID Mumtaz, MM Yang, RSH AF Dennison, JE Andersen, ME Dobrev, ID Mumtaz, MM Yang, RSH TI PBPK modeling of complex hydrocarbon mixtures: gasoline SO ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY LA English DT Article; Proceedings Paper CT International Conference on Chemical Mixtures (ICCM) CY SEP 09-12, 2002 CL Atlanta, GA SP FDA, US EPA, NIEHS, NIOSH, Health Council Netherlands DE PBPK; PBTK; phannacokinetic; gasoline; complex mixtures; BTEX; benzene; hexane; toluene; ethylbenzene; xylene ID BENZENE METABOLISM; GAS UPTAKE; PHARMACOKINETIC MODEL; FISCHER-344 RATS; BREATH-ANALYSIS; HUMAN EXPOSURE; BUTYL ETHER; HUMANS; HEXANE; TRICHLOROETHYLENE AB Petroleum hydrocarbon mixtures such as gasoline, diesel fuel, aviation fuel, and asphalt liquids typically contain hundreds of compounds. These compounds include aliphatic and aromatic hydrocarbons within a specific molecular weight range and sometimes lesser amounts of additives, and often exhibit qualitatively similar pharmacokinetic (PK) and pharmacodynamic properties. However, there are some components that exhibit specific biological effects, such as methyl t-butyl ether and benzene in gasoline. One of the potential pharmacokinetic interactions of many components in such mixtures is inhibition of the metabolism of other components. Due to the complexity of the mixtures, a quantitative description of the pharmacokinetics of each component, particularly in the context of differing blends of these mixtures, has not been available. We describe here a physiologically-based pharmacokinetic (PBPK) modeling approach to describe the PKs of whole gasoline. The approach simplifies the problem by isolating specific components for which a description is desired and treating the remaining components as a single lumped chemical. In this manner, the effect of the non-isolated components (i.e. inhibition) can be taken into account. The gasoline model was based on PK data for the single chemicals, for simple mixtures of the isolated chemicals, and for the isolated and lumped chemicals during gas uptake PK experiments in rats exposed to whole gasoline. While some sacrifice in model accuracy must be made when a chemical lumping approach is used, our lumped PK model still permitted a good representation of the PKs of five isolated chemicals (n-hexane, benzene, toluene, ethylbenzene, and o-xylene) during exposure to various levels of two different blends of gasoline. The approach may be applicable to other hydrocarbon mixtures when appropriate PK data are available for model development. (C) 2003 Elsevier B.V. All rights reserved. C1 Colorado State Univ, Ctr Environm Toxicol & Technol, Dept Environm & Radiol Hlth Sci, Ft Collins, CO 80523 USA. CIIT Ctr Hlth Res, Res Triangle Pk, NC USA. Environm Corp, Ruston, LA USA. Agcy Toxic Substances & Dis Registry, Atlanta, GA USA. RP Dennison, JE (reprint author), Colorado State Univ, Ctr Environm Toxicol & Technol, Dept Environm & Radiol Hlth Sci, 1690 Campus Delivery, Ft Collins, CO 80523 USA. EM dennison@colostate.edu OI Andersen, Melvin/0000-0002-3894-4811 NR 45 TC 13 Z9 13 U1 0 U2 4 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 1382-6689 J9 ENVIRON TOXICOL PHAR JI Environ. Toxicol. Pharmacol. PD MAR PY 2004 VL 16 IS 1-2 BP 107 EP 119 DI 10.1016/j.etap.2003.10.003 PG 13 WC Environmental Sciences; Pharmacology & Pharmacy; Toxicology SC Environmental Sciences & Ecology; Pharmacology & Pharmacy; Toxicology GA 806TE UT WOS:000220455400009 PM 21782697 ER PT J AU Black, DW Carney, CP Peloso, PM Woolson, RF Schwartz, DA Voelker, MD Barrett, DH Doebbeling, BN AF Black, DW Carney, CP Peloso, PM Woolson, RF Schwartz, DA Voelker, MD Barrett, DH Doebbeling, BN TI Gulf war veterans with anxiety - Prevalence, comorbidity, and risk factors SO EPIDEMIOLOGY LA English DT Article ID POSTTRAUMATIC-STRESS-DISORDER; QUALITY-OF-LIFE; PSYCHIATRIC-DISORDERS; MILITARY PERSONNEL; MENTAL-DISORDERS; HEALTH-STATUS; YOUNG-ADULTS; POPULATION; SYMPTOMS; CARE AB Background: Veterans of the first Gulf War have higher rates of medical and psychiatric symptoms than nondeployed military personnel. Methods: To assess the prevalence of and risk factors for current anxiety disorders in Gulf War veterans, we administered a structured telephone interview to a population-based sample of 4886 military personnel from Iowa at enlistment. Participants were randomly drawn from Gulf War regular military, Gulf War National Guard/Reserve, non-Gulf War regular military, and non-Gulf War National Guard/Reserve. Medical and psychiatric conditions were assessed through standardized interviews and questionnaires in 3695 subjects (76% participation). Risk factors were assessed using multivariate logistic regression models. Results: Veterans of the first Gulf War reported a markedly higher prevalence of current anxiety disorders than nondeployed military personnel (5.9% vs. 2.8%; odds ratio = 2.1; 95% confidence interval = 1.3-3.1), and their anxiety disorders are associated with co-occurring psychiatric disorders. Posttraumatic stress disorder, panic disorder, and generalized anxiety disorder were each present at rates nearly twice expected. In our multivariate model, predeployment psychiatric treatment and predeployment diagnoses (posttraumatic stress disorder, depression, or anxiety) were independently associated with current anxiety disorder. Participation in Gulf War combat was independently associated with current posttraumatic stress disorder, panic disorder, and generalized anxiety disorder. Conclusions: Current anxiety disorders are relatively frequent in a military population and are more common among Gulf War veterans than nondeployed military personnel. Predeployment psychiatric difficulties are robustly associated with the development of anxiety. Healthcare providers and policymakers need to consider panic disorder and generalized anxiety disorder, in addition to posttraumatic stress disorder, to ensure their proper assessment, treatment, and prevention in veteran populations. C1 Univ Iowa, Roy J & Lucille A Carver Coll Med, Dept Psychiat, Iowa City, IA 52242 USA. Indiana Univ, Sch Med, Dept Internal Med, Indianapolis, IN USA. Univ Iowa, Roy J & Lucille A Carver Coll Med, Dept Internal Med, Iowa City, IA 52242 USA. Med Univ S Carolina, Dept Biometry & Epidemiol, Charleston, SC 29425 USA. Duke Univ, Sch Med, Dept Internal Med, Durham, NC 27710 USA. Univ Iowa, Coll Publ Hlth, Dept Epidemiol, Iowa City, IA USA. Ctr Dis Control & Prevent, Div Environm Hazards, Atlanta, GA USA. Ctr Dis Control & Prevent, Hlth Effects Ctr, Atlanta, GA USA. Roudebush VA Med Ctr, Indianapolis, IN USA. RP Black, DW (reprint author), Univ Iowa, Coll Med, Psychiat Res MEB, Iowa City, IA 52242 USA. EM donald-black@uiowa.edu RI Doebbeling, Bradley/C-6620-2009 FU NIMH NIH HHS [5T32-MH15158-23]; ODCDC CDC HHS [U50/CCU711513] NR 56 TC 34 Z9 36 U1 3 U2 9 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1044-3983 J9 EPIDEMIOLOGY JI Epidemiology PD MAR PY 2004 VL 15 IS 2 BP 135 EP 142 DI 10.1097/01.EDE.0000103188.18059.21 PG 8 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 779GL UT WOS:000189286900004 PM 15127904 ER PT J AU Spector, L Groves, F DeStefano, F Liff, J Klein, M Mullooly, J Black, S Shinefield, H Ward, J Marcy, M AF Spector, L Groves, F DeStefano, F Liff, J Klein, M Mullooly, J Black, S Shinefield, H Ward, J Marcy, M CA Vaccine Safety Datalink Project TI Medically recorded allergies and the risk of childhood acute lymphoblastic leukaemia SO EUROPEAN JOURNAL OF CANCER LA English DT Article DE case-control study; childhood leukaemia; allergy ID UNITED-STATES; CANCER; CHILDREN AB Data on five allergic conditions were abstracted from the medical records of 180 cases of childhood acute lymphoblastic leukaemia (ALL) and 718 matched controls. Odds Ratios (OR) and 95% Confidence Intervals (CI) were estimated for composite variables and for individual allergies using conditional logistic regression modelling. Allergies were divided into late and early diagnoses (those made within the year before the matched case's ALL diagnosis and those made earlier, respectively). Among the early diagnoses, atopy or hives was significantly associated with ALL (OR = 2.20; 95% CI: 1.16-4.16). Significant associations were found for late diagnoses of atopy or hives (OR = 3.78; 95% CI: 1.00-14.29) and of asthma (OR = 3.10; 95% CI: 1.39-6.95). None of the other allergic conditions were associated with ALL. These results are contrary to those of prior studies of childhood ALL and allergy. (C) 2003 Elsevier Ltd. All rights reserved. C1 Univ Minnesota, Dept Pediat, Minneapolis, MN 55455 USA. Med Univ S Carolina, Dept Biometry & Epidemiol, Charleston, SC 29425 USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA 30333 USA. Emory Univ, Dept Epidemiol, Atlanta, GA 30322 USA. NW Kaiser Permanente, Portland, OR 97227 USA. No Calif Kaiser Permanente, Alameda, CA 94501 USA. So Calif Kaiser Permanente, Panorama City, CA 91402 USA. RP Spector, L (reprint author), Univ Minnesota, Dept Pediat, 420 Delaware St SE,MMC 715, Minneapolis, MN 55455 USA. EM spector@epi.umn.edu OI Spector, Logan/0000-0003-2516-0222 NR 18 TC 34 Z9 34 U1 0 U2 0 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0959-8049 J9 EUR J CANCER JI Eur. J. Cancer PD MAR PY 2004 VL 40 IS 4 BP 579 EP 584 DI 10.1016/j.ejca.2003.08.024 PG 6 WC Oncology SC Oncology GA 800LK UT WOS:000220029600027 PM 14962726 ER PT J AU Kirtava, A Crudder, S Dilley, A Lally, C Evatt, B AF Kirtava, A Crudder, S Dilley, A Lally, C Evatt, B TI Trends in clinical management of women with von Willebrand disease: a survey of 75 women enrolled in haemophilia treatment centres in the United States SO HAEMOPHILIA LA English DT Article DE von Willebrand disease; haemophilia treatment center; bleeding symptoms; comprehensive care model ID INHERITED BLEEDING DISORDERS; MENORRHAGIA AB Objective: To assess the management of women with von Willebrand disease( vWD) in an Heamophilia Treatment Center (HTC) setting. Methods: A total of 75 women with vWd who were registered in HTCs in the United States participated in this study. A telephone interview elicited information about symptoms pertaining to bleeding disorders, diagnostic issues, referral patterns, treatment modalities before and after the enrollment in the HTC, HTC services provided, and satisfaction with care in the HTC. Results: Menorrhagia was the most commonly reported symptom (84%). The average time from the first symptom until clinician recognition was 16 years (range 0-39). In HTC, DDAVP was the most commonly used drug (31%). Of the 75 women, 71 reported a strong positive opinion and satisfaction about their care in the HTCs. Discussion: Women with VWD were typically diagnosed with the condition well into adulthood, in spite of the fact that majority of them experienced several bleeding symptoms beginning in early childhood. In general an HTC setting is appropriate for management of women with bleeding disorders. Diagnosis, treatment and education provided in the HTCs were viewed positively by those surveyed. C1 CDCP, Div AIDS STD & Lab Res, Natl Ctr Infect Dis, US Dept HHS, Atlanta, GA 30333 USA. RP Kirtava, A (reprint author), CDCP, Div AIDS STD & Lab Res, Natl Ctr Infect Dis, US Dept HHS, 1600 Clifton Rd,Mail Stop E-64, Atlanta, GA 30333 USA. EM akirtava@cdc.gov NR 8 TC 42 Z9 42 U1 0 U2 1 PU BLACKWELL PUBLISHING LTD PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DG, OXON, ENGLAND SN 1351-8216 J9 HAEMOPHILIA JI Haemophilia PD MAR PY 2004 VL 10 IS 2 BP 158 EP 161 DI 10.1046/j.1351-8216.2003.00832.x PG 4 WC Hematology SC Hematology GA 774NT UT WOS:000188989900004 PM 14962204 ER PT J AU Richards, C Alonso-Echanove, J Caicedo, Y Jarvis, WR AF Richards, C Alonso-Echanove, J Caicedo, Y Jarvis, WR TI Klebsiella pneumoniae bloodstream infections among neonates in a high-risk nursery in Cali, Colombia SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY LA English DT Article; Proceedings Paper CT 4th Decennial International Conference on Nosocomial and Healtcare-Associated Infections CY MAR 07, 2000 CL ATLANTA, GA ID INTENSIVE-CARE-UNIT; NOSOCOMIAL INFECTIONS; COLONIZATION; EPIDEMIOLOGY AB OBJECTIVES: To determine the cause of an outbreak of Klebsiella pneumoniae bloodstream infections (BSIs) among neonates in a high-risk nursery and to institute control measures. DESIGN: During the on-site investigation, a cohort study to identify risk factors for K pneumoniae BSI, a point-prevalence study to assess K pneumoniae colonization, a maternal cohort study to determine maternal K pneumoniae colonization, and an observational study to evaluate healthcare worker (HCW) compliance with infection control practices were conducted. PATIENTS AND SETTING: Neonates in a 40-bed high risk nursery in a 700-bed university hospital in Cali, Colombia. INTERVENTION: Cohorting of neonates colonized with K pneumoniae. RESULTS: The overall K pneumoniae BSI attack rate was 10 of 105 (9.5%). In the retrospective cohort study, the number of blood transfusions (OR, 3.1 per transfusion; P =.02; Cl-95, 1.4-9.7) and intravenous injections (OR, 1.2 per injection; P =.04; Cl-95, 1.0-1.5) were independently associated with K pneumoniae BSI. The overall prevalence of K pneumoniae colonization was 61% among neonates and 7% among mothers. During the HCW assessment, suboptimal intravenous therapy practices were observed. A cohorting intervention resulted in a significant reduction in K pneumoniae colonization (12% vs 61%; RR, 0.19; P <.001). During the intervention period, no K pneumoniae BSIs occurred. CONCLUSIONS: This investigation suggested that the outbreak probably occurred due to widespread colonization and suboptimal infection control and intravenous therapy practices. Cohorting successfully reduced the overall prevalence of K pneumoniae colonization and, along with improved infection control practices, probably prevented K pneumoniae BSIs (Infect Control Hosp Epidemiol 2004;25:221-225). C1 Ctr Dis Control & Prevent, Epidemiol Program Off, Epidem Intelligence Serv, Atlanta, GA 30333 USA. Natl Ctr Infect Dis, Div Healthcare Qual Promot, Atlanta, GA USA. Univ Hosp, Del Valle, Cali, Colombia. RP Richards, C (reprint author), Ctr Dis Control & Prevent, Epidemiol Program Off, Epidem Intelligence Serv, Mailstop E-55,1600 Clifton Rd, Atlanta, GA 30333 USA. NR 13 TC 20 Z9 22 U1 0 U2 0 PU SLACK INC PI THOROFARE PA 6900 GROVE RD, THOROFARE, NJ 08086 USA SN 0899-823X J9 INFECT CONT HOSP EP JI Infect. Control Hosp. Epidemiol. PD MAR PY 2004 VL 25 IS 3 BP 221 EP 225 DI 10.1086/502382 PG 5 WC Public, Environmental & Occupational Health; Infectious Diseases SC Public, Environmental & Occupational Health; Infectious Diseases GA 803BD UT WOS:000220205700010 PM 15061414 ER PT J AU Selenic, D Alvarado-Ramy, F Arduino, M Holt, S Cardinali, F Blount, B Jarrett, J Smith, F Altman, N Stahl, C Panlilio, A Pearson, M Tokars, J AF Selenic, D Alvarado-Ramy, F Arduino, M Holt, S Cardinali, F Blount, B Jarrett, J Smith, F Altman, N Stahl, C Panlilio, A Pearson, M Tokars, J TI Epidemic parenteral exposure to volatile sulfur-containing compounds at a hemodialysis center SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY LA English DT Article ID HEMOLYSIS AB OBJECTIVE: To determine the cause of acute illness on August 30, 2000, among patients at an outpatient dialysis center (center A). DESIGN: We performed a cohort study of all patients receiving dialysis on August 30, 2000; reviewed dialysis procedures; and analyzed dialysis water samples using microbiologic and chemical assays. SETTING: Dialysis center (center A). PATIENTS: A case-patient was defined as a patient who developed chills within 5 hours after starting hemodialysis at center A on August 30, 2000. RESULTS: Sixteen (36%) of 44 patients at center A met the case definition. All case-patients were hospitalized; 2 died. Besides chills, 15 (94%) of the case-patients experienced nausea; 1.2 (75%), vomiting; and 4 (25%), fever. Illness was more frequent on the second than the first dialysis shift (16 of 20 vs 0 of 24, P <.001); no other risk factors were identified. The center's water treatment system had received inadequate maintenance and disinfection and a sulfurous odor was noted during sampling of the water from the reverse osmosis (RO) unit. The water had elevated bacteria] counts. Volatile sulfur-containing compounds (ie, methanethiol, carbon disulfide, dimethyldisulfide, and sulfur dioxide) were detected by gas chromatography and mass spectrometry in 8 of 12 water samples from the RO unit and in 0 of 28 samples from other areas (P <.001). Results of tests for heavy metals and chloramines were within normal limits. CONCLUSIONS: Parenteral exposure to volatile sulfur-containing compounds, produced under anaerobic conditions in the RO unit, could have caused the outbreak. This investigation demonstrates the importance of appropriate disinfection and maintenance of water treatment systems in hemodialysis centers (Infect Control Hosp Epidemiol 2004;25:256-261). C1 Natl Ctr Infect Dis, Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA. Natl Ctr Environm Hlth, Ctr Dis Control & Prevent, Div Sci Lab, Atlanta, GA USA. Ohio State Hlth Dept, Columbus, OH USA. Youngstown City Hlth Dist, Youngstown, OH USA. RP Tokars, J (reprint author), Natl Ctr Infect Dis, Ctr Dis Control & Prevent, Div Healthcare Qual Promot, 1600 Clifton Rd,MS E-55, Atlanta, GA 30333 USA. RI Arduino, Matthew/C-1461-2012; OI Arduino, Matthew/0000-0001-7072-538X; Jarrett, Jeffery/0000-0001-5755-3552 NR 22 TC 7 Z9 7 U1 1 U2 1 PU SLACK INC PI THOROFARE PA 6900 GROVE RD, THOROFARE, NJ 08086 USA SN 0899-823X J9 INFECT CONT HOSP EP JI Infect. Control Hosp. Epidemiol. PD MAR PY 2004 VL 25 IS 3 BP 256 EP 261 DI 10.1086/502387 PG 6 WC Public, Environmental & Occupational Health; Infectious Diseases SC Public, Environmental & Occupational Health; Infectious Diseases GA 803BD UT WOS:000220205700015 PM 15061419 ER PT J AU Trick, WE Vernon, MO Welbel, SF Wisniewski, MF Jernigan, JA Weinstein, RA AF Trick, WE Vernon, MO Welbel, SF Wisniewski, MF Jernigan, JA Weinstein, RA TI Unnecessary use of central venous catheters: The need to look outside the intensive care unit SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY LA English DT Article ID INFECTIONS; EDUCATION AB We developed criteria for justifiable CVC use and evaluated CVC use in a public hospital. Unjustified CVC-days were more common for non-ICU patients compared with ICU patients. Also, insertion-site dressings were less likely to be intact on non-ICU patients. Interventions to reduce CVC-associated bloodstream infections should include non-ICU patients (Infect Control Hosp Epidemiol 2004;25:266-268). C1 Stroger Hosp Cook Cty, Collaborat Res Unit, Chicago, IL 60612 USA. Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA USA. Cook Cty Hosp, Chicago, IL 60612 USA. Chicago Antimicrobial Resistance Project, Chicago, IL USA. Rush Med Coll, Chicago, IL 60612 USA. RP Trick, WE (reprint author), Stroger Hosp Cook Cty, Collaborat Res Unit, 1900 W Polk St,Suite 1600, Chicago, IL 60612 USA. FU ODCDC CDC HHS [U50/CCU515853-03] NR 8 TC 42 Z9 43 U1 0 U2 1 PU SLACK INC PI THOROFARE PA 6900 GROVE RD, THOROFARE, NJ 08086 USA SN 0899-823X J9 INFECT CONT HOSP EP JI Infect. Control Hosp. Epidemiol. PD MAR PY 2004 VL 25 IS 3 BP 266 EP 268 DI 10.1086/502390 PG 3 WC Public, Environmental & Occupational Health; Infectious Diseases SC Public, Environmental & Occupational Health; Infectious Diseases GA 803BD UT WOS:000220205700018 PM 15061422 ER PT J AU Fundyga, RE Kuykendall, RJ Lee-Yang, W Lott, TJ AF Fundyga, Ruth E. Kuykendall, Randall J. Lee-Yang, Wendy Lott, Timothy J. TI Evidence for aneuploidy and recombination in the human commensal yeast Candida parapsilosis SO INFECTION GENETICS AND EVOLUTION LA English DT Article DE Candida parapsilosis; Aneuploidy; Recombination; Genetics AB Isolates of Candida parapsilosis, including representatives of the three major sub-species groups, were screened for single nucleotide polymorphisms (SNPs) by sequencing five independent loci totaling 4 kb per isolate. Group I isolates were highly conserved and in some cases, group I alleles were found in group II and III strains. Unique alleles were also associated with groups II and III, consistent with earlier observations of intergroup divergence. There was no heterozygosity in any strain, and a FACS analysis demonstrated that for all three groups nuclei are variant in size, ranging from 0.5 to 1.0x the size of other diploid yeast genomes. This suggests that natural isolates of C. parapsilosis are aneuploid, with some isolates being essentially haploid. Taken collectively with the observation of group I alleles within group II and III strains, we propose that some form of recombination is occurring between groups. Published by Elsevier B. V. C1 [Fundyga, Ruth E.; Kuykendall, Randall J.; Lee-Yang, Wendy; Lott, Timothy J.] Ctr Dis Control & Prevent, Mycot Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Lott, TJ (reprint author), 1600 Clifton Rd,Mailstop G-11, Atlanta, GA 30333 USA. EM tjl1@cdc.gov FU American Society for Microbiology/National Center for Infectious Diseases FX thank Sue Jinks-Robinson and Paul Lehmann for yeast strains. This work was supported in part through an American Society for Microbiology/National Center for Infectious Diseases postdoctoral associateship awarded to R.E.F. NR 34 TC 26 Z9 28 U1 0 U2 1 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 1567-1348 EI 1567-7257 J9 INFECT GENET EVOL JI Infect. Genet. Evol. PD MAR PY 2004 VL 4 IS 1 BP 37 EP 43 DI 10.1016/j.meegid.2003.11.002 PG 7 WC Infectious Diseases SC Infectious Diseases GA V30OS UT WOS:000208825900006 PM 15019588 ER PT J AU Hughes, GJ Paez, A Boshell, J Rupprecht, CE AF Hughes, Gareth J. Paez, Andres Boshell, Jorge Rupprecht, Charles E. TI A phylogenetic reconstruction of the epidemiological history of canine rabies virus variants in Colombia SO INFECTION GENETICS AND EVOLUTION LA English DT Article DE Rabies; Epidemiology; Population dynamics; Evolution; Phylogenetics; Colombia AB Historically, canine rabies in Colombia has been caused by two geographically distinct canine variants of rabies virus (RV) which between 1992 and 2002 accounted for similar to 95% of Colombian rabies cases. Genetic variant 1 (GV1) has been isolated up until 1997 in the Central Region and the Department of Arauca, and is now considered extinct through a successful vaccination program. Genetic variant 2 (GV2) has been isolated from the northern Caribbean Region and continues to circulate at present. Here we have analyzed two sets of sequence data based upon either a 147 nucleotide region of the glycoprotein (G) gene or a 258 nucleotide region that combines a fragment of the non-coding intergenic region and a fragment of the polymerase gene. Using both maximum likelihood (ML) and Markov chain Monte Carlo (MCMC) methods we have estimated the time of the most recent common ancestor (MRCA) of the two variants to be between 1983 and 1988. Reconstructions of the population history suggest that GV2 has been circulating in Colombia since the 1960s and that GV1 evolved as a separate lineage from GV2. Estimations of the effective population size at present show the GV2 outbreak to be similar to 20 times greater than that of GV1. Demographic reconstructions were unable to detect a decrease in population size concurrent with the elimination of GV1. We find a raised rate of nucleotide substitution for GV1 gene sequences when compared to that of GV2, although all estimates have wide confidence limits. We demonstrate that phylogenetic reconstructions and sequence analysis can be used to support incidence data from the field in the assessment of RV epidemiology. (C) 2003 Elsevier B. V. All rights reserved. C1 [Hughes, Gareth J.; Rupprecht, Charles E.] Ctr Dis Control & Prevent, Rabies Sect, Atlanta, GA 30333 USA. [Paez, Andres; Boshell, Jorge] INS, Virol Lab, Bogota, Colombia. RP Rupprecht, CE (reprint author), Ctr Dis Control & Prevent, Rabies Sect, 1600 Clifton Rd,Mail Stop G33, Atlanta, GA 30333 USA. EM cyr5@cdc.gov OI PAEZ MARTINEZ, ANDRES/0000-0001-7316-3706 FU American Society for Microbiology/National Center for Infectious Disease; Colombian Ministry of Health [689/99]; Banco de al Republica de Colombia [200005] FX We thank Jaime Cardenas for information regarding vaccination programs in Colombia, Andrew Rambaut for his invaluable guidance in the use of the sequence analysis programs, and Dan Haydon for commenting on this manuscript. G.J.H. was funded by an American Society for Microbiology/National Center for Infectious Disease post-doctoral fellowship. A.P. was funded by the Colombian Ministry of Health (contract 689/99) and Banco de al Republica de Colombia (contract 200005). NR 24 TC 25 Z9 26 U1 0 U2 0 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 1567-1348 EI 1567-7257 J9 INFECT GENET EVOL JI Infect. Genet. Evol. PD MAR PY 2004 VL 4 IS 1 BP 45 EP 51 DI 10.1016/j.meegid.2003.12.001 PG 7 WC Infectious Diseases SC Infectious Diseases GA V30OS UT WOS:000208825900007 PM 15019589 ER PT J AU Jones, AL Brown, JM Mishra, V Perry, JD Steigerwalt, AG Goodfellow, M AF Jones, AL Brown, JM Mishra, V Perry, JD Steigerwalt, AG Goodfellow, M TI Rhodococcus gordoniae sp nov., an actinomycete isolated from clinical material and phenol-contaminated soil SO INTERNATIONAL JOURNAL OF SYSTEMATIC AND EVOLUTIONARY MICROBIOLOGY LA English DT Article ID THIN-LAYER CHROMATOGRAPHY; IDENTIFICATION; NOCARDIA; EQUI; EXTRACTION; BACTERIA AB The taxonomic relationships of two actinomycetes provisionally assigned to the genus Rhodococcus were determined using a polyphasic taxonomic approach. The generic assignment was confirmed by 16S rRNA gene similarity data, as the organisms, strains MTCC 1534 and W 4937(T), were shown to belong to the Rhodococcus rhodochrous subclade. These organisms had phenotypic properties typical of rhodococci; they were aerobic, Gram-positive, weakly acid-fast actinomycetes that showed an elementary branching-rod-coccus growth cycle and contained meso-diaminopimelic acid, arabinose and galactose in whole-organism hydrolysates, N-glycolated muramic acid residues, dehydrogenated menaquinones with eight isoprene units as the predominant isoprenologue and mycolic acids that co-migrated with those extracted from the type strain of R. rhodochrous. The strains had identical phenotypic profiles and belong to the same genomic species, albeit one distinguished from Rhodococcus pyridinivorans, with which they formed a distinct phyletic line. They were also distinguished from representatives of all of the species classified in the R. rhodochrous 16S rRNA gene tree using a set of phenotypic features. The genotypic and phenotypic data show that the strains merit recognition as a novel species of Rhodococcus. The name proposed is Rhodococcus gordoniae sp. nov., with the type strain W 4937(T) (= DSM 44689(T) = NCTC 13296(T)). C1 Univ Newcastle Upon Tyne, Sch Biol, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England. Freeman Rd Hosp, Dept Microbiol, Newcastle Upon Tyne NE7 7DN, Tyne & Wear, England. Natl Ctr Infect Dis, Meningitis & Special Pathogens Branch, Div Bacterials, Atlanta, GA 30333 USA. Natl Ctr Infect Dis, Mycot Dis Branch, Div AIDS STD, Atlanta, GA 30333 USA. Natl Ctr Infect Dis, TB Lab, Atlanta, GA 30333 USA. Ohio State Univ, Columbus, OH 43210 USA. RP Jones, AL (reprint author), Univ Newcastle Upon Tyne, Sch Biol, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England. EM A.L.Jones@ncl.ac.uk OI Jones, Amanda/0000-0003-2170-6291 NR 36 TC 16 Z9 17 U1 1 U2 7 PU SOC GENERAL MICROBIOLOGY PI READING PA MARLBOROUGH HOUSE, BASINGSTOKE RD, SPENCERS WOODS, READING RG7 1AG, BERKS, ENGLAND SN 1466-5026 J9 INT J SYST EVOL MICR JI Int. J. Syst. Evol. Microbiol. PD MAR PY 2004 VL 54 BP 407 EP 411 DI 10.1099/ijs.0.02756-0 PN 2 PG 5 WC Microbiology SC Microbiology GA 807DA UT WOS:000220481000015 PM 15023952 ER PT J AU Marais, BJ Gie, RP Schaaf, HS Hesseling, AC Obihara, CC Nelson, LJ Enarson, DA Donald, PR Beyers, N AF Marais, BJ Gie, RP Schaaf, HS Hesseling, AC Obihara, CC Nelson, LJ Enarson, DA Donald, PR Beyers, N TI The clinical epidemiology of childhood pulmonary tuberculosis: a critical review of literature from the pre-chemotherapy era SO INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE LA English DT Article DE review; pre-chemotherapy; epidemiology; childhood pulmonary tuberculosis AB The pre-chemotherapy literature represents an impressive body of evidence that clarifies important epidemiological concepts in childhood tuberculosis. Reports describe the major transitions in tuberculosis, from exposure to infection and from infection to disease (morbidity and mortality), without the influence of chemotherapy. Children with household exposure to a sputum smear-positive source case experienced the greatest risk of becoming infected and of developing subsequent disease. Household exposure to a sputum smear-negative source case or non-household exposure still posed an appreciable, although greatly reduced, risk. Infection in children less than 2 years of age indicated a probable household source case. The majority of older children who were infected did not have a household source identified, and presumably became infected in the community. The annual risk of infection (ARI) was not constant across all ages, but seemed to increase during periods of widening social contact. Infants and adolescents were the groups at highest risk for disease development and death following primary infection. C1 Univ Stellenbosch, Fac Hlth Sci, Dept Paediat & Child Hlth, Ctr TB Res & Educ, ZA-7505 Tygerberg, South Africa. Tygerberg Childrens Hosp, Dept Paediat & Child Hlth, Cape Town, South Africa. Tygerberg Childrens Hosp, Ctr TB Res & Educ, Cape Town, South Africa. Ctr Dis Control & Prevent, Atlanta, GA USA. Int Union TB & Lung Dis, Paris, France. RP Marais, BJ (reprint author), Univ Stellenbosch, Fac Hlth Sci, Dept Paediat & Child Hlth, Ctr TB Res & Educ, POB 19063, ZA-7505 Tygerberg, South Africa. EM bjmarais@sun.ac.za NR 12 TC 103 Z9 106 U1 0 U2 0 PU INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D) PI PARIS PA 68 BOULEVARD SAINT-MICHEL,, 75006 PARIS, FRANCE SN 1027-3719 J9 INT J TUBERC LUNG D JI Int. J. Tuberc. Lung Dis. PD MAR PY 2004 VL 8 IS 3 BP 278 EP 285 PG 8 WC Infectious Diseases; Respiratory System SC Infectious Diseases; Respiratory System GA 817FZ UT WOS:000221164700003 PM 15139465 ER PT J AU Cegielski, JP McMurray, DN AF Cegielski, JP McMurray, DN TI The relationship between malnutrition and tuberculosis: evidence from studies in humans and experimental animals SO INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE LA English DT Review DE tuberculosis; nutrition; human; guinea pig ID EXPERIMENTAL PULMONARY TUBERCULOSIS; EXPERIMENTAL AIRBORNE TUBERCULOSIS; VIRULENT MYCOBACTERIUM-TUBERCULOSIS; PROTEIN-ENERGY MALNUTRITION; HOST-PARASITE RELATIONSHIPS; MALNOURISHED GUINEA-PIGS; T-CELL SUBSETS; IMMUNE-RESPONSES; BCG VACCINATION; ALVEOLAR MACROPHAGES AB The oral traditions of medicine and public health have it that malnutrition is an important risk factor for the development of tuberculosis (TB). Malnutrition profoundly affects cell-mediated immunity (CMI), and CMI is the principle host defense against TB. It makes biological sense. Although most health professionals readily accept this principle, much of this belief is based on uncontrolled observations such as disaster situations or on backwards logic from the cachexia common among TB patients. In fact, the evidence in humans is surprisingly thin from the perspective of scientific rigor. And few data, if any, quantify the extent of the relative or attributable risk of TB due to malnutrition. Moreover, until recently, data from experimental animals were based on animal models that were largely not relevant to human TB infection and disease. This article reviews the scientific data supporting the contention that malnutrition is an important risk factor for TB concentrating on observations in humans and on experimental animal studies based on a highly relevant animal model. If it is true, malnutrition may account for a greater population attributable risk of TB than HIV infection, and certainly a much more correctable one. C1 Johns Hopkins Univ, Dept Epidemiol, Baltimore, MD USA. Univ N Carolina, Dept Epidemiol, Chapel Hill, NC USA. Texas A&M Univ, Dept Med Microbiol & Immunol, College Stn, TX USA. RP Cegielski, JP (reprint author), Ctr Dis Control & Prevent, TB Dept, Mailstop E-10,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM gzc2@cdc.gov NR 112 TC 200 Z9 207 U1 3 U2 20 PU INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D) PI PARIS PA 68 BOULEVARD SAINT-MICHEL,, 75006 PARIS, FRANCE SN 1027-3719 J9 INT J TUBERC LUNG D JI Int. J. Tuberc. Lung Dis. PD MAR PY 2004 VL 8 IS 3 BP 286 EP 298 PG 13 WC Infectious Diseases; Respiratory System SC Infectious Diseases; Respiratory System GA 817FZ UT WOS:000221164700004 PM 15139466 ER PT J AU Santelli, JS Kaiser, J Hirsch, L Radosh, A Simkin, L Middlestadt, S AF Santelli, JS Kaiser, J Hirsch, L Radosh, A Simkin, L Middlestadt, S TI Initiation of sexual intercourse among middle school adolescents: The influence of psychosocial factors SO JOURNAL OF ADOLESCENT HEALTH LA English DT Article DE abstinence; adolescence; drug and alcohol use; initiation of sexual intercourse; peer norms; psychosocial factors; risk behaviors ID TRANSMITTED DISEASES; MULTILEVEL MODELS; RISK; BEHAVIOR; HEALTH; NORMS AB Purpose: To explore potential psychosocial predictors for initiation of sexual intercourse among middle-school, inner-city youth, using longitudinal data from the Healthy and Alive! project. Methods: We conducted hierarchical, logistic regression with adjustment for intraclass correlation over two sequential periods, including seventh and eighth grades (N = 3163), to assess the independent influence of psychosocial and demographic factors. Internally reliable scales to assess psychosocial influences were created, based on major theories of behavior. The sample was 52% female, 51% black, 30% Hispanic, 9% white, and 3% Asian. At baseline, 13% of girls and 39% of boys reported already having initiated sexual intercourse. Results: Personal and perceived peer norms about refraining from sex were a strong and consistent protective factor. Alcohol and other drug use, poor academic performance, male gender, and black race were consistent risk factors. Self-efficacy showed a mixed effect: protective in the seventh grade but increasing risk in the eighth grade. Speaking a language other than English was a protective factor in seventh grade. Both psychosocial and demographic factors provided independent explanatory power. Conclusions: Psychosocial factors, particularly norms about having sex, influence initiation of sexual intercourse. These data suggest that programs to delay initiation of sexual intercourse should reinforce norms about refraining from sex. (C) Society for Adolescent Medicine, 2004. C1 Ctr Dis Control & Prevent, Appl Sci Branch, DRH, Atlanta, GA 30341 USA. Acad Educ Dev, Washington, DC USA. US Dept Treasury, Washington, DC 20226 USA. RP Santelli, JS (reprint author), Ctr Dis Control & Prevent, Appl Sci Branch, DRH, 4770 Buford Highway,Mailstop K22, Atlanta, GA 30341 USA. EM jsantelli@cdc.gov NR 30 TC 107 Z9 108 U1 0 U2 13 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 1054-139X J9 J ADOLESCENT HEALTH JI J. Adolesc. Health PD MAR PY 2004 VL 34 IS 3 BP 200 EP 208 DI 10.1016/j.jadohealth.2003.06.004 PG 9 WC Psychology, Developmental; Public, Environmental & Occupational Health; Pediatrics SC Psychology; Public, Environmental & Occupational Health; Pediatrics GA 776MB UT WOS:000189118800009 PM 14967343 ER PT J AU Niccolai, LM Ethier, KA Kershaw, TS Lewis, JB Meade, CS Ickovics, JR AF Niccolai, LM Ethier, KA Kershaw, TS Lewis, JB Meade, CS Ickovics, JR TI New sex partner acquisition and sexually transmitted disease risk among adolescent females SO JOURNAL OF ADOLESCENT HEALTH LA English DT Article DE adolescents; new sex partners; sexually transmitted diseases ID LIGASE CHAIN-REACTION; CONDOM USE; NEISSERIA-GONORRHOEAE; CHLAMYDIA-TRACHOMATIS; YOUNG-ADULTS; PREVALENCE; BEHAVIOR; TRANSMISSION; SPECIMENS; WOMEN AB Purpose: To determine the association between new sex partner acquisition and incident STDs, to describe predictors of acquiring a new sex partner, and to compare new and established sex partnerships among adolescent females. Methods: Interview data and biological specimens for STD testing were collected from a sample of 411 adolescent females (average age 17.3 years, 44% black and 42% Hispanic) enrolled in a longitudinal study. The relationship between having a new sex partner and incident STD infection was estimated with logistic regression. Results: Acquisition of a new sex partner during the 12-month follow-up period was common (24%) and significantly associated with an incident STD infection (OR = 3.0, 95% CI = 1.6-5.7). Predictors of new partner acquisition were younger age, younger age at first intercourse, and alcohol or drug use before sex in past 30 days. Being in a new partnership was significantly associated with greater uncertainty about the partners' STD history and recent sex with others. Conclusions: Being in a new sex partnership is an important predictor of incident STD infection. Awareness of this risk can help clinicians identify individuals who are more likely to get STDs and therefore target STD testing and appropriate prevention messages. (C) Society for Adolescent Medicine, 2004. C1 Yale Univ, Dept Epidemiol & Publ Hlth, Ctr Interdisciplinary Res AIDS, New Haven, CT 06520 USA. Yale Univ, Dept Psychol, New Haven, CT 06520 USA. Ctr Dis Control & Prevent, Behav Intervent & Res Branch, Div Sexually Transmitted Dis Prevent, Atlanta, GA USA. RP Niccolai, LM (reprint author), Yale Univ, Dept Epidemiol & Publ Hlth, Ctr Interdisciplinary Res AIDS, POB 208034,60 Coll St, New Haven, CT 06520 USA. EM linda.niccolai@yale.edu FU NIMH NIH HHS [MH20031-02, P01 MH /DA56826-01A1] NR 21 TC 34 Z9 34 U1 0 U2 4 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 1054-139X J9 J ADOLESCENT HEALTH JI J. Adolesc. Health PD MAR PY 2004 VL 34 IS 3 BP 216 EP 223 DI 10.1016/S1054-139X(03)00250-7 PG 8 WC Psychology, Developmental; Public, Environmental & Occupational Health; Pediatrics SC Psychology; Public, Environmental & Occupational Health; Pediatrics GA 776MB UT WOS:000189118800011 PM 14967345 ER PT J AU Bohlke, K Davis, RL DeStefano, F Marcy, SM Braun, MM Thompson, RS AF Bohlke, K Davis, RL DeStefano, F Marcy, SM Braun, MM Thompson, RS CA Vaccine Safety Datalink Team TI Epidemiology of anaphylaxis among children and adolescents enrolled in a health maintenance organization SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY LA English DT Article DE anaphylaxis; children; adolescents; epidemiology ID VACCINE SAFETY DATALINK; EMERGENCY; TREND AB Background: There is little information about the incidence of anaphylaxis from all causes. Objective: The objects of this study were (1) to estimate the incidence of anaphylaxis; (2) to explore the range of diagnoses attributed to an anaphylactic episode; and (3) to describe the clinical features of anaphylaxis. Methods: The study population consisted of children and adolescents enrolled at a health maintenance organization. We identified potential episodes of anaphylaxis occurring between 1991 and 1997 from automated databases and reviewed the medical record to confirm the diagnosis. We reviewed all diagnoses specific for anaphylaxis (eg, ICD-9 995.0, anaphylactic shock) and sampled from among other related diagnoses (eg, ICD-9 995.3, allergy unspecified). Estimation of the incidence of provider-diagnosed anaphylaxis was based on cases confirmed from among the specific diagnosis codes. Description of the clinical features of anaphylaxis involved all confirmed cases regardless of diagnosis. Results: We identified 67 episodes of anaphylaxis among children with diagnosis codes specific for anaphylaxis (10.5 episodes per 100,000 person-years). There was no increase in incidence over time. Review of samples of diagnoses not specific for anaphylaxis yielded an additional 18 episodes. Among all identified episodes (n = 85), mucocutaneous and respiratory manifestations were the most common. Seventy-one percent of episodes were treated in the emergency department. Nine episodes (11%) resulted in hospitalization. Conclusions: The incidence of anaphylaxis did not increase during these years. A majority of episodes were treated in the emergency department. Anaphylaxis in this population was frequently diagnosed as another related condition, and the basis and implications of diagnostic practices in this disorder warrant further exploration. C1 Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, Seattle, WA 98101 USA. Grp Hlth Cooperat Puget Sound, Dept Prevent Care, Seattle, WA 98101 USA. US FDA, Div Epidemiol, Off Biostat & Epidemiol, Ctr Biol Evaluat & Res, Rockville, MD 20857 USA. Kaiser Fdn Hosp, Panorama City, CA USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. Univ Washington, Sch Med, Dept Epidemiol, Seattle, WA USA. Univ Washington, Sch Med, Dept Pediat, Seattle, WA 98195 USA. Univ Washington, Sch Publ Hlth, Seattle, WA 98195 USA. RP Bohlke, K (reprint author), Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, 1730 Minor Ave,Suite 1600, Seattle, WA 98101 USA. FU PHS HHS [200-0957] NR 22 TC 162 Z9 168 U1 0 U2 2 PU MOSBY, INC PI ST LOUIS PA 11830 WESTLINE INDUSTRIAL DR, ST LOUIS, MO 63146-3318 USA SN 0091-6749 J9 J ALLERGY CLIN IMMUN JI J. Allergy Clin. Immunol. PD MAR PY 2004 VL 113 IS 3 BP 536 EP 542 DI 10.1016/j.jaci.2003.11.033 PG 7 WC Allergy; Immunology SC Allergy; Immunology GA 802DM UT WOS:000220144200028 PM 15007358 ER PT J AU Duty, SM Calafat, AM Silva, MJ Brock, JW Ryan, L Chen, ZY Overstreet, J Hauser, R AF Duty, SM Calafat, AM Silva, MJ Brock, JW Ryan, L Chen, ZY Overstreet, J Hauser, R TI The relationship between environmental exposure to phthalates and computer-aided sperm analysis motion parameters SO JOURNAL OF ANDROLOGY LA English DT Article DE environment; epidemiology; human phthalate ID ASSISTED SEMEN ANALYSIS; QUANTITATIVE DETECTION; ALPHA-CHLOROHYDRIN; HUMAN SPERMATOZOA; PREDICTIVE VALUE; ADULT-RATS; QUALITY; MEN; METABOLITES; FERTILITY AB The general population is exposed to phthalates through consumer products, diet, and medical devices. The present study explored whether phthalates, reproductive toxins in laboratory animals, were associated with altered sperm movement characteristics in men. Two-hundred twenty subjects provided a semen sample for computer-aided sperm analysis (CASA) and a urine sample for measurement of phthalate monoesters, monoethyl (MEP), monobenzyl (MBzP), mono-n-butyl (MBIP), mono-2-ethylhexyl (MEHP), and monomethyl (MMP). Three CASA parameters, straight-line velocity (VSL), curvilinear velocity (VCL), and linearity (LIN), were used as measures of sperm progression, sperm vigor, and swimming pattern, respectively. There were suggestive dose-response relationships (shown as the predicted change in mean sperm motion parameter for the second and third tertiles compared with the first tertile; P value for trend) for MBzP with VSL (-2.36 mum/s, -2.81 mum/s; P = .09) and VCL (-1.67 mum/s, -2.45 mum/s; P =.4). There were suggestive negative associations between MBP and VSL (-3.07 mum/s, -2.87 mum/ s; P = .08) and VCL (-3.25 mum/s; -3.46 mum/s; P = .2), and between MEHP with VSL (-1.09 mum/s, -2.73 mum/s; P = .1) and VCL (-0.29 mum/s, -2.93 mum/s; P = .3). In contrast to the other phthalates, MEP was positively associated with VSL and VCL but negatively associated with LIN. No consistent relationship was found for MMP and any sperm motion parameter. Although we did not find statistically significant associations, trends between CASA parameters, sperm velocity, and forward progression, and increased urinary levels of MBP, MBzP, and MEHP warrant further follow-up. C1 Harvard Univ, Sch Publ Hlth, Dept Environm Hlth, Occupat Hlth Program, Boston, MA 02115 USA. Simmons Coll, Sch Hlth Studies, Nursing Programs, Boston, MA 02115 USA. Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA USA. Harvard Univ, Sch Publ Hlth, Dept Biostat, Boston, MA 02115 USA. Dana Farber Canc Inst, Dept Biostat Sci, Boston, MA 02115 USA. Massachusetts Gen Hosp, Vincent Mem Obstet & Gynecol Serv Androl Lab, Boston, MA 02114 USA. Massachusetts Gen Hosp, In Vitro Fertilizat Unit, Boston, MA 02114 USA. Univ Calif Davis, Sch Med, Dept Obstet & Gynecol, Div Reprod Biol & Med, Davis, CA 95616 USA. RP Hauser, R (reprint author), Harvard Univ, Sch Publ Hlth, Dept Environm Hlth, Occupat Hlth Program, Bldg 1,Room 1405,665 Huntington Ave, Boston, MA 02115 USA. RI Ryan, Louise/A-4562-2009 OI Ryan, Louise/0000-0001-5957-2490 FU NIEHS NIH HHS [T32 ES07069, ES09718, ES00002] NR 47 TC 78 Z9 82 U1 4 U2 10 PU AMER SOC ANDROLOGY, INC PI LAWRENCE PA C/O ALLEN PRESS, INC PO BOX 368, LAWRENCE, KS 66044 USA SN 0196-3635 J9 J ANDROL JI J. Androl. PD MAR-APR PY 2004 VL 25 IS 2 BP 293 EP 302 PG 10 WC Andrology SC Endocrinology & Metabolism GA 780LM UT WOS:000189382200020 PM 14760016 ER PT J AU Lowe, BD Schrader, SM Breitenstein, MJ AF Lowe, BD Schrader, SM Breitenstein, MJ TI Perineal pressure associated with bicycle saddle designs SO JOURNAL OF ANDROLOGY LA English DT Meeting Abstract CT 29th Annual Meeting of the American-Society-of-Andrology (ASA 2004) CY APR 17-20, 2004 CL Baltimore, MD SP Amer Soc Androl C1 NIOSH, Cincinnati, OH 45226 USA. RI Schrader, Steven/E-8120-2011 NR 0 TC 0 Z9 0 U1 0 U2 0 PU AMER SOC ANDROLOGY, INC PI LAWRENCE PA C/O ALLEN PRESS, INC PO BOX 368, LAWRENCE, KS 66044 USA SN 0196-3635 J9 J ANDROL JI J. Androl. PD MAR-APR PY 2004 SU S MA 172 BP 96 EP 96 PG 1 WC Andrology SC Endocrinology & Metabolism GA 803LE UT WOS:000220231800173 ER PT J AU Carter, M AF Carter, M TI Husband involvement in the treatment of child illness in Guatemala SO JOURNAL OF BIOSOCIAL SCIENCE LA English DT Article ID RURAL GUATEMALA; HEALTH; GENDER; UNDERSTANDINGS; COUNTRIES; COMMUNITY; BEHAVIOR AB The aim of this study is to test prevailing assumptions that Guatemalan men are authoritative or aloof husbands and, in turn, are either problematic or irrelevant to child health. Based on survey data collected in 1994-95 about 959 children, this research examines whether, how and why husbands were involved in recent episodes of young children's illness and sheds light on the potential effect of husband involvement on treatment. A relatively high percentage of women reported that they asked for advice or assistance from their husbands regarding child illness, and, contrary to popular notions, the multivariate analyses suggest that husbands' involvement was not driven by their household authority. Rather, key determinants of whether husbands gave advice or assistance included characteristics of the illness and child and the availability of sources of social support, while key determinants of what kind of support husbands gave (namely whether they gave/bought medicines, recommended a provider visit, or gave other advice or assistance) largely related to characteristics of the illness and child, as well as the availability of biomedical health care providers in the community and ethnicity. C1 Ctr Dis Control & Prevent, NCCDPHP, Div Reprod Hlth, Atlanta, GA 30333 USA. RP Carter, M (reprint author), Ctr Dis Control & Prevent, NCCDPHP, Div Reprod Hlth, Atlanta, GA 30333 USA. FU NICHD NIH HHS [R01 HD31327, P30HD32030] NR 22 TC 3 Z9 3 U1 0 U2 0 PU CAMBRIDGE UNIV PRESS PI NEW YORK PA 40 WEST 20TH ST, NEW YORK, NY 10011-4211 USA SN 0021-9320 J9 J BIOSOC SCI JI J. Biosoc. Sci. PD MAR PY 2004 VL 36 IS 2 BP 189 EP 208 DI 10.1017/S0021932003006199 PG 20 WC Demography; Public, Environmental & Occupational Health; Social Sciences, Biomedical SC Demography; Public, Environmental & Occupational Health; Biomedical Social Sciences GA 805CN UT WOS:000220344500005 PM 15030015 ER PT J AU Thompson, NJ Waterman, MB Sleet, DA AF Thompson, NJ Waterman, MB Sleet, DA TI Using behavioral science to improve fire escape behaviors in response to a smoke alarm SO JOURNAL OF BURN CARE & REHABILITATION LA English DT Article ID FATAL RESIDENTIAL FIRES; INJURY PREVENTION; BURN PREVENTION; PROGRAM; DETECTORS; IMPACT; SKILLS; HEALTH; WOMEN; LIFE AB Although the likelihood of fire-related death in homes with smoke alarms is about one-half that in homes without alarms, alarm effectiveness is limited by behavior. Only 16% of residents of homes with alarms have developed and practiced plans for escape when the alarm sounds. We reviewed literature to identify behavioral constructs that influence smoke alarm use. We then convened experts in the behavioral aspects of smoke alarms who reviewed the constructs and determined that the appropriate areas for behavioral focus were formulating, practicing, and implementing escape plans should an alarm sound. They subsequently identified important behaviors to be addressed by burn-prevention programs and incorporated the constructs into a behavioral model for use in such programs. Finally, we organized the available literature to support this model and make programmatic recommendations. Many gaps remain in behavioral research to improve fire escape planning and practice. Future research must select the target behavior, apply behavioral theories, and distinguish between initiation and maintenance of behaviors associated with planning, practicing, and implementing home fire escape plans. C1 Emory Univ, Rollins Sch Publ Hlth, Div Behav Sci & Hlth Educ, Atlanta, GA 30036 USA. Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, Washington, DC USA. RP Thompson, NJ (reprint author), Emory Univ, Rollins Sch Publ Hlth, Div Behav Sci & Hlth Educ, 1518 Clifton Rd, Atlanta, GA 30036 USA. NR 38 TC 4 Z9 4 U1 3 U2 7 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0273-8481 J9 J BURN CARE REHABIL JI J. Burn Care Rehabil. PD MAR-APR PY 2004 VL 25 IS 2 BP 179 EP 188 DI 10.1097/01.BCR.0000111767.05553.91 PG 10 WC Emergency Medicine; Rehabilitation; Surgery SC Emergency Medicine; Rehabilitation; Surgery GA 800QT UT WOS:000220043500005 PM 15091145 ER PT J AU Paulose-Ram, R Jonas, BS Orwig, D Safran, MA AF Paulose-Ram, R Jonas, BS Orwig, D Safran, MA TI Prescription psychotropic medication use among the US adult population: results from the third National Health and Nutrition Examination Survey, 1988-1994 SO JOURNAL OF CLINICAL EPIDEMIOLOGY LA English DT Article DE psychotropics; antidepressants; anxiolytics; antipsychotics; NHANES III; medication use ID UNITED-STATES ADULTS; DRUG-USE; PRIMARY-CARE; PATTERNS; PREVALENCE; GENDER; COMMUNITY; CONSUMPTION; WOMEN AB Objective: We estimated prescription psychotropic medication use among US adults. Methods: We examined household interview data from the third National Health and Nutrition Examination Survey (1988-1994) for persons 17 years and older (n = 20,050). Study Design and Setting: An estimated 10 million adults (5.5%) reported psychotropic medication use during a 1-month period. The use of anxiolytics, sedatives, and hypnotics (ASH) was most common (3.2%), followed by antidepressants (2.3%), antipsychotics (0.7%), and antimanics (0.1%). Psychotropic medication use was more prevalent among women than men (P < .001), non-Hispanic whites than non-Hispanic blacks (P < .001) and Mexican Americans (P < .001), and older rather than younger age groups (P < .001). Psychotropic medication use was also most common among those below the federal poverty level, those with no high school education, and among insured persons. Only 1% of adults used two or more psychotropic medications monthly. Conclusion: Many adults use psychotropic medications on a monthly basis. ASH users comprised the largest proportion of psychotropic medication users. Patterns of use varied by several socio-demographic factors. (C) 2004 Elsevier Inc. All rights reserved. C1 Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Div Natl Hlth, Hyattsville, MD 20782 USA. Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Nutr Examinat Survey, Hyattsville, MD 20782 USA. Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Off Anal Epidemiol & Hlth Promot, Hyattsville, MD 20782 USA. Univ Maryland, Sch Med, Dept Epidemiol & Prevent Med, Baltimore, MD 21201 USA. Ctr Dis Control & Prevent, Mental Hlth Work Grp, Atlanta, GA 30333 USA. RP Paulose-Ram, R (reprint author), Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Div Natl Hlth, 3311 Toledo Rd, Hyattsville, MD 20782 USA. EM RPaulose@cdc.gov NR 47 TC 52 Z9 52 U1 3 U2 4 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0895-4356 J9 J CLIN EPIDEMIOL JI J. Clin. Epidemiol. PD MAR PY 2004 VL 57 IS 3 BP 309 EP 317 DI 10.1016/j.jclinepi.2003.05.001 PG 9 WC Health Care Sciences & Services; Public, Environmental & Occupational Health SC Health Care Sciences & Services; Public, Environmental & Occupational Health GA 814OH UT WOS:000220983500012 PM 15066692 ER PT J AU Wang, H Erickson, JD Li, Z Berry, RJ AF Wang, H Erickson, JD Li, Z Berry, RJ TI Evaluation of the informed consent process in a Randomized controlled trial in China: The Sino-US NTD Project SO JOURNAL OF CLINICAL ETHICS LA English DT Article; Proceedings Paper CT Conference on the Use of Human Subjects in Research CY OCT 20-22, 2001 CL Kunming, PEOPLES R CHINA ID NEURAL-TUBE DEFECTS; CLINICAL-TRIAL; RESEARCH PARTICIPANTS; DEVELOPING-COUNTRIES; INFORMATION; COMPREHENSION; PREVENTION; KNOWLEDGE; IMPROVES; QUALITY C1 Beijing Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Beijing 100871, Peoples R China. Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, US Dept HHS, Atlanta, GA USA. Beijing Univ, Inst Reprod & Child Hlth, Beijing 100871, Peoples R China. RP Wang, H (reprint author), Beijing Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Beijing 100871, Peoples R China. EM rjberry@cdc.gov OI Berry, Robert/0000-0002-7162-5046 NR 39 TC 9 Z9 10 U1 2 U2 2 PU UNIV PUBLISHING GROUP PI HAGERSTOWN PA 138 W WASHINGTON ST, STE 403-405, HAGERSTOWN, MD 21740 USA SN 1046-7890 J9 J CLIN ETHIC JI J. Clin. Ethics PD SPR PY 2004 VL 15 IS 1 BP 61 EP 75 PG 15 WC Ethics; Social Sciences, Biomedical SC Social Sciences - Other Topics; Biomedical Social Sciences GA 826DI UT WOS:000221809000012 PM 15202360 ER PT J AU Mohamed, AM Bastola, DR Morlock, GP Cooksey, RC Hinrichs, SH AF Mohamed, AM Bastola, DR Morlock, GP Cooksey, RC Hinrichs, SH TI Temperature-mediated Heteroduplex analysis for detection of pncA mutations associated with pyrazinamide resistance and differentiation between mycobacterium tuberculosis and mycobacterium bovis by denaturing high-performance liquid chromatography SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID SHORT-COURSE CHEMOTHERAPY; BACILLE CALMETTE-GUERIN; VERTEBRAL OSTEOMYELITIS; PULMONARY TUBERCULOSIS; TUBERCLE-BACILLI; SUSCEPTIBILITY; GENE; IDENTIFICATION; SENSITIVITY; CHILDREN AB The goal of this study was to apply temperature-mediated heteroduplex analysis using denaturing high-performance liquid chromatography to identify pyrazinamide (PZA) resistance in Mycobacterium tuberculosis isolates and simultaneously differentiate between M. tuberculosis and Mycobacterium bovis. Features that contributed to an optimal assay included the use of two different reference probes for the pncA gene targets from wild-type M. tuberculosis and wild-type M. bovis, optimization of the column temperature, increasing the starting concentration of the elution buffer, and reducing the rate of elution buffer increase (slope). A total of 69 strains were studied, including 48 wild-type M. tuberculosis strains (13 were PZA-resistant strains) and 21 M. bovis strains (8 were BCG strains). In all isolates tested, wild-type M. tuberculosis generated a single-peak pattern when mixed with the M. tuberculosis probe and a double-peak pattern with the M. bovis probe. In contrast, all M. bovis isolates generated a double-peak pattern when mixed with the M. tuberculosis probe and a single-peak pattern with the M. bovis probe. PZA-resistant mutant M. tuberculosis isolates generated characteristic patterns that were easily distinguishable from both wild-type M. tuberculosis and M. bovis isolates. Chromatographic patterns generated by the two reference probes allowed the rapid detection of PZA resistance with the simultaneous ability to distinguish between M. tuberculosis and M. bovis. This approach may allow the detection of drug resistance-associated mutations, with potential application to clinical and epidemiological aspects of tuberculosis control. C1 Univ Nebraska, Med Ctr, Dept Pathol & Microbiol, Nebraska Med Ctr 986495, Omaha, NE 68198 USA. Ctr Dis Control & Prevent, Div AIDS STD & TB Lab Res, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Hinrichs, SH (reprint author), Univ Nebraska, Med Ctr, Dept Pathol & Microbiol, Nebraska Med Ctr 986495, Omaha, NE 68198 USA. EM shinrich@unmc.edu NR 32 TC 17 Z9 23 U1 0 U2 2 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD MAR PY 2004 VL 42 IS 3 BP 1016 EP 1023 DI 10.1128/JCM.42.3.1016-1023.2004 PG 8 WC Microbiology SC Microbiology GA 805OZ UT WOS:000220376900012 PM 15004047 ER PT J AU Milan, SJ Hauge, KA Kurepina, NE Lofy, KH Goldberg, SV Narita, M Nolan, CM McElroy, PD Kreiswirth, BN Cangelosi, GA AF Milan, SJ Hauge, KA Kurepina, NE Lofy, KH Goldberg, SV Narita, M Nolan, CM McElroy, PD Kreiswirth, BN Cangelosi, GA TI Expanded geographical distribution of the N family of Mycobacterium tuberculosis strains within the United States SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID MULTIDRUG-RESISTANT TUBERCULOSIS; W-BEIJING FAMILY; MOLECULAR EPIDEMIOLOGY; EXOGENOUS REINFECTION; GLOBAL DISSEMINATION; IDENTIFICATION; OUTBREAK; CULTURES; GENOTYPE; SPREAD AB The N and W-Beijing families of Mycobacterium tuberculosis are phylogenetically closely related. The ability of the W-Beijing family to rapidly cause widespread disease is well described; however, few outbreaks involving the N family have been reported outside the New York City, N.Y., area. During 2002 to 2003, Seattle, Wash., experienced a rapidly expanding tuberculosis outbreak involving 38 persons in a 23-month period. The outbreak strain, SBRI9, exhibited the genotypic properties of the N family. Its IS6110 restriction fragment length polymorphism pattern was identical or nearly identical to those of two N family strains that were responsible for clusters of tuberculosis cases, including a large nosocomial outbreak, in New York City and New Jersey from 1989 to 1990. It was also identical to strains involved in late 1990s tuberculosis cases in Michigan, Maryland, and Arkansas. Further monitoring of the N family may show that it shares with the W-Beijing family the propensity to spread rapidly, suggesting that this characteristic evolved prior to the divergence of the two genetic lineages. C1 Seattle Biomed Res Inst, Seattle, WA 98107 USA. Seattle King Cty Dept Publ Hlth, Seattle, WA USA. Ctr Dis Control & Prevent, Epidem Intelligence Serv, Epidemiol Program Off, Atlanta, GA USA. Int Ctr Publ Hlth, Publ Hlth Res Inst, Newark, NJ USA. RP Cangelosi, GA (reprint author), Seattle Biomed Res Inst, 4 Nickerson St,Suite 200, Seattle, WA 98107 USA. EM gcang@sbri.org FU NIAID NIH HHS [AI25767] NR 25 TC 22 Z9 24 U1 0 U2 2 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD MAR PY 2004 VL 42 IS 3 BP 1064 EP 1068 DI 10.1128/JCM.42.3.1064-1068.2004 PG 5 WC Microbiology SC Microbiology GA 805OZ UT WOS:000220376900019 PM 15004054 ER PT J AU Fritz, CL Bronson, LR Smith, CR Schriefer, ME Tucker, JR Schwan, TG AF Fritz, CL Bronson, LR Smith, CR Schriefer, ME Tucker, JR Schwan, TG TI Isolation and characterization of Borrelia hermsii associated with two foci of tick-borne relapsing fever in California SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID GLYCEROPHOSPHODIESTER PHOSPHODIESTERASE GLPQ; LYME-DISEASE; SEROLOGICAL DISCRIMINATION; INTERSTATE OUTBREAK; UNITED-STATES; BURGDORFERI; ANTIBODY; PROTEINS AB Relapsing fever, caused by the spirochete Borrelia hermsii and transmitted by the soft tick Ornithodoros hermsi, is endemic in many rural mountainous areas of California. Between 1996 and 1998, 12 cases of relapsing fever associated with two exposure sites in northern California were investigated. Follow-up at exposure sites included collection of soft ticks and serum specimens from sylvatic rodents. Attempts to cultivate spirochetes were made through inoculation of patient blood into mice and by feeding Ornithodoros ticks on mice. Three isolates of B. hermsii were recovered from two blood specimens and one pool of ticks. The protein and plasmid profiles of the three isolates were comparable to those of previous B. hermsii isolates from the western United States. Western immunoblotting of patient sera demonstrated an expanding immunologic response to antigens within four distinct molecular weight regions by 3 to 4 weeks postonset. Antibody to B. hermsii was detected in sera from 4 of 11 yellow-pine chipmunks (Tamias amoenus); no other rodent species collected were seropositive. C1 Calif Dept Hlth Serv, Div Communicable Dis Control, Sacramento, CA 95899 USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Div Vector Borne Infect Dis, Ft Collins, CO USA. NIAID, Rocky Mt Labs, Lab Human Bacterial Pathogenesis, NIH, Hamilton, MT 59840 USA. RP Fritz, CL (reprint author), Calif Dept Hlth Serv, Div Communicable Dis Control, MS 7307,POB 997413, Sacramento, CA 95899 USA. EM cfritz@dhs.ca.gov NR 24 TC 22 Z9 22 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD MAR PY 2004 VL 42 IS 3 BP 1123 EP 1128 DI 10.1128/JCM.42.3.1123-1128.2004 PG 6 WC Microbiology SC Microbiology GA 805OZ UT WOS:000220376900028 PM 15004063 ER PT J AU Hacek, DM Cordell, RL Noskin, GA Peterson, LR AF Hacek, DM Cordell, RL Noskin, GA Peterson, LR TI Computer-assisted surveillance for detecting clonal outbreaks of nosocomial infection SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID SYSTEM; CARE AB Whole-house surveillance for healthcare-associated infection is no longer the recommended practice because of the large personnel time investment required. We developed a computer-based tracking system using microbiologic data as an aid in detecting potential outbreaks of healthcare-associated infections on a hospital-wide basis. Monthly total isolates of 25 clinically significant hospital pathogens were tallied from 1991 to 1998 to form a database for future comparison. Two different algorithm tools (based on increases of organism numbers over baseline) were applied to determine alert thresholds for suspected outbreaks using this information. The first algorithm (2SD) defined an alert as two standard deviations above the mean monthly number of isolates. The second (MI) defined an alert as either a 100% increase from the baseline organism number over 2 months or a greater than or equal to50% increase (compared to baseline) during a three-consecutive-month period. These two methods were compared to standard infection control professional surveillance (ICP) for the detection of clonal outbreaks over 12 months. Overall, a total of seven clonal outbreaks were detected during the 1-year study. Using standard methods, ICP investigated nine suspected outbreaks, four of which were associated with clonal microbes. The 2SD method signaled a suspected outbreak 15 times, of which three were clonal and ICP had detected one. The MI method signaled a suspected outbreak 30 times; four of these were clonal, and ICP had detected one. The sensitivity and specificity values for ICP, 2SD, and MI for detecting clonal outbreaks were 57, 43, and 57% and 17, 83, and 67%, respectively. Statistical methods applied to clinical microbiology laboratory information system data efficiently supplement infection control efforts for outbreak detection. C1 Evanston NW Healthcare, Evanston, IL USA. NW Mem Hosp, Chicago, IL 60611 USA. Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA. Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Hlth Outcomes Branch, Atlanta, GA USA. RP Hacek, DM (reprint author), Evanston Hosp Corp, Dept Pathol & Lab Med, Clin Microbiol Div, Mol Epidemiol Sect,Evanston NW Healthcare, 2650 Ridge Ave, Evanston, IL 60201 USA. EM dhacek@enh.org FU ODCDC CDC HHS [UR8/CCU515081] NR 25 TC 21 Z9 21 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD MAR PY 2004 VL 42 IS 3 BP 1170 EP 1175 DI 10.1128/JCM.42.3.1170-1175.2004 PG 6 WC Microbiology SC Microbiology GA 805OZ UT WOS:000220376900035 PM 15004070 ER PT J AU Carvalho, MDS Steigerwalt, AG Morey, RE Shewmaker, PL Teixeira, LM Facklam, RR AF Carvalho, MDS Steigerwalt, AG Morey, RE Shewmaker, PL Teixeira, LM Facklam, RR TI Characterization of three new enterococcal species, Enterococcus sp nov CDC PNS-E2, Enterococcus sp nov CDC PNS-E3, and Enterococcus sp nov CDC PNS-E3, isolated from human clinical specimens SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID AD-HOC-COMMITTEE; RESISTANT ENTEROCOCCI; DIFFERENTIATION; VILLORUM; FAECIUM AB As a reference laboratory, the Streptococcus Laboratory at the Centers for Disease Control and Prevention (CDC) is frequently asked to confirm the identity of unusual or difficult-to-identify catalase-negative, grampositive cocci. In order to accomplish the precise identification of these microorganisms, we have systematically applied analysis of whole-cell protein profiles (WCPP) and DNA-DNA reassociation experiments, in conjunction with conventional physiological tests. Using this approach, we recently focused on the characterization of three strains resembling the physiological groups I (strain SS-1730), II (strain SS-1729), and IV (strain SS-1728) of enterococcal species. Two strains were isolated from human blood, and one was isolated from human brain tissue. The results of physiological testing were not consistent enough to allow confident inclusion of the strains in any of the known enterococcal species. Resistance to vancomycin was detected in one of the strains (SS-1729). Analysis of WCPP showed unique profiles for each strain, which were not similar to the profiles of any previously described Enterococcus species. 16S ribosomal DNA (rDNA) sequencing results revealed three new taxa within the genus Enterococcus. The results of DNA-DNA relatedness experiments were consistent with the results of WCPP analysis and 16S rDNA sequencing, since the percentages of homology with all 25 known species of Enterococcus were lower than 70%. Overall, the results indicate that these three strains constitute three new species of Enterococcus identified from human clinical sources, including one that harbors the vanA gene. The isolates were provisionally designated Enterococcus sp. nov. CDC Proposed New Species of Enterococcus 1 (CDC PNS-E1), type strain SS-1728(T) (= ATCC BAA-780(T) = CCUG 47860(T)); Enterococcus sp. nov. CDC PNS-E2, type strain SS-1729(T) (= ATCC BAA-781(T) = CCUG 47861(T)); and Enterococcus sp. nov. CDC PNS-E3, type strain SS-1730(T) (= ATCC BAA-782(T) = CCUG 47862(T)). C1 Ctr Dis Control & Prevent, Div Bacterial & Mycot Dis, Atlanta, GA 30333 USA. Fed Univ Rio De Janeiro, Inst Microbiol, BR-21941590 Rio De Janeiro, Brazil. Conselho Nacl Desenvolvimento Cientifico & Tecnol, BR-21941590 Rio De Janeiro, Brazil. RP Facklam, RR (reprint author), Ctr Dis Control & Prevent, Div Bacterial & Mycot Dis, 1600 Clifton Rd,Mail Stop C02, Atlanta, GA 30333 USA. EM rrf2@cdc.gov NR 20 TC 18 Z9 20 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD MAR PY 2004 VL 42 IS 3 BP 1192 EP 1198 DI 10.1128/JCM.42.3.1192-1198.2004 PG 7 WC Microbiology SC Microbiology GA 805OZ UT WOS:000220376900039 ER PT J AU Madison, BM Siddiqi, SH Heifets, L Gross, W Higgins, M Warren, N Thompson, A Morlock, G Ridderhof, JC AF Madison, BM Siddiqi, SH Heifets, L Gross, W Higgins, M Warren, N Thompson, A Morlock, G Ridderhof, JC TI Identification of a Mycobacterium tuberculosis strain with stable, low-level resistance to isoniazid SO JOURNAL OF CLINICAL MICROBIOLOGY LA English DT Article ID CATALASE-PEROXIDASE GENE; MUTATIONS; KATG AB We have identified a potential quality control strain of Mycobacterium tuberculosis to monitor isoniazid susceptibility testing. This strain (strain A) has a stable phenotypic low-level resistance to isoniazid, has a mutation of C (-15) --> T in the inhA promoter region, and gave consistent susceptibility test results in 141 laboratories. C1 CDCP, Div Lab Syst, Publ Hlth Practice Program Off, Atlanta, GA USA. CDCP, Natl Ctr HIV STD & TB Prevent, Atlanta, GA USA. Becton Dickinson Microbiol Syst, Sparks, MD 21152 USA. Natl Jewish Med & Res Ctr, Denver, CO 80206 USA. VA TB Ref Lab, West Haven, CT 06516 USA. Lab Corp Amer, Burlington, NC 27215 USA. RP Madison, BM (reprint author), CDCP, Off Div Lab Syst, Publ Hlth Practice Program, 4770 Buford Highway NE,MS G-25, Atlanta, GA 30341 USA. EM bdm6@cdc.gov NR 7 TC 6 Z9 6 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0095-1137 J9 J CLIN MICROBIOL JI J. Clin. Microbiol. PD MAR PY 2004 VL 42 IS 3 BP 1294 EP 1295 DI 10.1128/JCM.42.3.1294-1295.2004 PG 2 WC Microbiology SC Microbiology GA 805OZ UT WOS:000220376900064 PM 15004099 ER PT J AU Ronzio, CR Pamuk, E Squires, GD AF Ronzio, CR Pamuk, E Squires, GD TI The politics of preventable deaths: local spending, income inequality, and premature mortality in US cities SO JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH LA English DT Article; Proceedings Paper CT Urban Affairs Meeting CY 2003 CL CLEVELAND, OHIO ID UNITED-STATES; PSYCHOSOCIAL ENVIRONMENT; HEALTH; AREAS AB Objective: To examine the association between ( 1) local political party, ( 2) urban policies, measured by spending on local programmes, and ( 3) income inequality with premature mortality in large US cities. Design: Cross sectional ecological study. Outcome measures: All cause death rates and death rates attributable to preventable or immediate causes for people under age 75. Predictor measures: Income inequality, city spending, and social factors. Setting: All central cities in the US with population equal to or greater than 100 000. Results: Income inequality is the most significant social variable associated with preventable or immediate death rates, and the relation is very strong: a unit increase in the Gini coefficient is associated with 37% higher death rates. Spending on police is associated with 23% higher preventable death rates compared with 14% lower death rates in cities with high spending on roads. Conclusions: Cities with high income inequality and poverty are so far unable to reduce their mortality through local expenditures on public goods, regardless of the mayoral party. Longitudinal data are necessary to determine if city spending on social programmes reduces mortality over time. C1 George Washington Univ, Res Ctr 6, Dept Pediat, Childrens Natl Med Ctr, Washington, DC 20010 USA. Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Atlanta, GA USA. George Washington Univ, Dept Sociol, Washington, DC 20052 USA. RP Ronzio, CR (reprint author), George Washington Univ, Res Ctr 6, Dept Pediat, Childrens Natl Med Ctr, Room 6103,111 Michigan Ave NW, Washington, DC 20010 USA. EM cronzio@cnmc.org FU ODCDC CDC HHS [CCCS 900 18A 81 0711] NR 37 TC 23 Z9 25 U1 1 U2 4 PU B M J PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 0143-005X J9 J EPIDEMIOL COMMUN H JI J. Epidemiol. Community Health PD MAR 1 PY 2004 VL 58 IS 3 BP 175 EP 179 DI 10.1136/jech.2003.008672 PG 5 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 774FZ UT WOS:000188970300003 PM 14966226 ER PT J AU Wolfe, MI Mott, JA Voorhees, RE Sewell, CM Paschal, D Wood, CM McKinney, PE Redd, S AF Wolfe, MI Mott, JA Voorhees, RE Sewell, CM Paschal, D Wood, CM McKinney, PE Redd, S TI Assessment of urinary metals following exposure to a large vegetative fire, New Mexico, 2000 SO JOURNAL OF EXPOSURE ANALYSIS AND ENVIRONMENTAL EPIDEMIOLOGY LA English DT Article DE fires; sampling studies; air pollution; smoke; environmental exposure; environmental monitoring AB Introduction: In May 2000, a vegetative. re burned 47,000 acres in northern New Mexico, including 7500 acres of land administered by the Los Alamos National Laboratory. We evaluated potential human exposures from the. re. Methods: We surveyed two populations (firefighters and the general population) in four cities for urine heavy metal concentrations. Reference concentrations were based on the Third National Health and Nutrition Examination Survey( NHANES III). Multivariate linear regression assessed the association of urinary metal concentrations with smoke exposure. We also performed isotopic analysis of uranium and cesium on a subset of specimens. Results: A total of 92 firefighters and 135 nonfirefighters participated. In both populations, urinary nickel, cesium, chromium, and uranium concentrations were greater than expected compared with NHANES III reference values. No values required immediate medical follow-up. Regression analysis demonstrated that for National Guard members, arsenic and cadmium levels were significantly related to smoke exposure, and for firefighters, cesium and arsenic levels were significantly related to exposure; however, only for cesium in National Guard members was this association in the positive direction. Isotopic analysis demonstrated that the cesium and uranium were naturally occurring. Conclusions: Some people had spot urine metal concentrations above nationally derived reference values, and values for some metals were associated with smoke exposure. These associations had little public health or clinical importance. Studies of exposures resulting from vegetative. res are difficult, and careful consideration should be given to the technical and communication processes at the outset of a. re exposure investigation. Recommendations for future investigations include testing as soon as possible during or after a. re, and early clinical consultation with a medical toxicologist. C1 Ctr Dis Control & Prevent, Epidem Intelligence Serv, Epidemiol Program Off, Atlanta, GA 30329 USA. Ctr Dis Control & Prevent, Air Pollut & Resp Hlth Branch, Div Environm Hazards & Hlth Effects, Natl Ctr Environm Hlth, Atlanta, GA 30329 USA. New Mexico Dept Hlth, Santa Fe, NM 87502 USA. Ctr Dis Control & Prevent, Emergency Response & Air Toxicants Branch, Div Sci Lab, Natl Ctr Environm Hlth, Atlanta, GA 30329 USA. Ctr Dis Control & Prevent, Radiat Studies Branch, Div Environm Hazards & Hlth Effects, Natl Ctr Environm Hlth, Atlanta, GA 30329 USA. Univ New Mexico, Hlth Sci Ctr, Dept Emergency Med, Albuquerque, NM 87131 USA. New Mexico Poison Ctr, Albuquerque, NM USA. RP Wolfe, MI (reprint author), Ctr Dis Control & Prevent, Epidem Intelligence Serv, Epidemiol Program Off, 1600 Clifton Rd,MS E-46, Atlanta, GA 30329 USA. EM msw6@cdc.gov NR 14 TC 8 Z9 8 U1 1 U2 3 PU NATURE PUBLISHING GROUP PI NEW YORK PA 345 PARK AVE SOUTH, NEW YORK, NY 10010-1707 USA SN 1053-4245 J9 J EXPO ANAL ENV EPID JI J. Expo. Anal. Environ. Epidemiol. PD MAR PY 2004 VL 14 IS 2 BP 120 EP 128 DI 10.1038/sj.jea.7500299 PG 9 WC Environmental Sciences; Public, Environmental & Occupational Health; Toxicology SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health; Toxicology GA 801XP UT WOS:000220128900002 PM 15014542 ER PT J AU Campagna, D Kathman, SJ Pierson, R Inserra, SG Phifer, BL Middleton, DC Zarus, GM White, MC AF Campagna, D Kathman, SJ Pierson, R Inserra, SG Phifer, BL Middleton, DC Zarus, GM White, MC TI Ambient hydrogen sulfide, total reduced sulfur, and hospital visits for respiratory diseases in northeast Nebraska, 1998-2000 SO JOURNAL OF EXPOSURE ANALYSIS AND ENVIRONMENTAL EPIDEMIOLOGY LA English DT Article DE asthma; respiratory tract diseases; digestive system diseases; air pollution; hydrogen sulfide ID KARELIA AIR-POLLUTION; LOW-LEVEL EXPOSURE; PULP-MILLS; TIME-SERIES; HEALTH; SYMPTOMS; ADMISSIONS; POLLUTANTS; WORKERS; ROTORUA AB This analysis examined associations between total reduced sulfur (TRS) and hydrogen sulfide ( H2S) levels, and hospital visits for respiratory disease among residents of Dakota City and South Sioux City, Nebraska, from January 1998 to May 2000. For reference, the association between TRS, H2S, and digestive diseases was also examined. Time-series analyses of daily hospital visits in the selected outcome categories and measures of TRS and H2S were performed using generalized additive models with a Poisson link. TRS and H2S levels were categorized as high if at least one of the daily 30-min rolling averages was greater than or equal to30 ppb and as low if every rolling average was <30 ppb. Loess smoothers allowed for flexible modeling of the time effect and the effect of temperature and relative humidity. The measure of association used was the mean percent change in the average number of hospital visits recorded following a day with a high exposure versus a day with a low exposure. For children less than 18 years of age, a positive association was found between asthma hospital visits and 1-day lagged TRS levels. For adults, a positive association was found between asthma hospital visits and H2S levels on the previous day. A positive association also was found between hospital visits for all respiratory diseases, and H2S and TRS levels on the previous day for children but not for adults. No association was found between contaminant levels and hospital visits for all digestive diseases. These findings suggest that TRS or H2S levels may be associated with exacerbations of asthma or other respiratory diseases among the residents of Dakota City and South Sioux City. C1 Agcy Tox Subst & Dis Registry, Hlth Invest Branch, Div Hlth Studies, Atlanta, GA 30333 USA. Lockheed Martin Corp, REAC AirGrp, Edison, NJ 08837 USA. Agcy Tox Subst & Dis Registry, Exposure Invest Branch, Div Hlth Assessment & Consultat, Atlanta, GA 30333 USA. RP Inserra, SG (reprint author), Agcy Tox Subst & Dis Registry, Hlth Invest Branch, Div Hlth Studies, 1600 Clifton Rd,NE,MS E-31, Atlanta, GA 30333 USA. EM sai0@cdc.gov RI White, Mary /C-9242-2012 OI White, Mary /0000-0002-9826-3962 NR 32 TC 41 Z9 43 U1 0 U2 9 PU NATURE PUBLISHING GROUP PI NEW YORK PA 345 PARK AVE SOUTH, NEW YORK, NY 10010-1707 USA SN 1053-4245 J9 J EXPO ANAL ENV EPID JI J. Expo. Anal. Environ. Epidemiol. PD MAR PY 2004 VL 14 IS 2 BP 180 EP 187 DI 10.1038/sj.jea.7500313 PG 8 WC Environmental Sciences; Public, Environmental & Occupational Health; Toxicology SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health; Toxicology GA 801XP UT WOS:000220128900009 PM 15014549 ER PT J AU Tinsley, BJ Lees, NB Sumartojo, E AF Tinsley, BJ Lees, NB Sumartojo, E TI Child and adolescent HIV risk: Familial and cultural perspectives SO JOURNAL OF FAMILY PSYCHOLOGY LA English DT Review ID AFRICAN-AMERICAN ADOLESCENTS; RANDOMIZED CONTROLLED-TRIAL; PARENT-TEEN COMMUNICATION; SEXUAL-BEHAVIOR; PREVENTION PROGRAM; CONDOM USE; SAFER SEX; MULTISYSTEM PERSPECTIVE; REDUCTION INTERVENTIONS; YOUNGER SISTERS AB The authors' goal is to review and integrate theory and research focused on the impact of the family, within a cultural perspective, on HIV prevention in childhood and adolescence. Families' impact on adolescents' HIV risk and prevention is examined through the lens of culture, focusing on the individual adolescent factors and family-level influences that converge to determine adolescents' HIV risk status. Family-based risk and health socialization during childhood and adolescence is theoretically and empirically evaluated, from developmental, cultural, and communication perspectives. The influence of families on adolescents' HIV knowledge, risk, and prevention strategies is explored from a developmental perspective. Finally, a future research agenda, focused on remaining issues that affect the ability to understand and modify HIV risk in adolescence, is outlined. C1 Univ Calif Riverside, Dept Psychol, Riverside, CA 92521 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Tinsley, BJ (reprint author), Univ Calif Riverside, Dept Psychol, 900 Univ Ave, Riverside, CA 92521 USA. EM barbara.tinsley@ucr.edu NR 149 TC 40 Z9 42 U1 1 U2 2 PU AMER PSYCHOLOGICAL ASSOC PI WASHINGTON PA 750 FIRST ST NE, WASHINGTON, DC 20002-4242 USA SN 0893-3200 J9 J FAM PSYCHOL JI J. Fam. Psychol. PD MAR PY 2004 VL 18 IS 1 BP 208 EP 224 DI 10.1037/0893-3200.18.1.208 PG 17 WC Psychology, Clinical; Family Studies SC Psychology; Family Studies GA 800PA UT WOS:000220039000018 PM 14992622 ER PT J AU Peret, TCT Abed, Y Anderson, LJ Erdman, DD Boivin, G AF Peret, TCT Abed, Y Anderson, LJ Erdman, DD Boivin, G TI Sequence polymorphism of the predicted human metapneumovirus G glycoprotein SO JOURNAL OF GENERAL VIROLOGY LA English DT Article ID RESPIRATORY SYNCYTIAL VIRUS; ATTACHMENT PROTEIN; GENETIC DIVERSITY; SUBGROUP-A; GROUP-B; STRAINS; PNEUMOVIRUSES; INFECTIONS; NUCLEOTIDE; CHILDREN AB The putative G glycoprotein genes of 25 human metapneumovirus (hMPV) field isolates obtained during five consecutive epidemic seasons (1997 to 2002) were sequenced. Sequence alignments identified two major genetic groups, designated groups 1 and 2, and two minor genetic clusters within each major group, designated subgroups A and B. Extensive nucleotide and deduced amino acid sequence variability was observed, consisting of high rates of nucleotide substitutions, use of alternative transcription-termination codons and insertions that retained the reading frame. Deduced amino acid sequences showed the greatest variability, with most differences located in the extracellular domain of the protein: nucleotide and amino acid sequence identities for the entire open reading frame ranged from 52 to 58% and 31 to 35 respectively, between the two major groups. Like the closely related avian pneumovirus and human and bovine respiratory syncytial viruses, the predicted G protein of hMPV shared the basic features of a type II mucin-like glycosylated protein. However, differences from these related viruses were also observed, e.g. lack of conserved cysteine clusters as seen in human respiratory syncytial virus and avian pneumovirus. The displacement of genetic groups of hMPV observed during the study period suggests that potential antigenic; differences in the G glycoprotein, which have evolved in response to immune-mediated pressure, may influence the circulation patterns of hMPV strains. C1 Ctr Dis Control & Prevent, Resp & Enter Viruses Branch, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Task Force Child Survival & Dev, Atlanta, GA USA. Univ Laval, Dept Microbiol, Quebec Univ Hosp Ctr, Res Ctr Infect Dis, Quebec City, PQ G1V 4G2, Canada. RP Erdman, DD (reprint author), Ctr Dis Control & Prevent, Resp & Enter Viruses Branch, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. EM dde1@cdc.gov NR 34 TC 49 Z9 56 U1 0 U2 0 PU SOC GENERAL MICROBIOLOGY PI READING PA MARLBOROUGH HOUSE, BASINGSTOKE RD, SPENCERS WOODS, READING RG7 1AG, BERKS, ENGLAND SN 0022-1317 J9 J GEN VIROL JI J. Gen. Virol. PD MAR PY 2004 VL 85 BP 679 EP 686 DI 10.1099/vir.0.19504-0 PN 3 PG 8 WC Biotechnology & Applied Microbiology; Virology SC Biotechnology & Applied Microbiology; Virology GA 802VU UT WOS:000220191800016 PM 14993653 ER PT J AU Halpin, K Bankamp, B Harcourt, BH Bellini, WJ Rota, PA AF Halpin, K Bankamp, B Harcourt, BH Bellini, WJ Rota, PA TI Nipah virus conforms to the rule of six in a minigenome replication assay SO JOURNAL OF GENERAL VIROLOGY LA English DT Article ID HEXAMER GENOME LENGTH; VIRAL-RNA SYNTHESIS; MOLECULAR CHARACTERIZATION; HENDRA VIRUS; C-PROTEIN; V PROTEIN; PARAMYXOVIRUS; RESCUE; GENE; TRANSCRIPTION AB To study the replication of Nipah virus (NiV), a minigenome replication assay that does not require the use of infectious virus was developed. The minigenome was constructed to encode a NiV vRNA analogue containing the gene for chloramphenicol acetyltransferase (CAT) under the control of putative NiV transcription motifs and flanked by the NiV genomic termini. CAT protein was detected only when plasmids encoding the NiV minigenome, nucleocapsid protein (N), phosphoprotein (P) and polymerase protein (L) were transfected into CV1 cells. To determine whether NiV conforms to the rule of six, a series of plasmids; encoding minigenomes that differed in length by a single nucleotide was tested in the replication assay. CAT production was detected only with the minigenome whose length was an even multiple of six. The replication assay was also used to show that the N, P and L proteins of NiV recognize cis-acting sequences in the genomic termini of Hendra virus (HeV) but not measles virus. While these results suggest that NiV uses a replication strategy that is similar to those of other paramyxoviruses, they also support the inclusion of NiV and HeV in a separate genus within the subfamily Paramyxovirinae. C1 Ctr Dis Control & Prevent, Measles Virus Sect, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Rota, PA (reprint author), Ctr Dis Control & Prevent, Measles Virus Sect, Natl Ctr Infect Dis, 1600 Clifton Rd,MS-C22, Atlanta, GA 30333 USA. EM prota@cdc.gov RI Halpin, Kim/G-6203-2012 NR 26 TC 64 Z9 69 U1 0 U2 6 PU SOC GENERAL MICROBIOLOGY PI READING PA MARLBOROUGH HOUSE, BASINGSTOKE RD, SPENCERS WOODS, READING RG7 1AG, BERKS, ENGLAND SN 0022-1317 J9 J GEN VIROL JI J. Gen. Virol. PD MAR PY 2004 VL 85 BP 701 EP 707 DI 10.1099/vir.0.19685-0 PN 3 PG 7 WC Biotechnology & Applied Microbiology; Virology SC Biotechnology & Applied Microbiology; Virology GA 802VU UT WOS:000220191800019 PM 14993656 ER PT J AU Farrelly, MC Pechacek, TF Chaloupka, FJ AF Farrelly, MC Pechacek, TF Chaloupka, FJ TI The impact of tobacco control program expenditures on aggregate cigarette sales: 1981-2000 (vol 22, pg 843, 2003) SO JOURNAL OF HEALTH ECONOMICS LA English DT Correction C1 Ctr Dis Control & Prevent, Off Smoking & Hlth, Atlanta, GA USA. Univ Illinois, Dept Econ, Chicago, IL 60680 USA. RP Farrelly, MC (reprint author), RT1,3040 Cornwallis Rd, Res Triangle Pk, NC 27709 USA. EM mcf@rti.org NR 1 TC 2 Z9 3 U1 2 U2 3 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 0167-6296 J9 J HEALTH ECON JI J. Health Econ. PD MAR PY 2004 VL 23 IS 2 BP 419 EP 419 DI 10.1016/j.jhealeco.2003.09.001 PG 1 WC Economics; Health Care Sciences & Services; Health Policy & Services SC Business & Economics; Health Care Sciences & Services GA 806ZF UT WOS:000220471100012 ER PT J AU Tauxe, RV AF Tauxe, RV TI Salad and pseudoappendicitis: Yersinia pseudotuberculosis as a foodborne pathogen SO JOURNAL OF INFECTIOUS DISEASES LA English DT Editorial Material ID ESCHERICHIA-COLI O157-H7; ICEBERG LETTUCE; SHIGELLA-SONNEI; OUTBREAK; INFECTIONS; IDENTIFICATION; TOMATOES C1 CDC, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Tauxe, RV (reprint author), CDC, Foodborne & Diarrheal Dis Branch, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Bldg 3,Rm B49,MS A-38,1600 Clifton Rd, Atlanta, GA 30333 USA. EM rvt1@cdc.gov NR 27 TC 12 Z9 12 U1 1 U2 5 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 0022-1899 J9 J INFECT DIS JI J. Infect. Dis. PD MAR 1 PY 2004 VL 189 IS 5 BP 761 EP 763 DI 10.1086/381806 PG 3 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 800AI UT WOS:000220000900001 PM 14976590 ER PT J AU LaMonte, AC Paul, ME Read, JS Frederick, MM Erdman, DD Han, LL Anderson, LJ AF LaMonte, AC Paul, ME Read, JS Frederick, MM Erdman, DD Han, LL Anderson, LJ CA Women Infants Transmission Study TI Persistent parvovirus b19 infection without the development of chronic anemia in HIV-infected and -uninfected children: The women and infants transmission study SO JOURNAL OF INFECTIOUS DISEASES LA English DT Article; Proceedings Paper CT 42nd Interscience Conference on Antimicrobial Agents and Chemotherapy CY SEP 26-30, 2002 CL SAN DIEGO, CA ID HUMAN-IMMUNODEFICIENCY-VIRUS; ANTIBODIES; DNA AB We evaluated the prevalence of persistent parvovirus B19 (B19) infection and associated anemia in human immunodeficiency virus (HIV)-infected and HIV-uninfected children. B19 persistence was defined as B19 DNA detected in specimens collected 116 weeks apart. Of 182 children, 3 HIV-infected children and two HIV-uninfected children had evidence of persistent B19 infection. Of the 5 children, none had evidence of B19-associated anemia. Our data suggest that B19 infections can persist in children without the development of symptomatic anemia. C1 Ctr Dis Control & Prevent, Resp & Enter Virus Branch, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Clin Trials & Surveys, Baltimore, MD USA. NICHHD, Pediat Adolescent & Maternal AIDS Branch, Bethesda, MD 20892 USA. Baylor Coll Med, Houston, TX 77030 USA. RP LaMonte, AC (reprint author), Ctr Dis Control & Prevent, Resp & Enter Virus Branch, Natl Ctr Infect Dis, 1600 Clifton Rd,NE MS-A34, Atlanta, GA 30333 USA. EM ahl4@cdc.gov FU NCRR NIH HHS [RR00188, RR00645]; NIAID NIH HHS [U01 AI 34858, N01 AI 85339, U01 AI 34842, 1 U01 AI 50274-01, U01 AI 34840, U01 AI 34856, U01 AI 34841]; NICHD NIH HHS [HD-8-2913]; PHS HHS [R0-1-IID-25714] NR 17 TC 20 Z9 21 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 0022-1899 J9 J INFECT DIS JI J. Infect. Dis. PD MAR 1 PY 2004 VL 189 IS 5 BP 847 EP 851 DI 10.1086/381899 PG 5 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 800AI UT WOS:000220000900013 PM 14976602 ER PT J AU Martin, JL Singh, PK Shinnick, TS Ferguson, JS AF Martin, JL Singh, PK Shinnick, TS Ferguson, JS TI Lysozyme may contribute to airway defenses against Mycobacterium tuberculosis. SO JOURNAL OF INVESTIGATIVE MEDICINE LA English DT Meeting Abstract CT Combined Annual Meeting of the Central-Society-for-Clinical-Research/Midwestern Section of the American-Federation-for-Medical-Research CY APR 15, 2004 CL Chicago, IL SP Cent Soc Clin Res, Amer Federat Med Res, Midwest Sect C1 VA Med Ctr, Dept Med, Iowa City, IA USA. Univ Iowa, Iowa City, IA USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU B C DECKER INC PI HAMILTON PA 20 HUGHSON ST SOUTH, PO BOX 620, L C D 1, HAMILTON, ONTARIO L8N 3K7, CANADA SN 1081-5589 J9 J INVEST MED JI J. Invest. Med. PD MAR PY 2004 VL 52 IS 2 BP S348 EP S348 PG 1 WC Medicine, General & Internal; Medicine, Research & Experimental SC General & Internal Medicine; Research & Experimental Medicine GA 806EH UT WOS:000220416700030 ER PT J AU Wolf, LE Lo, B Gostin, LO AF Wolf, LE Lo, B Gostin, LO TI Legal barriers to implementing recommendations for universal, routine prenatal HIV testing SO JOURNAL OF LAW MEDICINE & ETHICS LA English DT Article ID HUMAN-IMMUNODEFICIENCY-VIRUS; PUBLIC-HEALTH LAW; DOMESTIC VIOLENCE; PERINATAL TRANSMISSION; PARTNER NOTIFICATION; WOMEN; ZIDOVUDINE; INFECTION; RISK; CARE AB A 1999 Institute of Medicine (IOM)panel recommended that universal HIV testing become a routine component of prenatal care to reduce mother-to-child HIV transmission by enabling HIV-infected women to take advantage of antiretroviral prophylaxis. In this paper we first evaluate the IOM's recommendations and the reasons behind them. We make specific recommendations regarding information that must be disclosed prior to Prenatal HIV testing and legal protections that should be adopted. Our recommendations will help to ensure that wider prenatal HIV testing can be carried out without leaving women too vulnerable to psychosocial harms. C1 Univ Calif San Francisco, Ctr AIDS Prevent Studies, Program Med Eth, San Francisco, CA 94143 USA. Univ Calif San Francisco, Div Gen Internal Med, San Francisco, CA 94143 USA. Georgetown Univ, Washington, DC 20057 USA. Johns Hopkins Univ, Baltimore, MD 21218 USA. CDC, Collaborating Ctr Law & Publ Hlth, Atlanta, GA 30333 USA. RP Wolf, LE (reprint author), Univ Calif San Francisco, Ctr AIDS Prevent Studies, Program Med Eth, San Francisco, CA 94143 USA. NR 38 TC 6 Z9 6 U1 0 U2 1 PU AMER SOC LAW MEDICINE ETHICS PI BOSTON PA 765 COMMONWEALTH AVE, SUITE 1634, BOSTON, MA 02215 USA SN 1073-1105 J9 J LAW MED ETHICS JI J. Law Med. Ethics PD SPR PY 2004 VL 32 IS 1 BP 137 EP + DI 10.1111/j.1748-720X.2004.tb00459.x PG 12 WC Ethics; Law; Medical Ethics; Medicine, Legal SC Social Sciences - Other Topics; Government & Law; Medical Ethics; Legal Medicine GA 809SF UT WOS:000220655700017 PM 15152437 ER PT J AU Sithiprasasna, R Jaichapor, B Chanaimongkol, S Khongtak, P Lealsirivattanakul, T Tiang-Trong, S Burkett, DA Perich, MJ Wirtz, RA Coleman, RE AF Sithiprasasna, R Jaichapor, B Chanaimongkol, S Khongtak, P Lealsirivattanakul, T Tiang-Trong, S Burkett, DA Perich, MJ Wirtz, RA Coleman, RE TI Evaluation of candidate traps as tools for conducting surveillance for Anopheles mosquitoes in a malaria-endemic area in western Thailand SO JOURNAL OF MEDICAL ENTOMOLOGY LA English DT Article DE Anopheles; surveillance; malaria; Plasmodium; traps ID LIGHT TRAPS; CARBON-DIOXIDE; PLASMODIUM-VIVAX; SOUTHEAST-ASIA; KANO-PLAIN; VECTOR; CULICIDAE; RESPONSES; TANZANIA; VILLAGE AB The effectiveness of five mosquito traps at sampling anopheline mosquitoes was compared with landing/biting (L/B) collections in western Thailand. Traps evaluated included a CDC style light trap (CDC LT) with dry ice, the American Biophysics Corporation (ABC) standard light trap (ABC LT) with dry ice and octenol, the ABC counterflow geometry (CFG) trap with dry ice and octenol, the ABC mosquito magnet (MM) trap with octenol, and the Nicosia and Reinhardt Company Mosquito Attractor Device (N&R trap). Mosquito numbers captured in landing-biting collections were 5.2,7.0,7.3,31.1, and 168.8 times greater than those collected in the ABC LT, MM, CDC LT, CFG, and N&R traps, respectively, for Anopheles minimus Theobald, the predominant malaria vector in the region. Similar results were obtained for the secondary malaria vectors Anopheles maculatus Theobald and Anopheles sawadwongporni Rattanarithikul & Green. Only Anopheles kochi Doenitz was collected in significantly, greater numbers in the CDC LT, ABC LT, and MM traps compared with L/B collections. Although none of the traps were as effective as L/B collections, the ABC LT, MM, and CDC LT were the best alternatives to human bait for the collection of anopheline malaria vectors in Thailand. C1 USA, Med Component, Dept Entomol, Armed Forces Res Inst Med Sci, Bangkok, Thailand. USAF, Inst Environm Safety & Occupat Risk Analysis, Okinawa, Japan. Louisiana State Univ, Dept Entomol, Baton Rouge, LA 70803 USA. Ctr Dis Control & Prevent, Entomol Branch, Atlanta, GA 30341 USA. RP Burkett, DA (reprint author), USA, Med Component, Dept Entomol, Armed Forces Res Inst Med Sci, Bangkok, Thailand. EM coleman@amedd.army.mil NR 41 TC 12 Z9 12 U1 0 U2 3 PU ENTOMOL SOC AMER PI LANHAM PA 9301 ANNAPOLIS RD, LANHAM, MD 20706 USA SN 0022-2585 J9 J MED ENTOMOL JI J. Med. Entomol. PD MAR PY 2004 VL 41 IS 2 BP 151 EP 157 DI 10.1603/0022-2585-41.2.151 PG 7 WC Entomology; Veterinary Sciences SC Entomology; Veterinary Sciences GA 802TJ UT WOS:000220185500002 PM 15061272 ER PT J AU Sattabongkot, J Kiattibut, C Kumpitak, C Ponlawat, A Ryan, JR Chan, AST Dave, K Wirtz, RA Coleman, RE AF Sattabongkot, J Kiattibut, C Kumpitak, C Ponlawat, A Ryan, JR Chan, AST Dave, K Wirtz, RA Coleman, RE TI Evaluation of the VecTest Malaria Antigen Panel assay for the detection of Plasmodium falciparum and P-vivax circumsporozoite protein in anopheline mosquitoes in Thailand SO JOURNAL OF MEDICAL ENTOMOLOGY LA English DT Article DE Anopheles; Plasmodium falciparum; P. vivax; circumsporozoite protein; rapid detection ID LINKED-IMMUNOSORBENT-ASSAY; SPOROZOITES AB We evaluated the performance of the VecTest Malaria Antigen Panel (V-MAP) assay for the detection of Plasmodium falciparum and P vivax (variants 210 and 247) circumsporozoite protein in anopheline mosquitoes in Thailand. The V-MAP assay is a rapid, one-step procedure using a 'dipstick' wicking test strip. The circmusporozoite (CS) ELISA was use(] as the reference standard. Mosquitoes evaluated in the Study included held-collected specimens (n = 9:30) and laboratory-reared specimens that had been fed on blood collected from patients with and without Plasmodium gametocytes (n = 4,110) Or Oil Cultured P. falciparum gametocytes (n = 262). Field-collected mosquitoes were triturated individually or in pools of 2-5 and tested using 613 V-MAP assays. Laboratory-reared specimens were tested individually using 4,372 V-MAP assays. Assay performance depended on the species of Plasmodium and the number of sporozoites used as the cut-off. For P. falciparum, optimal performance was achieved using a cut-off of 150 sporozoites (sensitivity = 100%, specificity = 99.2%, and accuracy = 0.99). For P. virax variant 210, optimal performance was also achieved using a cut-off of 150 sporozoites (sensitivity = 94.8%, specificity = 94.5%, and accuracy = 0.95). We were unable to develop a standard-curve for the CS-ELISA using P. vivax variant 247 because of it lack of sporozoites; however, using a cut-off of 30 pg P. vivax 247 antigen (mosquitoes with less than this amount of antigen were considered negative), assay performance (sensitivity 94.3%, specificity 99.2%, mid accuracy = 0.99) was comparable to that achieved for P. falciparum and P. vivax 210. These results clearly demonstrate that the V-MAP assay performs at an acceptable level and offers practical advantages for field workers needing to make rapid surveys of malaria vectors. C1 USA, Army Med Component, Dept Entomol, Armed forces Res Inst Med Sci, Bangkok, Thailand. Walter Reed Army Inst Res, Dept Entomol, Silver Spring, MD 20910 USA. Ctr Dis Control & Prevent, Entomol Branch, Atlanta, GA 30341 USA. RP Sattabongkot, J (reprint author), USA, Army Med Component, Dept Entomol, Armed forces Res Inst Med Sci, Bangkok, Thailand. NR 13 TC 7 Z9 9 U1 0 U2 2 PU ENTOMOL SOC AMER PI LANHAM PA 9301 ANNAPOLIS RD, LANHAM, MD 20706 USA SN 0022-2585 J9 J MED ENTOMOL JI J. Med. Entomol. PD MAR PY 2004 VL 41 IS 2 BP 209 EP 214 DI 10.1603/0022-2585-41.2.209 PG 6 WC Entomology; Veterinary Sciences SC Entomology; Veterinary Sciences GA 802TJ UT WOS:000220185500010 PM 15061280 ER PT J AU Golla, V Heitbrink, W AF Golla, V Heitbrink, W TI Control technology for crystalline silica exposures in construction: Wet abrasive blasting SO JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE LA English DT Article ID SANDBLASTERS AB This study was designed to document the effect that wet abrasive blasting has on reducing worker exposure to crystalline silica, which has been associated with silicosis and premature death. In this study, worker exposure to respirable crystalline silica was monitored during wet abrasive blasting on the exterior walls of a parking garage to remove surface concrete and expose the underlying aggregate. In this process a wet sand mix comprised of 80% dry sand and 20% water was used. Sampling and analysis revealed that the geometric mean respirable quartz concentration was 0.2 mg/m(3) for workers conducting abrasive blasting and 0.06 mg/m(3) for helpers. When abrasive blasting was conducted in areas that apparently had reduced natural ventilation, dust exposures appeared to increase. When compared with other published data, this case study suggests that wet abrasive blasting causes less exposure to crystalline silica than dry abrasive blasting. C1 Univ Iowa, Dept Occupat & Environm Hlth, Iowa City, IA 52242 USA. NIOSH, Cincinnati, OH 45226 USA. RP Golla, V (reprint author), Univ Iowa, Dept Occupat & Environm Hlth, Iowa City, IA 52242 USA. NR 14 TC 5 Z9 5 U1 0 U2 4 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 325 CHESTNUT ST, SUITE 800, PHILADELPHIA, PA 19106 USA SN 1545-9624 J9 J OCCUP ENVIRON HYG JI J. Occup. Environ. Hyg. PD MAR PY 2004 VL 1 IS 3 BP D26 EP D32 DI 10.1080/15459620490279665 PG 7 WC Environmental Sciences; Public, Environmental & Occupational Health SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health GA 816GS UT WOS:000221099000002 PM 15204868 ER PT J AU Letson, GW Shapiro, CN Kuehn, D Gardea, C Welty, TK Krause, DS Lambert, SB Margolis, HS AF Letson, GW Shapiro, CN Kuehn, D Gardea, C Welty, TK Krause, DS Lambert, SB Margolis, HS TI Effect of maternal antibody on immunogenicity of hepatitis A vaccine in infants SO JOURNAL OF PEDIATRICS LA English DT Article ID PASSIVE-IMMUNIZATION; HEALTHY-CHILDREN; IMMUNE-RESPONSE; SAFETY; AGE; TRANSMISSION; EFFICACY; PROGRAM; ALASKA; TERM AB Objective To determine the effect of maternal antibody on hepatitis A vaccine immunogenicity in infants. Study design Infants of mothers negative for antibody to hepatitis A virus (anti-HAV; group 1) were administered hepatitis A vaccine at 2. 4. and 6 months of age, and infants of anti-HAV-positive mothers were randomized to receive either hepatitis A vaccine (group 2) or hepatitis B vaccine (group 3) on the same schedule. Group 3 infants subsequently received hepatitis A vaccine at 8 and 10 months of-age. Results At 15 months of age, 100% of infants in group 1, 93% in group 2, and 92% in group 3 had protective levels of antibody. However, there were significant differences in the geometric mean concentration (GMC) of anti-HAV between groups. Group 1 GMC was 231 mIU/mL, compared with 85 mIU/mL for group 2 and 84 mIUhnL for group 3 (P <.001, group 1 vs group 3). Conclusions Passively acquired maternal anti-HAV resulted in a significantly lower final antibody response when infants were administered hepatitis A vaccine at 2, 4, and 6 months of age or at 8 and 10 months of age. C1 Ctr Dis Control & Prevent, Div Viral Hepatitis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Aberdeen Area Indian Hlth Serv, Off Epidemiol, Rapid City, SD USA. GlaxoSmithKline Biol, Collegeville, PA USA. Vicuron Pharmaceut, King Of Prussia, PA USA. RP Letson, GW (reprint author), Ctr Dis Control & Prevent, Div Viral Hepatitis, Natl Ctr Infect Dis, Mail Stop G37,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM bill.letson@state.co.us NR 30 TC 34 Z9 36 U1 0 U2 1 PU MOSBY-ELSEVIER PI NEW YORK PA 360 PARK AVENUE SOUTH, NEW YORK, NY 10010-1710 USA SN 0022-3476 EI 1097-6833 J9 J PEDIATR-US JI J. Pediatr. PD MAR PY 2004 VL 144 IS 3 BP 327 EP 332 DI 10.1016/j.jpeds.2003.11.030 PG 6 WC Pediatrics SC Pediatrics GA 802HY UT WOS:000220155800008 PM 15001936 ER PT J AU Scallan, E Staines, A Fitzpatrick, P Laffoy, M Kelly, A AF Scallan, E Staines, A Fitzpatrick, P Laffoy, M Kelly, A TI Unintentional injury in Ireland: a comparison of mortality and morbidity data SO JOURNAL OF PUBLIC HEALTH LA English DT Article DE mortality; morbidity; unintentional; hospital admissions AB Background The aim of this study was to examine the relationship between mortality and hospital admission data for the leading causes of unintentional injury in Ireland. Methods Mortality data were obtained from the Central Statistics Office for the years 1980 - 1996. Information on hospital admissions was obtained from the Hospital In-Patient Enquiry system for the years 1993 - 1997. Results Motor vehicle traffic accidents were the leading cause of unintentional injury death. Falls were the most common cause of unintentional injury hospital admission. Drowning and suffocation had high ratios of deaths to admissions, 2: 1 and 1: 3, respectively. The ratio of deaths to admissions was 1: 39 for all unintentional injuries. Conclusions Neither mortality data nor admissions data alone give an adequate guide to the impact of injuries, but together the two provide a reasonable basis on which to establish policy. C1 Univ Coll Dublin, Dept Publ Hlth Med & Epidemiol, Dublin 1, Ireland. Dr Steevens Hosp, Eastern Reg Hlth Author, Dept Publ Hlth, Dublin 8, Ireland. Adelaide & Meath Hosp, Natl Childrens Hosp, Triniti Coll Ctr Hlth Sci, Dept Community Hlth & Gen Practice, Dublin 24, Ireland. RP Scallan, E (reprint author), Ctr Dis Control & Prevent, FoodNet Foodborne & Diarrheal Dis Branch, 1 W Sq Court, Atlanta, GA 30333 USA. EM escallan@cdc.gov OI Fitzpatrick, Patricia/0000-0003-2524-3677; Staines, Anthony/0000-0001-9161-1357 NR 8 TC 10 Z9 11 U1 0 U2 2 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 1741-3842 J9 J PUBLIC HEALTH JI J. Public Health PD MAR PY 2004 VL 26 IS 1 BP 6 EP 7 DI 10.1093/pubmed/fdh107 PG 2 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 829IC UT WOS:000222040100003 PM 15044565 ER PT J AU Coughlin, SS Thompson, TD AF Coughlin, SS Thompson, TD TI Colorectal cancer screening practices among men and women in rural and nonrural areas of the United States, 1999 SO JOURNAL OF RURAL HEALTH LA English DT Article ID SERVICES; BREAST; AUDIT; FARM AB Background: Previous studies have suggested that men and women in rural areas are less likely than those in urban areas to receive routine cancer screening. Methods: We examined the colorectal cancer screening practices of men (n = 23,565) and women (n 37,847) aged >= 50 years living in rural areas and other areas of the United States using data from the 1999 Behavioral Risk Factor Surveillance System (BRFSS). Geographic areas of residence were classified as rural areas and small towns, suburban areas and small metropolitan areas, and larger metropolitan areas using US Department of Agriculture (USDA) urban/rural continuum codes. Results: The estimated median response rate across states was 55.2%. Approximately 16.2% (95% confidence interval [CI] = 15.3% to 17.2%) of persons aged >= 50 years who resided in rural areas had received a fecal occult blood test in the past year, compared with 22.0% of those living in the larger metropolitan areas (95% CI = 21.4% to 22.7%). About 28.2% (95% CI = 27.1 % to 29.4%) of those who resided in rural areas had received a sigmoidoscopy or colonoscopy in the past 5 years, compared with 35.2% of those in the larger metropolitan areas (95 % CI 34.5% to 36.0%). Conclusions: These results underscore the need for continued efforts to increase colorectal cancer screening in the United States. Special efforts may be required to increase screening in rural areas. C1 Ctr Dis Control & Prevent, Epidemiol & Appl Res Branch, Div Canc Prevent & Control, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. RP Coughlin, SS (reprint author), Ctr Dis Control & Prevent, Epidemiol & Appl Res Branch, Div Canc Prevent & Control, Natl Ctr Chron Dis Prevent & Hlth Promot, 4770 Buford Hwy,NE K-55, Atlanta, GA 30341 USA. EM sic9@cdc.gov NR 19 TC 72 Z9 72 U1 0 U2 1 PU NATL RURAL HEALTH ASSOC PI KANSAS CITY PA ONE WEST ARMOUR BLVD, STE 301, KANSAS CITY, MO 64111 USA SN 0890-765X J9 J RURAL HEALTH JI J. Rural Health PD SPR PY 2004 VL 20 IS 2 BP 118 EP 124 DI 10.1111/j.1748-0361.2004.tb00017.x PG 7 WC Health Care Sciences & Services; Health Policy & Services; Public, Environmental & Occupational Health SC Health Care Sciences & Services; Public, Environmental & Occupational Health GA 966JK UT WOS:000232015800003 PM 15085624 ER PT J AU Butte, N Cobb, K Dwyer, J Graney, L Heird, W Rickard, K AF Butte, N Cobb, K Dwyer, J Graney, L Heird, W Rickard, K TI The start healthy feeding guidelines for infants and toddlers SO JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION LA English DT Article ID FOOD; DEFICIENCY; CEREAL; RISK; MILK C1 Indiana Univ, Sch Hlth & Rehabil Sci, Indianapolis, IN 46202 USA. Baylor Coll Med, Houston, TX 77030 USA. Ctr Dis Control & Prevent, Old Saybrook, CT USA. Tufts Univ, Friedman Sch Nutr Sci & Policy, Boston, MA 02111 USA. RP Rickard, K (reprint author), Indiana Univ, Sch Hlth & Rehabil Sci, Ball Hall 112,1226 W Michigan St, Indianapolis, IN 46202 USA. EM krickard@iupui.edu OI Dwyer, Johanna/0000-0002-0783-1769 NR 32 TC 52 Z9 59 U1 0 U2 9 PU AMER DIETETIC ASSOC PI CHICAGO PA 216 W JACKSON BLVD #800, CHICAGO, IL 60606-6995 USA SN 0002-8223 J9 J AM DIET ASSOC JI J. Am. Diet. Assoc. PD MAR PY 2004 VL 104 IS 3 BP 442 EP 454 DI 10.1016/j.jada.2004.01.027 PG 13 WC Nutrition & Dietetics SC Nutrition & Dietetics GA 801DB UT WOS:000220075500020 PM 14993870 ER PT J AU Mandl, KD Overhage, JM Wagner, MM Lober, WB Sebastiani, P Mostashari, F Pavlin, JA Gesteland, PH Treadwell, T Koski, E Hutwagner, L Buckeridge, DL Aller, RD Grannis, S AF Mandl, KD Overhage, JM Wagner, MM Lober, WB Sebastiani, P Mostashari, F Pavlin, JA Gesteland, PH Treadwell, T Koski, E Hutwagner, L Buckeridge, DL Aller, RD Grannis, S TI Implementing syndromic surveillance: A practical guide informed by the early experience SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION LA English DT Review ID PUBLIC-HEALTH SURVEILLANCE; HIDDEN MARKOV-MODELS; STATISTICAL-ANALYSIS; BIOTERRORISM; DISEASE; SYSTEM; EMERGENCY; OUTBREAKS; ACCURACY; ANTHRAX AB Syndromic surveillance refers to methods relying on detection of individual and population health indicators that are discernible before confirmed diagnoses are made. In particular, prior to the laboratory confirmation of an infectious disease, ill persons may exhibit behavioral patterns, symptoms, signs, or laboratory findings that can be tracked through a variety of data sources. Syndromic surveillance systems are being developed locally, regionally, and nationally. The efforts have been largely directed at facilitating the early detection of a covert bioterrorist attack, but the technology may also be useful for general public health, clinical medicine, quality improvement, patient safety, and research. This report, authored by developers and methodologists involved in the design and deployment of the first wave of syndromic surveillance systems, is intended to serve as a guide for informaticians, public health managers, and practitioners who are currently planning deployment of such systems in their regions. C1 Harvard Univ, Childrens Hosp, Informat Program, Ctr Biopreparedness,Div Emergency Med,Sch Med, Boston, MA 02115 USA. Indiana Univ, Sch Med, Reganstrief Inst, Indianapolis, IN USA. Univ Pittsburgh, Ctr Biomed Informat, Real Time Outbreak & Dis Lab, Pittsburgh, PA USA. Univ Washington, Sch Med, Dept Med Educ & Biomed Informat, Seattle, WA USA. Univ Massachusetts, Dept Math & Stat, Amherst, MA 01003 USA. New York City Dept Publ Hlth, Div Epidemiol, New York, NY USA. Walter Reed Army Inst Res, Silver Spring, MD USA. Univ Utah, Salt Lake City, UT USA. Intermt Hlth Care, Salt Lake City, UT USA. Ctr Dis Control & Prevent, Bioterrorism Preparedness & Response Program, Natl Ctr Infect Dis, Atlanta, GA USA. Palo Alto Vet Hlth Care Syst, Palo Alto, CA USA. Quest Diagnost Inc, Teterboro, NJ USA. Stanford Univ, Stanford Med Informat, Stanford, CA 94305 USA. Los Angeles Cty Publ Hlth, Acute Communicable Dis Unit, Los Angeles, CA USA. RP Mandl, KD (reprint author), Harvard Univ, Childrens Hosp, Informat Program, Ctr Biopreparedness,Div Emergency Med,Sch Med, 300 Longwood Ave, Boston, MA 02115 USA. EM kenneth_mandl@harvard.edu OI sebastiani, paola/0000-0001-6419-1545; Overhage, Joseph/0000-0003-0223-0195 FU NLM NIH HHS [N01-LM-9-3536, 01-T15/LM-7124, 2 T15 LM07117-06, GO8 LM06625-01, R01LM07677-01, T15 LM/DE07059]; ODCDC CDC HHS [U90/CCU318753-01]; PHS HHS [290-00-0009, 290-00-0020] NR 74 TC 162 Z9 170 U1 5 U2 26 PU HANLEY & BELFUS INC PI PHILADELPHIA PA 210 S 13TH ST, PHILADELPHIA, PA 19107 USA SN 1067-5027 J9 J AM MED INFORM ASSN JI J. Am. Med. Inf. Assoc. PD MAR-APR PY 2004 VL 11 IS 2 BP 141 EP 150 DI 10.1197/jamia.M1356 PG 10 WC Computer Science, Information Systems; Computer Science, Interdisciplinary Applications; Information Science & Library Science; Medical Informatics SC Computer Science; Information Science & Library Science; Medical Informatics GA 804IB UT WOS:000220291300009 PM 14633933 ER PT J AU Zeidner, NS Carter, LG Monteneiri, JA Petersen, JM Schriefer, M Gage, KL Hall, G Chu, MC AF Zeidner, NS Carter, LG Monteneiri, JA Petersen, JM Schriefer, M Gage, KL Hall, G Chu, MC TI An outbreak of Francisella tularensis in captive prairie dogs: an immunohistochemical analysis SO JOURNAL OF VETERINARY DIAGNOSTIC INVESTIGATION LA English DT Article ID TULAREMIA EPIDEMIC; INFECTION; LIVER AB An immunohistochemical assay was developed and tested for detection of Francisella tularensis lipopolysaccaride antigen in tissues of captive prairie dogs (Cynomys ludovicianus). Tissues from 59 cases of F. tularensis were examined by this technique, which was corroborated by direct fluorescent antibody assay and direct isolation of the organism. In infected prairie dogs, studies indicated multiple, severe, necroprurulent foci occurring in the liver, lung, spleen, terminal ileum, and mandibular lymph node. Immunohistochemical analysis of the same formalin-fixed tissues indicated the presence of F. tularensis antigen in neutrophils and macrophages of these lesions and occurring extracellularly in areas of necrosis. This report demonstrates that immunohistochemical analysis is a rapid procedure that can be used to determine the pathogenesis of F. tularensis in rodent populations. C1 Ctr Dis Control & Prevent, Lyme Dis Vector Sect, Bacterial Zoonoses Branch, Div Vector Borne Infect Dis, Ft Collins, CO 80522 USA. Texas Vet Med Diagnost Labs, College Stn, TX 77841 USA. RP Zeidner, NS (reprint author), Ctr Dis Control & Prevent, Lyme Dis Vector Sect, Bacterial Zoonoses Branch, Div Vector Borne Infect Dis, POB 2087,Rampart Rd,Foothills Campus, Ft Collins, CO 80522 USA. NR 19 TC 12 Z9 14 U1 0 U2 7 PU AMER ASSOC VETERINARY LABORATORY DIAGNOSTICIANS INC PI TURLOCK PA PO BOX 1522, TURLOCK, CA 95381 USA SN 1040-6387 J9 J VET DIAGN INVEST JI J. Vet. Diagn. Invest. PD MAR PY 2004 VL 16 IS 2 BP 150 EP 152 PG 3 WC Veterinary Sciences SC Veterinary Sciences GA 873SY UT WOS:000225302500010 PM 15053367 ER PT J AU Chen, MH Frolov, I Icenogle, J Frey, TK AF Chen, MH Frolov, I Icenogle, J Frey, TK TI Analysis of the 3 ' cis-acting elements of rubella virus by using replicons expressing a puromycin resistance gene SO JOURNAL OF VIROLOGY LA English DT Article ID MESSENGER-RNA STABILITY; SINDBIS VIRUS; STRAND RNA; NONSTRUCTURAL PROTEINS; UNTRANSLATED REGION; MUTATIONAL ANALYSIS; VIRAL REPLICATION; CODING SEQUENCE; MAMMALIAN-CELLS; CAPSID PROTEIN AB A rubella virus (RUB) replicon, RUBrep/PAC, was constructed and used to map the 3' cis-acting elements (3' CSE) of the RUB genome required for RUB replication. The RUBrep/PAC replicon had the structural protein open reading frame partially replaced by a puromycin acetyltransferase (PAC) gene. Cells transfected with RUBrep/PAC transcripts expressed the PAC gene from the subgenomic RNA, were rendered resistant to puromycin, and thus survived selection with this drug. The relative survival following puromycin selection of cells transfected with transcripts from RUBrep/PAC constructs with mutations in the 3' CSE varied. The 3' region necessary for optimal relative survival consisted of the 3' 305 nucleotides (nt), a region conserved in RUB defective-interfering RNAs, and thus this region constitutes the 3' CSE. Within the 3' CSE, deletions in the similar to245 nt that overlap the 3' end of the El gene resulted in reduced relative survivals, ranging from 20 to <1% of the parental replicon survival level while most mutations within the similar to60-nt 3' untranslated region (UTR) were lethal. None of the 3' CSE mutations affected in vitro translation of the nonstructural protein open reading frame (which is 5' proximal in the genome and encodes the enzymes involved in virus RNA replication). In cells transfected with replicons with 3' CSE mutations that survived antibiotic selection (i.e., those with mutations in the region of the 3' CSE that overlaps the El coding region), the amount of replicon-specific minus-strand RNA was uniform; however, the accumulation of both plus-strand RNA species, genomic and subgenomic, varied widely, indicating that this region of the RUB 3' CSE affects plus-strand RNA accumulation rather than minus-strand RNA synthesis. C1 Georgia State Univ, Dept Biol, Atlanta, GA 30303 USA. Univ Texas, Dept Microbiol & Immunol, Med Branch, Galveston, TX 77555 USA. Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Frey, TK (reprint author), Georgia State Univ, Dept Biol, POB 4010, Atlanta, GA 30303 USA. EM tfrey@gsu.edu FU NIAID NIH HHS [AI21789] NR 35 TC 8 Z9 8 U1 1 U2 1 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0022-538X J9 J VIROL JI J. Virol. PD MAR PY 2004 VL 78 IS 5 BP 2553 EP 2561 DI 10.1128/JVI.78.5.2553.2561.2004 PG 9 WC Virology SC Virology GA 775AV UT WOS:000189019300041 PM 14963158 ER PT J AU Roehrig, JT Volpe, KE Squires, J Hunt, AR Davis, BS Chang, GJJ AF Roehrig, JT Volpe, KE Squires, J Hunt, AR Davis, BS Chang, GJJ TI Contribution of disulfide bridging to epitope expression of the dengue type 2 virus envelope glycoprotein SO JOURNAL OF VIROLOGY LA English DT Article ID BORNE ENCEPHALITIS-VIRUS; DOMAIN-III; MONOCLONAL-ANTIBODIES; PROTEIN; FLAVIVIRUS; PARTICLES; JAMAICA; PRM AB The individual contributions of each of the six conserved disulfide (SS) bonds in the dengue 2 virus envelope (E) glycoprotein (strain 16681) to epitope expression was determined by measuring the reactivities of a panel of well-defined monoclonal antibodies (MAbs) with LLC-MK2 cells that had been transiently transformed with plasmid vectors expressing E proteins that were mutant in their SS bonds. Three domain I (DI) epitopes (C1, C3, and C4) were affected by elimination of any SS bond and were essentially the only epitopes affected by elimination of the amino-proximal SS1 formed between Cys 3 and Cys 30. The remaining DI epitope (C2) was sensitive to only SS3-bond (Cys 74-Cys 105) and SS6-bond (Cys 302-Cys 333) elimination. Of the four DII epitopes examined, reactivities of three anti-epitope MAbs (A1, A2, and A5) were reduced by elimination of SS2 (Cys 61-Cys 121), SS3, SS4 (Cys 94-Cys 116), SS5 (Cys 185-Cys 285), or SS6. The other DII epitope examined (A3) was sensitive only to SS2- and SS3-bond elimination. The three DIII epitopes tested (112, B3, and 114) were most sensitive to elimination of SS6. The flavivirus group epitope (A1) was less sensitive to elimination of SS3 and SS6. This result may indicate that the region proximal to the E-protein fusion motif (amino acids 98 to 110) may have important linear components. If this observation can be confirmed, peptide mimics from this region of E protein might be able to interfere with flavivirus replication. C1 CDCP, Arbovirus Dis Branch, Div Vector Borne Infect Dis, Publ Hlth Serv,US Dept HHS, Ft Collins, CO 80522 USA. RP Roehrig, JT (reprint author), CDCP, Arbovirus Dis Branch, Div Vector Borne Infect Dis, Publ Hlth Serv,US Dept HHS, POB 2087, Ft Collins, CO 80522 USA. EM jtr1@cdc.gov OI Roehrig, John/0000-0001-7581-0479 NR 26 TC 14 Z9 20 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0022-538X J9 J VIROL JI J. Virol. PD MAR PY 2004 VL 78 IS 5 BP 2648 EP 2652 DI 10.1128/JVI.78.5.2648-2652.2004 PG 5 WC Virology SC Virology GA 775AV UT WOS:000189019300057 PM 14963174 ER PT J AU Switzer, WM Bhullar, V Shanmugam, V Cong, ME Parekh, B Lerche, NW Yee, JAL Ely, JJ Boneva, R Chapman, LE Folks, TM Heneine, W AF Switzer, WM Bhullar, V Shanmugam, V Cong, ME Parekh, B Lerche, NW Yee, JAL Ely, JJ Boneva, R Chapman, LE Folks, TM Heneine, W TI Frequent simian foamy virus infection in persons occupationally exposed to nonhuman primates SO JOURNAL OF VIROLOGY LA English DT Article ID INTERSPECIES TRANSMISSION; IMMUNODEFICIENCY VIRUS; GENE FLOW; IDENTIFICATION; CHIMPANZEES; POPULATIONS; RETROVIRUS; EVOLUTION; MONKEYS; HEALTH AB The recognition that AIDS originated as a zoonosis heightens public health concerns associated with human infection by simian retroviruses endemic in nonhuman primates (NHPs). These retroviruses include simian immunodeficiency virus (SIV), simian T-cell lymphotropic virus (STLV), simian type D retrovirus (SRV), and simian foamy virus (SFV). Although occasional infection with SIV, SRV, or SFV in persons occupationally exposed to NHPs has been reported, the characteristics and significance of these zoonotic infections are not fully defined. Surveillance for simian retroviruses at three research centers and two zoos identified no SIV, SRV, or STLV infection in 187 participants. However, 10 of 187 persons (5.3%) tested positive for SFV antibodies by Western blot (WB) analysis. Eight of the 10 were males, and 3 of the 10 worked at zoos. SFV integrase gene (int) and gag sequences were PCR amplified from the peripheral blood lymphocytes available from 9 of the 10 persons. Phylogenetic analysis showed SFV infection originating from chimpanzees (n = 8) and baboons (n = 1). SFV seropositivity for periods of 8 to 26 years (median, 22 years) was documented for six workers for whom archived serum samples were available, demonstrating long-standing SFV infection. All 10 persons reported general good health, and secondary transmission of SFV was not observed in three wives available for WB and PCR testing. Additional phylogenetic analysis of int and gag sequences provided the first direct evidence identifying the source chimpanzees of the SFV infection in two workers. This study documents more frequent infection with SFV than with other simian retroviruses in persons working with NHPs and provides important information on the natural history and species origin of these infections. Our data highlight the importance of studies to better define the public health implications of zoonotic SFV infections. C1 Ctr Dis Control & Prevent, HIV & Retrovirol Branch, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, HIV Immunol & Diagnost Branch, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Div AIDS STD & TB, Res Lab, Natl Ctr HIV STD & TB Prevent, Atlanta, GA 30333 USA. Univ Calif Davis, Simian Retrovirus Lab, Calif Natl Primate Res Ctr, Davis, CA 95616 USA. Bioqual Inc, Dept Neurobiol & Behav, Rockville, MD 20850 USA. RP Switzer, WM (reprint author), Ctr Dis Control & Prevent, HIV & Retrovirol Branch, 1600 Clifton Rd,MS G19, Atlanta, GA 30333 USA. EM bis3@cdc.gov NR 38 TC 139 Z9 143 U1 0 U2 10 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0022-538X J9 J VIROL JI J. Virol. PD MAR PY 2004 VL 78 IS 6 BP 2780 EP 2789 DI 10.1128/JVI.78.6.2780-2789.2004 PG 10 WC Virology SC Virology GA 800QP UT WOS:000220043100014 PM 14990698 ER PT J AU Oberste, MS Penaranda, S Pallansch, MA AF Oberste, MS Penaranda, S Pallansch, MA TI RNA recombination plays a major role in genomic change during circulation of coxsackie B viruses SO JOURNAL OF VIROLOGY LA English DT Article ID VACCINE-DERIVED POLIOVIRUS; HUMAN-ENTEROVIRUS-B; FREQUENT RECOMBINATION; ADENOVIRUS RECEPTOR; SEROTYPES; STRAINS; IDENTIFICATION; POLIOMYELITIS; SPECIFICITY; SEQUENCES AB RNA recombination has been shown to occur during circulation of enteroviruses, but most studies have focused on poliovirus. To examine the role of recombination in the evolution of the coxsackie B viruses (CVB), we determined the partial sequences of four genomic intervals for multiple clinical isolates of each of the six CVB serotypes isolated from 1970 to 1996. The regions sequenced were the 5'-nontranslated region (5'-NTR) (350 nucleotides [nt]), capsid (VP4-VP2, 416 nt, and VP1, similar to320 nt), and polymerase (3D, 491 nt). Phylogenetic trees were constructed for each genome region, using the clinical isolate sequences and those of the prototype strains of all 65 enterovirus serotypes. The partial VP1 sequences of each CVB serotype were monophyletic with respect to serotype, as were the VP4-VP2 sequences, in agreement with previously published studies. In some cases, however, incongruent tree topologies suggested that intraserotypic recombination had occurred between the sequenced portions of VP2 and VP1. Outside the capsid region, however, isolates of the same serotype were not monophyletic, indicating that recombination had occurred between the 5'-NTR and capsid, the capsid and 3D, or both. Almost all clinical isolates were recombinant relative to the prototype strain of the same serotype. All of the recombination partners appear to be members of human enterovirus species B. These results suggest that recombination is a frequent event during enterovirus evolution but that there are genetic restrictions that may influence recombinational compatibility. C1 Ctr Dis Control & Prevent, Resp & Enter Viruses Branch, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Oberste, MS (reprint author), Ctr Dis Control & Prevent, Resp & Enter Viruses Branch, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, 1600 Clifton Rd NE,Mailstop G17, Atlanta, GA 30333 USA. EM soberste@cdc.gov NR 31 TC 93 Z9 99 U1 0 U2 5 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0022-538X J9 J VIROL JI J. Virol. PD MAR PY 2004 VL 78 IS 6 BP 2948 EP 2955 DI 10.1128/JVI.78.6.2948-2955.2004 PG 8 WC Virology SC Virology GA 800QP UT WOS:000220043100029 PM 14990713 ER PT J AU Sharpe, TT Alexander, M Hutcherson, J Floyd, RL Brimacombe, M Levine, R Mengel, M Stuber, M AF Sharpe, TT Alexander, M Hutcherson, J Floyd, RL Brimacombe, M Levine, R Mengel, M Stuber, M TI Physician and allied health professionals' training and fetal alcohol syndrome SO JOURNAL OF WOMENS HEALTH LA English DT Article ID UNITED-STATES; WOMEN AB Maternal prenatal alcohol use is one of the leading preventable causes of birth defects and developmental disabilities. On the severe end of the spectrum of conditions related to drinking during pregnancy is fetal alcohol syndrome (FAS). Physicians and other health practitioners play a critical role in diagnosing FAS and in screening women of childbearing age for alcohol use during pregnancy. The Fetal Alcohol Syndrome Prevention Team at CDC's National Center on Birth Defects and Developmental Disabilities awarded funds to four medical school partners (Meharry and Morehouse Medical Colleges, St. Louis University, the University of Medicine and Dentistry of New Jersey, and the University of California at Los Angeles) to develop FAS regional training centers (RTCs). The RTCs are developing, implementing, evaluating, and disseminating educational curricula for medical and allied health students and practitioners that incorporate evidence-based diagnostic guidelines for FAS and other prenatal alcohol-related disorders. C1 CDCP, Natl Ctr Birth Defects & Dev Disabil, Div Birth Defects & Dev Disabil, Fetal Alcohol Syndrome Prevent Team Reg Training, Atlanta, GA 30333 USA. RP Sharpe, TT (reprint author), CDCP, Natl Ctr Birth Defects & Dev Disabil, Div Birth Defects & Dev Disabil, Fetal Alcohol Syndrome Prevent Team Reg Training, Mail Stop E-86,1600 Clifton Rd, Atlanta, GA 30333 USA. OI Brimacombe, Michael/0000-0002-3276-9071 NR 19 TC 14 Z9 14 U1 1 U2 1 PU MARY ANN LIEBERT INC PUBL PI LARCHMONT PA 2 MADISON AVENUE, LARCHMONT, NY 10538 USA SN 1540-9996 J9 J WOMENS HEALTH JI J. Womens Health PD MAR PY 2004 VL 13 IS 2 BP 133 EP 139 DI 10.1089/154099904322966100 PG 7 WC Public, Environmental & Occupational Health; Medicine, General & Internal; Obstetrics & Gynecology; Women's Studies SC Public, Environmental & Occupational Health; General & Internal Medicine; Obstetrics & Gynecology; Women's Studies GA 805PY UT WOS:000220379400001 PM 15072726 ER PT J AU Peters, C Isaza, R Heard, DJ Davis, RD Moore, SM Briggs, DJ AF Peters, C Isaza, R Heard, DJ Davis, RD Moore, SM Briggs, DJ TI Vaccination of Egyptian fruit bats (Rousettus aegyptiacus) with monovalent inactivated rabies vaccine SO JOURNAL OF ZOO AND WILDLIFE MEDICINE LA English DT Article DE Egyptian fruit bat; Rousettus aegyptiacus; rabies; vaccination; rabies virus neutralizing antibodies ID LYSSAVIRUS INFECTIONS; DOMESTIC FERRETS; SOUTH-AFRICA; ZOO BATS; VIRUS; ANTIBODIES; RACCOONS AB Twenty-six captive, adult Egyptian fruit bats (Rousettus aegyptiacus) were tested for the presence of rabies virus neutralizing antibodies (RVNA) using a rapid fluorescent focus inhibition test before and after vaccination. The bats were randomly assigned into three treatment groups: group A (n = 10) bats each received one 0.1-ml dose of monovalent inactivated rabies vaccine, group B (n = 10) bats each received two 0.1-ml doses of vaccine given 30 days apart, and group C (n = 6) bats remained unvaccinated. Plasma was collected from all bats before vaccination and on days 14, 30, 60, and 360. All bats were seronegative before vaccination, and all unvaccinated animals remained negative throughout the study. Rabies virus neutralization titers remained above 0.5 IU/ml from day 30 through day 360 for both vaccinated groups. Group B had significantly higher titers on day 60. This study demonstrated a measurable humoral immune response after vaccination with an inactivated rabies vaccine, with two doses producing a higher level of RVNA. This study confirms the feasibility of a rabies vaccination program for Egyptian fruit bats. C1 Univ Florida, Coll Vet Med, Dept Small Anim Clin Sci, Alachua, FL 32615 USA. Kansas State Univ, Coll Vet Med, Dept Clin Sci, Manhattan, KS 66506 USA. Kansas State Univ, Coll Vet Med, Dept Diagnost Med & Pathobiol, Manhattan, KS 66506 USA. Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Isaza, R (reprint author), Univ Florida, Coll Vet Med, Dept Small Anim Clin Sci, POB 100126, Alachua, FL 32615 USA. NR 41 TC 4 Z9 4 U1 0 U2 0 PU AMER ASSOC ZOO VETERINARIANS PI MEDIA PA 6 NORTH PENNELL ROAD, MEDIA, PA 19063 USA SN 1042-7260 J9 J ZOO WILDLIFE MED JI J. Zoo Wildl. Med. PD MAR PY 2004 VL 35 IS 1 BP 55 EP 59 DI 10.1638/03-027 PG 5 WC Veterinary Sciences SC Veterinary Sciences GA 820YD UT WOS:000221425000010 PM 15193074 ER PT J AU Helmick, KE Heard, DJ Richey, L Finnegan, M Ellis, GA Nguyen, A Tucker, L Weyant, RS AF Helmick, KE Heard, DJ Richey, L Finnegan, M Ellis, GA Nguyen, A Tucker, L Weyant, RS TI A pasteurella-like bacterium associated with pneumonia in captive megachiropterans SO JOURNAL OF ZOO AND WILDLIFE MEDICINE LA English DT Article DE Wahlberg's epauleted fruit bats; Epomophorus wahlbergi; Chiroptera; bacteria; pneumonia; Pasteurella-like organism ID PTEROPUS SP.; BAT; LUNG; SHEEP; FLORA AB A novel Pasteurella-like organism was recovered postmortem from lung tissue of two captive Wahlberg's epauleted fruit bats (Epomophorus wahlbergi), with severe, unilateral pneumonia. The bats had been recently shipped and died shortly after release from a 30-day quarantine. One presented with clinical signs of anorexia and lethargy before death; the other died without prior clinical symptoms. The same Pasteurella-like organism was recovered antemortem from subcutaneous abscesses in two captive little golden mantled flying foxes (Pteropus pumilus) housed with additional E. wahlbergi. The organism was also cultured on tracheal wash from one Malaysian flying fox (Pteropus vampyrus) and another E. wahlbergi, both demonstrating clinical signs of pneumonia. All recovered isolates appeared morphologically and biochemically similar to the initial isolates and were further characterized as either a Pasteurella or Actinobacillus organism on the basis of biochemical and cellular fatty acid profiles. Screening of the current collection using pharyngeal swabs isolated this organism from 12 of 15 E. wahlbergi, two of three P. vampyrus, one of 26 island flying foxes (Pteropus hypomelanus), and one of nine Rodrigues fruit bats (Pteropus rodricensis). The organism was not identified in pharyngeal culture from eight Indian flying foxes (Pteropus giganteus), nine Egyptian fruit bats (Rousettus aegypticus), or an additional 16 P. pumilus. C1 Univ Florida, Coll Vet Med, Dept Small Anim Clin Sci, Gainesville, FL 32601 USA. Univ Florida, Coll Vet Med, Dept Pathobiol, Gainesville, FL 32601 USA. Oregon Zoo, Portland, OR 97221 USA. Natl Vet Serv Labs, Ames, IA 50010 USA. Ctr Dis Control & Prevent, Special Bacteriol & Reference Lab, Atlanta, GA 30333 USA. RP Helmick, KE (reprint author), El Paso Zoo, 4001 E Paisano, El Paso, TX 79905 USA. NR 21 TC 2 Z9 3 U1 0 U2 2 PU AMER ASSOC ZOO VETERINARIANS PI MEDIA PA 6 NORTH PENNELL ROAD, MEDIA, PA 19063 USA SN 1042-7260 J9 J ZOO WILDLIFE MED JI J. Zoo Wildl. Med. PD MAR PY 2004 VL 35 IS 1 BP 88 EP 93 DI 10.1638/01-083 PG 6 WC Veterinary Sciences SC Veterinary Sciences GA 820YD UT WOS:000221425000016 PM 15193080 ER PT J AU Wilson, TE Ickovics, JR Royce, R Fernandez, MI Lampe, M Koenig, LJ AF Wilson, TE Ickovics, JR Royce, R Fernandez, MI Lampe, M Koenig, LJ TI Prenatal care utilization and the implementation of prophylaxis to prevent perinatal HIV-1 transmission SO MATERNAL AND CHILD HEALTH JOURNAL LA English DT Article DE HIV transmission; adequacy of prenatal care; HIV prevention ID HUMAN-IMMUNODEFICIENCY-VIRUS; LOW-BIRTH-WEIGHT; UTILIZATION INDEX; WOMEN; INFECTION; ZIDOVUDINE; ADEQUACY; INFANT; ASSOCIATION; PREGNANCY AB Objectives: To describe prenatal care utilization among women with HIV-1 in 4 US states, and to determine whether the adequacy of prenatal care utilization is associated with the implementation of prenatal, intrapartum, and postnatal HIV antiretroviral therapy (ARV). Methods: Three-hundred three women completed a prenatal interview. Prenatal, labor and delivery, and infant medical records were reviewed. Results: Thirty-nine percent of women did not receive adequate prenatal care; nearly one quarter of women did not begin care within the recommended timeframe, and approximately one-fifth of women received fewer than the recommended number of prenatal care visits from the time of entry into care until delivery. Those classified as less than adequate in terms of receipt of recommended visits were at increased risk for not receiving ARV during the prenatal care period and during labor and delivery, and were more likely to have had an infant subsequently diagnosed with HIV infection. Conclusion: Although women with HIV require adequate prenatal care for their own health as well as to improve perinatal outcomes, many are at risk for not receiving this care. Lower adherence to prenatal care appointments is an important risk factor for not receiving full HIV prophylactic regimens. C1 Suny Downstate Med Ctr, Dept Prevent Med & Community Hlth, Brooklyn, NY 11203 USA. Yale Univ, Sch Med, New Haven, CT USA. Res Triangle Inst, Res Triangle Pk, NC 27709 USA. Univ Miami, Sch Med, Miami, FL 33152 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Wilson, TE (reprint author), Suny Downstate Med Ctr, Dept Prevent Med & Community Hlth, Box 1240,450 Clarkson Ave, Brooklyn, NY 11203 USA. EM tracey.wilson@downstate.edu RI Royce, Rachel/A-7964-2012 FU ODCDC CDC HHS [U64/CCU412294, U64/CCU412273, U64/CCU112274, U64/CCU212267] NR 15 TC 14 Z9 16 U1 0 U2 0 PU PLENUM PUBLISHERS PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1092-7875 J9 MATERN CHILD HEALT J JI Matern. Child Health J. PD MAR PY 2004 VL 8 IS 1 BP 13 EP 18 DI 10.1023/B:MACI.0000019844.00027.d2 PG 6 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 892CG UT WOS:000226626700003 PM 15125453 ER PT J AU Sappenfield, WM Handler, A Petrini, JR AF Sappenfield, WM Handler, A Petrini, JR TI 2003 National MCH Epidemiology Awards: Recognizing excellence SO MATERNAL AND CHILD HEALTH JOURNAL LA English DT News Item RP Sappenfield, WM (reprint author), Ctr Dis Control & Prevent, Div Reprod Hlth, 4770 Buford Hwy NE,Mail Stop K22, Atlanta, GA 30341 USA. EM BSappenfield@cdc.gov NR 0 TC 0 Z9 0 U1 0 U2 0 PU PLENUM PUBLISHERS PI NEW YORK PA 233 SPRING ST, NEW YORK, NY 10013 USA SN 1092-7875 J9 MATERN CHILD HEALT J JI Matern. Child Health J. PD MAR PY 2004 VL 8 IS 1 BP 39 EP 42 DI 10.1023/B:MACI.0000019846.14106.eb PG 4 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 892CG UT WOS:000226626700007 PM 15125457 ER PT J AU Ribeiro, JMC Zeidner, NS Ledin, K Dolan, MC Mather, TN AF Ribeiro, JMC Zeidner, NS Ledin, K Dolan, MC Mather, TN TI How much pilocarpine contaminates pilocarpine-induced tick saliva? SO MEDICAL AND VETERINARY ENTOMOLOGY LA English DT Article DE Amblyomma americanum; Ixodes scapularis; haematophagy; pilocarpine; salivary glands; salivation; tick ID MUSCARINIC AGONIST PILOCARPINE; LYME-DISEASE VECTOR; IXODES-SCAPULARIS; BORRELIA-BURGDORFERI; HOST IMMUNITY; SECRETION; DAMMINI; EXPRESSION; ACTIVATION; RESISTANCE AB Pilocarpine is often applied or injected into ticks to induce salivation, and the resulting saliva used to test for various pharmacological, biochemical and immunological activities. To measure the amount of pilocarpine in pilocarpine-induced tick saliva, an HPLC-MS/MS method, based on capillary strong cation exchange chromatography online with an ion trap mass spectrometer, was used to measure pilocarpine in the pg to ng range. Results indicate large concentrations of pilocarpine in Ixodes scapularis Say and Amblyomma americanum (Linnaeus) (Acari: Ixodidae) saliva, ranging from 3 to 50 mM. Due to the known effects of pilocarpine on smooth muscle and immune cells, appropriate controls are proposed and discussed for proper interpretation of results using this saliva preparation. C1 NIAID, Sect Vector Biol, Lab Malaria & Vector Res, NIH, Bethesda, MD 20852 USA. Ctr Dis Control & Prevent, Div Vector Borne Infect Dis, Natl Ctr Infect Dis, Ft Collins, CO USA. Univ Rhode Isl, Ctr Vectorborne Dis, Kingston, RI 02881 USA. RP Ribeiro, JMC (reprint author), NIAID, Sect Vector Biol, Lab Malaria & Vector Res, NIH, 4 Ctr Dr,Room 4-126,MSC 0425, Bethesda, MD 20852 USA. EM JRibeiro@NIH.gov OI Ribeiro, Jose/0000-0002-9107-0818 FU NIAID NIH HHS [AI 37230] NR 28 TC 16 Z9 16 U1 0 U2 3 PU BLACKWELL PUBLISHING LTD PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DG, OXON, ENGLAND SN 0269-283X J9 MED VET ENTOMOL JI Med. Vet. Entomol. PD MAR PY 2004 VL 18 IS 1 BP 20 EP 24 DI 10.1111/j.0269-283X.2003.0469.x PG 5 WC Entomology; Veterinary Sciences SC Entomology; Veterinary Sciences GA 801HU UT WOS:000220087800004 PM 15009442 ER PT J AU Thacker, SB Gilchrist, J Stroup, DF Kimsey, CD AF Thacker, SB Gilchrist, J Stroup, DF Kimsey, CD TI The impact of stretching on sports injury risk: A systematic review of the literature SO MEDICINE AND SCIENCE IN SPORTS AND EXERCISE LA English DT Article DE athletes; conditioning; meta-analysis; synthesis ID HAMSTRING MUSCLE FLEXIBILITY; LOWER-EXTREMITY INJURIES; WARM-UP; MUSCULAR INJURY; ECCENTRIC EXERCISE; ATHLETIC INJURIES; OVERUSE INJURIES; STATIC STRETCH; SHIN SPLINTS; YOUNG-ADULTS AB Purpose: We conducted a systematic review to assess the evidence for the effectiveness of stretching as a tool to prevent injuries in sports and to make recommendations for research and prevention. Methods: Without language limitations, we searched electronic data bases, including MEDLINE (1966-2002), Current Contents (1997-2002), Biomedical Collection (1993-1999), the Cochrane Library, and SPORTDiscus, and then identified citations from papers retrieved and contacted experts in the field. Meta-analysis was limited to randomized trials or cohort studies for interventions that included stretching. Studies were excluded that lacked controls, in which stretching could not be assessed independently, or where studies did not include subjects in sporting or fitness activities. All articles were screened initially by one author. Six of 361 identified articles compared stretching with other methods to prevent injury. Data were abstracted by one author and then reviewed independently by three others. Data quality was assessed independently by three authors using a previously standardized instrument, and reviewers met to reconcile substantive differences in interpretation. We calculated weighted pooled odds ratios based on an intention-to-treat analysis as well as subgroup analyses by quality score and study design. Results: Stretching was not significantly associated with a reduction in total injuries (OR = 0.93, CI 0.78-1.11) and similar findings were seen in the subgroup analyses. Conclusion: There is not sufficient evidence to endorse or discontinue routine stretching before or after exercise to prevent injury among competitive or recreational athletes. Further research, especially well-conducted randomized controlled trials, is urgently needed to determine the proper role of stretching in sports. C1 Ctr Dis Control & Prevent, Epidemiol Program Off, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA USA. Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA. RP Thacker, SB (reprint author), Ctr Dis Control & Prevent, Epidemiol Program Off, MS C08, Atlanta, GA 30333 USA. EM sbt1@cdc.gov NR 98 TC 202 Z9 214 U1 12 U2 78 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0195-9131 J9 MED SCI SPORT EXER JI Med. Sci. Sports Exerc. PD MAR PY 2004 VL 36 IS 3 BP 371 EP 378 DI 10.1249/01.MSS.0000117134.83018.F7 PG 8 WC Sport Sciences SC Sport Sciences GA 801YS UT WOS:000220131800004 PM 15076777 ER PT J AU Poelvoorde, P Vanhamme, L Van Den Abbeele, J Switzer, WM Pays, E AF Poelvoorde, P Vanhamme, L Van Den Abbeele, J Switzer, WM Pays, E TI Distribution of apolipoprotein L-I and trypanosome lytic activity among primate sera SO MOLECULAR AND BIOCHEMICAL PARASITOLOGY LA English DT Article DE trypanosome lytic factor; normal human serum; sleeping sickness ID L GENE-CLUSTER; IDENTIFICATION; RHODESIENSE; EXPRESSION; EVOLUTION; TISSUE C1 Free Univ Brussels, Mol Parasitol Lab, IBMM, B-6041 Gosselies, Belgium. Inst Trop Med, Dept Parasitol, B-2000 Antwerp, Belgium. Ctr Dis Control & Prevent, HIV & Retrovirol Branch, Div AIDS STD & TB Lab Res, Atlanta, GA 30333 USA. RP Pays, E (reprint author), Free Univ Brussels, Mol Parasitol Lab, IBMM, 12 Rue Professeurs Jeener & Brachet, B-6041 Gosselies, Belgium. EM epays@ulb.ac.be NR 12 TC 35 Z9 38 U1 0 U2 4 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 0166-6851 J9 MOL BIOCHEM PARASIT JI Mol. Biochem. Parasitol. PD MAR PY 2004 VL 134 IS 1 BP 155 EP 157 DI 10.1016/j.molbiopara.2003.11.006 PG 3 WC Biochemistry & Molecular Biology; Parasitology SC Biochemistry & Molecular Biology; Parasitology GA 773DE UT WOS:000188881800017 PM 14747153 ER PT J AU McGowan, JE Tenover, FC AF McGowan, JE Tenover, FC TI Confronting bacterial resistance in healthcare settings: a crucial role for microbiologists SO NATURE REVIEWS MICROBIOLOGY LA English DT Review ID SPECTRUM BETA-LACTAMASES; QUALITY-ASSURANCE SYSTEM; UNITED-STATES HOSPITALS; GRAM-NEGATIVE BACILLI; STAPHYLOCOCCUS-AUREUS; ANTIMICROBIAL RESISTANCE; ANTIBIOTIC-RESISTANCE; ACINETOBACTER-BAUMANNII; PSEUDOMONAS-AERUGINOSA; MULTIDRUG-RESISTANT C1 Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA 30322 USA. Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA. RP McGowan, JE (reprint author), Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, 1518 Clifton Rd, Atlanta, GA 30322 USA. EM jmcgowa@sph.emory.edu RI mcgowan jr, john/G-5404-2011 NR 102 TC 27 Z9 27 U1 1 U2 8 PU NATURE PUBLISHING GROUP PI LONDON PA MACMILLAN BUILDING, 4 CRINAN ST, LONDON N1 9XW, ENGLAND SN 1740-1526 J9 NAT REV MICROBIOL JI Nat. Rev. Microbiol. PD MAR PY 2004 VL 2 IS 3 BP 251 EP 258 DI 10.1038/nrmicro845 PG 8 WC Microbiology SC Microbiology GA 806KC UT WOS:000220431800016 PM 15083160 ER PT J AU Hitchcock, EM Dick, RB Krieg, EF AF Hitchcock, EM Dick, RB Krieg, EF TI Visual contrast sensitivity testing: A comparison of two FACT test types SO NEUROTOXICOLOGY AND TERATOLOGY LA English DT Article DE neurotoxicology; contrastv sensitivity; spatial vision; neurobehavioral; visual acuity ID NEUROBEHAVIORAL DEFICITS; CHILDREN; VISION AB Measures of visual contrast sensitivity (VCS), rather than traditional measures of visual acuity using high-contrast stimuli, have been presented as better appraisals of visual dysfunction resulting from chemical exposures. The present study sought to determine if differences exist between two available measures of contrast sensitivity that use similar stimuli, specifically, a hand-held chart and an Optec 1000 vision tester. Monocular contrast sensitivity measures using both tests were obtained from 45 individuals as part of a NIOSH neurobehavioral test-battery appraisal. Test-retest reliability was found to be high for both the hand-held system and the Optec 1000 test (r=.750 and .773, respectively). In comparison to the automated test, the hand-held version produced statistically significant higher contrast sensitivity scores for lower spatial frequencies (1.5 and 3.0 cycles per degree) and lower scores for a relatively higher spatial frequency (18.0 cycles per degree [cpd]). Consequently, this study documents a difference in spatial frequency scores obtained with the hand-held form and Optec 1000 form of contrast sensitivity test, and attributes these differences to design characteristics affecting viewing. It is concluded that caution should be taken when making absolute comparisons of contrast sensitivity test scores between neurobehavioral studies that have used different forms of VCS testing. (C) 2003 Elsevier Inc. All rights reserved. C1 US Dept HHS, NIOSH, Ctr Dis Control & Prevent, Div Appl Res & Technol, Cincinnati, OH 45226 USA. RP Hitchcock, EM (reprint author), US Dept HHS, NIOSH, Ctr Dis Control & Prevent, Div Appl Res & Technol, 4676 Columbia Pkwy,MS C-24, Cincinnati, OH 45226 USA. EM EHitchcock@cdc.gov NR 23 TC 11 Z9 11 U1 0 U2 2 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0892-0362 J9 NEUROTOXICOL TERATOL JI Neurotoxicol. Teratol. PD MAR-APR PY 2004 VL 26 IS 2 BP 271 EP 277 DI 10.1016/j.ntt.2003.10.007 PG 7 WC Neurosciences; Toxicology SC Neurosciences & Neurology; Toxicology GA 806OY UT WOS:000220444400010 PM 15019960 ER PT J AU Phillips, SM Bandini, LG Naumova, EN Cyr, H Colclough, S Dietz, WH Must, A AF Phillips, SM Bandini, LG Naumova, EN Cyr, H Colclough, S Dietz, WH Must, A TI Energy-dense snack food intake in adolescence: Longitudinal relationship to weight and fatness SO OBESITY RESEARCH LA English DT Article DE snack foods; soda; weight; television; body composition ID SOFT DRINK CONSUMPTION; US CHILDREN; PHYSICAL-ACTIVITY; UNITED-STATES; FREQUENCY QUESTIONNAIRE; NONOBESE ADOLESCENTS; CHILDHOOD OBESITY; BODY-COMPOSITION; NATIONAL-HEALTH; DIETARY-INTAKE AB Objective: The longitudinal relationship between the consumption of energy-dense snack (EDS) foods and relative weight change during adolescence is uncertain. Using data from the Massachusetts Institute of Technology Growth and Development Study, the current analysis was undertaken to examine the longitudinal relationship of EDS food intake with relative weight status and percentage body fat and to examine how EDS food consumption is related to television viewing. Research Methods and Procedures: One hundred ninety-six nonobese premenarcheal girls 8 to 12 years old were enrolled between 1990 and 1993 and followed until 4 years after menarche. At each annual follow-up visit, data were collected on percentage body fat (%BF), BMI z score, and dietary intake. Categories of EDS foods considered were baked goods, ice cream, chips, sugar-sweetened soda, and candy. Results: At study entry, girls had a mean +/- SD BMI z score of -0.27 +/- 0.89, consumed 2.3 +/- 1.7 servings of EDS foods per day, and consumed 15.7 +/- 8.1% of daily calories from EDS foods. Linear mixed effects modeling indicated no relationship between BMI z score or %BF and total EDS food consumption. Soda was the only EDS food that was significantly related to BMI z score over the 10-year study period, but it was not related to %BF. In addition, a significant, positive relationship was observed between EDS food consumption and television viewing. Discussion: In this cohort of initially nonobese girls, overall EDS food consumption does not seem to influence weight status or fatness change over the adolescent period. C1 Tufts Univ, Sch Med, Dept Family Med & Community Hlth, Boston, MA 02111 USA. Tufts Univ, Gerald J & Dorothy R Friedman Sch Nutr Sci & Poli, Boston, MA 02111 USA. Boston Univ, Dept Hlth Sci, Boston, MA 02215 USA. MIT, Clin Res Ctr, Cambridge, MA 02139 USA. Univ Massachusetts, Sch Med, Eunice Kennedy Shriver Ctr, Waltham, MA USA. Ctr Dis Control & Prevent, Div Nutr & Phys Activ, Atlanta, GA USA. RP Must, A (reprint author), Tufts Univ, Sch Med, Dept Family Med & Community Hlth, 136 Harrison Ave, Boston, MA 02111 USA. EM aviva.must@tufts.edu RI Naumova, Elena/C-5954-2011; OI Naumova, Elena/0000-0002-9562-4734 FU NCRR NIH HHS [M0I-RR-00088]; NIDDK NIH HHS [DK-HD50537, 5P30 DK46200] NR 50 TC 192 Z9 194 U1 1 U2 34 PU NORTH AMER ASSOC STUDY OBESITY PI SILVER SPRING PA 8630 FENTON ST, SUITE 918, SILVER SPRING, MD 20910 USA SN 1071-7323 J9 OBES RES JI Obes. Res. PD MAR PY 2004 VL 12 IS 3 BP 461 EP 472 DI 10.1038/oby.2004.52 PG 12 WC Endocrinology & Metabolism; Nutrition & Dietetics SC Endocrinology & Metabolism; Nutrition & Dietetics GA 808ET UT WOS:000220553100006 PM 15044663 ER PT J AU Ferrara, A Kahn, HS Quesenberry, CP Riley, C Hedderson, MM AF Ferrara, A Kahn, HS Quesenberry, CP Riley, C Hedderson, MM TI An increase in the incidence of gestational diabetes mellitus: Northern California, 1991-2000 SO OBSTETRICS AND GYNECOLOGY LA English DT Article ID IMPAIRED GLUCOSE-TOLERANCE; INTRAUTERINE ENVIRONMENT; LIFE-STYLE; PREGNANCY; OBESITY; PREVALENCE; PREVENTION; ADULTS; WOMEN; US AB OBJECTIVE: Women with gestational diabetes mellitus (GDM) and their offspring are at increased risk of developing diabetes. Although increases in diabetes prevalence have been reported in the United States, it is unknown whether this trend is also occurring for GDM. We examined trends in the yearly cumulative incidence of GDM between the years 1991 and 2000. METHODS: A cohort study of 267,051 pregnancies screened for GDM that occurred among members of the Northern California Kaiser Permanente Medical Care Program, representing 86.8% of all eligible pregnancies, was undertaken. RESULTS: GDM was identified in 14,175 pregnancies according to the diagnostic plasma glucose thresholds of the American Diabetes Association (96.5%) or the World Health Organization (3.5%). An additional 2,743 pregnant women with GDM were identified by a hospital discharge diagnosis. The women screened in 2000 were slightly older (mean [standard deviation] age 28.8 [6.0] years) than were those screened in 1991 (28.2 [5.7] years) and more likely to be from minority ethnic groups (51.4% versus 37.3% identified as African American, Asian, Hispanic, and other). The age- and ethnicity-adjusted yearly cumulative incidence of GDM increased steadily from 5.1% in 1991 to 7.4% in 1997 and leveled off through 2000 (6.9%). DISCUSSION: The observed increase in yearly cumulative incidence of GDM was independent of changes in age and ethnicity of the study population. A true increase in GDM incidence might reflect or contribute to the increases in the prevalence of diabetes and obesity. Coordinated efforts are needed to alter this trend and to prevent chronic diabetes in GDM patients and their offspring. (C) 2004 by The American College of Obstetricians and Gynecologists. C1 Kaiser Permanente, Div Res, Med Care Program, Oakland, CA 94612 USA. Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Diabet Translat, Atlanta, GA USA. RP Ferrara, A (reprint author), Kaiser Permanente, Div Res, Med Care Program, 2000 Broadway,3rd Floor, Oakland, CA 94612 USA. EM axf@dor.kaiser.org OI Kahn, Henry/0000-0003-2533-1562; Ferrara, Assiamira/0000-0002-7505-4826 FU NIDDK NIH HHS [1R01 DK 54834] NR 32 TC 219 Z9 222 U1 0 U2 6 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0029-7844 J9 OBSTET GYNECOL JI Obstet. Gynecol. PD MAR PY 2004 VL 103 IS 3 BP 526 EP 533 DI 10.1097/01.AOG.0000113623.18286.20 PG 8 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 809OO UT WOS:000220646200020 PM 14990417 ER PT J AU Benard, VB Eheman, CR Lawson, HW Blackman, DK Anderson, C Helsel, W Thames, SF Lee, NC AF Benard, VB Eheman, CR Lawson, HW Blackman, DK Anderson, C Helsel, W Thames, SF Lee, NC TI Cervical screening in the National Breast and Cervical Cancer Early Detection Program, 1995-2001 SO OBSTETRICS AND GYNECOLOGY LA English DT Article ID UNITED-STATES; RISK-FACTORS; PAPILLOMAVIRUS INFECTION; AMERICAN WOMEN; NEOPLASIA; EPIDEMIOLOGY; MAMMOGRAPHY; MANAGEMENT; CYTOLOGY; RACE AB OBJECTIVE: To describe results of cervical cytology screening among low-income and uninsured women in the National Breast and Cervical Cancer Early Detection Program. METHODS: We analyzed data from 750,591 women who received their first Papanicolaou (Pap) test in the program between July 1995 and March 2001. RESULTS: Nearly 85% of the women were aged 40 years or older. Almost half were members of racial or ethnic minority groups. Overall, the percentage of abnormal Pap test results decreased with increasing age. The rates of cervical intraepithelial neoplasia, (CIN) were highest in the younger age groups but the rate of invasive cancer increased with age. White women had the highest age-adjusted percentage of abnormal Pap test results and the highest rate of biopsy-confirmed CIN 2 or worse. CONCLUSIONS: In this nationwide screening program, only 7% of all biopsy-confirmed high-grade cervical lesions (CIN 2 or worse) were invasive cancer. This underscores the success of Pap screening in identifying preinvasive disease and preventing cancer. (C) 2004 by The American College of Obstetricians and Gynecologists. C1 CDCP, NCCDPHP, Epidemiol & Hlth Serv Res Branch, Div Canc Prevent & Control, Atlanta, GA 30341 USA. Informat Management Serv Inc, Silver Spring, MD USA. RP Benard, VB (reprint author), CDCP, NCCDPHP, Epidemiol & Hlth Serv Res Branch, Div Canc Prevent & Control, Mailstop K55,4770 Buford Highway NE, Atlanta, GA 30341 USA. EM vdb9@cdc.gov NR 31 TC 35 Z9 39 U1 0 U2 0 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0029-7844 J9 OBSTET GYNECOL JI Obstet. Gynecol. PD MAR PY 2004 VL 103 IS 3 BP 564 EP 571 DI 10.1097/01.AOG.0000115510.81613.f0 PG 8 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 809OO UT WOS:000220646200025 PM 14990422 ER PT J AU Pinkerton, LE Hein, MJ Stayner, LT AF Pinkerton, LE Hein, MJ Stayner, LT TI Mortality among a cohort of garment workers exposed to formaldehyde: an update SO OCCUPATIONAL AND ENVIRONMENTAL MEDICINE LA English DT Article ID TABLE ANALYSIS SYSTEM; SAFETY-AND-HEALTH; EPIDEMIOLOGIC EVIDENCE; RESPIRATORY-TRACT; CANCER; INDUSTRY; METAANALYSIS; INSTITUTE; EMBALMERS; INDUCTION AB Aims: To evaluate the mortality experience of 11039 workers exposed to formaldehyde for three months or more in three garment plants. The mean time weighted average formaldehyde exposure at the plants in the early 1980s was 0.15 ppm but past exposures may have been substantially higher. Methods: Vital status was updated through 1998, and life table analyses were conducted. Results: Mortality from all causes (2206 deaths, standardised mortality ratio (SMR) 0.92, 95% CI 0.88 to 0.96) and all cancers (SMR 0.89, 95% CI 0.82 to 0.97) was less than expected based on US mortality rates. A non-significant increase in mortality from myeloid leukaemia (15 deaths, SMR 1.44, 95% CI 0.80 to 2.37) was observed. Mortality from myeloid leukaemia was greatest among workers first exposed in the earliest years when exposures were presumably higher, among workers with 10 or more years of exposure, and among workers with 20 or more years since first exposure. No nasal or nasopharyngeal cancers were observed. Mortality from trachea, bronchus, and lung cancer (147 deaths, SMR 0.98, 95% CI 0.82 to 1.15) was not increased. Multiple cause mortality from leukaemia was increased almost twofold among workers with both 10 or more years of exposure and 20 years or more since first exposure (15 deaths, SMR 1.92, 95% CI 1.08 to 3.17). Multiple cause mortality from myeloid leukaemia among this group of workers was also significantly increased (8 deaths, SMR 2.55, 95% CI 1.10 to 5.03). Conclusions: Results support a possible relation between formaldehyde exposure and myeloid leukaemia mortality. Previous epidemiological studies supporting a relation between formaldehyde exposure and leukaemia mortality have been primarily of formaldehyde exposed professional groups, not formaldehyde exposed industrial workers. Limitations include limited power to detect an excess for rare cancers such as nasal and nasopharyngeal cancers and lack of individual exposure estimates. C1 NIOSH, Epidemiol Sect, Industrywide Studies Branch, Div Surveillance Hazard Evaluat & Field Studies, Cincinnati, OH 45226 USA. NIOSH, Risk Evaluat Branch, Educ & Informat Div, Cincinnati, OH 45226 USA. RP Pinkerton, LE (reprint author), NIOSH, Epidemiol Sect, Industrywide Studies Branch, Div Surveillance Hazard Evaluat & Field Studies, 4676 Columbia Pkwy,R-15, Cincinnati, OH 45226 USA. EM LPinkerton@cdc.gov NR 26 TC 116 Z9 123 U1 2 U2 10 PU B M J PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 1351-0711 J9 OCCUP ENVIRON MED JI Occup. Environ. Med. PD MAR 1 PY 2004 VL 61 IS 3 BP 193 EP 200 DI 10.1136/oem.2003.007476 PG 8 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 778AT UT WOS:000189217500002 PM 14985513 ER PT J AU Sulaiman, IM Fayer, R Yang, CF Santin, M Matos, O Xiao, LH AF Sulaiman, IM Fayer, R Yang, CF Santin, M Matos, O Xiao, LH TI Molecular characterization of Enterocytozoon bieneusi in cattle indicates that only some isolates have zoonotic potential SO PARASITOLOGY RESEARCH LA English DT Article ID INTESTINAL MICROSPORIDIOSIS; 1ST DETECTION; HIGH PREVALENCE; FECAL SAMPLES; SURFACE-WATER; DIARRHEA; PIGS; INFECTIONS; GENOTYPES; STRAINS AB In this study, 338 fecal samples were analyzed for Enterocytozoon bieneusi from cattle farms in Florida, Maryland, Michigan, New York, North Carolina, Pennsylvania, Virginia, and Portugal. The internal transcribed spacer region (392 bp) of the rRNA gene of E. bieneusi was amplified using a nested PCR protocol. Thirty-two E. bieneusi-PCR positive samples were sequenced. A high degree of genetic polymorphism represented by five distinct genotypes (BEB1-BEB5) was found among the E. bieneusi isolates from cattle. Most of the isolates formed a distinct cluster consisting of only the four cattle genotypes, but six isolates of a genotype clustered together with E. bieneusi genotypes from humans and other domestic animals. Therefore only some E. bieneusi isolates from cattle may be of public health importance. C1 Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA 30341 USA. ARS, Anim & Nat Resources Inst, Environm Microbial Safety Lab, USDA, Beltsville, MD 20705 USA. Ctr Dis Control & Prevent, Div AIDS, STD & TB Lab Res, Atlanta, GA 30333 USA. Univ Nova Lisboa, Inst higiene & Med Trop, UPMM, Unidade Protozoarios Oportunistas VIH & Outras Pr, P-1200 Lisbon, Portugal. RP Xiao, LH (reprint author), Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA 30341 USA. EM lxiao@cdc.gov RI Xiao, Lihua/B-1704-2013; MATOS, OLGA/J-8859-2012; Yang, Chunfu/G-6890-2013; OI Xiao, Lihua/0000-0001-8532-2727; MATOS, OLGA/0000-0001-5793-7716 NR 26 TC 62 Z9 62 U1 1 U2 2 PU SPRINGER-VERLAG PI NEW YORK PA 175 FIFTH AVE, NEW YORK, NY 10010 USA SN 0932-0113 J9 PARASITOL RES JI Parasitol. Res. PD MAR PY 2004 VL 92 IS 4 BP 328 EP 334 DI 10.1007/s00436-003-1049-5 PG 7 WC Parasitology SC Parasitology GA 807GV UT WOS:000220490900009 PM 14727187 ER PT J AU Meissner, HC Rennels, MB Pickering, LK Hall, CB AF Meissner, HC Rennels, MB Pickering, LK Hall, CB TI Risk of severe respiratory syncytial virus disease, identification of high risk infants and recommendations for prophylaxis with palivizumab SO PEDIATRIC INFECTIOUS DISEASE JOURNAL LA English DT Letter DE respiratory syncytial virus; palivizumab; high risk infants ID REVISED INDICATIONS; PREVENTION; INFECTIONS; HOSPITALIZATIONS; CHILDREN C1 Tufts Univ, New England Med Ctr, Div Pediat Infect Dis, Boston, MA 02111 USA. Univ Maryland, Dept Pediat, Baltimore, MD 21201 USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. Univ Rochester, Dept Pediat & Med, Div Infect Dis, Rochester, NY USA. RP Meissner, HC (reprint author), Tufts Univ, New England Med Ctr, Div Pediat Infect Dis, Boston, MA 02111 USA. NR 12 TC 19 Z9 22 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0891-3668 J9 PEDIATR INFECT DIS J JI Pediatr. Infect. Dis. J. PD MAR PY 2004 VL 23 IS 3 BP 284 EP 285 DI 10.1097/01.inf.0000121203.33560.f9 PG 2 WC Immunology; Infectious Diseases; Pediatrics SC Immunology; Infectious Diseases; Pediatrics GA 804SH UT WOS:000220317900030 PM 15014320 ER PT J AU Hertrampf, E Cortes, F Mellado, C Erickson, D AF Hertrampf, E Cortes, F Mellado, C Erickson, D TI Impact of folic acid fortification of wheat flour on the incidence of neural tube defects in Chile. SO PEDIATRIC RESEARCH LA English DT Meeting Abstract CT 41st Annual Meeting of the Latin-American-Society-for-Paediatric-Research (LASPR) CY OCT, 2003 CL MARBELLA, CHILE C1 Ctr Dis Control & Prevent, Atlanta, GA USA. Univ Chile, Inst Nutr & Tecnol Alimentos, Santiago, Chile. NR 0 TC 0 Z9 0 U1 1 U2 2 PU INT PEDIATRIC RESEARCH FOUNDATION, INC PI BALTIMORE PA 351 WEST CAMDEN ST, BALTIMORE, MD 21201-2436 USA SN 0031-3998 J9 PEDIATR RES JI Pediatr. Res. PD MAR PY 2004 VL 55 IS 3 MA 1 BP 528 EP 528 PG 1 WC Pediatrics SC Pediatrics GA 776HR UT WOS:000189111000029 ER PT J AU Tugwell, BD Lee, LE Gillette, H Lorber, EM Hedberg, K Cieslak, PR AF Tugwell, BD Lee, LE Gillette, H Lorber, EM Hedberg, K Cieslak, PR TI Chickenpox outbreak in a highly vaccinated school population SO PEDIATRICS LA English DT Article DE chickenpox; chickenpox vaccine; disease outbreaks; risk factors ID LIVE VARICELLA VACCINE; HEALTHY-CHILDREN; PROTECTIVE IMMUNITY; CARE-CENTER; OKA STRAIN; POSTLICENSURE; EXPERIENCE; RESPONSES AB Objective. We investigated a chickenpox outbreak that started in an Oregon elementary school in October 2001, after public schools began phasing in a varicella vaccination requirement for enrollment. We sought to determine the rate of varicella vaccination and effectiveness and risk factors for breakthrough disease. Methods. A chickenpox case was defined as an acute maculopapulovesicular rash without other explanation occurring from October 30, 2001 through January 27, 2002 in a student without a prior history of chickenpox. We reviewed varicella vaccination records and history of prior chickenpox, and we calculated vaccine effectiveness. We evaluated the effects of age, gender, age at vaccination, and time since vaccination on risk of breakthrough disease (ie, chickenpox occurring > 42 days after vaccination). Results. Of 422 students, 218 (52%) had no prior chickenpox. Of these, 211 (97%) had been vaccinated before the outbreak. Twenty-one cases occurred in 9 of 16 classrooms. In these 9 classrooms, 18 of 152 (12%) vaccinated students developed chickenpox, compared with 3 of 7 (43%) unvaccinated students. Vaccine effectiveness was 72% (95% confidence interval: 3% - 87%). Students vaccinated > 5 years before the outbreak were 6.7 times ( 95% confidence interval: 2.2 - 22.9) as likely to develop breakthrough disease as those vaccinated less than or equal to 5 years before the outbreak (15 of 65 [23%] vs 3 of 87 [3%]). Conclusions. A chickenpox outbreak occurred in a school in which 97% of students without a prior history of chickenpox were vaccinated. Students vaccinated > 5 years before the outbreak were at risk for breakthrough disease. Booster vaccination may deserve additional consideration. C1 Oregon Dept Human Serv, Off Dis Prevent & Epidemiol, Portland, OR 97232 USA. Ctr Dis Control & Prevent, Epidemiol Intelligence Serv, Epidemiol Program Off, Atlanta, GA USA. RP Cieslak, PR (reprint author), Oregon Dept Human Serv, Off Dis Prevent & Epidemiol, 800 NE Oregon St,Ste 772, Portland, OR 97232 USA. EM paul.r.cieslak@state.or.us NR 28 TC 83 Z9 95 U1 0 U2 0 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD,, ELK GROVE VILLAGE, IL 60007-1098 USA SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD MAR 1 PY 2004 VL 113 IS 3 BP 455 EP 459 DI 10.1542/peds.113.3.455 PG 5 WC Pediatrics SC Pediatrics GA 779ZT UT WOS:000189344400004 PM 14993534 ER PT J AU O'Brien, MA Uyeki, TM Shay, DK Thompson, WW Kleinman, K McAdam, A Yu, XJ Platt, R Lieu, TA AF O'Brien, MA Uyeki, TM Shay, DK Thompson, WW Kleinman, K McAdam, A Yu, XJ Platt, R Lieu, TA TI Incidence of outpatient visits and hospitalizations related to influenza in infants and young children SO PEDIATRICS LA English DT Article DE influenza; children; epidemiology; hospitalization; outpatient visit ID COST-EFFECTIVENESS; VIRUS-INFECTIONS; HEALTHY INFANTS; VACCINATION; ILLNESS; BURDEN; TIME; FAMILIES; IMPACT; AGE AB Objective. The Advisory Committee on Immunization Practices currently encourages influenza vaccination for all children aged 6 to 23 months when feasible, based on studies that have demonstrated that young children have high hospitalization rates attributable to influenza. The Advisory Committee on Immunization Practices recently voted to recommend influenza vaccination for all children beginning during the 2004-2005 influenza season; information on the rate of outpatient visits due to influenza is needed to better evaluate the potential health impact and cost-effectiveness of the recommendation. We estimated the incidence of outpatient visits as well as hospitalizations for specific acute respiratory illnesses and for influenza-associated outpatient-visit and hospitalization rates among healthy infants and children in a Massachusetts health maintenance organization. Design/Methods. Surveillance data were used to identify when influenza viruses, respiratory syncytial viruses, and parainfluenza viruses were circulating in the greater Boston area during 1994-2000. Using computerized medical records, we identified outpatient visits and hospitalizations for selected respiratory illnesses. Outpatient-visit rates and hospitalizations attributed to influenza were calculated by subtracting the rate of visits during the periseasonal period from the rate of visits during the influenza period. Rates were stratified by age and risk for complications from influenza. Results. Between 1994 and 2000, there were 188139 outpatient visits and 885 hospitalizations for respiratory illnesses in the study population. Among healthy children aged 6 to 23 months, the rate per 100 person-months for outpatient visits during influenza periods was 14.5 (95% confidence interval [CI]: 13.9 to 15.1), and the excess rate that could be attributed to influenza compared with the periseasonal period was 1.8 (95% CI: 1.1 to 2.4). Among healthy children, the rate of hospitalizations for acute respiratory disease was 10.4 per 10000 person-months (95% CI: 6.0 to 17.0), and the rate that could be attributed to influenza when compared with the periseasonal baseline period was 3.9 (95% CI: -2.0 to 0.0). Among children who were at high risk for complications from influenza, the rate of outpatient visits per 100 person-months was 28.7 (95% CI: 26.6 to 30.9) during influenza periods. The rate of hospitalizations among high-risk children was 44.6 per 10 000 person-months (95% CI: 19.0 to 17.0). Conclusion. Influenza season is associated with a substantial increase in outpatient visits by healthy children. These estimates of outpatient visits for influenza will help quantify the potential health benefits and cost savings from influenza vaccination of healthy children aged 6 to 23 months. C1 Harvard Univ, Sch Med, Dept Ambulatory Care & Prevent, Boston, MA 02215 USA. Harvard Univ, Sch Med, Ctr Child Hlth Care Studies, Boston, MA 02215 USA. Harvard Pilgrim Hlth Care, Boston, MA USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Atlanta, GA USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. Childrens Hosp, Div Gen Pediat, Boston, MA 02115 USA. Childrens Hosp, Dept Lab Med, Boston, MA 02115 USA. RP O'Brien, MA (reprint author), Harvard Univ, Sch Med, Dept Ambulatory Care & Prevent, 133 Brookline Ave,6th Fl, Boston, MA 02215 USA. EM megan_obrien@hphc.org OI Shay, David/0000-0001-9619-4820 NR 28 TC 170 Z9 178 U1 1 U2 5 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD,, ELK GROVE VILLAGE, IL 60007-1098 USA SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD MAR 1 PY 2004 VL 113 IS 3 BP 585 EP 593 DI 10.1542/peds.113.3.585 PG 9 WC Pediatrics SC Pediatrics GA 779ZT UT WOS:000189344400024 PM 14993554 ER PT J AU Li, RW Grummer-Strawn, L AF Li, RW Grummer-Strawn, L TI The truth about the Ross Mothers Survey - Reply SO PEDIATRICS LA English DT Letter C1 Ctr Dis Control & Prevent, Atlanta, GA 30341 USA. RP Li, RW (reprint author), Ctr Dis Control & Prevent, Atlanta, GA 30341 USA. NR 3 TC 2 Z9 2 U1 0 U2 0 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD,, ELK GROVE VILLAGE, IL 60007-1098 USA SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD MAR 1 PY 2004 VL 113 IS 3 BP 627 EP 627 PG 1 WC Pediatrics SC Pediatrics GA 779ZT UT WOS:000189344400038 ER PT J AU Beatty, ME Griffin, PM Tulu, AN Olsen, SJ AF Beatty, ME Griffin, PM Tulu, AN Olsen, SJ TI Culturing practices and antibiotic use in children with diarrhea SO PEDIATRICS LA English DT Letter ID ESCHERICHIA-COLI O157-H7; HEMOLYTIC-UREMIC SYNDROME; INFECTIONS C1 Ctr Dis Control & Prevent, Epidem Intelligence Serv, Div Appl Publ Hlth Program, Epidemiol Program Off, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Foodborne & Diarrheal Dis Branch, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Dallas Cty Dept Hlth & Human Serv, Dallas, TX 75207 USA. RP Beatty, ME (reprint author), Ctr Dis Control & Prevent, Epidem Intelligence Serv, Div Appl Publ Hlth Program, Epidemiol Program Off, Atlanta, GA 30333 USA. NR 10 TC 7 Z9 8 U1 0 U2 0 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD,, ELK GROVE VILLAGE, IL 60007-1098 USA SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD MAR 1 PY 2004 VL 113 IS 3 BP 628 EP 629 DI 10.1542/peds.113.3.628 PG 3 WC Pediatrics SC Pediatrics GA 779ZT UT WOS:000189344400041 PM 14993566 ER PT J AU Meissner, HC Rennels, MB Long, SS Pickering, LK AF Meissner, HC Rennels, MB Long, SS Pickering, LK CA Amer Acad Pediatr Comm Infect Dis TI Immunoprophylaxis with RespiGam SO PEDIATRICS LA English DT Letter ID PALIVIZUMAB; DISEASE C1 Tufts New England Med Ctr, Div Pediat Infect Dis, Boston, MA 02111 USA. Univ Maryland, Dept Pediat, Baltimore, MD 21201 USA. St Christophers Hosp Children, Infect Dis Sect, Philadelphia, PA 19134 USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA 30333 USA. RP Meissner, HC (reprint author), Tufts New England Med Ctr, Div Pediat Infect Dis, Boston, MA 02111 USA. NR 5 TC 2 Z9 2 U1 0 U2 0 PU AMER ACAD PEDIATRICS PI ELK GROVE VILLAGE PA 141 NORTH-WEST POINT BLVD,, ELK GROVE VILLAGE, IL 60007-1098 USA SN 0031-4005 J9 PEDIATRICS JI Pediatrics PD MAR 1 PY 2004 VL 113 IS 3 BP 629 EP 629 DI 10.1542/peds.113.3.629-a PG 1 WC Pediatrics SC Pediatrics GA 779ZT UT WOS:000189344400042 PM 14993568 ER PT J AU Rutten, LJF Nelson, DE Meissner, HI AF Rutten, LJF Nelson, DE Meissner, HI TI Examination of population-wide trends in barriers to cancer screening from a diffusion of innovation perspective (1987-2000) SO PREVENTIVE MEDICINE LA English DT Article DE mammography; mammography screening; pap screening; colorectal screening ID HEALTH INTERVIEW SURVEY; COLORECTAL-CANCER; BREAST-CANCER; CERVICAL-CANCER; UNITED-STATES; MAMMOGRAPHY; WOMEN; SIGMOIDOSCOPY; MORTALITY; PROGRESS AB Background. Barriers to cancer screening may change over time as screening becomes more widespread. Methods. Using 1987, 1992, and 2000 National Health Interview Survey data, we examined population-wide trends in barriers to Pap, mammography, and colorectal screening (n =66,452). Results. Lack of awareness was the most common barrier for all screening tests; it decreased by 13.5 percentage points for mammography and by 4.6 percentage points for colorectal screening, but increased by 3.0 percentage points for Pap test from 1987 to 2000. Decreases in not recommended by a doctor were observed for mammography (from 20.5% to 3.7%) and colorectal screening (from 22.3% to 14.2%). Examination of trends in barriers among sociodemographic and health care access subgroups revealed disparities for each screening test. Conclusions. Although population-wide progress has been made in reducing barriers to screening, lack of awareness, and not recommended by a doctor remain important barriers, especially among traditionally underserved populations. (C) 2003 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved. C1 NCI, Canc Prevent Fellowship Program, Div Canc Prevent, Bethesda, MD 20892 USA. NCI, Hlth Commun & Informat Res Branch, Div Canc Control & Populat Sci, Bethesda, MD 20892 USA. Ctr Dis Control & Prevent, Off Smoking & Hlth, Atlanta, GA 30341 USA. NCI, Appl Canc Screening Res Branch, Div Canc Control & Populat Sci, Bethesda, MD 20892 USA. RP Rutten, LJF (reprint author), NCI, Canc Prevent Fellowship Program, Div Canc Prevent, 6130 Execut Blvd,4051A MSC 7365, Bethesda, MD 20892 USA. EM finneyl@mail.nih.gov NR 44 TC 56 Z9 56 U1 1 U2 4 PU ACADEMIC PRESS INC ELSEVIER SCIENCE PI SAN DIEGO PA 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495 USA SN 0091-7435 J9 PREV MED JI Prev. Med. PD MAR PY 2004 VL 38 IS 3 BP 258 EP 268 DI 10.1016/j.ypmed.2003.10.011 PG 11 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 773JV UT WOS:000188921400002 ER PT J AU Zhou, ZY Schnake, P Xiao, LH Lal, AA AF Zhou, ZY Schnake, P Xiao, LH Lal, AA TI Enhanced expression of a recombinant malaria candidate vaccine in Escherichia coli by codon optimization SO PROTEIN EXPRESSION AND PURIFICATION LA English DT Article DE Plasmodium falciparum; recombinant protein; codon optimization; Escherichia coli ID PLASMODIUM-FALCIPARUM MALARIA; HETEROLOGOUS PROTEIN EXPRESSION; HIGH-LEVEL EXPRESSION; GENE-EXPRESSION; DIHYDROFOLATE-REDUCTASE; GROWTH-INHIBITION; TRANSFER-RNA; RARE CODONS; USAGE; OVEREXPRESSION AB This study was conducted to compare the expression of three constructs of a multistage candidate vaccine (FALVAC-1) against Plasmodium falciparum in an Escherichia coli system: a synthetic gene with P. falciparum codons. a synthetic gene with optimized E coli codons, and a synthetic gene with P. falciparum codons co-transformed with a RIG plasmid, which encodes three tRNAs (AG(A/G). ATA. GGA) that recognize rare E. coli codons. The expression of the protein increased at least threefold with codon optimization. The presence of the RIG plasmid in the co-transforming cells did not significantly increase the expression level of the gene with P. falciparum codons. The growth of cells transformed by the construct with P. falciparum codons was significantly slower than that of cells transformed by the construct with optimized E coli codons after induction of protein expression with IPTG. The cells containing the non-codon optimized gene co-expressed with RIG plasmid had the slowest growth at all time points in culture. Thus, codon optimization significantly increases the yield of P. falciparum candidate vaccines in the Each expression system. (C) 2003 Elsevier Inc. All rights reserved. C1 Ctr Dis Control & Prevent, Div Parasit Dis, Chamblee, GA 30341 USA. RP Zhou, ZY (reprint author), Ctr Dis Control & Prevent, Div Parasit Dis, 4770 Buford Highway, Chamblee, GA 30341 USA. EM zaz6@cdc.gov; lax0@cdc.gov RI Xiao, Lihua/B-1704-2013 OI Xiao, Lihua/0000-0001-8532-2727 NR 44 TC 54 Z9 61 U1 0 U2 6 PU ACADEMIC PRESS INC ELSEVIER SCIENCE PI SAN DIEGO PA 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495 USA SN 1046-5928 J9 PROTEIN EXPRES PURIF JI Protein Expr. Purif. PD MAR PY 2004 VL 34 IS 1 BP 87 EP 94 DI 10.1016/j.pep.2003.11.006 PG 8 WC Biochemical Research Methods; Biochemistry & Molecular Biology; Biotechnology & Applied Microbiology SC Biochemistry & Molecular Biology; Biotechnology & Applied Microbiology GA 777ZL UT WOS:000189214300009 PM 14766303 ER PT J AU Zhao, Z Mokdad, AH Barker, L AF Zhao, Z Mokdad, AH Barker, L TI Impact of health insurance status on vaccination coverage in children 19-35 months old, United States, 1993-1996 SO PUBLIC HEALTH REPORTS LA English DT Article AB Objectives. To show how health insurance (privately and publicly insured, insured and uninsured) relates to vaccination coverage in children 19-35 months old, and how this can be used to better target public health interventions. Methods. The National Health Interview Survey (NHIS) gathers information on the health and health care of the U.S. non-institutionalized population through household interviews. The authors combined immunization and health insurance supplements from the 1993 through 1996 NHIS, and classified children 19-35 months old by their immunization and insurance status. Results were compared using both bivariate and multivariate analyses, and the backwards stepwise selection method was used to build multivariate logistic regression models. Results. Uninsured children tended to have lower vaccination coverage than those who had insurance, either private or public. Among those with insurance, publicly insured children had lower vaccination coverage than privately insured children. Backwards stepwise regression retained insurance status, metropolitan statistical area, and education of responsible adult family member as major predictors of immunization. Factors considered but not retained in the final model included child race/ethnicity, family poverty index, and region of country. Conclusions. Insurance status was a critical predictor of vaccination coverage for children ages 19-35 months. After controlling for confounders, the uninsured were about 24% less likely to receive all recommended shots than the insured and, among the insured, those with public insurance were about 24% less likely to receive all recommended vaccines than those with private insurance. C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA 30333 USA. RP Zhao, Z (reprint author), Ctr Dis Control & Prevent, Natl Immunizat Program, 1600 Clifton Rd,MS E-10, Atlanta, GA 30333 USA. EM zaz0@cdc.gov NR 14 TC 11 Z9 11 U1 0 U2 2 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0033-3549 J9 PUBLIC HEALTH REP JI Public Health Rep. PD MAR-APR PY 2004 VL 119 IS 2 BP 156 EP 162 PG 7 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 888GZ UT WOS:000226363500009 PM 15192902 ER PT J AU Fogarty, KJ Massoudi, MS Gallo, W Averhoff, FM Yusuf, H Fishbein, D AF Fogarty, KJ Massoudi, MS Gallo, W Averhoff, FM Yusuf, H Fishbein, D TI Vaccine coverage levels after implementation of a middle school vaccination requirement, Florida, 1997-2000 SO PUBLIC HEALTH REPORTS LA English DT Article ID IMMUNIZATION AB Objective. Little information is available about the effectiveness of school entry vaccination requirements at the middle school level. This study examined coverage levels among students entering seventh grade in Florida following implementation of a school entry vaccination requirement in 1997. Methods. The authors analyzed county-specific vaccination coverage levels (three doses of hepatitis B vaccine, a second dose of measles, mumps, and rubella [MMR] vaccine, and a booster dose of tetanus and diphtheria toxoids [Td]) among students entering public and private schools in Florida from 1997 through 2000. In 1998, a survey of all county health departments was conducted, and the resulting data were linked to county-specific vaccination rates. Results. During the 1997-1998 school year, the first year the requirement went into effect, at school entry 121,219 seventh-grade students (61.8%) were fully vaccinated, 72,275 seventh grade students (36.9%) lacked one or more doses of vaccine but were considered in process, 1,817 were non-compliant (0.9%), and 763 had medical or religious exemptions (0.4%). In the 2000-2001 school year, the proportions of students reported fully vaccinated at school entry had increased to 66%. Most of this change was related to an increase in hepatitis B coverage. There was a significant inverse relationship between the proportion of students fully vaccinated and the size of the county's seventh grade population. Conclusions. The seventh grade vaccination entry requirement was associated with sustained high levels of vaccination coverage. Passing a school entry vaccination requirement appears may be sufficient to increase coverage, but other strategies may be required to achieve full immunization of middle school students. C1 Ctr Dis Control & Prevent, Hlth Serv Res & Evaluat Branch, Immunizat Serv Div, Natl Immunizat Program, Atlanta, GA 30333 USA. Western Michigan Univ, Coll Hlth & Human Serv, Program Inerdisciplinary Hlth Studies, Kalamazoo, MI 49008 USA. RP Fishbein, D (reprint author), Ctr Dis Control & Prevent, Hlth Serv Res & Evaluat Branch, Immunizat Serv Div, Natl Immunizat Program, 1600 Clifton Rd,MS E-52, Atlanta, GA 30333 USA. EM dbf1@cdc.gov NR 11 TC 30 Z9 31 U1 1 U2 2 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0033-3549 J9 PUBLIC HEALTH REP JI Public Health Rep. PD MAR-APR PY 2004 VL 119 IS 2 BP 163 EP 169 PG 7 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 888GZ UT WOS:000226363500010 PM 15192903 ER PT J AU McDavid, K Lee, J Fulton, JP Tonita, J Thompson, TD AF McDavid, K Lee, J Fulton, JP Tonita, J Thompson, TD TI Prostate cancer incidence and mortality rates and trends in the United States and Canada SO PUBLIC HEALTH REPORTS LA English DT Article ID INTERPRETING TRENDS; SURVEILLANCE SERIES; SURVIVAL RATES; EPIDEMIOLOGY; POPULATION; CARCINOMA; PATTERNS AB Objective. The purpose of this study was to compare prostate cancer incidence and mortality trends between the United States and Canada over a period of approximately 30 years. Methods. Prostate cancer incident cases were chosen from the National Cancer Institute's Surveillance Epidemiology and End Results (SEER) Program to estimate rates for the United States white males and from the Canadian Cancer Registry for Canadian men. National vital statistics data were used for prostate cancer mortality rates for both countries, and age-adjusted and age-specific incidence and mortality rates were calculated. Joinpoint analysis was used to identify significant changes in trends over time. Results. Canada and the U.S. experienced 3.0% and 2.5% growth in age-adjusted incidence from 1969-90 and 1973-85, respectively. U.S. rates accelerated in the mid- to late 1980s. Similar patterns occurred in Canada with a one-year lag. Annual age-adjusted mortality rates in Canada were increasing 1.4% per year from 1977-93 then fell 2.7% per year from 1993-99. In the U.S., annual age-adjusted mortality rates for white males increased 0.7% from 1969-1987 and 3.0% from 1987-91, then decreased 1.2% and 4.5% during the 1991-94 and 1994-99 periods, respectively. Conclusions. Recent incidence patterns observed between the U.S. and Canada suggest a strong relationship to prostate-specific antigen (PSA) test use. Clinical trials are required to determine any effects of PSA test use on prostate cancer and overall mortality. C1 Ctr Dis Control & Prevent, Div Canc Prevent & Control, Natl Ctr Chron Dis Prevent & Hlth Promot, NCHSTP,DHAP, Atlanta, GA 30333 USA. Canadian Inst Hlth Informat, Toronto, ON, Canada. Rhode Isl Dept Hlth, Providence, RI 02908 USA. Saskatchewan Canc Agcy, Regina, SK, Canada. RP McDavid, K (reprint author), Ctr Dis Control & Prevent, Div Canc Prevent & Control, Natl Ctr Chron Dis Prevent & Hlth Promot, NCHSTP,DHAP, Mailstop E47,1600 Clifton Rd, Atlanta, GA 30333 USA. EM kzm2@cdc.gov NR 28 TC 74 Z9 76 U1 1 U2 7 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0033-3549 J9 PUBLIC HEALTH REP JI Public Health Rep. PD MAR-APR PY 2004 VL 119 IS 2 BP 174 EP 186 PG 13 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 888GZ UT WOS:000226363500012 PM 15192905 ER PT J AU Heck, KE Parker, JD McKendry, CJ AF Heck, KE Parker, JD McKendry, CJ TI Multiple-race mortality data for California, 2000-2001 SO PUBLIC HEALTH REPORTS LA English DT Article AB Objectives. To examine mortality rates and quality of race reporting for multiple-race individuals in California using the new multiple-race data available on the death certificate. Methods. Death data were drawn from California vital statistics for 2000 and 2001. Denominator data were drawn from the 2000 census Modified Race Data Summary File. The authors calculated mortality rates and relative standard errors for multiple-race individuals as a whole and by county, and for the three largest reported multiple-race groups (African American and white, American Indian/Alaska Native and white, and Asian and white). Results. Decedents reported to be of more than one race were disproportionately young, Hispanic, male, and never-married. Age-adjusted mortality rates for multiple-race groups were approximately one-sixth as high as rates for single-race individuals. There was substantial variability in rates for multiple-race decedents according to county of residence. Conclusions. Mortality rates for multiple-race people were implausibly low, and death certificates for multiple-race individuals were geographically clustered. Race reporting on death certificates will need to be improved before accurate death rates can be calculated for those of multiple races. C1 Univ Calif Davis, Dept Human & Community Dev, Ctr Youth Dev 4H, Davis, CA 95616 USA. Calif Dept Hlth, Natl Ctr Hlth Stat, Off Anal Epidemiol & Hlth Promot, Maternal & Child Hlth Branch, Sacramento, CA USA. Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Populat Epidemiol Branch, Hyattsville, MD 20782 USA. Calif Dept Hlth Serv, Calif Ctr Hlth Stat, Sacramento, CA USA. RP Heck, KE (reprint author), Univ Calif Davis, Dept Human & Community Dev, Ctr Youth Dev 4H, 3321 Hart Hall, Davis, CA 95616 USA. EM keheck@ucdavis.edu NR 5 TC 5 Z9 5 U1 0 U2 0 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0033-3549 J9 PUBLIC HEALTH REP JI Public Health Rep. PD MAR-APR PY 2004 VL 119 IS 2 BP 187 EP 191 PG 5 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 888GZ UT WOS:000226363500013 PM 15192906 ER PT J AU Boekelheide, K Darney, SP Daston, GP David, RM Luderer, U Olshan, AF Sanderson, WT Willhite, CC Woskie, S AF Boekelheide, K Darney, SP Daston, GP David, RM Luderer, U Olshan, AF Sanderson, WT Willhite, CC Woskie, S TI NTP-CERHR Expert Panel Report on the reproductive and developmental toxicity of 2-bromopropane SO REPRODUCTIVE TOXICOLOGY LA English DT Review ID SPRAGUE-DAWLEY RATS; BONE-MARROW; CHLOROFLUOROCARBONS; 1-BROMOPROPANE; SOLVENTS; SYSTEM; CELLS; SPERMATOGONIA; MUTAGENICITY; METABOLISM C1 Brown Univ, Providence, RI 02912 USA. US EPA, Res Triangle Pk, NC 27711 USA. Procter & Gamble Co, Cincinnati, OH USA. Eastman Kodak Co, Rochester, NY USA. Univ Calif Irvine, Irvine, CA USA. Univ N Carolina, Chapel Hill, NC 27515 USA. NIOSH, Cincinnati, OH 45226 USA. DTSC, Berkeley, CA USA. Univ Massachusetts, Lowell, MA USA. RP Boekelheide, K (reprint author), Brown Univ, Providence, RI 02912 USA. NR 46 TC 13 Z9 16 U1 0 U2 5 PU PERGAMON-ELSEVIER SCIENCE LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND SN 0890-6238 J9 REPROD TOXICOL JI Reprod. Toxicol. PD MAR-APR PY 2004 VL 18 IS 2 BP 189 EP 217 DI 10.1016/j.reprotox.2003.10.003 PG 29 WC Reproductive Biology; Toxicology SC Reproductive Biology; Toxicology GA 806XN UT WOS:000220466700002 PM 15019719 ER PT J AU Fischer, TK Gentsch, JR AF Fischer, TK Gentsch, JR TI Rotavirus typing methods and algorithms SO REVIEWS IN MEDICAL VIROLOGY LA English DT Review ID POLYMERASE CHAIN-REACTION; GROUP-C ROTAVIRUS; GROUP-A ROTAVIRUSES; GROUP-B ROTAVIRUS; SEQUENCE-ANALYSIS; MONOCLONAL-ANTIBODIES; BRAZILIAN CHILDREN; UNITED-STATES; MOLECULAR CHARACTERIZATION; LATEX AGGLUTINATION AB Vaccination is the current strategy for control and prevention of severe rotavirus infections, a major cause of acute, dehydrating diarrhoea in young children worldwide. Public health interventions aimed at improving water, food and sanitation are unlikely adequately to control the disease. The development of vaccines against severe rotavirus diarrhoea is based upon homotypic or heterotypic protection provided against either a single common G serotype (monovalent vaccines) or against multiple serotypes (multivalent vaccines). Rotavirus strain surveillance has a high priority in disease control programmes worldwide. The continued identification of the most common G and P serotypes for inclusion in vaccines is an important priority. And subsequent to the introduction of a vaccine candidate, not only monitoring of circulating strains is recommended, but also surveillance of potential reassortment of animal rotavirus genes from the vaccine into human rotavirus strains is critical. Conventional methods used in the characterisation of rotavirus strains, such as enzyme immunoassay serotyping and reverse-transcription PCR-based genotyping often fail to identify uncommon and newly appearing strains. The application of newer molecular approaches, including sequencing and oligonucleotide microarray hybridisation, may be required to characterise such strains. The present paper presents a brief overview of the variety of standard methods available, followed by suggestions for a systematic approach for routine rotavirus strain surveillance as well as for characterisation of incompletely typed rotavirus strains. Improved detection and characterisation of incompletely typed strains will help to develop a comprehensive strain surveillance that may be required for tailoring effective rotavirus vaccines. Published in 2004 by John Wiley Sons, Ltd. C1 Ctr Dis Control & Prevent, Viral Gastroenteritis Sect, Atlanta, GA 30333 USA. Lab Natl Saude Publ, Bissau, Guinea Bissau. Univ Bergen, Ctr Int Hlth, Bergen, Norway. Danish Epidemiol Sci Ctr, Dept Epidemiol Res, Copenhagen, Denmark. RP Ctr Dis Control & Prevent, Viral Gastroenteritis Sect, Atlanta, GA 30333 USA. EM thf@ssi.dk OI Fischer, Thea Kolsen/0000-0003-4812-980X NR 101 TC 34 Z9 37 U1 0 U2 1 PU WILEY-BLACKWELL PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 1052-9276 EI 1099-1654 J9 REV MED VIROL JI Rev. Med. Virol. PD MAR-APR PY 2004 VL 14 IS 2 BP 71 EP 82 DI 10.1002/rmv.411 PG 12 WC Virology SC Virology GA 802KQ UT WOS:000220162800002 PM 15027000 ER PT J AU Tao, GY Carr, P Stiffman, M Defor, TA AF Tao, GY Carr, P Stiffman, M Defor, TA TI Incompleteness of reporting of laboratory-confirmed chlamydial infection by providers affiliated with a managed care organization, 1997-1999 SO SEXUALLY TRANSMITTED DISEASES LA English DT Article ID DISEASES; HEALTH; SURVEILLANCE; SYSTEM; COUNTY AB Background: Surveillance for sexually transmitted diseases (STDs) depends on the receipt of positive STD test results from laboratories or reports of STD diagnoses from clinicians to local or state health departments. Goal: The goal of this study was to evaluate incompleteness of reporting of chlamydial infection in a large staff-model managed care organization (MCO) using laboratory data and provider-based reports. Methods: All cases of chlamydial infection in 2 databases, one from the MCO during January 1997 through June 1999 and the other from the state STD registry, were compared by using a standard algorithm alone that included patient's name, sex, and date of specimen collection, and by using the standard algorithm together with the patient's medical record number. Results: Of 833 cases of chlamydial infection in the MCO case database, 597 were matched to the cases in the state registry using the standard algorithm alone and 671 were matched using the standard algorithm together with the patient's medical record number. In addition, 89 cases of chlamydial infection in the state registry had been reported from the MCO during the same timeframe but were not matched to cases in the MCO case database by these algorithms. The estimated incompleteness of reporting ranged from 9% to 28% depending on matching algorithms used and the criteria used to define completeness. Conclusion: Based on this comparison of MCO data with the state STD registry data, the estimated incompleteness of reporting in a MCO depended on matching algorithms used and the criteria used to define completeness. Incompleteness of STD case reporting could be reduced if confidential electronic reporting methods and more complete case characteristic variables were used. C1 Ctr Dis Control & Prevent, Div STD Prevent, Natl Ctr HIV STD & TB Prevent, Atlanta, GA 30333 USA. HealthPartners, Minneapolis, MN USA. Minnesota Dept Hlth, Minneapolis, MN USA. RP Tao, GY (reprint author), Ctr Dis Control & Prevent, Div STD Prevent, Natl Ctr HIV STD & TB Prevent, 1600 Clifton Rd NE,MS-E80, Atlanta, GA 30333 USA. EM gat3@cdc.gov NR 17 TC 3 Z9 4 U1 1 U2 1 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0148-5717 J9 SEX TRANSM DIS JI Sex. Transm. Dis. PD MAR PY 2004 VL 31 IS 3 BP 139 EP 142 DI 10.1097/01.OLQ.0000114939.59394.37 PG 4 WC Infectious Diseases SC Infectious Diseases GA 778RT UT WOS:000189255100001 PM 15076924 ER PT J AU Hall, HI Jamison, PM Coughlin, SS AF Hall, HI Jamison, PM Coughlin, SS TI Breast and cervical cancer mortality in the Mississippi Delta, 1979-1998 SO SOUTHERN MEDICAL JOURNAL LA English DT Article DE breast cancer; cervical cancer; mortality ID UNITED-STATES; SERVICES; DEATH; CARE; POPULATIONS; MINORITY; AMERICAN; POVERTY; TESTS; WOMEN AB Background: Historically, the Mississippi Delta region has been medically underserved. This may lead to lower cancer prevention efforts and higher breast or cervical cancer mortality rates. Methods: Death rates for 1979 through 1998 were calculated for Mississippi Delta women and for women living elsewhere in the US. Results: Breast cancer mortality in the Delta was similar to that elsewhere in the US in recent years for both black and white women, but rates were lower in the Delta in the early years of the study period. Overall, cervical cancer mortality was similar in the two areas but rates declined more rapidly elsewhere in the US than in the Delta. Breast and cervical cancer mortality was higher among black women than among white women in both areas. Cervical cancer mortality was higher among white rural and black urban women in the Delta than their counterparts elsewhere. Conclusion: These results can guide prevention activities for reducing mortality from these diseases. C1 Ctr Dis Control & Prevent, Natl Ctr HIV STD & TB Prevent, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Canc Prevent & Control, Atlanta, GA 30333 USA. RP Hall, HI (reprint author), Ctr Dis Control & Prevent, Natl Ctr HIV STD & TB Prevent, Mailstop E 47,1600 Clifton Rd, Atlanta, GA 30333 USA. EM ixh1@cdc.gov NR 43 TC 5 Z9 5 U1 1 U2 3 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA SN 0038-4348 EI 1541-8243 J9 SOUTH MED J JI South.Med.J. PD MAR PY 2004 VL 97 IS 3 BP 264 EP 272 DI 10.1097/01.SMJ.0000105066.37846.FD PG 9 WC Medicine, General & Internal SC General & Internal Medicine GA 831DA UT WOS:000222171900011 PM 15043334 ER PT J AU Mannino, DM Holguin, F Greves, HM Savage-Brown, A Stock, AL Jones, RL AF Mannino, DM Holguin, F Greves, HM Savage-Brown, A Stock, AL Jones, RL TI Urinary cadmium levels predict lower lung function in current and former smokers: data from the Third National Health and Nutrition Examination Survey SO THORAX LA English DT Article ID OBSTRUCTIVE PULMONARY-DISEASE; UNITED-STATES; DEVELOP COPD; WORKERS; MORTALITY; SMOKING; ADULTS; BLOOD; LEAD; METALLOTHIONEIN AB Background: A study was undertaken to determine the relation between urinary cadmium levels and lung function in a nationally representative cohort of current, former, and never smokers in the US. Urinary cadmium levels reflect the total body burden of cadmium. Methods: The following data from the Third National Health and Nutrition Examination Survey were analysed: urinary cadmium ( adjusted for urinary creatinine), lung function, sex, race/ethnicity, age, education level, job category, body mass index, serum cotinine level, and smoking history. Linear regression models were developed to predict lung function using urinary cadmium as the main predictor, adjusting for other covariates and stratified by smoking status. Results: Data were available on 16 024 adults. Current smokers had higher mean ( SE) urinary cadmium/ creatinine levels (0.46 (0.01) mug/g) than former (0.32 ( 0.01) mug/g) or never smokers (0.23 ( 0.01) mug/g). Higher levels of urinary cadmium were associated with significantly lower forced expiratory volumes in 1 second (FEV1) in current (-2.06%, 95% confidence interval (CI) - 2.86 to -1.26 per 1 log increase in urinary cadmium) and former smokers (-1.95%, 95% CI - 2.87 to -1.03) but not in never smokers (-0.18%, 95% CI - 0.60 to 0.24). Similar results were obtained for forced vital capacity (FVC) and FEV1/ FVC. Conclusions: Cadmium, which is known to cause emphysema in occupational settings, may also be important in the development of tobacco related lung disease. C1 Div Environm Hazards & Hlth Effects, Air Pollut & Resp Hlth Branch, Atlanta, GA USA. RP Mannino, DM (reprint author), Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Div Sci Lab, 1600 Clifton Rd,E-17, Atlanta, GA 30333 USA. EM dmannino@cdc.gov RI Jones, Robert/E-1170-2011; OI Mannino, David/0000-0003-3646-7828 NR 46 TC 57 Z9 58 U1 0 U2 6 PU B M J PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 0040-6376 J9 THORAX JI Thorax PD MAR 1 PY 2004 VL 59 IS 3 BP 194 EP 198 DI 10.1136/thorax.2003.012054 PG 5 WC Respiratory System SC Respiratory System GA 778AP UT WOS:000189217200006 PM 14985551 ER PT J AU Matt, GE Quintana, PJE Hovell, MF Bernert, JT Song, S Novianti, N Juarez, T Floro, J Gehrman, C Garcia, M Larson, S AF Matt, GE Quintana, PJE Hovell, MF Bernert, JT Song, S Novianti, N Juarez, T Floro, J Gehrman, C Garcia, M Larson, S TI Households contaminated by environmental tobacco smoke: sources of infant exposures SO TOBACCO CONTROL LA English DT Article ID PASSIVE SMOKING; CHILDRENS EXPOSURE; SECONDHAND SMOKE; YOUNG-CHILDREN; HAIR; VALIDITY; COTININE AB Objectives: To examine (1) whether dust and surfaces in households of smokers are contaminated with environmental tobacco smoke (ETS); (2) whether smoking parents can protect their infants by smoking outside and away from the infant; and (3) whether contaminated dust, surfaces, and air contribute to ETS exposure in infants. Design: Quasi-experiment comparing three types of households with infants: ( 1) non-smokers who believe they have protected their children from ETS; (2) smokers who believe they have protected their children from ETS; (3) smokers who expose their children to ETS. Setting: Homes of smokers and non-smokers. Participants: Smoking and non-smoking mothers and their infants (1 year. Main outcome measures: ETS contamination as measured by nicotine in household dust, indoor air, and household surfaces. ETS exposure as measured by cotinine levels in infant urine. Results: ETS contamination and ETS exposure were 5 - 7 times higher in households of smokers trying to protect their infants by smoking outdoors than in households of non-smokers. ETS contamination and exposure were 3 - 8 times higher in households of smokers who exposed their infants to ETS by smoking indoors than in households of smokers trying to protect their children by smoking outdoors. Conclusions: Dust and surfaces in homes of smokers are contaminated with ETS. Infants of smokers are at risk of ETS exposure in their homes through dust, surfaces, and air. Smoking outside the home and away from the infant reduces but does not completely protect a smoker's home from ETS contamination and a smoker's infant from ETS exposure. C1 San Diego State Univ, Dept Psychol, San Diego, CA 92182 USA. San Diego State Univ, Grad Sch Publ Hlth, San Diego, CA 92182 USA. Ctr Dis Control, Atlanta, GA 30333 USA. SDSU UCSD Joint Doctoral Program Clin Psychol, San Diego, CA USA. San Diego State Univ Fdn, WIC Program, San Diego, CA USA. RP Matt, GE (reprint author), San Diego State Univ, Dept Psychol, San Diego, CA 92182 USA. EM gmatt@sciences.sdsu.edu RI Matt, Georg/A-7076-2009; Travers, Mark/C-7832-2011 NR 32 TC 200 Z9 203 U1 0 U2 21 PU B M J PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 0964-4563 J9 TOB CONTROL JI Tob. Control PD MAR PY 2004 VL 13 IS 1 BP 29 EP 37 DI 10.1136/tc.2003.003889 PG 9 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 778AM UT WOS:000189217000019 PM 14985592 ER PT J AU Calafat, AM Polzin, GM Saylor, J Richter, P Ashley, DL Watson, CH AF Calafat, AM Polzin, GM Saylor, J Richter, P Ashley, DL Watson, CH TI Determination of tar, nicotine, and carbon monoxide yields in the mainstream smoke of selected international cigarettes SO TOBACCO CONTROL LA English DT Article ID PREGNANCY AB Objective: Survey of nicotine, tar, and carbon monoxide ( CO) smoke deliveries from 77 cigarette brands purchased in 35 countries was conducted using a standardised machine smoking method. The goal of this study was to determine regional variations and differences in the tar, nicotine, and CO smoke yields of a cigarette brand manufactured by a leading transnational corporation and of non-US locally popular cigarette brands. Design: The majority of the cigarettes were purchased in each of the participating countries by delegate members of the World Health Organization and forwarded to the Centers for Disease Control and Prevention for analysis. Smoke deliveries were determined using a standardised smoking machine method and subsequent gravimetric and gas chromatography analysis. Results: The smoke deliveries varied widely. Mainstream smoke deliveries varied from 6.8 to 21.6 mg tar/ cigarette, 0.5 to 1.6 mg nicotine/cigarette, and 5.9 to 17.4 mg CO/cigarette. In addition to the smoke deliveries, the cigarettes were examined to determine physical parameters such as filter composition, length, and ventilation levels. Conclusion: Analysis of the smoke deliveries suggested that cigarettes from the Eastern Mediterranean, Southeast Asia, and Western Pacific WHO regions tended to have higher tar, nicotine, and CO smoke deliveries than did brands from the European, American, or African WHO regions surveyed. C1 Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. Ctr Dis Control & Prevent, Off Smoking & Hlth, NCCDPHP, Atlanta, GA USA. Texas A&M Univ, College Stn, TX USA. RP Watson, CH (reprint author), Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, 4770 Buford Highway NE, Atlanta, GA 30341 USA. EM cow1@cdc.gov NR 32 TC 33 Z9 33 U1 1 U2 7 PU B M J PUBLISHING GROUP PI LONDON PA BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND SN 0964-4563 J9 TOB CONTROL JI Tob. Control PD MAR PY 2004 VL 13 IS 1 BP 45 EP 51 DI 10.1136/tc.2003.003673 PG 7 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 778AM UT WOS:000189217000021 PM 14985595 ER PT J AU van Eijk, AM Ayisi, JG ter Kuile, FO Otieno, JA Misore, AO Odondi, JO Rosen, DH Kager, PA Steketee, RW Nahlen, BL AF van Eijk, AM Ayisi, JG ter Kuile, FO Otieno, JA Misore, AO Odondi, JO Rosen, DH Kager, PA Steketee, RW Nahlen, BL TI Effectiveness of intermittent preventive treatment with sulphadoxine-pyrimethamine for control of malaria in pregnancy in western Kenya: a hospital-based study SO TROPICAL MEDICINE & INTERNATIONAL HEALTH LA English DT Article DE pregnancy; malaria; sulphadoxine-pyrimethamine; effectiveness; Kenya ID BIRTH-WEIGHT; RURAL MALAWI; EFFICACY; CHLOROQUINE; PREVALENCE; INFECTION; AFRICA; WOMEN; RISK; AREA AB OBJECTIVE To monitor the effectiveness of intermittent preventive treatment (IPT) with sulphadoxine-pyrimethamine (SP) for the control of malaria in pregnancy at delivery in the Provincial Hospital in Kisumu, Kenya, and to assess the effect of IPT in participants in a cohort study. METHODS Between June 1999 and June 2000, information on IPT and birth outcome was collected in 2302 consecutive deliveries. A group of 889 women, who were enrolled in a cohort to assess the interaction between malaria and HIV, were analysed separately because of the enrolment criteria and different access to health care. RESULTS The prevalence of placental malaria was 13.8% and of low birthweight (LBW) was 12.2%. In multivariable analysis, IPT (greater than or equal to1 dose of SP) was associated with a reduction in placental malaria and LBW [adjusted odds ratio (OR) 0.56, 95% confidence interval (CI) 0.39-0.83 and OR 0.65, 95% CI 0.45-0.95, respectively]. An adjusted mean increase in birthweight of 61 g was seen (95% CI 22-101 g) for each increment in number of SP doses (greater than or equal to2 doses grouped together). IPT was associated with a reduction in placental malaria in HIV-seronegative women (OR 0.49, 95% CI 0.28-0.86) but this was not significant among HIV-seropositive women (OR 0.45, 95% CI 0.20-1.05). A significant effect on birthweight could not be detected among participants in the HIV-cohort. CONCLUSIONS This evaluation confirms that IPT with SP is effective in reducing placental malaria and LBW. It will be important to increase coverage of IPT and to extend IPT to antenatal clinics in peri-urban and rural areas. C1 Kenya Govt Med Res Ctr, CVBCR, Kisumu, Kenya. Univ Amsterdam, Acad Med Ctr, Dept Infect Dis Trop Med & AIDS, NL-1105 AZ Amsterdam, Netherlands. Ctr Dis Control & Prevent, Malaria Epidemiol Branch, Div Parasit Dis, NCID, Atlanta, GA 30333 USA. Kenya Minist Hlth, Kisumu, Kenya. WHO, Roll Back Malaria, CH-1211 Geneva, Switzerland. RP van Eijk, AM (reprint author), Kenya Govt Med Res Ctr, CVBCR, POB 1578, Kisumu, Kenya. EM avaneijk@kisian.mimcom.net; Jayisi@kisian.mimcom.net; fat7@cdc.gov; Jotieno@kisian.mimcom.net; drosen@kisian.mimcom.net; p.a.kager@amc.uva.nl; ris1@cdc.gov; nahlenb@who.ch NR 14 TC 70 Z9 71 U1 0 U2 1 PU BLACKWELL PUBLISHING LTD PI OXFORD PA 9600 GARSINGTON RD, OXFORD OX4 2DG, OXON, ENGLAND SN 1360-2276 J9 TROP MED INT HEALTH JI Trop. Med. Int. Health PD MAR PY 2004 VL 9 IS 3 BP 351 EP 360 PG 10 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 779YE UT WOS:000189329400007 PM 14996364 ER PT J AU Farfan-Ale, JA Blitvich, BJ Lorono-Pino, MA Marlenee, NL Rosado-Paredes, EP Garcia-Rejon, JE Flores-Flores, LF Chulim-Perera, L Lopez-Uribe, M Perez-Mendoza, G Sanchez-Herrera, I Santamaria, W Moo-Huchim, J Gubler, DJ Cropp, BC Calisher, CH Beaty, BJ AF Farfan-Ale, JA Blitvich, BJ Lorono-Pino, MA Marlenee, NL Rosado-Paredes, EP Garcia-Rejon, JE Flores-Flores, LF Chulim-Perera, L Lopez-Uribe, M Perez-Mendoza, G Sanchez-Herrera, I Santamaria, W Moo-Huchim, J Gubler, DJ Cropp, BC Calisher, CH Beaty, BJ TI Longitudinal studies of West Nile virus infection in avians, Yucatan State, Mexico SO VECTOR-BORNE AND ZOONOTIC DISEASES LA English DT Article DE West Nile virus; flavivirus; Mexico; bird; surveillance ID MIGRATORY BIRDS; SEROLOGIC EVIDENCE; TRANSMISSION; ANTIBODIES; HORSES; SERUM AB Following the introduction of West Nile virus (WNV) into North America in 1999, surveillance for evidence of infection with this virus in migratory and resident birds was established in Yucatan State, Mexico in March 2000. Overall, 8611 birds representing 182 species and 14 orders were captured and assayed for antibodies to WNV. Of these, 5066 (59%) birds were residents and 3545 (41%) birds were migrants. Twenty-one (0.24%) birds exhibited evidence of flavivirus infection. Of these, 8 birds had antibodies to WNV by epitope-blocking enzyme-linked immunosorbent assay. Five (0.06%) birds (gray catbird, brown-crested flycatcher, rose-breasted grosbeak, blue bunting and indigo bunting) were confirmed to have WNV infections by plaque reduction neutralization test. The WNV-infected birds were sampled in December 2002 and January 2003. The brown-crested flycatcher and blue bunting presumably were resident birds; the other WNV seropositive birds were migrants. These data provide evidence of WNV transmission among birds in the Yucatan Peninsula. C1 Colorado State Univ, Arthropod Borne & Infect Dis Lab, Dept Microbiol Immunol & Pathol, Coll Vet Med & Biomed Sci, Ft Collins, CO 80523 USA. Ctr Dis Control & Prevent, Div Vector Borne Infect Dis, Ft Collins, CO USA. Univ Autonoma Yucatan, Ctr Invest Reg Dr Hideyo Noguchi, Lab Arbovirol, Merida, Yucatan, Mexico. RP Beaty, BJ (reprint author), Colorado State Univ, Arthropod Borne & Infect Dis Lab, Dept Microbiol Immunol & Pathol, Coll Vet Med & Biomed Sci, Ft Collins, CO 80523 USA. EM bbeaty@colostate.edu RI Garcia-Rejon, Julian Everardo/E-4285-2017 OI Garcia-Rejon, Julian Everardo/0000-0002-6681-1581 FU NIAID NIH HHS [AI45430]; ODCDC CDC HHS [U50 CCU820510] NR 33 TC 35 Z9 38 U1 1 U2 1 PU MARY ANN LIEBERT INC PUBL PI LARCHMONT PA 2 MADISON AVENUE, LARCHMONT, NY 10538 USA SN 1530-3667 J9 VECTOR-BORNE ZOONOT JI Vector-Borne Zoonotic Dis. PD SPR PY 2004 VL 4 IS 1 BP 3 EP 14 DI 10.1089/153036604773082942 PG 12 WC Public, Environmental & Occupational Health; Infectious Diseases SC Public, Environmental & Occupational Health; Infectious Diseases GA 808TC UT WOS:000220590400001 PM 15018768 ER PT J AU Levin, ML Ross, DE AF Levin, ML Ross, DE TI Acquisition of different isolates of Anaplasma phagocytophilum by Ixodes scapularis from a model animal SO VECTOR-BORNE AND ZOONOTIC DISEASES LA English DT Article DE Anaplasma phagocytophilum; human granulocytic ehrlichiosis; Ixodes scapularis; transmission efficiency; isolate variability ID HUMAN GRANULOCYTIC EHRLICHIOSIS; TICK-BORNE FEVER; BORRELIA-BURGDORFERI; NEW-YORK; AGENT; IXODIDAE; VECTOR; ACARI AB The prevalence of etiologic agents in ticks reflects the intensity of their transmission in natural cycles and is an important measure of their potential to cause human disease. The distribution of Anaplasma phagocytophilum within the range of its primary vectors is patchy. Even nearby sites differ dramatically in the prevalence of Anaplasma in questing ticks. We hypothesized that this irregular distribution may be due in part to variations in acquisition rates of different isolates of A. phagocytophilum by L scapularis ticks from infected animals. BALB/c mice were infected with seven isolates of A. phagocytophilum from different geographical regions: four isolates from the Northeastern United States (Bridgeport, Dawson, Gaillard, NY-8), two from the Midwest (Webster, Sp-Is), and one from California (MRK). Larval ticks were placed on infected mice for 16 consecutive weeks and allowed to feed to repletion. The prevalence of infection in the freshly molted nymphs was then determined by PCR. The proportion of ticks that became infected with either isolate fluctuated over the duration of infection. Mice harboring the isolate Sp-Is were most infectious for ticks at 3 weeks postinfection. Mice infected with the other six isolates exhibited several peaks of infectivity. Timing and relative heights of these peaks differed between isolates. Geographical proximity of the studied isolates did not predetermine their similarity, and isolates originating from the same region differed more in their ability to infect ticks than isolates from different regions. However, it appears unlikely that described differences in agent acquisition by ticks alone are sufficient to account for the irregular distribution of A. phagocytophilum in vector populations. C1 Ctr Dis Control & Prevent, Viral & Rickettsial Zoonoses Branch, Div Viral & Rickettsial Dis, Atlanta, GA 30333 USA. RP Levin, ML (reprint author), Ctr Dis Control & Prevent, Viral & Rickettsial Zoonoses Branch, Div Viral & Rickettsial Dis, 1600 Clifton Rd,MS G-13, Atlanta, GA 30333 USA. EM MLevin@cdc.gov NR 24 TC 15 Z9 15 U1 1 U2 3 PU MARY ANN LIEBERT INC PUBL PI LARCHMONT PA 2 MADISON AVENUE, LARCHMONT, NY 10538 USA SN 1530-3667 J9 VECTOR-BORNE ZOONOT JI Vector-Borne Zoonotic Dis. PD SPR PY 2004 VL 4 IS 1 BP 53 EP 59 DI 10.1089/153036604773082997 PG 7 WC Public, Environmental & Occupational Health; Infectious Diseases SC Public, Environmental & Occupational Health; Infectious Diseases GA 808TC UT WOS:000220590400006 PM 15018773 ER PT J AU O'Leary, DR Marfin, AA Montgomery, SP Kipp, AM Lehman, JA Biggerstaff, BJ Elko, VL Collins, PD Jones, JE Campbell, GL AF O'Leary, DR Marfin, AA Montgomery, SP Kipp, AM Lehman, JA Biggerstaff, BJ Elko, VL Collins, PD Jones, JE Campbell, GL TI The epidemic of West Nile virus in the United States, 2002 SO VECTOR-BORNE AND ZOONOTIC DISEASES LA English DT Article DE West Nile virus; epidemic ID NEW-YORK; ENCEPHALITIS; INFECTION; OUTBREAK; DIAGNOSIS; ISRAEL; FEVER AB Since 1999, health officials have documented the spread of West Nile virus across the eastern and southern states and into the central United States. In 2002, a large, multi-state, epidemic of neuroinvasive West Nile illness occurred. Using standardized guidelines, health departments conducted surveillance for West Nile virus illness in humans, and West Nile virus infection and illness in non-human species. Illnesses were reported to the Centers for Disease Control and Prevention (CDC) through the ArboNET system. In 2002, 39 states and the District of Columbia reported 4,156 human West Nile virus illness cases. Of these, 2,942 (71%) were neuroinvasive illnesses (i.e., meningitis, encephalitis, or meningoencephalitis) with onset dates from May 19 through December 14; 1,157 (28%) were uncomplicated West Nile fever cases, and 47 (1%) were clinically unspecified. Over 80% of neuroinvasive illnesses occurred in the central United States. Among meningitis cases, median age was 46 years (range, 3 months to 91 years), and the fatality-to-case ratio was 2%; for encephalitis cases (with or without meningitis), median age was 64 years (range, 1 month to 99 years) and the fatality-to-case ratio was 12%. Neuroinvasive illness incidence and mortality, respectively, were significantly associated with advanced age (p = 0.02; p = 0.01) and being male (p < 0.001; p = 0.002). In 89% of counties reporting neuroinvasive human illnesses, West Nile virus infections were first noted in non-human species, but no human illnesses were reported from 77% of counties in which non-human infections were detected. In 2002, West Nile virus caused the largest recognized epidemic of neuroinvasive arboviral illness in the Western Hemisphere and the largest epidemic of neuroinvasive West Nile virus ever recorded. It is unknown why males appeared to have higher risk of severe illness and death, but possibilities include higher prevalence of co-morbid conditions or behavioral factors leading to increased infection rates. Several observations, including major, multi-state West Nile virus epidemics in 2002 and 2003, suggest that major epidemics may annually reoccur in the United States. Non-human surveillance can warn of early West Nile virus activity and needs continued emphasis, along with control of Cidex mosquitoes. C1 Ctr Dis Control & Prevent, Div Vector Borne Infect Dis, Natl Ctr Infect Dis, US Publ Hlth Serv,Dept Hlth & Human Serv, Ft Collins, CO 80521 USA. Northrop Grumman Miss Syst, Atlanta, GA USA. RP O'Leary, DR (reprint author), Ctr Dis Control & Prevent, Div Vector Borne Infect Dis, Natl Ctr Infect Dis, US Publ Hlth Serv,Dept Hlth & Human Serv, Rampart Rd,Foothills Campus, Ft Collins, CO 80521 USA. EM DOLeary@cdc.gov NR 28 TC 154 Z9 161 U1 1 U2 32 PU MARY ANN LIEBERT INC PUBL PI LARCHMONT PA 2 MADISON AVENUE, LARCHMONT, NY 10538 USA SN 1530-3667 J9 VECTOR-BORNE ZOONOT JI Vector-Borne Zoonotic Dis. PD SPR PY 2004 VL 4 IS 1 BP 61 EP 70 DI 10.1089/153036604773083004 PG 10 WC Public, Environmental & Occupational Health; Infectious Diseases SC Public, Environmental & Occupational Health; Infectious Diseases GA 808TC UT WOS:000220590400007 PM 15018774 ER PT J AU Apperson, CS Hassan, HK Harrison, BA Savage, HM Aspen, SE Farajollahi, A Crans, W Daniels, TJ Falco, RC Benedict, M Anderson, M McMillen, L Unnasch, TR AF Apperson, CS Hassan, HK Harrison, BA Savage, HM Aspen, SE Farajollahi, A Crans, W Daniels, TJ Falco, RC Benedict, M Anderson, M McMillen, L Unnasch, TR TI Host feeding patterns of established and potential mosquito vectors of West Nile virus in the eastern United States SO VECTOR-BORNE AND ZOONOTIC DISEASES LA English DT Article DE arbovirus; mosquito; host; vector blood meal ID ANOPHELES-QUADRIMACULATUS; CULEX MOSQUITOS; NORTH-CAROLINA; BLOOD MEALS; CULICIDAE; DIPTERA; IDENTIFICATION; COMPETENCE; PIPIENS; SURVEILLANCE AB An important variable in determining the vectorial capacity of mosquito species for arthropod-borne infections is the degree of contact of the vector and the vertebrate reservoir. This parameter can be estimated by examining the host-feeding habits of vectors. Serological and polymerase chain reaction based methods have been used to study the host-feedings patterns of 21 mosquito species from New York, New Jersey, and Tennessee, 19 of which previously have been found infected with West Nile virus. Mammalophilic mosquito species in New Jersey and New York fed primarily upon white-tailed deer, while those from Memphis, Tennessee, fed mainly upon domestic dogs. A total of 24 different avian host species were detected among the avian-derived blood meals. American Robin, Northern Cardinal, Northern Mockingbird, Tufted Titmouse, and Brown-headed Cowbird were common avian hosts, while blood meals derived from the American Crow were relatively rare. Although the majority of common host species were potentially among the most abundant birds at each location, the proportion of blood meals from the most commonly fed upon avian species was greater than was predicted based upon the likely abundance of these species alone. These findings suggest that vector species for West Nile virus may preferentially feed upon certain avian hosts. C1 Univ Alabama, Div Geog Med, Birmingham, AL 35294 USA. N Carolina State Univ, Dept Entomol, Raleigh, NC USA. N Carolina Dept Environm & Nat Resources, Publ Hlth Pest Management Sect, Winston Salem, NC USA. Ctr Dis Control & Prevent, Div Vector Borne Infect Dis, Ft Collins, CO USA. Rutgers State Univ, Dept Entomol Mosquito Res & Control, New Brunswick, NJ 08903 USA. Fordham Univ, Louis Calder Ctr, Vector Ecol Lab, Armonk, NY USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Entomol Branch, Chamblee, GA USA. Memphis Shelby Cty Vector Control, Memphis, TN USA. RP Unnasch, TR (reprint author), Univ Alabama, Div Geog Med, BBRB 203,1530 3rd Ave S, Birmingham, AL 35294 USA. EM trunnasch@geomed.dom.uab.edu FU NIAID NIH HHS [R01 AI049724, R01 AI049724-04, R01-AI49724] NR 36 TC 186 Z9 193 U1 3 U2 43 PU MARY ANN LIEBERT INC PUBL PI LARCHMONT PA 2 MADISON AVENUE, LARCHMONT, NY 10538 USA SN 1530-3667 J9 VECTOR-BORNE ZOONOT JI Vector-Borne Zoonotic Dis. PD SPR PY 2004 VL 4 IS 1 BP 71 EP 82 DI 10.1089/153036604773083013 PG 12 WC Public, Environmental & Occupational Health; Infectious Diseases SC Public, Environmental & Occupational Health; Infectious Diseases GA 808TC UT WOS:000220590400008 PM 15018775 ER PT J AU Watabe, M Sekizuka, T Millar, BC Rooney, PJ Moore, JE Matsuda, M Xiao, LH Lowery, CJ Dooley, JSG Rao, JR AF Watabe, M Sekizuka, T Millar, BC Rooney, PJ Moore, JE Matsuda, M Xiao, LH Lowery, CJ Dooley, JSG Rao, JR TI Investigation of faecal pathogens in a flock of mute swans (Cygnus olor) SO VETERINARY RECORD LA English DT Letter C1 Belfast City Hosp, Dept Bacteriol, No Ireland Publ Hlth Lab, Belfast BT9 7AD, Antrim, North Ireland. Azabu Univ, Sch Environm Hlth Sci, Lab Mol Biol, Sagamihara, Kanagawa 229, Japan. Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA 30341 USA. Univ Ulster, Sch Hlth & Life Sci, Coleraine BT52 1SA, Londonderry, North Ireland. Dept Agr & Rural Dev No Ireland, Appl Plant Sci Res Div, Belfast BT9 5PX, Antrim, North Ireland. RP Watabe, M (reprint author), Belfast City Hosp, Dept Bacteriol, No Ireland Publ Hlth Lab, Belfast BT9 7AD, Antrim, North Ireland. RI Xiao, Lihua/B-1704-2013 OI Xiao, Lihua/0000-0001-8532-2727 NR 6 TC 0 Z9 0 U1 0 U2 1 PU BRITISH VETERINARY ASSOC PI LONDON PA 7 MANSFIELD ST, LONDON W1M 0AT, ENGLAND SN 0042-4900 J9 VET REC JI Vet. Rec. PD FEB 28 PY 2004 VL 154 IS 9 BP 279 EP 280 PG 2 WC Veterinary Sciences SC Veterinary Sciences GA 804VI UT WOS:000220325800022 PM 15029976 ER PT J AU Klausner, RD Fauci, AS Corey, L Nabel, GJ Gayle, H Berkley, S Haynes, BF Baltimore, D Collins, C Douglas, RG Esparza, J Francis, DP Ganguly, NK Gerberding, JL Johnson, MI Kazatchkine, MD McMichael, AJ Makgoba, MW Pantaleo, G Piot, P Shao, YM Tramont, E Varmus, H Wasserheit, JN AF Klausner, RD Fauci, AS Corey, L Nabel, GJ Gayle, H Berkley, S Haynes, BF Baltimore, D Collins, C Douglas, RG Esparza, J Francis, DP Ganguly, NK Gerberding, JL Johnson, MI Kazatchkine, MD McMichael, AJ Makgoba, MW Pantaleo, G Piot, P Shao, YM Tramont, E Varmus, H Wasserheit, JN TI The challenges of an HIV vaccine enterprise - Response SO SCIENCE LA English DT Letter C1 Bill & Melinda Gates Fdn, Seattle, WA 98102 USA. NIAID, NIH, Bethesda, MD 20892 USA. Fred Hutchinson Canc Res Ctr, Program Infect Dis, HIV Vaccine Trials Network, Seattle, WA 98109 USA. Univ Washington, Seattle, WA 98109 USA. Univ Washington, Dept Lab Med, Seattle, WA 98195 USA. Int AIDS Vaccine Initiat, New York, NY 10038 USA. Duke Univ, Sch Med, Durham, NC 27710 USA. CALTECH, Pasadena, CA 91125 USA. AIDS Vaccine Advocacy Coalit, New York, NY 10011 USA. Sequella Global TB Fdn, Rockville, MD 20850 USA. World Hlth Org Joint United Nations Programme HIV, HIV Vaccine Initiat, Geneva 27, Switzerland. VaxGen Inc, Brisbane, CA 94005 USA. Indian Council Med Res, New Delhi 110029, India. Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. Agence Natl Rech Side, F-75013 Paris, France. Univ Oxford, Weatherall Inst Mol Med, MRC, Human Immunol Unit, Oxford OX3 9DS, England. Univ Natal, ZA-4041 Durban, South Africa. Univ Lausanne, CHU Vaudois, Div Immunol & Allergy, CH-1011 Lausanne, Switzerland. UNAIDS, Geneva 27, Switzerland. Natl Ctr AIDS STD Control & Prevent, Beijing 100050, Peoples R China. Mem Sloan Kettering Canc Ctr, New York, NY 10021 USA. RP Klausner, RD (reprint author), Bill & Melinda Gates Fdn, Seattle, WA 98102 USA. RI Pantaleo, Giuseppe/K-6163-2016 NR 0 TC 0 Z9 0 U1 0 U2 2 PU AMER ASSOC ADVANCEMENT SCIENCE PI WASHINGTON PA 1200 NEW YORK AVE, NW, WASHINGTON, DC 20005 USA SN 0036-8075 J9 SCIENCE JI Science PD FEB 27 PY 2004 VL 303 IS 5662 BP 1296 EP 1297 PG 2 WC Multidisciplinary Sciences SC Science & Technology - Other Topics GA 778JN UT WOS:000189238600019 ER PT J AU Dietz, WH AF Dietz, WH TI Overweight in childhood and adolesence SO NEW ENGLAND JOURNAL OF MEDICINE LA English DT Editorial Material C1 Ctr Dis Control & Prevent, Div Nutr & Phys Act, Atlanta, GA 30333 USA. RP Dietz, WH (reprint author), Ctr Dis Control & Prevent, Div Nutr & Phys Act, Atlanta, GA 30333 USA. RI Vollrath, Margarete/G-1297-2011 NR 1 TC 294 Z9 305 U1 1 U2 10 PU MASSACHUSETTS MEDICAL SOC/NEJM PI WALTHAM PA WALTHAM WOODS CENTER, 860 WINTER ST,, WALTHAM, MA 02451-1413 USA SN 0028-4793 J9 NEW ENGL J MED JI N. Engl. J. Med. PD FEB 26 PY 2004 VL 350 IS 9 BP 855 EP 857 DI 10.1056/NEJMp048008 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA 777UM UT WOS:000189197300001 PM 14985480 ER PT J AU Mutsch, M Zhou, WG Rhodes, P Bopp, M Chen, RT Linder, T Spyr, C Steffen, R AF Mutsch, M Zhou, WG Rhodes, P Bopp, M Chen, RT Linder, T Spyr, C Steffen, R TI Use of the inactivated intranasal influenza vaccine and the risk of Bell's palsy in Switzerland SO NEW ENGLAND JOURNAL OF MEDICINE LA English DT Article ID HEAT-LABILE TOXIN; CASE SERIES; SAFETY; IMMUNOGENICITY; TRIVALENT; EFFICACY AB BACKGROUND: After the introduction of an inactivated intranasal influenza vaccine that was used only in Switzerland, 46 cases of Bell's palsy were reported. METHODS: We conducted a matched case-control study and a case-series analysis. All primary care physicians, ear, nose, and throat specialists, and neurologists in German-speaking regions of Switzerland were requested to identify cases of Bell's palsy diagnosed in adults between October 1, 2000, and April 30, 2001. Each physician was invited to select three control patients for each patient with Bell's palsy, with matching according to age, date of the clinic visit, and physician. Vaccination information was provided by the physicians. RESULTS: A total of 773 patients with Bell's palsy were identified. Of the 412 (53.3 percent) who could be evaluated, 250 (60.7 percent) were enrolled and matched with 722 control patients; the other 162 patients had no controls. In the case-control study, we found that 68 patients with Bell's palsy (27.2 percent) and 8 controls (1.1 percent) had received the intranasal vaccine (P<0.001). In contrast to parenteral vaccines, the intranasal vaccine significantly increased the risk of Bell's palsy (adjusted odds ratio, 84.0; 95 percent confidence interval, 20.1 to 351.9). Even according to conservative assumptions, the relative risk of Bell's palsy was estimated to be 19 times the risk in the controls, corresponding to 13 excess cases per 10,000 vaccinees within 1 to 91 days after vaccination. In the case-series analysis, the period of highest risk was 31 to 60 days after vaccination. CONCLUSIONS: This study suggests a strong association between the inactivated intranasal influenza vaccine used in Switzerland and Bell's palsy. This vaccine is no longer in clinical use. C1 Univ Zurich, Inst Social & Prevent Med, CH-8006 Zurich, Switzerland. Univ Zurich, Div Communicable Dis, WHO, Collaborating Ctr Travellers Hlth, CH-8006 Zurich, Switzerland. CDCP, Epidemiol Intelligence Serv, Epidemiol Program Off, Atlanta, GA USA. CDCP, Immunizat Safety Branch, Epidemiol & Surveillance Div, Natl Immunizat Program, Atlanta, GA USA. Kantonsspital Lucerne, Dept Otorhinolaryngol & Head & Neck Surg, Luzern, Switzerland. Berna Biotech, Bern, Switzerland. RP Mutsch, M (reprint author), Univ Zurich, Inst Social & Prevent Med, Sumatra Str 30, CH-8006 Zurich, Switzerland. EM muetsch@ifspm.unizh.ch RI Chiang, Vincent, Ming-Hsien/D-4312-2016 OI Chiang, Vincent, Ming-Hsien/0000-0002-2029-7863 NR 33 TC 430 Z9 452 U1 1 U2 14 PU MASSACHUSETTS MEDICAL SOC/NEJM PI WALTHAM PA WALTHAM WOODS CENTER, 860 WINTER ST,, WALTHAM, MA 02451-1413 USA SN 0028-4793 J9 NEW ENGL J MED JI N. Engl. J. Med. PD FEB 26 PY 2004 VL 350 IS 9 BP 896 EP 903 DI 10.1056/NEJMoa030595 PG 8 WC Medicine, General & Internal SC General & Internal Medicine GA 777UM UT WOS:000189197300008 PM 14985487 ER PT J AU Shults, RA AF Shults, RA TI Child passenger deaths involving drinking drivers - United States, 1997-2002 (Reprinted from MMWR, vol 53, pg 77-79, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint ID INTERVENTIONS C1 CDC, Div Unintent Injury Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USA. RP Shults, RA (reprint author), CDC, Div Unintent Injury Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USA. NR 10 TC 2 Z9 2 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD FEB 25 PY 2004 VL 291 IS 8 BP 934 EP 935 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 777MK UT WOS:000189182000008 ER PT J AU Liao, Y Tucker, P Giles, WH AF Liao, Y Tucker, P Giles, WH TI Health status of American Indians compared with other racial/ethnic minority populations - Selected states, 2001-2002 (Reprinted from MMWR, vol 52, pg 1148-1152, 2003) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 CDC, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. RP Liao, Y (reprint author), CDC, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. NR 11 TC 2 Z9 2 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD FEB 25 PY 2004 VL 291 IS 8 BP 935 EP 937 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA 777MK UT WOS:000189182000009 ER PT J AU Lurie, P Stafford, H Teacher, C Ankeny, R Barron, M Bart, J Bisgard, K Tiwari, T Murphy, T Moran, J Cassiday, P AF Lurie, P Stafford, H Teacher, C Ankeny, R Barron, M Bart, J Bisgard, K Tiwari, T Murphy, T Moran, J Cassiday, P TI Fatal respiratory diphtheria in a U.S traveler to Haiti - Pennsylvania, 2003 (Reprinted from MMWR, vol 52, pg 1285-1286, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint ID UNITED-STATES C1 Penn Dept Hlth, Div Infect Dis & Epidemiol, Harrisburg, PA 17108 USA. Penn Dept Hlth, Div Immunizat, Harrisburg, PA 17108 USA. Penn Dept Hlth, Bur Community Hlth Syst, Harrisburg, PA 17108 USA. CDC, Epidemiol & Surveillance Div, Natl Immunizat Program, Atlanta, GA 30333 USA. CDC, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Lurie, P (reprint author), Penn Dept Hlth, Div Infect Dis & Epidemiol, Harrisburg, PA 17108 USA. NR 11 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD FEB 25 PY 2004 VL 291 IS 8 BP 937 EP 938 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 777MK UT WOS:000189182000010 ER PT J AU Dai, S Labarthe, DR Fulton, JE AF Dai, S Labarthe, DR Fulton, JE TI Dual observations improve estimates of tracking of lipids in children, Project HeartBeat! SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 CDC, Atlanta, GA 30333 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P91 BP E99 EP E99 PG 1 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800146 ER PT J AU Ford, ES Giles, WH Mokdad, AH AF Ford, ES Giles, WH Mokdad, AH TI Trends in the prevalence of the metabolic syndrome among US adults. SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 1 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P253 BP E131 EP E132 PG 2 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800306 ER PT J AU Greenlund, KJ Croft, JB Mensah, GA AF Greenlund, KJ Croft, JB Mensah, GA TI Greater prevalence of cardiovascular disease risk factors among persons with prehypertension, United States, 1999-2000. SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P270 BP E135 EP E135 PG 1 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800323 ER PT J AU Ilias, N Stecker, E Zheng, ZJ Mensah, G Gunson, K Jui, J Chugh, SS AF Ilias, N Stecker, E Zheng, ZJ Mensah, G Gunson, K Jui, J Chugh, SS TI Validation of death certificate-defined sudden cardiac deaths using a prospective community-based registry. SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 Oregon Hlth & Sci Univ, Portland, OR 97201 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P65 BP E94 EP E94 PG 1 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800123 ER PT J AU Labarthe, DR Zheng, ZJ Croft, JB Greenlund, KJ Mensah, GA AF Labarthe, DR Zheng, ZJ Croft, JB Greenlund, KJ Mensah, GA TI Coronary heart disease deaths in baby-boomers: Women fared worse than men in the 1990s. SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P64 BP E93 EP E94 PG 2 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800122 ER PT J AU Lloyd, K Cooper, L Mitchell, P Bittner, V Goldberg, R Zapka, J Labarthe, D Luepker, R Mann, NC Murray, DM Pandey, D AF Lloyd, K Cooper, L Mitchell, P Bittner, V Goldberg, R Zapka, J Labarthe, D Luepker, R Mann, NC Murray, DM Pandey, D TI Factors associated with myocardial infarction education in acute CVD patients: The Rapid Early Action for Coronary Treatment (REACT) Trial. SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 NHLBI, NIH, Bethesda, MD 20892 USA. New England Res Inst, Watertown, MA 02172 USA. Univ Alabama, Birmingham, AL USA. Univ Massachusetts, Sch Med, Worcester, MA USA. Ctr Dis Control, Atlanta, GA 30333 USA. Univ Minnesota, Minneapolis, MN USA. Univ Utah, Sch Med, Salt Lake City, UT USA. Univ Memphis, Memphis, TN 38152 USA. Childrens Hosp, Boston, MA 02115 USA. Rush Med Coll, Chicago, IL 60612 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P102 BP E101 EP E101 PG 1 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800157 ER PT J AU Mann, DM Lee, J Liao, YL Natarajan, S AF Mann, DM Lee, J Liao, YL Natarajan, S TI Does obesity independently increase the risk for coronary heart disease mortality in US adults? SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 NYU, Sch Med, New York, NY USA. Ctr Dis Control & Prevent, Atlanta, GA USA. VAMC, New York, NY USA. NR 0 TC 17 Z9 17 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P224 BP E126 EP E126 PG 1 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800277 ER PT J AU McGruder, HF Croft, JB Malarcher, AM Mensah, GA AF McGruder, HF Croft, JB Malarcher, AM Mensah, GA TI Stroke hospitalizations by stroke subtype and discharge outcomes among adults aged >= 65 years - United States, 2000. SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 CDC, Atlanta, GA 30333 USA. NR 0 TC 0 Z9 0 U1 0 U2 2 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P156 BP E112 EP E112 PG 1 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800210 ER PT J AU Mueller, WH Ismail, R Chan, WY Grunbaum, JA Dai, SF AF Mueller, WH Ismail, R Chan, WY Grunbaum, JA Dai, SF TI Longitudinal analysis of anger and body mass in adolescents. SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 Univ Texas, Hlth Sci Ctr, Houston, TX USA. Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P306 BP E142 EP E142 PG 1 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800359 ER PT J AU Taveras, EM Scanlon, KS Birch, L Rifas-Shiman, SL Rich-Edwards, J Gillman, MW AF Taveras, EM Scanlon, KS Birch, L Rifas-Shiman, SL Rich-Edwards, J Gillman, MW TI Is breastfeeding in the first year of life associated with maternal control of infant feeding? SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 Dept Ambulatory Care & Prevent, Boston, MA USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Penn State Univ, University Pk, PA 16802 USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P298 BP E140 EP E141 PG 2 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800351 ER PT J AU Wright, JD Wang, CY Kennedy-Stephenson, J AF Wright, JD Wang, CY Kennedy-Stephenson, J TI Trends in awareness and behaviors related to high blood cholesterol in US adults: Results from the National Health and Nutrition Examination Survey. SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 Ctr Dis Control & Prevent, Hyattsville, MD USA. Northrup Grumman Corp, Herndon, VA USA. NR 0 TC 0 Z9 0 U1 0 U2 1 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P73 BP E95 EP E95 PG 1 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800130 ER PT J AU Zheng, ZJ Labarthe, DR Croft, JB Greenlund, KJ Mensah, GA AF Zheng, ZJ Labarthe, DR Croft, JB Greenlund, KJ Mensah, GA TI Persistent lag in stroke mortality trends at ages 65 and over in the United States in the 1990s. SO CIRCULATION LA English DT Meeting Abstract CT 44th Annual Conference on Cardiovascular Disease Epidemiology and Prevention CY MAR 03-06, 2004 CL San Francisco, CA SP Amer Heart Assoc C1 Ctr Dis Control & Prevent, Atlanta, GA USA. NR 0 TC 0 Z9 0 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0009-7322 J9 CIRCULATION JI Circulation PD FEB 24 PY 2004 VL 109 IS 7 MA P61 BP E93 EP E93 PG 1 WC Cardiac & Cardiovascular Systems; Peripheral Vascular Disease SC Cardiovascular System & Cardiology GA 777FR UT WOS:000189165800119 ER PT J AU Sui, JH Li, WH Murakami, A Tamin, A Matthews, LJ Wong, SK Moore, MJ Tallarico, ASC Olurinde, M Choe, H Anderson, LJ Bellini, WJ Farzan, M Marasco, WA AF Sui, JH Li, WH Murakami, A Tamin, A Matthews, LJ Wong, SK Moore, MJ Tallarico, ASC Olurinde, M Choe, H Anderson, LJ Bellini, WJ Farzan, M Marasco, WA TI Potent neutralization of severe acute respiratory syndrome (SARS) coronavirus by a human mAb to S1 protein that blocks receptor association SO PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA LA English DT Article ID INFECTIOUS-BRONCHITIS VIRUS; IN-VIVO; PROTECTIVE IMMUNITY; MURINE CORONAVIRUS; HEPATITIS-VIRUS; AMINO-ACIDS; ANTIBODIES; GLYCOPROTEIN; IDENTIFICATION; PREVENTION AB Effective prophylaxis and antiviral therapies are urgently needed in the event of reemergence of the highly contagious and often fatal severe acute respiratory syndrome (SARS) coronavirus (SARS-CoV) infection. We have identified eight recombinant human single-chain variable region fragments (scFvs) against the S1 domain of spike (S) protein of the SARS-CoV from two nonimmune human antibody libraries. One scFv 80R efficiently neutralized SARS-CoV and inhibited syncytia formation between cells expressing the S protein and those expressing the SARS-CoV receptor angiotensin-converting enzyme 2 (ACE2). Mapping of the 80R epitope showed it is located within the N-terminal 261-672 amino acids of S protein and is not glycosylation-dependent. 80R scFv competed with soluble ACE2 for association with the S1 domain and bound S1 with high affinity (equilibrium dissociation constant, K-d = 32.3 nM). A human IgG1 form of 80R bound S1 with a 20-fold higher affinity of 1.59 nM comparable to that of ACE2 (K-d = 1.70 nM), and neutralized virus 20-fold more efficiently than the 80R scFv. These data suggest that the 80R human monoclonal antibody may be a useful viral entry inhibitor for the emergency prophylaxis and treatment of SARS, and that the ACE2-binding site of S1 could be an attractive target for subunit vaccine and drug development. C1 Dana Farber Canc Inst, Dept Canc Immunol & AIDS, Boston, MA 02115 USA. Childrens Hosp, Dept Pediat, Div Pulm, Ina Sue Perlmutter Lab, Boston, MA 02115 USA. Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Med,Dept Microbiol & Mol Genet,Partners AIDS, Boston, MA 02115 USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Marasco, WA (reprint author), Dana Farber Canc Inst, Dept Canc Immunol & AIDS, Boston, MA 02115 USA. EM wayne.marasco@dfci.harvard.edu OI Li, Wenhui/0000-0003-1305-7404; SUI, JIANHUA/0000-0002-1272-9662 FU NIAID NIH HHS [R21 AI053822, AI053822, AI28691, AI28785, AI48436, P30 AI028691, R01 AI048436] NR 27 TC 248 Z9 282 U1 3 U2 13 PU NATL ACAD SCIENCES PI WASHINGTON PA 2101 CONSTITUTION AVE NW, WASHINGTON, DC 20418 USA SN 0027-8424 J9 P NATL ACAD SCI USA JI Proc. Natl. Acad. Sci. U. S. A. PD FEB 24 PY 2004 VL 101 IS 8 BP 2536 EP 2541 DI 10.1073/pnas.0307140101 PG 6 WC Multidisciplinary Sciences SC Science & Technology - Other Topics GA 802CA UT WOS:000220140400055 PM 14983044 ER PT J AU Koblavi-Deme, S Kestens, L Hanson, D Otten, RA Borget, MY Bile, C Wiktor, SZ Roels, TH Chorba, T Nkengasong, JN AF Koblavi-Deme, S Kestens, L Hanson, D Otten, RA Borget, MY Bile, C Wiktor, SZ Roels, TH Chorba, T Nkengasong, JN TI Differences in HIV-2 plasma viral load and immune activation in HIV-1 and HIV-2 dually infected persons and those infected with HIV-2 only in Abidjan, Cote D'Ivoire SO AIDS LA English DT Article DE HIV-2 RNA viral load; CD38; HLA-DR; HIV-2; HIV-dual infection ID HUMAN-IMMUNODEFICIENCY-VIRUS; IVORY-COAST; WEST-AFRICA; PROVIRAL LOAD; SUBTYPE-B; TYPE-2; PREDOMINANCE; INDIVIDUALS; LYMPHOCYTES; RETROVIRUS AB Objective: To determine whether blood plasma levels of HIV-2 RNA viral loads and immune activation markers differ between persons infected with HIV-2 only and those dually infected with HIV-1 and HIV-2. Methods: Between September 1996 and February 2000, we collected, analyzed and compared levels of HIV-2 RNA in plasma and immune activation markers among 52 persons infected with HIV-2 alone and 75 with confirmed dual infection. We also compared viral load and immune activation in patients who were infected with HIV-1 only and those who were dually infected. Results: When we conducted a CD4 T-cell count-stratified multivariate analysis of HIV-2 viral load, controlling for difference in CD4 T-cell counts, age and sex: at < 200 x 10(6) CD4 T cells/l, HIV-2 viral load was 2.0 log(10) copies/ml lower in dually infected patients than in HIV-2 only patients (P < 0.0001). At CD4 T-cell counts between 200 x 10(6) and 500 x 10(6)/l, HIV-2 viral load was 0.3 log(10) copies/ml lower in dually infected patients (P = 0.45). However, at CD4 T-cells counts > 500 x 10(6)/l, HIV-2 viral load was 0.9 log(10) copies/ml higher in dually infected patients (P < 0.0001). Dually infected persons with undetectable HIV-2 viral loads had significantly higher median levels of CD8 T cells expressing CD38 (P < 0.001) and HLA-DR (P = 0.01) than HIV-2 only infected patients. Conclusion: These results suggest that in dual infection, the level of HIV-2 replication depends on the immune status of the patients, with HIV-1 out-replicating HIV-2 as disease progress. (C) 2004 Lippincott Williams Wilkins. C1 Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Natl Ctr HIV STD & TB Prevent, Atlanta, GA 30333 USA. Projet RETRO CI, Abidjan, Cote Ivoire. Inst Trop Med, Antwerp, Belgium. Ctr Dis Control & Prevent, Div HIV AIDS STD, TB Lab Res, Natl Ctr Infect Dis, Atlanta, GA USA. Ctr Dis Control & Prevent, Global AIDS Program, Natl Ctr HIV STD & TB Prevent, Atlanta, GA USA. RP Nkengasong, JN (reprint author), Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Natl Ctr HIV STD & TB Prevent, Atlanta, GA 30333 USA. NR 28 TC 14 Z9 15 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0269-9370 J9 AIDS JI Aids PD FEB 20 PY 2004 VL 18 IS 3 BP 413 EP 419 DI 10.1097/01.aids.0000104327.15729.cb PG 7 WC Immunology; Infectious Diseases; Virology SC Immunology; Infectious Diseases; Virology GA 803LQ UT WOS:000220233000006 PM 15090792 ER PT J AU Pieniazek, D Rayfield, M Hu, DJ Nkengasong, JN Soriano, V Heneine, W Zeh, C Agwale, SM Wambebe, C Odama, L Wiktor, SZ Kalish, ML AF Pieniazek, D Rayfield, M Hu, DJ Nkengasong, JN Soriano, V Heneine, W Zeh, C Agwale, SM Wambebe, C Odama, L Wiktor, SZ Kalish, ML TI HIV-2 protease sequences of subtypes A and B harbor multiple mutations associated with protease inhibitor resistance in HIV-1 SO AIDS LA English DT Article DE HIV-2; subtypes; protease; inhibitors; resistance amino-acid mutations ID IMMUNODEFICIENCY-VIRUS TYPE-2; PLASMA VIRAL LOAD; ANTIRETROVIRAL THERAPY; GENETIC DIVERSITY; MIXED INFECTIONS; COTE-DIVOIRE; SPREAD; IDENTIFICATION; ABIDJAN; INDIA AB Background: HIV-1 protease inhibitors (PI) have been used for treating HIV-2-infected persons but little is known about amino acid mutations associated with PI resistance in HIV-2 and whether they are similar to those seen in HIV-1. Objective: To determine the frequency of HIV-1 PI resistance-associated mutations in PI-naive HIV-2-infected individuals. Design: Using PCR, protease genes were amplified from 76 individuals, directly sequenced, phylogenetically subtyped, and translated into amino acids to analyze PI-associated major and minor mutations. Results: Of the 76 HIV-2 sequences, 68% belonged to subtype A and 32% to subtype B. All sequences contained at least four codon changes giving substitutions at 10, 30, 32, 36, 46, 47, 71 or 77. The frequency of these mutations was similar in subtype A and B viruses. Two major resistance-conferring mutations, 30N and 461, were identified in one (1%) and 68 (89%) specimens, respectively. Minor mutations 10V/I, 321, 361, 47V, and 71V were predominant (89%-100%), followed by the rare mutation 771 (1%). Of the 76 strains, 89% harbored multiple PI resistance-associated substitutions comprising both the major 461 and minor mutations: 10V/I, 321, 361, 461, 47V, 71V (76%); 10V, 321, 361, 461, 47V (9%); and 10V, 321, 361, 461, 47V 71V, 771 (1.3%), 10V, 321, 461, 47V, 71V (1.3%), and 10V, 30N, 321, 361, 461, 47V, 71V (1.3%). The remaining 11% of the sequences had patterns with only minor mutations: 10V, 321, 361, 47V, 71V (9%) and 10V, 321, 361, 47V (1.3%). Conclusions: The high frequency of multiple PI-associated substitutions represent natural polymorphisms occurring in HIV-2 strains of subtypes A and B. Phenotypic and clinical studies are needed to determine the relevance of these substitutions. (C) 2004 Lippincott Williams Wilkins. C1 Natl Ctr Infect Dis, HIV & Retrovirol Branch, Atlanta, GA USA. Natl Ctr Infect Dis, Off Director, Div AIDS STD & TB Lab Res, Atlanta, GA USA. Inst Salud Carlos III, Madrid, Spain. Natl Inst Pharmaceut Res & Dev, Abuja, Nigeria. Ctr Dis Control & Prevent, Global AIDS Program, Natl Ctr HIV STD & TB Prevent, Atlanta, GA USA. RP Pieniazek, D (reprint author), 1600 Clifton Rd,Mail Stop G19, Atlanta, GA 30333 USA. NR 40 TC 36 Z9 36 U1 0 U2 0 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 0269-9370 J9 AIDS JI Aids PD FEB 20 PY 2004 VL 18 IS 3 BP 495 EP 502 DI 10.1097/01.aids.0000111412.02002.fc PG 8 WC Immunology; Infectious Diseases; Virology SC Immunology; Infectious Diseases; Virology GA 803LQ UT WOS:000220233000016 PM 15090802 ER PT J AU Carmona, R Gfroerer, J Caraballo, R Yee, SL Husten, C Pechacek, T Robinson, RG Lee, C AF Carmona, R Gfroerer, J Caraballo, R Yee, SL Husten, C Pechacek, T Robinson, RG Lee, C TI Prevalence of cigarette use among 14 racial/ethnic populations - United States, 1999-2001 (Reprinted from MMWR, vol 53, pg 49-52, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 CDC, Off Surg Gen, Atlanta, GA 30333 USA. CDC, Off Appl Studies, Subst Abuse & Mental Hlth Serv Adm, Atlanta, GA 30333 USA. CDC, Off Smoking & Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. RP Carmona, R (reprint author), CDC, Off Surg Gen, Atlanta, GA 30333 USA. NR 11 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD FEB 18 PY 2004 VL 291 IS 7 BP 814 EP 816 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA 774TF UT WOS:000189000400009 ER PT J AU Deckert, A Glaser, C Sun, B Demma, L AF Deckert, A Glaser, C Sun, B Demma, L TI Human death associated with bat rabies - California, 2003 (Reprinted from MMWR, vol 53, pg 33-35, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 Shasta Cty Publ Hlth, Redding, CA 96099 USA. Calif Dept Hlth Serv, Viral & Rickettsial Dis Lab, Berkeley, CA 94704 USA. Calif Dept Hlth Serv, Div Communicable Dis Control, Berkeley, CA USA. CDC, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Deckert, A (reprint author), Shasta Cty Publ Hlth, Redding, CA 96099 USA. NR 7 TC 1 Z9 1 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD FEB 18 PY 2004 VL 291 IS 7 BP 816 EP 817 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 774TF UT WOS:000189000400010 ER PT J AU Finkelstein, EA Fiebelkorn, IC Corso, PS Binder, SC AF Finkelstein, EA Fiebelkorn, IC Corso, PS Binder, SC TI Medical expenditures attributable to injuries - United States, 2000 (Reprinted from MMWR, vol 53, pg 1-4, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 Res Triangle Inst, Res Triangle Pk, NC 27709 USA. CDC, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USA. RP Finkelstein, EA (reprint author), Res Triangle Inst, POB 12194, Res Triangle Pk, NC 27709 USA. NR 1 TC 4 Z9 4 U1 0 U2 1 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD FEB 18 PY 2004 VL 291 IS 7 BP 817 EP 818 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 774TF UT WOS:000189000400011 ER PT J AU Wade, TJ Sandhu, SK Levy, D Lee, S LeChevallier, MW Katz, L Colford, JM AF Wade, TJ Sandhu, SK Levy, D Lee, S LeChevallier, MW Katz, L Colford, JM TI Did a severe flood in the midwest cause an increase in the incidence of gastrointestinal symptoms? SO AMERICAN JOURNAL OF EPIDEMIOLOGY LA English DT Article DE communicable diseases; diarrhea; gastrointestinal tract; natural disasters; water ID DRINKING-WATER; CONSUMPTION; ILLNESS AB Severe flooding occurred in the midwestern United States in 2001. Since November 2000, coincidentally, data on gastrointestinal symptoms had been collected for a drinking water intervention study in a community along the Mississippi River that was affected by the flood. After the flood had subsided, the authors asked these subjects (n = 1, 110) about their contact with floodwater. The objectives of this investigation were to determine whether rates of gastrointestinal illness were elevated during the flood and whether contact with floodwater was associated with increased risk of gastrointestinal illness. An increase in the incidence of gastrointestinal symptoms during the flood was observed (incidence rate ratio = 1.29, 95% confidence interval: 1.06, 1.58), and this effect was pronounced among persons with potential sensitivity to infectious gastrointestinal illness. Tap water consumption was not related to gastrointestinal symptoms before, during, or after the flood. An association between gastrointestinal symptoms and contact with floodwater was also observed, and this effect was pronounced in children. This appears to be the first report of an increase in endemic gastrointestinal symptoms in a longitudinal cohort prospectively observed during a flood. These findings suggest that severe climatic events can result in an increase in the endemic incidence of gastrointestinal symptoms in the United States. C1 Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USA. US EPA, Div Human Studies, Natl Hlth & Environm Effects Res Lab, Epidemiol & Biomarkers Branch, Chapel Hill, NC USA. Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA USA. Amer Water, Voorhees, NJ USA. Scott Cty Hlth Dept, Davenport, IA USA. RP Colford, JM (reprint author), Univ Calif Berkeley, Sch Publ Hlth, 140 Warren Hall,MC 7360, Berkeley, CA 94720 USA. EM jcolford@socrates.berkeley.edu FU ODCDC CDC HHS [U50/CCU916961-01] NR 25 TC 34 Z9 39 U1 0 U2 7 PU OXFORD UNIV PRESS INC PI CARY PA JOURNALS DEPT, 2001 EVANS RD, CARY, NC 27513 USA SN 0002-9262 J9 AM J EPIDEMIOL JI Am. J. Epidemiol. PD FEB 15 PY 2004 VL 159 IS 4 BP 398 EP 405 DI 10.1093/aje/kwh050 PG 8 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 774GQ UT WOS:000188971800010 PM 14769644 ER PT J AU Rasmussen, SA Moore, CA AF Rasmussen, SA Moore, CA TI Public health approach to birth defects, developmental disabilities, and genetic conditions - Introduction SO AMERICAN JOURNAL OF MEDICAL GENETICS PART C-SEMINARS IN MEDICAL GENETICS LA English DT Editorial Material ID NEURAL-TUBE DEFECTS; CONGENITAL-MALFORMATIONS; VITAMIN SUPPLEMENTATION; GENOMIC MEDICINE; FAMILY-HISTORY; PREVENTION; SURVEILLANCE; GUIDELINES; PREVALENCE; AUTISM C1 Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, Div Birth Defects & Dev Disabil, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, Pediat Genet Team, Atlanta, GA 30333 USA. RP Rasmussen, SA (reprint author), Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, Div Birth Defects & Dev Disabil, 1600 Clifton Rd,MS E-86, Atlanta, GA 30333 USA. EM skr9@cdc.gov OI Rasmussen, Sonja/0000-0002-0574-4928 NR 28 TC 1 Z9 1 U1 1 U2 2 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 0148-7299 J9 AM J MED GENET C JI Am. J. Med. Genet. C PD FEB 15 PY 2004 VL 125C IS 1 BP 1 EP 3 DI 10.1002/ajmg.c.30003 PG 3 WC Genetics & Heredity SC Genetics & Heredity GA 769LX UT WOS:000188652500001 PM 14755427 ER PT J AU Botto, LD Olney, RS Erickson, JD AF Botto, LD Olney, RS Erickson, JD TI Vitamin supplements and the risk for congenital anomalies other than neural tube defects SO AMERICAN JOURNAL OF MEDICAL GENETICS PART C-SEMINARS IN MEDICAL GENETICS LA English DT Article DE congenital heart defects; oral clefts; congenital abnormalities; folic acid; multivitamin supplements; epidemiology; prevention ID FOLIC-ACID SUPPLEMENTATION; MATERNAL MULTIVITAMIN USE; BIRTH-DEFECTS; OROFACIAL CLEFTS; ORAL CLEFTS; HEART-DEFECTS; PERICONCEPTIONAL USE; FOLATE INTAKE; MTHFR GENE; PREVENTION AB Randomized trials, supported by many observational studies, have shown that periconceptional use of folic acid, alone or in multivitamin supplements, is effective for the primary prevention of neural tube defects (NTDs). Whether this is true also for other congenital anomalies is a complex issue and the focus of this review. It is useful to consider the evidence not only for specific birth defects separately but, importantly, also for all birth defects combined. For the latter, the Hungarian randomized clinical trial indicated, for periconceptional multivitamin use, a reduction in the risk for all birth defects (odds ratio (OR) = 0.53, 95% confidence interval (CI) = 0.35-0.70), even after excluding NTDs (OR = 0.53, 95% Cl = 0.38-0.75). The Atlanta population-based case-control study, the only large observational study to date on all major birth defects, also found a significant risk reduction for all birth defects (OR = 0.80, 95% Cl = 0.69-0.93) even after excluding NTDs (OR = 0.84, 95% Cl = 0.72-0.97). These and other studies also evaluated specific anomalies, including those of the heart, limb, and urinary tract, as well as orofacial clefts, omphalocele, and imperforate anus. For cardiovascular anomalies, two studies were negative, whereas three, including the randomized clinical trial, suggest a possible 25-50% overall risk reduction, more marked for some conotruncal and septal defects. For orofacial clefts, six of seven case-control studies suggest an apparent reduced risk, which could vary by cleft type and perhaps, according to some investigators, by pill dosage. For limb deficiencies, three case-control studies and the randomized trial estimated approximately a 50% reduced risk. For urinary tract defects, three case-control studies and the randomized trial reported reduced risks, as did one study of nonsyndromic omphalocele. All these studies examined multivitamin supplement use. With respect to folic acid alone, a reduced rate of imperforate anus was observed among folic acid users in China. We discuss key gaps in knowledge, possible avenues for future research, and counseling issues for families concerned about occurrence or recurrence of these birth defects. Published 2004 Wiley-Liss, Inc.(dagger) C1 Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA 30333 USA. Emory Univ, Sch Med, Dept Human Genet, Atlanta, GA 30322 USA. RP Botto, LD (reprint author), Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, Mailstop E-86,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM LBotto@cdc.gov NR 47 TC 134 Z9 147 U1 1 U2 10 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 0148-7299 J9 AM J MED GENET C JI Am. J. Med. Genet. C PD FEB 15 PY 2004 VL 125C IS 1 BP 12 EP 21 DI 10.1002/ajmg.c.30004 PG 10 WC Genetics & Heredity SC Genetics & Heredity GA 769LX UT WOS:000188652500003 PM 14755429 ER PT J AU Rice, C Schendel, D Cunniff, C Doernberg, N AF Rice, C Schendel, D Cunniff, C Doernberg, N TI Public health monitoring of developmental disabilities with a focus on the autism spectrum disorders SO AMERICAN JOURNAL OF MEDICAL GENETICS PART C-SEMINARS IN MEDICAL GENETICS LA English DT Article DE developmental disabilities; autism spectrum disorders; surveillance; monitoring; tracking; public health ID CEREBRAL-PALSY; MOLECULAR-GENETICS; EASTERN DENMARK; PREVALENCE; CHILDREN; EPIDEMIOLOGY AB Developmental disabilities (DDs) are conditions characterized by physical, cognitive, psychological, sensory, adaptive, and/or communication impairments manifested during development. Approximately 17% of individuals in the United States 18 years and younger have a DID, and for most children the cause of their condition is unknown. Of particular interest are the autism spectrum disorders (ASDs), characterized by unusual social, communication, and behavioral development. Previously autism was thought to be a rare condition, but the number of children receiving services for an ASD has increased dramatically in the last decade. Concerns about increases in DDs, particularly ASDs, their causes, and the high costs of intervention have highlighted the need for systematic public health monitoring. Service provider data, such as annual reporting of special education services or of state DID programs, do not provide a complete estimate of the rates for DDs, including ASDs. Unlike genetic metabolic disorders or congenital hearing loss (HQ for which newborn screening programs can provide accurate prevalence rates, there are currently no genetic or biologic markers for the ASDs to enable consistent and early identification of affected children. Centers for Disease Control and Prevention's (CDC) Metropolitan Atlanta Developmental Disabilities Surveillance Program (MADDSP) is a model for population monitoring of ASDs/DDs that has been implemented in other states. This article discusses the role of ASD/DD tracking in public health, as well as the challenges of ASD/DD tracking, including case definition and identification, associated conditions, linkages, and data access. (C) 2004 Wiley-Liss, Inc. C1 Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA 30341 USA. Univ Arizona, Coll Med, Dept Pediat, Tucson, AZ 85721 USA. RP Rice, C (reprint author), Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, 4770 Buford Highway NE,Mailstop F-15, Atlanta, GA 30341 USA. EM crice@cdc.gov RI Rice, Catherine/D-6305-2016 NR 44 TC 15 Z9 15 U1 1 U2 5 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 0148-7299 J9 AM J MED GENET C JI Am. J. Med. Genet. C PD FEB 15 PY 2004 VL 125C IS 1 BP 22 EP 27 DI 10.1002/ajmg.c.30006 PG 6 WC Genetics & Heredity SC Genetics & Heredity GA 769LX UT WOS:000188652500004 PM 14755430 ER PT J AU Dent, KM Kenneson, A Palumbos, JC Maxwell, S Eichwald, J White, K Mao, R Bale, JF Carey, JC AF Dent, KM Kenneson, A Palumbos, JC Maxwell, S Eichwald, J White, K Mao, R Bale, JF Carey, JC TI Methodology of a multistate study of congenital hearing loss: Preliminary data from Utah newborn screening SO AMERICAN JOURNAL OF MEDICAL GENETICS PART C-SEMINARS IN MEDICAL GENETICS LA English DT Article DE EHDI; GJB2; deafness; connexin 26; etiology ID CONNEXIN 26 GENE; DEAFNESS; MUTATIONS; IMPAIRMENT; GUIDELINES; DFNB1; FORM AB A multistate Centers for Disease Control and Prevention (CDC) study was designed to investigate the etiology of congenital hearing loss in infants ascertained through state-mandated hearing screening or early hearing loss detection and intervention (EHDI) programs. At least 50% of permanent childhood-onset hearing loss is due to genetic causes, and approximately 20% of all infants with congenital hearing loss have mutations in the GJB2 gene. Another 1% of childhood hearing loss is due to mitochondrial DNA(mtDNA) mutations. The specific aims of this study are to 1) classify the etiology of congenital hearing loss in infants by doing prospective genetic evaluations of all newborns with permanent hearing loss from defined geographic areas, 2) determine the frequency of mutations in GJB2 and two common mitochondrial mutations in these populations, and 3)establish a model infrastructure linking genetic services to statewide EHDI programs. As of April 2003, Utah is the only center evaluating patients. Study subjects identified through the Utah Department of Health EHDI program are contacted by letter and offered a comprehensive medical genetics evaluation with DNA testing for GJB2 and mitochondrial mutations A1555G and A7445G. To date, 25 probands and their immediate family members have been evaluated. We have identified 20 cases with nonsyndromic hearing loss(7 multiplex and 13 simplex), 4 with syndromic hearing loss, and 1 with presumed cytomegalovirus (CMV)-induced hearing loss. Six of 19 (32%) nonsyndromic cases with sensorineural hearing loss have mutations of one or both alleles of the GJB2 gene, and 21% are homozygous or compound heterozygotes for the 35delG mutation. No A1555G or A7445G mtDNA mutations have been found. Data reported to date include only children born in Utah, but EHDI programs in Hawaii, Rhode island, and designated areas of Georgia have begun enrolling children in what is now a multistate collaborative study. This is the first comprehensive investigation to determine the etiology of hearing loss from populations ascertained through EHDI programs. The results of this study will facilitate the incorporation of genetic services into EHDI programs. (C) 2004 Wiley-Liss, Inc. C1 Univ Utah, Hlth Sci Ctr, Dept Pediat, Div Med Genet, Salt Lake City, UT 84132 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Univ Utah, Clin Genet Res Program, Salt Lake City, UT 84112 USA. Utah Dept Hlth, Child Hlth Adv Records Management Program, Salt Lake City, UT 84116 USA. Utah State Univ, Logan, UT 84322 USA. Univ Utah, DNA Diagnost Lab, Salt Lake City, UT 84112 USA. RP Dent, KM (reprint author), Univ Utah, Hlth Sci Ctr, Dept Pediat, Div Med Genet, 50 N Med Dr,2C 412 SOM, Salt Lake City, UT 84132 USA. EM karin.dent@hsc.utah.edu FU ODCDC CDC HHS [UR3/CCU818877] NR 24 TC 17 Z9 20 U1 0 U2 3 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 0148-7299 J9 AM J MED GENET C JI Am. J. Med. Genet. C PD FEB 15 PY 2004 VL 125C IS 1 BP 28 EP 34 DI 10.1002/ajmg.c.30002 PG 7 WC Genetics & Heredity SC Genetics & Heredity GA 769LX UT WOS:000188652500005 PM 14755431 ER PT J AU Scheuner, MT Yoon, PW Khoury, MJ AF Scheuner, MT Yoon, PW Khoury, MJ TI Contribution of mendelian disorders to common chronic disease: Opportunities for recognition, intervention, and prevention SO AMERICAN JOURNAL OF MEDICAL GENETICS PART C-SEMINARS IN MEDICAL GENETICS LA English DT Article DE family history; Mendelian disorders; chronic disease; disease prevention ID BREAST-CANCER; FAMILY-HISTORY; COLORECTAL-CANCER; BRCA2 MUTATION; PROPHYLACTIC OOPHORECTOMY; OVARIAN-CANCER; GENETIC RISK; STATEMENT; CARRIERS; WOMEN AB Recognizing Mendelian disorders should improve health care for persons with strong familial risks for common chronic diseases. The Online Mendelian Inheritance in Man (OMIM) database was reviewed to identify Mendelian disorders featuring 17 common chronic diseases, including 9 cardiovascular conditions, diabetes, and 7 common cancers. Mendelian disorders were selected if any one of the 17 diseases was reported in more than two families manifesting in adulthood. Patterns of chronic diseases and modes of inheritance associated with these Mendelian disorders are described. The GeneTests/Reviews database and other websites were reviewed to determine availability of genetic testing and management and prevention recommendations for the selected disorders. Of 2,592 (OMIM) entries reviewed, 188 Mendelian disorders were selected. Most (67.7%) are autosomal dominant disorders. Almost half (45.8%) feature combinations of the chronic diseases under study. At least one gene is known for 68.8% of the selected disorders, and clinical genetic testing is available for 55% of disorders. Guidelines for management and prevention are available for 33.9% of these, ranging from recommendations for supportive care to guidelines for managing affected persons and screening relatives. Significant clinical heterogeneity exists for Mendelian disorders that might present as strong family histories of common chronic diseases. Recognition of the different combinations of diseases within a pedigree, including mode of inheritance and heritable disease risk factors, facilitates diagnosis of these Mendelian disorders. Genetic testing is available for most disorders, which can further clarify the genetic risk, and for some, recommendations for management and prevention are available. However, evidence-based guidelines are needed. Published 2004 Wiley-Liss, Inc.dagger. C1 Univ Calif Los Angeles, Sch Publ Hlth Serv, Los Angeles, CA 90095 USA. Ctr Dis Control & Prevent, Off Genom & Dis Prevent, Atlanta, GA USA. RP Scheuner, MT (reprint author), Univ Calif Los Angeles, Sch Publ Hlth Serv, POB 957772, Los Angeles, CA 90095 USA. EM scheuner@ucla.edu NR 40 TC 26 Z9 27 U1 1 U2 9 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 0148-7299 J9 AM J MED GENET C JI Am. J. Med. Genet. C PD FEB 15 PY 2004 VL 125C IS 1 BP 50 EP 65 DI 10.1002/ajmg.c.30008 PG 16 WC Genetics & Heredity SC Genetics & Heredity GA 769LX UT WOS:000188652500008 PM 14755434 ER PT J AU Watt, JP O'Brien, KL Benin, AL Whitney, CG Robinson, K Parkinson, AJ Reid, R Santosham, M AF Watt, JP O'Brien, KL Benin, AL Whitney, CG Robinson, K Parkinson, AJ Reid, R Santosham, M TI Invasive pneumococcal disease among Navajo adults, 1989-1998 SO CLINICAL INFECTIOUS DISEASES LA English DT Article ID POLYSACCHARIDE VACCINE; PROTECTIVE EFFICACY; CONJUGATE VACCINE; HIGH-RISK; INFECTIONS; POPULATION; CHILDREN; OPPORTUNITIES; EPIDEMIOLOGY; PREVENTION AB Compared with white and black persons in the United States, some Native American groups are at increased risk for invasive pneumococcal disease (IPD). To characterize the epidemiology of IPD among Navajo adults, we conducted active surveillance for IPD on the Navajo Nation and reviewed medical records of patients with IPD. For 1997-1998, the annual incidence (cases per 100,000 persons) was 56 for Navajos aged 18-64 years and 190 for Navajos aged greater than or equal to65 years. The corresponding rates were 10 and 57 for white and 44 and 82 for black persons in the United States. The case-fatality rate was 14%. Eighty percent of cases were caused by serotypes included in the 23-valent pneumococcal polysaccharide vaccine. Navajo adults have rates of IPD that are 3-5-fold higher than those of the general US population. Additional research is needed to understand the reasons for this elevated risk and to develop prevention strategies. C1 Johns Hopkins Bloomberg Sch Publ Hlth, Ctr Amer Indian Hlth, Washington, DC 20015 USA. Ctr Dis Control & Prevent, Resp Dis Branch, Div Bacterial & Mycot Dis, Atlanta, GA USA. Yale Univ, Sch Med, Robert Wood Johnson Clin Scholars Program, New Haven, CT USA. Ctr Dis Control & Prevent, Arctic Invest Program, Anchorage, AK USA. RP Watt, JP (reprint author), Johns Hopkins Bloomberg Sch Publ Hlth, Ctr Amer Indian Hlth, 621 N Washington St, Washington, DC 20015 USA. EM jwatt@jhsph.edu NR 20 TC 28 Z9 28 U1 1 U2 1 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 1058-4838 J9 CLIN INFECT DIS JI Clin. Infect. Dis. PD FEB 15 PY 2004 VL 38 IS 4 BP 496 EP 501 DI 10.1086/381198 PG 6 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 770RY UT WOS:000188745700005 PM 14765341 ER PT J AU Jennes, W Vuylsteke, B Borget, MY Traore-Ettiegne, V Maurice, C Nolan, M Nkengasong, JN Kestens, L AF Jennes, W Vuylsteke, B Borget, MY Traore-Ettiegne, V Maurice, C Nolan, M Nkengasong, JN Kestens, L TI HIV-specific T helper responses and frequency of exposure among HIV-exposed seronegative female sex workers in Abidjan, Cote d'Ivoire SO JOURNAL OF INFECTIOUS DISEASES LA English DT Article; Proceedings Paper CT 14th International AIDS Conference CY JUL 07-12, 2002 CL BARCELONA, SPAIN ID IMMUNODEFICIENCY-VIRUS TYPE-1; I-RESTRICTED PRESENTATION; CELL RESPONSES; LYMPHOCYTE-RESPONSES; CORD BLOOD; IFN-GAMMA; INDIVIDUALS; INFECTION; PROSTITUTES; MUCOSAL AB Background. The characteristics of human immunodeficiency virus (HIV) exposure that determine the induction of HIV-specific T cells and, in particular, T helper cells are not well understood. Methods. HIV-1 Gag- and Env-specific T helper cells were analyzed by use of an interferon (IFN)-gamma enzyme-linked immunosorbent spot (ELISPOT) assay and by use of IFN-gamma secretion flow cytometry. Responses among HIV-exposed seronegative (ESN) female sex workers (FSWs) were compared with responses among HIV-seropositive FSWs and HIV-seronegative female blood donors from Abidjan, Cote d'Ivoire. Results. Low- level ELISPOT responses were detected in 8 (20%) of 40 ESN FSWs. All of 25 HIV-seropositive FSWs had high-level ELISPOT responses. HIV-specific CD4(+) T cells and, occasionally, CD8(+) T cells were detected by secretion flow cytometry in 3 (38%) of 8 ESN FSWs and in 4 (80%) of 5 HIV-seropositive FSWs. ESN FSWs with detectable HIV-specific T helper responses had more clients on the previous working day (P=.02) and more exposures to HIV per month (P=.02) and tended to have a lower total duration of commercial sex work. Conclusions. These findings demonstrate that the presence of HIV-specific T helper cells in ESN FSWs is associated with the frequency, rather than the duration, of exposure to HIV. The data may have important implications for the evaluation of HIV vaccine efficacy. C1 Inst Trop Med, Dept Microbiol, Immunol Lab, B-2000 Antwerp, Belgium. Projet RETRO CI, Abidjan, Cote Ivoire. Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Nat Ctr HIV STD & TB Prevent, Atlanta, GA USA. RP Jennes, W (reprint author), Inst Trop Med, Dept Microbiol, Immunol Lab, Natl Str 155, B-2000 Antwerp, Belgium. EM wjennes@itg.be RI Jennes, Wim/M-2523-2013 OI Jennes, Wim/0000-0002-3125-6389 NR 49 TC 26 Z9 26 U1 0 U2 0 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 0022-1899 J9 J INFECT DIS JI J. Infect. Dis. PD FEB 15 PY 2004 VL 189 IS 4 BP 602 EP 610 DI 10.1086/381454 PG 9 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 772GF UT WOS:000188832900006 PM 14767812 ER PT J AU Weinberg, GA Erdman, DD Edwards, KM Hall, CB Walker, FJ Griffin, MR Schwartz, B AF Weinberg, GA Erdman, DD Edwards, KM Hall, CB Walker, FJ Griffin, MR Schwartz, B CA New Vaccine Surveillance Network S TI Superiority of reverse-transcription polymerase chain reaction to conventional viral culture in the diagnosis of acute respiratory tract infections in children SO JOURNAL OF INFECTIOUS DISEASES LA English DT Article; Proceedings Paper CT 40th Annual Meeting of the Infectious-Diseases-Society-of-America CY OCT 24-27, 2002 CL CHICAGO, ILLINOIS SP Infectious Dis Soc Amer ID REPLACE CELL-CULTURE; SYNCYTIAL VIRUS; YOUNG-CHILDREN; VIROLOGY LABORATORIES/; MOLECULAR TECHNIQUES; PARAINFLUENZA VIRUS; INFLUENZA; ILLNESS; PCR; HOSPITALIZATIONS AB We compared the rates of detection of respiratory viruses by reverse-transcription polymerase chain reaction (RT-PCR) and by conventional viral culture in 668 combined nasal and throat samples from a prospective, multicenter, population-based study of acute respiratory tract infections among hospitalized children aged <5 years. RT-PCR increased the yield of viral identification by 2-fold, compared with that of culture alone. The increased sensitivity of viral detection by RT-PCR will yield better estimates of the population burden of viral respiratory infections. C1 Univ Rochester, Sch Med & Dent, Dept Pediat, Div Infect Dis,Pediat HIV Program, Rochester, NY 14642 USA. Univ Rochester, Sch Med & Dent, Strong Childrens Res Ctr, Rochester, NY 14642 USA. Ctr Dis Control & Prevent, Natl Ctr Infect Dis, Atlanta, GA USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA USA. Vanderbilt Univ, Sch Med, Dept Pediat, Nashville, TN 37212 USA. Vanderbilt Univ, Sch Med, Dept Prevent Med, Nashville, TN 37212 USA. RP Weinberg, GA (reprint author), Univ Rochester, Sch Med & Dent, Dept Pediat, Div Infect Dis,Pediat HIV Program, 601 Elmwood Ave,Box 690, Rochester, NY 14642 USA. EM geoff_weinberg@urmc.rochester.edu FU ODCDC CDC HHS [U38/CCU 217969, U38/CCU 417958] NR 19 TC 149 Z9 153 U1 1 U2 4 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 0022-1899 J9 J INFECT DIS JI J. Infect. Dis. PD FEB 15 PY 2004 VL 189 IS 4 BP 706 EP 710 DI 10.1086/381456 PG 5 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 772GF UT WOS:000188832900019 PM 14767825 ER PT J AU McGregor, KF Bilek, N Bennett, A Kalia, A Beall, B Carapetis, JR Currie, BJ Sriprakash, KS Spratt, BG Bessen, DE AF McGregor, KF Bilek, N Bennett, A Kalia, A Beall, B Carapetis, JR Currie, BJ Sriprakash, KS Spratt, BG Bessen, DE TI Group A streptococci from a remote community have novel multilocus genotypes but share emm types and housekeeping alleles with isolates from worldwide sources SO JOURNAL OF INFECTIOUS DISEASES LA English DT Article; Proceedings Paper CT 6th American-Society-for-Microbiology Conference on Streptococcal Genetics CY APR 14-17, 2002 CL ASHEVILLE, NORTH CAROLINA SP Amer Soc Microbiol ID M-PROTEIN; HYPERVARIABLE REGION; GENETIC DIVERSITY; INFECTIONS; PYOGENES; SKIN; DISEASE; EPIDEMIOLOGY; POPULATION; BINDING AB Group A streptococci (GAS) cause several human diseases that differentially affect distinct host populations. Genotypes were defined by multilocus sequence typing and emm typing for 137 organisms collected from individuals in a remote aboriginal island community in tropical Australia and compared with 1200 isolates obtained from sources elsewhere in the world. The majority of aboriginal-derived isolates shared emm types and housekeeping alleles with GAS isolates recovered from outside Australia, but these emm types and alleles were in novel combinations. There were many examples in which isolates from aboriginal and non-Australian subjects shared the same emm type, but for similar to50% of emm types, the multilocus genotypes of isolates of the same emm type but from different regions were very different. A single emm type may typically define a single clone within the United States and on the remote island that is the focus of this study, but in many cases, these clones will be different, and this finding has implications for attempts to make global associations between emm types and certain disease manifestations. C1 New York Med Coll, Dept Microbiol & Immunol, Valhalla, NY 10595 USA. Univ London Imperial Coll Sci Technol & Med, Dept Infect Dis Epidemiol, London, England. Yale Univ, Dept Ecol & Evolutionary Biol, New Haven, CT USA. Ctr Dis Control & Prevent, Resp Dis Branch, Atlanta, GA USA. Univ Melbourne, Dept Paediat, Parkville, Vic 3052, Australia. Royal Childrens Hosp, Murdoch Childrens Res Inst, Parkville, Vic 3052, Australia. Flinders Univ S Australia, Menzies Sch Hlth Res, Darwin, NT, Australia. Flinders Univ S Australia, No Terr Clin Sch, Darwin, NT, Australia. Queensland Inst Med Res, Brisbane, Qld 4006, Australia. RP Bessen, DE (reprint author), New York Med Coll, Dept Microbiol & Immunol, Valhalla, NY 10595 USA. EM debra_bessen@nymc.edu RI Spratt, Brian/A-1676-2009; OI Sriprakash, Kadaba/0000-0001-7844-323X FU NIGMS NIH HHS [R01 GM 60793] NR 39 TC 27 Z9 29 U1 0 U2 1 PU UNIV CHICAGO PRESS PI CHICAGO PA 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA SN 0022-1899 J9 J INFECT DIS JI J. Infect. Dis. PD FEB 15 PY 2004 VL 189 IS 4 BP 717 EP 723 DI 10.1086/381452 PG 7 WC Immunology; Infectious Diseases; Microbiology SC Immunology; Infectious Diseases; Microbiology GA 772GF UT WOS:000188832900021 PM 14767827 ER PT J AU Antonini, JM Taylor, MD Zimmer, AT Roberts, JR AF Antonini, JM Taylor, MD Zimmer, AT Roberts, JR TI Pulmonary responses to welding fumes: Role of metal constituents SO JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH-PART A-CURRENT ISSUES LA English DT Article; Proceedings Paper CT 42nd Annual Meeting of the Society-of-Toxicology CY MAR 12, 2003 CL Lake city, UT SP Soc Toxicol ID OIL FLY-ASH; STAINLESS-STEEL WELDERS; MILD-STEEL; LUNG-CANCER; ARC WELDERS; SHIPYARD WORKERS; PARTICLES; HEALTH; MORTALITY; CHROMIUM AB It is estimated that more than 1 million workers worldwide perform some type of welding as part of their work duties. Epidemiology studies have shown that a large number of welders experience some type of respiratory illness. Respiratory effects seen in full-time welders have included bronchitis, siderosis, asthma, and a possible increase in the incidence of lung cancer. Pulmonary infections are increased in terms of severity, duration, and frequency among welders. Inhalation exposure to welding fumes may vary due to differences in the materials used and methods employed. The chemical properties of welding fumes can be quite complex. Most welding materials are alloy mixtures of metals characterized by different steels that may contain iron, manganese, chromium, and nickel. Animal studies have indicated that the presence and combination of different metal constituents is an important determinant in the potential pneumotoxic responses associated with welding fumes. Animal models have demonstrated that stainless steel (SS) welding fumes, which contain significant levels of nickel and chromium, induce more lung injury and inflammation, and are retained in the longs longer than mild steel (MS) welding fumes, which contain mostly iron. In addition, SS fumes generated from welding processes using fluxes to protect the resulting weld contain elevated levels of soluble metals, which may affect respiratory health. Recent animal studies have indicated that the lung injury and inflammation induced by SS welding fumes that contain water-soluble metals are dependent on both the soluble and insoluble fractions of the fume. This article reviews the role that metals play in the pulmonary effects associated with welding fume exposure in workers and laboratory animals. C1 NIOSH, Hlth Effects Lab Div, Morgantown, WV 26505 USA. NIOSH, Div Appl Res & Technol, Cincinnati, OH 45226 USA. RP Antonini, JM (reprint author), NIOSH, Hlth Effects Lab Div, 1095 Willowdale Rd,M-S 2015, Morgantown, WV 26505 USA. EM jga6@cdc.gov NR 60 TC 84 Z9 90 U1 1 U2 8 PU TAYLOR & FRANCIS INC PI PHILADELPHIA PA 325 CHESTNUT ST, SUITE 800, PHILADELPHIA, PA 19106 USA SN 1528-7394 J9 J TOXICOL ENV HEAL A JI J. Toxicol. Env. Health Part A PD FEB 13 PY 2004 VL 67 IS 3 BP 233 EP 249 DI 10.1080/15287390490266909 PG 17 WC Environmental Sciences; Public, Environmental & Occupational Health; Toxicology SC Environmental Sciences & Ecology; Public, Environmental & Occupational Health; Toxicology GA 802BG UT WOS:000220138400005 PM 14681078 ER PT J AU Holmberg, SD Moorman, AC Greenberg, AE AF Holmberg, SD Moorman, AC Greenberg, AE TI Trends in rates of myocardial infarction among patients with HIV SO NEW ENGLAND JOURNAL OF MEDICINE LA English DT Letter ID HUMAN-IMMUNODEFICIENCY-VIRUS; PROTEASE INHIBITORS; THERAPY; RISK C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Holmberg, SD (reprint author), Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. EM sdh1@cdc.gov NR 5 TC 25 Z9 26 U1 0 U2 0 PU MASSACHUSETTS MEDICAL SOC/NEJM PI WALTHAM PA WALTHAM WOODS CENTER, 860 WINTER ST,, WALTHAM, MA 02451-1413 USA SN 0028-4793 J9 NEW ENGL J MED JI N. Engl. J. Med. PD FEB 12 PY 2004 VL 350 IS 7 BP 730 EP 732 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA 772YB UT WOS:000188869500024 PM 14960752 ER PT J AU Wright, J Likos, A Bhat, N AF Wright, J Likos, A Bhat, N CA CDC TI Update: Influenza-associated deaths reported among children aged < 18 years - United States, 2003-04 influenza season (Reprinted from MMWR, vol 52, pg 1254-1255, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint ID VIRUS C1 CDC, Influenza Response Team, Atlanta, GA 30333 USA. RP Wright, J (reprint author), CDC, Influenza Response Team, Atlanta, GA 30333 USA. NR 4 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD FEB 11 PY 2004 VL 291 IS 6 BP 688 EP 688 PG 1 WC Medicine, General & Internal SC General & Internal Medicine GA 772AY UT WOS:000188819200010 ER PT J AU Goulding, MR AF Goulding, MR TI Inappropriate medication prescribing for elderly ambulatory care patients SO ARCHIVES OF INTERNAL MEDICINE LA English DT Article; Proceedings Paper CT 129th Annual Meeting of the American-Public-Health-Association CY OCT 21-25, 2001 CL ATLANTA, GEORGIA SP Amer Publ Hlth Assoc ID ACUTE MYOCARDIAL-INFARCTION; DRUG-USE; PRESCRIPTION MEDICATIONS; EXPLICIT CRITERIA; OLDER PERSONS; POPULATION; GENDER; APPROPRIATENESS; PATTERNS AB Background: Inappropriate medication use in elderly patients has been linked to a large share of adverse drug reactions and to excess health care utilization. Methods: Trends in the prevalence of potentially inappropriate drug prescribing at ambulatory care visits by elderly persons from 1995 to 20,00 were examined with data from office-based physicians in the National Ambulatory Medical Care Survey and from hospital outpatient departments in the National Hospital Ambulatory Medical Care Survey. Explicit criteria were used to identify potentially inappropriate prescribing. Multivariate regression was used to identify related factors. Results: In 1995 and 2000, at least 1 drug considered inappropriate by the Beers expert panel was prescribed at 7.8% of ambulatory care visits by elderly patients. At least 1 drug classified as never or rarely appropriate by the Zhan expert panel was prescribed at 3.7% and 3.8% of these visits in 1995 and 2000, respectively. Pain relievers and central nervous system drugs were a large share of the problem. The odds of potentially inappropriate prescribing were higher for visits with multiple drugs and double for female visits. The latter was due to more prescribing of potentially inappropriate pain relievers and central nervous system drugs. Conclusions: Potentially inappropriate prescribing at ambulatory care visits by elderly patients, particularly women, remains a substantial problem. Interventions could target more appropriate drug selection by physicians when prescribing pain relievers, antianxiety agents, sedatives, and antidepressants to elderly patients. Such behavior could eliminate a large portion of inappropriate prescribing for elderly patients and reduce its higher risk for women. C1 Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Off Anal Epidemiol & Hlth Promot, Hyattsville, MD 20782 USA. RP Goulding, MR (reprint author), 3311 Toledo Rd,Room 6228, Hyattsville, MD 20782 USA. EM mgoulding@cdc.gov NR 47 TC 157 Z9 161 U1 0 U2 8 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0003-9926 J9 ARCH INTERN MED JI Arch. Intern. Med. PD FEB 9 PY 2004 VL 164 IS 3 BP 305 EP 312 DI 10.1001/archinte.164.3.305 PG 8 WC Medicine, General & Internal SC General & Internal Medicine GA 771JQ UT WOS:000188782200011 PM 14769626 ER PT J AU Schmid, GP Buve, A Mugyenyi, P Garnett, GP Hayes, RJ Williams, BG Calleja, JG De Cock, KM Whitworth, JA Kapiga, SH Ghys, PD Hankins, C Zaba, B Helmer, R Boerma, JT AF Schmid, GP Buve, A Mugyenyi, P Garnett, GP Hayes, RJ Williams, BG Calleja, JG De Cock, KM Whitworth, JA Kapiga, SH Ghys, PD Hankins, C Zaba, B Helmer, R Boerma, JT TI Transmission of HIV-1 infection in sub-Saharan Africa and effect of elimination of unsafe injections SO LANCET LA English DT Article ID HUMAN-IMMUNODEFICIENCY-VIRUS; HEALTH-CARE SETTINGS; SOUTH-WEST UGANDA; MOTHER-TO-CHILD; MALE CIRCUMCISION; RURAL-POPULATION; SEXUAL-BEHAVIOR; COTE-DIVOIRE; DRUG-USERS; PREVALENCE AB During the past year, a group has argued that unsafe injections are a major if not the main mode of HIV-1 transmission in sub-Saharan Africa. We review the main arguments used to question the epidemiological interpretations on the lead role of unsafe sex in HIV-1 transmission, and conclude there is no compelling evidence that unsafe injections are a predominant mode of HIV-1 transmission in sub-Saharan Africa. Conversely, though there is a clear need to eliminate all unsafe injections, epidemiological evidence indicates that sexual transmission continues to be by far the major mode of spread of HIV-1 in the region. Increased efforts are needed to reduce sexual transmission of HIV-1. C1 WHO, Dept HIV AIDS, CH-1211 Geneva 27, Switzerland. Inst Trop Med, B-2000 Antwerp, Belgium. Joint Clin Res Ctr, Kampala, Uganda. Univ London Imperial Coll Sci Technol & Med, London, England. London Sch Hyg & Trop Med, London WC1, England. Ctr Dis Control & Prevent, Atlanta, GA USA. Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA. UNAIDS, Geneva, Switzerland. Yale Univ, Sch Med, New Haven, CT USA. RP Schmid, GP (reprint author), WHO, Dept HIV AIDS, CH-1211 Geneva 27, Switzerland. EM schmidg@who.int RI Garnett, Geoffrey/A-9312-2008; OI Hankins, Catherine/0000-0002-1642-8592; Hayes, Richard/0000-0002-1729-9892 NR 62 TC 101 Z9 101 U1 0 U2 5 PU LANCET LTD PI LONDON PA 84 THEOBALDS RD, LONDON WC1X 8RR, ENGLAND SN 0140-6736 J9 LANCET JI Lancet PD FEB 7 PY 2004 VL 363 IS 9407 BP 482 EP 488 DI 10.1016/S0140-6736(04)15497-4 PG 7 WC Medicine, General & Internal SC General & Internal Medicine GA 774RX UT WOS:000188999500025 PM 14962531 ER PT J AU Ellenberger, D Li, B Smith, J Yi, H Folks, T Robinson, H Butera, S AF Ellenberger, D Li, B Smith, J Yi, H Folks, T Robinson, H Butera, S TI Optimization of a multi-gene HIV-1 recombinant subtype CRF02_AG DNA vaccine for expression of multiple immunogenic forms SO VIROLOGY LA English DT Article DE HIV-like particles; VLP; HIV-1 DNA vaccine; protease mutation; CRF02_AG ID HUMAN-IMMUNODEFICIENCY-VIRUS; CYTOTOXIC T-LYMPHOCYTES; WEST-CENTRAL-AFRICA; RHESUS-MONKEYS; GENETIC IMMUNIZATION; MUTATIONAL ANALYSIS; PARTICLE FORMATION; VIRAL INFECTIVITY; CELLULAR-IMMUNITY; SIV CHALLENGE AB We developed an AIDS vaccine for Western and West-Central Africa based on a DNA plasmid vector expressing HIV-1 recombinant subtype CRF02_AG gag, pol, and env genes. To optimize the production of noninfectious HIV-Iike particles (VLPs) and potentially improve the effectiveness of the vaccine, we generated four potential vaccine constructs: the parental (IC2) and three modifications (IC25, IC48, and IC90) containing mutations within the HIV protease. While the parental construct IC2 expressed aggregates of Gag proteins, the IC25 construct resulted in the production of immature VLPs (the core comprises unprocessed Pr(55Gag)). The remaining two constructs (IC48 and IC90) produced mature VLPs (the core comprises processed capsid p24) in addition to immature VLPs and aggregates of Gag proteins. VLPs incorporated significant levels of mature gp120 envelope glycoprotein. Importantly, the mature VLPs were fusion competent and entered coreceptor-specific target cells. The production of multiple antigenic forms, including fusion-competent VLPs, by candidate DNA vaccine constructs may provide immunologic advantages for induction of protective cellular and Immoral responses against HIV-1 proteins. (C) Published by Elsevier Inc. C1 Ctr Dis Control & Prevent, HIV & Retrovirol Branch, Natl Ctr Infect Dis,US Dept Hlth & Human Serv, Div AIDS STD & TB Lab Res,Publ Hlth Serv, Atlanta, GA 30333 USA. Emory Univ, Yerkes Reg Promate Res Ctr, Atlanta, GA 30322 USA. Emory Neurol Microscopy Core Lab, Atlanta, GA 30322 USA. RP Ellenberger, D (reprint author), Ctr Dis Control & Prevent, HIV & Retrovirol Branch, Natl Ctr Infect Dis,US Dept Hlth & Human Serv, Div AIDS STD & TB Lab Res,Publ Hlth Serv, Mail Stop G-19,1600 Clifton Rd, Atlanta, GA 30333 USA. EM dellenberger@cdc.gov NR 54 TC 14 Z9 17 U1 0 U2 0 PU ACADEMIC PRESS INC ELSEVIER SCIENCE PI SAN DIEGO PA 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495 USA SN 0042-6822 J9 VIROLOGY JI Virology PD FEB 5 PY 2004 VL 319 IS 1 BP 118 EP 130 DI 10.1016/j.virol.2003.10.013 PG 13 WC Virology SC Virology GA 809QS UT WOS:000220651800011 PM 14967493 ER PT J CA US Dept Agr US Food Drug Adm CDC TI Bovine spongiform encephalopathy in a dairy cow - Washington State, 2003 (Reprinted from MMWR, vol 52, pg 1280-1285, 2004) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint C1 Anim & Plant Hlth Inspect Serv, USDA, Washington, DC 20250 USA. Food Safety & Inspect Serv, USDA, Washington, DC 20250 USA. CDC, Div Vital Stat, Natl Ctr Hlth Stat, Atlanta, GA 30333 USA. CDC, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. US FDA, Rockville, MD 20857 USA. RP Anim & Plant Hlth Inspect Serv, USDA, Washington, DC 20250 USA. NR 1 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 330 N WABASH AVE, STE 39300, CHICAGO, IL 60611-5885 USA SN 0098-7484 EI 1538-3598 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD FEB 4 PY 2004 VL 291 IS 5 BP 553 EP 555 PG 3 WC Medicine, General & Internal SC General & Internal Medicine GA 769LC UT WOS:000188650700006 ER PT J AU Moore, KR Harwell, TS McDowall, JM Helgerson, SD Gohdes, D Burrows, NR AF Moore, KR Harwell, TS McDowall, JM Helgerson, SD Gohdes, D Burrows, NR TI Diabetes among young American Indians - Montana and Wyoming, 2000-2002 (Reprinted from MMWR, vol 52, pg 1127-1129, 2003) SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION LA English DT Reprint ID PREVALENCE; CHILDREN; ADOLESCENTS; YOUTH C1 Billings Area Indian Hlth Svc, Billings, MT USA. Montana Dept Publ Hlth & Human Svcs, Helena, MT 59604 USA. CDC, Div Diabet Translat, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. RP Moore, KR (reprint author), Billings Area Indian Hlth Svc, Billings, MT USA. NR 11 TC 0 Z9 0 U1 0 U2 0 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0098-7484 J9 JAMA-J AM MED ASSOC JI JAMA-J. Am. Med. Assoc. PD FEB 4 PY 2004 VL 291 IS 5 BP 555 EP 556 PG 2 WC Medicine, General & Internal SC General & Internal Medicine GA 769LC UT WOS:000188650700007 ER PT J AU Sun, SS Chumlea, WC Heymsfield, SB Lukaski, HC Schoeller, D Friedl, K Kuczmarski, RJ Hubbard, VS Flegal, KM Johnson, CL AF Sun, SS Chumlea, WC Heymsfield, SB Lukaski, HC Schoeller, D Friedl, K Kuczmarski, RJ Hubbard, VS Flegal, KM Johnson, CL TI Bioelectrical impedance analysis for predicting body composition: what about the external validity of new regression equations? Reply to U Trippo et al SO AMERICAN JOURNAL OF CLINICAL NUTRITION LA English DT Letter ID VALIDATION; CHILDREN C1 Lifespan Hlth Res Ctr, Dept Community Hlth, Dayton, OH 45420 USA. St Lukes Roosevelt Hosp, Obes Res Ctr, New York, NY USA. USDA ARS, Grand Forks, ND USA. Univ Wisconsin, Madison, WI USA. Mil Operat Med Program, Frederick, MD USA. NIDDKD, NIH, Bethesda, MD 20892 USA. Ctr Dis Control & Prevent, Hyattsville, MD USA. RP Friedl, K (reprint author), Lifespan Hlth Res Ctr, Dept Community Hlth, 3171 Res Blvd, Dayton, OH 45420 USA. EM shumei.sun@wright.ed RI Flegal, Katherine/A-4608-2013 NR 9 TC 0 Z9 0 U1 0 U2 0 PU AMER SOC CLINICAL NUTRITION PI BETHESDA PA 9650 ROCKVILLE PIKE, SUBSCRIPTIONS, RM L-3300, BETHESDA, MD 20814-3998 USA SN 0002-9165 J9 AM J CLIN NUTR JI Am. J. Clin. Nutr. PD FEB PY 2004 VL 79 IS 2 BP 336 EP 337 PG 2 WC Nutrition & Dietetics SC Nutrition & Dietetics GA 767KN UT WOS:000188438900026 ER PT J AU Kleinman, K Lazarus, R Platt, R AF Kleinman, K Lazarus, R Platt, R TI A generalized linear mixed models approach for detecting incident clusters of disease in small areas, with an application to biological terrorism SO AMERICAN JOURNAL OF EPIDEMIOLOGY LA English DT Article DE bioterrorism; communicable diseases; epidemiologic methods; generalized linear mixed model; population surveillance; spatial analysis ID SURVEILLANCE; RECORDS AB Since the intentional dissemination of anthrax through the US postal system in the fall of 2001, there has been increased interest in surveillance for detection of biological terrorism. More generally, this could be described as the detection of incident disease clusters. In addition, the advent of affordable and quick geocoding allows for surveillance on a finer spatial scale than has been possible in the past. Surveillance for incident clusters of disease in both time and space is a relatively undeveloped arena of statistical methodology. Surveillance for bioterrorism detection, in particular, raises unique issues with methodological relevance. For example, the bioterrorism agents of greatest concern cause initial symptoms that may be difficult to distinguish from those of naturally occurring disease. In this paper, the authors propose a general approach to evaluating whether observed counts in relatively small areas are larger than would be expected on the basis of a history of naturally occurring disease. They implement the approach using generalized linear mixed models. The approach is illustrated using data on health-care visits (1996-1999) from a large Massachusetts managed care organization/multispecialty practice group in the context of syndromic surveillance for anthrax. The authors argue that there is great value in using the geographic data. C1 Harvard Univ, Sch Med, Dept Ambulatory Care & Prevent, Boston, MA 02215 USA. Harvard Pilgrim Hlth Care, Boston, MA USA. Harvard Vanguard Med Associates, Boston, MA USA. Ctr Dis Control & Prevent, Eastern Massachusetts Prevent Epictr, Boston, MA USA. HMO Res Network, Ctr Educ & Res Therapeut, Boston, MA USA. Brigham & Womens Hosp, Boston, MA 02115 USA. Univ Sydney, Sch Publ Hlth, Sydney, NSW 2006, Australia. RP Kleinman, K (reprint author), Harvard Univ, Sch Med, Dept Ambulatory Care & Prevent, 133 Brookline Ave,6th Floor, Boston, MA 02215 USA. EM ken@hsph.harvard.edu OI lazarus, ross/0000-0003-3939-1961 FU ODCDC CDC HHS [UR8/CCU115709, U90/CCU116997] NR 20 TC 94 Z9 99 U1 0 U2 8 PU OXFORD UNIV PRESS INC PI CARY PA JOURNALS DEPT, 2001 EVANS RD, CARY, NC 27513 USA SN 0002-9262 EI 1476-6256 J9 AM J EPIDEMIOL JI Am. J. Epidemiol. PD FEB 1 PY 2004 VL 159 IS 3 BP 217 EP 224 DI 10.1093/aje/kwh029 PG 8 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 769FC UT WOS:000188614900001 PM 14742279 ER PT J AU Kleinman, K Lazarus, R Platt, R AF Kleinman, K Lazarus, R Platt, R TI Surveilling surveillance - Some statistical comments - Response SO AMERICAN JOURNAL OF EPIDEMIOLOGY LA English DT Editorial Material C1 Harvard Univ, Sch Med, Dept Ambulatory Care & Prevent, Boston, MA 02215 USA. Harvard Pilgrim Hlth Care, Boston, MA 02215 USA. Harvard Vanguard Med Associates, Boston, MA USA. Ctr Dis Control & Prevent, Eastern Massachusetts Prevent Epictr, Boston, MA USA. HMO Res Network, Ctr Educ & Res Therapeut, Boston, MA USA. Brigham & Womens Hosp, Boston, MA 02115 USA. Univ Sydney, Sch Publ Hlth, Sydney, NSW 2006, Australia. RP Kleinman, K (reprint author), Harvard Univ, Sch Med, Dept Ambulatory Care & Prevent, 133 Brookline Ave,6th Floor, Boston, MA 02215 USA. EM ken_kleinman@harvardpilgrim.org NR 3 TC 1 Z9 1 U1 0 U2 1 PU OXFORD UNIV PRESS INC PI CARY PA JOURNALS DEPT, 2001 EVANS RD, CARY, NC 27513 USA SN 0002-9262 J9 AM J EPIDEMIOL JI Am. J. Epidemiol. PD FEB 1 PY 2004 VL 159 IS 3 BP 228 EP 228 DI 10.1093/aje/kwh031 PG 1 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 769FC UT WOS:000188614900003 ER PT J AU Warner, L Newman, DR Austin, HD Kamb, ML Douglas, JM Malotte, CK Zenilman, JM Rogers, J Bolan, G Fishbein, M Kleinbaum, DG Macaluso, M Peterman, TA AF Warner, L Newman, DR Austin, HD Kamb, ML Douglas, JM Malotte, CK Zenilman, JM Rogers, J Bolan, G Fishbein, M Kleinbaum, DG Macaluso, M Peterman, TA CA Project RESPECT Study Grp TI Condom effectiveness for reducing transmission of gonorrhea and chlamydia: The importance of assessing partner infection status SO AMERICAN JOURNAL OF EPIDEMIOLOGY LA English DT Article DE chlamydia; contraceptive devices, male; gonorrhea; HIV infections; sexual behavior; sexually transmitted diseases ID SEXUALLY-TRANSMITTED-DISEASES; HUMAN-IMMUNODEFICIENCY-VIRUS; FEMALE SEX WORKERS; TRACHOMATIS INFECTION; NEISSERIA-GONORRHOEAE; CHEMICAL BARRIERS; HETEROSEXUAL MEN; RISK-REDUCTION; PREVENTION; WOMEN AB This analysis examined the importance of differential exposure to infected partners in epidemiologic studies of latex condom effectiveness for prevention of sexually transmitted infections. Cross-sectional, enrollment visit data were analyzed from Project RESPECT, a trial of counseling interventions conducted at five publicly funded US sexually transmitted disease clinics between 1993 and 1997. The association between consistent condom use in the previous 3 months and prevalent gonorrhea and chlamydia (Gc/Ct) was compared between participants known to have infected partners and participants whose partner infection status was unknown. Among 429 participants with known Gc/Ct exposure, consistent condom use was associated with a significant reduction in prevalent gonorrhea and chlamydia (30% vs. 43%; adjusted prevalence odds ratio = 0.42, 95% confidence interval: 0.18, 0.99). Among 4,314 participants with unknown Gc/Ct exposure, consistent condom use was associated with a lower reduction in prevalent gonorrhea and chlamydia (24% vs. 25%; adjusted prevalence odds ratio = 0.82, 95% confidence interval: 0.66, 1.01). The number of unprotected sex acts was significantly associated with infection when exposure was known (p for trend < 0.01) but not when exposure was unknown (p for trend = 0.73). Restricting analyses to participants with known exposure to infected partners provides a feasible and efficient mechanism for reducing confounding from differential exposure to infected partners in condom effectiveness studies. C1 CDC, NCHSTP, Off Commun, Div HIV AIDS Prevent, Atlanta, GA 30333 USA. Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA 30322 USA. Ctr Dis Control & Prevent, Global AIDS Program, Atlanta, GA USA. Denver Dept Publ Hlth, Denver, CO USA. Calif State Univ Long Beach, Dept Hlth Sci, Long Beach, CA 90840 USA. Baltimore City Dept Hlth, Baltimore, MD USA. Johns Hopkins Univ, Sch Med, Div Infect Dis, Baltimore, MD 21205 USA. Newark Dept Publ Hlth, Newark, NJ USA. San Francisco Dept Hlth, San Francisco, CA USA. Univ Penn, Annenberg Sch Commun, Annenberg Publ Policy Ctr, Philadelphia, PA 19104 USA. Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Reprod Hlth, Atlanta, GA USA. RP Warner, L (reprint author), CDC, NCHSTP, Off Commun, Div HIV AIDS Prevent, Mailstop E-07,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM dlw7@cdc.gov RI Macaluso, Maurizio/J-2076-2015 OI Macaluso, Maurizio/0000-0002-2977-9690 NR 60 TC 87 Z9 87 U1 3 U2 7 PU OXFORD UNIV PRESS INC PI CARY PA JOURNALS DEPT, 2001 EVANS RD, CARY, NC 27513 USA SN 0002-9262 J9 AM J EPIDEMIOL JI Am. J. Epidemiol. PD FEB 1 PY 2004 VL 159 IS 3 BP 242 EP 251 DI 10.1093/aje/kwh044 PG 10 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 769FC UT WOS:000188614900006 PM 14742284 ER PT J AU Ruder, AM Ward, EM Dong, M Okun, AH Davis-King, K AF Ruder, AM Ward, EM Dong, M Okun, AH Davis-King, K TI Mortality patterns among workers exposed to styrene in the reinforced plastic boatbuilding industry: An update SO AMERICAN JOURNAL OF INDUSTRIAL MEDICINE LA English DT Article DE styrene; reinforced plastic industry; leukemia; cancer mortality; cohort mortality study; urinary tract cancer ID TABLE ANALYSIS SYSTEM; SHORT-TERM WORKERS; SAFETY-AND-HEALTH; UNITED-STATES; MANUFACTURING-INDUSTRY; COMPOSITES INDUSTRY; CANCER; COHORT; DISEASES; INSTITUTE AB Background Mortality was updated through 1998 for 5,204 workers exposed to styrene between 1959 and 1978 at two reinforced plastic boatbuilding plants. The a priori hypothesis: leukemia and lymphoma excesses would be found. Methods Standardized mortality ratios (SMR) and 95% confidence intervals (CI) used Washington State and U.S. rates. Results Overall, 860 deaths occurred (SMR 1.09, CI 1.02-1.17), with excess mortality for esophageal cancer (n = 12, SMR 2.30, Cl 1.19-4.02), prostate cancer (n = 24, SMR 1.71, CI 1.09-2.54), and accidents (n = 99, SMR 1.26, CI 1.02-1.53). Among 2,062 highly exposed workers, urinary tract cancer (n = 6, SMR 3.44, CI 1.26-7.50) and respiratory disease (n = 12, SMR 2.54, CI 1.31-4.44) rates were elevated. Urinary tract cancer SMR increased with duration of employment. Conclusions We found no excess leukemia or lymphoma mortality. Unanticipated excess urinary tract cancer and respiratory disease mortality, possibly associated with styrene exposure, are difficult to interpret and could be chance findings. Published 2004 Wiley-Liss, Inc.(dagger). C1 NIOSH, Cincinnati, OH 45226 USA. RP Ruder, AM (reprint author), NIOSH, Mailstop R-16,4676 Columbia Pkwy, Cincinnati, OH 45226 USA. EM amr2@cdc.gov RI Ruder, Avima/I-4155-2012 OI Ruder, Avima/0000-0003-0419-6664 NR 45 TC 31 Z9 31 U1 1 U2 3 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 0271-3586 J9 AM J IND MED JI Am. J. Ind. Med. PD FEB PY 2004 VL 45 IS 2 BP 165 EP 176 DI 10.1002/ajim.10349 PG 12 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 771JL UT WOS:000188781800005 PM 14748047 ER PT J AU Silver, SR Rinsky, RA Cooper, SP Hornung, RW Lai, DJ AF Silver, SR Rinsky, RA Cooper, SP Hornung, RW Lai, DJ TI Re: Effect of follow-up time on risk estimates: A longitudinal examination of the relative risks of leukemia and multiple myeloma in a rubber hydrochloride cohort, Am J Ind Med 42 : 481-489, 2002 SO AMERICAN JOURNAL OF INDUSTRIAL MEDICINE LA English DT Letter C1 NIOSH, Div Surveillance Hazard Evaluat & Field Studi, Cincinnati, OH 45226 USA. Texas A&M Sch Rural Publ Hlth, Bryan, TX USA. Univ Cincinnati, Inst Hlth Policy & Hlth Serv Res, Cincinnati, OH 45221 USA. Univ Texas, Hlth Sci Ctr, Sch Publ Hlth, Houston, TX USA. RP Silver, SR (reprint author), NIOSH, Div Surveillance Hazard Evaluat & Field Studi, 4676 Columbia Pkwy,MS R-44, Cincinnati, OH 45226 USA. EM zre4@cdc.gov OI Silver, Sharon/0000-0002-7679-5028 NR 4 TC 0 Z9 0 U1 0 U2 0 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 0271-3586 J9 AM J IND MED JI Am. J. Ind. Med. PD FEB PY 2004 VL 45 IS 2 BP 224 EP 225 DI 10.1002/ajim.10328 PG 2 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 771JL UT WOS:000188781800013 ER PT J AU Kim, C Williamson, DF Herman, WH Safford, MM Selby, JV Marrero, DG Curb, JD Thompson, TJ Narayan, KMV Mangione, CM AF Kim, C Williamson, DF Herman, WH Safford, MM Selby, JV Marrero, DG Curb, JD Thompson, TJ Narayan, KMV Mangione, CM CA TRIAD Study Grp TI Referral management and the care of patients with diabetes: The Translating Research into Action for Diabetes (TRIAD) study SO AMERICAN JOURNAL OF MANAGED CARE LA English DT Article; Proceedings Paper CT 63rd Scientific Sessions of the American-Diabetes-Association CY JUN 13-17, 2003 CL NEW ORLEANS, LOUISIANA SP Amer Diabet Assoc ID HEALTH SURVEY; GATEKEEPER; EXPENDITURES; SPECIALISTS; PHYSICIANS; SERVICES; PATTERNS; VALIDITY; ADULTS; ACCESS AB Objective: To examine the effect of referral management on diabetes care. Study Design: Cross-sectional analysis. Patients and Methods: Translating Research Into Action for Diabetes (TRIAD) is a multicenter study of managed care enrollees with diabetes. Prospective referral management was defined as "gatekeeping" and mandatory preauthorization from a utilization management office, and retrospective referral management as referral profiling and appropriateness reviews. Outcomes included dilated eve exam; self-reported visit to specialists; and perception of difficulty in getting referrals. Hierarchical models adjusted for clustering and patient age, gender, race, ethnicity, type and duration of diabetes treatment, education, income, health status, and comorbidity. Results: Referral management was commonly used by health plans (55%) and provider groups (52%). In adjusted analyses, we found no association between any referral management strategies and any of the outcome measures. Conclusions: Referral management does not appear to have an impact on referrals or perception of referrals related to diabetes care. C1 Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Div Gen Internal Med & Hlth Serv Res, Los Angeles, CA USA. Pacific Hlth Res Inst, Honolulu, HI USA. Indiana Univ, Sch Med, Diabet Translat Res Ctr, Indianapolis, IN USA. Kaiser Permanente, Div Res, Oakland, CA USA. Univ Med & Dent New Jersey, Dept Med, Div Gen Med, Newark, NJ 07103 USA. Univ Michigan, Dept Med, Div Endocrinol & Metab, Ann Arbor, MI 48109 USA. Univ Michigan, Dept Epidemiol, Ann Arbor, MI 48109 USA. Ctr Dis Control & Prevent, Div Diabet Translat, Atlanta, GA USA. Univ Michigan, Dept Med, Div Gen Internal Med, Ann Arbor, MI 48109 USA. RP Kim, C (reprint author), 300 N Ingalls Bldg,Room 7C13, Ann Arbor, MI 48109 USA. EM cathkim@umich.edu RI Narayan, K.M. Venkat /J-9819-2012 OI Narayan, K.M. Venkat /0000-0001-8621-5405 FU ODCDC CDC HHS [U48/CCU516410-02] NR 32 TC 10 Z9 10 U1 3 U2 4 PU AMER MED PUBLISHING, M W C COMPANY PI JAMESBURG PA 241 FORSGATE DR, STE 102, JAMESBURG, NJ 08831 USA SN 1088-0224 J9 AM J MANAG CARE JI Am. J. Manag. Care PD FEB PY 2004 VL 10 IS 2 BP 137 EP 143 PN 2 PG 7 WC Health Care Sciences & Services; Health Policy & Services; Medicine, General & Internal SC Health Care Sciences & Services; General & Internal Medicine GA 775PD UT WOS:000189049200005 PM 15005506 ER PT J AU Gissler, M Berg, C Bouvier-Colle, MH Buekens, P AF Gissler, M Berg, C Bouvier-Colle, MH Buekens, P TI Pregnancy-associated mortality after birth, spontaneous abortion, or induced abortion in Finland, 1987-2000 SO AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY LA English DT Article DE cancer; diseases of circulatory system; induced abortion; pregnancy-associated death; register study; spontaneous abortion ID MATERNAL MORTALITY; DATA QUALITY; SELECTION; DEATHS; PROTECTION; MARRIAGE; FRANCE AB Objective: To test the hypothesis that pregnant and recently pregnant women enjoy a "healthy pregnant women effect," we compared the all natural cause mortality rates for women who were pregnant or within 1 year of pregnancy termination with all other women of reproductive age. Study design: This is a population-based, retrospective cohort study from Finland for a 14-year period, 1987 to 2000. Information on all deaths of women aged 15 to 49 years in Finland (n = 15,823) was received from the Cause-of-Death Register and linked to the Medical Birth Register (n = 865,988 live births and stillbirths), the Register on Induced Abortions (n = 156,789 induced abortions), and the Hospital Discharge Register (n = 118,490 spontaneous abortions) to identify pregnancy-associated deaths (n = 419). Results: The age-adjusted mortality rate for women during pregnancy and within 1 year of pregnancy termination was 36.7 deaths per 100,000 pregnancies, which was significantly lower than the mortality rate among nonpregnant women, 57.0 per 100,000 person-years (relative risk [RR] 0.64, 95% CI 0.58-0.71). The mortality was lower after a birth (28.2/100,000) than after a spontaneous (51.9/100,000) or induced abortion (83.1/100,000). We observed a significant increase in the risk of death from cerebrovascular diseases after delivery among women aged 15 to 24 years (RR 4.08, 95% CI 1.58-10.55). Conclusion: Our study supports the healthy pregnant woman effect for all pregnancies, including those not ending in births. (C) 2004 Elsevier Inc. All rights reserved. C1 Natl Res & Dev Ctr Welf & Hlth, STAKES, Informat Div, Helsinki, Finland. Ctr Dis Control & Prevent, Div Reprod Hlth, Atlanta, GA USA. INSERM, U 149, Epidemiol Res Unit Perinatal & Womens Hlth, Paris, France. Tulane Univ, Sch Publ Hlth & Trop Med, New Orleans, LA 70118 USA. RP Gissler, M (reprint author), Natl Res & Dev Ctr Welf & Hlth, STAKES, Informat Div, POB 220, Helsinki, Finland. EM mika.gissler@stakes.fi NR 25 TC 36 Z9 38 U1 1 U2 2 PU MOSBY, INC PI ST LOUIS PA 11830 WESTLINE INDUSTRIAL DR, ST LOUIS, MO 63146-3318 USA SN 0002-9378 J9 AM J OBSTET GYNECOL JI Am. J. Obstet. Gynecol. PD FEB PY 2004 VL 190 IS 2 BP 422 EP 427 DI 10.1016/j.ajog.2003.08.044 PG 6 WC Obstetrics & Gynecology SC Obstetrics & Gynecology GA 778PT UT WOS:000189250500021 PM 14981384 ER PT J AU Brown, DW Croft, JB Schenck, AP Malarcher, AM Giles, WH Simpson, RJ AF Brown, DW Croft, JB Schenck, AP Malarcher, AM Giles, WH Simpson, RJ TI Inpatient smoking-cessation counseling and all-cause mortality among the elderly SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE LA English DT Article ID ACUTE MYOCARDIAL-INFARCTION; RANDOMIZED CONTROLLED-TRIAL; CIGARETTE-SMOKING; HOSPITALIZED SMOKERS; STOPPING SMOKING; AMERICAN-COLLEGE; PROGRAM; QUALITY; INTERVENTION; RELIABILITY AB Background: Although smoking cessation is essential to the management of acute myocardial infarction (AMI), prevalence and benefits of smoking-cessation counseling in the inpatient setting are not well described among older adults. The objective of this study was to evaluate associations between inpatient smoking-cessation counseling and 5-year all-cause mortality among older adults hospitalized with AMI. Methods: The Cooperative Cardiovascular Project (January 1994 July 1995) included 788 Medicare beneficiaries aged greater than or equal to65 years who were current smokers, admitted to acute care facilities in North Carolina with confirmed AMI, and discharged alive. Information on smoking-cessation advice or counseling prior to discharge was abstracted from medical records. Associations of counseling with 5-year risk of death were assessed with multivariate Cox proportional hazards regression. Results: Smoking-cessation counseling was provided to 40% of AMI patients before discharge. Women (p =0.06) and blacks (p =0.02) were less likely to receive counseling. Counseling was associated with a history of chronic obstructive pulmonary disease (p =0.01). Increasing age, discharge to a skilled nursing facility, and histories of hypertension, heart failure, or stroke were associated with no counseling (p <0.05, all cause). Age-adjusted mortality rates (per 1000 enrollees) at 5 years were 488.3 for patients who were given counseling compared to 579.3 for patients without counseling. After adjustment for age, race, gender, prior histories of hypertension, cardiovascular diseases, diabetes, and chronic obstructive pulmonary disease, Killip class III or IV, and discharge to a skilled nursing facility; inpatient counseling remained associated with improved survival (relative hazard, 0.78; 95% confidence interval, 0.63-0.97). Conclusions: Inpatient counseling on smoking cessation is suboptimal among older smokers hospitalized with AMI. Even without confirmation of actual cessation, these data suggest that provision of smoking-cessation advice or counseling has a major impact on survival of older adults. C1 Med Review N Carolina, Cary, NC USA. Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA. Univ N Carolina, Chapel Hill, NC USA. RP Brown, DW (reprint author), Med Review N Carolina, POB 37309, Raleigh, NC 27627 USA. EM zyi3@cdc.gov FU PHS HHS [500-99-NC03] NR 34 TC 29 Z9 29 U1 1 U2 4 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0749-3797 J9 AM J PREV MED JI Am. J. Prev. Med. PD FEB PY 2004 VL 26 IS 2 BP 112 EP 118 DI 10.1016/j.amepre.2003.10.004 PG 7 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 768DM UT WOS:000188513000003 PM 14751321 ER PT J AU Herrington, JE AF Herrington, JE TI Risk perceptions regarding ticks and Lyme disease - A national survey SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE LA English DT Article ID MOUNTAIN-SPOTTED-FEVER; NEW-JERSEY; REPELLENTS AB Background: Lyme disease (LD) is caused by the tickborne bacterium Borrelia burgdorferi and, in 2000, accounted for >90% of all reported cases of vectorborne illness in the United States. Aside from anecdotal and indirect evidence, little empirical evidence exists regarding what the U.S. public knows, says, or does about preventing LD. Objectives: To examine knowledge, perceptions, and practices regarding prevention of tick bites and LD. Methods: In 1998, a random-digit-dial frame was used to collect a cross-sectional sample (n =1500) from the 48 coterminous states plus the District of Columbia, and an over-sample (n =250) from six states with the highest incidence of LD. Results: Forty percent of respondents reported doing something to avoid being bitten by ticks. Less than half (41%) used insect repellent. Ninety-two percent of those who had heard about LD stated their likelihood of ever getting the disease was less than or equal to50 on a 100-point scale (mean=29; standard deviation, 23.5). Being somewhat to very concerned about being bitten by ticks was strongly associated with taking preventive measures (odds ratio, 8.34; 95% confidence interval, 6.29-11.06). Conclusions: Having seen ticks, being concerned about being bitten, perceiving insect repellent to be effective, having heard about LD, and knowing someone who had LD are the factors most predictive of specific tick-bite preventive behaviors (p <0.001). However, greater efforts are needed in promoting the effectiveness and safety of DEET-containing insect repellents. C1 Ctr Dis Control & Prevent, Off Global Hlth, Atlanta, GA 30333 USA. RP Herrington, JE (reprint author), Ctr Dis Control & Prevent, Off Global Hlth, MS D-69,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM jherrington@cdc.gov FU PHS HHS [98FED12002] NR 31 TC 35 Z9 35 U1 0 U2 10 PU ELSEVIER SCIENCE INC PI NEW YORK PA 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA SN 0749-3797 J9 AM J PREV MED JI Am. J. Prev. Med. PD FEB PY 2004 VL 26 IS 2 BP 135 EP 140 DI 10.1016/j.amepre.2003.10.010 PG 6 WC Public, Environmental & Occupational Health; Medicine, General & Internal SC Public, Environmental & Occupational Health; General & Internal Medicine GA 768DM UT WOS:000188513000007 PM 14751325 ER PT J AU Fagan, P King, G Lawrence, D Petrucci, SA Robinson, RG Banks, D Marable, S Grana, R AF Fagan, P King, G Lawrence, D Petrucci, SA Robinson, RG Banks, D Marable, S Grana, R TI Eliminating tobacco-related health disparities: Directions for future research SO AMERICAN JOURNAL OF PUBLIC HEALTH LA English DT Article ID HARM REDUCTION; AFRICAN-AMERICANS; SMOKING; INTERVENTIONS; STRATEGIES; NICOTINE; USERS AB Certain groups in the United States remain at high risk and suffer disproportionately from tobacco-related illness and death despite progress made in reducing tobacco use. To address gaps in research on tobacco-related disparities and develop a comprehensive agenda aimed at reducing such disparities, representatives from funding agencies, community-based organizations, and academic institutions convened at the National Conference on Tobacco and Health Disparities in 2002. Conference participants reviewed the current research, identified existing gaps, and prioritized scientific recommendations. Panel discussions were organized to address research areas affecting underserved and understudied populations. We report major research recommendations made by the conference participants in several scientific domains. These recommendations will ultimately help guide the field in reducing and eliminating tobacco-related disparities in the United States. C1 NCI, Tobacco Control Res Branch, Div Canc Control & Populat Sci, NIH, Bethesda, MD 20892 USA. Penn State Univ, Dept Behav Hlth, State Coll, PA USA. NCI, Risk Factor Monitoring & Methods Branch, Div Canc Control & Populat Sci, NIH, Bethesda, MD 20892 USA. Robert Wood Johnson Fdn, Princeton, NJ 08540 USA. Ctr Dis Control & Prevent, Off Smoking & Hlth, Natl Ctr Chron Dis Prevent, Atlanta, GA USA. Hlth Evaluat & Learning Profess, Washington, DC USA. State Rhode Isl Dept Hlth, Div Dis Prevent & Control, Providence, RI USA. MasiMax Resources Inc, Rockville, MD USA. RP Fagan, P (reprint author), NCI, Tobacco Control Res Branch, Div Canc Control & Populat Sci, NIH, Execut Plaza N,Room 4042,6130 Execut Blvd,MSC 7337, Bethesda, MD 20892 USA. EM faganp@mail.nih.gov NR 33 TC 106 Z9 106 U1 1 U2 3 PU AMER PUBLIC HEALTH ASSOC INC PI WASHINGTON PA 1015 FIFTEENTH ST NW, WASHINGTON, DC 20005 USA SN 0090-0036 J9 AM J PUBLIC HEALTH JI Am. J. Public Health PD FEB PY 2004 VL 94 IS 2 BP 211 EP 217 DI 10.2105/AJPH.94.2.211 PG 7 WC Public, Environmental & Occupational Health SC Public, Environmental & Occupational Health GA 770BP UT WOS:000188703600013 PM 14759929 ER PT J AU Nuermberger, EL Yoshimatsu, T Tyagi, S O'Brien, RJ Vernon, AN Chaisson, RE Bishai, WR Grosset, JH AF Nuermberger, EL Yoshimatsu, T Tyagi, S O'Brien, RJ Vernon, AN Chaisson, RE Bishai, WR Grosset, JH TI Moxifloxacin-containing regimen greatly reduces time to culture conversion in murine tuberculosis SO AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE LA English DT Article DE fluoroquinolone; mouse; moxifloxacin; treatment; tuberculosis ID ONCE-WEEKLY RIFAPENTINE; MYCOBACTERIUM-TUBERCULOSIS; BACTERICIDAL ACTIVITY; IN-VIVO; 8-METHOXY QUINOLONE; MICE; PHARMACOKINETICS; RIFAMPIN; PYRAZINAMIDE; THERAPY AB Tuberculosis continues to be a major cause of morbidity and mortality in the world. The expansion of tuberculosis control programs has been limited by the lengthy and cumbersome nature of current chemotherapeutic regimens. A new drug that improves the sterilizing activity of current regimens would reduce the duration of therapy without sacrificing efficacy, thereby enhancing treatment completion rates and preserving precious public health resources. The new 8-methoxyfluoroquinolone moxifloxacin has potent activity against both actively multiplying and nonactively multiplying tubercle bacilli. Using a murine model that is representative of chemotherapy for human tuberculosis, we show that the combination of moxifloxacin, rifampin, and pyrazinamide reduced the time needed to eradicate Mycobacterium tuberculosis from the lungs of infected mice by up to 2 months when compared with the standard regimen of isoniazid, rifampin, and pyrazinamide. The findings suggest that this regimen has the potential to substantially shorten the duration of therapy needed to cure human tuberculosis. C1 Johns Hopkins Univ, Sch Med, Dept Med, Ctr TB Res, Baltimore, MD USA. Ctr Dis Control & Prevent, Div TB Eliminat, Atlanta, GA USA. RP Grosset, JH (reprint author), 1503 E Jefferson St, Baltimore, MD 21231 USA. EM jgrosse4@ihmi.edu FU NIAID NIH HHS [AI43846] NR 36 TC 195 Z9 204 U1 2 U2 6 PU AMER THORACIC SOC PI NEW YORK PA 1740 BROADWAY, NEW YORK, NY 10019-4374 USA SN 1073-449X J9 AM J RESP CRIT CARE JI Am. J. Respir. Crit. Care Med. PD FEB 1 PY 2004 VL 169 IS 3 BP 421 EP 426 DI 10.1164/rccm.200310-1380OC PG 6 WC Critical Care Medicine; Respiratory System SC General & Internal Medicine; Respiratory System GA 767BA UT WOS:000188417800020 PM 14578218 ER PT J AU Levine, RS Peterson, AT Benedict, MQ AF Levine, RS Peterson, AT Benedict, MQ TI Geographic and ecologic distributions of the Anopheles gambiae complex predicted using a genetic algorithm SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE LA English DT Article ID MALARIA; DISEASE; AFRICA AB The distribution of the Anopheles gambiae complex of malaria vectors in Africa is uncertain due to under-sampling of vast regions. We use ecologic niche modeling to predict the potential distribution of three members of the complex (A. gambiae, A. arabiensis, and A. quadriannulatus) and demonstrate the statistical significance of the models. Predictions correspond well to previous estimates, but provide detail regarding spatial discontinuities in the distribution of A. gambiae s.s. that are consistent with population genetic studies. Our predictions also identify large areas of Africa where the presence of A. arabiensis is predicted, but few specimens have been obtained, suggesting under-sampling of the species. Finally, we project models developed from African distribution data for the late 1900s into the past and to South America to determine retrospectively whether the deadly 1929 introduction of A. gambiae sensu lato into Brazil was more likely that of A. gambiae sensu stricto or A. arabiensis. C1 CDCP, Entomol Branch, Div Parasit Dis, Natl Ctr Infect Dis, Atlanta, GA 30341 USA. Univ Kansas, Museum Hist Nat, Lawrence, KS 66045 USA. RP Benedict, MQ (reprint author), CDCP, Entomol Branch, Div Parasit Dis, Natl Ctr Infect Dis, Mailstop F-22,4770 Buford Highway NE, Atlanta, GA 30341 USA. EM Rlevine@cdc.gov; mexbidiv@lark.cc.ukans.edu; Mbenedict@cdc.gov OI Peterson, A. Townsend/0000-0003-0243-2379 NR 20 TC 66 Z9 72 U1 0 U2 8 PU AMER SOC TROP MED & HYGIENE PI MCLEAN PA 8000 WESTPARK DR, STE 130, MCLEAN, VA 22101 USA SN 0002-9637 J9 AM J TROP MED HYG JI Am. J. Trop. Med. Hyg. PD FEB PY 2004 VL 70 IS 2 BP 105 EP 109 PG 5 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 773BZ UT WOS:000188879000002 PM 14993618 ER PT J AU Cuenco, KT Halloran, ME Louis-Charles, J Lammie, PJ AF Cuenco, KT Halloran, ME Louis-Charles, J Lammie, PJ TI A family study of lymphedema of the leg in a lymphatic filariasis-endemic area SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE LA English DT Article ID BANCROFTIAN FILARIASIS; IMMUNE RESPONSIVENESS; PARASITE ANTIGENS; RISK FACTOR; ELEPHANTIASIS; INFECTION; ADENOLYMPHANGITIS; MICROFILAREMIA; HYDROCELE; HLA AB The risk of filarial lymphedema may not be equivalent for all members of filaria-exposed populations. While evidence for a genetic factor that influences acquisition of infection has been growing, very little work has addressed whether there is a genetic basis to the development of disease due to lymphatic filariasis. We designed a family study of lymphedema in a rural community in Haiti to assess disease aggregation. Three hundred sixty-eight female patients sixteen years of age or older were enrolled at a lymphedema treatment clinic between June 1995 and December 1999. After applying additional eligibility criteria, 172 probands were enrolled into the family study for detailed pedigree collection between September 1998 and December 1999. Fifty-three lymphedema cases were identified among the probands' parents, full-siblings, children, half-siblings, and mating partners of the parents. Twelve of the 53 cases were among mates. The proportion of cases occurring in a biologic parent of the proband was higher than in unrelated individuals married into the proband's family (P = 0.0010). This is the first large family study based on pedigrees to assess the familial aggregation of lymphedema due to filariasis. This family study will be useful to investigate the role of genes and environment in the development of filarial-related lymphedema. C1 Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA 30322 USA. Emory Univ, Rollins Sch Publ Hlth, Dept Biostat, Atlanta, GA 30322 USA. Hop Ste Croix, Leogane, Haiti. Ctr Dis Control & Prevent, Div Parasit Dis, Natl Ctr Infect Dis, Atlanta, GA USA. RP Cuenco, KT (reprint author), Univ Maryland, Sch Med, Dept Epidemiol & Prevent Med, 660 W Redwood St, Baltimore, MD 21201 USA. EM pjl1@cdc.gov NR 17 TC 13 Z9 13 U1 0 U2 0 PU AMER SOC TROP MED & HYGIENE PI MCLEAN PA 8000 WESTPARK DR, STE 130, MCLEAN, VA 22101 USA SN 0002-9637 J9 AM J TROP MED HYG JI Am. J. Trop. Med. Hyg. PD FEB PY 2004 VL 70 IS 2 BP 180 EP 184 PG 5 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 773BZ UT WOS:000188879000014 PM 14993630 ER PT J AU Cuenco, KT Halloran, ME Lammie, PJ AF Cuenco, KT Halloran, ME Lammie, PJ TI Assessment of families for excess risk of lymphedema of the leg in a lymphatic filariasis-endemic area SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE LA English DT Article ID INFECTION; ELEPHANTIASIS; MICROFILAREMIA; DISEASE; HLA AB The influence of host genes on the distribution of lymphedema due to lymphatic filariasis is unknown., To assess this, pedigree and disease information were collected from lymphedema patients in a lymphatic filariasis-endemic area. These patients were female, with an average age of approximately 40 years, who were enrolled between June 1995 and July 1999 in a lymphedema treatment clinic, and from the rural Haitian community served by the clinic. Interviews were conducted between September 1998 and December 1999. Families with multiple lymphedema cases were of similar size. with an average of 15 members, as those families with only a single lymphedema case. We determined whether families observed to have multiple lymphedema cases had a higher prevalence of lymphedema than expected when stratified population estimates and family size were considered. Lymphedema of the leg was excessive in 15 of 43 families with multiple lymphedema cases. The number of families demonstrating excess disease was significantly different than was expected based on population estimates of lymphedema prevalence (P = 0.026). Families with multiple cases of lymphedema were not significantly larger in family size than families with a single lymphedema cases. Twelve of the 15 families had a male with lymphedema, which influenced the interpretation of the results. The significance of these results is discussed. C1 Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA 30322 USA. Emory Univ, Rollins Sch Publ Hlth, Dept Biostat, Atlanta, GA 30322 USA. Ctr Dis Control & Prevent, Div Parasit Dis, Natl Ctr Infect Dis, Atlanta, GA USA. RP Cuenco, KT (reprint author), Univ Maryland, Sch Med, Dept Epidemiol & Prevent Med, 660 W Redwood St, Baltimore, MD 21201 USA. EM pjl1@cdc.gov NR 13 TC 11 Z9 11 U1 0 U2 0 PU AMER SOC TROP MED & HYGIENE PI MCLEAN PA 8000 WESTPARK DR, STE 130, MCLEAN, VA 22101 USA SN 0002-9637 J9 AM J TROP MED HYG JI Am. J. Trop. Med. Hyg. PD FEB PY 2004 VL 70 IS 2 BP 185 EP 190 PG 6 WC Public, Environmental & Occupational Health; Tropical Medicine SC Public, Environmental & Occupational Health; Tropical Medicine GA 773BZ UT WOS:000188879000015 PM 14993631 ER PT J AU Stroup, DF Goodman, RA Cordell, R Scheaffer, R AF Stroup, DF Goodman, RA Cordell, R Scheaffer, R TI Teaching statistical principles using epidemiology: Measuring the health of populations SO AMERICAN STATISTICIAN LA English DT Article DE electronic teaching materials; numeracy; public health; quantitative literacy; statistical education ID AIDS PROJECTIONS; THINKING; LITERACY; NUMERACY; INQUIRY; FARR AB Recent developments in education have addressed the need to expand and enhance the teaching of statistics and mathematics throughout education (K-16) to improve the statistical literacy and scientific reasoning of students. Nonetheless, many students perceive the statistics instruction contained in mathematics and science courses as unrelated to decisions in their lives, and data show that students in the United States lag behind students in other parts of the world in mathematics and science achievement. In this article we argue that epidemiology, the scientific basis for public health, provides a useful and motivating context for teaching statistical principles and methods and suggest that examples from this and other public health sciences be used in the teaching, of mathematics and science courses in high school and college. First, we describe resources developed by the Centers for Disease Control and Prevention to aid in implementing epidemiology in statistics education, and present evaluative evidence of the effectiveness of these resources when implemented at the high school level. Next, we illustrate how these resources address selected college mathematics and high school statistics education standards. Finally, we show how teaching statistics in the context of epidemiology responds directly to several current initiatives in statistics and mathematics education. C1 Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA. Ctr Dis Control & Prevent, Publ Hlth Law Program, Atlanta, GA 30341 USA. Ctr Dis Control & Prevent, Off Sci Educ, Atlanta, GA 30341 USA. Univ Florida, Dept Stat, Gainesville, FL 32611 USA. RP Stroup, DF (reprint author), Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, 4770 Buford Highway NE,MS K-40, Atlanta, GA 30341 USA. EM dstroup@cdc.gov NR 83 TC 2 Z9 2 U1 1 U2 3 PU AMER STATISTICAL ASSOC PI ALEXANDRIA PA 1429 DUKE ST, ALEXANDRIA, VA 22314 USA SN 0003-1305 J9 AM STAT JI Am. Stat. PD FEB PY 2004 VL 58 IS 1 BP 77 EP 84 DI 10.1198/0003130042791 PG 8 WC Statistics & Probability SC Mathematics GA 770WX UT WOS:000188755300015 ER PT J AU Nelson, BC Pfeiffer, CM Margolis, SA Nelson, CP AF Nelson, BC Pfeiffer, CM Margolis, SA Nelson, CP TI Solid-phase extraction-electrospray ionization mass spectrometry for the quantification of folate in human plasma or serum SO ANALYTICAL BIOCHEMISTRY LA English DT Article DE folates; human plasma; human serum; isotope-dilution; liquid chromatography; mass spectrometry; 5-methyltetrahydrofolate; solid-phase extraction ID WHOLE-BLOOD FOLATE; RED-CELL FOLATE; FOLIC-ACID; 5-METHYLTETRAHYDROFOLIC ACID; ENDOTHELIAL FUNCTION; CHROMATOGRAPHY; BINDING; HOMOCYSTEINE; DISEASE; FORTIFICATION AB The measurement of 5-methyltetrahydrofolic acid (5MT) blood levels is one of several factors used to diagnose folate deficiency in humans. 5MT can be selectively purified from either human plasma or human serum via solid-phase extraction procedures and specifically detected and quantified in the extracts with liquid chromatography/isotope-dilution electrospray-ionization mass spectrometry. Two different, yet complementary, solid-phase extraction-liquid chromatography/mass spectrometry methods have been developed and applied to the quantification of 5MT from such extracts. One method utilizes the high-affinity folate-binding protein from cow's milk coupled with multiple-reaction-monitoring-mode tandem mass spectrometry while the other method utilizes reversed-phase C-18 extraction followed by selected-ion-monitoring-mode mass spectrometry. The accuracy of each method is assessed through a comparative determination of 5MT levels in homogenous plasma and serum pools. Additionally, each method is compared and evaluated against the "total folate" results provided by routine radioassay and microbiological assay determinations. On the basis of the experimental data presented in this report, it is suggested that both methods have the capacity to serve as potential reference methods for the quantification of circulating 5MT in plasma or serum. (C) 2003 Elsevier Inc. All rights reserved. C1 Natl Inst Stand & Technol, Div Analyt Chem, Gaithersburg, MD 20899 USA. Ctr Dis Control & Prevent, Div Sci Lab, Atlanta, GA 30341 USA. RP Nelson, BC (reprint author), Natl Inst Stand & Technol, Div Analyt Chem, Gaithersburg, MD 20899 USA. EM bryant.nelson@nist.gov NR 38 TC 32 Z9 33 U1 0 U2 8 PU ACADEMIC PRESS INC ELSEVIER SCIENCE PI SAN DIEGO PA 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495 USA SN 0003-2697 J9 ANAL BIOCHEM JI Anal. Biochem. PD FEB 1 PY 2004 VL 325 IS 1 BP 41 EP 51 DI 10.1016/j.ab.2003.10.009 PG 11 WC Biochemical Research Methods; Biochemistry & Molecular Biology; Chemistry, Analytical SC Biochemistry & Molecular Biology; Chemistry GA 765LQ UT WOS:000188285400005 PM 14715283 ER PT J AU Green, M Martin, JM Barbadora, KA Beall, B Wald, ER AF Green, M Martin, JM Barbadora, KA Beall, B Wald, ER TI Reemergence of macrolide resistance in pharyngeal isolates of group A streptococci in Southwestern Pennsylvania SO ANTIMICROBIAL AGENTS AND CHEMOTHERAPY LA English DT Article ID ERYTHROMYCIN RESISTANCE; GEL-ELECTROPHORESIS; UNITED-STATES; PYOGENES; SUSCEPTIBILITY; ANTIBIOTICS; PREVALENCE; PNEUMONIAE; EFFLUX; SURVEILLANCE AB We previously reported on the emergence of macrolide-resistant pharyngeal isolates of group A streptococci (GAS) in our community. The purpose of the present study was to track longitudinal trends in macrolide resistance in these isolates in southwestern Pennsylvania. Testing for susceptibility to erythromycin and clindamycin was performed for all pharyngeal GAS isolates recovered at the Children's Hospital of Pittsburgh and a local pediatric practice between September 2001 and May 2002. Macrolide resistance phenotypes and genotypes were determined by double-disk diffusion and PCR, respectively. Strain relatedness was determined by field inversion gel electrophoresis and emm gene sequence typing. A total of 708 isolates of GAS were recovered during the study period; 68 (9.6%) were macrolide resistant, while all isolates were sensitive to clindamycin. The monthly prevalence of macrolide resistance ranged from 0 to 41%. Only 21 of 573 (3.7%) strains recovered from September 2001 through March 2002 were macrolide resistant. A sudden increase in the rate of macrolide resistance (47 of 135 isolates [35%]) was seen in April and May 2002. Sixty-two isolates demonstrated the M phenotype (resistance to macrolide antibiotics), and six isolates demonstrated the MLSB phenotype (resistance to most macrolide, lincosamide, and streptogramin B antibiotics); these isolates were confirmed to be mef(A) and erm(A), respectively. Three unique mef(A) clones and four unique erm(A) clones were identified among the resistant isolates. The MIC at which 50% of isolates are inhibited (MIC50) for the mef(A) strains was 16 mug/ml, while the MIC50 for erm(A) strains was 8 mug/ml. The finding of high levels of macrolide resistance among pharyngeal isolates of GAS for a second successive year in our community raises the concern that this problem may be more common in the United States than was previously appreciated. Longitudinal surveillance of isolates from multiple centers is needed to define the prevalence of antimicrobial agent-resistant GAS in the United States. C1 Univ Pittsburgh, Sch Med, Childrens Hosp Pittsburgh, Dept Pediat,Div Allergy Immunol & Infect Dis, Pittsburgh, PA 15213 USA. Ctr Dis Control & Prevent, Resp Dis Branch, Atlanta, GA USA. RP Green, M (reprint author), Univ Pittsburgh, Sch Med, Childrens Hosp Pittsburgh, Dept Pediat,Div Allergy Immunol & Infect Dis, 3705 5th Ave, Pittsburgh, PA 15213 USA. EM greemd@chp.edu NR 33 TC 35 Z9 38 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0066-4804 J9 ANTIMICROB AGENTS CH JI Antimicrob. Agents Chemother. PD FEB PY 2004 VL 48 IS 2 BP 473 EP 476 DI 10.1128/AAC.48.2.473-476.2004 PG 4 WC Microbiology; Pharmacology & Pharmacy SC Microbiology; Pharmacology & Pharmacy GA 768WC UT WOS:000188592200016 PM 14742197 ER PT J AU Jorgensen, JH Crawford, SA McElmeel, ML Whitney, CG AF Jorgensen, JH Crawford, SA McElmeel, ML Whitney, CG TI Activities of cethromycin and telithromycin against recent North American isolates of Streptococcus pneumoniae SO ANTIMICROBIAL AGENTS AND CHEMOTHERAPY LA English DT Article ID MACROLIDE RESISTANCE; PNEUMOCOCCAL PNEUMONIA; UNITED-STATES; ERYTHROMYCIN; KETOLIDE; EMERGENCE; ABT-773; SUSCEPTIBILITY; CLINDAMYCIN; BACTEREMIA AB The in vitro activities of two investigational ketolides, cethromycin (formerly ABT-773) and telithromycin, were determined for a selected group of 312 Streptococcus pneumoniae isolates from a national surveillance program. The MIC of cethromycin at which 50% of the isolates were inhibited was 0.008 mug/ml, and the MIC at which 90% of the isolates were inhibited was 0.06 mug/ml; the corresponding values for telithromycin were less than or equal to0.015 and 0.25 mug/ml, respectively. For six quinupristin-dalfopristin-resistant strains, the cethromycin MICs were 0.25 to 16 mug/ml and the telithromycin MICs were 1 to 4 mug/ml. However, there was only 0.3% resistance to telithromycin. C1 Univ Texas, Hlth Sci Ctr, Dept Pathol, San Antonio, TX 78229 USA. Ctr Dis Control & Prevent, Div Bacterial & Mycot Dis, Natl Ctr Infect Dis, Atlanta, GA USA. RP Jorgensen, JH (reprint author), Univ Texas, Hlth Sci Ctr, Dept Pathol, 7703 Floyd Curl Dr, San Antonio, TX 78229 USA. EM jorgensen@uthscsa.edu NR 25 TC 16 Z9 17 U1 0 U2 0 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0066-4804 J9 ANTIMICROB AGENTS CH JI Antimicrob. Agents Chemother. PD FEB PY 2004 VL 48 IS 2 BP 605 EP 607 DI 10.1128/AAC.48.2.605-607.2004 PG 3 WC Microbiology; Pharmacology & Pharmacy SC Microbiology; Pharmacology & Pharmacy GA 768WC UT WOS:000188592200035 PM 14742216 ER PT J AU Witvrouw, M Pannecouque, C Switzer, WM Folks, TM De Clercq, E Heneine, W AF Witvrouw, M Pannecouque, C Switzer, WM Folks, TM De Clercq, E Heneine, W TI Susceptibility of HIV-2, SIV and SHIV to various anti-HIV-1 compounds: implications for treatment and postexposure prophylaxis SO ANTIVIRAL THERAPY LA English DT Article ID HUMAN-IMMUNODEFICIENCY-VIRUS; REVERSE-TRANSCRIPTASE INHIBITORS; ANTIRETROVIRAL THERAPY; RHESUS-MONKEYS; PROTEASE INHIBITORS; NUCLEOSIDE ANALOGS; LABORATORY WORKER; RESISTANCE; INFECTION; PATIENT AB Limited information is available on the activity of antiretroviral drugs against human immunodeficiency virus type 2 (HIV-2) and simian immunodeficiency virus (SIV) strains to guide their use in treatment or prophylaxis. We evaluated the antiviral activity of 16 approved drugs and one experimental drug, AIVID31100, against two wild-type HIV-2 (ROD and EHO) isolates, two strains of SIV (mac251 and 13670), and two strains of simian-human immunodeficiency virus (SHIV) that contain the reverse transcriptase (RTSHIV) or envelope glycoprotein (SHIV89.6) of human immunodeficiency virus type 1 (HIV-1) in a SIV(mac239) background. Drug susceptibility was measured conventionally by the IMT-4/MTT assay, and results were analysed as fold changes in 50% effective concentration (EC50) relative to the EC50 for HIV-1 (IIIB). The nucleoside reverse transcriptase inhibitors (NRTIs) zidovudine, lamivudine, stavudine, didanosine, zalcitabine and abacavir as well as the nucleotide reverse transcriptase inhibitor tenofovir retained full activity against all six viruses except for SIV and SHIV89.6 that showed low-level resistance to didanosine. The protease inhibitors (Pis) ritonavir, indinavir, saquinavir and nelfinavir were found to be active against some HIV-2 or SIV strains. However, a significant reduction in susceptibility was seen with indinavir against SHIV89.6 (3.3-fold), and with amprenavir against HIV-2(ROD) (8.8-fold). All viruses except for RTSHIV showed a > 200-fold decrease in susceptibility for the non-nucleoside reverse transcriptase inhibitors (NNRTIs) nevirapine, delavirdine and efavirenz, indicating highlevel resistance. AMD31100, a CXCR4 antagonist, was active against HIV-2 and SHIV89.6, a finding consistent with the use of the CXCR4 co-receptor by these isolates, but was inactive against SIV strains. In contrast, enfuvirtide (T-20) was active against HIV89.6 but had reduced inhibitory activity against both HIV-2 and SIV strains predicting little therapeutic value against these viruses. These findings support the use of NRTIs, tenofovir, but not NNRTIs, for treating HIV-2-infected persons or for prophylaxis against HIV-2 and SIV. The clinical significance of the low-level resistance of HIV-2 and SIV to some Pis is unclear. Co-receptor antagonists such as AMD3100 show promising anti-HIV-2 therapeutic modalities. Both AMD3100 and enfuvirtide could be used for prophylaxis against SHIV89.6. C1 Katholieke Univ Leuven, Rega Inst Med Res, Louvain, Belgium. Ctr Dis Control & Prevent, HIV & Retrovirol Branch, Div AIDS STD & TB Lab Res, Natl Ctr Infect Dis, Atlanta, GA USA. RP Witvrouw, M (reprint author), Katholieke Univ Leuven, Rega Inst Med Res, Louvain, Belgium. EM myriam.witvrouw@uz.kuleuven.ac.be NR 34 TC 159 Z9 163 U1 1 U2 6 PU INT MEDICAL PRESS LTD PI LONDON PA 2-4 IDOL LANE, LONDON EC3R 5DD, ENGLAND SN 1359-6535 J9 ANTIVIR THER JI Antivir. Ther. PD FEB PY 2004 VL 9 IS 1 BP 57 EP 65 PG 9 WC Infectious Diseases; Pharmacology & Pharmacy; Virology SC Infectious Diseases; Pharmacology & Pharmacy; Virology GA 960SY UT WOS:000231614700008 PM 15040537 ER PT J AU Xiao, LH Ryan, UM Graczyk, TK Limor, J Li, LX Kombert, M Junge, R Sulaiman, IM Zhou, L Arrowood, MJ Koudela, B Modry, D Lal, AA AF Xiao, LH Ryan, UM Graczyk, TK Limor, J Li, LX Kombert, M Junge, R Sulaiman, IM Zhou, L Arrowood, MJ Koudela, B Modry, D Lal, AA TI Genetic diversity of Cryptosporidium spp. in captive reptiles SO APPLIED AND ENVIRONMENTAL MICROBIOLOGY LA English DT Article ID RIBOSOMAL-RNA GENE; PHYLOGENETIC ANALYSIS; PARVUM; SNAKES; IDENTIFICATION; TRANSMISSION AB The genetic diversity of Cryptosporidium in reptiles was analyzed by PCR-restriction fragment length polymorphism and sequence analysis of the small subunit rRNA gene. A total of 123 samples were analyzed, of which 48 snake samples, 24 lizard samples, and 3 tortoise samples were positive for Cryptosporidium. Nine different types of Cryptosporidium were found, including Cryptosporidium serpentis, Cryptosporidium desert monitor genotype, Cryptosporidium muris, Cryptosporidium parvum bovine and mouse genotypes, one C. serpentis-like parasite in a lizard, two new Cryptosporidium spp. in snakes, and one new Cryptosporidium sp. in tortoises. C. serpentis and the desert monitor genotype were the most common parasites and were found in both snakes and lizards, whereas the C. muris and C. parvum parasites detected were probably the result of ingestion of infected rodents. Sequence and biologic characterizations indicated that the desert monitor genotype was Cryptosporidium saurophilum. Two host-adapted C. serpentis genotypes were found in snakes and lizards. C1 Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA 30341 USA. Murdoch Univ, State Agr Biotechnol Ctr, Div Vet & Biomed Sci, Perth, WA 6150, Australia. Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Mol Microbiol & Immunol, Baltimore, MD 21205 USA. St Louis Zoo, St Louis, MO 63110 USA. Univ Vet & Pharmaceut Sci Brno, Dept Parasitol, Brno, Czech Republic. RP Xiao, LH (reprint author), Ctr Dis Control & Prevent, Div Parasit Dis, Mail Stop F-12,4770 Buford Hwy, Atlanta, GA 30341 USA. EM lxiao@cdc.gov RI Xiao, Lihua/B-1704-2013; Modry, David/G-7815-2014 OI Xiao, Lihua/0000-0001-8532-2727; NR 17 TC 67 Z9 75 U1 1 U2 14 PU AMER SOC MICROBIOLOGY PI WASHINGTON PA 1752 N ST NW, WASHINGTON, DC 20036-2904 USA SN 0099-2240 J9 APPL ENVIRON MICROB JI Appl. Environ. Microbiol. PD FEB PY 2004 VL 70 IS 2 BP 891 EP 899 DI 10.1128/AEM.70.2.891-899.2004 PG 9 WC Biotechnology & Applied Microbiology; Microbiology SC Biotechnology & Applied Microbiology; Microbiology GA 772RK UT WOS:000188854900033 PM 14766569 ER PT J AU Saraiya, M Glanz, K Briss, P Nichols, P White, C Das, D AF Saraiya, M Glanz, K Briss, P Nichols, P White, C Das, D TI Preventing skin cancer - Findings of the task force on community preventive services on reducing exposure to ultraviolet light SO ARCHIVES OF DERMATOLOGY LA English DT Reprint C1 CDC, Div Canc Prevent & Control, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. CDC, Div Prevent Res & Analyt Methods, Epidemiol Program Off, Atlanta, GA USA. Univ Hawaii, Canc Res Ctr Hawaii, Honolulu, HI 96822 USA. RP Saraiya, M (reprint author), CDC, Div Canc Prevent & Control, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA. NR 0 TC 0 Z9 0 U1 1 U2 1 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 0003-987X J9 ARCH DERMATOL JI Arch. Dermatol. PD FEB PY 2004 VL 140 IS 2 BP 251 EP 251 DI 10.1001/archderm.140.2.251-a PG 1 WC Dermatology SC Dermatology GA 773BD UT WOS:000188877100026 ER PT J AU Hambidge, SJ Davidson, AJ Phibbs, SL Chandramouli, V Zerbe, G LeBaron, CW Steiner, JF AF Hambidge, SJ Davidson, AJ Phibbs, SL Chandramouli, V Zerbe, G LeBaron, CW Steiner, JF TI Strategies to improve immunization rates and well-child care in a disadvantaged population - A cluster randomized controlled trial SO ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE LA English DT Article ID AFRICAN-AMERICAN PRESCHOOLERS; INNER-CITY; VACCINATION COVERAGE; REMINDER/RECALL INTERVENTIONS; DELAYED IMMUNIZATION; MISSED OPPORTUNITIES; CASE-MANAGEMENT; RISK-FACTORS; FEEDBACK; SERVICES AB Objective: To measure the effect of a multimodal intervention on well-child care visit (WCV) and immunization rates in an inner-city population. Design: Cluster randomized controlled trial. Setting and Participants: One-year cohort of 2843 infants born at a hospital in an integrated inner-city health care system. Interventions: Eleven clinics were randomly allocated to 1 of 3 study arms: WCV intervention (n = 3), immunization intervention (n = 4), and controls (n = 4). Interventions to improve immunization and WCV rates included both patient-based and clinic-based activities. Main Outcome Measures: Up-to-date status with childhood immunizations and WCVs by age 12 months (primary) and health care utilization and charges (secondary). Results: Compared with the control arm, the WCV and immunization arms had 5% to 6% higher immunization rates and 7% to 8% higher WCV rates. In multivariate analyses that accounted for the clustered nature of the data, the number of immunizations received was greater in the WCV arm than in controls. However, neither the WCV nor the immunization intervention increased WCV or immunization up-to-date rates. The WCV arm had slightly higher health care charges. Neither intervention affected emergency, urgent care or inpatient utilization. Conclusions: This multimodal intervention produced a small increase in the number of childhood immunizations delivered. However, patient- and clinic-based methods did not lead to significant increases in WCV or immunization up-to-date rates after controlling for other factors. Methods found in some settings to increase immunization up-to-date rates may not be as effective in a population of inner-city socioeconomically disadvantaged children. C1 Univ Colorado, Hlth Sci Ctr, Dept Pediat, Denver, CO 80202 USA. Univ Colorado, Hlth Sci Ctr, Dept Prevent Med & Biometr, Denver, CO 80202 USA. Univ Colorado, Hlth Sci Ctr, Dept Family Med, Denver, CO 80202 USA. Univ Colorado, Hlth Sci Ctr, Div Gen Internal Med, Denver, CO 80202 USA. Denver Hlth, Denver Community Hlth Serv, Denver, CO USA. Ctr Dis Control & Prevent, Natl Immunizat Program, Div HIV AIDS, Atlanta, GA 30333 USA. RP Hambidge, SJ (reprint author), Denver Hlth Med Ctr, 777 Bannock St,Mail Code 0132, Denver, CO 80204 USA. EM simon.hambidge@uchsc.edu FU ATSDR CDC HHS [TS 252-13/15] NR 43 TC 23 Z9 23 U1 1 U2 9 PU AMER MEDICAL ASSOC PI CHICAGO PA 515 N STATE ST, CHICAGO, IL 60610 USA SN 1072-4710 J9 ARCH PEDIAT ADOL MED JI Arch. Pediatr. Adolesc. Med. PD FEB PY 2004 VL 158 IS 2 BP 162 EP 169 DI 10.1001/archpedi.158.2.162 PG 8 WC Pediatrics SC Pediatrics GA 771AL UT WOS:000188763300011 PM 14757608 ER PT J AU Yeung, AT Holloway, BP Adams, PS Shipley, GL AF Yeung, AT Holloway, BP Adams, PS Shipley, GL TI Evaluation of dual-labeled fluorescent DNA probe purity versus performance in real-time PCR SO BIOTECHNIQUES LA English DT Article ID RT-PCR; QUANTIFICATION AB Real-time PCR technology using dual-labeled fluorescent oligonucleotide probes allows for sensitive, specific, and quantitative determination of mRNA or DNA targets. Historically, dual-labeled probes have been the most expensive reagent in real-time PCR because of the postsynthesis high-performance liquid chromatography (HPLC) and/or gel purification steps required due to limitations in traditional synthesis chemistry. The recent availability of quencher reagents that allow the 3' quencher incorporation as part of the on-machine synthesis has presented the possibility that probes, when carefully synthesized, may be used without extensive postsynthesis purification. This would substantially reduce cost, making the synthesis of dual-labeled fluorescent probes affordable to any DNA synthesis laboratory. The Nucleic Acids Research Group (NARG) of the Association of Biomolecular Resource Facilities (ABRF) (Santa Fe, NM, USA) tested the hypothesis that now any DNA synthesis laboratory is capable of making quality dual-labeled fluorescent probes suitable for real-time PCRs without the need for postsynthesis purification. Members of the DNA synthesis community synthesized dual-labeled human beta-actin probes and submitted them for quality and functional analysis. We found that probes that were at least 20% pure had the same efficiency as those near 100% purity, but the sensitivity of the assay was reduced as the level of purity decreased. C1 Fox Chase Canc Ctr, Philadelphia, PA 19111 USA. Ctr Dis Control & Prevent, Atlanta, GA USA. Univ Texas, Hlth Sci Ctr, Houston, TX USA. Trudeau Inst, Saranac Lake, NY USA. RP Yeung, AT (reprint author), Fox Chase Canc Ctr, 333 Cottman Ave, Philadelphia, PA 19111 USA. EM anthony.yeung@fccc.edu NR 8 TC 10 Z9 12 U1 0 U2 1 PU EATON PUBLISHING CO PI NATICK PA 154 E. CENTRAL ST, NATICK, MA 01760 USA SN 0736-6205 J9 BIOTECHNIQUES JI Biotechniques PD FEB PY 2004 VL 36 IS 2 BP 266 EP + PG 7 WC Biochemical Research Methods; Biochemistry & Molecular Biology SC Biochemistry & Molecular Biology GA 773DL UT WOS:000188882400012 PM 14989091 ER PT J AU Williams, LJ Correa, A Rasmussen, S AF Williams, LJ Correa, A Rasmussen, S TI Maternal lifestyle factors and risk for ventricular septal defects SO BIRTH DEFECTS RESEARCH PART A-CLINICAL AND MOLECULAR TERATOLOGY LA English DT Article DE ventricular septal defects; lifestyle factors; alcohol; marijuana ID COCAINE USE; MARIJUANA USE; FETAL GROWTH; PROXY RESPONDENTS; URINE TOXICOLOGY; DRUG-USE; PREGNANCY; SELF; POPULATION; ANOMALIES AB BACKGROUND: Several studies have shown that the prevalence of ventricular septal defects (VSDs) has increased significantly in the United States in the past 30 years. This increase has been primarily attributed to increased detection through echocardiography. However, little is known about the etiology of VSD. This study sought to evaluate the association between maternal lifestyle exposures and the risk for VSD in offspring. METHODS: The Atlanta Birth Defects Case-Control Study was used to identify 122 isolated simple VSD cases and 3029 control infants born during the period 1968 through 1980 in the metropolitan Atlanta area. Exposure data on alcohol, cigarette, and illicit drug use were obtained through standardized interviews with mothers and fathers. Associations between lifestyle factors and VSD were calculated using maternal self-reports; associations were also calculated using paternal proxy-reports of the mother's exposures. RESULTS: Maternal self-report of heavy alcohol consumption and paternal proxy-report of the mothers' moderate alcohol consumption were associated with isolated simple VSD. A two-fold increase in risk of isolated simple VSD was identified for maternal self- and paternal proxy-reported cannabis use. Risk of isolated simple VSD increased with regular (three or more days per week) cannabis use for both maternal self- and paternal proxy-report, although the association was significant only for maternal self-report. CONCLUSIONS: This is the first study to identify an association between maternal marijuana use and VSD in offspring. Further studies are needed to elucidate this association. C1 Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA 30333 USA. RP Williams, LJ (reprint author), Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, 1600 Clifton Rd,MS E-86, Atlanta, GA 30333 USA. EM lnw9@cdc.gov OI Rasmussen, Sonja/0000-0002-0574-4928 NR 46 TC 32 Z9 34 U1 0 U2 4 PU WILEY-LISS PI NEW YORK PA DIV JOHN WILEY & SONS INC, 605 THIRD AVE, NEW YORK, NY 10158-0012 USA SN 1542-0752 J9 BIRTH DEFECTS RES A JI Birth Defects Res. Part A-Clin. Mol. Teratol. PD FEB PY 2004 VL 70 IS 2 BP 59 EP 64 DI 10.1002/bdra.10145 PG 6 WC Developmental Biology; Toxicology SC Developmental Biology; Toxicology GA 800FB UT WOS:000220013200002 PM 14991912 ER PT J AU Wu, WJ Song, SQ Ashley, DL Watson, CH AF Wu, WJ Song, SQ Ashley, DL Watson, CH TI Assessment of tobacco-specific nitrosamines in the tobacco and mainstream smoke of Bidi cigarettes SO CARCINOGENESIS LA English DT Article ID LUNG-CANCER; OCCUPATIONAL-EXPOSURE; N-NITROSAMINES; INDIAN BIDI; MASS-SPECTROMETRY; INDUSTRY WORKERS; RISK-FACTORS; CARCINOGENICITY; N'-NITROSONORNICOTINE; KERALA AB Bidi cigarettes, or bidis, are a tobacco product that originated in India and have been gaining popularity in the USA during the past few years, particularly with adolescents. As with conventional cigarettes, tobacco and smoke from bidis contain chemical constituents including carcinogenic chemicals such as the tobacco-specific nitrosamines (TSNAs). To help better assess the potential public health risk associated with bidi cigarettes, we developed modern high throughput methods to accurately quantify TSNA levels in tobacco and mainstream cigarette smoke particulate. We determined the TSNA levels in the tobacco filler and mainstream smoke from 14 bidi cigarette brands. In the bidi tobacco filler, the 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) levels ranged from 0.09 to 0.85 mug/g, while N'-nitrosonornicotine (NNN) levels ranged from 0.15 to 1.44 mug/g. These amounts are comparable with those in typical American blended cigarettes. The levels of NNK in mainstream smoke from bidis ranged from 2.13 to 25.9 ng/cigarette, and NNN levels ranged from 8.56 to 62.3 ng/cigarette. The wide variation in the TSNA levels most probably reflects the hand-rolled nature of the bidi cigarettes, resulting in a product with less homogenous tobacco amount and a wider variation in overall cigarette construction quality. TSNA levels of bidis were comparable with those of conventional cigarettes, and bidis should not be considered a lower-risk alternative tobacco product. Our analytical findings concur with the previous biologic and biochemical evidence supporting epidemiologic studies linking bidi use with various cancers, especially oral cavity and lung cancers. C1 Ctr Dis Control & Prevent, Div Sci Lab, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. RP Watson, CH (reprint author), Ctr Dis Control & Prevent, Div Sci Lab, Natl Ctr Environm Hlth, 4770 Buford Highway,Mailstop F-47, Atlanta, GA 30341 USA. EM cow1@cdc.gov NR 47 TC 13 Z9 14 U1 1 U2 2 PU OXFORD UNIV PRESS PI OXFORD PA GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND SN 0143-3334 J9 CARCINOGENESIS JI Carcinogenesis PD FEB PY 2004 VL 25 IS 2 BP 283 EP 287 DI 10.1093/carcin/bgh004 PG 5 WC Oncology SC Oncology GA 771NQ UT WOS:000188792800016 PM 14604898 ER PT J AU Zhang, M Pfeiffer, CM AF Zhang, M Pfeiffer, CM TI Comparing the ESA HPLC total homocysteine assay with electrochemical detection to the CDC in-house HPLC assay with fluorescence detection SO CLINICA CHIMICA ACTA LA English DT Article; Proceedings Paper CT Experimental Biology 2003 Meeting CY APR 11-15, 2003 CL SAN DIEGO, CALIFORNIA DE CoulArray detector; porous graphite electrode; method comparison; matrix effect; cardiovascular disease ID PLASMA TOTAL HOMOCYSTEINE; DISEASE; DEMENTIA; SERUM AB Background: Environmental science has developed a simple high performance liquid chromatography (HPLC) assay with electrochemical detection for total homocysteine (tHcy) measurement that does not require derivatization of free thiols. We evaluated this method and compared it with the CDC HPLC assay with fluorescence detection (FD). Methods: tHcy is measured after reduction of disulfides/protein-bound thiols and protein precipitation using four channels of an ESA CoulArray detector. L-homocystine is used as calibrator, penicillamine as internal standard. Results: Aqueous calibration of the ESA assay resulted in overestimation of tHcy by similar to30% compared to the HPLC-FD method. Calibration in plasma alleviated the matrix effect. The within- (n = 3) and between-run (n = 20) imprecision was < 6%, the linearity up to 100 mumol/l was excellent, and the recovery of tHcy added to plasma was nearly complete (98.7% +/- 2.3%). Good correlation was observed between both methods for 266 plasma samples. The ESA assay showed a minimal negative bias of 0.28 mumol/l (3.3%). Conclusion: The ESA tHcy assay performed well in terms of accuracy and precision, and showed good agreement with the CDC HPLC-FD assay when calibrated in plasma. The major advantage of this assay is that it does not require sample derivatization. Disadvantages include instability of the prepared samples for prolonged storage and matrix effects. Published by Elsevier B.V. C1 Ctr Dis Control & Prevent, Atlanta, GA 30341 USA. RP Pfeiffer, CM (reprint author), Ctr Dis Control & Prevent, 4770 Buford Hwy NE, Atlanta, GA 30341 USA. EM CPfeiffer@CDC.GOV NR 13 TC 7 Z9 8 U1 0 U2 0 PU ELSEVIER SCIENCE BV PI AMSTERDAM PA PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS SN 0009-8981 J9 CLIN CHIM ACTA JI Clin. Chim. Acta PD FEB PY 2004 VL 340 IS 1-2 BP 195 EP 200 DI 10.1016/j.cccn.2003.10.020 PG 6 WC Medical Laboratory Technology SC Medical Laboratory Technology GA 773EJ UT WOS:000188884500020 PM 14734212 ER PT J AU Pfeiffer, CM Fazili, Z McCoy, L Zhang, M Gunter, EW AF Pfeiffer, CM Fazili, Z McCoy, L Zhang, M Gunter, EW TI Determination of folate vitamers in human serum by stable-isotope-dilution tandem mass spectrometry and comparison with radioassay and microbiologic assay SO CLINICAL CHEMISTRY LA English DT Article ID FOLIC-ACID FORTIFICATION; NEURAL-TUBE DEFECTS; WHOLE-BLOOD FOLATE; LIQUID-CHROMATOGRAPHY; 5-METHYLTETRAHYDROFOLIC ACID; HUMAN PLASMA; ALZHEIMERS-DISEASE; TOTAL HOMOCYSTEINE; FOODS; URINE AB Background: Current clinical methods for folate give different results and cannot measure the various forms of folate. We developed an isotope-dilution tandem mass spectrometric method coupled to liquid chromatography (LC/MS/MS) as a candidate reference method for 5-methyltetrahydrofolic acid (5MeTHF), 5-formyltetrahydrofolic acid (5FoTHF), and folic acid (FA) in human serum. Methods: We quantitatively isolated folates from 275 muL of serum with a phenyl solid-phase extraction cartridge, then detected and quantified them in stabilized serum extracts by positive-ion electrospray ionization LC/MS/MS. We used an isocratic mobile phase of acetic acid in organic solvent on a C-8 analytical column. C-13-labeled folates were used as internal standards. Results: Limits of detection in serum were 0.13 (5MeTHF), 0.05 (5FoTHF), and 0.07 (FA) nmol/L. Within- and between-run imprecision (CV) was <7% for 5MeTHF and <10% for 5FoTHF at concentrations >0.5 nmol/L, and <10% for FA at concentrations >2.0 nmol/L. Total folate (TFOL) concentrations determined by competitive protein binding radioassay were similar to9% lower than results obtained with LC/MS/MS. The microbiologic assay gave similar to15% higher TFOL results with FA calibrator and no difference with 5MeTHF calibrator. The mean (SD) [range] TFOL in 42 sera was 35.5 (17.8) [6.5-75.6] nmol/L. Thirty-two samples with TFOL <50 nmol/L had, on average, 93.3% 5MeTHF, 2.3% FA, and 4.4% 5FoTHF. Ten samples with TFOL >50 nmol/L had, on average, 81.7% 5MeTHF, 15.7% FA, and 2.5% 5FoTHF. Conclusions: This stable-isotope-dilution LC/MS/MS method can quantify 5MeTHF, 5FoTHF, and FA in serum. Currently used clinical assays agree with this candidate reference method. (C) 2004 American Association for Clinical Chemistry. C1 Ctr Dis Control & Prevent, Div Sci Lab, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA. RP Pfeiffer, CM (reprint author), 4770 Buford Hwy NE,MS F18, Atlanta, GA 30341 USA. EM CPfeiffer@cdc.gov NR 47 TC 130 Z9 132 U1 2 U2 11 PU AMER ASSOC CLINICAL CHEMISTRY PI WASHINGTON PA 2101 L STREET NW, SUITE 202, WASHINGTON, DC 20037-1526 USA SN 0009-9147 J9 CLIN CHEM JI Clin. Chem. PD FEB PY 2004 VL 50 IS 2 BP 423 EP 432 DI 10.1373/clinchem.2003.026955 PG 10 WC Medical Laboratory Technology SC Medical Laboratory Technology GA 769RN UT WOS:000188663700020 PM 14670827 ER PT J AU Spivak, K Hayes, C Maguire, JH AF Spivak, K Hayes, C Maguire, JH TI Caries prevalence, oral health behavior, and attitudes in children residing in radiation-contaminated and -noncontaminated towns in Ukraine SO COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY LA English DT Article DE adolescents; dental behavior; dental caries; dental health surveys; DMF score; epidemiology; oral health; radiation; socioeconomic status; Ukraine ID DENTAL-CARIES; MICROFLORA; THERAPY; RADIOTHERAPY; ADOLESCENTS; EXPERIENCE; CANCER; NECK; HEAD AB Introduction: Several studies investigating the oral health status of children living in Ukraine after the Chernobyl catastrophe revealed an increase of caries in children residing in radionucleotide-contaminated areas. Purpose: (1) To compare prevalence of dental caries in contaminated and noncontaminated towns; and (2) to determine if there is a difference between dental behaviors and attitudes of children residing in contaminated and noncontaminated areas that may have contributed to differences in caries prevalence. Methods: Children aged 13-14 were randomly selected in two towns of approximately the same population size (33 000): Ovruch (n = 119) from a contaminated area and Mirgorod (n = 100) from a noncontaminated area. Data on behaviors and attitudes were collected via a self-administered questionnaire having six domains: (i) family background; (ii) dental anxiety; (iii) dental utilization; (iv) oral hygiene; (v) use of fluoride toothpaste; and (vi) sugar consumption. Oral examinations included information on carious lesions, restorations, missing teeth, and soft tissue abnormalities. Caries prevalence was compared using a t-test. Regression analysis was conducted to determine the independent contribution of oral hygiene behaviors and dental utilization. Results: There was a significant difference in caries prevalence in the contaminated town (mean DMFT = 9.1 +/- 3.5) versus the noncontaminated town (mean DMFT = 5.7 +/- 1.4; P < 0.000). Oral hygiene practices, age, and utilization of dental services were not found to be associated with differences in DMFT score between the two communities. Conclusion: There was a significantly higher caries prevalence in a radiation-contaminated town compared to a noncontaminated town of Ukraine. The difference was not explained by differences in oral health knowledge, attitudes or behaviors. C1 Harvard Univ, Sch Dent Med, Boston, MA 02116 USA. Harvard Univ, Sch Dent Med, Dept Oral Hlth Policy & Epidemiol, Boston, MA USA. CDC, Parasit Dis Epidemiol Branch, Div Parasit Dis, Atlanta, GA 30333 USA. RP Spivak, K (reprint author), Harvard Univ, Sch Dent Med, 7 Yarmouth Pl,Apt 2, Boston, MA 02116 USA. FU NIDCR NIH HHS [T32 DE 07268] NR 23 TC 4 Z9 5 U1 0 U2 0 PU BLACKWELL MUNKSGAARD PI COPENHAGEN PA 35 NORRE SOGADE, PO BOX 2148, DK-1016 COPENHAGEN, DENMARK SN 0301-5661 J9 COMMUNITY DENT ORAL JI Community Dentist. Oral Epidemiol. PD FEB PY 2004 VL 32 IS 1 BP 1 EP 9 DI 10.1111/j.1600-0528.2004.00003.x PG 9 WC Dentistry, Oral Surgery & Medicine; Public, Environmental & Occupational Health SC Dentistry, Oral Surgery & Medicine; Public, Environmental & Occupational Health GA 757FF UT WOS:000187549400001 PM 14961834 ER PT J AU Keeler, N Lingappa, J AF Keeler, N Lingappa, J TI Severe acute respiratory syndrome: public health response and clinical practice update for an emerging disease SO CURRENT OPINION IN PEDIATRICS LA English DT Review DE severe acute respiratory syndrome; epidemiology; diagnosis; clinical features; transmission; severe acute respiratory syndrome-coronavirus; coronavirus; infection control; prevention ID CRITICALLY-ILL PATIENTS; HONG-KONG; SYNDROME SARS; TRANSMISSION DYNAMICS; CORONAVIRUS; OUTBREAK; VIRUS; CHILDREN; CHINA; IDENTIFICATION AB Purpose of review Severe acute respiratory syndrome is an emerging infectious disease with high morbidity and mortality and potential for global spread. This review highlights the salient points of the 2002-2003 outbreak to help clinicians with early recognition, treatment, disease control, and prevention. Recent findings Severe acute respiratory syndrome is a respiratory illness caused by a novel coronavirus; severe acute respiratory syndrome-coronavirus. The disease was first recognized in Asia in February 2003 and, over the next several months, spread to more than two dozen countries in North and South America, Europe, and Asia. The disease is characterized by fever with symptomatic and radiographic evidence of pneumonia. Summary Because diagnosis cannot be established by clinical findings alone; epidemiologic findings (including history of travel to affected areas, close contact with other case patients, or linkage to clusters of unexplained pneumonia) play a critical role in the diagnostic evaluation. Infection control procedures (including droplet and airborne precautions) are critical for preventing transmission. C1 Ctr Dis Control & Prevent, Resp & Enter Virus Branch, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. Ctr Dis Control & Prevent, Epidemiol Program Off, Atlanta, GA 30333 USA. RP Keeler, N (reprint author), Ctr Dis Control & Prevent, Resp & Enter Virus Branch, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Mailstop A-34,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM nbk4@cdc.gov NR 78 TC 4 Z9 4 U1 0 U2 3 PU LIPPINCOTT WILLIAMS & WILKINS PI PHILADELPHIA PA 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA SN 1040-8703 J9 CURR OPIN PEDIATR JI CURR. OPIN. PEDIATR. PD FEB PY 2004 VL 16 IS 1 BP 61 EP 69 DI 10.1097/00008480-200402000-00012 PG 9 WC Pediatrics SC Pediatrics GA 809MP UT WOS:000220641100011 PM 14758116 ER PT J AU Schuster, FL Visvesvara, GS AF Schuster, FL Visvesvara, GS TI Opportunistic amoebae: challenges in prophylaxis and treatment SO DRUG RESISTANCE UPDATES LA English DT Review DE amoebic encephalitis; amoebic keratitis; Acanthamoeba spp.; Balamuthia mandrillaris; Naegleria fowleti; Sappinia diploidea ID PRIMARY AMOEBIC MENINGOENCEPHALITIS; CUTANEOUS ACANTHAMOEBA INFECTION; IN-VITRO SENSITIVITY; FREE-LIVING AMEBAS; NAEGLERIA-FOWLERI; POLYHEXAMETHYLENE BIGUANIDE; BALAMUTHIA-MANDRILLARIS; AMPHOTERICIN-B; THERAPEUTIC AGENTS; CONTACT-LENSES AB This review focuses on free-living amoebae, widely distributed in soil and water, causing opportunistic and non-opportunistic infections in humans: Acanthamoeba spp., Balamuthia mandrillaris, Naegleria fowleri, and Sappinia diploidea. Diseases include primary amoebic meningoencephalitis (N. fowleri), granulomatous amoebic encephalitis, cutaneous and nasopharyngeal infections (Acanthamoeba spp., Balamuthia mandrillaris, S. diploidea), and amoebic keratitis (Acanthamoeba spp). Acanthamoeba, Balamuthia, and Naegleria have been repeatedly isolated: S. diploidea has been reported only once, from a brain infection. Antimicrobial therapy for these infections is generally empirical and patient recovery often problematic. N. fowleri is highly sensitive to the antifungal agent amphotericin B, but delay in diagnosis and the fulminant nature of the disease result in few survivors. Encephalitis and other infections caused by Acanthamoeba and Balamuthia have been treated, more or less successfully, with antimicrobial combinations including sterol-targeting azoles (clotrimazole, miconazole, ketoconazole, fluconazole, itraconazole), pentamidine isethionate, 5-fluorocytosine, and sulfadiazine. The use of drug combinations addresses resistance patterns that may exist or develop during treatment, ensuring that at least one of the drugs may be effective against the amoebae. Favorable drug interactions (additive or synergistic) are another potential benefit. In vitro drug testing of clinical isolates points up strain and species differences in sensitivity, so that no single drug can be assumed effective against all amoebae. Another complication is risk of activation of dormant cysts that form in situ in Acanthamoeba and Balamuthia infections, and which can lead to patient relapse following apparently effective treatment. This is particularly true in Acanthamoeba keratitis, a non-opportunistic infection of the cornea. which responds well to treatment with chlorhexidine gluconate and polyhexamethylene biguanide, in combination with propamidine isothionate (Brolene), hexamidine (Desomodine), or neomycin. Acanthamoeba spp. may also be carriers of endosymbiotic bacteria (Legionella and Legionella-like pathogens) and have been implicated in outbreaks of pneumonias in debilitated hosts. As with other infectious diseases, recovery is dependent not only on antimicrobial therapy, but also on patient's immune status, infective dose and virulence of the ameba strain, and on how early the disease is diagnosed and drug therapy initiated. (C) 2003 Elsevier Ltd. All rights reserved. C1 Calif Dept Hlth Serv, Viral & Rickettsial Dis Lab, Richmond, CA 94804 USA. Ctr Dis Control & Prevent, Div Parasit Dis, Atlanta, GA 30341 USA. RP Schuster, FL (reprint author), Calif Dept Hlth Serv, Viral & Rickettsial Dis Lab, Richmond, CA 94804 USA. EM gsv1@cdc.gov NR 108 TC 98 Z9 103 U1 1 U2 23 PU CHURCHILL LIVINGSTONE PI EDINBURGH PA JOURNAL PRODUCTION DEPT, ROBERT STEVENSON HOUSE, 1-3 BAXTERS PLACE, LEITH WALK, EDINBURGH EH1 3AF, MIDLOTHIAN, SCOTLAND SN 1368-7646 J9 DRUG RESIST UPDATE JI Drug Resist. Update PD FEB PY 2004 VL 7 IS 1 BP 41 EP 51 DI 10.1016/j.drup.2004.01.002 PG 11 WC Pharmacology & Pharmacy SC Pharmacology & Pharmacy GA 812GZ UT WOS:000220829300006 PM 15072770 ER PT J AU Lingappa, JR McDonald, LC Simone, P Parashar, UD AF Lingappa, JR McDonald, LC Simone, P Parashar, UD TI Wresting SARS from uncertainty SO EMERGING INFECTIOUS DISEASES LA English DT Editorial Material ID ACUTE RESPIRATORY SYNDROME; CORONAVIRUS; OUTCOMES; CHILDREN; TORONTO; VIRUS C1 CDCP, Resp & Enter Virus Branch, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Parashar, UD (reprint author), CDCP, Resp & Enter Virus Branch, Div Viral & Rickettsial Dis, Natl Ctr Infect Dis, Mailstop A34,Bldg 6,Room 279,1600 Clifton Rd, Atlanta, GA 30333 USA. EM Uparashar@cdc.gov NR 49 TC 28 Z9 28 U1 0 U2 0 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD FEB PY 2004 VL 10 IS 2 BP 167 EP 170 PG 4 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 772XH UT WOS:000188867700001 PM 15040341 ER PT J AU Hughes, JM AF Hughes, JM TI The impressive and rapidly expanding knowledge base on SARS SO EMERGING INFECTIOUS DISEASES LA English DT Editorial Material C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. RP Hughes, JM (reprint author), Ctr Dis Control & Prevent, 1600 Clifton Rd NE,Mailstop C12, Atlanta, GA 30333 USA. EM jmh2@cdc.gov NR 3 TC 2 Z9 2 U1 0 U2 0 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD FEB PY 2004 VL 10 IS 2 BP 171 EP 172 PG 2 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 772XH UT WOS:000188867700002 PM 15040344 ER PT J AU Schrag, SJ Brooks, JT Van Beneden, C Parashar, UD Griffin, PM Anderson, LJ Bellini, WJ Benson, RF Erdman, DD Klimov, A Ksiazek, TG Peret, TCT Talkington, DF Thacker, WL Tondella, ML Sampson, JS Hightower, AW Nordenberg, DF Plikaytis, BD Khan, AS Rosenstein, NE Treadwell, TA Whitney, CG Fiore, AE Durant, TM Perz, JF Wasley, A Feikin, D Herndon, JL Bower, WA Kilbourn, BW Levy, DA Coronado, VG Buffington, J Dykewicz, CA Khabbaz, RF Chamberland, ME AF Schrag, SJ Brooks, JT Van Beneden, C Parashar, UD Griffin, PM Anderson, LJ Bellini, WJ Benson, RF Erdman, DD Klimov, A Ksiazek, TG Peret, TCT Talkington, DF Thacker, WL Tondella, ML Sampson, JS Hightower, AW Nordenberg, DF Plikaytis, BD Khan, AS Rosenstein, NE Treadwell, TA Whitney, CG Fiore, AE Durant, TM Perz, JF Wasley, A Feikin, D Herndon, JL Bower, WA Kilbourn, BW Levy, DA Coronado, VG Buffington, J Dykewicz, CA Khabbaz, RF Chamberland, ME TI SARS surveillance during emergency public health response, United States, March-July 2003 SO EMERGING INFECTIOUS DISEASES LA English DT Article ID ACUTE RESPIRATORY SYNDROME; CORONAVIRUS; PCR; IDENTIFICATION; ADULTS; YOUNG; ASSAY AB In response to the emergence of severe acute respiratory syndrome (SARS), the United States established national surveillance using a sensitive case definition incorporating clinical, epidemiologic, and laboratory criteria. Of 1,460 unexplained respiratory illnesses reported by state and local health departments to the Centers for Disease Control and Prevention from March 17 to July 30, 2003, a total of 398 (27%) met clinical and epidemiologic SARS case criteria. Of these, 72 (18%) were probable cases with radiographic evidence of pneumonia. Eight (2%) were laboratory-confirmed SARS-coronavirus (SARS-CoV) infections, 206 (52%) were SARS-CoV negative, and 184 (46%) had undetermined SARS-CoV status because of missing convalescent-phase serum specimens. Thirty-one percent (124/398) of case-patients were hospitalized; none died. Travel was the most common epidemiologic link (329/398, 83%), and mainland China was the affected area most commonly visited. One case of possible household transmission was reported, and no laboratory-confirmed infections occurred among healthcare workers. Successes and limitations of this emergency surveillance can guide preparations for future outbreaks of SARS or respiratory diseases of unknown etiology. C1 CDCP, Div Bacterial & Mycot Dis, Resp Dis Branch, Natl Ctr Infect Dis, Atlanta, GA 30333 USA. RP Schrag, SJ (reprint author), CDCP, Div Bacterial & Mycot Dis, Resp Dis Branch, Natl Ctr Infect Dis, 1600 Clifton Rd NE,Mailstop C23, Atlanta, GA 30333 USA. EM zha6@cdc.gov NR 30 TC 26 Z9 26 U1 0 U2 0 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD FEB PY 2004 VL 10 IS 2 BP 185 EP 194 PG 10 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 772XH UT WOS:000188867700006 PM 15030681 ER PT J AU Meltzer, MI AF Meltzer, MI TI Multiple contact dates and SARS incubation periods SO EMERGING INFECTIOUS DISEASES LA English DT Article ID ACUTE RESPIRATORY SYNDROME; HONG-KONG; CORONAVIRUS; IDENTIFICATION AB Many severe acute respiratory syndrome (SARS) patients have multiple possible incubation periods due to multiple contact dates. Multiple contact dates cannot be used in standard statistical analytic techniques, however. I present a simple spread sheet-based method that uses multiple contact dates to calculate the possible incubation periods of SARS. C1 Ctr Dis Control & Prevent, Atlanta, GA USA. RP Meltzer, MI (reprint author), Natl Ctr Infect Dis Control & Prevent, Off Surveillance, Mailstop D59,1600 Clifton Rd NE, Atlanta, GA 30333 USA. EM Mmeltzer@cdc.gov NR 8 TC 16 Z9 16 U1 0 U2 0 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD FEB PY 2004 VL 10 IS 2 BP 207 EP 209 PG 3 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 772XH UT WOS:000188867700009 PM 15030684 ER PT J AU Wu, J Xu, FJ Zhou, WG Feikin, DR Lin, CY He, X Zhu, ZH Liang, WN Chin, DP Schuchat, A AF Wu, J Xu, FJ Zhou, WG Feikin, DR Lin, CY He, X Zhu, ZH Liang, WN Chin, DP Schuchat, A TI Risk factors for SARS among persons without known contact with SARS patients, Beijing, China SO EMERGING INFECTIOUS DISEASES LA English DT Article ID ACUTE-RESPIRATORY-SYNDROME; CLINICAL-FEATURES; CORONAVIRUS; DISEASE AB Most cases of severe acute respiratory syndrome (SARS) have occurred in close contacts of SARS patients. However, in Beijing, a large proportion of SARS cases occurred in persons without such contact. We conducted a case-control study in Beijing that compared exposures of 94 unlinked, probable SARS patients with those of 281 community-based controls matched for age group and sex. Case-patients were more likely than controls to have chronic medical conditions or to have visited fever clinics (clinics at which possible SARS patients were separated from other patients), eaten outside the home, or taken taxis frequently. The use of masks was strongly protective. Among 31 case-patients for whom convalescent-phase (>21 days) sera were available, 26% had immunoglobulin G to SARS-associated coronavirus. Our finding that clinical SARS was associated with visits to fever clinics supports Beijing's strategy of closing clinics with poor infection-control measures. Our finding that mask use lowered the risk for disease supports the community's use of this strategy. C1 Ctr Dis Control & Prevent, Resp Dis Branch, DBMD, NCID, Atlanta, GA 30333 USA. Beijing Ctr Dis Prevent & Control, Beijing, Peoples R China. WHO, China Off, Beijing, Peoples R China. Beijing Municipal Hlth Bur, Beijing, Peoples R China. Beijing Joint SARS Expert Grp, Beijing, Peoples R China. RP Schuchat, A (reprint author), Ctr Dis Control & Prevent, Resp Dis Branch, DBMD, NCID, Mailstop C23, Atlanta, GA 30333 USA. EM Aschuchat@cdc.gov NR 17 TC 38 Z9 44 U1 0 U2 4 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD FEB PY 2004 VL 10 IS 2 BP 210 EP 216 PG 7 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 772XH UT WOS:000188867700010 PM 15030685 ER PT J AU Peck, AJ Newbern, EC Feikin, DR Isakbaeva, ET Park, BJ Fehr, JT LaMonte, AC Le, TP Burger, TL Rhodes, LV Weltman, A Erdman, D Ksiazek, TG Lingappa, JR AF Peck, AJ Newbern, EC Feikin, DR Isakbaeva, ET Park, BJ Fehr, JT LaMonte, AC Le, TP Burger, TL Rhodes, LV Weltman, A Erdman, D Ksiazek, TG Lingappa, JR CA SARS Pennsylvania Case Invest TI Lack of SARS transmission and US SARS case-patient SO EMERGING INFECTIOUS DISEASES LA English DT Article ID ACUTE RESPIRATORY SYNDROME; HONG-KONG; OUTBREAK; DYNAMICS; CANADA AB In early April 2003, severe acute respiratory syndrome (SARS) was diagnosed in a Pennsylvania resident after his exposure to persons with SARS in Toronto, Canada. To identify contacts of the case-patient and evaluate the risk for SARS transmission, a detailed epidemiologic investigation was performed. On the basis of this investigation, 26 persons (17 healthcare workers, 4 household contacts, and 5 others) were identified as having had close contact with this case-patient before infection-control practices were implemented. Laboratory evaluation of clinical specimens showed no evidence of transmission of SARS-associated coronavirus (SARS-CoV) infection to any close contact of this patient. This investigation documents that, under certain circumstances, SARS-CoV is not readily transmitted to close contacts, despite ample unprotected exposures. Improving the understanding of risk factors for transmission will help focus public health control measures. C1 CDCP, Natl Ctr Infect Dis, Div Viral & Rickettsial Dis, Resp & Enter Virus Branch, Atlanta, GA 30333 USA. Philadelphia Dept Publ Hlth, Philadelphia, PA USA. Penn State Coll Med, Hershey, PA USA. Infect Dis Serv, Bethlehem, PA USA. Lehigh Valley Hosp & Hlth Network, Allentown, PA USA. Lehigh Valley Hosp & Hlth Network, Bethlehem, PA USA. Allentown Infect Dis Serv, Allentown, PA USA. Penn Dept Hlth, Harrisburg, PA 17108 USA. RP Peck, AJ (reprint author), CDCP, Natl Ctr Infect Dis, Div Viral & Rickettsial Dis, Resp & Enter Virus Branch, 1600 Clifton Rd NE,Mailstop A34, Atlanta, GA 30333 USA. EM apeck@cdc.gov OI Monroe, Stephan/0000-0002-5424-716X NR 26 TC 8 Z9 8 U1 0 U2 0 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD FEB PY 2004 VL 10 IS 2 BP 217 EP 224 PG 8 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 772XH UT WOS:000188867700011 PM 15030686 ER PT J AU Isakbaeva, ET Khetsuriani, N Beard, RS Peck, A Erdman, D Monroe, SS Tong, SX Ksiazek, TG Lowther, S Pandya-Smith, I Anderson, LJ Lingappa, J Widdowson, MA AF Isakbaeva, ET Khetsuriani, N Beard, RS Peck, A Erdman, D Monroe, SS Tong, SX Ksiazek, TG Lowther, S Pandya-Smith, I Anderson, LJ Lingappa, J Widdowson, MA CA SARS Invest Grp TI SARS-associated coronavirus transmission, United States SO EMERGING INFECTIOUS DISEASES LA English DT Article ID ACUTE RESPIRATORY SYNDROME; HONG-KONG; OUTBREAK; TORONTO; IDENTIFICATION; CANADA AB To better assess the risk for transmission of the severe acute respiratory syndrome-associated coronavirus (SARS-CoV), we obtained serial specimens and clinical and exposure data from seven confirmed U.S. SARS patients and their 10 household contacts. SARS-CoV was detected in a day-14 sputum specimen from one case-patient and in five stool specimens from two case-patients. In one case-patient, SARS-CoV persisted in stool for at least 26 days after symptom onset. The highest amounts of virus were in the day-14 sputum sample and a day-14 stool sample. Residual respiratory symptoms were still present in recovered SARS case-patients 2 months after illness onset. Possible transmission of SARS-CoV occurred in one household contact, but this person had also traveled to a SARS-affected area. The data suggest that SARS-CoV is not always transmitted efficiently. Routine collection and testing of stool and sputum specimens of probable SARS case-patients may help the early detection of SARS-CoV infection. C1 Ctr Dis Control & Prevent, Atlanta, GA 30333 USA. McKing Consulting, Atlanta, GA USA. RP Isakbaeva, ET (reprint author), Ctr Dis Control & Prevent, 1600 Clifton Rd NE,Mailstop A-34, Atlanta, GA 30333 USA. EM iae4@cdc.gov OI Monroe, Stephan/0000-0002-5424-716X NR 21 TC 15 Z9 15 U1 0 U2 2 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD FEB PY 2004 VL 10 IS 2 BP 225 EP 231 PG 7 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 772XH UT WOS:000188867700012 PM 15030687 ER PT J AU Park, BJ Peck, AJ Kuehnert, MJ Newbern, C Smelser, C Comer, JA Jernigan, D McDonald, LC AF Park, BJ Peck, AJ Kuehnert, MJ Newbern, C Smelser, C Comer, JA Jernigan, D McDonald, LC TI Lack of SARS transmission among healthcare workers, United States SO EMERGING INFECTIOUS DISEASES LA English DT Article ID ACUTE RESPIRATORY SYNDROME; OUTBREAK AB Healthcare workers accounted for a large proportion of persons with severe acute respiratory syndrome (SARS) during the worldwide epidemic of early 2003. We conducted an investigation of healthcare workers exposed to laboratory-confirmed SARS patients in the United States to evaluate infection-control practices and possible SARS-associated coronavirus (SARS-CoV) transmission. We identified 110 healthcare workers with exposure within droplet range (i.e., 3 feet) to six SARS-CoV-positive patients. Forty-five healthcare workers had exposure without any mask use, 72 had exposure without eye protection, and 40 reported direct skin-to-skin contact. Potential droplet- and aerosol-generating procedures were infrequent: 5% of healthcare workers manipulated a patient's airway, and 4% administered aerosolized medication. Despite numerous unprotected exposures, there was no serologic evidence of healthcare-related SARS-CoV transmission. Lack of transmission in the United States may be related to the relative absence of high-risk procedures or patients, factors that may place healthcare workers at higher risk for infection. C1 CDCP, Div Healthcare Qual Promot, Natl Ctr Infect Dis, Atlanta, GA 30332 USA. Philadelphia Dept Publ Hlth, Philadelphia, PA USA. New Mexico Dept Hlth, Albuquerque, NM USA. RP Park, BJ (reprint author), CDCP, Div Healthcare Qual Promot, Natl Ctr Infect Dis, 1600 Clifton Rd,Mailstop A35, Atlanta, GA 30332 USA. EM ljm3@cdc.gov NR 13 TC 37 Z9 37 U1 0 U2 0 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD FEB PY 2004 VL 10 IS 2 BP 244 EP 248 PG 5 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 772XH UT WOS:000188867700015 PM 15030690 ER PT J AU Shen, Z Ning, F Zhou, WG He, X Lin, CY Chin, DP Zhu, ZH Schuchat, A AF Shen, Z Ning, F Zhou, WG He, X Lin, CY Chin, DP Zhu, ZH Schuchat, A TI Superspreading SARS events, Beijing, 2003 SO EMERGING INFECTIOUS DISEASES LA English DT Article ID ACUTE-RESPIRATORY-SYNDROME; OUTBREAK; PNEUMONIA AB Superspreading events were pivotal in the global spread of severe acute respiratory syndrome (SARS). We investigated superspreading in one transmission chain early in Beijing's epidemic. Superspreading was defined as transmission of SARS to at least eight contacts. An index patient with onset of SARS 2,months after hospital admission was the source of four generations of transmission to 76 case-patients, including 12 healthcare workers and several hospital visitors. Four (5%) case circumstances met the superspreading definition. Superspreading appeared to be associated with older age (mean 56 vs. 44 years), case fatality (75% vs. 16%, p = 0.02, Fisher exact test), number of close contacts (36 vs. 0.37) and attack rate among close contacts (43% vs. 18.5%, p < 0.025). Delayed recognition of SARS in a hospitalized patient permitted transmission to patients, visitors, and healthcare workers. Older age and number of contacts merit investigation in future studies of superspreading. C1 Ctr Dis Control & Prevent, Resp Dis Branch, DBMD, NCID, Atlanta, GA 30333 USA. Beijing Ctr Dis Prevent & Control, Beijing, Peoples R China. World Hlth Org, Beijing, Peoples R China. Beijing Joint SARS Expert Grp, Beijing, Peoples R China. RP Schuchat, A (reprint author), Ctr Dis Control & Prevent, Resp Dis Branch, DBMD, NCID, Atlanta, GA 30333 USA. EM Aschuchat@cdc.gov NR 10 TC 88 Z9 88 U1 0 U2 9 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD FEB PY 2004 VL 10 IS 2 BP 256 EP 260 PG 5 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 772XH UT WOS:000188867700018 PM 15030693 ER PT J AU Ha, LD Bloom, SA Hien, NQ Maloney, SA Mai, LQ Leitmeyer, KC Anh, BH Reynolds, IG Montgomery, JM Comer, JA Horby, PW Plant, AJ AF Ha, LD Bloom, SA Hien, NQ Maloney, SA Mai, LQ Leitmeyer, KC Anh, BH Reynolds, IG Montgomery, JM Comer, JA Horby, PW Plant, AJ TI Lack of SARS transmission among public hospital workers, Vietnam SO EMERGING INFECTIOUS DISEASES LA English DT Article ID DYNAMICS AB The severe acute respiratory syndrome (SARS) outbreak in Vietnam was amplified by nosocomial spread within hospital A, but no transmission was reported in hospital B, the second of two designated SARS hospitals. Our study documents lack of SARS-associated coronavirus transmission to hospital B workers, despite variable infection control measures and the use of personal protective equipment. C1 Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA 30333 USA. Inst Clin Res Trop Med, Hanoi, Vietnam. Bach Mai Hosp, Hanoi, Vietnam. Natl Inst Hyg & Epidemiol, Hanoi, Vietnam. WHO, Communicable Dis Surveillance & Response, CH-1211 Geneva, Switzerland. Hanoi Med Univ, Hanoi, Vietnam. WHO, Communicable Dis Surveillance & Response, Hanoi, Vietnam. Hanoi Med Univ, Hanoi, Vietnam. Curtin Univ Technol, Perth, WA 6001, Australia. RP Bloom, SA (reprint author), Ctr Dis Control & Prevent, Natl Immunizat Program, 1600 Clifton Rd NE,Mailstop E61, Atlanta, GA 30333 USA. EM sbloom@cdc.gov RI Horby, Peter/D-1585-2013; OI Horby, Peter/0000-0002-9822-1586 NR 7 TC 17 Z9 17 U1 0 U2 0 PU CENTERS DISEASE CONTROL PI ATLANTA PA 1600 CLIFTON RD, ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD FEB PY 2004 VL 10 IS 2 BP 265 EP 268 PG 4 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 772XH UT WOS:000188867700020 ER PT J AU Wong, TW Lee, CK Tam, W Lau, JTF Yu, TS Lui, SF Chan, PKS Li, YG Bresee, JS Sung, JJY Parashar, UD AF Wong, TW Lee, CK Tam, W Lau, JTF Yu, TS Lui, SF Chan, PKS Li, YG Bresee, JS Sung, JJY Parashar, UD CA Outbreak Study Grp TI Cluster of SARS among medical students exposed to single patient, Hong Kong SO EMERGING INFECTIOUS DISEASES LA English DT Article ID ACUTE RESPIRATORY SYNDROME; TRANSMISSION DYNAMICS; HEMORRHAGIC-FEVER; CORONAVIRUS; OUTBREAK AB We studied transmission patterns of severe acute respiratory syndrome (SARS) among medical students exposed exclusively to the first SARS patient in the Prince of Wales Hospital in Hong Kong, before his illness was recognized. We conducted a retrospective cohort study of 66 medical students who visited the index patient's ward, including 16 students with SARS and 50 healthy students. The risk of contracting SARS was sevenfold greater among students who definitely visited the index case's cubicle than in those who did not (10/27 [41%] versus 1/20 [5%], relative risk 7.4; 95% confidence interval 1.0 to 53.3). Illness rates increased directly with proximity of exposure to the index case. However, four of eight students who were in the same cubicle, but were not within 1 m of the index case-patient, contracted SARS. Proximity to the index case-patient was associated with transmission, which is consistent with droplet spread. Transmission through fomites or small aerosols cannot be ruled out. C1 Chinese Univ Hong Kong, Dept Community & Family Med, Sch Publ Hlth, Prince Wales Hosp, Hong Kong, Hong Kong, Peoples R China. Australian Natl Univ, Natl Ctr Epidemiol & Populat Hlth, Canberra, ACT, Australia. Hosp Author, Hong Kong, Hong Kong, Peoples R China. Univ Hong Kong, Hong Kong, Hong Kong, Peoples R China. Ctr Dis Control & Prevent, Atlanta, GA USA. RP Wong, TW (reprint author), Chinese Univ Hong Kong, Dept Community & Family Med, Sch Publ Hlth, Prince Wales Hosp, 4-F,Hong Kong Special Administrat Reg, Hong Kong, Hong Kong, Peoples R China. EM twwong@cuhk.edu.hk RI Li, Yuguo/A-9469-2010; Yu, Ignatius Tak Sun/A-9936-2008; Hossain, Sarah /C-7332-2009; Wong, Tze Wai/K-5344-2013; Chan, Paul/J-9360-2013; OI Li, Yuguo/0000-0002-2281-4529; Hossain, Sarah /0000-0003-1355-0979; Tam, Wilson/0000-0003-0641-3060 NR 18 TC 79 Z9 79 U1 1 U2 12 PU CENTER DISEASE CONTROL PI ATLANTA PA ATLANTA, GA 30333 USA SN 1080-6040 J9 EMERG INFECT DIS JI Emerg. Infect. Dis PD FEB PY 2004 VL 10 IS 2 BP 269 EP 276 PG 8 WC Immunology; Infectious Diseases SC Immunology; Infectious Diseases GA 772XH UT WOS:000188867700021 PM 15030696 ER EF