Faculty Bibliography

International teams of scientists are being sent to Zaire to investigate the outbreak of a mysterious disease that has killed at least 56 people and put another 100 in hospitals in the last month, the World Health Organization said Tuesday. Experts in Zaire, at the federal Centers for Disease Control and Prevention in Atlanta and at the World Health Organization, a U.N. agency based in Geneva, said the symptoms and spread of the disease to medical personnel focused suspicion on a member of the so-called hemorrhagic fever virus family as the cause of the outbreak

NEW YORK - International teams of scientists, some equipped with protective suits and respirators, are being sent to Zaire to investigate an outbreak of a mysterious disease that has killed at least 56 people and put another 100 in hospitals in the last month, an official of the World Health Organization said last night. Experts in Zaire, at the U.S. Centres for Disease Control and Prevention in Atlanta, and at the World Health Organization, a UN agency in Geneva, said that the nature of the symptoms and spread of the disease to medical personnel focused immediate suspicion on a member of the so-called hemorrhagic fever virus family as the cause of the outbreak

Whiplash, a common neck injury that affects 120,000 Americans a year, is little understood and often ineffectively treated. An international team of experts who reviewed more than 10,000 scientific articles published in the last 15 years found little scientifically rigorous evidence to justify most existing therapies, and also found that most are prescribed by doctors who are poorly trained in caring for whiplash patients. Whiplash often results when the impact of an accident suddenly thrusts the victim's head backward and then forward, injuring the muscles and soft tissue in the neck and upper spine to produce neck pain and limit motion of the neck. Whiplash may result from rear-end or side-impact motor vehicle collisions, but it can also occur during diving and other mishaps

An international team of experts who reviewed more than 10,000 scientific articles published in the last 15 years found little scientifically rigorous evidence to justify most existing therapies, and found that most are prescribed by doctors who are poorly trained in caring for whiplash patients. Moreover, there is no generally accepted uniform approach for the management of whiplash, the authors said in a scathing report published in the journal Spine and discussed last week at a news conference in Montreal. The authors said they believed it was the most comprehensive study of whiplash ever done. Whiplash often results when the impact of an accident suddenly thrusts the victim's head backward and then forward, injuring the muscles and soft tissue in the neck and upper spine, producing neck pain and limiting motion of the neck. Whiplash may result from rear-end or side-impact motor vehicle collisions, but it can also occur during diving and other mishaps

BACKGROUND: When inpatients who are on psychiatry services develop hyponatremia, medical consultation is usually required for evaluation and management, thus halting or delaying psychiatric treatment. Risk factors for the development of hyponatremia in this population have not been studied. METHODS: A case-control study of psychiatric inpatients in a tertiary care facility was performed. Sixty-four patients who had a serum sodium level of less than 130 mmol/L were identified; three control subjects were chosen from the inpatient psychiatry service for each case. Risk factors investigated included medications, psychiatric diagnoses, basic demographic variables, and medical comorbidities. RESULTS: Univariate and logistic regression analyses revealed that, in addition to diuretic use (adjusted odds ratio, 8.2; 95% confidence intervals, 2.2 to 30.8), use of fluoxetine (adjusted odds ratio, 21.4; 95% confidence interval, 5.3 to 86.9), tricyclic antidepressants (adjusted odds ratio, 4.9; 95% confidence interval, 1.6 to 15.2), and calcium antagonists (adjusted odds ratio, 4.0; 95% confidence interval, 1.1 to 14.2) were all associated with the development of hyponatremia. Important comorbidities included elevated creatinine levels, chronic obstructive pulmonary disease, hypertension, systolic blood pressure, and diabetes. Although age was significantly associated with hyponatremia in univariate analyses, it was not significant in multivariate analyses. CONCLUSIONS: Among psychiatric patients, hyponatremia is often associated with factors other than psychogenic polydipsia, including medications and medical comorbidities. Although elderly psychiatric inpatients seem to develop hyponatremia more often than younger patients, once drugs and comorbidities are taken into account, age does not appear to be a significant risk factor for hyponatremia in this population.

22 patients infected with fluoroquinolone-resistant Mycobacterium tuberculosis in New York City were identified between January, 1991, and November, 1993. In 16 patients resistance arose as a result of inadequate or inappropriate treatment. 6 patients had primary infection with fluoroquinolone-resistant organisms; 5 acquired the organisms nosocomially. Seven distinct patterns of restriction-fragment length polymorphism were identified in isolates from 21 patients. Fluoroquinolones should be restricted to patients with multidrug-resistant disease or intolerance to other antituberculosis drugs. All patients with multidrug-resistant tuberculosis should be on directly observed therapy

Whiplash, a common neck injury that affects 120,000 Americans a year, usually after automobile accidents, is little understood and often ineffectively treated, a new study has found. An international team of experts who reviewed more than 10,000 scientific articles published in the past 15 years found little evidence to justify most existing therapies, and also found that most are prescribed by doctors who are poorly trained in caring for whiplash patients. Moreover, there is no generally accepted uniform approach for the management of whiplash, the authors said in a scathing report published in the journal Spine and discussed this week at a news conference in Montreal. The authors said they believed it was the most comprehensive study of whiplash ever done

An international team of experts who reviewed more than 10,000 scientific articles published in the last 15 years found little scientifically rigorous evidence to justify most existing therapies, and also found that most are prescribed by doctors who are poorly trained in caring for whiplash patients. Moreover, there is no generally accepted uniform approach for the management of whiplash, the authors said in a scathing report published in the journal Spine and discussed yesterday at a news conference in Montreal. The authors said they believed it was the most comprehensive study of whiplash ever done. Whiplash often results when the impact of an accident suddenly thrusts the victim's head backward and then forward, injuring the muscles and soft tissue in the neck and upper spine to produce neck pain and limit motion of the neck. Whiplash may result from rear-end or side-impact motor vehicle collisions, but it also can occur during diving and other mishaps

Whiplash, a common neck injury that affects 120,000 Americans a year, usually after automobile accidents, is little understood and often ineffectively treated, a new study has found. An international team of experts who reviewed more than 10,000 scientific articles published in the last 15 years found little scientifically rigorous evidence to justify most existing therapies, and also found that most are prescribed by doctors who are poorly trained in caring for whiplash patients. Whiplash often results when the impact of an accident suddenly thrusts the victim's head backward and then forward, injuring the muscles and soft tissue in the neck and upper spine to produce neck pain and limit motion of the neck. Whiplash may result from rear-end or side-impact motor vehicle collisions, but it can also occur during diving and other mishaps

An international team of experts has found little scientifically rigorous evidence to justify most existing whiplash therapies. The experts conclude that standard therapies are often ineffective, and sometimes may even be harmful, and that there is no generally accepted uniform approach for the management of whiplash