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department:Medicine. General Internal Medicine

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Screening for infection and disease as a tuberculosis control measure among indigents in New York City, 1994-1997

Schluger NW; Huberman R; Holzman R; Rom WN; Cohen DI
SETTING: Several social service agencies in New York City, and the Chest Clinic of Bellevue Hospital, a large public hospital. OBJECTIVE: To determine the utility of screening as a preventive and control measure among persons at risk for tuberculosis. DESIGN: Persons seeking social services at several private agencies in New York City were screened, and those with a positive skin test or symptoms suggestive of active tuberculosis were referred to the Chest Clinic for evaluation. RESULTS: Of 3828 persons evaluated, 20 had active tuberculosis, and 33% of the screened cohort were tuberculin skin test positive. Of 466 persons with tuberculosis infection who were evaluated, only 55 persons were given isoniazid (INH), and only 20 completed preventive therapy. Most patients who were not given INH had taken it previously, were older than 35 years, or had continuing alcohol use which made physicians reluctant to prescribe isoniazid. CONCLUSION: Screening for tuberculosis may detect a significant number of cases of active disease when the background prevalence of the disease is very high. However, screening for infection as a means to prevent future cases is unlikely to be effective unless rates of administration and completion of isoniazid preventive therapy are increased
PMID: 10206497
ISSN: 1027-3719
CID: 6091

What that stomach pain may really mean [General Interest Article]

Lamm, Steven; Couzens, Gerald Secor
Lamm and Couzens discuss possible causes of stomach pain and how to determine when the pain may signal an emergency. Sudden, severe abdominal pain typically indicates the need for emergency care
PROQUEST:236305822
ISSN: 1085-1003
CID: 824492

INNOCUOUS CORAL AMONG OCEAN'S BIGGEST DANGERS [Newspaper Article]

Steven Lamm; Couzens, Gerald Secor
While filming a movie last month on Fiji, [Tom Hanks] accidentally cut his leg on some razor-sharp edges of coral head, sustaining one of the most common marine injuries
PROQUEST:333772354
ISSN: 1090-3321
CID: 824502

CD-ROM is a thorough look at U.S. history [Newspaper Article]

Oshinsky, David
I am no expert on history CD-ROMs. In truth, I have consciously shied away from them, seeing digital tools as a frivolous assault on scholarly standards. After spending a week playing with The Library of Congress: Eyes of the Nation, a new CD-ROM exploring the American experience through documents selected from the world's largest archive, I've been partly converted. Used in conjunction with more traditional methods, the CD-ROM may well revolutionize the way we teach history
PROQUEST:427105556
ISSN: 0895-2825
CID: 846922

Treasures of the American Experience [Newspaper Article]

Oshinsky, David M
I AM no expert in the field of history CD-ROM's. In truth, I have consciously shied away from them, seeing digital tools as a frivolous assault on scholarly standards. After spending a week playing with The Library of Congress: Eyes of the Nation, a new CD-ROM exploring the American experience through documents selected from the world's largest archive, I've been partly converted, much like the wayward Puritan of the 1650's who made a ''halfway covenant'' with his faith. Used in conjunction with more traditional methods, the CD-ROM may well revolutionize the way we teach history. The Eyes of the Nation CD-ROM is divided into five parts. All provide a glimpse of the treasures to be found in the Library of Congress's fabulous special collections. (The DVD-ROM version has 19 additional exhibits, more than 1,000 additional images and three hours of full-screen video.) Part One introduces the viewer to the world of rare books, maps, prints and photographs, including the first known slave narrative published on American soil (1760), a detailed sketch of the Gettysburg battlefield by a Confederate topographer (1863) and a poignant photo of two black women on their knees, decorating the grave of a black soldier in the segregated Arlington National Cemetery (1943)
PROQUEST:431141272
ISSN: 0362-4331
CID: 846932

TATTOOS LINKED TO HEPATITIS C [Newspaper Article]

Steven Lamm; Couzens, Gerald Secor
While HCV won't go away, it can be managed with an intiviral medication called interferon, or with a combination therapy of interferon and
PROQUEST:333772184
ISSN: 1090-3321
CID: 824512

VITALITY MEDICINE [Newspaper Article]

Lamm, Steven; Couzens, Gerald Secor
WITH the recent news of high-profile men such as Yankee manager, Joe Torre, actor Charlton Heston, Kansas City Chiefs owner, Lamar Hunt, former Sen.Bob Dole and golfer Arnold Palmer developing prostate cancer, many concerned men (and their partners) want to know what they can do to protect themselves. Soy protein products are widely available and can be purchased at most supermarkets. Traditional sources of soybeans and isoflavones include tofu, bean curd, tempeh, soy milk, miso and soy sauce. A new study in the Journal of the National Cancer Institute reported that there is now enough evidence to show convincingly that tomatoes in many forms, including raw, ketchup, pasta sauce, tomato paste, soup and salsa have prostate cancer fighting abilities
PROQUEST:333817298
ISSN: 1090-3321
CID: 824522

Staving Off Blindness in the Tiniest of Infants [Newspaper Article]

Altman, Lawrence K
As a nurse holds the hands and head of one of the seven surviving octuplets born in Houston in December, a doctor peers at the back of the eyes through an ophthalmosocope. In assembly line fashion, the eye doctor examines each child. The aim is to seek the earliest sign of a condition known as retinopathy of prematurity, resulting from abnormal blood vessel growth, and to use a laser to prevent a detached retina, which can cause blindness. The octuplets were born nearly four months before the mother's due date of April 1. Like other infants born many weeks too early, they are at high risk of developing retinopathy in both eyes. Of the 3.9 million babies born in the United States in 1996, about 11 percent, or 400,000, were premature, up from 9.4 percent in 1984. Federal health officials attribute most of the rise to larger numbers of multiple births, which increase the risk of pre-term delivery. Many multiple births, like those of the octuplets, result from fertility drug treatment
PROQUEST:39365278
ISSN: 0362-4331
CID: 84157

Sharpen your memory [General Interest Article]

Lamm, Steven; Couzens, Gerald Secor
"What's happening to my memory" is one of the most troubling questions for people over 50. Reasons for memory lapses are discussed, and tips for improving memory are offered, along with information on Alzheimer's disease
PROQUEST:236349207
ISSN: 1085-1003
CID: 824532

Gertrude Elion, Drug Developer, Dies at 81 [Newspaper Article]

Altman, Lawrence K
Ms. Elion developed drugs for use in a vast array of conditions. They included drugs for herpes, leukemia, malaria, gout, immune disorders, and AIDS, and immune suppressants to overcome rejection of donated organs in transplant surgery. In perfecting one compound after another, Ms. Elion worked for four decades with Dr. George H. Hitchings, who died a year ago. Ms. Elion broke down sex barriers in the male-dominated world of scientific research, becoming one of the rare women to win a Nobel Prize and, even rarer, a scientist who did not have a doctorate. Ms. Elion shared the Prize with Dr. Hitchings, who hired her as a $50-a-week assistant in 1944. Also sharing the Prize was Sir James Black of Britain, who discovered two classes of drugs, beta blockers, for high blood pressure and heart disease, and H-2 antagonists, for ulcers
PROQUEST:39182141
ISSN: 0362-4331
CID: 84158