Результаты поиска

Clinical malaria and sickle cell disease among multiple family members in Chicago, Illinois.

Malaria is a disease of global importance and accounts for up to 500 million cases per year. Nearly all malaria cases in the United States occur among persons who have traveled to areas with ongoing malaria transmission. Among the cases of malaria reported in the United States in 2000-2005, 695 were in US residents under the age of 18 years. The association of malaria with the sickle cell hemoglobin is well described in Africa but is a rare occurrence in the United States. Here we report 5 cases of Plasmodium falciparum malaria in siblings of a family who had traveled to Africa without taking

Continent urinary diversion: 10-year experience of Shriners Hospitals for Children in Chicago.

PURPOSE: To review long-term functional results, complications, and patient satisfaction in patients with a continent catheterizable urinary diversion. MATERIALS AND METHODS: A retrospective chart review and telephone satisfaction interviews were conducted. Bladder dysfunction was attributed to neurogenic bladder (n = 48: 23 spinal cord injury, 18 myelomeningocele, 4 sacral agenesis, 3 cerebral palsy), bladder exstrophy (n = 2), posterior urethral valves (n = 1), and other (n = 3). Patients underwent continent urinary diversion with either the Mitrofanoff principle (appendicovesicostomy, n =

Transmission of primary and secondary syphilis by oral sex--Chicago, Illinois, 1998-2002.

During 1998-2002, the STD/HIV Prevention and Care Program of the Chicago Department of Public Health (CDPH) recorded 1,582 cases of primary and secondary (P&S) syphilis, the most of any U.S. city. Although case numbers and overall rates remained stable in Chicago during this period, patterns of transmission changed substantially. Throughout most of the 1990s, P&S syphilis was reported almost exclusively among heterosexuals. During 1998-2000, however, men who have sex with men (MSM) accounted for approximately 15% of Chicago's P&S syphilis morbidity. Since 2001, MSM have accounted for nearly 60…

Мёртвые вороны и местоположение людей, живущих с вирусом Западного Нила, Чикаго, 2002 год.

Летом и осенью 2002 года в Чикаго произошли эпидемия (223 случая) и эпизоотические вирусные инфекции Западного Нила. Ретроспективный пространственный анализ показал, что скорректированные по возрасту показатели смертности людей в трех раз выше в географических районах с высокой смертностью воронов в начале сезона, чем за пределами этих районов.

Совпадение в аннотации оригинала
During the summer and fall of 2002, an epidemic (223 cases) and epizootic of West Nile virus infections occurred in Chicago. Retrospective spatial analysis demonstrated that age-adjusted human case rates were three times higher inside geographic areas with high early-season crow deaths than outside these areas.

Empirically treated Pneumocystis carinii pneumonia in Los Angeles, Chicago, and Miami: 1987-1990.

Many patients infected with the human immunodeficiency virus (HIV) with symptoms suggestive of pneumonia are treated empirically for Pneumocystis carinii pneumonia (PCP), although other bacterial infections (e.g., tuberculosis) and pulmonary Kaposi's sarcoma may cause identical symptoms. Empiric treatment for PCP may result in misdiagnosis and mistreatment. When the outcomes of cytologically confirmed versus empirically treated PCP cases were evaluated, the most important predictors of in-hospital mortality were severity of illness and use of bronchoscopy. Persons who did not undergo bronchosc

Mosquito productivity and surveillance for St. Louis encephalitis virus in Chicago during 1993.

The City of Chicago's Department of Health monitors weekly deposition of egg rafts of Culex species, prevalence of St. Louis encephalitis (SLE) virus-specific antibodies in feral birds, and prevalence of the virus in mosquito pools. The total number of Culex egg rafts collected in 1993 (4,623) was 2-fold greater than for the 1992 mosquito season. Virtually all of the early summer egg rafts were identified as Culex restuans. After the week of July 18, Culex pipiens accounted for 20-70% of the total rafts collected weekly. The prevalences for SLE viral antibodies (avian) and RNA (mosquitoes) wer…

An urban community-based cancer prevention screening and health education intervention in Chicago.

Most types of cancer are disproportionately present in black populations. Among all ethnic and racial groups, black people have the highest incidence of all types of cancer combined, experiencing the highest mortality and the worst survival rate. A major intervention effort has begun in Chicago, targeting women living in 10 south side community areas whose populations are almost all black and among the poorest in the city. The purposes of the intervention are to develop and evaluate ways to reduce morbidity and mortality from breast and cervical cancer. Three outcome measures are being used, t…

Family-Based Childcare in Chicago: Opportunities to Advance Environmental and Social Justice for Children.

BACKGROUND: Achieving environmental justice for children requires that their spaces promote health and well-being. In this study, we characterized the broader environmental context for family-based childcare (FCC) homes in Chicago, Illinois, to identify gaps in knowledge and directions for future work. METHODS: Data on childcare providers were obtained from a state agency. Using public data sets, we characterized the physical, chemical, and built (PCB); nutritional; and social environments at the census tract level. We then described differences in neighborhood quality for census tracts conta…

Characteristics of Pregnant Women With Syphilis and Factors Associated With Congenital Syphilis at a Chicago Hospital.

BACKGROUND: Congenital syphilis incidence has more than tripled in recent years, in parallel with the resurgence of syphilis among reproductive-aged women. An understanding of risk factors associated with maternal syphilis infection can guide prevention of congenital syphilis through prenatal diagnosis and treatment. We aimed to describe factors associated with maternal syphilis and congenital syphilis at a public medical center in Chicago, Illinois. METHODS: Maternal syphilis diagnoses were identified using a database for local health department reporting. Medical records were reviewed for i…

Persistent and toxic chemical pollutants in fish consumed by Asians in Chicago, United States.

Consumption of seafood brings health benefits but may increase the ingestion of contaminants. Compared with other ethnic groups in the U.S., Asians consume seafood more frequently. However, there is little information about how culturally specific fish consumption contributes to exposure to toxicants. In this work, we surveyed fish consumption among Chinese, Korean and Vietnamese communities and purchased 103 seafood samples from local markets in Chicago. Each sample was analyzed for mercury (Hg) and 92 organic chemicals including polychlorinated biphenyls (PCBs), organochlorine pesticides (OC…

Mortality in a cohort of US firefighters from San Francisco, Chicago and Philadelphia: an update.

OBJECTIVES: To update the mortality experience of a previously studied cohort of 29 992 US urban career firefighters compared with the US general population and examine exposure-response relationships within the cohort. METHODS: Vital status was updated through 2016 adding 7 years of follow-up. Cohort mortality compared with the US population was evaluated via life table analyses. Full risk-sets, matched on attained age, race, birthdate and fire department were created and analysed using the Cox proportional hazards regression to examine exposure-response associations between select mortality

A colorectal cancer screening program in an underserved, ethnically diverse population in Chicago, IL.

The purpose of this project was to describe the structure and outcomes of a colorectal cancer screening program at CommunityHealth, the largest free health clinic in Illinois. We conducted a retrospective observational study using administrative clinical data from 2006 to 2011. A total of 4,026 patients were eligible for colorectal cancer screening of which 2,418 (60.0 %) completed fecal occult blood testing (FOBT). Subsequently, 1,657 patients had negative FOBT results and 1,365 patients underwent on-site flexible sigmoidoscopy. Over 90 % of patients had never had a prior screening examinatio

A multicenter retrospective study of childhood brucellosis in Chicago, Illinois from 1986 to 2008.

OBJECTIVES: To determine risk factors in children for the acquisition of Brucella, clinical presentation, treatment, and disease outcomes. METHODS: A retrospective multicenter chart review was undertaken of children identified with brucellosis from 1986 to 2008 at three tertiary care centers in Chicago, Illinois, USA. The charts were reviewed for data regarding risk factors for acquisition, clinical presentation, and outcomes. RESULTS: Twenty-one charts were available for review. The median age was 6.5 years (range 2-14 years); 62% were female. Ethnic background was 67% Hispanic and 24% Arab…

Nestling passerines are not important hosts for amplification of West Nile Virus in Chicago, Illinois.

Nestling birds have been hypothesized to be important hosts for mosquito-borne arboviruses, but the role of nestlings for West Nile virus (WNV) amplification remains unclear. We sampled open-cup and cavity-nesting passerines in Chicago, Illinois, an area of intense WNV transmission, to determine infection rates in nestlings and mosquitoes, and to test whether mosquitoes are attracted to nesting birds. Analysis of Culex pipiens mosquito populations demonstrated WNV amplification to high mosquito infection rates during both years of the study near the locations where nestlings were sampled. Neve…

Prevalence and predictability of the Chicago Classification of Pouchitis in ulcerative colitis: a multicenter study in Japan.

BACKGROUND: Endoscopic phenotypes of pouchitis according to the Chicago Classification have been reported to be associated with poor pouch outcomes in ulcerative colitis (UC). Here, we aimed to assess the prevalence of endoscopic phenotypes and their predictability for pouch outcomes. METHODS: This retrospective multicenter study included UC patients aged 18 years or older who underwent total colectomy between January 2000 and March 2020. The primary endpoints were frequencies of endoscopic phenotypes of the Chicago Classification and their predictability for chronic pouchitis and pouch failu…

Comparison of Diagnosis of Esophageal Motility Disorders by Chicago Classification Versions 3.0 and 4.0.

BACKGROUND/AIMS: We aim to investigate the diagnostic accuracy and differences between Chicago classification version 3.0 (CC v3.0) and 4.0 (CC v4.0). METHODS: Patients who underwent high-resolution esophageal manometry (HRM) for suspected esophageal motility disorders were prospectively recruited between May 2020 and February 2021. The protocol of HRM studies included additional positional change and provocative testing designed by CC v4.0. RESULTS: Two hundred forty-four patients were included. The median age was 59 (interquartile range, 45-66) years, and 46.7% were males. Of these, 53.3% …

The Assassination of Anton Cermak, Mayor of Chicago: A Review of His Postinjury Medical Care.

Anton Cermak was the mayor of Chicago in the 1930s. He was injured by an assassin's bullet intended for the president-elect, Franklin Delano Roosevelt. Cermak was taken to a local hospital, treated nonoperatively for his injuries, and initially improved. Cermak's condition deteriorated on the sixth day postinjury, with symptoms that his doctors described as colitis. He died of sepsis on the 19th day after the shooting, and his autopsy revealed a perforated colon causing peritonitis. This study will review Cermak's clinical course and autopsy findings to determine if he died of his gunshot woun…

[Disorders of sex differentiation: state of the problem 15 years after the Chicago consensus].

It is well known that the nomenclature and classification were changed in 2005 at the international consensus conference on intersex disorders, held in Chicago, where, among others, the following recommendations were proposed: (1) all children should be assigned a gender identity, and this should be done as quickly as possible, taking into account the time required for the examination. (2) all infants with congenital adrenal hyperplasia and 46,XX karyotype, including those with pronounced masculinization, must be raised as women. (3) Surgical treatment should be performed early and in cases of…