Bulletin of the New York Academy of Medicine最新文献

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Changes in life expectancy. New York City Department of Health. 预期寿命的变化。纽约市卫生局。
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引用次数: 0
The ups and downs of adenovirus vectors. 腺病毒载体的起伏。
H S Ginsberg
{"title":"The ups and downs of adenovirus vectors.","authors":"H S Ginsberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Owing to the detailed knowledge of the structure of the adenovirus virions, including their DNA genomes, especially types 2 and 5, they are convenient viruses for construction of vectors for gene therapy and vaccine immunization. It is critical to note, however, that adenoviruses produce pathogenic inflammatory responses to infection. The inflammation occurs even if the adenovirus does not replicate when the inoculum is sufficiently large, because only early gene expression is responsible for the pathogenic reaction. The inflammation consists of an early phase, in which tumor necrosis factor alpha (TNF-alpha) plays a major role, and a late phase consisting of an extensive T-cell response. It is important in the construction of adenovirus vectors not to delete a major portion of the early region 3 (E3) because: the E3 19 kD glycoprotein markedly reduces the capacity of the Class I major histocompatibility complex (Class I MHC) from transporting viral antigens to the surfaces of infected cells; and the E3 14.7 kD protein significantly inhibits the production of TNF-alpha and, therefore, reduces the polymorphonuclear response. Unfortunately the first generation of adenovirus gene therapy vectors contained large E3 deletions and, therefore, presented a significant safety problem. Subsequent adenovirus vectors consist of other deletions to overcome this difficulty.</p>","PeriodicalId":72484,"journal":{"name":"Bulletin of the New York Academy of Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2359382/pdf/bullnyacadmed01031-0061.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19773700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Similarity of risk and protective behaviors among African-American pre- and early adolescent members of naturally occurring friendship groups. 在自然形成的友谊团体中,非裔美国人青春期前和青春期早期成员的风险和保护行为的相似性。
X Fang, B Stanton, X Li, D Romer, J Galbraith, S Feigelman
{"title":"Similarity of risk and protective behaviors among African-American pre- and early adolescent members of naturally occurring friendship groups.","authors":"X Fang,&nbsp;B Stanton,&nbsp;X Li,&nbsp;D Romer,&nbsp;J Galbraith,&nbsp;S Feigelman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To determine whether self-reported risk and protective behaviors, expectations, and attitudes are more similar among African-American early adolescents within a community-based friendship group than across groups, a cross-sectional study was conducted among 382 African-American youth 9 through 15 years of age forming 76 community-based groups of 3 through 10 same-gender friends. Each member of the friendship group reported his/her own past involvement in nine risk behaviors (sexual intercourse, substance abuse, drug-trafficking, and other delinquent activities) and two protective behaviors (high academic performance and regular church attendance) and their expectations and feelings regarding several of these behaviors. Intraclass correlation coefficients were calculated overall and by gender and age. Members were generally more similar within friendship groups than across groups with regard to several risk behaviors and expectations including sexual intercourse and drug-trafficking. Particularly striking was the similarity among members of \"junior\" friendship groups (e.g., median age of youth < 11 years) of both risk and protective behaviors and expectations. The finding of enhanced similarity of risk behaviors and expectations among members within groups suggests that intervention delivery through community-based friendship groups may be a useful approach for risk prevention efforts targeting pre-adolescent African-American youth living in low-income settings.</p>","PeriodicalId":72484,"journal":{"name":"Bulletin of the New York Academy of Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2359324/pdf/bullnyacadmed01032-0074.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19944942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicaid managed care: state experiences. 医疗补助管理式医疗:各州经验。
D Rowland
{"title":"Medicaid managed care: state experiences.","authors":"D Rowland","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":72484,"journal":{"name":"Bulletin of the New York Academy of Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2359214/pdf/bullnyacadmed01033-0024.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19950322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Participants-iom anniversary celebration. 参与者-周年庆典。
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引用次数: 0
The role of state health departments in combatting urban health problems. 国家卫生部门在解决城市卫生问题方面的作用。
B A DeBuono
{"title":"The role of state health departments in combatting urban health problems.","authors":"B A DeBuono","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":72484,"journal":{"name":"Bulletin of the New York Academy of Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2359399/pdf/bullnyacadmed01031-0138.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19773708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
One approach to care for patients infected with human immunodeficiency virus in an academic medical center. 一种在学术医疗中心对感染人类免疫缺陷病毒的患者进行护理的方法。
J L Jacobs, L C Damson, D E Rogers
{"title":"One approach to care for patients infected with human immunodeficiency virus in an academic medical center.","authors":"J L Jacobs,&nbsp;L C Damson,&nbsp;D E Rogers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The human immunodeficiency virus (HIV) epidemic poses unprecedented challenges to the health-care system. Caregivers must contend both with the complicated clinical syndromes associated with HIV infection and with issues that are central to the epidemic, such as discrimination, isolation, poverty, and substance abuse. Our HIV treatment program combines and enhances the resources of an academic medical center in a multidisciplinary care model. All patients, regardless of payor class, are offered services from 10 different disciplines. The same team of clinicians follows patients in the clinic and hospital. The program is flexible, non-hierarchical, and open to community participation. This approach may be a useful model for other institutions.</p>","PeriodicalId":72484,"journal":{"name":"Bulletin of the New York Academy of Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2359323/pdf/bullnyacadmed01032-0090.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19943656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Re-engineering the public hospital system: saving the safety net. 重新设计公立医院系统:挽救安全网。
B Siegel
{"title":"Re-engineering the public hospital system: saving the safety net.","authors":"B Siegel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cities across America are grappling with the problem of how to provide care for the indigent and those on Medicaid. All levels of government are reducing their public funding for health care of indigent persons, and the rapid growth of managed care is making traditional cost-shifting more difficult as it transforms the practice of medicine itself. These issues are most acute in cities like Los Angeles and New York, which traditionally have relied on public hospital systems to serve as a safety net. This article focuses on the changes being wrought at the largest health-care system in the country for indigents, the New York City Health and Hospitals Corporation (HHC), on the progress it made during the first 18 months of a major re-engineering process, and on potential options for its future reform.</p>","PeriodicalId":72484,"journal":{"name":"Bulletin of the New York Academy of Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2359322/pdf/bullnyacadmed01032-0146.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19943659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Academic health centers in an era of managed care. 管理式医疗时代的学术医疗中心。
B Biles, L Simon
{"title":"Academic health centers in an era of managed care.","authors":"B Biles,&nbsp;L Simon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":72484,"journal":{"name":"Bulletin of the New York Academy of Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2359208/pdf/bullnyacadmed01033-0012.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19950320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The culture of managed care: implications for patients. 管理式医疗文化:对患者的影响。
K Davis, C Schoen, D R Sandman
{"title":"The culture of managed care: implications for patients.","authors":"K Davis,&nbsp;C Schoen,&nbsp;D R Sandman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":72484,"journal":{"name":"Bulletin of the New York Academy of Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2359380/pdf/bullnyacadmed01031-0181.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19773710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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