Government public housing health needs assessment: focus on race, ethnicity, and the older adult: background, methods, and demographics.

St. Vincent's Catholic Medical Centers of New York initiated a study in 2009 to assess the health needs of residents of New York City (NYC) municipal housing at the Robert Fulton public housing complex in Manhattan. The aim of this project was to provide valid data on perceived health services needs of the residents of a NYC housing project.

Code status decision-making in a nursing home population: processes and outcomes.

Objectives: To examine the clinical utility of prehospital code status discussions in a nursing home (NH) setting and the health care outcomes of the decisions made. Also to identify patient factors and other variables associated with these decisions.

Design: Retrospective uncontrolled observational study carried out through record review.

Life-sustaining interventions in frail elderly persons. Talking about choices.

Background: Engaging older persons in consideration of use of life-sustaining measures, such as cardiopulmonary resuscitation, tube feeding, and urgent intubation, is widely recommended, yet uncommon.

Methods: We studied the short-term impact of a physician-initiated discussion, geared toward guiding informed decision-making, with 20 frail elderly homebound patients. A battery of psychologic rating scales was administered in a pre-post design.

Ecology of helminth parasitism in bobwhites from northern Florida.

Examination of 700 northern bobwhites (Colinus virginianus), 50 each February from 1971 through 1984, from Tall Timbers Research Station, Leon County, Florida, disclosed 15 species of helminth parasites. Nine species (Raillietina cesticillus, R. colinia, Aproctella stoddardi, Cheilospirura spinosa, Cyrnea colini, Dispharynx nasuta, Heterakis isolonche, Tetrameres pattersoni, and Trichostrongylus tenuis) generally were found on an annual basis and were considered characteristic components of the helminth fauna.

Controlling hospital readmission of elderly persons living at home: a risk factor analysis.

A large proportion of hospital stays stem from rapid readmission of elderly patients. These patients represent high cost users of inpatient care. Intervention in the hospital admission-readmission cycle may serve the interests of patients and payors alike.

Team approach enables frail elderly to stay home.

St. Vincent's Hospital and Medical Center of New York has been caring for homebound frail elderly persons since 1973 through a comprehensive network of professional, paraprofessional, and community services that allows many older persons to remain in their homes and communities and avoid institutionalization. The staff consists of physician-nurse-social worker teams that bring to each patient their individual skills as professional practitioners.

Nutritional parameters in homebound persons of greatly advanced age.

There exists a deficiency of accurate information regarding standard nutritional parameters in people of greatly advanced age. In order to begin obtaining appropriate data, we assessed nutritional status in 45 elderly homebound individuals with a mean age of 84 yr, using anthropometric methods, skin testing, and blood analysis. We compared our data with those from the HANES survey, a reasonable approach to the testing of new possible standards for nutritional assessment.

Intestinal bile acid malabsorption in cystic fibrosis: a primary mucosal cell defect.

Bile acid malabsorption in cystic fibrosis reduces intraluminal bile acid concentration and may impair fat absorption. The cause of this malabsorption is unknown but it is believed due to intraluminal inhibition of uptake by undigested dietary nutrients. The purpose of this study was to determine the bile acid absorptive capability of cystic fibrosis intestine in a physiologic environment.

Influence of familial hypertension on blood pressure during adolescence.

The relationships of familial hypertension and height, weight, and blood pressure (BP) were studied in two adolescent populations. Subjects having hypertensive first-degree relatives were matched to control subjects without such a family history. The group with familial hypertension demonstrated a slightly higher average BP but also had a greater mean body weight and ponderal index than the control group.

Specific Pseudomonas immunoglobulin E antibodies in sera of patients with cystic fibrosis.

Immunoglobulin E antibodies to Psuedomonas aeruginosa were demonstrated in patients with cystic fibrosis colonized with the bacterium.

Ectoparasites collected from bobwhite quail in the southeastern United States.

Twenty-one species of ectoparasites representing 19 genera were collected from 481 bobwhite quail (Colinus virginianus) from nine areas in four southeastern states. Sixteen species, Amblyomma americanum, Haemaphysalis chordeilis, Haemaphysalis leporispalustris, Eutrombicula alfreddugesi alfreddugesi, Neoschoengastia americana, Boydaia colini, Pterolichus sp., Colinophilus wilsoni, Megninia sp.

Elevated meconium lactase activity. Its use as a screening test for cystic fibrosis.

Screening of newborn infants could provide information needed to evaluate the effects of early treatment on the course and prognosis of cystic fibrosis (CF). Two procedures of screening meconium for CF were compared: increased albumin levels, detected by a commercial test strip; and increased lactase activity, detected by glucose production after incubation of meconium with lactose. Specimens positive by the lactase test were retested for albumin.

Seasonal trends of helminth parasites of bobwhite quail.

Helminthologic examination of 120 adult and 65 juvenile bobwhites (Colinus virginianus) from Leon County, Florida, during a one-year period revealed seven common (> 30% prevalence) species including Raillietina cesticillus, R. colinia, Cheilospirura spinosa, Cyrnea colini, Heterakis bonasae, Tetrameres pattersoni, and Trichostrongylus tenuis. Less frequently found helminths included Hymenolepis sp.

An epornitic of avian pox in wild bobwhite quail.

An outbreak of avian pox, with an estimated 12-fold increase in the incidence of infection, occurred among wild bobwhites (Colinus virginianus) in the southwestern Georgia/northcentral Florida region. The outbreak was first detected in July, 1978, and continued at least until March, 1979. During this period, 26 separate clinical case accessions involving 43 bobwhites from 8 counties in Florida and Georgia were diagnosed as avian pox.

Helminth parasitisms among intermingling insular populations of white-tailed deer, feral cattle, and feral swine.

Helminth infections among free-ranging, intermingling populations of white-tailed deer (Odocoileus virginianus), cattle (Bos taurus), and swine (Sus scrofa) on an island off the Georgia coast were studied. Of 39 species of helminths collected, 19 were found in deer, 17 in cattle, and 13 in swine. Of 28 species of helminths recovered from ruminants, 8, viz, Capillaria bovis, Cooperia punctata, Dictyocaulus viviparus, Gongylonema pulchrum, G verrucosum, Haemonchus contortus, Moniezia benedeni, and Trichostrongylus axei, occurred in both deer and cattle.

Dietary supplement and nutrition in children with cystic fibrosis.

Assessment of nutritional status of patients with cystic fibrosis of the pancreas (CFP) showed that poor growth was associated with low concentrations of albumin, urea nitrogen, and cholesterol in serum and with elevated white blood cell (WBC) counts. Patients with CFP maintained weight approximately 1 standard deviation below the mean until 8 years, after which there was a progressive decline in growth rate compared to normal. A complete dietary supplement consisting of a beef serum hydrolysate, a glucose polymer, and medium-chain triglycerides was given to 15 patients for a year.