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In 1986 the rate of infectious syphilis (primary and secondary) in Los Angeles County began to rise from previously stable levels of about 23.5 per 100,000 to peak at 55.6 per 100,000 in 1987. The incidence of congenital syphilis increased from 205 cases in 1987 to 575 cases in 1989. The county''s Sexually Transmitted Disease Program instituted a disease-specific plan to address the epidemic. Factors considered in designing the program included the high morbidity and mortality associated with congenital infection, the existence of latent infection, self-limiting symptoms, and the availability of an inexpensive screening test and curative treatment. Policy changes implemented comprised expanded screening, expanded surveillance, increased contact tracing, and the initiation of condom promotion programs. To evaluate the relative effectiveness of Los Angeles County''s syphilis control efforts, the epidemic curve for infectious syphilis was compared with trends in other urban areas. Although the rate of infectious syphilis climbed a year earlier in Los Angeles than in other cities, it returned to baseline levels when other cities'' rates remained at epidemic levels.  相似文献   

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A listing of papers and dissertations either using some type of cladistic analysis on a plant group or dealing with theoretical cladistics and written by a botanist. In addition, to facilitate studies in vicariance biogeography, this list includes the distribution of the taxa treated in the various papers.  相似文献   

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T. R. R. Stebbing (1835–1926), a specialist on the systematics of amphipod Crustacea, was raised in London in a literary family and studied classics, law and history at Oxford. After his ordination as a priest in 1859 he was a schoolmaster, then, after he married, a private tutor at Torquay. About 1863 he read Darwin's Origin of species and was convinced by it; by 1868 he had become a naturalist and systematist. In 1877 he moved to Tunbridge Wells where he spent the rest of his life studying Crustacea, active in scientific societies, and writing essays and reviews.
Stebbing's Darwinism was not particularly original, though he marshalled some good examples from the invertebrates to indicate the importance of variation within and between species. He regarded natural selection as a directing force by which God's plan for organisms was being worked out, and credited it with the origin of language, morality and religion. In taxonomic practice, Stebbing advocated priority of names, simple rules of transliteration and gender, and publication of new names only in a few easily-accessible journals. After the publication of the Regies internationales de la nomenclature zoologique in 1905 his writings on taxonomic practice were confined to minor issues.
A bibliography of Stebbing's 242 publications concerned with carcinology, Darwinism, nomenclature and miscellaneous subjects has been compiled.  相似文献   

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Stochastic models for ion channels: introduction and bibliography.   总被引:4,自引:0,他引:4  
This paper provides an introduction to and overview of the use of stochastic models and statistical analysis in the study of ion channels in cell membranes. An extensive bibliography is included.  相似文献   

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Family physicians are able to approach many patients who smoke but are often hesitant to help them quit. Lack of knowledge about effective interventions is a major reason for this hesitancy. The important components that have been tested in physician-initiated smoking cessation interventions are advice to quit, information about the risks of smoking and techniques for quitting, nicotine gum, setting a date for quitting and offers of supportive follow-up visits. We describe a cessation program developed for family physicians that incorporates these factors into three types of visits over a 2-month period: the challenge visit, which occurs during a regular office visit and focuses on advice and setting a date to quit; the quit-date visit, which involves instructing patients on the proper use of nicotine gum, if applicable, and confirming their desire to quit; and four supportive follow-up visits, which provide continuing encouragement for 2 months and allow physicians to monitor withdrawal symptoms, relapses and other problems. Such a program can be effectively incorporated into a general practice.  相似文献   

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D Moore 《CMAJ》1993,148(2):124-126
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C Hamm 《CMAJ》1993,149(11):1625-1628
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D Klass 《CMAJ》1988,139(9):847-848
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