Job satisfaction based upon moral alignment: implications for staff development.
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Biomedical subjects
Publications and source records attributed to L F Woolbert.
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After the introduction of measles vaccine in the United States in 1963 the reported incidence of measles (rubeola) decreased substantially. The disease, however, has not been eliminated. Since 1983, when the lowest number of cases was reported, slight increases in incidence have been observed. Outbreaks are occurring among previously immunized school- and college-age children and unimmunized preschool children and infants. This article describes measles occurrence, transmission, diagnosis, development of measles immunity, the 1989 Centers for Disease Control recommendations for immunization, and implications for health care providers for preventing measles outbreaks.
Recent outbreaks of acute rheumatic fever (ARF) in the United States are drawing attention to a previously declining disease. Authorities agree that penicillin treatment of group A beta-hemolytic streptococcus (GABHS) pharyngitis contributed to the decline in incidence and severity of ARF. However, because the pathogenic mechanism that links GABHS and ARF is still a debatable issue, the cause of the recent outbreaks is unknown. A review of the current literature generates interesting questions about the current status of ARF and common GABHS testing and treatment practices. Facts about GABHS and ARF and current recommendations for the diagnosis and treatment of GABHS pharyngitis are presented.
Many health care providers and parents believe antihistamines and decongestants are important adjuncts to antibiotic therapy in preventing and treating otitis media with effusion. Research does not support this practice.