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Biomedical subjects

L J Hebert

Publications and source records attributed to L J Hebert.

3 recordsLinked to original sources

Attacking today's tuberculosis problem: a multifaceted, coordinated effort.

Tuberculosis is making a comeback in communities across the nation. Increased rates of the disease, particularly with those having HIV/AIDS, have sounded the alarm that quick and decisive action is needed to halt the spread of TB. Multidrug-resistant TB is becoming a primary concern with public health officials. Specific plans and efforts, instigated by the Centers for Disease Control, have outlined the appropriate steps local public health workers, the medical community, and civic and community organizations should take in order to eliminate TB by the year 2010. With the creation of the Task Force on Drug Resistant Tuberculosis, Louisiana has a vehicle with which to combat its growing TB problem.

Acquired Immunodeficiency Syndrome

Teen Advocate Program: a unique assessment of case management.

The Teen Advocate Program is a case management demonstration project developed with a block grant from the Maternal and Child Health Section of the Louisiana Department of Health. Family Counseling of East Baton Route Parish, a community-based agency, was contracted to develop outreach services for high risk adolescents. The purpose of the program is to provide structure, advocacy, and coordination, empowering teens to use primary and preventive health care providers. The initial referral base of clients was provided from a clinic of teen mothers and their infants, and an adolescent family planning clinic, both located at the East Baton Rouge Parish Health Unit. This interdisciplinary case management outreach services makes this model unique because it offers an organized, structured preventive health care intervention to teens at high risk of becoming pregnant. Goal attainment scales developed revealed that 96% of the study population improved. Sixty-seven percent have good attendance at clinics. Among the client population of teen mothers, there has only been a 4% repeat pregnancy rate. For the first six months of existence, there were no documented pregnancies among the adolescent seeking contraceptive counseling. The study results confirmed the positive influence of case management in preventing adolescent pregnancy. This model is being expanded to address other high risk adolescent behaviors.

Adolescent

Streptococcal meningitis with an unusual port of entry.

An 18-month-old boy developed meningitis due to group A beta-hemolytic Streptococcus. Despite adequate antibiotic therapy with aqueous sodium penicillin G and chloramphenicol for more than eight weeks, he showed persistent abnormal spinal fluid findings, recurrent elevations of temperature, irritability, and poor feeding. Further investigation revealed a congenital dermal sinus of the nose, with an entry into the anterior fossa that made a small opening intradurally at the level of the cribiform plate. Surgical removal of the entire sinus tract resulted in a speedy and complete recovery.

Ethmoid Bone