Learn More
BACKGROUND Fluoroquinolones are widely used to treat routine bacterial infections, but they are also potential first-line antituberculosis agents. Empirical fluoroquinolone therapy can delay the diagnosis of tuberculosis and cause resistance in Mycobacterium tuberculosis. Rates of fluoroquinolone exposure before tuberculosis diagnosis and the impact of(More)
BACKGROUND In June 2007, the Tennessee Department of Health notified the Centers for Disease Control and Prevention of four multidrug-resistant tuberculosis (MDR TB) cases in individuals of Guatemalan descent, and requested onsite epidemiologic assistance to investigate this outbreak. METHODS A case was defined as either culture-confirmed MDR TB with a(More)
BACKGROUND Implementing physical activity (PA) within academic curricula increases energy expenditure and enhances academic achievement in elementary students. The purposes of the study were to determine the extent teachers met the 20-minute PA policy, identify how teachers met the policy, and measure the level of intensity of PA provided. METHODS Four(More)
Ten years ago in THE JOURNAL, I-1 presented evidence that cervical discography was without diagnostic value and was prompting overdiagnosis and serving as an excuse for unnecessary surgical treatment. Evidence has accumulated to uphold this view, and, in my opinion, unless some modification of method and interpretation of the test is forthcoming, it should(More)