Mary M. Winnett

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A multistate outbreak of Escherichia coli O157:H7 infections occurred in the United States in June and July 1997. Two concurrent outbreaks were investigated through independent case-control studies in Michigan and Virginia and by subtyping isolates with pulsed-field gel electrophoresis (PFGE). Isolates from 85 persons were indistinguishable by PFGE. Alfalfa(More)
BACKGROUND AND OBJECTIVE This study demonstrates the impact of survey nonresponse bias on conclusions from a mammography trial targeting a disadvantaged population. METHODS The trial randomized 1558 women to three interventions designed to promote repeat mammography: mailed reminder (minimum group); mailed thank-you card, patient newsletters, and reminder(More)
NOT E: This c ase study is based o n two re al-life outb reak inve stigation s underta ken in Michigan and Virginia, in 1997. Some aspects of the original outbreaks and investigations have been altered, however, to assist in meeting the desired teaching objective s and allo w com pletion o f the case stu dy in less th an 3 ho urs. Students should be aware(More)
When providing trauma care, there is a danger that staff might forget what a frightening and confusing experience it can be for the patient, particularly if that patient is a child. As part of an academic exercise in reflection, I recently examined a critical incident involving the trauma care of a 9-year-old boy. In Accident and Emergency (A&E) the doctor(More)
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