Problems in the evaluation of nutritional status in chronic illness.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to H B Houser.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A pilot community-based screening program for gestational diabetes has been in operation in Cleveland, Ohio, since April 1, 1977. A socioeconomic and racially heterogeneous group of pregnant women are being routinely tested at approximately 24-28 wk of gestation by a capillary whole blood glucose determination, 2-h after a 75-g oral challenge. The results of the first 2225 screenings are analyzed in terms of the variables of maternal race, age, and stage of gestation. The overall incidence of positive screenings (greater than or equal to 120 mg/dl) is shown to be 11.5%, with significantly more positive tests among the whites than the nonwhites. Follow-up oral glucose tolerance testing results in an overall detection rate for abnormal carbohydrate metabolism of 3.1%. The data suggest that a 2-h screening procedure is more efficient than a 1-h procedure in that fewer confirmatory glucose tolerance tests need to be performed in order to yield this rate of detection. It may soon be feasible to introduce such a program on a wider community basis in concert with regionalized perinatal care.
Detailed questionnaires concerning alcohol and drug use, sexual practices, and medical history were completed by 301 homosexual men living in the Cleveland metropolitan area. Their sera were subsequently tested for antibodies to the human immunodeficiency virus. Fifty-six (18.6%) were seropositive. In a univariate analysis, age, drug use, and four specific sexual practices were associated with seropositivity. In a multiple logistic regression analysis, intravenous drug use and receptive anal-genital sex remained independent predictors of seropositivity.
Examinations of 427 prisoners at the time of the admission to a large urban county jail showed that more than a quarter were, or had been, users of potentially addictive drugs. Except for their drug problems, the drug users did not present any more of different health problems than the nonusers. The treatment for drug abuse recommended by the examining physicians was, for the most part, not available in the facility. Evidence of continued drug use in the jail by less than 10 per cent of the prisoners was obtained at 4-week and 8-week followup examinations. Detection of drug use by means of questionnaires and urine testing was shown to be feasible among persons admitted to such a jail.