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Biomedical subjects

R Wilson

Publications and source records attributed to R Wilson.

At least 901 records · Page 50Linked to original sources

Incidence and prevalence of end-stage renal disease among Ontario's James Bay Cree.

End-stage renal disease (ESRD) and chronic renal failure (CRF) among Canadian natives is more common than among the general Canadian population. The results of this study show the James Bay Cree in Northern Ontario in 1989 experienced ESRD prevalence rates 3.2 times greater than the national rate. The average annual incidence rates for 1981-1989 were 1.6 times the national rate. Methodological difficulties inherent in incidence and prevalence studies of native Canadians are examined. With tertiary treatment care facilities available only in southern urban centres, native Canadians in remote northern communities face considerable psychosocial disruption when seeking out medical assistance for ESRD such as renal dialysis services.

Canada↗

Death in Anchorage in 1987.

In 1987, 855 persons died in Anchorage, Alaska. Crude death rate was slightly higher than in 1986. Age-adjusted death rate was distinctly higher than in the nation. Proportions of deaths due to cardiovascular disease, cancer, violence, and other categories were about the same as in 1986.

Alaska↗

Tribal differences in diabetes: prevalence among American Indians in New Mexico.

The prevalence of diagnosed diabetes among American Indians in New Mexico with varied genetic and cultural backgrounds is reported. Utilizing community-based registries, the prevalence in persons ages 35 years and older ranged from 9.8 percent among Jicarilla Apache Indians to 28.2 percent among Zuni Indians. All rates were significantly higher than the U.S. rate of 5.3 percent for the same age group. In addition, in three of the five tribal groups examined, the rates of diagnosed diabetes in Indians less than 35 years of age (range from 0.5 percent to 1.3 percent) were significantly higher than the U.S. rate of 0.4 percent for the same age group. The prevalence rates of diagnosed diabetes found in this study of American Indians in New Mexico were intermediate between those for the United States as a whole and the Pima Indians of southern Arizona. Reasons for the variations and the relative contribution of obesity, fitness, or genetic risk in the development of diabetes need further study.

Adult↗

Death in Anchorage in 1986.

In 1986, 886 persons died in Anchorage compared to 863 in 1985. The crude death rate was essentially the same in the two years. When age-adjusted, the 1986 Anchorage death rate was higher than in the nation. From 1985 to 1986, cardiovascular deaths increased, cancer deaths were unchanged, and mortality from violence decreased. However, the rate of violent deaths was still three times the national rate and was especially high among Alaska Natives. Motor vehicle fatalities were distinctly fewer in 1986 but continued to be strongly linked to alcohol consumption. Every twenty-first death was from gunfire. Cocaine directly caused eight deaths.

Alaska↗

Zuni Diabetes Project.

Widespread type II diabetes among North American Indians and certain other populations is a relatively recent medical phenomenon. Increased prevalence of diabetes appears to be related to sudden cultural shifts toward sedentary lifestyle and increased caloric intake. These changes, super-imposed on a genetic predisposition to diabetes, pose a community health threat to the Zuni and similar populations. Regular aerobic exercise is clearly beneficial to most type II diabetics. The key public health issue is how to establish community participation in effective aerobic activity. The Zuni Diabetes Project, fully described here, serves as a model in this respect.

Adult↗

War on Wirral.

Explore the source record for details and available documents.

Humans↗

Venovenous bypass with a membrane lung to support bilateral lung lavage.

Partial venovenous cardiopulmonary bypass with a membrane oxygenator was used to exchange respiratory gases during and after bilateral lung lavage in a patient with severe hypoxemia caused by pulmonary alveolar proteinosis. The patient was unable to tolerate an attempt at lung lavage without bypass. Therefore, extracorporeal perfusion safely supported the patient's respiration for 32 hours, buying time to lavage each lung separately and to enable sufficient recovery of transpulmonary gas exchanging capacity.

Cardiopulmonary Bypass↗

Risk caused by low levels of pollution.

The concept has arisen that pollutants in almost any concentration cause a small risk of death. This arises from a consideration of cancer and contrasts with earlier work where a threshold is assumed.The theoretical and experimental evidence for this concept is reviewed, and some important consequences are drawn for societal decision making.

Air Pollution↗

Death in Anchorage in 1988 and summary of deaths 1985-1988.

In 1988, 832 persons died in Anchorage, Alaska. Twenty-seven percent succumbed each to cardiovascular disease and cancer, 20 percent to violence including alcoholism, and the remaining 26 percent to other disorders. These proportions were about the same as in the four-year period 1985-88. Violence continued to account for more loss of life in Anchorage than nationally.

Adolescent↗