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At least 649 records · Page 36Linked to original sources
PubMed1993

Baltimore's public health contributions and today's problems.

The health department's early development and the protective roles of public health roles are described. Qualifications for public health leadership are examined. The diminishing and changing nature of services resulting from continuing federal and state cutbacks are discussed. New public health policy requires major changes in national ideology and politics.

Baltimore↗
PubMed1993

Baltimore fluoridates.

In all the history of human progress, there is no measure for the advancement or protection of the public health more effective at lesser cost than fluoridation of domestic water supplies for the control of tooth decay, the adjustment of the concentration of a substance naturally present in water to a level found to be optimal for dental health. This is the story of its adoption in a city of nearly one million people.

Baltimore↗
PubMed1996

Discovering asymptomatic biochemical abnormalities on a Baltimore internal medicine service.

To assess the frequency of abnormalities that could be discovered through biochemical profile screening on patients admitted to a city hospital internal medicine ward service, we conducted a prospective cross-sectional chart and laboratory review. All unassigned patients admitted to the general medicine service during 1- to 2-month period in late 1993 and the spring of 1994 were eligible. The main outcome measures were frequency of abnormal test results and identification of significance. Admitted patients (N = 222) were evaluated with a 24-panel biochemical profile. Of 5,328 tests, 29% were outside the standard reference range. Of 3,851 tests classified as screening, 1,049 (27%) were outside the reference range. Of overall screening tests, 741 (19%) were judged potentially important by the predetermined criteria. The prevalence did not differ significantly when analyzed by age, race, gender, or history of substance abuse. Our experience indicates that asymptomatic biochemical abnormalities are common in patients admitted to a city hospital medical service and that admission biochemical screening is an effective method of identifying potential comorbidity. Further studies are needed to assess the impact of this approach.

Adolescent↗
PubMed1998

Gender differences in injection-related behaviors among injection drug users in Baltimore, Maryland.

Baseline data from 640 injection drug users in the Stop AIDS for Everyone study, an HIV preventive intervention were used to examine gender differences in self-reports of injection behaviors. In both the bivariate and multivariate analyses men reported injecting alone, in semipublic areas, and at their mother's residence more often than women. In the bivariate analyses, women reported denser personal networks, and in the multivariate analyses, women reported significantly greater overlap between their drug and sex networks. These data suggest that this overlap of sex and drug networks may reduce women drug injectors' ability to adopt and maintain HIV protective behaviors. The data also suggest that interventions need to address gender differences in the social context of risk behaviors.

Adult↗