17 results match your criteria American Journal Of Medicine[Journal]

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Fasting insulin levels as a measure of insulin resistance in American blacks.

J Med 2003 ;34(1-6):31-8

Department of Pathology and Laboratory Medicine, New Jersey Medical School, Newark, New Jersey, USA.

Insulin resistance is a common finding in diabetes mellitus, and may serve as a measure of efficacy of therapies for diabetes mellitus: exercise, exogenous insulin, sulfonylureas, and PPAR gamma agonists, and as a possible marker for risk for developing type II diabetes mellitus. The purpose of our study was to compare one measure of insulin resistance, the QUICKI method, which is a calculation of the inverse of the sum of the log of fasting serum glucose plus the log of fasting insulin level, with the observational measure of fasting serum insulin levels. We studied 79 African-American and Caribbean Black patients in an inner-city hospital-based internal medicine practice, 37 of them with type 2 diabetes mellitus and 42 controls. Read More

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September 2007

Cardiovascular diseases: a review of the Hispanic perspective. Awareness is the first step to action.

J Med 2002 ;33(1-4):227-45

University of Pittsburgh Medical Center, Cardiovascular Institute, Pittsburgh, PA 15213, USA.

Coronary heart disease is the leading cause of death in adults in the United States, accounting for about one-third of all deaths in subjects over age 35 (Thom et al., 1998). Mortality rates for cardiovascular disease and coronary heart disease in men and women and in blacks and whites have fallen in most countries by 24 to 28 percent since 1975, although the decline has slowed since 1990 (Kuulasmaa et al. Read More

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October 2003

Effects of niacin-bound chromium and grape seed proanthocyanidin extract on the lipid profile of hypercholesterolemic subjects: a pilot study.

J Med 2000 ;31(5-6):227-46

Department of Physiology, Georgetown University Medical Center, Washington, DC 20007, USA.

Hypercholesterolemia, a significant cardiovascular risk factor, is prevalent in the American population. Many drugs lower circulating cholesterol levels, but they are not infrequently associated with severe side effects. Accordingly, natural means to lower cholesterol levels safely would be welcomed. Read More

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November 2001

Increased levels of serum hepatocyte growth factor in patients with end-stage renal disease.

J Med 2000 ;31(3-4):131-41

Department of Medicine, State University of New York at Buffalo, 14215, USA.

Blood levels of hepatocyte growth factor (HGF) have been found to be elevated in patients with chronic renal failure. The cause of the increase in this mitogen is unclear. We determined serum HGF levels in 34 patients on maintenance dialysis and ten healthy volunteers. Read More

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Helicobacter pylori eradication with lansoprazole, amoxycillin and clarithromycin: testing an ideal regimen in a multicultural south east Asian population and examining factors potentially influencing eradication.

Authors:
S P Kaushik C Vu

Aust N Z J Med 2000 Apr;30(2):231-5

Gastroenterology Department, Royal Perth Hospital, WA.

Background: From European and North American data, it is recommended in the Asia Pacific consensus statement, that one week therapy with a proton pump inhibitor, amoxycillin and clarithromycin be used for Helicobacter pylori eradication, in areas of high metronidazole resistance. The efficacy of this regimen is unknown in Singapore.

Aim: To assess the efficacy, safety and compliance of an H. Read More

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Hepatitis C genotypes in Australian haemophilia patients.

Aust N Z J Med 1996 Dec;26(6):789-92

Haemophilia Centre, Royal Perth Hospital, WA.

Background: Differences in the hepatitis C virus (HCV) genotype influence the severity of HCV related liver disease and response to interferon therapy. HCV infection is frequent in Australian haemophilia patients who have been exposed repeatedly to multiple HCV genotypes through non HCV virally inactivated clotting factor concentrates. The distribution of the various HCV genotypes in Australian haemophilia patients is unknown. Read More

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December 1996

Breast cancer in the inner city: intensive efforts may be succeeding.

J Med 1996 ;27(3-4):135-51

Department of Surgery, UMDNJ-New Jersey Medical School 07052, USA.

Breast cancer is a significant problem in a 518 bed government supported university hospital in New Jersey's largest city. The following records were reviewed: tumor registry abstracts of the 367 analytic breast cancer patients admitted from 1/1/91 to 12/31/92; the 455 participants in the Breast Cancer Detection Awareness Program (BCDAP) from 1987 to 1992; and the 460 breast biopsies performed from 1990 to 1992. Breast cancer is less common at this inner city hospital than in the U. Read More

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Klippel-Trenaunay-type syndrome: an eponym for various expressions of the same entity.

J Med 1995 ;26(5-6):253-60

Division Plastic and Reconstructive Surgery, American University of Beirut-Medical Center, Beirut, Lebanon.

Klippel-Trenaunay (KT) or as it is also called Klippel-Trenaunay-Weber (KTW) syndrome is a rare congenital phacomatosis of uncertain aetiology and variable expression. The classical syndrome is a triad of congenital mesodermal abnormalities characterized by cutaneous angiomatous nevus commonly called port-wine stain, venous varicosities and hypertrophy of soft tissue and/or overgrowth of bone of one or more limbs. Clinically, a diversity of phenotypes with subjacent malformations may be encountered all having in common abnormalities of the mesoblastic sheets that include angioblastic, lymphoblastic and osteoblastic lineages. Read More

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December 1996

Prevention and treatment of osteoporosis. One of the most frequent disorders in American women: a review.

J Med 1992 ;23(6):369-88

State University of New York, Department of Internal Medicine, Buffalo.

This review summarizes basic pathophysiology, epidemiology, classification and theories on the etiology of osteoporoses. Diagnostic, preventative and therapeutic aspects are discussed including the use of hormones and hormone analogues (estrogen, progestins, calcitonins, anabolic steroids), calcium, fluoride, bisphosphonates, vitamins D and their metabolites and the recently proposed "coherence therapy". Reference is made to new compounds under study including imidazoquinazolinones, methylxanthines and benzothiophenes. Read More

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Graduate medical education into the 1990's. A call for debate.

J Med 1989 ;20(1):51-64

Sidney Hillman Medical Center, Philadelphia, PA.

The authors have reviewed the present system of graduate medical education, including independent, affiliated, and integrated residency training programs. Advantages and disadvantages are considered in light of recent changes in health-care delivery systems. Structure, historical development, present status, and limitations of the programs are discussed. Read More

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Juvenile rheumatoid arthritis in Auckland: a long term follow-up study with particular reference to uveitis.

Authors:
N W McGill P J Gow

Aust N Z J Med 1987 Jun;17(3):305-8

Advanced Trainee in Rheumatology, Rachel Forster Hospital, NSW.

Although features of juvenile rheumatoid arthritis (JRA) have been well described in British, American, and to a lesser extent Australian communities we can find no previous study of the clinical characteristics of this disease in a New Zealand population or indeed in any population containing Polynesians. In a follow-up study of 55 Auckland residents with juvenile rheumatoid arthritis, current information was obtained for 78% of the study group with a mean interval from disease onset to follow up of 9.3 years. Read More

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Lupoid thrombocytopenia.

Aust N Z J Med 1987 Jun;17(3):295-300

Dept of Medicine, Monash University, Alfred Hospital, Vic.

Lupoid thrombocytopenia is herein defined as a disorder in which patients with thrombocytopenia have a positive Hep 2 antinuclear antibody. Although these patients may have other clinical or laboratory findings consistent with systemic lupus erythematosus, they do not satisfy the revised diagnostic criteria set down by the American Rheumatism Association (1982). In all other respects they have similar findings to patients with idiopathic thrombocytopenic purpura. Read More

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Inflammatory bowel disease in Auckland, New Zealand.

Aust N Z J Med 1982 Apr;12(2):125-31

Four-hundred-and-fifty-six patients with ulcerative colitis (UC) and 137 patients with Crohn's disease (CD) attended public hospitals within Auckland between 1969 and 1978. Polynesians comprised 15% of the population at risk but accounted for only 0.4% of UC cases and no CD cases. Read More

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Progressive systemic sclerosis in Auckland: a ten year review with emphasis on prognostic features.

Aust N Z J Med 1981 Dec;11(6):657-62

The clinical records of all patients with scleroderma or Raynaud's phenomenon who attended hospitals or specialist practice in Auckland during the ten year period of 1970--79 were examined. Forty-seven patients were found to satisfy the American Rheumatism Association criteria for progressive systemic sclerosis (PSS). Thirteen of these patients had CRST features which comprise calcinosis, Raynaud's phenomenon, sclerodactyly and telangiectasiae. Read More

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December 1981

The maximal expiratory flow/volume curve in 197 healthy New Zealanders: a comparison with recent American standards.

Aust N Z J Med 1981 Oct;11(5):517-21

Maximal expiratory flow/volume curves were recorded from 155 healthy, non-smoking Europeans aged seven to 71 yr and 42 Polynesian children aged nine to 11 yr. Forced vital capacity (FVC), forced expiratory volume in 1s (FEV1), FEV1/FVC, peak expiratory flow (PEF) and flow at 50 and 25% of FVC (V50 and V25) were compared with the predictions made from the equations of Schoenberg, Beck and Bouhuys, describing healthy people in Connecticut, USA. In general the equations described our subjects well; the small but significant discrepancies may reflect either technical factors or possibly a true difference in populations. Read More

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October 1981

Use of the FAB criteria for the diagnosis of acute erythroleukaemia (AEL).

Aust N Z J Med 1981 Feb;11(1):1-7

The criteria proposed by the French-American-British (FAB) Group for the diagnosis of acute erythroleukaemia (AEL), including the requirement for greater than or equal 30% marrow myeloblasts, were used in a review of patients with erythroleukaemia. Ten patients with AEL were identified, and a further twelve patients with marrows suggestive of AEL but having less than 30% myeloblasts were classified as having refractory anaemia with excess of blasts (RAEB). The AEL patients had a poor prognosis, poor response to chemotherapy, and none showed evolution to myeloblastic or monoblastic leukaemia. Read More

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February 1981

The effect of westernization on native populations. Studies on a Micronesian community with a high diabetes prevalence.

Aust N Z J Med 1978 Apr;8(2):141-6

A diabetes prevalence study in 1975 on an isolated urbanized Central Pacific island (Nauru) showed rates comparable to the American Pima Indians--the highest yet recorded in the world literature. This paper reports the results of a follow-up study and the high prevalence has been confirmed. In this survey of 417 people aged ten years and over, 9. Read More

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