Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0018799 (heart disease)
 34,133 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

While it is commonly accepted that homosexuality finds less tolerance in the black community, little or no research has addressed this issue empirically. In the context of an epidemiological investigation of AIDS-related attitudes, 2006 state employees were surveyed to compare the condemnatory orientation of blacks and whites towards homosexuality. One item measured endorsement of a hostile proposition concerning the deleterious impact of AIDS on the homosexual population. Greater relative endorsement was found of the proposition by blacks confirming the hypothesis that less social tolerance of homosexuality exists in the black community. Analyses of gender, educational achievement, religious preference, and marital status revealed that the racial difference in condemnation of homosexuality was derived almost exclusively from a difference in attitude between black and white females. The primary source of this difference may stem from the black female perception that homosexuality exacerbates the developing problem of a decreasing pool of available black males already affected by integration, racially disproportionate incarceration rates, and relatively high rates of premature death among black males from heart disease, cancer, AIDS, substance abuse, and violence.
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PMID:Condemnation of homosexuality in the black community: a gender-specific phenomenon? 176 24

This 5-year follow-up study includes all patients (n = 934; 50% females) treated for self-poisoning in Oslo during 1 year. Seventeen percent were considered suicide attempts upon admission, 25% among the nonabusers and 8% among the abusers. At follow-up, 122 patients were dead (61% males). The mortality rate was highest among the abusers. The mortality rate was similar (13%) among those who were considered to be suicidal on admittance and those who were not. The causes of death were suicide (28%), opiate abuse (16%), heart disease (14%), accidents or wounds (11%), alcoholism (9%) and others (22%). The standard mortality rate was highly increased in all groups (8 times on average), highest among the female opiate abusers, whose rate was 63 times higher than expected. The increased suicide rates (87 times for females, 27 times for males), however, may be a more relevant measure of mental morbidity than the standard mortality rate. Logistic regression analysis demonstrated that male sex, age above 50 years and the lowest social group were factors on admission associated with death in the follow-up period. Age above 50 years and suicidal attempt on admission were associated with subsequent suicide. The study strongly supports the idea of self-destructiveness and slow suicide in substance abuse.
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PMID:Suicide and other causes of death in a five-year follow-up of patients treated for self-poisoning in Oslo. 188 94

The Black community, particularly in major urban settings, is faced with escalating social, economic, and life-style problems, which threaten the life and well-being of current and future generations of Black people in crisis proportion. The rising number of deaths due to heart disease and stroke, homicide and accidents related to substance abuse, AIDS, cancer, and infant mortality are among the leading culprits. They interfere with prospects of longevity, joblessness, poverty, and homelessness and further complicate the crisis. These problems have implications for the practice of nursing. The magnitude of the problems dictate the need for modifications in the health care delivery system and how future practitioners of nursing are educated. The inextricable role of the community, although often underaddressed, in solving its own problems is among the promising strategies for resolving the crisis. Black nurses, in particular, must accept the challenge and the opportunity to test innovative and sensitive interventive strategies which will enable the Black community to emerge from the complex and haunting problems which threaten well-being.
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PMID:Health care crisis in the black community: challenges prospects, and the black nurse. 188 55

Significant mental and physical morbidity occurs among gay and bisexual men because health care providers are often unaware of their actual or potential health concerns. Mental health problems include anxiety, depression, suicide, and both alcohol and substance abuse. Physical health concerns include HIV disease, hepatitis, and other sexually transmitted diseases, as well as an increased risk of heart disease and certain cancers. Health care professionals, who are clinically competent in the care of men who have sex with men, have the opportunity to reduce the risk of disease, while providing unbiased, quality care which recognizes the unique problems of this population of men.
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PMID:Health problems of gay and bisexual men. 1031 26

A 17-year-old female was brought in complaining of severe chest pain and difficulty breathing after being raped in the subway. During the assault, she developed palpitations, followed by dizziness, and ultimately loss of consciousness. Her medical history is significant for multiple surgeries for congenital heart disease. At the time of admission she was on furosemide and digoxin therapy but her compliance was doubtful. Both her parents were afflicted with AIDS. She had expressed suicidal thoughts, was sexually active, rarely used condoms and no other methods of birth control, and was regularly using marijuana. Her cardiac condition was promptly stabilized with cardioversion, but this case illustrates the important aspects of the interaction of biopsychosocial factors and chronic illness in adolescence. Serious sequelae, such as noncompliance with medical regimens, unintended pregnancies, sexually transmitted disease, substance abuse, sexual victimization, and suicide attempts, can result from failure to address such concerns in a timely fashion.
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PMID:Biopsychosocial Aspects of Chronic Illness. 1035 96

Depression is a significant concern in elderly patients. Reported prevalence rates differ greatly depending on the definition of depression and the population of interest, with increases reported in settings where comorbid physical illnesses are more common. In community-dwelling elderly patients, prevalences of depressive symptoms and major depressive disorder are 15% and 1% to 3%, respectively. Factors associated with depression in the elderly include female gender, alcohol and substance abuse, pharmaceuticals, family history, and medical conditions such as stroke, Alzheimer's disease, cancer, and heart disease. Recognition of depression is complex because patients often deny their depression, present with somatic complaints, or may have comorbid anxiety or cognitive impairment. Depression is underrecognized and undertreated in the elderly, despite evidence that the benefits of treatment outweigh potential risks.
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PMID:Epidemiology and diagnosis of depression in late life. 1051 52

A content analysis of women's health problems in network daytime serials is reported. Results indicate a preponderance of such problems as substance abuse, falls resulting in death or injury, comas or unconsciousness, mental health concerns (most notably represented by amnesia and multiple personality), concerns about AIDS, automobile accidents, being drugged, fainting, pregnancy problems, and violent acts resulting in harm. Such concerns as breast and cervical cancer and heart disease are less frequently portrayed.
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PMID:Women's health problems in soap operas: a content analysis. 1089 67

To achieve its national public health goals, the US must improve the health of low-income urban populations. To contribute to this process, this study reviewed published reports of health promotion interventions designed to prevent heart disease, HIV infection, substance abuse, and violence in US cities. The study's objectives were to describe the target populations, settings, and program characteristics of these interventions and to assess the extent to which these programs followed accepted principles for health promotion. Investigators searched five computerized databases and references of selected articles for articles published in peer-reviewed journals between 1980 and 1995. Selected articles listed as a main goal primary prevention of one of four index conditions; were carried out within a US city; included sufficient information to characterize the intervention; and organized at least 25% of its activities within a community setting. In general, programs reached a diverse population of low-income city residents in a variety of settings, employed multiple strategies, and recognized at least some of the principles of effective health promotion. Most programs reported a systematic evaluation. However, many programs did not involve participants in planning, intervene to change underlying social causes, last more than a year, or tailor for the subpopulations they targeted, limiting their potential effectiveness. Few programs addressed the unique characteristics of urban communities.
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PMID:Health promotion in the city: a structured review of the literature on interventions to prevent heart disease, substance abuse, violence and HIV infection in US metropolitan areas, 1980-1995. 1097 17

Adolescence is a time of immense physical and social change. Risk-taking behavior is commonplace and often includes experimentation with various illicit drugs. Toxic ingestions remain a significant medical problem in this population. The major objective of this review is to provide an overview of the more common toxic exposures in adolescents. A framework is presented for understanding some of the factors that result in substance abuse in adolescents. Signs, symptoms and clinical manifestations of commonly abused drugs are presented along with general approaches to management of acute overdose. As the population of adolescents with underlying heart disease continues to grow, it is important for primary care providers to individualize treatment of adolescents with congenital or acquired heart disease. The impact of pre-existing cardiac disease is briefly reviewed.
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PMID:Toxic exposures. 1122 27

Until 1986, the only issues in women's health which received direct attention were those related to childbearing. At that time the National Institutes of Health made inclusion of women in research a criteria for funding. Since then, the knowledge base to guide disease prevention and treatment of women has grown dramatically. Unfortunately, the incorporation of these data into clinical practice has been much slower. The purpose of this needs assessment was to establish a comprehensive data base on which future programming decisions could be based. Areas of interest identified by health care providers included stress reduction, breast health, prevention of heart disease, and osteoporosis. Other topics that emerged were menopause and reproduction issues, cancer prevention, domestic violence, substance abuse, nutrition, and weight control. These data suggest topics for future programming.
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PMID:Health professionals' knowledge of women's health care. 1186 61


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