Abstract:
:Marked diversity in policies and practices for discontinuation of the PKU diet in the U.S. was found in a nationwide survey. Seventy-two of the 78 identified clinical centers treating PKU provided data. No clinicians are currently considering diet discontinuation at ages earlier than their present policy or practice. A definite trend toward later discontinuation of diet was identified. A few clinicians have always recommended indefinite diet continuation while many clinics have experience with children ages 9--12 who have discontinued the diet. Clinics with seven or more children off diet in this age range are significantly more likely than smaller clinics to be considering a later age for diet discontinuation. There were 151 children approximately age 10 or older, who remain on a low phenylalanine diet. These children are followed by 29 clinics, but over one-half of them are followed by five clinics which have had long-standing policies of indefinite diet continuation. Factors associated with success in long-term management are a firm clinic policy supporting continued diet treatment; frequent, supportive contacts with the family; open discussion by staff with families and establishment of a trusting relationship; teaching children to accept responsibility for diet management from an early age.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Schuett VE,Gurda RF,Brown ESdoi
10.2105/ajph.70.5.498subject
Has Abstractpub_date
1980-05-01 00:00:00pages
498-503issue
5eissn
0090-0036issn
1541-0048journal_volume
70pub_type
杂志文章abstract::An editorial in a previous issue of this journal falsely claims that the US government's efforts to reduce road fatalities are not based on science. It says that, as a result, the United States has fallen behind other countries in road death prevention. A large body of research and evaluation informed federal and stat...
journal_title:American journal of public health
pub_type: 评论,杂志文章
doi:10.2105/AJPH.2014.302352
更新日期:2014-12-01 00:00:00
abstract::Despite recognition of the importance of posttrial access to antiretroviral therapy (ART), the implementation process has not been studied. We examined whether the National Institutes of Health (NIH) guidance document was being implemented in NIH-funded ART trials conducted in developing countries between July 2005 an...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2008.157982
更新日期:2009-09-01 00:00:00
abstract::Recent theoretical studies suggest that the earth's ozone layer which filters ultraviolet radiation may be depleted by a fleet of supersonic transports or by continued use of chlorofluoromethanes. It is now generally accepted that short wavelength ultraviolet radiation leads to the development of skin cancer. In this ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.5.461
更新日期:1976-05-01 00:00:00
abstract::The World Health Organization's determination of the Ebola virus disease outbreak as a public health event of international concern prompted nonaffected countries to implement measures to prevent, detect, and manage the introduction of the virus in their territories. The outbreak provided an opportunity to assess the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302969
更新日期:2016-02-01 00:00:00
abstract::All locatable subjects (n = 94) for whom tuberculosis prevalence had been determined in an earlier study were tested with purified protein derivative (PPD) and control antigens, sputum sampling, and chest x-rays. Of the 46 who had been tuberculin negative (confirmed with control antigens) 3 years earlier, 2 had develo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.11.1836
更新日期:1994-11-01 00:00:00
abstract:OBJECTIVES:This study examined the contribution of socioeconomic status (SES) to the risk of injury mortality and morbidity among working-age adults. METHODS:The sample consisted of respondents to the National Health Interview Survey (1987-1994), and separate analyses were conducted for injury deaths to respondents by...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.1.70
更新日期:2000-01-01 00:00:00
abstract::This study examines the professional relationships between midwives and physicians providing obstetrical care in Washington State. Four hundred ninety-six randomly sampled family physicians and obstetrician-gynecologists and 211 certified nurse, licensed, and lay midwives were surveyed to learn more about midwife/phys...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.2.262
更新日期:1992-02-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the role of siblings in day care as a determinant of infants' risk of lower respiratory tract infections. METHODS:A total of 3238 children (86%) out of 3754 Oslo, Norway, newborns recruited in 1992/93 were followed for 1 year. RESULTS:In logistic regression analysis,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.10.1456
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVES:This study examined the feasibility of using high-value coupons to induce condom purchase and evaluated execution factors that can influence the effectiveness of this form of promotion. METHODS:Two levels of coupon discount value (10% off and 75% off) were used to promote condom purchase among young adults....
journal_title:American journal of public health
pub_type: 临床试验,杂志文章
doi:10.2105/ajph.89.12.1866
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVES:I examined how sexual minority status, as indicated by sex of sexual partners, is associated with self-rated health and how socioeconomic status suppresses and age and sex moderate this association. METHODS:I used multinomial logistic regression to analyze aggregated data from the 1991 to 2010 General Socia...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301040
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVES:We assessed the effect of public health leadership training on the capacity of public health leaders to perform competencies derived from the list of "Ten Essential Public Health Services" presented in 1994 by the steering committee of the Public Health Functions Project. METHODS:Graduating scholars of the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.7.1245
更新日期:2004-07-01 00:00:00
abstract::We interviewed 290 pregnant women randomly selected from public and private prenatal clinics, 80 per cent of whom were at least five months pregnant (ages 18-43, 42 per cent Latino, 22 per cent Black). Twenty-four women reported physical battering during this pregnancy (44 reported physical battering before the curren...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.10.1337
更新日期:1987-10-01 00:00:00
abstract::In December 2008, the National Institutes of Health (NIH) sponsored the first NIH Summit showcasing its investment and contribution to health disparities research and unveiling a framework for moving this important field forward. The Summit, titled "The Science of Eliminating Health Disparities," drew on extensive exp...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.191619
更新日期:2010-04-01 00:00:00
abstract::This study was designed to evaluate the effectiveness of a large scale program to improve health care for high-risk adolescents. Seven clinics, funded to provide comprehensive primary care to adolescents, were compared to three non-funded clinics. The majority of the 2,788 adolescent patients sampled in these clinics ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.8.999
更新日期:1989-08-01 00:00:00
abstract::A large portion of current epidemiologic research is based on methodologic individualism: the notion that the distribution of health and disease in populations can be explained exclusively in terms of the characteristics of individuals. The present paper discusses the need to include group- or macro-level variables in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.2.216
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVES:We investigated basic measures used to assess collaboration between colocated providers and to gauge the extent to which health centers practice integrated care. METHODS:We used the Assessment of Behavioral Health Services survey and the 2010 Uniform Data System to explore the elements of integrated care fo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302710
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:To inform prevention policy, we estimated the economic benefits to health, production, and leisure in the 2008 Australian population of a realistic target reduction in per capita annual adult alcohol consumption. METHODS:We chose a target of 6.4 liters annually per capita on average. We modeled lifetime hea...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300453
更新日期:2012-07-01 00:00:00
abstract::The evolution of international health has typically been assessed from the standpoint of central institutions (international health organizations, foundations, and development agencies) or of one-way diffusion and influence from developed to developing countries. To deepen understanding of how the international health...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2004.038778
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVES:We sought to learn how employees reacted to changes in the corporate narrative of Philip Morris Companies (PMC) in the late 1990s and early 2000s. METHODS:We analyzed archival internal tobacco industry documents about PMC's creation of a new corporate story. RESULTS:In response to litigation and public opp...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302767
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of a community coalition to prevent severe injuries to children in Central Harlem, New York, NY. It was hypothesized that injury incidence rates would decline during the intervention (1989 through 1991) relative to preintervention years (1983 through 1988); that the dec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.4.580
更新日期:1994-04-01 00:00:00
abstract::The Italian death rates and years of potential life lost (YPLL) for all causes and for 12 selected aggregations of causes are reported for 1979 and 1983, with the latter compared to United States data. Cancer is the leading cause of YPLL in Italy (23.8 per cent of total YPLL), followed by unintentional injuries (16.3 ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.9.1202
更新日期:1988-09-01 00:00:00
abstract::Intensification of polio eradication efforts worldwide raises concerns about costs and benefits for poor countries. A major argument for global funding is the high benefit-cost ratio of eradication; however, financial benefits are greatest for rich countries. By contrast, the greatest costs are borne by poor countries...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.6.922
更新日期:1997-06-01 00:00:00
abstract:OBJECTIVES:Interpreting associations between lead exposure and child behavior problems is difficult because studies have not controlled for sociodemographic confounders or have used shed teeth to mark exposure. This study explored associations between blood lead and preschool behavior. METHODS:Children from a smelter ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.3.481
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVES:We sought to determine whether an elevated burden of chronic kidney disease is found among disadvantaged groups living in the United States, Australia, and Thailand. METHODS:We used data on participants 35 years or older for whom a valid serum creatinine measurement was available from studies in the United ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.116020
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVES:This study determined the effect of provider (nurse or teacher) and training method (workshop or self-preparation) on outcomes of a social influences smoking prevention program. METHODS:One hundred elementary schools were stratified by school risk score (high risk = high smoking rate among senior students) ...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.89.12.1827
更新日期:1999-12-01 00:00:00
abstract::While Job Corps Centers vary in size, location, and administrative structure, they are subject to uniform requirements for health services, established by federal regulation and must make individual decisions about whether to furnish dental care on-site or by some alternative arrangement in the community. Analysis of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.12.1294
更新日期:1980-12-01 00:00:00
abstract:OBJECTIVES:We assessed the effectiveness of an intervention targeting home food and activity environments to reduce energy intake and increase physical activity among overweight and obese patients from 3 community health centers in rural Georgia. METHODS:We conducted a randomized controlled trial (n = 349) from 2011 t...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2015.302942
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Little is known about the organization and performance of outpatient substance abuse treatment (OSAT) centers. We examine several performance measures of OSAT units, including clients treated, services provided, revenue sources, financial performance, and access to care, in relation to ownership of the cente...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.5.711
更新日期:1992-05-01 00:00:00
abstract:BACKGROUND:The importance of injury as a public health problem is not well recognized in many developing countries. Data have recently become available on injury mortality in China. METHOD:We compared Chinese injury data based on a 100 million population segment for 1986 with data for the United States. RESULTS:The a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.5.605
更新日期:1991-05-01 00:00:00
abstract:OBJECTIVES:We examined risk factors for injuries to nursing assistants from assaults by nursing home residents at both the individual and the organizational level. METHODS:We analyzed data from the 2004 National Nursing Assistant Survey that were linked to facility information from the 2004 National Nursing Home Surve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.185421
更新日期:2010-10-01 00:00:00