Cardiovascular disease (CVD) is highly prevalent among Hispanics. Recently, there has been an increase in reported cases of CVD. Finding measures to deal with the prevention and treatment of these diseases are high on the agenda among healthcare providers, community leaders, and local and state legislatures. These issues are being considered by healthcare professionals and community leaders to bring the situation under control and for prevention of these diseases. The issues are investigated on the basis of the cause of the disease and the relationship among various factors unique to the population and the circumstances that are highly prevalent in the population.The prevalence of the metabolic syndrome is highest among Hispanic adults. Actos and other similar drugs are considered thiazolidinedione anti-diabetic agents that depend on the presence of insulin for their mechanism of action [11]. Actos also decreases insulin resistance in the periphery and in the liver resulting in increased insulin-dependent glucose disposal and decreased hepatic glucose output. Treatment methods of the disease using these medications will be discussed using a number of drugs available in the markets and impacts of them on various age groups consist of male patients.
On June 2, 2000, 330 pounds of elemental mercury from a local gold mine was spilled over a 45-kilometer stretch of the region's main road. The affected road represents the only route between towns and receives heavy foot traffic. People from the surrounding towns, believing the mercury to be valuable, gathered and carried mercury using any means available. They took mercury into their homes and in many cases handled mercury extensively, even going so far as to try to clean it. Adults and children of all ages were exposed. Many were hospitalized and chelated; some were not. Levels of exposure and symptoms varied, and many victims did not receive treatment or care as local resources were quickly overwhelmed. This paper outlines an approach to a forensic assessment model for a culturally diverse and challenging population. The literature on the neuropsychological effects of mercury on children and adults will be briefly discussed.Recommendations from the World Health Organization for assessment of neurotoxicity and their implementation in the current project will be reviewed. Two pediatric cases are presented from a medical and neuropsychological perspective. Discussions regarding the effects of the spill on the local educational system and community as a whole will be presented.
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