Thesis (M.A.)--Eastern Illinois University, 1975. / Includes bibliographical references (leaves 141-146).

Brooks County, home of the busiest immigration checkpoint in the U.S., is in the middle of the biggest human rights crises facing the United States. However, because of the county’s location 70 miles north of the border, it receives no federal funding to deal with the massive wave of immigrant deaths. Eduardo Canales, director of the South Texas Human Rights Center, is waging a lonely battle to curb the escalating number of immigrant deaths and save the county money by convincing members of the community to provide water for people dying of thirst. / text

A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine. / Celiac disease (CD) is an autoimmune gastrointestinal disorder that has been well studied amongst non‐Hispanic white populations. Data specifically describing the disease in the U.S. Hispanic population is limited and available studies that do report prevalence and incidence within this population reveal discrepancies. The aim of this study is to estimate the incidence of CD and to define common presenting symptoms in Hispanics in Phoenix, AZ. Data was collected via a retrospective chart review from Maricopa Integrated Health System (MIHS), an organization caring for a patient population that is >50% Hispanic, between 2004‐2013. The study population is both adult and pediatric patients that had received the ICD‐9 code 579.0. The total number of non‐repeat patients seen at MIHS each year between 2004‐2013 was also determined and broken down by race for incidence calculations. During this 10‐year period, 29 total patients were diagnosed with CD at MIHS. The overall yearly incidence increased from 1 in 44,011 patients in 2004 to 1 in 27,948 in 2013. Of the 29 diagnosed, 52% were Caucasian, 34% Hispanic, 7% Asian and 7% African American. The yearly incidence in Hispanic patients also increased from 0 in 2004 to 1 in 58,302 in 2007 to 1 in 25,826 in 2013. Although diagnosis was greater in females of both races, Hispanic patients were diagnosed at a younger age than Caucasians (22 vs. 31 y/o, respectively). The most common diagnostic approach was serological testing combined with duodenal biopsy. The 3 most common gastrointestinal presenting symptoms in Caucasians were diarrhea, abdominal pain and nausea/vomiting, while those in Hispanics were constipation, bloating/abdominal distention and diarrhea. At the time of diagnosis, at least 1/3rd of both Caucasian and Hispanic patients had presented with another autoimmune disorder. Other associated conditions were neurological symptoms and iron‐deficiency anemia. Data from this study suggests that CD in the Hispanic population may be more common in Phoenix than the overall population in the U.S. as described in the literature. It also suggests that Hispanic patients may have different presenting symptoms than do Caucasians. The reason behind the increase in CD incidence in Hispanics is unclear, although increased physician awareness and diagnosis may play a role. Further research and awareness of CD in the Hispanic population may be necessary to optimize diagnosis & treatment of the condition.

Five folded maps in pocket.

No description available.

Digitized by Kansas Correctional Industries

Typescript (photocopy). / Digitized by Kansas Correctional Industries

Includes geologic map of Northeast Washington County in pocket. / Digitized by Kansas Correctional Industries

Typescript (photocopy). / Digitized by Kansas Correctional Industries

Digitized by Kansas Correctional Industries