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Teachers are also remarkably and especially difficult to retain at reservation schools, which creates problems with regularity in the classroom and many administrative difficulties as well. The historical tracing of lineage through maternal lines were changed to follow kinship ties through the father's last name. In some groups, women were the ones who owned the home and property inside. Some of the issues that arise from diabetes are accelerated development of cardiovascular diseases, renal disease, and loss of visual acuity, all of which contribute to excess morbidity and mortality rates. Community-based interventions to modify diet and activity levels to prevent obesity in Native American communities are important steps in addressing obesity in Native American communities at an early age, but many of these programs are either grossly underfunded or do not exist in a capacity in which they are needed. Bradburn James 2 years ago Special. Advancing the Research Agenda.

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