Abstract：
:This preliminary study explored the roles of knowledge, attitudes, and significant others on decisions of older African-American women to enroll in a clinical trial involving estrogen and osteoporosis. Sixteen older African-American women (average age 75 years) participated in three focus groups. Twelve of the women had enrolled in the clinical trial and four, although eligible, refused to enroll. Discussions revealed that knowledge of osteoporosis and estrogen and expectations of personal rewards and group benefits from medical research appear to differentiate the women who participated in the clinical trial from those who refused. The women who participated also perceived the research institution as accessible. In addition, assuring full disclosure of testing procedures and test results eased their apprehensions about participation. However, the women who refused to enroll saw no personal benefit and were unwilling to expose themselves, in part because of their age, to the risks of taking estrogen and the uncertain outcomes of the clinical trial. The study illustrates how focus groups can be used to develop multiple strategies to enable recruitment of older African-American women with different demographic characteristics, levels of knowledge, and attitudes toward a disease and medical research.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Unson CG,Dunbar N,Curry L,Kenyon L,Prestwood Kkeywords:
subject
Has Abstractpub_date
2001-10-01 00:00:00pages
392-401; discussion 402-4issue
10eissn
0027-9684issn
1943-4693journal_volume
93pub_type
杂志文章abstract：:Pulmonary contusions following blunt trauma often are visible roentgenographically immediately after injury. The case presented illustrates the need for prompt x-ray studies of the chest following blunt injury. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1984-04-01 00:00:00
abstract：:This article reviews diagnosis and management of infants with diabetes. These infants present with signs and symptoms confused with other more common illnesses in this age group. A physician examining an ill-appearing dehydrated infant, without any obvious cause for the dehydration, should quickly screen the urine for...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1991-04-01 00:00:00
abstract：:Posterior reversible encephalopathy syndrome (PRES) in sickle cell patients has been rarely reported previously in the setting of severe crisis or uncontrolled hypertension. Here, we report a rare and unusual case of recurrent PRES in a young adult sickle cell patient without any obvious precipitating factors. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30267-4
更新日期：2011-02-01 00:00:00
abstract：:From 1969 to 1984, 58 patients with a diagnosis of testicular seminoma were seen and treated at the University of Kansas Medical Center. The median age was 34 years (range of 20 to 62 years). The American Joint Committee on Cancer Staging System was followed: stage I (34 patients); stage II (6); stage III (8); and sta...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1990-09-01 00:00:00
abstract：:Clinical and pathological findings in 15 patients with carcinoma of the midthoracic esophagus were analyzed. The author concluded that preoperative radiotherapy reduces tumor size and improves resectability. Longer follow-up is required to determine whether or not preoperative radiotherapy improves survival rates in t...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-02-01 00:00:00
abstract：:Precocious puberty can be very confusing and frightening to an affected child and his or her family. The following presentation includes the pertinent physiology, psychology, etiology, diagnosis, and treatment of precocious pubertal development. Radioimmunoassays for gonadotropins and several key hormones are now avai...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1979-02-01 00:00:00
abstract：PURPOSE:To explore why some African-American smokers choose not to use nicotine replacement therapy (NRT) when attempting smoking cessation. DESIGN AND SETTING:Semistructured audiotaped qualitative telephone interviews. PARTICIPANTS:Thirty-three participants who were enrolled in a five-week cessation program were off...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)31211-6
更新日期：2008-02-01 00:00:00
abstract：:Over 600 Howard University medical alumni of seven representative classes graduating from 1955 to 1975 were surveyed by questionnaire in 1975 and 1976. Replies of the 252 black respondents confirm that these graduates are providing substantial care to blacks, the economically disadvantaged, and residents of the inner ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1982-02-01 00:00:00
abstract：:The goal of this study was to document the health needs of members in the criminal justice system and the capacity of the system to meet those needs. Using data from the National Criminal Justice Treatment Practices survey, we estimated the number of adults under correctional control who need medical care and the capa...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30214-5
更新日期：2012-11-01 00:00:00
abstract：:This study was undertaken to clarify the complex relationship between poverty and race with disease-specific mortality. Data from the 1987 National Health Interview Survey and the 1986 National Mortality Followback Survey were used to estimate standardized mortality ratios (SMRs) for various categories (all causes, al...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：:A total of 128 total joint arthroplasties performed on a predominantly African-American population by a single surgeon between 1987 and 1992 were reviewed. Of these, 66 were total knee replacements and 62 were total hip replacements. Total hip replacement will be presented in Part Two. The African-American patients' a...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
abstract：:Sixteen trauma victims with adult respiratory distress syndrome were retrospectively examined. High injury severity score (mean: 44), massive transfusion requirements, and prolonged ventilator days characterize this group. Persistent intra-abdominal infection accounted for two of three deaths in this series. Most of t...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1991-06-01 00:00:00
abstract：:Obesity is on the rise worldwide. An obesity subtype, metabolically healthy obese (MHO), is resilient to unfavorable metabolic and cardiovascular effects. Factors predicting MHO phenotype are not well characterized. We aimed to identify MHO and metabolically unhealthy obese (MUO) children and adolescents with respect ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2017.02.008
更新日期：2017-10-01 00:00:00
abstract：:A 31-year-old black man presented with bilateral multiple renal papillary adenocarcinomas. The patient had been maintained on captopril therapy for severe hypertension for three years. The possibility of drug-induced malignancy is discussed. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1984-11-01 00:00:00
abstract：:Sickle cell disease (SCD) is characterized by significant morbidity and early mortality. Children with this hemoglobinopathy exhibit many of the manifestations associated with immunodeficiency disorders. Serum was obtained from 56 healthy SCD subjects and 45 normal healthy controls. Type 2 cytokines interleukin (IL)-4...
journal_title：Journal of the National Medical Association
pub_type： 临床试验,杂志文章
doi：
更新日期：1997-11-01 00:00:00
abstract：BACKGROUND/PURPOSE:With the urgency to create more equitable health care, increased research and early exposure to health interventions and clinical medicine are imperative. Health disparities continue to persist nationwide, particularly in underserved areas and among traditionally disadvantaged populations. In additio...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2019.12.003
更新日期：2020-02-01 00:00:00
abstract：:All patients presenting with ocular trauma to the emergency room of a large inner-city hospital during a 2-month period were prospectively examined and interviewed. Of 3,627 trauma visits, ocular trauma accounted for 126 (3%). There were 514 trauma admissions; 26 (5%) of these were for ocular trauma. Bilateral injurie...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1991-08-01 00:00:00
abstract：:Detection of intra-abdominal abscesses by computed tomography (CT) has an estimated accuracy rate of greater than 90 percent. Features helpful in detecting these abscesses include extraluminal gas, the "rind" sign, airfluid interface, and low and high density areas. The author presents three cases to illustrate the us...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1985-08-01 00:00:00
abstract：:Presented here is an unusual case of extrinsic biliary obstruction due to a mass caused by xanthogranulomatous pyelonephritis, in itself a rare disease, of the right kidney. This phenomenon has not been described previously in the literature, and it should be brought to the attention of practitioners as another possib...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1982-06-01 00:00:00
abstract：BACKGROUND:Although several studies have outlined the need for and benefits of diversity in academia, the number of underrepresented minority (URM) faculty in academic health centers remains low, and minority faculty are primarily concentrated at the rank of assistant professor. In order to increase the diversity of th...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-09-01 00:00:00
abstract：PURPOSE:The purpose of this study was to explore the experiences of medical students who are underrepresented in medicine (UIM) from two urban medical centers with an interest in pursuing academic pediatrics. METHODS:Focus groups were conducted at Children's National Hospital (CN) at three different times with UIM med...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2020.07.014
更新日期：2020-08-05 00:00:00
abstract：OBJECTIVES:This exploratory study uses nationally representative data to evaluate the extent to which ambulatory care for work-related conditions varies by patients' race and ethnicity. METHODS:Using the National Ambulatory Medical Care Survey (NAMCS) for 1997 and 1998, we describe medical care for work-related condit...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2005-04-01 00:00:00
abstract：:A case of pancreatitis that occurred as a complication of a vaso-occlusive crisis in a child with sickle cell anemia is reported. We encourage others to consider pancreatitis as a cause for abdominal pain in children with multisystem diseases, particularly those that may cause ischemic organ injury such as sickle cell...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：:This study examined the clinical characteristics and outcome of pulmonary tuberculosis in African Americans hospitalized in a teaching hospital in south-central Los Angeles from May 1992 through April 1994. The charts of 41 African Americans with culture-positive Mycobacterium tuberculosis were reviewed. Predisposing ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1998-02-01 00:00:00
abstract：:This report describes a case of tuberculosis with an atypical presentation characterized by epididymitis and Addison's disease in the absence of lung involvement. A 54-year-old male who presented with acute right scrotal pain and a whitish discharge, had been diagnosed four months earlier with acute epididymitis and p...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：AIMS OF THE STUDY:Type-2 diabetic patients have excessive cardiovascular mortality, primarily related to diabetic nephropathy. The extent of the morbidity due to nephropathy in type-2 diabetes mellitus has not been fully quantified in Nigeria. This study aims to quantify the prevalence of micro- and macrovascular compl...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2003-11-01 00:00:00
abstract：:Colorectal cancer causes significant morbidity and mortality in the United States. African Americans are disproportionately affected by this malignancy. There is evidence to suggest that resident physicians inconsistently screen for colorectal cancer in African Americans, perhaps because of a deficiency in knowledge a...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-09-01 00:00:00
abstract：:Relatively high serum albumin levels compared to low levels have been associated with reduced cardiovascular mortality and coronary heart disease and stroke incidence. The nature of these associations remains undefined. Therefore, widely accepted criteria of Bradford Hill were used to assess the likelihood that the as...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：2000-01-01 00:00:00
abstract：:In 1994, it was estimated that about 44,500 American women would die from breast cancer and 7000 women from cervical cancer. While early detection methods (screening mammography, breast examinations, and pap smears) have proven to be effective means of decreasing these cancers, they are underused by all groups. In par...
journal_title：Journal of the National Medical Association
pub_type： 临床试验,杂志文章
doi：
更新日期：1996-06-01 00:00:00
abstract：:Radiation therapy has been used for the management of breast cancer for many years. Traditionally, it has been an adjunct to the radical mastectomy, but in recent decades major centers have initiated studies replacing the mastectomy with a more limited surgical procedure and, at the same time, have increased the irrad...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1987-05-01 00:00:00
