Abstract：
:Even with major advancements in medical knowledge and significant improvements in health sciences technology, evidence still exists that blacks do not enjoy as full a measure of health as do other racial and ethnic groups. To attempt a better understanding of this situation, literature was reviewed to consider relationships between being black and issues related to quality of health care. It was determined that these relationships have not been studied to any great extent, either in quantity or quality. When such studies have been undertaken, they have been limited to mostly qualitative designs, and appropriate controls for confounding variables have been minimal. The psychiatric literature reports most of the studies with very few studies found in the literature of other specialties. A conceptual model is presented regarding race-related research. It is argued that a first step might be to study whether the quality of care differs when the physician and the patient are members of different racial groups compared with when the physician and patient are members of the same racial group. In all race-related research, it is necessary to carefully consider specific variables that may confound results, eg, diagnostic errors, age, sex, socioeconomic status, level of education, geographic locale, and method of payment for health-care services.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Weddington WH,Gabel LL,Peet GM,Stewart SOkeywords:
subject
Has Abstractpub_date
1992-07-01 00:00:00pages
569-75issue
7eissn
0027-9684issn
1943-4693journal_volume
84pub_type
杂志文章abstract：:The gastrointestinal tract is the largest lymphoid reservoir of the body and is subject to damage that compromises the cellular and humoral defense mechanism. With the increasing numbers of patients infected with the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), health-care practiti...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1994-05-01 00:00:00
abstract：:Small bowel obstruction, one of the most common causes of acute surgical abdomen in adults, constitutes approximately 20 percent of all cases of acute surgical abdomen. With improper management, strangulation of the bowel may occur and result in an increased probability of mortality. The author reviews the literature ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1981-03-01 00:00:00
abstract：OBJECTIVES:Recurrent abdominal pain (RAP) is a common presenting symptom in children with sickle cell disease (SCD). This may be as a result of complications of the disease, surgical problems, or Helicobacter pylori gastritis. The prevalence of H pylori infection in SCD children is not known. This study aimed to determ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30738-0
更新日期：2010-11-01 00:00:00
abstract：:There are significant health disparities between African Americans and whites in the United States. While colon cancer screening aids in decreasing the morbidity and mortality from colon cancer in African Americans, other health risks may also be identified during gastroenterology consultations. This study evaluated w...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-05-01 00:00:00
abstract：:The title "Doctor" has an interesting and not commonly understood inception, and those entitled to use the accolade Doctor have had an interesting evolution. The title is now used by a plethora of individuals with a variety of skills and levels of achievement. A random survey of the population reveals that the public ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1987-11-01 00:00:00
abstract：BACKGROUND:Compared to whites, African Americans have almost a 2-fold increased risk of first-ever stroke. Our study sought to determine awareness of stroke risk factors and management, symptoms, and risk reduction strategies in African Americans in Mississippi, which is part of the "stroke belt. METHODS:We conducted ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30495-8
更新日期：2010-02-01 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：:Cancer prevention materials such as pamphlets, booklets, and fact sheets play a significant role in reducing cancer disparities. Little is documented in the literature about the cultural sensitivity of materials targeting African Americans. The Cancer Prevention Materials and African Americans project was conducted to...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1998-03-01 00:00:00
abstract：:The links between environmental agents, environmental conditions, and disease and disability among children are receiving increasing attention. Evidence abounds that children are more susceptible than adults to the damaging effects of environmental agents and conditions. This evidence is illuminated by the much-public...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：2005-02-01 00:00:00
abstract：:A retrospective review of 20 cases of testicular neoplasia in cryptorchid patients is presented. These cases serve to emphasize the need for more effective diagnosis and management of the undescended testis. The various clinical presentations, diagnostic modalities, prognostic indicators, and types of management are r...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-09-01 00:00:00
abstract：:This study explores the effects of abuse on the risk-taking behaviors of 2973 black and white adolescent males, 412 of whom were sexually or physically abused. Surveys on mental and physical health, risk-taking behaviors and attitudes, and family living were administered to 9th and 12th graders in an urban midwestern ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-08-01 00:00:00
abstract：:Small-bowel obstruction due to foreign bodies is unusual in adults. Intestinal obstruction is occasionally caused by pits, bezoars, endoscopy capsules, and gastrostomy tube buttons. We report a rare case of distal small-bowel obstruction due to dental impression material. Avoidance of this potentially life-threatening...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)31143-3
更新日期：2009-12-01 00:00:00
abstract：:During 2005, a risk assessment tool based on the Gail model was used to calculate the five-year risk of developing breast cancer for 445 women who live in socioeconomically disadvantaged urban communities in western Pennsylvania and who attended health fairs and other community-sponsored activities. This tool allowed ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：:A retrospective descriptive study of older patients evaluated by the psychiatric emergency service (PES) of a general hospital was implemented. The medical records of all patients aged 65 years and older evaluated by the PES during the 1980 calendar year were reviewed. Seventy-four patients were identified, 38 male an...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1988-07-01 00:00:00
abstract：:The possibility that myocardial ischemia may be associated with chest pain during painful crises was evaluated prospectively in 20 patients (11 women and nine men) with sickle cell disease (19 SS, 1 S beta + thalassemia). Sixteen of 20 (80%) had abnormal ECGs, 7 (35%) had transient ST-T wave changes, and 3 (15%) had p...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1991-03-01 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：:In the past 2 years, cities have reported skyrocketing rates of violence, crime, and abusive behavior including intrafamilial homicides. Of the 1838 homicide deaths last year among teenagers between the ages of 15 and 19, 71% involved the use of a firearm. Among black males in the same age group, 82% of the deaths wer...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1992-06-01 00:00:00
abstract：:Upper gastrointestinal bleeding occurs above the ligament of Treitz as a result of duodenal or gastric ulcers, gastric or esophageal varices caused by cirrhosis of the liver, or Mallory-Weiss syndrome. Bleeding that requires more than three units of blood in 24 hours usually demands operative measures. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1985-11-01 00:00:00
abstract：:Crohn's disease is less prevalent in blacks than in whites. However, when it does occur, it is associated with a high degree of morbidity and is frequently unrecognized at initial presentation. Forty-three patients with Crohn's disease presented to Howard University Hospital between 1965 and 1987. There were 156 hospi...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1990-10-01 00:00:00
abstract：:Advances in heart failure treatment have not necessarily translated into equity in improved outcomes for African Americans. Heart failure in African Americans is characterized by a higher prevalence, especially at younger ages; more-adverse course with more frequent hospitalizations; and higher mortality rates compare...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30257-1
更新日期：2011-02-01 00:00:00
abstract：:Guidelines for pain management in adult sickle cell patients with vaso-occlusive crises suggest prompt, frequent administration of parenteral opioids. Neither the ability to implement these guidelines in a busy urban emergency department nor opioid dose requirements in uncomplicated vaso-occlusive crisis have been pre...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30729-x
更新日期：2010-11-01 00:00:00
abstract：OBJECTIVE:Minority populations have an increased risk for trauma, but little is known about injury rates for minority children. This study compares the causes, rates and outcomes of traumatic injuries between minority and white children in a statewide population sample. METHODS:A cohort study of 5,973 children (age <1...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2005-03-01 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：:A day-long seminar was held at Wake Forest University School of Medicine to address barriers among ethnic minorities in cancer clinical trials and explore ways that individuals who design and conduct clinical trials could increase minority representation. Speakers addressed implications of under-representation of mino...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：2002-01-01 00:00:00
abstract：:Imatinib mesylate (STI 571, Gleevec) is a potent bcr-abl tyrosine kinase inhibitor. It also inhibits c-kit tyrosine kinase. Imatinib mesylate is active in the treatment of cronic myeloid leukemia (CML) and gastrointestinal stromal tumors (GIST). It is considered by some authorities to be the standard of care in newly ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2003-08-01 00:00:00
abstract：:Pulmonary edema is a complex subject. Knowledge of the anatomy of the distal air space is essential to the understanding of the pathophysiology of pulmonary edema.Histological evaluation of experimental pulmonary edema in dogs by Staub et al using the quick freeze method indicates that the edema begins in the intersti...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1977-03-01 00:00:00
abstract：:This article reports the results of clinical testing in pediatric patients of a new contrast agent, gadoteridol injection (ProHance), developed by Squibb Diagnostic as a nonionic gadolinium agent for use in magnetic resonance imaging (MRI). Thirteen children (four girls and nine boys) ranging in age from 10 to 18 year...
journal_title：Journal of the National Medical Association
pub_type： 临床试验,杂志文章
doi：
更新日期：1993-05-01 00:00:00
abstract：:Despite the widespread availability of firearms, stab wounds to the abdomen, back, and flank continue to account for a significant number of injuries. The proper sequencing of diagnostic modalities in this patient group is constantly undergoing change. We report our experience with these injuries and present a new alg...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1991-02-01 00:00:00
abstract：:This study identifies those variables, cognitive and noncognitive, that relate significantly to the successful completion of the combined BA/MD degree program. The study sample included 69 black students who entered at year one, directly from high school, between 1972 and 1981. The Student's t-test identified statisti...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1992-03-01 00:00:00
