Abstract:
:Paradoxical deterioration during antituberculous therapy is defined as the clinical or radiological worsening of pre-existing tuberculous lesions or the development of new lesions in a patient who initially improves. Although it has frequently been reported for patients infected with human immunodeficiency virus (HIV), it can also be seen in HIV-negative patients. Here, we present a case of miliary tuberculosis in a patient who clinically deteriorates after antituberculous treatment, and discuss this confusing entity under the light of the pertinent literature.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Onal IK,Bayraktar Y,Unal Ssubject
Has Abstractpub_date
2006-06-01 00:00:00pages
954-5issue
6eissn
0027-9684issn
1943-4693journal_volume
98pub_type
杂志文章abstract::This article describes a patient with a large, main pulmonary artery thromboembolus with normal arterial blood gas results, including normal alveolar-arterial oxygen gradient. The diagnosis was established using transesophageal echocardiography and confirmed with pulmonary angiography. The patient subsequently underwe...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND:Pregnant women with sickle cell disease (SCD) are at increased risk of maternal and fetal complications. There are limited data on the outcome of the treatment of VOCs with opioids in relation to neonatal complications during pregnancy. METHODS:This is a retrospective cohort study of women with SCD from Jan...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2017.04.002
更新日期:2018-04-01 00:00:00
abstract::Organizational barriers play a key role in colorectal cancer (CRC) screening disparities in low-income minorities. This is a prospective, randomized trial to determine whether a patient navigator (PN) can help overcome the organizational barriers low-income minorities face in trying to obtain screening colonoscopy. Pa...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0027-9684(15)31240-2
更新日期:2008-03-01 00:00:00
abstract::The authors' experience with selective shunting during carotid endarterectomy utilizing electroencephalographic and stump pressure measurements is reported. No postoperative neurological deficits occurred in this group of selectively shunted patients. EEG appeared to offer no significant benefit in the management of t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1983-06-01 00:00:00
abstract::A higher incidence of hallucinations has been previously reported among blacks, as compared to whites, in both psychiatric and nonpsychiatric populations. In contrast to these reports, which relied on hospital records, the present study utilized standardized research rating scales, and confirmed the above observation ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1981-06-01 00:00:00
abstract::An eight-year-old black male with severe growth and mental retardation presented with massive myxedema, hyponatremia, and hypothermia. History of hypothyroidism was confirmed by laboratory investigation. The hypothyroidism appeared to be secondary to organic pituitary insufficiency due to diffuse brain damage. Appropr...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1980-07-01 00:00:00
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::Endomyocardial fibrosis (EMF), an idiopathic cardiac disorder, occurs predominantly in the tropical and subtropical regions of the world. We present herein a report of EMF in a young man from the savannah belt of Nigeria. He was a 19-year-old young man who presented with recent onset of palpitation and dyspnea and was...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30756-2
更新日期:2010-12-01 00:00:00
abstract::Liposuction (suction-assisted lipectomy) is today an accepted, closed surgical technique utilized by physicians practicing in a number of different specialties. It is a procedure that can be learned and used as an adjunct to a number of open procedures, including rhytidectomy and abdominoplasty.THE TWO PRINCIPAL KEYS ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1987-12-01 00:00:00
abstract:BACKGROUND:The prevalence of skipped hemodialysis or no-show is higher among African Americans, younger Sages, smokers and illicit drug users. The effect of the weekly hemodialysis treatment schedules (Mondays, Wednesdays, Fridays (MWF); or Tuesdays, Thursdays, Saturdays (TTS)] on adherence is unknown. METHODS:Our hem...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31274-8
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Colonoscopy is an effective screening modality for the early detection of colonic polyps and cancer, but screening rates are low particularly among minorities and the uninsured. In 2008, Capital Health obtained a clinical grant from the American Cancer Society to perform screening colonoscopies for patients ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/S0027-9684(15)30024-9
更新日期:2015-06-01 00:00:00
abstract::This article describes a required primary care curriculum for all third and fourth year medical students at the Drew/UCLA Medical Education Program. The curriculum is a supplement to the traditional medical school clinical requirements. Key features of the primary care core curriculum in the third year include a weekl...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
abstract::This study examines whether race is a significant determinant of the diagnoses of acute myocardial infarction or angina pectoris in patients with symptoms suggestive of acute cardiac ischemia. The study population was comprised of 3401 (34%) African-American and 6600 (66%) white patients who presented to emergency dep...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,多中心研究
doi:
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND:While dramatic progress has been made lowering in-hospital mortality for coronary artery bypass graft surgery (CABG), few comprehensive studies have been done that include Caucasian, African-American, Hispanic and Asian-American/Pacific-Islander CABG inpatients and simultaneously evaluate the influence of ge...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-11-01 00:00:00
abstract::This article reports a rare case of primary signet-ring cell carcinoma of the bladder with transitional cell and adenocarcinoma variants and metachronous metastases to the penis and lungs. This combination of lesions has not previously been reported. Together, they portend widespread dissemination and an early demise ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract::We report a case of a Hispanic male presenting with acute onset of bilateral lower extremity weakness, without any antecedent viral or bacterial illness, dietary changes, infiltrative orbitopathy, diffuse goiter, infiltrative dermopathy, and family history of periodic paralysis, who was later found to have Graves' dis...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2002-05-01 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 pilot study was conducted in anticipation of implementation of a larger project to assess human immunodeficiency virus (HIV) risk behaviors among older African Americans. A cross-sectional methodology was employed, including 33 African Americans aged more than 50 years in the metropolitan Washington, DC, area. The a...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30291-1
更新日期:2011-03-01 00:00:00
abstract::The authors established the specificity, reliability, and precision of human erythrocyte insulin radioreceptor assay. On the basis of insulin binding, cell viability, and degree of hemolysis, heparin sodium was found to be a more suitable anticoagulant than sodium fluoride, ethylenediaminetetraacetic acid, sodium oxal...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1983-05-01 00:00:00
abstract::Within 50 years, if current trends continue, 50 million elderly Americans will suffer visual impairment from macular degeneration or cataract. However, available evidence indicates that this impending crisis of visual health can be minimized by a simple, safe, inexpensive, and practical means of prevention. Cataract a...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1992-04-01 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::A rare case of primary melanoma of the cervix is reported. The patient presented with vaginal bleeding and was thought to have a degenerated cervical fibroid. A radical hysterectomy with pelvic node dissection was performed and followed postoperatively with chemotherapy (phenylalanine mustard). The patient died within...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1981-12-01 00:00:00
abstract::Increased QT dispersion (QTd) is a noninvasive marker of an electrophysiologic abnormality associated with high mortality in coronary artery disease. The purposes of this study were to measure changes in QTd and ST-segment changes immediately before, during and after intracoronary balloon inflation and to determine wh...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-08-01 00:00:00
abstract::This study examines gender differences in the aerobic fitness levels of young African-American adults. Two hundred twelve African-American college freshmen (79 men, 133 women) completed the Houston Non-Exercise Test-Body Mass Index Model (HNET-BMI) questionnaire, a questionnaire designed to estimate maximum oxygen con...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:Black women are more likely to have bacterial vaginosis (BV) than are non-Hispanic white women. We examined whether this disparity can be explained by racial differences in known BV risk factors. METHODS:Nine hundred black and 235 white women were enrolled from five US sites. At baseline, structured intervi...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2003-03-01 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::Ten cases of advanced squamous cell carcinoma of the skin in albinos, treated by radiotherapy from 1973 to 1979 at the Muhimbili Medical Center of Dar-es-Salaam, have been reviewed. Age, sex, duration of symptoms, anatomic distribution, stage of disease, and treatment are reviewed. The relationship between albinism, s...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1981-11-01 00:00:00
abstract::Ten children with acute increased intracranial pressure, documented by the Cheek screw technique, were treated for Reye's syndrome, other toxic/metabolic encephalopathies, encephalitis, and traumatic encephalopathies. The rationale for the use of hyperventilation, head position, maintenance of adequate cerebral perfus...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1983-12-01 00:00:00
abstract::Based on information from suggesting effects of positive and negative polarity on cancer cells, surveys were performed on magnetic resonance imaging devices, as well as other types of equipment capable of producing appreciable magnetic fields. These surveys were performed in areas where there was a potential for both ...
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::The purpose of this study was to examine the relationship of early initiation of sex, drug-use, drug-trafficking, and sensation-seeking among urban, African-American adolescents. A longitudinal follow-up of 383 youth ages 9 to 15 years at baseline over four years with serial risk-assessments was used. Sexual experienc...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00