Abstract：
:We prospectively studied the evolution of HBsAg antibody (HBsAb) after primary vaccination (four doses; Engerix B, 40 pg i.m at 0, one, two and six months) in 29 patients who were seronegative (HBsAb <10 IU/L), had not been previously vaccinated and were on hemodialysis. Their mean age was 45.58 +/- 10.98 years, and the hemodialysis duration ranged from 1-21 years. In addition, we assessed dialysis adequacy for all cases on four different occasions beside the estimation of predialysis serum albumin, serum ferritin, C-reactive protein (CRP), transferrin saturation ratio (TSAT), body mass index (BMI) and subjective global assessment (SGA). We measured anti-HBs titer eight weeks after the fourth dose. Our results showed that two patients (6.90%) were nonresponders (HBsAb <10 IU/L) after the completion of vaccination. One patient (3.45%) was a weak responder (10-100 IU/L). Strikingly, 26 patients (89.65%) showed good antibody response (>100 IU/L). HBsAb titers showed no significant correlation with age, duration of HD therapy, serum albumin, CRP, TSAT level, BMI or SGA scores (p > 0.05). Responders to primary vaccination had significantly higher levels of urea reduction ratio (%) and Kt/V compared to nonresponders (63.61 +/- 6.97% and 1.25 +/- 0.15 vs. 52.0 +/- 2.10% and 0.92 +/- 0.13, respectively, P < 0.05). In conclusion, this was a preliminary study showing a very high response to hepatitis-B vaccination among hemodialysis patients that neither correlated with age, systemic inflammation nor nutritional status. Efficient hemodialysis was associated with good response to hepatitis-B vaccine.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Ibrahim S,el-Din S,Bazzal Isubject
Has Abstractpub_date
2006-12-01 00:00:00pages
1953-7issue
12eissn
0027-9684issn
1943-4693journal_volume
98pub_type
临床试验,杂志文章abstract：OBJECTIVE:To examine factors within the patient-provider relationship that influence which role African American men aged 40-70 years prefer when making health care decisions. METHODS:We recruited 40 African American men from barbershops in the Richmond, Virginia, metropolitan area to participate in semistructured int...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30176-0
更新日期：2012-07-01 00:00:00
abstract：PURPOSE:To report a case of a patient with mixed mechanism glaucoma and a clear lens who was successfully surgically treated with combination cataract extraction, goniosynechiolysis and the Hydrus stent. OBSERVATION:A 59-year-old Afro-Latino woman with a history of mixed mechanism glaucoma. She was taking latanoprost ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2020.04.003
更新日期：2020-08-01 00:00:00
abstract：:Racial disparities in quality of health are major issues affecting healthcare delivery. While substantial studies have been done in adults with end-stage renal disease (ESRD), similar studies are lacking in pediatric patients with ESRD. We retrospectively analyzed our transplant database from 1978-2002 to identify rac...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-02-01 00:00:00
abstract：OBJECTIVE:To determine if a patient's degree of access to healthcare predicts his or her fund of knowledge about cardiovascular diseases. METHODS:Trained research associates at a public, urban emergency department in New York City administered cross-sectional surveys to selected patients from June 2005 to January 2007...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVE:Myelodysplastic syndrome (MDS) is recognized as a preleukemic disorder with a variable risk of transformation to acute myeloid leukemia. Usually the blast cells in leukemia are transformed after MDS displays a myeloid phenotype. Lymphoid progression had been reported as myeloid-lymphoid hybrid or early B phen...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30887-7
更新日期：2009-04-01 00:00:00
abstract：BACKGROUND:African Americans experience high rates of obesity and other chronic diseases, which may be related, in part, to diet. However, little is known about dietary patterns in this population, particularly from population-based data sources. METHODS:A cross-sectional analysis was conducted of 2,172 African-Americ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2004-12-01 00:00:00
abstract：:The purpose of this study was to identify attitudes associated with the willingness of African Americans to participate in prostate cancer screening. Subjects > or = 40 years were recruited from South Central Los Angeles. Fifty-six respondents were divided into low or middle socioeconomic groups based on education and...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：:This report describes the treatment of a Viet Nam veteran with an α(2)-adrenergic agonist (clonidine) for hypertension which had an additional beneficial effect of allowing withdrawal in ten days from 20 mg of methadone a day with minimal withdrawal symptoms. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1983-01-01 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：PURPOSE:The purpose of this qualitative study was to explore the causes and management of blindness and blinding eye conditions as perceived by rural dwellers of two Yoruba communities in Oyo State, Nigeria. METHODS:Four focus group discussions were conducted among residents of Iddo and Isale Oyo, two rural Yoruba com...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-06-01 00:00:00
abstract：:Arsine gas exposure is a rare occupational event and can be completely prevented with the use of appropriate protective gear. Exposure often occurs when arsine gas is generated while arsenic-containing crude ores or metals are treated with acid. Cases of toxicity require an index of suspicion and a good history. In pa...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：2006-12-01 00:00:00
abstract：:Victims of domestic violence appeal to the health care system through emergency room visits for injuries related to violent episodes or for proxy care for other complaints. Screening for persons who are at high risk for violence or who are victims of violence has not been performed in emergency rooms when patients pre...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2002-06-01 00:00:00
abstract：:To minimize the incidence of postoperative infections in patients undergoing open-heart surgery, antibiotics should maintain tissue concentrations greater than the minimal inhibitory concentration (MIC) for potential pathogens (eg, Staphylococcus) for the duration of the operation. The ability of cefonicid, a new β-la...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1983-11-01 00:00:00
abstract：:Renal medullary carcinoma (RMC) is a rare but highly aggressive neoplasm that primarily affects young African Americans with sickle cell trait. Most patients present with macroscopic hematuria and have metastases at diagnosis. Chemotherapy, biologics directed against the more common renal cell carcinomas and radiation...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2016.08.006
更新日期：2017-04-01 00:00:00
abstract：:This article compares the sexual practices and risk-taking behaviors of African-American male and female college students (n = 649) attending 4-year institutions in a major southeastern metropolitan area. It is a descriptive study of the kinds of practices that put African-American college students at a high risk of c...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1997-06-01 00:00:00
abstract：OBJECTIVES:To examine the sexually transmitted infection (STI) and HIV testing practices of primary care providers (PCPs) practicing in predominantly Hispanic communities. METHODS:This is a cross-sectional study. PCPs were identified by matching ZIP codes of physician directories with ZIP codes of Los Angeles County a...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-03-01 00:00:00
abstract：BACKGROUND:Accidental traumatic injury is the number 1 cause of morbidity and mortality in the pediatric population. In this study, we aim to prove that certain pediatric patients can be treated with good outcomes at an adult level 1 trauma center. METHODS:Retrospective analysis using the Howard University Hospital tr...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30654-4
更新日期：2010-08-01 00:00:00
abstract：:This study investigates parameters related to calcium and bone metabolism by determining the concentrations of total calcium, 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D, parathyroid hormone, and phosphorous in young pregnant women. The patient population was 30 pregnant Nigerian teenage women grouped by trimester (1...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1997-12-01 00:00:00
abstract：:Seventy-eight patients with mediastinal abnormalities were imaged with magnetic resonance imaging (MRI) to evaluate mediastinal masses and associated lung, pleural, or chest wall disease. Magnetic resonance images were compared with computed tomography (CT) scans, which were available in 45 patients. While MRI and CT ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1991-11-01 00:00:00
abstract：OBJECTIVE:The purpose of this cross-sectional study was to examine the association between elevated depressive symptoms and the clinical severity of sickle cell disease (SCD) using African-American adults with and without SCD. STUDY DESIGN:The population consisted of 102 African-American adults with SCD, diagnosed usi...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-03-01 00:00:00
abstract：:The author presents a four-year follow-up of a male patient with cancer of the breast. The lesion was large, fungating, and ulcerating. It was treated effectively with cobalt without mastectomy. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1987-08-01 00:00:00
abstract：INTRODUCTION:Black individuals continue to be underrepresented in clinical trials despite efforts by the National Institutes of Health and the Federal Drug Administration to increase their enrollment. Health care providers play a critical role in the recruitment of patients into clinical trials, as they have establishe...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2018.07.004
更新日期：2019-04-01 00:00:00
abstract：PURPOSE:To assess the prevalence of depressive symptoms and examine the contribution of demographics, disease severity, and health care use variables to depressive symptoms in sickle cell patients who had been in stable health for at least one month. PATIENTS AND METHODS:Subjects were a convenience sample of 27 men an...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
abstract：OBJECTIVE:To determine if differences in health-related behaviors (diet and physical activity) exist in African American college women based on body mass index (BMI) risk categories. METHODS:One hundred eighty-six African American women (age, 19.5 +/- 2.5 y) in college were surveyed using the modified National College...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30236-4
更新日期：2011-01-01 00:00:00
abstract：:At the St. Francis Medical Center during the 20-year period 1960-1980, there were 1,148 primary breast cancers with a 7.1 percent incidence of synchronous and metachronous invasive primary breast cancer. Twenty-one cases (1.8 percent of the total series) illustrate noninvasive cancer of the breast. The essential appro...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1986-11-01 00:00:00
abstract：:Trichinosis is world-wide in distribution, occurring in tropical, temperate, and polar regions. Although incidence of the disease appears to be declining in most regions, it is still widely distributed in Europe and is increasing in many parts of Africa. In recent years, the incidence of trichinosis in the United Stat...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1983-06-01 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：:The incidence of ADHD appears to be similar in African Americans and white populations. However, fewer African-American than white children are diagnosed and treated for ADHD. Reasons for this disparity have not been fully elucidated; causes are most likely complex. Whereas certain barriers to treatment are driven by ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2005-10-01 00:00:00
abstract：:The objective of this study was to define the demographic, immunologic, and clinical characteristics of children with acquired immunodeficiency syndrome (AIDS) and AIDS nephropathy, and contrast this with the existing adult data. Data from 62 pediatric patients with AIDS who were treated at SUNY Health Science Center,...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1996-08-01 00:00:00
abstract：:An analysis of the articles published in 1992 in the Journal of the National Medical Association (JNMA) was performed to assess the content, statistical analysis, and the profile of its contributors. Seventy-six articles were reviewed. The majority of the articles focused on biomedical aspects of health; however, a si...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1994-06-01 00:00:00
