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 whether there is a disparity in the prevalence of hypertension and hypertension management in African Americans compared to whites who are referred for colon cancer screening consultations. The medical records of 258 patients (90 African Americans and 168 whites) were reviewed. Seventy-two of 90 (80%) African-American patients and 42 of 168 (25%) white patients had hypertension. There was a statistically significant difference (p < 0.005) in the rate of hypertension in African Americans compared to whites. Medications were prescribed by their referring physicians for 42 (58%) of the hypertensive African Americans, with 36 noted to have inadequately controlled blood pressure. Thirty (42%) of the hypertensive African-American patients were never prescribed blood pressure medications. Medications were prescribed by their referring physician for 36 (86%) of the hypertensive white patients, with six noted to have inadequately controlled blood pressure. Six (14%) of the hypertensive white patients were never prescribed blood pressure medications. There was a statistically significant difference in the rate of blood pressure control (p = 0.007) between African-American and white patients who were referred for colon cancer screening. Increased efforts are necessary to identify critical health concerns of all patients and to decrease health disparities between African Americans and whites in the United States.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Friedman M,Borum MLsubject
Has Abstractpub_date
2007-05-01 00:00:00pages
525-6issue
5eissn
0027-9684issn
1943-4693journal_volume
99pub_type
杂志文章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：:The rare association of protease inhibitor deficiency (Pi(zz) genotype) in a black American with chronic, obstructive pulmonary disease due to asthmatic bronchitis, rather than basal pan lobular emphysema, is presented. The late onset of symptoms, despite environmental exposures, is also unusual in this homozygote, as...
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：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：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：: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：:Sickle cell disease (SCD) is a hematological disorder that is manifested primarily by severe pain and chronic organ damage. Little normative data exists on what the usual healthcare utilization is of a population of SCD patients, especially adults. Our study analyzed the office, emergency department (ED) and hospital ...
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：BACKGROUND:Racial and ethnic minorities are underrepresented in the health professions. Affirmative action and educational pipeline programs play a vital role in increasing the diversity of health professions, addressing educational opportunity gaps, and reducing health disparities. Part 1 of this 2-part series discuss...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：10.1016/s0027-9684(15)31030-0
更新日期：2009-09-01 00:00:00
abstract：:Racial disparities in several facets of healthcare have been widely documented, showing that African Americans face disproportionately high health risks when compared to whites. With respect to hypertension, 40% of the > or = 36 million African Americans are affected. We examined the correlation between the patient-ph...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-11-01 00:00:00
abstract：:This review provides a fresh perspective on the work of J. Marion Sims, an Antebellum era physician who invented the vaginally speculum that bears his name. His accent to become the "Father of Modern Gynecology" was his groundbreaking development of the surgical techniques for the repair for vesicovaginal fistula. Rec...
journal_title：Journal of the National Medical Association
pub_type： 传,历史文章,杂志文章,评审
doi：10.1016/j.jnma.2019.02.002
更新日期：2019-08-01 00:00:00
abstract：:A left testicular mass was found in a 34-year-old black man with a history of multisystem sarcoidosis of 7½ years duration. Microscopic examination of the excised testicle revealed noncaseating granulomas throughout, as well as a few such lesions in the epididymis. This is the seventh reported, microscopically proven ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1986-01-01 00:00:00
abstract：:Differences between black and white adolescents in the experience and expression of anger and anxiety, traditional risk factors for hypertension, and blood pressure were examined among adolescents enrolled in a health science course in Tampa, Florida. Relationships between blood pressure and anger/anxiety and traditio...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1989-05-01 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：:Educating a physician workforce that reflects the increasing racial and ethnic diversity of our nation is an ongoing challenge of urgent concern. Many medical school kindergarten through 1 2th grade (K-12) pipeline programs focus on "enriching" underrepresented minority (URM) students using strategies to change or "im...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2002-08-01 00:00:00
abstract：:Splenomegaly, when present as a manifestation of sarcoidosis, may cause pressure symptoms and hypersplenism. Literature reports of giant splenomegaly are few in number and describe the use of aggressive intervention with systemic steroids and splenectomy. However, the natural history of splenic sarcoidosis is not well...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
abstract：:Bellevue Hospital, the oldest public hospital in the United States and a lineal descendant of an infirmary for slaves, accepted its first African-American resident, Dr. Ubert Conrad Vincent, in 1918. This occurred at a time when many medical centers were not accepting African-American residents. At the end of WWII, on...
journal_title：Journal of the National Medical Association
pub_type： 历史文章,杂志文章
doi：
更新日期：2004-03-01 00:00:00
abstract：:The latency period is an extremely important transition between the preschool years and adolescence. Normal ego functioning is described, especially cognition, socialization, motor development, and defensive functions. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1979-11-01 00:00:00
abstract：OBJECTIVE:While African-American women tend to have greater bone mineral density (BMD) than caucasian women, they are still at risk of developing osteoporosis later in life. Clinical decision rules (i.e., algorithms) have been developed to assist clinicians identify women at greatest risk of low BMD. However, such tool...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2004-03-01 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：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：:Baclofen is widely used in the treatment of spasticity of spinal origin. It is relatively free of side effects or toxic actions on the nervous system or other organs. Agitation, personality change, and auditory and visual hallucinations have been described following its abrupt withdrawal. One patient with generalized ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1984-05-01 00:00:00
abstract：:An association between the factors of low birth weight and fetal growth retardation and subsequent risk of cardiovascular disease has been proposed; this is the basis of the "thrifty phenotype" hypothesis described in relation to type 2 diabetes mellitus. The relationship between height, presumably an indicator of ear...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2000-06-01 00:00:00
abstract：:African-American males have a higher incidence of prostate cancer than non-African-American males and an overall poorer prognosis. Environmental factors such as socioeconomic status and biological factors such as an increased frequency of androgen receptor mutation have been identified as causal. As androgen ablation ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：:Smooth muscle tumors are uncommon lesions of the vulva and represent a variety of histologic types. When encountered, surgical treatment is guided by the malignant potential of the tumors. This article presents the case of a 45-year-old woman who underwent conservative excision of a 10-cm vulvar lesion consistent with...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1999-03-01 00:00:00
abstract：:In a retrospective review of 100 consecutive cases of stab wounds to the chest, 44 patients were successfully treated with tube thoracostomy, 14 patients required thoracotomy, 17 patients with small pneumothoraces were observed, and 25 patients were asymptomatic. The overall mortality was 4%, operative mortality was 7...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1990-02-01 00:00:00
abstract：:The FDA approved hydroxyurea for use in adults with sickle cell disease (SCD) in 1998. In 2002, the NHLBI published recommendations for the use of hydroxyurea in this patient population. The purpose of this study was to evaluate providers' awareness of the NHLBI recommendations regarding hydroxyurea prescribing, wheth...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2008-08-01 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：OBJECTIVE:To determine whether any associations exist between cultural (racial/ethnic, spiritual/religious) competence and end-of-life treatment decisions in hospitalized patients and the potential impact of those associations on hospitalists' provision of care. DATA SOURCES AND METHODS:MEDLINE, PubMed, Embase, Psychl...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：10.1016/s0027-9684(15)31040-3
更新日期：2009-09-01 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：:Jails and prison populations are unique in the incidence of deliberate self-harm, but the phenomenon is not well understood. One of the few generally accepted findings about suicidal behavior among the incarcerated is that white prisoners are overrepresented among both completed and attempted suicides, whereas black p...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1989-04-01 00:00:00
abstract：BACKGROUND:Glomerular diseases, accompanied by nephrotic syndrome, contribute significantly to end-stage renal disease (ESRD) worldwide. We sought to show the distribution and frequency of biopsy-proven causes of nephrotic syndrome in native black Africans attending the Groote Schuur Hospital in Cape Town, South Africa...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30774-4
更新日期：2010-12-01 00:00:00
