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 a cross-sectional survey of African Americans aged 18 to 74. We collected information on awareness, sources of information, stroke risk behavior, diabetes, and hypertension prevalence: and risk reduction relating to nonsmoking, exercise, and knowledge about ideal targets of blood pressure, body mass index, total blood cholesterol, and blood sugar. RESULTS:The percentage of respondents who identified 1, 2, 3, 4, and 5 warning signs were 21.8%, 11.7%, 15.4%, 10.1%, and 23.9%, respectively; and 17% could not identify any sign. The most factors identified were sudden numbness in the face, arm, or leg, and trouble speaking. Lifestyle factors and their role in stroke were not known to respondents. Specifically, 52.7%, 56.4%, 53.2%, 38.3%, and 28.7% failed to mention lack of physical activity, excessive alcohol consumption, diabetes, smoking, and high cholesterol, respectively, as factors that can contribute to stroke. CONCLUSION:There is need to improve knowledge of stroke, risk reduction, and appropriate stroke response. Family, friends, and African Americans churches should be utilized to deliver stroke and other health information.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Sallar AM,Williams PB,Omishakin AM,Lloyd DPdoi
10.1016/s0027-9684(15)30495-8subject
Has Abstractpub_date
2010-02-01 00:00:00pages
84-94issue
2eissn
0027-9684issn
1943-4693pii
S0027-9684(15)30495-8journal_volume
102pub_type
杂志文章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：:Delirium is a transient global disorder of cognition. Almost any medical illness or medication can cause delirium. Here, we report a 71-year-old male who presented to the emergency department with a sudden change in mental status, which later resolved. An electrocardiogram was consistent with acute myocardial infarcti...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：BACKGROUND:Several studies have been published in the western literature on the incidence, clinical course and outcome of patients with ARDS. However, there is limited data about ARDS in the tropics and moreover, the etiology and outcomes of ARDS in tropical countries are different from those of western nations. In tro...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2017.07.002
更新日期：2018-08-01 00:00:00
abstract：PURPOSES:To assess patterns of dementia/Alzheimer's disease (AD) management and to investigate predictive factors of cholinesterase inhibitor prescriptions. METHODOLOGY:A cross-sectional study was conducted using a national survey among the elderly aged >60 from 2000 to 2002. Visit characteristics and cholinesterase i...
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：: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：OBJECTIVE:The purpose of this study is to determine primary care pediatricians' level of awareness in the diagnosis and management of rickets. The information will be useful in assessing the need for provider education related to appropriate advice regarding vitamin D supplementation for infants. STUDY DESIGN:A one-pa...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2002-11-01 00:00:00
abstract：:Early detection of pregnancy offers many advantages for the fetus and the mother. Many medical benefits depend on early detection, including social and emotional well-being and the aviodance of medicationss, irradiation, and other teratogencis. In the past, women became aware of their pregnancies only when organogen...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1984-03-01 00:00:00
abstract：:Enlarged spleen without a clear-cut etiology, and believed to be related to malarial infestations, has been referred to as "tropical splenomegaly" and "cryptogenetic splenomegaly." Splenectomy performed in such cases after a failure of antimalarial therapy shows histopathologically, while some of these meet the criter...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1980-04-01 00:00:00
abstract：:The authors present a case report of a sickle cell patient with end-stage renal disease treated with peritoneal dialysis who presented with abdominal pain. Although the pain was not unlike that typically associated with his crises, the absence of characteristic joint and chest pain made the diagnosis of "crisis" unlik...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1989-10-01 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：: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：OBJECTIVE:To determine whether there is an association between perceived pediatric overweight and emotional/behavioral difficulties among children ages 4 to 17 years in the United States. DESIGN:A cross-sectional study SETTING:Interview of an adult knowledgeable about a child's emotional and physical health. All stat...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30447-8
更新日期：2011-09-01 00:00:00
abstract：:This is a 2-year follow-up to a previously reported baseline paper. We focused on a predominantly low-income African-American population from a community health center and investigated the relationships among perceptions of perceived risks for colorectal cancer (CRC), concerns about getting CRC, screening intentions, ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2000-10-01 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:A number of techniques have been described for treatment of patients with sacrococcygeal pilonidal sinus disease. The author reports his experience in the surgical management of pilonidal sinus using radiofrequency sinus excision technique. The results are compared with those obtained after excision and mars...
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：
更新日期：2005-07-01 00:00:00
abstract：:Autosomal dominant polycystic kidney disease is one of the most common hereditary diseases, and frequently has well defined extrarenal manifestations. Very few cases of aortic aneurysms associated with this disorder are described in literature. We report a 42-year-old male with autosomal dominant polycystic kidney dis...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：2001-07-01 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 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：:Pneumococcal and mycoplasma infection of the lung or pleura, infarction of lung or pleura, local abscess below the diaphragm, and heart, kidney, or pancreas involvement are among the many causes of pleural effusion. Several of these have an increased likelihood of occurrence in sickle cell disease as a direct conseque...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1977-08-01 00:00:00
abstract：:Relatively low serum albumin is a predictor of increased mortality and coronary heart disease incidence. To shed light on the likelihood of confounding this association by high-density lipoprotein (HDL) cholesterol or other risk factors, data from the National Center for Health Statistics were examined. Serum albumin ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
abstract：:A 75-year-old woman with two previous neck operations for follicular carcinoma of the thyroid presented with a breast mass nine years after diagnosis. The mass recurred one month after excisional biopsy. Pathological examination revealed metastatic follicular carcinoma. The breast tumor was weakly positive for estroge...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1980-11-01 00:00:00
abstract：:Nosocomial sinusitis is occasionally overlooked as a source of sepsis in critically ill patients. Physical examination is usually unreliable and purulent nasal discharge is absent up to 73% of the time. Computed tomography scans of the sinuses and aspiration and culture of sinus fluid are the hallmark of diagnosis. Th...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1992-12-01 00:00:00
abstract：:An epidemiologic study was conducted to ascertain the relationship between urinary sodium and potassium, and arterial blood pressure in normal, nonhospitalized adults. Random samples of 1,939 adult residents, 35 to 54 years of age, of Savannah, Georgia; Hagerstown, Maryland; and Pueblo, Colorado, were interviewed and ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1984-01-01 00:00:00
abstract：:Lung cancer is the leading cause of cancer-related mortality. Nonsmall-cell lung cancer (NSCLC) constitutes approximately 80% of all the lung cancers observed. Despite the aggressive nature of this disease, totally adequate and fully comprehensive treatment yielding outstanding outcomes and survival has yet to be disc...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：10.1016/s0027-9684(15)31342-0
更新日期：2008-06-01 00:00:00
abstract：:In an effort to determine the impact of one aspect of the Cincinnati Comprehensive Sickle Cell Center's educational program, a study of the level of knowledge of sickle cell facts by elementary and secondary school students in the Cincinnati public school system was conducted. An underlying assumption of this study wa...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1980-02-01 00:00:00
abstract：:To a cancer patient, pain is a very distressing symptom and to the physician it heralds advanced nature of the disease. While the mechanisms of initiation of pain are simple, its perception is very complex. In cancer, the tumor growth which results in producing pressure, destruction of tissue, and obstruction is the m...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1979-03-01 00:00:00
abstract：OBJECTIVES:To assess the level and determinants of African-American physicians' employment in health maintenance organizations (HMOs), particularly early in their careers. METHODS:We analyzed data from the 1991 and 1996 Young Physicians Surveys to assess racial differences in the likelihood of HMO employment (n = 3,70...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-08-01 00:00:00
abstract：:At Howard University Hospital, nine terminally ill cancer patients with chronic pain have been treated with continuous intrathecal infusion of morphine delivered by the implantable Infusaid pump. The case of a patient treated at Howard University Hospital with this method of pain management is presented. Following Inf...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1987-03-01 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
abstract：:Previous studies document the importance of religious involvement in African-American communities. This study examines the extent to which religious involvement is associated with health status among African-American males. The data come from a community sample of 537 males residing in a major US urban area. Three ind...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1994-11-01 00:00:00
