Abstract：
OBJECTIVES:To assess the prevalence of vitamin D deficiency among patients in an inner-city practice with a large African American population, and to evaluate the efficacy of vitamin D replacement as part of routine care. METHODS:A chart review was undertaken to identify patients aged 18 years and more with at least one 25-hydroxyvitamin D level. When patients were found to be deficient (vitamin D < 20) they were placed on 50000 units ergocalciferol monthly or over-the-counter calcium supplements with vitamin D. Descriptive statistics were used to calculate the prevalence rate, and paired t tests were used to compare the vitamin D levels pre and post treatment. RESULTS:A total of 369 (65%) out of 570 patients were found to be vitamin D deficient, and 253 were treated with ergocalciferol or vitamin D supplements. For patients deficient at baseline and treated with vitamin D supplementation (n = 253), significant differences were found between baseline and follow-up vitamin D levels (t(1,120) = 11.56, p < .001). Among 253 patients deficient at baseline and treated, 201 were corrected with oral vitamin D (79%), leaving 52 patients (21%) deficient after vitamin D supplementation. CONCLUSIONS:The results of this study show that there is a very high prevalence of vitamin D deficiency in an urban, mostly African American population. This can be readily improved with the addition of oral vitamin D. The study also suggests that routine vitamin D screening may be helpful for the detection and treatment of vitamin D deficiency, especially in urban minority populations.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Kahn LS,Satchidanand N,Kopparapu A,Goh W,Yale S,Fox CHdoi
10.1016/s0027-9684(15)30337-0subject
Has Abstractpub_date
2011-05-01 00:00:00pages
407-11issue
5eissn
0027-9684issn
1943-4693pii
S0027-9684(15)30337-0journal_volume
103pub_type
杂志文章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：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：:Thyroglossal duct cyst carcinomas are rare tumors with just more than 200 cases published to date. This is a case report of a thyroglossal duct cyst harboring an occult carcinoma for which a Sistrunk operation was performed. Histopathological examination revealed a papillary carcinoma arising from a thyroglossal duct ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)33519-7
更新日期：2012-03-01 00:00:00
abstract：:A total of 128 total joint arthroplasties performed on a predominantly African-American population by a single surgeon between 1987 and 1992 were reviewed. Of these, 66 were total knee replacements and 62 were total hip replacements. Total hip replacement will be presented in Part Two. The African-American patients' a...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1996-03-01 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：OBJECTIVE:A pilot study to determine whether prenatal and neonatal sickle cell tests conform to the guidelines established by the American Congress of Obstetricians and Gynecologists and the American Academy of Pediatrics. METHODS:The project was initially structured as a pair of in-person interviews of postpartum wom...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,多中心研究
doi：10.1016/s0027-9684(15)30089-4
更新日期：2013-04-01 00:00:00
abstract：:Adverse drug reactions are defined and examples are given. Four areas of concern are addressed, namely, defining drug reactions, identifying some of the factors contributing to the adverse drug reactions, implications of adverse drug reactions for health-care providers, and preventive measures which impact on the occu...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-10-01 00:00:00
abstract：:This study investigates the alteration of serum cholinesterase levels in diabetics and its possible relationship to blood glucose, insulin, triglyceride, and cholesterol levels. Fourteen phasic insulin-dependent diabetes mellitus patients were compared with 10 insulin-dependent diabetes mellitus, 10 noninsulin-depende...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1992-10-01 00:00:00
abstract：:We present a case of multiple degloving injuries in an elderly man following a fall from a palm tree. Multiple midface injuries are very rare, although individual types have been reported. Our patient sustained injuries in the lower and middle thirds of the face, including multiple tongue lacerations and a deep jagged...
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：:Perineural and endoneural tumor spread is a form of metastatic disease in which the primary tumors spread along neural pathways and gain access to noncontiguous regions. Although rare, this type of skip metastasis into the cranial cavity occurs from tumors of the parotid gland and facial skin. Recognition of this proc...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-05-01 00:00:00
abstract：:Even though Lyme disease probably existed in Oklahoma prior to 1975 when the disease was first reported in Connecticut and even though ecological conditions favor a high prevalence, an unexpectedly low rate was evidenced in both a serological survey and the number of cases reported to the Oklahoma State Department of ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1992-09-01 00:00:00
abstract：:The Masterson curette was used to sample the endometrial cavity of 25 women prior to scheduled hysterectomy for benign or malignant pathology. Adequate amount of tissue was obtained in 20 (87%) of 23 patients who did not have endometrial atrophy. The Masterson curettage detected all seven cases of endometrial hyperpla...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1995-12-01 00:00:00
abstract：:In sub-Saharan Africa, human immunodeficiency virus (HIV) and Mycobacterium tuberculosis (TB) are among the leading causes of morbidity and mortality. Sub-Saharan Africa has seen the woeful failure of World Health Organization (WHO) targets of detecting 70% of the infectious cases of tuberculosis and curing > or =85%....
journal_title：Journal of the National Medical Association
pub_type： 社论,评审
doi：
更新日期：2007-12-01 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：:Low megavoltage electrons, because of their limited penetration, have been found very useful in the treatment of generalized superficial malignancies. However, because of the complexity of the human body contour, it is extremely difficult to achieve uniform dose distribution over the entire body surface. To achieve th...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-07-01 00:00:00
abstract：:Forty-two patients with renal cell carcinoma were evaluated with computerized tomography (CT) followed by surgical exploration, extirpative surgery, or autopsy to determine the accuracy of the CT scan in assessing the extension of the disease. There was an overall accuracy of 95 percent (40/42 patients). The two stagi...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1986-06-01 00:00:00
abstract：:The psychosomatic disorder termed Munchausen's syndrome has gained official recognition in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, in which it is referred to as a "chronic factitious disorder with physical symptoms." Sporadic case reports have been published over t...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1983-02-01 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：: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：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：: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：:Collagenous colitis has been associated with autoimmune diseases. Co-occurence of systemic sclerosis and collagenous colitis is particularly rare. Herein, we described a 65-year-old woman with systemic sclerosis whose diarrhea and abdominal cramping were due to collagenous colitis. We have reviewed the clinical and hi...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-06-01 00:00:00
abstract：:The epidemiology of nosocomial infections was studied for 5 years in 10 Oklahoma hospitals. These were categorized into small and large hospitals. The seven small hospitals averaged 47 beds and the three large hospitals averaged 266 beds. Overall, most of the infected patients were < 5 years of > 60 years of age. Fema...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：:There has been considerable discussion about translating science into practical messages, especially among urban minority and "hard-to-reach" populations. Unfortunately, many research findings rarely make it back in useful format to the general public. Few innovative techniques have been established that provide resea...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-09-01 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：BACKGROUND:The endolymphatic sac has been proposed as a target organ responsible for inner-ear symptom in allergic subjects. This is a report of inner-ear symptoms in patients with nasal allergy. METHOD:Retrospective review of record charts of patients with known nasal allergy presenting to the otorhinolaryngology out...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)31403-6
更新日期：2008-08-01 00:00:00
abstract：:In April 1986, magnetic resonance imaging (MRI) of the thorax and shoulder girdle was presented to the 99th Annual Meeting of the American Association of Anatomists. These images were the authors' first attempt to correlate the magnetic resonance display of the muscles and soft tissues of the chest in the coronal plan...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1989-06-01 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：:African Americans have higher rates of hypertension and poorer health status than their white counterparts. This study assessed the relationship between health status, cardiovascular risk factors, and measured blood pressure. Free blood pressure screenings were performed at businesses and organizations located in west...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1998-11-01 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
