Abstract:
:A retrospective review was conducted to determine if there were identifiable racial markers in patients who were explored and misdiagnosed as having appendicitis. Between May 1983 and May 1987, 100 patients were explored for appendicitis. There were 65 whites and 35 blacks with a male predominance in each group. The age range was 4 to 70 years with a mean of 47 years; 30% of each group was in the pediatric age range (less than 17 years old). Eight patients had a normal appendix including two blacks: a 20-year-old male with no pathologic diagnosis and a 42-year-old female with a ruptured cornual pregnancy. Although the sample size was small, there was a trend toward a lower white blood cell count in blacks when appendicitis was confirmed at surgery (11,000 cells/microL +/- 3,000 v 17,000 cells/microL +/- 3,000). The following conclusions can be drawn: (1) the accuracy of diagnosis should be considerably lower than the 20% commonly quoted; (2) the likelihood of an incorrect diagnosis appears to be higher in adults in both groups without a sexual predilection; and (3) there may be a trend toward a higher initial white blood count in whites compared with blacks with acute appendicitis.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Natesha R,Barnwell S,Weaver WL,Hoover ELsubject
Has Abstractpub_date
1989-03-01 00:00:00pages
269-71issue
3eissn
0027-9684issn
1943-4693journal_volume
81pub_type
杂志文章abstract::Five patients with coexistent carcinoma of the lung and active tuberculosis within the same pulmonary lesion were studied. These cases represent five distinctly varying radiographic presentations and point out the extreme diversity of the morphological pictures of this particular disease combination. Physicians who re...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1984-02-01 00:00:00
abstract:PURPOSE OF THE STUDY:To review technological advances in the field of radiation oncology in the management of benign and malignant diseases. BASIC PROCEDURES:We reviewed major advances in the field of radiation oncology in the past decade with special emphasis on reduction of treatment related toxicities, and technolo...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2003-01-01 00:00:00
abstract::The 1993 NCEP recommended phase 2 diets and < or = 100 mg/dL LDL goals for all atherosclerotic patients. We reviewed Washington, DC physician 1994-2000 use of these recommendations for coronary care unit (CCU) patients. Questionnaires, chart reviews and interviews of cardiologists, residents and dietitians showed > 80...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2001-03-01 00:00:00
abstract::Posterior reversible encephalopathy syndrome (PRES) in sickle cell patients has been rarely reported previously in the setting of severe crisis or uncontrolled hypertension. Here, we report a rare and unusual case of recurrent PRES in a young adult sickle cell patient without any obvious precipitating factors. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30267-4
更新日期:2011-02-01 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::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
abstract::All patients presenting with ocular trauma to the emergency room of a large inner-city hospital during a 2-month period were prospectively examined and interviewed. Of 3,627 trauma visits, ocular trauma accounted for 126 (3%). There were 514 trauma admissions; 26 (5%) of these were for ocular trauma. Bilateral injurie...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1991-08-01 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:OBJECTIVE AND AIM:Most studies have detected impairment of gallbladder motility among obese compared with nonobese people. However, the relationship between gallbladder motility and weight loss is not well defined. The aim of this study was to evaluate the relationship between percent of weight loss and gallbladder mot...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-10-01 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::A survey of the nursing staff in an emergency service was completed by anonymous questionnaire. The results of the survey indicate satisfaction and confidence in the triaging group, a wish for more staff and specific inservice course content, good perception of emergency situations, misperception about restraint polic...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1983-04-01 00:00:00
abstract::This article describes the 6-week Health Careers Enhancement Program for Minorities inaugurated in the summer of 1988 at Case Western Reserve University School of Medicine. The program was developed for minority and economically disadvantaged college undergraduates and postbaccalaureate premedical students. Its major ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1990-12-01 00:00:00
abstract::A day-long seminar was held at Wake Forest University School of Medicine to address barriers among ethnic minorities in cancer clinical trials and explore ways that individuals who design and conduct clinical trials could increase minority representation. Speakers addressed implications of under-representation of mino...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2002-01-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2019.12.004
更新日期:2020-02-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1977-11-01 00:00:00
abstract:BACKGROUND:Experts recommend that physician practices collect and use patient race, ethnicity, and primary language data to document and address health care disparities and improve health care quality for diverse populations. Little is known about demographic data collection in small practice settings. OBJECTIVE:To co...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30673-8
更新日期:2010-09-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2000-08-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30729-x
更新日期:2010-11-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2018.06.005
更新日期:2019-02-01 00:00:00
abstract::Swainsonine, an indolizidine alkaloid with immunomodulatory activity, has been found to be effective in inhibiting metastatic dissemination and growth of primary tumors of both murine and human origins. The unique ability of swainsonine to exhibit antimetastatic, anti-proliferative, and immunomodulatory activity impar...
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:OBJECTIVES:This exploratory study uses nationally representative data to evaluate the extent to which ambulatory care for work-related conditions varies by patients' race and ethnicity. METHODS:Using the National Ambulatory Medical Care Survey (NAMCS) for 1997 and 1998, we describe medical care for work-related condit...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2005-04-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2019.09.006
更新日期:2019-12-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2019.12.003
更新日期:2020-02-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-08-01 00:00:00
abstract::In 1994, it was estimated that about 44,500 American women would die from breast cancer and 7000 women from cervical cancer. While early detection methods (screening mammography, breast examinations, and pap smears) have proven to be effective means of decreasing these cancers, they are underused by all groups. In par...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-06-01 00:00:00
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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
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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
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1983-07-01 00:00:00
abstract::Today, wound management to avoid excessive scar formation is increasingly important, especially in populations with Fitzpatrick 3 or higher skin pigmentation. Medical science and industrial development are devoting more effort toward understanding and offering better therapy to control scars. However, advances in scar...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2004-01-01 00:00:00