Abstract:
:Diagnostic bone marrow aspiration, biopsy, and culture are useful procedures in the evaluation of patients with suspected or proven acquired immunodeficiency syndrome (AIDS) who are febrile. In as many as one fourth of these patients, the information provided by the bone marrow examination may establish a diagnosis of a disseminated opportunistic infection when other studies are not informative. We have also discovered a previously unreported association between thrombocytopenia and the presence of bone marrow granulomas in our patients with AIDS and suggest that thrombocytopenia may be a clue to enable the clinician to predict a positive bone marrow result more accurately. The explanation for this apparent association remains to be elucidated.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Gluckman RJ,Rosner F,Guarneri JJsubject
Has Abstractpub_date
1989-02-01 00:00:00pages
119-25issue
2eissn
0027-9684issn
1943-4693journal_volume
81pub_type
杂志文章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:INTRODUCTION:COVID-19 is an emerging, rapidly evolving global situation, infecting over 25 million people and causing more than 850,000 deaths. Several signs and symptoms have been described to be characteristic of the disease. However, there is a dearth of report on the description of the clinical characteristics of t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2020.11.011
更新日期:2020-12-22 00:00:00
abstract:BACKGROUND:This retrospective study evaluates the degree and distribution of hepatic steatosis in predominantly African-American patients who had liver biopsies over a period of five years in our institution. METHOD:A search in the pathology registry of Howard University Hospital was performed for the presence of fat ...
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::Although gastric cancer has not been reported in association with pregnancy, the authors encountered it in a paraplegic young pregnant woman presenting with gastric outlet obstruction.Fiberoptic gastroscopy and biopsy provided the surprising tissue diagnosis. Ultrasound was helpful in assessing the size and position o...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1980-01-01 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::Colorectal cancer causes significant morbidity and mortality in the United States. Recommendations for colorectal cancer screening have been developed. This study evaluated the colorectal cancer screening practices of African-American and white patients by internal medicine resident physicians. A retrospective chart r...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1999-09-01 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::THIS RESEARCH EXAMINES THE KINDS OF PROBLEMS THESE YOUNG FATHERS ARE LIKELY TO SEEK HELP FOR AND ADDRESSES ITSELF TO THE QUESTION: Is there a difference in the help-seeking behavior of unwed adolescent fathers who reside in different cities? Despite the complexity and diversity of their difficulties, it was clear from...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1981-09-01 00:00:00
abstract:PURPOSE:The purpose of this study was to explore the experiences of medical students who are underrepresented in medicine (UIM) from two urban medical centers with an interest in pursuing academic pediatrics. METHODS:Focus groups were conducted at Children's National Hospital (CN) at three different times with UIM med...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2020.07.014
更新日期:2020-08-05 00:00:00
abstract::Imatinib mesylate (STI 571, Gleevec) is a potent bcr-abl tyrosine kinase inhibitor. It also inhibits c-kit tyrosine kinase. Imatinib mesylate is active in the treatment of cronic myeloid leukemia (CML) and gastrointestinal stromal tumors (GIST). It is considered by some authorities to be the standard of care in newly ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2003-08-01 00:00:00
abstract::Advances in heart failure treatment have not necessarily translated into equity in improved outcomes for African Americans. Heart failure in African Americans is characterized by a higher prevalence, especially at younger ages; more-adverse course with more frequent hospitalizations; and higher mortality rates compare...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30257-1
更新日期:2011-02-01 00:00:00
abstract:PURPOSE:This study aimed to evaluate whether comprehensive multidisciplinary care (cMDC) for breast cancer patients affected time from diagnosis to treatment, compliance with appointments and to assess for racial disparities. METHODS:This institutional review board approved retrospective study included adult patients ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2020.03.010
更新日期:2020-06-01 00:00:00
abstract::Despite the widespread availability of firearms, stab wounds to the abdomen, back, and flank continue to account for a significant number of injuries. The proper sequencing of diagnostic modalities in this patient group is constantly undergoing change. We report our experience with these injuries and present a new alg...
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
abstract::Patient navigation has been widely implemented by cancer care programs across the United States. While activities of navigators have been described elsewhere, little has been documented regarding specific strategies used or challenges experienced by navigators from their own perspectives. We describe the experience of...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30412-0
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVES:African Americans bear a disproportionate burden of lower extremity complications associated with a type 2 diabetes diagnosis. We examined the relationship that self-reported foot care knowledge, foot self-care behaviors, and foot self-care management barriers had on a participants' intention to maintain lon...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2018.10.004
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Few studies have characterized ethnic variations in standard ophthalmic measures. We tested the hypothesis that nerve fiber layer thickness would show characteristic differences between white and black individuals. We also examined whether ophthalmic measures would show intraethnic differences. METHODS:Seve...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-02-01 00:00:00
abstract::Increasing attention has been given to the investigation of cardiovascular disease in women, although African-American women have received little attention. This study compares characteristics and outcomes in women admitted to coronary care units for suspected acute myocardial infarction (MI). Between January 1988 and...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1995-05-01 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::Relaxation therapy is one of the new modalities in the area of behavioral medicine which physicians may wish to use for tense patients as adjunctive to purely medical treatment. Efficacy of the specific therapy and patient compliance may be improved by use of relaxation therapy. This paper gives details on how to prov...
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:BACKGROUND:Black women in Minnesota and beyond have a greater burden of death due to some cancers than their White counterparts. Delayed screening and treatment may explain these disparate statistics. The purpose of this study was to work in collaboration with a local Black faith-based organization to gain an updated u...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2019.02.006
更新日期:2020-10-01 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::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::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 t...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章
doi:
更新日期:2006-12-01 00:00:00
abstract::A comprehensive family practice clerkship program at Howard University College of Medicine has been conducted since 1970. This institution is one of three predominantly black institutions offering a family practice program. The senior clerkship is mandatory and at least 20 to 25 percent of each class elect to particip...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1988-08-01 00:00:00
abstract:OBJECTIVE:To study racial disparities and the weapons used to commit youth homicide in New Jersey. METHODS:The homicide data were obtained from New Jersey death certificate files, 1989-1997. RESULTS:There was a statistically significant racial disparity in homicide incidence rates in this study. The homicide incidenc...
journal_title:Journal of the National Medical Association
pub_type: 社论
doi:
更新日期:2004-04-01 00:00:00
abstract::A questionnaire was developed to assess religiously based moral beliefs about acquired immunodeficiency syndrome. The questionnaire was administered to a group of primarily black physicians, a selection of freshman medical students, two groups of clergy representing contrasting philosophical orientations, a group of y...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract::Opioid use disorder (OUD) constitutes a significant public health burden as opioid overdose deaths have continued to rise in the United States. Although treatment modalities are available to manage OUD, some patients experience challenges achieving their OUD management goals. Some of these challenges may be attributab...
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
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
abstract:BACKGROUND:Pregnant women with sickle cell disease (SCD) are at increased risk of maternal and fetal complications. There are limited data on the outcome of the treatment of VOCs with opioids in relation to neonatal complications during pregnancy. METHODS:This is a retrospective cohort study of women with SCD from Jan...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2017.04.002
更新日期:2018-04-01 00:00:00
abstract::The authors' experience with selective shunting during carotid endarterectomy utilizing electroencephalographic and stump pressure measurements is reported. No postoperative neurological deficits occurred in this group of selectively shunted patients. EEG appeared to offer no significant benefit in the management of t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1983-06-01 00:00:00