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 participate in a four-to six- week family practice preceptorship. As a result of the clerkship's success, over 50 percent of the program's graduates actively practice in primary medical manpower shortage or medically underserved areas.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Bang KM,Greene EJ,Williams HW Jr,Leath BA,Matthews Rsubject
Has Abstractpub_date
1988-08-01 00:00:00pages
865-72issue
8eissn
0027-9684issn
1943-4693journal_volume
80pub_type
杂志文章abstract::Sixteen trauma victims with adult respiratory distress syndrome were retrospectively examined. High injury severity score (mean: 44), massive transfusion requirements, and prolonged ventilator days characterize this group. Persistent intra-abdominal infection accounted for two of three deaths in this series. Most of t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1991-06-01 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
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 harmful effects of tobacco use and nicotine are well known. There is strong epidemiological evidence for smoking as a risk factor for cancer of the lung and oral cavity. The evidence for second-hand smoke as a risk factor for breast cancer is rapidly accumulating. The anthracycline doxorubicin is used in the treat...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-04-01 00:00:00
abstract::In addition to well known parameters used for measuring in vitro cellular radiosensitivity (mean lethal dose, extrapolation number, quasithreshold dose), there are other, less well known measures that may be more important. The authors recently surveyed the literature and found that mean activation dose (D) has been n...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1989-07-01 00:00:00
abstract::Chronic leg ulcers in sickle cell anemia occur mainly around the ankles. The prevalence is up to 75% in adults. These ulcers are painful and debilitating, yet medical treatment is unsuccessful. Surgical treatment consists of repeated skin grafting procedures, which eventually deplete the patient's available donor site...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1989-08-01 00:00:00
abstract::An overview of psychiatric disorders seen in older patients is reviewed. Dementing illnesses are discussed. A specific method of assessing the patient with cognitive decline in a clear sensorium is presented. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1986-04-01 00:00:00
abstract::It is now well documented that substantial disparities exist in the quality and quantity of medical care received by minority Americans, especially those of African, Asian and Hispanic heritage. In addition, the special needs and responses to pharmaceutical treatment of these groups have been undervalued or ignored. T...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2002-10-01 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::This study examines the relationship between sexual behaviors and prevalence of herpes simplex virus-type 2 (HSV-2) among African-American college women. Subjects (n = 138) were recruited randomly from a state university to participate in a study regarding sexual attitudes and behaviors and to have their blood drawn f...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1999-04-01 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::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:BACKGROUND AND STUDY AIMS:Barrett's Esophagus (BE) is a well-recognized pre-malignant condition. Previous data indicate histologically confirmed BE frequency varies by ethnicity in the United States. However, clinical factor assessment to explain this has only occurred in a veteran population to date. The study aim was...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2018.09.008
更新日期:2019-04-01 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::As socioeconomic status (SES) increases, the incidence of low birthweight and preterm birth decreases irrespective of social class. However, low birthweight remains twice as high for African-American women as for white women even when SES is controlled. This study examines to what extent second generation high SES Afr...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2000-05-01 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::A study of 533 brain tumors, 339 lung tumors, and 299 breast tumors was made in a contiguous six-county area of Kentucky to determine if a previous clustering of brain tumors with a rate 3.37 times the state rate still existed. No significant difference in incidence by age, sex, or race could be found between this six...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-07-01 00:00:00
abstract::Newly diagnosed insulin-dependent diabetic Nigerian Africans were studied prospectively over a 6-year period and were analyzed for sex, age at diagnosis, and month of onset of symptoms. Insulin-dependent diabetes mellitus (IDDM) rarely occurred in patients younger than the age of 10. A female preponderance occurred in...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
abstract:OBJECTIVE:To determine if differences in health-related behaviors (diet and physical activity) exist in African American college women based on body mass index (BMI) risk categories. METHODS:One hundred eighty-six African American women (age, 19.5 +/- 2.5 y) in college were surveyed using the modified National College...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30236-4
更新日期:2011-01-01 00:00:00
abstract::This study identifies those variables, cognitive and noncognitive, that relate significantly to the successful completion of the combined BA/MD degree program. The study sample included 69 black students who entered at year one, directly from high school, between 1972 and 1981. The Student's t-test identified statisti...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1992-03-01 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::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 w...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-05-01 00:00:00
abstract::Group B streptococci (GBS) have been infrequently recognized as a cause of pharyngitis. We report three cases of GBS pharyngitis in patients with underlying diseases, two of whom were treated with and responded incompletely to oral beta-lactam antibiotics. The susceptibility of 20 clinical isolates of GBS was tested b...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1981-10-01 00:00:00
abstract::We have attempted to initiate a much needed constructive dialogue regarding the participation of African-American patients in clinical cancer research trials. It was our intent to provide a greater understanding of the historical context and evolving nature of clinical research trials pertaining to cancer. Some of the...
journal_title:Journal of the National Medical Association
pub_type: 社论
doi:
更新日期:1994-03-01 00:00:00
abstract::An efficient, reliable, and immediate method of treating full-thickness skin avulsions of fingertips in an Emergency Room is presented. A series of patients are discussed. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-04-01 00:00:00
abstract::A summer preview program was designed to enhance the academic performance of minority students in medical school. In the five-week program the students met from 8:00 AM to noon, five days a week. The two components of the program were study skills and selected basic science topics deemed critical for success in the fi...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1985-06-01 00:00:00
abstract::Congenital pleuroperitoneal diaphragmatic hernia usually presents in neonates. Children manifesting symptoms and signs after the neonatal period constitute a distinct, uncommon, and infrequently recognized group of patients. Occurrence in adults is also uncommon, with fewer than a hundred patients reported in the lite...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1977-02-01 00:00:00
abstract:PURPOSE:Our study aims to build on existing literature by assessing factors that may be associated with an increased risk of burnout amongst medical students, particularly students of color. METHODS:Our cross-sectional survey included the Copenhagen Burnout Inventory (CBI) and additional de novo questions. Surveys wer...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2020.05.019
更新日期:2020-12-01 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:UNLABELLED:Severe hyponatremia is associated with increased morbidity and mortality. Clinicians treating patients with severe hyponatremia are often torn between a desire to promptly raise serum sodium concentration to a "safe range," and at the same time, to avoid excessively rapid correction of hyponatremia. The aim ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00