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 irradiated volume to include all the remaining breast tissue.For early, infiltrating duct breast cancer, results of these studies using modern therapy units combined with appropriate local surgery have been consistent and comparable in both local control and long-term survival to published results with the modified mastectomy. The definition of "early breast cancer" and how should it be applied to the patient is discussed for both clinical stage I and stage II breast cancer patients following a brief review of the major studies.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
McCormick Bsubject
Has Abstractpub_date
1987-05-01 00:00:00pages
545-50issue
5eissn
0027-9684issn
1943-4693journal_volume
79pub_type
杂志文章abstract：:Sickle cell disease (SCD) is characterized by significant morbidity and early mortality. Children with this hemoglobinopathy exhibit many of the manifestations associated with immunodeficiency disorders. Serum was obtained from 56 healthy SCD subjects and 45 normal healthy controls. Type 2 cytokines interleukin (IL)-4...
journal_title：Journal of the National Medical Association
pub_type： 临床试验,杂志文章
doi：
更新日期：1997-11-01 00:00:00
abstract：:A 65-year-old man underwent coronary artery bypass graft surgery at our tertiary care hospital. Perioperatively, he was transfused with four units of nonirradiated whole blood from first-degree relatives and discharged from the hospital at postoperative day seven. He presented six days later with fever, skin rash, ele...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2005-03-01 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：:Particularly for children of color, one's productivity and prosperity as an adult depend to a significant degree on one's education as a child. Education is both the attainment of skills and the development of character. In the National Academy of Science's 1993 publication, Losing Generations: Adolescents in High Ris...
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：1995-07-01 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：: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：: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
abstract：:Ninety-eight patients underwent successful complete anterior or abdominoperineal resection for primary adenocarcinoma of the rectum, sigmoid, and rectosigmoid. At the time of diagnosis of relapse in 71 of these 98 patients, 36 patients had local-regional recurrence alone, without distant metastases.Twenty-two patients...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1986-09-01 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：: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：: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：:Over 600 Howard University medical alumni of seven representative classes graduating from 1955 to 1975 were surveyed by questionnaire in 1975 and 1976. Replies of the 252 black respondents confirm that these graduates are providing substantial care to blacks, the economically disadvantaged, and residents of the inner ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1982-02-01 00:00:00
abstract：:The links between environmental agents, environmental conditions, and disease and disability among children are receiving increasing attention. Evidence abounds that children are more susceptible than adults to the damaging effects of environmental agents and conditions. This evidence is illuminated by the much-public...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：2005-02-01 00:00:00
abstract：:Victims of domestic violence appeal to the health care system through emergency room visits for injuries related to violent episodes or for proxy care for other complaints. Screening for persons who are at high risk for violence or who are victims of violence has not been performed in emergency rooms when patients pre...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2002-06-01 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：: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：: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：:The treatment of patients with sickle cell disease and cholelithiasis is controversial. This retrospective study assesses the outcome of preoperative transfusion and timely cholecystectomy in symptomatic sickle cell disease patients. Fourteen patients who had undergone cholecystectomy were determined to have sickle ce...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1992-08-01 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：:This survey was undertaken to determine the prevalence of diabetes mellitus and impaired glucose tolerance in a group of urban adults in Ibadan, Nigeria. A total of 998 subjects randomly selected from five main ministries and departments in the Government Secretariat participated in the survey. Each subject was asked ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
abstract：:The goal of this study was to document the health needs of members in the criminal justice system and the capacity of the system to meet those needs. Using data from the National Criminal Justice Treatment Practices survey, we estimated the number of adults under correctional control who need medical care and the capa...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30214-5
更新日期：2012-11-01 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：:This survey assessed the reported frequency of breast self-examination (BSE): the knowledge of the technique and attitudes regarding the self-exam of 180 black women. Most respondents indicated having practiced the exam during the previous year, and 50% reported practicing it monthly or more often. Less than half of t...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1989-07-01 00:00:00
abstract：:Chondroectodermal dysplasia is a rare autosomal recessive disorder characterized by short extremities, short stature, polydactyly, and nail hypoplasia. Dental abnormalities, congenital heart defects, and thoracic abnormalities impending respiration are seen in many patients. Virtually all previous reports of the class...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1980-06-01 00:00:00
abstract：:Strongyloides stercoralis affects 30 to 100 million people worldwide and is a common cause of abdominal pain and diarrhea. Strongyloidiasis is a chronic and limited disease; however, in immunocompromised patients, hyperinfection syndrome can occur. Diagnosing strongyloidiasis early is important, as almost all deaths d...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：10.1016/s0027-9684(15)30246-7
更新日期：2011-01-01 00:00:00
abstract：:This paper reviews the clinical recognition, diagnosis, and management of ectopic pregnancy at the Queen of Angels Hospital for the past 15 years. The incidence of ectopic pregnancy to deliveries is 1:195. Pain is the cardinal symptom of ectopic pregnancy, and amenorrhea of some degree was present in all cases. Pel...
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：:Adynamic ileus due to invasion of the myenteric plexus of the small and large intestine was a significant symptom in a patient with a peritoneal mesothelioma. A record of this unusual complication was not found in the medical literature surveyed. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1987-07-01 00:00:00
abstract：:The purpose of this report is to review personal experience with digital palpation of the nasopharynx, particularly as it relates to an apparently reversible posterior pharyngeal mass commonly found in patients who are heavy smokers. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-03-01 00:00:00
abstract：:A severe, acutely evolving peripheral gangrene of unknown etiology has been reported sporadically from different parts of Africa. This case report describes such a case of fulminant gangrene of the extremities following a febrile diarrheal illness associated with abdominal pain, polyarthropathy, and altered hemostatic...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
abstract：:Relatively high serum albumin levels compared to low levels have been associated with reduced cardiovascular mortality and coronary heart disease and stroke incidence. The nature of these associations remains undefined. Therefore, widely accepted criteria of Bradford Hill were used to assess the likelihood that the as...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：2000-01-01 00:00:00
