Abstract:
:Ten children with acute increased intracranial pressure, documented by the Cheek screw technique, were treated for Reye's syndrome, other toxic/metabolic encephalopathies, encephalitis, and traumatic encephalopathies. The rationale for the use of hyperventilation, head position, maintenance of adequate cerebral perfusion pressure, hyperosmolar agents, steroids, adequate fluid balance, and barbiturates in the therapy of these patients is described. An analysis of these cases reveals that early monitoring of intracranial pressure, maintenance of adequate cerebral perfusion pressure, and aggressive treatment of increased intracranial pressure may reduce the mortality of patients with increased intracranial pressure. Of all patients studied, those who survived demonstrated some neurological deficit as determined by clinical examination or neuropsychological testing.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Dennis GC,Stein Fsubject
Has Abstractpub_date
1983-12-01 00:00:00pages
1189-96issue
12eissn
0027-9684issn
1943-4693journal_volume
75pub_type
杂志文章abstract:BACKGROUND:This study presents black-white breast cancer statistics, tumor histology and receptor status, and treatment patterns for all ages and by age groups (< 40, 40-49, and > or = 50). METHODS:The study used data from the National Cancer Institute (NCI) Surveillance, Epidemiology and End Results (SEER) program fo...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31294-3
更新日期:2008-05-01 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::Stroke in black Americans is an important health problem that has been understudied. A brief review of the pertinent literature and strategies for evaluating and managing patients with cerebrovascular disease are presented. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::Hypertension is the leading cause of renal failure in this dialysis and transplant center. When malignant hypertension is encountered, the symptom complex of cachexia and failure to thrive highlights its clinical presentation. The courses of 32 black renal hypertensive patients studied retrospectively demonstrated thi...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
abstract::Acute transmural myocardial infarction is usually caused by a coronary thrombus along with fixed coronary artery stenosis. Myocardial necrosis can be interrupted by the prompt use of pharmacologic and mechanical thrombolysis. Intravenous streptokinase and urokinase have been associated with approximately a 45 percent ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1988-09-01 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:BACKGROUND:Although the prevalence of uremic pruritus has decreased compared to the past, the problem still remains as a matter of health and a major challenge of research in medical field, and has no effective treatment at present. This study aimed to investigate the effect of increasing blood flow rate on severity of...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jnma.2017.04.008
更新日期:2018-06-01 00:00:00
abstract::We report a case of a Hispanic male presenting with acute onset of bilateral lower extremity weakness, without any antecedent viral or bacterial illness, dietary changes, infiltrative orbitopathy, diffuse goiter, infiltrative dermopathy, and family history of periodic paralysis, who was later found to have Graves' dis...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract::In an effort to determine the impact of race on the stage of prostate cancer at presentation, the records of 2102 patients diagnosed in Chicago between 1985 and 1987 were reviewed. For each of three age groups (less than 65, 65 to 75, and greater than 75 years), blacks had a significantly (P less than .05) lower perce...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
abstract::Jails and prison populations are unique in the incidence of deliberate self-harm, but the phenomenon is not well understood. One of the few generally accepted findings about suicidal behavior among the incarcerated is that white prisoners are overrepresented among both completed and attempted suicides, whereas black p...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1989-04-01 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::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::Relating current morbidity and mortality to environmental and occupational factors requires information on parameters of environmental exposure for practitioners of medicine and other health scientists. A fundamental source of that information is the exposure history recorded in hospitals, clinics, and other points of...
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::Angiotensin II is a prothrombotic vasoconstrictor. This study proves that many hypertensives are hypercoagulable and at risk for myocardial infarction. The modified recalcification time (MRT) test, used to assess hypercoagulability, incorporates the role of tissue factor in coagulation by activating the monocyte with ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1995-01-01 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::Endomyocardial fibrosis (EMF), an idiopathic cardiac disorder, occurs predominantly in the tropical and subtropical regions of the world. We present herein a report of EMF in a young man from the savannah belt of Nigeria. He was a 19-year-old young man who presented with recent onset of palpitation and dyspnea and was...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30756-2
更新日期:2010-12-01 00:00:00
abstract::A pilot study was conducted in anticipation of implementation of a larger project to assess human immunodeficiency virus (HIV) risk behaviors among older African Americans. A cross-sectional methodology was employed, including 33 African Americans aged more than 50 years in the metropolitan Washington, DC, area. The a...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30291-1
更新日期:2011-03-01 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::During 2005, a risk assessment tool based on the Gail model was used to calculate the five-year risk of developing breast cancer for 445 women who live in socioeconomically disadvantaged urban communities in western Pennsylvania and who attended health fairs and other community-sponsored activities. This tool allowed ...
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::The surgical approach to liver injury depends on a clear and concise characterization of the wound. Blunt trauma can produce devastating wounds that disrupt hepatic venous drainage. Atrial caval shunting remains a useful technique for Grade V liver wounds. Liver packing may be necessary if diffuse lobar injury, acidos...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::This report describes the treatment of a Viet Nam veteran with an α(2)-adrenergic agonist (clonidine) for hypertension which had an additional beneficial effect of allowing withdrawal in ten days from 20 mg of methadone a day with minimal withdrawal symptoms. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1983-01-01 00:00:00
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::A case of pancreatitis that occurred as a complication of a vaso-occlusive crisis in a child with sickle cell anemia is reported. We encourage others to consider pancreatitis as a cause for abdominal pain in children with multisystem diseases, particularly those that may cause ischemic organ injury such as sickle cell...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-01-01 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::Sickle cell disease (SCD) is a hematological disorder that is manifested primarily by severe pain and chronic organ damage. Little normative data exists on what the usual healthcare utilization is of a population of SCD patients, especially adults. Our study analyzed the office, emergency department (ED) and hospital ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00
abstract::The personality of the therapist does influence the psychotherapeutic process. Given that therapists are human, they do, in fact, bring into the encounter their moral and cultural, and sometimes even racial, attitudes in spite of efforts to maintain objectivity and neutrality. Ignoring the impact of the therapist-clie...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1982-05-01 00:00:00
abstract:BACKGROUND:Although there have been studies examining HIV knowledge among college population, current study is the first providing comparable information on HIV knowledge in general and testing specifically via online surveys among black and white college students. METHODS:Blacks (N=222) were recruited from 15 histori...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31377-8
更新日期:2008-07-01 00:00:00
abstract::The tendency for selected cardiovascular disease (CVD) risk factors to occur in clusters has led to the description of metabolic syndrome (MetS). The relative impact of the individual risk factor on the overall relative risk (RR) for cardiovascular death from metabolic syndrome is not well established and may differ a...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31304-3
更新日期:2008-05-01 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::This article reviews diagnosis and management of infants with diabetes. These infants present with signs and symptoms confused with other more common illnesses in this age group. A physician examining an ill-appearing dehydrated infant, without any obvious cause for the dehydration, should quickly screen the urine for...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00