Abstract:
:The provision of quality out-patient psychiatric care to a predominately black inner-city population, in a University setting such as ours, is a complex and challenging task. This paper addresses service and teaching issues related to the provision of that care in the Adult Unit of the Howard University Hospital Mental Health Clinic. In this setting there is a mandate for clinical teaching and research as well, two vital components in the delivery of quality psychiatric service by knowledgeable and skilled health care providers.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Snipe RM,Bullock SC,Randall LAsubject
Has Abstractpub_date
1978-04-01 00:00:00pages
263-6issue
4eissn
0027-9684issn
1943-4693journal_volume
70pub_type
杂志文章abstract:BACKGROUND:Hypertension is associated with left ventricular diastolic function abnormalities. There have been few studies evaluating left ventricular diastolic function in an African populace. MATERIALS AND METHODS:Ninety-eight hypertensives (52 females, 46 males) and 99 normal controls (49 females, 50 males) were rec...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract::This study was undertaken to clarify the complex relationship between poverty and race with disease-specific mortality. Data from the 1987 National Health Interview Survey and the 1986 National Mortality Followback Survey were used to estimate standardized mortality ratios (SMRs) for various categories (all causes, al...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract::A review of 313 intraoperative consultations and/or frozen section evaluations of neoplasms of the ovary was conducted. The intraoperative diagnosis of benign or malignant was compared with the diagnosis found at permanent section. Only six cases were deferred to permanent section. The overall accuracy was 93.9%. The ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1994-02-01 00:00:00
abstract::The psychosomatic disorder termed Munchausen's syndrome has gained official recognition in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, in which it is referred to as a "chronic factitious disorder with physical symptoms." Sporadic case reports have been published over t...
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:OBJECTIVE:To determine if African American and European American children with asthma admitted to an intensive care unit (ICU) had different characteristics, we conducted a retrospective chart review of asthma admissions to the region's only pediatric ICU. PATIENTS AND METHODS:A chart review was performed on 125 patie...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31107-x
更新日期:2009-11-01 00:00:00
abstract::Latinos in the United States have been disproportionately affected by the intersecting epidemics of HIV and sexually transmitted diseases (STDs). Using a community-based participatory research (CBPR) approach to problem identification and exploration, a total of 74 Latino men (mean age 22.3, range 18-37) residing in a...
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::Students of African ancestry often share an experience of being a racialized minority in the context of the educational institution. Late Professor of Anthropology John Ogbu's Cultural-ecological Theory of Academic Disengagement is employed to describe the negative responses encountered by peers in the name of academi...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2016.12.001
更新日期:2017-04-01 00:00:00
abstract::Diabetes is the leading cause of blindness, end-stage renal failure, non-traumatic limb amputations, and cardiovascular morbidity and mortality. The vast majority of patients with diabetes receive routine care from primary care providers who are not endocrinologists. Primary care providers, including internists, famil...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2002-07-01 00:00:00
abstract::Detection of intra-abdominal abscesses by computed tomography (CT) has an estimated accuracy rate of greater than 90 percent. Features helpful in detecting these abscesses include extraluminal gas, the "rind" sign, airfluid interface, and low and high density areas. The author presents three cases to illustrate the us...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1985-08-01 00:00:00
abstract::Baclofen is widely used in the treatment of spasticity of spinal origin. It is relatively free of side effects or toxic actions on the nervous system or other organs. Agitation, personality change, and auditory and visual hallucinations have been described following its abrupt withdrawal. One patient with generalized ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1984-05-01 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:INTRODUCTION:Black individuals continue to be underrepresented in clinical trials despite efforts by the National Institutes of Health and the Federal Drug Administration to increase their enrollment. Health care providers play a critical role in the recruitment of patients into clinical trials, as they have establishe...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2018.07.004
更新日期:2019-04-01 00:00:00
abstract::The authors established the specificity, reliability, and precision of human erythrocyte insulin radioreceptor assay. On the basis of insulin binding, cell viability, and degree of hemolysis, heparin sodium was found to be a more suitable anticoagulant than sodium fluoride, ethylenediaminetetraacetic acid, sodium oxal...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1983-05-01 00:00:00
abstract::The growing incidence of diabetes mellitus in the world is a widespread concern. While there has been improvement in the epidemiology and management of the disease in the developed world, the same cannot be said in sub-Saharan Africa. The disease is getting less attention as is the funding that it merits compared to c...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30643-x
更新日期:2010-07-01 00:00:00
abstract::Strangulated right Richter's inguinal hernia of the cecum is relatively rare. A case of this unusual hernia was successfully managed with a wedge resection and closure of the infarcted bowel wall in conjunction with complementary tube cecostomy. The procedure is easy to perform and relatively safe and is therefore rec...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1982-07-01 00:00:00
abstract::A 19-year-old female diagnosed with Graves' disease had treatment initiated with propylthiouracil (PTU). Pretreatment complete blood count and liver-associated enzymes (LAEs) were normal, but no further LAEs were obtained, reflecting U.S. guidelines written in 1995. Three months later, she presented with nausea, vomit...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30564-2
更新日期:2010-06-01 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::Cancer prevention materials such as pamphlets, booklets, and fact sheets play a significant role in reducing cancer disparities. Little is documented in the literature about the cultural sensitivity of materials targeting African Americans. The Cancer Prevention Materials and African Americans project was conducted to...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1998-03-01 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::Bellevue Hospital, the oldest public hospital in the United States and a lineal descendant of an infirmary for slaves, accepted its first African-American resident, Dr. Ubert Conrad Vincent, in 1918. This occurred at a time when many medical centers were not accepting African-American residents. At the end of WWII, on...
journal_title:Journal of the National Medical Association
pub_type: 历史文章,杂志文章
doi:
更新日期:2004-03-01 00:00:00
abstract::Previous studies document the importance of religious involvement in African-American communities. This study examines the extent to which religious involvement is associated with health status among African-American males. The data come from a community sample of 537 males residing in a major US urban area. Three ind...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1994-11-01 00:00:00
abstract::Three open-label studies were conducted in which natural human interferon-alpha (nHuIFN-alpha) was given orally to human immunodeficiency virus (HIV)-infected patients at a daily dosage of 150 IU for 12 months in an attempt to assess the effects of this treatment on their CD4+ cell counts. In the first study, 110 pati...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::At Howard University Hospital, nine terminally ill cancer patients with chronic pain have been treated with continuous intrathecal infusion of morphine delivered by the implantable Infusaid pump. The case of a patient treated at Howard University Hospital with this method of pain management is presented. Following Inf...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1987-03-01 00:00:00
abstract::Two women over the age of 50 years presented with ketoacidosis as the first manifestation of diabetes mellitus. The first patient failed to respond to a regimen of hourly intramuscular injections of regular insulin. She only improved when a continuous intravenous infusion of regular insulin was utilized. The second pa...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1986-02-01 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::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::In sub-Saharan Africa, human immunodeficiency virus (HIV) and Mycobacterium tuberculosis (TB) are among the leading causes of morbidity and mortality. Sub-Saharan Africa has seen the woeful failure of World Health Organization (WHO) targets of detecting 70% of the infectious cases of tuberculosis and curing > or =85%....
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
abstract::A case of Burkitt's lymphoma involving both ovaries of a 15-year-old Guatemalan girl is presented along with a brief review of the pertinent literature. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1986-07-01 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:OBJECTIVE:To determine whether there is an association between perceived pediatric overweight and emotional/behavioral difficulties among children ages 4 to 17 years in the United States. DESIGN:A cross-sectional study SETTING:Interview of an adult knowledgeable about a child's emotional and physical health. All stat...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30447-8
更新日期:2011-09-01 00:00:00