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 of the fetus. Intravenous fluid therapy and total parenteral nutrition enabled the authors to correct the negative nitrogen balance and metabolic derangement, and to improve the operative risk to both the mother and the fetus.Cesarean section delivered a viable baby. A high gastrectomy relieved the patient of her obstruction and tumor burden. Although the long-term prognosis of gastric cancer remains grim, having saved the mother and the baby through such an ordeal is a rewarding experience.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Sims EH,Schlater TL,Sims M,Lou MAsubject
Has Abstractpub_date
1980-01-01 00:00:00pages
21-3issue
1eissn
0027-9684issn
1943-4693journal_volume
72pub_type
杂志文章abstract::This study examined the clinical characteristics and outcome of pulmonary tuberculosis in African Americans hospitalized in a teaching hospital in south-central Los Angeles from May 1992 through April 1994. The charts of 41 African Americans with culture-positive Mycobacterium tuberculosis were reviewed. Predisposing ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1998-02-01 00:00:00
abstract::In the past 2 years, cities have reported skyrocketing rates of violence, crime, and abusive behavior including intrafamilial homicides. Of the 1838 homicide deaths last year among teenagers between the ages of 15 and 19, 71% involved the use of a firearm. Among black males in the same age group, 82% of the deaths wer...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1992-06-01 00:00:00
abstract::An update of the state of the art of cancer chemotherapeutic treatment of genitourinary tract cancer is described in this multi-part series. Included in the review are cancers of the kidney, bladder, prostate, testicle, ovary, uterus, vulva, and gestational trophoblastic neoplasms. Part 2 focuses on Wilms' tumor and b...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1988-02-01 00:00:00
abstract:BACKGROUND:The prevalence of skipped hemodialysis or no-show is higher among African Americans, younger Sages, smokers and illicit drug users. The effect of the weekly hemodialysis treatment schedules (Mondays, Wednesdays, Fridays (MWF); or Tuesdays, Thursdays, Saturdays (TTS)] on adherence is unknown. METHODS:Our hem...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31274-8
更新日期:2008-04-01 00:00:00
abstract::Case reports concerning rare complications of human bite injuries are uncommon in the literature. Further, rehabilitation of the resultant dysfunction is also hardly reported. A 41-year-old housewife who had had a human bite during an altercation 6 months ago was referred to the rehabilitation department with a nonfun...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30856-7
更新日期:2009-03-01 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
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:BACKGROUND:Many Native American tribes use acanthosis nigricans to screen for type 2 diabetes risk. We hypothesized that acanthosis nigricans misses many children at risk for type 2 diabetes. METHODS:We evaluated 5- to 18-year-old Native American children and youth to assess the sensitivity and specificity of acanthos...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30714-8
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:High sensitivity C-reactive protein (hsCRP) and Plasminogen Activator Inhibitor-1 (PAI-1) are recognised independent novel risk factors for cardiovascular disease. Few studies have assessed cardiovascular risk factors in patients with hyperglycaemic emergencies (HE), despite it being a major cause of death i...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2019.12.004
更新日期:2020-02-01 00:00:00
abstract::Retroperitoneal fibrosis secondary to carcinoma of the gallbladder has not been reported previously. Such a combination is reported and a review of the pertinent literature presented. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to provide a systematic evaluation of a theory-driven oral cancer awareness media campaign. METHODS:We surveyed a cohort of residents in an intervention city (250) and a control city (250) immediately prior to and after the media campaign. Participants (125 black/African Americ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31005-1
更新日期:2009-08-01 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 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:PURPOSE:The purpose of this qualitative study was to explore the causes and management of blindness and blinding eye conditions as perceived by rural dwellers of two Yoruba communities in Oyo State, Nigeria. METHODS:Four focus group discussions were conducted among residents of Iddo and Isale Oyo, two rural Yoruba com...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-06-01 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
abstract:BACKGROUND:Several studies have been published in the western literature on the incidence, clinical course and outcome of patients with ARDS. However, there is limited data about ARDS in the tropics and moreover, the etiology and outcomes of ARDS in tropical countries are different from those of western nations. In tro...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2017.07.002
更新日期:2018-08-01 00:00:00
abstract::The achievements of 19th century medical education, practice, literature, and science and their affect on 20th century medicine are reviewed. The contributions made by 19th century physicians to change medical education are described, as well as the social processes that influenced medicine and science in both centuri...
journal_title:Journal of the National Medical Association
pub_type: 历史文章,杂志文章
doi:
更新日期:1988-02-01 00:00:00
abstract:INTRODUCTION:This book review analyzes the complex and profound impact active religious participation has on relationships and family outcomes among African Americans and Latinos. In Soul Mates, Wilcox and Wolfinger discuss the legacy of slavery and Jim Crow laws and the resulting devastating effects on African America...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:10.1016/j.jnma.2016.08.007
更新日期:2016-01-01 00:00:00
abstract:PURPOSE:This article highlights issues of misdiagnosis in an African-American, adult clinical population by doing point prevalence, record review study within a comprehensive community mental health center. METHOD:Psychiatric evaluations of 330 patients were reviewed and clinically identifiable variables of: a) childh...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/S0027-9684(15)30048-1
更新日期:2015-03-01 00:00:00
abstract::Differences between black and white adolescents in the experience and expression of anger and anxiety, traditional risk factors for hypertension, and blood pressure were examined among adolescents enrolled in a health science course in Tampa, Florida. Relationships between blood pressure and anger/anxiety and traditio...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1989-05-01 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::Growth standards specific to black boys and girls are necessary because genetically determined patterns of growth in black children are significantly different from those of white children. Such standards have only recently become available, and they need further refinement. The required improvements include: (1) adju...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1980-10-01 00:00:00
abstract::Periodically, for the past two years, the editorial staff of the Journal of the National Association has attempted to-for history's sake--highlight physicians of color. In this vein, and in light of the current hostile activities in the Persian Gulf, we felt it important we our bring readers, in this issue, the backgr...
journal_title:Journal of the National Medical Association
pub_type: 传,历史文章,面试
doi:
更新日期:2005-05-01 00:00:00
abstract::Numerous studies have documented the presence of racial disparities among Americans in health outcomes with respect to cardiovascular disease, infant mortality, cancer, and kidney disease. With regard to kidney diseases, these disparities are more dramatic. African, Hispanic, and Native Americans have the highest risk...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2002-08-01 00:00:00
abstract::Within 50 years, if current trends continue, 50 million elderly Americans will suffer visual impairment from macular degeneration or cataract. However, available evidence indicates that this impending crisis of visual health can be minimized by a simple, safe, inexpensive, and practical means of prevention. Cataract a...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1992-04-01 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::Adverse drug reactions are defined and examples are given. Four areas of concern are addressed, namely, defining drug reactions, identifying some of the factors contributing to the adverse drug reactions, implications of adverse drug reactions for health-care providers, and preventive measures which impact on the occu...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-10-01 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::The study aimed at finding out the clinicopathologic, ophthalmic and visual profiles, management and outcome of mucoceles of the paranasal sinuses in Nigerians. The study was a retrospective review of 20 cases of mucoceles who presented to the ENT clinic and referred to the eye clinic of the University College Hospita...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-01-01 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