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 Risk Settings, it is clear that the single common pathway to high-risk adolescent behavior is early academic failure. Coupled with the dire effects of poverty, institutional racism, and the disintegration of public school education, the fate of many African-American and Latino preschoolers may become one of functional illiteracy or worse. Project CHILD (Community Health Initiatives Against Learning Difficulties) was a pilot community program that aimed both to identify youngsters at risk of early academic failure and to obtain a profile of learning and developmental difficulties for each child. Psychoeducational and medical screenings were the primary tools used. Parental empowerment was critical to effect beneficial changes for the children within the schools. The program succeeded in its goals. However, it also was apparent that the preschoolers were adversely affected by many stressors both within and without the families. Primary child health care must become more community-based and comprehensive to offset the effects of poverty.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Tuakli-Williams J,Carrillo Jsubject
Has Abstractpub_date
1995-07-01 00:00:00pages
473-8issue
7eissn
0027-9684issn
1943-4693journal_volume
87pub_type
临床试验,杂志文章,随机对照试验abstract：:An hypothesis is proposed that there exists a subgroup of African-American hypertensive patients whose hypertension could have been prevented by the early detection and treatment of easily recognizable symptoms that signal the initiation of the pathophysiologic processes that lead to essential hypertension.A pilot stu...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1988-03-01 00:00:00
abstract：:Malaria continues to be a cause of high mortality and morbidity. Imported cases of malaria are increasing in New York City. Yet, New York physicians, when evaluating patients for fever, frequently missed the diagnosis of malaria. We evaluated the role of platelet count for predicting malarial infection. The study incl...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2004-09-01 00:00:00
abstract：:Even though Lyme disease probably existed in Oklahoma prior to 1975 when the disease was first reported in Connecticut and even though ecological conditions favor a high prevalence, an unexpectedly low rate was evidenced in both a serological survey and the number of cases reported to the Oklahoma State Department of ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1992-09-01 00:00:00
abstract：:Clinical and pathological findings in 15 patients with carcinoma of the midthoracic esophagus were analyzed. The author concluded that preoperative radiotherapy reduces tumor size and improves resectability. Longer follow-up is required to determine whether or not preoperative radiotherapy improves survival rates in t...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-02-01 00:00:00
abstract：:As only 600 of the 30,000 psychiatrists in America are black, it is apparent that black psychiatrists in the United States will not be able to meet the needs of all the mentally ill blacks in this country. In view of this situation, the authors feel that psychiatric residency training programs should prepare psychiatr...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1988-06-01 00:00:00
abstract：:African-American males have a higher incidence of prostate cancer than non-African-American males and an overall poorer prognosis. Environmental factors such as socioeconomic status and biological factors such as an increased frequency of androgen receptor mutation have been identified as causal. As androgen ablation ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：:Surgery is the modality of choice in curative treatment for cancer of the colon and rectum. Since a majority of the patients present advanced disease where the surgical outlook is poor, adjuvant therapy may be warranted. Clinical and experimental data demonstrate the benefits from preoperative radiation therapy and so...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-11-01 00:00:00
abstract：OBJECTIVES:To assess the prevalence of vitamin D deficiency among patients in an inner-city practice with a large African American population, and to evaluate the efficacy of vitamin D replacement as part of routine care. METHODS:A chart review was undertaken to identify patients aged 18 years and more with at least o...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30337-0
更新日期：2011-05-01 00:00:00
abstract：:Precocious puberty can be very confusing and frightening to an affected child and his or her family. The following presentation includes the pertinent physiology, psychology, etiology, diagnosis, and treatment of precocious pubertal development. Radioimmunoassays for gonadotropins and several key hormones are now avai...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1979-02-01 00:00:00
abstract：:Arsine gas exposure is a rare occupational event and can be completely prevented with the use of appropriate protective gear. Exposure often occurs when arsine gas is generated while arsenic-containing crude ores or metals are treated with acid. Cases of toxicity require an index of suspicion and a good history. In pa...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：2006-12-01 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：:The case of a 43-year-old female with propylthiouracil-induced hepatitis is reported. The case is unique because the patient's liver function deteriorated 2 weeks after medication was discontinued. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1991-01-01 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：:Growth data were analyzed on 406 infants (211 black, 195 white) during their first two years of life. Only term children weighing more than 2500 g were included in the study. Prenatal and postnatal care were provided at the same university affiliated health maintenance organization. Mean birth weight of black female n...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1986-12-01 00:00:00
abstract：:Schistosomiasis is a common parasitic disease in the tropical and subtropical regions of Africa, Asia, South America and the Caribbean. It is the second most common parasitic infection of humans after malaria. Acute and chronic clinical presentations of S. monsoni are well described. Presentation as a pseudotumor is c...
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：BACKGROUND:Diversity and inclusion are terms that have been used widely in a variety of contexts, but these concepts have only been intertwined into the discussion in healthcare in the recent past. It is important to have a healthcare workforce which represents the tapestry of our communities as it relates to race/ethn...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2020.03.014
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:The purpose of this study is to characterize African-American women attending a community clinic who report frequent douching (douching > or = 2 times per week). METHODS:A consecutive sample of 115 black women attending a community clinic were interviewed face-to-face about their douching practices. Logistic...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2005-10-01 00:00:00
abstract：:Ten patients underwent implantation of intrathecal morphine catheters with subcutaneous implantation of morphine Infusaid pumps for the treatment of intractable pain of malignant origin from May 1984 to October 1985. All patients exhibited a good initial response to intrathecal morphine and developed some degree of to...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1987-09-01 00:00:00
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：: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：:This article describes barriers to treatment identified by a sample of substance-abusing/addicted women (mostly African-American). A self-administered questionnaire, the Allen Barriers to Treatment Instrument, was submitted to 97 substance-abusing/addicted women throughout the state of Illinois who were not in treatme...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1995-10-01 00:00:00
abstract：:Guidelines for pain management in adult sickle cell patients with vaso-occlusive crises suggest prompt, frequent administration of parenteral opioids. Neither the ability to implement these guidelines in a busy urban emergency department nor opioid dose requirements in uncomplicated vaso-occlusive crisis have been pre...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30729-x
更新日期：2010-11-01 00:00:00
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 irrad...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1987-05-01 00:00:00
abstract：ACKNOWLEGMENT:This study was supported by Clinical Research Grant (7-08-CR-27) from the American Diabetes Association and by a contract (58-1950-7-707) with the Jean Mayer U.S. Department of Agriculture Human Nutrition Research Center on Aging at Tufts University. This article does not necessarily reflect the views or ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/S0027-9684(15)30065-1
更新日期：2014-07-01 00:00:00
abstract：PURPOSES:To assess patterns of dementia/Alzheimer's disease (AD) management and to investigate predictive factors of cholinesterase inhibitor prescriptions. METHODOLOGY:A cross-sectional study was conducted using a national survey among the elderly aged >60 from 2000 to 2002. Visit characteristics and cholinesterase i...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-03-01 00:00:00
abstract：:African Americans are less likely than European Americans to participate in biomedical research. Researchers often attribute nonparticipation to the "Tuskegee effect." Using critical qualitative analysis of focus group data, we examined the public's use of the Tuskegee Study of Untreated Syphilis (TSUS) to discuss bio...
journal_title：Journal of the National Medical Association
pub_type： 历史文章,杂志文章
doi：
更新日期：2004-08-01 00:00:00
abstract：:Pneumococcal and mycoplasma infection of the lung or pleura, infarction of lung or pleura, local abscess below the diaphragm, and heart, kidney, or pancreas involvement are among the many causes of pleural effusion. Several of these have an increased likelihood of occurrence in sickle cell disease as a direct conseque...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1977-08-01 00:00:00
abstract：BACKGROUND:African Americans experience high rates of obesity and other chronic diseases, which may be related, in part, to diet. However, little is known about dietary patterns in this population, particularly from population-based data sources. METHODS:A cross-sectional analysis was conducted of 2,172 African-Americ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2004-12-01 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：:Increased QT dispersion (QTd) is a noninvasive marker of an electrophysiologic abnormality associated with high mortality in coronary artery disease. The purposes of this study were to measure changes in QTd and ST-segment changes immediately before, during and after intracoronary balloon inflation and to determine wh...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-08-01 00:00:00
