Abstract:
:Very low birthweight and preterm delivery explain two thirds of the excess deaths experienced by African-American infants. Although comprehensive, good quality services for all African-American women will help to reduce the twofold higher rate of infant mortality experienced by African-American infants compared with white infants, the infant mortality gap will not be closed until prevention research is conducted that incorporates the social, cultural, and political context of life for African-American women; the environmental stressors and the physiologic responses associated with stress; and the protective mechanisms available in the community for responding to stress. Discrimination may be an important stressor that influences a woman's susceptibility to a poor pregnancy outcome. Strategies already exist in the community to cope with discrimination and other environmental stressors. To capture the effects of discrimination and other environmental factors and the protective factors important for prevention, the research approach must involve African-American women and their communities as collaborators in the research. Such collaboration will help to avoid problems with scientific racism.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Rowley DLsubject
Has Abstractpub_date
1994-10-01 00:00:00pages
761-4issue
10eissn
0027-9684issn
1943-4693journal_volume
86pub_type
杂志文章,评审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:OBJECTIVE:Myelodysplastic syndrome (MDS) is recognized as a preleukemic disorder with a variable risk of transformation to acute myeloid leukemia. Usually the blast cells in leukemia are transformed after MDS displays a myeloid phenotype. Lymphoid progression had been reported as myeloid-lymphoid hybrid or early B phen...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30887-7
更新日期:2009-04-01 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::Seventy-eight patients with mediastinal abnormalities were imaged with magnetic resonance imaging (MRI) to evaluate mediastinal masses and associated lung, pleural, or chest wall disease. Magnetic resonance images were compared with computed tomography (CT) scans, which were available in 45 patients. While MRI and CT ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::Medical mycology involves the study of pathogenic fungi and their identification in the laboratory. Mycology has developed into a field that demands the attention of all clinicians treating patients in hospitals. Interest in medical mycology has grown in recent years due to a dramatic rise in the rates of fungal infec...
journal_title:Journal of the National Medical Association
pub_type: 社论
doi:
更新日期:2003-12-01 00:00:00
abstract:PURPOSE:This study aimed to evaluate whether comprehensive multidisciplinary care (cMDC) for breast cancer patients affected time from diagnosis to treatment, compliance with appointments and to assess for racial disparities. METHODS:This institutional review board approved retrospective study included adult patients ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2020.03.010
更新日期:2020-06-01 00:00:00
abstract::This report describes a case of tuberculosis with an atypical presentation characterized by epididymitis and Addison's disease in the absence of lung involvement. A 54-year-old male who presented with acute right scrotal pain and a whitish discharge, had been diagnosed four months earlier with acute epididymitis and p...
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::Relaxation therapy is one of the new modalities in the area of behavioral medicine which physicians may wish to use for tense patients as adjunctive to purely medical treatment. Efficacy of the specific therapy and patient compliance may be improved by use of relaxation therapy. This paper gives details on how to prov...
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::This article reports the results of clinical testing in pediatric patients of a new contrast agent, gadoteridol injection (ProHance), developed by Squibb Diagnostic as a nonionic gadolinium agent for use in magnetic resonance imaging (MRI). Thirteen children (four girls and nine boys) ranging in age from 10 to 18 year...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::Baylor College of Medicine has conducted a summer enrichment program for minority/disadvantaged premedical students since 1969. Follow-up data on medical school application and acceptance for participants from 1980 through 1984 were analyzed in relation to selected preprogram variables--cumulative college grade point ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract:BACKGROUND:Racial/ethnic difference in bone mineral density (BMD) exists. The underlying mechanism is unclear and needs investigation. PURPOSE:To determine BMD and its relation to environmental exposure in recent African immigrants. METHODS:BMD in recent sub-Saharan Sudanese immigrants (55 men and 88 premenopausal wo...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-05-01 00:00:00
abstract::The number of satisfactory vascular organs suitable for organ transplantation can be increased appreciably by a close working relationship between traumatologists and transplant surgeons. Benefits will derive from more precise and rapid field management of brain-injured patients, with subsequent appropriate stabilizat...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract::The three leukotriene (LT) modifiers approved for use in the United States, zileuton, zafirlukast, and montelukast, are the first new class of therapeutic agents to be introduced in 20 years for the treatment of asthma. These agents are referred to as leukotriene modifiers and have clearly demonstrated the ability to ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1999-08-01 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::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::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::The surgeon's responsibility to patients with colorectal cancer does not end with resection of the primary locoregional disease. The surgeon has a role to play in (1) designing and implementing strategies aimed at preventing recurrence, (2) early detection of recurrent disease, and (3) resective therapy of recurrent d...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1988-05-01 00:00:00
abstract::Comprehensive health care planning can augment the educational programming for children with exceptional health and/or learning needs. The coordination of medical service and education is critically needed to reduce the traditional gulf between these two essential disciplines. Bridging this gulf will enable patients a...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1982-10-01 00:00:00
abstract::Music is a convenient way of bypassing barriers of communication and eliciting responses that may be helpful in the diagnoses and treatment of illness. The use of background music in elevators, in doctors' offices, and in stores are good examples of how music can be used to affect the subconscious mind. In this pilot ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1987-08-01 00:00:00
abstract::Many studies now demonstrate high overall response rates with concurrent chemotherapy and radiation (CCR) for locoregionally advanced or inoperable non-small cell lung carcinoma (NSCLC) but often with severe toxicity and only modest improvement in survival beyond 3 years. We report a simple CCR protocol for NSCLC that...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVE:To identify social, behavioral and epidemiologic factors associated with HIV infection among HIV-infected and HIV-uninfected black women residing in North Carolina. DESIGN:A case-control study conducted in August 2004 in North Carolina. METHODS:Cases were 18-40-year-old women with HIV infections diagnosed f...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-11-01 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::Despite the widespread availability of firearms, stab wounds to the abdomen, back, and flank continue to account for a significant number of injuries. The proper sequencing of diagnostic modalities in this patient group is constantly undergoing change. We report our experience with these injuries and present a new alg...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1991-02-01 00:00:00
abstract::An epidemiologic study was conducted to ascertain the relationship between urinary sodium and potassium, and arterial blood pressure in normal, nonhospitalized adults. Random samples of 1,939 adult residents, 35 to 54 years of age, of Savannah, Georgia; Hagerstown, Maryland; and Pueblo, Colorado, were interviewed and ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1984-01-01 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:OBJECTIVE:To determine whether any associations exist between cultural (racial/ethnic, spiritual/religious) competence and end-of-life treatment decisions in hospitalized patients and the potential impact of those associations on hospitalists' provision of care. DATA SOURCES AND METHODS:MEDLINE, PubMed, Embase, Psychl...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:10.1016/s0027-9684(15)31040-3
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVE:To examine factors within the patient-provider relationship that influence which role African American men aged 40-70 years prefer when making health care decisions. METHODS:We recruited 40 African American men from barbershops in the Richmond, Virginia, metropolitan area to participate in semistructured int...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30176-0
更新日期:2012-07-01 00:00:00
abstract:STUDY OBJECTIVE:Health literacy influences a patient's ability to read and understand labels on medicine containers, appointment slips, informed-consent documents and medical instructions--all of which are considered basic health documents that a patient encounters in healthcare settings. Previous research suggests Spa...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31512-1
更新日期:2008-11-01 00:00:00
abstract::The authors' experience with selective shunting during carotid endarterectomy utilizing electroencephalographic and stump pressure measurements is reported. No postoperative neurological deficits occurred in this group of selectively shunted patients. EEG appeared to offer no significant benefit in the management of t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1983-06-01 00:00:00
abstract::Wilms' tumor is a malignancy that most often affects children. It usually is discovered incidentally by a parent or family member in an asymptomatic child. The development of surgical techniques and the addition of adjuvant therapies have made this once incurable disease curable. The National Wilms' Tumor Study group,...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00