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. Females accounted for the majority of the infections. In general, the three most common sites of infection were the urinary tract, surgical wounds, and the lower respiratory tract. Escherichia coli was the single most frequently identified agent followed by Staphylococcus aureus and Staphylococcus epidermidis. The most frequently reported risk factors among patients acquiring a nosocomial infection were the use of prior antibiotics, indwelling urinary catheters, and intravenous catheters or cut-down. The specific problems associated with nosocomial infections, such as sites of infection, risks of infection, and the types of organisms isolated, essentially had not changed much since the 1960s, the 1970s, and for most of the 1980s.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Silberg SL,Torres CG,Owen WL,Parker DE,Neas BRsubject
Has Abstractpub_date
1993-11-01 00:00:00pages
851-6issue
11eissn
0027-9684issn
1943-4693journal_volume
85pub_type
杂志文章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::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::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: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::The latency period is an extremely important transition between the preschool years and adolescence. Normal ego functioning is described, especially cognition, socialization, motor development, and defensive functions. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-11-01 00:00:00
abstract::Colorectal cancer causes significant morbidity and mortality in the United States. Recommendations for colorectal cancer screening have been developed. This study evaluated the colorectal cancer screening practices of African-American and white patients by internal medicine resident physicians. A retrospective chart r...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1999-09-01 00:00:00
abstract::This study examines whether race is a significant determinant of the diagnoses of acute myocardial infarction or angina pectoris in patients with symptoms suggestive of acute cardiac ischemia. The study population was comprised of 3401 (34%) African-American and 6600 (66%) white patients who presented to emergency dep...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,多中心研究
doi:
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this cross-sectional study was to examine the association between elevated depressive symptoms and the clinical severity of sickle cell disease (SCD) using African-American adults with and without SCD. STUDY DESIGN:The population consisted of 102 African-American adults with SCD, diagnosed usi...
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::A retrospective study was undertaken to assess the value of three-dimensional computed tomography (3-D CT) in evaluating craniofacial abnormalities. Over a 2-year period, 145 children evaluated with routine two-dimensional (2-D) CT had 3-D CT reformatted images assessing a variety of anomalies including craniosynostos...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1994-09-01 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:OBJECTIVE:The purpose of this study is to determine primary care pediatricians' level of awareness in the diagnosis and management of rickets. The information will be useful in assessing the need for provider education related to appropriate advice regarding vitamin D supplementation for infants. STUDY DESIGN:A one-pa...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:This retrospective study evaluates the degree and distribution of hepatic steatosis in predominantly African-American patients who had liver biopsies over a period of five years in our institution. METHOD:A search in the pathology registry of Howard University Hospital was performed for the presence of fat ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
abstract::More than 250 cases of Cornelia de Lange syndrome have been reported in the medical literature, but not have described the use of hip reconstruction to correct the congenital dysplasia that may be associated with this condition. This article reports the application of a bipolar hemiarthroplasty and acetabular allograf...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1997-08-01 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::The occurrence of multifocal rhabdomyoma is exceedingly rare with less than half a dozen cases collected in the literature. We present a case of multifocal rhabdomyoma of the head and neck that involves extension of the tumor to the vallecula, the glossoepiglottic fold, and the aeriepiglottic fold. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract::Primary malignant tumors of the small bowel are uncommon in the United States. They comprise less than 1% of all gastrointestinal malignancies, with an incidence of 2200 cases per year. The clinical presentation of small bowel tumors is frequently insidious and often overlooked by physicians. The low incidence and lac...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1995-04-01 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::The objective of this study was to define the demographic, immunologic, and clinical characteristics of children with acquired immunodeficiency syndrome (AIDS) and AIDS nephropathy, and contrast this with the existing adult data. Data from 62 pediatric patients with AIDS who were treated at SUNY Health Science Center,...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1996-08-01 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:PURPOSE OF THE STUDY:To review technological advances in the field of radiation oncology in the management of benign and malignant diseases. BASIC PROCEDURES:We reviewed major advances in the field of radiation oncology in the past decade with special emphasis on reduction of treatment related toxicities, and technolo...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:Racial and ethnic minorities are underrepresented in the health professions. Affirmative action and educational pipeline programs play a vital role in increasing the diversity of health professions, addressing educational opportunity gaps, and reducing health disparities. Part 1 of this 2-part series discuss...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:10.1016/s0027-9684(15)31030-0
更新日期:2009-09-01 00:00:00
abstract::This survey assessed the reported frequency of breast self-examination (BSE): the knowledge of the technique and attitudes regarding the self-exam of 180 black women. Most respondents indicated having practiced the exam during the previous year, and 50% reported practicing it monthly or more often. Less than half of t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract::A case of sickle cell disease with 63 documented episodes of priapism that were managed medically is presented. The case is very unusual because of the fact that despite so many episodes of priapism, he did not lose sexual potency. On the contrary, over a period of time, his penis hypertrophied. To the best of our kno...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::Vitamin D deficiency has been linked to fracture risk and chronic musculoskeletal pain. Adults with sickle cell disease have a high prevalence of low bone density and chronic pain with poorly defined etiologies. We recognized that vitamin D deficiency may represent a treatable etiology and sought to determine the prev...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,多中心研究
doi:10.1016/s0027-9684(15)30605-2
更新日期:2010-04-01 00:00:00
abstract::A 31-year-old black man presented with bilateral multiple renal papillary adenocarcinomas. The patient had been maintained on captopril therapy for severe hypertension for three years. The possibility of drug-induced malignancy is discussed. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1984-11-01 00:00:00
abstract::Quit-rates for cigarette smokers in a lifestyle intervention program aimed at reducing coronary risk were 24 percent for all participants and 34 percent for non-dropouts. Recidivism remained very low during participation in the program. Half of the smokers who quit did so after being in the program more than two years...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1982-04-01 00:00:00
abstract::The association among race, neighborhood socioeconomic status (SES), and chronic pain has not been well examined in older people. Clinical data was obtained from older adults (>50 years old) presenting to a tertiary care pain center. The relative roles of race and neighborhood SES on the chronic pain experienced in ol...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-10-01 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::Early detection of pregnancy offers many advantages for the fetus and the mother. Many medical benefits depend on early detection, including social and emotional well-being and the aviodance of medicationss, irradiation, and other teratogencis. In the past, women became aware of their pregnancies only when organogen...
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:CONTEXT:The reasons for African-American men to seek care for lower urinary care symptoms has not been determined due to sparse population-based data. OBJECTIVE:Our study examines the solicitation and receipt of medical care for urinary symptoms among racially oversampled elderly urban and rural cohort of African Amer...
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