Abstract：
:To describe the natural history of adult respiratory distress syndrome (ARDS), we compared the clinical course of two groups of postoperative critically ill patients who developed respiratory failure requiring prolonged endotracheal intubation (minimum: 4 days). The two groups with ARDS (Group 1) and without ARDS (Group 2) were compared for the following clinical parameters: PO2/FIO2 ratio, cardiac index, pulmonary capillary wedge pressure, systemic and pulmonary vascular resistance, pulmonary compliance, serial chest radiograph findings, presence or absence of sepsis, oxygen transport parameters, morbidity, and mortality. Twenty patients are described over a 9-month period ending in March 1990-10 patients in each group. Characteristic differences between the two groups in terms of oxygen consumption, pulmonary compliance, pulmonary vascular resistance, numbers of organ systems failing, and mortality were noted. Our experience supports the recommendations of early institution of positive and expiratory pressure and optimizing oxygen delivery parameters in the management of ARDS.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Tinubu SA,Cornwell EE 3rd,Siram SMsubject
Has Abstractpub_date
1993-01-01 00:00:00pages
25-7issue
1eissn
0027-9684issn
1943-4693journal_volume
85pub_type
杂志文章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
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：OBJECTIVE:Breast cancer mortality has declined, yet disease outcomes have not improved equally across populations. Disparities may initiate early in the continuum of care, in health behavior patterns, and screening practices. We examined variations in mammography, exercise, fruit and vegetable intake, alcohol consumpti...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30937-8
更新日期：2009-06-01 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：:Sixteen cytologic endocervical atypias are reported with corroborative tissue analysis. Maternal diethylstilbestrol (DES) history was positive in three patients, one with clear cell adenocarcinoma, one with colposcopy and biopsy proven benign vaginal adenosis, and one with squamous carcinoma in situ of the cervix. Col...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-12-01 00:00:00
abstract：:Ischemia and reperfusion in myocardial infarction and stroke are associated with upregulation of leukocyte adhesion molecules, which contributes to tissue injury by facilitating leukocyte adhesion and infiltration in the affected tissues. Surgical repair of the abdominal aortic aneurysm involves clamping and declampin...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2005-02-01 00:00:00
abstract：BACKGROUND/PURPOSE:With the urgency to create more equitable health care, increased research and early exposure to health interventions and clinical medicine are imperative. Health disparities continue to persist nationwide, particularly in underserved areas and among traditionally disadvantaged populations. In additio...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2019.12.003
更新日期：2020-02-01 00:00:00
abstract：:Delirium is a transient global disorder of cognition. Almost any medical illness or medication can cause delirium. Here, we report a 71-year-old male who presented to the emergency department with a sudden change in mental status, which later resolved. An electrocardiogram was consistent with acute myocardial infarcti...
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：: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：:Little is known about the adverse consequences of anemia during infancy or maternal anemia during pregnancy on the behavioral development of the infant. The present research investigates one aspect of these relationships. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1986-10-01 00:00:00
abstract：:From 1967 to 1977, 72 patients with small cell carcinoma of the lung were seen. Thirty-five of these patients had unilaterally localized lesions (limited disease) and were treated with cobalt 60 radiation therapy (6,000 rad in six weeks) followed by chemotherapy consisting of cyclophosphamide (Cytoxan), vincristine, m...
journal_title：Journal of the National Medical Association
pub_type： 临床试验,杂志文章
doi：
更新日期：1986-03-01 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：:Perhaps the most significant link in achieving the nation's immunization objectives is the extent of parental knowledge. Admittedly, this is a weak link. The 1990 federal objectives calling for an official format using common guidelines for completion of immunizations, though well-conceived, has not been used exclusiv...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1991-05-01 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：:Based on information from suggesting effects of positive and negative polarity on cancer cells, surveys were performed on magnetic resonance imaging devices, as well as other types of equipment capable of producing appreciable magnetic fields. These surveys were performed in areas where there was a potential for both ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1990-09-01 00:00:00
abstract：:The data of the Third National Cancer Survey show for many cancer types, large differences in cancer incidence between Euro-Americans and Afro-Americans.(1) As in other racial studies, it is difficult to separate environmental and genetic factors. For the cancers which are more frequent among Afro-Americans, environme...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1981-08-01 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：INTRODUCTION:To determine the efficacy and safety of Kahook Dual Blade (KDB) goniotomy alone or combined with phacoemulsification cataract surgery to lower intraocular pressure and medication burden in Black and Afro-Latinx patients with open angle glaucoma (OAG). MATERIALS AND METHOD:A retrospective, single center ca...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2020.09.147
更新日期：2020-11-03 00:00:00
abstract：:Reduction of health disparities in the United States is a high priority. One means of effecting such a reduction is to enroll persons of groups that are subject to health disparities in clinical trials. One barrier to minorities enrolling in clinical research is distrust of the medical establishment based on past abus...
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 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：OBJECTIVE:This study examined gender differences in how three social roles - marriage, parenthood, and employment - impact depressive symptoms and clinically significant depression for African Americans in the first decade of midlife, from 40 to 50 years old. Specifically, we sought to understand the associations betwe...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2018.10.012
更新日期：2019-06-01 00:00:00
abstract：:A summer preview program was designed to enhance the academic performance of minority students in medical school. In the five-week program the students met from 8:00 AM to noon, five days a week. The two components of the program were study skills and selected basic science topics deemed critical for success in the fi...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1985-06-01 00:00:00
abstract：:The author traces the history of theories of food digestion from the prescientific era to the chemical techniques of 19th century investigators. ...
journal_title：Journal of the National Medical Association
pub_type： 历史文章,杂志文章
doi：
更新日期：1987-11-01 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：: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：:Strongyloides stercoralis affects 30 to 100 million people worldwide and is a common cause of abdominal pain and diarrhea. Strongyloidiasis is a chronic and limited disease; however, in immunocompromised patients, hyperinfection syndrome can occur. Diagnosing strongyloidiasis early is important, as almost all deaths d...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：10.1016/s0027-9684(15)30246-7
更新日期：2011-01-01 00:00:00
abstract：:This article reviews the basic concepts and techniques of time management as they relate to a medical lifestyle. Essential tools are described to help the physician reassess and sharpen skills for handling intensifying demands and constraints of juggling patient care, research, teaching, and family responsibilities. T...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1996-09-01 00:00:00
abstract：:We describe the findings of anhidrotic/hypohidrotic ectodermal dysplasia in three successive generations of a family. All three women had variable alopecia, anhidrosis, hypodontia and malar hypoplasia. Chromosomal studies revealed a defect of the 2q12 region in all three patients. Previous studies have reported rare c...
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：:A left testicular mass was found in a 34-year-old black man with a history of multisystem sarcoidosis of 7½ years duration. Microscopic examination of the excised testicle revealed noncaseating granulomas throughout, as well as a few such lesions in the epididymis. This is the seventh reported, microscopically proven ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1986-01-01 00:00:00
abstract：BACKGROUND:Climatic conditions may trigger subclinical disease in predisposed individuals and also exacerbate eczematous symptoms resulting in persistence or increased frequency of atopic dermatitis (AD) flares. The aim of this study is to assess the impact of tropical weather conditions on the frequency at which atopi...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2018.06.005
更新日期：2019-02-01 00:00:00
